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HomeMy WebLinkAbout018-1098-11-200Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTt~N REPORT . . GENERAL iNFtjRMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Me ers, John Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACIT Septic - ( Dosing ~G ~ e _ n ~ `~ ~ - ~(~X~/ (p .,~ Aeration Holding TANK SETBACK INFORMATION TANK TO /L WELL BLDG. Vent to Air Intake ROAD Septic 1 ~ r n,-ri t Dosing D ~ 0 K~ Aerati Holding PUMP/SIPHON INFORMATION Manufacturer ~/l ~ "`~~ a /~ Demand GPM Model Number ~~ ~ ~ 1 , ~ t „ / TDH Lift,? Friction L s stem H TDH Ft FO` ce ~i~~ W Le ~ ~~ la.~ ~~ ~ Dist. to Well / SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix sanitary Permit No: 430242 0 State Plan ID No: Parcel Tax No: 018-1098-11-200 Section/Town/Range/Map No: 30.29.17.8188 STATION BS HI FS ELEV. Benchyylark I ~~y/~, ~ /v 3 ! ~~ ~ Alt. BM,' /~ Vv vt, I~. g~ 2 3. BI .Sewer ~' ~ r U Z- ~o SUHt Inlet ~ 3 Z ~ ~{ ~ 3 ~p ~'-~. SUHt Out t ,~ f~ Dt Inlet ~ _-/ Dt Bottom '\/ l Q , ~, ~l f l Header/Man. ~ ~, Z>~ 1 D ist. Pipe a ~ v~' '~ ,/G~i ~~ DI ot. System `' ~ ~ ~ S ~ , Final Grade D .~~? St Cover s 11.9 -S /vim. 3'7~ ~ q.~ T to .3 . 33 ' - h, BED/TRENCH Width Length No. Of Tre c s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~ ~ ~ ~ ~ ~ // SETBACK SYSTEM TO P/L BLDG W LL LAKE/STREAM LEAC ING Manufacturer: INFORMATION R Type Of System: ~ ` A ~ I ~ ,(~ g ~ ~ y, ~, ~ ~'~ / UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing F Z th~Di L Pies (,~ ~ ~r ~ ~ ! ~ ~ t l l g c~ ~~ eng a Le gth Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~ Depth Over xx Depth of xx SeededlSodded Bedlrrench Center ~ ,~ i Bed/Trench Edges Topsoil ~ i Yes ;' No ~ I ' Yes No r_J LJ _. COMMENTS: (Include code discreperlcies, persons present, etc.) Inspection #1: /z6 // 03 Inspection #2:~/ /D / O Location: 754 154th Street Hammond, WI 54015 (NE 1/4 SW 1/4 30 T29N R17W) Emerald A-~t37" Parcel No: 30.29.17.81 B 1.) Alt BM Description = ~ll~o~- ~ • ~(.JQN,'t'`~6~ -t 0, ~ ~~,-C.1"I`-` ~-~.. - ' 2.) Bldg sewer length = ~ ,fin ~`>t..CT- 1~ d R - ! 1U~L If'1(L~~ ~ O ~ S~ rV, ~ r ~J h,0~" G M.~9 ~2-1-e-d- C,n'~ - amount of cover =, ~ ~ ~ ~ ~~~~~ ,Avt ~9 r _ , __ __. _ _ _ _ - - __ __ ---I ~-__ _ _. _ _ - ~- -__ -i Plan revision Required? Yes ~ ' No D~I I Use other side for additional information. ~ I~~ _ ~~ ~~~/j~h.~ ! ~~.~~ ~ ~I SBD-6710 (R.3/97) Date Insepctor's Signatu Cert. No. p 0/67, Vent A ntake~, c G~ ~?` xx Mulched Safety and Buildings Division County T ~~ ~~ ` m 201 W. Washington Ave., P.O. Box 7082 _ j - - ~ scons~n Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce 08)261-6546 ~jO2,,,fZ Sanitary Permit Application Spto~PylanCl,D. Number ' ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~ T^d~.LS • [;p b a 3 / 9 r tnay be used for secondary purposes Privacy Law, s15.t)4(Ixm) . _, - Project Address (if different than mailing address) ~.... . I. Application Information -Please Print All Information d ~ ~ 5 , / ,,' ~~ `~' Property Owner's Name ~ ~~',,'.? 3 Parcel # Lot # Block # ~_ Property Owner's Mailing Address Property Location 3 ~ moti ~ / V ~ ~~ City, State Zip Code Phone Number on ~`• '' ~.J J " L ~ J~~6d ~l~- ~ ~' J ~9 rcle one) T ~N R E W II. Type wilding (check all that apply) ~; S ; or ~ ~ Subdivision Name CSM Number !~ 1 or 2 Family Dwelling - Number of Bedroopts ^ Public/Commercial - Descnbe Use l/ ~ ~• ~ ~ `` {, ~ ^ State Owned -Describe Use lD ~ IV 1, - 1 ^City ^Villag awnship of IIL T ype of Permit: (Check only one box on line A. Complete line B if applicable) - p(g' - 0 9 - J I -Z ~ . A' New Systetn ^ Replacement System ^ TreatmendHolding Tank Replacement Only ^ Other Modification to Existing System B• ^ Petmit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner N. T of POWTS S stem: Check atl that a 1 ^ Non -Pressurized N-Ground ~ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment. Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Li ^ Gravel-less Pipe ^ Other ex ai ) V. Dis ersaUTreatment Area Information: - a'p t Design Flow (gpd) 'sd Design Soil Application Rate(gpdsf) ~ ~ -C Dispersal Area Required (sf) - Dispersal Area Proposed (sf) ~ ~ yttem Elevation f ~ s ~ .s ~~ ,~ a - .S o ~o o , VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stcel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~~ ._._ ~O6 / Aerobic Treatment Una Dosing Chamber d .~ C j VII. Responsibility Statement- I, the undersigned, ssume responsibility for i allation of the POWTS shown on the attached plans. Plumber's Name (Print) ~3~~-D ~ u ~G~~D Plum 's Si tur M PRS Number aao 3s- ~ Business Phone Number ~~~- ~~ dP PlumbAddress (Street, City, State,{Ljp Code ~ ~ , / ~( / ~~lJl ~/Jf ~ C~ ~ ?` VIII. Coun /De artment Use Onl .Approved ^ Disapproved Sanitary Permit F (includes Groundwa Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Reason for Denial Surcharge Fce) 3~ '~- . ~ 9 ZGL73 IX. Conditions of Approve easons for (D~ isapproval ~^ 11 `- ~ ~ ~ ~ t,.1 c ~~15~-~C~ Oo ~ ~ • ~6u"wvt~'(,(~. - I V- - (y>Vp~„titQ vw~.va.~ 1v ~_ I ~ Vut.~-~.BC V~A.IAA C - ~C °'d rW ~ V ~y~ ~ ( ~~ - r Attatb complete pleas (to the County only) ror the system oa pa not less rhea 8111 s I l Inches la size -~- ~4•l.( ~t~~ rwtw.~--..-~. innaivJE-a~l:.t~.~e~ , SBD-6398 (R. 08/02) r PLOT PLAN Scale 1 "= S p z~, ,~ ~ 98~ ~ ~ ~ 6 GZc Y y~ k w 66~T~b ' ~ ~ 3°l0 "~~ti ~~" c0v~h 3 R D1Z ~ LoeA~-~loty ~ ~ ~~~ ~ I '' 1S' ~--- a$ 3.3 ZS' GPtC~ 9_q 6 ~ ~L U ~ - ~O -vpT Cur,~p~T ~~ ~ lS~v~Zc3 `T~'t'~ 9 w'C1't..~ go`r~T~oM OF ~< ~- .lOp. 6 ~ 8•Z ZS r-s I I e1 q~. I _~ o ~ ~ti''-tt-Z 3~ t~( ~~ ~~ ~I rn ~ m~ taw ~ - ~,1~d,0 ~dN 1`~PV~. ~C~~ . _ ___ --------- Page 3of ~ I` ~I ~I M Q ~~ ~o ~- r 3z~ • 16 , --- - - - , NOTES : -- . 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with a 3. Septic tank to be DODO l 65bgallon capacity manufacturedrbpuired). ,' ~ W t Lss~1Z. ~ya~ e\2 ~- h.J~i~ 1000 /6 S -M ~z w/A -44oa ~~. ~ ~~ 4. bench mark; S 0 ~E A~U~ 5. Divert surface water around system to prevent ponding at the uphill side. ~ ~ ~scons~n Department of Commerce ~~~~ ~~(% P ~~~ T July o8, 2003 .y,. OUST ID No. 267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIItES: 07/08/2005 SITE: John & Kathy Meyers Town of Hammond, St Croix County NE 1/4, SW 1/4, 530, T29N, R17W ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 2648777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary Numbers Transaction ID No. 883991 Site ID No. 661307 Please refer to bothidentfication numbers, above, in all correspondence with the I FOR: Object Type: Mound POWTS 450 gpd Regulated Object 1D No.: 910098 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • The diameter of the manifold shall be 1 1/2 inches to ensure a velocity of 2 ft/sec is maintained. 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 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, eroy G nsky, Wa water Spe i list (715) 726-2544 Voice (715) 726-2549 Fax ljansky@commerce. state.wi.us t ~0~~ ~ ~'; TTN: POWTS Inspector Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART'code: 763'3 ~~~~o ~~~ .~~~~ TITLE SHEET Page ~ of . 4 `~ r JOt~ `2 GSO~~~~ i•~OUND SYSTEM '~ a~wO A 3 BEDROOM RESIDENCE 8 8 3 9 9 1 ~~ This plan has-been prepared in accordance ~oith the Mound Co.~ponent Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P CCZ. blg9.~ CR. 6(~q~ LOCATED Ii~1 THE ~`. 1 /4 OF THE SW 1 /4 OF SECTION ~~ , T Z°1 N, R 11 6d, TOT~Ji1 OF' ~W11^'lUYy1~ , S`T'. L°~t,~j 1X COUPITY, WISCOPdSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM IvIAI~TAGEi~ENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEZ7-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION y PAGE 7 of 7 PUriP PERFORl•1ANCE CURVE PREPARED FOR Z•-~'Y~ ~! Y~ `~-Pr`s `-( Y~ ~`2 ~ tzs °13 S oS ~~Z~-f B Lv D , 8~1PO~ZT, -•~~v 5soo3 PREPARED BY WEGER ER SOIL . TEST S l~tG AND . . DESIGN SERV = CE P.O. Box 74 421 I1.T1ain St. River Falls, tdI 54022 Phone 715-425-0165 ~~ Fax 715-425-6864 `~~ ~ ~ ~,,,,.....,,~~y ~i Pr O r • ..~ V • ~ ~AT'41iR ~ Conditionally j M'EGEHEN a9,5. 33 E43W ~VE® ORT~. ~ W~ ~ DEPARTMENT OF COMMERCE BUILDINGS ~,~ '•~~, ~~ i~ .~~' 1 ~~ ' D1VI ONO SAFETY A ~ ~- ~~ ~i~i!! b _ z..z-o 3 SEE G RESP DENCE JOB N0. 03-~1Z Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Page ~' of e tic Tahk he septic tarik shall be maintained by an individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be d'+sposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter 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 filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously, Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank; If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)J acid 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. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -0ffice at 1.1.5 -..3 ~' b , l~ 6 813 3T'- G'LV 1 x The system installer at The tank manufacturer at ~lS_ Z6 - b 4qs vT ~ ~Z.D The effluent filter manufacturer at The-pump manufacturer at ~ =3z.S - ~ ~.s 6 w~,~~Z PLOT PLAN Scale 1 "= S p 3Z-l. l6 ~ ~ O ~ OT Cutivt ~~~r ~~ ~ ~S`1U~ZC3 `tl•S'~ 9 ~VZ~.''A . 3o~c'jpM dF ~i-L Lt .Ibp. (~' . ~8 e•Z zs r~s '~ a~ ' I Z O ~ pP z-" P~ C ~-1`'~- ~~+ ~~ air ~, Page 3of ~] 66 y k Sc~66~T~ ~ ~ I ~ ~ i o ~~ ~y Pie 3I3D~Z w~ `OePr~laly 3/0 "'-~2"eon 'fit - l~s~ o- ~qg a•3 Zs' G ~ rn i ~ • J ~ C~~ ~` I J ,~'I ~V+- ~ - ~,1~b;0fC?N 1"PVC 1~tt~ _ ___ Q -- - - ---- pp p (~ -__.---- ~ ~~ r 3z1. 16 ~ N ((~ W~ NOTES : ._ 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be -000 / 6SC~gallon capacity manufactured by W t ~~~1z ~~ e.~z~~~~~~ laoc~ /6 sd M ~z~ wlR -44oa ~~z ~ ~ 4. $ench marks, S~ p~V~ 5. Divert surface water around system to prevent ponding at the uphill side. PcgE L) Of -7 Approved Synthetic Covering ASTM C33 iNe~ditrnr. San d Topsoil ~" -~~ E 3 I 3 % Slope Distribution Cell of Z" to 2 Z" Aggregate Distribution Fipe D e Force Main From Pump CROSS SECTION OF A I70UVD SYSTEM G ,,Elev. 10U_,. (~ Plowed Layer 0 1•~-Ft. E 1.tia Ft. "Fp~BFt. G d ~S Ft. A 6 Ft. Fi 1,0 Ft. Linear Loading Rate= 6-OGPD/LN FT 13 ~S Ft. Design Loading Rate= ~ 3~GPD/SQ FT j ~ Z Ft. J ~ Ft. . K~_Ft. ~~ Position E q 3 Ft. OT Force-Main W Z S Ft. .. ~ I I . ~} I~ -Observation Pipe -- fl -- ------ - ( K -' - -•' ~Acctss C~-•~--•--------------------- --------------- ----- - QoX A i ~/6 -8 -t W ~.__~._= _ __ -_ ---- _---- ~ _ ~•- - - Distribution `~-- Cell %" 1 ~~ . of z to 2 z Pipe aggregate 1 . Observation Pipe (Auchbr securely) PLAN VIE~1 'OF A MOUND SYSTE'~4 Distribution Pipe Layout ~ Q=~ 1'1~ Place the holes at the bottom of the distribution pipes . at~equal spacing. Remove aII burrs from the pipe and holes. Extend the end of each late:aI up with the Lse of long turn or 4~ ° fir~:.ng to a paint crithin six inches of the final Q*ade. Terminate the ends of the late:aIs with a valvs,~threade3 can or • threaded PIS. Provide access from fiuaI ode for the vaIye; threaded c, p or threade;i pIuQ. " T~ ~ ti cr L LZOS s s~`'tl~ t~ FV C F`JC PV C Latent-1 ~--- Manifold ~ Laterl x z ~_ x ~ z ~ xfZ ~ z!Z PLt'rN V\~~.J P --~ ~ _ ~ h Y;if1 FJ~ C- ~_ P 3~ Ft. S 3 Ft. X ~~ Inchps Page S of ~ 7c:~s Sox - -o --a " Hole Diameter 1 ~~ Inch -~~~ Lateral ~ ~ Inches) Manifold ~ Inches ~~~ Force Main " ~ Inches ~~ . ~ of holes/pipe ~ ~ ~ . Invert Elevation of.Latera1s1b1.1 Ft. tgko,`l1 = ~,~~x~. 3~.~6 sad ~- _ ~ - Combination Sept~.c~ Tank and PUMP CHAMBER CRO55 SECTION AIJO SPECIFICATIOlJS ' PAGE ~ OF • -- . . ;' -VEUT CAP ~ WEATHER PROOF ' JUIJCTI0IJ EOX . Y C.I. VElJ7 PIPC ~ APPROVED LOCKIf.lG ~ lO' FROM ODOR. MAtJHOLE COVER wl~ :111JDOW OR FRCSN 1 wA(ttJltJG Lf+~gE;L. ~sP~otJ P IPtr pyR IUTAKE ~ coupu~r w /H~ttZll s ttT- GrP ~, ~ r Ft ivt.~ 6`+~w. - S ... .~. / I Y~HIU. ~~E ~- 1~0 - ~ ~ ~ . ~ ~ 19• MIlJ. i ~-- ~, • . ~ -- - .- ~ 11~ _ _ _ f1JLE T ~" PROVIDE I - --- . ,, `~'' ~AiRTIGHT SEAL I III ~ / . ~~. I v 8 tiF~Lt I zr~8~ r-~~ -• A I I (I APProved APProved ~ o joint w/ I III j .int w/ PVC A -LE~o p ALARM PVC pipe pipe b ~ I I I 1 I I ou ~ •i I Q y.o I LLCM. FL PUKP ~ -'~ ` OFF ~ C01.JCRETE ~~ °L3-00' ~ e~oc-c ti - RISER EXIT PER111lTED 0-JLy IF TAl`JK MAIJUFACTURlFR HAS SUC}{ APPROVAL~3NAp~Fn Bt:00 t ~4 SEPTIC F SPECIFICATf01~1S DOSE ~~~~~, TAAIrC MAUUFACTURCR:-~1/~~ C-L1~1C~~•'~1 `. 1JLIMfiER OF DOSES: ~'~ PER Dh~ TAAJK SIZC: ~LP ~~/6S~. ~ Z GALlO-JS DOSE VOLUME Z ALARJ~"- MAUUFACTURCR: S'S'.. ~-~C~f~IZO S~ST~1^ZS ItJCLU01A1G 6AGKFlpD1J: l~~- GALLON: /'10DEL1JUMBER: Lb` ~w (, CAPACITIES: A= ~8 iUCHCSOR 3~`'~ GALLOUs SWITCH T~PC: ~~Z~~'7 8= ~' IUCHES'OR 3 j G~+1L01~15 PUMP MA1,lUFACTURCR: GnU`-DS C: ~ WCiiES OR 10~ GAlL0U5 MODEL IJUMHER: _ ~~~ ~ ~ D= 12- INCHES OR Z"0~ GALLOA75 SWITCH TYPE: - ~C~ZC-~11Z-~ IJDTE: PUMP AUD A~LARM~ To6a~ ~° MIAIIMUM DtSCHAFZ(,E RATE 3 1.1 b GPM INSTALLED OA1 SEPARATC CIRCUITS VERTICt~L DIFFER£AICE DETWEEU PUMP OFF AUO..DISTRIBUTIOU P-PE..~' ~~ FEE7 + Ktf.ltMUM IJETWoRK SUPPLY P~~R~~E~~S((S~~URE , ; . , , , 6•SO FEET (S.pxl. 3) -I- ~ FE. ET OF FORCE N-AttJ X ``=.L.F~o FEFRiCT10U FACTOR.. Q. ~ ? FEET ~/ N . TOTgL Oy1JAMIC HERO = ~ 1~'DZFEET // As per manufacturer h~p gal/in. Liquid depth 3 S~ .:. -~ ~. Goulds ~c ~ °~ ~ Submersible Effluent Pump ~~ u 3871 EP05 APPLICATIONS Spec'rfically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water'transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/4" maximum. • Capacities: up to 55 GPM. ~ d' • Total heads: up to 24 feet. • Discharge size: l'/z"NPT. • Mechanical seal: carbon- . rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/4 maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: l'/z` NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. ©1995 Goulds Pumps, Inc. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz,1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length, i 6/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 10~ 9 ~ 3, s z: a W x U 6 21 ~ 5 c 1; '~ 4 FQ- O 3 1( 2 0~ 00 ~~ cu - uu au au GP~II ~ ~ ~ ~ ~ ~ 0 2 4 6 8 ~ 10 12 m~/h CAPACITY • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Floa# Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 Impeller: Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplas- ticcover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "F"or "AC".) i i , ~ ~ ~ .t I ~ ---- _ y ~ •~~ i --- --- j-- , -1--. Py~ 1 ~R - ~ ~~ '2s i ! 4 - .._ --- I 1 I ~ ~ - i _~ ~. i _._~ i I I ~ ~ i P ' i ~ __'__ _ E 05 EP04 i i I Lt I I wisconsiaDepartrrtent of Commerce SOIL EVALUATION REPORT Page r of _~ nivisnn Safety end Build'mas in accordance wtm uomm a5, wrs. Aam. was Courriy ~ G ~ ~ Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. percent slope , Please print all information. view by Dat 3 03 Personal informatron you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~~NY In ~ 0 Property Owner Property Location O V 2 7 Z O O2 G ~- Govt Lot i(J E 1(4 114 S T N R ~ E (ott~ Property Owner's Mailing Address Lot # Bock # Subd. N me Z NG 0 ICE l~ - 3 r~•~}[,•ct -~-r. 3 ~' - City State Z'ip Code Phone Number ^ City ^ silage [}Town Nearest Road ~ ~ S d sQ r. w t Syv ~~ (?~~) y q-G ~3( • it al d t~J New Construction Use: ® Residential I Number of bedrooms _~_ _ Code derived design fkniv rate _~~ -ate -__ GPD ^ Replacement / / / ^ Public or commercial -Describe: -_----- ~!'r ft• n if applicable F od Plain eleva6 ti ' _ ~- ~ l 1__---_- _ _--__ f Parentmaterial __ /Q~- O 4 ~SOLt-`E'LF ~2 0~ 01~ ~i rr~ LBT General c~mmer>t.s ~. / ~ • ei~ ~ ~~ ~ s s ndations: y , n // / d ~ = , q 2 an recomme /91.~in • .~4~..~C.~ C'at'1-fcrut~ P~~V. ~~~ h'U l/ ^ I Boring # U Bonng S ~ Pit Ground surface elev. ~ vu ~ Q__ ft. Depth to limfing factor in. Sol lion Rate i H D th minant Cobr D Redox Descr~tion Texture Structure Consist Boundary Roots GP DIftT or zon ep in. o Mansell Cont. Cobr Qu. Sz. Gr. Sz. Sh. 'Eff#1 •Eff#2 , 5, ~~ e , s- / ~G ~. lam,' - `" Boring # ~ Boring ® pit Ground surface elev. ~~~ ft. Depth to limiting factor Ji~o - in. Sod lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DI'ff? in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~i-Z6 - .~ Z ~ S - ~ ~ ~ zG- r y / c .L ~ ~ - ,~ . ~o 'Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgll ` tmuern rF~ = tsvu5 ~ sv mgrr. ano ~ ~~ ~ sv nyr~ CST Name (Please Print} Signet a CST Number Address Date Evaluation Conducted Telephone N Property Owner "~ - Parcel ID # Page __ ~ of _~_ Lf Boring Boring # ® Pit Ground surface elev. i ~• /Q_ ft• Depth to limiting factor _~ ~ in• Sod icatwn Rate r l i t C Redox Descriptbn Texture Structure Consistence Boundary Roots GPDIFtz Horizon Depth in. o o nan Dom Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eff#2 d _ ~ ~ < Sl ~~ /' ~ 5 . ~S' l 7 ~ ~ i . ~o Boring # U Boring - ^ pit :Ground surface elev. ___ ft. Depth to limiting factor ~__ in. Soti A lication Rate h D t Cobr i D Redox pescr~tion Texture Structure Consistence Boundary Roots GPD/fiz Horizon ept in. om nan Munsell Qu. Sz. Cast. Cobr Gr. Sz. Sh. *Eff#1 'Eff#2 [_] Boring Boring # Ground surface elev. _______ ft. Depth to limiting factor ___~- in. ^ Pit Sod ication Rate h D t Color i D Redox Descriptbn Texture Structure Consistence Boundary Roots GP D/tg Horizon ept in. nan om Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 * Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mglL * Effluent fKL = BODS < 30 mglL and TSS a 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 608-264-877?. sso-a3wlR.miool ~ . ' . r ' 1 PAGE~OF~ 1`TAME S'~~ '~'" LOT# 3 ~- LEGAL DESCRIPTION U~ ~~S v ~,_,S 3o T 29 ,N,L~, ~ ~-~.(or~ SCALE: 1"= ~O ~ --_...-- --_ BM 1 ELEVATION /pp• G BM 1 DESCRIPTION~o °~,• G BM 2 ELEVATION q q. Z d BM 2 DESCRIPTION •y(a~ a~ ! ~~ PUe„ ~, DoT L S ~'C . 3 a SYSTEM ELEVATION (OO- ~'0 ~ SYSTEM TYPE ~I'- o v n.~. - -t- --. CONTOUR ELEVATION ~~j, $ a ~ ~ ~~ SIGNATURE ~ ~~ ~ DATE ~~ ` zG - ~z 0 ,oo 0 ' ~ d ~~ • i, ~,....r ..._.__ .... CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE NW 1/4 AND THE NEI/4 OF THE SW 1/4 OF SECTION 30, T29N, R17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN, BEING LOTS 10 AND 11, PLAT OF EMERALD ACRES. PREPARED FOR: RICHARD O, STOUT JANET P. STOUT 1353 AWATUKEE TRAIL SURVEYOR: NORTH 1/4 DOUGLAS J. ZAHLER S 8 N LAND SURVEYING, INC. CDR. SEC. 30 2920 ENIOE STREET HUDSON, WI 54016 HUSON, WI. 54016 I I WZ ooh FU UQ ~~~ z w~~ W,m a~~o w 0 w ~~_ Z~~ ~z~ ~~ ~i_ ~M M (~01~_~ W ar vl 1 a' ----I-__ d04 9~ --J TOWN ~-- - - - ~ _ ~ - _ _ N89°4S'02"E,321.16'~_ ~vv ~rY ~ v vv d04~ I d04 ~~ _ - ~ ~ ROAD-~- ~ - - - - - - J N' ~. ~ - 33' _ _ _ _ _ _ _ _ _ - r - -S89°45'02"W 739.78' - 33' I ~ - -I V - 16, I I I ~ ~ ~ d04 ~~ ~~ I ~ I a; ~ al I ~ zl oc I I ~I I ~ ,o I ~ I ~I ~' m O O (~i J ~ m ~I I ~ i d04 ~,~3 ~ ~ w r W : M I ~ I ~, C~ I C~J' I N ~ ~' V O i I ~ I ~; - ~` D D ~--- nl I I I I Zi 101 I I O ( I d04 ~4 ~ i HI ~ I I I ~------ __ l al I ~I I ~:~ 33' I a; ~ ~~~ ~~ SOUTH 1/4 C:OR. SEC. 30 YC ,y ~ ti . - Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ~~ Zogb(~ Page / of .~~ VVW~4V„W 1~1u, W,,,,,, VJ, Y~,J. /1V,1,. VWG County -~- Croi X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must . include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. /~ ~ Cs~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. (, Please prinf all information. ewe y Date Persona! information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~(,!/Y VL~ 3/(G163 Property Owner Property Location R1C~iYZ~~ 'i" Govt. Lot s E. 1/mow 1/4 S Ct N R / ~ E {or) Property Owner's Mailing Address Lot # Block # Subd. Name r CSM# 1 53 ~ee T- r~( ~_1 es City State Zip Code Phone Number ^ City ^ Village [Town Nearest Road [~ New Construction Use: ® Residential / Number of bedrooms 3 _ y Code derived design flow rate ~'l .tea ~~c Q O GPD ^ Replacement ^ Public or commeraal -Describe: Parent material ~ ~ I am elevation if applica ~ : ft. General comments s S~ rYl ~ (~V , 1~0.3d ~~_ y~ p,U.~ ~pj ~ ~3 y ~ \ `` ~\` and recommendations: ~ ~~ J - q9 Y6 CG h -~-v ~'r- / r n r i' -~~~(~ Boring # ^ Boring ~ D'T`I ~ ~~.,~ ®Pit Ground surface elev. ~~ ft. Depth to limiting factor Z ~ m ~ti!1(3~~ . Soil on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun a~ `;'Rods!- ~ /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - 1 *Eff#2 ~ b - I~ 3)z sil 2 ~ m~ ~ 1 ~.~ . 5 ~ 8 /y-2 0 ry 3 .5i ( ZmSb k r~ r ~S - ~ S 3 2[0 -`ld O r ~t C r '-~ s~/ Zmsbk m-~ • `~ . to Z Boring # ^ Boring 2 ~ pit Ground surface elev. ~ d a ft. Depth to limiting factor JU in. Soli Applic2tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ LS-12 ~~ 312 -' s;l ~,-,~~c r c s / ~' • 5 ~ ~s 2 12-~ ld `f/3 5%/ 2m5 < ~r' c _ ~ 5 - ~ 3 ~-~ ryl~ CZP ~.5 r ~f13 r zn-~sbk ~ - -- . ~ . ~ * Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name {Please Print) Signature CST Number dc~ h mocker _ _ ~J' 2 s33o9 Address Date Evaluation Conducted Telephone Number ZC13 ~ ~-~' S~. Sorg-,crS~,t, •1~l 54o2S I Z-l7 -v f C7~5)2`f 7-~/ov~' Property Owner S~a~~- { ~~, I Boring # ^ Boring Parcel ID # ClB nrt ~~ J ~ ~ • O J f e ~ / Page Z of (_J ~J 'Pit Grouna surface elev. r i ~ -_ ~~. ~CN~~ u, ~~~~~~o~~a ~a~.~~ ~~~. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ o-ID ~a r3 Z 5i~ 2 m-Fr c 5 r ~ ~-I- • 5 • 8 Z~S' 10 ~4~ CZ ~.5 1 SU ZmSb~C rYr~-'i . ~f . a Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appligtion Rate Horizon Depth Dominant Cotor Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'Eff#2 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/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L "Effluent #2 = BODE < 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. SBD-8330 (R.07/00) ,~, ,. ~~ ~ , z PAGE 3 OF rrA1~~E S f0 ~~ ~ LOT# ~ I LEGAL DESCRIPTIONSE ~~ i4 ,S 30 T Z `f N R. / ~ E(or~ SCALE: 1"= ~(C~ ~ BM 1 ELEVATION /00. O BM 1 DESCRIPTION ~AP O-~ ~ ~ PU G BM 2 ELEVATION ~I/~' ~ U BM 2 DESCRIPTION ~® O~ ~ ~ DIIC SYSTEM ELEVATION /60 , 3 a SYSTEM TYPE ~'-t p ~ nr~ S ~S~C v/l CONTOi~R ELEVATION ~9 y0 -~- ~ 1 N i + - ~ ~ ~c, o SIGNATURE~~~_~.--~~''~p~ DATE S--//~G2 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~iP,~C 3 ~~~~~~ /~~l~s' Mailing Address Property Address (Verification required from Planning Department for new City/State ~i97~/llG3t/~ . Gt/l Pazcel Identification Number D/8~~ /D~S~-' //'?-oa LEGAL DESCRIPTION Property Location ~,~'/., ~( [.~ `/., Sec. ~~}, T~-R~W, Town of ,~®,~ Subdivision ~~~~ ~~-S Lot # ~/ ~ Certified Survey Map # ~~ ,,~~~~.~ ,Volume Page # 7 3 Warranty Deed # ~j ~ 1 ~ ~ , Volume ~ Page # d Spec house ^ yes,,l~no Lot lines identifiable ~es ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on site wastewaterdisposal system is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ~ ~~/ D3 SIGMA O APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. r.~ ~~~ GN~ O APPLICANT 7 ~~ a3 DATE «««««« Any information that is mis-represented may result is the sanitary permit being revoked by the Zoning Department. «'`*««« «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made is the warranty deed - 07/25/09 15:48 FAS --- ~00~001 . - _ _ _ _ _ - - - - - - - - g~9'ISR OF DS@DS 18 FAY 715 988 4887 5 - -.- r- ...~__- : 07/YS/09 FRI 1 73212`-3 p n I! STATE B~R~]~~I[t A`CR18 2~. ~~ ` E 'fH~,~A H. iiALSI7 I ~ ~ ~ ~ 1 WARRANTY DB~D i ~ ~ t7D~ gI RO B C ,. ttaounentNW++~ ~; ~ ~~ BECEIV6D FOR ItEC[IRA I ~/I2S/2A8~i O'Z:1:8?]I 1 TASs Deed, made between ~- ~-- _~- -_-- .--- --- _~ - 13~Y]ATe3 atld W',~,f~,,. ~ ~ -` 'J ~ ~ _ _ c.arttot. u, _ _ _ 1a 8T 1 ~ g~ ~'e~: 1I. en ' y t$,~.-~.. i and ttngtr. ~MF'~RS. and ,YCP.,~'fILF.48Dt-~- w ~ T{IANS 6 E6s 143.7@ CUPY FLE: I~ _ hr.er}+anrl ~1iLW3~B.r-~.1• ~ .. ~_.~-_•~. -- ' I ~F~ PAdE4 ~ 1 - - ~_ ~~ Grantee. ~ - s .~ ~ ~ ~ Gna,wr, for n va4uable cottytderaeLtn, convt'ys and warrants to Grantee the following j~ dexctibed rest estate isl _.._ ~- ~j-~-- . Cottnty State of Wt9wr6rn= ' s Nun'txr' ii Lot. 3 f Certified Survey Map filed +~ Dtrtcember 23, 2002, in Vol.uate 7 6 of certif3.ed c eat Nn 3 i g ~ ,.~--c:: ~--~-.'^J - ~ ~e,dRaa+aMd,ese ~~~ ~~Q- ~' . , as Survey Maps, Pape 44 1/4 f ' 2,m f ~ ~+~+^-~- • !I C a t 743425 lacat@d in the SL 1 4 o ~f~ie I7E 1 /4 of the SW 1 /4 of Bastion 30, ' ~ o . ~ ~ 2 6 ~I Ii an x29N, I2175i, Iowa of Hatgmomd, St. Croix ~~~„ gp~ Li~.S~o/~ County, wisGOnsin. 6aid Certified Survey Map previously being Lots 70 sad 11, Plat _~~ _~_~ - ---~ Q!' of Emerald AarQB. ~~ ~ Tay ~1~=?OQ • O~ ~ pygl Number Tht~ia not hprts~tead properly. J1 KS) c~ ~ Exceptlorwtowarran4ea; easements, restrictions, rights-of-spay and covenants of record. bated this ~ ~~ ~Y ~ ---~-~ -- -~'~'• = . RiCh~rd d. Stout.. ~~.~r- !~ ,lam ~--) J'aaet P. Stout ~.. t5~d A.U7gxNTICATION atmar>:~tea tr~s ~. _ day ~ TISIB: MEMBER $fA'fE BAR dF WISCONSIN ~ n°t, - ;ndhonrcd b7 §706.06, Wis. ~a THIS INSTRUMEM WAS pRpF7E0 av Kanet P. Stoat 13533 Asratukee Tr. H,udson~Wl 5407 6 _ (Stgr,au,tos rttay be auttrantiatad or ar]cnowladged. Bot}, an not ~.~ ACKNOWLEDGMENT State of Wiscoasln, Sa. $t. ~rOj.7C +~~~ ~L . FeraotraUy ~ ,ne mis __ .~~~i~ _ day o< .7n t v _ .. Z O t13 . ttre above tamed ~1~ _ to me known ~E~~~e~+r~P'4Rt_L'~tYted the totsgoJriy hausu[nent ~rda~J. 7af~31 s:-'t't- No Fublic, 5tace of ~_, _ Peai•it' Fact [tea 7871 ~B'7 - e~~ IP°ess' B~ Cb~r 1~n ~ .'°'.. ~~ ~ s Haar r pi0"e a ~~.eIEX X Faaf '~- Pi+eoar erparxonepnbX qr any eaPagq mei re rypad or ~ aelw. d,eir ~uae. ~t~ a„z~F ~ ~a.RItANTY P8tt0 FORM Ne. 2 ., 703425 VOL 76 PAGE 4437 KATALEE}T N. M~- REGISTER OF DEEDS CT rDnTV rn u~ RECEIVED FOR $ECORD CERTIFIED SURVEY MAP 12,23,002 e3 ° 15P11 REC FEE: 13.00 COPY FEE: 3.00 LOCATED IN THE SE 1/4 OF THE NW 1/4 AND THE NEl/4 OF THE SW 1/4 PAGES: 2 OF SECTION 30, T29N, Rl7W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN, BEING LOTS 10 AND 11, PLAT OF EMERALD ACRES. PREPARED FOR: SURVEYOR: NORTH 1/4 RICHARD O. STOUT DOUGLAS J. ZAHLER S & N LAND SURVEYING, INC. COR. SEC. 30 JANET P. STOUT 2920 ENLOE STREET 1353 AWATUKEE TRAIL HUDSON. WI 54016 HusoN, wl saols ~ ~O4 9g ( I ~Qp 4 ~9 ----~---------J I ~------ ~. Z ~ ~ NI o W TOWN ~$- - - - ~ -ROADS- o ~ ~ N89°45'02"E 321.18' _ ~ ------ ~ _ w ~ - - - - - ~----------- o N €~ _~_ '~ ~_ __ ~{, 33' 33' S89°a5'02"W 739.78' z o ~ .....i..........( Q~°j 6, ( ~ W Z ~ ~ ,.'T I I ii e o ~i I w o o ~' LOT 36: I^ I I ~i I O ~ ~lr ~ 2.500ACRE5 ; ~ ~I ~O4 ~~ _Z = N ~r ~ (1o8.soo so. Fr.g I M G~ I Ci I mz~ N ~~ I I 00 MO°'~ :~'°°' ~i I ~I ~ I =. d01I ~ ~ ~ N89°44'39`E 32 j .16' i - - - - - - ~I ~ MM •?J I I A d o ,'/ i ~I ^ ~~~~ 0 I m~ O Qr~ ~ Q~/ I ~ I [~]~ I m G,r o :- LOT 37 : ~ r, I ~' d04 ~~3 I N ~1 Z r 2.500 ACRES ; u ~ r' I ~I W ~I ~ (108,900 SO. FTJ: -7f M r ° j ~I I Ch W I ~1 v O 1 OO , ~ s Cc~ I ~ i G~i 15'WIDENON-M_O_TORIZED ° ~ .~10ry (~I I ~~ fl VEHICLE_EOUESTRIANy ~~ n I I RECREATIONAL TRAIL EASEMENT ~~~/ I Q N89°44'16"E ~ N89°44'16"E 321; 16' OG ~ - - I ---- 175.26' ~ NI ~ I 496.42' fir' O~I~ o LOT 38 ~ °r~~ I ° I I O / ~m I ~ ZI I M ~ 2.500 ACRES ° e ': _ ~ ~ N {108.882 SO. FT.) ~~~~~ I N ~~ 10~ ~O4 ~~ I ------- dJ4-~ W N89°48'38"E 498/02' X30 OI I I a; ^ off, sari r r eQ i ' L_ ~' ~ °~~ LOT 39 I~ I [~i ------ d, Z ~ ~~~/ / 2.500 ACRES • N I I N Q i (108,918 SO. FT.) I N ~I i ~~i I I (3~ SOUTH 1/4 • C ~ 33' 33' I (~QO ~J' ~~ COR. SEC. 30 - ------- S89°44'16"W 499. °`' I I ST. CROIX CO~I,, LECaEND _~_Q_4_g_ Plannin°Zo°~^^'„,/°".J.,~i"' l1_ FOUND ALUMINUM COUNTY SECTION DEC 2 3 2002 SCALE IN FEET 1" = 150' CORNER MONUMENT ~ FOUND 1' IRON PIPE ~ FOUND 2 3/8" OUTSIDE DIAMETER IRON PIPE If nct recoroe° w.unn 3~ a-~' ~" 150 0 150 aPPro`~I date aPP~~'a1 shah be C• SET 1.OUTSIDE DIAMETER BY 18" LONG IRON nW~ °^'' "^'J PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT THIS INSTRUMENT DRAFTED BY: WES ANDERSON • • • • • • • • • • • ROADWAY SETBACK UNE (AS SHOWN) JOB N0.6052-16 DATE: 11/11/2002 - - -UTILITY EASEMENT REVISED: 12/12/02 SHEET 1 OF 2 SHEETS oi.~b rage