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HomeMy WebLinkAbout018-1067-00-300n ~ ~~ S ~ < 7 _ < r 7 ~ O] ~ ~ o c w m N N ~ ~, v v, O O ~ o ~ N c d (A c ~ A ~ i O ~ CD ~~ (S9 A ai ~ r -~ ~ ~ W (O ~ f.. O N O ° °- o o cAo (D n W ~_ a ~ ~ ~ ? m v C CD I N ~ O y ~ N N Q < Q a p a p. na°'~ a m T.~ ~ a~ Z ~-'~ ~~ o n.~ ~ ~~ ~ d ~ , d N ~ ~ 7 p O N N „ „ ~ ? N C y ~ (D cm~a~ r.~ ~ ~ ~ ~a3~v m ~ n~°'c (p d @ N N ~ = O I N tU N y = .~. p ~ p = O 7 (D 7 N ~. N fD ~ f~ 7 .C. O , N EA O O ~ O O. c~ cn p ! I ~ ~ c~ C7 ~ ~ro ~, ~~ _ ~ ~: .. ~ , - .. :~ ~ O ~ W ~ Wo o "t ., W 41 3 N ~ r. ~ ~ ~ ~ f o ~ ~~ " ~ ry d A O S ^~' G O v O .+ 7 N O ~ O p C d N ~ p '~ Q ~ 'I ! O , ' ~ ~ , O W Q 'I ~ ! O O -I n r Vi o o y p C ~ ~ ~ ~ ~ ~ °~ O O O ~' • ! ~ ~ N ~y V t Il lr ai f '. ' ~ D v vq ~ ~ . i '' m ~ w '', ~ _ ~ '~ ~ ~ .' N m li 3 ~ ~ V c C D D o a A ~ ! o nn V O (D c p Z n v -~ A A j fD i ~ .. N O . Z N ~ O W ~ %!i ~ O Z p. ~ A ~ O Z vJ C .. ~ ~ A W G T c 3 a Z O O a ~.. , a t A ti O b ti b 4 O hq V N v '~ '„ V ~ ' f ' 3 I i b ~. ~ r. ~ ~ ~ ~ I ~ ~ ~ ~ ~ G I ~~ ! ~ - ~ ~~° n I I ~. ~ o I ~ ~ m m ~ o ~ ~ ~ '' o=i c ~ ~ • ? a> 5 5. C >> m~ . f.J y rn~ 3 N~ S° F~1 D ~ I w~~ ~~~ N~~ 3 o ~~~ ~ I a N ~ ° v c m a"a b ~ "~ n o I o ~ m d d m c c n `~ '' ~ ~ w ~ O p I 3 ~ ' ~ ° p , ~ m o m o ° ~ ~ ~ A N d ~ c ' ~ I 3 J W ~O ~ (~y I ~ 0 ~'0 m ~ ~, w ~ a '; ~V ~ N N ~ ~ ~ a ~ ~ 'Y ~ ~''~ ~ N Z f ~ ~ yN~/l~ o D I ~ ~ Q ~ ~ v v ~. `D d ~ O ~ ~ ep ~ ' cc w .. N CT 3 ° ' N - ~ I a ~ ~' t N o D D o ~ O I O c ~ I o ~ o. ~ !r. I coo c I ~,, I a m m ' ~ , ~ -~ ~ cn A Z ~ N f 1 ~ ~ I ~' A ~ 3 .. o I W ~ ~ ~ a 3 ~ z a ~ o° .-' ~ z fA Z I ~ w .p I I ~~ a I ~ ~ ~ ~ a ~ ~ I = v ~ ~ o ° ' o ~ _ ~, ~ • W j, N O I rna N 1 n 1 O ~ fp O O` 7 ~ 4 I d N o W I ~ a y ~ N o ~ 0 A I o :A fD d0 ~ NO I 69 0 ~ ti , ~ O~ ~ ~ O V ~" /* Nscon~in Department of Commerce PRIVATE SEWAGE SYSTEM S fety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law,JE.15.04 (1)(m)J. Fg~~Ir~Pr~~,me: p city p vµ{~~d ~ wnsh CST BM Elev.; r ~ Ins~M El~v.: BM escrip on: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ 6~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic 1 ~ ` (~ ~ - NA Dosing > ~ ~ ~~ I I NA Aeration NA ldi H ng o PUMP/ SIPHON INFORMATION Manufacturer ~c- Demand Model Number S~e, ~ GPM TDH ;Lift b ,~ Lriction ~ System3.~ TDH ~,o q t Forcemain Length S'p` Dia. HZ " Dist. To Well ELEVATION DATA ID No.: STATION BS HI FS ELEV. Benchmark , qp or, p Cep , p Bldg. Sewer ~ ~ ~ / , 2.0 $ 7 ~ St/Ht Inlet ~ g 3s St/ Ht Outlet ------ Dt Inlet Dt Bottom ~S-~ 83,~Z Header /Man. Y~ , Dist. Pi e • 7 ~~, ~, o ~ : ~ ~ ot. System dL , L ? 0 1 i~- Srt Comer - ~ m S'. ~ o z. / 7 ~~ ~ o~y. , 7 SOIL ABSORPTION SYSTEM ~~ ~~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Y ~ ~ C.oMMENTS: (Include code discrepancies, persons resent, etc. Location: 1509 Cty Rd TT, Hammond, WI 5015 (NW ~/4 NW 1/4 30 T29N 1.) Alt BM Description = Ljf,,,~,,a,~.I.wQ.~. ' 2.) Bldg sewer length = ~,o -amount of cover - ~ Sro ~,,.;,t~) ~-/' 3.) contour = Plan revision required? ^ Yes ^ No Use other side for additional information. - 302917457D -Lot ~ ~~°? o.w..,In;~ ~ ~ ~ ~ ~ s~- ~ -,~~ 97. a. SBD-6710 (R.3/97) Date Inspector's Signature E Width r Length t No. Of Trenc es PIT No. Of Pits Inside Dia. Liquid Depth IMEN I N ~ DIMEN 1 N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING ufacturer: SETBACK INFORMATION TypeO f , ` r,~~ -~~ CHAMB OR UNIT Mo Number: System: rvlC9*-~-wdl ~~ ~ f'fItTRIRIITI()N SYSTEM ~ ~~D ~' °~ r°`'r'-~~ ~ ~`~ y • (o ~` ~. r o Header / Mani old ~~ Length ~ Dia. Z Distribution Pipes ~ ~~ ~ Length ~ Dia. Z Spacing ~ ~ x Hole Size 3(~ // x Hole Spacing e~~ ~/ Vent To Air Intake ~---~ Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center eed /Trench Edges Topsoil InS eCt10 #'C9 Yes / ~/No Irl No / Cert No. Q~ A~ ~~~ ' ~' ~~"~ ~~ P.dL ~ SanitA!!y Permit Application Its accord with Comm 83.21, Wis. Adm. Coda ,,~~0~$~~ See reverse side for instntetions for eomplating this application Personal irtfomtatian you provide may be used for seco oaasrtmsm of Commoroe (Privacy Law, s. 15.04(Ixm)] ndary poses h co fete p ens to the Doan co y for the s stem, on paper not less an 8 nnlP-- taM ~t~s permk Wumber eo revision to proviaus ap ice on . ~TO,~ 2 ilea on Iaforma ots - Ieaae at a111 Information Safety ]3ui1 ings Division 201 W. Washington Ave. PO Box 7302 Madison, WI 53707.7302 (Submit completed form to county ifaot state ownod.} -1/2 x 1 I ea in size, ~t utn s Locs;#io>w: erne ~ M(JI/4 /4 S ~'2 ~ n a s t o um as s z ry' P e Phone urn r ~~o~ w ~ ~S~a ~ ~ (7is-~ - ~z ~ ~ ~~ ~~ C ". ~~f cs +~ . 3 fi Type of i e Belt one) sue„ ei,,~ ~ D City -1 2 F i ~ or atn ly Dwelling - No, of Bedrooms ; D Village l7 Pnb1i ~C i J ~ ~ -- ~ otnmorc a (describe ttae):_ Dan of D StataOwnod 91 • o i'rl 5t ~OOd ~. ~ 'x~~ ~ C~ ``Qu l I `' ";` . In. of rm t: (Check oai box on line A. Chec box on line B f iicable) 7 - O _ ~ A) 1 • S °~' acement o 4. 51 diU~ ~ ~ lt S at etrt Tank On Y O . 1 ~f s' 8x S it ant Sane D A Saai Permit wan vioual issued IV. o tam: (Check ail that apply)-~ (~ No In-ground ~Maund s ~ ~ Sand Filter O GOnstructed Wetland Pra ~uiud In O Atgrade •gtnund ~ Iioiding Tank ^ Single Pass ~ Drip Line O Aerobic Treatment unit O Recirculating O Other: V. Db reatment Area Information: 1' ~ real a sp Area ! pplicatlon erco of on 6, ystam sv ~~-~ Required Proposed Rate (GalsJday/sq. R.} (Min.tinolt) n Elevation ~ d .'~'6 ~' d -- 7~ ~ S d d Tank apacity in Total # of Manufacturer prefab Slte Fiber- lastic Ialormatlon f3a11ons (3allona Tanks Con- Con- glans g crate sWcted Teaks Tanks }~ D O O ,~- ~ ~-- 1~ D O ~ VIIL Res 11ity Statemeet ~ the underai assume res i for installation of the POWT3 shown on the arias cans m tttn s gnatwe no stamps (/ us Hass na um1 e~ ~t~6~ / ~ ~ li7K. cousty/Depsrtauant ae on1Y , ~A ved p ~PProv ~Y ermtt ee ncludes q-o water slue su ant Ppr'o Owner Qiven Initial Adv~ Swaharge Fee) Qp ~ B anatare o Z( 2~o I X. Coaditionsl of Apprpvai /Reaisiuns for Di4sanrnv~t. ~ `~S ~a~~~~ ~S ~-er' a '~'i "' SY~ S ~ ~-~ ~ ~ ~-~•~e~.ragw. ne S ~ ~• 4ra,.~- -' C~u.~2`~'Qn.[S S -~o ~ weM - i ~-, ~ avtfn,2QaQa~¢.~ `~.-~. ., ! s sf~ I e. ~ ~b ~.e.. ~~~~e~ ~ bed-ors Y c~.tn.eaaP BD-6398 (R. 07/00) ~~~ ~~ ~~~ L ' ~^'~- `~ l S ~~~ ' PLOT PLAN ' P JECT Genv Beach ADD ss 225 9th St. Hudson Wi 54016 (VVU 1/4 IVV11 i/45 30 /T 29 N/, ~1~ TOWN Hammond C 4/18101 MPRS Shaun Bird 226900 DATE CONVENTIONAL IN-GROUND SS RE CONVENTIONAL LIFT HO MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE OUNTY ST. CROIX BEDROOM 3 LDING TANK DOSE TANK SIZE 600 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION s~~zrtuv~1 ~. (~~ B.M. Tank is to be properly bedded and provided with lockdown covers with approved warning Alt. B.M. labels Scale = 1 /4" = 10' -.~. =~ad~y ~® ;OMN;ERCE ,ND BU S JNDENCE ~3~~~~ Huffcutt ^ ~- Combo Tank 9 2' B - - ~/i 91; 89' 88'' 8% Slope B- w 0 0 m r m Area 15' Below System is to remain undisturbed Pro 3 Bedroom House "Well is to meet all setbacks found in Comm. 83 System designed using Mound and Pressure Manuals version 2.0 ASSUME ELEVATION 100' Filter Zabel A-100 y ~ ~ ~scons~n Department of Commerce May 09, 2001 CUST ID No.226900 SHAUN R BIRD 1008 192 ND AVE NEW RICHMOND WI 54017 ATTN: POWTS Inspector Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/09/2003 Identification Numbers Transaction ID No. 639524 Site ID No. 628993 P.~.~ Please refer to both identification numbers, SIT SITE ID: 628993, GERRY BEACH above, in all cones ondence with the a enc )D1 ~~t ~ ST CROIX COUNTY, TOWN OF TROY; CTH TT F` NW1/4, NW1/4, S30, T29N, R17W FOR: NEW MOUND, 450 GPD D~RTMEP.7 OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 790108 '" Of SAFI The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes _ CORRE and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/O1).. • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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 maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. . ~ a '. SHAUN R BIRD Page 2 5/9/01 • The management plan /users manual must information regarding the quality and quantity of wastewater discharged to the system. This system is designed for wastewater strength with monthly averages of less than or equal to 30 mg/L of fats, oils and grease, 220 mg/L of biochemical oxygen demand and 150 mg/L total suspended solids. - • The septic tank shall be serviced at least when the combined sludge and scum volume equals 1/3 of the tank volume per COMM 83.54(3)(b). • The actual liquid level for the specified pump tank is 42", per product approval. The proposed pump settings provide a dose volume that is greater than 5 times the void volume and less than 20% of the design wastewater flow plus drain back. The reserve capacity has been adjusted to reflect this. • Maintain well and waterline set backs per COMM 83.43(8)(1). • The changes made to this plan on 5/9/01 by this reviewer were acknowledge and approved by the system designer. • NOTE: A soil absorption system should be designed as long and narrow as possible. This system has a high linear loading rate of 7.9 gallons per foot. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely ,--~ ;~% PATRICIA L SHANDORF ..~~ POWTS PLAN REVIEWER ,INTEGRATED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE.STATE. WI.US DATE RECEIVED 04/23/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: GERRY BEACH PLOT PLAN PRnJECT Gem Beach ADD ss 225 9th St. Hudson Wi 54016 NW 1 / 4 IV1N 1 /4 S 30 /T 29 N/ 1~ TOWN Hammond COUNTY ST. CROIX .- MPRS Shaun Bird 226900 DATE4/18/01 BEDROOM 3 CONVENTIONAL IN-GROUND ~ SS RE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 600 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 92.60 B.M. Tank is to be properly bedded and provided with lockdown covers with approved warning Alt. B.M. labels ~Scal e = 1 /4" = 10' -.~. :~rct~'ly ,~f~"N~ERCE ,~lU BU ~~~ - ~)I:DENCE ~3~~~~ Huffcutt ^ ,~- Combo Tank 9 2' B- m~91' 89' 8 8' 8% Slope ^ B-; Area 15' Below System is to remain undisturbed Pro 3 Bedroom House "Well is to meet all setbacks found in Comm. 83 W a a 0 -a c~ r m System designed using Mound and Pressure Manuals version 2.0 nsai8n~r i~~re y~~ ~-a~ ~ct, S A- rte. -- 4~~ Qb+~ex'vation Pipe Ptrforata~d Batow Filter Fabric A81lt G-33 Sand ~" Topsoil ----~ ~~ ~o 07~ ~~ d'"D Bed Of ~~- 2 ;~ Drain Rock Distribution, p;pe -F'roR, Pump Coss Setfian 0! A btavnd .ra s1 m Usin A Bed For the Abxarp tian Arco ~ ~ ;, ~• ~ft~ /' A ~,~,/~ '1 L L ----- `Piowee L.a y+r~ ~Q ~.~ ~~ f ,,, ~ • G~ ~ ,.,~...,, F t . H ~,S ' .__.._,. F t . 1~, , Ft.~~. ~~ i , ,. ~ e D Ft. '4 . t ~ , `~Ft. W ~g!r Ft. J f 4~"Opservation Pips ~"'_'...-..._,_ a ..._ K -r------»w--- ..... ~. .r~..~~~rsr....r r~r~~-~w r.. ~.r..~~r.'. rr r~.•r~rr~~~~ a A Q ~~~.~~.rr~rirrr'rrrrU~~b ForY~ MQiR .... "'~~"""'~~~........... Frotl! Pyt71p C Dietributian Bed Q! i~'_ Q y=' ~ Pipe Drarin RoeK 4"Gbtt~rvation Pipe Permonenl Morklt Pipe or Rod• Pion View Ql Maund Ut-ir: A Bed For the A~t-ar lion Arlo ~ o. n r .,.. Y Dian-Wov®n Htiaer Fabric Ck~ e i.0t41ea Oe •Ro110T, .. gq~a4ly t;pecea ri1tST welt, Na1cS is CenAeci}an Signed LicensE Qate: Dielribulion Pipe i.oroul ~.~..... P -~ Ft . a _.._._. F~. X InChg~ Y ~..,.. Inches 3 Hole Diameter <!~ Inch la tern 3 ~" r~ Incb(es 3 Man f fo1 d c~ rnches Force Main " inches ~ of hoiexlpipeQ~ Invert Elevgtion Cf i.aterdl~ Ft... A~~ Per}oro4e4 pipe Qetoii SEPTIC TANli 6 P'JC1P C11AM9ER CR45S SECTION AHD SpECZFiCATIONS 4" CI VENT pxPE lZ" MIN. A9bV$ GAADE W OR ' ~ uEAYHEppROOF JIJNCTIAN POX APPROVED ~ Z3' 'FRESH R4M D40R, WINDO ~ AIR INTAKE wITt3 CONDUIT MANHOLE COVEA w ~ PAD LOC x s E'INIS~IEI 1 GRADE WARNxNG LAPEL `"~'~+~. ~" MIN . ~,i" 2N. 4 C.z. aritstw+npa ~ sy r.r~. ~ ~ ~ ~~ ~ M1 M• ~ ~ i . ~ INLT '~, ~ , ' WATER TIGHT SEALS '~' GA5- TIGHT ~ ~~ R4VEq ~11.TER -----~"~ A SEAL. ~ JQIMrS 1tITN ALM APPROVED PYPE APPppVED 6 ~ ~ ON s ~~ s ` ~ otso SE11L ~.ro ~ ~ SOIL I~'T . PUMP OFF EL.EV , -~-~-- OFF D 3" APPROVED BEDDING UNDER TANK CONCRFZ'E PAD SpECYFYCATIQNS ~ jS~.l ~ aN SEPT2C / DOSE /~ TANK MANUFACTURER: u'~"FG~--_ ~riRER DOSES PER L1AY : ~,,,,_, pflSE TAtyiK S Z~ ; SEPTIC 040 GAL / VOLUME INCWDINC K FLOWSAC ~~ ,r-- GAL.~~ ~ + OtiSE ~ ,~- ~ - ~ ~~~' '' L ~ ~ TIES: A ~ _,_..._ ALARM MAMJV'AC'xLiRER: f8~ CAPACI a INCHES ~ - •GA • .......~._ ""!~ MODEL NEtMRElt s ~ /e rn t r ~it.~ ~" n ~r aW 2TCH TYPE : s s _ 2 5 .~..._ INCHES s 1~ {3AL. ,,,,~,., ,,,~ , ~ ~ ~ " C =~ ~ 6AL. INCFtES = ~J ACTURER : f+t,t14A MANU! ~"~ MCDEL HUNKER i ~ !WITCH TYPE: ,~,_,TGu r D a ~ ~ " INCHES se fiAL. 30 ~ ~ - v~tC~- { Z 23 WAC R ILSlR 16 P GPri PUrlP REQUIREIi DI9CHAR®E RATE Rr ALARM WIRZ[JG . A5 E VERTICAL DIFFERENCE aETblEEN PUMP aFP ANA tii$TRxfil1TION PIPE R SS RE ~~ FEET ~• FETT + MIN MUM NSTWd~tK SUPPLY P t ~~ FEET FORCEMAIN X ,~~FTI100 FT. FRICTIQN FACTOR FEtT TOTAL DYNAMYC HEAD r- ~ FEAT INTERNAL DIME' ,5 N5 OF purse 'TAt~iK: LEI3GTH /- ~ /; wID~li~ ' ' - '• ; OIAMETCR ,~,~ LIQUID E~ i R ~~ srs;Htls: ~zc~NS~e Nuns~~: Oa. ~ ~ ~,_, _,_._. i/8B Pum Ch ~~ nit1~11ttri.~t1 ttiaWl iul t,aei N~Nr aracteristics se.~t, slt~irit sllii~o~ SNiFAt?AI sr-z 4 10 tx 6.5 Shltid Pile 4 Pob ~'M' I3i0 ~+ lU~ I1S ~ iMrpt by 121' i itlex. lMld MEMA A dear N She I1 il-] 1~ s ~ ~~ tawlr flyd laI]. smw sa tad.. Is0' tNtiMttd} Mai+arials of Construction Performance Data ~`.,/~, VV ~ so F ~o 0 } 0 ~ 3f}~ 40 SO 60 70 Total iiwd (fw!} ]0 ]~- 17 21 ?~ S8 30 38 (m} 3.0 s. 6. ] 7.Qr ~. 6PM (U$ GPM} 70 60 SO 40 30 ?A ]0 0 ( tws soc 4.4 'J.8 1. .3 1. ] .3 Data 3-Tl8' ~e~.dzl Z. AO tmensions in inches. (Metric for i~ernational use}. 2. Wntponeni dimensions reoy +rory t 1/8 i~xh. clsc- 3• }bt for coastrudron purpose 1 ~•1/2" NPT unless certifi~. 4. DEmensioas and weights ore approximote. 5. We reserve the r t to make rolrisions to our and il~e(r spedficatiottt wOhout eotioe. ~~ NYDRglIAATiC" . .. 1840 Banw Read luhleed, Ohto 44105 Tel: X14.489-iW2 rwc 419.281.4087 We4 SiH: wwr,~Matpwnp.com fllt3 oIlVCES IN Att MM~O~ t:1rN! AMD CWArtltti5 lbfar m "runner" JN 11~e y.ltoN, WYn al year oba+r a~etrary for ylwrlOCGI Grsltdnrrpr lror~~p W OZ dd6Q I I98 ,SM R, i Y C~ 1998 Hydrexnohc"° Pumps, As~iland, Ohlo A11 Rights Resorved. - Ycwr Auihorizod locnf Distributor ~~~ 69~ r/~ p i 4 Cr` r;^~~~ ~ r '.~ i r t ~'..., ~. , Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715-246-4516 Pumper: Kolve's Septic Service 715-425-8191 St. Croix County Zoning: 715-386-4680 Shaun Bird ~/ #226900 f 4/18/01 Wisconsin Department of Industry, SOIL AND SITE EVALUATION Page ~ of '3 Labor ar~d Human Relations ' Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must `'"""`y ST' G~~~x 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. Parcel LD. # oil -/aG~-o-a • o0o APPLICANT INFORMATION -Please prinf all information. Re awed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). M L~ ~ ( Property Owner Property Location TDI~I ~/~~Z{S ~ V f ~ ~f ~~/ ~~ V"~l ~ • Govt. Lot ~~ 1/4 ~~1/4,S •3v T Z9 ,N,R ~ E (or)© Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ~~ 8~ ~w y T~ 2 c s ,~E~o:,v~- Ci~ State Zip Code Phone Number 7/s n ~ Nearest Road % $j; T If~'I~MO~t/ ~ i fill ~~ IS~v/s i (79(x) 2•(! o S ^ city H,~,~i ~; o,vr~ Town ~ ~ I~Y• T T' L~ riew Construction Use: L~J'Flesidential /Number of bedrooms ~ ~ T Addition to existing building ^ Replacement ys,O _ ^ Public or commercial -Describe: Code derived daily flow ~ gpd Recommended design loading rate bed, gpd/ft2 s trench, gpd/ft2 Absorption area required Jc~ bed, ft2 ~~ trench, ft2 Maximum design loading rate bed, gpd/fi2~trench, gpd/ft2 Recommended infiltration surface elevation(s) s 3 ft (ats~referred to site plan benchmark) Additional design/site considerations E TE$ E (/%I~E' /-~ OVN D ,S ST Parent material ~4~SS Dy~ie ~% ~~ Flood plain elevation, if applicable ~ ft ~~ S = Suitable for system U = Unsuitable for system Convent~io~na/l ^ S t~ U ,M-,ou~n I~ 5 ^ U In-Ground,P~res~sure ^ S L~ u AT-Grad-e,/ ^ S Lr'f u System in Fill ^ S ~j Holding Tank ^ S ~'~ SOIL DESCRIPTION REPORT ~, F ~1 Zoo = BOfing # Horizon Depth Dominant Color Mottles T t Structure Con i t Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. s s ence ry Bed ,Trench Ground f, 7~s R •Ff 'F MO?S SL / ~ ~ ~.yj /G~ ~-- -- 1 ; . S el~ft. ~o ~/,R yr~ th t D ep o limiting ' ~fa~ctor~ ~, "" . , S.SS - Boring # 2 Remarks: 3 ~ • /0 Y~ y/ c 2 ~rors UfS~ /vf ,,Q ~~iP ~s - . Y ; . S Z y~ . Ground elev. g~, ~ft. Depth to limiting ''in. Remarks: Name (Please Print) (~ ~~R'1~ b~ ~ L ~ T-Signature Telephone Na. _ ?cs•3B~•8i8s I Address pijy~to $~wa~s COIItiUlt>ifltE Date CST Number 66S O'Neil Rd. yr (p - .ZdD"a 2 2 4 3 '1 •s !•IAJA ~~`/~,c „r~-~jt~fc SOIL DESCRIPTION REPORT PROPERTY OWNER PARCEL I.D.1f ~~~ _ /a~ ~ ^ ~ ~ ~~ Boring # Ground elev. ~~ ~ft. Depth to limiting factor ~~ -~ •s Boring # Ground elev. ft. Depth to limiting :factor in. Boring # Ground elev. n. Page Z of ~, Horizon th De Dominant Color Mottles Structure B d t R 2 p in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence oun ary oo s Bed ,Trench o .io a 3 ~ /~~ ~~i~ ~ - ; . S z- 0 ~ /o -- S/L 2 -~Sh fie CS -- . s ; . ~ ~~ cz o~ U~SL / of nn ~ _ ; .S /~ ~oy~ ~~ ,. Remarks: Remarks: th D ant Color i D Mottles Structure R t Horizon ep in. om n Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench Depth to limiting factor in. Boring # Ground elev. ft. Rnm~rlrc• L Depth to f \ I limiting factor 'n' Remarks: SBDW-8330 (R. 08/95) ~'_ W. ~l o ~ ~ \w ~ ~ o~ ~~ ~~\ ~1 - ~ o ~. \ r ~ ~ w o ~; ~~ ~ ~ ~ 1~ ~ y~ 0 ~~ ~~ ~~ ~ o~ ~ ~ ~3 1. N ~ ~ ~ ~ ~ o ~ ~ ~~' ~~ `~1 ~ ~ v of c ~ ~ ~ ~' '~ ~ ~d ~ ~ ~~ ,, w ~ ~+ ~ ~ ~ G ~ ~ _,.,. ~ ~ ~ o o ~ Z o ~ d ` ~ -~ ~ ~ ~ o ~ c ~ a ~,- ~~ ~ ~ CRICINAL D N I~~G @5i07f01 1?:23 N0.319 P@@11001 ~i 28X44 T'~ ARIZONA 70 o aoac~~~p 40aCC~C`C~~'--g7~GC.3 aggaooac~.:ca~^aaad~o a. ~~=~ ==~===~:aC~~aC o LR-3 070C~/~+003QaCOpO QG ~-~' ~7oa., aoac~oca~c a av=:~oaac _~~aaa F ~ ay= - »=a a oo , _ ww ~~ ~~Y1V r-='~~ M_Ne-i ~~ y-er ~~ _ ~_~r~~_. .. _~ -n- M-RlR I ~. ~ $/R~2 13'-x• ''' l0'~S ~~ FEATURES .~ c~~ ~t,~cal A;~-S~ 30" GAS RAtVGE SHINGLED ROOFIYINYL SIDING 2 % 6 SIDEWALLS 3Q GAL.'DELU3iE WATER HE~-TER SCULRTURED CARPET-1NC. MEATH CATHEDRAL CEILINGiS THRU OUT COTTAGE REAR DOOR DEAD BOLT LACKS DEEP STAINLESS S1'EEI. KIT. SINK H2O S.t~FFS-LAV, SINKS & COMMODES OSB SHEATHING THERMOPANE WINDOWS TILE LOOK BACKSPLASH ~l ~~~~ ~. ~~~ ~ ~ u t~ ~,"~ n n n FROST FgEE REFRIGERATOR ~ R-19 FLOOR INSULATION ~ R-i 9 WALL INSULATION R-30 ROOF INSULATION Al~TO IGNITION FURNACE DELUXE DRAPE PACKi4GE ~/z INCH REBOND CARPET PAD STEEL 6 PANEL DOOp ~IVISTORM LIC3HTED E%HAUST FANS FROST FREE FAUCET CORNER TUB/SHOWER STALL GLASS CABINETS OVER S.COUNTEA FlBERGLASS TUB IN HALL BATH C~ Y+ONIN ~ GOUNSRY NocrSING 'n'3-~#- rx~# MOUTH 'PW1tR•1E VIE1N i~DAp, GNIPPCINA FN..t_S, Wt ~q ~w.to~ndaounte~~rWa~,~om ST CRQIX CUUNTY SBP"FIC TANK MRTNT»ATANCE AGRELIviBNT AND /~ ~,~,~ OWNBRSHXP GERTIFICA.TION FORM ~ 1 OwnerBuyer Mailing Address c~?o~ S V ~~ .`~~ ~C i_.Q.~,w-l~_ .~ ~' ~ i Property address 1 SO 9' ~ I 1 (Verification x~egaitied From Plaanadg Depamnertt for new G~ty/State Parcel Identification Number ~~(~ / d ~ 7 r dd- 3 ~ ~ ES~,p~. DESCRII~N Property Location/V~ '/~, ~ ~/~, Sec. O . ~~.N-R,~~W, Town of ,~~.- Subdivision ~ Lot # ~ , ~' ~Z Certified Snrvey Mstp # „~~`~~/ ~ ,,,_,,, Volume / Page # .,,~~. WacraQty Deed # _ (o~s~(o `~ Volume l b`~' I .Page # `fb } Spec house O yes ~o _._. Lot lines identifiabh' \ - es ^ ao Improper use and msiatemaoeaf yoo~ septic system could txsult is its preuuttura failure tv iraadla w:atea. Proper atsiateaaaee coasiets of pumpi,ag o~ the septic tank every tbt+ea y+aar,a or sooner, if acoded by a lioaascd pvmpCt. What you put Sato ~e system can afteet the ~ of the soptic taialc ae a troatmeat:~go is the waata dispose! system. The property owner agteea to sabmit to St. C~+oix Zoning Department a certsf"rcatioa form, signed by the owner sad by a mastcr plumber, jouraeyxnaa plamberi r~tieoedplumber or:licensed puiupcr verifying that (l) the on'site wastewatetdlapoeal system rs is proper operating condition sad/ar (2) after inspection and pumping (if necessary), the septic teak is lase tltaa !/3 loll of sludge. Uwe, the imd~trsigaed bavo read the above ~ and agree m msiataia the private sewage disposal system with the standards set forth, bereio, as sat by ~e Deparmaeat of Commerce and the Department of Natural Resaur+ces, Sato of W iaconeia~ CartitYcatioa stating that your sepde systesa late been maiata#ned Honer be eompktad and returatd to the St. Ctoia County Zoning Offtco witltia 30 day: of the throe y~wtr expiration date. ~~ ~~~ stQxATVIta of Appz.zcANT spa DATE OWNER CI~RTIFIC~,~'ION I (we) certify that all statements oa this farm era true to the best of my (our) latowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warn~nty deed recorded in Register of Deeds Office. .~ ~~.~~ SlC3NAT[ OF APPLICANT d DATE R.s*•'' Any inforn~ation that is mis-remseated may result in the sanitary permit being revoked by tha Zoning Aepstttrn4t, """` '• Iaelnde with this applicatlea: a stamped warrsnry deed from the Register of Deeds ofFica a copy of the certifeed survey snap if reference is made in the warranty deed STATE BAR OF ~ CON ~ PFORM 2 - 199 Document Number WARRANTY DEED This Deed, made between Gillis Farm, Inc., a Wisconsin Corporation, Grantor, and Gerry L. Beach and Linda K. Beach, husband and wife, 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): Lot 2 f Certified Survey Map recorded in Volume 14 on pace 3967 being a part of the Northwest Quarter of the Northwest Q-u~ (NW 1/4 of NW 1/4), Section 30, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ ~ day of May 2001 Gilliss Fac. GD~ ' ~. * By: Thomas J. Gillis, Secretary AUTHENTICATION Signature(s) Gillis Farm, Inc., a Wisconsin Corporation, by Thomas J. Gillis, Sec(r~e-tary authenticated this ~ u d ay of May .2001 t r~ ~/~. , : Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) Recording Area RECEIVED Fit RECORD OS-18-2001 14:15 AM WARRANTY QED EXEMPT # CERT COPY FEE: COPY FEE: 2.00 TRANSFER FEE: 68.70 RECORDING FEE: 10.00 PAGE5: 1 Name and Return Address ~Q X31 , c1~1(~c.~..S-cS~n ~ (~l) ~ st~p ~ (p 018-1067-000 & 018-1067-00-300 Parcel Identification Number (PIN) This is not homestead property. p~) (is not) ACKNOWLEDGMENT 645$64 KATHLEEN H. WALSH kEGISTEk OF DEEDS ST. CkOIX CO., WI STATE OF WISCONSIN ss. County ) Personally came before me this day of . the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: * Names of persons signing in any capacity must be typed or printed below their signature. iMormauon professionals company, Fond au Lac, WI WARRANTY DEED STATE BAR OF WISCONSIN aoo-s5s2oz~ FORM No. 2 - 1999 ~~(~Q S' /~ e ~ ^ ^. = 's ~ \ 1' \ ios $ ~I u Q W .. 01 ' ~ ~ ~ ~ ~ ~t(/ sQ y \ f ~ w O ~~~. !(~ (I+E Y~ x ~ W `~.S' LL F . n • J=lYN C S w=~W~ 1I'~'1l _ ti ((~~ i ~ -:l T ~ C ~^CJ ~ ~_ (/~ b . ` ~~^ ~~L7 ~ ~w}~~~sg awe ~ S( CfaxCo.,WI ~1 Y ~ V7 ~,U/ /C~ / ~ ~~ '`~~~ CERTIFIED SURVEY MAP ~ - PART OF NWI/4 OF THE NWI/4. SECTION 30 T29N. R17W. TOWN OF HAMMOND. ~ ~ ST. CROIX COUNTY. WISCONSIN V ~I I zH UNPLATTED LANDS ' o ~ ~ 0 ... ~ ............. .............. V ro '~') B Ci/[, Ci~ .. " •r •[" NORTH L I NE NWI /4 SEC. 30 ~~ N 89°47'20"E 2669 / 58' ~ ~ N v ' ~ . zy r 583.00 !~ 308.00' 33.00' 275.00' .-1 n N 89°47'20-E 550.00' 33.00' 2086.58' U 275.00' 275.00' . :o 0 0 0 - 33' 33':~ LOT 1 `r LOT 2 N N N f` <fVl N Si <0 ~ ~ building ser back ~ -_-- _--_-- _-- ~ 3 aC ~I N ', _ ~ ~ I .74 AC. INC. R/W N _ oar' p( ' 1.94 AC R/W INC 75 623SF -~W " tw.., W ;°o ~ . . 84.698 SF. o0 . . 1.53 AC. EXC. R/W o e:~ F- - z 1.53 AC. EXC. R/W z 66.548 SF. ° ~ ~ `," \ 66.548 SF . ' sao I Z~ - 00" 33 275.00' c» ~ ° . ~ 308 00' 275.00' 0 . z 550.00' '2356.94' S 89'47'20'W s63.oo• LEGEND UNPLATTED LANDS WEST LINE NWI/4 ~ SEC 30 ~ SET 3/4' X 24' IRON PIN . BEARINGS REFERENCED TO THE WT. 1.50 LBS/FT. WI/4 COR. WEST LINE OF THE NW{/4 SEC . 30 t9 ALUMINUM COUNTY MONUMENT (ASSUMED N00'II'21'E) ® FOUND 2' IRON PIPE SCALE I' - 100' o FOUND 3/4' IRON PIN 0 50 100 150 I. LYLE L. ELLIOTT. REGISTERED LAND SURVEYOR 5-1300 DO HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF PART OF THE NWI/4 OF THE NWI/4. SECTION 30. T29N. R17W. TOWN OF HAMMOND. ST. CROIX COUNTY. WISCONSIN AND DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER SAID SECTION 30. THENCE N89'47'20'E ALONG THE NORTH LINE OF THE NWI/4 OF THE NWf/4 583.00 FEET: THENCE S00'I1~22W 275.00 FEET: THENCE S89°47'20'W 583.00 FEET 70 7HE WEST LINE OF THE NWI/4 OF THE NWI/4: THENCE N00°II'21'E ON SAID WES7 LINE 275.00 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 3.68 ACRES MORE OR LESS AND SUBJECT TO THE NORTH AND WEST 33,00 FEET OF SAID PARCEL FOR ROAD RIGHT-OF-WAY AND SUBJECT TO ANY OTHER EASEMENTS OR RESTRICTIONS OF RECORD. I CERTIFY THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF SECTION 236.34 OF THE WISCONSIN REVISED STRATUTES AND THE ORDINANCE OF ST. CROIX COUNTY IN SURVEYING AND MAPPING SAME. EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE. COUNTY AND TOWNSHIP LAWS. RULES AND REGULATIONS (i.e. WETLANDS. MINIMUM LOT SIZE. ACCESS TO PARCEL ETC.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX ZONING OFFICE AND THE APPROPRIATE TOWN BOARD FOR ADVICE. THIS SURVEY WAS MADE AT THE REQUEST OF GILLIS FARMS ~ C/0 THOMAS GILLIS 1486 HWY TT. HAMMOND. WIS. (796-2605) ~ LYL L . ELL I OTT. RLS 1300 APPRUVED : y~ ••' ~i I p /~ ~ Z, pp y DATE : ST. CROIX COUNTY nd Parks Committee i Pl i Z ~ ~ ~C I DORS ••~ E REVISED f 0/6/2000 na a ann On ng ~ yt L O - ~ ~ E 13 5. ,N~ ON • THIS INSTRUMENT DRAFTED BY L. ELLIOTT O(,T Z O ZOOO :. ••, HUDS ~ ~~, ••. •: ~Ot,~ ,, so l r ~ l l ' ~, s a ,,~~ <Rnd l be e aPProval sha app oval da e < t null and void Vo1.14 Page 3957