Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
018-1098-19-000
~6 g .D ~'°~ Wisconsin Department ofComm~rce PRIVATE SEWAGE SYSTEM Safety and Building Division , ,r ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Stout, Richard Hammond Townshi ;ST BM Elev: ~ Insp. BM Elev: BM Description: f,~ • c7 (~. a C`S ( $ IAA I = ~"P r~oa.. . TANK INFORMATION TYPE I~~ M'ANUFACTURER CAPACITY Septic /~ Z~ Dosing ~~/~ (( Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ , ~ t t ~--- Dosing << L r c, ~ ~ r Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand a+-~.C~~ S GPM Model Number o x.31° 2 ~P sl I TDH Lift , Friction Loss System Head TDH Ft °I.c~~ 1,91 6.5~ S,~o Forcemain Length Dia. ,t Dist. to well .- ~ Z SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 463162 0 State Plan ID No: ~ 06 9 68 = s. v: Parcel Tax No: 018-1098-19-000 SectionlTown/Range/Map No: 30.29.17.826 STATION BS HI FS ELEV. Benchmark I ~• D,~ • D17 . J Alt. BM -1 Bldg. Sewer / J ~ S~ ~ .~S r St/Ht Inlet -~ ~S• S ~ SUHt Outlet Dt Inlet __~ Dt Bottom JSr 6b 9.~ Header/Man. ~;IV , o:.~•3D Dist. Pipe 'S, t Z ~--, / ~ , 0~.2 Bot. System ~. t, 5 r Final Grade ~l w ~ « ~ o~ CZr+ O b CS~L".~~ ~.~~ ~ 'l, BE !'9H Width Length No. f ~repchss- PIT DIMENSIONS No. Of Pits Inside Dia. id Depth DIMENSIONS r / r ~ ~ •~ ~ (~ SETBACK SYSTEM TO P!L LDG WELL LAKE/STREAM LEACHIN Manufacturer: INFORMATION CHAMB O Type Of Syste '^,~ , ^ 33 q~ ~ (~ I ~ ~© ---.. IT Model Number: DISTRIBUTION SYSTEM Header/Manifold rr ~7 i r / Distribution r ~~ pipe(s) r ~ ~ x Hole Size r t 1 x Hole Spacing r Vent to Air Intake - th 7' 0 Dia ' Len z Len th 1' ~~'Dia I' S acin ' ~ 3 ' 18 - ~ g g p g SOIL COVER ly°bP"~'r"'w'Op x Pres u e Svste~is`~nty f XX M°und Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes ~ No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:y~U~- ~ ~ 1/Z~S Inspection #2: ~-i---t-"~ Location: 768 154th Street H~m_mond, 154015 (SE 1/4 NW 1/4 30 T29N R17W) Emerald Acres Lot 19 Parcel No: 30.29.17.826 1.) AIt BM Description = ~ 1 ~41 ~~ ~~' 2.) Bldg sewer length = 2 ~ q -amount of cover = 2~ f Plan revision Required? ~ Yes ~ No t ~S ~ ~ ~ I Use other side for additional information. ~_ ~I___1 ~ _ __ -I Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division~ County 1 s~ P' ' ~. s 201 W. Washington Ave., P.O. Box 7162 „ _P r j( c rs~ons ~n Madison, WI 53707 - 7162 Sattitary Permit Number (to be filled in by Co.) i Department of Commerce (608)266 1 ~(03 ~(oZ ~ Sanitary Per plicatio d I i h ~~ LD. Number o ~^ C ~ ( g ° ~''~~'' ~ p "' n accor w t Comm 83.21, Wis. Ad r 1 information ou pr~~~ c3 may be used for secondary pur va a s1S.04(1 m) 4 5 ~ f) D I e / _,I o 0 . _ _ _ Proje- ddress (if difY'erent than mailing addressl~ I. Application Information -Please Print All Information - ~.~ROiX COUNT \ff ONING OFFS S ~ ~ ~..~0 rl s~~ S~' Property Owner's Na me ! iy Lot t/ Block N ~ /~ (/T ~`G~i<tl~~~ S rd~ >Z ~~ _._ _ Property Owner's M ailing A d dress Property Location . L ~j Section 3~ .4 ~ City, State Zip Code Phone Number . "'!~ ' •-~-`=-- c ~~ ~,S' o:,r1 C.~ ~ S y4 / 7/S - .~ ` l ~- l~5 j R~E clo a q~) .r a 9 N II. Type of Builtling (check all that apply) pq p Q~ S 1 j ,~,w ; _ -_ _ _ - ` , ,, , j ~1 or 2 Family Dwelling -Number of Bedrooms ~ __ _ Subdivision Name CSM Number ', ^ Public/Commercial -Describe Use _ _T__f __ 171c'Y ~ {'/'~ _~ ^ State Owned -Describe Use ~ ^Village~Township of .c;~~ ryr~ ~ ^City ____ _ III. Type of Permit: (Check anly one box on line A. Complete line B if applicable) D I g- U`T - I ~ - t7t7p . 8'L A' ,New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only I ^ Other Modification to Existing System ~--~ B. ^ permit Renewal ^ Permit Revision ^ Change of L7 Permit Transfer to New List Previous Permit Number and Date issued j Before Expiration Plumber Owner ~ 1V. T of POWTS S stern: (Check all that a 1) _ ___ ^ Non -Pressurized In-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 ^'tLeac ' g Chamber ^ Dri Line ^ Gravel-Bess Pipe 0th r {explain) V. Dis rsal/Treatment Area Information: /00 = 2 _ ~ ° 1 ~ • S~ i El on evat Design Flow (gpd) Design 5oi1 Application Rate(g sfl ispersal Area Required (sf) ispersal Area Proposed (sf) ystem CnO ~__~~ /tel. s6 _ 6' • ~ ~~~ D S VI. Tank Info Capacity in Gallons Total Gallons _ Number ofUni ~ Manufacturer W'~,~b~ i4-d~ Prefab Concrete Site I Constructed I Sceel Fiber Glass Ptdstic New Existing !~ Tanks Tanks _.._-- Septic or Holding Tank ~diJ __ i •~~ ~~ -_ Aerobic Treatmen[ Unit T During Chamber N ~j3 / - - `~ '~~ ~ ~ ~ - --- VIL Responsibility Statement- I, the trtiderslgned, assume responsibility for ' • Uatiat of the POWTS shown on the attached plans. ;Plumber's Na the (Print} Plumber's 5i gnature ~ P PRS Number Business Phone Number Plumber's Addre ss {Street, City, State, Zip Code) I l 7 .a ~~~ . ~-~sev . PiJ~ ~ ~~~~ __.._ VIII. Count /De artment Use Onl ~ Approved ^ Disapproved Sanitary Permit Fee (inclades Groundwater Date Issued I suirr Agent Sign re (No Stamps) ^ Owner Given Reason for Denial Surcharge Fee) 2 7 ~"- _ . 2} ~~ IX. Conditions of Approval/Reasons for Ddsapproval ~ ~ S S I _ ,~jp ~ t~ -;t;,,~ Z . ~~^" SYSTEM OWNER: f ~ rt n ~-~-~ ~- 1 Septic tank, effluent filter and ot~ta.~~v~ ~ 'Jew-~ laintained d l i ll b ~ e serv ce dispersal cell must a as per management plan provided by plumber. 2. Ail setback requirements must be maintained i as per applicable code/ordinances. )r Attach Complete plans (t0 the County only) Por the system on paper not less then 8tlZ z it inches fn size ~ti_ . ..:.h,. c : Tp of ~/d `I'ti6~er. 99.e~' ~ Ioo.o' ~ IO~.o'cen~o.~r ~~ as SY.~ `, , , ` ~ ` ~~ ~ ~~ ~~ ~` y~ ~ ~ ~ .` , ~ J~~ `` ~~~ ~~- ~.._ ~.~''~l ~. ~~~ ,d~ ~ ~ atioe _.._...~ Z'krl~.ynP.r.~. !~«~;n ~'D~oDS~ecl ,n oc•.r+o~ a.~ .~D,79;r//7. ~/y ~ dPS~'i be~~:ar~'i /at<eH~~Sa~~ ~~X ~2 ca/Yd`ar~,~,-acs .3~ceJa~ ~.18.'I .~ b u; ldl.,J Sewer i ~an~ye ~r•Aos..cl ~ lsa~roa-~ dweJleri~ ~7'~p of S.E~e/~e' ntt pOs~Qb . E/eµ s 9d, s8.' 71~~,4~c~a c ~ ~~l ~t~/Ka'~+•M p,~ • E/eN~on • ,oro~rb~, s,6~lt p~ ~ Ic: / : yb, 1 V ~~: ,~ /d~,~ Scc. ~0, Tie. oFA~~+rr+di St • '4viX 4., t~~ P A•epssd w~esr C.v~ert~[ cx~tizao/ecdwtd E,»,bTnr~.~-s~, St~rcl5~+nKlPa,r,p c1..u.~dt~ •~~~.r A-pan ~.~iu~ ~rltwa,~ ~.r. oa~Mst. ~ ~i QI ~a/e a ~ b~e.IlT.tr, Sim. U ~--Proposed e,.>~tl GG'P'~ I5' ~. ~ ` commerce.wi.gov i ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COl7LEl= ~~ LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m me rce. wi. g ov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 19, 2004 CUST ID No.227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/19/2006 Identification Numbers Transaction ID No. 1069668 Site ID No. 691009 SITE: Dick Stout Please refer to both identification numbers, 1528 76TH Ave above, in all comes ondence with the a enc . Town of Hammond St Croix County SE1/4, NW1/4, S30, T29N, R17W Lot: 19, Subdivision: Emerald Acres FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 986682 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/Ol); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. CO7 No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, ~~~ stats. The following conditions shall be met during construction or installation and prior to occupancy or use: EF. RTh OF GZ General Approval Requirements: SEE COi • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) • 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. • 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 WILLfAM C SCHUMAKER Page 2 10/19/2004 • Comm 83.22(7) A copy of the approved Mans, specificafttins and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The'owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2}, nothing in this review shall relieve the designer of the responsibility for designing a safe building,. structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this. letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: James K Thompson , A.C.E. Soil and Site Evaluations Leroy. G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address Dick Stout 4 bedroom residential mound Dick Stout 1353 Awatukee Trail Hudson, WI. 54016 Site Address: 1528 76th Ave. Legal Description: SE1/4NW1/4, Sec.30, T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Emerald Acres Lot Number: 19 Parcel I.D. Number: 018-1098-19-000 Plan Transaction No.: Block Number: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings `~~ Page 4 Lateral and dose tank ~~'ly Page 5 System maintenance specifications +-~~~ Page 6 Management and contingency plan ® Page 7 Pump curve and specifications jo~CO~~E~c~ EYgN Page 8 Site Plan lNGS ~ Page 9 Soil Evaluation Report _SP ONDEtVC E~ Designer: Bill Schumaker License Number: 227990 Date: 09/29/04 Phone Number: 715-386-3721 Signature: ~~~.~- Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) RECEIVED page 1 of 9 Version 3.0 (03/01/01) OCT 8 20U~ SAFETY & BLDGS D IV. Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R!; Residential or Commerciai Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 4.00;' Site Slope (%) 100.56!; Contour Line Elevation (ft) _ __--, 24.OOi Depth to Limiting Factor (in) _______ 0.50; In-situ Soil Application Rate (gpd/ft2) Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. Distribution Cell Information --- 100 00'.. Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) _; 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1' Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution !__ Y _._ Pressure Disribution lnformation network? Enter Y or N _... , (c ore) c Center or End Manifold 3.00 Lateral Spacing (ft) if N above, enter the elevation. (ft) _.__.-- - 4 Number of Laterals of the highest point. 0.125.. Orifice Diameter (in) (e.g. 0.25) 3.00!, Estimated Orifice Spacing (ft) = 9.38 ft2/orifice 2.00 Forcemain Diameter (in) -- ---; 100.00; Forcemain Length (ft) Does the forcemain drain back? Y 90.00' Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 11.23 Vertical Lift (ft) 1.53 Friction Loss (ft) 19.25 Total Dynamic Head (ft) 16.31 Forcemain Drainback (gal) 40.20 5x Void Volume (gal) 56.51 Minimum Dose Volume (gal) 26.36 System Demand (gpm) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x x 1.25 __ x 1.50 x 2.00 x 3.00 x Manifold Diameter Selection in. dia. o tions choice _ __ 1.25 x 1.50 x x _ , 2.00 _. _' 3.00 !. Gallons/Inch Calculator (optional) Treatment Tank Information 800.64 ~ Total Tank Capacity (gal) 1200 00 Septic Tank Capacity (gal) 36.001 Total Working Liquid Depth (in) Wieser Concrete !Manufacturer 22.24 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.64' Dose Tank Capacity (gal) ;Zabel Filter Manufacturer _____ ; 22.24; Dose Tank Volume (gal/in) A100 Filter Model Number -- _ _.._ _ Wieser Concrete '.Manufacturer Project: Dick Stout 4 bedroom residential mound Page 2 of 9 Mound Plan View Observation Pipe • K '•,5~. .~1. • . . ..I. '.'. L' . . . . . . . . . B . . ......... . . L Mound Component Dimensions A 6.00 ft E 14.88 in B 100.00 ft F 9.00 in D 12.00 in G 0.50 ft 600.00 (ftz) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate H 1.00 ft K 8.61 ft z 8.49 ft L 117.22 ft J 6.03 ft W 20.52 ft 1448.86 (ft2) Basal Area Available 10.00 (ft) 1 /10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.31 (ft) ~~~~ G * H teral F , .:::: ~ : ~ Dispersal Celi ~ - 102.06 (ft) La 101.56 (ft)~ -- Invert Dispersal Cell :~:~:~:~:~:'E~' '~:~:~:~:~~~~'~'~~~~~•. ~ Elevation ~:~ D ~'~'•'~'~:; s ::;:::::;.•. ,... J J J J J,~ J l 1 1 I J 1. 1 1 A i ~ - .. .. • - ~ ~ - " " ~ ~ -~ - ~ - 100.56 (ft) Contour Elevation 4.0 % Site Slope /~ Geotextile Fabric Cover Shading Key Topsoil Cap Q ~~~~~ Subsoil Cap ©~ ASTM C33 Sand [~ Tilled Layer Q5 Aggregate ~ ~ ~! Dispersal Cell o .a 1.5 ft ~..~ •,.•. " ~ ~ (~ ~ d 0.15 ft 'Typical Lateral ~- A See lateral details on Page 4 for number, size, and spacing of F laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). -T -~ _I -/ Project: Dick Stout 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Qaigram Forea main eoruNatksn u1a tN or cross to rnarafold at ~~ dwna-t~pluDwhreor IE-X- }1oMs drfAad on ttw bottom of efia lateral. Number o/ Laterals Latent Diameter Lateral Length (P) Lateral Spacing (S) lateral Flow Rate System Flow Rate Total Dynamic Head LOCldng cover with vremin9 label end lockfttp d~ end e~pled watadlyht 4 in. min. E-- Altet'nate location ~~ 4 Orifice Diameter v.~za In 00 1 In Orifice Spadng (~ 3.1a ft . 29 49 ft Ortilces per Lateral 1i3 . 3 00 fl Orifice Density 8.38 ftx/orifice . 6.59 qpm Manifold Length 3•~ 1`I 28.36 gpm Manifold Diameter 1.54 in 19.25 ft Forcemain Velocity 2.69 ltlsec EleCtflcal as per NEC 300 end --""~ Comm 16.28 WAC ~.~ Tank went Is properly vented Manufacturer Gallons gaVinch Dimension Inches Gallons q 18.46 410.50 g 2.00 4x.48 C 5,~¢ 123.26 D 10.00 222.40 Total 38.00 8Q0.64 Alarm ModeaNumber pLV lAnn ~~ Pump Manufacturer Goulds_ „~,~,,, ~~~ Pump Model Number EPOS _ ~~ Pump Must Deliver 28.36 gpm at 19.25 ft TDH Laterals !~ kua rnaln of PVC ttah 40 pat COPAM) Table 84.30.6 an Idantio Forcernain di~mater ~ 21n. Weep hale or antl- 9tphon dwloe p~ ump gfr_elevetlon (it ~""~ 90.$3 p~11k eievaHon tt 90.40 Project; Dick Stout 4 bedroom resldentl~l mound Page 4 of 9 pose Tank Information Mound Svstem Maintenance and Operation Specifications _ _ _ _ _ _ __ Service Provider's Name Bill Schumaker Phone''715-386-3721 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 Svstem Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •..........•.. ............... Grade \ , .. ":.. ..."" 6-8" Diameter Lawn ~/` ~ Threaded Cleanout Sprinkler Valve Box ~ ~ :.: Plug or Ball Valve Distribution " Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Dick Stout 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases mare present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 5tats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet 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 fitter when removed from its enclosure. If the filter is equipped with an alarm, the fitter 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 1i3 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 pertormed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank pertormance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings 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 wthin the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. 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 test is pertormed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. if the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal pertormance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surtace, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Dick Stout 4 bedroom residential mound Page 6 of 9 . ,~ L~ GC~UL~S PUMPS ;;PPLiCATIONS ~_ci~icall~ designed for the ~','0~.'!,Ilg 0525'. it~..i-~~t systems . -~o~~~ . =a,r.~ • ~e:~; o~t~; sump • ."J~tEr transfer ' ~E.'!d'[rl!1C) :PECIFiCATIONS ' Soi,us n~ndling capability: ~n~;ximum. • ~3pacti~~s up to 60 GPM. -Tot ~ c2:ids: up to 31 feet • ~~~~.s~~r ~ry2 siz2~. 1'(r" NPT. ~`.~1e_"~ n,~ai seal: carbon- r~~ta ;_reramic-stationary, 5~J':~ t, elastomers. ' ~~-: ,t !,J-Q continuous '='~~ ~ ~,67~C) intermittent. =Js.~, _r> 300 series ;a n~~ss steel. • C~r:~oe of running ury :~.~~:h~~~~t damage to ~r,a~n~nts. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical sea{ protection. METERS FEET -- - to 9 Subr~erSibl~ Effluer~~ ~ur~ .. ~ ~ :.~~;: 3 ~~ ~ EP04 EP05 ^ EP05 Impeller: lhermoplus- tic enclosed design for improved perforrnance. ^ Casing and Base: R~.,gge_I thermoplastic design p,ovidcs superior strength ar~d cor,csio:~ resistance. ^ Motor Housing: Cast iro„ for efficient heat transfer, strength, and durability. ^ Motor Cover: Them;opla,tic cover with integral handle and float switch attachment points ^ Power Cable: Severe duty rated oil and water resistant. Q ~,9otor: /~~ ~ _. • '~ < ;male phase. 0.4 HP, 1550 T.-Q 1. 230 V 60 H 'a ~ cr , z, i??P:', !~u_It In overload with i 5 ~r r ~: c reset. ° _ 4 ' r~C~ Single phase: 0.5 HP, a o _ ! i ~~ ~~, ' 1 ~~ 1' o, 230V, 60 Hz, 1550 ~ 3 ~ o ~.?f.', 'uuJnn overload with :, ate ~;~tc reset. z a~,;~- cu,ci 10 foot 5, ._ __ _. . stanii;;rc Length, 1613 ~ 5,T ~': vnth three prong o ,~~lir~g plug, Optional 20 L .. ... - .... _ . ...... ... ....... .. ° oo~~ io zo 30 Sao: I: ~,~cth, 16/3 S1TW with ~ 24.3~~i~. ^r~-~ prong grounding plug _- ~stanu~r~i on EP05). o z 4 6 CAPACITY _~_ Prnp5 ,. ~.t ~',,; .:'CO2 Bearings: U ~;.~r : !~,: Heavy duty Lal'~~ I_~~~~~ n ~unstructo ~ AGENCY ~IS(IPI~ Guulds Pun~ps,s I';0 ~Ca' ke:;~<,~ , _. r _ _ ~ S ~\ Ef~65 ~~ ~POU ~~ ~. C , Iv(, n i m k rn 5 ~ja ~_ i'2'L~G ~~~ mil, ,o Goulds P~arri~s ~~/ Il"T IriciaSt. ~~~ ?0;^9 30;. _ _ _ _ . _ .. . ~.~ _.:... . 25. __.-... ) . 9f~' ~ : Tojo of i/d "I'1C.b~er 99.a~~ ~ ~~,p~ ~ ID~o'confo.~r i -- ~ ~~, .~ ~ oo. s7~' ~ ~~ `` , , `,~ `` ``~ !~ ~ ~ \ ~' ~ ~ ~ ~ ~ ~~` `~ `~~ b3 ~ ~ aroo~ _.~.~ ~"sue. yob rc. ~~e~cw~RiK 'diOpS~t~n'!DU•nC~d~.2D.7y','1~//7.~}/7~ ~ dfS ~'i Aa ~:ow, /a ~«~xl~a~Gt ~~ J( ~pPQ,?9' cJ/Yd'o~:,~-~ ~~cecla~~ X18' .~ b k; -aip.,~ Sac~e~ ^ ~ ~ ~r~r~ka~i'er~ * ,oro~d~y s,be.~ " ~Pa~: ~ !d ~2 ~ /9, Cn-s.~ dal fjefe s, Sec. 30, Ta. cf'~•~.twhd~ St-CroiK4.,uJ~ ~~ i' I piep~ssd c~9ik.Ss/ Cwre/t{t wL~/,sav/8c0wuQ CwnbTndi~ ' Sl~TC L~a~KKIP«n~p tl,~endar ~'tl~esea~~.T. Da++~i~s~. ~anyt ~~ pos~.c1 ~/ Gt~otl~oawr, dwa//n+~ ~Tpp ef^S,E~e/fentrPo3~Q~ . E/ev.~ s 9~, s8 , bkf~~I~/'~C J/~TJS• ` ~V/ --P~op~scd ~iU 15y Rg, 8a Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings {~ ~rrnrrinnro wi4h ('nmm RS Wic Arfm r:n[1P 1842 Page t of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 018-1098-19-000 P/ease print all information. Reviewed By Date Personal iniormatbn you provide may be used for secondary purposes (Privacy Lew, s 15.04 (1) (m)) Property Owner Property Location Dick Stout Govt. Lot SE 1/4 NW 1/4 S 30 T 29 N R 17 W_ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Awatukee Trail 19 Emerald Acres City State Zip Code Phone Number _ ~ City ~ Village /~ Town Nearest Road Hudson ~ WI 54016 715-549-6731 Hammond 1528 76Th Ave. New Construction Use: /f Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD __ Replacement _~ Public or commercial -Describe: Parent material Glacial drift over weathered sandstone bedrock _ Elood plain elevation, if applicable na General comments and recommendations: Irregular topograhy across system area may require additional sand fill beneath mound system. Recommend Installing mound system at elev. 101.56' at 12" above 100.56' contour. Boring # ~ Boring /J Pit Ground Surface elev. 100.71 ft . Depth to limiting factor 31 ° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' ~ in. Munsell Qu. Sz. Cont. Color tic Sz. Sh. 'Eff#1 'Eff#2 1 0-13 10yr3/3 none sl 2fsbk mvfr ~as 2f,1m 0.6 1.0 2 j 13-23 10yr4/4 none sl 2msbk mvfr cw 1fm 0.6 1.0 3 123-31 10yr4/6 none Is Osg ml cw 1f 0.7 1.6 4 li 31-49 10yr7/6 f1d 7.5yr5/8 fs Osg ml cw 1f 0.5 1.0 5 ~ 49-60 10yr8/2 map 7.5yr5/8 fs Osg ml - - 0.5 1.0 - ~ H#5 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. Boring # J Boring /J Pit Ground Surface elev. 100.63 ft. Depth to limiting factor 35,. in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont, Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 i 0-12 r 10yr3/3 none sl 2fsbk ds as 2f,1m 0.6 1.0 -- - - 2 112-19 ~ 10yr4/4 none sl 2msbk ds cw 1fm 0.6 1.0 3 ~ 19-35 ~ 10yr4/6 none sl 1msbk ds cw 1f 0.4 0.7 - - 4 ~~ 35-43 10yr6/4 f2d 7.5yr5/8 s Osg ds aw 1f 0.7 1.6 5 43-63 10yr8/2 m2p 7.5yr5/8 fs Osg ds - - 0.5 1.0 -- 'Effluent #1 = BOD 5> 30 <_ 220 mg/L and TSS >30 < 1 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS <,~0 mg/L CST Name (Please Print) Signatur : CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceol , 154020 9/22/2004 715-248-7767 ~Propertyowner Dick Stout Parcel ID # 018-1098-19-000 Page 2 of 3 Boring # _~ Boring 11 99 th to lim D itin factor 24" /J Pit Ground Surface elev. ft. . ep g in. Soil Application Rate Horizon i Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 i ~ 0-12 10yr3/3 none sl 2fsbk mvfr as 2f,1m 0.6 1.0 2 i 12-20 10yr4/4 none sl 2msbk mvfr cw 1fm 0.6 1.0 3 - 20-24 r-- 10yr6/4 none Is Osg - ml cw 1f 0.7 ~ 1.6 - 4 'i 24-55 10yr7/4 f1f 7.5yr5/8 fs Osg ml cw 1f 0.5 ! 1.0 5 ~ 55-68 10yr8/2 map 7.5yr5/8 fs ~ Osg dl - - 0.5 ~ 1.0 H#5 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. ^ Boring # _~ Boring I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ~ Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C i -t - - I --- i -- -- --- -- ~ -- - i Boring # ~) Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots / ' in. Munsell Qu. Sz. Coni. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i I --~ ~~ ~ ~ I --- ' Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mgiL 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 T'TY 608-264-8777. • Eltv~a~ETor~ ~o,ro~srby s~.~t ~c: i = y~' ~CeG /9, C,r,~.~ l,~ ~¢ crs s, sec. 30, T~, cf IY~~~'+~i SE • Croi k Q~.~ c~~. ~~~Tep oi' ~/Q"I"~t.b~r 99,so' 1 io0.0~ 1 ~~l,o'Cen{ea.r ' 1 ~ g ~ ` i "~ ~ ~ ~ ~ ~~ ~ ` \ ~ \ ~ ~ ~ ~~ ~ \ ~~ s~ ~\ ~~~ `~~, ~~.~ ~..~ ~-x'81 ~`_ ~~~ ~ ` - ti y r ' vim, ~~ w/ r-r G ~~ +~/OTC g9.d~~rwds a~ bK.•l1; ~ S~'~.e. (e~ ,,aL..L~oP ~1~'3.~eel~'errpe~O~~Q~ 71o~r9/e~u L ~. ISy =t ~tret P. 3ofJ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ~,..,.a~.~..e „~;,,, ~.,,,,,,,, w~ 1APe'• ~'Im rnria 1842 Page 1 of 3 A.C.E. Soil & Sfte Evaluations County Attach com late site Ian on r not lesslthan 8'/ x 11 inches in size. Plan must p p Pape ~ - St. Croix °-~ include, but not limited to: vertical and horizontal reference point (BM)v direction an~-~ percent slope, scale or dimemsions, north 8rrow, and location'and disl~iA~d to n ret~r~i ed. ~ ,,.~ Parcel I.D. 018-1098-19-000 Please print ail information. awed By Date Personal informatiwi you provide may be used fdt~seeoad~ry purposes(Privacy Law, s. 15. 1 O ~' 2~. Property Owner ~ " Property Location Dick Stout Govt. Lot SE 1/4 NW 1/4 g 30 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Awatukee Trail 19 Emerald Acres City State Zip Code Phone Number ~ City J Village It Town Nearest Road Hudson WI 54016 715-549-6731 Hammond 1528 76Th Ave. 1/ New Construction Use: y- Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD ~j Replacement ~ Public or commercial -Describe: Parent material Glacial drift over weathered sandstone bedrock Flood plain elevation, if applicable na General comments and recommendations: Irregular topograhy across system area may require additional sand fill beneath mound system. Recommend Installing mound system at elev. 101.56' at 12" above 100.56' contour. Boring # - Boring /f Pit Ground Surtace elev. 100.71 ft . Depth to limiting factor 31 ~~' in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-13 10yr313 none sl 2fsbk mvfr as 2f,1m 0.6 1.0 2 13-23 10yr4/4 none sl 2msbk mvfr cw 1fm 0.6 1.0 3 23-31 10yr4/6 none Is Osg ml cw 1f 0.7 1.6 4 31^49 10yr7/6 f1d 7.5yr5/8 fs Osg ml cw 1f 0.5 1.0 5 49-60 10yr82 map 7.5yr5/8 fs Osg ml - - 0.5 1.0 H#5 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. Boring # J Boring Pit Ground Surtace elev. 100.63 ft. 35° in. Soil t~ Depth to limiting factor -~~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1 m 0.6 1.0 2 12-19 10yr4l4 none sl 2msbk ds cw 1fm 0.6 1.0 3 19-35 10yr4/6 none sl 1msbk ds cw 1f 0.4 0.7 4 3 -43 10yr6/4 f2d 7.5yr5/8 s Osg ds aw 1f 0.7 1.6 5 43-63 10yr82 m2p 7.5yr5/8 fs Osg ds - - 0.5 1.0 'Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 1 mg/L `Effluent #2 = BOD < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) ignatur : CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceol , 154020 9222004 715-248-7767 Property Owner Dick Stout Parcel ID # 018-1098-19-000 Page 2 of 3 Boring # ~ Boring t~' pit Ground Surface elev. 99.11 ft. Depth to limiting factor _T4~ in, Soil ppplication Raie Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/3 none sl 2fsbk mvfr as 2f,1m 0.6 1.0 2 12-20 10yr4/4 none sl 2msbk mvfr cw 1fm 0.6 1.0 3 20-24 10yr6/4 none Is Osg ml cw 1f 0.7 1.6 4 24-55 10yr7/4 f1f 7.5yr5/8 fs Osg ml cw 1f 0.5 1.0 5 55-68 10yr8/2 map 7.5yr5/8 fs Osg dl - - 0.5 1.0 H#5 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. ^ Boring # ~ Boring _~ Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots s in. Munsell Qu. Sz. Cont. Color Gr. Sz. 5h. *Eff#1 *Eff#2 ^ Boring # _ ~ Boring _._) pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = 80D5 <30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 36.92' .- ~ 1 • El¢r.~.fio~ ~~Y ~\ - ~ ~propL~tY st~.Kc t ~ t ~ , ~ ~ ~ ,~~~ ~ ~B~z Sec. 30, Tn. of fro--r-~rno'r,d~ 5~ • G•oi -c ~o., ~~. enc : 7~0 oP 3/8~~1^cbar. 99. so' 1 ~~,p' 1 /O/.o'Con'~oca.r 1 1 1 `~ ~ ,. ~ oe. S~ .~ ~ ~ ~ \ ~ \ ~~ \\ ~ \\ ~ ~ ~~ \\ ~~ \ ~ ~ ~~ J s ~\ `\ ~\` /~53, -•-- 1 l .S/O/~t _ \ • (~ ~ 'OC~~-S ~ 49.8/ gra.o% a~ ~- .~ a /o t T; Top of~~ee/~'in~ePos~QE . Ele ~!' = 9G. s8 /S~/ `-~ 5tr~ c E 9,2' ~~~,4/erJ~ce• P, 3oF.3 : yp o ~' ~/B uric~6ar. Assw., altw : i~N,a~?. 49.so' ~ io/.0 ~ 1 /0l.o'Can'bsa.r l 1 1 j 1 1 ~` ~ / eD. SLR ~ ~ ~ 1 ~ ~~~ . ~ ~ ~ ~ ~, \ ~ ~ ~ ~ ~ ~ ~~ \ ~ t~'!~ ~ ~ ~ ~ ~~• t~ ~" ""-'-' -'" X81 ti y . t w v ... ~~ .r. I ~ r l ~/O/dC ~~ ~p dp~~,~e/F'an«p~os~Q6 !off ~a e. E/e~ = q~. ~~o~,4r~nk ~ -~ eft/ka,~'on • ~It`h~Ton ' • ~Oro~~r~y sf~t.dt t ~ ,per, ~ !d old ~G /9, ~ir,..r~ l„~ ~e.rss, Sec. 30, Tit, Of ~~~~ St ~ Croilc t5.~ c~7~ 49. d/ ~rwds a~ /Sy ~ ire e P.3oF, 53" D Z z U D z c ,~ D C N O ~~ ~ ~ Z r ~ O ~: n -i D ~ z Z _. ~ ~~ O ,~ r ~; x O r. D C ~' C7 ~ O z n ~ I D ti ~ c z C ~ T O Z r-, C~ Z ~ m, .\ ~ o ~" -~ OT\o ~ (~ D °m \ 5 D r,-i II ~ WLP1200/800- MR SEPTIC MANUAL REV. JAN. 2004 c-> ,--I D O r r~ ~ \ s °= m „°9~., ~ \\ I I 1 ~ ~ ~ ~O v D D OZ =1 m 0 ~ O = O Der r*i0Z ~ m N m rD m ~ ~~~ l J \ ', -, ~ ~ r -{ r O r O Z O Z m m rn D ~ ~ D ? Z r~ipWOZ mj00 D Q ~ O N ~ ~'' Z O D m m Z o O OCO-'C~OZm-ir Z T I~ ~ ~ ~ ~ D 0 DO ~O~ =~0~)O V) ~ ~ -, .~ ~ ~~~mmzo,~~ ~ ~ _ r I N ~ v1 C Z ~ D ~ W i 'm~„!N rOOmr ~ ~ ~ O N~ O~ O~ D ~~~ A ~ n O p ~ .. Q) T1 O r ~ ~ = T 1 v z ~D m o oo° ~ n O ~ N D D r r D r O ~ O ~ C ~ z Z Z ~ tD r O (n m ~ D ~ - ~~ v ~ r ~ ~ r'~ O ~ i fT~ m C ~ --~ O Z T N D ~ ~ ~v m ~ C D N O r ~• r WIESER COIICAETE W3716 US HWY10. MAIDEN ROCK, Vd 54750 800- 325- 8456 SCALE: 1/4"=1' REV NO DRAWN BY:SWT DATE: JANUARY 2001 FILE: WLP1200/800-MR m w a, ~, DA iE _ _(_~ d ._ _ ~, `~'T~~'~:~~C; ~(`i`~.`~~i~. ~~~.A,.I~~1~?,:~A''~'~~~~, ,F~C,1~,.T'F'.zvi~„~!,~: ,~, ~;, ~',`~'~ ~.~~ s < - ~~...~ ...~,.~.~~...~ ~_ ~i'bi?DC'~." ~ i'Cf11~n 1~i~'( ItGgv CC1~81x'~4>~,kCrT~J,~,,...,~,!~"'~ (4ra~i~cst~~~ r~ uirad £ram. ~l~s~.i~~ ~~~ _ ~3;1i~ t1 ''~'~?.cra~~',~ 018.-..10~~ ~..19..~.°t~t?.~.~Z~OJ ~' ~xi~~,l 3dc~1t~ ~~c3 .....x.,... .., ~,,....~..,W ~.m ~.r;~,~~~t~~~ 4 }'rt,k~cJt~ Jib _ ~ ~- /__J..~ ~~ -- 7'1671111'Y'1L' ,._...1.~.~..~ .,-., .~ES~,'~ ~? _..__~... .,..`.w l,i~~i. .11I7t;5 1:~1~GI7.~ ,LU 6t t ~ ~~l ': y~1 ~1 <'~ ~~i TLl u'Xt~~"1i1?JC iS1~tC1L1CT{bty6llC4.~~ ~7xy~.Tl''t~4~t11:IC ~ i$~qC' fip<} ~ ,~;Sf,I1ti;~~EU~ ~S4'l'.]}3~1uG~~R~u ~hilLIl'U~a\Cii.~le ?+^.5i~"t t~ ~ii,~'' +'Tq`t~l~hK1k S . „c,~rts !tip v~'~~' ~~ tst~ ~ ~ *r~at~~c~> ~'Eg.~~ >s~, tix~ arayic ~l~~osn~ ~~~tors~. 4:3'i.L7 ~~~"=~ ~ f~.t~[a~tx1 Q~ x1.117 "aI' 1' ~S YS., ~ f'tF"!~ i" tl~ /r Sf`l l~S7C~. t. +~ u ~ ~ ~Y'btX t'.b,~:lY's~ ~C.~?'~1',S>i~Y"St ti. C.p'fltl ~JtOu yS'J ~; ~- ~~~ to ~+ gTvwr~t~r~~tk~~~' 111sntat~.1 i t~~ w~~t Ka~c]'cl1 ~~r,, u~ ~ 4cu,7, ~t+~ar, ISM tFU>.k is i+^,se, ~~'~a3.u i~~, t S; of v.}~c~c. .za~Yc~:+~~vs~k~dz,{~usn~~~np1u~'ttl~,ro~tsic~td.~ut~.m?~rvr~Yice~~~i~uk:~~ria~:c~,~~~~'~, '~'-' Y r,.c7t~+~a~~~ and,'r~r (2~ at~~r L~.wp~~t~o'~ tu~,p i~ ~ (' . iF U'~ ~~~~ C4~~'Y6t,171~ t fp ~~ tl L1 : ~ u.1 ~l +1 i:: •ysn 1[i~' ~nr~di ~rl (j18p ,f ~ ky ~e~l h~va'~~d tn~ $bo~e zr~z~e~u~~a atad agr~ec'~~~ :x~nx~Ca~u.~ ~~a~s ~. $L'C{'~Ili{~,hC~~~~1l~n~+~F,~~a~tU13~~°'~1"Jf.~t`C<fd ~T9wE 5~"t~7iA(,(~T''1T1 ~L,1~ Fi1:11 !kwC. t}tg 11~~CZ81~ ~ t~~ i'~Ilt ~,`, ,~; ~ l~~s'~u~. se ~,at~~ tie t7~na~~sc~~t a~' ~:,t7~n n S[&'h~t1~ fit ~~tLYt: F 63`~i']~t't ~3 ~~f~~, Sli~.1Cz7~t1CC9 mu9L big, ~«om~~L"toC! ~Cl~i ~""~,~rnrti ~U $k~ks r3 ' .,, Ci1F: 1. t 1 7t?i'!,~ +7.~7,~. ~-~ ~c.+ Pc+, ,~,•«~..c~f t'cas ;.~~e Yaee a~]~'~t~i4n tiat~i.. ~~ ~`~' ~r~, . i ~T( ,~0.1 i.~ Y4.t~ .1 k ~~ s~1"~1 k['"1T~t"1~'~1T~~~` ~~ ~ ~~ +L k~utNl~dgc. (wl%~i ~T'~ lflr+,. ~ti c. ~;,~511+;i;; :,~~ ~ti~'ik.r~~ ~+~- ,, ~'~~rsn art! m.~r~ to thr.. 17esr, G~~ t~~V ~ 1 l~'"~~ 1)dR'kl'~' $~.fC~ ~~.1. g~,tLy7.~CAt3 >J1 G1lix tk~~; nro}~~x~` dn~.crib~~ ~~~~~i b u~tvo ~£ a ~~tta~sty rJ.~t;~ t~;',r~a~l~~ tin i~e~r~t~i~ n~.~Gk,LS,~ ~3fEi~~.w ~ ~_.....,... ,~ 1" C~ ~, ~ -~~ ~' ,~ ' I~~1 _ w ,~ ,~ ~~ H, ~. ~~ 7t?,~,t `I~"~ rvt~nk~zl t7y tic, ti ~~~s,Q i_ r ,~r~}5~~~.n; ~ V ik6tl~,.T. +L''1 ~~lE 5 1' 11.6LV ",'JE'.4":.Ytli. ~J~~1'i~r', ;'., qC! j11y.t l~ T'QI4^Te~7%'9~~Y7Cn4. C.Yti, S c. pct w~:;~c~t~+ uetd f?+~r~ tYi~ Ct.rgt~t€~r c}; 1'~~c~1:a r~~Y#+ F~ l~s~t~~n: ~ ~tam.p i~ rN:~c,~~nt! d ~t~s'~~a it1 ;.h~ ~Tkn,T-ri~t~~~ t,P;?~ ~,~ teac.t~Ka~ r~~~h 4hi~5 ~~~ cry}r ~~£ tl~~e c~rt~ift~~ aurv~y rn~p St. Croix County Property Report ~ ~;.. . 'i~r ' ~~ (LISTING UPDATED ON: 9/13/2004 3:05:19 AM Tax >~ Assessment (Location Information 2003 Information PIN: +~ 018-1098-19-000 Status: Mapping Number: 30.29.17.826 Municipality: Town of Hammond Assessed Acreage: 5 Total Land Value: $52,500.00 Site Address: 1528 76TH AVE Total Improved Value: $0.00 Section: 30 Total Value: $52,500.00 Township: 29 Fair Market Value: $61,000.00 Range: 17W Fair Market Ratio: 0.86 Quarter-Section: NW Original /Net Tax: $893.94 Quarter-Quarter: -~ SE Special Assessmerns: $0.00 Plat Block: Special Charges: $0.00 Lot Number: 19 Delinquent Utilities: $0.00 Woodland Tax: $0.00 Managed Forest: $0.00 Ownership information Private Forest: $0.00 Primary Owner Name: RICHARD O & JANET P STOUT Secondary Owner Name: Total Amount Due: $893.94 Total Lottery Credit: $0.00 Billing Address: 1353 AWATUKEE TRL -------- --_-----_____...__.__._..._____~.__~~ Total Amount Paid: $893.94 HUDSON WI 54016 Balance Due: -~ $0.00 Document Number: 689889 Interest: $0•~ Volume: 9 Penalty: $0.00 Page: 33 Total Due: $0•~ If you are paying taxes based on this report, please print & attach with your payment. Legal Description SEC 30 T29N R17W PT SE NW EMERALD ACRFS LOT 19 (S.000AC) http://69.58.147.26/website/pasystem/PRO/final report.asp?IDValue=018-1098-19-000 9/13/2004 r- -- -- n ~---`_-___ ~~ ~ .~ ~° Sit (.~.,.~ ~.~-~~ ~~~. ~--- -~ ~(~-- Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ~~ ~~~ Page / of m accoroance wiui ~,ornrn oo, vvw. r~uni. ~+wc County -~ - -- C oi Plan must 11 inches in size th $ 1/2 t l _ r . an x ess Attach complete site plan on paper no 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 I.D. P/@aSe Pf%Rf 8ll Igf0I711afi0ll. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location R, ~~, -~ Govt. tot S [ 1 f4 ,~ 1!4 S 3o T Z ~ N R / ~ E (or) Property Owner's Mailing Address Lot # / Block # Subd. Name or CSM# 1~ ~ s ~- 5,3 -ee T. i~ re City State Zip Code Phone Nu~m1be~r ^ City [] Village [~ Town Nearest Road [~ New Construction Use: ® Residential / Number of bedrooms 3 '- ~ Code derived design flow rate y •~ ~ ~ O GPD ^ Replacement ^ Public or commercial -Describe: Parent material T~ ~ / Flood Plain elevation if applicable '4 ' i ft• General comments f~ tt 5 f~!/~ 'e~-e V' ! ~~ ~ ~ / ,~ ~ ~.,/ s .w and recommendations: / ~ ~ %~ ~ 4~~~ ~'~~,'` 2~d1 ', __ ,~'•~ ~ ., / Boring # ^ Boring ~~~ v ~.,~;`y,'.ft~,`" ~~ ®Pit Ground surface elev. ~, ft. Depth to Limiting factor 2 1-~, w~ Boil Appti ` tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bo ° d2r~/ Roots D/ftz in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. ~ ~* 1 *Eff#2 2 CD-Z $ /Q r - ic. Zm m r LS Z Boring # ^ Boring ~ pit Ground surface elev. qa ft. Depth to limiting factor 3Q in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = GODS > 30 < 220 mgil and TSS >30 < 150 mg/L ' tmuem ~z = tsvu5 c au mgi~ anu ~ as ~ ou myr~ CST Name (Please Print) Signature ~ CST Number ~.1,-,! h makes ~___--~ 2 s33o~ Address Date Evaluation Conducted Telephone Number 21/3 ~U"lS~. ~jcirr~~~,1~ w/ ~idzs /Z-/7-a~ ~7i,~)~y7-~DO~, -~ pocument Number STATE BAR OF WISCONSIN FORM 2 - 1999 WARRANTY DEED This Deed, made between Amos M. Schultz, Grantor, and Richard O. Stout and Janet P. Stout, husband and wife Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Groix Cotutty, State of Wisconsin (if more space is needed, please attach addendum): SE '/. of N W '/.; N % of S W '/. and SW '/. of NW '/. Except Lot 1 of Certified Survey Map in Vol. 7, Page 1917, Doc. No. 432271, al! in Section 30, Township 29 North, Range 17 West, St. Croix County, Wisconsin. Recording Area GS8248 i1F i~HLE£hl H. WALSH fikGISTER GF' DEEDS 5T. CFiOIX C(J. , WI RECEIVED FOR RECDkD 10-04-2001 8:30 AM liAkRAHTY DEED EXEMPT R CERT CDPY FEE: COPY FEE: TkANSFER FEE: 1905.00 RECORDI1~kG FEE: 12.00 PAGES: 1 N>>~~ and Return ~d~ss n d~~ ~ ~ 018-1067=10,018-1067-30,078-1067-40,0]8-1067-50 Parcel Identification Number (PIN) This is not homestead property. ~} (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ day of October 2001 « AUTHENTICATION Signature{s) Amos M. Schultz, authenticated this day of October 2001 « Krishna Ogland TITLE: MEMBER STATE BAR OF WISCONSIN {If not, authorized by § 706.06, Wis. Stars.) T7-I7S INSTRUMENT WA5 DRAFTED $Y Attorney Krishna Ogiand Hudson, WS 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) 'Names of persons signing in any capacity roust be typed or printed below that Amos .Schultz ACKNOWLEDGMENT STATE OF W]SCONSIN ) 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: •) aa[UCe. IMonnatbn Profesabnals Comperry. Fora du Lac, W{ STATE BAR OF WISCONSIN '~""'~""" WARRANTY PEED FORM No. 2- 1999 t1~~ r ' ., couNTY PuT oF: '`~ ' ~ • E~VI ERALD ACR E~.~ LOCATED IN PART OF THE SW1/4 OF THE NWi/4, THE SE1/4 OF THE NW1/4, THE NW7/4 OF THE 8W1/4, AND THE NE1/4 OF THE SW1(4 OF SECTION 30, T29N, R1TW, TOWN OF HAMMOND, ST. CROD( COUNTY, WISCONSIN; N1/4 SECT Mt~IpLA~ 6U~n1DD a ---------------- NWt/4 --- _-----1152A1' - i -- N88'45'02'E 2182.28' NORTH LINE OF THE SE1/4 OF THE NW7/4 --- ------- -f--- esoa - 17 5.00 ACRES G 2, 7.500 aq FT 1 8 6.00 ACRES 217,500 Sq FT MIN FFE = 1044.80 -~~~ ~z7e.2a C7 - - -I~-PROPOSED- ~-i / d- / ~ °~ 6. ACAEB / ~~ 217,500 Sq FT/ J'~ / /.,~` MIN FFE = 1017.00 / /,/~ ,' / ~, ~'/// ~~ /. ~~ /, ~/`/ i •~, / /// ~ ~M15/ ~ n ~'/ 5.00 ACRES 217,800 Sq FT = I - I ~ I ~ I ~ ' ~ I ~ I 20 o = ~ I ~ ~ ~ ~ s soo sso r I ao~m~l , ~~ o ~ ~ I Q oz~ e~ _ {ye 19 i ~ yY° ~ o o ~ !i ~ 21.CO ACR ~` ! j ~m~ ~ 1 b~e'f~~~ J, • MIN FFE .1044.80 j I ~ .1y 21 ~) I ~ ~ ~ ; 8.00 ACRES i 217,801 80 FT 1 't~ _~ I ill ~ I w_~ ~..w_.,.----r ~~'_~ -..__.~..-..J ~ L_..._..-..-_-.. _.. _..-..~. - - _ ._ e:16.5Y N65'45'02Y' 67J.77 .14• FUTURE ROAD STUB - ROAD"-- - - - - - - - -~ BE CONSTRUCTED- - - -___-----_-- 71_~ diiV , BY OTHERS 1 I I 1 I I 1 = I 1 I i 1 i 6A0 ACRES ~ 217,400 Bq FT` I ! I 1 I I I I I I - sew4a~1 ew 14ao.2Y ' t -~7 -------- --- 21 ~----- ----YRft~'_L.-- 1 I Q O I W 0 a a I I 22 ' / ,i 6.00 ACRES ~ ~; 217,800 BQ FT s I ~ . ~ ~ . ~~ I / I •~ 4 / / ~ I ~ ~/~/.~ i / ~ ~ ./~/ 23 I I //3 // •~/ I f ~ I ~ E MATCH LINE SEE SHEET 2 2 6 2:17x- 7 I 810.67 ~ 1 -L'10- - -Q'-~- '~\~'•\~~,,~ ~ j ~ I Z 24 t i 7 \~'~ a 10 ~ I ~ 8 ~•~ i ~ ~ EET 1 MATCH LINE 8EE SHEET SHEET 3 OF 4 Parcel #: 018-1098-19-050 02/21/2oos 09:51 AM PAGE 1 OF 1 Alt. Parcel #: 30.29.17.826B 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/10/2006 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -PAULICK, JAMES G & ROXANNE K JAMES G & ROXANNE K PAULICK 768 154TH ST ROBERTS WI 54023 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 768 154TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.000 Plat: 5291-CSM 21-5291 018-06 SEC 30 T29N R17W PT SE NW FKA EMERALD Block/Condo Bldg: LOT 02 ACRES LOT 19 NKA CSM 21-5291 LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-29N-17W SE NW Notes: Parcel History: Date Doc # Vol/Page Type 04/10/2007 848125 WD 10/10/2006 836337 21/5291 CSM 03/10/2006 820522 WD 09/10/2002 689889 9/33 PLAT 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/19/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 36,300 220,700 257,000 NO Totals for 2008: General Property 3.000 36,300 220,700 257,000 Woodland 0.000 0 0 Totals for 2007: General Property 3.000 36,300 220,700 257,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 /L~%~~ R~~EivED SEP 0 8 2006 ST. CROIX COUNTY ~C ERTI FI ED S V RVEY MAP LOCATED IN PART OF THE SE1 /4 OF THE NW1 /4 OI SECTION 30, T29N, R17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN; BEING LOT 19 OF THE PLAT OF EMERALD ACRES. \\ `\ ~, t U U U 11 I I I I I I I I p ry r~~~ r/ //i OWNER ~\~~~~,~~y~SCOl1/5~~,~'// RICHARD & JANET STOUT ' 1353 AWATUKEE TRAIL _- EDWIN C. ' HUDSON, WI 54016 FLANUM _~ ~ S-2487 SURVEYOR '•. AMERY G \ W IS EDWIN C FLANUM ~ `'•.• NORTHLAND SURVEYING, INC. "9 ;.:,~.•~' P.0. BOX 14 ,/~~'i~0~ S~~I'C`~ "' ~~~~~~~~ /Ji ROBERTS, WI 54023 ~0jrrunnnntmm~aao~~~G~ ~~~r~a~~ a~a~~ r~oa~~ ao~a~l~oo~ ----------I---------- ~ ~o~ ~ ~~~ ~~ (336.92') - , - - - _ - - N89°45'02"E 336.91' ____125.45' ______________2_11.47 ___ __ 15' WIDE NON-MOTORIZED VEHICLE, EQUESTRIAN,~~~ N RECREATIONAL TRAIL EASEMENT. ~~ ww _~ ~- cn p~ ow wQ U z wo rr ¢ wp wp w CJ tr w~ cn ~ d. p0 _Z CJ ~ O Q m ~ (Q w ~~ ^M 0 o ~ ~ ~ -- ° °° I o ~' ~ Z I ~~ ~' Q~ c~ •• GJ o!!3 ~o~ ~~ 33' ~ 33' LEGEND ~ 1" O.D. IRON PIPE FOUND ~ 3/4" IRON REBAR FOUND • I ~ 3/4" X 18" IRON REBAR SET LOT 1 ~ ~I WEIGHING 1.50 LBS. PER LINEAR FOOT N 2.00 ACRES • : cw ~ W 87,120 SOFT. PROP05ED ~~ -X X EXISTING FENCELINE DRIVE ~ ~~ ' ' ' ' ' ' ' ' ' ' ' 50' BUILDING SETBACK LINE I ,~ ~~ ! (336.92') PREVIOUSLY RECORDED • t I ~ ~ DATA N89°45'02"E 336.91' ~ I ~~ ® SEPTIC VENT ~,0~ ~ ~° ~ • SOIL TESTS • ~ ~I / I ~) `J I d' ---- QI n~ ~I ~ OT2 ~0~~ X11 ,/ ® 3.00 ACRES ~ ~ o `~ 130,675 SOFT. `"~ ~ °ol 00S ® EXISTING DRIVE (~ z /, ~ '~ WELL-.© ~I m I ® HOUSE ~Jf ® ~~ ao~ ~ ~ NOTE 6I6' • • ...LOT 2 JS SUBJECT TO AlNINIMUIW FINJSNED • • I FLOOR ELEVATION OF 1044.50 AS SHOWN ON THE PLAT OF EMERALD ACRES. S89°45'02"W 336.91' I -