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018-1086-53-000
n cn O 3 'v n d ~ S„ ~ ~ C ~ ° 3 3 v1 1 ~ ~ ~ , ~ ~ ~ . ~ ~ ~ ~ , 3 ~ i ~ ~ b `~ _ O q) 3 n N ~ ~~ ~ y O O A S ! W = N O N • I ~ ~ ~ G ~~ m ~ es ~ m ~ ~ N Qp 3 ~ ~ O ~ ~p ~ ~ O ~- 7 V ~ O (^l O~ C7 SU j ~ w W ~ 1 O ~~ m c ~ ~ o b ~ O A~ ~ I 7 N ~ m O S r. O d ~ ~ cn Z D ~ ,tea, ~' ~ m ca D C ~ ~ ~~ W - ~ ~~~ N I ~ ,a~ R CO W N ~ N N C ~ p A A~~ N O :'~ O' ~ ~ ~ ~ ~ ! a ' '' ~ ll~il Z 0 0 0 ~ g~ ~ cn ~ ~' m 3 I vi o' ~ W 3 I o ~ ~ A ~ ~ cn 3 ~ ~ p ~ o I a ~ c o m 3 ~ j O m N d .. ~ r7„ ~ N Z ` M 7 CD p °. C O 3- ~ o a I ~ ~ ~ a ~ m o I = ~ o w m I I a. m Z ~ m C -~ -~ y A z ~ O m y ~_ ~ .. N ' ? ~ N I ~ N O .. C O W ~ ~ < a ~ z ~ ° ~ ~ ~ o :. y ZZ < Z ~ W A i ~ N I C Z G. o N I o 4 I, ~ fi fi I I 5 I ' ti ~ I N p A ti ~ b ~ d0 V p ~ ~ ~ ~ ~ L ~, a O ~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATT~,CH ~~ 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 ~\/l rlie, Jason Hammond Townshi ST BM Elev: Insp. BM Elev: BM Description: j~,o~ ~o.D~ CST gw.~l s,,. ~ti-..r IANK INFUKMAI IVN TYPE MANUFACTURER CAPACITY Septic S ~_ ~~' ! Dosing II ' ~ Aeration !,~" i Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic S•~1 z ~ ~ ,fi ~ Dosing 1~° Ae /v ~ Aeration Holding PUMP./~~HON INFORMATION ~0•~ s~ ~~ Manufacturer Demand ~ GPM Model Number S •~ ~ Z TDH Lift Friction Loss System Head TDH Ft q.~2 ~,~ $ 3.zs 1`f, tr orcemain L Dia. ~~ Dist. to well I ~ ~~ Z , / fi SOIL ABSORPTION SYSTEM ~BE~ idth~ t Leng~ '61MENSIONS j SETBACK SYSTEM TO INFORMATION _ _. 2 ELEVATION UA I A County: St. CroiX Sanitary Permit No: 453275 0 State Plan ID No: ob 23°3 = TICWk15• ip Parcel Tax No: 018-1086-53-000 Section/Town/Range/Map No: 20.29.17.673 STATION BS HI FS ELEV. Benchmark ,~ I~13 ~ Alt. BM ~ 4~ ST p i I Bldg. Sewer ' / ,T ~ 9°•3~ SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom [~ ~ •~ ~` ~ i7, O I f ~. Header/Man. - 3Z c,~ • ury / I G Dist. Pipe . 3 .3 .3a / 9~•~ Bot. System Hb p~ i • 0~ Fin Grade 'lam wi (I tx oJt I „ ~ d c2.rer mo St Cover ~n ~ ~/ ~, q ~ ~~ ~D i i ype r aysre ~ ~^ ~ ~ ,1 ~ ~ IT Model Number. DISTRIBUTION SYSTEM ~ ~ _ ~j ~ L~.,..~. Header/Manifold N N Distrib ion ~~ ~~ t x Hole Size ~/ x Hole Spacing Vent to Air Intake 2 ~ pipe(s) I 2 3~° ~ ~~( ~ 3 ~ Length Dia Length Dia Spacing ~ , • SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Oniv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil [~ Yes ~ No [ ::j Yes ~ No COMMENTS: (Include ode~discre~ n ies, erso s re en etc.) Inspection #1:~VWt • ~/~~~Insp~ ct#2: ~a~ pcQ. ~'l DU ~ I Z k I ~ E~-~ l~~ (l~?(~/~..~...r i (i M Location: Jnknown (S 1/4 NW 1/4 0 29N R17W) Ham nd Oaks Lot 53 ~ ~ ~ //~Pa1-rc~el-No: 20.29.17.673 1.) Alt BM Description = Sr~oT''t"a..~Q.. ~~ ~) ~.g ~ ~ ~~~s" """ ' ~ ~~ i 2.) Bldg sewer length = ~~~~ S p/~~ ~ ~ .~ -amount of cover = 36 • . j1 3.) Contour = gs-.&(}~ Plan revision Required? ~,.J'~ Yes ~ No ~ %r ~ ~ - ~ - ~ I ~ I/~~~~j Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ~ ~" '. ,~ - Safety and Buildings Division 201 W. Wa,hmg ~ tun Ave., P.O. Box 7162 County - --__- ~-~- ~~j ~ rr _ ,,fi~ ~ ~ ~ I~Iadtso ~ ~ w~ V ; w~ ' -,~ ~~-l~arti7tertt of t~cammerce f( ~~''~E3~I~F~ ~ ~._ ~y -- Sanit' Permit Number (to be filled in by ~ ~. _____ ~ ____ 2 ~ j id3i~~7~r~.1C``~" ~~lC~llt 1'i~3~~1C tY~ p ~ State lan I.D. Number itt accord t~ntll Lonun b3 21 Wes Adm Code, perso ation l~ro~d~ 2 QpL~ may be used for secondary ro oses P i ' L " { Lb ~ 3 ~ 3 ^. S . ~~ p p r v aw .U-4i1)~m~ Project Address (if different than mailing addles; 1- _. ~~lalali~:atiou In#'ortnatiolt - Ylease Print All Iuforma ' CONING OFF ICE _ i'ieal~~ity Ownar'sNzuua ~ ~` a s~ I .. ~ - 1- E~~6~~ Parcel # Lot# Block - -- ~ 3 r.~,l~ry Ot~uer's T><laihug Ad s ---1 ~'~~~ . rC'~u.se.~ (~ ~~ ~ Property Location ~ Q Phonc Number Cis', Stara ~/~ ~ ~ .~- ~ /~ Zip Coder ~ ~ ,~4 ~"- ~^. Section _-~~___ , _ ~~ ~ Y w t.~.~\ f Y ~ I ~~OIS~ V (p~j~ ~' "'[ 1~ / ~ ~p circl ) ~ ` ~ tr, tyia:; uz 3suiltiiug ichecl: alt that apply) ~p~ 1 l ~ tr ' --1_ N' R ' E ( '~1 or 2 Fatllily llwelling - Nurnbea• of dr nu ~ ~ ~ ~Q oo bdivision Na .le,e~~r~-~ __ n ~ ^ ^I'tfblicK..uuunereial-Describe se %7 .Q ~ = ~l ' U„iBN~ c~ .^ A (~ Stara Owrted-Desct7be Use }C ~'"L _ ~ ~~ ~ Ci ty ^Vi]lage~Township of ~~ . a .O w~-Nq~ IpC WCP'lS . L~. `l`ype of Permit: (Check only one box on line A. Complete line B ' ' applicablt:) ~ Dl p~ _ ~ _~ . 6 ~ - New System ^ 12aplacemant System ^ TreatmenVHolding 'l'ank Replacement Only ^ Other Modification to Existing System -~- ^ Permit Renewal ^ Permit Revision ^ Change oi' [1 Permit Transfer to New List Previous Petrtlit Number and Date Issued 13efUre Expiration Plumber ~ O~nier i _ x %. ~~'pe of I'OWTS S~'stem: (Check all that apply) ---= Ll Ntut -Prt:+sua'ized lit-Ground ^ Mound>_?4 in. of suitable soil ~riound <?~ in. of suitable soi] ^ At-Grade ^ Single Pass Sand Filter ^ ~atlsu~ucted Wetland ^ Pressuriaed In-Cnouud ^ Holding Tank /^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter Ll ' i ic;:rculuting Synthetic lviadia Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pi Other (explain} - 'iT, Dis ersall`lreatinentArea Information: ~~ llesign Blow (gpd} Design 6oi1 Applica 'on Rate(gpdsf) Disper, 1 ea Required (std is al Area Prop sed (sf) Syste Elev n ~ ~ V~. allklllfo Capacity in Total umber ivlanufacturer Gallons Gallons of Units Pre ab Site 1 ter i Plastic ' New Existing Concrete Conshucted Glass _ Tanks Tanks ,cN~iu ur Holding Taxac ~ , L~~-Y =U t'~V"" f . =lcidbaC 11'ZaU1Y.311t~Ttllt i 1~iiSlitb C11i1n1bC2' • ~~ L ~~ ~~ ~'ii.lticsponsibillty Stateuleut- I, the uuders(gned, assume responsibility for installation of the POWTS shown on the attached plans. ' 1'lutnb~r' s Name (Print} Plumber's Signature MP(IviPRS Number ~ Business Phone Number '. ~. ~ ~~ as oq 1' ' C~ ~S~ s - < < 3 hunber s Address (Streat ty, Sta te , Zip Code) rr ~~ r~ 1-T" it . r l ~ ~ oL ~ j , (SYl Vlll. Couu !De artment se OnI -~ ~Approv~;d ^ 33isapproved Sanitary Permit Fee (includes Groundwater Date Issued I sui A ent Si azure p;) j $ ~ (No Stain Surcharge Fee) ~~ {~ (?wnerGiven Reason fot• IIenial 3 JV r-- ` Q 3 ' ~~ {'wtt~litieu' A ~ pprova SYSTEM WNER: 1 Septic tank, effluent filter and dispersal cell must ail be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. ~_ ~ .1~/Mr.'-~ / s ~~ t 1~ Attach complete plans (to the County only) fur the system on out less Wan 81/1 x Il inches -- b-Q v~~/~e~ ~~~ ~ ~X ~~~-b39$ (~. 01/03) ~~ s ^ - ~~ ~, a ' y~ r '~ ~ 1 4 ~ ~i ~ ~ ~~ '' `~ r ~ J ~ ~'° N ~ ~ ~ ~ o ~ a ~ ~ s -~ o ~ ~, ~ i* , 0' y ~ ~ ~/ o ~ s s ~ r 1 ~// ~ / ~J i ' ~, ~ ~ N- ~ s U {> ~n d' J° ~ ~ ~~ ~~~ ,~ 3 ~ ~~ ~ v a / ~ ,..~ ~~ ~ i ~ ~~ ~ ~ `•, ~ 9 ,, _ ~~ 9 1 a ~~'i v -o ~ ~ /` _ .. f~ ;g .~ i^~ f ~/ x N 7 ~1 ~ ~ COPY `' ~ m L ~/ 0 MI ~ -~ f fl a ; 3 ~.. 3 ~O) 3 ~ ~ -iJ' ~ C~ o Y ~ ~ ~~ ~ ~ 0 ~ { v~ ''ll 3 ~' 1 ~ ~ o ~ ,.j SO .~, S J ~- r i ~' i Q sA ` ~ ~ • y '~r •~ ` ~ ~ y L~ ~~ commerce.wi.gov i ^ ~scons~n Department of Commerce ~~l-. CROIX C;aUN~i~`r ZONING OFF(Cc Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 24, 2004 CUST ID No.225094 ATTN.• POWTS Inspector ZONING OFFICE MICHAEL P ROGERS ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON. WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/24/2006 Identification Numbers Transaction ID No. 1002303 SITE: Site ID No. 683747 Myrlie Mound Please refer to both identification numbers, 161 Street above, in all comes ondence with the a enc . Town of Hammond St Croix County SW1/4, NW1/4, S20, T29N, R17W Lot: 53, FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 958837 ' Maintenance required; 300 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); 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. G,Q~ No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: DEFARTME NO General Approval Requirements: SEE CORI • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01lO1). • Per manual cited above, limited activities are allowed in the area I S 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 obtaitted from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. MICHAEL P ROGERS Page 2 5/24/04 • 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@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 ,~,~..~, ,w ..,,~...,..., :,... Orlin & Judy Myrlie -Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 53, Hammond Oaks SW 1/4 , NW '/a, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: May 21, 2004 Owner: Orlin & Judy Myrlie Address: 3621 Ashbury Road Eagan, MN 55122 Plumber: Mike Ro ers Signature: _ License : MP 225094 Attachments: SBD-10577 -Plan Approval Application SBD-8330 -Soil Evaluation Report Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management RECEIVED MAY 2 1 2004 SAFETY & BLDGS DIU. o»~Ily ~~Q COMMERC$ LDING ;Pp~p~ page 1 of 8 Y t ~) Design Criteria ~'S Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gaUbedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/lieader length Drain-back Lateral length ~` Lateral elevation Lateral hole size ~! ~ ~° in. @ 3 b' ° ~ ~ holes/lateral ~ ~ Lateral volume `~ • y S b Total lateral discharge rate z~. ° g Network pressure compensation losses o'~L~ Elevation difference ~ ~ ~ ~ Friction loss ~ ~ ~ ~ Total dynamic head ~ `~ ~~'~ Pump/sl~hon 4-4' gpm @ Z- ~ Manufacturer ~~' g<<a, Dose volume ~ ~~ ~ Lift/sip~Mon tank'" ~ ~~ ~ ~ - ~~ ~-~-~ Septic tank ~~ ~' `~ Effluent filter ~ ~ ~ -~ '~"° Measurement pump on and off ~• ~ Height alarm from tank bottom ~ ~ • ~ Reserve capacity specs.calcs.res @ Design Calculations ~ ~ ~ 4 gallons/sq. ft. per day i n. ~ ~ g in. ~ ~ ° ft. of ~ in. ~`-' ft. of Z in. ~ `~ `~ ~ gallons ~ 5 4' ` ft. of ~ Z in. `(b-S ft b tt fl 1 . @ o om o atera in. ( 3• ~ ft.) Spacing holes total gallons gallons/minute @ z • ~ ft. head ft. ft. ft. @ z5 gallons/minute ft. ft. of head Model # ~ ~ ~-- gallons ~ `r'O gallons ~ "~'~ gallons in. m. gallons Page 2 of B '~ ~ '~ ~ 1 ~~ 3 J~~ ~ ~~~ a ~' ~ a ~ ~ l ~ s 9 ~ \J (J s ~ ~ '{~ 0 i 'n ~ ~ ~ - s ~ ,~ ~ ~ ~ ~ s -~ ~ '-l ~ ~ ~ ..a _, Is ~ ~ :. ~ ~ ~ ~~ /~ S itx^) ///// O 7 • f1' i i / 1~ =,,~ `~ ~ ~n ..~ _4 ~~ ~~~ 3 YY ^ j3 "ct' ,o ^ t,/1 t-C ~ x C ~~ ~~ ~ ~~~ ~ f~~ g ,~ _3 ~ ~~ ~ i ~ ~ 9 ~. \' ~~ 11 ~- ~ ~ 1 J ~ ~ f~ eor a hl ~ ,"" S 0 a a ; ". 3 3 -~ y o / ~ ~ T ~ .~ ~) O ~ ~ 3 ~` ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~r ~ m ~ ~ ~ Q SA e ( J ` ~ ~- y ,- ~ D y y ., •• 4.~0 opt ~ c• •.r ..~ ``~ l1 ~y p av ~~~. ~.~.rv., aQ w . 4 b . o ~ ~ ~ ~„ ~ o,p e,e ,1 Rtiry a ~ y w..~ ` ~ b s~+bce:1 z ~l 1`~~ o-v a...- ~ S. o -~ ,. `~o.~' _... _ . ~ ~~ ~ ~ ry ~C ~ o a-tTrv .. ~ C~ .~ ~ ~cJl ~ ~'Fl ~' 1 ~~ • 1 10.h V i4v.- .~ r I q~ E- Q 2, ~ ~ ~- g. o ~ z. ~~ I~ ~ 1 ~I 15. ~' ~~•~ ~ ~,. 1 VL 5~..~ ~ V'~_ti.~ `0. ~... ~- ~. _~ 1~ ~ ~r a :~ .-----:- ~'~ZµPvc s~ 40 \~~.~....t1 4,n~ ~! w ~ Y. ~. ~ t ""~ ~l. LNG oo< <-..,~f ~o Cs y+.,~ ~,.O~.a. ~' ~Je XtC ~`~ ~w:vR,~O.wT ~~ `' ~ (~ \ r ` W ~b•O` 1 ~ ~~l to ~ 01 c~ o .,. l ~.~ CLk QII.~.~ ~ ~ o R o ... \ :.. e..S ~'' nn - °` °''''~ ` ~ • a 1 ~ ~ ~~ ~ 4.- ~ 4~ nom- ~ ~ ~ ~, o~ ~ 1 ~ ~- .~t ~ 2.j ~ ~ a~ ~ __~___ ,~ LO.CKING~GOVfiR --~ w,o~,v ~N~ ,c ABED . G1~ICK D1~C.OVVtGT--1 G~ ~ ~C 1 a.., ~ ,3 , -`-~ PIPE 3~ `~ no ND-gTuaBED soles 24" Z.D. Mq~1y0YcS .... >, 4~ z" ~oCL<E 1"l.a~w wE~'CµERPaooF n ,JLNCTipN Dca t•~ P a.~ \ d" 4 0 _ Y~~` J ~ ~I i~ r ~~~ __ _-: I~~wc.~c ~ A 20.x" Hc,s a s ~c ~~~ 1 4 0 SKET ~~IT'J ~_ gAF'FLE; 1 ~ A~ 3' a+-o W+ E LT I O KS ~ ``^/c 1~ K le .tQ Y'~ . (~ 1Q'~l r G n.: u N O C ~+\~~v :h Owt1.a.` C7i0`~ ~I ~~ Clev, ~o ~ ~.'~ v~ . Q~ a q„ • Go~rcaFr~ ~ ~~ b~oGK 805 ~ lL,~-b. ~~'~. scPr~c t _ SPECIFI•CATIOIJS 0o s c 1~.9 , ~~ ~ • • T~u..S MAUUFACTU0.CR~ IJUMDER OF DOSCS: ~"~ PfK ~..~ T^IJK SIZ C ; 1 ~~ ~ ~~ _ GALl.O-JS • .DOSC VOLUME ALA0.r1 I'1MJUiAGTUiI,CR: S J ~}~ `~-~'`'- IIJCLUOIIJG OAGKFLOW: 3. ~ ~,,~,;,~,; MOOCL 1JU1~1llCR; •,°~ 1'}``~ CAPACITIES: A=~O"° IUCHCSOK -535'Z;,~._:,~_ 8= ~ucNcs oa ,,,,_~_~,: So PUMP /1A-JUFACTURCR; ~OQ"`l g3.4~ G•~~~iUCHfS OH ;,w~.C~,,: MOOfU UUMDCR: ~~ Z' ISO•$d; D~ 9 INCHES GR ;,~,,,; _ ~wiTCN TyPC; ~~"`~ "' -JOTE_ PUMP A1J0 A~aar~ ARC TO aC r'111JIMlUf'1 OISCMARGC RATE Z-~_(~/M INST/1LLE0 01J SEPnR~rC C~KC.. "o VfRTICIIL DiFFCRCIJCf OCTW[CU PUMP pF/ AUO OIJTRI~UT10-J PIPE.. 15~~ FEET + M~uinuM uETWORK SuPPLy PRCCSURTE/. ~"~~ FCCT'~°~~~ + 11 ~ FLET OF FORCC MAIN X 1"~~ F/oo-tFRltTlou FACTOR. l~S~ FECT ~ 'Z~ -^ ~ ~ ~, _ TOTAL DyUAMIC. H1LA0 = ~ ~' g FEf r IuTEit-J^~ pIMCIJ510NC 'Of TA1.1K~ L1+13fiTH ~YT / ~W~DTH =~ 3 ~° ----~ ;~Iqulo DCPTH (J ~, w w °a w x U z 8 0 a 0 4 TOTAL DYNAMIC HEALS/CAPACITY I\ PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. Liters Gal. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 265 15 4.6 53 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 42 159 30 9.1 23 87 ~ 33 ~ 125 35 10.7 -- ~ -- ~ 22 ! 85 40 12.2 -- -- ! i 1 ! 42 ~I Lock Votve: 38.0 Ft. (1':.6m) 44.0 Fi. (13.4m), 014509 0 GALLONS LITERS 0 80 160 240 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • ElecUical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control 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 Owik•Box available for'outdoor installations. See FM1420. • Over 130°F, (54°C.) special quotation required. 1521153 Series 152H53 MODELS ----- Control Selection Model I Volts-Ph Mode Am Sim lex Du lex Nt~_115 1 Non 8.5 1 2or3 BN152~ 115 1 Auto 6.5 Included 2or3 E 152 ~ 230 1 Non 4.3 1 2 or 3 I BE 152 ~ 230 1 Auto 4.3 Included 2 or 3 N 153 ! 115 1 Non 10.5 1 2 or 3 BN753 115 1 Auto 105 lnduded 2 3 3 27 ~_- z f ~ 3Z ,z sKZO94 ~ SELECTION GUIDE E153 230- 1 Non 5.3 1 2 or 3 1. Sin lei back variable level float switch or double ~ back variable level float BE 153 230 1 Auto 5.3 Incuded 2 or 3 g p 99y p ggy switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E•Pak. All installation of controls, protection devices and wiring should be done by a qualttlad 3. Variable level control switch 10-0225 used as a control activator, speciry duplex (3) licensed electrician. All electrical and safety codes should be followed including tha most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). Or (4) float system. RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Z '~ Louisville, KY 40256.0347 ;W Manufacturers of . , O ;:; rr SHIP T0: 3649 Cane Run Road '' ® 1.ouisviua, KY ao2n•1ss1 QV.aI/rr PUMPS ,SNCf /9~~9 http:llwvvw.zoeller.com PUMP L 0 (~2) 7 FAX (502) 773624-PUMP © Copyright 2000 Zoeller Co. All rights reserved. *~ J v ' System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1 132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3, Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. ] 0. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. if this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within I S' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, andlor installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ;~ • Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations g,p~ WiS. Division of Safety and Buildings in accordance with s;,.~LNF,~-8 ~ °° 1~'f Page ~ of Z t Attach complete site plan on paper not less than 8 1/2 x 11 inches in size n,rriust ~ Cou \, 5?; ~~~/ /` include, but not limited to: vertical and horizontal reference point (BM), ~ 'nand ~" TM. `• ,_~ ,, -= ~. .. percent slope, scale or dimensions, north arrow, and location and dist~ice tb neares4 ibb-d. r parce . # O • ReweN/ed Date APPLICANT INFORMATION -:Please print all inform fort , , ~~ Personal infgrmation you provide maybe used for secondary purposes (Privacy L s. `) 5.04 (1) ~~Uf~.. , • Property Owner M t ~p La1~ f~' G d ~ Ff`ro ~eci~iidf3 ' ~ '~ ,N.R f ? ~ (or) W ~"} IJ a 1l4,S 2 TZ ` V ~ ~~~/il ~7r~ 1 ~ ~~~ ,f S~avt, Lot. ~. •1/;Y/V(~ , ~ c f ubd. Name or CSM# Property Owner's Mailing Address ~ ~f' 332- h i vN~5oT~4 ST >~~15 T l yo ~ 53 ~~f.HOND ~9- ~~~ Nearest Road'. w ~ Z City State Zip Code Phone Number ~ City ^ Village LJ ~ o~ ~ ~ (~ d ST• ~~ JLt fv . 5S~ o I (~Sl )zaZ • 55ss Q'tiesidential / Number of bedrooms 3 Addition to existing building [w3'New Construction Use: ^ Replacement ^ Public or commercial -Describe: Recommended design loading rate • ~ bed, gpd/fl2 ' ~ trench, gpd/ft2 Code derived daily flow ~- 9Pd s' trench, d/fit Absorption area required ~_bed, ft2 ~~~ trench, ft2 Maximum design loading rate • '[ bed, gpd/ft gp ,3 ft (as referred to site plan benchmark) Recommended infiltration surface elevation(s) ~u Additional design/site considerations N/~.. n Parent material ~D ESS D ~+~ O~NSF T~ ~~f Flood plain elevation, if applicable In-Ground Pressure AT-Grade System in Fill Holding Tank ConvenlionaV Mound t~~,/ U ~ S ,-, / ~ S S Suitable for system ~,/ r•,/ ~ U ~ S ^ S l~1 U Unsuitable for system ^ S LrJ U iu~ ~~ SOIL DESCRIPTION REPORT Boring # 1 honzon ~ uel 1 in b'i ~,. ~3. Ground ~ 8 elev. ~S• fin. Depth to limiting factor in. ~~ Remarks: Boring # ~ d 2- z 3 Ground elev. ~ft. Depth to iti li ng m factor Z ~in. Remarks Telephon~; • ` s ~~s• 38G • S CST Number *. VM $ ~ ~p G ~a~/ SOIL DESCRIPTION REPORT PROPERTY OWNER e !~ ~'~ k- S' S (~ g PARCEL I.D.# ~d / ~~ ~^MhO~v Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. n. Depth to limiting Remarks: e Page Z of ~GaT 5z> . ( . .. ~ Ga T 6%N~C.- 2 ~y io3 %' I s z a~ ~' G . ~t S. ~2 ~ ~y 3 ~° "" ,~,,, ~~ ~y ~ ~ So , P~ ~ ~t ,~o T 53 M d~~o s ysT. ~~,~~, w ~ r 2 ~~ s~N~ ~,~// ~~.z2 ' .~ ~, ~ .,. ,..~~ ~ ~.'~ V .i _ ~ Sc~~~: / -3D ~ ~,~ ~ ~ = Sv,~v~ yon 's ~ " z--~. ~ s w ~,~ti-~ ~'i.~~, - ~'-t~~- - .Sv,~~ y~,~ s ~ ~~ ~- is . ~ /1/~ ~o~'~~,, off' LaT s3 . ,~'/ ~, _ /~~ . S~ L6% 37 Z5 LsiiVi~Y: StTe~~ r'~.dd:iSS Le~aZ Descziption , , Township/County L. ~:~r~cents~ Page l : ~ ~.~ t ~-~,~r rage 2: ~~`.7 ~i P~3.ge ~: _ ~~ Page 4: Page ~:t~~'~t"i C ~ a Page 6: Page ~: ~ ~J ~~ page $: Page 9: Attachr~..ents~ ~~• ~~Ui Y~ ~, ,,~ ~y r 7 7 V W.. fr/~.r'~i~~' l~v ~ L. 4 ~~ ~~ t,~--~~ r~ ;~Iuxn~aearl~esg~r: r ~ t°, ~ ~"' S Signed: .~ /P -c:rec~u#i~1 l~uzaaber: ~-,~ r~~ (~ ~ L}- Date: _~~~ ~ Private t7in-Site 'Wastewater 7Creatment System (POWYS) ix~cleg and Title Slxeet FOWTS OWNER'S MANUAL MANAGEMENT FLAN <`J.I.E INFOY2MATICfI~T . ~~.1vvtT.r a. S6~ -~ l~i:T'tltlit ~ ~. I~~:S~GN 1'AI2AMETERS Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial CJnits NA Estimated flow {average)* (~ galJday Design flow. (peak), estimated x 1.5* gaUday Soli Application Rate . 3 aUday 1nt2uent/Eflluent Quality (NA^} Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L r`tiochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mg/L 5 250 mg/L ?'a'etreated Effluent Quality ^ Monthly Average** Biochemical Oxygen Demand (BODs) < 30 mg/L ( Total Suspended Solids (TSS) 1 Fecal. Coliform {geometric mean) ~ 30 m L + <10 cfu/ OOmI ivlaximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow- Verification on and calculations: (other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values typical for pretreated wastewater. DESIGN CRITERIA SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ~~ e Se-r' ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model ~ (p p ^ NA Pump Tank Capacity vp gal ^ NA Pump Tank Manufacturer t .~ ^ NA Pump Manufacturer l ^ NA Pump Model S' ~ ^ NA Pretreatment Unit A ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: ~ Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized} ^ At-grade Mound ^ Drip-line ^ Other: ^ Leachin Chamber Manufacturer Model Ap al Stipulation Soil Application Ra d/ft2Area Req. Absorption Area Credit ftz Minimum Number o hambers ^ Aggregate sign Flow/Load' e= min Materials: all mate ' m omply with WI Adm Code COMM84 and be ' d per manufacturers spe cations and approval l s. / `---~ C1 "Wisconsin At: grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.199D) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 Cl ."Design ofPressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 CI "Design. of Conventional. Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 62511-8D-012 October 1980 SBD --10570-P (8.6199} "At Grade Component Manual Using Pressure Distribution" ^ SBD -10567 P {8.5/99) "In Ground Absorption Component Manual" p SBD -1.0705 - P {N,OllOl) "In Ground Soil Absorpton Component Manual" Version 2.0 SBD - 2062$-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -.1{}556-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" p SBD -10572 P (86199) "Mound Component Manual" ~ 10691 P (N.O1101) "Mound Component Manual" Version 2.0 '~ SBD. , 1D595-P (It.Sl99} "Slagle Pass Saud Filter Gomponeut Manual" SBD -1065? P (8.5/99) "Drip-line Effluent Disposal Component Manual" D SBD --10573-P {R 6/99) "Pressure Distribution Component Manual" ^ SBD -107D6-F {N.Ol/Ol) "Pressure Distribution Component Manual" Version 2.0 Drip-line Effiuent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Sorvice Event Service Frequency inspect condition of tanks} At least once every 3 ^ months yeaz(s) (Maximum 3 yrs.) Pump out conten#s of tanks} When combined sludge and scum equals one-thu (1/3) of tank volume inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clean effluenbfilter At least once every 3 ^ months ear(s) Inspect-pump, pum controls & alarm At least once every ^ months eaz{s) ^ NA Flush laterals and ressure test At least once every ^ months ear(s) ^ NA Valves At least once every ^ months year{s) NA Other: At Ieast once every ^ months =^ year(s) A Page of StA#r ~ For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that rvay impede the treatment process andlor damage the dispersal cell(s). If high concentrations aze detected have the contents of the lr(s) removed by a septage servicing operator prior to use, , Sysirsxt startup shall not occur when soil conditions are frozen at the infiltrative surface. OP`~r:ItATfOI~t The. property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity anti quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water satieners, iron removal units, other clear water treatment devices and foundation drains should be dischazged to the ground surface whenever possible. Note: this does not. include laundry waste, showers, dishwater, etc. 'lliis system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds: bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged. into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics,: solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contamittate yaur drinking water supply. ti~~,iniain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow aver the dispersal unit may cause it to freeze up. ~ Valves ` Valvesshall-be operated in the following manner: ~1 A.larms ~ `'Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems::with-the system are corrected: to preventback-up of sewage into the dwelling or surfacing. 1[lYf'ECTIUl'~1S Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule}. Septic Tattks Component Tack inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed andlor locked upon completion of service. Any defects shall be promptly correcded. Exposed openings greater than 8 inches in diameter shall. be secured with an effective locking device.:to prevent accidental or unauthorized entry into the tank. When the combination ofsludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Admwe Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning maybe necessary at more fraque~t intervals than stated in the maintenance schedule to keep the system operating. ~1 Pump Chamber/Treatment Tanks Component ~ The :inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks; backups, surfacing, missing or broken security devices. and. other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. d In Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence. of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more. frequent monitoring. Page of lvloubd, At-Grade, ln-Ground Pressure Tha inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge, Any discharge to the ground surface must be promptly reported to the regulatory authority.. Ponding greater than 75°!0 of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure tha# equal distribution of effluent is occurring to promote the longevity of the system. Y1~YORTS .Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative ~t}d~, ~ANDONmENT tiVhen the POWTS fails and/or is permanentlytaken out of service the following steps shall be taken to ensure that the system is properly and safely ahandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel. or other inert solid material. CONTINGEI~ICY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks. from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need: foranew soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with. the rules in effect at that time. p A suitablo replacement area is mot available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank maybe installed as a last resort to replace the failed POWTS. fl The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be.performed to locate a suitable replacement area. If nv replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. Mouud and at grade sail absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface... Reconstructions of such systems must comply with the rules in effect at that time. «WARNIlVG~> SEPTIC, PUMF AND QTHER TREATM1NT TANKS MAY CONTIAN LETHAL GASSES ANDlOR INSUFFICIENT ®X'kGEN. DU NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. 1~EATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IlVH"aQSSIBI,,E. AI3DITI4NAL CQM,II~NTS Phone -- au~e Phone: -- -_ x:~wPnATA~ow•rs owN>~x~s >vraivuAL.a°~ POWTS MAINTAIIYER Name __ Phone LOCAL REGULATORY AUTHORITY Agency GQm( s{.~.,n~T~' N Phone Page of May 27 2004 12:54PM HOM4ME, INC 651-423-6286 p.3 05/26/2004 13:4 35~ RDGERS PLUMBING, INC PAGE $~ .. ~`S ~ ~ ST 041'1: CUY1N~ ~b~ ~~ s8P'CIC T,aNIC t,~p,nt~'1?r~nr~c~ At~t~~t~rrr AND OWNirR.S'HYP{{ CEl'L'S~ITICgTION F04tM i<iuilinb Addrtss - -~'f' G~ ~ JT t'cvporty address > n-mcnt fo; scow coasuuctiac) . (y cat' t<quir=d frarn Planoi Dct - 6 j~_ (,tjy Parcel iuentif'teation 3ti'ttmber t..1L'y/SLdtC '~'f-' ~~crttt 1aT10N ~,}~'J,, Sec. _~ '~'u-R,~..~.`~~ Tov~a o: 'c~t..r ~~ Iyrapetty I,ocat~ota '~•~ f,,e ~tr/.~.3 tat ~ .,.~~. Subdivision ~ -~ Volunts _~--=-~ Page # C:cttiiied Survey Map # ~~,,~~ ,Volume oZS~_, pyPo # 3~ Warranty Deed # ,,.,_ ~~~.r~~ Spec pause Cl yes ©no L.ot lints idcnti6able ^ yes O no ~~'Ilsrii M,r~I+IT~F~IANCE Ltaproper use azd mb jxr,tcnanCG of your acptsc system co u Id result in iu prcmet'sre failure to paadSc wastes. Proper ttoain+eaanc oot>,iats of pusnsiag nut the septic tar:k e~~ery tluee years ar sooner, if needed by a liccn9edptrrnpar. What You Put into the syster can affect flu function of rho septic tactic •s a traatmant atsgo in the waste t)isposrl system. 's'he progeny ovroer agreoa to aubmir to St, Crbue Zoning Deparamcat a cern4leabaa farm, signed by the owner sad by ouster plumb a r, foutnayraau plumber, reslxicted plumber or a lit a aced puropYr v erifying tkat (1; the ran-8 ire artistewater disposal sy ate is in proper operritin$ coadidon atsdlar (2) nRer iaspet:doq anA ptsrnping {if necessary}, the septic tpt~: is less flan lf3 ftttl of sludge C7wt, the undersigned have read the abave requuetacats anb agree to maintain the pdvste sewsre disposal system with the :taaera net fan6, bercia, as sat by tht Dtpatmnen[ of Cnriunatce and ttst Department of 1Vatural Resaurcc9, State of Wisconsin, Certifieati< a g the our 'o syatam bas bson rnaiataiaed mushba chin~letud and rett~rc,ed to tht 5`t. Ct:oix Cauary Zaaiag Office M'ithic days of the rte ye • azpirarioo dam---- S2ONA ~ OF Ap'PL1CATtT DATB OWNER C~M~3,'tIFICA'1CICAN wc) caRiCy than all statetneats an taxis form ere nue to ehc best of my (our? katowlcd~e. L (wt} era (are) tau CN'l~Or~s} e props 'bed above, by virtue oC a tivatraoty dced~ardcd in Register of Deeds Otifco. S `tJRE OP A.PPL DR._~~ ••'•" Arrv iofomtation ttaat is aria-re7resoatedrrtay result in the eaniraty ptmut bt:iag revoked by the Zopir-g paPsrement,''"'•' •• Include rritG thta appticstlaa: a stamped watrsnry deed fron, U:e ftcgiater of Deeds afI'ice a copy pf the certified survey xrap if refe;reate is made in LFSC warranty deed _ 1 ~I_ • ~ - ____ i _ __.__ _ _ ._~ i ~ ~, _ i _ _ ~ ^~ J- ~ t- ----~ \ ~ 6 1 i ~. _~ ~~. ~ - - --~~---___~rt ~~ ~ y I f I s~ > -~ ~ in i _ __ - _ - -------- --- - tij i > a,~~ ~ ,.r _ ~~ ii i ' 'I i ~..--...__` -__ ~ _~.--T--- d !t~ i ~--~--- `~ ' ~' ~ ~ ~, _ `_ i ~ --~-' ~ ~ ~ ~ ~ ~ I ---- `. ~__ 1 ~i I / ~ ~ ~ ~ ~}~ ~' ~ I ~ ~ ~~ ~ ~ - ' ~ i -_ 111 -r-- I L ~ f (J ii ~•~ 1 I ~ --- ,~ _: ~._ ~ L____. ~_ __.. ____ __.,. _ `~ I ~ i ;,~ ~ a ~~~ i I ~ _ ~ __~___ ~I{ i ,T` i ~ ~ ~ T 1 ~ ~~~I~ ~ f ~ 4 I C~c~,~ _ ~ p~ ~ ~ , ~ 1 ~ ~ ~ i '~ j - - ~ i - '' ,. I < ~ 7 J- _. { ~ ~ ~, ~___~._-_ f ~ I ; - l 1 L ~ ~ ~ ~ _ I ~~, i ~ _ i ~ '~ S ~ II I I f1 s - ~ ~ ~ ~ i r ~I ~ _I ~.. ~ _ _ _-- - - - _ _ __---- - -- - - _ ~ 'l _ ___ -- --_ _-=~ '~ - ------ --- - ~~ 9 -- ~^ _J t `; i ~y r J _.... _ ` } _ _ jr -__. 4 ~--i V.--____--` - . 4 ~(''- ._ - _.~ _ -tis _ ~ -~ _ - -_-- ~ ----- __ - n- ---- ~ ---~ ~~ I ~ I ~--- ------------._ ~ ,~ ~ ' ; -~. ~. ,~ i i j i .~ i j I j .J f' -~ '~ - }- ~ 3 I _~ I I ~ i ~ ~ 1 ~~ ~,; iI 1 i i ' ~,'f ~ f i ~, j I'~'~•y ~ ~ ~ I t~ i i ;' ~ ~ i ~, J ~. ~ i~ s ,~ ~ ~ ~ I J. hn j --~ ~„ s I ~~o ~` ,~ -,~-1 I _______ ~ ~ S~ ~ , - - t -- - - -=---- I ~~ ~ - I ~~ ~ ~ ~ ~- ~ _ i~ I z ~~ _ __ ~ V ~ "~ r ~ ~ _. L? ~ ~ ~ b ~ ~ ~ ~- --~ ~ - i I v o ~ !, - r I ~ ~ ~= ~ ~ -~ ~---'.h> i ~i , ~ ~ i i i I ~I, r Ii o r ~ 0 ~~ vl ~ - ., ;Ii--- -___ ~ ~~ ~ _ _ __ - -- -a . I i ~ i _ _-- - ----~___-__~.~ s ~ i ~ ~~ ~ i i ~ ~ ~I ,, c~ Cpl 1 ~~ ~~ i }~- ~ ~ ~ ;, o ~ ~ 3 I I ~ ~^ I I I i ~~ i Ii ~~ ~ ~ -- --- --- -- __ _. `_-- - - -- -- - t- -- _ - -... ~ _ _ }~_~,~ ll.'s to _~ I i i ~ _~~~ - _ .._., ._... __t J ___ ~. I i4 - _.. i .. May 21 2004 1:12PM HOM4ME, INC U.~25?SF 320 87 ATE HAR OF WISCONSIN FORM 2 - 199a W ARRANTY 'bE,ED This I?eed, reads between $xmmond Land, LI..C, a Mlanesota__ __ Limited Liability Cotnpxnx _ Grantor, and Jason C. Myrtle ._ _.~ __ Grantee.- ~- Grantor, for a valuablo consideration, conveys and waraattts to Grantee the folloaving described real ed;tste In St Crtrlx . County, State of Wisconsin, Lot 53 I#ifrtuttor-d Oaks SubdiviaiQ0. Town of I-lernmond. St. C~aiz Co~utrty, ~3 f~sin, subject to rt+~es, Zasetnants, rostr-etians, covenants asld rights of way of texord, if any, fnCluditrgbut rwt liatited to those For drainage, waver n:tentlon, gantiillg send or utilitios es at>ap be shown ost th4 p].elt of Eiexzssnotxl Oaks Strbdiviaian recorded irr VoI. 8 of Plats, pt<gb 2, St. Croix Cotasay, Wisconsin. 7Et.3i~6~9 R~IST~ DF D&3zAS ST. CRO3K Ca. , MI RFCBFVEi1 f OR RECORD 0'3/ 19/2Ad4 10 : 88A11 YARRARTtf DEED EXQPT ~ R8C FKEc 11.00 T'R~1fiS F88 r 93.70 COPY~~ggFltB: PAOSSsEc i p.2 Nam6 -nd Rattan Adtlress a.scm YYZ ~r U. e, 359 S ~`~B ~ S~ ~o~e, rraun~- , ~,J Sscto~ O1$-IC65-33-000 F'aru~! id~ntilication Nzimbar (FIN} This ~ not_._.. homestead property . (is) (is not) The warranties of this deed, either expross or itaplied axe limited by the GratttoY to the Gr.lnA.eo, or anyone in the chain. cf title, ro an araouru not to exceed the conelderstian oxgressed harvitt, thattreing the stun of 531,900.00. Exceptions to warranties: This Deed epmeps after-acquirQd title. Grantor warTaittts only that Cixar-tor ltas eat done or sttflerod anything to encvnlber ilia propttrty, trxce3pt: 3003 and 3004 reel estate taxes remain Impeid, Plat of Hsuntnond Oaks Subdivision rrrcotded in Yol, t] of Plats, pogo 2, Don. No. 627995, DeclaratiortP.etxblishittg Prvtactive Ctrvenaata recorded is Vol 7 533, page 610, DaC-1~ro. 628D33, First Amendment to Decisraaian F.xtablishing Prsotec[ive Covenants recorded in V8]. 1544, p3.ge 412, Uoc. No. 630311, ali in 6t. Cmix County, Wisconsia, Dated this lOtb day of May „3004 , Hammond Land, LLC . by ~,y~~ 7n ,L 3e~G,t Yresideaf AUTFIIXNTCCATI,UN 'Signature(s) authenticated th'sr . day of . _ _ "Y'ITLF ML'MF3TR. S7AT'P, BAIL t?F W13CON91N ~ ~ _ (df'r,at, euthorizocl by ¢ 7D6.06, %is. Stets.) '- TIiIB IN8'rRVMBNT W AS [)ILAFTfiD I3Y Petal A. Baillon, Attoraty at Lew (Signatvnss may tae atitbertticated or acknowledged, Roth sre not necessary.) . Austin J Hanlon rlCKNOW LBACMBNT STATE CaF WISCONSIN' ) Bs. Ramsey Gotutty• ) PerBactatly came before me this 10th day of i~say , zaoa the d~.C a Austda J. Hanlon to mo known t.v be the person(s)who executed tare foregoing in® t arld acknowle a the earns. ~a..,~ r F>At/L A r3AlLLIarJ Paul A. Hellion „~~.,.•. _ .a.,.._..-.,.,_. Notary Public, State of Vt'i "'"~'""""s.~" ca+~aea wtaaoa My Commission is penrranent+(aT3tewttir ,,,K. ;, Jsuuary 31 _ • 2005 ,} 651-423-6286 titi 'Nwrisrt of yore ens slYlli,lp i>a my wpBCity rhaukt be Eypad or prialnd blow their aigneturelt WAAriwP77Y p$Hp iTAT7ro~pM Na 3 I ~ a ~ Bllr :NTORMA77ON PAOPEBBItilVIL~C-AMPANY FOND Dtl LAC, lVr t0?655202t . ,},._ ~ ..>.,J. • ` i»,~Q' _ __ ... __ _ ~.~~. _ _ - _ 151.06' 16 4.6 4' ~+ .._ . __ ~ ~ 753.30 _ _~ ___ __- __ _ 62Nd ST. ,.,... i ...~.., / _ ~ 150.21' - --- 150.21' F- -- --- 150.21' Z 170. ~. ~.. a ~~ ' ~ O ~ ~'~` ~ O O to rn ` r f_ 0 ~1~ 3 7 ~ ~ ~ F LOT 36 3 N a~3 ~ .~~. ~ y 561 SQ. F' T. ~ M LOT 35 3 L C ~~ `'- ~ ~~ . 00 acres ~ 43, 561 SQ. FT, N 43, 561 SQ, FT, ;~, 49, 36 ,~~' ~ ~ N ~:~ ~ ;~ 1.00 oeres ~ 1.00 acres ~ ~~_ ~ ~ ~ 1.13 ~o ~' ar o ,"~ ~ '\ ~„ ,.x .t r 3 .~ .~ .~ I . ~ ~ ~ ~ ,_.,.. • ~ ~ ~ ~° _..r. '_` - - _ 50.2 s -... ~~~ ` .... _,~.,. 1 150.21 ` ~- ` `.- - -- ~, ~ 150.21 ' --. ~ .. 70. ` J, 239.46' 256.51' ~----- 20' D RA f N A G E E N h"' / `~ ~ ~'~° / LOT 54 t .~~ C 52 `~ LOT 53 / v_, y ~, / ~ 53751 Sp. F'T. v"~. :~~ i SO. FT. ~ 4312 SQ. FT. • / 1.23 AC ~ .~. ,~ RES ...~ ~ 6 CR 1. . ES o ~ ACRES .~ / ~~`~ ~ ~ / ot~ e LOT 55 _ __ _ %~ ~ 43561 SQ. F 'J '~ ~ 1.00 ACR ~ ..... ~.v......+nn ue~. . .r fir'' I ~%' , 6 3 C~ ~ 1r U~ U ~..~. ~ ~ U~~ 1 V 1-J 1 U' 1 v ART OF THE NW1/4 OF THE NW1/4 AND THE SW1/4 OF THE NW1/4 OF SECTION 20, 3WNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN UNPLATTED LANDS S00'23'21" E 2609.25' EAST LINE OF THE SW 1 4 OF THE t` 3F SEC: -20 sa' 7 sa tsa.sa' 7s 761 56' r . 7 55.00 7 57.08' 168.28' ' . -- 2247.25 - ao 0 0 °o °p o 00 o 0 0 o ~ ~ N LOT 16 ~ N LOT 13 ~ LOT 17 N L LOT 12 3 LOT 15 LOT 14 FT. ~ ; 47746 S0 47,745 SQ. FT. 3 47,74E ~ 4.6852 SC}. 1=T. ~ M . 48802 SQ. FT. 3 ~ 44951 SO. FT. ~, 43813 S0. FT.ai 110 ACRES "' 01 ACRES ~ ;~ 12 ACRES M 1 1 03 ACRES "' 1 1.10 ACRES "~ °~ 1.10 1.OS ACRES ~ . , . ~ ~ M M ;'~ (S) bJ ~ N1 M 01 ~ O1 ~ OD ~ 00 ~ ~ ~ O~ ~ 00 N `~ N~ H - - _ _ __ -. ~ 155.00' 151.08' 164.64' __-_ -- ' _-_164.64'-_ _ 7 __ 761.50' ---- ----_ - ---- -- 768.28 SO'23'21"E 1753.30' 162nd ST. ~ _ _ _ _ - -- - w SO'23'21"E 1753.13' - _ ---- _ __ - - 150.21' ------- -- 150.21' 150.21' f- 21' Z ' 750 ' - - - - - 770.21' 20.00' . 750.21 ~ 21 D - - - - Z - - - - - -- -- ~ I ---o --- ~ ' o °o ° $ °o 00 ° I - I < ~ ~ O N N ' N ~ ~ N LOT 34 I t I LOT 35 40 ~ LOT 39 3 LOT 38 3 LOT 37 3 lOT 36 3 3 FT 361 SQ ~ 49 I o I SQ.FT.N 43,561 SQ.FT. 43,561 SOFT. ~ N 43,561 SOF N 43,561 SOFT. ~, 43,561 SOFT. _ . . , T. ~ 0 I 1.00 acres a 1.00 acres ~n ~ < 1.00 acres acres .~ < 1.00 acres 1.00 acres ~ 1.13 acres I N ~, d N ~ N N ~ N I I ----S00'23'21"E 7221.68'------ ---------------- _-.--- -------- 21' ' 150 - ------~ 170.21' I I . 150.21' 150.21' 150.27' 750.21 ).21' ' 51' 256 153.05' 239.a6 55' 153.05' ~- 256 . - - - - - ----- - -N ~ . ~--2 0' DRAINAGE EASEMENT / 00 ~ n ^o. / LOT 54 M ~ a ~ / 5375 N OT 53 / N 1 SQ.FT. .~ LOT 52 L07 50 N LOT 51 1.2 n, / 3812 SO.F 3 FT 3 ACRES Aye , ~ te ?,, 43926 SQ. . ~ 43,584 SOFT. 43,987 SQ.FT. a ES / y a / `~ 1.01 ACRES ~; 1.00 ACRES ~ 1.01 ACRES o A.~ a ~ M a0 z`O / a~~ ~s ~ ~ ~ - 1 LOT 55 0 / ~ \ 43561 S4.FT. ~ . ~ / ~ ~ 1.00 ACRES - - - i ~,~ - o ~ ~ ~ 156.24' © 735.9___ -- / iO ' ' 505'42'42"E 299.98' w ~ S00'32'23"E 291.63 ~ 80.00' RAD. ® ' , RAO. ~ ~ _ _ ~ 80.00 p `° 161st ST. w ® LoT 56 ' i ~Qi 43,603 SOFT. ®~ ~'' N00'32'23"W ~ ( _ _ __ - ----,- NO'32'23"W ' 1.00 ACRES 90.43' I I I 7 35.20 - ~ ~ / ~ ~ 1 33' 33' ~ ~ j ~ ~ 5264. ~ ~ ~ ~ M `- -- / 8 $8 w I ~ - ', N ~ I N '~s? 5 4 N s LOT 47 ~ LOT 46 T 59 3 43561TSQ FT. p9 4, FT I 'o 373 S4 , ~ I , ~ `~' 54 LOT 57 47500 SQ.FT. . , , . 817 SOFT, 3 ~ ~ Q 30 ACRES ~ 1.25 ACRE ~ M , LO ' ~ 51,821 SQ.FT. N 1.00 ACRES °9~ 1.09 ACRES - _ - - .~ - - - - - - , M - _ --- ~-- ~ ~ ~ N 1 9~CRES o `~'o a ~ -- 916.20' ~ -- . ~ •G7 i4~