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Home My WebLink About018-1086-45-000 ~ O ~j c , ~ a C d O ~ 3 ci ~ 'o A ~i' N. ~ ~ ~ ~ # ~ ... ~ ~ ~ ~ ~ n I rt 3 I ~ d ~ 7 ~ ~ N ~ ~ ~ ~ t~ ~• m ~ I tO ~ fo 9 ~ fJ ~ <°n co vii OD 3 N 4° ~ o r•i «O. N I ~' ~ m c o ~ p p V~ ~ ~ a0 a ~ ~ y O ~s I~vW ~ 3 0 ~'Y' ~ 0 o ~ r C J ~ ~ ~ 0 ~ 0O r ~ I m cnZD io D H _ W a~ a ~ 3 QJ o ~ ~~W N m 0 o o°~ ~s= ~ '0 ~ 1,~~1 o 0 0 0 I _ c v ° I o am ~aGV 3 ~ oo ~ ~ v ~ ~ ~ W I N ~ 3 m .. O ~ i ~ 7 - ~ I Z . •• ~ O ~ ~ ~ O ~ 7c. ~ C i •• ? o a I ~ ~ ~ ~ A I `D $ I ~ o w I a ~ co p I ~ c p 2 W ... 4l i+ J ~ (~ 2 O A I ~ A N <D ~ 7 I j O, I W ~ G N O < f0 .~ Z ~ A ~'1 I I O N ~ J I W I I 3W~ a o~~' I O -. ~ n x .r a v I o m y 3 ~ p pr N tD 7 N O~ ~ ~ ~t C I i od o _.~~ ~ Z a I W 7 ~ y d~ atw~o~.v~i I 3 ~•a ~ a~ o i H ~ ~ m ~ = i ~`~ N ~ 'O f 0 a ~~ C m 7 j 0 I ~ I d O~ m ~ O I •~ ~ ~ N ~ ~.~ ~ yo o g aa~ ~ N I _ '~ c~ ~ ~ a-~ ° N=,~Od o w ~ I ~ ~ I ~ ~ I c ~ A '„ I g a ~ r isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD l.A CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce. state.wi. us/s b www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary November 05, 2002 RE~~~~~D CUST ID No.267341 ~c.~ ~ 5 'j002 ARTHUR L WEGERER ST.cs~~"XO~Fic~, WEGERER SOIL TESTIN & ~id'~~ SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/05/2004 SITE: Sherri Givens 160TH St Town of Hammond St Croix County NW1/4, NW1/4, S20, T29N, R17W FOR: ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 806493 Site ID No. 653078 Please refer to both identification numbers, above, in all correspondence with the agency. Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 880238 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • 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. ARTHUR L WEGERER Page 2 11/5/02 • 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 & 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. • 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. ARTHUR L WEGERER Sincere{y, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Page 3 1115/02 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Wisconsin Dt'partment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division t 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 Givens, Sherri Hammond Townshi CST BM Elev: / U ' ~ Insp. BM Elev: /d b ~ a BM Desc' ion: ~1/YI ~ a~' n 6~ .ryas-~ cep, TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~~h~ v~~2~W Dosing I - ~ ~ ~'J d `~ f+"' Aeration Holding TANK SETBACK INFORMATION TANK TO P/L+ WELL BLDG. Vent to Air Intake ROAD Septic _ ~~ A t /~ ~ Dosing ~~ i Aeration Holding PUMP/SIPHON INFORMATION a ~I ~, „~. ~3. v«,cn~ani I~cn~~ ^ , L.na.Z ,, l~ SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ / Length _ / DIMENSIONS ~ S/ SETBACK SYSTEM TO INFORMATION Type~ystem: DISTRIBUTIO~`Nr` SYSTEM L~s `~ GPM nd ~5' 3t. l (v e~ 2-(0~ to Well No. Of Tre hr~ es , ~ ~ti.( BLDG WEL ELEVATION DATA County: St. Cr01X Sanitary Permit No: 420588 0 State Plan ID No: Parcel Tax No: 018-1086-45-000 STATION BS HI FS ELEV. Ben ark rr~~ Z•3S DZ-3 btu < a Alt. s~d-- JO.3 ~2 _ a Bld ewer b SUHt Inlet ~/ ~ ~ q ~~ ~ ~~ SUHt Outlet /~1 i Dt Inlet -~ Dt Bottom ~ Z ~ 2%~~ ~• $ ~~ ead an. ~, 2 (O :Zo ~(~ ~ /-f Dist. Pipe L,~ i~ ~3'~ ~7 l/•3S ~6. O Bot. System 7< ~~' Final Grade ~ .{~, St covey // ~ 9l. 3S 7• S 9 ~'S . ~. DIMENSIONS INo. Of Pits Ilnside Dia. OR Number: Head r/Manifold ~ Distribution [ ~ x Hole Siz x Hole Spacin~ Vent Ai ~7 L ~ Pipe(s) (~ { ~ ~ O ( t / 2 ~ Length Dia Length _ Dia l Spacing (~ SOIL COVER i x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv 0'7~ r Inta e ~~ Depth Over ~~, ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlrrench Center J / ,fps Bed/Trench Edges Topsoil ~ Yes ~ No [~ Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~/ Inspection #2:~/ ' _~I L T S O 5 t~r.s's~ Location: 887 160th Street Hammond, WI 54015 (NW 1/4 NW 1/4 20 T29N R17W) Hammond aks Lot 45 Parcel No: 20.29. t.) Alt BM Description = 6~J S/~'~~j ~~ Vtlfit.a._-U-YI,(_ U(,c~t~'~U~t.,~c~ 2.) Bldg sewer length - ~(J ~ J~ w ~~(~ ~,~~Q~ / - ~~ - amount ofac/overd= ~ '9j ~ ~ l ~~ ~f's~2~~'." ~_~" - ~ " '„'_` ~-O'~ '~ " 3.) Contour = l ~, D ~ `~ -~%vn.l'v ~"~/o~-~!U Plan revision Required? ~_J Yes o ) i Use other side for additional informati n. / ~___; ~l~w.-- __I e~ ~__' SBD-6710 (R.3/97) ~~ ~ ~ ~ rf Inse~g~/ ~ Q/~e~9 ~ f/ r ~'~~ Safety and Buildings Division y~ ~ ~, 201 W. Washington Ave., P.O. Box 7162 ~seons~n Madison, WI 53707 - 7162 Site Address ~ De artment of Commerce a`i-D'f-t~Z 3 ~ ~ 7 ~ s~° Sanitary Permit Application {Zo s" g'~' In accord with Coamt 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision ma be used for Pri Law, s15. 1 m I. Application Information -Please Print All Information State Plan I.D. Number Property Owner's Name ~ ~ Parcel Number ~+~~~_ _ -' d ~ Property Owner's Mailing Address Property Location ~ S C ~-,~ / / ! S ~ r OIX COUNTY ~( ,~ ~ ; S o~ DT N, R E City, State Zip Cade ~NI Lot Numb S Block Number Subdivision Name CSM Num r II. Type of Building (check all that apply) ~ 5 ~ ~` ^City 1 or 2 Family Dwelling -Number of Bedrooms ^VtYlage ^ Public/Cotnme Descn'be Use ~ ~ ownship ~o'1'{O"~ ^ State Owned cares[ Raad n K n D III. 'hype of ermit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition m For Couuty [tse stem Tank stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued ly)(numbering scheme is for internal me) ~ IV. Type of Permit: (Check all that ap p ", ~ 44 ^ Non -Ptacsttrized In-Ground 2aot Moues 47 ^ Sand Filar 50 ^ Constructed Wetland 22 ^ pressurized In-Grourd 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Reciiculating 30 ^ Other V. D' tmeat Area Informati on: Design Flow (gpd) Dispersal Area Dispersal Area 5oi1 Applicafion Percolation Rax System Elevation Final Grade Required Proposed Rate(t.[als./Days/Sq.I~t.) (Min./Inch) E(eva6on VI. Tank Info Capacity ffi Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constmcted Glass New Faistiog Tanks Tacks Septic or Hokl'mg Tank /G~ ..-, oO0 `~ Dosing (:Lambs ~' -r ~ ment- I, the assume responsibDity for installation of the POWTS shown on the attached plans. VII. Resptmsfib ' State Piamber's N ) ,~ ^~ / f } ~ S ~ %~ a~ U"• , `' ` 3~ 7D a ? ~ te, Zip e Phunber's (Street, City , Q ~ L9~ .s ~'G~~ . Coun /De eat Use Onl Approved ^ Disapproved ~~Y Permit Fee {includes Groundwater Date Ltsued Agent Signature (No Stamps) ^ Owner Given Initial Adverse Surcharge Fee) ~~ ~ ~~ ~ Z Determination o lX. Conditions of easons for Disapproval ~ ~ n ~~~ f ,, ,,~ S~S S"I'a-r-IG'+n `-°"'~ ~ l~' ~~ ~ l ^S ~ Jam' ~ I ~Q. IOG ~ nna~n -E o-~.~- ~~~ e-a ~-Q.,. ,nn a~-ti~a..~u `uR'r'f SPeu~` Ow.~C N~QR AW1m P~ l[o We-(%olrat7 anq) rar me as piper soc ~rn ~oaa oui : as ~ see SBD-6398 (R. O5~ ~~ ~ ~ ~ ~ ~~ I I ~ ~,. ., I f~- .~~ ^I ~`J.1 S~tn~ w !'LOT PLAN Scale 1 "= y0' _ _ ~, 89 'fit t~rv c ~-oT ~ ~,v ~, °` Page 3 of ~ .' ~ s ~ y °~o s .Z 41 ~ 23 ~~ °15 S ~ fit= L_ 4S.~ 935 -- ----~._j ~ $VC F,+"t, ~-935 Dc 1v o T CDy„i ~~ ~7- °~ ~ \S~UtiZL~ 7~tLS _ fl R~.sA • N to ~y ~ip~ e 2~~E'wr~y 3 8 ~Zr1 . ~~~ ~ ~' 30' I w~,~, - WSW - 0 J ... ~~ ~ ~~~~ NOTES: - 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with a 3. Septic tank to be tr~vv/ s PProved caps. ( Z required). _. 6 Ogallon capacity manufactured by 4 . $ench mark ~,~ pd, ~' Gti ~~z ti ~~ WT ~~~ ~5. Divert surface water around system to prevent ponding at the uphill side. r i~ Wisconsin Department of Industry, Labor and Human Relations ' Division of Safety and Buildings Attach complete site plan on paper. not less than 8 1/2 x 11 inches i include, but not limited to: vertical and horizontal reference point ( ) percent slope, scale or dimensions, north arrow, and location and ist: ~/i N 5T: GiPOi"1t.. Page ~ of ? t~ile~ rczad~ , ~~ Pa1rID1 ~.D. # D `/ • 7~v ' u v COU N?Y ~ b Date APPLICANT INFORMATION -Please pr~ntall inforrr~; zONiNG Fi=1CE ~ ~y ~j y Personatinronnatbn you provide may be used (or secondary purposes (Privacy w;+s 65,04 (1) (m)/• ,' Property Owner -fir} ~H a ~ eD L~~ o ~ d ~ e~l (~ ~ .a ~ t'~'~ ~7f'~ 1 ~ ~~ N Lot # Property Owner's Mailing Address sT ' 't~~$ T ' (~~ 33Z. M ii uN~s oTAc ~ /~ . City State Zip Code.: Phone Number ^ City ST• PnuL i J`~ N • 5SI o l t ~oS! ~za2 'S5S5 t ,) y~ 1/4 /V i~1/4,S Z"0' T 2 ! ,N,R I~ E (or) W Block# Subd. Name or CSM# _. ~~~ Nearest Road ~ ~ "2• ^ Village L"J i own ~ ((~ d [~'~sidential /Number of bedrooms ~ Addition to existing building [r]'New Construction Use: ^ Replacement ^ Public or commercial -Describe: Recommended design loading rate bed, gpd/fl2 ~ trench, gpd/ft2 Code derived daily flow .~0 9Pd C 7 ~ trench, ft 2 Maximum design loading rate bed, gpd/ft2 ` ! trench, gpd/ft2 Absorption area required ~_bed, ft2~ Recommended infiltration surface elevation(s) •S+~ ~ ft (as referred to site plan benchmark) Additional design/site considerations .~-~ ~~ ~ N f ~.. ft Parent material ~D ESS ~ V ~ Q~NS~" ~~l Flood plain elevation, if licabie Conventional Mou In-Ground Pressu AT-G System in Fill Holding T. S = Suitable for system S^ U ^ S S^ U ^ S ^ S U Unsuitable for system ^ S U SOIL DESCRIPTION REPORT Boring # Ground Q elev. { ~. ~ft. Depth to limiting factor tn. Boring # ~.. Ground I~ elev. Y , [fin. Depth to limiting factor 7 Remarks: ~in. Remarks: CST Name (Please Print) Rp~~R~" 21~(~(~~Gk?` Signature SOIL AND in accordance ~~E-~1//~LUATION ~tFy~:`iLHF183:09, V!(is. Plan r1~'i~t, _ ~' Coun ction and Telephone N;.~ ~~s' 3$G • ~ Date CST Number *. V,tt $ I ~Q L ~~~ SOIL DESCRIPTION REPORT PROPERTY OWNER s (~ g ~~ ys' ~AMhoNa ~,~~s ~ PARCEL LD.# Boring # 3 Page 2" of Remarks: Y Structure Roots Gf Mottles Texture Consistence Boundary Bed Horizon Depth Dominant Color Gr. Sz. Sh. in. Munsell Qu. Sz. Cont. Color Ground elev. ft. Depth to limiting factor . in. Boring # Ground elev. ft. Depth to limiting f~rtnr r~ ~~~ ~ si . ~ ~ o N ~ c ~ ~ Q ~ ~ ~ ~ ~ ~ fi 4 ~ '~. ~ ~ ~ -" .. n ° ~ . -~ ~ a to o~ :~ ~ ~' o a• ,~ ~ ' - a° r ~ Uri ~ Z • :o° m r 9 N ~aaa O 0 iJ `~ no, w a W ~ ~~ ~ J ~, ~ ~(1 ~ ~ ~ ~~ 3 ~/~ ~ ~ ~ ~ ~ G° r ~ m ~, .~ ~ o -h G = ~ ~ M v~ ~ ^ .~ ~ ~ ~ ~ _ H • ~~ ~ o~. ~ y ~ p o ~ , ~ ~ rsc®ns~n Department of Commerce November O5, 2002 Scott McCallum, Governor Philip Edw. Albert, Secretary xvnally ~~~Q • ~~yF/C~O~M,gM~ERCE '~. /~ L h ONDEN CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/OS/2 ---~-~-°- ----~-- SITE: Sherri Givens E',~~';r ~ ~ Z00~ 160TH St Town of Hammond S 1. ; St Croix County ~_ N W 1 /4, N W 1 /4, S20, T29N, R 17 W ~...~..W~..~...~..,~ FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 880238 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. usisb www.wisconsin.gov Identification Numbers Transaction ID No. 806493 Site ID No. 653078 Please refer to both identification numbers, above, in all comes ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • 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 & 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. 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. ARTHUR L WEGERER Page 2 11/5/02 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/instal lation/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, 1~~~~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. 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 f 4 TITLE SHEET ` BOUND SYSTEM FOR A 3 BEDROOM RESIDENCE Page ~ of ~ This plan has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P C CZ_ 6 lq9.~ , ' C ~. 6 L~4~ LOCATED IN THE NW 1 /4 OF THE NW 1 /4 OF SECTION Z0 , T z°1 N, R 17 6+1, T061iT OF ~'PM~lwlbh~~~ ST"- Cl?.yuC COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM IIAidAGEi~IENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEjI-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.4PING CHATZBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI4ANCE CURVE PREPARED FOR _. _ S~-~.~ ~ ~,~~5 - -- RECEIVE 3l1 G~~l~4M __ _- i~,oal_2rS, r..~ ~ S~ v Z3_ OCl 2 3 1(~o SAFETY & BLDGS DIV. PREPARED EY WEGEF~EF? SOIL . TEST I tVG - At~ID . DES = G;V SERV = CE P.0. Box' 74 421 Id.ilain St. River Falls, jdI 54022 Phone 715-425-0165 Fax 715-425-6864 Cond~° ppp ~~T N~ SEE COt~ZRE' JOB N0. dZ-Z39 ~0-Lt.-nZ - ._Mound System Management Plan Page z- of 7 Pursuant to Comm 83.54, Wis. Adm. Code - . , ' Septic Tank - The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. "h ating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter hall be cleaned as necessary to . ensure proper operation. The filter cartridge should not be removed unless visions are made to retain ,solids in the tank that may s pug o e i er when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if . the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank; If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L 8005, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General - This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)j arid local or state rules pertaining to system maintenance and maintenance reporting. -, No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component faits to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal arearf toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at ~ ~rj - X8'6 - ~ijBO gY- ~6?.~11X The system installer at ~ `1 l S - ~(~~j - 6~;Q S The tank manufacturer at -7~C S ~3 ~. S - g4S (~ Ly t ~~ The effluent filter manufacturer at - -7.1 S ~Z..Z.I- $7~[Z Zf~~t-- The pump manufacturer at _-_ _ .-_.-_ ._-` C~3~-.~.~.`.~..~~~,.--- --.-~ODL,~S -_--____. PLOT PLA1V Scale 1 "= y0' _ - ~. 89 l~ tjv c _ Bw~ >,..p~- L l nJ ~ ~ , s ~II ~i ,.. ~`)J S~r~~lu; . $ ~ ~/p >-_~ S.Z ~~ ~ ~ ~ _ s~j ~GSS __ Z3 ~_ - c~il~~~Z ~ ~S' 9 1 ' L - _ _ B.3 ~-S~' ~10~ OF 93s - --_ _ _~ Z~ ~vC ~ w ~--- 43 S b p Yv o T ~o y"1 r~ 14-er °tZ ~ \ S`R..~tiZ13 ~t2S ~ _ 1''~r12_~s`A . N to `c~y'i DSZ)U~tiJ P~/ /y 3 8D1Z.w1 , >~ E k SvG 6~'j'7iv~j w~.~. W ~fiUU S ova OF J_ 1- O J Page 3 of ~ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be fovv/65pgallon capacity manufactured by 4 . $ench mark ~ ~,.., ~ pn, p ~ GiV ~~Z," ~3 ~~JT` cA~2tv~i2 5. Divert surface water around system to prevent ponding at the uphill side. Pace ~ Of 7 Approved Synthetic Covering ASTi~ C33 Medium. Sand Topsoil 3 1i , +C Distribution Fipe G Elev. ~15.~ ~ •_` ~ ,~ b ' y % Slope - - Distribution Cell of Force Main 2" to 2 Z" Aggre~at~ From Pump CROSS SECTION OF A MOUND SYSTEM a A ~ Ft. Linear Loading Rate= 6-~ GPD/LN FT B ~S Ft. Design Loading Rate= a.33GPD/SQ FT j \Z Ft. J 5 Ft. - ~ _ K 8 Ft. ~-1-r-e-M; ;ate` -'- ' o n ~ L °1 ~ Ft. L . • Plowed Layer a O •~ Ft. E O:~~f Ft. -F~-~ Ft. G o -S Ft. H ~, ~ Ft. ~} -Observation Pipe -- 6 _ i K- -------_ _ -_._ - .- - - -- - -- ~ ~ 8oc~g 0 W - t...___~__ ._ --_- --------- ----- J Force I ---- Distribution ~- Cell of %" :~~ x to 22 Pipe ~ aggregate . Observation- Pipe (aac~br securely) . :. - PLAN DIEi,~ OF A MOUND SYSTE;:4 n Distribution Pipe Layout Place the holes at the bottom of the distribution pipes . at'equal spacing. remove alI burrs from the pipe and holes. Extend the end of each Tateral up with the tse of IonQ turn or 4f° firLnQ to a point withia six ~~ inches of the final ~*ade. Te~ninate the ends of the Iate.~ais with a valve,: threaded can or " • threaded plug. Provide ac;.~s from $nal made for the vaiye; threaded caa or threaded pIuQ. " . , .. i~ F ~ cr L ~ZVS s s~`.i191J FVC ~ F`J~ PVC Later! Manitofd Laterl X z ~ x ~ z ~ x!Z ~ xQ 1 x ~ x ~ x ~ x Lateral L~nath -~ ~ Lateral Length - P ~ Lt?-N V \ ~,,~ P --~ a ~ ~ ~ ~- -- ~R r ~+r~trv Paoe S of ~ ~C.C.:: SS 5pX - -o --~ ~~~ P 3`7 Ft. S 3 Ft. X ~ inches • Hole Diameter ~l8 Inch ~~ "-- LateraT ~ I Inches) Manifold ~- Inches Force Main " ~ Indies # of holes/pipe 1 ~ Invert Elevation of.Laterals R 6• Z Ft. . _ ,_ - ._ _ ~ Combination Sept,3c~•Tank and ., PL!•MP. CHAMBER CRO55 SECTIOtJ AA1D SPECIFICATIOAIS ' PAGE ~ OF 7. • . . ;' -VEU7 C,1P ~ WEATHER PROOF . JU1JC710)J 80X . ti C.Z. VE1J7 PIPC , APPROVED LOCKIIJG ~ IO' FROM OOOfC. M~l1JHOLE COVER yvl'~i :%IAJOOW CR FRESH ~ wP+RNI>,1G LP.gEt,,. •''~~-'rl.~sdU-T'~~ ~ ALR I1,1TIlKE ~ cor.,Dutr .. .. ~ s i~ ~ ~~3 $ ~ . I ~r' Mfu. • G ~KD E 18'!'tiAl. ~ ---------- ~~\ .. U.1LET "` PROVIDE I - ___ ~, `~'' ~A,RTIGNT SEAL I II~ :^~ APProved Z~~ r-,.~~. -~ i I~( APProved joint w/ ~ l$o~ I I I joint w/ PVC pine Is .~ ~i ALARM PVC pipe I I ~ ( I oIJ • ~I i I CLEY ~,•oo Fr • PUhIP ~ --~ ` OFF 0 • COUCRETE LL~J , P30.OD ~ ~ BLOCK ti: RISER EXiT PERMITTED O1JLy 1F TA1JK MA~;UFACTURER HAS SUCH APPROVAL 3"AyPRotiFn SEPTIC F ~ SPEC.IFICATIC)tJS DOSE T_ I.UKS MAUUFACTURCR: w~~~ ~~ ~Z~. IJUM$EA OF DOSES: S • ~S ., 1000 / 6 S 0 PER aA., _ TA1JK :,IZC : GALI_OA1S DCSE VDLUME z ' ALARM MAUUFACTURCR: S J. F..v~.`~l lZ.~ ~ sl'IS~~jS ItiICt_u011J6 OACKfLOW: ~ ~ ~ ~. (,ALtOhtS, /"IODEL AlUMBER: ~y~ ~1 ~ CAPACITIES: A_\ 1F~ .3~~ SWITCH T~PC: - ~ ~~CNZY UJCHES OR l / GALLpys 8 = Z IUCHES'OR 3T G~LLOUS HUMP MAUUFACTURCR: G o V Ld S C=~IU[tiES oR 1~Z GAUOUs MODEL IUUMHER: ~O5' _ 0 \Z ~ = IAICHES OR ~ 6ALLO1J5 SWITCH TYPE: ~ ~'~~-<-~V~r`-' WOTE: PUMP AUD ALA MARE TO 6L MIAIIMUM DISCKAR6E RATE 3~'('6 OpM INSTAlLEO OAl SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP OFF AUO..DISTR18UTIOU PIPE.. ~S"ZO FEET I2.2~ -!- KII~1lMUM AIETWORK SUPPLY PRESSURE , , , ~ 6 •50 FEET <S-Ox 1. 3~ ~- ~ ~ FEET OF FORCE MA11J X Z-~ F j ioo ftFRICTIOU FACTOR. ~ - 8 $ FEET 3 .~~ _ I~U TOTAL OyAJAMIC HE:AO = 23-5a -- FEET As per Manufacturer \`1 .p gal/in. Liquid depth 3a" . o. ,, _ r-. ~, .~ Goulds ~E~ °~ Submersible Effluent Pump ~ r~ u 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/; maximum. ~ ', • Capacities: up to 55 GPM. ;V~ ~ • Total heads: up to 24 feet. • Discharge size: l'/i NPT. • Mechanical seal: carbon- .. ro+ary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3~4' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'r~' NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C)intermittent. .J • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 10~ 9 31 s 2! o ~ ' W ---- U 6 2( z 5 0 1: '~ 4 H 0 3 it 2 - 5 1 0~ 00 ~u cu ov 4U 5U "GPM ~ ~ ~ ~ ~ ~ 0 2. 4 6 8 ~ 10 12 m°/h CAPACITY • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller. Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller: Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Rousing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- tic cover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ~ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) j j ~ ~ ~ .y#se 4 ~ t ;~. ~ ~+ zy J, . +t ~ -Fy x.s FT .,~, - ~ 'Z3 8 - ~ L r.~Jo - ' ~_ ~ ~ _ , _ _~ - i - ~ f ~ . ~ '' P i i ~ ~ ---- E 08 _.. ~ i - ®1995 Goulds Pumps, Inc. - ' - Effective May, 1995 63871 vVeanes.~ay, vc~ooer ;n, tw[ ru: rn rnn anern urvens r {o-r 4~-oow N.~~ ;.~ stk. ='~`~~ ~•,+ 2 w;,~r•.«wodj^su,an, 3a1LANDSITEBYALG~-TI~oN P~D• ~ °~-- LyD,.,,iw.ranrwm+n• ;neccndancswifi a.ILHR83.0i, , _.--^---^-~ pJNara et sanary+w ea+etrv 57~ ; G~POii MlaMaarnWea tVM a+~~~«no,oe.e>.une iR>'„r~a•~~n Ntr. Plan ^+v~ :naYaala. 7YlrbtNMlad b: vaAkp eid;WftiWta~ralMrKa PtlAt(DMI. dIRlOabn NSA pwaaM dePa. ANb or dt~avfanf m;;I+ytaoa, and iacaabn am0 6lebne+ bronnat oal. Pato-I~. ~ f~ S~ • i~ ~~VFNs' ~, •~c ~~~ APPLIGAII~MFORNRTSCN•P~PrY,tall~n *~~~'rcw;HinU i a.seMtaMnwre. wua~ ^wea~'d i6'«'uw ; rw<w -----" ~j' d - ~O FnpvMlntA'4m ~.0: + =7 .N.R ~7 .E(wSW Prap~•purna ({VNpt b~1+~? awaioc NW rw,~~rr+,s a ~ ~ (lo______^_-.:.._ ~,uu ~~ 9uvd. NatM aa~ 1~1.~- . + ~~ ~Fr~ro~-D . Ditt'~" ~ 1 1ti1~85Di~1 rnr' EiIST IWG~. ~ S~ q anp~1 o,y sei» ~w ~~. N ~ . ~5~ C ~,y ;~ vn, ,~^' +' yC Ilso ~8YlCVrtaletR761n War ~~*~~! NWT 01 badrOOam - _ -- _ ~p~Qdat•Oaaulbs: !„ter.--.~.~~ G pepaanncaS ~ y~~wnda.9aa~ ~L~t~n A6C7..b~daael0a!Soadxr9We Oad•9 ~_• Vaneh,epolMa Cveadadvad dih +ow 7~.~.• iPb t 2 7 f InneN ttf M Wmun daaSA~ loam^9 rata . 9 AEaarpWn aaanrp~:Yed ~~~. t ~ ' - ~ anC.mM10 ~~ {w wwmdto aw Pka gamanwdaelntM~a;Mn auafxaasvalorgel ~~--~--.."~"""` ~~ R I~~OM~~9nN~0lnl~tillsUMti..~ ~~~- 1JJJ-C- -F1COd ~NY llWit~„. f ~ K PM1IMIm,nnua O ' Y ! Y~ain a~ fan Mr.4 Prw+ A 6 ^'~ ~] 3 ~ 4 e 8unabiate•>YE~ ~ g^ U 4~ 9 l~ v uM,rru•aa.y.i.n Qe ~._,..~ t r.wn i ~" Badng 11 noaaan Hr•, ~ -- •- __--- - W. o., ~.. • 4( . s h w»ai Gr: s+, ;,bna cdo~ G Sb nt++ R CS / f .,«. ~S.yo_K _ __. ~ . pp9a b _ . ___.. _. Malthq _ ---- ' tiatot «. ~ C l 'I . S ~•S .5'~4 ~=- ' . 9S.'fa-a. ~,e N¢W~ ~ 7 a~ rr,«. tM•nN w«t; ~EICT t1t6R+etiT ~+~.nna ~,:.~~2..7~ i'.~!-1 ~.,+~f--`7'F• 38t~'~~iB ~ - ,;sa.,. OGf • .2 ~a~.4375 Pra.ala laraC Cw~avtaMa ea O'Ndr M. Nunw4 yMa., asDt+ s Z00 ' d a+reLS a6Q Z0/8T!DS 00LS9bZSLL ~S IIllyl~kl~X3 ~-IO~I:i $T CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNF.R,SHIF CERTIFICATIOT! FORM OwnerBuyer ~~~ (- ~ /cJ~~~ s /~ Mailing Address ~ ~ / ~i rL2`7 Ci ryl ~~ c~ ~-/TJ [.(~'~.~ S~Qo~ Pragerty Address ~~_ ~~ G ~ <~ (Verification acquired from Planni~ Deparnnert foe uew Cityf3tate t f ~'J'1''~"1(JYfYfl,~ CL~L' Parcel Identification Number ~ ~ ~ ' ~ l ~ ~ ~~ ~ ~ ~ ° L [' L' LEGAL DE3C t~rl Property Location ~_'/s, 1~ t;~~ `/, Sec, ~U . TAN R I„Z,,,W, Town Qf C1 r~r~ Cr~~ Subdivision H-C:e ~m m r, r~ ca (~~` ~~ ~ .Lot # _ ~ 5 Certified St[rvey Map # '~- Volume ~-. Page # ~- Warranty Dced # <~~ ~~(~ ~ .Volume a~_~ .Page # Sgec hot~e ^ yes D no Lot tines identifiable ~ yes ^ no Improper me and araiaocnaneeof'yonr septic system c~ tesn[t is its pc~emautee-~ to batrdte wad. Pcoperm~aCettao~ eon of paa~iag out the septic tatttc evrcy- duet yeas a maser. if tub 6y a pua~tex. Wlmt you put into the sy~eta can atIax the functioa of the sep~e talc as a treatment stage in fire wad disposal system. 'i7rs properly owner agrees to submit to St. Cry Zaurg Depat'imesvt a vti~fon~n, sued by the awner a~ by a masterptnmbtG jousntym~ptumber, zod plumber or a iicensedpumfrervaifytgg dnt (t) ~c au-site ~dirpa~l+yskm is ur proper operating condition andlor {2) after iospoctioo and puutpiog {if nexesaary), the septic tank is less than 1!3 full of sludge. thee, the undiersigaod have reaid the above requaZments and agree to maintaia tbo private scrwgc di"sposaE system with tho standards set feral, tnemxn. as set by the i7epartmeat of Coutarerce and tide Dc of Natural Rrsomvxs, State of Wisocnsin. (~tification stating ttutt pour septae system has been ~iutaincd must be ootaplettd and trdtrnoGd to the St Cmix Couaiy Zveiag tltbco witldn 3tl days of the tbtec year ~ picatioa dates A1tJRE OF LICANT DAUB OWNER CERTIFICATION t tvMe} cerei~- that au atatemoats an this foam arc true to the best of my (our) kaowk:~. I tug) am {~) the oe+aer(s} of tbt property described atwve, by virtue of a wrjaanty decd recorded in Regisux of Deeds Office. ~ d /~ ~ , y~PiaL ' ~' / / t /5 ! Gam( SItiNA1ZRiE OF APPLICANT DATE sas+-** pmy i~c~aa that is eats-rented m'y ttsult is the sanitary permit being revoked by the Zaniug Depa[Cmertt. •*s'•• ** Iaclade with this applieatiaa: a stamper warranty deed from the Register of Deeds oft'ice a copy of tiro ccrtifed survey map if reference is made in the warranty deed 900 'd '"~9i80 ztarszrea OaL~svzsic. 9Ntldvaaxs ~'i02ill S'd 6®E6-9Zfr-SIL suani~ ~ua.al dg{,:ZO ~D SZ ~~0 05-2002 15:09 FROM:WBS CHUCK A.~BRIAN A 715 389 1212 T0:~~153846179 P.007~a07 Production No. 34Z1:i MARSHFIELD A Produc[ of Wick euilding Systems, Inc. P.O. box 530 -Marshfield, WI 54449 - (715) 387-2551 HOME System - RPT Sa1art)rCer.rpt Attdth Prlnt on this Page 0 0 C7 O ..r, L C... ~ ~~ b ~; u L h a ix ;~ Y 0 00 ~ ~: 0 0 cn S-~ O ~ ,`' ~ ~ ~ Q, d an ~ Q c c~~-~ ~ ( / fi o O r Q "C~ Q ~ ~ o~pp M o~ !PP's M x "' N fsl m ~ ~~ cq V N 0 ~--~ 0 O H 00 m ... Eti o. m o a a 0 ~~~'~ o I ~ ~ ~ ~~ ~ OZ. a ~ 0~+ sN~t O S ~ 1N1~~~~ .. ~ WYZW 1 AV1QVIn Q~ ~ + Z~7i ^SO=7'a WQZ~ G' ~ O S ¢~a y`o2..W ~~ ~ a ~~~ Q I W>KZtn ~O F- 3:.~ ~~~„~~ N Y yMdM< ~ ¢s~.Z.-. Z'Qy7p. UQ b~ ~ yWZp O^ %EWay £ ~ S ~~ ~$^ OO=Q Z~JySa ~ yy N ~I ~ C[ g~ F q ~ NWCa 7NQ¢ JO P~ '`~ ~ w~o o~`~za3 ~ ~M~lyo ~sW~ a°, ° a 4~ ~~ JVi I-zot- r ~~ aao: WQ"'. " uza3cu3 --- ----------1---- ------- -------- I r------------------ - ----------------~ < I I ^ , I ~ '~ I ~ :. 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O J I i S 'm I I °N ~°~ ^6~~ F~ ~ ~ 1 ~ I I _ ra ~ 1 I r ~ ~ L_ -----1 n~ w~~ 8~~~}{ v ~ ~ i i I I f_ ____l 25 pI N }{ J c I ~'° ~r 1 .N ~ I ~C ~ I ~~~u~ ~~ io I I r ~ n i~ 1 I ~» I I ~'~` ~~ I l__-__-J 3 ~ ~ I ~ I o _____--___J 1 I I J )~a I I ~ J I _____ N) I I ~ I r-_ I ;° ~i i I I I ~x° ,~ ~ ~ I j I ~~jj I I ^ ~ I 1 ~il I N I 1 I I I I 1 I~ ~ I _ Z I lo`[u I I I 1 ~ I lu~ ~ J \ I I s~y~ ~ U 1 lu c 1 I yy I I I T e / fr1 c I ^ ' I I ~~~ I ~~ = I I y,~{ Q I l i h ~ i i atl6 ~ 1 L ~ ---------------- I - ------------- -"'1 I K I W ~ ~-- --i ~---------- --------------------- °~ z 11000 17 1 I W r, -, 1 j ~ U ~ riia ~ i .y I ~-----J i ~Q •• - r NO11V1f1SN1 ^^ lV ! 1 Oi1VV1SN1 .1 1V N ! 1 1-. - ~~~ ~~~ d="g Bg ~~~~~ ° ~~~~~~~ ~~~N~ ~~~.~~- . ~~~~~~~ ~ ~~.~> ... N ~s~s~~ • J 2 0 5 0 P 1 2'f 696766 sTATI: BAR of wlscoNSIN Foxmt 2 - tvva KATHLEEN N. NALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO. , WI Document Number This Deed, made between Hammond Land, LLC, a Minnesota RECEIVED FOR RECORD Limited Liability Company 11/18/2002 09:20AM - EXEMPT # --- --- Grantor, and Sherri E. Givens REC FEE: 11.00 TRANS FEE: 74.70 -- COPY FEE: ..... CERT COPY FEE: -- -"- PA ES: 1 _--- -- Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State oC Wisconsin; Recordin Area Name and Retum Address Lot - ammond Oaks Sobdivision,Town of Harnmond, St. Croix County, RETURN T0: Wisconsin TITLE ONE PREMIER GROUP, INC. 706 19TH STREET SOUTH HUDSON, WI 54016 018-1086-45-000 __ Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to Warranties: Subject to notes, easements,restrictions,covenants and rights of way of record, if any, including but not limited to those for drainage,water retention,ponding,and or utilities as may be shown on the plat of Hammond Oaks Subdivision recorded in Vol. 8 of Plats, page 2, St. Croix County, Wisconsin. The warranties of this deed, eitt~r expressed or implied aze limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed herein, that being the sum of 524,900.00. Dated this 21st day of October 2002 Hammond Land, LLC AUTHENTICATION Signature(s) authenticated this _ day of_ _, . by c~~~,.,r/ ~', President « Austin .I. Raillnn ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey _._ County. ) Personally came before me this Zlst day of October , 20_0___2__ the above named Austin J. Baillon ---... _ _ TITLE: MEMBER STA'CE 13AR OF WISCONSIN (If not, _ authorized~by § 706.06, Wis. S[ats.) T}{IS INSTRUMENT WAS DRAFTED BY Paul A. Baillon, Attorney at Law (signatures may be authcnncated or acknowledged. Holh are not necessary.) to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. PAUL A. BAILLON ' Paul A. Baillon _ NOIAr•1 PUDUGMMNtSOTA Notary Public, State of ~'+ MrcoiaM-ssTiN ~FiPE5~7rzdt5 My Commission is perm January 31 2005.) l~ 'Names of persons signing in any cap'aci~ty s~h`ould4bte typed or printed below their signatures WARRANTY DEED t..,t/il ~i 1,~ 'DI',~ STATE RAR OF WISCONSIN 1 s-'~'v'.' FORA1 Yo.2 . 1998 INFORMATTON PRUFnaaIONALS COMPANY FOND DU LAC, WI 800-6553021 Sherri Givens r~~ 887 160th Street Hammond, WI 54015 ST. CROIX COUNTY WISCONSIN ZON=NG OFFYCE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 RE: Notice of St. Croix County Ordinance Violation -Zoning Ordinance Location:Hammond, WI 54015 Computer #: 018-1086-45-000 Parcel #: 202917665 Dear Ms. Givens: As you have been previously notified, you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(d) Wisconsin Statutes (Category II). This violation was first noted on June 16, 2003. The violation noted is septic effluent discharging to the surface of the ground. As I advised you during our telephone conversation on August 11, 2003, you are required to submit a holding tank servicing contract for the maintenance of your tank until the system is completely installed. This agreement will only be valid until October 1, 2003, at which time you must have the rest of your system installed. I have enclosed the servicing contract for your convenience. Please fill out the appropriate sections, have the plumber sign it, have it notarized and returned to me no later than September 1, 2003. If I have not received the contract by said date, I will start issuing citations until I receive the pumping agreement. Please also be advised that your septic system must be installed by October 1, 2003. If the system is not installed by that date, we will be filing a formal complaint against you. If you have any questions, please contact me at the number listed above. I look forward to working with you on this zoning matter. Sincerely, /71.Qi~ Je 'fer Emmerich Zoning Technician Enclosure -- "" f~Y_ .~'r- August 22, 2003 HOLDING TANK SERVICING CONTRACT Date Tank acknowledge and on the following property: 1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement required in Comm 83.52(1)(c)1. Wis. Adm. Code and the approved Holding Tank Component Manual. This agreement will also be filed with the St. Croix County Zoning Department. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volume in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with local governmental unit and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) Owner's Signature(s) Subscribed and sworn to me on this date: Todays Date Pumper's Name (Print} Pumper's Signature Notary Public Signature Pumper's Registration Number Commission Expiration contract is made between the AUG. 12. 2003 7:49AM ~~ Datr; BCBSMN B~ueCross BlueShield B~ueFlus ' of Minnesota Fax t~ansmitta/ N0. 490 P. 1 70: C~mparry name: Fa~c number: From: Company name: 7e4ephone number. Fax number: pages to fallow; Mesage: /~ ~.rr~ Lti /cJ.Q~J~s Blue Gass and Blue SFtield of Minr~l~, P.O. Box 645ba, St: Paul, MN 55159-0564 (~1) ~z-_ k9sa (65L) 6aZ- ~ ia~os yi~~~,' ~ Some rec.~.,~~Cs ~a.~ Sties .z~~ d2-~•n n_n+~i:n~ .t' LSD ~~ l~,f m~~ Kne~,~. . ' ~ tib . ~~ ~/ the inrnrmaeae mr®ined on tlis faesim~e (FAX}~mesage ~ ~iden~l and irarnded only i'or tha u~ o~ tl~e ndividual ar amty named aba+e. @ you are rot Che intended reapienc of th's i~rt'arn+a6an or the perm 'e3Fcnsibk far ~.ivering it fcu are prahihi~d from dlsdasing, dsQil7udn9, ~+n9 °r ~~9 in refia4~ upati rie atCd~ed matrrial. U 7ou time n:~ved this EAX in $ rar, p{e~a nodry us arun~aeY ~ ~e?1~~ at ~5i18o2- and ; eelm eit ~Ses aC Gze aec+e address via Cie LL.i ~~ Strip ~ °~ ~ ELEVATION "` ~\ TOP OF IRON PIN "s ~ ~ `~ \ a 1043.90 ~ \ ELEV. 1043.29' ~ c 33 1 33 '.~ I LOT ~3 ~~ ~>. N \IASSUMED 95078 SOFT. '~ 4 1~ I{p 9 ,554" S-Q.FT. ~\\ N. 1 2.18 ACRES `'~, `O ~,19 acres ~m,\ gl .mss. nl N I ~ ~1 n \ 10Z• 1 ~ I I \ s8 '3.'p• 1 ~ \ W ~ I ~s?.74• i W \ r ( Z"2 A5 •~-5•'', \\ ~ 1 ~ S'3 3?•t ~wW 336.44 • . ~ :r 1 ~ ~ ( N~a ~` ~ ~ \ s ;~ ~ ~'. ~ 80.00 a, ~ I ~ ~: ~, ~ LOT 48 , , `+) °D a°'o LOT.44 \\ o ~ 0 85916 SOFT. ` \ z z 65,530 SQ.FT. w , ^, ~ \ o ~ 1 `>: 1.97 ACRES I ~ 1.50 acres \ ~ v 1 ~ ` I (~ ~ 1 v ' 1 i i o I ~o I"6,5g i \ N ~ 1 23 3 i ~6" "`~ 3"? :I ~ 1 ~6° 3'-~~ LOT 47 LLJ ~9Z1'~ °' I o ~ 1 ti9 .~ °' 56,817 SQ.FT. ~I ~' I I N LOT 45 ~ 1 ~ ^ N 1 . ~d° 1.30 ACRES ~~ ~~) , ~- 53L72SQ_FT ~1-N --~ ~-~------ O1 ~ 1 1.22 acres ~ I I 00 I I v o _ °i ~ °N° 1 ~ o ~ ~ ,o ~ 6 ,, -- 936.71' -- I _ ~-ti' ~ 1 328.00' 144.00' 128.37 _ _ 1 390.55' J ss o' -- -- - -- - -- -- -- --- -----=1- ---~------ 1601 ~rc~x .~G ur` " Pw LOCATION MAP ~ ~.~ C u~~ HAMMOND OAKS SUBDIVISION ~ ~~ _ (NOT TO SCALE) +`Y ~ ~ ~ SECTION 20. T.29N. - R.17W. LE L. LIOTT : - '- - - DRAINAGE dt UTILITY ~ • t 00 EASEMENL ~ - H S ~N~y. ~WpI --y- PROPOSED DRIVEWAY ~~i ''~ K"" -'~ , ~`~' JOINT ~ PROPOSED JOINT, ,~~ i~d 3urvg~ ~~~~,• DRIVEWAY- ~: ~~~~i~~~~~~~ - 50' I~hLUiNC sFTeAac SCALE 1" = 100' •~ ~;~~ ~~,~-~0 .~~.. ~ 100 200 i; ~ + ~~,i~ .'PV.a:.