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HomeMy WebLinkAbout018-1065-40-075Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO i ERMIT) 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 Hue ,John Hammond Townshi ST BM Elev: Insp. BM Elev: BM Description: 11.._ ~~, A I r ~~ ~, lT^ 'ANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY Septic C1 ~' 1` ( - n V C~.3 Q"' ~b Dosing vw ~z5a Aeration Holding TANK SETBACK INFORMATION ,/u (ate ~ (OD ~ ~~~''~ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ /~l ~~ ~ ~ - ~~ 1 --.-. Dosing ~ / IJb~' Z ~ y Z ~ / Aeration Holding v PUMP/SIPHON INFOR ATI `~~ 0 ~36u Manufacturer f ~O Q, `~~.. Demand GPM Model Number I ~ ~ ~~ ~ ~~ TDH Lift 1 Friction LoC~ss ~` 1 Syste Hea 1 TDH` Ft 0~ l ~2 Forcemain LengthC ~ Dia// Dist. to W II ~ _, 1` county: St. Croix Sanitary Permit No: 453170 0 State Plan ID No: Parcel Tax No: a Sec onlTown/Range/ No: 29.29.17. STATION BS HI FS ELEV. Benchmark 1~~ ~ b Alt. BM t~~,,r ; ~, ~c BIdg.Sewer f2 Z Q'/ ~~ 7 `/ SUHt Inlet 2. 9~~2~ SUHt Outlet Dt Inlet Dt Bottom - 90 ewer an. 5.3 `0 ~~ 9 Dist. Pipe/' 1 tircA-j 5,37 ~ U~,$~ Bot. System Q/V L , ' `~ / /' f _ v ~ b 1 ` I FinalFinal Grade ~ . Z ~ a ~ivv,e, ~ ' ~ ~.i St Cover '~$ ~ , o u ~ a,n s 7 ~ , ,~ :'SOIL ABSORPTION SYSTEM BED/TRENCH Width Length DIMENSIONS / ~' /~~ No. Of Trenches ~ ' ~ 2 // [ PIT DIMENSIONS N Of Pits Inside Dia. Li id Depth ~` ~~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufee4mer-~_ l' S { ype f~ btU //,y 1` Z~J cJ~) ~~ ^~~ iv ~ UNIT MQG1eL~uWtzer '~ DISTRIBUTION S YSTEM nlof_.(l~. ~ HeaderlManifold , ~ `~ ~ ~ Distribution / y ~ Z ~ Pipe(s) ~ ~ ~ x Hole Si ~ i x Hole Spacing Vent to 'r take ~ ~8'~. Dia Length Len th Dia ~ S acin ~~ g p g~ - SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv i~ ~, OK u~. N N COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ 2~ / b~ tQ~ .Inspection #2: ~ /?~/~ /~~ /~~ \ Location: 1612 COUNTY RD J Unknown (SW 1/4 S 1/4 29 T29N R17W) NA Lot 1 ~,,;1 `~. Parcel No: 29.29.17. ~ _ / ~i 1.) Alt BM Description = P' Sw"~~ ~ ~ C~~ ltYl ~[~ , 2.) Bldg sewer length = ~~ 1) ~ -amount of over = ~ % Later 1^oPD`if1 eQ ~^"`~~ ~ ~.~ w 3.) Contour = ~~V ~ ~ ~ ` ~ ~ ~~ ' d~ - II -- , Plan revision Re uired? Yes i l No ~~ q I„ ,. I-- 23 ~ ~ ~ ~0~3~ 7 ~. se other side for additional informati ~y ___ ~ ;_ , Date Cert. No. SBD-6710 (R.3/97) Depth Over BediTrench Center` Depth Over Bed/Trench Ed es g ` xx Depth of To soil p ~ xx Seeded/Sodded es L,~ No xx Mulc d Lf Yes No ` Safety and buildings Division Comity ~ ' ' 201 W. Washington Ave., P.O. Box 7082 , ~~~ a~s j ~ Madison, WI 53707 - 7082 Sanitary Permit Nwnber (to bn fiUad in by Co.) De artment of Commerce (608) 261-6546 5 J Sanitary Permit Appiicatio - P`at ' ` D N"n'ber S~te 1n accord with Comm 83.21, Wis. Adm. Code, personal infortnatio ~~~ D M I f~ (~ /`~!T /vS ~ 90 ~ ~ / maybe used for secondary purposes Privacy Law, sl5.l)4(1 Project Add (i different than nwiling address) /~ / I A lication I f ti Pl P . pp n orma on - ease rlat Atl Infor a i ~~~ Propert Owner's Name ` ' "- - - Parcel # of # Block # O d (/ ~P ~'~ 1 ~ /v Glj~f O'O C~ Prope Owner's Mailing Address ~ Property Location ~// ~!'l W K/ ~,.., .. , _.._, mac} ~/ '/ S ~ '! Cily, State Zip t: e ;ZONI ~~r ., .. ection .rte L,..._ J OS e r ~l Ss~~ ~^ J 9,~ ~• " ~Z 7 -~q g~ ~ (ciBrcle o l ~ N 7` IL Type of Building (check sll that apply) ,L /B/Z (/P~i~ L~v~Z ; 0 ~ bdi S i i N ^ 1 or 2 Family Dwelling _ Number of Bedrooms a/ T (,~E L t97,v L u v s on ame CSM Number ^ Public/Commercial -Describe Use / ~~t~.-- ~a ~~~ ~ ~ ~ ~~ ~d /- ^ State Owned -Describe Use ~ ~ ~~ ~ ~ , _ page ^Towns ip of III. T ype of Permit: (Check Daly ono boa oa line A. Complete Ilne B if appli le) A' New S stern y ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System g, ^ Permit Renewal ^ Pemtit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV.' a of POWTS S s tew: Check aU that a I ^ Non -Pressurized in-Ground ~ Mound > 24 in. of suitable soil ^ Mowrd < 24 iu. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurizes In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Kecuculating Synthetic Media Filter ^ Leaching t',hamber ^ Drip Line ^ Grevel-less Pipe ^ Other (explain) V. Dis ersallTreatment Area Information: Design Flow (gpd) Design Soil Appl' ation Rate(gpdsfj Dispersal Area Rtxl 'ro s Dispersal Area Prapo (sf) System Elevation ~~ D .Tank Info ity itt Toter Number Manufacturer efab Site Stcel Fiber Plastic Gallons Gallons of Units oncrcte Constructed Glass New F,xisting Tanks Twtks Se arHoWingTank O ~o Aerobic Treatment Unit Dosing Chamber Z5"() Z~~() VII. Responsihlllty Stateuleat- I, the undersigned, assume responsibility for installer " of the POWTS shown on Ylre attached plans. Plumber's Name (Print) ~s Signatu M nber Business Pltotte Nutnber Plumber's Address (Street, City, State, Zip Code) 3S~ o~ s~r ~.~! ~r Sioo/ VII Dun /De artment Use Onl Approved ^ Disapproved Sanitary Hermit Fee (includes Groundwater Daty Issued ssuing Agent ignature t mps) ^ Surcharge Fee) ~V ~ ~ ~ S ~ Owner Given Reason for Denial • (/ IX. Conditions of ApprovaURwsoas for Disapproval 3 /I_ Q/~/Z~ !2~ S (~'YL SYSTEM OWNER: p ~ Septic tank, effluent filter and ~,4'Yvtlv~n. 4 3 • ~ ~ ~` ~left~l y~ ed !maintained i b e serv c dispersal cell must all n~~~2~~~~~~` `?9" as per management plan provided by plumber. ~S_ ny~,~~ etX 2. All setback requirements must be maintained (% as per applicable codel rdinances. -~ ~pn~-~; (~~h~~~~ ~' 3 ~~~ ~ Attach campkte plans (to the County anty) ror the system on paper cot las than 812 : 11 Inches In s<tt ll~ ~.. 'c.7 " SBD-6398 (R. 08102) .;, ~ SW Sw~.z9'7%~9nR/7t~ ~e `~ .I- ~t D. h'~ ~ ,T~ ~ Z ;~ ~ i~~, 3 ~ ~ QP ~ Q.m ~ ~ ~ .~'' . ~- ~, ~ ~z/y7 / ~, Mgr qq fa ~Q`, c2' ~, ~ ~ ~ti a r ~ ~ P c P~s~ ~ le~~. `f ' B~ ~o l ~fa~ ~J ~~ \ ~e~ ~< ~ ° ~~~ ' ~ ~~ Q PRo P. commerce.wi.gov isconsin Department of Commerce 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 Jim Doyle, Governor Cory L. Nettles, Secretary April 14, 2004 CUST ID No.221471 DENNIS J GILLE GILLE TRUCKING & EXCAVATING, INC. 352 140TH ST AMERY WI 54001-2840 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/14/2006 SITE: John Huey Town of Hammond St Croix County SW1/4, SW1/4, S29, T29N, R17W ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 ~S3 J~ Identification Numbers Transaction ID No. 984634 Site ID No. 672570 Please refer to both identification numbers, above, in all comes ondence with the a enc . FOR: Description: Proposed Four Bedroom Mound System Object. Type: POWTS Component Manual Regulated Object ID No.: 949996 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)"; Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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: • This system is to be constructed and located in accordance with the approved plans, the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/01) and The pressure network is to be constructed in accordance with the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • 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. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleanin must be rovided per om • 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. Cvn~i~~~~c~ly DENNIS J GILLE Owner Responsibilities: Page 2 4/14/04 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Commercial Application INDEX AND TITLE PAGE Project Name: JOHN HUE Owner's Name: JOHN HUEY Owner's Address: 483 GLENWOOD AVE ROSEVILLE MN.55113-3955 Legal Description: SW SW S29 T29 NR 17W Township: HAMMOND County: ST.CROIX Subdivision Name: Lot Number: 1 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry ECEIVED Page 3 Mound drawings R Page 4 Lateral and dose tank APR ' ~ 2~U4 Page 5 System maintenance specifications Page 6 Management and contingency plan SAFETY & BLDGS DIV. Page P~~m~ urv~~n d specifications g_ /b- /1 ~ Soi t -T~ s Designer: DENNIS GILLE License Number: Date: 04/05/04 Phone Number: Signatures/~~J- 221471 715-268-6637 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distributign I~tworks for ST-SAS (01/81) U~rNhilM~GC! Ur l.V=v~ia,_t'l. DNIS60fV OF SAFETY AND BWLGINGS Version 3.11 (R. 06/01) Page 1 of 7 SEE CORR S DENCE Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) r. Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150°r6) 600.00 Design Flow (gpd) 14.00 Site Slope (%) 101.50 Contour Line Elevation (ft) 36.00 Depth to Limiting Factor (in) ~ 0.60 -situ Soil Application Rate (gpd/ft2}/ Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft} _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e} C Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 75500 Forcemain Length (ft) 92.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 10.00 Vertical Lift (ft) 2.61 Friction Loss (ft) 19.11 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x 1.50 x X 2.00 x 3.00 x Treatment Tank Information 1250.00 Se tic Tank Capacity (gal) HUFFCUTT Manufacturer Dose Tank Information 768.00 Dose Tank Capacity (gal) 17.07 Dose Tank Volume (gal/in) HUFFCUTT Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 6.00 ft2/orifice Does the forcemain drain back? Y Enter Y or N 12.23 Forcemain Drainback (gal) 90.37 5x Void Volume (gal) 102.60 Minimum Dose Volume (gal) 41.19 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x X 2.00 x 3.00 Gallons/Inch Calculator (optional) 768.00 Total Tank Capacity (gal) 45.00 Total Working Liquid Depth (in) 17.07 gal/in (enter result in cell B49) Effluent Filter Information Zabel Filter Manufacturer A100 Filter Model Number Project: JOHN HUEY ~ %17 Page 2 of 7 le 1,/ ~y~ Mound Plan View 1 1_ tt 1 /10 B__ .Observation Pipe 'Q ' T.T. K . - - ;.?,e.~r°,° s;.5=a0~~ti~:eY~e.®®.~a.~s~~Ye+.aes.lR~~~- ~;~,ep®~; .. .L .' ~ pg ~ = I~ . ~~ .1 ~t J ^1 TTA z I- L Mound Component Dimensions A 6.OO ft E 16.08 in H 1.OO ft K 8.14 ft B 100.00 ft F 9.50 in z 13.61 ft L 116.27 ft D 6.00 in G 0.50 ft J 3.79 ft W 23.40 ft 600.00 (ft2) Dispersal Cell Area 1961.21 (ft2) Basal Area Available 6.00 (gpd/ft} Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.79 (ft) . f{///, F 10, 2.00 (ft) --- - Dispersal Cell ~ ~: • Elevation Dispersal Cell D . ~ i ~I H 102.50 (ft) Lateral Invert ~, t .......... .. ..• .. ................ 101.50 (ft) Contour Elevation 14.0 % Site Slope Geotextile Fabric Cover Shading Key ~ ~, ~ Dispersal Ceil See lateral details on Q ®Topsoil Cap c .a 1.5 ft Page 4 for number, size, ..`.m Q ''{{''~" Subsoil Cap ~+ c 5 • ° ®"• :_°`_~ ~ and spacing of laterals. R ~ .?: r;~ _°` •1:•®•F:. • a°;'rr Laterals are equally ©~ ASTM C33 Sand ~ ~ ~ " °..i? .;..°: • F -~ m 0.5 ft '.' Typical Lateral °~ ~•. spaced from the ®;} Tilled Layer c ~, • . -.d-=m•.°•.• w~ ~ I distribution cell's 0 r~. ~ ~ Aggregate '~ c ~ . _•.. ••°g`°~`°.''''`° s • ~t "°j _ °": ° : • . ° '° '°° °• centerline in the ~-- A ---•~ distribution cell (AxB). Project: JOHN HUEY Page 3 of 7 Force main connection via tee or cross to manifold at any pant. I P •=Turn-upvr1ba11 valve or +EX-~~Ex12 I x12 oleanoutplug Holes drilled on the bottom of the lateral. Laterals are identic al Laterals & force main of PVC Sch 40 per COMM Table 84.30-5 S Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 Orifice Diameter 1.50 in Orifice Spacing (X) 49.25 ft Orifices per Lateral 3.00 ft Orifice Density 10.30 gpm Manifold Length 41.19 gpm Manifold Diameter 19.11 ft Forcemain Velocity Dose Tank tnforlmation Electrical as per NEC 300 and -~ Comm 16.28 WAC ~ Disconnect ~^ Tank component is properly vented HUFFCUTT Ca acit 768.00 Volume 17.07 Manufacturer Gallons gal/inch Dimension Inches Gallons A 30.98 528.84 B 2.00 34.14 C 6.01 102.60 D 6.00 102.42 Total 44.99 768.00 3" Bedding tank. Alarm Manuafacturer LEVEL ALARM Alarm Model Number DVL Pump Manufacturer ZOELLER ~ -~ Pump Model Number 140 Pump Must Deliver 41.19 gpm at 19.11 ft TDH ~- A B C D 0.125 in 2.01 ft 6.00 ft` 3.00 ft 1.50 in 4.21 ft/ Locking cover with warning label and locking device and sealed watertight 4 in. min. E- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P• ump off elevation (ft) 92.50 Do, se tank elevation (ft) 92.00 Project: JOHN HUEY Page 4 of 7 l ~/a i ~/a~, ~ ~~ ~'~s2`~'T%z9nRl7r~ 2zw7 / ~~ ~ x L`'~t ..~ 'Tp1. y~ i ~o .~ ~ ii ~~ n ++ i-.C.e.~ ~ /n2 , 3 9 ~I~IU ' P / ~l9iaie/ r ~® ~~"~ ~r~ T ~j 1 ¢~ I ~~ r ~~ 1 s ~ ~' ~ ~ ~ ~ ~ Pa DoS~d ~' $~ Q PRo p. ~_ `~ PUMP PERFQRMANCE CURVE I ~~ Mpt)EL 140/414(1 56 iG •• 80 - ~ ^- 74 '"`v a5 .._, t7. - do -- 1ao, atna 10- 38 - ...,..... .r a - c~ t __ $0 - -•°-• 0 8 ti 25 - 0 9 - 20 •- •- 16 - a 1n ~ ._ 2 5 'rpTAl. [TYNAMIC HFAI]/FLAW PER M1NU'rE FFFI t1~NT A(UD DEWA'I">rRING MpdE=L 14014740 -. Foa) Meters QnL ~ l,itara 5 1.& GG ~ 32EI 14 .. 3.4 - 80 _ ;#13 15 ~ 4.G 73 279 -- 20 8.1 GB 250_ T ~25 7.G 59 223 __. 30 9.1- 441 - tli5 35 16.7 35~ 144 ~ 40 12.2 __25_ -1D8 _ d8 _... ^ 13.7 __ 17 _ G4 ShUtn1f tlaaQ: 5G ft{153m)W praaaaF~ (~ L to 2n 30 Ao 511 ~ Tt1 RO BO GALF.ONS _ LIFERS ......~..~-.~.~.~.w..~_.-1--- _.r....- R- 8p 1GD 2411 3'Lo FLOW PER AflNU71; QidinOA +~{~~ allLT 4~:~~~"~3RY ~t3~ S~~+~i~L. ,~~'~L9~~,1'1~~1l5 • Elerirical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical altematers, for duplex systems, are ava~able with nr wftllouk alarms. • Control alarm systems are available for 1 phase pumps used in simplexsystem. Sea FM0732, • Uariablo level aontrai switches are available far cantral(ing single phase systems. • Double piggyback variable ieve! float switches are avaRable for variable level long cycle controls, • Sealed Qwik-f3ox available for outdoor Installations. See FM142p. • Refer to FM080S for applications above 130° F (54° C}. :x SkL.EC710k~ GtJlC1B 140(4140 MQDB l.5 Control Selection Mode( Mode( Volts-Ph Made Amps Simplex Duplex N140 N4140 1 115 Nan 12.0 ~ 1 ar 2 ~ _3_ ~ yE140 1=4140 ~- 230 1 Non 6.0 1 pr 2 q3 -.BN140 BN4140 115 1 Non 12.0 ,~' -~ BiA140 BEG140 230 ~ 1 Non 6.0 --- *Singfe piggyback switch included. ~~ ~~ .;r~ aKlazma 1. For automatic use single piggyback variable level float switch ar double piggyback variable I©vei float switch. Refer to FM04"r 7. 2. Sae FM122$ for correct model of simplex control panel. 3. See FM0712 for correct model of duplex control panel. _a. CAU'i1gR A{1 Inntallclliaa of COnti•G)hi, protection dewlcas anU wldnD shocrld 5:i Uonn by a plalifiad lkcenu:srl n1er,11 iaiate. All nlectticai and aarety nodes shrnAd bu rnlluwm! fprhrc)Sng Zhu ~»gfi1 recent Matlonal f lortr[c Code (NSC) rmd tUo ~Ircu)Snttonal 9rrAty and Health Art (A.:tfA). R~~:~~~ ~'L~i>h~~~C3 ~.1~~~C31'~ For unusual conditions a roserve safety factor is engineered into the design of every ~oeiler pump. • 69A1L TO, 1x,a. DUX 16317 ,,Alt: t '`C'^~ l.ou(rvrTle,KY 4025Ei-0347 Marndactuersor Z r` ~. •'' ~ ;` ~!`' ,Y'.,tFi SHlPYO: 3Gd9CaneRunRosd /~+~p ~ ;~i ~: L.auisvlRe,KY40211.1981 ;i!'r !'~• ~ j ~' QL/AC?YP~P9 ~NC£ /dile/ p ;: ,~ PUMP d17. , ~ t 7TU zTSr ~ 1 tsaaj rl~s-FUh)r http://www.zoelforaom FAXt507J 774 3624 © Copyright 2003 Zooiler Ga. All rights roselva . 1n ~ Pr z a ttaznA C~ttukH4,~~aak'I~~ ~r~t}~'il u1:~:~l1k~~ ~t~ , ,r 3 Mound Svstem Maintenance and Operation Specifications Service Provider's Name (~- DENNIS GILLE Phone 268-6637 POWTS Regulator's Name ST.CROIX CTY.ZONING Phone 386-4680 Svstem Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frepuencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal ceii aggregate conforms to Comm 84.30 (6}(i}, Wis. Adm. Code. 3. Ail gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •.....•......., ............... Grade ~ • 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box • • Plug or Ball Valve Distribution • • Lateral ~'`'~. Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JOHN HUEY Page 5 of 7 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01181)] and 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. Septic Tank The septic tank shall be maintained by an individual certfied 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. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shalt be cleaned as necessary to ensure proper operation. The finer cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filer is equipped with an alarm, the finer 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. 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 maybe 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cful100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit far 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv 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(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it wiN be repaired or replaced in its` present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: JOHN HUEY Page 6 of 7 031.18/2004 7.4:29 77.52483588 SUPERIOR AUTOMOTIVE PAGE 02 ~°°~1i°'~~ SOtL' EVALUATIbN REPORT Dlvl~ion OfSai~e4- errd BaNdWrps in at~raordanot wIM L`onnl ~. Wls. AdMIr1. Cade Atlaoh a titA Plan Oh paper not Msa cwt 8 71~ x 11 htdere in ~. PIeR mu.t ~ Induder but clot lirnRed t0: vartippl lttld ~OtItN r'aFelMftp ptlillt (~, tAlsttit~f and i+arpgi Ll~. Paroerft aibPar soels ardlmensions, north anryw, end lotaet}on and m nsaaest road. K P1WUee prk~t a1! JlfkNmsNor~. 1?taMswe~ br R.rson.r tarorltwtlon yov provkte mNy be u~ ror acooes~y tPNwry kaw, s, t 5.04 (~) lmp. M'°P"~' ~"'"~ Property I.Qcatwr- 'ro Owner's ailing A,dd ~ ~~ ~~ ~~o~~ T~ N R ~"7 E(ogW r.~-~ ~~~, ~ ~ w U ~Y v~llt hq~J 1 X9 7 ©Vfllage ~TaMa- ~ N Road ' ~, Hsi ter: uaac ~. pa+ld.~lal ~ lNumber of b.clrooma cede derlwd deel~n r~- r+ae _._..~: D ~ Gr'la D Raplaeement ^ cr oonrn.ral*r . Deurrl4e' Parent meblriai ,,,,~„ o u G.- v u^~w y Flood Pl~ri wevatlon if app~rabb it ,~ ¢. " 5 V ~g ~ ~ • ~,~. 1.' 'r< ! t~~ ~~ lleW r M a v w ~~ ~.~- eA,,t" / 61. 5p ~- ~~ llb C~ 41 13 # ~ ~ ~ ~~ . ~, l}lt C+round avr(soe.nv. Death ~ teator " ~ rn .., ., _ Florlux~ DwpRA DorNneatt Color Radox QeaxipMan Textw~e str~Wre C~ Qa,rndary ~oota in_ Mansell car. Sa. Cont. Calpr r3r. S¢. 5h. *,~pwy .~ ~ s•~a ~ RY1 `'y r~ib~ ~. ~. ~ . o ~a~ ~'~~'~ "~ 1L f v f . CJ k c~ ~- ~. Pit Oraund Sa~iaOe elev. "~ •~ fl. Hearn b tirnMM,g iedor _ U y ~,. 03/-18,f2Q04 14:29 7152483588 SUPERIOR AUTOMOTIVE PAGE 04 Pairoal tD B "{'Grp D~ ~ ~'^ '^~,--- - -- Plt C.rnw~d awtioe atav. ~ S 1t, t?apUs b Ittr~mp (a~ta' ~ in. ~ FlorizG~n G1eRq~ Dantnarl~ Redou bs~ripUon Te~nr Strs~ma Consisrnoa Bogy Boats GP DAP in. t~AunaM Qu. 9r. Cont. Color Gr- Sx. Sh_ "~1<All'1 'E1Ar2 ~ ~~~75 7, '~R~e '~.'YF~.~' 4~ ~ C. MSb~. S~, ,~ O ^ Pit C3round W~rtaae6ifv. R, tbptn w r race inn. Moehtan Depth Dominant Color Redox Dsaatptlan Teo3tars Btrueture Conehlsnoe Boundary Roots t3F~ CVtP ~. M~euefl Gu. 8z. Cont. Cokx Or. Sz. Sh. 'Errlft "~RM,2 :ti ^ 130f1f~g i" •' ~s ~ ^ Pit °i~""d s ~4+r. ____._~ n. , W f racmr ln. t{otison Dap1h clnr~inanc Coter Radeoe Q~plplipn Texture Strr,daa tae Botigldary F~aots in. Mun~sr C.1u. .Cant. Cator Gr. Bz. S'h. 'BR~ikt 'EMN2 " EMN~ant ~"I = CiQDa a 34: 2,20 mpll,. anA T$S }30 T 150 my{. ~ • Etflwnt ~Y2 ~ ~s < 90 ngz. and TSS ~ 80 mall, The Uepartrnant pr'Gomnte~rce is as equal opparnmiry scrviica provider and employer. if you need assistance to aacaas ,seryieea or need material in an atseraatm fottnat, please coneset the department at 6a8-266-3151 or TTY 608»264-8777. &~P1U~ (R,4~/4p~ 03f:-18f2004 x.4:29 7152483588 SUPERIQR AUTOMDTIVE PAGE 03 ~~ ~~ ~a q e 3 ~ Y ''~ C~~ ~.. r 1 ~ :.. ~, 1 Fie ~-.~ . • ~,ti ,~~ v« 4``' ~l~'ar ~~~~ ~.~ t/~ C? `_ `# a ~~ aa~_~,~~ o ut'1;~ d o^~ ~ : r- h~l ~ 1 P4, lip ! ~r'~'. ~' ~'+ taV- : '~,,, ..__ r i~.~ ~~ ,~ r, rri ~~{ ~~ t r ~. ..((( q ~~ ~ Q~ ~at1t~ p~~ ~~~ a Q~P ,~ :kc..., ., a1.1b~ 0.cr~G I a~' r~ /r ~V ~ ~~ d (/ ~I I ~ A Wiscensin Department of Commerce SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings ni ai,wiuantz wiui wrnrn oa, vvrs. rwm. was ~~ ~~ ~ ~~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Plan must ~ . indude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.p, percent sbpe, scale or dimensions, north arrow, and location and distance to nearest road. P2 -~ ,4 h Please print all information. R e Date Personal information you provide e n oY Law, s. 15.04 (1) (m)). ` ~ ~ Z9 6 Property Owner ~ ~~ ° "" Property Lo ation '}UQ. c Govt. Lot J (,V 1/45w 1/4 9_ T~ N R 1 E (or) W Property Owners Mailing Addre Lot # Bock # Su .Name M# ~ ~ falc~ oc l g 33 ~~G~17 City State Zi ZON I I ; l ~ ^ City ^ Village ~ T Nearest Road ttD v M N S 7 e I-le,. ~, New Construd9on Use:' Residential / Number of bedrooms Code derived design flow rate ~,~; D ~ GPD ^ Replacement ^ Public or commerdal -Describe: Parent material ~ D e55 O y G r D u'} w/t.5 {~ o V t r "I' ; - I Flood Plain elevation if applicable General comments G, ~ , ' S k~ (1 a W `` ~ and recommendations s V J 5 G S '~ 0.. I'.r t~ / ut3 ~ a v try ~ :S ~-'°~ p,'t" ~ b 1.50 fL Boring # I~~ Ong ` IQ' Pit Ground surface elev. boa ~ ~ 3 fl. Depth to limiting factor ~l in. _ Soil 'cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 ~ s -3 D 10 `t ~,Y/ ~--. ~+~.~x any s b K. d -~ l ~ . o 30 ~ ?~5`1(2'~ 1#ff:~`it a 5bk I ~F f . v 39•Y~ 7S Yf2 ~ ----- ~ a~sb K ds~ ~~ r- . ~f s ~. ~o ~.s SRS/a ~ ~ ~.s-~tz ~~ Fs a~s~~ s ti e ~ - . ~ ~ . ~ f, 6D 7S ~, 5 `t R y!v F - f 7 , s `~ (~ ~/ i w.~ ~ I ~ Sbti:.. fl ~ "•' Boring # ~ Bonng q Q ~~ ~ .r U ` ` LLJ ri[ 171uuIlu.lYlltl{:eCICV. 1 - . n. uepur to nmmng iBROr 7 i m. Sal 'cation Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP D/tlz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eif#1 •EfF#2 .a tuy~~1 ---------- ; ~. a Fs ~. r~ ~ al -31 i, yR`--~ _ "~"`` a ~ s b,~ c ~ ~ ~ 4 1. t~ 3 - `l4 `Ifly ~ ^---- F 5 ~ a FS~K f~ t~ ~ ~~ ` ~'1 Sa 5~~' s~ i 7,SYR 4 ~ S ~ i=5bk ~.? ~ ~ ~ i , t s ~ _... a ~ ~~ _.. _ G'L Jf51 tmuent #1 = BOD > 30 < Z2o mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Name (Please Print r Signature CST Number ~bn A K~ ~a- rl~,. ~' ~-~lt~ _ oZa 17 `~ lv Addr Date Evaluation Conducted Telephone Number 5-1-ar P/'~t.; r;e W:t ~t/aat~ ~ ~I.S~ M ~lS'~`I$'~SS$ ~' P/~n 1~17I, /AI,1 MI~1 ... Properly Owner ~ t~ ~ V ~ ~ Parcel ID # ~G1ti I~ ~ ~^ ~ Page ~ of Boring # ^ Boring 9 $ Sg ®pit Ground surface elev. ~ ft. Depth to limiting factor 3 t0 in. Soil , Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Mansell ~ Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'Eff#2 2 ~`~-~~ D'1 R,Y ~/ --------~ Nc~.~y am S 6k ~ ~ w ~ • ~. . l7 3 a~-31v ~.s~R~/~ -- se-, aFSS~L h cw ivF .~[ - S `~ 36-`~$ 7.S~il2sla. 7Sy R~~ $ ~ 5 aFsbK ~ ~, w - .5 1. D S `t $ 7S 7.S'12 Y~ I F 7.5'~~-~' ~ F $C. yh 5 b 12 S h '-~ - , y Boring # ^ Boring. ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Mansell Qu. Sz. Cont. Caor Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ~ ~~ ^ Pit Ground surface elev. ft. Depth to limiting factor in. Sal 'cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eft#2 'Effluent #1 = BODS > 30 _< 220 mglL and TSS >30 _< 150 mg/L • Effluent #2 =GODS < 30 nglL and TSS _< 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) ~"~ ~ ~~~~ Sw~~yl Sw'~yl sec,. a.9, ~' aqt~~ ~1~~ 1 l f t ,,, ~ R I i r~ c~ i ~ ~1 ~~ ~~~ ~ Tai ~ '~a ~~ 5f'ee.~ P ` ~~-~ _~ t~ bc~ k._~, o c_ ~. ~ . 5 % ~` (- ~n c. d f .c. vat N~" x~ {~aqe 3~ y ~~ ~~ `~~ 5'~° P°~ y ~o /~ F~ ~y} 411 ~r ~ 5~~~ ' ~.Ut a ~ ~, j l ~, \ - 5 . Q Q Y ` ~a ~~ ~ J fj / > ~ ~' ~ n- ~ _ i ,: "°`~ _ a~ ~ M'0.`k" ~ ~]puyv ~-- ~. t ,~ o Q~l 00 ~ ~ ADD ~}f:r~'. ~'~or~~ ~ ~ 3 ~M ~ ~- 4oa.39 CtfierLrc.e_. Q'}°S . 81 d~~.~3' ~ ~ ~ I o ~-t- h 1 of I• r ~~ 4 l ~-. t~3 0.crt. dot f~ /I r / ~' ~~ ~~ ~~ h ~ { f '7L p ~i ~~~ Dai15'200~ lB:d9 FAh 8516998089 HYVROS RO9E~'IILE fool ~:.1"" f ~Is^•.,. ~ '.r•~~ j~ ~ r V . r f "'^Y~~ ~Y ~•~~ Eft ~~~•5F }~Y/r,.,Q4 y Wiiiiam F. Hum, Jr. Z,ocated .in. part o, f'the Sawthwast'1. of the Southwest "/. of Section d~ 7'ownch:p 29 North, Range ,I7 West, Town of Ham7no-rd ~ St. Croix County, Wisconrin. , Lr , - ARERFFERENGED - - ~ ro TP+r sourstare asTNE _ ~ :. _ scwnrM+esrvl ov<srcTrowxc T~rr,R nw Assu>1rriDns sseroano`E . ._ ._ U..~P.iATI~L? . t14JSt4$ . . SG4iE W F66T r' w 700' - ~, I ~ .. 5u 50 1 0 ?~ _. ....- - i170~DCY7O-ROAQ __ ... - _ "E ti Af TA 1V /!5 MN 55 l 1 _ .epC~' '~a . _ ~' r~3 - __ - - t : 6g pO E 11$ . ,~p , I E GF ~C • I ~ , ~~,~ f l.. ~~ ,77 car-i , ,.- ,., ~ CONTAINS 0l,5-3 SQ. FT. r ~ ~ j' / % ' OR 2.10A AC. r $Q• ~: / ,.' PRfltATE DRfYEWAY a ~ ~ ~ ' (aT,lSO sa. FT na aor>a ac. 't~`I, ~ EXCLUDING RtQH1'OFWAY) . rE~ ,a .~s• ~ ~ ~~"~ ; '~ ! PAGE --`~F w ~ I ... + S NOTE- ^ '~ I 4~ , Y!7~J4{~l JJwK J~3!!FJ~ ~3 ~ ^~ ' I LOT t MUST dSACC5S5ED c ~ b ~ a °v R' oa ~ e FRDA?THEShK)IbNPR/VATE ~ ° ~._ $ c~ ~ bb OFfYEWAYEASEJ4ENT I ~ - _N 80'42'40' W 21'1.07- v' _~`~,t~v~rH c.rh. •r -~YSM~.._ ' ~ _ _ _ -~+1~~~ S00 ~ . 6 '+ ' 1 7~17 ~~ - v.8r7Q000"E :•21-i4'~ to 15.73'•: r-6 BO'008ME iL10.SB •-..~ w ---- ~. _ .~ _..._ - V . .. _ _ ~ ~.Q1JJl~TY TRl1NK Hl!rl~AY ',~' ~ .t. ~ _. - - -- -- ---- ~ Y. - _..~ ._... _... __ sourrirvrsrco -_ - 8 W'0d0~D" E 26t8_er=' sacraav~,rzoN.Rrrw -.. ~ - .. . SOU7h7aCawn~a A~CbMN~MONUf EM~7MJ~ s[~~JrA~~MY!~5~2 ~ BEC7pH70.72B N, Rflw 0FFN7~r f CG~ I µ ~ LEGEIliI! ~ ' . MIQlCATES 1-1K` U D. x 7B`1RON PII°E3tTlrrrN.Wf -l.f3LHd.f.) D sat 8OR/NGS (PRDPOSEJ s,rarre svsrslr} $~Tk7rf CDRNEA NpAM/MEN7 (AS NDTF73j -•- WDICATESFENCELWVE t.reu v~N c WU Y syn 'at i.oe~i~t, ~ o wr. ' ~' •P, ~~ l6,ANO s~ DA1E0: ~ FE'BNLWiY27, 2004 TNIS INSTALO,PENT DRAFTED 9Y JFRILD L L 9Ru0N sr~FSr ! nF z ST CROIX COUNTY • ~ SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/f uyer Mailing Address Property Address ~"" r ~~u^'' - ./ (Verification required ~a-om Planning Department for new construaboa)-----~ City/State ~y~/y.2~iV,~. ~~ Parcel IdentiScation LEGAL DESCRIPTION Numbe ~/=~~ '~ ~ ~ ~~o~ 1 ~~-~~' ~~ , ~ ~ T N_R~W, Town of ~f'rI O Property Location Ll~ /4, /,, Sec. ~, I.ot # ~- Subdivision ~ ~ / 9 Volume ~ g .Page # ~7 ~ 3~Zy~Y (;ertified Survey Map # ~~ `~~ neezl # Spec house O yes 7~oSz~ Volume o?s'S~- .Page # / 9 y Lot lines identifiable [yes ^ no SYSTEM MAINTENANCE Improper use and rnaintcaance of your septic system could result in its premature failure to handlc~watstyo P t int~the sy~em consists of pumping out the septic tank every three years a7 sooner, if needed by a licensed pumper. ain affcd the function of the septic tank as a treatment stage in the waste disposal system. cat a certification form, signed by the owner and by a The property owner agrres to submit to St. Croix Zoning DePartmverifying that (1) the on-site wastewater disposal syscci nia.ster plumber, journeyman Plumber, restricted plumber or a licensed pumper ~ s tic tank is less than 1 /3 full of sludge. condition and/or (2) after inspection and pumping (~ necessary), `~ is in proper operating ed have read the above rcquircmeats and agree to maintain the private acwage disposal system with the standards Uwe, the undersign artmeat of Natural Resources, State of Wisconsin- Ccrtificado^ set forth, herein, as set by the Department of t;.ommerce and the Dep pff,~ within 30 sL9.t±ng that your septic s}~tem has bcea maintained must be completed and returned to the St. Croix County Zoning days of the three yeas' xpiration date. `~ 7 /z~/ ~ DATE S 'ATLIRE OF APPL ANT OWNER CERTIFICATION our knowledge. I (wc) am (arc) the owncc{s) of I (we) certify that all statements on this form arc true to the best of my ( ) the property descn'bcd above, by virtue of a warranty decd recorded in Register of Deeds Office. ~,Z3,© DATE IGNATURE OF APP ANT ..•..~ .An information that is mis-represented may result in the sanitary pcruiit being evoked by the Zoning Department. ...... y no •• Include frith this app[Icatlon: a damped warranty decd from the ~ g~reace is~masd ff~ the warranty deed a copy of the certified survey maP LEGAL ST. CROIX COUNTY, W NSIN OLD TXSCR02 REAL ESTATE MMON COMPUTER NUMBE 18-1065-40-000 cel Number ~ 17 a~_- OWNER NAME: First LIAM F J ST Last HUEG PROPERTY ADDRESS: Hse 1/2 PD --Street Name-- Type SD Apartment 1614 CTY RD J SECTION 29 TOW '/4160 '/440 Line Descrip ion Line Description TONAL ACREAGE 40.000 PLAT LOT BLK Y 1 SEC 29 T29N R17W 02 16 03 40A 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit 1 U 2559P 19`I STATE BAR /T'RUSTEE'S DEED ) Document Number ~ / William F. Hueg, Jr., as Trustee of the William F. Hueg, Jr. Tiu~r~'aTd April 3, 2002 for a valuable consideration conveys without warranty to John Edward Hueg and Amy Maria Hueg, husband and wife as joint tenants with right of survivorship, Grantees, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): See Exhibit A attached 7609z~ HATHLEEH H. MALSH REGISTER OF DEEDS ST. CROIR CO. , liI RECEIVED FOR RECORD 04/28/2004 09:45Al1 TRUSTEES DEED EJlE1~T ~ 8 REC FETE: 13.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 2 Area Dated this ~ day of April, 2004. Trustee AUTHENTICATION Signature(s) authenticated this day of , * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) TH[5 INSTRUMENT WAS DRAFTED BY John G. Hoeschler, P.A. 800 Lone Oak Road Eagan, MN 55121 (Signatures may be authenticated or aclmowledged. Both are not necessary.) Name and Return Address John E. Hueg 483 Glenwood Ave Roseville, MN 55113 ©~ g - io6. S -~ `~-Ul~~~'iN~ Parcel Identification Number (PIN) ~U ~~~ -~~'~e=~-~. *William F Hueg, Jr. Trustee ACKNOWLEDGMENT STATE OF MINNESOTA ) ss. COUNTY OF RAMSEY ) Personally came before me this ~ ~ day of April, 2004 the above named William F. Hueg, Jr. to me known to be the person William F. Hueg, Jr., who executed the foregoing instrument and acknowledged the same. ~ p *Ja~n G. Hoeschler Not Public, State of Minnesota My Conunission expires Jan. 31, 2005. JOHN G. HOESCHLER *Names of persons signing in any capacity must be typed or printed below their signature. ~ ~~a,i • w ~~~ ~p~~,i~ 2006 TRUSTEE'S DEED STATE BAR OF WISCONSIN FORM Na. 7 - 2000 U 2559P 195 EXHIBIT A Part of the Southwest %4 of the Southwest '/4 of Section 29, Township 29 North, Kange 17 West, Town of Hammond, St. Croix County, Wisconsin, denominated by Lot 1 as shown on the Certified Survey Map recorded in Vo1.1~ of Certified Survey Maps, p 4733 with respect to the following described property: Commencing at the Southwest corner of said Section 29; thence S 90°00'00"E, (assumed bearing on the South line of the Southwest '/4 of said Section) a distance of 528.25' to the Point of Beginning of the parcel to be herein described; thence N O1 ° 17' 11 "E, 223.22'; thence N 60°30'02"E, 450.78'; thence S 21°16'33"E, 103.86'; thence S 68°43'27"W, 44.24'; thence Southwesterly along a curved line concave to the Southeast, having a radius of 235.66' and a long chord bearing S 35°00' 19"W, 261.64'; thence S O l ° 17' 11 "W, 118.02' to a point on the said South line of the Southwest '/4; thence along said South line, N 90°00'00"W, 241.08' to the POINT OF BEGINNING, containing 91,593 square feet or 2.103 acres, being subject to an easement over Southerly portions of said parcel for Country Trunk Highway "J" right of way purposes as shown on this map, and to all other easements and restrictions of record. t?' CERTIFIED SURVEY MAP William F. Hueg, Jr. Trust Located in part of the Southwest ~/. of the Southwest '/. of Section 29, Township 29 North, Range 17 West, Town of Harpmond, St. Croix County, Wisconsin. /~ ~ N BEAR/NGS ARE REFERENCED TO THE SOUTH UNE OF THE SOUTHWEST t/4 OF SECTION 29, T T9 N, R 17 W, ASSUMED AS S 90'0090' E. SCALE IN FEET 1 ° = 100' 50 0 50 100 KATNLEEA ti C' M REGISTER OF DEEDS RECEIVEDxFOR RECORD 04/28/2009 09:45AM IED SURVEY MAP REC FEE: 13.00 COPY FEE: 3.00 PAGES: 2 APPROVED ST. CR;OIX COUNTY Planning ZoNnp and Parks C.,.o..,tr^r APR 2 g 2004 If not recorded wtthln 30 tlays c: approval Oats approval ahall be null pnd vgI!1 , ~JiVPj,r4_T_T~S? l.~LN1~S OWNER S ADDRESS 1~ ~~~/ q MENDOTADHEIGHTS, MN 55118 ~Op'L ~ A~ S~~OPG~~i o ~ 4Q~ A3 ~2~° ~ GG ~`C1CJ ~ ~y ~'/ ~_~43~V~ ~.~(~c0 `77YY LOT 1 %` ~~Q- CONTAINS 91,593 SQ• FT. /%~ / - OR 2.103 AC. p I / %~ ~ I ~' ~ ~ ~ PRIVATE DRIVEWAY (87, f 50 SQ. FT. OR 2.000 AC. I 3,p~ { ~ ~ EASEMENT PER cNi ~ EXCLUDING RIGHT OF WAY) /1 3.T ~ VOLUME PAGE OF ~ b ~/ ST. CR DC OUNTY w N SETB.4CKL/NE z ~ i ~a % RECORDS ~ ~ ~~ UNPLA7TE~D LANDS NOTE - ° c~.i, ~ o ~' c~' LOT 1 MUST BE ACCESSED !o o g o .~- ~ ~ ~° o FROM THE SHOWN PRIVATE Z ~- J ~ ° OR/VEWAYEASEMENT ~ ° `" - N 88°42'49" W 274.07 - N ~•~_~ NORTH RAY UNE C,T.H. J" - - 241_02' 33.00'- N88' 42'49"W ~ - - - - - S 90°00'00" E 528.25' - --b~'S 01°17'11• W ,_,.- / -. ,--21.14' iq- 15.73' -=. ,.- o t - S 90°00'00" E 1849.34'-.-~ -•------ rHUNE wi/~_ _-_~ fV90°QO'00_W 241.08'-'-'---------. ~ r-•-'----- - ~~rQUJ~CTY T_RllHK_ Hl~hQ~AY "_,L' _ ~ - SOU7NWEST CORNER SECTION 29, T 29 N, R >7 W - S 90°00'00" E 2618.8T - - SOU7N 1/4 CORNER (FOUND COUNTY BERNTSEN U/VPLATT~D L11 /VDS SECTION 29, T z9 N, R 17 W ALUMINUM MONUMENT) - - - - (FOUND COUNTYBERNTSEN ALUMINUM MONUMENT) S,`c~GOIVg7~ LEGEND ~ •L F,UREN E •; CAI. • MUR Y ~ INDICATES 1-1/4' O.D. x 18" IRON fr ; ~ i s : ~ PIPE SET (M1N. WT. - 1.13 LB/LF.) pENVILLE,•~ p D SOIL BORINGS (PROPOSED SEPTIC SYSTEM) w~ _ ~ 0 SECTION CORNER MONUMENT (AS NOTE FtECE1V ED ~RFO • ° •gJ~3~ ~"- 1N0/GATES FENCELINE ~'°'~~ A~R 2 a 204 DATED: FEBRUARY 27, 2004 SZONIONG OO~iCE`/ THIS INSTRUMENT DRAFTED BYJERALD L. CARSON SHEET 1 OF 2 Vol 18 Page 4733