Loading...
HomeMy WebLinkAbout018-2003-19-000 a a ' ~ ti ~ m a h I ~ I o 0 N II ti I h ~ I tl '~ II it C ~ 7 II 3 r> a~ Z y ~ , ~ _ pp N W d m .- F- Z 2 a O ' :,. ~ ~ ~ v d Z N H .- ' I ii •~V I v c`a i Q g I~ Q Z Z N i,o w v ~ j y p > L ep ~ ~ m ' C +i d U ~ 2 ~ ' C a > 3 0 N N J V ~y ~ L p O ' ~.. I~ N N N N ~ O O ~ ', U ~ ~ .n m ~ N 7 ~+ p ° . ~ ~ y c 0 3 o c ! m 0 ~ ~ r ~ i m ~ l t, a? ~ o `/ _ N N N ~ ap ! O i ~ j co • ~' ~ o°r°_ , ~avo '" ~ ~ ~ v I • ` "" ~ cTv ~ I dad` i~t ~ + ~ ~ c V Q c w ~ ~ N V _1 Q ~ 3 0 O ~ c 0 M CO Z ~ :- c o 0 ~i Q c c .o iu cC `~ ~ o Z ~ -° N M N ~ L C ~ _ O ~ 0 z N C ~ ~ C O ~ ~ ~ ~ y ~ U a 'm o N O Z ~ ~ m C d fq Q ~ .~. Q Z U1 0 `~ ~ a ° ° ~ c C ~ _ N O ~ N v y ~ C ~ '~ C N Z ~ Y ~ c~ ~•~O Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH 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 P.C. COllova Builders, Inc. Hammond, Town of CST BM Elev: / Insp. BM Elev: BM Description: ~ . ~ ~ tm . ~p ~ v~ a.c.c.una$e.. -- ,t~.oQ~ ou~2 a~ $3 SANK INFORMATION TYPE MANUFACTURER CAPACITY Septic C-~~FC~-Y~ ~ O~~ ~O~ Dosing ~ l:Jo-~nn,gp. t~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 33 ~ '`$S I Dosing i, a _... ~ S ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demand 61-~--E--~. p GPM Model Number Z~.~JD gN (S2. TDH Lift~,rs Friction Loss System H ad TDH Ft ,~ •60 Forcemain Length t Dia. r / Dist. to well ~'' ~ 2 y SOIL ABSORPTION SYSTEM ELEVATION DATA _ STATION ~ncru~a.K~ B3 t~I ~o •Zo 1)0(0.90 1 I loo .~ r I BM SUHt Outlet Dt Inlet County: St. CrDIX Sanitary Permit No: 463059 0 State Plan ID No: Parcel Tax No: 018-2003-19-000 Section/Town/Range/Map No: 18.29.17.913 HI I FS I ELEV. 089° (o.bo 02..30/ (2•`fcl q~ •So/ Iut ovnom I I I I )~'3~ 11 z•~O~ r ot. System i a~ r~~ l t Cover Cs~~.r ,~ ~~~° 5 3o Jo x.60 ~, 5~ ~ 5-• 3 S• o f o l. bd BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. DIMENSIONS t O ~ O SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING anufacturer: INFORMATION CHAMB T Type Of System: ~ ~ I M e ber: T- G~flL " 33 ~ t`~ ~ DISTRIBUTION SYSTEM Header/Manifol Distribution t ~t x Hole Size x Hole Spacing ~f Vent to Air Intake i Pipe(s) ~ ~ ~ / tr 3~ S 2 ~_--. Length Dia Spacing Length Dia / SOIL COVER Y Drn~cnro Rvc4omc Anly YY Mnund Ar Ot.Grarle Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No 0 Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) In pection #1: /?~~~ S Inspection #2: ~~o~tcl Location: 1573 97th Avenue Hammond, WI 54015 (NE 1/4 NW 1/4 18 T29N R17W,)~C~r(i~ck Bottom Overl~otrot/~kYL~not 19 Parcel No: 18.29.17.913 1.) Alt BM Description = ~ ~~ ~"`~"'~ ~ '~~~ _ ~~ ~'f`~ ~ ~~' a 2.) Bldg sewer length - ~`[ ~/ ,s~ N C , p~,Q~ -amount of cover = ~'f,Z~'('. ~ ~S~/ ~ 3~ .c~Qlv,'P{~"`~`s °`.r2. t~.nX--c~tt~ -~ reT~'E~c Se.s ieaX . ~a.vtic.QnNA w tY'b I Plan revision Required? ^ Yes No ~U, Z ~ S ~ ~ ~}l S-"'2-6 ' ) Use other side for additional informati n. ~ ~~ c~.S ~ ~ Cert. N SBD-6710 (R /97) Y.~Qw~~. n ~~_ _ Q_ ~ ~ v~ yJ~,000,tlC... +~w g p_,. -~--``~-k~ ~n-rY~bas ~rr~VCu>db~- .c.:l~.) ~.w.d~a. a~- f3 .,-oz~ __ R..Quu~m..s se~.w~. -~ -~e. - t~, . Crick Bottom Over Lot 19 PLOT PLAN PROJECT P.C. Collova Bldrs. ADDRESS P.O ~ B 489 Somerset Wi 54025 NE 1~4 NW 1/4S 18 /T 29 N/R 17 W T Hammond COUNTY ST.CROIX SYSTEM ELEVATION 102.0' ° ~~ ~ ~ BEDROOM 3 CONVENTIONAL AT-GRADE )OQC CO, V NTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LI TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none ,BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A-100 ^BOREHOLE ~ WELL *H.R.P. Same as Benchmark 97th Ave 388' Property Line Huffcutt Combo Tank, is to be properly bedded and provided with lockdown covers with approved warning labels Pro 3 Bedroom House Well is to meet afl setbacks found in Comm. 83 B- 200` B-2 ~ 103' J 102' 101' 8% Slope Area 15' below system is to remain undisturbed ~ J B.M. AIt.B.M. Top of 2" pipe C Grading is to be ' done to divert run- off away from Property Line Wisconsin Department of ComFnerc~ PRIVATE SEWAGE SYSTEM Safety and Building Division - ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: P.C. Collova Builders, Inc. City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~Fcn-~~ ',^~ / wu U Dosing ~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 3 3 ~ rv~'~'~ „R"~ / S Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~L ~ E~L Demand - - GPM Model Number ~3~ ~SZ- TDH Lift Friction Loss System Head TDH Ft Forcemain Length , Dia. i ~ Dist. to well s 0 ~ SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 463059 0 State Plan ID No: Parcel Tax No: 018-2003-19-000 Section/Town/Range/Map No: 18.29.17.913 STATION BS HI FS ELEV. Benchmark ~Zf~ aSZ~ r ,~ Alt. BM Bldg. Sewer ~o ~~2D SbHt Inlet 2,~f0 SVHt Outlet Dt Inlet Dt Bottom ~~ .3a Header/Man. Dist. Pipe Bot. System Final Grade St Cover T` BED/TRENCH Width Length No. Of Tr hes PIT DIMENSIONS No. Of Pits Inside Dia. th DIMENSIONS ~ C~ SETBACK SYSTEM TO P/L DG ELL LAKE/STREAM LEACHI anufacturer. INFORMATION CHAMBE Type Of System: ~ ti z u~' odel Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes C No ~~JI Yes LJI No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1573 97th Avenue Hammond, WI 54015 (NE 1/4 NW 1/4 18 T2,9N R17W) Bottom Overlook Lot 19 Parcel No: 18.29.17.913 S ~~ ~ 1.) Alt BM Description = / ~ ~~ ~~ 1 S ~`~S / 2.) Bldg sewer length = ~~ ~p~ .~o CI„ - e~f~ I `R7e,~ -amount of cover = r~ ~f,-''' ~ S ~ Jt`^'~' ~~~ _ Plan revision Required? ~ Ye [] No ~ ~ ! ~ i ~ I Use other side for additiona f ' mation. / ~____, `_ __ _ __ _ _!~ ~ i ~ ___ 1' ~~~r(~.t~-1 Date Intor's Sig re ~ ~ I Cert. No. SBD-6710 (R.3/97) l~ G,.V `~','•`~'--'~~J I ~~-r~ ~ 1° r. ~~ Safety and Buildings Division Coup } ~ _ 201 W. Washington Ave., P.O. Box 7162 ~~. ~/('~ ~SCO~~I ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be felted in by Co.) Department of Commerce (~$) 266-3151 3DS9 _ Sanitary Permit App ' a ' - ~~ Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Codc, 'on y ~ v ~~ ~ ~ ~ ~TP~4us , ~ D. tray be usod for secottdary ptl[poses Pri y I.t~15. ixm) G , . jest Address (if dtffetratt ttuut mailing adde~ss) _ L Application Infortnatioa -Please Print All Ioformati -- ~ ~ 153 y}- f~v~- . Property Owner's Name S i . ~ ~ ~v ~; ~ ~ 0~~lING OFFICE ~~ l ~ ~ l L I N LotB Block# o - a ~ ~PC1tY Owners M~~g ~-ddtrss Property I,oc~on ) ' ~' St Ci ~. Section '~ ty, ate tip C ode Phone Number ~1 CC ( ~ Jl,~~' o R~B~. T~ N 1tL 1~pe of Building (check at apply) oy 5 w~• ; or 2 Family Dwelling - Number of ~ • Subdivisto ame CSM N A ' ~ + ` Publi - Descnbe Use State Owned -Describe Use Ciry_ Village~o ,worship of III. Type [Permit: (Check ody one boz on line A. Complete line B if applicable) p ~'~ 2po - I4 - Ot)D , Q/3 A" Replacement System T[eahceat/Iioldiag Tank Replacement Only Other Modifeation to F.rzisting System B • Permit Re[tewal Permit Revision Change of Permit Transfer to New List Previous Permit Number turd Date Issued Before Expiration Plumber Owner IV. a of POWTS S (Check all that a 1) ' Non -Pressurized in-Ground Mound ~ 24 ia. of suitable soil Mound < 24 in. of suitable soil -Grade Single Pass Sand I~tta Constntaet! Wetland Prtssurized ia-Ground Holding Tack Peat Filter Aerobic Tn~ae t Unit Reciriatlating Saul Filter ' S otbetic Media Filter Chamber lhi Line vet-less Pi Other (ex ) Y. D' e1saVl'reatment Area InformatIoa: 0 K D Design Plow (gpd) Design Soil Application Rate(gpdsf) Disperse! Arta Requued (af) Dis Area Proposed (st) System ffievation J~ ~ ~ t~ ~~} ~-~ VL TaWc Info Capacity in Total Number Manofacturer Prefab Site Sltel Fiber plastic Gallons Gallons of Units ~~~~ A_/pp Conertte Const[ucted Glass Mew Etiating . Tanker Tanks Septic a llokfiog Task Aerobic Treataaxit Unit ' 8 VII. Respwnsibili Sta - >y the rode eel, assume responsibility for fasfaaatton or We PORTS shown ou the attached. Plutttb~s Name (Print) Pi Signature MP/MPRS Number Busittess Pbotte Nu Plumber's Address (Strtet, City, State, ) ~ ~ J ~ VIIL Coan rtment Use nl A lUVtd 4toVCd P Sanitary Palmt Fee 1nCl11deS Groundwater Sutshat e Fee) ~ r Date Issued t Stgnature Stamps) \ veer Reason for g 1 C71.~ 7 J ~/ 2( ?.6a t IX. Contiitiolu of ApptrovaVReasons for Disapproval 3) P ~~ b~~O~1e ~~ SYSTEM OWNER: 7 Septic tank, effluent filter and ~o,.rv~b1' 0~ hA ~l#~ 1 dispersal cell must all be serviced /maintained I1 ~,,,.,e.,,.~ ~'^ ~ w °~ °°` ~a'~ as per management plan provided by plumber. ^~ ~ • 2. All setback requirements must be maintained C ,~,Q~l ~ ~ ~~~.c~-a. as per applicable code/ordinances. ~ ~._ ~s-1`t~.o~:eS . ~~. n[rara p~aas lro [ere aouary omy) [or tM system oa paper not less than S12 z 11 inches io size -_ PLOT PLAN P O Box 489 Somerset Wi 54025 _ P.C. Collova Bldrs. ADDRESS _ .~ /4 ~ 1/4S 18 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX . .SYSTEM ELEVATIO 1N 02.0 BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 MOUND SEPTIC TANK SIZE none HOLDING TANK SIZE LOAD RATE •5 ABSORPTION AREA 90~ # of chambers ,BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE ~ WELL * H. R. P. Same as Benchmark 388' Property Line r w ~ 7~ 97th Ave Pro 3 Bedroom House Huffcutt Combo Tank, is to be properly bedded and provided with lockdown covers with approved warning labels B- Well is to meet all setbacks found in Comm. 83 oQ~ G B-2 103' 102' 101' 8% Slope Area 15' below system is to remain undisturbed Property Line B.M. AIt.B.M. Top of 2" pipe C Grading is to be ' done to divert run- off away from commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 16, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008192 ND AVE NEW RICHMOND WI ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/16/2006 SITE: PC Collova Builders Inc .Identification Numbers Transaction ID No. 1059289 Site ID No. 689483 Please refer to both identification numbers, 1573 97TH Ave above, in all cones ondence with the a enc . Town of Hammond St Croix County NE1/4, NW1/4, S18, T29N, R17W Lot: 19, Subdivision: Crick Bottom Overlook FOR: Description: Three Bedroom At-Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 980305 Maintenance required; 450 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade; System: At-grade Component Manual, SBD-10570-P (R.6/99), "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. C, No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, t t ~~ s a s. The following conditions shall be met during construction or installation and prior to occupancy or use: DE AA ~I N t General Approval Requirements: C '~ ~, SEE C • This system is to be constructed and located in accordance with the enclosed approved plans, the "At-grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD-10570- _ ....... P (R.6/99) and the sizing methods of publication "SSWMP Publication 9.6 Design of'Pressure Distribution Networks for ST-SAS (01/81)". • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 8c 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SHAUN R B1RD Page 2 9/16/2004 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The ,owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerc e. state. wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 RF~F~~Fo SgFFrySFa 9zooo & e~0~soiu Date: 09/6/04 Owner: P.C. Collova Bldrs. Inc. Location:NE 1/4NW1/4 S18 T32 N,R17W Lot 19 Crick Bottom Overlook Hammond System type: At-Grade Manuals Used: At-Grade Component Manual version 1.0 SBD 10570-P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01 /81) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section a~ihon~jy 4. Pipe Cross Section/Pipe Layout ~~~® 5. Pump Chamber Cross Section yTOFCOASMERC~ ~1FfEY 6. Pump Curve ~LDINGS ,~ESppNDEN 7-8. Maintance and Conti e y plan 9-11. Soil test Shaun Bird Signature License n ber 226900 , PROJECT P.C. Collova Bldrs. NE ~ 1/4 NW 1/4S 18 /T 29 PLOT PLAN ADDRESS P.O. Box 489 Somerset Wi 54025 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 102.0' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none ,BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE WELL *H.R.P. Same as Benchmark 388' Property Line 97th Ave Huffcutt Combo Tank, is to be properly bedded and provided with lockdown covers with approved warning labels Pro 3 Bedroom House Well is to meet all setbacks found in Comm. 83 B-2 . 103' 102' 101' Area 15' below system is to remain undisturbed r ~.. Z3~ B.M. ' AIt.B.M. Top of 2" pipe C~ g _ Grading is to be ' done to divert run- e off away from ~ Property Line 8% Slope ~- ~-_ ? 5' YY 5' i } 5` g > 5 PYG EORCEMAiN r ' ~' - ~ ~=TURN- trtPc.. ~ -- i - -• _ _ .- ^ L D t 5 T'!t t ~~J T' t o ~t L A'r ~R A L ,,,~ ._ _. _ A ~ $TAeIL~ ~8D O$~~.:Y/lTt-r1 V1tEL(. °~ ~--- ~° I/68 ~ i/68 ~I/26 r~ s = .~, Ft. ~ = ~t. v~1= ~ ft. Ac44RdvED SY1~1T1~ET'1C. Fabric -- STFt~{lt~~b (~b5erVt1#tflTt-----r..,,~ we ~ ~ ~ ~, ~- ., , ~, CELL o~ `fz - L'~Z AGG~E[shTE Dis~'ribu#ion 1_a;eral ~~-"Soil COVQr A SCOPE ___.___ ~i.ev~tED LaYEiZ ~~ ~ ~ 2 _5 Plan View and Cress Section of i7iseorsin At-grade Unit with a Single Absarptian Area on a Sloping Site L~c~~s~.~~ - ~' tCnriA7u RE Rage Qf Distribution Pine (3etaiZ for Lateral 1letwarlc * Last file Should Se Aiext To TURN- ~P _~ ~~TuRN -uP•• ~Glt~t~eut~ P1tC Forte Mai n • •^~'~'~ ~- PYC Distribution Pipe 4~_ P ACces~' ~a~ 1-"'1 Note aia;neter ~~~ `''Inth P ~~ Ft. X ~- inches Lateral Diameter ~ Inch(es} ~_ Y ~ Inches Force Main Diameter L= Inches ~ Of hales/Pipe r~ Invert Eievatian Of laterals /~ ~t• Signed: license Number: Date: ___-_- . s.~t TCATTONS ~ hND SP£"' ~ ~ P~JMP C~fAMBr.R CRASS 5£~T`C' g~PTZC TAN u£axy£~tQRflOF Ag?ROV FD ~* t4iN'4RgDV£ GgADE ~ JJi~CTIfl'~ BOX MOLE COMER pYPE iZ CONDU;T MArf v" Cl VEKT idLNDOW WI2K W/ pgpyOCK ~ ' ~RQlS D44R. wARl~ING iABE:. FRESH ~ 'j t~ !+„ g'' _,,,~~-4 `t HZT~ - ;-~;y~ GRAD ~~ ~ '~rv FIRM-:..,.. E .i =Yr _ ~_ Z.D. ~8~M1M• pp z _' T t ~R~ ~~•~~~~~~ i - • INLET • GAS- ~ "~ TIGHT ~ ~ QED ~,iAT£R 'tI6H,HT S~iLS A Ski' '' ~P~R011EDiPIPE ~ 3 LT £,F. `.__ r#._-- t ALri 3 • pIETO '~" ~ QN ~1Q sari APB 3~ C T Y FF p~ std.;Q t ~ t ~"FT - {-~-- SDIL Pt#2~4P 4FF £L£'+l - ----- 1 D3 _~.~ u ~~ TAr~~c ~ V ED BEDDT~tG CONCgETE FAO 3a APPR~ ~~ j ~ ~ ~~ ~,1 {vwm SPECZFICATZ{?NS 4g£S ?£R DAY =r^' DOSE ~naER ~ SEPTSC f V~O~ME ZHCy~~ING .) GAL- TAKif H~pACT't!R£R: GAi- 1?OS£ FL01"=SACK= TAIiK gZ2ES : SEPTIC ~ ,.S33~lCHES i~OSE S s •~~.,,v~,GAPACiTIES = ~'' GAL- ~~, ,B 2 INCHES = ~ ~--- ALAR?'t Y'tANVYAC~I'I~ER~- `... v~ ~ ~ ~ c ,~ ' J INCHES ~ ~ 7, ~ GAL• MODEL ~ypE: y~ETCH ~ C _ / S S Gai. n ~ ZpCHES - .~.-•--- P[IKP MA~FACT;IRER = ' ~ ~~~,r,~ ,,_ 15. Z3 idAAC - PiODEL dt7t#BFR ' ~ •"'~' I LHR y~;TCK TYPE= P!i P[1lfF ~ ~ ALARR idIRING AS PER FEET REt?ti3 ZRF.D D; SCI3ARGE BATE g I S'Tg I BU's I vN °S PE • • 1•~e •. f-•+r FEET pv1KP Oi ~ t'+Ng FEET vERTICAL gZFFERENC'E $ET~''1£EN - -gg;C'TLaN FACTOR ~ FEET MIHI?4UM IiETWpRK St3pPLY PRE?~~~~ 10Q ~ FT. NAI~i;C HEAD .~~= T~QTAL gY ~ '~~ ~_ FEET FQRC~-I~1 X r DIAMETER ._-.-- N"~;OILS 4~ ~uHR T~~' ~,ENGTH ~~ £ LIEU I D ~~-.~ iNTEitNf-3. DiM i` ~~ - TOTAL D Y PA RC UTE CA PACITY • MIfJ • EFFLU ENT P.ND DEWATE RING • HEAD CAPACITY CURVE i MODES 152/153 ~ rno~t~ I 752 153 ~ it W lv ' Feet Meters .Gal. Lifers Got. (Lifers ~~ `Jl7 5 1.5 67 ( 20, 77 291 153 I 10 ~ 3.1 I E, 231 ( 70 i 265 40 ~ i5 4.6 ~ 53 20', 61 23' 12 152 1 20 .~ 6.1 ( 44 ~ i 67 52 9. - 25 ~ 7.6 34 129 42 ` 59 30 ` ' ~ r ,._ / ' ~ ! . ~. "~' 9 1 87 23 33 i ' 25 - ~ 8 i iNi~.H 30 . 35 10? ~ -- ~ --- ~ 2"c ~ n5 c _, 2p f ~0 j i 2.2 - _ ~ __ i 1 "2 I a ~- Lock 'Jolve: 38.0 F.. (,t.6m} 44.0 FC. (1:-am}~ 4 ousm 10 ! ! i 0 i 20 40 60 EO 1G V LITERS 0 80 160 240 X20 - Fi.OW PfR MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. ~` ' ~ lied with • Electrical alternators, for duplex systems, are available and supp an alarm. • Variable level contra( switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available foroutdoor installations. See FM1420. • Over 130°F (54°C.) special quotation required. ~iSlN53 Seti85 3 27 ~^ 1 t2 t/8 32 's2 8 O CAUTION All insglladon of controls, protection devtsacsoGa s ulE ~ foUowad including the oat. licensed electrician. All deetripl and ssfety rccertt NaBontl Elactrtc Coda (NEC) and the Occupational Safety and Health Act (OSHA). SELECTION GUIDE 1. S;ngle piggyback variable level float switch or tlouble piggyback variable lever ttoat switch. Refer to FM0477. 2. See FM0712 for correct mode( of Elactrical Attemator E-Pak. du lex 3 3. Variable level conVOl switch 10-0225 used as a wntrol activator, specify p ( ) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. bE4IL T0: P.O. BOX Manutacfurersot.. Louisville, KY 40256-0347 SHIP 70: 3649 Cane Run Rcad • t Louisville, KY ao2„-,es, QvaurrP~ps ~NCE /939 Q ~ (502} 778-2731 • t (800, 928-PUMP PUMP «1= FAX (502) 774-3624 http//www.zodl er. com p Copyright 2000 Zoeller Co. Ali rights reserve . ~, p~NER'S MANUAL & MANAGE GEF ca o s POTS SYSTEM SPE Number of gedrr~ ercia!Units Number of Comm 3, allda flaw (avetage) .~ ~~' ~ t Oesign (pesle), (Estimabod X 1-5) . a ~ allda~ Soa ^ppG°ntl°n Rabe Monthly average' ~flUent~EfflueM C2usfitY Oil its Grease (~Gj X30 mglL Fats,. Demand' (BODE 42fl mg1L Biodlefn~ OxyO~ nded Solids SSj Tota[ SusP° 5150 m n- Monthly average" NA Pr+etneated Effluent Quatrty (BODsj S30 mg/L [ O en Dem Bioc:hemo~t Suspended Solids n ~ ~e. ~u/1 QOmI c an) Fecal CoGfom't (geometric Y, inchdiameter Ma~dmum Effluent Particle $Qe Service Event inspect oond'rtion of tank(s) Pump out contents of tank(s) inspect dispersal cell(s) Clean $ffiuent filter mP~ p p controls ~ alarm Inspect P!r ~' Flush laterals end Pr'~tm test Service Frequenry ~ ^ months ear(s) (Maximum_~_) At least once every uaiS one-third (Y) of tank volume When combined sludge and scum eq the r(s) (M~rnum 3 yrs.) At least once every At least once every At least once every At feast once every At feast once every At feast ante every p mon ^ months tea.,°~ p mon s r(s) ~ NA n months~~s) ~ ~' ^ months ~ Year(s) O NA ^ months ^ year(s) ^ NA one of the following Licenses or 6AAiPtTEA1AN~ INSTRUC'nONS an ind'nridual carni-n9 clot, POWTS lutaintainer, $eptage of tanks and dispersal Delis shah be made by r, POVY'fS inspe an missing or broken Inspe M Plumber, Master Plumber ResMoted Sevve . on of the tank(s) to identify Y oertlflc+etione~. a and scum and to check for any back up r. Tank inspections must include a visual lnspecxi to sheds the effluent Levels SeMdn9 ppe~bo cr~adcs or teaks. measure the volume of combined aludg of fluent on the hardware, idsn~Y snY round surface- The dispersal cell(s) shall be visually inspected Poring orpor~ing of effluent en the g nd;ng of effluent on the ground surface. ulatory authority. in the observation piles ar to ~~ for any Po uires the immediate notification, of the Ioca1 rag rrta indicate a failing condit;'°r- and req uals one-third (i;? or more of the tank volume, the ground surface Y e and scum in any tank eq of in axorclance "'r'u' ~'. NR VVherl ~ combined emulation of studg a $eptage Servidng Operator and disposed entiR contents of the tank shall be removed by ~ rei!'cat meet components. and any 113, Yylsoonsin Administrative Code• ~ onents, p # of effluent filters. fnechanical or pressurized POYYTS comp ~~ ~ a certified POyYTS Maintainer. The f~rlticirlg ~ ~ event other mafntenanoe or monitoring at: intervals of 12 rontha thong within 10 days of comPlenon of any service A servk(e report shah ~be proyded to the local tegula ry for the presence of painting products or other START UP ANO OPERpTtON pOWTS shade treatmeni tame(s) {) 9 trations are For rtew ~ng~pn, prior t0 use of the s and/or damage the dispel cells . if hi h conoen chemlCets that may. impede the treatmentrperooes by a septage servicing operator prior to use. dCtected have the contents of the tan ( ) Septic Tanis Cale $eptic Tank ~nufachtrer Effluent t=liter Manufedur~er 1 Effluent Filter Model Pump Tank Capa~Y pump Tank Manu{advrer .Pump Manttfac~uef Qa9~ of al O NA NA ^ NA ~~ ° NA ,3 /~ at ^ 1VA ~ ~ ~~, ^ NA _ r7 _ ^ i+tA Pump Model _ pn,aeatrnent Unit 0 SartdlCrt~vel F-~r O Peai Fitter O Mechanical Aeration O Wetland ^ Other. ^ DLsinfedion OLspersat ~t'isr ~ round (grg~Y) - ^ In-ground (preessur¢ed) g ^ -grade ^ Mound Q On ine ^ Other cat for domestic ~ y ~ (non-oom~r+erdat wastawatsr an0 effluent. ~~ .• Values tY'Pinl for protreated vrasteratu. _ / -" Pape of`_ ~~ _ i"`s._; ( conditions are frozen at the infiitr'ative surface f rS tpstt)r@d ~ eXL~SS . gystem start uP shalt not ocxur vtirtien `a h' hwatet levels. when p°~ d m result in the ~{ above nan~nat K3 ~edoading the ceE(s) an sY outa9~ pump tanks may ~ cell(s) in one tatge dose. um tank removed by a During ~r to the d'rspe ~ pOWTS Maintainer to ter wN tie disc~~ed ~ To $void tfiis situation have me orno~ontaci a PP u[t~r ~ ~~ce d',schaige ~~ ~~~ ~yy~ tQ ~e effluent pu P e Serndn9 OPen~ ~ Pip ~tf0[5 to restore normal levels within the pump ~. assist in manually oparabn9 tanks and dispersal setts. Do not drive or Pam over, or otherwise disturb cr compact, po not drive or park vehicles mound or at~rade soil absorption area-e the performance and prolong the life arts ~rtth[n 'f 5 feet down slope of any ~ stream may imprt7v the from the wastewa ; dental floss; drapers; Reduction or~etirnination of the follawt<'-9 ~ butts; condoms: cotton swabs; deg of the POVYTS: arttlblotics;baby ~{pes; water, fruit and vegetable peelings gasa~ne; gt+rrase; herbicides; meat ~ fotindaflon dtaln {sumF p. ~F) na kins: tampons: and water softener brine. disinfectants: ns~n roduds; pesbddes: sanitary p scxsPs: rrtedks; 04 ~ ~ g P .' shalt ~ taken to lnsur~: that the ,gBgNOON~ItIIENT taken out of service the fottotiving steps When the POWTS falls andlor is pertnaner~Y ~ianoe vvitfi ~. Comm 83.33, y/+sconsin Administrative Cade: SYs~ ~ ~periy artd safey abandoned [n comp nin s seated. to to tanks and pits shaA be disconnected and the abandodn ~~ ~y ~p~ge Servidng Operator. Ab PIP g shall be removed and properly and the void space The contents of alt tanks Bnd pits . After pumping, alt tanks and Ails shat[ be excavated and removed or their rovers r fitted whit soli. gravel or another inert sotrd material. rnvide a code CONTINGENCY PLAN tred the fo1(01Ning measures have been, or must be taken, l0 p If the pOWTS faits and cannot be r+epa" compliant replacement sys~' n evaluated and may be utilized for the location of a replacement soil nt'arr:a bas bee coon anc should not ^ A suitable repta~~ lacernent area should be protected from disturbance and comps absorption system. The rep from existing and proposed structure' lot Pules and welts. Failure to be intiringed upon by nequtred setbacks _ row th® replacement area weft result in the need for a~~ tr,e'rules nteffect ai that tirn tabllsh a suitab e P terns must comply replacement area_ Replacement sys O A suitable replacement area is not oust ~~ as a fast resort to r placetl'-e failed PONfTSn9 advances in POWT ology a holding tank may ~ rns~ n failure of the POWTS a soil and e site has not been evaluated to rdentrfy a suitable replacement area Upo ent area is available a_ site evacuation must be performed to locate a suitable replacement area. if no reptacern holdng tank may be installed as a last resort to replacae the failed POVYi•S. ound and at~tade soil absorpton systems may be reconstructed ;n Rlace following removal of the biomat at ns of such systems must comply with the rules in effect at U1at time. the infiltrative surface. Reoonstructio <NYARNING» -TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFtCtENi' OXYGEN. SEPTIC, PUMP AND OTHER TREATMENT _ 001110T ENTER A SEl<'TIC, PUMP FROM 'THE NTERIOR TA TANK MAY ~ ~~C~ TOR iMPO S BLE. ~ RESULT. , RESCUE OF A PERSON ADOITiONAL COMMENTS Powys MAINTatN~ POY1fTS JNSTALL E Name ~ cx.. ~/ ) n Name ~ _ ~ ~..- -~ Phone 7 J = ~. ~" '" Phone j ' =- G SEPTAGE SERVICING OPERATOR BUMPER LOCAL REGULATORY AUTHORITY' . Agency ~ ~ i~~.. ~' Name p ~? / ,,... Phone / ~ ..' ,~ Phone ~ ..- ~. This document meets This doaxnent was drilled t7 the italra of the ~n !alts. l4tarquette and Waushar~ County Zoning and Sanitation agertcJes. the rnrnirnum nequineirtortts of rh. Comm 83.XtX~~(f1 and 83.54(t}, (2) ~ (3). y~s~nsin AOminis-tratire Cods. Use of this document does not GMW (1/oU guarantee the performance of the POWr'S. VVlsoonsin Depar6nen! of Commerce SOIL EVALUATION REPORT Page of f]ivisian of Safety and BuII~r1QS in eccad2urce with Comm t35. Wis. Aom. c:oae ~ ~ l~~E I V E attach complete site plan or- paper not less than 81/2 x 11 inches' size~ ' ~° include, twt not limited to: vertical and horizontal reference point (8 ). north array and location and d' scale or dimensions ercerrt slo e r di L nce to nearest mad. Parcel .D. ~~yp / 9 13 O $ ~ 2t1o 3 - ~ l . , p p . Please print all information. MAY 0 1 2 0 ~tevi by °~ ` Personal iMormation you Provide mey be used for secondary P~rPoses (Priv t.ew. a. 15.04 (1) (m)). ~. ~ .~ PropertyOwner ~ ~ ZONI G OFFICE !l4 S~ T N R E( W , t7/ ~~~ 1 y Owrxr• ~~ p~~ ~ Lot # Biodc # " Name or CSMlf G1/G ~ State 2tp Code Phone ~ ^ City ^ Village Town N (,tII ( ) New Cor>sWdion Use: / Number of bedrooms Code derived design flow GPD ^ ~a ^ ~ or -Desire: ~arent materi~ ~ , Flood Plain eleva ' ~ - 'rf applicable ~) ~' fL , ~~ c~ e ll~ dui and reoammeneations: ,~ ~~ j a' . O ~ ~ ~ Z i S o1^ ~- ///~ " I s aC ' "'~ ~ ~u"rte<,~~~/ .ea,t,R.~-~~ ~a . -- U ~~ E /Z~ - J~ i~~ _ /~ y _..'~ ~ O z ~ Horim Z 1t. t~h f ' Pit Gramd surface elev. n peplh Dotrtinar-t Redox Description Texture ~. MunseQ Qu. Sz. Cunt Color Gr. Sz. Sh. o~1z 6 3Iz !2 ~ Q --- ®l adar in. Consistence Botxt~- Roots s- lr~ ~ ~ GPDJFP •Eff#1 'E ~,r -_ i r ® ~~ # U o~' ft. Depth to ilrTllltng factor ~ in. Pit Ground surface etev Sod Rate fl i D Texture Strtxture Consistence Boundar y Roots GP DIfCr Hor~w r peps ~, p~nant Mtmseq an p escr Redox t1u. Sz Cont. Color Gr. Sz. Sh. ~ 'Etfifl ~tff~ l 3 0~ 1 Z .~ !c~ r 3 ~~ rte/ ~ ~ t ~„-~~s-~ __~ ,~-~ - n~~,• (~ S m ~~ - _ ' EtfiueM #1= BOD > 30 <_ 220 rt>gl1- and TSS _ 150 mgA. ' Efliuertt #2 = BOD <_ 30 mglL and TSS <_ 30 mgll. CST Number (Please Print) ~ ` Oate Evaktation Carxi<x~ad Teaephor-e Nth Address /J /fJ~ /~ ~y L JfJ `~~ ~ / 7 ~ ~ ~ Iq Property Owner Paroei ID # Page of Boring # ^ ~g 3 ~ Pit Ground swFace elev,~~ ~ft. Depih to limiting fador Sail ~ Rye Horimn Depfh Dominant Redox Descripticrt Texture Strudrxe Cansister~ce Boundary Roots GPDlff in. Mansell Ctu. Sz Cont. Color Gr. Sz Sh. 'Eff#1 •Etf#2 ~- v ,s/ ~ sb ~ - a U . 1 ~ NJ~4 n~)~4 - ~ ~' 1 ..._ - ~- .- .- ~- ~ # ^ ^ Pit ~~ surface elev. R Depti~ to Csnitirg factor in. Sod ~ Horizon Depth Dominant Redox Description Texhxe Struchre Consistence Boundary Roots GP DIfP in. MurrseN t1u. Sz. Cont Color Gr. Sz Sh. •~ ~~ ~ # ^ ^ Pit Ground surface elev. R Depth to fsrriGng factor in. Soil Rate Horimn tit De Dominant Redauc Description Texture Strtx~xe Consistence Boundary Roots GP DIft? p m. MunaeR . Qu. Sz. Cord. Color G~ Sz Sh. 'Eff#1 'Eft#2 ' Effiuerd #1 =BODE > 30 < 220 mglL acrd TSS >30 < 150 mglL ' Eti~erd #2 = BODE < ~ mglL and TSS _< 30 mglL 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. r - ' ~ . Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Shaun i Address P.O. Box 487 Somerset Wi 54025 CS #226900 Lot 19 Subdivision Crick Bolton Date 12/4/02 1 /4 N E 1 /4S 18 T 29 N/R17 W Township Hammond Boring Q Well PL Property Line BM or VRP Assume Elevation 100 ft. County ST. CROIX Top of Survey Iron ~~~9~ System Elevation 102.0' *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 100.0' 388' Property Line 30' 103' 102' B-1 101' 40' B-3 8% Slope 200' ~~M B.M I ~~~ ~ '~ r ~ L~1T5~=4 C~ ~L 1ME~, ~T-1 PAGE 379 LOT 2 LQT~ N 89'33'31' E LOT 4 SMALL 966.24' 277.52' ~,_ _ 364.35 _242.05' m 9-t _, LOT '7~ a-' ~ LOT 8 ®/ 6®_, ~ LOT 64' Z \ ti 72341 BSS. \ \~', 66731 S.F. e ~ / ®1~S 76393 S.F. #$ I s'TYe. 1.66 Ac. ~ 1.53 Ac. ^~, 4- N 1.75 Ac. O N \ ~" N ry/ ® m $w u I ® ® \*~, \ \~_ /SEE SHEET 1 1 'S ~ ~ a : ~ ~ ,/ / LOT 5 ~= LOT 8 ~ ~ 1 ~ \ ~ 72156 S.F. 1 ' 65369 S.F. ~\ 1.66 Ac. J 1.50 Ac. > N 89'33'31" E ~ ~ ~~ 528.00' UNPLATiED ~1pS I N 89'33'31' E 329.51' ~ I '~ ' 1 /~ ~ Q 206.01' 241.26'- 205.21 ~ I / / / e ® ® ® e-~ ® \ \ ee 4 i ~ - .2 ®I I LOT 11 ®I LOT 10 ®LOT 9 ~ '~ Q // e-2 H 6-= ~ o .F. 6-Z c 98425 S.F. c 110616 S.F. 0 89166 S.F. / s r N 2.26 Ac. I I+ 2.54 Ac. ~ 2.05 Ac. / ~ / ~ \`: / ® LOT 22\ ~. Im N N 'b+. F I'^ / ~ ° \ 93180 S.F. ~°yt~\~n ,Y I I+ Ir I ~ / ~ ,~fir a X2.14 Ac. °'~ ~ N I • ~ ? ~ ro'p/rye \\a . N\ tr I y u q t y ~ ry ty~~ ~b^~ `~ ~ ~/ ~ ~ " ~P "iLOT 21 16', m 102328 S.F. \\i" / ~~"s' 2.35 Ac. ss 2 / gym. ' 7BJ13' ?~.~' ~ 7'37' w 41232' / < 9 ~" ® \ 7 s.F~_ 6-, 37' E 412.32' - - ~ ~ \ \ 1.80 Ac. % ~ ~' ~E ~EET 1 \~ uo -tar _~~ ~ ~ 62' 54.00' 7.70' ~ ~ ~ ~~~ S ~~. ~lQ \ ~ e-z r a ~ ~ I ~ ~ I \\ LOT 18J~~~2°''F ~~~ l I \ ~ /~ LOT 17 `~ 140783 S.F. 'g $ LOT 18 0 ~ 3.23 Ac. ~,a. 8 LOT 20 D v1 ® I N67999 S.F.I 102763 S.F. \\~~~ teo®1~ t IN N ~ )T 14 -4707®15 1.56 Ac. N 2.36 Ac. e-a x7~ W ~ m - 89098 S.F. 97~ F. I 674 ZS.F. ( I£' u teo - tool' \ ~,~ ® ~N/~~ of \ I`' 2.05 Ac. Z 0- ' m m Up .1000.6' @H y ~ m m (n i5 Ac. 1.55 Ac. ® Im ~ ~~~ \ ~ ~o . tool' I o ® ~ t!0 . 1006' I N 6-2 ~ ® ® \ ~ z~ ~ e-J ~l ~ 8 IJ ® ® w J]~.tu' toils N Y N ~~6' 6- 4 5~ t~ ~ N at'J!'ll' ® ~ j N Idl..! W IQ~• NNE. 100r Iio.59' ~JJ=)s• In ~ U 3 II NNE.106N.B In ~ °R I6 ).16 ~ to i3mf ~ ~ t1NE.1004' O,P o 4S<n ~ _ 9i,~ g~1 N qse '9i,1,9 °N. 4iF~r N v qC~ ? ~ 111E ~ 1000' xi.oS ~'F,y CF V NNE .1004' i Z 14.82' 154.00'.. 154.00' T u 345.11' 280.65' 188.70' m - ~ 8933'24 E 562.34 n).]s ~ - 1®~ 9=1'~ ~ ~dP1A.TIEQ 19N~F S 8692. 64" W ~ e• ® ~ G4~~~9, )7 S.F. 9~F 99.]0' N Ac. i toot ~4s~~ ~/ ~ ~i g i Np ~ Fqs~ .rvti~ W N NME ~ tOW ~i`~'~r r tic"' I ~ I+1 - - x83.00' t ~ORNER, S 8933'39" W T29N, R17W. 826.33' UNPLATTED LANDS ow1F~v sr: ,wsat aul~otm SHEET 2 OF ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer P• C. Collova Builders, Inc. Mailing Address P O Box 489 Somerset, WI 54025 Property Address (Verification required from Planning Department for new construction) ~ "~, City/State ~ Pazcel Identification Number Dl~ - 2ao 3 - I Q- otJO ~ 9/3) LEGAL DESCRIPTION Property Location %,, '/., Sec. ~ T~N-R~, Town of .~, ' ~ o" Subdivision _ ,( ,r`~ Cs~~~Y> ~ ~/l ~ ~ Lot # ~. Certified Survey Map' # Volume ,Page # Warranty Deed # lS7 ~ ~©~y ~ Volume ~`"l ~ Page # ~o~ Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintcnanceof your septic system could result in its prematurafailure 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 agues to submit to St. Croix Zoning Department a certification form, signed by the owner. and by a masterplumber, journeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on-site wastewaterdisposalcystem 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 aad 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 of the three year expiration date. ~ ,~~. C. COLLOVA BUILDEP~~ INC. (715) 247-2742. / d ~ SIGNATURE OF APPLICANT P.O. Box 483 DATE SOMERSET, WISCONSIN 54025 OWNER CERTIFICATION I (we) certify that all statements on this form are trot to the best of my (our) knowledge. I (we) am (are) the owner(s) of roperty described above, by~rirtue of a warranty deed recorded in Register of Deeds Office. P. C. COLLO~~ BUI~tDEl25, INC. ~ ~~ d {715 ~'.4~s-2742 SIGNATURE OF APPLICANT P.a. Sox 489 DATE SOMERSET, WISCONSIN 54025 ****** Any information that is mis-represented may result in the sanitary pemut being revoked by the Zoning Department. **sss* 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 . U 1950P 5.281 ~, STATE BAR OF W ISCONSIN FORM 1 -1998 I WARRANTY DEED I This Desd, made between John J uatton ano ~,arvrvn ~. uar Husband and wife .Grantor, and P C Cdlova Builders. Inc. . Gn Grarttor, for a valuable consideration conveys to Grantee the fdlov described real estate in St Croix County State of Wisconsin (the "Properiy~: 667242 xATNLEER A. MAt.S}i REGISTER OR DEEDS ST. CROIX CO.. tfI RECEIVED FOR RECORD 08-16-2002 9:00 AM EXl)PT i ~ REC FEfi: 13.00 TRANS FEE: 1155.00 CDPY FEE: CERT COPY FEE: PAGES: 2 Area See Exhtblt A attached hereto Coibva BuUdara. Ins. x Avam» mood , Wt 54015 078-1039-20-•000 / 018-1039- 018 1039 80 000 Panxl {dentlficatlan Number (PIN) This fs not homestead DroP~Y• (18) (IS not) 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) (SEAL) hn J. Iton arolyn G. alton (SEAL) (SEAL) A 117~~.1Ci Signature(s) authentlcated this NO 3L1C ~T~A E~~ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §70t3.Ot3, Wis. Stets) THIS INSTRUMENT WAS DRAFTED BY Cddwell Banker eumet 1301 Coulee Road Hudson, WI 54016 a-3aa~o (Signatures may be authenticated or acknoNrledged. Both are not necessary.) • ACKNOWLEDGMENT State of Wisconsin, } ss. SL Crobc County ~~ Personally came before me this 1 ~ day of A~S~L ?~02 the above mad a a rol D Ito n nd WH Notary Public, State of Wisconsin My commission fs pe anent. (If not,'stlate expiration date: V`i .) • Names of a in an ca ac must be or rioted below theirs nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Ina yyA~gMY pip FORM No.1 -1998 Milwaukee, Wis. C2~~ P~ N-~ ~U E ~~..b OK f of 2 •:. >: • • • - •. I~. 1.9 5..0`P. 5...2,~`•~.• .. ~. . ... A part of the NE ~/. of the NE '/. and In part of the NW '/. of the NE y and in part of the Slht'/, of the NE Y. of Section 18, Township 29 North, Range 17 Went. Town of Hammond, St.Croix County, Wisconsin and more partlaaiarty described as: B Section 18; thence S89.33'31 "W 372:01 feet along the No th! ne ~ the NI~ 'r/O.~of saW Se~pn 8d thence S89'33'31"W along the North line of the NE '/. of said Seedvn 18 775.94 fast; thence S00'S2'23"E 250.00 feet; thence S89'33'31'W 966.24 thence S89'33'31'V11528.00 feet; thence S00°52'23'E aior a North-So ~th Qua a Sectl~oraf Ilne of said Section 18 1311.77 feet; thence N89'33'39"E 826,33 feet; thence N00°31'25'W 30.23 feet; thence N89'33'24"E 692.78 feet; thence N00'S2'23"W Ong the East IIne of the SW % ~ the NE Y. 330.31 feet; thence N89°33'24`E along the South Itne of the NE Y. of the NE '/s 949.09 feet thence N00'S2'24'VV 1321.19 feet to the Point of 8egtnnfng. t crz c~d~, g~~M 6 UErz.L-~v~ 2 or- ~ '° ~ / ~ 11 i / ~ ~~ i / / //~ ~ ~ ~. oIN ti/ry~~ \ o, `~ ~/LOT 21 Qom., ~ ~,, 102328 S. F. \ m ss. 2.35 Ac. \ ss ~ (~ ~ / 4. / co 4e Leo - 1 ozo' s~• f=Tl / ' / ~ ~ ~ ~. / ~ / / ~ C~'• ~ ~~' OT 1 ~ F ~ i s \ . N ~ \,~, / ~ ~ ` 7839 °° ~` i i ~ \ 1.80 Ac. 3 \ LBO = 1014' "' J ,,., C ~o ~ / ~ \ ~ v Cho, I- \~~, N NQM O `O O~O ~ O N \ \ LOT 18 \ F oZ ~ ~ ~ \ \ 2, J' 140783 S. F. s~ ~, LOT 17 rw~ 3.23 Ac. .~' ~~g' N o LOT 20 02763 S.F. \ ~ = 3 ~ ° -+ LBO 1007' cn 2.36 Ac. ~~ ~%, W ~ ~ 89098 S.F. ,- D e~' a - Z ~ 2.05 Ac. Leo = 100' s ~/~~ :€, o~~ \ ,_,., m ~ z \ \~o ~ _ - ~M J LBO = 100' o ~t \ O o ~'s z w -woo ~;~ o ~oviN N ~ 37 a' \ \ °' f=T1 W N ~ 107.4 ~ g 79'5913= N 81'34'11" ~ W 266 H1NE - 1004' 170,59' 337.75' (n ~ _~ 36 ~ fT'1 Q 167, 1g. _ W HWE = 1004' O ~, F,9S~ ~ N ~P,9~~ f \ w 0 ~q ~ ~F W ~ ~c o ~ N d. ~ iv o ~~I tiT ~ N ~ p I CO 7C~c• ~ HWE = 1004' ? Z rn 345.12' 280.65' 166.70' _ S 89'33'24" W ~ °° 692.76' 7'16'32" E 99.70' UI W O W O ~ ~' UNPLATTED LANDS N N -. - w W ~ v w m PLATTED LANDS DRAFTED BY: JASON PAUKNER SHEET 2 OF 3