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HomeMy WebLinkAbout020-1398-12-000Wisconsin De ~•artment of~:ommerce PRIVATE SEWAGE SYSTEM Safety and BuTding Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Bast, Kernon Hudson Townshi ;ST BM Elev: ~ Insp. BM Elev: BM Description: rAAILC IAIC/'1DMAT1/1AI CI C\/ATI/1A1 r1ATA TYPE MANUFACTURER CAPACITY Septic w ~~ ~~~~~ Dosing ~ u Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 3 3 ~'c 2 Dosing ~~ ~ k {, t ~ ~3a Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ (~~ r Demaed t ~q~,~~ GPM Model Number ~O~ ( a~~ H Lift Friction Loss System Head TDH• Ft cemain Length { Dia. It Dist. to Well ~ -~' ~t5 SOIL ABSORPTION SYSTEM ~ ~ ~ county: St. Croix Sanitary Permit No: ~ 0 30066 State Plan ID No: Parcel Tax No: 020-1398-12-000 SectionlrownlRange/Map No: 22.29.19. ay STATION BS HI FS ELEV. Benchmark /' ~Q' w ol• ~ ~ ~ ' ~ Alt. BM Bldg. Sewer ,~•p~ D ~~ , SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom (~• ~,} ~ ,~ ~ ~ • l l r / Header/Man. ~ • ZZ. ~ ~ Dist. Pipe ~ ~j ~ Bot. System ~i 3 ~' / Final Grade ~ S•2.~ ~ • St Cov r ~ R C Width ~ Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME NS ~ D~~~ /_ • 4 V (~ 2.. SETBACK SYSTEM TO P /L BL G WEL -• ~2' LAKE/STREAM LEACHING Manufa r INFORMATION CHAMBER OR _ Type Of S_ ystem: t' ~ ~~ UNIT ~ Model Number: ~f DISTRIBUTION SYSTEM (`1-4b ~ . (~ /L ) Header anifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ~ Pip Length Dia Length Dia Spacing SOIL OVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No L'~ Yes C No n~M NTS: (Include~de repe ies, persons present, etc.) Inspection #1:~t~/~,f Inspection #2: / ~~ah.~. /}-fop C-fi~ ~ ~ti//JJ1I l Location: 828 Ross Rd Hudson, 15406 (NW 1/4 SE 1/4 22 T29N R19W) Pheasant Run.Lot 12 Par No: 22.29.19 1.) Alt BM Description = 1 °C ~ •T• r~ ~ r`~^^15 SJ ~`~''~'~ ®, ,, -- r e~~''- ~" 2.) Bldg sewer length = ~ r ~ ~~ °""~ ~"~^~° ~ ~~ - amount of cover = '~ ~j ~ :: mot` cta~ ~.. _ - -- Pl~~~~n Required? I- Yes ~ ' No ~ T Use other side for additional information. ~1-~`-'~~-, SBD-6710 (R.3/97) Cert. No. Safety atxl Buildings Division qty ' ' 201 W. Washingoon Ave., P.O_ Boz 7162 L7" ~ ,T C i~eonsin , ~ - n~ Ss>t~ry PMrmK N®tber (to be ft7led in by Co. Department of Commerce (~) 266 3151 d 3 ~~ Sanitary Permit Application ~e P1an1~ Wis. Ate. cam is a wim Comm 83 21 p~*- ~ y~ p~~e . . . tiny be used for sxondary PmP~ ~Y Law, s15.04(ixm) Projoct tf different than mailing address) L Application Information - Please Print All Information ,+ Z f Property Owner's Na ~ Pared f Lot / Block A f ~ ~ ~ _~~ Property Owner's M aiding Address ' Property Location __ City, State Zip Code Phate 1Viiteiber / R~~E T ~ N Type of B (check all that apply) II ~ , . ~or 2 Family Dwelling -Number of Bedroctoos ~ ~ /`... Subdivision Name CSM Number S~ e ^ Publte/Commercial - DeSCrfbG Us r n ~ / ,~ ^ State Owned - Descn-be Use p(% /~ ~~~ ~ ~ ~ 7 G ~~'Ci'~~ - ^Cuy QVdlage ~Pbwt~ship of -- III. Type of Peru (Cheek ody om b~ on 1me A. Cate line B if applicable) A' System ^ Replacetne~ Sysrem .. ^ Treaument/Aoklrog Tank Replacement Ody ^ Other Modification to Existing System B. ^ Permit Renewal Q Prrmit Revision ^ (bangs of ^ Permit Tru~sfer to New ~ Previous Permit Number and Date Ls~sued Before Expiration >~umber °i~'' 6 G IY. of POWTS System: (Check all that } ®'~ion -Pressurised in-Gratnd ^ Mound > 24 m. of suitabk soil ^ Mamd < 24 in. of suitable ~t1 ^ At-Grade ^ Singte Pass Satui Filter ^ Cotaatcoea Wetland ^ Presanmoa I~Gtuand ^ Adding Tank ^ Peat Filter ^ Aaolne Treatment unit ^ Recfradatiog Sand Filter ^ Recirculatiug Sytuhetie Media Flaer ^ Leaching t ^ Drip Lice ^ Gcavd-less 15pe ^ other (explain) V. t Area information : - ~ 7 / i .^^~,6'. ~l' Ow ~Sa^'~ p ,..~,,,,,~~ DESit.~n Soft ApphgflOR ..o.`gSY'~•~ t~,~...~.~) p~,,,,.~ iE a .`r`l"""" (S~ +"~3^.,~°` A ~ ,.. ~~7 .~•ol^.`.'°. AICa SyS1em E~P7[mn / ' 7 ( ~ X X VI. Tank Info Capacity in Total Number Matatfatxurer Site Steel Fiber plastic Gallons GaAons - oaf Units Concrrte Coa4ontcted Glass Netiv Taatcs Tanks . ~~~ ~~ arm ` Aerobic Tmmmu Unit Dosing Chamber VII. Responsibility Statement- I, the-iauders~d, assmm mien of the PORRS shown on the attached pians_ Phmtber's Na me (Print) , 's Si goature ~~~ -A~/MPRS Number Busirecc Photte Number Fogerty Plumbing ~- ~ ~ ~ c ? .~ t3"1---fE~ ~' Zm c enzte~~ ~8s2 ~ ~ S • - yos R ~./o~L ~ . Spoflner, WM 548Q}. VIII. Approved ^ Disapproved ~Y Piamit Fee ('includes Gravodwarer Dare Issued Issuing Si Stamps) ^ Oaruer Gives Reason far bestial `~) ~ SD~`~% ~ 30 IR.~C~onditions ~ ApprnvaUReasons for I?isap royal -, / ~~~~ - `~ C~~'~it~ ~~,, f /~p~~ ~ ~~ ~'" " ` U - CSI/ ~~N(- (/~`' ~ C~ ~ ~'' ~~.~/yYtllilii-L //Y~ --~~'~~. ,r Atmm t~ tin ~ ~7 ~M oar tLe slstem rot paper ant teas man sI/Z z I7 ®sue c a ~~~ E~ corn dr~-+ V~M ~~ ~y a) ~N~ ~~ ~ # pp C ~ pNp ~ " V t' ~~ ~~ (ly ! RS V .. _ . . {{` ti \` `~ _~\ i . f y` ~\\ `~~\ ~ a `•. i, v i; .: • ~ ~~-~ ~~ N e i cd ''~, ~ ~ j .. ~' y ~~ . ___.._,~.. - t \ rf'~` d molar - . -- ~ : . ~ rCC3 ._ ~ ~ ~~ `'~ b ? ~ r U] .--~ ~~ ~ W '( ~~! ~ N b~~A O ~ O ~ H N }mayy RS U N O m b O c~ 3 b N a Ua «~ U N O ^^~ i"~M .~ .O Foge~-t~l Pwmb~ #2211 28288 McKerute Rd. Spooner, Wl 541 "~ 15) 63 ~~/~~ LeT'~ 12 ~j .~r~v ~ ~r -~, ,~Sr 6`2s~o3 ~/ ~~ r / ~ ' v/ -~ i`~~ r- ~' ~-- ~~ ~; - _~ ~'; -~ ~~: ~~ i ~ %~ ~, ` / ~a~- ~` i f 1 !t-3 , i X i~ ~ ~-~ a-i /~l T. ~~- t ~~~ ~' i s %~ j ~B !1#1. = ~JiGT ~w~r~ fir` if T~1. J15ad4X~ /D~s ~ ~{` • =Fdov~/~ Loy' cay~v~ ~ ~®!~. ,Eircff Y'7•S' L"'"6 hlwL = ~p ' ~o~ sE' ~y~ie p j EL. Tmwa^~~ 1J s~ Z .tRi oP I~'rT~n~ ~dO~c; ~{wL LrvE' st .360' Q _ ~.~~ ~~~ s.T- w/ F1Y12~ wsconsin Department of Commerce SOIL EVALUATION REPORT - Page _L of 3 flivision of Safety and Buildings ' in accordance with Comm 85, Wis. Adm. Code Attach corttpiete site plan on paper rxH less Ulan 8112 x 11 iruhes ut size. Ptah must County -n: GtQ~•. _ include, but not limited to: vertical and horizontal reference point (BM), dKection artd Parcel I.O. _ percent slope. scale or dirrrensKxrs, rwrttr arrow. and logtion acrd distance to nearest road. _ Please print all information. - Date Pasanal iNorrnation ya, provide mar be used for seoordaty pur~OSes (Privacy Law. s.15.04 (+) (m)). ~ ~ 3!/ p3 Property Ovmer ProP~h QUO" _- Govt. Lot ~ i/4 1/~i -S T ~ N R E (orb Properly Owners Mailing Address Lot # t3lodr ~ Subd. Name or CSfiA# .--- /2- ~ City state Z~ Code Phone Number Q City ~ V>Yage [t}~Tawn Nearest Road ow ) ~ - s Constnrction lJse: ~Ftesidential ! Number ~ bedrooms ~ Code derived design flow rate 6fd GPI ^ ReplaQenlent ^ Public a aormteraial - Descxibe: Parent material ~i/i1S>~ flood Pmin elevation if appicable _~ .~1t fl General oonarrertts ~ and r~ecorrlrltendations: ~~ c~tGs ,d€Tu/,~-,E~t/ X s t d 3 , ,r;-L~-v ,nat7 JSE Q3 s / Aso ~ ~ e«~s ~ ~ e~ -~- {~ Pit Ground surface elev. tl Oepth to 6rnitrtrg FacEOr l~ ~. Sao ~ Rai Horiaorr Depth Dorrrirrant Cabr Redox Description Texture Stnrcpue Consistence Boundary Roots GPDIft~ in. MunseU t1u. Sz. Cont. Color Gr. Sz. Sh. 'Etfax'1 'Efflr2 .. r ~ e .. 2 ~ B- i ~ G - 7 ~ Z ^ ~t9 ~~ a Pit Groruld surface elev. ~ ~ _ ~ R Depth b 6rtr'tirlg faGor 7 Z ~. Sod AppiGation RaU Horizon Depth Dominant Color ftedouc Description Texture Struchre ConsrstMt ce Boundary Roots GPI in. t+AurtseU (lu. Sz. Cont_ Color Gr. Sz Sh. 'Effltl 'E1T112 ©- D ~~ 2 f ` z~ cs - `:8 3 ~ L ~ .J .~ i Eflluerlt i'1 = BODs > 30 < 220 n'rgA_ and TSS >30 _< 150 m81t. - tmuen~ ~~ = n~ui ~ av rr®r~ arm ~ .~ ~ ov uyr~ - 1~T Name l per) CST Number ~ ~ /~ Fogerty plnbing & Perk Testing ~~ Eva~tion ~~ ~Fx~ A ~ ~o~no ..-~---~- .,..~i/Z ~~>-~ !'til .GS/-i/o~ .Z.~ob Property Owner /~"~ Parcel ID # ~i_~ ^.,~ ~'~'-1 ~. ~ Page ~ of 3 3 ^ ~r9 ~~r 8orag ~ [~ ptt C~rorxrd surface elev. _-1-2~ ~ ft. Dt~ ~ kn~~9 faClor ~ ~ ~ Sad Rate i H D th rt Color O i Redorr Description Texture Sbtxirne Cmsisterrce eorxrrlay Roots GP D~ff or mn ep ar. om nar t~Aur~ed (]u. Sz Cat Cator Gr. Sz. Sh. ~ 'F.18F9 'E1~2 .rte Z ~_ 3 0_ ._-_ ~ s ._~ 4-~c,~~ ~3 try- 3 u v a Pit Gro~ard surface elev. ft_ Oeplh b ft~r9 factor n. Sod Raoe ~~#~ h t D i Uon Re~rr Desai Texture Shuriure Corrce Boundary Roots GP Ditf Horizon Dept in. om nan t p t1u. Sz Cat Cdor Gr. Sz Sh •Etpf1 'Ed#2 n~~ o~ l '..~-~- Pit Groundsurmceetev. n uepHrro.r~y~auu •~ Soil Rafe GPQllfr Horizon Depth in. Domirrarrt MutseM Redwc Descrip4on Qu. Sz. Cori Color 7exUue Strr~ire Gr. Sz. St1 Canoe Boundary Rook `Eli 'E1~2 'Effluent #1 = BODS > 30 < 220 mgll and •TSS >30 < 150 mg/L 'Effluent #2 =• BO05 _ 30 mylL and TSS _< 30 mglL The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608311 or'f~'Y 608-264-8777. SaastwiR.c~ool ' Fogerty Plumbing ' #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9 ~r~/-~~ s~ /'' = Yo ' I ~`-3 k N~~ lsv~ ,d*t =~"ry~ ~~ Bf ar~r,E-,c~•/~'it'l' t~1`~ Ltd ~0 ~ [t~2 = l~LT. ,d~'~ ~,~ ~,* T~• JDu~~, ~ /ors ~ X '- ~otr~rJG ywL = ~ ' ~~ sue' coc.,~~'~ ~ jEL. f~wR'/~~ .4 i~ Z- ~f\ Sate;}r and Buildings Division qty ' ~ - ~ 2tl1 W. Wasbiggoon Are., P.O. Boa 7162 ~~ ~ d~rl' lscons~n Win. WI ~7 -7162 Sanimry Penult Nmober (b 6e iR1ed is by Co., De artrhent of Commerce (~) 2663151 ~ (p (~ Sanitary Permit Application stagy ~''° >o aeoond wah ~ 83.21. ~~. Adm. ~, i ~,~ >my 6e used for seooudary purposes Privacy Law, s15.04(i ~ Project Address tf than mail address) I. Application Information -Please Print All Irtformatian ~' `... ._ 1 Property~Owaa's Na me ~F ~~ ~~ ~~ ~ ~ ~ ~ Parce~ ~ Lott Bock p tfiEs~C ~Ir/ OUZO' - --~D Property Owner's M ailing Address ~ ` {:', ~ Location (Sty, State Tp Cade Phooe Number ~ ®~1/ 4/ sYo 6 3 d'6- ~ 7 7.S- c`am`'`~1 T R1~E or~V II. Type ~ Banding (check all apply) ~ ~ L~-~- .P/1/~d ~1 or 2 Family Dwelling -Number of Bedrooms Subdi sion Nsme CSM ~~ ^ PubiidCarnuereial -Describe Use ^ State Owned - Descn'be Use - ~~" - _ - ty ^Village ~R'owreship of III. Type of Permit: (G3 eck only one boa on litre A. Complde >~ B ~ applicable) A' +~New Sysam ^ Replacement System ~ TreatmartJHolding Tack Replacemem ^ Other Modifirrtioo to Existing B. ^ Pamir Renewal ^ Pamir Revision ^ ( of ^ Pamir m New Lttc lid Before Expiration Plumbdt - Owtra rv. Type of POWTS : (heck au that ) ~N~ -Pressuri~d I~3awand-' ^ Mouod > ?A is of atitat~ soil ^ Mamd TA ia. of suuable sal ^ At~irade ^ Sirrgk Pass Sand Fiher ^ Ca~strtrctad Wethmd ^ Presarwmed !n-Cmnnd ^ Hald'mg Tadr~. ^ ^ Aerobic Treamnerrt U~ ^ Recira~ Sand Filter ^ Recirwlatiag Synthetic Media Fdrer ^ Drip ^ Gravel-less Pipe ^ Ot6er (exptam) V. Area Information: , D ~ 0~ a. Design Flow cgpa) Design soil AppC>rmion Rare(gpdst) Dapasad (st) Dispersal Area Propaaea eaf) Sysnm ~ i / VI. Tank Info 'Coral Number Mann Prefab S~ Steel Ftba Plastic Gallons Caadons of Units ~, / „ Q ~ //~ ~ Couixete Coostrtrcted Ghss z f~~c / vv New F.xisoirtg ' Taols Taola Septic or ~ / Wifi:/~ I - / t/ Aerol~ Tn~eot Unit VII. Responsi6inty Statement- I, tlte'~sasacd, [err iastaeatinn of the WTS sbewa an the attached p~ans- Plumber's Na me (Print) Phwber's Si A)PlAdPRS Number Busiresc Phone Number _'_._. --~~ .Z 2 C ~B f - L7s - P<o #22 1 ~ cone) ~t 6j-i-y~~ - X06 r ~-,• ~nzie Rd. VIII. ~'' Approved ^ Disapproved ., ~y P~amit Fx C ~ S ~ ~) ` Date ~ S' ) ^ Ownrr Given Reason for Denial ~ o (/1 d IX. Conr>Ytio~os of App~roval/Reasaas f~ Disa ~ ~~ ~ S( ~~'j3'/~ 1 ~ ~- ~-o~r--~ d~3. s2 Gru.d V-n1~ h"~u-°-~'- Z ~ _ U /~ ~ uT7~/t'I~7~/~1~ . "'® P~ lro nK ~:ao.y aor» mr me syuem sra paper nor ress u~ suc z 11 teeees'ie ~e 1 LoT ~. ~L K i,d s dtw, ro~ eF ~~y' sKod , ~ ~ ~~ /u~, O (f2 Q = .SILT. Girl ~ p® o F ~ .. grCO.tJ~ b "~ /l~l.</'L 9f. / ' Y z ~ycsfJ~ 1 'V ~~T ~f s4rrr~.s~. \ ~~' = c- ~ qs. o ' la~v~ co P7.r / c Z QY- 7 ' ~ ' s,~~p+~a~nr-~'ipwl pR~ : a+y m Lo!- coe~vE,~ .sr 2 zo r arr iN lY Fogerty PlumbMg #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9609 ~~ ~~iUO/r/ /~~rsT ~p3 p. ri~PY i LoT fi /L /00.0 n~1D = ALT. Bii~ pe® of ~ „~~~ ~ p /fr1sX ~~ i ' r = ,~cycrr>6 = w~'4G~ > Soy F'COS~ IfNH i ti ~i~T ~f s,~r~-.sr P7s C-2 ?~ 7 ~ B ~ 1~~~I!-7~tp~ ,v.r~ : a~cr ~ nor coe~v~,2 zr _~ ,w~X c ~zC Dc~jry ~s ~-1. s' 99• o' moo` ~ 1 ~ 1 ~ I~ ,~ ~ (, ~_ l B-3 X / 6 2 1. .F'N4~Z A17 ~ Fogerty Plumbihtg #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9609 (~~< ~~iUOrri /~'irsT ~p3 T _~ aoca ~ m~~ E~ =-~a, t~~r~m U ~ ~ #~ ~_~ .}.s ~ ~ G 1~ ~ ~ ~~~ O U --~ U U 3 ~~ • , F+ r~ c~i pp ^~ .~ i~l 0 V N 0 U y N a a 0 0 b w a~i ' n ~ u w ~ o ~ U `~ ¢, '~~~... .~ ~~ b M ~ u ~+ o ,~ .r ~ w ~ ~., __ _ ~ ~ !! q . , _ v -~ ~ ~`` .. V~' ~ N o u U ~- ~ H o p tz` 40 '~'' ~ ~ V1 O: ~ o ,~ ~ ~ ~-+ ~ •~ '~ ~ ~ a~ `• ~ `~ ~,~ :~, ~ - ~ ~1i ,{ =: ::. ~ ~. ~ 3 G ~ -~.'-~ - -i ~ •- ' ~ ~.( - , . .X ` iii ~- • ~ ! v i:~'...Y.~ b ~ . 4r ~ ~ e ~ ',, ~~ ~' a .- .. :.; __ v ~'~ 1 - ` .` i-~ ~~ ~~ - ~{ ~ b' ~ ~ ~ . ~~ ~ ~ •.-•, U ~ .~ o a ~ H ,,. s~ ,_ _ ~ ~. I' Wisconsin ~D~arfinent of Commerce SOIL EVALUATION REPORT ~ Page of Division of Safety and Bui~ngs~ m accoroanw rnur wrrun oa, rru. rw~u. a,wc County ~ ~(61 ~ C Plan rr~st er not less than 812 x 11 inches in size n on a Att it l i t h j . p p a e e s e p ac cxxnp ~ ~~ indude, but not firruted to: vertical and horizontal n:ference point (BM), direction and Parcel 1. ~ ~ ~ percent slope. scale w dimensions, north arrow. and location and distance ~ nearest road. E Please print all information. Revi by ate Ucvvu•: (~3 r'D Petsorrai information you Provide may tre used for secondary Proposes (Privacy Law. s. 15.04 (1) (m)). J ply Oar Property Location e -~- Govt. lot w 1/4S 1/4 C N~ R E (w)8Y' Property Owner's Mailing Address //~~,~~ ` ~`~ LDS L" ~'r ~ L~t~ Block # Su~~^ e~ ~U~ vim..) City State Trp Code Phone r ^ City ^ Vliage ®Town Nearest Road ~d ~--~uC,~~ ~ ill yb1~ ~1~) ~- ~~c~ n . ss ® New Constriction Use: ~ Residential / Number of bedrooms 3 " Code derived design iiov-~ rate `~.~'~~ O d GPD ^ Replacement ^ Public w txxrar>erdai -Describe: Parent material ~ V Cc ~ ~n // Flood Plain elevation if applicable if//~T ft. arecommendaft'ons: S ~ ^^ C! t v' 9J ` G d ~~~ `Y B2~ Boring # ^ Boring p fl Ground surface elev. 9G • ~ y ft. Depth to limiting fador ~ ~ in. Soli Appliption Rate Horizon Depth Dominant Color Redox Descriptwn Texture Strudure Consistence Boundary Roots GPD/ft2 in. Munsefl Qu. Sz. Coat. Color Gr. Sz Sh. 'Eff#1 "Etf#2 ~ b--l~ O Z ~ i~ 2 rr~~ c S l v 5 , g' Z ~ - y _ S- ~'~ ~~ - Z u~ t `f _ I35 ~ `_ -- • -~ ~ - 2 • C~.D - r ,Zei 3 o ~~ # ~ piBotnn9 Ground surface elev. ~' ~() ft Depth to limiting fades ((~ in. Sa'i Appligtion Rate Horizwi Depth Dominant Coles Redox Descxiption Texture Structure Consistence Boundary Roots GPDIftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i -~ ib ~3I2 - 5"i 1 2mab r cS .r=-~ 5 Z ~~- -- ~ I 2 -~ ~f~.,z <. ~ 5~• {~ 'Effluent #1 =~~BODS > 30 < 2``2,, 0 mg/L and TSS >30 < 150 mglL 'Effluent #2 =GODS < 30 mgJL and TSS < 30 mg/L r~rf;(l~ (PYYI Pn.X ~"1l )'(Y1C~1~~ ,~~i ature i -__ -- idress Date valuation on ud e ep on ~ u ! 2.1~ $b~ S-~ -_ t.v1 ~? Z5 _ ~- i(~-~2 fl I~-2`~ -f Property Owner Parcel ID # /Q ~`' ~~ ~ ~~~~ ~ _. ~ Z of~ - a Borng #~t ~~ Ground surface elev. ~7 ~' oy ft. Depth to limiting factor ~ ~ ~ in. pp Pit Soil Application Rate h t Color i D Redox Desa~tion Texture Strudure Consistence Boundary Roots GPD/ftz Horizon Dept in. om nan Mansell Qu. Sz. Cont Color Gr. Sz. Sh. *Etf#1 'Etf#2 ~- l0 lZ s; - c s ~ . 5 . S I ~ y ~- d s rn ~ _ I.2 ^ Boring # ~ Boring ^ Pit Ground surface elev. ft. Depth to dmiting factor in. Soil Application Rate th D t Color i D Redox Description Texture Structure Consistence Boundary Roots GPD/ftz Horizon ep in. nan om Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ~ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appligtion Rate H i th D Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 zon or ep in. Mussel{ Qu. Sz. Cost Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/l-and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/t and TSS < 30 mg1L 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. ssn-ssw cR.mroo~ ', ~ ~ f PAGE~OF 3 NAME (3a5"~ LOT#~2, TEGAT DESCRIPTIONi(Jw ~~~ 14,S~z7 T2~c ,I~I,R, I`( F.l r)~ SCALE: 1"= ~ d BM 1 ELEVATION BOO ~ O BM 1 DESCRIPTION-bp a -~~ j~on ~ o ~ ~, ~~ ~•y h BM 2 ELEVATION 49. f U BM 2 DESCRIPTION -k, ~ o ~ ~y 1 ~ on Q o d 6 '~ SYSTEM ELEVATION ~' ,S. a O ALTERNATE ELEVATION `I y~ ~ U CONTOUR ELEVATION `/ ~ - v c.~ ~" ~ `T' O O S Pc • Z Z I 99~~ q~~ ~~- ---~~okl, zos' V t ~0 -~o Z 21~~ '~ o' , ~~ ~~ ~?.~f~*~ c~'"_~ SIGNATURE ~ DATE 3 -Z a -° Z • • ~ .• ~. PAGE~OF 3 NAME ~a S"r LOT# I Z LEGAL DESCRIPTION i(1W ~~ r la ,~ ? ~ TZ ~t ,N,B, (q E(or)~ SCALE: 1"= ~~ 0 BM 1 ELEVATION BOO ~ ~ BM 1 DESCRIPTION -~ p ~' .~~~~Q Y\ K o ~ f~ ~ ~ ~' y BM 2 ELEVATION ~9. ~~ BM 2 DESCRIPTION -k, ~ a ~ %,~ ~ 1 ~ on e o d (~ '~ , ~ ~ SYSTEM ELEVATION ~,5, o c1 ALTERNATE ELEVATION ~~~ ~ y CONTOUR ELEVATION 9~ - c~ c~ ~ ~ ~' O ~ 2 ESQ S PC _- ~ - SIGNATURE d -~~ DATE 3 -za -° Z • f ~ ST CROIX COUNTY ' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner~ttper Mailing Address _ gyp ~¢,~~~c,2~ ~.._~D~ori ~ ~y©/` Property Address ~`Z~ is /t'i~. (Verification required from Planning Department for new CitylState _/xGl/~~®iy, Gv~ Parcel Identification Number ~~?t*! - Jp~'q._ LEGAL DESCRIPTION Property Location !1~ ~/,, S~- y4, Sec. ~ ~.. , TAN-R~«~, Town of /~Gr/~1o~ J ~' Subdivision - U ,Lot# lZ Certified Survey Map # Volume '- ,Page # Warranty Deed # _~1. 7 .~/p Volume l 'S-~ l ,Page # fr33 Spec house ^ yes ~no Lot lines identifiable C~' es ^ no Y SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Deparment a certification form, signed by the owner and by a master plumber, joumeymanplumber, restricted plumber or a licensedpumper 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 Zoning Office within 30 days of the three y r ex iration data _ .,, G~ ~/n3 SIG ATURE OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. .-~e-tti ~`~ ~ / z / a 3 SI AT17RE OF APPLICANT DATE- ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** i~ ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed „T+ ~ ` - POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION Owner _ Permit # - ra`cus~u veaeM~Fts Number of Bedrooms DNA Number of Public Facility Units ~NA Estimated flow (ave~agel aUda Design flow (Peak), (Estimated x 1.5! al/day Soil Application Rate aUd /ftZ Standard Influent/Effluent Quality Month y average' Fats, Oil >4 Grease (FOG) 530 mg/L Biwchemical Oxygen Demand IBOD51 5220 mg/L ^ NA Total Suspended Solids (TSS- 5150 mg/l Pretreated Effluent Quality Montiily average Biochemical Oxygen Demand (BOD61 530 m9~ Total Suspended Solids (TSS) G30 mg/L ~NA Fecal Coliform (geometric meant <_i M t OOmI Maximum Effluent Particle See Ys in dra. DNA Other: DNA "Valdes typical for domestic wastewater and septic tank effluent. CV~eTF~u iCPECIFIL`A'1'IONS Pegs ~ of 7""' YSeptic Tank Capacity ..Z ~ ~ ~ DNA Septic Tank M~tufactwer -~ f ^ NA Effluent Fiker Marwfacture{ : ~ DNA Effluent Filter Model _ _... p DNA Pump Tank Capacity ~ b Pump Tank Manufacturer Q ~- Pump Manufacturer t7 ~NA Pump Model ~ ~ NA Pretreatment Unit O Sand/Gravel Fiker ^ Mechanical Aeration O Disinfectron D Peat Filter ^ Wetland D other: A Dispersal Ce(lls) !n-Ground (gra~Y1 D At-Grade ^ Orip-line D ~ D Ir--Gmund (pressurized! ^ Mound ^ Other: Other: ^ NA Other. ^ NA other. O NA MAINTENANGr SI:HtUULC service Event Service Frequency Inspect condition of tank(s) At least once every: ^ month(s) (Maximum $ ye ~ sl ^ NA pump out contents of tank(s) When combined sludge and scum equals one-third (Y3! o tank volume. ^ NA Inspect dispersal cells! At least once every: D month(s) ~ 3 years( 3 Ye~ts1 NA Clean effluent filter ~S ~'~ At least once every: D month(s) ~ - Z year(s) ^ NA D months! -Q,NA Inspect pump, pump controls & alamn At least once every: D yearlsl D month(s) C1 NA Flush- laterals and pressure test At least once every: D year(s1 Other: At least once every: O m~thls) O year(s) ~(, NA fltfier: Q.NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following I~enses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector: POWTS Maintainer: Septage Servicing Operator' Tank inspections must include a visual inspection of the tanklsl to identify any missing or broken haMware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s1 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 requkce the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) 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, 1r~sconsin Administrative Code. All other services, including but not limited to the servicing of effluent fikers, mechanical or pressurized components, pretreatmem units, and any servicing at intervals of 512 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. ~ A Page ~of Z a _ ,~ al~~a~UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cellis). if high concentrrl~tions are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infikrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celgsl in one large dose, overloading the celllsl and may result 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) water; 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 shalt 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 re lace ent system: A suitable replacement area has been evaluated and may be utif¢ed for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be i~ringed 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 sui bl replacement area is not available due to setback and/or techn loge holding tank may be installed as a last resort to replace tl~ ~. en ev uat d to identify suite replace t area. be pert med t locate a rtable repla area. If no as st resort t reel the failed POWTS. limitations. Barring advances in POWTS .ef the P WTS a soil anf~ stte area is avai b18~.hnleNng 'dank ~ -- and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the re 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. #2211$0 POWTS INSTALLER Name I ~~~v Phone S'_ _ 5) 635-9609 ~ Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name ~ I G~ (X CA~tJl1~ / Phone ~'(~ - This document was drafted in compliance with chapter Comm 83.22(2)Ibll11(d1&If) and $3.54(1), (2) & (3), Wisconsin Administrative Code. . PRELIMINARY PLAT OF: PM ~~pryT LOCATION SKETCH LOCATED 1N PART OF THE NW7/4 OF THE SE1/4 OF 8ECT10N 2. J ~ "'9ECt~>B a`•. j ~ ~ ZONED AG-F ~ N t - ~--------~ W ~7C~6. 9 ~ ~ M ~ i~ 1 O ~ 93t~ ><57C 9 € ~ ~ i 923.6 I) 92•A X 1 ~ J`_ i ~ 9 .1 - O 92ti3--' ~ ~~ 92s3 : Q I ~~ x ~ PARCEL DESCRIBED IN VOLUME 1531, PAGE d33 927a ~ , x Z , x 35.74 TOTAL ACRES - " - °x~A 2• s333 933.2 LENGTH OF ROAD = 1805 FEET ~, ~~924.7 x ~an ~ PARCEL ZONED AG-RESIDENTUIL ~~®~~ KWJ_ - st / ~~ .e 925.0 i ~ ~rF~ 93,3 x -__ "~~ ..3 ~ ' ~ ", usaa.wlul , ~ 1 923. ~ ' 913 OWNER 192s~ - ~ --. KWON BASTAND DONALDA SPEBFBA5i x f~2.i ; xs26A ~) B/e IABAROE ROAD MbSON.WISW18 9ts.7 •~ ; ~ ` 1 • K _ ( •t3 )X IX. 931.1 9~ 4 ` SURVEYOR 913~x 1 ' to:7X~~ ~ ; ~. A NORTHLAND SIIpVEY1N0. NC. x 92e-0 ,~ 93}6 li 931.3 `` ~ `~ 858AHWY'eS/P.O. BOJC 14 x ~ 1 y~1~ X ~x ~ ~ ~ ~ R09EAT3.11V151029 1 1 7ysalame i ~ ~~ ~ `=~ ENGINEER x ~ Q ` ~ I wLTrHt9B / 9296x 1~~\ i~ .~ 15 ~SSaET$UITE101 N 2.05 ~` ~ ` 11/ ~ x926A (2.0 ) ~ \~ :9x70 c ••«••.•• 929.1: ' • • A APPROVING AUTHORITIES ~ x.«~ , ~1 , • j •••••• n7A ~~ I x:92G7 Tt3WNOF Ht1DSON ~ ° -----~-~-~~ -~--~-----~-- sr, cROSC COI111LYPtANNING, --- - / 2pM110 ANO PAR16 COMMRiEE Q t®~ P<suc x ~~ ~- , /7'-' F= - ERT LANE---~ , i ~_ ~ •«•.«••• 93 i 1 /1 ~~ •• ~ 1 (// 911.3 ••••• • . , I ~ 2. ~yW~y.~ x ~ 916, ~ '1• X929A 1 (~ LL = ~ 1 1 (~ 6 ` • ~ ~ ~j i 9ts./ X 1 ~ ~ ~~ x L ATL01~ j 1 1 m ATION - ; ~~$ , ~~~JJJ F 1 x 927.1 ~. 0 j x 9 .2 JI 1 3_ - Y•.a 1 W ~ ~ a Z ~ 923.• ~~ ~ • ~~~ O g• H.Wl_-8295 ~ , t' ~ ••~ /9Or0 ~ x 92 (' 92,7 • •~~ •~ V~ ` 'y( (7 ~ `~ 442.6 X 92s.7 921.1 X BEV 9275 ••~•• ` •~ \N 926.9 X x ~~ X ~ 1 9 0.4 922.9 ' ~~ 1` X 929.6 '••,~`~ ,1'A j 1 ,3 x ~ _~ 1 ';' we ~ ~ • ' ' ~""1 4 EA•rY1 C. F7r9eR ReyhOSed Wkoomirl tans blavey0r, h«bY osn+N 9~t the x (3.5 ~ ~~,[I1 sbOw Essa9xd erld nrppad Pbpeny 1w suv9ysd by ms a older my tl'rea ~ `' I i~°r MlpuvYbn eltd tllet 911e Imp M • ealeU repteesMatlon b eceN W 9a 9263 BUILDING 1 I x b0U11d9rlee b 91e best W Ily lvlowletlpe YId bs9e1. 29.1 ATION -82.55 929.1 930.9 ~ j ~ ~ j 927.5 X X I R-p0) 92e.e sas•~ ra5w ear ~ x 120.9 X 2g 922.6 ~ 9X.1 l9EOF11E 71E 9e1N 930.7 927.2 - ~ __.__~, ~~0 _d (I~(~n .-'. 9 X a ONED AG-RESIDENTIA ~~ ~~ ~ ,.. • .tar /" ~ ~ ~J ~ ~ F ~ 5 P f ~ 7 ' STA?EBAR~W~V~N9 Document Number WARRANTY DEED This Deed, made between Marie A. Shimon, a single person, Grantor, and Keraon J. Bast and Dottalda J. Speer-Bast, 6asband aad wife, Grantee. Grmuor, for a valuable consideration, conveys to Grantee the following describc~rl real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): (See Attached Exhibit "A") 62~r51 O `r.i; i HLEEN H. iJtlL$H r:EE.iST~R OF DEEDS Si. GF:QIX CU., WI RECEIVED FOk RECORD 1d-)@-?400 3:00 PN WARRRNIY DEED EXE!IPT Y CERi COPY FEE: COPY FEE: TRRNSFEk FEE: D46.00 kcCORfdNG FEE: 15.00 PRGES: 3 Rererding Area ..sattvA V(iLAND 2.i)zr Estreen & Ogland P • O. I3ax 359 Ilndson, WI 54016 020-1059-80-000 Parcel Identification Number (PIN) This is aot __ homestead property. O{) (is not) Exceptions to warranties: Easements, restriaitxts and rights-of-way of record, if any. Dated this ~~ ~ day of _ July ^__ __ ______ _, 2000 _ AUTHENTICATION Signature(s) Marie A. Shireoa, a single persoa, f autheAt~+l K~ivd y of Jnly 2~0 0 -'F • ltd ~~ ____ + Ma ' A. SYimoa ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) Personally came before me this day of the above named Tf°~•• ~~ ~C~,~fATC: I3AR OF WISCUNSIN to ote known to tx: the person(s) wha executed the forcguing (~' ~-.-- instrument and acknowledged the tinnte. autho § 706.06, Wis. Stars.) THIS lNS"fRUMENT WAS DRAFTED BY • _ Attorney Kristiea Oglrtnd _ M Notary Public, State of Wisconsin Hu- dsoa, ~1 14~b _`-_^~ My Commission is permanent. (If not, slate expiration date: {Signatures may be authenticated or ack~awledged. Both are not necessary.) ) • Names of persons signing in any capacity must be typed or printed below thc'u siguaturc, Mrame~ion Prolea.mats Comp^nµ Fad au tae vH uwzss~zoz+ WARRANTY DEkD bh~TEBARUFWISCOPtStti FORM No. 2 - 1999 ~Y ,': ~~~ ~ vei• 1531PAG~ 434 EXHIBIT "A" A PARCEL OF LAND LOCATED 'IN THE NORTHWEST QUARTER OF THB SOUTHEAST QUARTER (NW 1/4 OP Sfi 1/4} OF SECTION TWENTY TWO (22}, TOWNSHIP TWENTY NINH (291 NORTH, RANGB NINETEEN (191 WEST, lIOR& FULLY DESCRI9E,D AS FOLLOWS: Comnenoing at the East Quarter corner of said Section 22; thence North 0 degrees 02 minutes 57 seconds East along the East line of the Northeast Quarter of said section d distance of 40.00 feet; thence North 89 degrees 57 minutes•16 seconds West 750.00 feet; thence Westerly 450.QT feet along the arC of a 905.17 foot .radius curve concave Southerly whose long chord bears South 75 degrees 47 minutes 19 seconds West 445.83 feet= thence South 61 degrees 31.minutea 54 seconds West 135.86 feet to the point of beginning; thence continuing South 62 degrees 31 minutes 54 seconds Weat 150.12 feet; thence Southwesterly 297.84 .feet along the arc of a 740.00 foot radius curve concave Southerly whose long chord bears South '49 degrees 59 minutes 58 seconds Weat 295.88 feet;. thence South 53 degrees 22 minutes 28 seconds Bast 409..87 feet; thence South D degrees 15 minutes 46 seconds Hast 687.10 feet to a point~on the South line of the Northwest Quarter of the Southeast Quarter of said Section 22; thence North 89 degrees 57 minutes 16 seconds West 1269.89 feet along said line to the Southwest corner of said Northeast Quarter of the Southeast Quarter; thence North 0 degrees 16 minutes 35 seconds Weat along the North-South Quarter Section line a distance of 1296.23 feet; thence North 89 degrees 50 minutes 17 seconds Bast 651.01 feet; thence North 0 degrees 11 minutes 41 seconds Weat 22.40 feet to the SouthwesE comer of the Certified Survey Map recorded in Volume 7 of Certified Survey Naps, page•1891; thence North 89 degrees 50 minutes 17 seconds East along the South line of said Certified Survey a distance of 651.09 feet to the Northeast corner of the Northwest Quarter of Southeast Quarter;~Chence South 0 degrees 15 minutes 96 seconds West along the East line of said Northwest Quarter of the Southeast Quarter a distance of 129.94 feet to the point of beginning. ALSO subject to that part of a 66 foot wide easement reserved for future township road included in the above described parcel, said easement being 33 feet equidistant and at right angles to the following described reference lines: REFERENCE LINH NUMBER 1 Commencing at the East Quarter corner of said Section 22; thence North 0 degrees 02 minutes 57 seconds East along the Eaat line of the Northeast Quarter of said section a distance of 40.00 feet to the point of beginning of the following described reference line: Thence North 89 degrees 57 minute's 16 seconds West 750.00 feet; thence Westerly 950.87 feet along the arc of a 905.17 foot radius curve concave Southerly whose long chord bears South 75 degrees 47 minutes 19 seconds Weat 445.83 feet; thence South 61 degrees 31 minutes 54 seconds West 185.98 feet; thence Southwesterly 297.89 feet along the arc of a 790.00 foot radius-curve concave Southerly whose long chord bears South 49 degrees 59 minutes 58 seconds West 295.88 feet; thence South 38 degrees 28 minutes 07 seconds West 10U.00 feet; thence.. Southwesterly 381.99 S ', w ~' .1 • i ,. v~~. ~531PAGE435 Exhibit "A" - Page 2 feet along the arc of a 427.00 foot radius curve concave Northerly whose long chord bears South 64 degrees 05 minutes 43 seconds West 369.38 feet; thence South 89 degrees 43 minutes 25 seconds West 546.65 feet to the end of said reference line. RSPERENCTt LIMB NUMBER 2 Commencing at the East Quarter corner of said Section 23; thence North 0 degresa 02 minutes S7 seconds East along the,.East line of the Northeast Quarter a distance of 40.00 feet; thence North 89 degrees 57 minutes 16 seconds West 750.90 feet; thence Westerly 136.81 feet along the arc of a 872.17 foot radius curve concave Southerly whose long chord bears South 85 degrees 42 minutes 57 seconds West 136.67 fact to the point of beginning of the following described reference line: Thence North 369.97 feet; thence Northwesterly 350.77 feet along a 500.00 foot radius curve concave Southwesterly whose long chord bears North 20 degrees 05 minutes 50 seconds West 343.62 feeC; thence North 40 degrees 11 minutes 41 seconds west 70.00 feet; thence Northwesterly 158,48 feet along a 227.00 fooC radius curve concave Northeasterly whose long chord bears North 20 degrees 11 minutes 38 seconds West 155.38 Eeet; thence North 0 degresa 11 minutes 41 seconds Weat 500,06 feet to the end of said reference line. All in St. Croix County, Wisconsin. s LU Q ~ ~~ ~/ v _ _ Q, ,n g0 ~ ~ 4 NOD ~ W ~ ~ i ~ry,9 ~ \ ~ ~ > y ~.~~p. o .• ~ • ~ ~. .~ ~~~ _ ~: II ~ ~` i 2 oNi ~~ ~ ~ ~~ -_ ® / •• ~ ~-- LL ~~ III/ srn m ZN ~ l~. `~ W II >> ,- ch ~ _Z W ~ c*i ~ ~ > ' \~ !~ NOW u"~ ~W - Z N `~ C'3 F- ~~ ~ ~~ , 9 °' a z ~ ' ' ~ LLI -i - N ~ l j = C ~ ~ a • + ~ ~ \ _ ; ~L ~ .' ~ ASEME~ ~' _ u ° s = _- Z°o ~ z ' ~ Zl ~~ ~69'LZZ G ~96'L8l ~•~ 1 E~90o L ON ~- 3Nn bn Hlnos - Fuaonl ~ ~ ssa~san z c°~; -~ ~ ~ ~~ ter, ~: W =~ ~o ~g ~ ~ ~ Z ~LLa ~ ~- ~~J~V~V UUUVUtJ 9~ tUn W a.;0 ~ ~ 9WlL~ `nruN ~r 1. O~OU ~-j~ _ ~~ ~, ZZ`~~ OVU ~ c' LL ?~~w (~jUW ~ ~~ H~~~Q /~aj~Q ~~~wW ~~~~~ ~°~ ~~o~ a QO~W oZV~LLVVo O~~ZS pp ~~zk,,'- ~?Sg O ' 44 OfnT ~~~n ,., .• 1 PHEASAI~ ~ LOCATED !N PART OF THE ~„~ R19W, TOWN OF HUDSON ~ ~ I ~ ~ _ r-' l I ~ ~ ao4 ~ ~ c~aa ooh y~; ~ -------- --- - MOO L~ 9 9 ~e ~418s~ I ~~ ~ ~~~Q ---------o ---------- g'., I ~ ---------- -- I ~I~il 6,_04 QS ~ I ai i ~ A w I o --------~-~ BB/dMNr( IOPOFPMdPFE l Z I II ~ ;w ~ UAAl. pU1M OF 1N1 ~~,~ _.~d /~E1.0i~ N~ ~ eeo.~r . . ma. aowur®roen,oN-1` ~ ea~aµwc • KW.L - $ I ~ +t~ tt1P OF7 NON PPE uses. a~nr oc ~ws 85.0 ~' HEVAiION . Y27.5{ i A47 9 ~~ ~ i V ~ ~ 1 ~: Kwi - ~ ~„ ~ ` ®; ~ _ ,mss ~~~_r~~,,,,,~ ~)''~- ~. ~ ~ -_ 20 ~ `` ~' sz ~ ; O . N ~ ~ ~ • N ~f ~ ---------- ~uroniensuc ~ 's ~~ ~ ..r. ~ ~ ~ a ---R~BERTS LANE-----j - ~ ~.~~ ~ ~ g~ .- ~ e(p° s.OO ~aES ---•F I crass ~ Z ~ ~ 68,677 SQ Ff. ~. ~ ~ i \.\ ~ ~ d 9. ~ '4 ~ ~ `` -. ~ ; '~ -~ ~ ~ ~ ~ .w.L a.` •\ ~ ~ vwaxsr ~ ~ ~ ` ~ /. 6 FASBA ~.6' ~ ` ~ ` 77.w.L-6zss to7.6eo so. F7. ~ ~ ~`` \'\ aerirawsa.w ~ 13 ~ ~ ~. ~ ~ t~,ste sa. Fr. . . ` Fa~cea~E w ~r.~- EAST NO0.e+F wonmoP~arcaw~ NJD!>pddS~D ~ ~ i NJOJ~44t13_DO 6t_ ~ - ~_ l9pl~DD tl8tl (0741 I 100' OO- ~ --------- ~ ~~~ ~ ~_---- I ss~~rssw ~ I11E NYnN OP~IE8E1N N~7P6~44GD 6 ~ SHEET 1 OF i LOCa-TION SKETCH 4 Jul 09 03 08:17p FOGERTY PLUMBING 17156355286 p.5 Fogerty Plembin~' #221180 rnr.t c;i --.~ 28288 McKenzie Rd. PUpfti P CHAt~p,~R LRG55 SEC ~ IOtJ ANG SPEUFICA'r'10~!5 Spooner, WI 54801 -- & Perk Tesiln>~ bin (715) fi35-9609 g Fogerty Plum 28288 McKenzie Rd. /' VCtJ7 CAP Spoonar~ W15~4$Ol 'I~C.I. VC UT P1PC • WEATHERPROOF' APFRpVEp LOCKIAIG --- --may f JUA3CT!Ot,~ 130X MAIJHOLC COYEP. " It~MIU. w+I~pOw OR F RESU I AIR IAITAKE I GRADE rll~. ~..-{ I I 4~ MIlJ. t I ~ 18_Mlu. ` i C OA7 DU1T __ ' ta'ntu. __^` -------- ~ ~ `~ o~ 11~ . Iu~ET ""~[" _____ PROVIDE I AtRTILH7 SCAL I i f ~ f LO ~ ~ / I I ~ ~~ i * I f * A P~ st ' ~ ~ '~ - I III I ~4, y p/ff i1Y/r~T / ( I b A LAR 1+1 !! 7/~0 2 lI I 1 I i 1 *APPROVED ~ I oN . ~ JOINTS WITH. ~ I I ' I ELEV FT: APPROVED PIPE ~ J ' _ 3 ~ DNTO _ PUMP -~, OFF D SOLID SOIL ~ GOAICRfTE ELOLII fC15ER EXIT PERMiTrizD UuL.y IF TA13K MAl.1UFAGTURfi~R HAS SUG1i APPROVAL SPE GIFI~GATIOiVS sE P n c E ~ . ~,,.,.,,,~~., DOSE. _ _ TA-1K5 MAUUFACTURCR~ ~~'~°"R iJLfNIFJEA OF C105ES: ~ PER DAy TAi.IlC SIZE: ('2.Sro ~~~ GALLOAJS DOS£ VOl'JME "" a r/2o ALARM MALIUFACTiJR~R: Se,j I-rL~G {AICLUOfNG OAGKFL W: day T GALLON MODCL 1,lUMDSR: /a~-d/ ~'`" CAPACiTfES: A. dz.,L~lf~lCHCSOR ~'~•~ GAILOtJ SWITCH TyPL: ~~~~~~,~,~~ Ba 2 IAlCHE50R ,Z,,~~„_.6ALLOl~ PUMP MALlIl1=AeTUrzt1~: ~o~ei3 e= ~~IUC-IesoR ~sy~ GALLOA MODEL AIUMDER: +~`DOy De g IkGHES OR 1G2 ~ GAlL01 SW{TC µ TYPE; Iw,E/~CCUwLV~ MOTE: PUMP AUD At.ARM ARE TO QE MIIJIMIII"t E115CHAR6E RATE ~'~' Gt~M IAISTAlLEO OU SEPARATE CIRCUITS ~~~ /ir VERTICAL DIFFEREIUCE DCTWCfIJ PUMP OFF AUD C)ISTRl~UT401! PIPE..~_ FEET / + Mt1JIMUM IUETWORK SUPPLY PRESSLI•RTTE/,. , ~"'~- FE.ET •i- 3s9 FEET CF FORGE f1AIR7 X ~ _' F/ppFXFRICTIOU FACTaII._~~8 FEET ~ -- TOT 9UAMfC HEAD = ~ZE FEEr 11UTEstA1AL D{MCh7510 .~',.Eti.IGTH ~^Sr ;WIDTH _....~ ~iLIgUID OCP't1-i S~ T<`}-~~ Jul 09 03 OB:18p FOGERTY PLUMBING 1715635586 p.6 • d a..~ ~'1 C ZS Pump Specifications '/3 NP tJp to 40 GPM Discharge size 1'/~ NPT Solids: ~5"maximum Motor Single phase:115V Materials of Construction Brass/thermoplastic Features and Benefits .Top suction eliminates impeller clogging. .Corrosion resistant construction. .Float actuated stivitch. 6AlTE1tS FEfT r ¢o c zo = 5 ~ 15 a 3 f0 - 0 ~~ P 5 MODEL DYP03 I I I I j Q ~ i.... _ .~__~ 1 0 S 10 15 ZO Z5 30 35 W U-S.GPFi 0 4 4 6 8 fOrM,~hr. CAPACITY Id FTERS FEET ,oF 9 8 ,~Ei, 6 5 4 0 ~ 3 s 2 00 0~ 2 4 fi B 70 12 IR~Av rr-Pr-cfrr Pump Specifications Features and Benefits '/a and'h HP • EP04 impeller- semi-open design Up to 60 GPM vrith pump out vanes to protect Maximum head to 32' mecharncal seal. Discharge size 1',~s" NPT • EP05 impeller -enclosed design Solitls. 3/+" maximum for improved performance. Motor • Rugged glass-filled thermoplastic All motors feature hall casing and base design provides superior strength and corrosion bearing construction. Single phase: '.15V resistance. Materials of Construction • Cast iron motor housing for efficient heat transfer, strength, Cast iron and durability. Thermoplastic Stainless steel • Corrosion resistant threaded stainless steel shaft. • Avaiiabfe for automatic and manual operation. • CSA listed models available. Al! Models are designed for slontinuous operation and feature stainless steel hardware. MODEL 31171 : _..i . _ 2 ' EPOS 70 - T ePOa 5 x 0 w a o s o 4s~Pn