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020-1075-35-105
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Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX - DILHR P1an I .D. # S95-01225 Date May 19, 1995 Owner Ricbmar Industries Convenience Store Phone 715-381-1043 Address 644 Brakke Drive, Hudson, Wis. 54016 47.4. Legal Description Parcel # 020-1075-35-100. Lot 9 . CSM Pending . 4q 3 .44 Acres . NW 1/4, SW 1/4, Sec. 27, T29N, R19W. �,� • • _.• Town of Hudson County St . Croix �.y.� ,M, +..:. --� C.S .T. G.L. Steel, CSTM 2298 Installer 44. Local Authority/ Supervision U'o C -}-r✓� '4 St.Croix County Zoning Dept. O / SpC� Q =r'` PROJECT DESCRIPIION CF Sizing A new convenience store/ gas station with a paper plate deli is proposed. Soils are permiable ( .5 GPD/ft2) , suitable for a conventional in-ground system. An inground pressure system is proposed. Per all data supplied by owners, estimated daily wasteflow rates are as follows : 200 care X 10 gals./car = 2000 gals. 6 employees X 20 gals/ each = 120 gals. 4 floor drains X 50 gals/ each = 200 gals. 3 small tables, in deli area, 3 chairs each X15 gals. = 135 gals. TOTAL DAILY WASTEWATER FLOW: 2455 gals. Treatment Area Total treatment minimum area required for beds ( insufficient area tested for trenches)= 4910 sq. ft. Proposed: _ _ 7 . •_ e.- each • ^13X69 ' Total .-.t, _ tre a4-_YE9nt area: iaJC e. 1UC11 ui.uG1 :✓CLG , GCl.11 ...�LIV • 1 u v_.... -'---. ..-- ' 4968 sq. ft . Duplex alternating pumps will be used to independently dcse eacch bed seperately. Treatment Tanks Minimum septic tank capacity required: 3205 gals. Proposed, 2 septic tanks in series for ultinate effluent clarity and pre-treatment. Each tark = 1645 gals; total proposed capacity: 3290 gals. A 1250 gal . state approved precast exterior grease interceptor will collect all deli/food waste ( cheese & food greases) for 30 pizzas ( sold per slice on paper plates) per day. Per ILHR 82 . 34( 5 ) ( a) 2, all deli waste will be kept seperate via its own bldg. sewer. Estimated daily grease/waste load: 135 to 150 gals. — Note -- All tanks, including pump chamber, will be from Wieser Concrete Products, Maiden Rock, Wis . and will be provided with code compliant approved locking covers above ground for maintainance. Use 4" sch.40 effluent distribution pipes between all tanks, and insulate under all parking/driveway zones per ILHR 82 . 30( 11 ) ( c) . '" ' _'> '. r.. Recommended- sleeve 4" delivery line inside 6" PVC pipe with 4"x6" rubber airtight gaskets at either end. � .t ��ga� ►onuurniy, . PROJECT INDEX 0C,O/Sis 'os" Pg. 1 PLOT PLAN VIEWS . "" + Pg. 2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEW ULlTM Pg. 3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg. 5 PUMP PERFORMANCE SPECS 11uD$0II,WI Ito IG� �' • g''��yirs n n n t n�a����'��`� This design for installation is based entirely on measurements, elevations, landscape conditions (slopes etc. ) and soil suitability provided by CSTM l 2.7 b The accuracy of his specs, as reported, shall remain the sole responsibility of the CSTM. Any use of this POWTS design by any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the workmanship, construction, placement, substitution or selection of any components not specified, or • any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement �v if working under adverse damaging weather conditions (wet/frozen 19 :/�7 •. 1 2 2 5 soils) by any such parties or persons. �s TM s �.M. = rah of - - - - / " zP /�T ti � LGT tio. Lo 762 o - - — -- -- 0 .�— . 6s t 32_ Ca X s'S PLOT PLAN VIE 5 I sQ. . ) A 4 7-E- 73/ = TOi9 F COI V6.1e 3 63 1 •I I v p To Z 7.- •I I i • I I I I I � I 13a i_ '_ I I [3l /--=r ( z) Sc pER�rE-- H �a/c(E be5 ( 3 ' Pvc P,PE��f's T' /00 ' To7'l4- O /VC Z ' s r TA,c%' SPEC 5 11 M4,ov/71 (Tv/P P ; A.) EsElo dj a �O v Gil74E- /J,E'a OV c 7 5 %oA iOEAv c/ , 5" . 0 J � . y " (z) , µi FAPvs r P�xf p` rA�E SetKI� ;: SepTi caw, 4,41°n " Ps yiPE,f E ter, z - �� I /p 3. CO wt// Sa 5ER11i6c 5T;47-7av 0 I , SCALE : I " = 4/0 fa • apprevai • sot inchreview/3�4�Kti eF P�'TS any plu m of the s tic/holdi • 4 = xis P fIi'�IPE' 6 My Tio us tank. See section IL R 82.20, Admin. / Code to determine hether plan submittal • d approval is required for that plumbing. — ELFVA-r'O,v5 — e io2 •L/9 /0 z . 3c 5 y5TEAL e-/6- vA r/o,4,7S r3 /0 , �� ��� �4 " 9�' �s 3 3 S / o - -- --- —.— o sP So. LOT' z_ �I BR AK K E DR . /off� -' S95 - 01225 I - p. EA/1-5r,,t) & /FI✓/S/YED fiP4U --- Tt-fRE"p o /D 3, D ' __la_ % P/uG- 1 I Ill u r / If �// - l/- T y pi.c L 4 - - Sct . 40 r 0 BSe PU"\Tio/.) 3-/5 /3i4L,E'/c/ e'G v� /0/4xiMaM > A r ps= ' ( AOD 9 9. —s2 5 /- 7 41iE' syv 7-A,#?I/c F4 3 /c oac%' 4-�yiPt-id Tom= /A ( ,'T oF- 6 4 02 , /f G.PEG'4-%E o(i ,P G/f 7 E ePA,J 7_�r r a-'' APP,PO v& v A 5f,P i/tr --- 3/9'' 7-0 /z .f A____--- %' 5/07`5 I ___ _____._-..- .._.___.__ p P p-� S/ TES E ii s./ !/ft i °,tl / e A-6� �5 AT do of sAat /4Tt/c'4L . SYSTEM CROSS SECT IoQS . SQV4teE F6 T r 1__ __, _ _ _ _ � � : ‘ I - 0 0 0 � • P,00'a. Fo1P I - ratio- TRE-rfTN1 -,‘, - ,t y , � VD UJM//S I I 4-lee-4- - J- re PS / I 3,Of 5./De w4f//-5 I' — - 1 - - - - - R_.__ i I , i 3� �T� I I I „ I 3 ccA T,P/t A//1ti/ moo/v � 1 l i� ( 3Dr -�vt4L I I U C ) 1, 1 1L1l 1 (_� I 67 I Z1 C -1 1 / I I I I I I I I 3 PUG fa,P C� H/1/� (3E D I .� (/00 ' 7,,,L1 D ETA i LED I I 1 I 1 I I el (111141';C-141 91' '', J STD Mf��',f'fit°S o/�S6pvfT-7aA✓ in, 97 f 'e .,. /6,,, .\.,4' ii:iii_201, .. , SYSTEM PLAN VtEw it Ty pt'cAL FvR 1 o Tit PSE nS "p4 „ 31 ►► 6 jG . ZoF6---- S95 - o 1 225, j n O Q 00 v Ch \J M ki . W '---\ )i,\, . O M \/ •• I LIJ r* . t) c kN (7 '4 < 1. \ i IS NI 1.- N n II I \i 1 r—r I O ' o it -1 1--- 1 ( 2 M- N Of v) 0 —I t <tu oN _. % I j_J j 41— tt'iF. (- i NI \-\ I . -1 -- k til ‹. n k k ki\ ' L P 0 -‹ * k kJ A cr o 1 / ill o k w W iy 2 yt. V °` .. s`sistI k \-L 0 <t < 0 t ki. . F1/4 ^1 t its 43 C fk(I.C' /4 r ) 13 L. fl,N 1 ? ''''' 1')'' ' ts 001', NJN ‘N k(41 A- • ., ,i. -li .:,'- lz ,v, . 0 ,t t k ' '° 4 iii 0510\:' ' CV) (.1 kv,) , %..1 a- cY .v> - d '\ k\ S95 — 01225 2 Al L ;E-Zc of / D'V A0 S P vE c-17.04.c/'Ty - 2(S 4 2 PUMPS : w i kC,_. A I.-re R N A T I, (-- E. iu� IC )(. co,vTRo IS , Pup „A ., 6 x i r s P/c. -I�-14AA L_ o u -t- L E T , To 3 t D "A ?uMy..) 5 ,1 EXITS IP /c -i- Il/1 1,4AAJ 1101- R 'SER To Beo " 3 . PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS (r-VENT CAP 4 C.Z. VENT PIPE t WEATHER PROOF APPROVED LOCKING M JUNCTION BOX MANHOLE COVER. 25' FROM DOOR, to/4/f1iN,N� //1/3E/ WINDOW OR FRESH 12°MIU. PIR INTAKE r(Alr 14E 017/ON GRADE A I 7-4�, %��, I .._ y"MIN. /, /'I I I8' MIN. /0 3, o CONDUIT_ -- ,, v`� k\ �`—`_ -. A �� \,�� - r /3El7 3 IEU4n ow I 1-t 79,0 + j � 11 }� INLET PROVIDE Div , --- TO 1— ►• ---- AIRTIGHT SEAL 1 1I I �ED I�E � i II APPROVED I AWPPROVEDE JOINT A 1K) /a►0 EOM r I, I I I W/C.I. PIPE DIIJTS EXTENDING 3' c o'� AID I I ALARM I I ALARM EXTENDING 3' ONTO SOLID SOIL B q 6' / I 'i I , i 1 ONTO SOLID SOIL 3,3 II * ow I I Dow 96 c cope I I 1 ELEV. FT. ---' 1 J J� I I PUMP-� �' I,_ --t . OFF ZEPPIA' ° 1, 1 ! xi �6 Pv�� /J • 1 , BLOCK lEVflfi0,J X RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOPJS DOSE / oe P�� evilTANKS MANUFACTURER: w�Es� la.uC�/{-c �' LUMBER OF DOSES: PER DAy /0-21-0 G-/y TANK SIZE : GALLONS DOSE VOLUME 37 _/ ALARM MANUFACTURER: it_ ve../" ///'�e,c/ �O " INCLUDING BAGKFLOW: � GALLONS MODEL NUMBER: lb' V' L • CAPACITIES: A= INCHES OR / GALLOWS SWITCH TYPE: M1��{CRY /o�T 8= Z INCHES OR 57 GALLONS pa PUMP MANUFACTURER: 0&/� -;e- Co " C= ZS INCHES OR 6-S/ GALLONS MODEL NUMBER: Z L/ / H�' 22 O UOLT D= /Z INCHES OR z GALLONS SWITCH TYPE: Pi551//MCK H649(el" 17G/4T NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE i3o GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 3 Z FEET 5-Pt-es . �/ -I-- MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET E/�CG4, t " Oi- ,D{ P Itl.- /oo FEET OF FORCE MAIM X F j E loo FtFRICTION FACTOR.. 9 PET tA 0 A S -25,0 1 ?IS, = 3'� TOTAL DYNAMIC HEAD - a ' FEET y. 3 ,,Ra ?G INTERNAL DIMENSIONS of TANK: LENGTH /�� ;WIDTH ;LIQUID DEPTH `� / -( ALA#2AA 1 sEr INS 10E' f3L.n , will Act-i'llicrE- wtt6,c) Ct`ti.ei_ OF 3. u P M p5 Mac. FuOc r/oA) S . PRIVATE SEWAGE S , ._.. . Conditionally r, r::.--'-- ____ /1)7 . ,9,,,,e 0 ,,..._. DEPT. OF /,;:" i SLiE CORRESPO L: S95 - 0 1 225 P `So � 5Ps HEAD! it W f W • ' 115 - II' PA CITY 34110-,s.„---- - . 32 -755 CURVE 30 195 00 85 28 90- -- 26 ::: - 1 EFFLUENT i i 24 MODEL O 75-MODEL 1 189 and a DEWATERING = 22 165 1 — 2 2 20 -65 , .2 18 — -'- - ,` -., II-.. 80 , , 55-0 - - - CC 16 MODEL I- 50- - -- --_ 163 MODEL O I- 14 45 -- - -I1 -- 1 188 - 1q -40= {- 35 I 10 MODEL -• MODEL 30 137,139 -- 185 SEWAGE and 6 zs r -- — DEWATERING 6 __26' I _MODEL 15 MODEL L_..••-- 161 a 1- 2 MODEL \ I '� W w 5-- 53,55,u. - f 57,59 III r_• 0 I GALLONS 10 20 30 40 50 60 I{- 70 80 ( 90 100 1 110 24 80-- - -(-.-_-- I LITERS 0 80 160 240 320 400 22 \ FLOW PER MINUTE 70 - 20 85 — - 18 -60- EL 295 55 �+�` I - X 16 050 \ 1 i Q 14 45 . MODEL I --. Z �294 40 - J MODEL i- 10 293 1 - t--- Q 35 7`—.------- ---- O 30 �-MODEL 1-- I— 284 25 � I l 8 -20 .� ��� _ 282 15 - - `•.` -- -}- ``�� -- \ '. 10 - MODEL " . --.- - ! L/JEILEH la 2 267 268 o i - 3280 Old Millers Lane GALLONS 10 20j 30 40' 50 60I 70 80 1I90 100 I110 120 130 140 150 160 170 180 190 P.O. Box 16347 # . I } 1 I I I Louisville, Kentucky 40216 LITERS 0 80 160 240 320 400 480 560 640 720 (502) 778-2731 FLOW PER MINUTE / "282*-284" Cast Iron Series r i • Automatic or Non-Automatic. CAPACITY � • 282 v H.P., 1 Ph., 115V,200-208V or 230V HEAD -- UNITS/MIN H.P.,3 Ph., 200-208V,230V or 460V Model 282 284 • 284 1 H.P., 1 Ph.,200-208V,230V 1 I I I'.,3 Ph.,200-208V,230V or 460V rent Meters Gal. [_us Gal t.t s • 81 • Non-clogging vortex impeller design. 5 1 52 130 492 6o 10 3 05 95 360 158 598 598 •. • Passes 2"solids(sphere). 15 238135 • Float operated,submersible(NEMA 6)2 pole 4 57 63 511 mechanical switch. 2n 6 10 33 125 106 401 25 7 62 76 288 • Automatic reset thermal overload protection(1 Ph. 30 9 14 43 163 - models only). • Stainless steel screws, bolts,float rod, handle, Lot 6 Vale 26 35' guard and arm and seal assembly. • Upper sleeve bearing and lower ball bearing (UL)listed running in a bath of oil. C4'u,uru Nn1F Ni,ul. rsfing for 200?WW1 vt, • Specify 2"or 3"flanged discharge. ('nnndlae Standards _/— P""'1'� Mcrcwv Iln.rl<wrtr has arc available lot non-aufornabc models. SA AssocApproval SC-2225 "E--Pak" .. :,, Electrical y... � .;rox Alternator to .s' Specify voltage,phase, and Fe H.P.of pumps when ordering. ''""!_rii An electrical alternator is used on a duplex pump application where automatic alternation of 0 the pumps is desired for added protection in residential or commercial applications. With one pump operating to handle normal flow, a second pump becomes operational in the event the water level continues to rise. The built in alarm system,a standard feature,will sound when the second pump becomes operational (3 float system)or independently(4 float system). Consult factory for special applications 9 [p/^'�, Canadian Slanearos Assoc _ 0 '�" UL listed C Approval arada6ir O N O d (D ~ ~p n N fD O d cn z ~ D W a O .~ z 0 o~ ~ c ~ ~ O 3 m :i7 m C (D (D ~~ D m m a ~, ~ Q ~ o' m ~ ~~ Z ~ o VI N y N C N a 0 7 J ~_ O C7 O 7 CD to ~ O ~ O L °c ~ f ~ `D ~ ~ ~ ~ W ~ ~ i o ~ ~ ~ i fa ~ a~! y N N y ~ O o. 4 rn W ~~ m N o ~ °o S c a ~ ~ '0 0 O O O ~~~~ ~ O O ~ A tl! O_ -a 3 0, 7 .' D D m c ~, N a O C 7 a 3 m o ~' ~ v d C v N ~ ~ O O O ~ ~1 w O O ~ ~ v 1 O ~+~ O N o c 3 .^! a .. '0 m ;-• o ~ D 0 N N i ~ 1 ~ A 2 ~ ~ A ~: A ~ ~ ~ A ~ O V C ~ Z . ~ ~ ~ ~ ~ C '~ ~ m ~ ~ ~? D a i A o li I a O ~I d .~~..• ~~ i~ `3' O O k3 • O !r. O ~~ ~C N A A a R A N O H A w ti '.. 6p ~? ~0 W N V O ~ N C) Vi O '' 3 ~ n d j .. 0 d 3 A ~ o v ~ ~ m :': n I A C ~ Al ~: i ~ ~ m ~ ~ i 3 3 '~ ~ ~: I ~ ~ ~ ~ ... c • - i C +Cn :. .C7 ~~ N Q> m O W A c v ~N K ~~ S CJ `2 ~ N ~p W A N ~ a O N 0 O ~ h"'. R C ` Q o ~ ~ _ `° ~ ~~ o- W~ N a ~_ x x N ~ ~ ~ O W ''~S c O (O I O CO ~; ~ 7 ~ N N (D n 7 ~ ~ ^~ C7 V ~ 3 ~ ~ H ~ ~ ' ' ° Q w ° '^''' °° v , ~ _., m ~ m ~ ~ m A a x I e ~ ~ ~ N a ~ o ° ~ ~ ~c ~ C o o ~ . ;I M f N~ G ~. t o m 'i I A L -a ~ ~ C ~ O w OO m ~ ~ N Q ~ ~ C T O ~ ! 3 '•' a ~ .. ~ ~ N ~ ~ v °' ~ O ~ " ~ ~ X I _ n ~ ~ fA U7 f/1 ~ N ~ ~ O N N 'C O O I A ~ ~ ~ ? ~ .+ ~ y ~ O ~ I W !~ ~ C. ~ A d ~ ~ N /Q ' N N A . i ~ ~ y D ~ W ~' N . ~ ~ ~ ~ ~ Z j ~ ~ O D ~ ~ ~ m d ~ w ~ ~ ~ ~ :D a N, n y ro '~ / V c _ ~ ~ w Q m 3 c o . ~ j i 0 ~_ N Q t ~ '', ~ _Z T ~ ~ ~ ) A Z 0 N ~ D ~. ~ .. ' ~ ~ J W ~ d ~, ~ ' Z 3 ! a ~ .. 3 ~ ~! z `° ~ o N~1~~ 3 O o; m o o ~ n I ~ o~o~ ~ f rn n - ~ ~ _o W ~ ~ ~ N ~ O x ~ 3 ~ i m~~ O Q° p O. ' Q 0 ~ ~ p ~ 0 < y fD j O. ~ ~ ~ ~ ~ ~ ~ ^J W a ~~ ~~° 3 . v m ~ 3 ~ c ,~ N ~ ~ :. N ~ ' ~ ~ 3 y ~ N ~ m o N ~ ~ 3 F o 4 ~ ~ o Sv w 3 W~oN •.. ~ ~! f a ~°' C7 '' ~"^ V _ ~ I ~ ~ p N 7 I, p j V a I O ~ ^ i b I ~ .I ~ ~ 64 O i ~ O O ~ a ~ fl- ti y Parcel #: 020-1075-35-105 o5i~7/2o07 09:09 AM PAGE 1 OF 2 Alt. Parcel #: 27.29.19.303D-5 020 -TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -RICHMAR INDUSTRIES LLP RICHMAR INDUSTRIES LLP PO BOX 732 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ` =Primary Type Dist # Description ' 606 BRAKKE DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 4.010 Plat: 2932-CSM 10/2932 (PT) SEC 27 T29N R19W NW SW FORMERLY LOT 1 Block/Condo Bldg: LOT 09 CSM 7/2051 N/WA LOT 9 CSM 10/2932 3.44 AC EXC HWY & INC PT BRAKKE DR NOW DESC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) AS: COMM W 1/4 COR SEC 27; TH N 89'E 152.84FT TO ROW HWY 12; TH S 00' E 27-29N-19W NW SW 481.82FT TO N LN SD LT 9 & POB; TH N 89' more... Notes: Parcel History: Date Doc # VollPage Type 11/23/1999 614353 1473/283 ROAD 03/26/1999 600149 1413/610 QC 07/23/ 1997 1125/553 W D ~nn~ c~ ~nnnneQV Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres COMMERCIAL G2 4.010 Totals for 2007: General Property 4.010 Woodland 0.000 Totals for 2006: General Property 4.010 Woodland 0.000 Last Changed: 10/2512005 Land Improve Total State Reason 163,600 970,600 1,134,200 NO 163,600 970,600 1,134,200 0 0 163,600 970,600 1,134,200 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 Parcel #: 020-1075-35-105 05/17/2007 09:09 AM PAGE 2 OF 2 Legal Description: cont. E 218.16FT TO WLY ROW RYAN DR;TH 5 00' E 564.39FT; TH S 23' E 69.67 FT; TH S 30' E 132.25FT TO NLY ROW RELOCATED BRAKKE DR; TH S 76' W 135.68FT;TH N 84' W 158.84 FT; TH N 19' W 65.92 FT; TH N 00' W 694.02 FT TO POB (4.OlAC) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building 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)]. Permit Holder's Name: City Village X Township Richmar Industries Hudson Townshi CST BM Elev: Insp. BM Elev: BM Des ri tion: p D~ 6 d 6-~ © v-u~.1~--~-- TANK INFORMATION e TYPE ANUFACTU ~ CAPACITY Septic / Dosing ~/ ~~ Aeration '' Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing C/~-- Aeration Holding PUMP/SIPHON INFORMATION ~~Cl' ~-I~1'v~~ ~G~u.~ Manufacturer Deman Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia3 ~~ Dist. to W SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 420465 0 State Plan ID No:~r~~ Parcel Tax No: UU ~~ } 020-1075-35-100 STATION 's. S" BS I ~ FS ELEV, oo. Benchm Alt. BM Bldg. Sewer "'~ f s SUHt Inlet ~.C , J ~l ~ r~`~ ~ - Z St/ Outlet 9 3~ 9 Dt Inlet /' ~- Dt Bo r S11 ~ Head _ ~ ~ ~ ~ 7 3~ Dist. e ti ,7 ~ Bot. Syst m .S-L~~~ ~+ ~i Final ^GJ~de ~ ,~~ ,Z 3 ~Q St Cover / a . ~~ o~. 2 ~~a~ G,ed (0.~3 BEDfrRENCH DIMENSIONS Width ~ Length / No. O Trenchgs / PIT DIMENSIONS No. Of Pits inside Dia. Liquid Depth ~ Q ( v, ~. SETBACK SYSTEM TO P/L BLDSa WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type ys~latn: „~'v /~ ~I ~V UNIT Model Number: DISTF31B1~~N SYSTEdWI' („ ~~~° ,Q,~,,~Q,,, ,n OJf ~,(/,~ „_ //.I~hAL ~;22n Head /Manifold Distribution x le S' ot . oarinn x H Vent to 'r lntak / ~ Pipe(s) / I ~' o Length Dia Length V Dia Spacing SOIL COVER x Pressure Systems Only xx Alound Or At-Grade Systems Only ~ Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched a-y~ Bed/Trench Center Bed/Trench Edges Topsoil ~~ Yes L No (_~] Yes ~~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Location: 606 Brakke Drive Hudson, WI 54016 (NW 1/4 SW 114 27 T29N R19W) NA Lot 9 ~ / 2 / © ~ Inspection #2:~/ 2 / C Parcel No: 27.29.19.303 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Plan revision Required? <; Yes ~~ No ~ ~ ~ ! Use other side for additional information. ~__ _ J L_ ~___ SBD-6710 (R.3l97) Date Insepctor's Signature Cert. No. Sanitary Permit Application ~n safety & Buildings Divisor m ' , ]n accord with Comm 83.21. VJis. Adm. C e 201 W. Washington Avc See~reverse side for-instructions for completing this ap PO Box 730: ISC~~S~, Person rmation you provide may be used for secondan• purposes Madison, WI 53707-730' sAartmer,t of Comm `~ rivacy LaH•, s. 15.04;1)(m)] 2fl ~b /O -,p 310! Z, (Submit completed form to county if r start ownc< Att lete tans {to the count ~ co only) for the s~•stcm. on a er not !es than 8-1/2 x 11 inches in size. Coun S it it Number heck if revision to n ':: ~ State Plan 1. D. Number ~ ~ ( ~ ~, ~ - S Z 2q I. A lication Information -Please ton ~ Location: Property Owner Name ~ ~ Z002 T Property Location ~ 3d ~- • J L I~1rK --I--IV (~l~s'~"Q.. (~ ~ ~ ~ 1/4 ~ 1/4, Se?~T ,N, R E or Property Owner's Mailing Address , r,_~,Jt~~ { Y Lot Number Block Number ,' •p "~-3 2 ~` .,,,-,cr- . ~. ~ • Ciry, State Zip Code r P Subdivision Name or CS>,! Numbu II Type of Building: (check one) O City O `-1 or 2 Family Dwelling - No. of rooms: O ~'ltag° B ^ PubliclCotnmercial(describe use): u.Qt„lt. 4~T+~-Y ~~'R-l/' ~+4'~t- ~DTown of I ^ State-owned 1 - ~ 4-I~.~SO~ III Type of Permit: {Check only one box on line A. Check box on line B if applicable) Nearest d~ q) 1. D New System 2. O Replacement 3. O Replacement of 4. Addition to Par«I Tax Number(s) S stem Tank Onl Existin S cm 020 ^ /~ ~ ` 3S`" lam' $) ~t„oNrV~:eT/rwr Permit Number Date Issued ~A Sani Permit was reviousl issued C.Tj' r7- ~' ooh /s- Z00 N. Type of POWT System: (Chock sll that apply) O Non-pr~svrizcd In-ground O Mound O Sand Filter D Constructed Weiland ^ Pressuriicd In-ground ^ Holding Tank ^ Single Pass D Drip Line O Aerobic Treatment Unit D Recircttlating D Other. ^ At-grade / t G r b ~~Ql 3 q x V Dis rsaUTreatment Ares lnfot•mation: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application S. Percolation Rate 6. System Eevation 7. Final Grade Required Proposed ~~ Rate (GalsJday/sq. tt) (Min~nch) Elevation t VI Tank Capacity in Total # of Manufacturer Prefab Site Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks - c •~~ 0 9 ~•0 3 of ~. a Wc.tW ^ D ^ ^ ~ ^ ^ ^ ^ 4 'io'>~C ~ Cry ClbU ~ LJt..I'S,tl VII Responsibility Statement the tutdersi td, assume re nsibili fer installation of the POWTS shown on the attached lens. Plumber's Name (print) Plumbcr'sx Si~tature (no stamps): MP/MPRS No. Business Phorx Number 4~i ~.~ww~r4hl Cf `1 » `"~ ..4- `~. ~`' Z2zS S' Z3S'- - ~0 3 `( Plumber's Address (Street, City, State, Zip Code) o~l Qf ~ ~P ~~- • . ~f.>r1J o wt c tV t ~ li.IL' ~ ~' ~ - ~ .~ VIII County/Department Use Only ''l 1S- 3 p~' l ~ 6~ ^ Disapproved Sanitary Permit Foe (Includes Groundwater Date Issued lssu'ng Agent Si ttrc (No stamps) .Approved D Owner Given Initial Adverse Surc a Fee) ~ Determination • ~ ? - IZ-Zt~'fl IX. Conditions~o S 1 /)~teason~ nfor Disapprove : ~'~ ~ ~~ 3n ~ ~S (=~ tom, ~ ~ ZS"3 z 3 S sue. ~ ~- ~v<s~~,tD ~ ~-~ aP ~.~6~~~ ~ ~~~ ~ ~ ~~~ ~~v(rcc,~~ a~ 10~~0 2 SBD-b398 (R. 07/00) y ~ v ~ u ~ w ~ ~Q ~a y, [~ _ ~- v ~ d C 0 y A v a A Q a N z~ S ~ ~ 3 ~ ~ o oaaa ~4~11~N p ~ A ~ ~ ~ ~ ~ ~. d ~^~_' t ~ A d ~ ~O n C ^ fn °' Ory ~ ~ ~ ~ ~ ~ ~ o ~ .+ ~ 4 ~ ~ Cn ... A C. pQ a ~ o 7 fA ~ - N t0 W __tY .~ y ~ ~^~ 7 ~ ~ Q (7 ~ ~, 7 O ~ ...{ ~ [ N y 3 A y (`~ o W O m v N 1 < ~ ~ ~ v 3 : O ~ ~ ;..r w ~ ~.~ m ~ N ~~ ~ ~ ~~ X ~ ` ^ IR~1 ~ 3 ~ ~i ~° ~ N ~ .+ ~ W ~ ~ O ~ 5 a ~ ~. n D rn N W D ~ y D Z y Ipa "r o w ' ~'t D c ~ a N~ ~ ~ N ~ ~ ~ ~_~ _ ~ 4 ~ m --~ J w w 0 $ a 3 "~ ~ ~ v A ~' d ~ ~ u n ~ ~ ~ S to m ~ d m c ~ ~.~ -, ~-~ ~~ ~, ~ -) ~, ;, 7; C' ~::_= N q ~ i„ _ N ~` i~ M N 00 /~ W ~r ~ M OI U E~ >- r- Z O J r~7 ~~ Q . .~ o~~ o._ . .- E .~~ -~ v ,~ d 0 c ~ ; ': a ~ 0 ~ ~ ~. ~ a o f '~ .. o o ~ ~ ° ° tO n E ~ ~ > ~ ~ n to !~ ~ N ~ Q o U ~_ C ~+ E ~ N W ~ ~ N ` m d r C O ~ ~ ~ ~ C Q C 3 E,~ o !~ m d a ~ o v a ~ ~ , ~_ ¢' N O ~ w~ c m . « ~ m ~ C ~ c ~ C ~ ~` ' _ ~ a N ~ Z O O ._ D y O C m > ~ y Q ~' ~' W v U H d° ~ a ~ L a •' ~,o EO _ o `° ~n m~ 'c ion w ~ C a~ N m ~~ „m Y T r C ~j '~ .N D Y N - A N C C to '^ ~ E 3 3 H - ' ~ v o Y .. „' ~ ", ~ v wa N o d~'E~ g~ d d W of _ w am„m ~o~ Li Y °' °~ a Hd _ m _> O ?LL U ` Of` v m ?O L.~.. ~n d oN a o.. ~~~, m ` of ~~ ~3~ Z 7 01 a ,~ Q~ EEL m H H ~ o N y ~ ~„ c a~ ~~ v 3 i v i L v L" t~~~ L~ N~ L L > y F" ~ O f'- U C •p U ~ ~ ~ ~ F ~ ~ Q ~ ' ~ - ~ rn - ~ C m o a :oo u„od ~~ dod ~~ • n W Z 0 ~.; ~~. Z ~~ o w U_ ~ Q -~ U ,i m a ~I U w ~' 3 0 Z . S 0 Y U O m F- J z Q Z 0 ~i w ~- 0 Q z f ~ W W W W W a z ~ w w U (J~ LL- (/~ ~ l1J O Z z W o ~ N y o Q ~ ~ ~ Q 0 !_~ W OC X W F- W Q.. C~ W -•~ z N~ C/~ O a O J i V _z f -- z 0 Q 0 H O m cn /* Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal intom~lation you provice may be used for secondary purposes [Privacy Law, s.15.04 (t)(m)]. Permit Holder's Name: ^ City ^ Village ^ ~bwn of: Zichmar Industries Hudson Township CST BMElev.:- Insp. BM Elev.: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air intake ROAD Septic NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand Model Number GPM TOH Lift friction System TDH Ft Forcemain Length Dia. Fi Dist. To weu cnu ARCnRDTIn1U CVCTFM ELEVATION DATA County: St. Croix Sanitary Permit No.: 383823 State Plan ID No.: Parcel Tax No.: 020-1075-35-100 STATION BS HI FS ELEV. Benchmark Alt. BM Bidg. Sewer St / Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header /Man. Dist. Pipe Bot. System Final Grade St cover BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth N I DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu acturer: SETBACK CHAMBER Mo a Num er: INFORMATION Type O OR UNIT System: r1KTRIRi ITInRI GVCT~M Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 606 Brakke Drive, Hudson, WI 54016 (NW 1/4 SW 1/4 27 T29N R19W) - 272919303D -Lot 9 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Plan revision required? ^ Yes ^ No Use other side for additional information. Date Inspector's Signature Cert. No. SBD-6710 (R.3/97j Sanitary Permit Application Safety & Buildings Division ` ~ ~~ ' In accord with Comm 83.2 i. 1b'is. Adm. Code See reverse side for instructions for completing this application 201 W. Washington Ave. PO Box 7302 ' seonsin oses ur dan~ d f o i id b Madison. WI 53707-730' Department of Commerce p p or sec n e use on you prov e may persona! informat [privacy Law', s. 15.04(1)(m)] (Submit completed form to courtly if r state owner. Attach com fete cans (to the county co ~ only) for the system. on a er not less than 8-1/2 x 11 inches in size. Coun State Sanita Permit Number Check if revision to previous application State Plan 1. D. Number S`2 2~ ~ f! 2 S I. A lication Information -Please Print ail Information Location: Property Owner Name ion Pr erty L oc at o p (_ ~{-1M ~R. ~-V ~~JI,S"~'Q ]~ ~ ~ ~ •~•~ „ h ' ~ IvW+ i/4 ~' 1/4, S~TT ,N ~ E or Property Owner's Mailing Address Lot Number Block Number ~~ Z . Q . • City, State Zip Code Phone Number Subdivision Name or CSl`1 Number O v. l . DSO w~ S`t(o t b (~(S ) 38' -• oaf 3 ~- S'Z yv` • ~t35 II Type of Building: (check one) ^ City ^ Village ^ I or 2 Family Dwelling - No. of Be~rooms: l(' ~~~L Q '~•Y ~STR / i l d ib 1RDTown of - e use): u~, a ( escr ,La ^ Public Commerc QSo+J ~.~.t ^ State-owned , III Type of Perr.:it: (Check only one bex on line A. Check box en line 13 if applicable) Nearest~o d~ A) I. ^ New System 2. ^ Replacement 3. ^ Replacement of 4. '(Addition to Parcel Tax Number(s) 2o " /~ ~ ` 3~ •' ~~"' S stem Tank Onlv Existin S stem O $) ~,oNatter-/-w~ ®'.A Sanita Permit was reviousl issued Permit Number Cn' N+rT` '~' °O`f Date Issued N lS ZOt~ IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ Aerobic Treatment Unit ^ Recirculating ^ Other: ^ At-grade t r 6 ~ p~~ 3 6 K q V Dis ersal/Treatment Area Information: i. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation t VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ~ ^ ^ ^ ^ c ~ l7v'~ ~L, ~ fie. ~W VII Responsibility Statement I, the nndersi .ed, assume res onsibilit fer installation of the POWTS shown on the attached laps. rint) Plumber's Name ( p ps): Plumber's Sigglt~ature (no stam PRS No. MP/M Number Business Pho n e ~ / ~ j jj~~ •~ /_ `' + ~ L ,/ 2 Plumber's Address (SVeet, City, State, Zip Code) VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued re (No Issu'nt S ~$-Approved ^ Owner Given Initial Adverse Surc ge Fee) ~ ? "' lZ•-?,ems i ~ Determination • IX. Conditions of Approval/Reasons for Disapproval: SBD-6398 (R. 07/00) l~ _ >~,~~`~~" ~ ~N ' STS Sanitary Permit Application Ordinance it ST. CROIx COUNTY WISCONSIN ZONING OFFICE ~,~, b~~ il- ary In accord with 15.04 St. Croix County San Personal infornation you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER (Privacy Law. S. 15.04(1)(m)] 1101 Carmichael Road Hudson, WI 54016-7710 (715)386.4680 Fax (715)386-4686 Attach complete plans for the s stem on pa er not less than 8-1/2 x 11 i n in size. 6et~tr Sanitary Permit # ^ Checc if revision to p[eyious application a ~ W~ ' Leo /x Ca.u~ 83 3 s ~ ~ '452.2 1. Application Information -Please Prinf all Information ovation: Property Owner Name - r''' 1/4, Sec Z'7 ~; ~ 1/4-S ~ '`"' ~ -.-- Property Owner's Mailing Address ~ ` " - i~~i~~ _ Lot Number Block Number 'ty, State Zip Code Phigne;Tltlrii f{rc~~'~F:=iC~ `,. ` Subdivision Name or CSM Number ,~ II Type of Building: (" eck one) - -- ~~~------' ®Town of ^ 1 or 2 Family Dwelling - No. of Bedrooms: / .: ~ ~t~cC ~ - biidCommerdai (describe use): a,; ~• ~+ ; ~ P Lt~/~ ~~ ~~. . u ^ State-0wned Near st Road _ l~ ~ ~ ~ ~ 11. Type of Permit: (Check only one box on line A. Check box on line B if appligble) N n Parcel T Number(s) 11 f ~k J~ ~ 1.^ Repair 2. ^ Reconnection 3.^Non-plumbing 4. ^ Rejuvenation ~ , ~'_~ ~ - . ~ ~-, .~ ,~_ ~ ~ ~ _ /~~ ~' A ) Sanitation Permit Number Date Issued ) ~ State Sanita Permit was reviousl issued '~ °-• L ' ~r ' C ` L/ ~~ ~` ~ -5 ~.0 C C . Type of POWT System: (Check all that apply) ^ Non-pressurized In~round ^ Mound ^ Sand Filter ^ Constructed Wetland ~ Pressurized in-ground ~-~`~~ t!yG~.Ez~ ~ ~~ ^. Holding Tank ^ Single Pass ^ Drip Line ^ At rade r x ~ ~- ^ Aerobic Treatment Unit ^ Rearculating ^ Other . DispersallTreatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 1Z 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade Required /) 'i1 ~ Proposed ~ (GalsJday/sq.ft.) (Min.lnch) ~ Elev/~ayt/ion / ~ t .L ! j I. Tank Information Capaicty in Gallons Total # o Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete strutted glass Tanks Tanks {~~ Cam; . A7,.. ~;. . l ri((t. /i /acv ,cc a / ~~' e•c_.~.;:~ ^ ^ ^ ^ I. Responsibility Statement I, the undersigned, assume responsibility for repair/reconnenction/rejuvenationfinstaliation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the installation of non-plumbing sanitation system. Plumber's Name (print) Plumbers Sign rer no p MP/IatPR3idrr~ Business Phone Number _ ~- Plumbers Address (Street, City, State, Zips e) ' -; %<5 111. County Use Only Disapproved Sanitary Permit Fee Date Issued Issuing Agent Signature (No stamps) (~ Approved Owner Given Initial Adverse 2 2~ ~ ~ ~2-" ~Z- Z ~ Determination o 0 - . IX. Conditions of Approval/Reasons for Disapproval: ,~{~ ,as~ r ,, _ ~ 1 ~ ~ ~~ lscons-n <~ Department of Commerce Safety and BuHd~s 4003 N KlNNEY COULEE RD LACROSSE WI 54601-1831 TDD ~: (608) 264-8777 www.commerce.state.wi.usJSB Tommy t3. Thompson, (ioverrror Brenda J. Blanchard, Secretary November 29, 2000 CUST ID No.260751 JACK BOWMAN BOWMAN PLUMBING 1NC 2819 KNAPP ST MENOMONIE WI 54751 AT7N.• POW7SINSPECTOR ZONING OFFICE ST CRO1X COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL ~ j _ .~_ ' ' Idet-tification Numbers PLAN APPROVAL EXPIRES: 11/29/20~~ _ ~' -' ~%ti. ,. Transaction ID No. 452298 ,,; o Site ID No. 202155 SITE. ( ~~ ~ ~ /'. ' Please refer to both identification numbers, Site ID: 202155, Richmar Convenience Stole"- ~ ``;~~ -` -above _in all comes , ndence with the.: en St. Croix County, Town of Hudson , ~ ;-;, ~,, ;' y~, NWl/4, SWl/4, S27, T29N, R19W +~':~ FOR: -"~ ~ ~,:.ciL~ ,';~~ Description: Commercial Pressurized In-goupd Soil_A,hse~ Object Type: POWT System Regulated Object TD No. l~ The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (8.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • An effluent filter is required. Maintenance information must be given to the owner ofthe tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stets. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stets. • A meter, with remote reading device, shall be installed by a properly licensed plumber, on the water system, that adequately measures the amount of water used by the structure, exchzding hose bibs and wall hydrants, which do not discharge into the sanitary system. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. JACK BOWMAN Page 2 11/29i'00 Note: It is recommended that the owner continue to monitor and record the water meter readings. This data can be very helpful if any future problems develop with the system. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of constructionlmstallation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM jswim~commerce.state.wi.us DATE RECEIVED 11/10/2000 FEE REQUIRED $ 500.00 FEE RECEIVED $ 500.00 BALANCE DUE $ 0.00 FART code isconsin Department of Commerce Safety and Bu~dmgs 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/SB Tommy G. Thompson, (iovemor Brenda J. Blanchard, Secretary November 29, 2000 CUST ID No.260751 JACK BOWMAN BOWMAN PLUMBING INC 2819 KNAPP ST MENOMONIE WI 54751 ATi'71!• POIFTS INSPECTOR ZONING OFFICE ST CRO1X COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/29/2002 Identification Numbers Transaction ID No. 452298 Site ID No. 202155 Ste: Please refer to both identification numbers, Site ID: 202155, Richman Convenience Store above in all comes ndenr,~ with-thee . en St. Croix County, Town of Hudson NWl/4, SWl/4, S27, T29N, R19W FOR: Description: Commercial Pressurized In-ground Soil Absorption System Object Type: POWT System Regulated Object ID No.: 771602 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDTTIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (8.6/99). • In the event this soil absorption system or airy of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • An effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Slats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. • A meter, with remote reading device, shall be installed by a properly licensed plumber, on the water system, that adequately measures the amount of water used by the structure, excluding hose bibs and wall hydrants, which do not discharge into the sanitary system. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. JACK BOWMAN Page 2 11l29~00 Note: It is recommended that the owner continue to monitor and record the water meter readings. This data can be very heipfiil if any future problems develop with the system. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shah be obtained prior to commencement of construction/mstallation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, /~ ~ rand M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us DATE RECEIVED 11/10/2000 FEE REQUIRED $ 500.00 FEE RECEIVED $ 500.00 BALANCE DUE $ 0.00 4RT code: 7633 IN-GROUND PRESSURE SYSTEM (commercial) PROJECP: Mr. Convenience Store Expansion QWNF.R: Richmar Industries ADD~ZESS: P.O. Box 732 Hudson, WI 54016 LEGAL DESQtIPTION: NW,SW,27,29,19W TIIP Hudson PARCEL. ID N~ER: f}~{~-1075-35-100 (~ONPY St. Croix ~Fc cf',9~ ~`e,,v , ~,~ F ~ ~~ ~'~ goo ~!~ '~ o Aso ~~ Proposal information page 1, 2 of 13 Plan of action page 3, 4 of 13 Site Plan page 5 of 13 System plan view page 6 of 13 Pipe lateral page 7 of 13 Cross section page 8 of 13 value detail page 9 of 13 Rotation schedule page 10 of 13 Pump chamber page 11 of 13 Pump informa~fon page 12 of 13 Management plan page 13 of 13 Attachments Soil test of nov. 2000 Water metering information Soil test of june 95 Approved septic plans of installed system DESIGNER: lorett flack A. Bowman SIGNATURE: LICENSE NUMBER: 222839 ~ ` ~ ~ ~ ~~ DATE: ,/ ~~--- `'~" ~" P'HONE NUMBER: ~ 715) 235-4634 p,o,W.T.S. Conditionally a ~ovEO A~RTMENT OF COMMERCE ~ ~ DEP g ~ NGS (VISION OF SEE CORRESPON E ,~ .eun.~, Guo.c~ca.~c~ __ __ ~~ ~ ~ ~ ~ ~ a~~ r ~ j X ~~ r _,?D X ' ~.. ___w_.__ J.___~ -* 70% 96 ~- - /~, -cc ~~ / ~~~ .~~ _ - q __ t,~ %i -------------c~_~ __~ 1~-~ _--- - --_- __. _~ --- . -.~ ~~-~,~ea.~'~~----__.,1...1.___7_..5__... ~'_.~s.zF__________.___. ~---- __ _._____.___~__ a~ _ __ ~ ~ /a80_~~~'. _~ tg-cam., --- __--- ... ,- a O P ___, ___ _..--- o ~ u v , r ~- r ~~~? ~ ~ ..._. _..,..__. __._~.~.-._~.._ ~__._ -r. ~k~J_ ,_ 1 . ._ ~~1,__.__._..__ _. _. _._.____._~ _. _.__ __ __...__. -_-. _ _.__. ._ _,._..__..__---__-- --.._.. __ _.~.~__~ . __ . ~_. ~, __ z_ _. _ _____~ _. __ _ ----._ .. _ ____ _ __ __ . __ _. ~..__. . / `.', = ) /y~ //{~, ~ .J{~j J ~ _ yam, -.,~ :s ,. ~. ft:.:: °~ - ,mss,>~_ -- ~ _. _ _ ,~~~ ~1.. __ _ _. ___..~ _. _ - -- _-_ ,~,a,_ _ _ _..----..._.. i J ., , ~'/~~>L2~e'...~ J (a ._.~. ~ :wet ~. _ .' ...L.+..w.f.L.S~.~__ '_.ea._1`J...,,~._... _ti~~ ^.~..,' ~ t ~ '._.' ..-~ ~. ~'. `r~.:~_.__._ __ _...... _.. ~ g ~ U I tl n l __.___-----.~,- ---_ ._ . _ _ _ _ 0 ~, _. - ___~ F--~--_._ . __ _ _ ~. cam. .~..~. .~..~ _ _. r .~- __s_~~' -~~-'rr; ~, _ . __ ,_ _"____.~_ :__u....,._ _ _._.. _ __ __.._.~___ ~ ,..y,~ ~a _._~:~__.~ ___~. _ _ c2 _ _ .~_ ---- --...__.__ ~, / ~ // ./ ,~ r ', 7 .. _~ C ~ ~., ,~ , i ~___ :,. _ f' :~ v ~~ ~~ ~,?(,CS;~~- .tit-Fl.ehc_ . `~ ~ t ~ cx=~ r~ . ~-e~~.-n.:a A `f ~. ~ C"-\ tank o,~. ~~ N ~~~~ c~c ~ ~~~~ GA 1~. t31c.~..~t kp ~ dr~~ s ® ~~ ,~ ~^ '~ ~ ~ ~ u ~ I I ' ~ .~ i ~®~ ~ , c~ , ~. r~ '"'` ~,4 f ~ ~ ~ ~p~t~. ~. , ti.. jli~ ~ ~ ~ ~ ~, ~, ~ti i v S~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I~ ;; ~ ! I ,~ ,' ~` ~31.~~~sa~o~ /C' `f'r 3.4 ~.c v~ ~ ~ ,y 1 Q..1~C~ 7~ s s Tu P of pvm p- rnon hale c~~e2 f~iepos~~, (~-t~.- . ~I ~.. ~~ ~(~~~ J 2y''` I J ~~~ ~L l "' ~~~ ~ fir""" Ib5o~Q G/ ra ~o ~ ~~a~ y ~~ ~o- ~,~' ~.t~a-cam ST~• I'~ I iS~in I ~0'~5 ~~~~ ~ +~.,~._ -- r 3~ ~ , ~Y •iT tt f1 © ~~ . l~l~il~>I~i ea ri a~~~ ,~ ~ ~Q ~J~m~~-~ct~ ~ ~ ~ ~~ ~ e~.~ b II~ ~~ ~vv ~ ~ ~~ ~, o ii . ~ ~~ ~ ° ~ ~' ,.~-ter, l~r rlo Sl (?.-lam 4 ~-t 1.; c5J( l.e-,~-a,, uY-~ @ 5. ~su, ~ C 11,Z~ 1~. 3` ~~ c~1 ~ " -b '-U ~/ ~~ 1 _. c /, ~ ~ m ~, _ ~~ x ~~ ~ ~' ~:~ ~_ ~ x\~! ~ _~ ~ ~-`---_ o~ \^1 ~N k ~ ~ ~O ~'~ ~~~ ~ ` _-~~ T / ~ _.._ ~ w~ ~~ y m r . ~,a-r~~e-nom c.sZ. \N F N ~I~ ~• ~i~ ~. ~~ O ~ m 0 ~ ~ ~~ V ~'J ,' o 0 ~~~N m ~~ ~ ,~ n 0 ° ~C \~'1` 1~` ~. ~ v E ~, M ~~ -~ o~ ( 3 n <J ~~ ~~ c _~ C ~ ~ ~ c • ' ~ •- t~i•~ ~. ~ Q ~ ~ Y \ . 4 ~y~ }~ ` `~ V 7r '` . ~ A© F " 8 r ~~, ,~ _~ ~--~ Y V 6 . _b C ~~ '~ ~ .D cn ~ ~~ ~~ `~ ~ ~ y C ` /~ L. C`~_ 7 ~~~ ~ `i w .~"~- 1~ o '~ ~=~ ~ ~ ~- 13 \ `/ n a_ 0 1 ~ ./ ~ ~ 9.~i~~. ._~_.CScL~«[_~. -~J~¢L/-~~• ~ ...13'4 `1,.-i ,l,L.rJ D . r_. ~ ~ ~, a ~ ~j N ~~.°,~ _,~3~~.,~ ~ ~ ,~ ~ , /~ n L ~ i t ~ n_ °j ~~~ ~. 1 /I ~ n i A i _ i T e ~~- - _ ~~ ~ .__________~ __~.___~__ _ ~ ~- -fi3 PUf'~P CHAMP,ER CEiu55 ~EC'IO,J ANG SPECIE ICA f"10!5 4"C.I. VE1JT PIPE ~ 25' =ROM DOOR, WINDOW OR FRESH AIR INTAKE IB"I'tI1J. ~ IIULET I APPROVED JOINT W~C.I. PIPE ~ EXTENDINb 3' ONTO SOL10 SOIL ELEV. 7hV FT. f-VEAIT CAP Wl=ATNFRPROOF JUNCTIOAJ BOX 12"MIU. GRADE I I I ~~ COAIDUIT ~-- APFROVED LOCKiAJC.• MANHOLE COVET. `I" MIIJ. V ~ \\\\ \ ;\ .. PROVIDE I AIRTIGHT SEAL I I i I I I I A I III I I III a I il. i I I c I ~ PUMPS __J ~.. 0 I COIJCRETE OLOCK I ~. j I B" MIIJ. V APPROVED JOINTS W/C.I. PIPE EXTEWDIUG 3' ONTO SOLID SOIL ~- RISER EXIT PERM1TfED OAJLy IF TAIJK MAAIUFACT~IRER^ HAS SUCH APPROVAL n SEPTIC E SPECIFIGA DOSE ~. ~ // • TANKS - MAIJUFAGTURER: Lf ~'°Qh--~ ~~f~~~ TAAlJC SIZE: IO©~ GALlOiJS ALARM MAWUFAGTURER: -S OF DOSES: ~ PER DAy MODEL IJUM6ER: ~' T~ CAPACITIES:.A= IAICHES OR '~~ GAlL0y5 SWITCH TYPE: - g = Z INCHES OR /~' GALLOAIS PUMP MAAJUFACTURER: r C = 25 IAI4HE5 OR .~ GALLOIJS _.... ,~p Q~ MODEL AIUM6ER~ °~g _ •~~`~ D a ~ INLCHES OR~~yALLO1J5 SWITCH TZ;IPE: NOTE. PUMP A1J0 ALARM ARE TO OE p MIIJIMUM DISCHARGE RATE ~ GPM WSTALLED ON SEPARATE CIRCUITS VERTICAL. DIFFEREIJCE CETWEEU PUMP OFF AND OISTR16UTlOA! PIPE.. a~a_Lx~ FEET , + MIUIMUM AIETWORK SUPPLY PRESSURE 2: `, r ~'3 ,^, ~~~ ~" FEET ~80__. FEET OF FORCE MAIN .X3'78 Fi oo rtFRICTIOU FACTOR. FEET ~~,p,~, ~f0 ~ G Y~}'~~ol[.a, ~~. ~ TOTAL 0`JIJAMIC HEAD = `'~• 7 FEET ~'~° ~~ '" IAITERtJAL DIMEAJSIOAIS OF TAIJK: LE~.~(,TH ~ ~~ ;WIDTH 86/' -;LIQUID DEPTH 39r ~ ° ~ ~ i~ r~ SIGNED: Q' DOSE VOLUME iNCLUDIAIG 6ACKFLOW: ~~~ GALLOAIS .. 0 x _U f Q 2 C J Q H O F EFFLUENT 14 ' and I DEWATERING = _= 7 V :0 1 > 16 6 O 6 J Q F- O 1/ s 1a a: i= 41 ]: t0 SEWAGE and ]f :, DEWATERING . _, a 1/ ~ ~ ~' 10 _ )~ 2 J s u n u it 10 t _ 0 DAllt UTERa v {0 160 ]a0 ]=0 a00 FLOW PER MINUTE ~~~~~~~ r r 3280 Old Millers Mane P.O. Box 11f3e7 LoulsHlle, Kentucky 10216 (502J 778-2731 ~~ "282 -284" Cast Iron Series -.. - • Automslic or Nol~omettc. • 282 h H.P., 1 Ph.; 116V, 200.208V or 230V MEAD cArecm u7rrtsrMlra :: H.P., ~ PI1.. 200-208V, 23UV or 460V • 284 1 H.P., i Ph., 200-208V, 230V M.e.r = ~_ = N 1 11.1'., 3 Ph., 200-208V, 230V Of 460V rnr Llcrars Gnl Ira rm ua • Non-clogging vortex Impeller design. s r s= r]o a/= r6D her • Peaaes 2" solids (sphere). ' ] os M ]so 1 sw • Floel operated, allbmersible (NEMA 6) 2 pole 's 'S7 s, 7]s 1]s s11 mechantcel switch. ern ]Y lxs 401 • Autometle reset thermal overload protection (1 Ph. 7` ' 6= 76 7/s models only), ~ / ~~ a] 16] • Slafnless steel screws, bolts, Iloat rod, handle, I ~~~ ~~•~r•• 76 ]s• gusrd and arm and seal assembly. ~" - ---- --- • Upper sleeve bearing and lower ball bearing (U~~II/led running In a bath of oil. Mr n r M.. ur ea„p ,,~, xxr xulw r rr, • Speclly 2" or 3" Ilanged discharge. .:....,.. s~.. ~,r;,~ ,m ~tP/s M r~"~"r" Mn...rny /ptrl {w,li'M1n,, ,~,n ava,l:rfMn /flr ndr-•YIO..U11,C nr00011. ~ '"' 1lryxov ... . Al r n.rw fC•72/S "E--Pak" El t i l ,,,, ~ ec r ca w /^ (~j ~ ~ - ~ `~ n -~ - _ I I - I MODEL I MODEL _ U/ - _ -~ - - 16S -- -- --... .. _ _ __ --~ T O L = MO DEL - -- - - 1 /6 -- - -1 MOD --- MOD 177 _.__ EL - - - ~ - 16S - _ r ' MODEL MODEL ~•-,~. I _ 1N DEL 7 . \ ~ _ - /7, S/ 1 10 =0 ]0 t0 SO 60 70 /0 /0 100 110 ~4~ \ z ~-~- 1~3 .. 16• =as szo a•o 6/o sw sao 7:0 FLOW PER MINUTE In-Ground System Management Plan • Pursuant fo Comm 83.54, Wis. Adm. Code Septic tank The septic tank shall be maintained by an individual certified to service septic tanks.. under s. 281.48, Stats. The contents of the septic tank shall be disposed ofi~n accordance with NR 113, Wis Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids~ain the tank that may slough off the filter when removed from its enclosure. If the filter is equipped . with an alarm, the filter shall be serviced if the alarm is activated continously. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeeds 1/3 the liquid volume of the tank. Pump tank The pump (dosing}tank shall be inspected at least once every 3 years. All swithches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank is shall be inspected and serviced as necessary. Septic System- In-Ground No trees or shrubs should be planted on the system. Plantings may be around the system perimeter, and be seeded and mulched as necessary to present erosion. Traffic (other than for vegetative maintenance} on the system is not recommended since soil compaction may hinder aeration bf the system. Influent quality into the system may not exceed 220 mgjL BOD5, 150 mg/L TSS and 30 mg/L FOG. Influent flow may not exceed maximum design f3ow specified in the permit for this installation. Observation pipes within the dispersal cell shall be checked f©z effluent ponding. Ponding levels. shall be reported tot he owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and hha11 maintained in accordance with its component manual and local or state rules pertaining to system maintenance and-zeporting program. No one should ever enter a septic or pump tank, dangerous gases may be present that could cause death. Septic or pump tank manhole risers, access risers and covers "should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective must be replaced. E~cposed access openings greater than 8" in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into tank.- Contingency Plan If the septic tank or any of its components become defective, it-shall be repaired or replace to keep the system in proper operating condition. R~..,~.-,maw. Q~~~-~`'w ~ I~- 35- If the dosing tank or any of its components become defective, it sl~ll bey epaired or replace with a component of the same or equal performance.. `~ '1i5- 3 -~Fb3 If the system fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or a alternate system be installed to bring the system into proper opetati:on. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. , o _ _~ ~~~ - ~ ~ riv ~ ~ .~. , ~ _.~._Y._~'_ `,, I ~ Wisconsin Department of Commerce SOIL ~L`~1A~a-Q~1~ORT Page ~ of ~? D+vision'of Safety and Buildings `' ~ in accordance with Corlnm~85;~Wis. ~~ode Attach complete site plan on paper not less than 8 1/2 x 11 in~ti~s in size. Plan i~SllstL~~ ~ re ~ X perlcent sl~o e~slcaleeor dimensionls, north an-ow,land location~a7tid d stah'cection and r I LD. P to r£~at$st~? ~ . - ~-~ _ - .- :~ - - /CC's Please print all information 1 ~ ' sr ?~ ,r,~ rF3e, ed by Date Personal information you provide may be used for secondary purposes nvaity Lad4~4! Property Owner ,,, ~,~ ' ~_ ,Property Lo fr', ~ 1J ~ ~i~C' __~ s o ~,~ ~~ ~.. t;o~t.~L~t`:-1 ` GL' 1/4~"~.i,~ 1/4 S~,:1'] T~9 N R // 1F (o W Property Owne r'??s Mailing Address Lot # Block # Subd. Name or CSM# ~~ City State Zip Code Phone Number ~ City ~ Village ~ Town Nearest Road uo~~~, s~ ~~ (~~;~ > -~~~ ~ey3 ~ r ~ l~ New Construction Use: ^ Residential / Number of bedrooms ~'J, cL Code derived design flow rate `/~J3 ~ /, 5 = // 7 5 DLV F" GPD ^ Replacement a i ® Public or commercial -Describe: '~ ~~ ~C ~- ~ z'` Ca~ C ~Z ~~ . 2C~.. ~~ ' ~ l'1')u Parent material ~ v ~ ,Flood Plain levation if applicable • /) CSC ft G l t ct ~ i c ~~ ~' , , ~~ ~ ~ ~ ~= . ~ enera commen s and recommendation -_~~ ~ , ~ ti t ~'~ c*' ~~~.~ 2~.~-~~i_ _~'~f~~ 9 - >- -, o l r.-_t~ _ ~~ ir1~'~C~ -~~~r:r l -~a~ _ ,~5_~t^,L::f r,~-,~ .~ , ci ~~-6U"c~~ (, ., __ ~.Y.3 ,: ~ ® Boring ` ~~ ~ `~ ~~ Boring # ^ Pit Ground surface elev. /~ r~ "t ft. Depth to limiting factor / ~ ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~_ 9 ~~ C Y' ~~~ .~o ~ ~ ,. r~ ~~ ,.{~ , ~ - ~~' ~ YlV `~' ~ ~ l n C Y fYl ~ Y' ----~ •J J ~l '~ M1 ! ~~ .~.:_~~) ~ ~i~7L.i Boring # ®Boring~ ~ i f ~ [~ pit Ground surface elev. ~'ey ~~ ft. Depth to limiting factor 'C, in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 is y~ ~!~. `'-~,- ,~, _ -~, ~' ~ ~, s .~~ ~ a ~~.~ . 7 i, ~ `~ ° ~ t, ~~- z ~ '% n N ~- _r ~ -fir (,~, -- 'I t . - -_ :7 "r ~ - t( ~~+ ~ - tmuem ~~ = rs~u5~~ su g1rcu mgiu and yaa ~sw~ ~ au mgiu - trrwent ~t = tjw5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ~ Signature ~ CST Number Ms . Loretta A. Larralx~ ~_, ~:~ ? , Z r^i C7 ~ ,7 c~ ~ ~;__ CSTM 224580 Address --~ ~ Date Evaluation Conducted Telephone Number N2089 Cty. Rd. Y, Menomonie, WI 54751 ~' ,~~i ~ 715/235-4634 wk ^t:', ~ ' ;~~~~ 715/664-8184 hm Property Owner ~~ ~"IlYx2 i' ~'/~i y'G i~ / ~ ~ )C-C'- Parcel ID # ^`~ C - /~ 75- . -~'S" - ~ ^c Page ~. of ~ , Boring # ®Boring ~• ^ Pit Ground surface elev. C/ C~ ~ ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu: Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 !Y- ~ l.. ~~ ~ -~ i ~' C. - ~ J ~ y s ., 1 ~t'•r~ - ~ c~ t ,, - ; ^ Boring # ^Boring ^ Pit Horizon Depth Dominant in. Mun Ground surface elev. :olor Redox Description ft. Depth to limiting factor in. Soil Application Ra Texture Structure Consistence Boundary Roots GPD/ft2 'Eff#1 I 'Eff#2 ~e c~ c, n .~ ~~ ~ R ~0.~~ ,.t~.c.tiC ~'~s-~o~'-~.~L c~~(' r'C F~e~.cJ'.. A~~~.C~.. ^ Boring # ^ eorin ^ Pit Horizon Depth Domina in. Mun: ~~ti J~~.C'~~YI~-C~~-o-+-ti ~L.11uX ~.~`--~a-- ,~, ` ~ Soil Application Rate " `- ' p ~~ ~ GPD/ftz '~ •Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.N00) •, ~ Soil and Site evaluation report Page 3 of 3 j~ rn Richmar Convenience St~c~ie ~ NW, SE, 27, 29.19W ~ ~ . ~ ~ ~ Hudson township , o u a~ -~ St. Croix county v ~ ¢' ~ N M ~ U m ~ +~ ~ ' •~ N O O - O O O O O O tJ1 ~ ` r J I' ~ ¢ ~ d ~ r ~E-uT~~-e. *J~ ,/~/ xf ~Y ct,Ci-lam: _- 'd'1 _ ~S1 ~ ~ loretta larrabee CSTM 224580 e ~ ~ S-1 rC+ Q) ~~-+ ~ ~ ~ Q) •r-I ~ o ro~~~ o ~ a v ~ a \~C ~cn s ~ U as oN0 ~ ? -- - -- - - ,Zc ~ ~ u ~_ v f 1 / \~ ~ i •9~ ! r r~--- -. i ~ _ ' .- - __ r r ~ f s, O ~ --- (~ v © ~ ~ ~ ._ - ~ 7 n ~ ~ V •-1- r / ~ O ~ ~ ~) ~ // ~ © ~ `, /-may ~ L) ~ ~ l ~u ~ ~ /% / J l ~ / ~r~, ~,~ ~ ~ Q 1 - ~1j a ~' ~ ~_ \I 0 L f' .-~/ R13 u ~; ~s -~~ .~. , r .r ~~ 7f MVisoonsln Department of Commerce Safety and Buildings Division GENERAL INFORMATION ~ ICC.C,errvNscCT7D+~ PRIVA~ SEWAG INSPECTION REPORT (ATTACH TO PERMIT) Personal intomiation you provice may be used for secondary purposes [Privacy Law, sX15.04 (i)(m)). ~tP`i41 rdi.~t'f~'~s, ^ city vs~ ~°~ ip CST BM Elev.; Insp. BM Elev.: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. vent to Air Intake ROAD Septic NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Fi Dist. To well Snll eRSnRPTIif~N SYSTEM County St. Croix SartitaR[ p~rm~t No.: State Plan ID No.: Parcela~~N1075-35-10 .i' ELEVATION DATA STATION BS HI FS ELEV. Benchmark Bldg. Sewer St/Ht Inlet St/ Ht Outlet Dt Inlet Dt Bottom Header /Man. Dist. Pipe Bot. System Final Grade St cover h BED /TRENCH Width Length No. Of Trenches PIT No.Of Pits Inside Dia. Liquid Dept DIMEN I N DIMEN I N K SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu acturer: SETBAC CHAMBER Mo a Num er: INFORMATION Type O OR UNIT System: r11CTQIR11TIniU CVCTFM Header / Mani old Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 606 Brakke Drive, Hudson, WI 54016 (NW 1/4 SW 1/4 27 T29N R19W) - 27.29.19.303D -Lot 9 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Plan revision required? ^ Yes ^ No Use other side for additional information. SBD-6710 (R.3/97) Oate Inspector's Signature Cert. No. /' ` Cob ~ ~~ i~l,t v-~-- ill ' Vyw`a' vv^.. - ~ w'~--- ^ rte. w... -.. ~ - . - Sanitary Permit Application Safety & Buildin s ton [n accord with Comm 83.21, Wis. Adm. Code 201 W tngton Ave. See reverse side for instructions for completing this application PO Box 7302 ~~ Personal information you provide may be used for secondary purposes Madison, -7302 O en f Commerce [Privacy Law, s. I5.04(l)(m)~ ubmit completed form to countyT of state owned. Attach com lets fans to the coon co onI for the stem, on a er not less than 8-112 x 1 t inches in siu. County ~ ,Pur~it ^ Gt~eclpif revision to previous application State Plan L D. Number ' i'`i X• ` [. A lication Information -Please Print all Information Location: Property Owner Name Property Location "'~ ~ •1 r ~ ,Z ` ~ ;, ~~,(,~ t/4'~~' 1 l/4, SL•7 TZ .N, ar W": Lot Number Block Numbu Pro Owner's Mailing Address Cit State ip Code Phone Number Subdivision Name or CSM Number Y. -~LL ",~~ ~`~Y'r (r ~-' ~ ^ city II. Type of Building: (check one) ^ village ^. L or 2 Family Dwelling - No. of Bedrooms : -- a ~ Tow of public/Commercial (describe use):_ ~ ~~ ~? ~. ~ ~ ~ ~/x ^ State-Owned ~.~ 1"uGl •'4~C' • ' ,~'~~ ,^, `'o i,t ~..a ,,.~.-.-- °~ Nearest I;~ad /~/~. Par~T~vt ~ ber{s 5 _~a7 III. T e of Permit: Check onl one box on line A. Check box I' B if a icable 2~ • ~! • 1 ~' 3a 3 (~ I. ^ New 2. ^ Replacement 3. ^ Replacemen of 4. ~ 6. ^ Addition to p) ~ Existin S stem S stem S stem Tank Onl 1~~"' ~ "' ~ ~' `' Date Issued B) Permit Nu ^ A Sani Permit was reviousl issued N. Type of POWT System: (Check all that apply} [~ Sand Filter ^ Constructed Wetland ^ Non-pressurized In-ground ^ Mound Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- de ^ Aerobic Treatment Unit ^ Recirculatin ^ Other: V. Dis ersai/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Arrz 4. Soil Application 5. Percolation Irate 6. System Elevation 7. Final Grade Required Proposed Rate (GalsJday/sq. R) (MinJinch) Elevation s VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel : Fiber- Plastic Information Gallons Gallons Tanks Con- Con glass New Existing Crete structed Tanks Tanks ~ ~ ~ ~ p 1 ~ r I VIII. Responsibility Statement I, the undersiencd, assume res nsibili for installation of the POWTS sho n the attached fans. gusincss Phone Number Plumbers Name (print) Plumber's. S' afore ( ps): q ,Q~ ~C.~I~1~tl~ P umbels Address (Street, City, State, Z' e) IX. County/Department Use Only Issuin A ent Si lure (No stamps) ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued 8 P> l~Approved ^ Owner Given Initial Adverse 5~~ ~ (mil S-~ 2~C~ Detetmination ~/r X. Conditions of Approval /Reasons for Disappro al: ~ ~ n , Cts+µ~~- ~ 1„l~l ~,~,~~~p~Q ~- ~~,,,` r~ `'~ U_ l~u,~b~~'`,t,,,~~-,e,, 1~•.~ c.Qe~e.-.V - ~~ `~~ ~ "~ -- 0 ~"~' n1 ~" '~ ~~ ~_~ o ~ ~ ~ ~ ~ -=~ ~~~ ~ , i .~., isconsin Department of Commerce November 7, 2000 Bowman Plumbing Attn: Loretta Larrabee 2819 Knapp Street Menomonie, W 154751 Dear Loretta: Re: Mr. Convenience Store NW, SW, 27, 29, 19W Town of Hudson, St. Croix County SAFETY AND BUILDINGS DIVISION Field Operations Bureau i3 East Spruca Street Chippewa Falls, WI 54729 www.commerce.state. wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary i have reviewed the additional information you recently submitted pertaining to the above referenced project and have determined that the metered flows from this establishment are within the scope of the design for this system. • The original design flow for this system was for 2455 gpd. • The average design flow under current usage patterns is less than 1379 gpd (919 '1.5). • The estimated additional design flow for the addition is 1076 gpd (717"1.5). • The combined design flow is 2455 gpd (1379 + 1076) based on the metered and estimated flows plus a 150% safety factor. • The soil absorption system was inspected and found to be in good operating condition. • Average usage levels were reduced to previous levels by eliminating extraneous uses by construction workers and recreational vehicles. Based on the documentation you have provided, it is my opinion that the proposed addition will not hydraulically overload the existing system. Therefore, no additional modifications are required to be made to the system for the proposed building addition provided flows stay within the above referenced parameters. Recommendations for this project include: 1. Separate the outside hose bibs from the water meter so that future readings will relate only to the water consumed within the structure. 2. Install automatic tracking of water meter data and sewage pump performance to the system. 3. Changes in the type of use may require compliance with current rules pertaining to high strength wastewater discharges to a soil absorption system. {R. 2/9ti) File Ref: H:~IETTERS~AAR. CONVEtlIENCE STORE 2.DOC Mr. Convenience Page 2 Please keep in mind that the average flows you obtained by metering are equivalent to the estimated flows from Comm Table A-83.43-1 (in the code appendix) and the design flow is like a peak flow or 1.5 times the estimated flow. An onsite system will not function correctly over time if it is constantly fed near peak or peak flows, but it must be able to accommodate peak flows occasionally. For this reason the system should be monitored for compliance with the approvals granted for its installation and use. If you have any questions regarding this matter, please feel free to contact me. Sincerely, 'd" ' . roy G. ansky Wastewa er Specialist Field Operations Bureau Ljansky@commerce.state.wi.us (715) 726-2544 Voice (715) 726-2549 Fax cc: St. Croix County Zoning - ~ - __ .. r ~~ j RI(~41R IrID05'PRIES AONVIIJIffi~L S Page 1 of 1 _=~% umbin _ Inc: ~~; .bowman PI g, ~~o,, ,.-~ . ~~'° Richmar :industries Master Plumber No.-5875 }~~ ~~ -NW, SW, Z°7, 29NR19W Hudson tc~mship 819 Klla J~'tf 96t ~~ ~ N ~ 1'0~ st. Croix county pp co~~c~ W~ (~ 5) ~ 3 -46 ~~ F ~7i 35- On-Site Plan. aFy^'_ . , ~ ~ ~Q ~ ~~- ~ Vii! '~ ~O' ~ ^- ~ ~ r,, ~ 1 ~ ~ ~! ,~~~ • E ,, Sisk, `~ J ~ ~ i I. . r` I ~ ~br !i . ~3' S ` ~~ . ~,, ;.;....,,; 3.5 ~ ~~„.~ f ~~ ~ ~. ~t . ~,,~' (~ ~ -Y ~~SCsplfSjl! APPLICATION FOR REVIEW Qep.-tmaM at COMtneros -Complete afi pages- POWTS Safety & Buildings Division ( )Check if Confirmation is Desired: ( )faxed, ()mailed Bureau of Integrated Services NOTE: Personal information you provide may be used for secondary Confirmation of assignment to a reviewer. purposes (Privacy Law s. t5.04(1 )(m), Slats.] Transaction ID: 1. Private Sewage Submittal 2. Type of Submittal: System Type ( )New previous Related Trans. ID: ( )Soil Saturation Determination Report ( )Revision Estimated Completion Date: ( )Interpretive ( }Replacement Assigned Reviewer: Determination ( )Petition (attach form SBD-9890) ~ POWTS System ( )Experiment, approval# Assigned Office: ( ) At Grade ( )Holding Tank ( }Component Manual (Indude each Circle your choice of offices below: ( ) Nonpressurized In- component manual name, # and Ground date on title page of plan) Next available appointment in any office, 2. Green Bay, 3. Hayward, Pressurized In- ~ Individual Site Design 4. LaCrosse, 5. Madison, 6. Shawano, 7. Waukesha Ground ( )Mound ' 3. Project Information - F" i aJ~ known infor ~tion. Q~ ~ freatment Unit ( ) Aerobic im r, Project/Site'Name j~r~ - tM~;e rcLP7t.('_n~ ~~l/ t}~~ ( )Sand Filter _single pass - Location, Number ~ Street of project (if unknown, indicated nearest road) ~VQ h ~2tU ~ -recirculating Legal Description: it/W. -~ (,~L ?, L 9 i 9 ~ ( )Constructed Wetland Coun ~ Ci Villa a Town of ( )Drip Line ( )Other. 4. After plans are reviewed, please: (check all that apply) Building Type (check one): ( ) Dwelling 1 or 2 family l~Call customer 1, 2, 3, 4 (circle number)" 'Refers to customer number from below , ®Public/Commerciai _ Requesting party will pick up U~ Building ~ _ Mail plans to customer 1, 2, 3, 4 (circle number}' ~ ~ ~ ~ ( )State-owned Building /~-~ ~t , Gallons per Days/~9 . 5. Complete the following designer/owner/requestinglnformation. Utilize the check boxes when designer, owner or requesting party is the same to avoid re atin information. First ame Last Name .Customer Number First Name Last Name. ~. 'Customer Number ~a~o ~s Com ny Name - Company Name Address Address _ ~ City State Zip+4 (9digits) City State Zip+4 (9digits) GYIrI 072C.F.i c~~" 7.~ I , Pho a Number (area code) Fax oHnteTftst -cell phone Phone Number (area code) Fax or Intemet ~ -0?35- -~63 ~ ~~s-a3s:-3~s~ rlls - b ~ 68 Check others ff applicable Check others if applicable Owner Pa er Re uestin a Owner Pa er First Name Last Name. Customer Number First Name Last Name- , - Crstomer Number Company Name Company Name .i Address Address City State .Zip+4 (9digits) City State Zip+4 (9digits) Phone Number (area code) Fax or Intemet. Phone Number (area code) Fax or Intemet Check others if applicable Check others if applicable ( )Payer ( )Payer ( )Other MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE $ ~~. °4/ Attach check here aeview code ~s3s V SBD-10577 (R ?!00) THIS FORM IS VALID ONLY FROM 09/01/2000 TO 08/31/2001 a - fc rr ~" ~, yr, ~-yZ,~,-/~~' ~,rK~L~''"-~ n ~r aka` h n c-~- ,.C'/~c 2~ .~Qe~, . a~ .cam ~ , 6Y y~, 20'`-'`'~'~-- ~ ~ r - r.~ _.2 .__.____~_ __._.__. . ___..__ ___-__ -_--___~.r~~ -~- 004 N~F~~~ ~~ ~9 ' ~ ..__. ~...~ s _ _ _ t `; ', . , ~~ ~ ,s- ,~ ~ ~ ,,y~,, 1 - i ,R ~^ ~ g~ p~ , ~ ~~ a ~- _.:, --- },, / / ~. \ "' ("`- / K~ ~ t f ~ti i ~~• I P. ~^ ~ ~~ ~G ~. N ~n~ ~~~ ~~~ ~~ ,~~ `~ C ® ~ ~® Q o~ ;© o o I ,. ~ ,~ ~ ~' ~~~ i ~ I i 4 ~ `• ~ ~e~ ~ Iv- ~4f ~ '~ v • e.~ r ~ b`~ ~ ~ ~, ~r,v s ~ ~ ~ i+ ~ ' ® l X ~ ,~ ~ d gyp, . O p ',~. .©. -~ •~ - ,~ ~\ac,1~ ~ ~p-- ~~ W `'~~` ,~ '~ I 1 Al I v~~ 1 ~~ e \ ~1 e~ ' ~. 1~C5o .~1 ra ~~ ~ y ~,~a,.,,.. ~a (,~ i ~ 1 ~S ~i n b~5 ~`-~- - ~~ ~ ~OS!'~ 3'~s~y~ '7(~' 3 3" ~.'N~. C~ \oa.' S~~ Top of p~ P- rnc~.n hale c~ve~z ` ~ ~ ~scons~n Department of Commerce SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www. commerce. state. wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 7, 2000 Bowman Plumbing Attn: Loretta Larrabee 2819 Knapp Street Menomonie, WI 54751 Dear Loretta: Re: Mr. Convenience Store NW, SW, 27, 29, 19W Town of Hudson, St. Croix County ~ ,';.rile ,..~. ~'`~` .~, :~ fi:~ r~~:r-!f ~~ ~ ~y4f ;•.. ,,~~ l ~~~~~ r,.~~~Y '~~ ~~,~Vr~F~-I~;E E ,e ., :~ ., ~:.. . , ~ ,. I have reviewed the additional information you recently submitted pertaining to the above referenced project and have determined that the metered flows from this establishment are within the scope of the design for this system. • The original design flow for this system was for 2455'gpd. • The average design flow under current usage patterns is less than 1379 gpd (919 *1.5). • The estimated additional design flow for the addition is 1076 gpd (717"1.5). • The combined design flow is 2455 gpd (1379 + 1076) based on the metered and estimated flows plus a 150% safety factor. • The soil absorption system was inspected and found to be in good operating condition. • Average usage levels were reduced to previous levels by eliminating extraneous uses by construction workers and recreational vehicles. Baseu on the documeni:ation you have provided, it is my opinion That the proposed addition will not hydraulically overload the existing system. Therefore, no additional modifications are required to be made to the system for the proposed building addition provided flows stay within the above referenced parameters. Recommendations for this project include: 1. Separate the outside hose bibs from the water meter so that future readings will relate only to the water consumed within the structure. 2. Install automatic tracking of water meter data and sewage pump performance to the system. 3. Changes in the type of use may require compliance with current rules pertaining to high strength wastewater discharges to a soil absorption system. (R. 2198) File Ref: H:\LETTERS\MR. CONVENIENCE STORE 2.DOC Mr. Convenience Page 2 Please keep in mind that the average flows you obtained by metering are equivalent to the estimated flows from Comm Table A-83.43-1 (in the code appendix) and the design flow is like a peak flow or 1.5 times the estimated flow. An onsite system will not function correctly over time if it is constantly fed near peak or peak flows, but it must be able to accommodate peak flows occasionally. For this reason the system should be monitored for compliance with the approvals granted for its installation and use. If you have any questions regarding this matter, please feel free to contact me. Sincerely, ' d- " roy G. ansky Wastewa er Specialist Field Operations Bureau Ljansky@commerce.state.wi. us (715) 726-2544 Voice (715) 726-2549 Fax cc: St. Croix County Zoning ]„11412000 09:24 7152353650 BOWMAN PLUMBING INC PAGE 01 ,~ 6o man Plumbing, Inc. Master PSumber No. 5875 2819 Knapp Street Menomonie WI 54751 (715) 235-4634 FAX (715) 235-3650 DATE • l ~ . ~ - ~ TIME ~ I ~ S ~ ~ l TO (L,i~ a` FAX: ~ ~ rJ 3Q~,~.U(~8~o . ,~. This transmission contains ~ pages plus this cover page Thank you 17,11412000 09:24 7152353650 ` ~3~~:Oi~/si'liri Department of Commerce County November 7, 2000 Bowman Plumbing Attn: Loretta Larrabee 2819 Knapp Street Menomonie, W 15x751 Dear Loretta: Re: Mr. Convenience StorE NW, SW, 27.29, 19W Town of Hudson, St. C I have reviewed the additions protect and have determined design for this system, • The original design flow f~ • The average design flow + The estimated additional • The combined design flog a 150% safety factor, • The soil absorption syste~ • Average usage levels we construction workers and Based on the documentation hydraulically overload the exi made to the system for the p~ parameters. Recommendations for this prc 1. Separate the outside F water consumed within 2, Install automatic tracki 3. Changes in the type o1 wastewater discharge: infomnation you recently submitted pertaining to the above referenced gat the metered flows from this estsablishment are within the scope of the this system was for 2455 gpd. ider current usage patterns Is less than 1379 gpd (919 "1.5}. asign flow for the addition is 1076 gpd (717"1.5). is 2455 gpd (1379 + 1076} based on the metered and estimated flows plus was inspected and found to be in good operating condition. reduced to previous 1®vels by eliminating extraneous uses by ;creational vehicles, BOWMAN PLUMBING INC PAGE 02 sAFEIY AND BUILDINGS DIVISION FI•!d Qperetbns Bureau 13 test Sprucr 5treief Chippewa Fells, MN 5728 t~ww.eamrrtsrre.sfete.wi. us 7ornrny G. ltftonyrearti Gowrnar 6renda J. 81anq+ard, Secretary have provided, it is my opinion that the proposed addition will not system. Therefore, no additional modifications are required to be red building addition provided flows stay within the above referenced include; ose bibs from the water meter so that future readings will relate only to the the structure. ig of water meter data and sewage pump performance to the system. use may require compliance with current rules pertaining to high strength to a soil absorption system. tR, :n+*1 I FNS Rd: H;ILETfERS~MR. GOM~ENIENCE STORE 2.DOC 1,/1412000 09:24 7152353650 BOWMAN PLUMBING INC PAGE 03 i Mr. Convenience ~ Page 2 Please keep in mind that the erage flows you obtained by metering are equivalent to the estlmated flows from Comm Table A-83. 3-1 (in the code appendix) and the design flow is like a peak flow or 1.5 times the estimated flow. An nsite system will not function correctly over time if it is constantly fed near peak or peak flows, but it mus be able to accommodate peak flows occasionally. For this reason the system should be monitored f r compliance with the approvals granted for its installation and use. If you have any questions Sincerely, ~' roy G. ansky Wastewa er Specialist Field Operations Bureau Ljansky®commerce. state. (715) 726-2544 Volce (715) 726-2549 Faz ing this matter, please feel free to contact me. cc: St, Croix County T sv.vv, ~ `` ~ a ~ 1 O , ~, 2.35 Acres' 102,477 Sq. Ft. c~ ~N i~ M ~ N O ° m o0 c. yN d ~ N~ ~ ~ o L O 'O ~0 4~ a c ~ o~•~ a C ~ N .` ~ m m ; N 802°02'32"W W114 CORNER OF ~ _ AN'vC SECTION 27 U iJ P 4 i~ ~ I ~- G 66.00' ~ ---------~ _~-- (S89°18'15"W) ~ rn ~r 130' 888°25'10'~E ~ 579.11' - 10 .IS' 209.331 65' ~ 65' ~~ l~: • - -,. ~I ~j~ ~I I-I I-I ~~i ~~ CSI r.11 1-I (vl iD 0 ap LC I I- I -JI ~ ~' m C~) I ~ fill O I _II = I ~ I o I Q) w \ W =I vii O X71 O ( ~)I W W '~ I O , -(E OWNER cal F o I1 ~ Richmar Industries '-I ~ I ~I o P.O. Box 732 _~I z Hudson, Wi. 54016 ~ r' 0 i m 0 z .c 0 -~ c m v w T .A 'O d CERTIFIED SURVEY MAP Located in part of the NWT of the SW~ of Seca~~nof7Lot21NofRCertif~ed Hudson, St. Croix County, Wisconsin; being p Survey Map recorded in Volume 7, Page 2051 at the St. Croix County Register of Deeds Office•SCALE IN FEET o loo 2 o aoo APP~C3~i~~ F ~~; nl ~I ' L ~I 1,~, ,~... JU;~ ~ ~~' ~, C! I VAR. 65' ~_I ~ I sT . cao~ couwT { 1 Cort>~~iv~ ~~ Za~+ic~ acrd I pa~tltCS Cott>ttrii#ee VARIABLE 1 W10TH 3 a a i"- ~ •1 ; l t 8~ S19°22'05"E •50.00' ~Q~~~ 1 1~ 11 1 3 ( 2.66 Acres ~j ` 115,701 Sq. Ft. m W I ~' > o i o m 264.98' ' 1 I I ~ o ~D39 ~ ~ c ~ I V1 / ~ ~ v' ~ e~ w ~3 M ~ N v ~ no 0 3:44 Acrese 149,782 Sq. Ft• ; o tl z i ~ 33' 33 Z Q of e to ys 9s" /CD 303 fl 30 y / 9 Cl,'~ l~/~Cr17~ . ~30.3D3o I~ u I o 2.76 Acres 120,092 Sq. Ft. :- ~ °~-~ , N88 12'43" W - / - 207.40'-_ ~ f3f~A1:KE ^v`r~l~/E ~. ~. I/1. ~/7~.. $ , ~v. c. Gl7 LEGEND ~ Aluminum County Section Corner Monument Found • 1" Iron Pipe Found 0 1" x 24" Iron Pipe Set, weighing 1.68 lb per linear foot ........ 75' Roadway Setback Line of ~I CSI L.I _ I Ki ~ I- I ti Jl GI ~ ~I m ~~i I s,il __~ 3; -~• v CJ ~ C~) ~ 0 o UJI QI N z l-I QI Q I _11 11 ~I al '>Kf +rw~ trtorc>te~ vvj311hN~1 ~1 da~^~s of ~pipgyg8114lr8~? Wisconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R T ,Labor and Human Relations Ilivimnn n4 C~4n1v R Ruilrlinnc uc_ w ~~ n_~_ Page 1 of 3 ' - III QIiVVIV •Illlll ILI Ill V~J.VJ, ..IJ. /~4~~~• vvvv COUNTY St. Croix but Plan must include 11 i hes in ize th 8 1/2 l t l i h l , s . ess x nc an on paper no an comp ete s te p Attac not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 020-1075-35-100 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R W B D TE /~ 9 PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT ~ 1/4 gy,~ 1/4,S 27 T 29 ,N,R 19 fc(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # box 732 na na Richmar Industries CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE SOWN NEAREST ROAD Hudson, WI. 54016 d15) 381-1043 Hudson Brakke Dr. New Construction Use [ ] Residential / Number of bedrooms [ ]Addition to existing building (]Replacement [ Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations boil borings for preliminarX plat Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system i CONVENTIONAL ®S ^ U MOUND ~l S ^ U IN-GROUND PRESSURE ~ S ^ U AT-GRADE ~ S ^ U SYSTEM IN FILL ®S ^ U HOLDING TANK ^ S ® U table for s stem U =Unsu SOIL DESCRIPTION REPORT Ground elev. na ft. Depth to limiting factor +88" Boring # 2' Ground elev. na ft. Depth to limiting factor +90" Remarks: 1 0-15 10yr2/2 none 1 lcsbk mfr cs 2f .4 .5 2 15-31 10yr4/4 none sicl lcsbk mfr yw if .2 ~.3 3 31-50 7.5yr4/6 none ms Osg mvfr gw na .7 .8 4 50-90 10yr4/6 .none fs Osg mvfr n ~na~-, .5 ~ .6 < ,^., .._~ ,,. ~.,~ ~ a ~, Remarks: CST Name:--Please Print Ga L. Steel Phone: 715-246-620 !"f ~^~~ ~ ~cF Address: 1554 200th. Ave. New ltichm nd WI 54017 ~ / ~ Signature: ~! Date: CS m02298 .,-~. r~...~.~ ~ _ D 5-8-98 Boring # 1 '< Depth Dominant Color Mottles T t Structure istence Con Bourxiar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. s y Bed Trer~fi 1 0-20 10yr2/2 none 1 lcsbk mfr cs 2f .4 .5 2 20-33 10yr4/4 none sl lcsbk mfr gw if .4 .5 3 33-63 7.5yr4/6 none ms .::Osg mvfr gw na .7 .8 4 63-88 10yr4/6 none fs Osg mvfr na na .5 .6 ~hr, ~'~ PROPERTY OWNER PARCEL I.D. # Boring # w{ 3 ~:~ ~ ... Ground elev. na ft. Depth to limiting factor + ~~ Boring # Ground elev. na ft. Depth to limiting factor +84" Boring # .... :.. 5 ... Ground elev. na ft. Depth to limiting factor +9 " Boring # ~:; .... ?6 .. ~'' Ground elev. na ft. Depth to limiting factor +84" Richmar Industries SOIL DESCRIPTION REPORT na Page ? of 3 H i Depth Dominant Color Mottles Texture Structure Consistence Baxxiar Roots GPDJft or zon in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. y Bed Trer~ 1 0-13 10yr2/2 none 1 lcsbk mfr cs 2f .4 .5 2 13-2, l0yr~/4 none sicl lcsbk mfr gw if .2 .3 3 27-4 7.5yr4/6 none lfs Osg mvfr yw na .5 .6 4 42-9 10yr4/6 none ms Osg mvfr na na .7 .8 Remarks: 1 0-12 10yr2/2 none 1 lcsbk mfr cs 2f .4 .5 2 12-21 10yr4/4 none scl 2msbk mfr gw if .4 .5 3 21-3 7.5yr4/6 none ms Osg mvfr gw na .7 .8 4 35-8 10yr4/6 none lfs M na na na .3 ~.4 Remarks: 1 0-10 10yr4/3 none 1 2msbk mfr gw 2f .5 .6 2 10-2 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 3 25-9 10yr4/6 none lfs Osg mvfr na na .5 .6 Remarks: 1 0-15 10yr4/3 none sl 2mgr mvfr gw 2f .5 ~.6 2 15-6 10yr4/6 none ms Osg ml gw if .7 .8 3 65-8 10yr4/6 none lfs Osg mvfr na na .5 ~.6 Remarks: SBD-8330(8.05/92) p~p~~~ Vyyryt~ Richmar Industries ~y~L vcavmr ~ wn n~rv~i ~ ~ ~~~~..~ PARG~t.LD. ft Boring # 7 ~. Ground rev. na ft. Depth to limiting facto +84" Boring # t. ...~. Ground elev. na ft. Depth to ami6ng factor +84" Boring # ~: ~~ Ground elev. ft. Depth to limitng factor Boring # Ground elev. ft. kmiting I~E~t Depth Dominant Color ~~ T t Structure Corrsisbenoe Baxdar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ure ex tar. Sz. Sh. y Bed Tiendi 1 0-6 10yr2/2 none 1 2msbk mfr cs 2f .5 .6 2 6-13 7.5yr4/4 none sl lcsbk mvfr' gw if .4 .5 3 13-84 10yr4/6 none ms Osg ml na na .7 .8 Remarks: 1 0-9 10yr2/2 none 1 lcsbk mfr cs if .4 .5 2 9-19 10yr4/4 none sicl M na gw if np .2 3 19-34 7.5yr4/4 none sl lcsbk mvfr yw na .4 .5 4 34-84 10yr4/4 none ms Osg mvfr na na .7 .8 Remarks: Remarks: Remarks: Parcel #: 020-1075-35-165 02/09/2005 11:43 AM PAGE 1 OF 1 Alt. Parcel #: 27.29.19.303D-35 020 -TOWN OF HUDSON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner *RICHMAR INDUSTRIES LLP RICHMAR INDUSTRIES LLP PO BOX 732 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 608 BRAKKE DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0447-CSM 10/2932 SEC 27 T29N R19W PT NW SW BEING LOT 12 Block/Condo Bldg: LOT 12 CSM 10/2932 2.76 ACRES & INC PT BRAKKE DR DIRECTLY S OF SD LOT 12 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 27-29N-19W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 11/23/1999 614353 1473/283 ROAD 03126/1999 600149 1413/610 OC 07/23!1997 1125!553 W D 9t1Ad CI IMMARV Bill #: Fair Market Value: Assessed with: -- - - - - ------- -- - - 48240 134,200 Valuations' Last Changed: 04/29/2002 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 3.060 103,800 0 103,800 NO Totals for 2004: General Property 3.060 103,800 0 103,800 Woodland 0.000 0 0 Totals for 2003: General Property 3.060 103,800 0 103,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Speciaf Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HUDSON COMPUTER NUMBER 020-1075-35-100 Parcel Number 27.29.19.303D OWNER NAME: First RETIRED NUMBER Last RICHMAR INDUSTRIES LLP PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 27 TOWN 29N RANGE 19W '/<160 SW '/40 NW Line Description Line Description TOTAL ACREAGE 2.840 PLAT LOT BLK 01 SEC 27 T29N R19W NW SW 15 02 FORMERLY LOT 1 CSM 7/2051 16 03 N/WA LOT 9 CSM 10!2932 17 04 3.44 AC EXC HWY NKA 303D-5 18 05 020-1075-35-105 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit ,` ~ ~` k } Wisconam Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ^ T n of: Mr. Convenience Hudson Township CST BM Elev.: Insp. BM Elev.: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION. TANK TO P/ L WELL BLDG. Vent to Air Intake ROAD Septic NA Dosing NA Aeration NA ;,~' Holding ~''~ PUMP /SIPHON INFORMATI011~ ,P` Manufacturer D~`rnand , Model Number /; ~' GPM TDH Lift Friction S stem T ~ Ft Forcemain Length Dia. Dist. To yell SOIL ABSORPTION SYSTEM ,` ELEVATION DATA County: St. Croix Sanitary Permit No.: 370331 State Plan ID No-: Parcel Tax No.: 020-1075-35-100 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/ Ht lri~let St/ H`t Outlet Dt'~ Inlet ~'`Dt Bottom Header /Man. Dist. Pipe Bot. System Final Grade St cover BED /TRENCH Width Length No. Of Trench PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N DIMEN I N SYSTEM TO P/ BLDG WELL LAKE /STREAM LEACHING Manu acturer: SETBACK INFORMATION Type O CHAMBER Model Num er: System: OR UNIT DISTRIBUTION SYSTEM ~ +, Header /Manifold Distributio ipe(s} x Hole Size x Hole Spacing Vent To Air Intake Length Dia Len Dia. Spacing SOIL COVER x,~ressure Systems Only xx Mound 01t-Grade Systems Only Depth Over epth Over xx Depth Of xx Seeded /Sodded xx Mulched BedlTrenchCenter ed/TrenchEdges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include codl discrepancies, persons present, etc.) Inspection # / / Inspection #2: / / Location: 606 Brakke Drive, Hudson, WI 54016 (NW 1/4 SW 1/4 27 T29N R19W) - 2729193o3D -Lot 9 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Plan revision required? ^ Yes ^ No Use other side for additional information. SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~~ ~ ,~ ~`'" i© °= Gam.-,"y 6-e-~- ~` ~2~KKE ~ Sanitary Permit Application d C Safety & Buildings Division 20{ W. Washington Ave. e o [n accord with Comm 83.21, Wis. Adm. PO Box 7302 ~~,Ca~sf~ See reverse side for instructions for completing this application oses ur nda d f Madison, W[ 53707-7302 p ry p or seco Personal information you provide may be use c Submit com feted form to coun ( P ty if not Oepertmeat of Commer e [privacy Law, s. 15.04(1)(m)) state owned. Attach com fete fans to the coun co onl for the stem, on a er not less than 8- l/2 x l 1 inches in size. State S~ iO P 3 i~ Number ^ Chock' 'lion W previous application County ,~ ~ r ,~ «.. S to Plan [. D. Number ~ / ~ ~C' `p~" r J- ~ / .:•. • A lication Information -Please Print all Informatio ~ ~ ••` I Location: . Property Owner Name ~'' • Y, ; ` Property [.oration :^ (•~,• t~ J ~~~' ~ `= ~ - If~1 l/4 ~~R~ 1/4, S~'~ T ~ ,Al, R~ o W ~ ` /` ^ ~ Property Ownels Marling Address ~,~,. Lot Number Block Numbu ~- ~, z Phone.~i ..,-~ h, ~ Cc+de Ci S to P - ~ Subdivision Name or CSM Number ` ~ - ,~• ~, .- a ~ f - _ II. Type of Building: (check one) ~ ~ ~.-.~ `~ ~ ~- ~ ^ City ^ Village , ' ~ ~- ; ---,~ ~ ~ 1J 1 or 2 Family Dwelling - No. of Bedrooms : Jm Town of ~ pablic/Commeccial (describe use):_ ' ~ L ~ 1 ' ~ ~ 4 -~Qn - ^State-0wned. .°~u "~ • ~t? N~ t Road -u,i ~ /fir' ~ e- P l,~ax Numbe s) ~. C ~ 7 ~ ~: -/ao III. T e of Permit: Check onl one box on line A. Check box on line B if a licable 5 o~ • dZ'~ • ~ D3 n 6. ^ Addition to . A) 1. IG New 2. ^ Replacement 3. ^ Replacement of 4. Existin S stem S stem S stem Tank Onl Date Issued Permit Number B) ^ A Sani Permit was reviousl issued ~' "3~ E IV. Type of POWT System: (Check al ha apply) ^Noo-pressurized In-ground ~S'`@°-~'Y~Q'~'~ ,fk^ Mound ^ Sand Filter ^ Constructed Wetland Line ^ Dri '"_°-_ '^ Holding Tank ^ Single Pass d ~ p ^ Pressurize ^ At- de 22 w~'~'Q-~ ^ Aerobic Ttrztment Unit ^ Recirculatin _ o C~~a ^ Other: V. Dis ersallTreatment Area Information: Design Flow igpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate l h r 6. System Elevation Elevar on ~e . nc ) Required Proposed Rate (GalsJdaylsq. ft.) (Min VII. Tank Capacity in Total # of Manufacturer Prefab Con- Site Steel Fiber- Piastic Con- glass Information Gallons Gallons Tanks Crete s tructed New Existing Tanks Tanks ,- ~ ~ ~ ^ j( . _ ~ 1 ~ 1e ~ . ~' I f " VIII, esponsibility Statement ibili for installation of the POWTS shown on the attached fans. I, the undersiened, assume re ns -~ Business phone Number Plu beds Name (print) Plumber's ignature ps): ~~ Plumbers Address (Strut, City, State, e) IX. CountylDepartment<Dse Only ^ Disapproved Sanitary Pemvt Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps} ~,pproved ^ Owner Given Initial Adverse Sur rge Fee) ~ O- (l _ ~ OZ~ ' < Determination ° ' X. Conditions of Approval(~ /Reasons for Disapproval: ~ „ ~~ ~~ f_ ~ ( ~ _ t ~ ~ ~,~ ..,,~ ~ She-k.._ vru.o7t: ~e_ lZ `` ~ .dl~-~. r^•~•;, ~~"° ~~'~ tom./" re t,~.a~'t'~,.5 aw 3- SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Stceet Chippewa Falls, Wt 54729 ,~~~ . www.commerce.state.wi.us Tommy G. Thompson, Governor D t of CommerC Brenda J. Blanchard, Secretary October 11, 2000 owman t~~um~ Attn: or't""e~fa Lan-abee 2819 Knapp Street Menomonie, WI 54751 Dear Loretta: Re: Mr. Convenience Store NW, SW, 27, 29, 19W Town of Hudson, St. Croix County I have reviewed your information pertaining to the above referenced project and have consulted with other division staff regarding the use of water meter data to estimate the current flows an possible future flows to the existing Private Onsite Wastewater Treatment System. From the data you have submitted I have determined the following: The original design flow is 2455 gpd The estimated additional design flow is 1076 gpd (717*1.5) The average metered flows must be less than 919 gpd to handle peak design flows of 1379 gpd Average metered flows range from 550 gpd (April 2000) to 1237 gpd (June 2000). In addition, peak flows appear to be increasing from lows of 880 gpd and 748 gpd (Jan and Feb respectively) to 2050 gpd in June 2000. This is troublesome in that you have stated that the higher than normal flows were due to two situations. The first being pressure washing~of the parking lot and the second was extraneous water use by highway construction workers who filled water tanks for off site use. An attempt needs to be. made to reconcile the metered readings after the construction crews stopped using water at the store since I am concerned about the reported higher uses. Under the most current metered usage I do not feel that there is adequate capacity in the original design to accommodate the proposed additional usage. However, if rates were more like those reported for 1999, I believe that we could allow the expansion without upgrading the existing system since the average and peak flows are with the design limits of the original design. If you wish to pursue approval from me to use the metered readings I will need the following additional information: 1. Meter readings for August and September 2000. 2. Information on the current condition of the soil absorption system including ponding depths. (R. 2198) File Ref: H:\IETTERSUNR. CONVENIENCE STORE.DOC • •~ 4 Mr. Convenience Page 2 3. Verification that adequate area exists for a replacement contingency should the existing soil absorption system fail and need to be replaced. Please keep in mind that the average flows you obtained by metering are equivalent to the estimated flows from Comm Table A-83.43-1 (in the code appendix) and the design flow is like a peak flow or 1.5 times the estimated flow. An onsite system will not function correctly over time if it is constantly fed near peak or peak flows, but it must be able to accommodate peak flows occasionally. if you have any questions regarding this matter, please feel free to contact me: Sin erely, oy .Jansky Wastewater Specialist Field Operations Bureau Ljansky@commerce.state.wi.us (715) 726-2544 Voice (715) 726-2549 Fax cc: St. Croix County Zoning isconsin Department of Commerce September 11, 2000 CUST ID No.692412 LORETTA LARRABEE 2819 KNAPP ST MENOMONIE WI 54751 PLAN APPROVAL EXPIRES: 09/1 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www, commerce. state.wi. u s Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN' POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Site ID: 197902, JIFFY LZTBE ST CROIX County, Town of HUDSON; BRAKKE DR NW1/4, SW1/4, S27, T29N, R19W FOR: Description: Nonpressurized In-Ground-Conventional 627 gpd. Object Type: POWT System Regulated Object ID No.: 758727 Identification Numbers Transaction ID No. 430863 Site ID No. 197902 Please refer to both identification numbers, above, in all corres ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Correspondence Notes: • This plan action is subject to designer comments on the plan. • Your additional information fax signed by one of the project owners, indicates this POWT system will receive domestic waste only. The statement is made that "an additional holding tank" will be installed for grease and oil waste. That additional holding tank shall have DNR approval. • This review covers only domestic/sanitary wastes directed into the POWTS system you propose. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes, including those combined with domestic/sanitary wastes. Please contact Jim Kinney of DNR @ 608-266-7715. A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors, All permits required by the state or the Local municipality shall be obtained prior to commencement of construction/instal lation/operation. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sinc/erely, -1 ~~ THOMAS E DEVEREAUX ,PLUMBING / POWTS REVIEWER II Integrated Services (715)634-3026 , 7:45 AM - 4:45 PM MON. -FRI. TDEVEREAUX@COMMERCE.STATE. WhUS cc: MR. CONVIENCE-JIFFY LUBE Jim Kinney Waste Water Specialist DATE RECEIVED 08/22/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ~~ ~~ ff. G'l~` 1 v i~ I *~ IN-GROII~Ti~ Soil Absorption System Residential Application INDEX & TITLE SHEET prpj~; JIFFY LUBE owner: ~' • Convenience Address: P.o. Box 732 Hudson, WI 54016 Legal Description: Hw,sw,2~;29,1~3w TOWnshlp: Hudson COUnty: St . Croix Subdivision name: N. A. Lot number: N. A _ Parcel ID number: 020-2075-35-100 Plan transaction number: --- 41{~,rl~shPets Site plan Top view Cross section Pump tanx section Puma information & curve Filter information ~na{~~Pnt ~1 ~n Co~ti~genc~ plan p,~,i:arhmPnts (soi_1 test to state plans) Designer: loretta/Jack Ai .Bowman Signature: ~~ Date: August 21, 2000 PagC 1&2 of 14 ~~ p~ 3 of 10 ~~ ,~ EQ P~ 4 of 10 AUG 212000 a~o'~'1 D Page 6 of 1~ & Br DGS' ~'v. Page 7 of ~'~~ {• p~ 8 of Page of 1 ~ Fage 10 of 10 ~~~'~ S•lt Page ltZ~.f,La y License Number: Phone Number: RCE ~ M g~t~~~N~g MP 222839 ;nn-N~o R SPONp~NCE ~~~~, ~.~., ~. of - ~ .~~ , ha o ... .~l _ _ ... ,- t~~~5 0 /~Sv qa~C~~-na_.. .~~ z~~ ~~ Sao c.y ~.~.~ ... ~ . ~~ .~~ _ ~ a.7 ,!~ CJ F o 0 ~ 5 ~i ~ tieat~J ~ c~,~- - l~5 5~~ ~. ~ ~~ ,_. .__ __ _S: -~Fl ~ ~ (08.75 = X76. 75 ~1"- .. ~`' _ mow ~~) . ~ U ~!~ ~--~~-fi.e-~~._ ~ 6. ~s '.,,;, .,Pa.,~ . 6n ~C.~.e. .,~„ c~,.~-. ~ _ C~8e z s -~o~,o~ ~. ef' 1 0 ~~' 0 ~oz ~o :?`'~ ~" ,g ~~ 9 ~ D y~ O v ti D ~ ~ - - - - ~' o pp fie' o' I a _ srl ~~~ /~~ ~~ ' ~~ I ~ o ~ ~ ~ ~ ~ o r ~~ ~ ~ N N ~~ 3 (A- ~ ~ p X: ~ ~ ~' ~. r $~ ~, ~ ~ ~ 7 t ,oo ~ m I ~ i i W ~ k ~ I £~ ?~ 1 ~ rn t o ' ~ ~ ; t ~: ~ ~ i EF x '' • I~ ' ~ I ~' !' I 1 ~~r ~ t 1 ~\ ~ ~ \ ~ t k t 1 >z -- ----~'~-----~ ~ 031lYNdSY ONLLSDf3 ' ~ \ N r ~ ~ ,, ~o,.ti g $\~ ~ ; o e O ~ ~ ~ ~ i ` eo ~ i ~ ` ~ i ~ i I ~ ~ + ~ - - C ~ 8 • r~ i a d~ ~ i i ~ ~ ~m ~ . w~A ~ I I t 1 ~y~ ~ a a~ ~ ~, .,a~ ~ ~ ~ ~. - - - R.t4.0 ~ i ' `~~ - Rz ~ I - ~-__ : ~ Oi / ~ i ~ ti o ~ i ~ g , 8 P ~~ ~S~ / ~ ' L ~ g .~ ...a O i~~ f~p'a ~r ~ ~~ ~^~ i 1 ~\ ~\ / / ~\ ,~~ / / \\ '~ / O-e ~ ~ ~ N ~a ~`~_~~~ z am~ / _1 ~ m ~o$ Lv I~ O ~~ ~ i i {(p~ ~ z -F n a m (V ~ 2 Qo ~, ~ g p a € ~ L z ` N ' ^ .L V 1 ~ ~ g ~- ~ ~ ~ ~ ~Grr]J .~ y ~~ - nod i~ Scale _ ~t,.----,----~-----__~_~. - - -_- x. N ~'i acQ, 30 3~ -----_ 1 _ ~~ ,. ~- 3~ SFat,J _ --, ' 1 , ~- ~ l i r 1~ r` t,r /S 1 ° ~i o a i ~~) I J ~.~..o~S~ Sic ~ .on - ,nod +o ~c0..1 e -.~-,~ ~- ~~ ~ ~ " ~ ~ Zii r oT fop GoJGf ~. + , 1 i -ti ~ ~ gZ.8co' ,~ f :--~ ~ ! o~.l~ ~~ % ", q 1.86 5.~g' " ~ 3~ b ~ ,~ ,._ o ~`~ PUMP CHAMBER CROSS SECTION A~1G SPECIFICATIO~JS ~}~~VENT PIPE ~ -O FROM DOOR, WIIJDOW OR FRESH AIR IA1T/ZKE 18"MIN. IAJLET APPROVED JOIAIT W~ PIPE EXTENDIWG 3' OWTO SOLID SOIL E;LEV.~,•~~ FT. A d C 0 PAr,I %t- APPROVED LOCKIAJG MAIJHOLE COVER Y" MI1J. I B" /"11 N. V ~~ \ PROVIDE AIRTIGHT SEAL 'I PUMP -~ ~~~ COUlCRETE DLOCK ~II ~ I ( APPROVED JOIWTS ~ ~ W/C.I. PIPE I ~ ( ALARM EXTEAIDIAIG 3' OIJTO SOLID SOIL OAI OFF R15ER EXIT PERMITTED OIJLy IF TAIJK MAWUFACTURER HAS SUCH APPROVAL ~a1 OAF = SZv~ - lay 40 SEPTIC E I(o5o~~` S C FI'G TIOAI 85'~-M x o.~b3 = 13.85 DOSE i ZOU °°I~a~c 13 9 .2 s TANKS MAIJUFI-CTURER:L~I~~ ~s~ern ~ reCasr iUUMgER OF DoSE3: -~ PER DAy TAAIK SIZE : j 20 ~ GALLOIJ S DOSE VOLUME S• S. C IeL+ro IAICLUDIMG 6ACKFLOW: 13gOz-5 GALLOt~IS i4LARM MMIUFACTURER: MODEL A1UM6ER: -Sr TI CAPACITIES: A=`~~~ 5 INCHES OR 63•b6 CALLOUS SWITCH TyPC: r g = Z INCHES OR 6'a, 3 Q GALL OAI S PUMP MAIJUFACTURCR: - C= <.' _IAICHES OR yg~3 b c,ALLOAJs MODEL WUMOER: - 9~ D ~ ~ INCHES OR Z-~' IOSGALLOIJS SWITCH TYPE: IJ TE: PU/kP AWD ALARM ARE TO DE . MIAIIMUM OISCMAR6E RATE~GPM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFEREAICE SET WEEIJ PUMP OFF AIJO DISTRI6UTIOIJ PIPE.. ~~' ~ FEET ~~ ~ ~ ~°`Q /~ PReeE77 C Ti~)en..,Onr~` • --~-~--- FEET OF FORCE MAIN X -L_._F/ FRlCTIOA! FACT _ rl~ '' ~ ~~ ~"` l00 iL OR. S° FEET ~- Z~' ~ ~ ~- TOTAL Dy1JAMIC HEAD = « FEET ~ lr i !I ~f IWTERhIAI- DIMEIJSIOIJt OF TAIJK: LEAICsTH a ~~ ;WIDTH ~ l ~~LIgUID DEPTH ~ o' `~ VE1.1T CAP WEATHER PROOF JUAJCTIOAJ BOX 12"M I U. GRADE ~ G CO-JDUIT ~-- ~~~~o~~~~- ~~~~~~ ., Ef uen --- "53" LrAST IRON SERIES` ~ "57" CAST IRON SERIES Model aNS3 BN/BE Models available packaged with a Pictured piggyback variable level float switch. • .3 H.P., 1 Ph., 115V or 230V. • Non-Clogging vortex impeller design. ~ s''/2 inch solids (sphere). • 1Y:"NPT I r e. • Automatic reset ther erload protection. • Stainless steel screws. • Cast iron switch case, motor and pump h • Engineered, glass-filled impeller with metal insert • Glass-filled polypropylene base. (Model 53). • Model 57 all cast iron con tr t' n /1 GnaOkn S1aMards O /\`J~~o7 ^~a~v~ L avaikDle TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 53-55 MODELS Ft. Meters Gal. Ltrs. 5 1.52 a3 763 10 3.05 3< 129 15 4.57 19 72 Ck Volve: 19.25' S UC 10 oo9s97s • UL listed 3-wire 15 ft. standard cord. ' Cast iron motor housing, pump housing ' ch case. Glass-filled pdypropylene impeller and base. "~8" CAST IRON SERIES Gnadan SlandaMs availabk e BN/BE Models available packaged with a ~~ ~«a~~ L piggyback variable level float Switch. TOTAL DYNAMIC HEAD/CAPACITY • '/z H.P.,1 Ph., 115V or 230V. PER MINUTE • Non-Clogging Vortex Impeller design. EFFLUENT ANO DEWATERING • Passes''/2 inch solids (sphere). • 1'/2" NPT discharge. (1'/2" X 2" PVC adapter fitting included with BN and BE models.) • Automatic reset thermal overload protection. • Stainless steel screws, guard, handle. • Watertight neoprene "O" ring between motor and pump housing. MODEL 98 60 CYCLE Feet Melers Gollons Liters S 1.5 72 273 ,0 3., 61 23t IS 4.6 s5 t70 20 6.1 25 95 - Lxk vo,w: 23' • UL listed 3-wire 15 ft. standard cord. 00997,e "137" CAST IRON SERIES J ~ 1 9 P o ........... On-Site • BN/BE Models available packaged with a piggyback variable level float switch. Durable cast iron construction. • 1 ase models available. (115, 200- 230V -1 Ph). (200-208, 230 & 4 - 3 Ph). • Non-Clogging vortex impel sign. • Passes 5/8" solids (sphere). • 1Y2"NPT discharge. (1'/2" X 2" PVC adapter fitting included with BN and BE models.) • Automatic reset thermal overload protection. • Stainless steel screws, bolts, guard, handle. • UL listed 3-wire 15 ft. standard cord. ~~ Gnadkn Standards O \/`(.l r~jJ Assoc avmwai 1 avaikhk L~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODELS 137 Ft. Meters Gol. Ltrs. 5 1.5 93 352 f 0 3.1 79 299 IS a.6 61 2a2 20 6.1 36 1}6 25 7.6 8 30 Loc Ive: 26' 0099218 NOTE: No UL listing (or 200-20&1Ph. s. R ~-~. ~ ~-~ l o V.S. GALLONS 10 20 30 10 50 60 70 80 90 100 110 120 I}0 110 150 160 LITERS 80 160 210 320 100 a6G 560 610 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/ FLOW PER MINUTE EFFLUENT AND DEWATERING O CAUTION Model 185/4185 should not be subjected to less than 30 feet TDH. MODEL 53,55, 98 137 140, ata0 76 t, at6t 163, at63 165. at65 18 at85 t86, at86 t88, at88 789, at89 791 R, y, CAL, LTRS. CAL. LTRS. CAL. LTR$. CAL. LTRS. GAL. LTR$ CAL, LTR$ CAL. LTR$ CAL. LTRS. CAL. LTRS. GAL. LTRS. CAL. LTRS. CAL, LTRS. 5 1.52 aJ 163 72 273 93 352 91 314 100 379 61 231 61 231 56 220 115 519 1s5 519 15 170 10 3.05 31 129 61 2}I 79 299 61 318 93 332 61 229 61 231 58 220 110 530 110 530 t5 170 15 1.57 19 72 15 170 61 2t2 76 286 83 322 60 227 61 23f 58 220 131 507 135 511 15 170 20 6.10 25 95 36 1}6 68 257 79 299 59 223 60 227 58 220 128 181 131 196 15 170 25 7.62 8 30 59 223 70 285 57 216 59 223, 58 220 122 162 125 173 IS 170 30 9.11 19 185 62 235 SS 206 58 220 85 322 58 220 116 139 120 151 a5 170 10 12.19 21 79 IS 170 16 172 55 206 70 265 58 220 l0a 391 109. 113. 15 770 50 15.21 10 76 33 125 50 189 51 193 58 220 90 311 97 367 15 170 60 18.29 15 57 39 ts6 32 121 56 220 71 269 85 322 1S 170 70 21.31 23 87 9 31 52 197 S1 19J 69 26t 15 1)0 80 21.38 10 38 IS 170 28 106 51 19J 15 170 90 27.13 }1 117 2 8 31 129 15 170 100 30.18 16 60 17 61 10 151 1 t 0 32.00 1 15 30 l u 120 36.58 20 76 130 39.62 10 38 LOCK VALVE: 19.25' 23' 26' 16' S6' 66' 86.5' 73' na' 91' n0' 13Y ~~'" " 4 SSPMA :~ ~ MEMBER ~ `` S~ o~ ~~ s ~ $~~P ~ ~ i' AND SEWAGE PVAIP MFRS. ASSN. HEAD CAPACITY CURVE EFFLUENT MODELS i 110 t2 135 10 130 125 !8 120 56 113 191 51 It0 105 f2 100 30 95 28 90 186 , 26 95 x18 6 ~ 21 165, 75 416 5 22 70 20 65 ~ 163 . IB 1163 1 69, SS x189 16 SO 11 15 12 ~ 1 w. 186. 35 11{0 11 t0 JO g 25 137 165. n 85 6 20 15 4 to 2 5 161, st61 53,57 96 1:- 16' i -_~__t -1M2' I.D. 5' O.D. _ ~_ F1-3/16' } 3-9A 6' -~ ~~ .. ;~ i~ Zabeh"' Recommendation: Any configuration of Risers used should not exceed 48" in height. The product(s) shown are covered by one or more of the following patents: U.S. 5,382,357, 5,482,621, 5,683,577, 5,580,453, 5,582,716, 5,591,331, 4,710,295, 5,593,584, U.S. Des. 386,241,349067, 4605501,5098568, Des. 309007, Canadian: 2,135,937 New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONET"" An Onsite Wastewater Magazine 1-800-221-5742 • Website http://www.zabel.com 54 ~~ ~'~ '~ ~~ ~_ t i 4-12" LD. 5' O.D. I- 13116' -F 3-9116' ..l - - --.-. -..._ .i 63/6' rq-yy~ ,f~ $. a: ;: 'd ~~ .. ~~- ~- i A300 A300-ADA ZabeITM A300 Series High Strength industrial & Commercial Effluent Filter Product Specification 1. Product Name: ZabelT"" A300 Industrial & Commercial Wastewater Filter, U.S. Patent: 4,710,295 2.. Model Numbers: A300 Case & Cartridge & Reducer; A301 Cartridge Only; A300-HIP Case & Cartridge & Reducer; A301-HIP Cartridge Only 3. Applications: Grease: restaurants; Hair: dog kennels, beauty shops, zoo facilities; Lint: Laundromats; Food processing: wineries, bakeries; Animal wastes: poultry, hog & cattle farms; Apartments, trailer parks, schools, churches, shopping centers, and offices; Septic dump stations and community treatment plants; Single and Multi-family homes 4. Performance Specification 4.1. Model A300: Maximum daily flow - 3,000 gpd 4.2. Model A300-HIP: Maximum daily flow - 4,500 gpd 4.3. Multiple Filters may be installed in manifolds to handle larger flows than those shown above. A ZabelT"" Flow Control Plate Model FC100 is available to set the effluent flow of a single filter to pre-determined limits. 4.4. TSS: Reductions in TSS within six months of installation - 50 to 90 percent. The higher the unfiltered TSS, the greater the percentage of reduction. 4.5. BODS: Reduction in GODS within six months of installation - 20 to 45 percent is dependent on the make up of the wastewater. 5. Materials: All materials are non-corrosive. Case & Lid -PVC; Filter discs -Polystyrene; Rods and Nuts-Stainless Steel. 6. New System Installation: Center the top of the 12 inch Filter Case under an outlet access opening at least 16 inches m diameter. PVC solvent weld the bell coupling to the 4 inch Schedule 40 PVC pipe of the tank as required by local code. Add 4 inch Schedule 40 pipe to the bottom of the reducer as needed. The PVC outlet pipe should extend at least 18 inches beyond the outside face of the tank wall. A riser to grade is recommended for all commercial and industrial installations. All filters installed in grease interceptor tanks will require additional support. 7. Existing System Installation: The filter may be installed in an existing tank if an outlet access opening already exists and the filter can be installed without damaging the existing tank. The filter can also be installed utilizing a plumbing flange. If the existing tank cannot be used, the filter can be installed in existing systems using a ZabeITM' Container Assembly Model CA100 or Z$USTM Basin System. 8. Service: A professional onsite service company should perform all onsite system service. 9. Service Method: Grasp the filter handle and pull the filter cartridge upward. A ZabeITM 36" T-Handle is available if required to reach filters below grade. The filter may be cleaned with a steam wand, chemical degreaser or disassembled for further cleaning. 10. Service Frequency: The A300s are designed to be installed in high strength waste applications. Each application will have to be morntored to determine proper service cycles. See article on "Restaurant Applications for ZabeITM' Filters" for recommended guidelines in the Spring/Summer 97' issue. 11. Warranty: The A300s are warranted to be free from defects in material and workmanship for the life of the original purchaser. Zabel'sTM' liability is limited to repair or replacement of the part and in no event shall ZabeITM' be liable for any consequential damages of any kind. 10. Dimensions: 55 In-Ground System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic tank The septic tank shall be maintained by an individual certified to service septic tanks. under s. 281.48, Stats. The contents of the septic tank shall be disposed ofiin accordance with NR 113, Wis Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids::in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continously. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeeds 1/3 the liquid volume of the tank. Pump tank The pump (dosing)tank shall be inspected at least once every 3 years. All swithches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank is shall be inspected and serviced as necessary. Septic System- In-Ground No trees or shrrabs should be planted on the s~rstem. Plantings may be around the system perimeter, and be seeded and mulched as necessary to prevent erosion. Traffic (other than for vegetative maintenance) on the system is not recommended since soil compaction may hinder aeration of the system. Influent quality into the system may not exceed 220 mg/L BODS, 150 mg/L TSS; and 30 mg/L FOG. Influent flow may not exceed mari.mum design f~.flw specified in the permit for this installation. Observation pipes within the dispersal cell shall be checked f€~r effluent ponding. Ponding levels shall be reported tot he owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and::shall ma~nbained in accordance with its component manual and local or state rules pertaining to system maintenance and:: reporting program. No one should ever enter a septic or pump tank, dangerous gases may be present that could cause death. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective must be replaced. Exposed access openings greater than 8" in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into tank. Contina_ency Plan If the septic tank or any of its components become defective, it shall be repaired or replace to keep the system in proper operating condition. If the dosing tank or any of its components become defective, it shall be repaired or replace with a component of the same or equal performance. If the system fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or a alternate system be installed to bring the system into proper operation. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. ~a~. ~ ~ o~ ~~® Contingency Plan Because of the limited area available for the septic system. It was deemed to oversize the septic drain field system and valve it. Alternate cells every three years, not to stress the system, eliminating replacement area By Alternating the cells, then using the drain field as if primary and replacement slrstems three cells to be functioning and one cell resting ~1- 3 years ce3as in use 1 thru 3 cell 4 resting 3- 6 years cel~:s in use 2 thru 4 cell 1 resting 6---9 years cells in use 3,4 & 1 cell 2 resting 9-12 years cells ir. use 4 & 1,2 cell 3 resting after 12years cycle to stmt over Cell 1 is the furthere~t cell to the north Cell 2 & 3 is the middle ce~:ls moving down to the south Cell 4 is the lowest cell to the south FROhI FAX ~JO. ~}%;'U~,'?b _F'RI_o~:39 F.~_715_St31~b~90 3sptetitt~er 8, 2000 To wham It M$y Conce,~n: Oct. C~9 19'~'~ ~t2:2SFh1 F'2 UALSGZV FUOI.>S X002 cuwrvu..rv r't~._;thulrui lr~f; F•AuE 0"' Bowman Plumbing, Irtc, ill be instatlin~ a conventional ssp~ slistern with a lift tank at the Jilry Lune lacatec# n St, Croix CosPuby, town of Hudson, I~tVJ, SW, Z7, 29, 7 9V1/, for ~sptic purpasas only OraY water waste). 'There will be sn additions! hddit~ tank installed far grease gnd ~It wastes ~Ivn~ with floor waste. This tank w4iJ tee pumped as neceffisary, Sincsraly, Sir~re~l~~, i(>~ , ~..-~~~C Jack A. ®owman fli~chard Strbenz Bewenan Plurr~iri~, Ir+ei 310 Kr}~,p t' l•A~AOff10C110, 11VI 6!4781 {715y 2934 Phone (71Sj Z38~1k,1 Faa Mr. Coat-enience Hudoon, 1M 44096 (715p 381-1gg3 Phone (~'1S) X1.5490 Fax °a~e Of HOLDING TANK CROSS SECTION - ~bYIC}~2~o ~-~z (nn scale) WEATHE RPROOF JUNCTION 80X HIGH WATER WARNING DEVICE ON 8' POLE OR IN/ON LOCKING DEVICE AND BUILDING SERVED WARNING LABEL AT COVER CONDUIT 12" MINIMUM ~ ~_ 4" MINIMUM MANHOLE - MIN. Z" CAST IRON VENT WITH ~ MIN.24" ID GRADE RETURN BEND OR 4" CI WITH APPROVED VENT CAP. 25' MIN. FROM DOOR, WINDOW OR FRESH '-- AIR INLET - - !~ 18" MINIMUM ~ LEAD JOINT AIRTIGHT SEAL ~ /~- - HIGH IJATER - 1' ~ ALARM SWITCH ~-~--- - --~- BLIND C.I. PLUG DEPARTMENT APPROVED JOINT WATERTIGHT JOINTS ARE INDICATED BY UNLABELED ARROWS *PROVIDE APPROVED PIPE FROM INLET TO 3' BEYOND EDGE OF UNDISTURBED SOIL SPECIFICATIONS TANK MANUFACTURER: r'(1~r~-~~~1~tc~, ~ orn,r~ ~nr TANK CAPACITY: ~Q©~ GALLONS PLUMBER/DESIGNER /, /~~ SIGNATURE: ~~G ~`T -~ LICENSE NUMBER ~}~ ~a.~3~ DATE : ~~, 13a ~C~C~C`~ ~~ b y02 ~ ~ O Z `^ I dg ,~ a^ ~ N S i '~ Z ~ ~ ~ o ~ I ~ ~ 1p v 1\ ( i"~ ,' ~-- U I O ~"~ ~~ ~I -~ //' ~~ I ' ~~~ I ~ o y ~ ~ ~ ~(~ !! t V` 0^ \r_ ~~ I ~ ~ ~ ~' s Vs- ~ ~ ~ to f I ~ P ~, i ( ~' !~. F ~ ~ ~. -_ ~ m I ~ N ' W ~ k ~ ~ r ~ ~ ~ ~ £ ~ O m i 0 i ~ N ? ~ ~ ~ ~ ~ ~~ I I fTl I ,C ~ ~ o ,i~- I' ~~ X ~ • i ~ cam. ~ I 1 ~~Y ~~ \ ~ \ ` , k ~ ~ \ ' 1 Q g ~'- -'~ 03 1lY Hd5V ONLLSIX3 ~ ~~ ~ A ~ ~ ~ ~, ~o,.b g 2J. a`\ . ~ ~o + / C 0 O \ / ~ Ir ~ $ ~ ~ ' ~ ' ` oe O i z 8 ~~'~ ~ ~ O O Q~ g ` ~ ~ ~ i ss---- I ` i ~ A 1 ~, tt r O 1 ~ 0 / I Xi ~ ~ I $ ~ ~ ~~m )_ Y i 1 I i °~~ ~~'~0 , 1 ~ Y~ I ~ - - - - ~ g ~ R~14.0 ~ i \` - Fi $ i / l~ ' I ~~,~a ~~ ` / / /~/ ~ ~ 9~C \ - ~ N Aa ' ~ yQ~ ~I ~. ~ ~Nas N~ 03 1~ O v~ ~v ' I e~ ~ V' m ~ ~ ~ ~ O ~ ~ ~ o~ ~ U1 - ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~~ / _ ~~ ' '' ~/~ ~ ~ (e7 O fi ~ fi~C ~ a ~o~m z ~ ~ r C~ m I ~ ~ ! ~ ~ ~ 1 // ~~ ~~'3`J03 J /~ / ~ N~~ _~ '~ " ~ ~O~i ~i~ _ y~ ___ -- -~ ~ ~~ , , / ~ i ~,-~ti ~~ > ,~~ ~ o / / /y ~ / ~ / fS6 r ~/~ 4~ N > / I ~~ ~ ~ ~ c ~ ~ ~/ I ~ I "off m x~~J , ~ ~ I I I ~ m~ N / / Il Z ~m ~ / O ~ / / f J l ,,<Q ~ ? ~ / C I I I I yci 4 / N / a~ e ~ / .. - X u "' / (~ 1 , , ~ti a ~ ,~ ~ ~~ I ~I ~ ~~ I \ \ ' i ~ ~ ~ ~ i I I I ~ ~ `' /p46 / 'F' ~ I ~~ / I I I / ! ~ 1~ ~ N ~ I J. ~ , ~ , i ,~: II r ~~ -~ 0 ~ ~ ' k r '1 ~ \ I 1, 1 ~ ~ ~ 1 ~ l) J~ > n I N O I I i ' ~~~ ~~ f ~ ° ° ~ i ,= ____; ~ ee p ~ --- ~~ o opi ~ ~~ J~ __ O, 1 g \\~+ \~ jam' / N ///~/ i ~/ i \~ ~~ ~, / \\\\ 1 ' ~ '~~ ~\ ~' , o~ w\i~ ~~~ ~ ~` ~ ~--~_ ~i, • ~1 ~. g ~ ~ // L / E / / "~ t ~~ n m . / ti ~O ~/// /'/ / // ~~/i ' Y ~ ~, ~~~~~ '~ 1' 1 1 1t \\ \ \\ \\ o ~ ~ can o ~ ` ~ n _ ~ ~ 0 ". Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~• of ~• Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. •Code County /J Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Pfan must - t- r ~ _ inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~ ~ C, _. ~ p 75 _~ ~ .. ~ ~~ Please print all information. Reviewed by Date c Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I(~- (~. Z.B~'~ Property Owner Property Location ,~ ` Govt. Lot ~(/(~,/ 1/4s'~j,/ 1/4 S ~7 T Zy N R /~/ ,~ (or~W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# jam." C` ~o ~ ~3~ 1, N. A. ,tr. q. City State Zip Code Phone Number ~ City ~ Village ®Town Nearest Road C~ c/So n ~~ ~o / 6 (7 i~ ) 3 -- o - 'O ~ra ~ ke ~~r. ®New Construction Use: ^ Residential / Number of bedrooms - ~~- Code derived design flow rate ''I i 8 ~' 1.5 ° to Z "I D w c GPD Replacement ® Public or commercial -Describe: n. Parent material o ~.-~ ~ ~ ~~~. lood Plain elevation if applicable 7V cx.- ft. General comments and recommendations' ~' ~~~ ~-LMa ~ ~~ .-'~.~--,a-~ .din ~~'~ ; ."3 ,~~n.~.•c,c P. ~~,_ ~tm~i_ • _j o ,r,~,~, ~~ /. b'~ ~ Boring # ^ Boring Pit Ground surtace elev. ~~ _56 ft. Depth to limiting factor y Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 f lD °2~~ S i ~ a~ k r1`l ~r j ~ • I M ~. ~, i7•-33 /o YR ~~~ S i / ahk mfr' C S I~ -~ m CJ, 5 , I~ ,5 ~~ ~ ~. ~.~ ~ . ^ Boring # ^ Boring pit Ground surface elev. 9t , y~ ft. Depth to limiting factor $ ~ in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 / ~ - b R ~/ ~ ~b k ~~-~~- S I ~ ~b. g ~f -~~ I ~ Y~ s~~ _s ~' ~~ ~,~'~ - ~r . q ~~ ~ _ ~Ee `.~ ~ '775 /~ ~ 2S - f- Z • . ~ L Jt-B .~ ~ emuetni n ~ = ovv,~~ vv ~ ccu myr~ ana i as Hsu _~ ~~u mgrs - tmuent iFt = tiVUb < 3U mg1L and T55 < 30 mg/L CST Name (Please Print) Signature CST Number Ms . Loretta A. c~ CSTM 224580 Address Date Evaluation Conducted Telephone Number N2089 Cty. Rd. Y, Menomonie, WI 54751 ~/ ,,~ 715/235-4634 wk _ ~J.u.~.c~~~` ~ ~c~00 715/664-8184 hm ~i ) ' Property Owner /'/R. ~ ;,~..c~irzr~m~ ~ ~ Parcel ID # ~~ ~ ._ l07 S - 3 a- ~y~ Page ? of ~_ ^ Boring # ^ Boring 3 • ~ pit Ground surface elev. 9.3J~~ ft. Depth to limiting factor ~ ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O R ~/~ : ~ s f. .~- m c_.le / -~r- cal ` ~. O . '' I ~ D YES ~j~o / I ~ 1'~ .~ M SeK' ~r ti] ~ S ~- i -~3 D yR s~~ ~S m . ,Sc M~~ - 1 ~ c~.. ;~ ,-~ ~ t> y S Y2 ~~b ~ o-~- 'u cu- Boring # ^ Boring ~ c~n.,a~/~. ~ X.~ _ ~ . n~,L~n `C,~~ia~ Pit Ground surface elev. 9~ 76 ft. Depth to limiting factor ~c-t - in. `~'~ t~ Solt Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary (toots GPO/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 `~ i c~bk ~r` N• P- N P. ~~ q,. ~~ G /j.. ~ ~/ ~ / ~ ~~- ' O Boring # ^ Boring C~~t.t.t.-~~~ YS ~ Pit Ground surface elev. D. 01 1t. Depth t0 limitng factor in. Solt Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 /~ k'a~ .s, I ~- m ~~ aU. ~? ~ - a ,^ 3 j f ~ ~ 6 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-6330 (R.N00) i ~~ isconsin Department of Commerce Safety and Buildings 10541 N RANEM ROAD HAYWARD W1 54843 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 11, 2000 CUST ID No.692412 LORETTA LARRABEE 2819 KNAPP ST MENOMONIE WI 54751 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/11/2002 A7TN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 197902, JIFFY LUBE ST CROIX County, Town of HUDSON; BRAKKE DR NW1/4, SW1/4, S27, T29N, R19W FOR: Description: Nonpressurized In-Ground-Conventional 627 gpd. Object Type: POWT System Regulated Object ID No.: 758727 Identification Numbers Transaction ID No. 430863 Site ID No. 197902 Please refer to both identification numbers, above, in all cones ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Correspondence Notes: • This plan action is subject to designer comments on the plan. • Your additional information fax signed by one of the project owners, indicates this POWT system will receive domestic waste only. The statement is made that "an additional holding tank "will be installed for grease and oil waste. That additional holding tank shall have DNR approval. • This review covers only domestic/sanitary wastes directed into the POWTS system you propose. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes, including those combined with domestic/sanitary wastes. Please contact Jim Kinney of DNR @ 608-266-7715. A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincer y, ~-- - THOMAS E DEVEREAUX ,PLUMBING / POWTS REVIEWER II Integrated Services (715)634-3026 , 7:45 AM - 4:45 PM MON. -FRI. TDEVEREAUX@COMMERCE.STATE. WLUS cc: MR CONVIENCE-JIFFY LUBE Jim Kinney Waste Water Specialist DATE RECEIVED 08/22/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ~( . -v-~ °-U t11 9 ~' ~~ .~.~ ~, ~~ . ,~° ence -Jiffy IS"~d~te of Wisconsin \ DEPARTMENT OF NATURAL RES~I~kCES __~ . WISCONSIN ~_ DEPT. OF NATURAL RESOURCES October 2, 2000 Tommy G. Thompson, Governor George E. Meyer, Secretary Richard Sterbenz - Mr. Convenience -Jiffy Lube P.O. Box 732 Hudson, WI 54016 Dear Mr. Sterbenz: 101 S. Webster St. Box 7921 Madison, Wisconsin 53707-7921 Telephone 608-266-2621 FAX 608-267-3579 TDD 608-267-6897 IN REPLY REFER TO: 5-2000-1195 The Division of Water is conditionally approving plans and specifications for a holding tank to serve Mr. Convenience's Jiffy Lube located on Brakke Drive in the Town of Hudson at NW SW Sec 27 T29N R19W, St. Croix County, Wisconsin. The plans and specifications were submitted under the signature of Jack Bowman, MP 222839, Menomonie, Wisconsin, and received for approval on September 15, 2000. Jiffy Lube is a vehicle oil change station. This facility will have three bays to service vehicles. The building is designed to contain drain oil. The holding tank will be used to contain floor wastewater from the cleaning of the floor to keep the facility looking clean. This floorwater will enter a trench drain, a catch basin, and then the holding tank. The catch basin will need to be periodically serviced to ensure proper operation. Trapped oils and grease can be either skimmed or absorbed from the service and disposed of as used oil while trapped sediments should be removed, dewatered and disposed of at a licensed landfill Design Information: Operation The holding tank will collect wastewater through a floor drain by gravity. Any hazardous waste generated must be withheld from the holding tank and handled appropriately. If needed, oil and grease should. be pumped off and disposed of by a commercial waste oil recycler. A holding tank service contract will be entered into between Mr. Convenience -Jiffy Lube and a licensed pumper. A condition requiring that wastewater from the holding tank be disposed of at a sanitary treatment plant capable of accepting the wastewater has been added below. Pumping, disposal, testing, and repair of the holding tank will be conducted by a licensed individual. Wastewater Wastewater wiIi consist of floor wastewater. Tank Const. Underground prefabricated concrete holding tank. The tank will have an inspection manhole, vent, high level alarm, and watertight joints. Volume 2000 gallon capacity. Location The holding tank will be approximately 70 feet from the site's potable well. It is recommended that this separation distance be at least 250 feet. In this situation where the holding tank is a preconstructed watertight concrete storage tank, an Quality Natural Resources Management ~-. Through Excellent Customer Service PMteA On Recydetl Paper . ~ ~ ' . Mr Conveniel~ce -Jiffy Lube Page 2. exemption from the 250 foot separation distance is granted. As recommended, the holding tank is over 250 feet from any other private well, over 500 feet from any inhabited dwelling, and over 1,000 feet from any public water supply well. Under no circumstance are these separation distances to be reduced to less than 25 feet. Site Info: Reported general soils information suggests that the depth to groundwater is at or greater than 25 feet. A separation distance of 5 feet from the base of the holding tank to groundwater and bedrock must be adhered to whenever possible. The plans and specifications are hereby approved in accordance with sec. 281.41, Wis. Stats., as attested by affixing on them the stamp of approval, Number S-2000-1195, subject to the following conditions: That hazardous waste be withheld from the holding tank. 2. That the wastewater be disposed of at a sanitary treatment plant capable of accepting the wastewater. If needed, oil and grease will be pumped off and disposed of by a commercial waste oil recycler. Other methods of disposal, such as landspreading, are not allowed unless a WPDES permit is issued by the Department. That a competent resident inspector be provided during the course of construction. That the improvement be installed in accordance with the plans and specifications and above conditions, or subsequent essential and approved modifications. These plans and specifications have been reviewed in accordance with sec. 281.41, Wis. Stats. Where necessary, plans and specifications should be submitted to the Department of Commerce, Division of Buildings and Safety or other state or local agencies to insure conformance with applicable codes or regulations of such agencies. The Division of Water reserves the right to order changes or additions should conditions arise making this necessary. This approval is not to be construed as a Department determination on the issuance of a Wisconsin Pollutant Discharge Elimination System permit or an opinion as to the ability of the proposed system to comply with effluent limitations in such permit, an approval of the Environmental Assessment that may be prepared for this project, or an approval for any activities requiring a permit under Chapter 30 or 31, Wis. Stats. Tangible personal property which becomes part of a waste treatment or pollution abatement plant or equipment, may be exempt from sales tax under sec. 77.54(26), Wis. Stats. Similarly, property purchased or constructed as a waste treatment facility and used for the treatment of industrial wastes may be exempt from general property taxes under sec. 70.11(21)(a), Wis. Stats. A prerequisite to exemption is the filing of a statement on forms prescribed by the Department of Revenue. To obtain the necessary forms, and information on whether or not your property qualifes for these exemptions, please contact the Department of Revenue, P.O. Box 8933, Madison, Wisconsin, 53708. In case installation of these improvements has not been commenced within two years from this date, this approval shall become void. After two years, therefore, new application must be made for approval of these or other plans and specifications before any construction is undertaken. Mr Convenience -Jiffy I.ube Page 3 , If you believe that you have a right to challenge this decision, you should know that Wisconsin Statutes and administrative rules establish time periods within which requests to review Department decisions must be filed. For judicial review of a decision pursuant to secs. 227.52 and 227.53, Wis. Stats., you have 30 days after the decision is mailed, or otherwise served by the Department, to file your petition with the appropriate circuit court and serve the petition on the Department. Such a petition for judicial review shall name the Department of Natural Resources as the respondent. To request a contested case hearing pursuant to sec. 227.42, Wis. Stats., you have 30 days after the decision is mailed, or otherwise served by the Department, to serve a petition for hearing on the Secretary of the Department of Natural Resources. The filing of a request for a contested case hearing is not a prerequisite for judicial review and does not extend the 30-day period for filing a petition for judicial review. This notice is provided pursuant to sec. 227.48(2), Wis. Stats. 7 ,• ~' -''7 C~ s'-.i../~ m Kinney Wastewater Permits and Pretreatment Section STATE OF WISCONSIN DEPARTMENT OF NATURAL RESOURCES FOR THE SECRETARY Duane H. Schuettpelz, P.E., Chief Wastewater Permits and Pretreatment Section Bureau of Watershed Management DHS:JPK a: convenie cc: Pete Skorseth - WDNR/West Central Region -Baldwin Area Office Plan File (2 copies) Jack Bowman -Bowman Plumbing, Inc.; 2819 Knapp Street; Menomonie, WI 54751 Jim Kinney - WT/2 °a~e Of HOLDING TANK CROSS SECTION - C©YLC`to~'~ ~n~z (nn scale) HIGH WATER WARNING DEVICE ON 8' POLE OR IN/ON BUILDING SERVED 12" MINIMUM i -- MIN. Z" CAST IRON VENT WITH GRADE RETURN BEND OR 4" CI WITH ; APPROVED VENT CAP. 25' MIN. ~ FROM DOOR, WINDOW OR FRESH '---- AIR INLET WEATHERPROOF JUNCTION BOX LOCKING DEVICE AND WARNING LABEL AT COVER CONDUIT ~- 4" MINIMUM MANHOLE - MIN.24" ID 18" MINIMUM ,LEAD JOINT AIRTIGHT SEAL ~ /~ \ HIGH WATER 1' ALARM SWITCH ~~~--- - - BLIND C.I. PLUG DEPARTMENT APPROVE D JOINT WATERTIGHT JOINTS ARE INDICATED BY UNLABELED ARROWS *PROVIDE APPROVED PIPE FROM INLET TO 3' BEYOND EDGE OF UNDISTURBED SOIL SPECIFICATIONS TANK MANUFACTURER : ~,~ - ~ ~~~~Ox~n (~1-co~cx~.~~~ ~1nr TANK CAPRCITY: ~ Cho GALLONS .km~~- 4,3"~ , 1 ~ "1..QQn,a~ 7 Or 1,~ * PLUMBER/DESIGNER ~- SIGNATURE: ~~C ~"7 ~ .-•s-»--`- ~ LICENSE NUMBER I~1~ ~-a-.~3~ DATE:.. 13 ~~C~C~ _ ~ ~ o ~ ~ ~ ~ ~ ~ u o .~ U ~ N o ~l yUy~~ ~- ~ N ~ ~'~ ~~ ~ In 3d°.~ ~ +~x 8~ ~' o0 \ ~ f, ~ o ~ ~ ~ ~' °o a, ~ 3 a < ` W ~ U ~ ~ •~ ~ ~ p90 ~ ~ N C G 0 G = i \ ~ d V ` ~ ~ O W ~ ~ 4 uNj ~. . g~ ~ ^ /~ fy ~' ( - g ~~ a ~ o 3 :-° ~$~F / r Z i^ -•~ ~11 N i ~\ _ =Ip7~ W ice/ \\ / ~ 3 / /~ ~ ~• ~ ~ ~ ~~/ ` ~ - ~~ryfY Qt't~ ~1 1 g ,~ . ~ ~ °'• X t 1 ~ N / N O p ~ M~ ~ O A I 1 A~'~ 1 ti / ~ ~ ~_ ' ~ - - - - ST CROIX COUNTY ,: - . - , - .. : SEPTIC TANK IVIA,INTEiJ~4NCE -~AGREEI~i$NT . _ -. _ AND_. ...OWNERSHIP CERTIFICATION FORM I Q~~/$uy~ RICHMAR INDUSTRIES, LLP Mailing Address. P.O. BOX 732 HUDSON WI 54016 . .- _ - - - 606 -BRAKKE DR. HUDSON WI 54016 - - - Property Address (Verification required from Planning Department for new construction) City/State xunsoN WI parcel Identification Number 020-1075-35-100 ~,~+~ ~~~`' .2~_~q . l4 • 3b3~ LEGAL DESCRIP~'ION Property Location ~? '/., SW~ y4~ $e0.27 . T 29 N-1~.19 W, TowF: nF HUDSON Subdivision N/A Lot # 1 ~ . ~~ (~ (o~2q 3 z. Certified Sarvey Map # 5 2~ to5~ ,Volume 1 ° .Page # a9 32 - Warranty Deed # b00149 Volume 1413 ,page # 610 Spec house ^ yes ~ no Lot lines identifiable yes ^ no SYSTEM MAINTENANCE Impc~opei use and mambeaaaoeof your septic system could nesnlt is its pr+emattn+e fafiure to a wastes. Pmpet maintenance consists of P~Pmg out ~e sephe tank evFry three years or sooner, if needed by a licensed pumper. What you put into the system can affect the 'of the septic teak-ss'a'treatment stage is the waste disposal :ysbem. TLe: property owner agues to sabmit to S't. Qroix Zoning Department a certification faaq signed by the owner and by a master PI~Y~Phm~ber, reatrictedphrmber or a 4censedpiu»per verifying 8-at (1) the on-dte arastewaterdisposal system is is proper operatigg coaditi~ and/or (2) after inspection sad 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 ret fem..., h,,` r°~,, ss a ~'hy use ant of Commerce and the of Natural Department Resoiu+ces, State of Wisconsin. Certification stating that septic system-has been maintained must be completed sad rednnod to the St. Croix County Zoning Office within 30 ~~~~I~~ ~~%~~~~~ D ~Q ATB I ) oettlfy that -all ~tatenients on this foam are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of ~ , by v' a of a warranty deed recorded in Register of Deeds Office. / oZRQp ATtJRB F LIC,ANT DATE ««««««~y information that is mis-represented may result in the sanitary penaut being revoked by the Zoning Deparhnoat. «ss««« «« ~;~ ~;~' ~'+r-ti' decd feom the Rregiater of Deeds office a copy of the oat~ied surnay map if referonce is madt~im the wansnty deer!- got ~~i ~~A~~sio STATE BAR OF WISCONSIN FORM 3 - 1982 QUIT CLAIM DEED DOCUMENT NO RICHI• R ZNDUSTRTES, a Wiscons n partnershi quit-claims to RZCH!•fAR INDUSTRIES, LLP ,~. 6 00 1 4 9 KATHLEEN H. WALSH REGISTEK OF DEEDS ST. CROIX CO., WI RECEIVED Fai RECORD 03-26-1999 10:00 AM QUIT CLAIM DEED" CERT~COPT FEE: 3 cwr FEE: TRAkSFER FEE: RECDRDIii6 FEE: 12.00 PAGESs 2 [he following descrilicd real estate in S t . C LysX" County, State of Wisconsin: aEE ATTACiic.D Lr.GAL DESCRIFTIGidS ON "EXHIBIT A". TNIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADORE55 Robert W. Mudge 110 Second Street Hudson WI 54016 020-1162-30, 020-1075-35140, PARCEL IDENTIFICATION NUMBER 020,1075-35150, 020-1075-35160, 020-1075-35100, 020-1307-50, 020-1075-35, and 020-1075-10 This i3 not homestead properly. (ls) (IS nOt) Dated [his - ~ a ~ day of ~ ~ RC N , 19 99 RICHPIAR INDUSTRIES, A Wis. Partnership (sEAC)" (SEAL) By: - ,mac (SEAL) Partin Ryan SEAL) And: Richard G. Sterbenz AUTHENTICATION signawre(s) ~l4 RT l l~ J . ~ YA u ilIV4 S' .P E Z a cut' ttd is ~'~ ~ 19~ Q a c. T IA/. ~-'1 k 4 4 F TITLE MEMBER STATE ffAR OF WISCONSIN (lf nol, authoratd by §786.06, Wis. sots.) ACKNOWLEDGMENT State of Wisconsin, ss St. Croix county. Personally came before me thts day of l~ ,the above named co me known to be the arson who executed the foregrnng instrument and acknou•Irdge the saute. rHl$ INSTRUMENT WAS DRAFTED BV Robert W. Mudge, Attorney MUDGE , P R I; & S . C". '" II~2dsc;t2 SJIaj1Al6 NotaryPuhlic, St.CrOlX Gtunty;Wis. (Signatures may be wthenticated or acknowledged. Both arc not My commission Is permanent. (If not, stale expiration date necessary) , 19 .) • Napes ur pawns vgnmg vi any upa:uy sFould by typed .x pnnud hdow Iheir vgnaW rn. STATF. HAt OF WISCONSIN wnconsn lApar Blera Co.. k¢. t219T CLAIM DEED Form Nu. 3 - 1982 taawwliw, wn. YOL 14i~PACEBII EXHIBIT A Parcel l : Part of NW-t/4 of SW-l/4 aad Part of SW-1/4 of SW 1/4 of Section 27, Township 29 North, Range 19 West. St. Croix County, Wisconsin described as follows: Lot 6 of Certified Survey Map filed June 6, 1990 iA Volume "8", Page 2220, Document Number 459323 Parcel 2: Lot 60, Humbird Hills Third Addition, Town of Hudson, St. Croix County, Wisconsin parcel 3: Part of the Northwest 1/4 of the Southwest 1/4 of Section 27, Township 29 North, Range 19 West, described as: Lots 9, 10, 11, 12, Certified Survey Man filed June 2, 1995, in Volume 10 on Page 2932 as Document No. 529657 Parcel 4: Lot t, County Hill in the Town of Hudson, St. Croix County, Wisconsin Parcel 5: That certain parcel of [and located in the Northeast I/4 of the Southwest 1/4 of Section 27, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin, more fully described as follows: Commencing at the South 1/4 corner of said Section 27, thence N Ol°37'51" E (assumed bearing on the North/South quarto line of said Section 27) a distance of 225 L.52'; thence N 88 ° 12'43" W 533.00 ; thence S 01 ° 37'51" W 184.68' to the POINT OF BEGINNING, of the parcel to be herein described; thence continue S Ol°37'51" W 251.32 ; thence N 88° 12'43" W 433.32' on the North RO.W. of Braklce Drive; thence N Ol°37'51" E 251.32 ; thence S 88° 12'43" E 433.32' to the POINT OF BEGINNING, containing 2.500 acres, being subject to easements of record r i3 t . S oto !0 7s' .~-s'.l~o ~ya9D 2a ' ~lEpypW~~ j' L.aT !/ CS~171 Ld/19.'lL ~ ~ o I y°c~~ .~ i,~. ~''~ -ire CERTI-PIED SURVEY MAP in part of the NWT of the SW~ of Section 27, T29N, R19W, Town of St. Croix County, Wisconsin; being part of Lot 1 of Certified Map recorded in Volume 7, Page 2051 at the St. Croix County r of Deeds Office. SCALE IN FEET o loo 2 0 400 - I S02°02'32"W WI/4 CORNER OF _ _ 66.00' SECTION 27 I,J j ~ j~ L r~ I I G (`J _L /a i ~v (S69°16'15"W) ~ LE%JC_i~ I ~_ ,~~. I. 13I ~ S88°25'10"E - `e° ----579.11' -- 10 .IB' 209.33': 6 66. 7I 303.78 1 1 1 65' 65' 2~~~~t ; 1 ~ 8 St9°22'05"E • I I I 1 • ~-I ~ p'J N19°22'05"W 5 •50.00' lnl I , ~ 9 ~' I r~l.,..I 50.00. 03 ,24 1-I I-1 io ~ ~ "a ~'i I ~~I (JI ', ~=( 1 0 4i _JI a 10 ;1 I ~ ~ •i I I ~ MI ' 1 -I I- I 2.35 Acres ; ~ 12.66 Acres ~ I 102,477 Sq. Ft. I I 115,701 Sq. Ft. ti. ~I GI f'JI ~ m W I nj ~ I I-I (V I O u`ri ~ No, ~ Om LJI I-I ~_ ~ ~ o ~ ~ m ~>I Lill CSI d C~J~ =t, ~ I NBB°50'04"W rl)I -11 W "I i I 244.93 Ljl _-T ~' I n I 3 w 2i - °o I. I I ~ a I y o t~ I -v - ~ 2 ~~- n cn I 71 x W I I i ~ iop I ~ o p UJ i C] 1 1- h 0 ~ I- ~ :rtes ~ I ~ ~ ° 1 QI c ~ ~~ I 2•.76 Acres a N z Q I Q I .•016 -J1 z I 3:44 rase ~ o I o 120,092 Sq. Ft. _JI -11 J , 2 Sq. Ft. N~ ~ I CJ I m r~ ~ I x' 33' 33' ~ I v ~~.., ~~`~- 11 VAR. 65 _ .4~ ~ ~ - ~ _ S~ZyO 2?, CROt~ GOSJR~T { I N88 12'43° W ~ects#v~ ~ 207.40' - I IIf~S c>`te>>, I - - VARIABLE rf 1!10>f ~@TC~ W IOTH I L O I 5 ~ Q I ~D~s of C. S. i~l. VOL. 8 , F'u. 2 %~O ~t `y'r g„ 3 LEGEND '~0,~ c.~~u°• `~ !';.7 ~2~:t N ~; ~ Aluminum County Section Corner Monument o m r~ w~¢~_'"c\,~,-~ .' ~;,, oN ,n Found s ~ A ~ Richmar Industries NW, SW, 27,29NR19W Hudson township St. Croix county RICHI~R INDUSTRIES CONV'HQIENCE STORE ~~ovvman Pluml~ir~ ,Inc. ~~~ Mastar Plumber No. 5875 2819 Knapp Street [V~e a , o ,T8 W I (~ 15~ j 3 -4€~ F ~ (71j) 35- 65~ On-Site Plan ~ ~ ~~ Ate- ~i°~~~ b~ ~ ~~ i ~~~' ~ h .~..q 5 ~-~~ a z~ ~,,~„ ~ ~I ;, $1 I Ig -y ~ 's,,f' ,~'h ~i ~, ..~ ~ ~. ~ ~; tt~,gc~ sr r~o+;, ,~ ~~ ~~ ~~1~~, I 7 I-l~ ~~ ~ ~ ! h r 2~~- ~o~ 7 Pa e 1 of 1 Y 0 ~~ ~ 1~~~ 1~~ ~. P. ~ N L- t.o-~ Gc7~,n6~ ~yi ~ ~~ ~„~ r.,, ~ I ~ ~ . ~q~. ~5 5 ~~~ 3~ ~ ~~D ~ r. ~j`` 5~' ~ ~~ .. ~~' ~ IL ~` ~~' ~'~ ~ ~~ ~ . %1 N ~~~J -~ o ~_~1 Go~re~,.~,ysinc eJ/ l -cam ~1~i,~~o~. ,~ qo ' - ~. X15- `~ y" S~4O ~ ~( o ~~ ~~ /, \\ ~" ~~ ~, , ~l. ~-..k ~~~~- ~ Wisconsin Department of Ina~ustry, La Human Relations .; tv and Buildings DivisiorF- _y a GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMlT) Permit Holder's Name: ^ City ^ Village ^ Town of: RICHMAR INDUSTRIES X CST BM Elev : Insp. BM Elev.: ~ BM Description: " ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic J o2i ~~``~ ~~ a tb , ~ ., ~9eration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic >~~ ~as~ y3p1 ~ NA Dosing }~ ~ : ~~ ~ ~D r NA Aeration NA Holding PUMP! IPF(Q~ORMATION Manufacturer ~~~.-- errand Model Number 3= ~ ~~ GPM TDH Lift ~~r/f friction Systems TDH Ft Forcemain Length Dia. 3 Dist. To Well ~ ~(,~ SOIL ABSORPTION SYSTEM County: ST. CROIX Sanitary Permit No.: ax ELEVATION DATA ~~~ ~~ ~n . ,~'r`1p STATION S HI FS ELEV_ Benchmark ~,, p3 ~ ~~, ~' Bldg. Sewer -- - St/ Ht Inlet ~r• co ,/ ~oo.s6 /o~~ St/ Ht Outlet ~~ 9 9 4, ,9 ' Dt Inlet ~ ~ ,~/~ Dt 8ottom ,~~ 9~,~j,~~ / Man. SAS S , J~'~ i~' Dist. Pipe s~9~' i ~~ ~P. Bot. System ~,~~,Gs' q , ~~ Final Grade 3'9 3~s ~ p~.b ' BED /TRENCH Width /- ,- Length ~ No. Of T enches ~ PIT ~~__ No. Of Pits I ~ e Dia. Liqui th DIMNI ~D DIMNI SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEA Manufacturer: SETBACK C MBER INFORMATION TypeO Y1ew- i ' -, ~ ~ ~ ModelNum er: System: Z:~.~? ~; ~~~ ~- R UNIT DISTRIBUTION SYSTEM ~d~'`~ !``~ l`'' Header /Manifold ~, Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length ~ Dia- 3 Length ~ Dia. ~ Spacing ~ y ((L(/A SOIL COVER x Pressure Systems Onty xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /enter ~ -~~ Bed / Edges ~ ~- ~t'p Topsoil ~ ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson.27.29.I9W, NW, SW, Lot 9, Ryan Drives ~ 3 ~j ~ ~'` ~~-~ ~ ~~ Plan revision required? ^ Yes ^ No Use other side for additional information. SBD-6710 (R 05/91 } Date Inspector's Signature .- ~,]a' - Cert. No. ~~~~~~~ ~~ ~_ ADDITIONAL COMMENTS AND SKETCH '` ` SANITARY PERMIT NUMBER: : ~ ~~` ~. _ SANITARY PERMIT st. Croix couNTY ~ ~IL~-0R ~. TRANSFER/RENEWAL UNIFOI~~~ (PLB 67-T} PERMIT RENEWAL DATE: PERMIT TRANSF ~rTE: ORIGINAL PERMIT ISSUANCE DATE: STATE PLAN I.D. NUMBER: f ~ _ ~f- ~- ~~ ~'7 ~ _ -~? _ ~~- 595-01225 PROPERTY LOCATION: CITY: ~ '/4 ~ '/4,S 27 ,T 29 N,R 19~(or} W Towly oF: East part of Hudson LOT NUMBER: BLOCK NUMBER: SUBDIV1510N NAME: NEAREST ROAD, LAKE OR LANDMARK: 1 N.A. csm 7/2051`:. St. Hti 12 PREVIOUS SANITARY PERMIT HOLDER (IF CHANG D): SANITARY PERMIT TRANSFERRED TO: N.A. D N.A. I, the undersigned, hereby assume responsibility for inst Ilation of the private sewage system that has previously been approved for this property. PLUMBE IGNA U PREVIOUS PLUMBER'S NAME (IF CHANGED): Robert W. Ul~richt P BER'S ADDRE PREVIOUS PLUMBER'S ADDRESS: 2819 Kna n St., Menomonie, WI 54751 655 O'Neil Road, Hudson, WI 54016 MP(MPRSW NUMBER: PHONE NUMBER: MP/MP S~C),l NU BER: PHONE NUMBER; MP 5875 (715 - 235-4634 ~ ~ ~ ?15) 386-8185 SIGNATURE OF T: DATE APnnP OVED: DISTRIBUTION: Original -County .~G. 7- ~C/ 9~ Copy -Bureau of Plumbing ' Copy -Owner DILHR-SBD-6399 (R. 5/82) Copy -Plumber a t __.__. SONITORV PERMIT OPPLICOTIiC~N ~ino~~t7~ r -- -- - - - - In accord with ILHR 83.05, Wis. Adm. Code COUNTY 5.j.. C ~~~. X -Attach complete plans (to the county copy only) for the system, on paper not less than STATE SANITARY PERMIT # ~ 33 yf,~ 9 8'/z x 11 inches in size. ^ Check if revision to previous application -See feverSe Slde fof InstrUCtIOnS for Completing this application. ~ STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION. SJr„f 'aiz• Z-S~ PROPERTY OWNER ~ ~ ~~ =~{~rf~jl-S~j ~~~ ~~j ~ i '1 " PROPERTY LOCATION ~r-~ I ~ St.~ ~ /V W' 2f 21 ~+2.- .si ~ 4'iNVENr , N, R T /a S /a E (OrSLY~ PROPERTY OWNER'S MAILING A ESS ~ yY f3~t rt K,~E ~~ LOT # ~ BLOCK # ~' CITY, STATE vp-s'r.~.a GC1l• ZIP CODE S4~f~ G PHONE NUMBER ~` /o SUBDIVISION NAME OR CSM NUMBER ~~J GS~t S'2~G S7 ~1p /. /Q ~ 7 II. TYPE OF BUILDING: (Check one) ^ State Owned ^ CI LAGE H NE~EST R`,OAD D~~.v~~. u DSo ~ ~ ~~- t J PUbIiC ^ 1 or 2 Fam. DweNing-# of bedrooms - PAR EL TAX NUMBER ) III. BUILDING USE: (If building type is public, check all that apply) ~j 2d " !C>'?,~j~~ ~~-/O O 1 ^ ApUCondo 2 ^ Assembly Hall 6 ^ Medical Facility/Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/Repairs 11 ,^-, R~stauranUBar/Dining ~ 4 ^ Church/School 8 ^ Mobile Home Park 12 L7 Service Stationf6ar11Mash ~ 5 ^ Hotel/Motel 9 ^ Office/Factory 13 ^ Other: Specity ~~V'~'`~~'F~~' IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an System System Tank Only Existing System Existing System B) ^ A Sanitary Permit was previously issued.. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) ' Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ^ Seepage Trench 22 ©'(n-Ground 42 ^ Pit Privy 13 ^ Seepage Pit Pressure 43 ^ Vault Privy 14 ^ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE Z ~~~ REQUIRED (sq, ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ~ ~~ ~~ ~~ Y9rp y~'G ~ l~3• ~ • Feet Feet VII. TANK CAPACITY in allons Total #of N f t ' M Prefab. Site Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks urer s ame anu ac Concrete str cted glass App Tanks Tanks u Se tic Tank or Holdin Tank y "" Z ~ Lift Pum Tank/Si hon Chamber fit) ""` O~ZT~ ~ 'J~ ' VIII. RESPONSIBILITY STATEMENT PGt!'S ! 2.5. o ~. ~,IQE~i~-S ~ G',PE/~SE /.u j'~~i°GE~7J fp ~ . I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Printj: ~o(3E`RT Ztl~&R ~~.T" Plumber's Signature: (No Stamps) ~~'" #4WMPRSW No.: 3307 Business Phone Number: 7!S 3~G' ~`~ Plumber's Address (Street, City, State, Zip Code): 5 S d ' N ~'~- ~~ ' vs~so~ Gc9~.S'_ s4~ o ~ ~ IX. COUNTY/DEPARTMENT USE ONLY Approved ^ Disapproved ^ Owner Given Initial Sani ry Permit Fee (Includes Groundwater ~ //~J~ Surcharge Fee) ++rr `/JJ a s ~ Issuing Agent Signature (No Stamp AdverseDet rmination /~U / X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber fNSTRUCTfONS ~~. a ~ t .{ ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code wiU be applicable. 3. "'~-All rev~ision~. to.t#~is permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Ren.ewal Form. (SBD 6399) to be submitted ~o,the county, prior to: installation.. ~ ~ - 5. Onsite sewage systems must be properly maintained. Th,e~septic tank(s)-must be pumped by'a licensed pumper whenever necessary, usually every 2 to 3 years. ~ ~_ _~ ~_ ,, 6. If you have questions concerning your onsite sewage system, contact your local code administrator~or the State of Wisconsin, Safety & Buildings Division, 60&266-3815. ,: -~: _. To b~,co.mplete and accurate this ~arritary~permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to t5@ installs-d. II. .Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. tV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or ' repair.. - - - - ~V: .'Type of system. Check appropriate box depending on system type. • Vl.~ °Absorption system information. Provide all information requested in #1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for a// septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'r/z x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction foss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if. required by the county; E) soil test data on a 115 form; and F) all `sizing information. GROIliNDWATEfR SURCHARGE ~, ' ' 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number4of. regulated practices which can effect groundwater. - -; ~ The monies collected through these surcharges are usstd for monitoring groundwater, ground :`: ~ . water contamination investigations and establishment o~ standards. SBD-6398 (R.11/88) ~ i U~BRICHT~~& ASSOCIATES CO. ' 655 O'Neil Road • Hudson, WI .54016 715-386-8185 Re: Richmar Industries Convenience Store State Approved Plans 595-0125 St. Croix County Zoning Dept. Gov't Center 1101 Carmichael Rd. Hudson, Wis. 54016 Reg. Designers of Engineering Systems Private Sewage Consultants .~, ~`~'~ ~C. '~I Unknown to soil tester (Gary Steel, CSTM 2298), owners need to bring a driveway/ parking area across approximately 1/2 of the area he previously tested on 4-12-95. This designer revised the plot plan, shifting the twin drainfield beds north, into area B2-B3-B5, in order to avoid the driveway construction area running through the area where the beds were originally sited. As pointed out to owners and soil tester, a new replacement area had to be described. The soil tester registered a new replacement system area, just west of drainfields (Backhoe pit #6). If you have any questions, please call. ~.~`-~ °. ~s 6 , 1 ~~.,: .,~ ~~js~ ` ,~ J Sincerely, ~s~ Robert Ulbricht r L .~ IJ~LBRiTCHT4 & ASSOCIATES CO. ' 655 O'Neil Road ~ Hudson, WI .54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants May 25, 1995 Re: Richmar Industies State Approved Plans 5-95-0125 St.Croix County Zoning Dept. Gov't Center Buliding 1101 Carmichael Rd. Hudson, Wis. 54016 Revisions in red ink were made regarding the final location of the exterior grease interceptor, and the 2 septic tanks. These changes were necessry because the original locations of tanks would have been sited under future high traffic areas. The tanks were moved to grassy locations most suited to the system's operation and to the preference of the owners. There shall be no changes made with the dosing/ pump chamber or any other components of the plan. If you have any questions, please let us know. Sincerely, Robert Ulbricht Reg. Designer y i ,~ t ~ I SAFETY & BUILDINGS DIVISION I'~ State of Wisconsin ~ Department of Industry, Labor and Human Relations Miis~ i`s; I~a~J~ ~i?f '-~t~,f W~~:triri~t.s',ri ~l~t:~r3ue it. li~~.+x lyti't ^~rtd 3 ~ r,n ~I I ',3~1~.i7 lJLi3ktCr41 & f1:~St.1CtAlt_J E~5`~ (t'~E iLl.. itlldlU NUU`>L1N W t 74 (.J I f, RC.: {'l.rtiN ti9~-•UiL2'x iii kkt..}i'vi.U: :~.tl.t)U k l 4s FIt4~1 K i N 1111 t;1 k 1 E: `_~+ NVd,SW,ll,2~3, !'.11nt 1 [)WN Ok~ HUU~tJN o :t)tJ(d (Y Ut 1 CkU1 X PkE.~~ilJfti/CIJ 1N-GklluNU ;iY1iL:M rht' Ue~artrnc~nt has r~eviP~e3d the.abav~~~.r+?tererics~cl ~ui~r;iitt~il. _. (:~ndit;vna~i d~t~~ruval ~r5 t-c~r-e~y gr~anir~d t+,r thy, r,}r>k~-rn~~ t~larr _r,rt,~n1C#~I. ~l1~+ rtot~d 'c#.ems rnuS~C L~r~ ~or~~ee:t:ed. fh~ +rrv~~~w .~rsr.1 al~;.~icrv;~l «t thy, ,;yst::rn ~:~ 1rda~rsrl c~r+ eh:~FCer~ S45p Wisconsin ~tatutr~s, :!rr~3 ih.>t}~+~r~ tl.Hk t•1:7 ~~ri-1 r~~. W~~~corrsir~ l~rirsr'ir~tstrzrtZVr--. Code .and i> ~~cini~_in~~,r~ irt;i.~tf t~orirr~lrr~rir~r> w~tt~ rn;; t,{It~tiulatlc3ns shown pan -Cher p~Mans. ('ttis ,~:~str~rir ~~-t~, siEai L>+:'+;r~. rQ~<~~+,w~~r, t~~.ri Ct,e c~o!ic~ r~etlu'ir~~m4~nt~~ ties.. tt}rth i{ti cha~Cr~r .iti~f~ t3 r` ~~,r ir; ~:h~CaC~ar~ Il.Ntt `_>r)t;~i, ~~i,>~.onsir Ar.trriin~s#ra~ivc~ Coda. 1 h t s ti t ~3 rr s u brri i ~!~ t a f <r t, p r~.r~ v. a t ~„ t 1 1 ~i a rzt~rr+C;~ry t:~~rmi~ i; c~b-Cairre*ci, 'tr~iCial ~~rr'i#:~iry pr~r~rni~t r.: x.t:,irc:~>. insi.ai4>i4.`ion ~h~rl1 kr`t'I~ i~r~r, >~t r~ ~t(~~)r' (!`y'8 ( ~d {. 4 I'tC t t)ilS t i11~ 4 I UPi 1 CE' Ir15(1(`C4i3i~ i,~h(.'r~t Iil`..;t)l'f ~ UCI`, l.drl ILL r:~xt~ i €7 i ra rr j }i~,; Ir 4;F i ti ni<I fa ~_' r 4~ Ct~d~ ,,i,:,,ir ~; t r+~rin ~thN ;a{,tlir (7~~~t f art I I <~xt~t i fi°~ ~,~ t Lr~ i he {J~..ti~it l.ni~~-ti ~:.' ir1` t.-T t 4~tr `~tt,i t t titil. r}ttal c)v~i I ii+2l.t' o tai «rr I_ti :~ ,t~~s~ Lri~. 9 ' ~, ~' t v,uir}i : ~ t t i ~ 1tr~r :~tt3;tt ~)I,t i~ L~ is l 8 ~~c~rtiii Cs, ;rrr{t~ i rc~rl irk ttie ,:_y r.y; ~,r i i t_ic)t=, i_~i~1ri~:rrr; Sri t~+~ttrif.y ~~,h~r i r t,e~ v~~rd~lrt~~;~ (3Y~IQi" ~[) ir15'tal l~tl.lt)ti, itltlu'tt ins ahouirl k~e direi:t.a.'c! tr7 me ~rE. t+.~ Che! ~uiari nuxrt~cr °;tsiwn ~strove~. ,inc.er _ly, ~ ~' i 's;~ .. _ . 1'~~c~e~ (-' lan kev newer ~e~c#~ur, r3i Pr ivster e~~i<~ge ( t~l.lt~, ebb -~.'tEtt.3 ~t~IC' 71,fllit7f3t I r+-~t,t;~r,'~ -ijClt)W- ~'It~~~t~:E' rk'1e?i ORIGINAL $BDA-7887 (11.10/841 i' Wisconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R T '.atx~s a~? Human Relations f.)ivision of Safety & B~tildirgs in accord with ILHR 83.05, Wi,. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference paint {8M), direction and % of slope, scale or dimensioned, north arrow, and location and distance t r APPLICANT INFORMA710N-PLEASE PRt as.. e/ Pa~ St. Croix PARCEL I.D. # 020-1075-35-100 PROPERTY OWNER: ` , s~„ a :: ~ ~~ ` ` ERTY LOCATION Richmar Convenience Sto ~~ ` :~~~ LOT NW tea SW teas 27T29 ,N,R 19 ;E{or) PROPERTY OWNER':S MA!IING ADDRESS c~ ~ .~ - ? •` .. ~`~ BLOCK # SUED. NAME OR CSM # 6.44 Brakke Dr. ;.`_ ~ ~' ~ ~ na csm 7/2051 CITY, STATE ZIP CODE NE'~11MRER ' ";~,,ti QVILLAGE~i'OWN NEAREST ROAD Hudson, WI. 54016 {•'~;a,~`~~~$1-1~3 ' ~~~. Hudson St. H #12 . (~j New Construction Use j } Residential 1 Nu ~r~of s , ~ [)Addition to existing building "~ ` ~i~ienience store-service station j j Replacement (x~ Public or commeraal d ire-.~~ Code derived daily flow Z 410 gpd Recommended design loading rate . 5 bed, gpd/ft2 .6 trench, gpolft2 Absorption area required 4 8 2 0 bed, ft2 4 017 trench, tt2 Maximum design loading rate • 5 bed, gpolftZ • 6 tre~h, gpolft2 Recommended infiltration s! dace elevation{s} 9 8 . 8 4 ft {as referred to site plan benchmark} Additional design /site considerations 2 0 0 cars - h e m t o e e s- 4 f 10 o r d r ' n s- Parentmaterial outwash Flood plain elevation, if applicable na ft S =Suitable for system coNVENTIONAI ~ 1~6 ^ U MoUNp I ~ ^ U IN•GROUND PRESSURE ~ ^ U AT-GRADE SYSTEM IN FILL ~ S ^ U D S ~ U HOLDING TA ^ S U =Unsuitable for svstem SOIL DESCRIPTION REPORT Boring # :.;~.;: 1 ;~:r:: Ground elev. 102.4. Oepth ro limiting factor +90" Boring # ~~ 2 ~.~t~~h`tr •i Ground elev. 102.4 Oepth ro limiting factor +96" Depth Dominant Color Mottles T t Structure Consistence~ Barxiar Roots GPOlf Horizon) in. Munseil Du. Sz. Cont Color ex ure Gr. Sz. Sh. y Bed I T 1 0-17 10 r3/4 none sand fill na na na na n 2 17-2 10yr4/4 none 1 fs Osg mvfr gw na .5 3 28-9 10yr5/4 none f s Osg mvfr na na .5 °emarkw: 1 0-6 10 r4/3 none sl 2m r mvfr w .5 2 6-16 7.5yr4/6 none 1 fs Osg mvfr gw na 3 16-9 10yr5/4 none f s Osg mvfr na na Remarks: Name-Please Print Phone: -- ~ Gar L. Steel 71 - - Address: 1554 ~OOth. Ave. ,INew Richmond, WI. 54017 __ Signature: 4-12-95 - ST~EL's ~ PROPERTY OWNER Richmar IndustriesSO1L DESCRIPTION REPORT Pag~ ~ ,of 3'_ • ~ 3 PARCEI.I.O.x 020-1075-35-100 Boring # <::: ;.: Ground elev. 102.9t~ Depth to limiting factto~r +90 ~~ Boring # ~~w€ 4 Ground 10 3~~4 8ft. Depth to limiting factor +90" Boring # :ax~:a t:'tF:~ 5 Ground elev. 2.9~ epttt to miting for +90" inq # Depth Dominant Color j Mottles Texture I Structure ~ ~~istenoe ( Bo~r~ary I Roots GPD/ft Norizonl i in. Munsell I ( Qu. Sz. ConL Color I Gr. Sz. Sh. Bed iTrerx~ 1 0-8 10 r3/4 none sil 2c 1 w f n 2 8-14 7.Syr4/6 none lfs Osg mvfr gw na .5 j.6 3 14-9 10yr5/4 none f s Osg mvfr na na .5 j.6 Remarks: 1 0-J ~ 1Cyr3J4 none Ifs osy I mvfr gw na .5 .6 2 6-90 10yr5/4 none f s Osg mvfr na na .5 `.6 Remarks: 1 0-9 10yr3/3 none 1 2msbk mfr gw if .5 ~.6 2 9-22 10yr4/3 none sil 2cp1 mfr gw na np ?.2 3 22-9 10yr5/4 none f s Osg mvfr na na .5 .6 Remarks: Remarks: wsc'onsiri oepartinent of Industry, S O 1 L AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations (]M1*i5~gn of SatAty 8, Buildings in accord with ILHR 83.05. Wis. Adm. Code "- COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include. but S t . Cro i x not limited to vertical and horizontal reference point (BM), direction and °a of slope, scale or ~ PAACEL i.D. # dimensioned, north arrow, and location and distance to nearest road. O 2 O -10 7 5 - 3 5 - 1 O 0 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ~ REVIEWED BY DATE PROPERTY OWNER: PROPE TION Richman Convenience Store GOVT. LO N tia SW tia,S 27729 N.R 19 aE(or)w PROPERTY OWNER':S MA!I.ING ADDRESS LOT LOCK p SUED. NAME OR CSM # 644 Brakke Dr. na csm 7/2051 CITY, STATE ZIP CODE PHONE NUMBER C ^VILLAGE ~1'OWN NEAREST ROAD Hudson, WI. 54016 (71~ 381-1043 Hudson St. H #12 [ ~ New Construction Use [ j Residential / Number of bedrooms ( ] Addition to existing building. [ j Replacement (x}c Public orcommeraaldesaibe convenience store-service station Code derived daily flow 2 4 10 9Pd Recommended design loading rate . 5 bed, gpdJtt2 . 6 trench, gpdJft2 Absorption area required 4 8 2 0 bed, ft2 4 017 trench, ft2 Maximum design loading rate - 5 bed. gpd/ft2 • 6 trench, gpd/tt2 Recommended infiltration surface elevation(s) 9 8 • 8 4 ft (as referred to site plan benchmark) AdditionaldesignJSireconsiderations 200 cars-6employees-4floor drains-30 pizza by slice Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TAN U=unsuitable for svstem ~~^ U I~^ U I ~S ^ U I B S ^ U I O S~ U ^ S ®~ SOIL DESCRIPTION REPORT Boring # 1 Ground elev. 102.4Qt Depth to limiting factor +90" Boring # 2 ... Ground elev. 10 2 . 3t4 Depth to limiting factor +96" ) H i Depth I Dominant Color ~ Moines i Texture I Structure I Cons;stence I Bouldar I Roots GPD/ft or zon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. y Bed ITrel 1 I O-17 10 r3/4 none sand fill na na na na ~ n 2 17-2 10yr4/4 none 1 fs Osg mvfr gw na .5 3 28-9( II ~ 10yr5/4 none f s Osg mvfr na na .5 1 Remarks: 1 0-6 10 r4/3 none sl 2m r mvfr w if .5 2 6-16 7.5yr4/6 none 1 fs Osg mvfr gw na .5 . 3 16-9 10yr5/4 none f s Osg mvfr na na .5 . 1 Remarks: CST Name:-Please Print Phone: Gar L. Steel 715-24 - Address: 1554 00th. Ave. , New Richmond, WI . 54017 Signature: _ Date: CST Number: ,''` •~7 /~ 4-12-95 r-etm n77gs~ . C PROPERTY OWNER Richmar Industrie~,OIL DESCRIPTION REPORT Page? of ~ ~ ,- PA~CELLD.fJ 020x-1075-35-1OQ Boring tl 3 Ground elev. 102.9f~ Depth to limiting fact r +~0 ~~ Bonng # 4 Ground 10 3ele~ 8tt. Depth to limiting factor +90 ~~ Boring # .~. Ground of ev. 102.90 Dept» to IimiUng factor +g p ~~ Boring # Ground elev. Depth to limiting !actor Horizon ) Depth ~DominantColor in. Munsell ~ Mottles ~ Texture Du S C C ~ Structure I Cons'stence ~Banc/ary i Roots GPDi I - z. ont otor Gr. Sz. Sty. Bed iT 1 2 O-8 8-14 10 r3/4 7.5yr4/6 ; none ~ none sil lfs ~ 2c 1 Osg mfr mvfr ~ w gw ~ if na n ' .5 I ' 3 ~14-9 10yr5/4 none f s Osg mvfr na na I .5 ., f Remarks: 1 0-6 110yr3/4 I none lfs osg mvfr gw na .5 . 2 6-90 10yr5/4 none f s Osg mvfr na na .5 . I I I Remarks: -_,.. 1 0-9 10yr3/3 none 1 12msbk , mfr gw if .5 .E 2 9-22 10yr4/3 ~ none sil 2cpl I mfr gw na np .; 3 22-9 10yr5/4 none f s Osg mvfr na na .5 .E I Remarks: nemartcs: SBD-8330(R.05/92) r ~ c w - - •i ~ ~~ r STEEL'S SOIL SEF~VICE Gary L. Steel Richmar Industries CSTM2298 convenience store MPRSW-3254 Nw4 sw4 S27-T29N-R19W town of Hudson N 1"=40' BM.= top of NE survey stake ~ el. 100' Alt. BM.= top of culvert C el. 99.43' 1554 200th Ave. New Richmond, WI 54017 (715) 246-6200 ~1k~ 1 DD ~ r ~M >"c~ - ,~ ' ~ 5 ' 2 5' ~ ~_- ~ ~~ I I , o~ v 'L:~~ ~ ~ i ~ G I ~, ~ _ I~ ~, .3 I ~I ! I ~~i ~~ ~- ~'~ ' i ; --r te-- j8~ , ~ ~- ~ ~, -r ~~i i 3 .~ Gary L. Steel 4-12-95 r-- - ,rYOWNER ~ichmar Inc~ustriesSO1L DESCRIPTION REPORT Page ~ of; ,1CELLD.ar 020-1075-35-100 Boring # 3 Ground elev. 1.02.9t~ Depin to limiting fac r +90~~ Boring # 4 Ground 10 3e1e4 8tt. Depth to limiling factor +90 ~~ Boring # 5 Ground elev. 102.9 Depth to limiting factor +90" Boring # 6 Ground ehv 104.33 rt. Depth to limiting +y6•' Depth ( Mottles DominantColor T t Structure ( Consistencel9arrbr l Roots GPD/ft Horizon) in. i ( I Munsell Du. Sz. Coot Color ure ex Gr. Sz. Sh. y I Bed iTrp 1 0-8 10 r3/4 none sil ~ 2c 1 ~ mfr ~ w~ if n ' 2 8-14 7.5yr4/5 none lfs Osg mvfr gw na .5 .i 3 14-9 10yr5/4 none f s Osg mvfr na na .5 ~.i Remarks: 1 0-6 ~ 10yr3/4 none lfs osg mvfr I gw na .5 ~.I 2 6-90 10yr5/4 none f s Osg mvfr na na .5 ?.I I Remarks: ___ 1 0-9 10yr3/3 none 1 2msbk mfr , gw if .5 .E 2 9-22 10yr4/3 none sil 2cp1 mfr gw na np ?.: 3 22-9 10yr5/4 none f s Osg mvfr na na .5 `.f 1 Remarks: 1 0-6 10yr3/3 none I 1 2cp1 mfr gw if np `.: 2 6-20 10yr4/3 none sil cpl mfr gw na np .: 3 20-96 10yr5/4 none 1 fs 0 'j na na . 5 . E 1 r 7 j ~ ~rc'i ~~ Remarks: SBD-8330(Fi.05/92) E STEEL'S SOIL SEKVICE Gary L. Steel Richmar Industries 1554 200th Ave. CSTM2298 convenience store New Richmond, WI 54017 MPRSW 3254 Nw; sw4 s27-T29N-R19w (715) 246-6200 town of Hudson N l' 1"=40' l` BM.= top of NE survey stake ~ el. 100' Alt. BM.= ~-.,,, ~,~ l.,,i..o,.+. n „~ nn n~ ~ L, ~ loo aM _ t ~~- , ~-- { I ~ ~To 1 1z~~. ~. _~.. J~ ~.,:, ' Y ~ V A ~~ ~~kL ¢~G '~~ ~ ~.3~ ~~ _I_ ~~~ 18, ~ a-~ G -{'. I•ol 3~~, ~~ ~~~~~ ~h~. Gary L. Steel 4-12-95 ~ ~ f ~ ~ it a1i~i~~i.i~~ N .L1 d.~ M U~ 1-~NO 0 '~ 'F N O 00 c .+ct ~ L N ~° w y .n ~ ~ o ~w+' L Q '~ v! C 7 Q~ ^ N C Vl t° L y1 ,° N ~ m ~ N ~~ J ~1~FD , Z ~ ~2 1995 ReD~~&a ACSH \~ ~ ~~ ~~~ CERTIFIED SURVEY MAP Located in part of the NWT of the SW~ of Section 27, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; being part of Lot 1 of Certified Survey Map recorded in Volume 7, Page 2051 at the 5t. Croix County Register of Deeds Office. SCALE IN FEET o` l o0 2 o aoo c 3 502°02'32"W I r WI/4 CORNER OF _ L ~iv 66.00' fl IL SECTION 27 IJj~j~`r~,l I CCJ ~ra~•~v~ (589°18'15"W1 ~ ~L~~Li'~ I /_ ,^.. I. 130' --- -~-- -- 10 .18' 65' ~ 65' ~I CJI ~ I OWNER Richmar Industries P.O. Box 732 Hudson, Wi. 54016 1~~' 588°25' 10"E 1O 579. II' 209.33': 6 6610 7I 303.78 . I1 ~ 1 1 1 1 ~ ~ 8 519°22'05"E (~1 • t ~ •50.00' to I N19°22'05"W 5 ~I -I 50.00 , I-~ 1-1 ~ ~ ®` a C7I t^.~1 (JI ~ l0 ,., 4.11 1, •~ I I ° `1 1-I M( ' 1 ~ 2.35 Acres' ~3• 12.66 Acres t:Jl JI 102,477 Sq. Ft. I I 115,701 Sq. Ft. ~ JI GI r.1i `° ~ w ~ M ~ I I-I NI o ~ ~ o I ~ LYI I-1 ~ ~ ~ I ~ '° I ~~~ ~~ O - N88°50'04"W ~ - Lill -J{ ~ "J~ 264.98' ' I N88°50'04"W rJ)I -II i 244.93 Ljl _ -I ~ M N Ir ~ I ~ ° I i I I ~ ~ o ? I u~i ~ 3 3 3 w I I ~ o I I I ~ .n 9 a N O L7 i ~ C C1 W 3 I I N V' - L-] I fir) C71 ~ 0 =I O~ aw ~p ~o °° (~I UI ~rl o ~ i ~ o o ~' 2.76 Acres N Q I Q I _JI z 3:44 Acrese S I o 120,092 Sq. Ft. _11 -11 //~~~ DD((~~ ~ 149,782 Sq. Ft. ~ z y I `I ~'t~~i~V~~~ CJI w r~l I 33'33' ~) -~; ~ ~ Z ~ Jt;ti 2 'ys, ~'~ .............~ Q I ~ ~o~ ~ ; ; j ~_I VAR. 65' I (~ ~.! ?2°1~ ?` ~l - .-.~._2Q_J -~-- 5 X50/ ST . CROt1s; Cl3Uh7 f I tv88°12'43" w _ -~j -' 207.40'-' -~'- ~ Goa~r•hensi~tQ Pttir~,ilG I __~~ ° paeics Cottrmittera ~~ ~'~ A I ~ I< E L^. R 1 ~/ E ' VAR A E I BL ~ tf mot t~•cvt~ai WIDTH I ~ 7 T 5 ! 0 1 7 ° vv~Ft#rs ~r of _ o a •>'9 ~ °'c~t LEGEND ~ rC,~~~a^~~ •r.+~a~• g~'~~~` ~~~ N ~ Aluminum Count Section Corner Monument ' pp~~ 11II Crr~ff ° u°i Found w °~'t Wi ~,~,~~~`~ ~,~ '' "' • 1" Iron Pipe Found ~ ~y-~° 0 1" x 24" Iron Pine Set, weighing 1.68 lbs. 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No. 94-101 CERTIFIED SURVEY MAP Located in part of the NWT of the SW~ of Section 27, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; being Lot 1 of Certified Survey Map recorded in Volume 7, Page 2051 at the St. Croix County Register of Deeds office. OWNER Richmar Industries P.O. Box 732 Hudson, WI 54016 9WNSR'S CERTIFICATE OF DBDI ATT j~ As owner, I hereby certify that I caused the land described on this Certified Survey Map to be surveyed, divided, mapped and dedicated as represented on the Certified Survey Map. I also certify that this Certified Survey Map is required by 5236.10 or 5236.12 to be submitted to the following for approval or objection: St. Croix County Planning and Development Committee and the Town of Hudson. WITNESS the hand and seal of said owner this day of 19 In the presence of : ~~~R~~~~ witness ~~~ '~' Martin J. y 2 yJ, State of Wisconsin ) SS ST. CRpl1C County of St . Croix) COtlI~iT,~ Coc~'p~'ah~sivv fKanr:Er Personally came before me this day of 19~ ~°"`~~ the above named Martin J . Ryan to me known o be the perso'~r s ~'li~~~cuted the foregoing instrument and acknowledged the same. 4f~, `N' ~ ~Ys of ~ ~Pz~ x~.c,.=:_ . 1,Y01X , Wisconsin "'~ ~,~~~ ,~ ibsPj~ -expires •~.g Braid > fi:\ $ (1 d .~ ;^. TRISHA J. NELSON (/~ : ~~ . ~ :...~ ~ > NOTMY PUBLIC-WI9CONSW Z .,, •:~ •• O~ : ~ : ST. CROIX COUNTY a d 1 h ~ ; MY COMMISSION EXPIRES 7,2e-o0 As a~i~i~Cs,~'we hereby restrict all lots, in that no owner, possessor, user, nor licensee, nor-other person shall have any right of direct vehicular ingress and egress with U.S. Highway "12", as shown on the plat; it being expressly intended that this restriction shall constitute a restriction for the benefit of the public according to Section 236.293, Wisconsin Statutes, and shall be enforceable by the Department of Transportation. ~. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNED 117,}~e.Tl~/ ~T /'~ f~~,y '--'/`2 ~G ~//~1/¢•~ -~i1~DG1S>`.P~,~,S' MAILING ADDRESS ~(~ ~~ DC 7/~~ ~ ~~/OS'~ A/ ~'/S C J~-`~Q~S PROPERTY ADDRESS ~p U ~~ [~ Rf¢ Il K~ ~-{'V I' S ~~ ~ I . S y0 ~ (location of septic system) Please obtain from the Planning Dept. CITY/STATE ~~ ~ S~ ~ w / ~ C PROPERTY LOCATION ~W 1/4, `sue 1/4, Section Z ~ T Z y N-R~W TOWN OF ,~/G~D.S<~ /?~ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER Q CERTIFIED SURVEY MAP l`2 I X05 VOLUME /~ , PAGE ~ y3 LOT NUMBER / 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer w' ~'in 30 days of the three year expiratio date. ,,_. ~ SIGNED: _l~-~`s`"C ~~~~ Zh D Ce - ~ ~- / ~ DATE: ~ " `_" ~~ St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 vwiler(S) of the __ "' "° °°1IIPteted in full and signed b only result in property being developed. Any inade ~' the development be intended ofor resale b issuance, quacies will house Should this then a second form ~h,,,,,,~ ~._ y °~er/contractor, r~„o,. ~I - ~ ~.. ~ • T ~ STATE BAR OF WISCONSIN FORM I -1A8 DOCU~1Ef~, NQ. ti, ~:,. ~ WARRANTY DEED 44399 ~ ~ == _ ~ This I'7eed made between .Allen W,__ Brakke,_ and Pati_r•:}_~•j_a `, ,. A.- Brakke,_•his~Wife 11 ........................•--.......--------................-----........._..---.._................., Grantor, and. _ _ Pl,gl; C~ 11. _ 1.... Eysn .......................... ................................................... W1trieSSeth, That the said Grantor, for a valuable consideration._.... conveys to Grantee the following described real state in ......SL....CLQix.......... County, State of Wisconsin: TNI• •-ACt RLKRY[D IOR atCORDINO DATA ~~ Ij ~,` R~GlSTER'S OFFICE 4I sv. caoix oa,_Nn '~ Rsc'd for R~cofd a 0~ a2 01988 M ;' a ~ MsaaN-e/Oeedt ~. ~~ Tj91he°S /-N/l'~IgS K X45 y5o 5o~~-I-,v~~ B/~d Par! of the Northwest Quarter of the Southwest Quarter of ~'=~~~~t~/~I~,j%SQ?~=i: Section 27, T29N, R19W described as: Lot 1 of the _'! Certified Survey Map filed i n the Office of the Regi s ter Tat Parcel No: ..............~.._.....__..._.. of Deeds for St. Croix County on December 8, 1988, in Volume "7", Page 2051, as Document No. 443695; also any easement appurtenant thereto, including the permanent, nonexlusive easement described in the "Grant of Nonexclusive Easgnent" recorded in ti:e office of the Register of Deeds for St. Croix County on December I4, 1988, Vol~a+le 829, Page 391, and an easement for ingress and egress over the Southerly 33.00 feet of the private roadway easement as shown un the above mentioned Certified Survey Map. Subject to the 15 foot drainage and utility easement and the 33 foot private roadway easement as shown on said Certified Survey Map; to the rights of the public in the portion of said Lot 1 lying within the limits of U.S. Highway 12; to the Access Covenant recorded August 22, 1928, in Volume 579, Page 545, Document 351053; the utility easements recorded in Volume 220, Page 172 and in Volume 232, Page 130; and to the Oil and Gas Lease recorded August 8, 1984, in Volume 694, Page 89, assigned to Texaco Inc. by assignment recorded in Volume 699, Page 506. By accepting this deed, the grantee assumes the obligations of the "Seller" wha are these grantors, under the above mentioned Grant of Nonexclusive Easement. Grantee further agrees to grant to the Town of Hudson for use as a town road all that part of Brakke Drive which lies within the boundaries of Lot 1 of the above mentioned Certified Survey Map. , This .._.._ia._nQt......._._ homestead property. ~'!~1'~j~iS~r+I'S (iI~{X(is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; ~ '~~~~ And.,Al.l.eLt. ~....8rakke..and.~at:,ri.c_i,a_A...Hraklce.,.. his.. wife ............................... •-_-........... F .~. t. warrants that the title is good, indefeasible in Pee simple and free and clear of encumbrances except ag to matters mentioned above and will warrant an3 defend the same. Dated this ----_.--•--•---`'~~ ................... say ot _..-------.-_---._Decemtiax_.._._.._..._..---•--•---.-----.... 19.8&-.-• -----•--------- --• ----•--•• ...............•--•--•--•----•-----...(SEAL) ----•--------•--- -•----------• ................................... .. (SEAL) Allen W. Brakke _ ~.. -..'~L..-. ~!4~z1'4C-S...._. -. (SEAL? . Patricia A. Brakke AUTHENTICATION Signature(s) .Qf..Allen..W_._B=akke..and ............... Patricia A. Brakke, his wife authentica his 'zd'uday o~f~. D~etcember __-__ -~ 19.88 _ Jo 11. lleywood ......................... .............. TITLE::14EMBER STATE BAR OF WISCONSIN (If not . ...............•-------------- --------------....--------... authorized by ~ 706.08. Wis. Stets.) ACSNOWLSD411gSNT STATE OF WISCONSIN ss. •-----•-•--._...--•---...-•--•------. _County. Personally came before me this ................dap of --•------•-------•---•-------------------+ 19-----... the above named to me known to be the erson who ,executed the p •----- ----- foregoing instrument and acknowledge the same. THIS INSTRUMEN" WA$ DRAFTED BY --John--D,---Heywood„--HEYW~OD1--CARI-•&--:~iURRAY 1?,-0,---Box--2291--thuds on,_-WI 54016 (SiKnatures may be authenticated or acknowledged. Bcth ~.o ,,,,r .,~,.o~.e.... ~ Votary Public .....__.._._--.. .- - -.--..-..Count, Wis. 51~• Commission is permanent. (ff not, state expiration N C ~v z n 0 C C~ 0 z I~-J <~ W r m O m 0 D D O z 2 m r O Z C T 0 a m n -~ z n "'~ 0 z O r O n D -i m 0 00 rn n o v, ~ z ~ ma a m V '~ a ~v ~~ j 0~ j O_ ~ O H~ O Q ~ y fD l7 C t ~ ~ ~. ...~ lD -' /D ~? ~ S ". 7 t7'1 O m ~7 ~ f7 p m ~ -1 7 "~ m ~ N 7 y~~ S S W S 3 d y] N T tp ~ (D ~ ~ ~ f~=D ~ O_ d d ~ ~ ~ m c .. m O a ~~~ 3 m~ H -o m° ~~ ~=<m p0 HO ~ c Q Q< d N N m~ m» ~~ m H~ ~ O `c°f° °~-'o s3~`~° m~ m o~im „~, tD ~.m~ n~ - ~ „ co ~ ^, ~ -+ m ro ~`^ H'd m Tam' w a~ O~ O C p l > >• y c~~ °' `°d~ m ~°3 -• v_ oSi ~• ~ ~ 'O N ~ ci• ~• (O - ~ C (D .` ~ N. am ~ ' c ~ ~, o m .~ Qm c o o• a ~, y 6 m co H O S -~. ~ ~ ~ C N `G O_ N ~ O_ ~ Q~ o M 3 m o s o 3 ~. s, d ~,~o do ~,• ~~Dd c '~ d `C ~_ D N 7 O 'O ~ (~' d O p ~ 7 ~° ~ ~ m H ~ H ~ n D m A CT1 W N n O z _N Z D -I c m y ~~~ ~r^~ ~~< ~~ v ~C) -~' N W W Y CO