Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-1192-95-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 572832 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: Karr, AnnMarie I Troy, Town of 040-1192-95-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 65T- 24.28.20.866 TANK INFORMATION I '' •ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic -z:,.- /QOM Benchmark • 12— Mi. 1 �Z16 Sf :t Dosing ,Q _ ,Q / Alt. BM � ���t� `cr Aeration SZ� Bldg.Sewer !' 6 1/, �z 1'D a D Holding St/Ht Inlet H',(-3 9v.y9 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. i Vent t Air Intake ROAD Dt Inlet A-il Dt Bottom Septic 7 50 i .1/1� /Q 5 7 1416� l q• $(� Dosing /V l'� I Headed/I�Qan. ,Q� g� Z Dist. P pte1, I ` 9 'C7Z !t7 Aeration 7 y O Z Bot.System `1S•3Z Holding I�•`��► qs.t;,Lo Final Grade • PUMP/SIPHON INFORMATION $:SS 1.60 .5 Manufacturer Demand St Cover I Jd• 9G� GPM 4- -J-f� Model Number /1 AJ Z� TDH Lift/1' 1� Friction Loss System Head TD�Z'4QFt Forcemain Length Dia. It Dist.to Well 74 2 SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS �- SETBACK SYSTEM TO P/L JBLULi IWELL LAKE/STREAM LEACHING Manufacturgr: INFORMATION CHAMBER OR 7Z&,•/17-. '�- Type Of System: .r UNIT Model Number: Co�.vGa.. 15' s� N� t�� (��:c.fz 4 S�.c DISTRIBUTION SYSTEM 1 57 JS Header/Manifold /� Distribution x Hole Size x Hole Spacing Vent to Ai Intake Pipe(s) ` e Length 5 Di T Length �` Dia ` Spacing` 1_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over // Depth Over xx Dept o� f 177e�odded xx Mulched Bed/Trench Center y. 5 ( Bed/Trench Edges `r.. Topsoil \\` Yes 0 No Yes No ((4 COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 241 Plainview Riv r Falls,WI 54022(SE 1/4 SW 1/4 24 T28N R20W) Croix Ridge Lot 20 Parcel No: 24.28.20.866 1.)Alt BM Description= �/� �� CL, , s Loe-L 2.)Bldg sewer length -amount of cover p y�, �✓ l n Plan revision Required? Yes -)<NNo Use other side for additional information. { — Cert.No. Date Insepctor's igna :-6710(R.3197) 717 61—W a J, cam," n Co County it Sanitary ounty Safety and Buildings Division 201 W.Washington Ave., P.O. Box 7162 ,_ i_�,I') Permit Number(to be filled in by Co.) JAN Madison,WI 53707-7162 Y Cnj,:'Ty STA-11ROK TON 672- S-32- Sanitary Permit A Wplication Transaction Number I In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing add&ess) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary _.2urposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. "JeA I. ApplicationInformation-Please Print All Information lkqv , Property Owner's Name Parcel 4 �Nw mo6t Ov b-I Property Owner's Mailing Address Property Location 3 �J Govt.Lot City,State Zip Code Phone Number S Section (circle one) T N; R E or W 11.Type of Building(check all that apply) Lo El I or 2 Family Dwelling-Number of Bedrooms ;� Subdivision Name b 61c, a-A Block# �_ �A L V Cycw& 01, El Public/Commercial-Describe Use 6 L ❑ city of ❑State Owned-Describe Use Number ❑ Village of CSM 5 Z �_ (� / /7 +-17 H I C Town of elt±� :)�4 17,1 111.Type of Permit: (Check onl one box on line A. Complete line B if applicable) 20 A, ,r,.r_ ❑New System ❑El Replacement System El Treatment/Holding Tank Replacement Only Other Modification to Existing System(explain) B. ❑ Permit Renewal rmit Revision El Change of Plumber Permit Transfer to New List Previous Permit Nu ber an f Dateissued Before Expiration X,-------------- Owner W.Type of stem/Cam POWTS S nl/Comiponent/Device: (Check all that apply) :::� Non-Pressurized In-Ground ❑Pressurized In-Ground ❑ At-Grade ❑ Mound>24 in.of suitable soil ❑ Mound<24 in.of suitable soil ❑ Holding Tank "Other Dispersal Component(explain) ❑Pretreatment Device(explain) j.,n A V.Dispersal/Treat46ent Area Information: Design Flow(gpd) Design Soil Application Rate dst) Dispersal 7 System Elevation Area Required sf) Dispersal Area Proposed '51 V1.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units New Tanks Existing Tanks Septic or Holding Tank 0o Dosing Chamber t Bibb V11.Responsibility Statement- 1,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) S Si 'Mature MP/MPRS Number Business Phone Number 7 J`76 01 1' Plumber's Address(Street,City,Ntate,Zip Code) 6 11b Ow, �) �S )I ?- t� k�1A VII leCounty/De partmentVse Only X,Approved ❑ D' Denial � Permit Fee Da7t,Issue ssuing t Signature ___� $ 2 �,.Reason for 715 1 LX.CondiiiWIMAVOWAVReasons for Disapproval 1. Septic tank,effiuW,biter and dispersal Cell must all be services I maiiitairtesi as W management plan Provided by plumber. i -A#setback req, *eMen*Must bt,Milir"Jii Q- 1 as WimblacodO Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398(R- I t/1 1) r4,q, k � Lt PJI's fop LP 13N 14, rcicopv vim Awi rn nd n1 R6layV�. , {� La�b �oN Leka CRUD ;d a V MI/ NY � I i i ry) 9ss L. ?Y, WLP i wo)) ,Uv Con, 6v F lev = I6v- U 7 l 3N� s � ►b� h� rp ��, o ra o G n E 1 .� ���, nl�leW DnivY Dose Tank Information locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -♦ .,�._. Comm 16.28 WAC 4 in.min.Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Wieser WLP1000/600 Manufacturer �_ 1.5 in. Ca aci 603.36 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.00 301.69 B 2.00 33.52 C P� ump off elevation(ft)-f C 6.00 100.55 F 87.83 D 10-001 167.60 D Total 36,001 603.36 Dom se tank elevation(ft) 3"Bedding uncTer tank. 87.00 Alarm Manuafacturer I SJ Rhombus Tank Alert Alarm Model Number jSJH 1011421 Pump Manufacturer jZoeller Pump Model Number I BN53 Calculations 1. Force Main: Diameter 2" Length 90' Flow rate 3.0.00 gal/min.± Friction loss 1.75'(90)(1.94 ft./100')=1.46 ft. ' 3 2. Total dynamic head: Min.supply pressure 0.00'(forcemain will discharge to distribution box&gravity feed to trenches) Vertical lift 9.67' (P.C.bottom=87.00',Off float=87.83',Dist.box invert=97.50') friction loss 1.75' Total dynamic head= 11.42' 3. Pump selection: Manufacturer&Model number: Zoeller BN 53 Pump will discharge approx.30.0 gpm @ 11.42'TDH(Flow Velocity 3.06 ft./second) 4. Dose chamber:Wieser WLP1000/600-MR-36"liquid depth @ 16.76 gall./inch(603.36 gal.actual) A)One day holding capacity: 18.00"=301.68 gal. B)Alarm setting: 2.00" = 33.52 gal. C)Dose volume: 6.00" =100.55ga1.(450gal.)(20%)+(.164)(90')= 104.76 gal.max.dose D)Reserve storage: 10.00" = 167.60 gal. aw-009/0001d1M:3113 9968-9N-008 ti00Z 'NV'A38 o\ LOOZ A8vnNVr :31VO 09L49 lM ')4008 N301VN 'OU.MH sn 9lL£M �dnNdW OI1d3S Z MS l8 NMV2l0 313HOUDD 13531m V) O° 3iV0 ON n38 )a.b ) :31VOS 6N-009/OOOId�M W N W z J U W Z Z � � u O V J w fl Z J O w >> U O �n V' � 0 w � 0 z 0 I Q �O� �� Of Lj p V o o Q z D , Z M _ ) W 0 co LL. ° o aQ" Qa N � > O Z O O In m —1 W W O D W 3 w m J W O N Co cD > O 0c00tM �w V) O m W O 0 H O N O � J f- I < �. W W Li to�j Z W m I— N 0 Q J Y V) C)C~� 30~ �a 00w a w �Q00OQWw°o0 Q. a�° U CL u Z3 Q J�> Z 3:m u I M J�M ° Z Q W p �} W W Q 'J :'•� J J O O Z J O Z Z � I v z • e a Y C � r W O I I ' �ZI I I ? I I „9ti v 3 II w w I. r .1 I 5 o � CL I I . � I w � • I I ��/ I W JW0 W I O J J Li Q W IJi I V I V/ U Q J Li r- W V) (n 22ZO c 0 c a Q Q W J Z „Zb „9S „�8 hov' !1 2010 10:45 AH Sk, Croix County Plan/Zoning 715.386-46£36 2 START UP AND OPERATION Page,,,�,,,,_saf „ PW nsww am,Istruool' n,prior to case of thm POMITS check trommont tank(s)for tram promanom of piainting prcarlwrstm or othar ahamloala that ma'y.impods-ths treaTMgnt praten artd/or alerflsge the dfmne'W 00111.9b If 1110 d0T1G01txrtatWnA MP§e0.01#d have the contents Of the tank(s)rarnQyed by a mp ae1`ftfng perator prior to use. SyMraa start up shall not occur when Broil 0onditions are traxen a:•ths inftttraatIve sumacs. puring Power wwmagam jawm.p twikA m,My+111 ataav's norrnMl hf5h'W4ktar tRuels. WhOn pawwer ift rerrtatnad*8 ORM6 a vvasliewrater will be dlsctttarg'ad to the.dispersal 2011(s) in can&large dame, Overloading'the 08111(s) and May r6pult:Ire the�laadlarap or Atarfta 4-NAltairms of affluent. To avold tl17i Sttuoetitaaa knave Clla ara><sMi"MB of The pw'rttp tank removed by a Septarge SSrw!#)Ylg Opo#ier or.loy to rw-Mring pa'wor to the efflwe nt pump cr aalitact a frl>atnaktr'r or P'OW'C,4 Malnxalner to assla't in manually oparalting the pump raontrols to restore nornl.el levels withtn trre FvPO tank' Do net drive or Mark uehlelas over tanks and dispsrsal mells, Do not.drive or park aver, or otherwrlaa rlogilib w campaict, the area wlthtP 16 foot down alope of eny mound or at-grade moll absorption area, Reduction or o Rmination ref the follti W.1n;from the anraatswaver stream Pray imPrgv8 the arid pPolarlg jhp llfs of the PONNTS, antib1m**,, baby vvipan cigarette butts; condarnst a":on gw sAbal dograasar&I denW flpaa; Wapers; cfteiffatst81aa; fat; farandatinn drain hump putrrp) wgtmr; 'fruit and vegatxilA)s ptle!)rg&, g'avol!Mat groxana i arlaiaidasn, m.Qgt xargp9: rriediaetlwPta: ail: pativing produmsar,pesticidaai entary napkins;ternpons, and an!atar Softener brll7e� ,ASANDOMMENT When the P(7WT$falls od/dr is paarman.mrrtly taken ow,,of servrue 4be fm1lowinM step&sh..411 liat tS14iiri tm inaU a th the s atom is prnparly and safraly altartd:,a,�Ped In czrnpltartas vvj%h aha,pter COMM 83.33,WiBepnsin Adminaa#P`atfus Qoda. All pip,9g•tQ(ranks nand pits shall be disacanrrsated and the 0136ndorlad pipe cponrnge seeled, a The contents(if all tanks;and pf sha;li be removed and praperRy disposed of by s $Mptage SrSrvlaing Opmratem rs (After pumping, all tanks and 0112 AYrall be exaevatnrl wnd rarnavead or tileir covers romoired acrd the vold spate flilad wl'th $all, grave or another Inert solid material, CONTlitiRG)VO-CY PLAN If the POWT$ 'villa and &annnt he rataaired •ohm 1000wlns measurces have boon, or rnwak be taken, to provide a oo4a a4sMpIl�ant replaremant aystem. A sufto le repi>aaeenarat area has been evaluated and m y bs utflizsd for the leg tP.lure tlf a replacement Sail S$4Mrpt)0n systerfi. Tilts,rap'tacaement area ahauld bb proteated from dlsturbsnca acrd aardpmlmrt dmtli shoWs.not has 11tinjad Oman by required ankmlks from, exlsttrrg amid proposal atructurs, iat llnex.end Wdlts. Ulm.to pro'iGadt^Cho rdIs)tl>o l4 t Arai will reswil:in the Heed for a now soil and site evaluastion to establish a Ra Rabbi rela.faarrarrt>tlnt area, asplatosment systarn't MURT ontrapl•y w•Ith the rwlas In t'+f'fieat at that time. i A surltable replacerriant ss#Se is ncft avaliablg due 1;o setbeok andjor 4011 iimilta.lonS, lilarriP, advr�racea in PDWTS Technology a holding tank M.ay be installed as a lest ra4Qit to replace the failed Wt�VI•/'i S, 0 The olte has not baan ayslutaUd to Identify s suitable replacament Area. UP= failure a? -the POWTq a mnll snd grto evaluotTmn must lair, perfarrnad to 10000 8 sultabls re)alanerrrent area. If no raplaraehrient USA IS V9719bim a heldlrtg tank MY be installed as a last rasaa'rfi to replaaa the fend POWT& Mfalalnd and atMgrade arlll ZbstrrptiOn OyStQMS may be rrapWMStructed in plat* follorrAl PAM-oual Of the bletnot at the irlfftretble sump sayStarna Muir,cftply with than rulag In effeot at that trtaas. Rf~P ll , PUMP Alin t it l TF. ,T_M�NT TANK$ MA:� �ra.l�T�r���T1�iAp 00 NOT 1W�"et� �1T" "I", p lP d,Kd d'i'll#R`Tpj.gA.CMEha'T TA14,K 1,)11)3#4 AN ail r !Wl "I'A 1'"I t., alryATkl 611A I HSe:LT. »fy I l�Gilp d PF,R,SQN�ROI A TICS INTF;klliwXR OF A TANK MAY BE DIFFICULT OR 110120&01S LE. TS — wwMwrw"w'^nr!w�wn�.+wr.---•-•-.�"°a"^ nwn m `JVIS lid .4 EEl»,. POWTS MAI•NT.ri.�S, mom*-..•.-�,..,.« Namca � Na me SEPTA A Name Phone D rfaia raaraamemt urns drafted in ranreapl!Anga With chaptar'comm 43,E ("s)tb)t11?d)&tr)and 9;,94(1),( )&19r 1)Utrxnr,tas w �sdrnPiata'krativr�tuerrre, hlnv 1'I 201Q 10 45 AM St, C'rnix Coum.), Plan/7nNng 715-386-41626 1/2 POWTS OINNER"S MANUAL & M.ANAG•I' UNT MAN Flap C)arunar bit b>� rpa Tank p eat y 0 NA N T�ermlt $eats*Tank Manufs1 trwrar r.t M NA Destdo ZOT"t S h lasrant;Rl*nr M!ssaw•ft aturer �. M NA Number of Aeclronms 0 NA Wflwant Fitton Model Sa n NA --w Nwrnfser of T'wb!!Q f anllity£9raitetA Rsasnp T"gnttapaclty ni CIA Rstirtxated VOW(aydrnes) )6b el da PuMP Tarala Q NA D�3lgn firasnt(peek), (lwMximated x I'M ka P urn?Manwfeata w K M NA Son Appilox0an A� ►� r R �>q, n� .�. N— . sfasdaard In�its�rr/l�luen £�Gs�1JT�r Monthly uer la pr t2 stmem wrtir. � NA Peas, Oil&Graw. (POO) 00 nag/1^ 0 $And/Gravel Filter n Net Filter Siochemiosl Oxvaara Demand (Ma) 020 m-12/1- 0 NA O jMechmiltmi Aeration 0 WOtland Total (TO C)50 ri OA � eln�epticsta � 0*6r; --- 0 NA t� f�lapaY€gal Cell(s) Rraaavetrd EffitmM, wal?ty montiliv average sfz�ghOMinfli OXVgan DtM$J)d (Bt�Mr.l m /?, 111»arc and f ravTtyrp �b In»+ rrewnd )rarseef rued) TOM ftsWdsd ftilds (T'SS) 00 M911, 0 NA At4irads 0 Mound epsl alr tsYdYx t pasarrtatrTrs rt eaYt) i afwJ1Q irnI Drip»tine ~ dlaac M NA* lUiaaclmrsrn Effluent PaYtirl>a i am in dia, Q NA C��ner" �t tee 4 0 PIA f�thArt �, -._. Q NA �thnra 1 d0VA14koo tyl'inal far dt;=3 l kNptawater All B9p is tank efTlu4rr, MIAI�t'xF3Fii Ll ,� m M- --^ ""`"" �ittgit�flt t tY OW 9e ►.firyearrt t1�lldtf>Mi'tsmetb 11 NA At iWt anise 9traral. -r 1, . inspsot awsndl*isra of tank(s) .� - _-- _�. .-•. -�..� �Nht�Yi c�extvthined ellatia ate ersatrt egwa?s arkswth?rd ;34).af tank vra(wrrwral NA f��rmp prat aantants of tAnk(s) Mc60Mt) (l st�twlsaM- a"arsl a NA Ina�+aat diep r�at rralll l At le�aat ernaa sverya v._. AT, r '*I I ill lawn st`flai�t�t Ater 8e1;aYlCse naatr �� ME+ °. `""",." "_" -, -. I gpaee 15ra1Y 1, purttp oranzrols ,alarm At sa+ist nncas ev©ry: IR NA Plush 1a�rarNIR artd presswre^r,�at At 9aasr rants,a�rn�y. s1 - , r__._.... 0 NA Att��rz pa(adat Orwe 8trst'y . — Cl NA raxl�or, MA6R1MAYtT:O`1*190- 1i� �t�t�(� inapetat ons of OnO Mid dispar l ft shell lay Mods lay an lnelvlds,al darr�3Ytp afla ��the t�Fit)vcf)� liaanema� pr a,�rtl�ir�et4prt�: Taft Mraatmr Piwmbar, ►I asr er Plurn4er 130.01riatad Sta1A4P.Yl T'0WTS InspeaOil'i ELI �I l ( $i }l rr X13 ! }tiCri Or a to ar(aka inspeotlrsrtk m>set in lwds a u1 ref lrr peetian at the tartk-(s)to ids�rttify any miaa9ta(ar ksrpican kaardwarta,tderit((Y any maarawrs the y4ia:srxa� of tsrvent�lnad zxiwdgg acne( car,m mnH to C=heek. fray any ure is kip er pryd A2.af a 'iwA, 4Yn tft'o prdurid oWrCiSW�, The dispersal rra(((a.) ahsll �s gr7suglly IftnPacted to Chank the offluenT WON In the hs nratata ripsa a>yd xp dhs'�tl�far amy prrndin� of affizrenr; an the rrawl7rl�wrfaaa, 'Tlse paridln of off?went ore thzr grourta9 svrfaae lxray Ind-ImAtp a failing oond.ition and roguing the lmmtadlaxe notifinatinn eta the lrsael replaury awthority, wh9n the aam�Cned arnutrnu4 fan a s.Judge and Sawrt'1 ill and,Ink agwai� rat���third.:i��9 ar.11n,g d�t)h�tank Vol a, the an&4re contents of tha tank shell PLO rt melvad by a Wtage Sanlia'S9 OPeratar rind Ospvwl of Ill eta fl:larlae tntith chapter NR 1`1 tNis~ccsn�in�,�Imtnletrarnoe C=redit', All pChaY erttipea:, frtaitidins but n Ii i9te�d to he sarwiafrig of affluem furore, mec"nivat pr preasrarTIad mornpar sma,pratraatment units, and any oal'vttsinI at ir�tsrve?�Of;fl2 txMOS,shall lie P*Yfpt"rY1Ad l;sy s.+ael-tiflad A shrlira rapaaM si,ail txe prolfted ro the loom ragwPatary au''hnrlty within 10 cuts cxf arsm..1xistTGsP of sr., v i s ovent. Q.W!w(4101) No-11-20110 10:45 AM St. Croix County PlaniZoning 715-326-4626 Page af START UP AND OPERAIrloi por now Q=Ist N- ijftm,prior to Poe af the PO,MITS check trrmrnem tank(a)for the praumnam of pejntlng prmdeotg mr aftr ahamfoals that may iwx pose thstrealment proo am eakr oamsga the dismemw egirt-9). If high are 4g-ow have th a 40nTants Of th's tarl-Ka)removed by a sepwp sorvIb1h;I 017aratar oflor to usq� $Ystsn"start up 0911 not occur when soil cane tons are frozen ar,the InTrItrative surfamig. During power QwtRgas gw-RP vankm may C-11 0ove norrmKI lovals. When power Irt res"red the ammims wastawapmr WIII be diachargod to Ths.ftporls.aj 0611101 in one larva dose, overloading the 0811(0) Omd MY nt=k In the im.fto mrsoftza J.1bobtarge of affluent. TO av . .ald th e c Ments of the pwmp tank removed t)v a septna SIM11*11111 0.'0001lor 01110Y to rastmflng powor to the offlwanT pump or colitant a ftir- har or POWTS M-almalrimr to asgist in m1anually opat's-ting to pump controls to Pas-tam norni.fij)av@lg vq.jthtp ttfe p4mp tank. Do not drive or park vehlola 0)?er Tar*-s and dlap.isrsmt calls. Do not.drive up PIR11k over, or other Adoo d-l".oph or oarnmat, the Orem Withtn I�fawl down alaps of Any M.0=4 or at-gm t soli albaorpujp area. Redumlipn or eflimInati= of the follo-Wirts Vorn 7.179 WEIns-w-Mar stream mBV iMJDrMV6 the VVIWIN- 911as mgd p•almrM the 11-ft of the PONAITS: antjbimtjajt baby U vlpas; cigarette bwds; condoms, a"Un 1,W0ba,' ds0r;aeiNarsF der%l floss, dlepar,% digjffnu-gs'4; fat" lau-,idatlmn dr-gIn jeuMp pump.) waar; 'fruit and vagetakIs peallno.s7 g41011rla" Frompa, Wbiald4a; M-Igat garopot all,- petntir7e prMdummg,pastioidea'.anitpRry ijapklwq,tarnpons, and 1nfatar stoftener Woe, ASAKDOWMENT 1A.1hon tbe FOWTS foifl$ $1161pr Is plarM.anonlly Taken Out of servius the fmlloWing stems 1*,rah� 11 to 1,18urm that the systpm Is propnrfy and safaly In connAllarice ifvhh ohoptar Comm 83,22,Wamomoln Admidistrojams soda: 'k1l ; s -A , I ptip""glivo axe and pits.shall be&aonrmmed and the abandcriad wipe cpanfn s s I ,x The contents of all Tanks-and p ,ft&hali be re movea and prppsrly d1sposad of by a$mptage SarvIolng Opal-ator. Aftor pv m- pings, oil tanks and pltg 8ihall be examnar-mO and rnmaysd or their covers rem-mired anal the Vold spau filled with soil, gravel or another inert solid material. CONTINOUWY PLAN If the POWTO folio and 'aginnot ba rapalr$d '4110 1011 Wing r-nmag-82 have beffixi, or Must k a takan, to provide a onds o ornpftnt rep lamenn grit syslam- "�S A sultabis i:e-pao=-an% aram beg been earelrasred and may be utilized for the Jon%j111n of a ragIsogm. -ant eorj sj�grjrpt)on systs Th'so.0.91-fimem ent.area sbcauld he pra*matad ftrr)dlsturbsnas aft O*Mw gga-ftra Am "squir. 0 oh-OvIl not idoon by ad safftoks from ON101n; arid propoagd strLiatura., icit lines and WC-S, F�Jlwrs-tlppnoliaot tv rd{140gmsnt firma WIll result M tho lqgad mar R now 9011 and sltp,evalwatilon to mstm jjah G SLITtable rrrPJTAOR M- Oft MrMA, Rgg.jRZjjM-ent gy, gr.I MU t ODm,PlY Whb th*ruirs In offarat&that time. W� ft A A salt-01a sroi-t Is fint -avallable due % SQ020 mndlOr 4011 lim- ft-62M SOMIN a-variona in PDWTS toehnology a holdir"o unk M,tV 00 inst$llrod as a last raWt To raplace the failed POW M, 13 The of-.te has trot bamn ay. slidat-ad TO Wantlfy 8 ewltaWs re.plaosme.nt area. Upon tenure as the p0WT-.S a anlj anc, jqj% *vafu ftn must so psrfmrm,,a$ to Imame a A'41�tabls rapla0am—ent prap— If no raplwrawrxiaart arag j$ %tSjlgbjM a hold-l.r.lig tank May be i,1sTS11W as a last r6smrj to replace the fAl)ed FOWTS Mound and. at-grade Sol! 4SWOM 04114Ma may be 11) plate '111:11=11V rem"Z.VvEl of the bjl2mat at 'kha lrtfftrathfs ew"fava'. Rownstruo"110ris of sumh myl2tem.S mum comply wlkPo tha ru-IS4 III(affoct'At thmt time, <WARNIN.0>> gsan-q, PUMP A-xp Q'TmaR T-HATWNT TANKS! MAY 0ONTAW LETKAL OASM ANWOR J.DxsUppq*1 W. ANTER.A StObg, pi;.I Mf ag OTNt-R I-r-pj;-ATMENTrAT4,K 1JN-p9A ANy 0-0 NOT FOR,90NIFRO V TH-g aF A TANK MAY BE EnFFICULT oRIMFOW-BL-L AATW MAY RESULT. R�$DUE or-A AVWT7ak1.'dAL 01"0 1 W'=NT-1S F01A.718 I-X$,T R " NT """T rn Phone WTARA,011410INO ' Jag IMAL RHOWATUAT A NaMle' la M. 6" I M�I, This dorLjMVnt jqpts t0r&jtgd in Romp,; arias with chapter'Corrm lid)&M and$S.54(7),R) (SWUVI-arm- TOTAL DYNAMIC HEAD/FLOW 2 U- PUMP PERFO ANCE CURVE PER MINUTE MODEL 53 5/57/59 EFFLUENTAND DEWATERING s 20 MODEL 53/55/57/59 = Feet Meters Gal. Liters 15 5 1.5 43 163 r 4 10 3.0 34 129 TD•h! 10 15 4.6 19 72 o 0 Shut-off Head: 19.25 ft.(5.9m) 2 5 3 718 63178 1 1@-71 1/2 NPl' 0 10 20 40 50 37/8 GALLONS 30 ryt t d:tc lam, lQ'Ee LITERS p 84 160 - + + FLOW PER MINUTE 4 CONSULT FACTORY ' ! I I FOR SPECIAL APPLICATIONS I I • Variable level float switches available. I i • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. i • Alarm systems available. ,o,ne i i • Duplex systems available. ! i 3 3132 i I SKM sin s8eal Control Selection Listings SELECTION GUIDE Model Volts Phase plods Amps Simplex Duplex CSA I UL 1.Integral float operated mechanical switch,no external control required. M53y55&M57l59 115 1 Auto 9.7 1 — Y Y 2.Single piggyback variable level float switch or double piggyback variable level N5365&N5769 115 1 Non 9.7 2 3 or 4&5 Y Y float switch.Refer to FM0477. •BN53 115 1 Auto 9.7 --- Y Y •BN57 115 1 Auto 9.7 N Y 3.Mechanical alternator'M-Pak'10-0072 or 10-0075. •BE53/57 230 1 Auto 4.8 _ y y 4.See FMO712 for correct model of Electrical Alternator. D53155&D57159 1 230 1 1 1 Auto 1 41 1 y y 5.Variable level control switch 10.0225 used as a control activator,with Electrical E53155&E57/59 230 1 No 4.8 2 3 or 4&5 Y Y Alternator(3)or(4)float System. •Single piggyback switch included. Forinforma6onon additional Zoallerproducts refer tocatalogon Piggyback Variablel-evelRoatSwitches,FM0477, All installation of controls,protection devices and wiring should be done by a qualified Bec"Altemalor,FM0486;MechanicalAhernator,FM0495;Sump/Sewage Basins,Fli and Single Phase licensed electrician. All electrical and safety codes should be followed including the Skrtplex Pump ConlrollAlarm Systems,Fli most recent National Eleclnc Code(NEC)and the Occupational Safety and Health Ast (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ------------- MAIL 70:P.O.80X 16347 Louisville,KY 40256-0341 Manufacturers of.. SHIP 70:3848 Cane Run Road ® • Louisville,K 40211-1961 QuaurY14WAsSAME/9a99� httPJ/www.zoet/ereom PUMP !O. (52)7 AX(502)774-382'PUMP 0 Copyright 2004 Zoeller Co.All rights reserved. .I , _.-_-�,.w....M�,,,�.,� _ (00. 5 6'!fc VeM Pipe Fislal �;ra�ir^ Chamber - �� � "� 4.-- tc v IV- _.__�.._ 3 � 5y5�rern�Ele�>►atiraP� c. 1,-l .l . L = 4"NO. Trond1 Header �,fE+rPA:Or Obs�:r'oa��f•i�an Pipe ---------- ( X Man s.AfaCture;rAnd Mor_@p!_ USA A Rating Sri � per chamber 61 AppNoaation Reat'@ C�/& ft gftd Detjguti k �ovni �r Soil SA 3 rows of c9,1�Mhers eech. Flag ....__.._.._—iT . ' f E9 ' 1 2Z 336.58` I87°3q 2 � `�• 1.90 ACRES 17V29; P 2 N 89°57'32'W f o. l.t8 ACRES 236.01 O N N Sa-?.S 35°E N N- T3A N. 2 �1°2 53 21 1.76ACRES 0065' �. �.`\ 1 "cv o 20 ?10 `.\ 1.15 ACRE5 !ES o N 1.65 C E5 a •` �� �� N 89.04 $3• . 142 id 150.96' 370.68' s�3s _._ 1295.12'- 4 OF SECTION, 25 144 \lb .�►-/ n N • P BY ROBERT FULTON E. L lNE OF S C T ` ' 99E lit (0 110 A 225.7 7 j Z CO-N A z ~ 00 260 4 2:3 S STN . ..* 14 JD I 016 OD PROPERTY GRIPTION NO SW 24 T28N 7 ,T OF cROIXRIDGI=LOT 20 OPERt INFORMATION ,Q Prol ay rgss z,tPLAINVIEW DID P r 11D: 040 1192-95-000 yfo Munk ioality; TOWN OF T, n t ID: 24-28.20.866 hoot Cl' r' S H KIST RNER FALLS DEED INFORM TfOk O Di ri ts: .> N a , C 1P VALLEY VOT£GH ° s V" ._ Paae Section Town Range Qtr Qtr Section., } 575 24 28N 20W Op 263 X275 CD 1113 E3 B k: � CD P t m UNDEFINEDOD ro " ' I1 18 i� N o X INFORMATION f IT f LAND VALUATION } N tT Before: 1 AO _ j i Valuate c�009110 tter Cr i- 00 F t � tIue Improvements T a is;'t7 71,500 71,5- Amt Due 4.650 7t,50D 7t,5D ax 00 Total Acres: `�' 1 cn Special As3y3►►nnt 00 00 4 00 Ass _s neg Ratio: f 1 0• Special&rg 00 00 s 00 21 &Z. Co co � 0.000000 g .00 00 eknquent hr Fair idlarket VakaeN a,p Private Forest 00 00 i Woodland Tax 00 00 * ' .00 Managed Forest t)0 00 .00 INSTALLMENTS rop.Tax Interest 00 v 00 c.Tax Interest 00 .L �� i 15Q.01.b, 175 rop.Tax Penalty 00 ti 00 f 608 24 Q pec Tax Penalty 00 ' ' .00 Other Charges 00 OD 00 °' fa TOTAL 00 00 00 Over-Payment 06 O —' T HISTORY(POSTED PAYMEN General Date Receipt# Sure Tne Tex Status Assess.Status N: Interest f �1 T IU � ,f i M M L l c Mrj 3 y it c 4Y x 3 1 r + � 2384 s°"`• . SOIL E EPORT page 1 of 3 Wisconsin jj- ent of Commerce" r' �� A.C.E.Soil&Site Evaluations )) l in accordance with Comm 85,Wis.Adm.Code 11:..:-:-- -F C�-i-M J rf�.:Mb:.-� ��' - (`( County Attach com a site I than 8'/x 11 inches in size. Pla St. Croix include,but n I and horizontal reference point(BM),directio percent s Qt �le(d7r emsions,north arrow,and location and distance tc FR:vi l I.D. P 040-1162-95-000 i please print all information. By D ate Personal information you provide may be used for secondary purposes(Privacy Law,s. Z �s Property Owner !G�ovt.rty Location AnnMaarie Kerr Lot SE 1/ SW 1/ S 24 T 28 N R 20 W Property Owner's Mailing Address Lot# Block# Subd.Name r CSM# 213 Somerset St. N. 20 Na Croix Ridge City State Zip Code Phone Numbei City Village ✓ Town Nearest Road Hudson WI 1 54016 1 Troy 1 241 Plain View ✓' New Constructior Use: ✓ Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD ` Replacement Public or commercial-Describe: Parent material Glacial Outwash Flood plain elevation,if applicable na General comments and recommendations: Soils suitable for conv.dispersal cell at 0.4 gpd. linfiltrative surface elev's to be approx.56"-64"below grade. Rec.system elevs. =94.5',95.5'&965. Boring# Boring Il/ Pit Ground Surface elev 101.24 ft. Depth to limiting factor >103° in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots *E GPD/ft' 2 in. Color Qu.Sz.Cont.Colo Gr.Sz.Sh 1 0-14 1Oyr3/3 none fsl 2fgr ds gs 2fm1c 0.4 0.8 2 14-21 10yr413 none fsl 2fsbk ds cw 2fm1c 0.4 0.8 3 21-33 1Oyr4/4 none sil 2fsbk dsh gw 1vf,fm 0.6 0.8 4 33-40 7.5yr4/6 none Ifs Osg dl cw lvf,f 0.5 1.0 5 40-78 1Oyr4/6 none s Osg dl as - 0.5 1.0 6 78-103 1Oyr6/4 none vfs Osg dl - - 0.4 0.6 Horizon#5 contains 1/4"-2"irregular,discontinuous bands Pf 10yr4/4 Ifs. Loading rate reflects reduced permeability of horizon associated with banding j ❑ Boring# Boring �� q3 Pit Ground Surface ele 98.74 ft. Depth to limiting factor >98,� in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ftl in. Color Qu.Sz.Cont.Colo Gr.Sz.Sh *Eff#1 *Eff#2 1 0-10 1Oyr3/3 none Its Osg dl gs 2fm1c 0.4 0.8 2 10-35 1Oyr4/3 none Ifs Osg dl cw 2fm1c 0.4 0.8 3 35-98 1Oyr5/4 none Ifs,fs,s Osg dl - lvf,fm 0.5 1.0 Horizon#3 consists of several layers of Ifs,fs,Is&s too numerous to diffepntiate. oa ding rate reflects most restrictive permeability found within horizo *Effluent#1 =BOD 5>30<_22 mg/L and TSS>30<1_50 mg *Effluent#2=130135<30 mg/L and TSS<.10 mg. CST Name(Please Print) Signa CST Number James K.Thompson -�._ 3682 3,vz Address A.C.E.Soil&Site E ations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane,Osceola,WI 54020 12/4/2014 715-248-7767 Property Owner AnnMaarie Kerr Parcel ID# 040-1192-95-000 Page 2 of 3 3] Boring# Boring ✓ Pit Ground Surface elev 101.58 ft. Depth to limiting factor >99" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft' in. Color Qu.Sz.Cont.Colo Gr.Sz.Sh *Eff#1 *Eff#2 1 0-11 1Oyr3/3 none Ifs Osg dl gs 2fm1c 0.4 0.8 2 11-27 1 Oyr4/3 none Ifs Osg dl cw 2fm 1 c 0.4 0.8 3 27-50 7.5yr4/6 none Sid 2msbk dsh aw 1vf,fm 0.4 0.6 4 50-99 1Oyr5/6 none s Osg dl - - 0.5 1.0 Horizon#4 contains 1/4"-2"irregular,discontinuous bandY 6f 1 OW414 1fs. Loading rate reflects reduced permeability of horizon associated with banding ❑ Boring# Boring Ile, Pit Ground Surface elev 85.00 ft. Depth to limiting factor 61" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD 1ft7 in. Color Qu.Sz.Cont.Colo Gr.Sz.Sh *Eff#1 *Eff#2 1 0-18 1Oyr3/3 none vfsl 1msbk mvfr cw 2fmlc 0.6 0.6 2 18-39 1 Oyr3/2 none vfSl 1 msbk mvfr Cw 2fm1 c 0.2 0.6 3 39-61 1 Oyr3/4 none fSl 1 msbk mvfr Cw 2fm 1 c 0.2 0.6 4 61-61 1 Oyr4/6 none Ifs Osg ml gw 1 fm 0.5 1.0 5 61-77 1 Oyr4/4 f2f 7.5yr5/8 lvfs Osg ml cw 1 fm 0.4 0.6 6 77-92 1Oyr4/4 m2d 7.5yr4/6 Sid lfsbk mfr - - 0.2 0.3 F-1 Boring# Boring ' Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft2 in. Color Qu.Sz.Cont.Colo Gr.Sz.Sh *Eff#1 *Eff#2 *Effluent#1 =BOD?30<220 mg/L and TSS>30<150 mg *Effluent#2=BOD 5<30 mg/L and TSS<30 mg, The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(R.07/00) A.C.E.Soil&Site Evaluations A E,tiSEiny /4c�Ge�pv� A4 n 4&,rTe.ea./l- *4/w:Neal, .913 /f o, ow, ; ssuw�- �j� �i�tG�SN�, �J(. S5/O/(o GIG✓. _lGb.dD,� 1.4 S�y�Sr,Jf'S; SCC„xs! T.3�dy ExiS�rn T.o/'Tof; / SG. C,-6 ix av C$o U OSLO-/%9.2-95-c�0 �/�/o�o td • 36`d/ 39 �s.dcac�, ! t � X81 \ 70.!08 . 30 .3 lint �® Safety and Buildings Division L201 W"Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) Madison, WI 53707-71(32 N �HK3',ylOL3P __5 7 2- 3 Z A State'lransac ion Number ln ace ordance with S$1 TE A �s.�9I9�. 9 3 5 to Code submission mission of this tonn to the a ro ziate is PP P �governmental unit re uired q Prioti . � a sanitary permit Note: —••-�—the De art �Q P Application forms for state-owned POWTS are submitted to pr p ment of Safet3+and professional Servies. Personal i elect Address(if different than mailing ad res. nformation you provide a \ } p may be used for seconds. u oses in accordance with the Privacy Law,s. 1.5.04(I (in),Stats. ry � I. Application Information�Rlease-Print All Informatio Property Owner's Name -- -------- --- ( !L�_—_ Parcel# _ Property Owners Mailing/address --- — Property Location City_,State Zi Co ,— -- - —._—_._ Govq.Lot_ P d 1 hone Number — c q S 5 -_'1/_&W_—yM1, Section of �__--_ circle one.) If-Type of Building check all that apply) �-- -- T D�_N, R a�_E or W ❑1 or 2 Family Dwelling-Number of Bedrooms — Subdivision Name _ /- ta�.fl te ------_ _C ROr�c �) ✓ ❑Public/Commercial-Describe Use 4 ❑ city of—_--,_ ❑ State Owned-Describe Use —_—— _L iC— — CSM Number -- ❑ Village of —_ Ge. n) t.v Jrf'lJ��-1 S Cliff E fS Town of I I�b — —— _ _ _ _ —�-- l:fl.Type of]Permit: (Cheek only on box on tine A. Complete line B if applicable) A. h -- ---- ------- _ _ �o 'J LJ]Ncw System Li Replacement System Treatment/I-lolding Tank Replacement Only— ❑ Other Modification to Existing System(explain) B- I 1=. Pemtit Renewal ❑Pennit:.Revision ��Chanye of Plumber ❑Per init'1 ransfer to New List Previous Permit Number and Date Issued I Before Expiration Owner 1�• .Lx'Ype of FOV6WT_S System/Component/I3eytce: ]Check all that appty�— —i---- ��'`�r"�J� -- Nnn-Pressurized In-Ground ❑pressurized Ln-Ground I_� At-Grade ��Mound>24 in.of suitable soil ❑Mound:24 in.of suitable soil I �❑ Holdin;Tan]; ❑Other Dispersal Component(explain)y - I, Design Flow(gpd) Design Soil Application Rat:e(gpdsll/ Lispersal Arca Required(st Dispers•1 Area Proposed 1) System Elevation 7 0 b b U T VI -- ✓ $g.00 ^ p Oo.. A Tank l.nfo Capacity in— Total # -- -- —`--- --- �"�-- `! of Manufacturer Gallons Gallons 1.7nits °' New Tanksi Existing Tanlcs 79 5 U _ w Ia 5525 � � ° � � Sepik or Holding. ---- -------__.__._ /�tl�_ _ — _ tY C7 rn U! [.*. C7 Dosing Chamber VII.Responsibility Statement- L the undersigned,assume re onsibility for installation ol•the pf)WTS shown on the attached plans. — v -- Plumber's Name int) P mbe's Signa e _-- - T! MP/MP.RS Number Business Phone Number I Iy{ q Plumber's Address(Street,City,Slate,Zip Code) punt /T3e altnpea Iise Only — � Approved ❑ pprovcc Pernlit Fee Dat�--T Issunt dent Sigh re Ow rven Reason for Denial $ / 7r `� 3 �� IX.Condi ------ --1— _. pr easons for disapproval --- -- 4 Septic tank,effluent i fterand dispersal ceH,must all be services/maintained as per management plan provided by plumber. ;+gip Eck regt*6Ments must be,maintained --- W*lieabk code/ordinar>ces, Attach to complete plans for the system anti sabmit to the County only—..P-Per not less than R n s p A finches in size — SBD-6398(R.. I t/l l) CONVENTIONAL COMPONENT DESIGN Residential Application rn INWEX AMID TITLE PACE Projeot Name: Owner's Name: Owne'r's Ad-dress: Legal Description: su Township 0 A F County S cf–D) X Subdivision Na,,T)e: C RQ'1 Lot Number: Parcel ID Number: 0 e) Page 1 lndixand iffle Page.2 Plot:Plan Page 3 —iz iiiiEli_i!� A C Pago 4 Ffiter Page 5 Maintenanap pa, .9-P Cl Managern'ent Flan Page 7 133t, Cruix Gtv Septic,Tank Maintenamce, Form Page 8 Deed c8m or Plat Soij & Pk ins PhOnOl Nurnber D Signature. Or,signed raursuant to the I -Ground Soli Absorption Component for pc) Vqa Version 2.0 SnD.1070-&p psop 1 Ii dam gg.ou Vy. 3 �T�ti�1,�1s a �, �y, 0 Q hb►�[��1 b c,� 3-x 0 w PJ1 Lek -�Y 03 lb 1\0 U► Alt Q� L� i 1 Soil rsaa� -� Pvc vem pipe 'Final GrAde � 1•� � WM)Vo C 1 �4 Chamber S 4} p"y� _a :a 1f•Ar+,r,Elevation .re - D � �, I..I�MkI ff-�..VIV.I TIL Dig,. Header Or ObsarvWion Pipe _ --- NIT Manufacturer And Afiorlpi USA SA Rating: � Sri ft Per Chamber Soil,Application Rate e _S c'gpd Design HmAt� ? Soil APOUPtion Rate �, a of chambers aech, a t .-........___ of Nov-1i-2010 1,,):45 AM S%. Croix County Plan/Zoninq 715-326-x!6,96 2 START UP AND d`pjaiFRATIC)i11 ^^ -For now atmavuotlon,prior to Poe Gaf'the MAITS aheek trearmonT'anima)for*he praemraam aaf ptaintfng prcadusmts or other aah+.arralcals that may irmn'peda•ths'treaxmena.prooess ertdlor d Arnage the d1sloar sa dmllls). If high nonaarlxraaidna are dejeratad have the amnunts Of�11a'tank('s)rerntaved by S Septegs aervlalrig operator pr"amr to use, System start up shall not occur when snail aandtet sns sre t'rozen at the tnfntrathia surfaaaaa. During power owttggaa pG.tn'Xpt'Canigm -may fiil aa1 ovs norrrtotl htshkwakw IoMels. vlklsn Power W Mgs tfrrad the m�araeea Votsttg1 a; mr will bo dlachacp ti to The di�,parsal cae111's) th one 1sMe ft es, overloading the call($) and mayr'rosole do ha'kat �} or'-gwrfama gtA'�srle of effluent. T o aveld tkl a.st%tartlrato have tree emnt-a a Of the pwnp tanks rernwad lay a SspGags slorvlalllu..0-lOer tar pr)mr to ravW-fing power to the effluent punrap ar c alitaZt s F[wTvibpr or POWTS Malm-Rinmr to assist in mmnually operating the pump 0onlrols to restom norrn.al)awls wfft the primp%nk Flo not drive or park uOW.01e8 vyrmr Mks and dlra,p.arsal cells. Dc) not el va or park over, or atherodse dfiyourb or campomt,the erem Within 16 faer down slope of,any M014nd or at;-gmdo soli absorption mrea. Reduuatlon or 011minat on of the follo'wl1j1 from The Wastewater sTmarn msyr far►PMO the pmtfranM- 911aa.arid prolong ing life of the POWTS; entlbistJo%, baby vuipasa Cigarette Wits; condom-s, cotton nwaba, deareasersf dert,,a'�l floe% dlapers; 0016irfe-lu- ta, fat;; farandatim drain (sump pump) ovaatatr; 'Fruit and vagats1,71s psellno.a, gas rllrte; greaaa, 1401310dVil; moat. snropm, mat['lostloets; all, paafntIng pradwse peetiafdes,esn'tt'sry ilapkirls;tarnppns; And �'nfa'ter softener Janina. A'OAND IAN.-MEAT Whpi7 the F'AWM falls $Vldldr Is ptarman.mntly taken ow,of ssrvfrm the following Pte"0.411 bs'tekon to ineutrm that the ay4tam is properly and safely In crampliartae with uh.sptar CarrtrA 83.13,°a'U'isaammain AdminTatrative X0001 All piping to wron and 91%shall be dNoonneoud and the abandoned pipe vpenlngs usled, w The cantreri•ts of all tenka and p,° shall be remaved and props N disfarased Of fay 8$mPtAge Sarulrsing Operatmr. a After purnping, Ml tanks and 131ta shall be excavarar>9 and ramoved or IlMlr atavM B41I overd and the void spAoa filled with soil, grave or another Inert solfd rnmerisl. CONT')Ig't NOY PLAN If the MWTS fella a3ntl vAnnot he rapalrad •ths foliotiving rn4asures have beimi, or mcaat Ism taken, to provide a Made oornpllant replacerrrent•aystern. ,;Q,' A oultable repIjRo0 --ton!T area has been etiraWated and may he uatilizetl for the 10000.n of a rap'iaoaM- arit soil 61R;VtarPT)o a system. Th'iS molsz-oment;area ahaiald bit proteated from dlssVrb0n0a acrd Q0MM'pkTZ'l on IMI oh'oclfo'oat bas ilr�lkl�.ad GIGIArrt by required setlp304 from exis'ita;01I d propaaod strwmturs, lot iinea end walls. ��3Jlaae.tag:ptr{��edt t10-0 rd�alsrlt area vstlll resuill:fn the need Aar a new sail and sits eveltaatlon to settthtlish a% tabie r4plaasmaerlt was. Plsmlaaemant systamA MULgT e'aamply With the Mes In tffect at that time. 0 A stritabla replm.sment srs>R is tint: avai 41519 due W ss'buk and/or sail JIM 9tatlan& �>errlrtg Pd'vana;gs in Pt�Vi1'f� Tamhn.01pa,y a hotdin;tank may be inatsllmd es a last resort to replaata the'faliad POW, 0 The site hc+s not falatdn evafta qed Yo !dGntlfyr ra switehim replaoernert grata. U.Pon failure a? -the F;OWTq a anll nand alts evraluotTtm mwat big perfQrrti'rad to luaatate a aul-table relataosrnen't Prom. If no rdmlmaaerriant arse I$ ;ntalldhte a holdi'rlg 'tank MY be inalallsd as a feet resort to replaoa the fs)Jad POWTI;t. Moland and o ade soil arswrptlaan systerne may be rat7ongtru ated in Jahn fallaWJrt% ramov'al of the li;tamat at the infiJt*art ue swr*sea. Reaarnrrtrua Jtaa7s of sumh eystems mum ar>mpt y with the rulax in affOMT at that time' <WARNING> yw�Pry'!'i'I�rywF k'�p�1�>+.irR.�AyN�t,>�,6µ,�"I"i .�pyl Tt�y�,'aAN' Jty�y11yiRT'�'pp�;.lLwuIIl.�.5i Nli7�Ay:'��tyerpq�N�y'�.3"AtfIUA�YR�y,��,'+lv�l•AL+��AqL�vl�a���A�l�g14�41 a�y��.�A1�T�g�t�Y+��N1%pf��.�l'y!%CIE'16(y"e�I��p��'��,lg{MyCI�Nn�I�W�.+),�+�'T PO1 EO.�67,iO IT h NA.#.NT W �l r?A:'4"i'�A'�.�7 K MM''ENT�'i�.,•5*X U NWOR!''NV 0lRr-U�NF8T-At�l� 0" 99(AA-N IN4`A 'RESULT. Ali Fi��+US 41F".A P! 1R k�IPFtCi'li/1 THE I'g R iTg ci'I'ifi fai'P TANK l�11AY Sp,DIFFICULT Op Impo ' ro r rig 1Sl'F1rYiB (�^ p /� Name Phone 1O V p)Xorl'laJ +^ .�.�...,�.w. AL Phone. ` Fhrsrta _ • � Thia dQrumt#r>t was drafceri In compliance wlth ahapdmr'Crrmmo 2s.2pC�)ibl(xJ'(d1&(E)snei 8�.9417I,iw�)@e(alr UUrROC�,mm�ddrnInrexrmttva�pAe, Nnv-11-P—M 1©,45 AM St C-lx Cnunt: Plzn/70nmg 717-386-4686 1/2 01nrf1L�a' A& l rtp rs 2arrf Sa�tFPy V 01 CIA � 1-_._ Permit $ap*Tank M,artaftat+wrgr (�)t n G»Y 1wA �► rl� PA a af'fivant Iw hr Momuf4rawrer U d ! lA Nrxrrlbar pf edfirapme MA sfflwant PlUr Mzdol n MA Number of Pzablla I enlPrty[Ini>r M NA Pump' onk Capaphy � l_. A ssCrilated flow(average) Inump Temk MRnwfita wrar T3 N Design flaw(peek), llws'Cimatarl x 'I.st 'da Purri,P Manwfa0tuw M*A Sall,A�rplir atletrl Flan (/ J rz bump M arlsi t$.MA, tranderd Infltaat5OEf'flunrit svarept* wnlfi AMA Fats, oil&,Grows (POM 930 MR& a wd/Graval Filter n Put Filter iarYhemfeatl OXyggn Doman,( MM,) %,220 ntg/L 0 NA G3 Miacharylul Aaratlon 0 W-MIA A! Total Swspartdad sC lwt (1`-S-9) $Isfl r^��/i, cl 01aSnfaftimn 0 Other, _ la�aarsel��IfGs) M,.,._..� q,.NA Pra'C used Rffluanl: wallty Monthly average f� slaahemlanl 09y2an D rrnand lacnz-1 4-0 Mg/l, Lxn�&nund Wrlatyky) it In,41rownd WmRswt`zedd) Total fwt+paraded r�s WR RSS) 00 me/l., l�4�1 A �I Ax�t�rada � M�'wnd eatal ollfrara fgpasMAtric Mon) A 1.0 dfu/1 Qi«irnl > r1p�i"lraQ I .... r; _ �_..... Mr14r, _ 0 NA MOXIMurn aft°4want pertlrl0 sfx0 YO in CBS, Q NA 0 NA _ Other; Q NA ov;kl4tg,a'Cyplaral for doma)atle WaB' wIltur And"ptla"Rnk afrlvea MAI ger�.tae srrar�t Vans) M NA t111i'Iwfrs ym lnspe�a�anditldtt df;anklel Afi loan ana»ever>d' ,. NA pMMp pcat c,n sn is) 4�Ihaa11 rdrrttitn0d alwd�a srrd arwrn eala p>,law'rhlrG)fibs)of�aR�I�?ma� � �amhlw 11 FtYwtan7i 3 gyasrs R MA Ira:ap:aat dT arRat rmllt8) __, �,.M�, �� —... S i filter At lead aW n�ralyt ale an affPLlent , I` �. � ,: , �,� Q M-09 5r*� IAA In.�fasct pwawa}a, purrtp catantrdia ,aEarm At laaast flnrag OVAN' Flush IsverOf end pcMSOM test At least.Ono$ _. NA CStNaca Air.bast 0zs SM Y', ... NA C1�11tari 1111;AIF11'MARGE&NS'l"RUCTION's tn>apeaCons Of TftWe And dlspar 1 Mu Orwelt be mods fay art Indlvidaaai aart!y9,ng ells Of 1110 fa!"OWan°11+ert Mai or Yas�w�4fip�It4oR�:Taft M.a:ater PWM-ber; M•eStar Plumber Rantrlatsd auyarl I'1 �` lrtsla&a1G rP l� Flit t+ iT l r llS Ft �t3 w. } lei ar looks, inspeotldne m:um mglwl's vliawal IM. pWtlrin at the.tank(e)to idanslfy any!Misalltrq or hrpkan ElarGlwst>C,ldl$ntlfy and waaka masawra tho Nrgh:tFns raf admbinod alwdg$ aan$ sf,'VM and 1:0 c;haak.fnr any blank cap or praraOlf raf 0#1went an the Mraund lawrf-1140, Tt p disperaaP rtallia} e'he11 pa wisLttrlly lnr�peated to ebank the Rf lt;tifiM levels.in the cal�senr�tlprl glpa��rlef tcs u�t�a't<Et for An, parOng of of fluanr an the graawrin awrfmas, The ponding of affluent ,0 tlxra pr�ywtICl s>ar•faoa may IndizAte a falf ng Ondltfran and raqulras the immedlats notif rlatlnn df 1110 ipo�l ra��llatdry awrhrariay, r�rl'lr 4d gape dl�h�1ar ��rlYfd, the 0ntr� Wlian the wmWnad er zarriulMldn Of $4010 and UNM Ill arY W191a r can*tams of tya tank shall be rmmdved by a SeMage SdPt IMS9 (;l'porm� r mnd diejJpjmtj of In ;taaaftlartc0 tnr)th chapsw NR 1121, tnliaccsa,�in AcIminlsCrariwe C:nelt'•, All ether Maeri4wea, Pnniud4ng lsl�t nc llrri 4$I to the serviaing of efffuarlr:tilr0re, rneaiT Filt�.al pr praaatarTz84 a om'"non'0a pratrastmarit units, and any ealvIcing at intsmuala a f"I2 rrrmmft, shall bs perflarmad by a det"rrlflsrl PCSWTSAMintalnsr, A g�rvlca rerararf:s11SIi lea prav4dad to rlxa Int.aai ragaata�ary e�atNrrtty rnratkain'1 Ca tDrya of drn. .Iwl'*fan of ally l fie S n. onnw taydh) Nov-111-2010 10:45 AM S,. Croix County Plan/Zoning 715••386-116,96 START UP AND OPERATION Rose of ?or now MOMMwatlon,prforcep P*e of the M.MITS Ch&L-k trom'Mign't tanklal for the prarrmnae of paInOng pradvots or athmr chemlasin that may impede thairearment pro 0 age a a-lor 48msp the dlspsrsa I v I f'(-Q- If hr'#4 Onov nv'atildna a PfA d;r'A5%W have th a conthents Of thO W-Wa)MMOYO. lay a qePt"V 4.0rVittrig oparitar prior to uaa. System start up shall not occur when.901 conrWoris iara frozan avcf)e InTriTrAtIve surfama. During power outgoes Pu M-P ta'*5 M-,O!y 1141 SlOcive narrnmii Mshwmmr 1OW615. Whan power Its ramrad the-Qxrwas 04Mtowupor will ho dischms-ed to The 4-10poraill Malfiv) in erne large does, overlasdins the call) and Mmy r*WR In the 1wouto Mr-xvilfwas Aighwoe Mf afflyie-n-T. To ay- eld Wx Awaftil IM' 'Ve,14-8 emrnma of the PW M,p tank rarnnvad by& Sapta%a SOMMIng-0;00#110r prior to raso ring power to the effluartt p=l.o of oantact a Flwir. ber or POWTS Maln%lnmr to assist in misnually operating the pump corilrols to rastara normal levols V•Wn to pumr %A Do not drive or park-voill.als.8 o1mr tanks and djaprstl calls. Do not,drive ar park oVer, or otharkulse dlmupb or oom�mt, ths cram Within If feet,dovan slaps.r4f eny Mound or;M-grmdo soll absorpUm ;ores. Radvatio or oft Inaft of the follo-w-liv front.- Tile Wes-tavrave"mrtam InaV 7MOMO the p4l.1-Or prztom.11 1hpi IN&of the POWTS' antibimlov'k-baby. AMPOR; Migzraft4 bvft.; condoms, Cotton sweiba' dearakeara; Orval IWO,-01AParz), 091 ff--9-aurm" fat; farindsVion draln fstm mp pump) waor,, fruit and vagotaWs gavollnw, gyWaRs' Wbir."Idon; Mut darapoo, patqtlrig protfvrmlm pav;tiold 19 arid vi v ,as;ssnQwy napkinn,tzrnrx�n ater sGif4ener Moe. A0AND4NMENT ANInon the POWTS falls ajpdtpr to parim an.amlly taken out Qff ssr*;ip 14be.f PNQW--In� MO$hAjl lisukoll to Insure that the syntem Is proparly anal saf-Mv 4ano-op-ad In corngliarina vifth ohapter Comm 83 33,Wisammoln AdmWatativs rwOdai All jaip Ng to%nfoa and Alta ahzll be diEmannaatiad and the abanoonmal pipe op-onlags oss1w, to The contelits of all Tznjt&and pt%ah:ell be rernaved and property disposed of by a ftptaga Servloing Opmratt�r. ffi Alft-or pu m- ping, all tanks and olts thall be sxzevrAr,,qO and rernaviRd or tivir Onvars ramovad and the Vold spigoa filled with doll, gravel or another Inot soird materlixf. GOON TINMO-Y PLAW If the M- .WTS fella and zonmat he rapairml the foOo-vulng massures have been, or mcwt $a taken, to provida a ontle cornp1larit replacern.Ont system: ';I;;' A sult;gbjs j,epljae=-elt area beg been %mkiated mid amy be uNilized for Ifte lomgmt.tn 0f tr replaolaMnarrt 00H sysoarpi, Th' eras sh�auld be PrMteatad tram diatvritartaa and mMM!,;'!PA;,Vzn.4M shovw pot YAS-ttOnIM UM by required sroft.aQk-0 from SWIsft;ar��d p,-oposgd iot lines and wCh FAlurs-too0eat tv ropltum-,ant arms will reawlt In the Ileed-far 2 r1sw mail anal site evalpattan to establish a qLlltable raPTOMMMMt cram. aom,ply wftb.th*Mao in Of=at that time, 13 A sulliahlQ rein azarneat aro la nut avallaht➢e du -O)R-k AnVOr 4011 11MIta-60M MOMMV advarions in POWTS s to $at. 0 T,azhr,i.olP,9,v a holding Ur*raty bf Installed as a last report to replace the failed POW,TPb, 0 T1,10 site has not mdsn av-slld48d to WarlIsfy 8 AuhaMs raplaaamert araz. Upon taffurs of the FOWTS a a-all and jqj%* avaluo Von rnwst:bgk parformad to Imazte a MUltabls mplaosment, area. if no raPlkatft M arse Is avrallftim a l al6inia tank may 1e8 14tatz-110d as a last res;)rt to replaae the failed POWTs. Mound and at-grade 8011 ebr'zF;t!mn *�rytstmna may be rm=nutruated in Plate follow-Irl'o r4m' oraj of the b!12mot at The, sumh oyRtern S Muln corftply M11th than fulag IM effar at thlAt tly-na. <<WARNING>> J99FTM,PUMP AND 0,T.M., ! T%&A-TMRNT TANK$ rOA'.Y 0ONTAIN LETKAL U-900 ANWOR InSUPPMriT oxyow 6a NoT ANTMR*A 8&b6, 1313010 ON OT OR TAMATMENT TAINK UNOOR A'MV GIROUMPTANOW, MATH MAV RROULT. FUMU9 OFA PORSON FROTO THS INTSWOR,OF A TAMK MAY BE DIpplCULT G);AMpOO8j.SL-L All VTAPINAL C — POrM MA Phone SEMASS, go"w". Ept audft,10 Phone. Phis te TWO rJerument was Omitted In gempliRftom with chapter, Q=M and Aft Inlarative 00cl&, . ffl.lztile. :d'E, ' ,%�i!t�{7.P,c!rti! 'a1. r .i.r.?•ci pap 0 E'aly a C Inc, t-'� isf i€ J31td, fRJ Ji ngPtr;CT C643 ree, ��8, 5•��SR�; ............ Y014 Arp P YoWl t Details � ��a�BP:ptrJ'�Itai{tmrrr ,.,.,.,,.. j e 1� I, �A.r7:r� •�U I! I�i A 1 I� �I If \I !.� ,.j.. Ip �� I FILTER R R&J'00 the Saar In fifter tmohno'i 61t 1 PL-62S Effluent, �rp tl-me w FWWent Filter,-, I'olgrioi€,Inc Is Pleased to ead it's new nonimere,I,l flit r to it t oxiatinq line rat,1tt11lty pffly4rr'I' I rltsrs. The PL-5rt5 la I'et~rJ,;or'ouer 4q q0D GPn(GaR ms Per Day)milting it Ong€�f tine largest srurnnhe4!';;i l flturs in its class,!t('tt�s r2?.lir'Ir•.WAT f'c1et Of VIA'ffltmtinn alma, i-iice fhb J Jsr r &Ricer �+W4 riE Polylok Pi.-12"� the now Polyloic F 1, 52,5 Relit oar!11ATcC i rlMI:ic In tilt a1f YaAi1 IrtpY,r�IIraW rntitr!evfie E yi!,l,l ilt r,JrUf ,n iltS i1CSr f r r�tovr^-f far cie rtin(�, tt}p h4ll will fIbEt 1JP ernd MilIplorully almi it nPf 018011aw a:"sn Box an 1{!, the&y t; m the iil,rrsnt urnl"t IP',V r 1(h0 t1itk. Nn Other itI'V r nn t11�ill rk t ran mel<r t11a't s > I:u ! CfSTilY7! Ir. . ..+rw.YNT1RNAn'TRrv,nM,wa�•w.-.nom.._.. P41J1ti'l+�a GI,I{P"•. l'✓`IF?YIYVG,�NIni'f3r'I^iiCa9ilnl'I , t�I d t a1'I'1,�"Stop RrS ws'afams r ,a ��d�'�9.nY�S F—•--•„�,Tb,a>„r•,,n„w...,:N,n.„R,.�.RRT SIB`tom, Ir IAry Tons h�eted for"10,000"2,1,0(Gallons Pnr EJ @v} � i + -�--------- :\Co pts 4 fse't Of-1/18"(Itration 1 1 pkrRr p�rc. r enlarge Poe rJotailq ACOafrfS "rrTlC! HD� 40 pipe ' db Bldilt In Q1EfiCfr,`tG1Y --*'-''^+-�.+•mmr+.marimR,mnv,.n,a A wTornmtla ghOrofi bell when filter iq ra1 inavacl Handles�� 1� c iw�r; ov Alarm raccesgIhiiity PSR -o A wopus PVC Oxt�nsion handy: lna 1 aM1ANMIU.NNP,nn.aTewnWprMNrb4bMbwr+Wa:w..µy � � ta/ 1Ainge Ilia @L••528 1=`fUarsnt Frlter chol.drI operator R fir::IFlt'tly f,�r G rv�al' I P °mT °"„ °•""°"'° '- ronclitian ki�fntc FagUirina,cleraninq. it is 160 r Forms, damps.c► n d every tinln the tarilt is Punl rye at I,-last ovary theta,}let�i:'a.P'f the in pjalfs�ff)tpr�nnt'rins 111 nptEonai elates the OWN-!t will bn notihp�i)v n alarm r NTm(hF fllt:Aa )ord F,IVis it1 }yly , � vlcincl should be done,by a certlfferi 9epkh^tank(aunifrer or In t111 r. I a:t�ret -00800rles PrOSSWre F'il'h a, 1. i.,0[:ata the")utlet of the aeptrr,,tanks Crantral pr ?, 'Remove tank cover and Primp tink if n©c�,jsa y. �_` R� 3. Do not 1jSO PI011tir19 who;t 11Rlfvv i!>rr-�nmvta�i, i RMbgl"MLak ana CN1 U � (>t.11l PI.52S o�.li:ai ihF hougifl�, ���41" QYt'iP'S� J"(ooe oti filter Over the^t Wia tank.Rllalcn si.m all anlirls Piii ra*cd€into%.'PVC;.tank. ,�f�:�t insert the Sher`rr�rtrit;ge hOCk inft)ITM hotlaln,g n�gklncf sure lltr�iiltr!r t+i pr P7wrhr and 10 Gn �licJrrfl�7n rnrmpletp'fy in'seripcl. 7. Rt piece ea�itir tank cnva.r. 9rlsigllafinn:10M NIT!"ele1degrsal gnri fmm�1E'r0iH1 l�G��sP�ttiara 1~art 9 �rr�ste t1arnrq up to 70,000(?allonc w r _ - "__ n" �. LOc'Rtr+thw nl,trfnt rrt th�r sn� i fink. RaTP�t't ale Rr►qW 2. R&,move tank mvor anrJ , r 7 ! PaIITIIJ !~fLar and w$t1re �. Ciue tltr�filter hnt.lainuJ to thn "tor if ilt c,�,s�1rl, f :24"k'12"Ri8ar the anre�s A,anii y�1et Poe, If tl)a'filet r r,not nmrrrter�tt�dnNrt � FPlt�l'l�I�rl7!F'Rnel an 4. hMerf the Pj_5rr;5 f jeer tnttti 'htou nr7 i_asc at piCr.� of pfpS to OentPr t71#er. 'mtyrtFiltor'rm ✓ �r1�PO'i n � ( h I A7 t VIII 1113111111 nildl�la�tl rdlltul ('�l �htll I��► ++!�'i'( 4(TM MM �11IIf�+'f f64'�fffr'ili+il+1'IIIIV'�rsl Gfll�i6'+11�G9616111111 i11!Il►li���lf'I�I+�If I��fl14+11k'f�llff li�flJ 1111�,1�fll�,filfiilC'+�'II C��1�, I'��►IIilflliltl�illlill��lllll�ilfi!ll Bill'f�l ffrll�a�NL�k�d3��IVldrll+llPll��`'�=I4�+if ilii��llll�illl Bil l Ila "il{I'lII 1�IIIIINI'I'I{�}1111' °ffl9!I1fl'I'N'IJ J[l�'I!Il �'IIfI II�I`i111(I 1111, 'f►;hl�flll'NPiHI�� (��", ifU I+�t++ i +, .y �VI�I+IJVI+il�dlluflll l�f�tifff I�I��J+hf1i1 ilk+�Elcflil�fl+i��fl�IPifl�111i�11 �III...........>��,� its t��✓i�l��6TIB�d�Iill�iG�lf lll�t'i�lfli9l��llilly�p6��(�11�lCllC'-IJCGIIII{Il 1fC� l�Cllllflllf�IJlI�1tNl���f.���ip I �'11.1'!4�'1fi1111 11f11'tlllhii�l��llld'I����Pl�����f���ll'�°I'fffl'►'IlJlfhf I}Illll lfl 1111��1�da1( 1H111111_IIIIIIIII�IIi IIl� �I II'I +I li j�l +VIII � �I I�I + I Il,l I I II tlllllly,fIIIr Vi(IIII tll IPd131.iF� �'g I � I , i tw ' diilf�lla l;Ill9iillll�liJliill((�j� �lLl I' ,� ii i61 II�y�I��I IIi I I+ VIII �I+ 4 ri ° ............ V. y i 7 I� li i PI'I��u c ' �I.��I r i►+►I �.,j li4 Ili``II� i I I r ii P 71'�� I��+��(i�l. ,.,II�I�, �i��li � ��'Ilj II�►Il I��+il�'IIII 1 Ilj'i+l � '� i�l I�{I',�'.i li it �� � �� ��� I�, ���1.�.II�I'� �I. ,ILI li. ti u.w � I ;I�I�� III�I{���ILI� +�+ III��i � ►I, .I I�I����� �� li�i,�� ►��� "li i� iII; II. I'! Ilir llill,l4h�lul'►11{pP�►{III'{� ; hii��l, ►I lI '', i iil�j ii' Illy �� III�I li + {i+11� I III�i��l'I�i�Ii II+III�1.lI+�i�l ll,, i.111i�1I ail I I + II +,. „,,� �i,;''�' ����I�� ul����+I!����II�II��Id�l�1�i{!ill!�I����I�II�'I�i{►il�!►tll�l��, ,, � ,,,,,�;IL,,,�I''I'I', !�' 11 ;����I�I�i�fi� i + � 1llill `�I� {lil .'ill► �i! I it �I I,;i I'�I I)..I,P i I I h !i II Ili I� u� ICI ll���r rr�/ll¢ r����Jr/��rJlr��rl�Jl4 �lr�l rlll�l�li � rlr ,r I l ll i r ........... 1111 /ir/�`lf�r �� �a r T r • / � r ,� ti'r� �lll�rld'ulhl/!ll�rlll rr l9/ / 7"0/r /Nr/'7+ r r r1 y� 3r��ll � l l/1. / 1 / Jf/��a,\ \ � � e\ alb"' b! ril� � ' f rr/�r "n/1 • J J /;1,111/!''J// !•'r "Al r r Ll ED � a:-""µ:;i`s _ ~•� � +se ._.—......_— r h �•` CL Lu LL Q &� LL �' 336.58 f i 187°3�22� � 7 119. 1.90 ACRES 172a 29 338 //0 i> 2 N 89°57 32 W p_ 1.18 ACRES 236.01' o N N 88°23 35 E N - 307.31 N. 'W �� cS 21 1.76 ACRES a e()ro S `� \\� 1.15 ACRES 4 a d 20 2�°' .`, R. RES 0 N 1.65 ACRES N 89 004 50` 150.96' 370.68' 53°54135, 142' 1295.12� 93� '`"�\A,°,� N 89° 4 OF SECTION. 25 \�a rye,- 144 a D BY ROBERT FULTON o� ........ E. LINE OF S C T ST. CROTX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer E:A -N AR)p Mailing Address ........ Property Address jo V'I 7q nA ... T) , - (Verification required from Planning&Zoning Departme construction.) T� Citv/State d k [-�yj)�q I q�( [4f WOCJ Parcel ientifiation Number LEGAL DESCLKImPlIoN Property Location SL '/ Seca y T N R W, Town of Subdivision Plat: F-0 Lot 4 Certified Survey Map 4 Volume Page# Warranty Deed #-- /000, (before 2007)VoluTne Page Spec house 0 yes Ly- n-0- Lot lines identifiable Ie's 0 no S" N LSTEM MAI,-TIENANCE An. OWNER CERTMCATION Improper Ilse and maintenance of your septic system coul.d result in its premature failure to handle waste . prop maintenance consists of pump s Proper ing Out the Septic tank every three years or sooner,if needed,,by a licensed pumper. ghat:,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 §Com-m. 83.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance, The property owner agrees to submit to SL Croix County Planning&Zoning Department a certification form,signed by the ovvner and by a master plumberjotu-neyman 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. the undersigned baNie read the above requirements and agree to maintain the private sewa,ge disposal system ptic.�,st m has been maintained must be completed and returned to the St.Croix County planning& Certification stating that your se Department of Natural Resources,state of Wisconsin. standards set forth,herein,as sot.by the Department Of Commerce and the Departl with the Zoning Department.within 30 days Of the three ni Year expiration date. I/we.certit,that all statements on thp form are true io the best Of 01131/0111-knowledge. 1/1�re am/are The Owner(s)of 1:11. Property described above,by vimie of a w anty deed recorded in Register of Deeds Office, ; 3 Nu ber of bedrooms, i"�.PLJCANT(S) TURE OFAI ***Any information that is misrepresented may DATE result:in the sanitary permit being revoked by the Planning&Zonijjg Department. Include with this aPPlication a recorded warranty deed from- the Register of Deeds Of warranty deed, I .Fjoc and a copy of the certified survey map if reference is made.in the wall ry (REV. 09/07) 1000364 BETH PABST REGISTER OF DEEDS State Bar of Wisconsin Form 1-2003 ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD 08/19/2014 10:49 AM Document Number Document Name EXEMPT # NA REC FEE: 30.00 TRANS FEE: 174.00 THIS DEED,made between Jeffrey L.Schoen and Lynn M.Schoen,husband and PAGES: 2 wife ("Grantor,"whether one or more), **The above recording information and AnnMarie Karr a single person verifies that this document has been electronically recorded &returned to the submitter ("Grantee,"whether one or more). Grantor,for a valuable consideration,conveys to Grantee the following described real Recording Area estate,together with the rents,profits,fixtures and other appurtenant interests,in St.Croix County,State of Wisconsin("Property")(if more space is Name and Return Address needed,please attach addendum): Land Title.Inc_ See attached Exhibit A 2200 West County Road C,Suite 2205 Roseville,MN 55113 LT File No.508575 040-1192-95-000 Parcel Identification Number(PIN) This is not homestead property. (is)(is not) Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except: Easements,Restrictions and Covenants of record,if any. Dated August 8,2014 (SEAL (SEAL) *Je a choen *Lynn .Schoen (SEAL) (SEAL) tl1,11N111R111i"I AUTHENTICATIONk,P1L�E J 9�%1 ACKNOWLEDGMENT �:: s Signature(s) njA Tj— STATE OF Wisconsin } ` = )ss. authenticated on 'O z Lr tG i�,'•. 8L ,�3 St.Croix COUNTY ) Personally came before me on August 8,2014 TITLE:MEMBER STATE BAR OF WISCONSIN the above-named Jeffrey L.Schoen and Lynn M.Schoen, husband and wife (If not, to me known to be the person(s)who executed the foregoing authorized by Wis.Stat. §706.06) ins ument and ackno le h e. be_� THIS INSTRUMENT DRAFTED BY: * Merilee .Bone Larry S.Mountain,Attorney Notary Public,State of Wisconsin My Commission(is permanent)(expires: 10/17/2017 ) (Signatures maybe authenticated or acknowledged. Both are not necessary.) NOTE:THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED, WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO.1-2003 Type name below signatures. St. Croix County 1000364 Page 1 of 2 LT File No,508575 EXHIBITA Lot 20, Plat of Croixridge,Town of Troy,5t.Croix County,Wisconsin. I St.Croix County 1000364 Page 2 of 2 K a ---- NJIS34 3snoH s C ma' y m � 11 ku 'jam; .t Y!. in v '}"o 's+i i z — 1 S �® O Z w e v ,i 1 c„ ItS71'i}1, cr ui i r l ii.i hill pia ; alz r _ :raj #wan cr co ¢ Iz F i O 03 s :I w i _ OEM NJISM 3Sf10H t� F I i f �I 3 p I I 892.1 I u ,, c•S•I w t° I r'I a Ir I L— i onsin,DvPartment cif Industry, SOIL AND SITE EVALUATION REPORT Page / of or and Humran Relations Dnis#on of Safety&Buildings in accord with ILHR 83.05,Wis.Adm. Code COUNTY Attach complete site plan on paper not less thaq j,- ;x 11 inches in size.Plan must include,but R EL I.D.# x not limited to vertical and horizontal refere ti(BMj;'&ection and%of slope,scale or dimensioned,north arrow,and location i to nearest'mad. �p� 0— '�� APPLICANT INFORMATION—PL .P F 4L INFORMATION DATE WT PROP RTY OWN R: PROPERTY LOCATION GOVT.LOT�SF 1/4Z;,(i.J 1/4,S-Z4 T Zf� ,N,R ?d E(or)W PROP RTY OWNER'S MAILING ADD E LOT# BLOCK# SUB NAME OR CSM# 5.(� M S1 CHOtX f. ' © 1�C3 lX�i 1�r E7 CITY+qTATE E E []CITY UVIILAGE OWN N REST ROAD NUS PC New Construction Use [OQ� Reside'Mb rooms [ ) Addition to existing b 'din j ] Replacement ( ] Public or commercial describe 6ttr 4Z Code derived daily flow gpd Recommended design loadin bed,gpd/ft2© 5 trench,gpd/ft2 Absorption area required bed,ft2 ench,ft2 Maximum design loading rate 6,7 bed,gpd/ft trenc ,gp Recommended infiltration surface elevation(s) 0.'j A4< �nC' ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation,if applicable N ft S=Suitable for system QQNVIIIIIONAI I MO ND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING T K U=Unsuitable fors stem S ❑U S ❑U S ❑U Q1 S ❑U ❑S ❑U EIS U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roo GPD/ft Boring# Horizon in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench H" l L,-� L © 4 S' KK $ -•� i Y� J LJ/ti Ground $ �" Z by cT'rr.rN -A9-j. , 6 b•Z A elev. _ Cm ft. c5 I d.7 aQ G Depth to o`/ut? 4 limiting —� factor 4Z3 Remarks: 'L A/gam T4,etL L.NnLIT '83 44,/k Q-- NL 0?CTTL 1fjG ,&'r UA�►s.E2 1374 i&P'r A C Boring# Q -i !d�/rZ312 -� S�, 5C, M 1 Lw Z 6.4 .S LZ .. �,. 4- � .S . w Ground �"'A67, rLIJ t� elev. 9- _ 7 % S 3 6 '� t��" S 5C r r,�3 4.Z !.9 ft. Depth to 4—/I i `M-4 ' �✓�� a 4 :>� P limiting factor CST Name:—Please Print,T4 Phone: 3� _ 096 `y J Nr S0N ddress: v 54� Signatu Date: n �/ h� CST Number:���� EMY6MER 41-El SOIL DESCRIPTION REPORT Page Z of ,T PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu.Sz.Cont Color Gr.Sz. Sh. Bed rerxh MZQ AS M-5 -�e, r, rS 6 A !J-26 IC- SC. I ►�-� r � C.� • 6.4 Ground 1 v.� t Depth to AA ycps P&T, y limiting factor /f > ►t Remarks: Boring# $ 46-36-36 o 4 3 ��D� � �'' , 164 d elev. y jag 93 C%ft Depth to limiting Remarks: Boring# (i3 A ��i� fa 3 — S� I y�, cr s ? A•4 c�,S Ground ft Depth to limiting I factor Remarks: Boring# �Y Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) 4 •_ l� ��-��N•f i6w 1 N W W c Q- N. lal - I P W 4E Oe Uo .! Q W v r too A d 4 R a a J a x i; Parcel #: 040-1192-95-000 03/07/2014 09:22 AM PAGE 1 OF 1 Alt. Parcel M 24.28.20.866 040-TOWN OF TROY Current OX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-SCHOEN, JEFFREY L&LYNN M JEFFREY L& LYNN M SCHOEN 18602 EUCLID PATH FARMINGTON MN 55024 Property Address(es): `= Primary "241 PLAINVIEW DR Districts: SC=School SP=Special Type Dist# Description SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Notes: Legal Description: Acres: 1.600 SEC 24 T28N R20W PLAT OF CROIXRIDGE LOT 20 Parcel History: Date Doc# Vol/Page Type 05/04/2005 793965 2795/576 WD 05/04/2005 793964 2795/575 WD 11/05/1997 568058 1275/113 LC 07/23/1997 1118/594 more Plat: `=Primary Tract: (S-T-R 40%16o,/4) Block/Condo Bldg: "04-012-CROIXRIDGE 040-75 24-28N-20W LOT 20 i 2013 SUMMARY Bill M Fair Market Value: Assessed with: 235861 62,800 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.650 71,500 0 71,500 NO Totals for 2013: General Property 1.650 71,500 0 71,500 Woodland 0.000 0 0 Totals for 2012: General Property 1.650 71,500 0 71,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00