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018-1067-00-200
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ~,~~~„Y. Safety and Building Division o ~ INSPECTION REPORT sanitary Permit No: GENERAL INFORMA~'ION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Marsh, Ted Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: SectionlTown/Rang /c~ ~ , aC GS T r3M rtszt~,/ wt,s{ pno~. hxk--~(r TANK INFORMATION ELEVATION DATA `N~ TYPE MANUFACTURER CAPACITY Septic 1V wP t L-(i.~ tl~ /O G O Dosing COSV~~p ,,n,tC~ ~OU Aeration i ~ L Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r--~ ~ ~- ~ ~, N ~~ ~ _._. S~ r Dosing Aeration Holding P~MP/SIPHON INFORMATION ~~~~~~~ ..o ~,l'X1''' Manufacturer ~i''~~2 ~~0.,~--~ Demand GPM Model Number ~1 ~ 3 i,~ TDH Lift ~, .i3 Friction Loss r,.~~ System Head 3.zc- TDH Ft 9eo Forcemain Length -~ t Dia. ~ Dist. to Well SOIL ABSORPTION SYSTEM ~~/L ~~~ .St. CroiX 430185 0 018-1067-00-200 Map No: 30.29.17.4570 $ 5 ~-( STATION BS HI FS ELEV. Benchmark s'. S~ /0 3 .S ~ va. oa Alt. BM Bldg. Sewer St/Ht Inlet 8.z X19 3~ SUHt Outlet Dt Inlet Dt Bottom rat .a 9 5 • ~7 Header/Man. ~. of loo.-7 Dist. Pipe E W G . ~i G..9 J o ~ . -? /vG.~ Bot. System ~ ~ abS„~-h~~ ~~ eo,..`2 wv' $.1'7 c '(.t~ LI -7 Final Grade St Cover G, , ~ CGa ~ U,.._„ 5 ~ . z /00. GO 3.•~-~ 7.bc~ Io7. Ioa.oo BED/TRENCH DIMENSIONS Width / ~ Length /~_. o. Of Trenches -~-- PIT DIMENSIONS No. Of.2its__ Inside Dia. ---- Liquid Depth r--~. SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKElSTREAM LEACHING CHAMBER OR Manu cturer: T Of S t ype em: ys 7"C o wh ~ ~" ~ I r7~ ..,, / 30 -- UNIT Model Nu DISTRIBUTION SYSTEM ~ ~ p U,e~-,. o Header/Man' /L '"1 . Distrib pi ion i t x Hole Size - x Hole Spacing Vent to Air Intake ~ Length Dia ^~ vS pe(s) Length _ 4J~ Dia ~ Spacing_~_ 5 // ra 2 f ~ ~- SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~ BedlTrench Center (, '~ Depth Over Bed/Trench Edges ) ~ ' xx Depth of Topsoil ^` xx Seeded/Sodded 'Yes ' ' No xx Mulched Yes ~'~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / ~ ~/ 03 Inspection #2: ' ~ / Zd / 0~ ~"? ~/ Location: 797 150th St Hammond, Wl 54015 (NW 1/4 NW 1/4 30 T29N R17W) NA Lot 1 Parcel No: 30.29.17.4570 1.) Alt BM Description = S T • co ~ ""~ 3~ '`'~ - 2.) Bldg sewer length = '~ g 1',~ Y, p,,,,`Q ~~/- - amount of cover = 5 3" 0,1 ko `^-5-~- ' ~~~°-~~~tt~-'~-G~ ~'`~e ~ ,v-e~/ S~o/<-¢-~ Z'•'F' ~"n` i / J -~~-- a 3- I II ._ _- - G~ -- - - _3 _ ~r s~~ -} -Q F _Il ~ h s rS ¢ n C ~ , Plan revision Required Yes ;i No S~ ~ - - _ Use other side for additional Informat ~----}_-- --__-__ ______ -_- - _-_ - - __. _.-----.-- --...___~ ~ ~ I SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. SAFETY WARNING -Risk of electric shock. This pump is supplied with a grounding conductor and/or grounding type attachment plug. To reduce the risk of electric shock, be certain that it is connected to a properly grounded grounding type receptacle. Your 115V effluent pump is equipped with a 3-prong electrical plug. The third prong is to ground the pump to prevent possible electrical shock hazard. Do not remove the third prong from the plug. A separate branch circuit is recommended. Do not use an extension cord. When a pump is in a basin, etc. do not touch motor, pipes or water until unit is unplugged or shut off. If your installation has wateror moisture present, do nottouch wet area until all power has been turned off. If shut-off box is not accessible, call the electric company to shut off service to the house, or call your local fire department for instructions. Failure to follow this warning can result in fatal electrical shock. The flexible PVC jacketed cord assembly mounted to the pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice between the pump and the control panel must be made within ajunction boxand mounted outside ofthe basin, and comply with the National Electrical Code. Do not use the power cord for lifting the pump. The pump motor is equipped with an automatic resetting thermal projector and may restart unexpectedly. Projector tipping is an indication of motor overloading as a result of operating the pump at low heads (low discharge restriction), excessively high or low voltage, inadeq uate wi ring, incorrect motor connections, or a defective motor or pump. ELOW- LITERS/MINUTE 60 80 160 240 320 ~ ~ ~ ~ 1 s. o 40 12. s ~ ~ ~ w w 10 0 ~ 30 . ~ ~. s i a 20 q = s. o w to ..~- ~,0 -2.s -o 0 20 0 60 80 100 FL^W- G LL^NS/MINUTE PUMP PERP RMANCE CURVE 11 60HZ ~~ ,~- SAFETY GUIDELINES 1. Read all instructions and safety guidelines thoroughly. Failure to follow the gu idelines and the instructions could result in serious bodily injury and/or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR EXPLOSIVE FLUIDS SUCH AS GASOLINE, FUEL OIL, KEROSENE, ETC. DO NOT USE IN EXPLOSIVE ATMOSPHERES OR HAZARDOUS LOCATIONS AS CLASSIFIED BY NEC, ANSI/NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJURY AND/OR PROPERTY DAMAGE. 3. During normal operation the pump is immersed in water. Also, during rain storms, water may be present in the surrounding area of the pump. Caution must be used to prevent bodily injury when working near the pump: a. The plug must be removed from the receptacle prior to touching, servicing or repairing the pump. b. To minimize possible fatal electrical shock hazard, extreme care sl~uld be used when changing fuses. Do not stand in water while changing fuses or insert your finger into the fuse socket. 4. Do not run the pump in a dry basin. If the pump is run in a dry basin, the surface temperature of the pump will rise to a high level. This high level could cause skin burns if the pump is touched and will cause serious damage to your pump. 5. Do not oil the motor. The pump housing is sealed. A high grade dielectric oil devoid of water has been put into the motor housing at the factory. Use of other oil could cause serious electric shock and/or permanent damage to the pump. 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum motor heat transfer and lifetime lubrication of the bearings. Use of any other lubricant could cause damage and void the warranty. This lubricant is non-toxic; however, if it escapes the motor housing, it should be removed from the surface quickly by placing newspapers or other absorbent material on the water surface to soak it up, so aquatic life is undisturbed. 7. In any installation where property damage and/or personal injury might result from an inoperative or leaking pump due to power outages, discharge line blockage, or any other reason, a backup system(s) and/or alarm should be used. 3 INSTALLATION Pump must be installed in a suitable gas tight basin which REMOTE FLOAT SWITCH is at least 18" in diameter and 24" deep, and vented in LEVEL CONTROL accordance with local plumbing codes. Pump features a 1?2" female NPT discharge. NOTE: DO NOT OVERTIGHTEN DISCHARGE PIPE INTO PUMP VOLUTE DISCHARGE. Pump can be installed with ABS, PVC, polyethylene or galvanized steel pipe. Proper adapters are required to connect plastic pipe to pump. Pump must be placed on a hard level surface. Never place pump directly on clay, earth or gravel surfaces. A check valve must be used in the discharge line to prevent back flow of liquid into the basin. The check valve should be a free flow valve that will easily pass solids. CAUTION: For best performance of check valves, when handling solids install in a horizontal position or at angle of no more than 45°. Do not install check valve in a vertical position as solids may settle in valve and prevent opening on start-up. When a check valve is used drill a 3/16" hole in the discharge pipe approximately 1" to 2" above the pump discharge connection and below check valve to prevent air locking of the pump. WIRING Check local electrical and building codes before installation. The installation must be in accordance with their regulations as well as the most recent National Electrical Code (NEC). To conform to the National Electrical Code all pumps must be wired with 14 AWG or larger wire. For runs to 250 feet 14 AWG wire is sufficient. For longer runs consult a qualified electrician or the factory. Pump should be connected or wired to its own circuit with no other outlets or equipment in the circuit line. Fuses and circuit breaker should be of ample capacity in the electrical circuit. See chart below. H.P. VOLTAGE FUSE OR CIRCUIT BREAKER AMPS 4/10 115 20 4/10 230 15 The RFS series pumps are equipped with a remote float switch level control. This level control is sealed in a polypropylene float cylinder. For automatic operation, the pump must be plugged or wired into a remote float switch. Pump will run continuously if plugged directly into an electrical outlet. When the level rises in the basin, the cylinder floats up with the level. When the cylinder position is at an angle of about 45 degrees, the switch activates and starts the pump motor. As the level draws down, the cylinder floats down and when it is again at an angle of about 45 degrees, the switch deactivates, and the pump motor stops. NOTE: BE CERTAIN PUMP IS SECURE IN BASIN AND CYLINDER FLOATS UNOBSTRUCTED WITHOUT TOUCHING THE BASIN WALLS OR PLUMBING. REMOTE FLOAT SWITCH INSTALLATION 1. The float switch consists of four parts: a) switch; b) cord clamp; c) clamp screw. d) cable tie NOTE: If screw is lost, use a #10-16 X 1/2" long tapping screw, longer screws can crack the cover. 2. Attach cord clamp to pump cover as shown in the switch instruction manual packaged with the switch. The clamp and pump handle must be positioned as shown to allow free operation of float. Be sure to locate pump and switch power cords away from switch float. 3. A 2~2' tether length is recommended. When a tether length of 2/" is used, a minimum basin diameter of 18" is recommended. The tether length is measured as shown in illustration at right. 4. After desired tether length is established hand tighten clamp screw. 5. TESTING: Without water in basin plug pump power cord into switch in-line-plug. Plug switch into outlet. Lift float and watch for pump to operate. Do not run pump for more than 5 seconds. 4 C 3 Safety and Buildings Division C~tY n ~ ~ / ~ 201 W. Washington Ave., P.O. Box 7162 s G. ~ ` ,~~Ol~~,i~ Madison, W 153707 (608) 266-3 Sanitary Permit Number (to be filled in by Co.) ~ ~ ~ 5 Department of Commerce Sanitary Permit Application State Plan l .Number ~ persona) information you pro Code Adm 21 Wis ith C m 83 d ! ggs ®o~ = T~s. /A , . , . . w o m n accor may be used for secobeary p~¢poses Pri La___w, s15.04(1 xm) _ than mailing address) nt Project Address (if diiTere *r ~~`~'F'.=~^ ~ 1. Application Information -Please Print A11 Informati ' / ~ ~9 ~ ~,~~`N ST. r Propert~~O ~~er's Name Parcel # ~~ ~ Lot # Block / Property Owner's Mailing Address ~ Property Location ~C t S~ Sr' ~o ~ NW ~%,~~ ,,, won 30 City,Sta/te/ /~ 5~~/ / /~~ I -! ~ ZiepCode 75~~ P~ho(ne~Ntm~ber (G~v ~~ + 7 v~ Q circle ) T t~ / N; R~E t l k ~ app all tha y) ~ y u.. 11. Type of Building (chec rw. 3 4 ~1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name CSM Number . u , ~ t/~ s /V( ^ Public/Commercial-Describe Li ~ " y v / i 0 /v / ~~ ~i ^ Village ~ownship of ^CitY lL(,v ^ State Owned -Describe Use _ (J'YL 111. Type of Permit: (Check only one boa on line A. Complete line 8 if applicable) A. New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other ModiScation to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New list Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. T e of POWTS S stem: Check all that a 1 ^ Non -Pressurized In-Ground ^ Mound >_ 24 in. of suitable soil ^ Mound < 24 in. of suitable soil /~At-Crrade ^ Single Pass Saud Filter ^ ~--~ ^ Constructed Wetland ^ Pressurized Jn-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment UniJt ~ Recir+culating Sand Fiher Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip ~ ^ Gravel-less Pi Other ( lain) V. Dis rsallTreatment Area Information: 7• Desi Flow (gpd) Design Soil Applies ' jate(gpds~ l ~ispersal Area Required (sf) / " st Dispersal Area posed (st) System Elevation l o ' ,, Sao i~iJ , Ov ro Vl. Tank Info Capacity ~ Gallons Gallons Number of Units .- // Manu~ er ~~ z , /J ~~ Iv C ~ t Prefab Concrete Site Consuvcted Steel Fiber Glass Plastic Ncw Existing ~ ~~~ . ~ . Tarns Tanks Septic ~~-. ~p~ -- bo / ~ Aerobic Treatment Unit Doming Chamber ~,~ ~ VIl. Responsibility Statement- I, the unders assume res Ibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pt Signature MP RS Number Business Phone Number Plumber's Address (Street, City, State, tip 6 0 ~ ?o ~ ~~ ~ ~ ~ ~ U~ ?.T/ Vlll ount /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater S '~ Date issued suing A eat Signs Stamps) urchazge Fee) ~ .y / ~j J j~(~ ~/~ +B/ /~ Q l~ ^ Owner Given Reason for Denial , 1~ Condifions_of ApprovaUReasons for DLi sa~pproval G~ Ta -711 ~/ p 3 , ~~ ~ '~~~9 ~'h ~ d r~J a•~- locQ.~'"-a~L '~ ~ .6M ~ ~ ~,, ~ G ea .. ~ at,td Y h 100ii_~ /.ee. Ltn~ln.T /L~.11,[A/~O_ ///~rvr0/t/ l.t~~~i,s2c.,. A~ D0~1n,n.c.T ~/1~'~~it'. !/l~!`L~~~ ~.~ ~y /1 J ~A h complete plans (to County only) the st on sot Ices than 8 z l1 focha in Iglu P6urr3 /y1r~~~a~t,c~-,~.~~,.. Owe- ~~ r~-~... ~~,~ ~ ~ Z SBD-6398 (R. 01/03) ~'l~ -~ic-t~.~c.,~ ,~~~,~ G~~~ law' ~,~~ . 3os ~ ' ~' a ~!w ~ '~ ~ i ~ ~;~_ ~., ~^ ! ~ i ~I~ ~ ~I. o -', `~ ~ 3 ~~ --4- o r~ //~~ d ll~. 9 G 1 d J n r J ppO ~ v b L'e~ N ~ ~; 3J ~~ " ~ ,- ~- o/ 3 ~ a~ ,,J3 ~ ~ ~, ^:~ Y f ~~ y / ~~ J1 O a ~,p_ Q6 G1S ~ ~ N sc3~ y ~~ ~ ~ ' J J „" S 7 ~; ,. -~ ~, ~ ` N M 1n S rt ~_ ~ 0 _J ~ d v c/~ Q ~J ~~ f J .=~ ~ ~ J i ~Q ~ s ~ i~ ~l O V/ l\ o r s ' ~ s s S d J O J J ~ 1 y ,,, O ~ ~ ./ _,~ a ~.~ ~f f 4 tT ,-I ~ .JJI~ ~ d 3 . • ~ l :^ ~ ::. fl J! i M 1 N r ^ ~ ! __ ^___.__ _ _. ... Ja j JI / / i I ~ ~ ~ O v .~. 5 ~ s ~ ~ ~ ~scons~n Department of Commerce 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 July 11, 2003 .GUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPRO VAL PLAN APPROVAL EXPIRES: 07/11/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Ted Marsh 150TH St Town of Hammond St Croix County NW 1/4, NW 1/4, S30, T29N, R17W Lot: 1, Subdivision: Gillis Farms CSM FOR: Description: Three Bedroom At-Grade System Object Type: POWT System Regulated Object ID No.: 910819 Cony The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ~PP~ and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in DE RTMEF chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. N OF The following conditions shall be met during construction or installation and prior to occupancy or use: SEE CORF General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At- grade Component Manual Using-a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • The location of the lot line in question is to be verified. The county shall request proof of the location prior to e issue o e sanitary permit. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Identification Numbers Transaction ID No. 885004 Site ID No. 661594 `Please refertoboth identification numbers, above, in all correspondence with the. agency.. • 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 TODD L SINZ Page 2 7/11/03 • 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 maybe 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 Henry F Grote ,Certified Soil Testing r r - Ted Marsh - At-grade System Transaction # 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: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6/99) Location: Lot 1, Gillis Farms CSM NW 1/4, NW 1/4, Sec. 30, T 29 N, R 17 W Town: Hammond County: St. Croix Date: July 15, 2003 Owner: Ted Marsh Address: 1854 St. Croix Trail Stillwaterr,MN 55Q Plumber: Todd Signature: License # M~' 139462 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve 8: system management malty ~vED ~COMMERC$ rJ^"1° axcs P~NDENC GE~v~~ ~~ JAN 2 5 2003 V BOGS ~~ . AFE~ & 8 page 1 of 8 n ' ° ~ r ~ I ~~^~~ 3~ ~- ~ -+ °o~ a `^ U s ~ ,~ ~, ~- 3 0/ d ~ ~ ~ :~ ~ i~ ~ ~ 3 f ~ ~ ~~~ ~ Y ~a ~~°~ ~~ ~ ~= Y _ ~.,--~~ I~ ~ ? ~ ~ _.°- 1 0 ~~~ ° ~ I, ~ 4 I 1 `~ i ~3J' ~ I~ t G O ~I i~ N (T~ YM \ ~ V i~ ~ ~- J o ..id J c/~ Q v-'~.) ~o i ~.-i ~, s a ~ ~. ~ ~ 9 ~ ~ ~ ^ j cr ~ O ~ ,..:r ~ 5 V ~ ~ ~ ~ ~ ~ J ~'~ ` ~ =~- ~ -- ~. "~ yN 9 ,` ~ J -f _~ N J ~ \ ~ . V C f 1 \ ^ ~ 7 ~ ~ d S ~ ~ ~ ~~ ~ ~~~ ~ ;~ ~ ,~ N ~ m t ~- ~ ~ 1 ~~ t I ~ ~-~ ~ J 5 ~~ f ~ d ~ I t. D ~~ ,, e d ~ ~~ ~ ~ v.l. .J( ~ r ~~ t /~ 4~ f f / N i J _~j / ---~ S ~~ a ~ S + ~ f ~~ ~ i -~ ° w J ~ ../ ~ , ~ i .i ~ _ - d ~ J p - J J ~ ~ } y ..^ A 1.~ ~ -~ ~ ~- __._. x ~ /~ ~ ;s - ~ ~ r ~~ M _ ~d ~ ~ ~ '~ -, J Design Criteria ~' ~ 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 gal/bedroom/day x 1.5 ~y gallons/day hydraulic load 1n situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length Z Lateral elevation Lateral hole size ~1tb in, 3 o hnlec/lateral @ @ Lateral volume Total lateral discharge rate Network pressure compensation losses Elevation difference Friction loss 11otal dynamic head Pump/si~on S 3 Manufacture Dose volume Lift/siphon tank 1-~ Septic tank I/~ffluent filter Design Calculations ~ ~ ~ gallons/sq. ft. per day >. ~ `j in. ~ ~~ in. ~- % w ~... ~S ft. of ~ in. NA ft. of - in. ~•~~` gallons c-a . r, ft f ~, ~ ~•S X4.0 to d ~ a.Z34 3q,b ~ .~~ s'..{ ~ .5' 4. i~' ~S Measurement pump Height alarm from to Reserve capacity specs calcs.res . o ~6 in. ft. @ bottom of lateral in. ( ~• ~ ft.) Spacing holes total gallons gallons/minute @ ~ • ~ ft. head ft. ft. ft. @ `~'° gallons/minute ft. ft. of head Model # ~ ~ Z gallons ~~ gallons ~ `''0"° gallons in. m. gallons Page Z of ~ gpm @ r ~o t..1,1~ t ~ 4 .s ,, , on and off ~-~ o nk bottom ~ ~ ~ o ~5~~ obsn•.,.,w~:~~ ~ ~.., ~ t ~ ~~ Q 1-..; I ~ ~. `/4' y b„ ~ ~4- ~ ~'~~ " ~ (\~ "Fabric - 1 w (O'er. Q„~ ..'. V . \ Observation ` J Well „ ~~ k--- S"~o ~ ~ V L 1~i-tea'. ~ w~ ~ w~R ~ n~- ~.. ~ ,. *1 ~ I ~ ~ ~r~-v --. li^'~ ~ ~'~((~~~\ tot 1~l\ .`.. ~..: }l 1 O ', V ~J ~Gti V ~'Y~ V ti W t C.1.sc~ c.o 1 `~.. Distribution Lateral ,,. ~rfjll '~~~ 12 ~~ ~~ ;'. L ~ a.v ~ ~•O _- ~~~ ~ - 19.~'~ _~.~, , 211 _o '. ~~~ V 2' S'~o' Soil Cover ~~ T ~~ U ~ ~~ ~~~ ~S~ ;~ ~~~~ 2 f'vc. 5.~, ~.o~ I~.o~ I,.o I z.a~ 1 ~ Q.o' b~ U t ~ St ~.Q cy, ,~ r, 3J w, ~ ,. • ~ b {-'i o ~ •. t ~ cs~..,_~ ate. ~ ~ .,.~ ~ ~...,y ~ ~. ~ .o d.. } \z • o ~~ ~~ ~ ~ ~ ( 1 ., o.-=..a~- emu, ~s~n.,.-~ .~... 1-v~ 1 . o~ ~ o ~-. Q~-S e ~ `r u c- 1~, .~ ~ o a --` •__. . . ~ ..~ ~.Q , t~' ~~~ .~ -LACKING COVfiR -~ L</An'N iuc ~c ~BE~ , QvIcK ~~•co~u~cr--~ G ~-~--~ I ~ . b., ~~o~ '-_--~ 4" ?y~ ~~~ 4m P~v6 3' f1U NDISTUR~EQ ~'~ 24" I.D, ~ Maruo~ i i~ r > ~4~~ ~. .... ; p P~ it GY /~ S1CE.T ~N-rJ ~_ ~FLE L ~1PG 4 ~riN E CT; 01~ ~ O r o-CK C,p F'S' o g't1_ 14`3 A1} l ~. Q ~ I ~ Jn ~ ~ QN . h () N. ~ l G.. 1 a1S.p i D tC' ~F~ ~14~a airc~ Z.4,o,, .l a ~ arr~ -r- ON ~~,~.. .• V-r ' 9" , z " FoR~~ I"~n~H WEATNERPRCJF •~,J1~NCTtCr. +~ 4. I ! ~~ ~ ( T ~~i;.'~i7T~ `7 „~ ~ ~ ~ II \ ~" ~ o v i I ~ , 1~ ~ S, ~ ~ / `t 1 I ' I ~ ~~ ~~ ~ - Jtiv~v (~ -1 C- Pwy? I 1 GONr~F-rC i bcoCK T SEPrIc t SP~CIFI•GATIOLJ $ 7A~-. ~ MA-~UFACTURCR~ IJUMB ER OF ~'T DOSCS: ,~r ~ Ems: TA-JK SIZC; `~~~ ~ ~~ A_Ahn GAL.LOIJS DOSG VOLUME /°l/..UUiACTURCR; S, ~T~O~-~~s IIJCLUOI-JC, dACKFLOW: ' ~~'3 CAPAC 3S~'t ITIES A= Z'y'•O c, ;,.;__ ,. wCHCS Oh ~~ ~ wlb Sr/ITCH TyV(; - FuY r r,AUUFACTURCR; g }'O :~ M~ocL 1JUMDCR; ~ S Z ~1. 3 _ _ C e iUC.tCS Cri ~O Q~v 134, ~ D ^ INS HES GR _„ AJOTE': MI-JIMUP'~ OISCMAKCaJ: RATC 3q'b G~h1 PUMP A-JD ALARM qR( T~ e~ INSTA~LEO 0~.1 SEP~RnrC ;,,:~;_ -_ `r'Cf~71C^L Di~FCREA1Cf DfTWCCU PUMP OFf AI,Ip OISTRIDUTIOiJ S'~ PIPC„ FELT r /~^,i1J1h1UM -,JETWORK SUPPLY PRCLSURE 2,S' -* ~ ~C E T OF FORCC MAItJ X ,~ , FR1CT101 -~---- / 0 1 FA ~'~ o iL . i C10R. FEET TOT~I. Dy-.1AMIC NEAP ~ ~ y ~'~-~ FE.E T IIJTER--II,~, DIMC),1b101.1C '01 TA1,1K~ LE1..-(,7H n -r j ;WIDTH ; L.Ip~IO oePYH 1'A~.~ 6 _ F • ~ - ~ 1, ~ --- ~~ HEAD CAPACITY CURVE MODEL 152/153 w~ w W ~~50 153 12 40 152 o 30 ~, z 8 0 20 ,4 0 r 4 10 20 40 60 80 100 ~ITERS ~ 80 160 240 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLiCAT10NS • Timed dosing panels available. • Electrical 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 Modei V_olts•Ph Mode Am s _-._.. .Sim lex Du lex N152 ~15 t ! Non 8.5 1 ~ 2or3 _ BN 15.2_ _ t 15 __ 1 Aulo 8.5 Included i~ 2 or 3 -j - - -1 _ E 152_ 230 1 Non 4.3 1 ' 2 or 3 BE 152 ~ 230 1 i Aulo 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 TOTAt_ DYNAMIC HEAIS f CAPACITY PER MINUTE EFr i.UENT AND DEWATERING MODE'.. I 152 i 153 I~ ~ peel Meters ! Goi. ., I Users Ga'. ~ ~ liters !, 5>~~ ^5 ', 69 ' 261 ', 77 I 291 ' C 3.' 6 ; 23' i 7G 265 t5 4.6 ~ 53 ', 20t 61 231 ' 20 6.1 44 t 67 52 197 25 7 6 ~ 34 ( 129 ~ 42 ' S9 ' 30 9. t I ~- ' 3 T 10.7-, 23 ---- ~ 87 ~ -- -- - ? ~ L_- ~~ 25 -- -J-- r---rt ~ ---~--~~ ~0 12.2 ~ -- -- ~ 2 !OCk IVCIVe: '38.~ F!. (1'..6m,~44.~ .. ~dM`., , ~~ 014508 ~, ~ %4 -- . 2 r/~. -;--.~~..4 :;;-~~ f .~--~_ ~~- ~ I ~------ - -J- sKZOS4 BN153 _115_ 1 ~ Auto 10.5 Included 2 or 3 SELECTION GUIDE E 153 _230 1 Non 5.3 1 2 or 3 e_E i5_3 ~ 230 1 I Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. A 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 Qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float System. w~_ ~ ~ RESERVE POWERED DESIGN ~ 0 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. 80X 16347 '~~ ~~ ~ ~ ~~ ~ Louisville, KV 40256-0347 • ~ ~ ^~' i ~~~ SHIP TO: 3649 Cane Run Road Manufacturers o1. (~,l Louisville, KY 40211.1961 pp http://www.zoeller.com ~ ~ /~UM/~ ~Q (502) 718.2731. 1(800) 928-PUMP QU4C/TY PUMP$ SNCE ~r~~/~/ fAX (502J 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. I •' 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 homeowner, and the homeowner must be provided with a complete set of plans including this management section. I f problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 71 ~-23~- 3644, 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 tlows 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. I . If'the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential 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. ~. 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. 10. If septic or pump tanks are no longer used, they must be properly abandoned. I I . I f construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulch in~~ may be required to maintain a functional system at start-up. Maintenance I . Tl~e 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 ifthe 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. 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, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. ~. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. Tl~e pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. 1 f 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 15' 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. I I . Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficien[ oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential 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, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department of Commerce Division of Safety and Buildings r~ORIGINAI~~ SOIL EVALUATION REPORT in accnrrlanr•n with Rnmm R5 Wic AAm rnriP 1787 Page 1 of _3 Certified Soil Testing County Attach complete site plan on paper not less than 8%Z x 11 inches in size. Plan must St. Croix --- include, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to nearest road. percent slope scale or dimemsions north arrow Parcel I.D. ~ // ~ , , , °"" CSM Pe ~ 7 Please tint " P -~~~~~~@@ a~_ ` ° ~ ~ viewe Date Personal information you provide may be u ed for se osAsPt iv acy Law, s. 1 .04 (1) (m)). 0or /j„„ "'!~ K a p a Property Owner 20~~ operty Location Marsh, Ted ,~t_ ~ ~ G vt. Lot NW 1/4 NW 1/4 S 30 T 29 N R t7_ W Property Owner's Mailing Addre$ i~ ~~ '`" ~ ~~~ L t # Block # Subd. Name or CSM# 03~y~ 1854 St. Croix Trail ~_ ~ ~,t~ ~ _ 1 Gillis Farms CSM e City State Zi C ~ ~~ City ~~) Village ~ Town Nearest Road Stillwater I MN 55082 651-442-8982 Hammond 150Th St. ~. . New Construction Use: ~/! Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement 4 Public orcommercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA _ General comments and recommendations: install 10' x 120' effective rock (12' x 120' overall) at-gra de system w/ laterals following 100.0 contour Boring # .- Boring /i P 40 t it Ground Surface elev. 98.6 ft. Depth to in. limiting factor Soil Applicati on Rate Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ! 0-9 7.5YR 3/2 - sil 2 f sbk dsh cs 1f/m .5 j .8 2 9-24 ~ --- 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .5 .8 I, 24-40 3 7.5YR 4/6 - sl 1 m sbk mvfr cs 1 m .4 ---- .6 4 40-49 7.5YR 4/6 f2p 7.5YR 5/8,5/3 sl 1 m sbk mvfr as 1 m 4 6 5 _ 49-54 ~ 5YR 4/4 f2p 7.5YR 5/3 sl 0 m mfr - - 3 - 5 - -__. ^_~ Boring # ;Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 46 in. Soil Application Rate Horizon Depth I in. Dominant Color Munsell Redox Description Qu. St. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' , "Eff#1 *Eff#2 1 ' 0-12 i~ --.._- i- 7.5YR 3/2 - sil 2 f sbk dsh cs 1f/m 5 ~ 8 2 112-24 7.5YR 4/3 - s I 2 m sbk mvfr cs - ---- 1 m ! .5 8 3 24-39 ----- 7.5YR 4/6 - sl 1 m sbk mvfr gw 1 m 4 6 4 39-46 7.5YR 4/6 - Is 1 m sbk mvfr cs 1 m .7 ' 1.2 5 46-65 7.5YR 3/3 f2d 7.5YR 5/3 sl 0 m mfr - - .3 ' S --- --_ i tttiuent n~ = tsUUS> 30 < zzU mg/L antl TSS >30 < 15 mg/L 'Effluent 2 = BODS < 30 mg/L and TSS < 30 mgr CST Name (Please Print) Signature: ST Number Henry F. Grote ~ ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 6/18/2003 715-233-0398 Property Owner Marsh, Ted Parcel ID # CSM Pending ~ Page 2 of 3 ^ Boring # -_ Boring /' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 3g in. Soil Application Rate Horizon i, Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. I Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i *Eff#1 *Eff#2 1 II 0-7 7.5YR 3/2 - sil 2 f sbk dsh cs 1f/m .5 .8 2 I 7-13 7.5YR 4/3 - sil 2 m sbk mvfr cs 1 m .5 .8 3 13-31 7.5YR 4/4 - sl 1 m sbk mvfr gs 1 m ~ .4 I .6 4 31-39 7.5YR 4/4 - sl 0 m mvfr cs 1m .3 5 5 ', 39-49 ~ 7.5YR 4/4 f2f 7.5YR 5/3 sl 0 m mvfr cs - 'i 3 .5 -- -- - -- 6 ~ 49-59 ' 10YR 4/4 f3p 7.5YR 5/8,5/3 s 0 sg ml - ~ - .7 1.2 I a Boring # `.. Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' __ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I -- ~ I I --- -----~- I ^ Boring # -~ Boring i Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. ! Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots P / : _ __ *Eff#1 *Eff#2 i II I I I i ~ _ _--- -- ~ I ~ I - ~ T i _ - ---- T ---- - I i I * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L 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. SHD-H;;0 (R.0~l00) Certified Soil Testing `I 3°~ ~ ~ ~ sw~ ~~ ~~ 1, i r 1,~. I . -^ ~ s" ~ t rr0 ' ~~ `~ 3 0 ~~ { d _..t- G s d l~ J- 3 ,,J3 ~ 1 n ' N `~. _ s ~ n 9 0 f ~ (~ ~ ~.! N ~ °~ R ~ ~ ~ ~ 3 " ~~ a , s ~, ~ ,~ p ,/4J d a ~~ ^=' o r~-~~/~~ ~ l/9 '~J ~~ a tltl a cat ~ r ~ ~ N ~ s ;~ ~~.~~~ J r ~~ r ..~ 0 /"`i' SS d ,. ~ E- ~ J rv~ a c/~ Q ~-~..~ MI a 1~ ,, iI 4 ^, 5 5 ~ ~ ~~ ~n T \ t~ ? ~ J -~ ~ r v -' ~ _ 'l "i° 9 ~ ~ ~ i J ~- ~ ~ l r ~O 2 9 n ~ s \~ ~ ~. ,f ~s -~ ~ ~ ~ ~I C' ~ + tip r t 'Q. Fw U g' I (~ ~ ~ J 1 f ~ 3 ~ --~ II 06~16,~2~1~13 18:57 6514366254 TELr P9~RSH F'~uE ~i5 . r~s qZ ap FRZ LQ:7i r~l 71~ 788 Mega 5'I r,R~ co 20NihG [~jU(11 ST CROIX COUNTk' ~ ~ 3 d ~ ~ ~~ SEPTIC TANK MAI~ ~NAN~ ~'`O~ENiSN`f OWNERSFiIF' CBItTI~'TCATION' PCRM Mailinfi Address ~~~ ~ - Property Address ~ ~ .~~ %/~ ~' % ~ j~'~`~'~ / ..~_ (Vcrit-icatioa required from Piatutin~g beparatt~t for nta ceastrvecion) CGS - Qa - K7O City/S~te ~ ,~p.~.4 r~ Parcel Idenrificadon Ntunbec G/b~~! ,~_~~ property L' ~r,.atioc~ ~r•, ~l/ %., Ser._ ~n_, T~N-A f ~_W, Tnwn of ~ N Nl~~•!~ . ~- ......~ T~-at # Suhdivlsion Certified Sntvey Map # ~ ?' ~ ~....:.~-.--.--~ Vo3uxme~ ,,,__~ T ~ Pale # ~~a ~' ~~~ , 'Volume 2__ Z~~.....r• Pale # .,,.,.,. ! S}' ~Varx~anty Deed # _ ~"~' Spec house Q yet ~po l..ot lirics identifiable yes U no - M~~rrr~x,~rrC~ SYS `",~ y ac em could result in its premature fiilure to hsadlC wastes. Proper t~tioteaance I~propar use nad mainteaasu'.t•pf our sap ~ ~ a ~~~ p~p~, What yon put iIIto else system ceas~sfs e~ t~p~ oat the septic tank e~cty three years or sooner. if ~aeedad b saI tai. can aacct t6c tiiaerioa of tlto ecpric tank as a teeatment crags to !bC a25tc dispa ~ Tbc proP'erty oaucc ogtces to submit to St. Croix Zoaiog 'Dapa~eni a eortiSeatton form wed by the ow'aer.' and by a otuncymarxpt~sber, tesuicttdplatnbcr to a ~~~7~pet rerifyiri8 t'h'at (X) the ot~sitc wastCwater disposal lystsm ty~- pCrop~r~openaug oondiaoe axsd/or (~) after tns'peetion and pumping (if mect~su'Y). ~° ~Pdc ~ ~ less than 1/3 t1~11 of sludge. I/fc, the ticaderFigacd Dave tend tht about tequie~emaots and agrte to maiarata the privato reaage disposal system with the staaduds herein, as set by the Depsrtauzu' of Commerce and the Depas~cRt of Natural ResoattCa, Stara of VJisconsln. ~,rtitlesden cat forth, sudgg that your septic system bas been c~aiatilncd must be completed and rcnamtd tp thG St CYouc County Zoning t7(Iiee arithin days at' the ear expiratiari deco. ~~ 4 ~._.._ pATE Sl AT[TR8 OF AYpLICANI' ~K"VT,Ii CERTIFICATXQN c the owner(s) of Y (we) certlf~ that all statements oc this tprnt Ace tuts to t}ac best bf rly tour) ~ovrledgc. 1 (wc) am (es ) Ile property describers above, ttiy virtnc of a wnrranry dtcd cecarbcd in Register of Deeds Offiee. ~~ to ~ /d~ ~- r~wT~ SIGN T'~JR~ OF ApPT-ICANT att2rsCG~ ••••~* +••••• Any inSermatioA Lhac is mss-tepresetsted may rosult in the sar>3cary pet~tir tseing revoked by the Zoning Dsp '~ Iatluda With thts application; a itasztped warranty deed from cht ~ tcfoeenee tso~ ~m the warranty deed a copy of 17aa cettifl,ed curvet' map 1 2293.' t~57 727981 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. MALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO. , IiI RECEIVED FOR RECORD This Deed, made between Darcy Borst dnd 06/30/2003 12:15PM Suzette L, Borst, hus and and wife IiARRAIiTY DEED El(FIPT t Grantor, and Ted R. Marsh and Raejean A. Marsh, husband and REC FEE: 11.00 wife, TRANS FEE: 114.00 COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of the NW 1/4 of NWl/4 of Section 30, Township 29 North, Range 17 West, St. Croix County, Wisconsin, described as follows: Lot 1 of Certified Sttrvey Map filed October 10, 2000, in Vol. 14, Page 3967, Doc. No. 631484. Name and Retum Address First State Bank and Trust 950 N. Hwy. 95 Bayport, MN 55003 ~~-- 018-1067-00-200 Parcel Identification Number (PIN) This is not homestead property. pf) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ 7th day of June * * AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Oglsnd Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) * Darc Borst * uze 1. orst ACKNOWLEDGMENT STATE OF ~E"f)~Iti MINNESOTA ss. Washington county ) Personally came before me this 17th day of June 2003 the above named Dareysorst and Suzette L. Borst, husband _ and wife to me known to be the person(s) who executed the foregoing ~ ent and acknowle ed t same. * c. ENE S' Notary Public, State of Ylt#9u81t33R Minnesota My Commission is permanent. (If not, state expiration date: •) * Names of persons signing in any capacity must be typed or printed below their signature. IUITHLEN6drb+a11Jt1}1G6A u canpenr. Fond d~, gee, vu~ STATE BAR OF W ISCON5IN ~~ PubYC eoo-85szo21 WARRANTY DEED FORM No.2-1999 ,..~ ~ «.,,,,. Fl6/ 16? 2013 78: 5 i 6511366854 TEL1 1+9L':F?6H PY;GE E91 08t11/p3 WED 1S: J8 FAZ 7]:a 598 4887 1tEGI9T'ER OF DEERS ~Otf1 - • /b y H '~1--i u' a t~ a~+ ~ °.~ o ~d~~~ ~ ~ ~~~~ ~caecra t ~~ h f ,, C t' T 1 Q F©GO ~~ xal7t(t:-vH wu~ , ' R~.:y~:3 at D~'p /~ ~ SC CraLt Goti MN 2 ~ ,;; CERTIFIED SURVEY MAP ~! PaRT op NWI/~ OF THE NWIl4. SECTION 30 .o T29N. RI7W. TOWN of HwvNONb. ~ 9T. CROIX COUNTY, WISCONSIN UNPLA'I7Eb LANDS ~ ~~ .. . ........... . , rh .......... ...................... .... .` v ~~ 1~r ~~ ' NORTH L t NE NW 1 /4 SEC _ 30 "r ~~ _ ~ N N 89' 47 " 20' E' 2669.58 " -•-w .r d 0 . z va ;,, '- O ~ 33 . oo - 275 .00' J ~ N 89'47'20'E 550.00' 33.Q0' 208B.5e' -, ;~ * ...,.~ .......... ....2•~5~. 00'. -....----- ---..... ......... _ _ ------- 275.00 ' ` ------........,. -- -.. _ . C = O S 33' s3' '~Q~' 1 r N LOT 2 ~ ~~i ~ ' o ,q~ b~ I I d f ng gat .bank ~- -- -- -- -- a~ p~~ N (~ o; r+ -._ •,. I 74 AC- INC. R/W w _ ~~r' if 1.p~ AG. fNC. R/W 75.8235F. ~~ ~+ ea.69e aF. ~ I.53 ac- EYC. R/w ~ < ~ ~ ~ , I 1.53 we , EXc, R/W ~ 66.548 SF . ° r-~ - ~ 68.548 $!= _ h ~ ~~ - 33.00' 7¢-OQ' o'I ~ ~ OO' 2751.00' ~ ~ 550:OD' " .235®.Sa` s e9~4>-20-W sea-oo- C.EGEND 47NPLATT1rb LANDS .WEST LINE NM1 14 '"'-" ~ SE7 3/e- X 24- 1 RoN P I N sEC, 30 WT. 1.50 LBS/FT. BEARINR93 REFERENCED TO THE 1 WI/4 CDR. WEST LINE OF THE NMI/4 SEC, 30 m AIUNINVM COUNTY MONUMENT ~ (ASSUMED NOO•If"21'E1 ® FOUND 2" IRON PIPE SCALE 1` - (pp' "'~="'~ O FOUND 3/4" 1 RoN P I N O 50 f00 150 i t I..YIE L. ELLtOTT. REIDISTEREO LAND SURVEYOR 5-1300 DO HERESY CERTIFY THAT TO THE BEST Op MY kNOWLEDCiE AND t~Q~IEF THIS MAP Is A TRUE AND CORRECT REPRESENTATION OF PART OF THE Nwl/4 OF THE Nwl/4. SECTION so, r24N, R17W. TOWN OF HAMMOND. ST. GROIX COUNTY. WISCONSIN ANb DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTF~W~ST CORNER SAtO ;I<ECTION 30. THENCE N89.47'20"E ALONG THE NORTH LINE OF THE NWIJ4 OF TH NWt/< 58'.5.00 F1eET: THENCE SOO•{)"22W 275.00 FEET: THENCE 589.47"20"W 583.00 FEET TO THE WEST LINE OF THE NWpp111 Of THE NWI/4~ Sn~DCPARCELIG°NTaENQ4N~~68DACRES fLiOR~ ORSL'ESSFANb sUBJECTPTONTH~FNO~~NNAND 1NE9T 33,00 FEET OF SA10 PARCEL FOR ROAD RIGHT°OF-WAY ANO SUBJECT TO ANY OTHER EA9ENENT3 OR RE5TR{CTIONS OF REGARD. { CERTIFY THAT I HAVE FUJ..LY COMPLIED WITH THE PROV191oN9 OF SECTION 236.34 OF THE WISCONSIN REVISED sTRATUTE3 AND THE ORDINANCE OF 9T- CROIX COUNTY IN SUAVEYtNB aND t.4AP P I NG SAME , EACH PARCEL `SHOWN ON Ty-1t9 11AP IS 3UeJt:CT TO 3TATE_ COUNTY AN0 TOWNSHIP LAWS. RUt,ES ANO REGULATIONS (i.~, WETLANDS, tNININUNI LOT SIZE. ACCESS To PARCEL ETC.) BEFORE PURCHASING OR REVELOPtNO ANY PARCEL CONTaCT THE sT. CRO1X ZON1Nfl OFFICE ANO TH£ APPRpPR1ATE TOWN 1~JOARD FOR ADVICE, YH(S SURVEY Was I~aoE aT THE REOUEgT OF oILL1s t=aRMS D- --{~ G/O TH061AS G1I.LiS 1488 HWY TT. HAlaMONb. WI9, 1796-2805) L YL L . ELL t OTT . RLS 1,300 APPROV~O ~~`~~.\~ ~--~'~~"-~~•. 047E : f e ,(p ! y, mod, V tr l'- CF[OtX pDUNTY - Ott Z ~n+lrq Zantra vd PaAs Con+nUtrra ,~~. ~•'~ `. Eta- 1 S kEV 1 SED f O/6/2p00 ~ ,LV1-E B_~3~C ~ 90M1•W` TH 1 S I NSTRUAAENT DRAFTEd SY L . ElL (OTT OCT ], O zQQa NuD : ' Iine+~ardeda -~ n~aiyand ~~i~~`e~ n~,S Jn, :, ~ nuM ana avid Vot.74 Page a~5~ ~!" .ei1t of Industry, ~b r .an Relations of Safety and Buildings SOIL AND SITE EVALUATION in accordance with s. ILHR 83.09, Wis. Attach complete site plarS`on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not Limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~ APPLICANT INFORMATION -Please print all information. Personal information you''provide maybe used four secondary purposes (Priv/a~cy Law, s. 15.04 (1) (m)). Props ~ M r V / ~l ~7 ~ V I •~~~f ~~/ ~7 ~/ ~ ~ . GovteLotLlr W Property Owner's Mailing Address V~'~~ Lot # Block# ~~8~ >~wy TT ~ ~S, C,, i~y! State Zip Code Phone Number 7/s ~1A~MMON ~ I W /• ISyolS I (?9Gv) zl.~ 0 5' ^ city H~M ~ Nearest Road ~~ f~ $~; I Town I ~ ~lZf9 y. ]-' T L'D New Construction Use: L~J'Residential / Number of bedrooms •~ ~ Addition to existing building ^Replacement d ^ Public or commercial -Describe: Code derived daily flow 7~ gpd Recommended design loading rate bed, gpd/ft2 ' ~ trench, gpd/ft2 Absorption area required .50~ bed, ft2 s~ trench, ftz Maximum design loading rate bed, gpd/ft2 S trench, gpd/ft2 Recommended infiltration surface elevation(s) s 3 ft (as referred to site plan benchmark) Additional design/site considerations E TES - rE r/%~~ ~ D(>~u D .s $T Parent material /~'.ss' OGf;,e ~% ~/ Flood plain elevation, if applicable ~ ft S = Suitable for system Conventi~on/al ,M-,ou~n In-Ground,P~res~sure AT-Grad-e,/ System,i~n,Fill/ Holding Tank U = Unsuitable for system ^ S L~ U l~ 5 ^ U ^ S L~ U ^ S L~ u ^ S L~'tl ^ S Boring # Ground elev. /oy..~.ft. Depth to limiting factor ~_in. J!•,S•s Boring # 2 Ground elev. ~,~ft. Depth to limiting factor ?}min. Remarks: CST Name (Please Print) T v~ty dv. (~~~R,'r' ulw~~~C~~signature Address pij~to Sowa~a Consultants Datev 658 CYNeN Rd. _ y~ CO - ~-QD'a SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure i C t nda Bo Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ons ence s u ry Bed ,Trench ~ n• g ~o yR 3/~ L- fsb~ s CS /f • y ' S 3 ~• S ~' s ye y/ Mix f v S~ ifshk ~ ~,e a ~' .- . ~{ ; . 5 k ~~ /o y •F ~ N oT5 • S. O .Q a - . ~ ~ • g ivye ~!2 Remarks: ! 0.8 io ye 3!y ~ i~'s,6~ ~s cs ! f • ~ ~ . s 2 g• lg ~• S ViC~ U,! SL ~7'~ ~Ylr-~iQ C's • `~ ; . s /4 yR •~ l f~ h oTS SL /7~ nti, ~,,e cf . ~{ ; . S Page + ~ of ' ST c,~oix Parcel I.D. # "" ' r - / D/ ~ - /OC®7 -D'a • OOD Reviewed by Date 1/4 ~~1/4,S ,' ~ T 19 ,N,R ~ ! E (or)© Subd. Name or CSM# ' pE.vpiN(r- Telephone No. 7cs•3B~•8i8s CST Number ZZ43~ S ~~` ~~`/js F~f-~jl's SOIL DESCRIPTION REPORT PROPERTY OWNER PARCEL I.D.# ~/~ ^ ~OIE 7 ^ O"a ~ ~~ Boring # Ground elev. ,a y~tt. Depth to limiting factor 2 2 in. ~S~ Boring # Ground elev. tt. Depth to limiting factor in. Boring # Ground elev. tt. Page Z o i Horizon Depth Dominant Color Mottles T Structure i t C B d R t 2 in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ons ence s oun ary oo s Bed ,Trench / o~ ~ ~ oyR 3/ ~ /fs~6~ ds cs Z '/~ /O _.--_ S L / ~ die C ,s - Or cS - .~'.8 ~ c2a2 frogs ~l ~~ / f .w-~ C -- ~ -S S .G /Dy~P CZ oe Mo-FS $CL /7~f~1 ~ ~, ' . L ~ 3 S Remarks: Remarks: Horizon Depth Dominant Color Mottles T Structure i n C t B d R ots GPD/fl2 in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ons ce s e oun ary o Bed ,Trench Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor Remarks: 'n' Remarks: SBDW-8330 (R. 08/95) M '.~- O M ~~ ~'~- t ~v~!~iao ~~% ~-_' v W ~~ `~~ .~ a• V ~1 V 1~ • ~~ O V (\ ~ j` Q ~ M t U a ~- ~ A N ~~m3 ~ z~ Z ~O N r w 7 In ~ p ' •' ~ I ~ 0. ~n ,o C~ , 6~ o ~\ • ~ ~, ~~ ,~ ~O ti ac h O O ~. .. Q l .9 J.'t10 FRJ 11:34 F.4Ji 715;f8852t32 ~trrtNr.-r RR~iTV t---I a!} r_ 9~ tC7 .~ J~ ;ti C? r.. _.....- ........~• ~ D~ $ --1 ~?Ce7 ' C~1~~~ I F I E~ SUPUFI' MAP ~ _ 4 PART OF NWI/4 OF :HE NW!/4. SECT{ON 30 -, D ~ Q T29N. R17W, TOWN OF HAMMOND. ~. / ~~ Si', CROIX COt1NTY, WISCON51~ Q Nw ccR, UNPLATTED LANDS ~~ SEC. 30 "- ~ ""' /r ......................~..~,0.....~~.~..................NORTH LINE NW114 SEC.,.3o ~w ~`! ~ ~N 651' 47 20'B 2669.58' a.n °~ 593.00' ~~ ~ ~" OA 00' _N 6F°47'20'E ..33.40' 75.00' ~...~ 550,00' 33.00' 275.00 ' 2T5.00' J 33 L l ~ `~ ~ ~ O ~y .e . N u ~tL ~ vi o C, _~ ~ , _ N ..~,~r ~_..c_- -- -- , ~ '1/ l ~, N ~ i ~ N ~~ O ~" ~ I i00' 1 - N 1.74 AC. INC. R/W '~ N . 1 bvlldi~g yet bnck o 75.6<3SF. ~ ~' I L , I .94 AC: , l IBC , R/W 9 ~ 84 F ~ x I .53 AC . EXC . R/W 548 SF 66 5 % j .6 9 S . , , ~ ~ ~ 1.53 ar., EXC. R/W 66.548 SF. l~ 2'15,00' ~ 275.00' ~ ~ 33' ~' ~1 W; ~~ ~ N o, ~ _ • M~ ~~ =' E . w _ 30A.00' N -~ ' WEST LltyE NWI /4 - „~-'sEC. 30 ~ DWI/4 COB. SEC. 30 o / z THtS SURVEY WAS MADE AT THE REQUEST OF OILLIS FARMS C/0 THOMAS rs~i ~ ~ c ~isR uwv rr uauunun ut~c i'fnn_nc nt. LYL ~. E LIOTT. RLS 1300 CATS ;..'?_.~~~~0 Tii s s 11as TacfMElVr DEAF TED BY L . ELL 1 OTT SCALE I ` - f ~~0' 0 50v _ 100 JISO s 8s•~4T'20'w 583.00' UNPLATTED LANDS BE.ARiNGS REFERENCED TO THE WESTLINE t~Wl/4 SEC. 30 (ASSUMED N00'II'21'EJ ~ ~~ N V ~ ~A~^1! N v! _ Q~ - Q. p °o Ix H 0.I LEGEND ~ SET 3/4' Xl4' IRON PIN WT. 1.50 L8S/FT, m ALUM. CO, MON. ~ FOUND 2" IRON PIPE 0 FOUND ~/4' IRON PIN b 1, LYLE L. ELLI4"f~T. REGISTERED LANb SURVEYOR S-1300 DO HEREBY CERTIFY THAT TO THE BEST OF MY KNUN'LECGE AND BELEIF THIS PLAT lS A TRUE AND CORRECT REPRESENTATION OF PART OF THE NW?!4 OF THE NYlI/4. SECTiGN 30. T29N. R17W. TOWN OF HAMMOND. ST. CROIX COUNTY. wlscONSIN a1~0 DESCRIBED AS FOLLOW9~ 9EGINNING AT THE NORHTWQST CORNER 51AID SECTION 30. THENCE N99.47'20'E ALONG THE NORTH LINE OF THE YWI/4 OF 7H>; NW!/4 563.00 FEET: THENCE S00'Il'2eW 275.00 FEET: THENCE S89° 47 ' 20"W 583.00 FEeT TO THE WEST L I NE OF Tl iE; N1-d! /4 OF THE NW I /4 ; !HENCE N00'fs 2P"F ON SAID WEST LINE 275.a0 FEET To THE POINT OF 9EOINNING. SAID PARCEL CONTAINS 3.69 AC!tE5 MOR@ GR Li_SS ExCEPifNC+ THE NORTH AND WEST 33.00 FEET 4F SAID PARCEL FOR ROAD R!(3HT-OF-WAY AND SUBJECT TO ANY OTHER EASEMENTS GR RESTRi~"TiONS OF RECORD, i CERTIFY THAT i HAVE FULl,'1;' COMPLIED WITH THti PROVISIONS OF SECT{ON 2236.34 OF THG WISCONSIty RE~VfSf:D STRATUTES ANiS THE. ORDINANCE OF ST. CROIX COUNTY IN SURVEYING AND MAPPING SAME. EACH PARCEL SHOWN ON THIS PLAT 15 SUBJECT TO STATE. COUNTY AND TOWNSHIP LAwS, fiULES AND REGi1LATfONS fi.a. WETLANDS. MINIMUM LOT SIIE. ACCESS TO PARCEL. i:TC,i BEFORE PURCHA51P1C; UR OEVELOi~ING AND PARCEL CONTACT THE 5T. CR01X ZONINQ OFFICE ANO THk APPROPRIATE TOWN BOARD FOR ADVICE, ` ^~?Sii1~~t tt y- .i`~ ~ `,rr ,`` ~ j,! o o~~ . ~ .,. .- OR ~~ ~ ~ ` q~ '. ~~ ` ~ ~ o