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HomeMy WebLinkAbout020-1333-70-000 (2) S1'. CRUIX COUNTY ZONING DEPARTMENT AS QUILT SAI~IITARY REPORT Owner _,~Dtnl~4 rLl~ ~ JJ ~ ~! 4 EM ~l T H Cit~t~tate I-tu ,~v~_..,, w ~ s-~. o i I.,cgal Description: Lot 1? Rlock X SubdivisionlCSM # '/..$~ '/+ ~~ Sec., Tat N-Rj~W, SL+_I''i'1C TANK -- DOSE CI~~!~MBER - HOLDLNG TANK IN~`OI~,NIATIOIY: Wank manufacturer _~ J l;$~j2 Size 3TIPC,7S~ Setbxk from: House 34~ Well 7S P/L Pan~p manufacturer ~c Model ~v Alarm location X (tif?LD3NG TAl'iKS ONLY Setbacks: Service road a f ~ Vent tv fresh aic intake N! ~'- Water Line ~'/ ~- Meter location ,•~ i Ac Alarm location NI ~ _ . SOiL ABSO 1,-I'IQ1V SXSTEIlI: ?2E'~c o-! Type of system; Q v ~K yam' W~t`~t~~ 3' Length 1 /2' Number of Trenches ~ Setback from. Houma '7 ~ Weti // ~_ P!L / ~ Vent to fresh air intake x ELCVATIVNS: Description of benchmark ._ W A~ L K p 1,l T Cp ~I C,Q ~'? pr!'D !N y~ p~lT' Qt~G ~~ Elevation /OG Description of alternate benclunark `t p p D p Q~ _ K /%~ p~lN 4 Elevation Bel !ding Sewer ~S . (Q 3 _ STIIIT In1ef a 8. a 3 S•T Outlet ~?. ~l S~ PC Inlet Jy~ -fit w! 3 Q 1 ~ PC t3ottom ~__ HeacierlManifold g9-:~1-9• 'l'op of ST/PC Manhole Cover /- -to ~ of l=o~Rs Di,~'.~te~E~nes { ~) q 4-. ~!-y~ (z) ~' 3- S' S (~) RECE11/EQ ~~~~ '~ ~~ 2004 ST. ~R~Ih LUuN ~ ZONING OFFICE= Bottom of System (+ } ~1 ~ . ~ to (2) Cl 3. tog - ~ ~ ~° Final Grade (1) ~ Q. o O (Z) Q q • o o (~ ~ A7~ ~. /~ ~ t~,.s Q~t2~fL~ ~ Town of ~fuD.Sn~I PiN # b atv-/333.7b- L:i7 Date or'installaiion f i4~Perniit number `~/~3'9'~4 Sfate plan number I'1rmber's sign tare License number Inspector ~~ ~~ -!' Co-~Ati ~~ S~ • Cioi ~c ~ l` 7~o.v i,vs ~s I / tz`~~ zz.~ 3 ~ S ~~l~ a~' ~a~~ c-~s ~ ~ coa'tovRS o w ~ c_._ i;' 7s Z8~ $M ~ 1 lbp.t~0 V~! A 1..Kbt~T 5+-A~3 ~ ,~..~ B M *~'~ t taD• oo ; ; ~4 ~, . t?'EC~K. Font'trst~c~--~.~' ~.~ 72' ~ 3~~Iw~ ~ o a ~ so V •i ~ , _~ - - ~ t ~tg~ ant ~' ~~ r $ys?~M _. K~I ?~..._. ~---~ `s ~ • t Z.S 1~ qg .o A 4 a~.o Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division a INSPECTION REPORT GENERAL INFORMATION (ATTACH] TO F~e:RMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Demuth, Edward & Debra Hudson Townshi SST BM Elev: Insp. BM Elev: BM Description: County: St. CroiX Sanitary Permit No: 453424 0 State Plan ID No: Parcel Tax No: 020-1333-70-000 Section/Town/Range/Map No: 27.29.19.1757 SANK INFORMATION ~ ~~ ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic e let to ~-- k. /~ o 0 Dosing L~ '9-x_5 4-~~ 7 S-U Aeration Holding ` ~ ...1 'p TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic -- Dosing ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Numbe TDH Lift ri n Loss System Head H Ft Forcemain Length Dia. SOIL ABSORPTION SYSTEM fo,4i- STATION BS HI FS ELEV. Benchmark ~.y ~ ~os.'-1 ioa. Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet ~ ~S ~ 8 loy Dt Inlet Dt 13etEerrt pN+t~.-1 -7, 3 8 ~t 8 t 1 Header/Man. Co u ~ J piss"-Ripe T~ ~ ~ cl, . ~ ~~• L Z I/~ 9 4,$ 3 .~ Bot. System ~~, ~} :~ ~ s ~~ 7~ ~ 3.7~ Final Grade L-gU ~y, ~+ 'a~~/ St Cover Nr..a S v.- ~t-8 i 1 l= t 9 3.48 ? BEDITRENCH DIMENSIONS Width 3 Length i 12 No. Of Trenches Z ~ PIT DIMENSIONS No. Of Pits '- Inside Dia. `~ Liquid Depth '- SETBACK INFORMATION SYSTEM TO P/L BLDG - WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer. ~: ~acvc -~o ~ Z .. n Type Of System: ~.t13 `~y~; `'v. f ~ ~ ~% ~ ~ ~ ~ UNIT Model Number: / DISTRIBUTION SYSTEM `'J ~ Z$~ .i<r~..-c2 Header/Manifold Distribution x Hole Size x ole Spacing Vent to Air Intake ~. Length f l~ ` Dia 4 Pipe(s) _ _ Length - S acing ..- .-_ '~ / V t t7 SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over - '" _.. _.._.___.,,___ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Cer~er , / ~ ,> f BedlTrench Edges ~ Topsoil ____. ~ Yes ^ No ~ Yes ~ No ~6 b5• It' ~3' COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~' / 6 / e `{~ Inspection #2: / / I~w t Location: 740 Wilfred Rd Hudson, WI 54016 (SE 1/4 NW 1/4 27 T29N R19W) Badlands Prairie Lot 17 Parcel No: 27.29.19.1757 1.) Alt BM Description = '31 ~ ~ ~~ va...-l ~~ ~ 6b S. ~;~~ 2.) Bldg sewer length = u.a-~-D ~ x ~ ~~ ~ ~> ~~ ~. i . ~ •~-c~ -amount of cover = .2rc ~ -~~ s o-~ q ,-~ --- r- T-G-T~ - ~/ Use otheslside for additio I i Yes No ~ II ~ I c y r -~ ~ ~ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ._ v /l ~~- . - ,v ~.~, ;i . c ~- Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County /f, f• C~O / jL ~ Madison, WI.53707- 7162 Sanitary 't N (to be led in by Co.) ~~~~~~~ (~8) 266-3151 ~ 3 Z Department of Commerce Sanitary Permit Application s~~ Plan I D Number/ J/~ ersonal information you provide de C Wi Ad , p a m. s. In accord with Comm 83.21, ma be used for secondary purposes Privacy La l'f ' ~ _ _ ~ ~ Y ~_ ~ Project Address (if different than mailing address) - ~ ~ ~ ~ lviL~~Pe~ wee I. Application Information -Please Print All Infotmatio ~ ~v~.0~ 5 ~~ (~ Property Owner's Na me t ~ ~! `. Pazcel If - Lot y ~ Block f Property Owner's M ailing Address ~~ L._ ~,._. ._~ T __.._ - ~ yo ~; ~ ~~~ 'Property Location ~ s~ u ,vw ~, ~~ City~,(State ~/ ~~s~~ ~~. Zip Code ~7 0~~ .Phone Npumber 30 /' d~~~ G T Z.~ N~ R I7 ~E IrW l y) II. Type of Building (check all that app ' Subdivision Name ~ ~I or 2 Family Dwelling -Number of ms ~~D/~NV ~ ~~~' ~ I S~ ^ Public/Commercial -Describe Use ~ ^City ^Village ~ownahip of ^ State Owned -Describe Use X - O III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ^ New System Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Trarufer ro New List Previous Permit Number and Date Issued Before Expiration Phtmber Owner IV. of POWTS System: (Check all that a ly) Non -Pressurized In-Ground ^ Mound > 24 in• of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grime ^ Sfngle Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ecirculadng Sand~ilter r ^ Recirculating Synthetic Media Filter g ber Drip Line ^ Gravel-1 s ipe ^ Other (explai S " ~ V. Dis rsaUTreatment Area Infotwatton: ••'l ~ ~ v4~w1 ' 1 ' Design Flow (gpd) Design Soil Application Rate(gpdsfl tspers ea egmr s tspersal Area Pro ed (sfl stem Elevation ~ VI. Tank Info Capacity in Gallons Total Gallons Number of Units Manufacturer Prefa Concrete Constructed Steel .Fiber Glass Plastic New Existing Tanks Tasks Septic w Holding Tank !~ ~ Z ~/ ~"~~'~ - wo„a.t~~ Unit ,J /J r 0 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) umber's Si lure ~iVIPlMPRS Number Business Phone Number a~Cr3"~s pis •~~a •3yYZ ~h _ ~ R fb 1 .Zt 2~ ' Cit ~S~e, Z~p Code ~~ ~~~/ ~ ~ / /~ // ~/ ~ ~ ~ ~~ Plumber' ( (/ ' Z g ~ Iv VIII. Corm /De ent Use Ortl pproved ^ Disapproved Sanitary Permtt F (includes Grottr~water Date Issued TS ing Seat Sigma o Stamps) ~ Stut;hazge Fee) 29~ i` ,~ ^ Owrter Given Reason for Denial •(~- IX. Conditions of ApgrovaUReasons for Disapproval Tj` . 14~ ~+t,. SYSTEM OWNER: / V ~' S,,~~w,~ a-tn d ~ ~ .~ ,. 1 Septic tank, effluent filter sen dispersal cell must all be ~ rviced I m,~inta_,,.,irled ~„p~ ~p$'~' • _ _ as per management plan provided by Plumber. 1 2. All setback requirem®n#s must be main#ained as per applicable codelordinanCes. .5~, Attach coIDWete blahs tto the l:ounq omy) ror we syurw w. tn,yc. uua .W ....... ,,................., ......-. h/_! i.. ~gZE p ~~ +~. M y~r~ °~ S `~ N -- 3 ~ •~- pA~r~ 3 c~ -3 THIS POWT SYSTEM INCORPORATE PER 83.44(2)c A PRQP~R FILTER MODEL # ~ e _ !~~ ~~,, ~ ~ ,, SHAL4 COMM. ZpBEL ~ ~~~~ p,~rs -~~o r p/.4,v -~~ 3' SfoM ~: ~ lpp.pd ffDttS~ vJAl.. K o -" ~ ' ~~ roa,~,o ~- : `ram 6F ~~~ td~ y 0 a ~ ~ ~~ ~: . ` . sYs~Enrt ~ -~ ~~~ 73 ~ ~~~ ~.~ ~ ~~-~y~tv~ F~~ ~ ~ ~~ 'q J' ~ ~`O~ ~ ~ ~c-o.~3 ~ ~,- z, v ~ ~, ~ r d ~~~ L ~-.--- ~0 m w ~ ~..~, ~~'~~ ` .~ ~8 fit. ~ ?•! &-~- T't~ ~,,f,~, 7r' maxis ~r r.p 4~~E`S~ ~ p o U ~'°"' ~ ~- ou't+i..>E-~. ~K ~ Q~.d~ C1 ~.-- ~ ~lE W 75 v sip r~ c 7"'. r ..~ _ .1 ~ -- ~p+ ... ~..~ ....~. U ~~ 9`~Q. ~8 ,'7 i Y M r ~ s~ysreM a A .. _.. __._.~ .. 9a ~o ` - - 9~` ~ • ~EILBRICHT & ASSOCIATES CO. 2812 10th Ave. • Spring Valley, WI 54767 Reg. Designees of Engineering Systems 715-772-3442 Private sewage consultants PROJECT INDEX PLAN ID # OWNER ~~, ~E~IU'r(.., ~ ~~t~R~ J~M,1~'1k St~,2 ~ S ~G'°~ DATE PHONE ~" ~Q ~ (wG ~".. ADDRESS 7yD ~%L 1~/~-~U ~D . ~I7~SO~J .SyO~ (~j LEGAL DESCRIPTION LD ~ ~~7 ~i~I'DL~~1~S' f ~j4j'~%~ S~, Nom; Sic ~~, T Zf~ R/y w Pi N dZo • 1333. 70 • o~ TOWN OF ~"1,ypV~.s4~ .. 57= CIPd/~JC. CSTM 3•_~I'KJILIG~jI,'1 ~- OS/ y'J ~• COUNTY LOCAL AUTHORITY/ SUPERVISION ~S7`• ~pI J~( Cr~ ZD~~ NG--~ , PROJECT DESCRIPTION: ~~Jlq-c~.~.vT ~ .sys7~~~ ~dr~ ~- Neu s ysr~ S~a,GGL, /~e -P~- ~a,,~c2 ~ 5Pn U.,e ~IP~tS . 7 S 0 ~S`/ tQf S~~ ui.4 s r~ ~~o w . A- /~u/~ UA/vc 61~c~ ~~3e ~~1 {~ ke~i o~v sys~.f~ ~ fit 7~.e tae ~ ~aMP ~;~t~~- ~ %~S~R sip ~'c T-4 ~v,~ 5~%~S . ,~.~~ A~ ~ ~~ . iQaa ~, E,ris r~,~,s ~~ z~ - o Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, VUI 54767 ~Pns ~ ~ .~ S r~ Pg.l INFILTRATOR SIZING WORKSHEET Pg.2 SYSTEM PLOT PLAN Pg.3 CROSS SECTION OF SYSTEM, WITH ELEVATTrnv~ n.. ~ ~~ .. `n m° G m X A ~. a a m I i. ~1~ `~ at:is -.-.` .i +.. a ~~ a o •~ ~~ a~ ~ o ~. ~~ ~ ~' ~' ~ ~ ~~ ~ ~,, ~ ~ ~ ~ ~ ~ {~ 1 3 ~ -~ ~ ~ ~~ 4 ~b ~ ~' ~ .~ ~, ~. ~ ~ ~ a ~ ~_ ~ 0" ~i ~ ~ .. ~ -, `' Q i ` ~' (~~ O ~ V + ~1 Iv - 1 ~ h N mom` ~ ~ ~~ ~ ~ ~~ ~ ~~ ~ ~ ~~~~~ h O ~~ ~ , . /~ OT' !.~- S ~~ f gYSTEM SHALL. THIS POWT PER COMM- INCORPORATA PROPER 7ABEL g3.44(2)~ FILTER MODEL # A - ~ ffD ~~°.. ~' ~4- 1~1~~1~ ~~ l1 = ~tl.~J ~ ~R~ ~~o r P1~4-~v ~~~F C u R12 En~'t 3' B~bR,ooM M # i p(~_ (ja t^I'ott5 G u+lR t- K r1tt-T ~ z,. R6 .. ~b P 4F b~G~C + f ao-~3 ~oTT~n,~ aF ~ ~ Ex tsTe rrt~ g1. .- ~-- 4 ~~s-r~M ~ ' ~ l ~ ~~ u ~ ~, t~ 1 ~ -- 1, - ~~o~ 8~ ® w ~ u.. ~~ ,~, ?-- ~xis'r~ ~~~ ' Ca = .---~ X 4~ ~'~S~ ' ~p~~ ' ~ 25 5~~ 7 ~E x~~T~~.e~-~` 4~.c~~ i A ~ ~~~. ~ ~C~=~__ g~ ~''~~~_°/ -~ _._ ` "~I_ _ _ _ - ~''~ ~8~~ 98,E i d ~ ~.. ..1 ~i . ~..1 Jf / -r . _... qa •o .___..~~.. ~_.~ 9 .-.__. _.__ .__ .. .~----.~ --_- . _ . _ . _~-- . ; l g~. ~g u pA~~ 3 0~ -3 1~t1.~~~Glfd-~ C''j1 1~ ~~ ~ 1/r 1 ,, ~~ ~ ~° a~.~~ ~~~~~7f~~o~ 1 ~~.~ -- L~~~L. /C'19~~~ ..;..,._ fr ~~ ~~.~ (~~ ~ 2 -~~ G,~ .,vsp,~cT~ov p,~ i i/tt - ~z.r.. ~ FiiU~ S QED / / ~ ~-z-~vc ~>~~ti~~ ,i ~ ~~ ~i~v, ~ 3, d ~_, ~ :, R _; C~©5S S'~c i ~o~ o~ T/P~%vG~ls' 2~~5 o U~-G ~ ~~ G- /~V ~i ~ 7f~'i9- ?~ .~'~ h'~~2',, c~9/~~c. ~~ w,~. /~. ~ ~ s~~ ~~~ ~T, rfl~~~ov~ ~~G~~ ~, APf'~r~~l~ ~/~,v7- c~ jd ~ U.~ ~,vsp~-~T~®,v ~11~ •1 ~~ ~ ~1 ~~ ~ ,~r ., ,~~.~~ ~,v~ ~7f~To~' ~~~~ 5c~ . g'o -~._._ ~riN~S/i~D grn C ~---- T~P~~ ~~ ,,~~~ ,,,, .. OWNER's MAINTAINCE--OF.._SEPTIC SYSTEM POWTS (landowner) is reponsibie for - maintenance of_this s proper operation-and servicing is necessarYstem. Regular periodic inspections and Y far the safe healthy operation of...this maintenancefnspectionegepartsbt code to submit all necessary.- o the controlling,authori°ties;. SPECIFIC CONTACT~AGENTS s-~ . Grv~ ~ G7- y, * Governmental authorit . Y/ inspectors: Zdl~ I ~ ._ _ y- '~ Licensed installer, responsible for providin maintenance."Users" uranual: 9 an operation/ ~'` Pis 3 ~ s ':* Licensed servurce / inspect-ion-agent other than in - ~I` 1.- fir/ ..,Si9'~tl,i'T~j-T"/4.u Y staller: ~U,~~r,t,? ~.- ~ . ~._ Electrician, for Pump._electric contXOls, wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENT3 i. Wi.nter.traffic-`(sleddin ; area. shall not'::=be g, shove ring,"ete.) across the the cell .permitted, or frost can/will penetrate into. . freezing up the system. Discontinuos use``in-,the winter {a vacaction.tri lead to.freeze u s, - - p• resulting ~-in no Ovater u ~~ _ P se can- . al $D 2 .. Water conser-nationneeds- to toe- exercised! Or system- can be hydrolically overloaded and de~tro ed. designed goL a maximum wastewater flow ofis.svs -7 r- hem was- 3. POTn1TS are _ -Ova gals. daily.. disposal un~t designed to accomodate wastes from.a or any other unnatural sources of ~iastebage Any introduction of such waste materials will +,Y destroy this system. overload--and „_ 4 , If a power ot~ta e _ oc ,` 9 c ":~ u r s i o n r a a temporar pump fails, 1t may result Cell• which Y overload of effluent being Pumped into the may adversely impact'~he cell ~'r-ecommended that a licensed (Leak&ge). It is allowing the pumper emPtY the dosin , Consult pump to return to dosing the correct amounts. .your installer immediately for advice. 5• Neglect of the vegetative cover erosion preventive fthe cells insulation & traffic also can destro leas to failure. Compaction or heavy . .REGULARLY WATER THE V Y t he system' It IS NECESSARY TO the.~Ystem beneath EGETATION OVER A SYSTEMit ~L rcovr~r, IS NOT sufficient alone Effluent in t0 maintain a ~' 6. Periodic dy inspections by the a necessary. Inspection P in'-er, or his agents, is into the system, Pi es and ports have been incorporated inspection on the mound basal area [efft„a~,. ,_. 1~L_ pipes), nle-... _--• - - Widaoo~Deparbnant of Camn~ce i] :9sion of saf~-~td euxdi~x~s SOIL EVALUATION REPORT 1 a 3 in aoooraaa~ce rvan c:ortwn ~. vns. Hans woe ~ ~ ti~ ~°"`~" S~- Cron n . area,~rm~~,,~a~e~s,nx„ indude. but notiMted Ix ver6csl and horimtRd Point (BMj. daecUon and PBnxntsloPe.a<~.n«tt-eem~n-.and~ow~a-andoe~nearestroad. LD. o - ~33 -~a-aoo Pte~se print a~,r~o~ma:io,~. ~ ~Y owe ~T C. I ~ ~ ~ M jf Z` /'~ Govt. Lot s ~ 1!4 /V jq(,/4 S ~ T "d~Q N R / ~ E {arj~ Owners Aridness ~ - ~79"® t 'Fl~c°_C' Rd • Lot # ~7 8bck # Sutid. Name or CS[1Ai Q~OtGtlu.rncl5 ~t~Y7 '', Steoe ^CSy ^Viage HTown Near+est!?aad Hu'DSon/ W t 540~h ~ '7is 38' ~ " ~ bbb H V ~~o~t EDr^f1PLE ^ New t~u~on t)s~'Rsesidentiat I Nurnt~af bedrocn~s J Geode derived design flow rye Gain l `750 GPD ~ O Pubic or oortMnerdaf - oesa~ Parent ns ..,~nl D t/ O G(TW ~I/- Flood Plain elav~ion if appicable _.__ ±+ Gettetal oonntents Aft ~A T>c5?~D /S Satr'fi~~~' ~oQ A~ //~ 6iR~vvN D -L~~ ~~~ `'awls . P~~~ _s~ ~ ~ 2ooQ ;~. ~~x ~~U ~ ~ ~ ~ tQt SO~iI~D ._ ... ` ' ~ '' [~ ~ i~ F F~ tC1 Pit Gna,rwi sur<aos elev. lAC' • 3~ . tL Deptl~ b imiNng i~Or ~ / ~ i~,. f -may p~ir~an ~1 Horiaon Depti~ h Doni~arrt t4br~ iiadotc Dea~aiptiott lbt Sz Cant. Color Tex4re Struciune Gr. Sz ~. Cara~enoe 8o~n~dary Rods '61d1 '~ ~ ©-a toY2al- i mfr- cw 3 ~' e .o d b- lp R 31a ~- ~ 1 ~ 5bkm t'r---fr 0.w 3 f , ~{• 3 -4~ ~~~~,5/~• ~ - Sri a sbK•~ m-Fr aw 3 Y-F •~{ .to ~~~~ Io~R~lb -- 5 O s I .- v-F .~. 1. . a3~" `13. v ~ _ . ~4(~ 2 ~~ ~~ D ~ A. ,n . ,_ . _ U ill Ptt G+ramd surtaoe aNv: -' G'• w R. pepth to timting tao~ar • ~ ~.o rn. Sal Ra6s Ho~laon CePth Domi~ Redwc Desalp6on Teodure Structure Cake 8oundarY Roots .. GP D~IE irr. iMnsei <iu. Sz Cont. Color Gr. Sz Sh. ~'! '~2 6~3a td Ral/ - e~ k m-~ Cw 3v-r* .~ a ~ a- !0 R~/3 - t -F mfi au~ ~,Y-~ ~•7 3 -I IoYR~! - mgt. s l I of ••~ ~ ~5 . - iJlluerrt fi'1= eoD > 30 < 220 rrtglL and TSS >ao _<, 50 m81L • E~uert #2 = BOD _< ad TSS _ 30 ~pIL . J ~ ~U, l 8 ~c~+-t 8'S, Ad~e~ ~ Date Evahmion Catducled Taleptrone Nun~er :L. t~ /'L ~ -I e7~" ~'V ~ ~ ~R1N67 . V~~-~._J ~~h/ - - . _ - -~uN 6'-3 -2pv~} =~ lla5--'~7 0~•~~!`Y7{J; T ----- ORIGINAL ~. Propart,~t~uner D e mt,~:t» Paroet ID # ~ a 0 - f 333 -7 /2(0 ~1 Plt ground sirface elev. 9 .'7/ ~. tin m ~,~,,. a Hertaon t]eptlt Dominant R - Soi{ Rate ~. MunseY edaa Destt Qu. Sz. Cor#. Cobr TexWre StruCdxe Gr: Sz Sh. Consisttoe 13ourx~r Roots GP .~ DVtF ~2 O`~ Ral~ ~ s~el a r~ri mfr ~ 3f ~ . ~ ~a~53 ro~R 3/a ~ s! ~ rn~ ari ! v~ f ~ , c~ r--, ~ U ^ wt G surer ela,-. tt. ~, ~ tactor ~ tipixon ~ Depth Dotrwnant Redwc Destxip~On Textue S'tn~me Consistence Bowxt~y Roots (~POVfia ~ Munsee t]u. Sz. Cow. Color Gr. Sz. Sh. 'E1f~1 ~ 'Effff2 Q # ~ ~8 ^ Pit t3rotRid surtaoe elev. ft. Depth >D ~9 factor in. 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 6th-255-3 i S 1 ~ TTY 608 Z64-8777. setss3~oAeanoo~ t~Niera ~ ° t3pps > 30 _< 220 trg2 and TSS >30 c i50 mglL E.fltuent #2 tiOD6 < 30 tnglL and TSS < 30 mglL • .. ~. In!_ ~ t- ~~2. E z? (2. D pA ~~ 3 o F -3 ..~ ~ ~R~~ P; rs `~4~~~ C v ~~a~r 3' S~DRc~vM ~ + ~M # t~o~ !'~'oN5 E' ~ t.~ K o tt-r 5 i R8 ', .~ ' ~3M~2 lpa.o ~ ., b P 6F DE'GK ~ O ~ y 1Bo-rra~ of Ex isle ~~ 5 i s s Y i 'BEM ~ ~F~ VD , 1 i 9 -7 _ .~ ti $~ ~ ~i / t~j ~t .- °(~ ~ 6f ~rr~ -~' . .,i UJ R. ~ i ~ ~ 1 • ~' ~ `OY ~, W ~~~. ~~ ~~ ~8 ~' 2~' Oirr ~,. E'7' Ex~ST~r.~tr~ 4~.0~ ~~ r ~ ~~®. ~ 1c~o.~3 8i -_M__.___ ___~._ ____ ~q~3~ r~r _. _.__ _. . .., B2 gb, (08 .. ~ .. lr s ~~7 ~/o s~ / // Z ~ ~ • . //~c //' ' • • I ~ o ~ '~~.2' g '`~` ; 87,1 ~ K •• of ,3 ////~w~ v~'~ /// •, ~ ~.\,~ ~ 19.75' N90'00'i . ~ . /~ ~. 2 3 ~ ry~o ryo~/// Q // o ~ / "~~ " . ~ / \~ .. 2.00 ACRES "°o ~ ' ~ p . ~ \\ \ 87,136 SQ. FT. o o o" \\ _ ' / imp .588' '3 ..,W f ~~ 16 •~\\\ Z o / ~~~ .O~` 41.32' ~6.48'~ / 25 o~~~' / ~28 \ ' \\\ ' . / ~ 2.07 ACR - = %~' ~ ~ /~ ~\~ . /~ ~ . 89, 965 SQ. 26 i. \ ~~ .~ RED .. % ~ ~ ~ ~ pEDICA->~D ~;__• 2.13 ACRES ~ •~ _ -• _•' - 1 j 92,795 SQ. FT. °o ~ '~ ,,~ o N i •1 O ss 57'45' E .. . . .0?,36"E ~ 2 ~ Z . s'. ~s' ~ ~ ~ o I N ~ N cn o ~ ~, ~ 18 ~ ~ w ~ O ~, o " ~ N 3 ~_ rE FT. 2.00 ACRES N 19 ~;~- co ^^ ~ 87,146 S4. FT. `.° ~ ~ ~~ ~ ~ 2. = 917.5 > ,.~ ~0 2.01 ACRES 00 89, 87,404 SQ. FT. ~ RA ~.. ~9" E ~sl 70:'44' 3160.96' 240.44' 176.40' N 89'57'09" E ____LANDS 229.00' EAST -WEST 1 /4 LINE 194 3' UTILITY EASEMENTS NO POLE OR BURIED CABLES ARE TO BE PLACED DISTURB ANY SURVEY STAKE, OR 08STRUCT VISIOt THE DISTURBANCE OF A SURVEY STAKE BY ANYOr OF WISCONSIN STATUTES. UTILITY EASEMENTS AS I PUBLIC BODIES AND PRIVATE PUBLIC UTILITIES HA` - ~ - ,S'i' CRUiX COUNTY 5EP1'iC 'T'ANK ~AitVTENANCE AGREEMENT ,.._..... ' ~ AND r- UWNERStitP CERTtCtCATiON FORM Ownerli3uyer /~ (i ~~ ~ .7.~~~~ ..~lZ~mrt C1"~ ~taiting Address 7yt~ ~ /'~..~ (ZED ~ ~ ' Property Address ~~MQ--~ City/StatB ~fvD~a,v W/. LEGAL UESCRIP'I'!UN Parcel identification Number ~ °~~ ~ ~..3 3 3 '70 ' Od"a ~~': ~~s~ Property Location S~ y*, ~~'j,~, Sec 2~ , T'2'~ N-it `~ W, Towtw of ~y~`S~~ Subdivision ~~vli~},vv ~/LCrit/Lc-e Lot # l 7 Page ~ Lvarrslgty Ueeci {# t~~.O ~0~8 __ (Verification required from Planning Depar6nent for new construction) volume ~ 5 3 ~ ,Page # Z ~ Spec house t7 yes ~no Lot lines idenlil'table Oyes p no SYS'T'EM MAIN'T'ENANCE lmpmper use And maintenance of your septic system could result in i!s premature faittere to handle wastes. Proper mainte~ consists of pumping out the septic tank every three years yr sooner, if needed by a licensed pamper. What you put into itre ss can affect the !'unction of the septic tank as a treatment siege in the waste disposal system. _ ~lte property owner agrees tv submit to St. Croix Zoning Department a certiPcation Corm, signed 6y the owner and master ptamber, journeyman pltmebet, restricted plumber or a liceased pumper verifying that (l) the on-site wastevnaterdisposal sy is in proper operating condition attdlor (2) after inspection and pumping (if necessary), the septic tank is {ess than 113 Cul! of slu 1/.ve, the undersigned have read the above tegtrirements and agree tb maintain the private selvage disposal system wiHr the stan~ set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, state of Wistiorrsin. Certitic stating that ya~r scpHc system has been maintained must be completed and returned to the St. Croix County Zoning Office withi da h ttn a ear expiration te. n SIQNA't~Ult) oi= ATPLICANT DA.~ i OWNER CERTIF'ICA,TiON T (we) ceHify that aft statements on lids Fonn art true to the best of my (ot~r) knowledge. the pra~erty described above, by virtue of a warranty deed recorded in Register of Deeds Uirce. ~~~~~~~ SIGNATURE Or APPt.ICAN"T l (we) tSm (are) the owned 7 ~~i dy bATfi * * **** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Uepatiment. '"` *~` lnclrrde rvlih lhls application: a stamped wnrranty deed from the Register of Deeds oRice a copy of the certified survey map if reference is -made in the wattsnty deed ' ~ 1537~,~f 20 DOCUMENT NUMBER 1PARRANTY DBSD Gerald F. Eggenberger a/k/a Ger Grantor, conveys and warrants t Edmund J. Demuth and Debra J. Demuth, husband and wife as survivorship following described real estate in St. Croix County, State of Wisconsin: L t 17, Badlands Prairie in the Town of Hudson. ~~ t ~zs~6~ KATHLEEht IH. WALSH REGISTER 41F DEEDS ST. CROIX'CO.y WI RECEIVED FOR RECORD 08-23-2000 10:00 RM E~RRAHTY DEED CERT CORY FEE: CORY FEE: TRANSFER FEE: 659.70 RECDRDIN6 FEE: 14.00 RAOES: 1 ~U~ ACRNOWLEDQ~NT 020-1333-70 Parcel Identification Number This is homestead property. Exception to warranties: All easements, restrictions and rights-of-way of record, if any. s-~- Dated th' ~~f//~//f day of August, 2000. '• (SEAL) G d F. Egg nber e (SEAL) AVTHSNTIGTION Signature(s) Patricwia Coatpes-{,,Knutson authenticated thil4VOta~(yfS~UI~C 20_ State of Wisconsin TITLE: MEMBER STATE SAR OF WISCONSIN (If not, authorized by X706.06, Wis. Stats,) THIS INSTAVMENT NAS DRAFT&D BY: Stuart J. Krueger Rodli, Beskar, Boles 6 Krueger, S.C. P.O. Box 13B River Falls, WI 54022 STATE OF WISCONSIN ) ~~ // ) s s . C /O. ~ COUNTY ) (SEAL) (SEAL) Personally came before me this~~ day of August, 2000 the above named Gerald F. Eggenberger to m own to be the persons (s) who executed the f egoin i trument jack owl ge a same. Notary Public _~~ L..I~oi ~ County, Wis. My commission is permanent. (Sf not, expiration date: Monica Lucht ~7 , .~1, /~/ : / 7 Subject: #453424 Ulbricht/demuth Location: T of Hudson-Badlands Prairie # 17 Start: Fri 8/6/2004 12:00 PM End: Fri 8/6/2004 1:00 PM Recurrence: (none) S7'. CItUIX COUNTY ZONING DEI'AKTIViENT AS BUILT SANITARY REPORT Owner GDv~lEt I'L.l~ t~ ~4i2A D EM yl ?~i . 'tdclic~,s -74 b W t ~.- r' 12,E 2D Cit3:: State __H~u n snN , w ~ 5-~. o t ~ Legal Description: Lot l'7 Rlock X' Subdivision/CSM # __,8 jrD ~„ ~ a DS ,pQf/-1~,, '~~ ~'~+ ~ Sec.cl~, Ta~N-RJ~W, Town of _~19itD.5b/~l _,_ PIN # f~ ~0-/3.~3.7b'~ SL+ P1`IC TANK --- DOSE CIIAMI3ER -- HOLDING TANK INFO C: t~ S- . TtMATI N: Tank manufacturer ~N 1 ~EIQ. Size ST/PC t'1 SUI Setback from: House 34~ We117S p/f, ~• Parnp manufacturer _ ~c Model ~ Alarm locative K (FtOLDING TAI'tKS ONLY) Setbacks: Service road ,~/~ Vent to fresh air intake NJp- Water Line r'/~ Meter location _.L~.Liar Alarm location N1 ~ SOIL ABSORI~~I'ION SYS'TE1VI: ?2E~~ e-t Type of system: Q ~ GK •-~t~~}~i 3' Length J /2' Number of Trenches ~ Setback from: House ? ~ Well /~ p~, / ~, Vent to fresh air intake x ELEVATIONS: Description of benchmark _ WA-LKDGtT GO~e2E'r ,g~p /N Qoo2 P G120~1' y~ Elevation /DU. o, Description of alternate benelunark [vP O p ,OIrGi~e /~pT/N4 Elevation l DD, o Bnetding Sewer _q . (a 3 S'T/fiT Inlet ~ ~. a 3 ST Outlet _ ~ 7. 9 S~ PC Inlet A ~r w/ 3 i2 t ~i 5 To p t o ~N--~-~---- l~ C 4• ~"~' Top of STIPC Manhole Cover /. ~ ~. Fo ~ R, die ~- ~! s ~s~ . Bottom of System (-) C/ '~ .7 (o (2) C/ 3. (p8 (~ Final Grade (~) ~( q. o o (i.) Q y . o o (~ Date of installation ! !0~}permit number g534'~`~ State plan number I'Ir:mber's signature License number Dnfe / / Inspector com{-kh plot ptar W 1 L ~2..~D -Z-p 5' ~~~, a ~, = goRlaC~S p cow-t'cuRS $M ~ { -OO~bO ~/ A 1..KbuT 5 V A-g BM #a tpp•vo ~ ~ k ~ D~G'u<. FOb'I 1 r~ CZ ~z' .. «- - 1 ~~g71N ~' 4 syS~~M : ~ _~ e 54 A ---- 98.0 ~s~ \ 1'7' I ~~o ~~ s°--~ ~~ A 4 a.~.o p W E V~- 1~' I .~s Z$' ~~ ~4 25~ 34' 'J 9 ~ ° ~,