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018-1098-34-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division F INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I. Permit Holder's Name: City Village X Township Ranweiler, Patrick Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: /DD . Q ~' U 'tr1,~ G'~~-,ate TANK INFORMATION ELEV TION DATA 7 . TYPE MANUFACTURER CAPACITY tic (l ~ /d s~ osin _ . ` p y o Aeration Holding TANK SETBACK INFORMATION TANK TO P/L ~~ WELL -~"" BLDG. Vent to Air Intake ROAD S ~ti ab ~ ~ ~ (~' ~ Do ing ~6~ 7' ~~ y~ ~ ~~] ~ ~- Aeration Holding 'f PUMP/SIPHON INFORMATION ._ V Manufacturer ~ < o J '~ GPl and Model Number ~,/'~ T'" TDH Lift ~Q • Jv Frictio ~ %oss/ rf~P System Hgad ~ (0 TD~~ ~t Forcemain Length ~ Dia. 1 / Dist. to Well ' 75 ~ SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 487973 0 State Plan ID No: Parcel Tax No: 018-1098-34-000 SectioNTown/Range/Map No: 34.29.17.841 t e I6Z.lo /6a STATION BS • 55 HI iaa.55 FS ELEV. iaa Benchmark ~~ ~( / ~ U yd ~~~, ( ~b~ ~6 Alt. BM P~ c~ ~ `~ Bldg. Sewer _------ ~. e3 99 2 Ht Inlet SQ ~ . 7 `~ Ht Outlet~~ (~ ~ ' 6 n j~ Q. 0 Dt Inlet 7y5 •! Dt Bottom ~ , Q q~ r ! Header/Man. ~. S~ / ~ I KO Dist. Pipe ~~( ~ ~ 'j ~ `~~ Bot. System ~~ ~~ Final Grade Z /~~ I st Cover 2 , ~~' ~~ j, I-c~ye~,o°' ~C- Z Go~-d~ ~ ~! ~ ~5. ~ s 4 BED/TRENCH Width Length enc No. O PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ (_ ~ /~ ~ ~ ~ ~.. i' SETBACK SYSTEM TO P!L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of ystem: ~~ l/~! ,, ~~~~ ~~ UNIT Model Number. ~ a DISTRIBUTION SYSTEM 1JPe~i~ Header/Manifold Length Dia i z Distribution Pipe(s) ~q Length l1 /~i (.`F A ' , ~ + ~ Dia Spacing x Hole S~ a ~) ~ x Hole Spacing,, l~ ZS ,// Ve~o Air Intake C(111 RnV~R ., o.e~~.~~e c.,~se..,~ n.,L. .... Mnnnrl nr et_P.raria Svst•amc only Depth Over r Bed/Trench Center Depth Over Bed rench Edges xx Depth of Topsoil ~ ~ xx Seeded/Sodde xx Mulched ~ 4' ~ ~ ~ ~ _ Yes ~_~ No es ,J No ~ d COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~ ! / ~~ Inspection #2: S / Z ~ O~ Location: 1511 73rd Avenue Hammond, WI 54015 (NW 1/4 SW 1/4 34 T29N R17W) Emerald Acres L~~~-t" Parcel No: 34.29.17.841 1.) Alt BM Description = ~~ " 1 `~4 ~- ~-~o-~ ~-+ a ~ 2.) Bldg sewer length = 7 Q f ~~ (~Q s' ~ ~° ~' - amount of cover = ~ D 7 ~. ~ _ __ -T--- j - -- --- 1 r Plan revision Required. ~ _ Yes No ~ ~ I' i Use other side for additional Information. ~~~ ~ ~- ~ 1- J - Date Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division Cotmty 201 W. Washington Ave., P.O. Box 7162 L /~/~ II SIII S Madison, WI 53707 - 7162 - Sanitary Permit Number to be filled in by Co.) V V (fig) 266-3151 ~~C~ ~-3 Department of Commerce Sanitary Permit Applicatl state Ian LD. Number ~> In accord with Comm 83.21, Wis. Adm. Coda personal ' ide ~ 7 / ~ ~~S . 1~ . / may be used for secondary purposes Privacy Law, m) Project Address (if different than mailing address) I. Application Information -Please Print AU Information ~p !~. ~/~~AiN' Property Ow ner's Name Noy ~ ~ ~ O o~ Parcel # # Block # v roperty Owner's Mailing Address ST. CROIX COUNTY Property Locatron ~• ~~~ Z~ y~ y~ ZONING OFFICE ~~ y~ ~f~ yy Sect;on City, State Zip Code Phone Number ,,,, ~'" ~' urele one) T +Z ~ N; R~E or W Type of Building ( all that apply) II ~ 7 9 ~/ ,,.~ , L+f'1 or 2 Family Dwelling -Number of Bedrooms ~ r Subdivision Name CSM Number ercial-Dwcribe Use ^ PubliclCom ~ 'S m ^Ciry ^Villagel]~ownshipof /f~,/-,/r(I,r/ ~ ^StateOwned-Describe Use , III. Type of Permit: (Check only one boa oo line A. Complete line B if applicable) '~' New System ^ Replacement System ^ Treatmendliolding Tank Replacetneat Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List ~ Permit Number and Date Issued Before Expiration Plumber Owner N. T of POWI'S S m: Check all that a = O ^ Non -Pressurized In-Ground ~'~found >_ 24 in. of suitable soil ^ Mamd < 24 in. of suitable mil ^ 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 ^ Drip Line ^ lira -less ^ Other (explain) i ( / V. D' al/I'rratmentArn Information: / 0'O " - ~-• O 2 • S Design Flow (gpd) Design Soil Application Rate( Dispersal Area Requited (sf) spersal Area Proposed (sf) System Elevation U' o s~ d~ / ~ •6S VI. Tank Info Capacity in Total Number Manufacturer Prefab Sine Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Talcs Fvdstilg Tacks ~ ~ ~v Septccoriilnte~ank •1~ "~, ~~` , Aerobic Treatment Unit Dosing Chamber ~,,(/ Z~ V17. Responsibility Statement- I, the andersigaed, asstttne responsibility r utstallaUron of the POWYS shown oa the attached plans. Plumber's Name (Print) PI s Si ~" •I-!P/MPRS Number Business Phone Number a / ~ o lis- 6- omav r' s Address (Street, City, S Zip e Pl um be L p y p y VIII. Conn /De srlment Use On ~y A roved S°'t pp ^ Dis roved Sanitary Permit Fee (includes Groundwater ~ Date Issued Issuing gent Signature o Stamps) ~ Surcharge Fce) ~~~ "~~~~~' d Z ^ ven Reason ial J lli;.. Conditions A prow 1 _~ ~ ~ ~ SYSTE R: ,3) (~'k=C_ I w-e. ~ S 0...~~t.A-1C . 1 Septic tank, effluent filter and / / ~.-- dispersal cell must all be serviced /maintained ~j~(,~ ®(L-- U/~-~i P~[- , f ~~~..e. as per management plan provided by plumber. ~ ~ ~1- ~S ~~ -Q - 2. All setback requirements must be maintained ~ S , `~j as per applicable code/ordinances. ~ Atflch romptefe porn (to the (:ormty nary) ror me ayataa m plpv nor ws mac eus : a. ~acaes .o a.u /~, ~ ~ ~~ 2,2 .[G SBD-6398 (R. 01/03) 4 7 Page 8 of 8 Nearest Rd. 1 Soth St. Site Plan For: Patrick Ranweiler Lot 34 of Emerald Acres NWl/4-SWl/4 Sec. 30 T29N-R17W Town of Hammond - St. Croix County 0 20 40 #1 u'---~ ~ BM =Top of Mound Inspection Cap amp s~ (~) 1 inoh = Io tt HRP =Same ASSUMED ELEV. = 1011 #2 - BM =Top of Mound Inspection rnn Flo„ =Inn 00' 4T O Proposed 4 Bedroom Home #2 Proposed 4"Bldg. Sewer BM O Proposed Wieser Concrete Existing Mound Sy em 1 ZSO Gal. Septic Tank w/E,~jluent Filter #1 Proposed 4"Gravity B Conveyance Line Proposed 6'x 100'Mound Cell with y,3~Ftem Elev. of 100.65' Proposed Wieser Concrete 7S0 Gal. Pump Chamber Proposed 2"Sch. 40 Force Main ~~ 99.00' Thee Line Note: Maintain well and waterline setbacks per Comm 83.43(8)(1) 9'~ 96.00' 93.00' GpP commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary September 27, 2005 CUST ID No. 221180 DAVID B FOGERTY FOGERTY PLUMBING & PERK TESTING INC 28288 MCKENZIE RD SPOONER WI 54801 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/27/2007 Identification Numbers Transaction ID No. 1197976 SITE• Site ID No. 704867 Patrick Ranweiler Please refer to both identification numbers, 150TH St above, in all corres ondence with the a enc . Town of Hammond St Croix County NW1/4, SW1/4, S30, T29N, R17W FOR: Description: New mound, 4 bedroom residence F7 Object Type: POWTS Component Manual Regulated Object ID No.: 1041010 Maintenance required; 600 GPD Flow rate; 9 in Soil minimum depth to limiting factor from original grade; System(s): Co' Mound Component Manual -Version 2.0, SBD-10691-P (1V.01/O1), Pressure Distribution Component Manual - Versio# ~, 2.0, SBD-10706-P (N.O1/O1) 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. /l No person' may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145,f~6, stats. 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 design manuals noted above. • 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. Key Item(s) • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above fmished grade with a watertight cover. Note • The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 27". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. DAVID B FOGERTY Page 2 9/27/2005 Reminder • 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 per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. • Insulate building sewer per COMM 82.30(11)(c). • Provide frost protection per COMM 83.43(8)(c). 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 installation, operation or m~ Sin atricia L Shandorf POWTS Plan Review (715)634-7810, Fax: copy of this letter to the owner and any others who are responsible for the the POWTS. 50 , M-f 7:45 am - 4:30 pm us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Wi5MART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Patrick Ranweiler 4 Bedroom Mound Owner's Name: Patrick Ranweiler Owner's Address: 2244 Vining Drive Unit D Woodbury MN 55125 (651) 248-9781 Legal Description: NW1/4-SW1/4 Sec. 30 T29N-R17W Township: Hammond County: St. Croix Subdivision Name: Emerald Acres Lot Number: 34 Block Number: NA ,~y ,T.S Parcel LD. Number: Pending ,~;~~1tlj Plan Transaction No.: ~~ Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan A~ EZ y NCE Designer: Dave Fogerty License Number: MPRS# 221180 Date: 09/09/05 Phone Number: (715) 635-9609 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) Version 3.11 (R. 06/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd} 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 9.00 Site Slope (%) 98.40 Contour Line Elevation (ft) 9.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) c Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals /v~ 0.125 Orifice Diameter (in) (e.g. 0.25) J 2.08 Estimated Orifice Spacing (ft) _ ~j 2.00 Forcemain Diameter (in) '"7 ~~ ~I~, 16.00 Forcemain Length (ft) 92.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 8.40 Vertical Lift (ft) 0.52 Friction Loss (ft) 15.42 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-443 in-situ soil treatment for fecal colfform of <= 3g inches. 6.00 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation ft) of the highest point. 6.25 ftz/orifice Does the forcemain drain back? Y Enter Y or N 2.61 Forcemain Drainback (gal) 90.56 5x Void Volume (gal) 93.17 Minimum Dose Volume (gal) 39.54 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 x 3.00 Ga{IonsAnch Ca{culator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 750.36 Dose Tank Capacity (gal) Zabel Filter Manufacturer 20.28 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Concrete Manufacturer Project: Patrick Ranweiler 4 Bedroom Mound Page 2 of 8 Mound Plan View 1- 1_ 1 /10 B ~ ' ' ' ' ' ' ' ~ ' • •Observation Pipe ~ ~ ~ ~ ~ ' Q ' ~.--r~. K ~~ •1•' - - .. .'I •.• B ". 3~. 1_ I L Mound Component Dimensions A 6.00 ft E 33.48 in B 100.00 ft F 9.50 in D 27.00 in G 0.50 ft 600.00 (ft2) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate ~I Finished Grade 102.44 (ft) ....f.. F = 100.65 (ft) -~ ' ~ ' Dispersal Cell 3[, Elevation • 1 H 1.OOft K 12.94ft I 16.77 ft L 125.87 ft J 8.37ft W 31.14ft 2277.40 (ft2) Basal Area Available 10.00 (ft) 1/10 B Obs. Pipe Placement H Dispersal Cell ~ 101. '~ : 1 D :~3 .... .. 1 ~.. -....=-.--.--.-_..- 9i Shading Key 1~ ®Topsoil Cap © ""' Subsoil Cap • ~ : ~ • ASTM C33 Sand '-,~--,~--,~~ Tilled Layer ^5 0 Aggregate Mound Cross Section View Aggregate Dispersal Area 9.0 % Site Slope '~ o. ' ~- Dispersal Cell °. c a o 1.5 ft .. ,. ,..n. ,,,.,..u.,. ,..... .~ ~ ~ e ~ ~ c ~ 0 5 ft ra F ' T , ical Lat YP ~ ° ~ ~ "~~ *-- A ---* -, -+ _fi -1 15 (ft) Lateral Invert (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Patrick Ranweiler 4 Bedroom Mound Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection uia tee or cross to manifold at any point. e P •=Turn-up~m'ballvalve or I~X-~IFsi2xf2~) cleanoutplug I1I Hiles drilled on the bottom of the lateral. Laterals are identical Laterals & force main of PVC Sch 40 per COMM Table $4.30-5 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 49.35 ft Orifices per Lateral 24 Lateral Spacing (S) 3.00 ft Orifice Density 6.25 ft2/orifice Lateral Flow Rate 9.89 gpm Manifold Length 3.00 ft System Flow Rate 39.54 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.42 ft Forcemain Velocity 4.04 ft/sec Dose Tank Information Locking cover with warning label and Iodcing device and sealed watertight Electrical as per NEC 300 and ---- Comm 18.28 WAC ~ 4 in. min. Dis~ect ________ Tank component is properly vented ~/Ieser COnCrete Ca acit 750.36 Volume 20.28 Manufacturer Gallons gal/inch Dimension Inches Gallons A 21.41 434.11 B 2.00 40.56 C 4.59 93.17 D 9.00 182.52 Total 37.00 750.36 A B C D E-- ARemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P• ump off elevation (ft) 92.75 Dom elevation (ft) 92.00 Project: Alarm Manuafacturer S. J. Electro Alarm Model Number 101-01H Pump Manufacturer Goulds Pump Model Number #3871 EPOS Pump Must Deliver 39.54 gpm at 15.42 ft TDH Patrick Ranweiler 4 Bedroom Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri-Conn Sanitation Phone (715) 386-0114 POWTS Regulator's Name St. Croix Co. Zonin Phone (715) 386-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum GODS 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecai Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank EfFluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ct for ondin and see a e once eve 3 ears Insulate sewer i e under drive er Comm 82.30 11 Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Tabte 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 (;' J Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Patrick Ranweiler 4 Bedroom Mound Page 5 of 8 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 may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be Leaned 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 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. 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 Distriltytion Svstsm 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 surface 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 mglL TSS, 10 mg/L FOG, and 104 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 performed lt should be compared to the initial test when the system was installed to determine 'rf orifice Dogging 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. Contins~encv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Patrick Ranweiler 4 Bedroom Mound Page 6 of 8 Page 7 of 8 ~6OULD5 PUMPS 1 1 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 314" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'li' 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. 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 or 230V, 60 Hz, 1550 RPM, built in ovedoad with automatic reset. • Power cord: 10 foot standard length, 16/3 S1TOW with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). 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 seal protection. METERS ,FEET Submersible Effluent Pump 3871 EP05 ^ EP051mpeller: Thermoplas- ticenclosed 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. Thermoplastic cover 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 consVuction. AGENCY LISTING Q~• Canadian standards Assoaation (CSA listed model numbers end in "C" or "F".) colds Prmpa is ISO 9001 RagSLered. 10 9 30 _ _ S GPM , $ _ 2s rr 25 0 7 -- a W x V 6 20 . _ s 0 a a 0 ~ 3 2 1 0 10 __ _ __ __ _ EP05 EP04 40 _ _ 50 _ GPM 5 00 1 t1_ _ 20 _ 30 0 2 4 6 8 10 12 nt3/h CAPACITY Goulds Pumps ®2001 Goulds Pumps ~ ITT Industries Effective May, 2001 \rw~ 83871 Page 8 of 8 0 20 40 vb+e s~ (tom) 1 iaoh = 40 R Nearest Rd. 1 Soth St. Site Plan For: Patrick Ranweiler Lot 34 of Emerald Acres NWl/4-SWl/4 Sec. 30 T29N-R17W Town of Hammond - St. Croix County #1 C~a~~~ ~mv ~'~ a~ ~~ ~ BM =Top of Mound Inspection Cap ~©i'~ ~=~'~'~ '~'eRD~ ~ / sus ~~~~ ~rcas~ u' HRP =Same ~ ~.ax/ ~ , ~ _,.~ ~,. ASSUMED ELEV. = 100 ~carma~c ~~ p~,Q ~ ttt~~t•~~ #2 - BM =Top of Mound Inspection Cap Elev. =100.00' Proposed 4 Bedroom Home • BNi 2 O Existing Mound Sy #1 BM O Proposed 4"Bldg. Sewer Proposed 4"Gravity Conveyance Line Proposed 6'x 100'Mound Cell with a System Elev. of 100.65' Proposed Wieser Concrete 1250 Gal. Septic Tank w/E,,~Tuent Filter Proposed Wieser Concrete 750 Gal. Pump Chamber Proposed 2" Sch. 40 Force Main l' 99.00' 9•~ Tree Line 96.00' 93.00' Note: Maintain well and waterline setbacks per Comm 83.43(8)(1) ~.. ~ ~~s ~ sue. ~s~ ~-`~ `~'~`~ ~~--! ul.a vmm yqt~ minty _ Attach complete site plan ~ 7 11 utdtes in s¢e,~u>st inc~rde, but rrot fenited to: vertical and re pant (BMA din and Parcel I.D_ percent slope. sraie or dillll~eiww and Yot~id~ ~ ®~ O Please print a1! info tion. ~ Persanat:Jom~atiw~ ywr provide,~r ee usea ror s r. R ~.-~~.16s h) }l ` ~~~,~ ~ ~ Govt l.~ ~(/ 11+4 1/4 ~ A t.oi ~ t3lock ~ Stud. Name or r U2. ~`r Mate Zp Code Phone Nl~er ^ City ^ ~~ U7d ^' Date . e 3 ~S'. TZ ~ N R ~7 E (ol~ ~tc.•,~S Nearest Road .. ..~„ ~1l ,. T- C ~ ~ -c - o New Construction Use: [~ftPSiden6at ! tlhurtbet ~ bedtoar~s ~- Code deritred design bow rate j' mo GPC Re~acement ^ Public or contrrler+cia! - Describe: _ Patent malaria TL'LL ~ Fbod Perin elevatiat if a ~;~ ~ ~ General cartments • - and rttcarrlmendatiorts: /YiBuN~ o ~ ~-F. s ~,-. $aing # ©~ Ground surface env. ~r R Depth to GrrrwUn9 factor Z ~- e1- S~ gp~ation Raf, Horizon Deptlt Oorrdrtartt Cakx Redox Desaipdon Texhrre SUtldure Consistence Balrtdauy Roots GPDJttr in_ Mlms~ C1u. Sz Cont. Color Gr. Sz. Sh. 'EffS1 'Et1#2 / Z 3 - o z -~ Ot - _,3 s L..~ NE ,~ L c L d `' -- - > 0 ewiny QF~ 3 ~ o ~~ # Q Pit Ground surface elev. f ~~~ t_ Depict to ~~-.~-_ in. Soi Apps Rye r~toe Boundary Roots GPDIft~ C Horizat Oepih m. Doma>artt Color Mtmseti Redoz Desaipiort Du. Sz. Cont. Cafor Texhlre Stnrdule Gr. Sz. Sh. a •Efflf'1 'E1ftR2 / I - c ~~ ~C= .~ 3 -- _-.-~_ . ' .,.d ._-. a.n . nnn ~ 9n wrdl ~ml TCS t 30 IrlQil ' Eftiuent ft1 = BODE > 30 <Tlt7 nlQrt. arts 1 ~ ~.7u ~ ~arrrg~~ Fogerty Plumbing & Perk T~stiag E' pis =~rs_ -9l~~ ?R1_RR McKen7~ Rd -Z~/ ~S - CSLG ,~/s'-~fi'~- ~~~Q 4T'. y~ Pa e ~ of _ Parcel ID # ~f~/~G~~~~ ~ t~ J ~ ~'l~p.-~ g Property Owner.___ '"~'~' y+3,` ~R~ ( ~ Boring # ~ Boring - r ~ ft Depth to limiting factor ~ in. ~ - ~ Ra , te • Ground surface elev. __ L~1 Pit ~ Rests GPDIff Horizon Depth Dorranant Cdor on Redox Desaipli Texture Structure Sz. Sh. Gr Consisterx:e rY B •Eff#1 •EfT#2 in. Munsel! Qu. Sz. Cont. Cdcx . s. ~ ~ F 2 • x , z - -~ z 3 -~-- Boring factor _ goring # ~ Ground surface elev. _-.~- ft• Depth to prrriting - tn- Soil Ap ication Ra Pit Roots GPOlfF Texture Structure Consistence Baxlcfary Horizon Depth Dominant Color Redox Descxipf+on Gr. Sz. Sh. 'Eff#1 'Eff#2 in, Munselt Qu. Sz. Cont. Color Boring a goring # Ground surface elev. _ ____ ff- Depth to limiting factor ~_______ )n• ~ ieation Rate P'st GPDIff She Consistence Boundary R~ Redox Description Texltxe •E~1 •Etf#2 Horizon Depth Dominant Cola' Gr. Sz. Sh. in. Munsell Qu. Sz. Cont. Odor • Effluent #2 = BODS < 30 mg(L and 7SS _< 30 mglL ' Effluent #t =GODS > 30 < 220 mg/L and?SS >30 < 150 mglL The Department of Commerce is an equal opportunit escontact the departmenmat 60866±3i$~teord"ft1~Yt608-264a8T77 services or need matcriaf in an alternate format, pleas SDD-8330 (R.6J00) y.. _ ... / 4 ~~ i ~ ~O w ~~ .~ N r~ ~~ ~~ ~ ~ ~ N 1 ' -- _ _._ s~ i I oZ ~/ ~ ~ \,, ~tl~ c~ ~ ~ ~ .a 2-- ~ ~ ~~ v _. ~~ ti 0 ~ ti ~~ ~ a I~~ ~~~ ~~o ~ ~ R~ I ~ I ~I ~ ~ ~ . ~ ~ i 1 , _ ~ ~ V ~ I 1 ~ ~ © ~ ~ ~ ^ ~ t ~ ~ ~ yk - ~^' ~ M ~ J ` C ~ .a ~% y Cf ~ V W , Z ~ ~ II 1 ~ \ '+ yHy' o ~ ~ ~X ~ ~ ~ b® ~ ~ ~ ~ ~ ~ ' V O N O ,\ ~ ~ • D r - ~°4 . ~, ~ } ~ s~ s~~ ~~ ~~~ 1~ :/ ~ ~~ ^ Wisconsin Department of Commer~,e__ / _----- VALUATION REPORT U - Page ~ of Divf~ion of Safety and Buildings County ~. Cra Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must _ include, but not limited to: vertigl and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all informatfon. Reviewed by Date Personal information you provide may be used for se~ndary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location R1C~11~' f Govt. Lot 4, 1/4Sw 1/4 S 3a TZ N R /~ E (or,~ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 153 ~ee ~- 3 ~ ~n-)a~Jc~ es City State Zip Code Phone Number -11 ~-( ~ ~I15 5~I01~ ^ City ^ Village [~ Town Nearest Road ~ ~ 0 ( 1 ) m ~~n-~ _ ..>~v. ~ S ®New Construction Use: ® Residential ! Number of bedrooms 3 - Code derived de~tgn.llovu rate(? Q GPD ^ Replacement ^ Public or commeraal -Describe: ~ ~~,~'e. Parent material ]-~ ~ ~ Flood Plain elevation if appl~cat7i~r~~~/L/~ ~,..; ft. General comments ~ V ~ .~t N~ e~ ~ U ~ p~ ®U ~~,,. `` ~ `~~ ~ ~.~ and recommendations: r ; ~a~-later el~J- ~~-ZG ;,,,°' ~.~~~ ~~ --, \~V ~ O , ,r ~,, Boring # ^ Boring •rf: , ®Pit Ground surface elev. ~_ ~ Z d ft. Depth to limiting factor L~•- ~ ~ -ui•:--~'" Soil Application 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 ~ - 1 31Z `-' S•1 k -~r cS I v ~ ~ ~ • ~' Z (5- ~ ,~ - 1 m cs - ~ ~ ~ l i -" `- rv P N t0 Boring # ^ Boring Z ^ pit Ground surface elev. :Z~ ft. Depth to limiting factor 33 in. Soil Application 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 t o-g b l -- s; ~ k ~5 i ~.~~ . g 2 ~ - 33 f ~~ ---- c.. l w~-Ff' c 5 - " Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mg/L • Effluent #2 = BOD. < 30 ma/L and TSS < 30 mo/L CST Name (Please Print Signature J CST Number cl4 maker ~____ - ~ ~___- Z s33a9 Address Date Evaluation Conducted Telephone Number 2.13 ~-'~_ ~bme Se-~ Cc~/ "x{025 /Z-~~-a/ ~~~s)Zy~-yao~ Property Owner S~-~~~- Parcel ID # - 1 Page Z of Boring # ^ Boring ©. pit Ground surface elev. ~~Q ~ ft. Depth to limiting factor ~_ in. - Soil Application 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 0-9 io r312 c l,-~ '~ 2 - ~ l0 4 ~~ Z s c5 - ' ~ ~ 3 2 . ~p - l i mcS+one ^-- .-- - N P NP ^ 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 ^ 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 GPDlftz 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 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD•8330 (R.07100) R; • , t PAGE~OF 3 NAME ,a J ~ LOT# 3y LEGAI, DESCRIPTION Ath1 e~Sw i4 ,S 30 T29 N R. ~ ~ E(o~ SCALE: I"= ~Q BM 1 ELEVATION ~ O BM 1 DESCRIPTION ©a .~ ~ " iP~t C BM 2 ELEVATION ~~'~ O ~ BM 2 DESCRIPTION~p Q -~ ~ ,pr c SYSTEM ELEVATION 9 $ ~ O O SYSTEM TYPE ~'! b u n of ~/S ~~ -'r CONTOUR ELEVATION g~. ZO N ~, 3 ~ 6~' ~ 6~ 2 ~.~ dC1 O SIGNA DATE S - ~~ - ~G~ ST. CROIX COUNTY . SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM Owner/B~r9'er f~~rltt~.~ X.stet~ ~tl>~t~,~-n Mailing Address ~~-~/Y U~/~i~ i).r_ t.,,~r~:r- /)_ CG~I~>~~~~ii~tr., ~w~/ s~Th~" Property Address /S // ~3 ~ f~-7 City/State ~_}~, app, jj, ~- Parcel Identification Number Q/f -10~~ ~y-~~i LEGAL DESCRIPTION ~' ~~~~ /7 Property Location~id '/a , ~ %a ,Sec. ~~, T ~N R ~W, Town of ~,,e.,y„sp,~fj _ _ _ - __ Subdivision ~'`ir~~t.Gi) ~lE~~,S Lot # ~~ Certified Survey Map # "-- Warranty Deed # ~©9q 3 7 ,Volume Z~'/3 ,Page # ~L Spec house yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 Planning & Zoning Department within 30 days of the three year expiration date. (Verification required from Planning & Zoning Department for new construction.) Volume ~^ ,Page # Lot lines identifiable yes no Uwe 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 described above, by virtue of a warrant~eecl,~ecorded in Register of Deeds Office. Nu~er of bedrooms l ~ l ~J-r SIGNA' OF APPLICANT(S) r~ ~/ / / / ©s DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) U 2913P 002 Realstar Title v WARRANTY DEED 3000 trty. 42 W. #203 Burnsville, MN 55337 Individuals to Joint Tenants i 188-klv Pao oi8-IoQB 3y-odo STATE DEED TAX DUE HEREON: 1 cdC~~ Date: October 6, 2005 8 0 9 9 3 4 KATHtrEEM H. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 10/20/20fa5 10:30AM MARRE ~T ~ EED RfiC FfiE : 13. ®@ TRAIiS FEE : l t3@. eQ.l COPY Ffifi CC FEE: PAGES: 2 FOR VALUABLE CONSIDERATION, Frank C. Linn and Megan Linn, f/k/a Megan Brown, husband and wife, Grantor(s), hereby convey(s) and warrant(s) to Patrick Ranweiler and Robin Ranweiler, husband and wife as joint tenants, Grantee(s), real property in St. Croix County, Wisconsindescribed as follows: Lot 34, Plat of Emerald Acres, Town of Hammond, St. Croix County, Wisconsin. Together with all hereditaments and appurtenances belonging thereto, subject to the following exceptions: Easements, restrictions, covenants of record if any Check box if applicable: ® The Seller certifies that the seller does not know of any wells on the described real property_ ^ A well disclosure certificate accompanies this document. ^ I am familiaz with the property described in this instrument and I certify that the status and number of wells on the described property have not changed since the last previously filed well disclosure certificate. C. Megan STATE OF (~; nn e c r,-~_ ) ss. couNTY of L~ h,,no~) The foregoing instnunent was acknowledged before me this ~a~ day of October, 2005, by Megan Linn, flk/a Megan Brown, wife to Frank C. Linn, Grantor(s). - MARIA E. BOUGIE Notary Public Si tore of Person Takin Acknowled e t Minnesota Ida g g r " `• MyComm~yianExpiregJ~rg~.2010 t~ NOTARIAL STAMP OR SEAL: t` '~ 'C (C1 1 ~' O Iii 'f ° ~~ ~ ~- 4 w 2.50 ACRES i 108,901 so Fr ~ MIN FF~ = 1005.00 ~p 100'-~j ~ 193.37' v w W - - ~`~' 198.21' ..-..~ 5 2.50 ACRES m 108,900 so FT a --- ------------- 236.95' _.---~ ~~ ~~~ ~~ ,- ---~, 47.72' ~ N89°44'56"E 478.04' TOWN - °° - W S89°44'S6"W 479.39' 230.46' i .~ ~~~~~~~~~~ ~~~ J.~~~~~~~~~~~~~~ ~ r ~: I ~ op~ `1 M11~ FFE = 1004.00 00 O ° ° \`~ 1 ~ .. a I ~ ~~ ~ i C m 2I6 ORES ~ 108,900 SQ FT ~ ~~ V ~ I _ -- I ~ 1 ~ -~j H.W.L. = 1002.0 I I' ( 33.00' I +~ C2 ~3°1429~E C3 1~•~~ 1 S~3°~ ~ ~~ :1 40. ~~~ 72' ~ 1 i ~ i ~ i ~ -~/ ~~~~~ 33 2.50 ACRES m 108,904 8o FT A A 34 A 50 ES m 108,900 so Fr _ MIN FFE = 1004.00 f -r ~ ~~~ ~~~~ t `\~~___ N ~~ f~ - ~ a .1 _ .. 250.45' -- ~ a M[n~p~44C~D ~G']D~ SW CORNER SECTION 30 Dock 689'8S'( ~~~'~S'I'ER'S OFFICB sr. c~c~c ca wts. Raaaived foT this /0 ~ clock ~. R m CENTERLINE 50' WIDE DRAINAQE EA8EMEN'T LINE OF THE NW7 LEGEND ALUMINUM COUNTY 8ECTION CORNER MONUMENT FOUND ~ FOUND 1.OUTSIDE DIAMETER IRON PIPE • FOUND 2 S/8' OUTSIDE DIAMETER IRON PIPE ~ FOUND 3/4' IRON REBAR O 2 3/8' OUTSIDE DIAMETER X 18' IRON PIPE SET WFIR{.IIINfi 9 RR 1 QQ OCQ ArcIMS Viewer .- ~ I-~ ~ZS~ ~~ -~• ~ ~ ~~ ~-- ~s ._ _ _ Page 1 of 1 a,~ http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 11/3/2005 -~Nmv~nol 30 ~~ tract Date ~..,n -~ HOLDING TANK~ySLRVICING C TRACT r------ This contract is made between the Holding Tank Owner(s) Name(s) and Pumper's Name ^~ jj ~ / ~- G~ T I" t G ~ ~ L•M w t ~ l.c / ~ f~r"L t' l - t tf{ ' s `<?.cr+ `~r c:. We acknowledge the installation of (a) holding tank(s) on the following property: (rroviae legal aescnptions:~ t'St l ~3' ~ 'z f z~.v~w• ~:~.~ w~. 1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement required in Comm 83.52(1)(c)1. Wis. Adm. Code and the approved Holding Tank Component Manual. This agreement will also be filed with the St. Croix County Zoning Department. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper td have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the o•,vner and pumper. 3, The pumper agrees to submit to ±he local governmental unit that has signed the pumping agreement and to .the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the senuannual report: a. Th. e name and address. of the person resnansible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volume in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with local governmental. unit and the County named above within ten (10) business days from the date of change to this service cont<•act. Owner(s) Name(s) (Print) Owners Signature(s) Subscribed and sworn to me on this date: '~` ' .tom, ~`~ ~~ ~` ~ Today's Date ~~~... Pumper's Name (Print) Pumper's Signatur~ Notary Public Signature Pumper's Reggi-stration Number 1 / Expiration Parcel #: 018-1098-34-000 01/25/2006 03:11 PM PAGE 1 OF 1 Alt. Parcel #: 30.29.17.841 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - RANWEILER, PATRICK & ROBIN PATRICK & ROBIN RANWEILER 2244 VINING DR UNIT D WOODBURY MN 55125 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1511 73RD AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.500 Plat: 1933-EMERALD ACRES 1/35 018/02 SEC 30 T29N R17W PT NW SW EMERALD ACRES LOT 34 2 50 C Block/Condo Bldg: LOT 34 . ( 0A ) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 30-29N-17W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 10/20/2005 809934 2913/002 WD 10/03/2002 692770 1998/144 WD 09110/2002 689889 9/33 PLAT 9f1f1~ CI IMMARY Bill #: Fair Market Value: Assessed with: - - - - - - ------- -- - - 91091 41,600 Valuations: Description Class Acres Land RESIDENTIAL G1 2.500 34,400 Totals for 2005: General Property Woodland Totals for 2004: General Property Woodland Last Changed: 06/30/2003 Improve Total State Reason 0 34,400 NO 2.500 34,400 0 34,400 0.000 0 0 2.500 34,400 0 34,400 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