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HomeMy WebLinkAbout020-1363-04-000C7 3 fD N O < N ~ ._.. ~- W C ~ N ~ A O ~ ~ ~ N d ~ Q O ~ f~D C o ~ N N ~ co ~ y C d G_ O ~ i i I ~ z a ~ v v c 3 o' ~ m N < N d d ~ z 0 d O_ o' ~ ~ ~ c W fD d ~ n w 0 o~ o~ ~ a fS~~~,-+ ~~o~a v' o ui cn~ z `~,~ ~ o m cns.~ ~ y ~?~~f. C N y S a ~ ~ m~n~o m~°~aO v m ~°~' 0 ~ C y aN (D ~'~ (D p,Wp O ~~ _~;y y ~ ~ 7 7C fD 3 ~ ~• a~ 0 m rs+ O o ~ °o ~- o ~~ 3~n ~ C7 ~1 ~ o ~ ~ ~ ~ ~ ' 3 ~ ~o ~ ~ ~ ~ `~ ~ :: ~ ~ x ~ `•~ ~ ~ ~ 0 O ~ ~ C V N °C • g l a ~ ° ~ ~ ~ N _ ~ ~ ~ C 7 a ~ O ~ O , ? .~ < O ~ ~ O O A7 ~~ t~l! tll ~ " O " O '~ a a ~ 0 ~ O N N ~ °~ ~ s ~ n r N 3 ° Q m ~ ~ ~ O ~ :: • ~ l ~ ~ m t~ N N N ~ o v ~. ~ _ , O ~- N ~ ~ W M ~ ' ~ N ~ N ~ N Z ~ Z I ~ D ~ 3 v ~ o ~ ; N I ~• p ~. I I N d ~ A 7 ~ ~ ~ ~ ~ 3 o C p.z~ ~ ~ ~'! W p_ ~ A Z 3 ~ ~ ~ O r !D !D ~. '' z ~ G A ~ 3 ~ co ~ ~ ~! z m i ~ ~ c a y I a Q I i O ~ O A ,ti o mo ~ °ro w m ~ , . ~, ~ Wisconsin Department of Commerce Safety and Building Division E GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) 'ersonal information you provide maybe used for secondary purposes (Privacy Law, s.15.04 (1)(m)] 'ermit Holder's Name: City Village X Township Stout, Richard Hudson, Town of ;ST BM Elev: Insp. BM Elev: BM Description: `~, ~ Z . ~S .~s~ `s y4C~ .g ~ rA~lt! I~ICAI-f 11IATiA•1 TAU w rw ~~~~~ u~l vlv~lr~l Ivl• TYPE MANUFACTUREF~, ~~ C,.~ ~- 00 ~`. CAPACITY Septic C~ H SCR- / (2S~ / LSD Dosing r Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic } Dt ~ C~~ 32 r ~~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufactu er Demand M Model Number TDH Lift Friction s System Head T Ft Forc ain Length Dia. Dist. to Well GGGYMIIV I\ VAIA County: St. CroiX Sanitary Permit No: 463196 0 State Plan ID No: oc~966 =~~-S• /~~ Parcel Tax No: 020-1363-04-000 Section/Town/Range/Map No: 27.29.19.2141 STATION BS HI FS ELEV. Benchmark Alt. BM Bidg. Sewer ~ (D 1 ~ • ~ S t SUHt Inlet M,~( 1" ~~ I SUHt Outlet 1o.~s ~ v • Zo Dt Inlet Dt Bottom Header/Man. Dist. Pipe ~~,~ ~q ~ OZ Bot. System (Z.~S'3 ~ O 2 Final Grade ~O•S~ 1 •3S~ St Cove ~ ~ s.~ ~~. `>~•~o i R6.rs SOIL ABSORPTION SYSTEM (~•}U) L~ u;cJ~.4~ ~11,RU...E,.e2 /~F•r>.o,~tc,F! RENC Width r Len th f No. Of Tr nches ~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM S ~ l ~ !~ CLTJ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING M n ctu ~r INFORMATION CHA E OR Type Of System: ~ ~ ,L f ~ _~[ ~ ~.-~. uN T Model N er. v _ _ 1 ~ DISTRIBUTION SYSTEM `' / ~~o 5~.:l~ {r,ldo . l Header/Ayani I e ~ Distribution x Hole Size x Hole Spacin Vent to Air Intake y` ~ u Pi e(s) v Length Dia Leng Dia Spacing SOIL COVER x Pressure Systems Oniv xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil Yes 0 No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~ Location: 625 Commerce Drive H~updQs~on, WI 54016 (SW 1/4 SW 1/4 27 T29N R19W) Hudson Bt 1.) Alt BM Description = 51 'MD"`" "- _' ~ittQr• 2.) Bldg sewer length = (~~• - amount of cover = >bo IrSoe.Q CAaler. L~ ~~~ --~y+~.~. PI n5e4i~ion Required? 0 Yes No '~ ~O t Use other side for additional information. ~ _ SBD-6710 (R.3/97) ~`` ate ~~~ Inspection # / ark Lot 4 ,tercel No: 211.Q, 141 v~ t: ,.-. . ~ ,: ;,.t~. ~~ Cert. No. i' ~J. M _9350 Asp~a C~ dr. ve e ~ ..1.. ale./..' ~e ~y3 ~ ~/ Y~ l3encl t : To o z~~/ l~s cd~s .l¢ssu...a~d , ~ ~ ~ zs 1. l8' u ~~5~~:~- ~~. ~ p ~ 2c)DS ~^oPOSeo1 ~/Qda~iori S: f'•~~'s/1ea/ ~/~vr : 91.33~(93SSO~ 5ys~~~lev: • 88.E (916.i~J, ~na,~g id. a~ Sys : ~(o. 83 (93S.m~ ^ 5oi/ 2 d~-/cc~. dim ,o; ~ . Loc_a.~ed~p~o~. sb~'e i u . _. P~. ~o~s Safety and Buildings Division Councy ~ ~ ~~ ~ s 201 W. Washington Ave., P.O. Box 7162 ~ ~ ~ ~" ~ ~-- ,~'~O~S,~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (60g) 266-3151 L~6 ?,~ q Sanitary Permit Applic ~ In accord with Comm 83.21, Wis. Adm. Code, persona{ i Io ou provide ~ State Plan I.D. Number ~ (o~ to ~~° _ ~~'N5. ~fl~__ may be used for secondary purposes Privac w, . v ~ ~0~~ ~ Project Address (if different than mailing address) I. Application Information -Please Pritlt Alt I n , , ~T. CROiX CUuN7~`~" ~ Q . ~6 2~ 06-tµ ~~ Property Owner's Na me Parcel N Lot iY Block b ~`G~jQ'^~ ~~GL~ ~~~'G 4° ~'O'.119 ~~~ Property Owner's ailing Add M r ess Proper y Location ~ J ~ j .3 7.r1/~-~~/t "~ ~ i Q ~ ~ t ~rl~/ :6 ~'.4 ,Section ~ Ci ty, State 7_ip Code Phone Number _ + \ ~~ // j T7'CI~~SGr N ! / Gr~f~' / 5 -s" _ J.~~ ~ T „ ® N R ,i, (cE cle W :f / ~ ("1 ~ J I ~ ~ ~ II. Type of Bulldtng (check all that apply) j ^ 1 or 2 Family Dwelling -Number of Bedrooms i~ Subdivision Name CSM Number ~PubliclCotnntercial -Describe Use 'e._._.. ~ ' ` ~ ~~'' _~ ,- ^ State Owned -Describe Use -_ ^City_^Village ,Ownship of ~ g'c~ ~ III. Type of Permit: {Check only one box on line A. Complete line B if applicable) / __~-~~ A' New System ~ ^ Replacement System ^ Trea[mena'Holding Tank Replacement. Only ^ Other Modification to Existing System ~ List Previous Permit Number and Date Issued B. [] Permit Renewal ^ Permit Revision ^ Change of I ^ Permit Transfer to New Before Expiration Plumber !Owner ` - ' - N. T of POWTS System: (Check alt that apply) _ _f'e 5~ . Non -Pressurized In-Ground ^ Mound > 2Q in. of suitable soil ^ Mound < 2A in. of suitable soik ^ t-Grade ^ Single Pass Sand Filter ^ Constructed Welland ^ Pressurized In-Groutul ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber ^ Drip Line [i Gravel-less P pe ^ Ot]Ler ex 'n) J V. Dis rsal/Treatment Area Information: ~ 3 Design Flow Design 5oi1 Application Rate(gpd Disper al Area R faired (s . Dispersal Ar Propo (sf) ystem Elevation V . T Info Capacity in Total Number nufacturer Pre Steel Fiber plastic Gallons Gallons of Units ~ Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~~ ~ ~ ~y, ~ Aerobic Treatment Unit Dosing Chamber VII,"Responsibility Statement- I, the wtdersigned, assume responsibility for ' ~ Nation of the POWTS shown on the attached plans. _ Plumber's Na me (Print) Plumber's Si gnature M JMPRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Cod e ) ~ C ~ ~ ~ ~ ~' J VIII. Count !De artment Use Onl _ Approved ^Dis ve Sanitary Permit Fee ~ eludes Groundwater Date Issued Issui Agent Signanire (No Stamps) ~ ^ Owner Given Reason for Denial Surcharge Pee) ~rT1,.-- ~ J V Q~ ~ I _ IX. Conditions of AppruvaUReasons for Disapproval 3~ S- ~'~~--"t " ~o '~ SYSTEM OWNER: ~~A 1 Septic tank, effluent filter and dispersal cell must all be serviced t maintained o~ ~ ~-tr~~ S ~ . as per management plan provided by plumber. 2. All setback requirements must be maintained i as per applicable code/ordinances. . s__ .~... ......~..o...ne Inca Ihwn At/2 x 11 inches in sine A[tat:II camptete ptaos tto we wu"~~ uwr~ •°• -._ , r ~.--~ g°'~-.d. To/o af+ /atSfait'st. E/eK-= 92.G5'(~.30.8.?;~ ,V'3 ti/ /9G. od' I a ¢~ Proposes ~~n~-s-~ ~ Asplta/~alni y¢. r-' 1 'yl~;. S~rtO'~ ~ p.~ro i 9S , .' ~. ' Di/ead'Sion /alve / 7 NJ7•.7.T/x ~0 ~7 V ''6~ eFf/uc-rE 11ne ,, q~,5a' 1~roposed t~teser Linen ,,J~p : /?Sn n1!/ .Co+r~ bi.,o,6'M S.r. /~C. br ~:,s d a s fwo C/,a.,, dtit d 52 ~ 3aa6a1 w '63 Q~S~'/ccs~E. ~~/ o:,~'/tt o f' .Ss a ^ CAa..ri6u; ~. ~<aPos`~ ~ ~ • ~~ ----'~ ter. /~ v a Q ~ `~ - J'~ c' ~.o."r 5g..~-acK 5 .97 zs7' ~~~ RECEIVED _a'oAOSeaI ~/.~da~ior, s: 4 2004 Ni 1V 0 ~~~'s~ed F'/uor• : 91.33'(93S.S0~ 8u.ldt Se.,~pr ~ 93.50' ST.CR0IXCOUNTY Syst~~.n `~ JAN. : 88.~'(9sb.~r~ ZONING OFFICE ~~.e mod. of sys~ : ~.~ fl3'C9.~.2.~~ • Soi/ eda/u~ trot p:6 • E/ed~~ • Loc~.~ed~plo/~. S6arf'2 ~~ ~~ N ~n Rln~~ ~~ 0~ -~ - -93.50. AS~I~a ~~ d~^; ye ti- (~''opOSeol ~/~da'~ior~ 5: ~~,'s~ed ~laor' : 9133~(93s50~ Bu• /d, 5e~~' • 93.50 5ys~~~Jev: : 88.~~1916.i1J ~na,(g~d.Q~ESys,N-,:9~ $3~(93.2~~ 1 ^ Soi% eda/cc~.~~ ~~~ s~xe i P~, ~o~s e~~ f ~A ' ~ ~ ~ conimerce.wi.gov i ^ isconsin Department of Commerce October 18, 2004 CUST ID No.227990 ATTN: POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory t_. Nettles, Secretary WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/18/2006 Identification Numbers Transaction ID No. 1069666 SITE• Site ID No. 690063 Exit Four Business Park Please refer to both identification numbers, Commerce Drive, Lot 4 above, in all cones ondence with the a enc . Town of Hudson St Croix County SW1/4, SW1/4, S27, T29N, R19W Lot: 4, Subdivision: Hudson Business Park FOR: Facility: 657990 STOUT OFFICE COMMERCE DRIVE, LOT 4 HUDSON 54016 Description: Commercial (Office) Non-Pressurized In-ground System Object Type: POWTS Component Manual Regulated Object ID No.: 986680 Maintenance required; 1,077 GPD Flow rate; 121 in Soil minimum depth to limiting factor from original grade; System: In-ground POWTS Component Manual, SBD-10705-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In- ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10705-P (N.01 /01). ~O>`iG • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan. ~~ approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take pEFARTME! precedence. ~I 6N OF 'A • The plumbing for this project discharges to a private sewage system. The approval covers only SEE CORE domestic/sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes. _ • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c WILLIAM C SCHUMAKER Page 2 10/18/2004 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the 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. Stat • Comm 83.22(7) A cony of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, (//~/~// l Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. wi.us FPP Roi,,.:..,..1 m ..-- - r ' f/ ~~~ lam. `-__ - t ~~ ~, 7~' cc: James K Thompson , A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726-2544 4 ~ • , ~ ' , • ~ NON-RESIDENTIAL SYSTEM DESIGN Conventional system INDEX AND TITLE SHEET Project: Stout Office Complex Owner: Dick Stout Address: 1353 Awatukee Trail Hudson, WI 54016 Legal Description: SW1/4SW1/4, Sec. 27, T29N, R19W Township: Hudson County: St. Croix Subdivision Name: Exit 4, Hudson Business Park Lot No.: 4 Parcel ID Number: 020-136304-000 Plan Transaction Number: Index and title sheet Page 1 System sizing calculations Page 2 System cross section & detail Page 3 Site plan Page 4 Grading plan Page 5 Septic tank cross section Page 6 System Management Plan Page 7 Attached soil evaluation report Page 8 Designer: Bill Schumaker Signature: C/,,~,YG~~Q,.l~...~.~_.---~- Date: October 1, 2004 RECEIVED OCT 8 ZUC14 SAFETY & BLDGS DIV. License Number: MP227990 Phone No.: (715) 386-3121 ~~c~l y ~'~ ~~ ~ ~'~ co~~ERCF °~' -~-cs L ~~ 'ONDENCE System Design Calculations Stout Office complex, Lot 4, Hudson Business Park JOB DESCRIPTION: Office complex with product warehousing. System design based on proposed fa ' with thirty two (32) office spaces, 4,224 sq. ft. warehousing, & 10 floor drains. Owner proposes to install ary and replacement dispersal cells with diversion valve immediately to accommodate greater flexibility of sy muse. sign wastewater flow: >*077 00 gnd 8.00 gpd estimated wastewater flow)(150% conversion factor) = 1,077.00 gpd 32 office occupants, all shifts) (13 gal. /occupant) = 416.00 gpd mployees warehouse)(13 gal. /employee) = 52.00 gpd (10 or drains) (25 gal. /drain) _ Estim wastewater flow = 718.00 d 2. Existing grade elell~ion: 94 4(1' ar l~-1 (9'i2 97' 3. Depth to limiting facto . > (elev. =84.32') 4. Proposed system elev.: 5. Infiltrative capacity of soil at or ' hin 36" of system eleva ' n = 0 7 gpd/ssl ft ~\~ , 6. Absorption area required: 718.00 gpd design flow / 0.7 Gpd 1,025.72 s .absorption area required 7. Absorption area proposed: 1,054.60 sq. ft. per distribution cell, two cells osed, 108 Infiltrator Quick 4 Standard chambers. EISA per chamber = 19.10 sq.ft. , E 1,025.72 sq. ft. / 19.10 = 53.70 cha 54 chambers X 19.10 sq. ft per c 2 pair end caps X 5.8 sq. ft. _ Number of trenches cell trench width (A) trench length (B) SFPTTC' TANK C'APACTTY• per 'end caps 5.8 sq. ft. s requir 'i4 0„ 1 10 0~, 1. Design wastewater flow 1,077.00 gpd 1,077.00 gpd / gpd = 14.36 gpd person equivalency 2. Minimum require pacity:~~OR2 (1fi Gallnnc (1,077.00) + (11. x 14.36 x 2*) + (46.77 x 14.36) = 2,082.06 *(Requires a year maintenance cycle) 3. Proposed acity & Manufacturer: WT.P 1750/75(1-MR nal canr;r t lr = ~ 1 SF 7F aallnnc actual canacity EQT IAT T7RD F.T'F'T.T TFNT T)TSTRTRT TTTnN Distribution valve to be installed to allow alternating use of dispersal cells. Distribution headers to be constructed to equally distribute effluent to all trenches. See detail at page 3. ~, Pg. 2 of 8 OCT-18-2004 12:39 PM A.C.E. Soil & Site E~al 715 248 7764 P. 02 •s f ~~ ~~ ~ - - ~~ ~~ L~ t,~ ~~; ~ ~„ ~, ~ :~ d v ~J J O v ~.. .`~ ~ 0 0 0 ~ ~ `~' C .C~ N 1 v iJ fi ~ ih ~ ~ ~ •~ - T ` v ] ~ ~ Q~ ~ ~ . Q _ ~~ ~ v ~ .~ O1 S~~ z •1 ~! ~' V ry n S M ~~ v~ ~_.4. V o.. ~ ~ a~ 1 A i '~ i . ~. ~,r~ .. a '~ ~. h i, ~ N ,~ ~. ~~a . ' ~ i a ~ ~~'r e , . .~. ~, ~.: 1 rs ~ a +~ ~ , t ~ !'' v Y ~; ' '~ +~r ~+ 4 `'~, ~: ,1 RECEIVED System Design Calculations NOV 0 4 2004 Stout Office complex, Lot 4, Hudson Business Park ST. CROIX COUNTY ZONING OFFICE JOB DESCRIPTION: Office complex with product warehousing. System design ba thirty two (32) office spaces, 4,224 sq. ft. warehousing, & 10 floor drains. Owner proposes to install primary and replacement dispersal cells with diversion valve immediately to accommodate greater flexibility of system use. 1. Design wastewater flow: 1 077__ 0~ rl (718.00 gpd estimated wastewater flow)(150% conversion factor) = 1,077.00 gpd Design Flow (32 office occupants, all shifts) (13 gal. /occupant) = 416.00 gpd (4 employees warehouse)(13 gal. /employee) = 52.00 gpd (10 floor drains) (25 gal. /drain) _ ?5~ ~~-~ Estimated wastewater flow = 718.00 gpd 2. Existing grade elevation: 94 40' at 13-1 (932 9'L', final gra~P Plev to h .93.00'1 3. Depth to limiting factor: >121„ (elev. =84.32') 4. Proposed system elev.: RR 00' (9?_ _F 1 T1 5. Infiltrative capacity of soil at or within 36" of system elevation = 0 7 gp /~sq ft 6. Absorption area required: t 53R 57 sn~fr 1,077.00 gpd design flow / 0.7 Gpd = 1,538.57 sq. ft. absorption area required 7. Absorption area proposed: 3,102 40 c~} ft (T3~'n dictrihntion ells at rivn trenches .net cell, 4 trenches total 1 1,538.57 sq. ft. per distribution cell, two cells proposed, 160 Infiltrator Quick 4 Standard chambers. EISA per chamber = 19.10 sq.ft. ,EISA per pair end caps 5.8 sq. ft. 80 chambers X 19.10 sq. fl = t 52R (lO cq ft pP.r ~Pll 2 pair end caps X 5.8 sq. ft. = 23 20 sn ft p~c~11 1,551.20 sq. ft. per cell Number of trenches per cell: s~(2) n 40 irk 4 standard h_ a~mherc nPr trench (RO ham rc total) trench width (A): 34 t7» trench length (B); 16Q.QQ' Design wastewater flow = 1,077.00 gpd 1,077.00 gpd / 75 gpd = 14.36 gpd person equivalency Minimum required capacity: 2,OR2 0~ ('rallons (1,077.00) + (11.61 x 14.36 x 2*) + (46.77 x 14.36) = 2,082.06 *(Requires a two year maintenance cycle) Proposed Capacity & Manufacturer: ~xn P 1740/750 MR gal Wie~Pr f AnrTPtP f nmhlnattnn C T /P C' need ac septic tank = 2,15Fi 7fi gallons ach~ai ca an cite FC~IIAI.T7.F F.FFT.iJ>~'NT DTSTRTBi1T'inN: Distribution valve to be installed to allow alternating use of dispersal cells. Distribution headers to be constructed to equally distribute effluent to all trenches. See detail at page 3. Pg. 2 of 8 .g d d ~~ .Q ~Q RECEIVEf~ NOV U 4 2004 ST. CRO1X COUNT ZONING OFFICE .~ d c~ 0 v c 0 _v V a n ~- ~ -~ -~-, ~ f °' `~ J? ~ ~, s ~ 1 ~~ ~ ~ ~ ,~ ` ~ ~ ~ ° .a, ~~ ,o •~ C ~ 0 ~ ~ v~ Q. ~ o ~~ ~ ~ ~ r ~ ~ ~. L n, ~~ ~~~ ~ 11 ,rf 3 rrj `.~ ^ ~ lL V~ n=fDYf~~ ?r~' ,~"~ 'i,. ~= d'.,, h ;' . ~^ "~~ 1~5~ ~, V ~ ~ ~ c• h '^T Y ~~ 3 ,= 3 ~--~ ~ I; :. ~,_ a ~~~"~~ ~ a~ ^ -- - -93.50, ~' i oP aF /ot sfa,9'a.. ~/e~-= 92.G.~5~(93D. 8.7;~ vii Asph~ L~ dr. ve ra ~ Pfopnsed ~~n~ -s-ly 9 f•1 s phal~d.~; ~e a~ ^ S~ 1. I i 9S so ' v ' a '' ' ~ ~~ i- ? ~ ~~ o ~ ° "~ ~2 ~~ r ~:, ;0 i vj i A s~ /~ rK/~J \/ znck T o ~~/ /~ ~cl~~s . r¢SS u..~ ~d , /cw = ic+~ c~'~9~8. ~7J h~ /.. \q~ I ~ J~i% Pda~cco ~v~ P%~ ~ ~ca_fed~Qto/~ ~~'e ~; ~ 9 ~, SD ~ Pro posed W,`cu~ Gmo•r'c~ Cpl,,Z.S-0 ~ /+'fR ~ .Cow bi%~afis+-~ S .T. /P. C . '~o t ~:,5 ~!/~ d fw o 83 vim'/u sir ~ ~'/~ a.~ ie ~ o f' .Secrnd j b ~~ C/,a-rr,bu: ~,.~ P 1~~ {oPaS~` p FF~"tee _-~ ~ ,~ f_ oZ ~' ~' •7 `. _ ~~ ~~ 3 a Q ~ ~~ ~~{ya~K •5 .9 7 " zs ~, ~e' ~oPOS2ol ~/?da'~iar~ 5: .,,sled Tor' : 91.33'(93SS0~ s~/~~`e le ~ej- . 88.E ;(9.Zb.i~J ~~a.~ 8 mod. of sys~ ~ ~'.~ $3 (93,2!A) P~. ~o~s ~ o `~I~I~i ~ i M ~ ! ~r __ ~/ / ~ ~/ ao /~ /// ---- - - -__ ---L-----tO ~---- - ~ - ~/ r ~ ----- Z£ I ~ -- ~ £ ------ ° I Nit ~ i ` ,\ "- .J 1 .~~~ $ i hi 77 N ~ 1 Ic ~ ~ i ~I I ' ~ . 93q'.1 ~ ~ ~ M ~ i I ~ i i FF~ ' ~ .~ ~~ ~x ~ ~ I ~ F'"' ' I ~ X=M ~~ i I i y ~ ~ l ~ _.---- M ri ~ ~ '~ 1 ~ W o ~ nX 93 ~ "' ~ ~ i ~ pNj 3 ` I I i i ' ° g 4.20 1 ~ i I ' ~' FFE _ 3 ~ ~ i ~ ~ n I' I O ~ N 1 M / ~ 1 , / / M1 / ~/ M / 1 M / £ / / n 1 I ~ M i ' M ~ ~ 1 ~~~ ~ ~rn / ~ /~ "~ 1 ~,~ / / yy ~ / 1- -- n ~ 1 ~ ~ o•M a ~ g ~ ~ 1 ~ / ~ / i ~ M O M - _. j / `t / ~ iA ~~ ~ M / ~ M - ~ 1 1 I -_, ~ _, - ~' ~ M __- ,-' 1~ 1 o d: r~ ~ ~ ~ M i~ J i~ ~ i~ O h - - ~ , ~~- ' ~ / ~ , - 935 ~ ~ 1 I Mil / - ~~~ / / / _ __---' ~ ° ~ 1 _ ~~ i _ _-- ~ ___ -- I a ~ 1 -- - _-- o ~ ~ ~ J ~ f ~~~-~~~~ £ SM ~~ l -_ ___ ~ £ M ~ I $~6 ~ i i -' P~ , Sa{~~ Wd ~:~:8 66" 86" D 2 D m D Z C n ~ C D N n ~ C ~ ~ fTl D N p ~ fT1 Ul p O n --~ ~ D Z r Z N ~ ~.. m O n ~ C m (n O r*~ N ~ rt D p N C7 ~ O ~ Z n ~ I D _ n rv ~ ~ ~ r~ ~ ~ r-~ r~ O ~7 C_ ~O ~ fT~ O ~ Z fTl ~ Z ~ ~ m ~ m ~ m o "' ~, ~ O Z 0 ~ N D rrn m :m II C W1250/750- MR SEPTIC MANUAL REV. JAN. 2004 N n ..~ D O m -D \ S °rn II ~ ~ r O r Z z Do o ~ ~ Z O N ~~ D Z D M Z ~~~ O p n ~ ~ Z ~~ p m ~ m ~ _ ~ ~ boo C7 m N~ p O ~ ~ N D ' ~ < Z ~ v rn~ W ~ n D fTl f'l O _ ~ ~ (n f*I TI O cn z m ~ -~ < ~ z r~ rn '~ ~m ~ ~ Z O N C)O ~ ~ r Trn rn ~ C7 ~ Z O ~ \\ =rD-.o \ C Z Z ~ C ~ ~ ~ D ~ V> ~ ~ vOr ~ Z CO m p C m ~ ~ ~ ~ ~ O rr*i O n < ~ r't ~ O G m Z f'l Z O r ~ m rn ~ Z D ~rm~r=~nm~cn ~Z r*iprn rnmDOODO D O ~ ~~~_~ O~ O ~ N ~~ mzoo" rnrri~ N I rl ~ < r O~ -- O~ " . W .~ D -i rn rn - CT ~ Wr -1O (.ftO? VN D r~(.i O O r ~p m ~ o O ~ O m O C D r WIESER COIICAETE DRAWN BY:SWT W3716 US HWY10. MAIDEN ROCK, WI 54750 DATE: JANUARY 2001 800-325-8456 EILE:W1250/750-MR D Z ~ N cn 1.1 J w T OV, n DTI N ,Z V / REV N0. I DATE. p~.~o~~ .OCT-18-200403:13 PM A.C.E. Soil & Site E~al 715 248 7764 P. 01 Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code nr The conventional septic system shell be operated in ttcoordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.OI/01). All local and/or state rules pertaining to syttteat maintenance and maintenance reporting shall be complied with. ~4~StG.T.~!!k Septic tank servicing mechanics comply with Comm. 83.,54(1}(e), Septic tank to be lcx;a.tcd within 150' of service pad, with bottom of tank to be s 15' below setviee pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least. once every two years by inspection, The septic rank conUCnts shall be removed when the sludge and scum in the tank exceed 1/3 the Liquid volume of rite tank. The contents of the septic tank shall be disposed of in accondartcc with NR 113, Wis. Adm. Code, b}' an individual certified to service septic tanks under s. 281.48, Stets. If the~oontents of the lank are not removed at the time of a biannual assessment, maintenance personnel shall advise i.hC owner of when service will bC needed to maintain less than 1/3 scum and sludge aoarmulation in the tank. The outlet filter shall bC cletrtted as necessary to er-sure 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 cnciosure. I[ the filar is equipped with an alarm, the filler shall be serviced if rho alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and sotmdness. Access openings used for service and assessment shall be settled watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. 13xposcd access openings gt+eatet than 8 inches in diameter shall be secured by an effective locking device to prevent accidcxttaI or unauthorised entry into the lank No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank ab.'tndonment shall be in accordance with C.omm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chcinicai additives to enhance septic tank performance is generally not required If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil AbsorrotMn Cell Trees or shrubs shrnild not be planted directly on the soil absorption system, The area above and around the syst.cm should be seeded and mulched as necessary to prevent. Crosion and provide some degree of frost protection. Traffic (other than for vegetative rnaintcn.'tnce) over the system is to be avoided. Soil compaction may hinder aeration of the irtllltralive Surface within arm about the SyStCm and will promote frost penetration during cold weather months. Cold weather installailons (October Febnrary) dictate that the system be heavily mulched for frost protection. Influent quality into the systcin may not exceed 220mg/t. GODS, ISO MG/L TS5, And 30 mE;/i, FOG. Influent flow may ttol exceed maximum design Clow specified in llte per'rrtil for Ute installation. Observation pipes within the dispersal cell shall be checked for effluent pending. Pending levels shall be repotted to the owner, Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Efttttent flow shall be alternated beriveen dispersal cells on a two-year schedule by use of a diversion valve. Valve to be switched diverting cPFluent from dispersal cell currently in use to resting cell on a two-year cycle coinciding with septic tank inspection and maintenance. ContlnQencv Plan >f the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive pondittg within the dispersal cell will be eliminated by installing A new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber, Bill Scltumaker at (715) 386-3121, or the St_ Croix County Zoning Department. percent ~ bpe, scale or dirnonsbns, nolUr arrow, anJ IogUon and dlslnnce W nearest luau. __ Please print all Info-rnatlon. Rrrvirrvv©d ~y Pereonsl Mlomrelkm y«, prv vide maybe ueod Iw secondary prnposas (Privacy inn, n. r5.04 (I) (nr)). ------- I'ropertyOwner PlvpvrlyLocatlun Pg. 7 of 8 Ualo ~~, NA1~tE: ~~`~~ LO"1"~~~LGGr~L DESCRII'"1'ION:_ - ~ I'AGE,~O~~ ~,~ l . ii ~ ~ ` \ 1 .~ ~f' ~~~"2 I ~~~ g, 3 ~.JU L~' J O ~, 5 , S SIGNATURE; - DATE: /~ - /6 - ~'`~ ~.~--tom==~ ~~ ~~'_.( Wi;cgtsinDepartmerttoiConi-nerce SOIL EVALUATION f -PORT Pay©_ j _ut_~ Uirs'idrt 41 ~efety and Build'n-gs ~~ in arxonlar-ce wi Comr~r~e County ~~ /rte ` ~ Allad- conrplele srie plan ar Prot less 0-an 0 1/2 x 11niclres e- size. Plan must ( , fidude, hid not Iimlled to: v r r rizgy(a erases aint (UM~,,,1 ireclia~- and Petuel LU. percent ~ bps, scale or darn a fq~w ptl n and ~yir~ce to r e !'r3ad. Please pr all t. Rav ed by ST.CROIxCOUN-i r ~ Peraoaal Information yev provide maybe uae.1 ror secondary purpo os (Privaf~~~ fliB(!?~nl). PropertyOwner G.. PropvrtyLocalfun r f Govt. Lut 5~/ 1/ (,~ f 114 S ~ T Z fJ 11 Property Hers Meiling Address Lot # Gluck # Sulxl. Narne or CSb111 City State Zlp (,cxie Phone Number ^ Cily ^ Villaye ~ I own Nearest Ru: Uale iV. ~s E (or)f~ ~ U c~~cs r~ I iv l I S~o 1(o I (7/S 1 -SY%--Co 7 ,.3~ I l~~ ~l Sa ,1 I Cc~ ntirt ti•'~ EJ~'- I [~ New Construction Uses~72esidential /Nwnber of bedroonis__ Cude derive) desiyn flow rate _ ___ __-_-.__--_ GF'D ^ Replacement ~ Public or commercial - Uescribv: _~ ~ 4 ,/L~ Parent rnaterial _-_~ ~~t~~~--_----- f-luod Plain elovatiun if ap{ rcablrt ______.!/~!' _ _ -------- R. i Generalco-nmerrts s.\`~/Q~ ~~v' S~j.~ ~-- i aril teconnnendatkxrs: I Jt Boris # Buriny p~G 9 7 ( ' ~U I i ~ ~ r Ih i f i - r- _ - actor _ _ - ____- n. t. Ueplh lu n l ny ~' Pit Ground swtace elev. _ _ _ _ ___ __ __ _ _____ --- - Sol Appliralon Rate Flurizon UopU- Uorninant Color Redox Uescriplion Textwe Sbucture Consistence Boundary RrNlls GP U/IP in. Munsell qu. 5z. Cvnl. Cobr Gr. Sz. Sh- ttftl _ •Etf#2 ~ 1/~` _ --- ~- ~. a ~'~ t12.~ Boring # ~ Bonny ' 3 O ~' Pit Ground surface elev. ~~ (} _ tt. Uepth to limiting factor _____ in. - Svl Application Rate lo{izon Ueptl- Uaninartt Color Redox Desc:riplion Texture Sbuduie Consistence Buwrdary Roots GP DltP in. Munsell qu. 5z. Cont. Cobr Gr. Sz. Sh. __ 'Elf#1 'Elf#2 _ ss ~ a.~- ~ .Z tZ.~-Z wi .~~ C JfX.~ _~ .~ •S . ~- . S .~ ERkrent rYt = BODS > 30 < 220 rnglL artd TSS >30 < 15U my/L ' EOluent #2 =GODS < 30 my/L and 7 SS < 30 mgll. CST Name (Please Print' Signature CST Nwnber /~_/ Address Uate Evaluation Conducted Telephone Number ~~ .. - L_~ -~- ~ e,/ /[~o(So/i ~~neS~ ,~ pagg '~:_- of 3 Properly Owner 7~~ Parcel IU i! Lv_~ -l___!____-.---- --- r-t f 1 0...:.... __ _ ~ y- s `'z L ~J ~ Bornrg # - - ~ ~ 'l• ~Z ~ it ~ Pit ' Ground surface elev. . U eplh to GnNGng f actor [ C~. ~.~ in._ -: , Sol A r I~icatiar Rate _ ndar B GPDI(f Roots Horizon DepOr in. Uorninanl Color M~nsell7 Redox Des~~iplion Qu. Sz. Cert. Cobr Texture _ Strudure Gr. Sz. /S{h. Consistence y ou _ .EttII _ I_ Eli#2 _- -- `/ `r LJ Boring _ Boring # ~ Pil Ground suface elev. / _r y~~t-• Uepth to limiliny [actor ~J ~ irr• SoO A lication Rate ' Texture Strudure Consistence Boundary Roots GPDIfF Floriipr Depth in. Doirrinanl Color Mansel l ron .Redox Uescripl Qu. Sz. Cont. Cobr Gr. Sz. Sh. __ _ 'Ell#1 'EQ#?. -~~ ..~y ~~/// ~~ ~I~ 1 IAl ~ / ~ ,t ~V~ P~ s V . ~o i ~-~ . --- - -- r ?~ •5 . ~. .b .5 . ~- S U Boriny qty' z Boring # Ground surface elev. __/ /~!v tt. Depth to lirnitiny factor _~ ~ .____ irr• -- pit _ Sol A IicaGon Rale ture T Strudure Consist©nce Boundary Routs GP D/iF Horizon Depth Dominant Color RedoxDescriplion ex 'Eff#1 'Efftr2 _ in. Mansell Qu. Sz. ConL Cobr Gr. Sz Sh. _ r -1 - ~ ° s~ ~ L- `~--- - - ---~- 1~ . -- -- ,~ -- _ ~ D~ • Effluent #1 = BODS> 30 < 220 rng1L and T8S >3U < 15O rnylL 'Effluent If2 =RODS < 30 mylL and TSS < 30 nrylL 7~he Departtnent of Commerce is an equal opportunity service provider and engilvycr. If you aced assistance to access services or need material in air altcrnate fomrat, plcasc contact tl-e departtncnt at GO8-2GG-3151 or "I'I'Y GOB-2(r1-8777. ,~ .~ :. ,~ E'AGE~Of~ NAME: ~ ~ `~~ LO"I'IJ~LEGAL DESCRII'1'ION~I /4 u~ 1/4,S~f ~•1`J,(i,~E(ur)~ ,J r SCALE: 1 "_ r~-G g~~ ELEVATION: t d U ~ v - BM l DESCRIf'T[O1~I: ' Q BM 2 ELEVr~"I IUN:_ ~ -- -_ _ ~ BM 2 DESCRII''1'ION: SYS'i'EMELEVn'1'It)N:__~<Sy ~- ~ - SYS'~'EM'1'YPI~: ~ PYl ~-~~-_ -_-- ~ ~ 1 ~~ ii i ~~ ~ I '~ ~ ~ ~ ~~ t .~ v D E----.,--~J gl ,~ .. o "-. ~~1-S ~~ sb 7 -f~J~ SIGNATUitE; DATE: /G - ~~ - 6~1 QM, .._ Bureau of Integrated Sefvic~es in atxordartce with s. ILHR"x.09, Wis. Adm. Code '• Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. F~n mGst ~` , °"'~ ~~ /- include, but not limited to: vertical end horizontal reference point (BM), di ory"and ..?: ~; ~.'~ S~ Cr0 f Y percent slope, scale or dimensions, north arrow, and location and distan to neared road. Parc~1 t.D. # APPL,f~ Personal in Property Property (: 1 l ~! ~!4 Boring # 2 Ground elev. 9z~~-tt. Deptn ro limiting factor ~[~in. flp~ :,J.. `'~ ~ti}i.' R ~~~hITiJ W, s. ~~`tt)fyv C~~Ce .. i~~V ;r o ~1 Lat # v ^"7city r~~ . a SOIL DESCRIPTION REPORT ~ by ;' _~~ - - 4~' ` W f/4,S Z7 T Z.~ ,N,R ~ 9' E'fa'~ W bd. Name or CSM# ~~~f`~ ~f ~+~S-ntss ~ati~ e (~ Town Nearest Road kdtor~ i S"rl-~ ~ 12 Horizon Depth Dominant Color Mottles Stnacture C i d B R ts GPD1tt2 in. Munsell Qu. Sz. Cc ` ^~'^• Texture Gr. Sz. Sh. ster-ce ons oun ary oo Bed ,Trench 1 0-1 lu t'~ I ~ J ~, '' ,S ~ ,~ L ll. -Z3 to t' 3 I - S j ~G ~S ~ ' L..®~~ Sws~z ~ ~i~ /,/ p IT'~l //~~P,D/1'Yl ~i ,, ~~ ~ .l , Remarks: ~ (-J ~ ~4Y e 2 S ~f Boring # / v-/G ~~~ r J - .~ Z, i:3 t ~' r ~ l 4 .. ~ 39 .~` ~s Ground 39-Is , S ~ -s' ._. Depth to limitin g factor 7;[~in. Remarks: ~ l Q ~y ~ ~ ` CST Name (Please Prtnt) Si ,~ __~~~~~ h c7 r~ ~. 5 e~ e~ S v "~ Date Address (~ ~ ~ ~ ~a ~ ~ ~ ~' ~ Q`~~'t C MU n~ ~ ~ 9 2 ~~~1 `a ua -~-°- ~ /c.vvyi '-. ~~~~~~ y c~ 2 r5 ,4 C_5 I ~ -- ~~ ~ ,~ -- - ,y~.S Telephone N/o. '~IS-2.4V-'1~5~ CST Number 2 ~.-~ ~ $~ PR©PEFtTY QWNER PARiCEI. I.D.#F Boring # ;7 Ground elev. ~fE. Depth to limiting factor 7 /~in. Boring # n: -!:'..~~ K :~~-~ Ground iev. ~~~ Depth ro limiting factor ~' Lin. Boring # t ~~* ,.:;. Ground elev. 9~~~ D~th to Limiting factor ~in. Boring # ,. %~: Ground ~ev_ n Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh_ ry Bed .Trench Remarks: ;~- ` t~ ~f,r ~ -7 ~F~'--~` ~d ~~-YP~~~ n .S y SOIL DESCRIPTION REPORT Page G of 2 (rl g :f { y `t`~," ~,/ F rJ ~ / sri' r~.J ~^'a ~ ~ ~ ~ S • r `~ '"~1 ~~ ~ ~ IS ~~~ / Y ! ~.~ ~ J ~ ~ td 7r-$3 7-S ~` ~ ~ -- S ~ ~ ~ ~ -- ` ~ j Remarks: ~;~~ /~ 7.S r Horizon Depth Domirant Color Mottles T t Structure C i t B d R t GP Jflz in. Mansell C!u. Sz. Cont. Calor ure ex Gr. Sz. Sh. ons s ence oun ary oo s Bed ,Trench Depth to ~ . limiting facts °n' Remarks: Remarks: SBD-a33o {R. o7~ssy t d ,• r~v~~u~Mtrt ~A~. ~~ DCSl~N 1432 120` STREET, NEW RICHMOND, WISCONSIN 715-24b-2454 Tom Nelson Certified Sa8 Tester 22?387---Red Sanitati,an SR00713 ########################!#######fi######f##f##################### ~.,a~' ~ ~'~ ~~T y ~ks 4h e's~ ~ cLL.' s `"~ }~~ S~ ~,~ ~~ ~, L 7 T 2 5 N~ l~ 1 Q~ ~u,ar, a'F' ~~~aSbti N ~ R 7,35 Q1 g3 ,go ~`~ q~.4y C5 9s, g5 - `~~ Qrw r- pti.~ n ~•~ir ~+DL I~~ ~~ _ 1~° ~- ~~~Z r ~.~-c S+CAI.E 1" _ ~ v ~ ~i~'~.f z~~ Piz P~p-~ ~elt~ goo t.ap a~ S ~ ~ot C'v~..rerL e~tv too.as S a~ Ste` js~- 2 Tam Nelson ~~1~~~- f ti}{: h~0. ~ 153E~6.:"~ rP01'l Schiam~4~;r_r- Flurnbir-iq ~wm~xlBuy~t" ~1c~c1 ~c~_ ~viai~inS Addrtas~s~, ~ S ,~'~~ C:ri~~X ~C~L~~C~ S~P~i'IC Ta~~ ~~A~IhT~'NA'~~'E ~CaR~~M~~T A'~ ~}~i~R,S~IIP CER'~I~'YCRTI~~ ~~~ ,. 5~~~.~ ~~ ~~~~. Clr-I. :_. F_i ;_l_It_.1 t_I I_i. J !HI I I 1 ~."' ~-_. ~ ~ ~ ~~ • ~ propor~"}~ A,{~~PCSii a ' V ~?a t•Cmant faY new t,ettstru~x~i~-~-- - (Voxificex~~ tequirad frarn ~1~ ~` Q aQ , I ~a 3 ._ ~c 1,-- ~O O ~OW~ ~'~~ ~sr/ F~rccl ~denta~c~~i~rt Numb~~ ~~ C ~rt~ll ~t9tC l+ ~ 'f U W+'~~r~ta~Y ~,pac hour ~ des (~ na ~,1~ltam$ ~ .._..~p ~,,qt lines idana~8ka1~ ~.Y ~! no >ay:~t~~r t~i,!-~'rit'T`3~~~. tie systetxt cn~d aa~ult °.a xta pre~yatusa failuurr•d t~ }aandie w~stts. ~rc~pcr rnei~tc'ruxa=~e ~~ ~y snd ~,ixztntsence of yatizr s-mp er. ~x(1~mt yuu pttt uaea ttse aystursa ~# tl~ soptie taxtlc. eva~' three yertrs or aottaaz, if neaded by a ]iccn9ed g+ur~p conffii.x~ of p oaal ~g'~te~- ~ xt~t tfte i~atcticxt v~ tYke G ~ a ~at~ent o i,n t's~ vv~ste si rse~. t;y tats: cwncr r~rad ~w, a t to "~x. ~ra#x Zonir~ Y7ePatAt ~ oertificetiotl £ctrsn, ~ Ttw pal pw~sar ~'~ tc> subs er veri~yrin~ tbat~t) tlsa art-sits weetewatar'dispnsel sy~te{xt ~~+T3 ~y~eymasriplurctber, rast~.ata~.piutnbe~ crr ~ licett.~l~pz~p nacsrsksasY~~ ~~ ~tse. tank. ~~ 1.css Chars X13 fill! of sind~c. ~StG? p C~ii11t3C11 pt~d,,~di (~~ a,¢wI lII."j7CClt]~~Tl ~ ~ ~ ( r . gCtL.~~.'#Yd5 is sr. preper a~fi rxvatc so~wrage diapcsal ~y~tern with .tt~ ndd have Teed the aboYO sequira~ a.tu3 agree tQ ~t,,int~ tins p wA tlse v,~dazsi~ ant cf t`ia~ ~th$ ~trei~ ~,;:nty ,has Qt cc w~tbi~Y3U ~ ~ pep~,~.naat cf commerce and tha Dcpart~ set fcarth~ ht~zt~- ~ ~ ~'~' t~ bao beau rztai~teined masx he aosnp9eted ~ zrtt g~atiag tltst ~+b1YC ~ ~' (} ,~,•,d.,af t~ t}iree et eacpitrCto date. (~ ?~ DA & ~n hiss form. aCe true to tic best of ttay (tvu~ }~atvlad$e. : (we) e.m (arc) tt•,c ~',wrriez(s) ~t I (moo) aastifi' t3'itt x31 etatcaaents dad rccaz~ed in ~e~=eter ta`° Dceda ~f~~ffi, cribxd. ek~ovt by v~'tue cf a ~aarraasty ~O 2 ~ ~~ th rap ~ ~-- ~~.T ~- { int. ~~aWww S1c3N~ ~ t~'F .A;~'~'~IC~SdT Batt tlixt is rnis~xe~resentad zuay :asult is tae sa~itarv pea-xat bc~n~, zevc~.tcl by kbc ~actsng ne~~ ~,~*r~* ° in.E'orma f I3ecda a~ffice _~-~- . *~~ Incltsd~ ~etttt Chia ~p~~tfon: a atamp~d wa:ratzty decd ft5tn the 'Register a e ~~ o£ t~:e certifitd aurvdy mad if re~ezancc is made i~ the warx~nty decd • '~1 2037P 626 STATE BAR OF WISCONSFN FORM 2 - 1999 I Document Number WARRANTY DEED I This Deed, made between C.P.T., LLC, a Wisconsin Limited _ Liability Company Grantor, and Richard O. Stout and Janet P. Stout, husband and wife Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 4 lat of Exit Four Business Park in the Town of Hudson, St. Croix tv.Wisconstn. E.973S9 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX GO iiI RECEIVED FOR )RECORD 11-06-2002 10t00 AM Ill1RRR1JTY DEED , EXEMR7 ie REC FEE: 11.00 TRANS FEE: 633.30 COPY FEE: CERT COPY FEE: RAGES: 1 , Recording Area Na/Jme/and Return Address /4%'~// C~~ ~~3/ 020-1363-04-000 Parcel Identilicatioa Number (P(N) This is not homestead property. Q~) (is noI} Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. ~ ~~~~~ Dated this S~ day of Beteber , 2002 . C.P.T., L ~ ~ - AUTHENTICATION Signature(s) authenticated this day of , + ' TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below thei s ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) Personally came before me this day of October _ 2002 the above named C.P.T., LLC, a Wisconsin Limited Liability Company - - PAMEL4 A. CHEEI - to , o be IrAL 'NNEa"~FtScec d the foregoing ins m - • ~d aI~IE~tQiQWl~~~t~1e.~'~ " -- -- Notary Public, State of V~is~eRe~t r'~n~ nNZ~K~ My Com rma t. (If not, state expiration bate: i it O~ ~) lalUre. Inionnatlon Profeuior,Hls CompaM. Fond du Lac, WI x00.655-2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 d`; r ~ ~. 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CROIX COUNTY GOVERNMENT CENTER _ .. ,, ,. - . __ - _,~ __~ 1101 Carmichael Road ' - ti - `~ o I Hudson, WI 54016-7710 `"~..'1. a I (715) 386-4680 • Fax (715) 386-4686 Z , I Y J I ' Z I ; ~ p W J Q I ' N N ~ a~ Z I ', C Z W Y I ~ li c O o H- ~ ~ I ¢ z ai I I ~ ~ I' ~ ~, 3 I ~ rn I ~ ~ Z ~ ~o . I .. N a~ ~ v II E ° ~ 3 > I z ~ `m a~i am ~ o I ° 0 a NH S ' p - I v~3m m ~ c I o Z II' c m °-'~~°' ~ ~ a ~ I ~ ~aa~m N ~ _ d Z d' II ~' ~ C I C N C N ~ D N ~ i N ~ _ = C ~ L ~ ~ ~ O O - ~ U ~ v ~ ~ y a ~ c c Y _ L O T~ v, I u)Om ' ~ I m Z J ~ a E I N ~ m I c ~ R 3 I m ~i',, ~ a :° ~ Y I N ~ ° D O ` ~ ~ I j ~!: I' a a "' N N N j = v ' ~ a ~ I <n I ~ ` aaa j l o i °- ' ~ ~ ~ ~ o g ', N S ~ I W J U I! o ~ o Z N O ° U ~ = o I ~ ',, ~ m N I , ~ ° ' Q LTt n I ~' ov - ¢ zc I ~ ~ ' I H O O I'. ' CD W C ~° o ~ c I ' ~ ~ O N 3 ~ I' ~ U _ I E Mo; ~~, ~ a ~, I N ~ N N f~ O N O I ~I 2 '' ~ (D CA ~ O O ~ O I Z C Z I I - E I d 'I I' ~a o- m ~ ''' d y ° . c ~a c ~i,! ov~c~ ~ I