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r Wisco''4Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 499185 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: French Homes, Inc. I Hammond, Town of o1$ - 2015 - oo - pot CST BM Elev: Insp. BM Elev: Description: Section/Town /Range /Map No: / 6 T ✓A G57' 35.29.17. 1 12. 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 5 CAPACITY STATION BS HI FS ELEV. Septic .Q 3 Benchmark ,,1 , (, J ,'� / LDO 113 . -x1 60 Dosing 4 Alt. BM Gd,,� -b� �� °t- S F I, 1. C �. Aeration J Bldg. Sewer 2 2, ) /6 S. Z/ Holding StJHt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO PILL _ WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , Z,) 1 Dt Bottom IZ . Sq iaa . 4f g t Header /Man. Dosing �5 , n Z I f 2,1 �o• � /07. 3`Y' Aeration 17' Dist. Pipe (,. a y 16 7 ( �a7.3 Holding - Bot. System to•cd /� G - g Final Grade j PUMP /SIPHON INFORMATION 5 - 1 /d? .3 Manufacturer GP M St Cover 3 f Model Number I �7' ALI 3 `� , TDH Lift I Friction o� System Hea b TDH / 4 7 ,Ft Forcemain Length i D / ia. Z I( Dist. to Well ((pp SOIL ABSORPTION SYSTEM BED /TRENCH Width z Length INo. Of Tr nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS [)(s /4/ 1 Je SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of / 72-1 / ^ I /1 . UNIT �/lr�ll N f�- y �J/ [ t— Model Number: m oo DISTRIBUTION SYSTEM Header /Manifold Distribution i t x Hole Size 11 x Hole Spacing Very to Air In ke Length 3 Dia t �T Length o r Z Dia Spacing " �Q� cl" a SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth o� xx Seeded /So et/> xx Mulched Bed/Trench Center / L Bed /Trench Edges Topsoil es No Yes No .7 1 COMMENTS: (Include code discrepencies, persons present, etc.) Inspe t[on #1:66/ 3l ) 2 M ection #2: Location: 1919 66th Avenue Baldwin, WI 54002 (SW 1/4 NW 1/4 35 T29N R17W)) Croix Hills Ldtr— R �k• 12 Parcel No: 35.29.17. 1.) Alt BM Description = 1 2.) Bldg sewer length = �d - amount of cover = t 7y Plan revision Required? Yes No t I Kip, Use other side for additional information. Date �I� 'g re � Cert. No. SBD -6710 (R.3/97) �,��� Safety and Buildings Division County " t' 0 P 201 N�. Washington Av e., P.O. Box 7162 Madison, WI 53707 1 -7162 Sanitary Permit Number (to be filled in by Co H.Sconsin 66-3151 (608) 2 Department Of Commerce Sanitary Permit Application State Plan I.D. Number Yr)M F In accord with Comm 83.21 , Wis. Adm. Code, personal inforniat u provide 5,4 716 may be used for secondary purposes Privacy Law, s 1 5.0 1) Prgject Address (if different than mailing addi-ess /f /I 466 f 1 M ETP r 1 ) f E D 11 le• e ri X11 In 0 , ftitv mpen:l Owner's Namej - SEP 2 5 2006 are Bloc, F: UlX=MT_r_ Mailing Address its 0 1 b Property Loc ion A& 'I, Section 3 Code hone Number 5- Zip 7p R IQ 9 E o;5 _ T N; k. of Building (check all that apply) olc_ Cb 'd � qv,.' Ve Family Dwelling - Number of Bedrooms Subdivision Name CSM Number uSlic /Carrtrne - Describe Use "J gate Owned - Des cribe Use 5 ❑city ElVillage06ownsh of 'Ds Type of Permit: (Check only one box on line A. Complete line B if applicable) !New System Replacement System ❑ Treatmen t/Hol ding Tank Replacement Only ❑Other Modification to Existing System List Previous Pen Number and Date Permit Renewal Permit Revision El Change of Permit Transfer to New I ssued Before Expiration Plumber Owner oe I= Type of POWTS System: Chec all that a e,) 0 1 1111, L-; 7 >lon -Pressurized In-Ground ❑ Mound> 24 in. of suitable soil 9- in. o' suitable soil ❑ At-Grade ❑ Single Pass Sand Filter ❑ oesuucted Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter El tt Recirculating ❑ Synthetic Media Filter El Leaching Chamber 0 Drip Line El Gravel-less Pipe F1 Other (explain) Z Area Information: `csign Flow (gpd Design Soil Appl ication Rate(gpdsf) ersal Area Requir S P isper a] Area Proposed (sf) System Elevation " (s Proposed of 20 __61 `yank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks 140 or Holding Tank lei 00i'T'j.reatinertj Unit - Dosing Chamber V Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. lumber's Name (Print) Plum ' Sig pa re tu MP/MPRS Number Business Phone Number iumber's Address et, City, St ate Z p Code) - 7 Y-11. e artme nt A Sanitary Permit Fee (includes Groundwater D Issue ?!�Approved El it i ature quch arge Fee) is S Su r ch arge ❑ 0 iven R aso Denial UX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 4, 6 1. Septic tank, effluent filter and dispersal cell must all be setvit*s / maintained as pe management plan provided by plumber. 2. All setback requirements must be maintained as per appoc" code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SIB-0-6398 (R. 01/03) Cl - V a a 'CL 0 CL n S n m o a o j Q 8 '&D �. o 11 N Cl M �O oD N O CL IM 11 Ca r t ♦ / cc CO ca 0 v t7 w w o — E S u ��io� / � -� -- Q H Cf R // d/ / r OtAO cm to f l 0 n o am ° I n n m r 0 3 / 1 / i / m / o Lx E ! N - / �o E / n/ a t O X — U-J N .. — Cl) X / Z O ? O a� O. N }. � N N N / , m E 40 I £ XN(n m N _ =Uch C ca X 01 11 Q _ C c a cm E J r- � U - -j EILM m ! 9 a to cc h E cc 11 LL LL Z i i v ul C=) O / 7 f-1 m cc: a Q . cn W Q . _Q Il oa 0 M OQ Q Q N U .9 Q 0 > Q O in Q m / O CM O m o _ 4�mn / o C pp CL �d -�S / / C W it O 4� fn 11 LLJ El CIJ C7 W W t� Q n C Y j o 6 @ m O (ID o Q a) CL a) a> E ) o / / - o - - -- I — - - - - - -- -- — -- - - - -- - cn 0) o � a occa vow - - -- - — Q °' (D 0 — o U) rn a / -- - -- oQ o N u a> / o N N O a) a- / / / cn — o "r cn fO CL Q / l N N U O U) L U X � Cl) X � C V � L O U CD E - O L O "- N X 04 CO E SU m X�N II /C—) �o °u+ NO U -Z E �m L � �// daNO a� / E — N �/ E Il Jln Ea W r m cc E E / LO U Z5 8 I I LL LL 2 - Z U U) / cn / Z Z / W N .—t W a � c U W � cc: Q ti Q U ' Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 2648777 t isconsin www.commerce.wi.gov/sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 24, 2006 CUST ID No. 42258 ATTN.• POWTS Inspector ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL ZONING OFFICE 124 1/2 GRAHAM AVE ST CROIX COUNTY SPIA PO BOX 1645 1101 CARMICHAEL RD EAU CLAIRE WI 54702 -1645 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/24/2008 Identification Numbers Transaction ID No. 1310169 SITE: Site ID No. 716935 Croix Hills Please refer to both identification numbers, 190TH Street Lot 7 above, in all correspondence with the a enc , Town of Hammond, St Croix County SWIA, NW1 /4, S35, T29N, R17W Lot: 7, Subdivision: Croix Hills FOR: Description: Mound / Four Bedroom /Concave Site Object Type; POWTS Component Manual Regulated Object ID No.: 1091917 Maintenance required; 600 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01); Pressure Distribution Component Manual- Version 2.0, SBD - 10706 -P (N.01 /01); 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. 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: Reminders i • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited. above, limited activities are allowed in the area 15 feet down slope of the component area. Co Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. pti~RAl • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption N area. chs. NR 811 & 812c SEE • 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 POWTS installation is required. Arrangements for inspection shall be made with the designated P q g p � county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ELI M GOTTFRIED Page 2 8/24/2006 • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to, the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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, Fee Required $ ; 175.00' Fee Received $ 175.00 Balance Due $ 0.00 . KCJf' Charles L Bratz. POWTS Reviewer II , Integrated Services WSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky,.- Wastewater Specialist, (715) 726 -2544 Private Sewage System Plan Index /Checklist GOTTFRIED ENVIRONMENTAL For: French Homes - lot 7 - NEW NUMBER Date: April 3, 2006; Rev'd 30 July06; August 19, 2006 K NOT TO SCALE - observation pipe observation pipe distribution pipe permanen markers bed of 1/2" - 21/2" aggregate approved synthetic fabric ASTM C33 washed's and ----------- Cover material H- - - G - - 6 " topsoil \ - - - - - - - - - F E D Ti ed Area Bed of 1/2" - 21/2" aggregate: 6" aggregate below pipes 2" aggregate above pipes Force main grade maximum slope: 8.0%; NOTE THAT PLOT PLAN SHOWS 6% SLOPE. SLOPE OF 8% USED TO MAXIMIZE DOWNSLOPE TOE. Dimensions: (feet) Loading rate in ASTM C -33 sand = 1.0 gpd/sqft.; 600 gpd / 1.0 = 600 sgft. A = .4.5 B = 140 K = 11.92 (3:1 slope on ends of system); L = 163.83 J = 8.36 - based on a 3:1 slope fora slope of 6% I = 21.48 - based on 4:1 slope W = 34.34 D = 2.00 = 24 inches sand fill E = 2.36 = 28.32 inches sand fill F = 0.792 G = 0.5 H= 1.0 Basal Loading Rate: 600 / ((140)(25.98)) = 0.16; Linear Loading Rate: 4.29 Page 2 of 10 GOTTFRIED ENVIRONMENTAL French Homes - lot 7 - NEW NUMBER Dimensions and Footprints for gravel, sand, and fill x ft. , ft. gravel V ft. —► W ft. sand ft. fill Revised: 30 July 2006; Revised August 19, 2006 Bed (Cell): Dimensions: 140 ft, x 4.5 ft. Sand: x = 7.10 ft. (based on 3:1 slope) w = 18.54 ft (based on 4:1 slope) u = 8.92 ft (based on 3:1 slope) Overall sand footprint = 157.83 ft x 30.14 ft x 2.97 ft (approx) Volume of sand: 523.27 cubic yards. THIS VOLUME IS FOR ESTIMATING PURPOSES ONLY. Fill: J = 8.36 ft. 1 21.48 ft. V (K on previous page) = 11.92 ft. Overall fill footprint = 163.83 ft. x 34.34 ft. Installer: Sand amount is an estimate only. Please check this figure and compare it to similar sites that you are familiar with. 3of10 GOTTFRIED ENVIRONMENTAL NOT TO SCALE P turn -up w/ ca to endwall x x LAST HOLE MUST BE NEAR ELBOW BEFORE TURN -UP. force main ALL HOLES MUST POINT DO turn -up w/ cap Y x x/2 xl2 End view of pipe showing hole pointing down Access box Side view of pipe with turn -up _2j For: French Homes - lot 7 - NEW NUMBER Date: 30 July, 2006 Hole density per cell = <12sgft.; 630sgft / 12 sgft / hole = 53'holes. Proposed holes 20 per pipe. Distance from "T" to last hole = P = 68.25 feet = 819 inches. Cell length = 70 ft. = 840 inches Distance from sidewall to lateral on up -slope and down -slope = 1.125 ft. Distance between laterals = 2.25 ft. Last hole is 21 inches inside of Cell and before turn-up. First hole is 21 inches from start of "T ". X (in) = 42" Y (in) = 42" - distance from last hole to next to last hole hole dia (in) = 1/8; q = 11.79 *d(exp2) *5.0(expl /2) = 0.412 lateral dia (in) = 1 -1/4; manifold diameter = 1 -1/4; force main dia (in) = 2; # holes /pipe = 20 invert elev of laterals (ft) = 107.15' force main length (ft) = 100' max. GPM = 32.96 friction (ft)= 2.16 1) Note that ends of distribution lines must be provided with access boxes. 2) Turn -up must be long 90 degree sweep or 2 - 45 degree bends Pressure Distribution Manual for POWTS SBD- 10706 -P (RO1 /O1) Page 4of10 GOTTFRI ENVI • mxtide -1 PPe juxlion Cap 'zt cap rrerttol 1218 mri 6ln mrimm alt — -- -- 4' rrinin m — in mrimm — air'g se 18inrrirrimm — -- — {� -- -- - - - - -- -- beffie L_I QuickDiscmled r vier tight seals A oWet zm Zabel fil - - - B _ an 1/4'veq hole C / -- -- -- - - -- — — afi L` PXp D oaraete black T ofbeddrig order tank For: French Homes; date: 30 July 2006; lot 7 - NEW NUMBER SEE FOLLOWING PAGE (PAGE 4b OF 5) FOR ADDITIONAL NOTES Capacities: Internal dim: Depth inches gallons A 25.74 414.92 length: 155" (average) B 2 32.24 width: 86" (average) C 7.22 116.40 liq. dep: 47" D 12 193.44 Bottom of pump tank = 98.15' Pump: Zoeller Elev of pump = 99.40' Model 2 Elevation of laterals = 107.15' Switch: Manual Vertical dif. between pump off and dist. pipe: 7.75 ft Combination Tank Manufacturer: Wieser Minimum network supply pressure: 1.3 x 5.0 = 6.50 ft. Tank Capacity: 1250 / 750 nominal 100 ft. Force main = friction : 2.16 ft. X Actual Capacity: 1258/757 Total dynamic head: 16.41 ft. / Gallons per inch: 16.12 Z% Z OUTLET SIDE OF SEPTIC TANK MUST BE EQUIPPED 166 Alarm Manufacturer: SJ Electro WITH ZABEL FILTER, MODEL A100 DRUM STYLE Model Number: Tank Alert I FILTER.. Switch type: mercury Note that Sch 40 PVC 4" ID pipe is to be used for vent pipes and Minimum Discharge Rate (gpm): 32.96 inlet. For inlet and outlet pipes, Sch 40 PVC is to be used for a distance of 3 ft onto firm ground. 20% of wasterwater flow = 120 gallons 5x's void vol. Of laterals = 5 * 4 * 0.064 * 69 = 88.32 gallons Void volume = 0.164 * 100 feet = 16.40 Code calls for dose to be > 5x's the void vol of the laterals and <20% of wastewater flow Doses p er day: 6; 100 + 16.40 = 116.40 gallons per dose Page 5 of 10 m u PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD /FLOW MODEL 151/1521153 PER MINUTE ' tin 14 153 EFFLUENT AND DEWATERING 45 12- 40 - - - -- — — -- MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal, Liters w 10 cF 5 1.5 50 189 69 261 77 291 30 10 30 45 170 61 231 70 265 8 25 151 15 4.6 38 144 53 201 61 231 20 6.1 29 110 1 44 167 52 197 2p 25 7.6 16 61 34 129 42 159 n " 30 9.1 -- -- 23 87 33 125 15 35 10.7 -- - - - 22 85 4 X 40 12.2 -- - _ - - 11 42 i0 _— Shutoff Head: 30 ft. (9.1m) 38 ft. (11.6m) 44 ft. (13.4m) 2- . - -- j olawae 10 20 30 40 50 50 70 80 90 100 31+ p 'J S 'ITFRS — T T T-- T I — TT7 — � C 40 80 120 160 230 240 280 320 360 FLOW PER MINUT[ 014508A Model 151 Models 1521153 NSU ° FACT FOR 67132 6 au • Timed dosing panels available. - - - -- - • Electrical alternators, for duplex systems, are available and r i z +,, a 7,a supplied with an alarm, • Variable level control switches are available for controlling a,;a 37 T" single phase systems. - • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See - - - -- FM1420. 1 • Over 130 °F. (54 °C.) special quotation required. - - «•?f1+. . 5f':7j Sa'°s 1111!16 12 a 15111521153 MODELS Control Selection Model Volts-Ph M ode Amps Simplex Duplex, F 3 , 3 z N151 115 1 Non 6.0 1 2or3 BN161, 115 1 Auto 6.0 Included 2or3 1__ jI _ j t rt. } F151 230 1 Non 3.2 1 2or3 RE151 230 1 Auto 12 Included 2 or 3 sk2444 sK2064 N152 11 1 No l 85 1 2or3 F1552 115 1 Auto 8.5 Included 2 or 3 HN1 2.230 1 on 4.3 t t 2 or 3 13052 236 1 Auto t 43 Included 2or3 N153 ' 115 1 Non 10.5 1 2or3 BN153 115 1 Auto 10.5 Included 2or3 E153 230 1 Non 5.3 i 1 2 or 3 BE153 30 1 Auto 5.3 Included 2.0 3 1. Single piggyback variable level float switch or double piggyback variable level float o CAUTION switch, Refer to FM0477. -'• x� 1 § �Ir }1 � t' '��' 2_ See FM0712 for correct model of Electrical Alternator E -Pak. „ 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE N)WERE v DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P0, BOX 16347 Louisville, KY 40256 -0347 Manufacturers of.. SHIP TO: 3649 Cane Run Road L� vO Louisville. KY 40211 -1961 rz4[/TY`UMP6Sk-T 917 J (502) 778 -2731. 1180Gi 928 PUMP http:!/www.zoeller.com / PUMP CO FAX(502)714 -3624 © Copyright 2004 Zoeller Co. All rights reserved. L l� Additional Specifications 1) Inlet and outlet pipes from septic tank and dose chamber: Schedule 40 pipe extending 3 feet onto firm ground. Joints must be approved. 2) Seals between tank openings and inlet and outlet pipes must be water tight. 3) Manhole covers must have an approved locking system and approved warning label. 4) Vent pipes must be 4" Schedule 40 PVC. All vent pipes must be 25 feet or greater from doors, windows, and fresh air intakes. 5) The pump and alarm must be on separate circuits. 6) The electrical junction box for the alarm and pump must be weather - proofed. Note that the calculations on sheet 4a of 5 are based on the Mound Component Manual for POWTS SBD -10691 (ROI /01) and the Pressure Distribution Manual for POWTS SBD- 10706-P (11O1 /01) Page 7 of 10 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Troy French — lot 11 Tank Manufacturer Wieser ❑ NA Permit # x Septic ❑ Dose ❑ Holding vol. 1250 gal DESIGN PARAMETERS Tank Manufacturer Wieser ❑ NA Number of Bedrooms 4 ❑ NA ❑ Septic x Dose ❑ Holding vol. 750 gal Number of Public Facility Units x NA Effluent Filter Manufacturer Zabel ❑ NA Estimated (average) flow 400 al /da Effluent Filter Model A100 Design (peak) flow = (Estimated x 1.5) 600 al /da Pump Manufacturer Zoeller ❑ NA In Situ Soil Application Rate 0.2 al /da /ft2 Pump Model 152. Standard Influent/Effluent Quality Monthly average* Pretreatment Unit x NA Fats, Oil & Grease (FOG) <30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) <_220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) ! A 50 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Manufacturer Biochemical Oxygen Demand (BOD5) <_30 mg /L Dispersal Cell(s) ❑ NA Total Suspended Solids (TSS) <30 mg /L ❑ NA ❑In- Ground (gravity) ❑ In- Ground (pressurized) Fecal Coliform (geometric mean) _ <10' cfu /100ml ❑ At -Grade xx Mound Maximum Effluent Particle Size in dia. ❑ NA ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tanks At leas once eve 2 El month(s) (Maximum 3 years) El NA p O t every: x ear(s) Pump out contents of tank(s) ❑ When combined sludge and scum equals one -third (f3) of tank volume ❑ NA ❑ When the high water alarm is activated Inspect dispersal cell(s) At least once every: 2 ❑month(s) (Maximum 3 years) ❑ NA Xx year(s) Clean effluent filter At least once every: 3 El month(s) El NA Xx year(s) Inspect pump, pump controls & alarm At least once every: 2 ❑ month(s) ❑ NA Xx year(s) Flush laterals and ressure test At least once eve 2 El month(s) x NA p every: xx year(s) Other: At least once every: El month(s) x NA ❑ year(s) Other: x NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one -third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) lb z� lv Page of START. UP AND OPERATION -For-new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and /or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. xx Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 1) Fiiter should be inspected periodically throughout the year; 2) For new construction, the tank(s) should be pumped prior to occupancy. Filter should be inspected for latex paint contamination if e,ffll le,nt IPVPI hnQ re,arhe,ri the le,\ie,l of the, fiRpr nrinr to nrri innnr POWTS INSTALLER POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name St Croix County Phone Phone W is cons in SOIL EVALUATION REPORT #lsos Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 - of 3 — Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St . Croix 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. Pe _ Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location French Homes, Inc. Govt. Lot na SW1 /4, NW1 /4, S35, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 350 11 _ na Croix Hills City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Roberts I WI I 54023 715 - 718 - 2929 Hammond 1 190Th St ® New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 _GPD ❑ Replacement ❑ Public or commercial - Describe na _— Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments Mound Design, system elevation 106.48ft based on contour line elevation 104.65ft. No deviation from site and recommendations: area with out first contacting soil tester due to poor soil conditions 1 Boring # ❑ Boring 102.15 Depth to limiting factor . it ❑ � Pit Ground surface elev. ft. P 9 16 - - -- -- in $O Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 1 0 -8 10yr3 /2 none A 2msbk mfr cs 1vf .6 .8 2 8 -16 10yr4 /4 none sicl 2msbk mfr gw na .4 . 6 3 16 -27 10yr4/4 c2d 7.5yr5/6 sicl 2csbk mfr gw na .4 .6 4 27 -48 5yr4/4 c2d 7 .5yr5/6 scl om mfr na na .0 .0 T Boring # ❑ Boring pit Ground surface elev. 102.15 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eft#2 1 0 -9 10yr3/2 none Sil 2msbk mfr CS ivf .6_ .8 2 9 -14 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 14 -27 10yr4 /4 c1d 7.5yr5/6 sicl 2csbk mfr gw na .4 _6 4 27 -48 10yr4 /4 c2d 7.5yr5/6 scl om mfr na na .0 .0 - - - --------- -- -- * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg/L and TSS S mg /L CST Name (Please Print) ,_-- �ignature CST Number David J. Steel � 248956 _ Address Steel's Soil Service - Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 11/22/2005 715- 760 -0347 SBD -8330 (807100) �V J1 erty Owner French H omes, Inc. Parcel ID # Pending _ Page 2 — of '3 Boring # ❑ Boring pit Ground surface elev. 105.05 ft. Depth to limiting factor 1 5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t •Eff#2 1 0 -10 10yr3 /2 none sil 2msbk mfr cs 1vf .6 .8 2 10 -15 10yr4 /4 none Sid 2msbk mfr gw na .4 .6 3 15 -28 10yr4 /4 c2d 7.5yr5/6 Sid om mfr gw na .0 .0 4 28 -48 10yr4 /4 c2d 7.5yr5/6 sc om mfr na na .0 .0 F-1 Borin g # F] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#t 'Eff#2 F-1 Borin # F1 Boring g El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#t 'Eff#2 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg/L ' Effluent #2 = BOD < 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 (W07/00) Steel's Soil Service 3of3 STEEL'S SOIL SERVICE INC. David J. Steel French Homes Inc. 994 20e St CST- POWTSM SW1 /4,NW1/4,S36',129N,R17W Baldwin, WI 54002 Croix Co. Direct 715 - 760-0347 g St Cm Towne Hammond, Lie. #248956 Croix Hills Lot, 11 Fax 715 -684 -3449 This soil evaluation was ccuducted to satisfy a zoning requiremen% it may or may not be suitable for your use. The motion of this test may or may not be as shown, as permanent lot lines were not established at the tune the soil test was conducted. Le N 1" = 40' ♦ = Benda nark Ele. 100.00 ft Top of 314" pvc pipe • = Alt Benchmark Ele. 100.25 ft ❑ Top of 314" pvc pipe Borings Boring Elevations B 1= 102.15 ft B2 = 102.15 ft B3 = 105.05 ft / B4= 0.00 ft a7,� t q� H a i , a 0 4. � a 1.4- 3 VIA SOIL EVALUATION REPORT #1806 Department of Commerce in accordance Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8Yz County x 11 inche ' size. st St. Croix include, but not limned to: vertical and horizontal reference point ( directs nd percent slope, scale or dimensions, north arrow, and location and dista to nea ad. Parcel I.D. Pe din Please pri Review By Date Personal information you provide may be u ed fore ry purpost (Pnvacy w, s. 15.04 (1) (m)). ( C (P Property Owner Property Location French Homes, Inc. ,JUN 2 2 2006 ovt. Lot na SW1 /4, 1/4, S35, T29N, R17W Property Owner's Mailing Address of # Block # Subd. Name or CSM# P.O. Box 350 ST. CROIX COUNTY 1 na I Croix Hills City State ity []Village ❑ Town Nearest Road Roberts WI 54023 715 - 718 -2929 Hammond 1 190Th St ❑ New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments Mound Design, system elevation 106.48ft based on contour line elevation 104.65ft. No deviation from site and recommendations: area with out first cont ctin soil tester due to poor soil conditions ❑ 1 Boring # ❑ ❑ Ground surface elev. 102.15 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2msbk mfr cs 1vf .6 .8 2 8 -16 10yr4 /4 none sicl 2msbk mfr gw na .4 .6 3 16 -27 10yr4/4 c2d 7.5yr5/6 sicl 2csbk mfr gw na .4 .6 4 27 -48 5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 Boring # ❑ Ground surface elev. 102.15 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff #2 1 0 -9 10yr3 /2 none sil 2msbk mfr cs 1vf .6 .8 2 9 -14 10yr4 /4 none sicl 2msbk mfr gw na .4 .6 3 14 -27 10yr4/4 c1d 7.5yr5/6 sicl 2csbk mfr gw na .4 .6 4 27 -48 10yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 " Effluent #1 = BOD 5 > 3 < 220 m nd TSS >30 < 150 m Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signafar CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 11/22/2005 715 - 760 -0347 SBD -8330 (R.07 /00) 1 Property Owner French Homes, Inc. Parcel ID # Pending Page 2 of 3 Boring # Ground surface elev. 105.05 ft. Depth to limiting factor 15 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3 /2 none sil 2msbk mfr cs 1vf .6 .8 2 10 -15 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 15 -28 10yr4 /4 c2d 7.5yr5/6 Sid om mfr gw na .0 .0 4 28 -48 10yr4/4 c2d 7.5yr5/6 Sc om mfr na na .0 .0 F-1 Boring # F� Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ 1-1 Ground surface elev. il Application ft. Depth to limiting factor in. So Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 I * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 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 (8.07/00) Stee Soil Service ` 3of3 STEEL'S SOIL. SERVICE INC. ;lavid J. Steel French Homes Inc. 994200 th St. CST- POWTSM SWl /4,NW1 /4,S35;129N,R17W Baldwin, WI 54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715 -760 -0347 Croix Hills Lot, 11 Fax 715- 6843449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe s = Alt Benchmark Ele. 100.25 ft ❑ Top of 3/4" pvc pipe �7 = Borings Boring Elevations Bl = 102.15 ft B2 = 102.15 ft B3 = 105.05 ft B4 = 0.00 ft l24�Y <<�aZ a i as 1 Visetman SOIL �PO T #1806 Department of Commerce in acco nce omm 85, Wis. Adm. a Page 1 of 3 Division of Safety and Bu gs Steel's Soil Service, Inc. Attach complete site plan on <� , ss ian 11 Inc s in s�. Plan must uni St. Croix include, but not limited to: vertical and ho - nw nce po ty ' t (BM), direction�, 11 p rcel I.D. percent slope, scale or dimes ' no, no arrow, and location nd disAgn�#mh(s toad. Pending Please print all inforinsftion. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location French Homes, Inc. Govt. Lot na SW1 /4, NW1 /4, S35, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 350 11 na Croix Hills City State Zip Code Phone Number City []Village ❑ Town Nearest Road Roberts I WI 1 54023 715 - 718 - 2929 Hammond I 190Th St ® New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ public or commercial - Describe na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments Moun Design system elevation 106. poor on contour line elevation 104.65ft. No deviation from site and recommendations: area with oust first contacting oil tes er ne to soil conditions g Boring # ❑ Boring ® pit Ground surface elev. 102.15 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 '011#2 1 0-8 10yr3/2 none A 2msbk mfr CS 1vf .6 .8 2 8 -16 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 16 -27 10yr4 /4 c2d 7.5yr5/6 sicl 2csbk mfr gw na .4 .6 4 27-48 5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 ❑ 2 Boring # ❑ Boring ,/ f ® pit Ground surface elev. 102.15 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -9 10yr3 /2 none A 2msbk mfr a ivf .6 .8 5 2 9 -14 10yr4 /4 none sicl 2msbk mfr gw na .4 .6 3 14-27 10yr4 /4 cld 7.5yr5/6 sicl 2csbk mfr gw na .4 .6 4 27 -48 10yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS <_30 mg /L CST Name (Please Print) ,� Signature: CST Number David J. Steel �� 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, W154002 11/22/2005 715- 760-0347 SBD- 83 3 0 (P-07/00) Property Owner French Homes, Inc. parcel ID # Pending Page 2 of 3 31 Boring # Boring pit Ground surface elev. 105.05 ft. Depth to limiting factor 15 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef#1 *Eff#2 1 0 -10 10yr3 /2 none A 2msbk mfr cs 1Vf .6 .8 2 10 -15 10yr4 /4 none Sid 2msbk mfr gw na .4 .6 3 15 -28 10yr4 /4 c2d 7.5yr5/6 Sid om mfr gw na .0 .0 4 28-48 10yr4 /4 c2d 7.5yr5/6 sc om mfr na na .0 .0 ❑ pit Boring # Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # El Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg/L * Effluent #2 = BOD < 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. SHO -5330 (R.07 /00) steers Soil service, br- STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel French Homes Inc. 994200 th St. CST - POWTSM SWl /4,NW1/4,S32,T29N,R17W Baldwin, WI 54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715- 760 -0347 Croix Hills Lot, 11 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 = 40' I = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.25 ft ❑ Top of 3/4" pvc pipe Borings Boring Elevations B1 = 102.15 ft B2 = 102.15 ft B3 = 105.05 ft B4 = 0.00 ft n 1� s G G .q � zbD /� /// c / O / • Ii i // £.00 N ' m / I a ,00' M .09 N '/ n / / (+� r Ln 00 4e En FD FD ut rn �// �� // \\ 1 N I I / 1 �yr o n V� \ p I Lot I;k ,�► / m / (ji co Ol 'Of zn 00 0 ' z z 1 N i / , - 7 i tf 0 0tH I /��� ,% i \ �`\ � 1 I I \ ► `I I 1 z' o I I I I ,00h Lh y \ \ � I I /r pZl N ' .Is i bD m � C�ni j (o f rn n `1 OD OD OD ! 1 1 I i of .I cn , ., � I 1 ?1 i i 1 i 1 I I .£ N I i 1 1 I I I it , I t £ 'OL My ?1��_ _ i �- F- 1 c'1 ,Z91� L£t M JZOA LO N I i I I I —I- a -a -1 - �- ! ! w/ > 0. N / m 7 / / C —,— — OD Z / / Z•8 L4' M ab,L L.OP � I � OD OD 1 10 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer - I Mailing Address p 4 r p — p Property Address 9e - 1 - 7 W (Verification required om Planning & Zoning Department for new construction.) City /State _ 4m (� Parcel Identification Number LEGAL DESCRIPTION Property Location 54/ '/a , '/4 , Sec. , T j �LN R jW, Town of Subdivision rv � X ///Z& , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 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 warranty deed recorded in Register of Deeds Office. Number of bedrooms SIG ATURE OF APPLICANTS 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) POINTS OWNER'S MANUAL MANAGEMENT PLAN LI E !N O?l°vs[AI ION SYSTEM SPECIFICATIONS Septic Tank Capacity O gal ❑ N Septic Tank Manufacturer t L•- ❑ NA DESIGN P TERS Effluent Filter Manufacturer ❑ NA 'N swan. ber of Bedrooms i 00gpd / bedroom q ❑ N Effluent Filter Model - lea ❑ NA Number of Commercial Units Pump Tank Capacity ne? gal ❑ NA _sttmated flow (average)* dga day Pump Tank Manufacturer W ❑ NA - Design flow (peak), estimated x 1.5* 600 gal/day Pump Manufacturer o ❑ NA "vs Pump Application Rate gal /day Model 2 ❑ NA 3r�zzutmt/Effluent Quality (NA❑) Monthly Average ** Pretreatment Unit ❑ NA Fats. Oil &Grease OG ❑ Sand/Gravel Filter ❑ Peat Filter <<)chenlieal Oxygen Remand (BODs) 30 mg/L ❑Mechanical Aeration ❑Wetland Total Suspended Solids (TSS) 5 220 mg/L ❑Disinfection ❑ Other: 5 250 mg/L Manufacturer: Model- 'rrAreated Effluent Quality ❑ Monthly Average * ** Dispersal Cell(s) 3iochernical Oxygen Demand (BODs) 0 In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) 30 mg/L ❑ At- gradeIvlound a ecal Coliforin (geometric meant 5 30 .mg/L ❑Drip -line ❑ Other: 1 _ <10 + cfu/100ml ❑ Leaching Chamber Manufacturer R YA r ��.u- . � num Effluent Particle Size 1/8 inch diameter Approval Stipulation_ j - $ Model I Wastewater Flow Verification on and calculations: Soil Application Rate _ gp d /f1 Area Req. ft Jrer than bedroom based Abs ion Area �( orpt Credit per unit ft ' Minimum Number of Chambers i C] Aggregate Design Flow/Loading Rate= min slues typical for domestic (no- commercial wastewater Materials: all materials must comply with WI Adm. Code sand septic tank effluent. C0 MM84 and be installed per manufacturers specifications ! * Values typical for pretreated wastewater. and approval letters. i DESIGN CRITERIA, "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. 'ubiication 15.22 r "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis - ASAE Publications 5 -77 and "Design Manua`: - Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 s u SBD - 10570 -P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" m SBD - 10567 -P (8.6/99) "In Ground Absorption Component Manual" 0 SBD - 10705 -P (N.0 1 /01) "In Ground Soil Absorption Component Manual" Version 2.0 0 SBD - 10628 -P (N.6/99) "Recirculating Sand Filter System Component Manual" I L1 SBD - 10656 -P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" s j�SBD - 10572-P (R.6/99) "Mound Component Manual" ❑ SBD - 10691-P (N.01 101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 -P (8.6/99) "Single Pass Sand Filter Component Manual" 9 73 SBD - 10657-P (8.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 -P (R 6/99) "Pressure Distribution Component Man ual" ❑ SBD - 10706 -P (N- 01 /01) "Pressure Distribution Component Manual" Version 2.0 i p Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT A AIINTENANCE MONITORING SCHEDULE Service Event Service Frequency t inspect condition of tanks) At least once every ❑ months CRLyear(s) (Maximum 3 yrs.) Ip out contents of tank(sj When combined sludge an scum equals one -third (1/3) of tank volume I dispersal cells) At least once every p months 4@Ltiar(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months AgLyear(s) Inspect pump, pump controls & alarm At least once every ❑ months ��year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ear(s) ❑ NA p Valves At least once every ❑ months ❑ year(s) CNA Other: At least once every ❑ months ❑ year(s) t o Page of i new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that ;°aay impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the n (s) removed by a septage servicing operator prior to use. stein start up shall not occur when soil conditions are frozen at the infiltrative surface. , 01 ' RA 11€311 'e...a property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity r: i quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving ;Ajophances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water scafteners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface ,,v enever possible. Note: this does not include laundry waste, showers, dishwater, etc. system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit a;f is and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins ;;onaoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS a acs contaminate your drinking water supply. ?Lit =main a regular steady flow by spr eading laundry washing throughout the week. Avoid vehicle traffic over a system components. Compaction of snow over the dispersal unit may cause it to freeze up. Valves Valves shall be operated in the following manner: farms i arms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. LNPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Q�eptic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effectiv.- locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRl 13, Wisconsin. Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. C3 In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Por_din at depths eater than 75% of the height of the component may indicate overloading or impending au g p greater gh P Y g ending P ty hydraulic failure necessitating more frequent monitoring. Page of 1A d, At- Grade, In- Ground'Pressure ,. cun The inspection shall include recording he levels of ondin if an g p g, yin the observation tubes and a visual inspection for any avidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority, Ponding greater than 7510 of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS S e ores for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative BE v'130NMENT '?:'f' m the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is erly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. the contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. '� PLAN Vhc POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant -nacement system: s. =F A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. �Ylound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «W.kRNING>> ' ' SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM TIM INTERIOR OF A TANK MAY BE DIFFICULT OR IOSSIBLE. A DDITIONAL COMMENTS POWTS INSTALL POWWTS MAINTAINER Name d�0' rI tw 40 1 Name � N � Phone 3 S-/ e2 Phone o2 3 S --- /-T eZ SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency Phone Phone 6- 60 ` -'—,'A 'PDATA\ EF11POWTS OWNER'S MANUAL.doe Page of Private On -Site Wastewater Treatment System ( POWTS) Index & Title Sheet Owner: a Y Project Name d System Type: Location: (9( C1 W0_11, J-2 Street Address sw AZ a9 > >� Ze._ Legal Description 02—A je Township /County Contents: Page 1: SanitM Permit Application Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance Agreement Page 6: Warranty Deed Page 7: POWTS Owner's Manual Management Plan Page 8: POWTS Owner's Manual Management Plan Page 9: POWTS Owner's Manual Management Plan Page 10: Certified Surve Ma Page 11: Copy of House Plans Attachments: (!�% ' A, Plumber /Designer: Mike Rogers Signed: Credential Number: 225094 Date: BIEs514 11 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIK CO., WI RECEIVED FOR RECORD Document Number Document Name 01/17/2806 18: 48AN WARRANTY DEED EXBPT i THIS DEED, made between Scott A. Heinbuch and Diane T. Heinbuch, husband REC FEE: 11.08 and wife TRANS FEE: 1880.88 ( "Grantor," whether one or more), COPY FEE: and French Homes, Inc., CC FEE: PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is RIVER VALLEY ABSTRACT & TITLE needed, please attach addendum): 1200 HOSFORD STREET, SUITE 201 The SW 114 of NW 1/4 of Section 35, Township 29 North, Range 17 West. St. Croix County, Wisconsin. HUDSON. WI 54016 42686754 018- 1077 - 40-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated January 13, 2006 (SEAL) (SEAL) * *Scott A. Heinbuch l , (SEAL) _ .Ql./�1�.�� _ (SEAL) * *Diane T. Heinbuch AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF Wisconsin ) ) ss. St. Croix COUNTY ) * u TITLE: MEMBER STATE BAR O�� Personally came before me on January 13, 2006 (If not, �`� . • ' ' • the above -named Scott A. Heinbuch and Diane T. Heinbuch, authorized by Wis. Stat. •.0 TA ,9 �; husband and wife U to me kno o be the person(s) who a cuted the foregoing THIS INSTRUMENT DRAFTEI[ * - * instrume acknowledged the s e Attorney Kristina O land �'� 9 Hudson, WI 54016 �'ii._OR yyISG * Connie M. Gullixson " flit III IIII Notary Public, State of Wisconsin My Commission (is permanent) (expires: 10 -26 -2009 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTM Legal Forms 800. 855 -2021 www.infbproforms.com COUNTY PLAT OF: NW CORNER SEC. 35 (FOUND BERNTSEN NAIL) CROIX tilL JS SW m VOL. 20 PG. 5137 N'' NORTH !ItiE OF THE SW i/'4 - NW 1/4 ' LOCATED IN THE SW 1/4 OF THE NW 1/4, OF R.A (S89'56'44 "E; JNPLATTED SECTION 35, T29N, R17W, IN THE TOWN OF N 89 E 1337.28' LANDS HAMMOND. ST. CROIM COUNTY, MSCONSIN. - - - 1293.r3' - LOCATION MAP: 32 R.A. (1305.06') f� 1 +96' IR.A. (32.22') 305.09' (NOT -0 SCALE) SECTION 35, i29N, R11W, PX= ,O'S.9C UTLOT �m PLAT 6 E 1 I 9769 S.F. OCATION OUTLOT 2 0.22 Ac. o 1 o 718027 S.F. p ml IA RNEI' =� 16.48 Ac. �' SE ALL IIN[Ws ARE REFIREIN7o TO T. '0 THE WEST UNE OF THE NM I/A 0 - -_�- Asaw) m BEAR x oo.u'w' [ I 6 0TH AVENUE ' lci OR ly ,�A N675ib9'W f m I i0 CENTEF Cf ^ -e rn wwaw[AwAs DRAINAGE EASEMENT NOTE AA'P�w[W[ro a _ ma- neuma' NO OMIwR OR AESOENi 91AIN OO ANYRRRC Y THE NOOO - M1EifFRE WTH W 1 DR E AC CAN SOL CF R[ APPROWp IHI KU ORANAG I A 50. BRIM OS0N UN TOR - RR PUT CNNAD ` WAS iNatffs W3i Is NOT IAR$D 10 ALAN UP[W. 1 - ZSTR n: C uam. runic, OR EXCAVATING cR P ANINC N z � � N 89'42'58' E 468.61' I AMY POND FASOgl1s WATER ORARACE DINES, WATER RUNWAYS WATER dNWR6. BERM6 OR O.ASS SEMI o -66TH STREE TS --' . o PEE GENERAL, NOTICE STATEMENT: r S 89.42'58" W 469.34' val P.wat slRa a mN Mr n swm w $TALE L A Z � -- 225.00' 225.08' / 0 Z twHiY, w msr ua Iw' N2, RLauRaxs O6 � . WXAMYL IWNUU LOT su Ram ro vAWn, 00'J eEarE I c J ' j 2q0' 4 �- I 26 ® - 0 ' Ic WaAS C m aW6r[c NvvAna a NW, nmt nW sr Z7 o f N 89'251 C E 9 c /N •51 \ >. 0 C Z am ,oAn r, zw Wna AN M APP[saArt Tm[ BEAD FOR I U Z 7J ��., 1 " 8 - --- - -- --® 0' 0 0 Iz D r D °' ( 6000 6 r ��� 0 -�6ti 56N 1S z z o UTILITY EASEMENTS' o p 0 1 ( R -" ITT ^ d m � \ - 0 0 R Z .... S 03450" E / _ � O Amuuwd A UNE O 0 Nn sm[Y s m res A lm } T E NCNC ANY 001 LLW a QATX u[. V mURRNIa a A sRrWY 1 1 A 100 S 277 0 P .84.44' N 0 STAKE By AYN4 a A wLAna a sEONw 2.w rscaAVN r N , 5 0 I v APA "M9AMMAWIPUBURUUna uff Z � 89 10 E u � � LOT 6 � LO '' (�' D 14682 =_ �� 6 '. ; ` LOT 8 am6 nw AREA. 14 v $ 6 �. w �6'" ' cA 75448 S.F. 71647 S.F. ' I a �o NOTES: t5 /' 1.73 Ac. G, 11889 S.F Im �� - �0' W S P2 m N 21'1 �W m 164 Ac AI 11 Nat . sw (mm WWami NOWRI 92 49 1 �, �I ! p 1 146 82 ro! N .65 Ac. Z 1rwe PROM F sa TRACK -n2, � I/ n � Su03450 � I i . YEAR SEW. 2s V jJ�ybI06 7 0'_ 84.44 8 3 aaTWs 00 0N�[0urnn Aa Px c Ur 2,D ALL a oaan 7R ✓/ OPo LS 8925 C !J LOT 1 D L- - -- -- -- - , n RE015tE0.'SOFFC¢ 0.00 Q 22080 22500' 22584' 6 �� ST.CRORCO. Va - w rwu am 15th Wo - - 224 Ac. - --N 8977';3" E 671.64'-- -- _- S.F. . I I I le rm,HdM SIM 1 ' z d O N V l ax . 1 E Lj - -- - -N 88'155" E 56022'-- -- i r LEGEND: Rd -caNt I2, auNAa A I GTNTYEASEMENT LOT 2 U LOT 5 jNN U 09143 S.F. o a a 153016 S.F. :0 -- -- --- BUILDING SETBACKS PROPOSED O%WW'AY LOCATION ~ 1.50 • - I m m Q; v J 3.51 Ac. :0 IY urun EASEMENT f� 41 °m 2.51 AC. m 2.00 N - _- - - SET 3/4' BY 18' RIM N PIN G� LB' '0 ', 1 31 o xjp U L L. as . llil`�```��� p o - -. -- MANAGE EASEMENT TINE W Ai ALL OTHER LOT CORNERS L �� .; N W FOND I' WON PPE H 'TE HIGH WATER ELEVATION 1 . -.. ... - ' - - -N 897713" E 667.30'-- -- - -- COUNIYMONUMENT Lac LOWEST BINDING OPENAG e' �r -- - N 89'59'43" W 559.42'- - -- FOUND AS NOTED R.A. RECORDED As e ; SET I I // ES ./F 18 . 1RO2 MN h U'i • LOT 3 LOT 4 N, V. 1.111 IBSi., - i U p 112682 S.F. N �, W , 1 ,° k . 149992 S.F. ul1 6 6 a HY� =IO9.31 :A 2.59 AC. m o �' 0 '' a o / o'. . 3' ='07;3I N2zG2'ID'E 40 (•% I e 4s HVA= IGr349 3.44 Ac. CURVE DATA TABLE: " , 86.54' � BG =,D25.5p E' �e4P 2,c CENTER 32.19' S�� EASENENI 7.66' RUMOR RAOUS (m ABC LENGTH DFJ DELTA NICE wx UUxN RT) M ORECWCN TANGENT N rANRW OUT L- _ n )67.00 Im42 N 'I6' sae9 x 76p m' E x 92s?0' E N 62 Wsr 6 rar - -- 558.69 - -- -- - 6 00' - - -- -- 4'665.97' - -- - u +3aco o33c M5 c6 ma R 7ss'ss' E x6TO52E H WAT5R • E r , A � r -673.63'-- - - u s7.00 2.v 21150 m7x s aYS'ss w s a9A2sa W s 67A6'52 • w 5 89'37'13" W 1330.51' UNPiA oAa -v LAaxwr ro a A3z00 to2sR 26+Wm :O0.7N s1 A6srE smIII I 5002241 [[rWmramNUY SOUTH LINE OF ?HE SW 1�4 - NW 1�4 LAND$ Lor6 A3300 151.63 200152 IM5 s nw Yr 6 W 1/4 CORNER SEC. 35 r mrs 'u00 sags osu'2e' sc9 sorsarE ( FOUND 2 3/8 O.D. IRON PIPE) UNPLATTED LANDS a 36700 m.m 26•AR'x' ' 1mIA N IrASSr w x ecu'n' w w 2m'ar w �' I [6 CA 201.06 I 2676 "8' 199.26 S 75VOl' w 5 671652, w S 9975'IR' w DRAFTED BY ffA PERSON ' WAREY ENCR9E MG SHEET 1 OF 2 OL. ZS AZ .Z iD Of 0 i m m Q _ m m _! Ir W O LL IL W w U Z IN o <g 0 a N O O m O L 0 0 w m a iD w - � J � Y U Y.LL i c Y 0 o � - m� ug ¢; z_ z S J J a .L k ALL .9Z i ZY t .oz ------------------------------------------------------------- - ------------------------------------------------------ ------------ - ---------------------------------- ----------- -------------------------------- -------------------------- CL o 4z cc ---------- - ------------------------------------ ----- --------------- ------------------------------------- ---------- ED fV El 0 s I CL 0 I CL w o o � mo co Wm = x 2 Go! O ------------------------------ ----------------------------------------- --------------------------- zil