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HomeMy WebLinkAbout020-1094-70-100 STEVE MUENICH �� ems✓''° ULBRICHT & ASSOCIATES PUMPING LLC — Private Wastewater Contractors— Hudson 105 East Chippewa Street Main Office 715-386-8277 Cadott, Wisconsin 54727 715-456-1440 Owners , J Name ,(' " h��l r�►�T«.- Date % -1 a Time ,r 9 *a, Address 00 Service Call: Routine Emergency ❑ Operator �" _ el, r. - Comments -9 - — Septic System Conditions — f'1611.4 S.T.Size ,���Q c7 Amt. Removed ou y Gals. Pump Chamber Size .2 - ?SD,r Amt. Removed Gals. Depth Scum S.T. _ 7(f Depth Scum P.C. 2 y Depth Sludge S.T. Depth Scum P.C. Trenches or Drainfleld, inches of effluent — Costs • Pumping 0 x1 n. • Digging up Covers e2 7v. oti • Adding Manholes, New Covers, Locks, Repairs, etc. • Extra Travel Service Labor (' 0 • Taxes, if applicable v Total Due .2 ❑Pd. In Full Account °o �n 03 °� p °v3 N hi O r cm y a p O c t a w N v � � I gam ti ;p m� C to Q L U � 0 a�i`L E N 4? E mwN J w 0 0 C C_ T a'OO p N U w 3 N t0 N r� 'O U co O N N w O m N v ° T w O N•N M -� > C N N c C N o to N 'j N y•O ca o dav° o m y'> C Z =m E O ty/)L Z yX m 0 O_ W p i/) N O N 3 LL N c O m C:�. :_• _ LO c 3 0 'E0'cv€ 3 g ';aM .N Q w O N CL Q O N I 3 ° 3 CD Z f/1 Z f/! 3 Z E E := O O Z € D N € a a m Cl) z 0 z u w w d c c N N O D Lo i O • V y N O N O O O Q Z Z Q Z Z N Ll 00 m ' a _ T 0 _ Ag d d a }}yy V a •M �e a •fig .`. �c v N d N O O N d N N Z E N o rm a n E h.. Q o � mmm _mss' = mtoto EL �N zM > I! � 333 au' az3 ain •►v � aaa vaaa a ca ; �1 L 0 � O O y y Q N N O y 11� 3 O N m (A J V LO °o °o 0 0 0 N N p 1 O N Q p .O LO O) _O r V N n N _ Z 0 Co N NO — Z N 0 0 0 0 0 �i L F 0 � O O N N N N N V O = Q 'O ca 7 0 "O � M M m )I') J m C � J N m 9 y 0Y N r '- N A (A - •i d Q A N y7 a� N 7 ' v O 0 O O O fA C tn tl) C O O O 3 li!i W tl C U O N O O O N M V f� V a) a) c O m@ U a 0 0 0 0 0 0 yy M N C N C N N N N N N G m 0 N \ _ C ` = N M C') I-- O to o n °) N O C� °) y (n M W `N w N L O r c c N e0 .- �0 d N � T M a+ 7 'O c U LO 7 > E L O � I I v� r ; Q as IL :: a ttww• a y m c _1 A ciao 0 aiti I0 U Parcel #: 020-1094-70-100 05/19/2014 01:55 PM PAGE 1 OF 1 Alt. Parcel#: 33.29.19.386A-10 020-TOWN OF HUDSON Current ST. CROIX COUNTY,WISCONSIN �X Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-HECHTER HUDSON OUTPOST HECHTER HUDSON OUTPOST PO BOX 167 BAYPORT MN 55003 Property Address(es): `= Primary *592&594 OUTPOST&596 CIR Districts: SC=School SP=Special Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC Notes: Legal Description: Acres: 5.971 SEC 33 T29N R19W PT OF E1/2 OF NE1/4 BEING LOT 2 CSM 13/3560 19.258AC NKA CSM Parcel History: 14/3865 LOT 3 5.971AC Date Doc# Vol/Page Type 06/23/2000 625244 1521/173 WD 08/15/1997 565343 1264/006 WD 07/23/1997 1235/337 LC 07/23/1997 1203/244 QC more Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *3865-CSM 14-3865 020-2000 33-29N-19W NE LOT 3 2014 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/24/2010 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 5.971 586,800 1,103,200 1,690,000 NO Totals for 2014: General Property 5.971 586,800 1,103,200 1,690,000 Woodland 0.000 0 0 Totals for 2013: General Property 5.971 586,800 1,103,200 1,690,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 v01. 150 4 PAVE 317 I[j`7:IL 4Ew z s DECLARATION OF KATHLEEN H. WALSH DRAINFIELD EASEMENT REGISTER OF DEEDS ST. CROIX CO_, WI RECEIVED FOR RECORD Document Number: 04-20-2000 1:15 PM EASEMENT EXEMPT k CERT COPY FEE: Return Address: ST.CRQIX OUTPOST COPY FEE:TRANSFER FEES 688 COUNTY RD.U RECORDING FEE: 12.00 HUDSON,W154016 PAGES: 2 (715)386-®888 (612)436-55M Parcel J.D.Number(PIN): 09.0 COMES NOW Jay Sperry, managing member of Jay Sperry Enterprises, LLC, and does hereby declare and create drainfield easements over the following described real property located in St. Croix County, Wisconsin. 1. Creation of Easements Drainfield Easement in favor of Lot 1 of Certified Survey Map recorded in Volume 13, page 3560, covering a portion of Lot 2 of CSM recorded in Volume 13, page 3560: Part of the NE A of the NE A of Section 33, T29N, R1 9W, Town of Hudson, St. Croix County, Wisconsin, also being a part of Lot 2 of Certified Survey Map recorded in Volume 13, Page 3560, described as follows: Commencing at the southeast corner of Lot 1 of said Certified Survey Map Volume 13, Page 3560; thence along the east line of said Lot 1 N19 002'12"W a distance of 70.64 feet to the point of beginning; thence N17°09'43"E a distance of 94.21 feet; thence N30 151'47"W a distance of 196.88 feet to the east line of said Lot 1; thence along said line SO0107'43"W a distance of 46.57 feet; thence along said east line S19°02'12"E a distance of 224.74 feet to the point of beginning. Drainfield Easement in favor of Lot 2 of Certified Survey Map recorded in Volume 13, page 3560, covering a portion of Lot 1 of CSM recorded in Volume 13, page 3560: Part of the NE Y4 of the NE A of Section 33, T29N, R1 9W, Town of Hudson, St. Croix County, Wisconsin, also being a part of Lot 1 of Certified Survey Map recorded in Volume 13, Page 3560, described as follows: Beginning at the southeast corner of said Lot 1; thence along the east line of said Lot 1 N19002'1 2-W a distance of 70.64 feet; thence S17 009'43"W a distance of 15.79 feet; thence N72°50'17"W a distance of 40.00 feet; thence N 1 7°09'43"E a distance of 10.00 feet; thence N72°50'17"W a distance of 25.00 feet; thence S57 046'48"W a distance of 40.50 feet; thence S32°03'1 2"E a distance of 27.00 feet; thence S44 147'1 5"E a distance of 83.14 feet to the south line of said Lot 1; thence along said south line 1-504PAGE 318 being the arc of a 240.00 foot radius curve concave southerly, with a central angle that measures 12 147'23", a chord that bears N64°34'06.5"E and measures 53.46 feet, a distance of 53.57 feet to the point of beginning. 2. These easements are for septic drainfield purposes only and are not to be expanded beyond this original grant. 3. All future owners of the parcels shall be responsible for monitoring and repair costs of their own drainfield. WHEREFORE, the parties have placed their hands and seals on this 11 day of rti 2000. JAY SPERRY ENTEPRISES, LLC, LJ �, ,o Jay S rry gin ember Subscribed and sw n to, efore me this day of 2000. o Notary Public SON GoiNCOunty, Wisconsin Kk1 c rianiv;4on expires IS pev"N„ y T UMENT DRAFTED BY: Steven B. Goff Bye, Goff & Rohde, Ltd. PO Box 167 River Falls, WI 54022 S:\SBMSpe"yl01 DeclEssemt.doc -2- ' a S �i1 I I � r id 1 ' , /ool tP 10 NI/ ID �o 0, s t c CP m rj a o h G O r �q Ili v6` i ` co A ro 0 0 0 H Jl* 'L r o ;� w ri LA - w 1 �IL�D JUL 2 5 624050 JUN 0 3 WV1tEPgLW9 �5lerotoeeda Si CRt�IX C_YNTY s CERTI EY MAP CATED IN PART OF THE NE1/4 OF THE NE1/4 AND PART OF THE SE1/4 OF THE NE1/4 OF SECTI❑N 33, T29N, R19W, TOWN OF HUDSON, ST, CR❑IX COUNTY, WISC❑NSINj BEING LOT 2 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 13, PAGE 3560, z OWNER R CAUTION: HIGHWAY SETBACK RESTRICTIONS PROHIBIT IMPROVEMENTS. W'U SEE SHEET 2. JAY SPERRY M W;� D.O.T. APPROVAL NUMBER - 55-94-3009-2000 11124 HIGHWAY 55 ~ N N D.O.T. NOTES PER TRANS 233: PLYMOUTH, MN 55441 ° As owner I hereby restrict all Lots and Blocks so that that no owner, possessor, W m user, licensee or other person may have any right of direct vehicular °o -»ti ingress from or egress to any highway lying within the right-of-way of IN W z X U.S. interstate '94', as shown on the land division map; it is expressly o WW W intended that this restriction constitute a restriction for the benefit of the M W ►� = ca public as provided in s.236.293, Stats., and shall be enforceable by the w M~ ° P de artment or its assigns. �- W �- a W o ca W w The lots of this land division may experience noise at levels exceeding Z E the levels in s. Trans 405.04, Table 1. These levels are based on `0 L3 C4 federal standards. Owners of these lots are responsible for abating z =a i sufficient to protect these lots. ao o!� nose o� a o% » » WOr7 U.S. INTERSTATE 94 aazCl) __________________ NE CORNER z S89144'21'E NORTH LINE OF THE NE1/4 SECTION 33 P°o 1/4 CORNER 2662.84' VARIABLE RIGHT-OF-WAY z SECTION 33 TQk p °rn 0,9R�fN U h'l�ljs SFT 3 W So, 13859• 'QST pk o I LOT 1 c a yfCyw'�r \ 1� `� `94' F m U_ I CSM IN ti `��a- SFTBq�k \ l�)pf" z� >-_ N 13/3560 T 3 pFR rR ^, �, A S W L- W tisf� . 5.971 ORES S9 ' ?33 0 o ° a L- V)I W I8, Np�o 260,097 S FT. n z W A N W �. Li 1 9 �•� N ~ t i W o A9 w�pN_ NS 55039 , EX ST ENTERLINE Oi 8j N z Cli CU 0 6 1 rn i a •.• � ®j z ,L . •�j j �`A � ��QV•� W 3 O� 495.10' v� ° c S`'�• °� S89.33'17"E 555.55 N89.33'17•w W o Rec. As N89'141'W 3 i z o (� 60.45' N LET 4 LOT 1 I N89.33'17'W_ IT ON it 1 00 I 69.96' i' o Zi N PPROVED ch O, W 11.236 ACRESA cfzolx VED W C_SM_ IN I UNPLATTED_LANDS N P 489,419 SG;ia ill4 zoning and Parks Committee 4 917 1 OWNED_BY OTHERS I i . E1/4 COR JUN U 2000 n SCALE IN FEET 1 = 200 SECTION 33 0 If nor d��l(in 30 days of Z 0 200 400 FENCELI NERNE WP at �pra_ st�l be LEGEND OF LO ALUMINUM COUNTY SECTION ,"E 603•'49 3 0 �_ CORNER MONUMENT FOUND N8 C.T.H• CD Q0 1' IRON PIPE FOUND LOT 1 ROADWAY SETBACK LINE I CSM IN (WIDTH AS SHOWN) -X X EXISTING FENCELINE SHEET 1 OF 2 SHEETS 5/1483 a 3/4' STEEL REBAR FOUND Vol.14 Page 3865 ` .- ,; , EEN H. WALSH FEB 5 I>t ST. CROIXOCODEEDS , WI ST CROIX COI.IPvTy RECEIVED FOR RECORD CERTIFIED SURVEY MAP 11-20-1998 9:30 AM CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE1/4 OF THE NE1/4 AN OO:�ff��:Of•00 z THE SE1/4 OF THE NE1/4 OF SECTION 33, T29 , ' 19W, TOWN OF HUDSON, ST, CR❑IX COUNTY, WISCONSIN, � u� LEGEND OWNER o ALUMINUM COUNTY SECTI❑N CORNER JAY SPERRY Q Q, MONUMENT FOUND 0c) 11124 HIGHWAY 55 z w • PLYMOUTH, MN 55441 W Z 0, 1 IRON PIPE FOUND w 0 1' X 24' IRON PIPE SET WEIGHING ° 1.68 LBS, PER LINEAR FOOT wo~ ¢zW • • • • • • ROADWAY SETBACK LINE CAS SHOWN) LD " EXISTING FENCELINE ¢ 3/4' REBAR FOUND ' ¢ m PQ z cn U.S.—INTERSTATE 94" °' NE CORNER z° S89.44'21'E NORTH LINE OF THE NE1/4 SECTION 33 85•48'221'W — �— � N1/4 CORNER 115.60 3.28'39" 2662.84' REC. AS 1108.91' SECTION 33 Rec, q W 28934' z As 81.37'22'W _� ° \, x N Y L T 1 !w RPC u 4. 72 ACRES M° '9S x � 20 ,525 SQ.FT. \EPTIC �-`: • �S9•if cr,ro �ZNG T N°K o N �'1•� PARCEL IN v •°° _ ZS G ��° Z m U �?� �I�)1,VOL_ 1203, PG. 242 z N G — ---- LLJ Z LLJ FENCE AREA l/ J `�\ q ON Li = v ~ SSJ• OPJE� L❑T 2 e � o w r¢ WEL 19.258 ACRES p n ¢ 9f O z q f V R , . . u a j w f8S) N� N80.5� N w F. SECTI -` cu A9 DRAINFI D6 cA 85.03 EXIS IN CENTERLINE Z ro w -' tJ ¢ - 4 N =l z z i w 6.p�0 .9C' F � o' ~� '- CV) ���• �0�0 580.54'09"41 `1'J' 8sco Qo"u� LS ID �r 3 APPROVED Rec. As N89.41'W 0 S89.33'17"E. 55,55'N89°33'17'W 60.45' 3 NOV C 0 48 M N89.33'17'W_ v m (U co LOT 1 69.96' o o ST. CROIX COUNTY ro CSM IN UNPLATTED LANDS °° ° Comprehensive Planning ----- ------------ rn Zoning any 4917 Parks Comrni wL1 �� � � E1/4 CDR FENCELINE IS 1.2 FEET WEST c i �.'� d SECTI❑N 33 L141D F Ifr©R1NE'Rdad. .Z U) irr30 days of proval data °° oval shall be '" I d C.T.H• _ _-- f LOT 1 CSM IN ----- SCALE IN FEET 1' = 200' 51483 0 100 200 300 Vol.13 Page 3560 ► T State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES West Central Region Headquarters Jim Doyle, Governor 1300 W. Clairemon# Avenue Scott Hassett, Secretary PO Box 4001 WISCONSIN Scott Humrickhouse, Regional Director Eau Claire, Wisconsin 54702 -4001 DEPT. OF NATURAL RESOURCES Telephone 715 -839 -3700 FAX 715- 839 -6076 TTY Access via relay - 711 January 9, 2006 Smile HW /CME JAN 1 � z0Q6 Dr. Anthony Sanchez 618055570 596 Outpost Circle Suite A St. Croix Co. Hudson, WI 54016 Subject: November 28, 2005, Hazardous Waste Management Inspection / Complaint Response Dear Mr. Sanchez: On November 28, 2005, Mr. Brian Wert, building inspector for the Town of Hudson, and I inspected your clinic located at 596 Outpost Circle. As you are aware, this inspection was prompted by a complaint received by the Department. During the inspection we discussed management of wastes typically generated by dental clinics. I have enclosed a publication, 425.SB.9602. This publication provides guidelines for management of waste that are commonly generated at clinics including: mercury containing amalgam waste, silver containing x -ray fixer and developer, cleaners, and disinfectants. You were not able to document off -site disposal of any of these potentially hazardous wastes. Septic systems are designed to treat biodegradable pollutants only. If a commercial or industrial wastewater contains significant concentrations of non - biodegradable pollutants, such as metals or volatile organic chemicals, the wastewater should not be discharged to a septic tank. Of special concern are mercury and silver containing wastes generated at your clinic. Silver. During the inspection I collected a sample of rinse water from the x -ray developing machine. The results, Wisconsin State Laboratory of Hygiene Sample # IQ012637, indicate that the rinse water exceeds hazardous waste regulatory levels for silver. Note that this sample was of the rinse water, not the more concentrated fixer and developer solutions which would be expected to have a much higher concentration of silver. The sample also exceeded pubic health groundwater quality standards for boron. At a minimum, steps must be taken to reduce or eliminate this discharge. Recycling the waste through an approved hazardous waste company, or installing an on -site silver recovery unit is recommended. Mercury. You provided information on an amalgam separator system that you have in place. Based on the literature, these units, if appropriately maintained, will remove amalgam fines that are not caught in a primary screen or trap. These units will remove fine mercury containing particles; however, they do not account for the larger pieces of amalgam that are typically captured in screens and traps. Collecting and sending the waste to an off -site mercury recycler or reclaimer is recommended. Again, steps must be taken to reduce or eliminate the discharge of mercury containing waste into the septic system. ( Note: City wastewater treatment systems do not have the ability to treat mercury either, so it is just as important to reduce mercury discharges to city systems.) dnr.wi.gov Quality Natural Resources Management wisconsin.gov Through Excellent Customer Service Pr„„ ed on R%Oed Paper Smile, 1/9/06 p.2 In summary, the wastewater generated at your clinic potentially contains significant concentrations of hazardous pollutants. You should take steps necessary to reduce or eliminate the discharge of pollutants to the environment. There are several best management practices that clinics such as yours can implement to reduce or eliminate discharges of hazardous pollutants to the environment. The enclosed publications provide numerous recommended waste recycling and disposal options. If you have questions, or if I can be of assistance, please contact me at jill.schoen(&dnr.state.wi.us or 715 -839 -2788. Sincerely, t Schoen, CHMM ste Management Specialist Enc. DNR Laboratory Report, ID 113133790 Pub. 425.SB.9602, A Guide for Dentists, How to Mange Waste From Your Dental Practice Minnesota Technical Assistance Program, Managing Dental Clinic Waste C: WCR Files — WCR Brian Wert, Inspection Agency, Inc. — bwert@baldwin- telecom.net D. Lundberg — david.lundberg(a)dnr.state.wi.us Ronn Hechtor — PO Box 167, Bayport, MN 55003 Pete Skorseth — peter. skorseth@dnr.state.wi.us David Fodroczi — St. Croix Co. Planning, 1101 Carmichael Road, Hudson, WI 54016 oo k �' 4c) C -, V-" t► yf hrau-O 1 wa�4� wTva d ham- aft .r 4. ► ► State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES West Central Region Headquarters Jim Doyle, Governor 1300 W. Clairemont Avenue Scott Hassett, Secretary PO Box 4001 WISCONSIN Scott Humrickhouse, Regional Director Eau Claire, Wisconsin 54702 -4001 DEPT. OF NATURAL RESOURCES Telephone 715- 839 -3700 FAX 715- 839 -6076 TTY Access via relay - 711 January 9, 2006 Mr. Ronn Hechtor HW /CORR P.O. Box 167 618 055570 trt..� I Bayport, MN 55003 St. Croix Co. `�`�� 1 Subject: Management of Waste Generated from Septic Tank: 596 Outpost Circle, Hudson, WI Dear Mr. Hechtor: On November 28, 2005, Mr. Brian Wert, building inspector for the Town of Hudson, and I inspected one of your tenants, the Smile dental clinic located in Outpost Center, 596 Outpost Circle, Hudson. This inspection was prompted by a complaint received by the Department. The clinic was not able to document off -site disposal of any of the potentially hazardous wastes that are typically generated by dental clinics. Wastewater generated by the clinic appears to be disposed into the septic system without prior treatment. During the inspection I sampled rinse water generated from an x -ray developing machine. The laboratory results, # IQ012637, indicate that the wastewater exceeds hazardous waste regulatory levels for silver. Spent fixer and developer solutions would be expected to contain even higher levels of contaminants. Septic systems are designed to treat only biodegradable pollutants. If commercial or industrial wastewater contains significant concentrations of non - biodegradable pollutants, it should not be discharged to a septic tank. I have provided information to the clinic to assist them in implementing management practices that would reduce or eliminate pollutants being discharged into your septic system. During a recent telephone conversation you indicated that the septic tank servicing the clinic is pumped annually. Because there is commercial wastewater being discharged into the tank, including waste with concentrations exceeding hazardous waste regulatory levels, the tank waste is not regulated as domestic septage and must be analyzed prior to disposal. Silver and mercury are metals of concern commonly found in waste generated by dental clinics. There are numerous environmental consulting and commercial testing laboratories listed in the telephone book yellow pages that can assist you with this type of work. Thank you for your time. If I can be of assistance, or if you would like to discuss this further, please contact me at 715- 839 -2788 orjill.schoen@dnr.state.wi.us cerely, Ji Schoen, CHMM aste Management S cialist Enc. WCR Files — WCR Brian Wert, Inspection Agency, Inc. — bwert@baldwin- telecom.net D. Lundberg — david .lundbergci >dnr.state.wi.us Pete Skorseth — peter. skorsetht«?dnr. state. wi.us Jeanne Calhoun — jeanne.calhoun @dnr.state.wi.us David Fodroczi — St. Croix Co. Planning, 1 101 Carmichael Road, Hudson, WI 54016 dnrmi.gov Quality Natural Resources Management wisconsin.gov Through Excellent Customer Service P(Weao, RecYCletl P2per isconsin pepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405031 0 GENERAL INFORMATION (ATTACH TO PERMIT) State PlaZ!-�79 Person al information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax Hechter, Ronn Hudson Township 020-10 -70-100 CST BM Elev: Insp.BM Elev: BM Description: I ioaI TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic n�� Benchmark Dosing �-- `I D Alt.BM Aeration Bldg.Sewer Holding St/Ht Inlet 7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO /P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � 2/ � / Dt Bottom Dosing �-7 He O er/M n. M J t/G�19 Aeration Dist. 'p %o! 'v JDL Holding Bot.Sys a �r I Final Grad PUMP/SIPHON INFORMATION I Manufacturer ' j GP and St Cover r O D Model Number /_ � Q� (% 5,3 � TDH Lift Frictio Loss System Head TDH Ft 11 2t� I /Y-3 Forcemain Le th Dia. Dist.to Well SOIL ABSORPTION SYSTEM ti JA)t t. e, 3(,'4--fv"h b'^ BED/TRENCH Width Length No.Of TrenchesI PIT DIME S No.Of Pits Inside Dia. Liquid Depth DIMENSIONS ) � �.f?iq�s SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAM LX INFORMA Manufacturer: TION Typ � CHR ystem: � f / s / Model Number: DISTRIBUTION SY TEM Header/Manifold Distribution ) Ix Hole Size x Hole Spacing VentAlir Intake L Dia � Length Dia Spacing 4/17.50y V SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over x Depth of xx Seeded/Sodded xx M e cT- Bed/Trench Center ed/Trench Edges Topsoil 9 p h Yes 'i''I No ] Yes i � No 4 i COMMENTS: (Include code discrepencies,persons present,etc.) In s #1: (0 / Z�NQ,?��) Inspection#2: Location: 594 Outpost Circle Hudson,WI 54016(NE 1/4 NE 114 33 T29N R19 3' p -- Parcel No: 33.29.1 .38 10 1.)Alt BM Description= ST 66 2.)Bldg sewer length -amount of cover= 3 r i Tf Plan revision Required? Yes ` Nlo 1 / K/r 61 Use other side for additional information. - Date Insepctor's Signature Cert.No. SBD-6710(R.3/97) 1—� Safety and Buildings Division County 201 W. Washington Ave.,P.O.Box 7162 e C Y K N sin Madison,WI 53707-7162 Site Address Department of Commerce zl��Z- ©/,/ " S`1 (9LLf POS 1 C-I6LCL-6 Sanitary Permit Application sanitary Permit Number In accord with Comm 83.21,Wis.Adm.Code,personal information you provide ❑ Check if Revision ma be used for secondary ses Privacy Law,s15 I. Application Information-Please Print All Information p tare Plan I.D.Number Property Owner's Name APR arcel Numbe 3 3 2-1./01. 3 P6 s(—/ 1 2 2002 02-0 _ a - -r c7t�0 e'er 4"'f Property Owner's Mailing Address ST.CROIX COUNTY Property Location ZONING OFFICE ,� .-A;S ,�T�9 N,R Q dX 7 City,State Zip Code Phone Number Lot Number Block Number Subdivision Naw CSM Number --- II. a of Building(check all that apP1Y) ❑City ❑ 1 or 2 Family Dwelling-Number of Bedrooms ❑Village RPublic/Comme -Describe Use C/ .l 5-4 5' Township Sd ,d ❑State OwnedCcr+�sb��SYS lo .Z-o ter w, a � Nearest Road � -G ra 2 o /Pc III.Type of Permit: (Check only one box online A(numbering scheme for internal use). Complete line B if applicable) A For County use 1 ,New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Only Exis' stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV.Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non-Pressurized In-Ground 2111 Mound 47❑ Sand Filter 50❑ Constructed Wetland 22❑ Pressurized In-Ground 41❑ Holding Tank 48❑ Single Pass 51❑Drip Line 45jq At-Grade 46❑Aerobic Treatment Unit 49❑Recirculating 30❑Other V.D' eatment Area Information: Design Flow(gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed sed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation Po j17d 161-Y VI.Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank - r eL° Dosing Chamber j x VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signature VWRS Number Business Phone Number /,J,,//, A . s y 1 as-7 C7 Plumber's Address(Street,City,State,Zip Code) a L - 3 VIII.Count /De artment Use Only Sanitary Permit Fee(includes Groundwater Date Issued Issuing Agent Signature(No Stamps) P Approved El Disapproved ) a0 ❑ Owner Given Initial Adverse Surcharge Fee) Determination IX. Conditions of Approval/Reasons for Disapproval .44 A4 A4 � 5 , 1,►R QQS 1 ! vwu o�- vtio C_ `c 4mrp;u- SBD-6398 o the County only)for the system on paper not less than SI/Z x 11 inches In size c�r(R. 05/01) N visconsin Department of Commerce September 11, 2002 CUST ID No.691727 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.comrnerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/11/2004 Identification Numbers Transaction ID No. 785044 SITE: Site ID No. 188136 Property Management Services Please refer to both identification numbers, Outpost Circle above, in all correspondence with the a enc . Town of Hudson St Croix County NE 1/4, NE 1/4, S33, T29N, RI 9W FOR: Description: Commercial/Public Proposed At -grade System - Revision Object Type: POWT System Regulated Object ID No.: 798398 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on June 18, 2001 under Transaction I.D. No. 655337. All other portions of the plans shall remain the same. 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • 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. Stats. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) - 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. "r 1 zu�� ST t 7: P.O.W.T.S. Conditionally APPRown ARTHUR L WEGERER Page 2 9/11/02 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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, Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 60.00 Fee Received $ 60.00 Balance Due $ 0.00 WSMART code: 7633 cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 • AT- GRADE SYSTEM FOR Page of 8 LOCATED IN THE N a /4 OF THE I )L�' /4 OF SECTION 33 TOWN OF ,T Z9 N, R 19 W, S7 ,C �� COUNTY, WISCONSIN. This plan has been prepared in accordance with the At -grade Component Manual SBD 10570 -P (R.6/99) and the Pressure Distribution Manual SBD- 10573 -P (R.6/99). INDEX _ Page 1 of 8 TITLE SHEET Page 2 of 8, PROJECT DATA Page 3 of 8 SYSTEM MANAGEMENT PLAN Page 4 of 8 PLOT PLAN Page 5 of 8 PLAN VIEW -CROSS SECTION Page 6 of 8 DISTRIBUTION PIPE LAYOUT Page 7 of 8 DOSE CHAMBER Page 8 of 8 PUMP PERFORMANCE CURVE PREPARED FOR rz o N N - w'EC 4-1'- E'Z _ _ - P-TZ:� F�iZ'C�(_ -Y�l �,-J�.� ►�-G� wl �v'r-_; s i C� - -o_ pox RECEIVED AUG 2 2 2002 SAFETY & BLOGS 0111. _4 PREPARED BY s'`tEGE��R SL7 I 1_ TEST I iV G AND Z 31 G;V SE= I CE _` �� , ►SO •1 ,M, , ....••• ••. P.O. 20174 421 IL MIX ST. +. �; s • w� RIV9. FILLS. MI 54022 ART�OJ r VVEGERER 7I5- 42`r91b.`r S11 I •. � su,swoRr., i __ - -r�4 �s -_ P�� �5 � � E � St 0'N D � �� ►� _�- =6 ��-�� Z u�"'"""I� �, � r � a 1Z- lV ►fit =L`f �1Z.0 P 0 SL1j _ _ G�Z -A='� 1�� lati�,�q -�'S' �°� __ -- DfPARTMM Of - [ fIVISi�N4 G ADBTJTCI3iNt;S - -- -- — JOB NO. 01 SEE CORRESP ENCE PROJECT DATA Page Z of 8 This at -grade system will serve an office and retail sales building and is designed for 16 employees /office personel with 3 floor drains and 7800 square feet of retail sales area available to the public. ANTICIPATED WASTEWATER 16 employees /office at 16X13X1.5= ----------------- 312 gpd 3 floor drains at 3X25X1.5= ------------ - - - - -- - -- 112.5 gpd customers: 7800 sq.ft.X70 %= 5460;30 = 182X1.5= - - - - -- 273 gpd Total = 697.5 gpd The system is designed for 700 gpd. SEPTIC TANK 697.5 + (11.61X9.3X3) + (46.77X9.3) 697.5`-+ 323.92 + 434.96 = 1456.4 gal minimum capacity req'd An 1800/1100 Wieser Concrete combination tank with an A100 -8 Zabel filter will be installed. At -grade System Plan p Pursuant to Comm 83.54, Wis.Adm. Code Page 3 of S Sectic 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 of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years . inspec ion. The outlet filter shall be leaned as necessar/ to ensure proper operation. Tne 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 enc!csure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the'owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, I such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.. At -grade Component and Pressure Distribution System No trees or shrubs should be planted. or allowed to grow on the component. Plantings may be made around the perimeter and the component shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the component is not allowed. Cold weather install- ations require the component to be heavily mulched for frost protection. Influent quality into the at -grade system may not exceed 220mg /L BODS, 150 mg /L TSS and 30 mg /L FOG. Influent flow may not exceed the maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a 9ushin t the end of each lateral, and it is rerammended that eac. t lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and W orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be for effluent ponding. Ponding levels should be reported to the owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring in accordance with 83.52 (2). General This system shall be operated in * accordance with Comm 82 -84 Wis.Adm.Code and shall be maintained in accordance with it!s component manual SBD 10510- P•(R.6/99) and local and state rules pertaining to system maintenance and maintenance reporting.. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. . - 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, or subject to failure must be replaced Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component Contincen w Plan ' If the septic tank or any of its c - - - omponents became defective the tank or component shall be repaired or repideed to keep the ' system-in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. . If the at -grade component fails to accept Aastevater o�eg3ria — to discharge wastewater to the ground surface, it may be necessary to install an aerobic pre- treatment unit or ,replace the component. Additional site and soil evaluations may need to be done and additional plans may need to be prepared and approved by the Department of Commerce, Safety and Buiidings'Divisioa. . Questions about the operation or maintenance of this system should be direct t The County Zoning Office at The system installer at The tank manufacturer at e o. — 11 S - 3 g- 6 _ 31 Z..I St^1 -4 t, tw1 a4, cstz w The effluent filter' manufacturer at S z Z"a-L- PLOT PLAN Scale 1 "= L{ 0' LoT L i Page � of . 8 = - - `� I_ biz y O of , 3b S BLDG. a � r m 1164 � .0 < �� o�_o o �T_GZE � z/ - -- C NOTES: U y 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. (.required). 3. Septic tank to be 1 800 /11op gallon capacity manufactured by `AJ 1� Z1Z C Ott C2� E k' f R l 0 0 a 'Z Lam � Pf L- R 4. Bench mark • '� y V 5. Divert surface water around system to prevent ponding at the uphill side. - i L 5' >_ 5' Y • l >5 � r �2' (fiGGRz6K PVC `M- W o Cum � i �BS�'RU'RiIW P�P�S� 5 I/6 8 I I/6 B A = (O PEZT - c _. - 7 O pT Linear Loading Rate= 5 - O GPD /LN FT Design Loading Rate= n.S GPD /SQ FT D is, ribution Observation Well r s�Zu'rt �c . - Lateral Fabric Soil Cover 6 r�tity. Vv ' -5 ' A '2' C A �2' '51 - ) 0 /Z ,3 1. 3 ° J flT WIZ r Plan Vie.4 and Cross Section of a Wi_ -=nsin At -grade Unit with TwO Absorption Areas With in a Single Unit on a Slcpirg Site I Distribution Pipe Layout Pzc2 ( of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. x x x x x2 Lateral Length Extend the end of each lzt ml uD with the use of long turn or 45' f r:nn to a poiit wjthia sue; inches of the final grade. Te=iaate the ends of the Iate. -a?s with a vaive,:ded c.0 or . tlzrea_ded plug. Provide access L om final Bade for the valve; threaded can or th ed plug. Lateral Manifold I P Ft. S 1 Ft. X 1 Inches , ;>v C F. Y-7 . Hole Diameter 3 j1� Inch­ - Lateral " Z - Inches) Manifold " 77- Inches Force Main " Inches # of holes /pipe 3 Invert Elevation of. Laterals 101. - 7 Ft. 3 S X v. Z- L4 b - 6 P f" _ - Combination Sep4c:Tank and SEDO:N4 SEPTIC f SPEC.IFICATIOUS PUMP CHAMBER CROS5 SECTIOM AND SPECIFICATIOMS ' PAGE OF 8 L'` IJUMbER OF DOSES: - VEUT CAP WEATHER PROOF -OAJS DOSE VOLUME 2 JUIJCTIOIJ BOX . IAICLUZIWG BACKFLOW: �5�. S GALLONJc ti C.I. VENT PIPE APPROVED LOCKI SWITCH TtIPC: M A? -y 110' FROM OOOR, MAJJHOLE COVER PVI I u - �3PoN P IPE .iwDOW OR FRC5N 1 wApluftJG LP.gf`L . ` � � ' /PYICL:n Gb OT Q pL IAJTAKE S coiseuTr MWIMUM DISCKARGE RATE f z - Z OPx t VERTICAL DIFFEREMCE DETWEEIJ PUMP OFF AUO..DI5TRIBUTIOA1 PIPE.. FEET II ` I 3 'Z S FEET F1 Po l s1{© pp � G Mpto E TOTAL OtWAMIC HEAD = � 0S FEET IAJLET PROVIDE I - - -- •�;� AIRTIGHT SEAL • , I I I Br�Ft�E I APProved zfc8�. r-��� A I�� Approved joint cr/ {�_ �pg ! ��I joint w/ PVC pipe . a ALARM PVC pipe �I II . I 1 I I om C I $cfi. 63 I - LLEV. FT. — T I PUMP ---� I OFF D COMCKETE OLOCK is 3"ApPRaEp RISER EXIT PERM17ED OJJLy IF TAWK MAWUFACTUR7 -R HAS SUCH APPROVAL SEDO:N4 SEPTIC f SPEC.IFICATIOUS DOSE ��CS�Z CUB C� TAIJKS MA:.IUFACTURCR: L'` IJUMbER OF DOSES: / TANK !AZE l aC)O ( l I O O GALL PER DAB -OAJS DOSE VOLUME 2 ALARM MAiJUFACTURCiZ: gd s IAICLUZIWG BACKFLOW: �5�. S GALLONJc MODEL AIUMBER: lD kJ CAPACITIES: A= ��' S ►uCHCS0K O S GALLOUR, SWITCH TtIPC: M A? -y g = Z IfiCH£5'Olt � "Z G�t.L0A15 PUMP tkAQUFAGTURCR: _ e -'c�C- C: OR 153 -5_ GALl0U5 MODEL NUMBER: _IuCHES D= 1' S 1g1.Q, 5WITCH TYPE: — �_C� »Y IAICHES OR GALLOAJS uOTE. PUAP AMD ALARM ARE O BE� MWIMUM DISCKARGE RATE f z - Z OPx IN TALLED OW 5EPARATE CIRCUITS VERTICAL DIFFEREMCE DETWEEIJ PUMP OFF AUO..DI5TRIBUTIOA1 PIPE.. FEET II + MIAJIMUM AJETWORK SUPPLY PRESSURE , . , 3 'Z S FEET H- _ yo FEET OF FORCE rtA 1AJ X y- - 7 - f Ty FACTOR.. �' 3 FEET TOTAL OtWAMIC HEAD = � 0S FEET As per manufacturer - L - S ; gal /in. Liquid depth y3 a 1 APPL I C ATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EPO4 • Solids handling capability: 3 14 maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size: I /z NPT. • Mechanical seal: carbon- rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) Continuous 140 °F (60 °C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EPOS • Solids handling capability: %" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet • Discharge size: 1IN NPT. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) continuous 140 °F (60 °C) intermittent • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor. • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset • Power cord: 10 foot standard length, 16/3 SJTO with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET io� 0 a w U a z } 0 J H 0 9 31 a 2! 7 . s 2( 5 1; 4 3 2 1( 0 iu LU Ju 4u ou UPM i L L 0 2 4 s 8 1 o 12 msnl CAPACITY ®,995 Goulds Pumps, Inc. Effective May, 1995 B3871 Goulds E Swr- 8 Submersible. Effluent Pump M u 3871 EPO4 EP05 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EPO4 Impeller. Thermo- plastic Semi -open design with pump out vanes for mechanical seal protection. ■ EP05 Impeller Thermo- plastic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover. Thermoplas- tic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in 'Tor "AC ".) �rra�rrr�� /Scons n Department of Commerce t, Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.cornmerce.state.\vLus/sb www.wisconsin.gov June 18, 2001 CUST ID No.691727 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/18/2003 SITE: Property Management Services/Ronn Hechter St. Croix County, Town of Hudson NEIA, NEIA, S33, T29N, R19W FOR: Description: Commercial At -grade System Object Type: POWT System Regulated Object ID No.: 798398 Identification Numbers Transaction ID No. 655337 Site ID No. 188136 Please refer to both identification numbers, above, in all correspondence with the agency. 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. 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 at -grade manual, and section VI 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 and every owner thereafter. • 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. Stats. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. Scott McCallum, Governor Brenda J. Blanchard, Secretary ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 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. ARTHUR L WEGERER Page 2 6/18/01 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. Sincerely, Gerard M. Swim POWTS Plan Reviewer - Integrated Services 608 - 789 -7892 Mon - Fri 7:15 AM to 4:30 PM jswim,@commerce.state.wi.us FEE REQUIRED $ 225.00 FEE RECEIVED $ 225.00 BALANCE DUE $ 0.00 WSMART code: 7633 cc: Ronn Hechter AT-GRADE SYSTEM FOD Page 1 of 8 �1. S�-�5 18 UlL� 1►� LOCATED IN THE ,)1t l/4 OF THF; N E 1/4 OF SECTION 33,T Z�N, R 1 W TOWN OF — �}� S��N Ste, COUNTY, WISCONSIN. This plan has been prepared in accordance with the At-grade Component Manual SBD-10570-P (R. 6/99) and the Pressure Distribution Manual SBD-10573-P (R . 6/99) . INDEX Page 1 of 8 TITLE SHEET -Page .,2 of 8 PROJECT DATA Page':-3 of- 8 SYSTEM MANAGEMENT PLAN Page 4 of 8 PLOT PLAN Page 5 of 8 PLAN VIEW-CROSS SECTION Page 6 of 8 DISTRIBUTION PIPE LAYOUT Page 7 of 8 DOSE CHAMBER Page 8 of 8 PUMP PERFORMANCE CURVE PREPARED FOR Lb-7 -�.'�,t.-P o'er"- ,- ►^��, _S so o.�__--�.U_ •W�n�,tj� �o o OF .00 t1EPA ENt , a101000 PREPARED BY tICE SEE C . WEGEf=tE(Z :S = TEST I M AND DES = GN SEIFtV = CE � \C-;C'��„'�+e •N,•.,,,w••L F.O. B02 74 421 N. MIX ST. o► }4 RIVE. FALLS. VI 54022 # � ARTkUp L 115-42`x0165 = wEGn P D } -619 P s 6LLSWORTM, 1 W5. I� �., I `fa 6 JOB NO. PROJECT DATA Page Z of This at-grade system will serve a Retail Sales building and is designed for 20 employees , 4 floor drains and 18000 sq. ft . of area available to the public. - ANTICIPATED WASTEWATER I Employees : 20Xl3XI . 5= ------------------------- 390 gal. /day Floor drains : 4X25X1 . 5= ----------------------- 150 gal. /day Retail sales : 18 ,000X70%-30X1 . 5= ------------- 630 gal . /day Total = - 1170 gal. /day SEPTIC TANK 1170+(11 .61X15 .6X3) + (46. 77X15 . 6)= 2442 . 9 gallons minimum capacity required. A Wieser Concrete Products 3000/1800 precast concrete combination tank with a A100-8X18 Zabel effluent filter will be installed. AT-GRADE COMPONENT 1170 gpd - 0. 5 gpd/sq. ft. = 2340 sq. ft. of absorption area req 'd. 2 cells, each 10 ' X 117 ' downslope of the distribution pipes will be installed. At -grade System'Management Plan Pursuant to Comm 83.54, Wis.Adm. Code Page 3, of F3 Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. rati condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet flit h alf be c:eanEd as nEC25SaN t0 ensure ro era opera ti n. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough o e liter when removed from its enclosure. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated conbhuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the - owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Building's Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.. At- rode Com onent.and Pressure Distribution 4" tem No.trees.or shrubs shoul be plante or allowe to grow on the component. Plantings may t o prevent around the perimeter and th vent erosion and to provide s e component shall be seeded and mulched as necessary to pre ome protection from frost penetration. Traffic (other than for vegetative maintenance) on the component is not allowed. Cold weather install- ations require the component to be heavily mulched for frost protection. Influent quality into the at -grade system may not exceed 220mg /L BODS, 150 mg /L TSS and 30 mg /L FOG. Influent flow may not exceed the maximum design flow specified in the permit for this installation. The pressure distr system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be'checked for effluent ponding. Ponding levels should be reported to the owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring in accordance with 83.52 (2). with Comm 82 -84 Wis.Adm.Code and shall be manual SBD 10570 -P• (8.6/99) and local and and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks an: no longer used as POWTS components. . General This system shall be operated in accordance maintained in accordance with it!s component state rules pertaining to system maintenance 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, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component ConSnaeac Plan _. If the septic tank o rn any of Its comp system in onents become defective the tank or component shall be repaired or replac ed to keep the ' proper operating condition. .. if the dosing tank, ptunp, pump controls, alarm or related wiring becomes defective the defective component shall be Immediately repaired or replaced with a component of the same or equal performance. If the at -j=ade component fails to accept wastewater os�egins - to discharge wastewater to the ground surface, it may be necessary to install an aerobic pre- treatment unit or replace the component. Additional site and soil' evaluations may need to be done and additional plans may need to be prepared and approved by the Department of Commerce, Safety and Buildings Division. . Questions,abou.t the operation or maintenance of this system should'be directed to: _.: The County Zoning Office at 7 11S _ 3Fr` 6 Y 660 S T- (:X14 \k The system installer at _ - y 1S - 1 &6 - 3 Pr� ) Z) SC tO OM The tank manufacturer at 9 00 - • 3 29_91LSb L& Qr? The effluent filter manufacturer at k4r( - ZZ•I - S 4 Z It 6 0— M - GoUt_p9 0 0� ;. 4 C 0 C c z r P I N r � U A R ,:, O ID Q G r d 311 a m Rill .v V D R. � � D z I ° fq H w N 0 N rn c r- b N (D (D 0 r t " c ti �r P. w w rt rt w P u, rt G " w 4- 0 n PV : v, w x o (n 0 �' rt v ], cD O CD 0 w m C �* (D N w w W rt fi g "• (D w �0 N 0 a• C o ( w 00 (n 0 CA ". O rr • O rt " (D ;J �3' O ° w r* O b a. O bb X 0 o N (D ^� P. c (D rt (D C c �c a w m ::1 n N W � a 'C7 EA rn a w A• n p ►�• rr Ov cn m r f i-S o t7 (D rt : `�r-(D m ". FJ. 'b C. (n ►� O rt w . "• a m 0 0� ;. 4 C 0 C c z r P I N r � U A R ,:, O ID Q G r d 311 a m Rill .v V D R. � � D z I ° fq 3�r L 0 -� In, al W ` I F J I rj 0 I a Li .� L, 37� N o 0 i O 10 0 o 0. o a r �I 1 i 'N G li r E C I i 1 N _ L �5` I W N 1 I i ?5� 5` >5' 2` r— 1-- a r . Y ,A r o _ Z a Per �C ►t�,,,k- z Prc,�o�6R1� pvCF.w1. 1/6 B I i 0 A A s 1O �T - - G = 11-7 F7' c = 3 � �- W= 3 7 Linear Loading Rate= S,0 GPD /LN FT Design Loading Rate= O.5 CPD /SQ FT Observation Well n s�►Z - -.- �et�2 s p 7 1 5 .� — L 2" o 1�C'SOtiL qo svo >5 � A 2 t C A �=2 ,5. �z fir L--tk%-r aNj\-� %4 °I rat w ezr Nom. Plan Vied and Cass Section of a Wisconsin At-c de Unit with Two Absorption Areas With in a Single Unit on a SlcpLng Site Distribution Lateral nw.I01• Soil Cover 6' m I". Distribution Pipe Layout Pace 6 0 p Place the, holes at the bottom of the distribution pipes at equal spacing. Behove all burrs from the pipe and holes. Extend the end of each I21e,7l up with the rase of Iong turn or =f ° IIr ng to a point Within inches of the foal grade. Te=Lte the ends of the Iate. -aIs with a valve,: ed can or . threaded plug. Provide aces from final grade for the valve; threaded eap or threaded plug Manifold P C- -- P 1_ Ft. Hole Diameter ��� Inch" S 1:S Ft, Lateral n Z Inches) X ?�!_ Inches Manifold " - Z • Inches Force Main " Z Inches # of holes /pipe S9 Invert Elevation of.Laterals l W . Wt. x I x I x x x2 Lateral Length Combination Septic: - Tank and PUMP CHAMBER CROSS SECTIOM AMD SPEC, VEUT CAP WSPM W P 1PE wl>}tV -ns0r d4rP FI N L$ft G M-AsD E f 18'Mil�l. WLET Approved joint w/ PVC pipe ti C.Z. VE1JT PIPE 110 ' FROM DOOR, :,iIIJDOW OR FRCSH AIR WTAKE - i M. RMo - CLEY. IS FT ICATIOUS ' PAGE OF f' WEATHER PROOF /-- Ju,JCTIOU e0x - APPROVED LOCKING TMAWH COVER Wt� - wARI.aIUG %-N EL . CO3wiT i I I PROVIDE I AIRTIGHT SEAL I I 1 I I i I I I I( C I I D COUGRETE L�L�1 . $�i•v01 DLOCX_ `I' MIIJ. 'r I I �1 Approved I ( joint w/. AL&RM PVC pipe [ *A OFF - RISER EXIT PERMITTED OIJLy IF TAIJ MAWFACTURGit HAS SUCH APPROVAL 1 3"APPRa � ,4it 8r<001 N4 sEPTIc F 5PECIFICATIOMS DOSE TA1JK MAA IL J UFACTUR ER: �' C0Q QC7_ , WUMBER OF DOSES' S ` PER DA4 TAMK SIZE: 3y00 LHOQ CALLOUS DOSE VOLUME z ALARM MANUFACTURER: S•S• E - k!L__1R0 S`ZS_rk�t� IAICLUDIAICv BACKPLOW: Z•Z9, • O GALLONS MODEL WUMBER: l O I lA(,Q CAPACITIES: A= 112 0."7 IIJCHES OR GALLOys SWITCH TtIPC: M �Z CUV_1 B= :IIJCHES'DR S" G( LLOUS PUMP MANUFACTURER: Gaut_tDS C: C fUCHES OR ZZ �' O GALL01�15 MODEL MUMBER: 3 �$S w s h D= 1S INCHES OR 3$1 GALLOIJS SWITCH TYPE: -_ 0-Tel IJOTE: PUriP ATJO ALA IiM�ja l b 32. MIMIMUM DISCHARGE - RATE 41 V e' - GPM INSTALLED OA! SEPARATE CIRCUITS VERTICAL DIFFEREMCE DETWEELI PUMP OFF AIJO..DI5TRIBUTIOW PIPC., S FEET t MIQUAIJIM • METWORK SUPPLY PRESSURE . ... , 6•SD - FEET CS•0 X- \- 3� f �S FEET OF FORCE MAIN X �'�� F IW OFL FKICTIOU FACTOR.. 0 '� I FEET TOTAL OyWAMIC HEAD = A, b 6 -FEET As per manufacturer 25• q gal /in. Liquid depth -7 ZN 4 "-.. A PUl" 1P P�1�FOa i''i1 v CE (201 1-'rse n at= $ uoulas _ Submersible Effluent Pump 'is u W 0 0 APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: W maximum. • Discharge size: 2" NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide-rotary seat/silicon carbide- stationary seat, 300 series stainless steel metal parts, BUNA -N elastomers. • Temperature. 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. • Fasteners: 300 series stainless steel.` • Capable of running dry without damadito :. Motor Single phase •% HP, 115% 60 Hz, 1750 115 V, 60 Fl; 60 Hz, 3500 Built -in over automatic rE ti ,:_Class B inst, Three phase: • Overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel. _• Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase: •'/3 and'' /2 HP -16/3 SJTO with 115 V or 230 V three prong plug. • 3 /4 -1'/2 HP -14/3 STO with bare leads. Three phase: • Y2 - 1'/2 HP —14/4 STO with bare leads. On CSA listed models — 20 foot length SJTW and STW are standard. FEATURES ; ■ Impeller: Cast iron, semi - open, non -clog with pump - out vanes for mechanical seal Protection. Balanced fore METERS FEET HP =:1'/2 HP200/230/'° ,0 A60,V, 60 Hz, 3500 RPM. • Class B. insulation : . T A ®1995 Goulds Pumps` Inc. smooth operation. Silicon bronze impeller available as an option. ■ Casing:,Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rail systems. ■ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA -N elastomers. ■ Shaft: Corrosion - resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ■ Motor: Fully submerged in high -grade turbine oil for lubrication and efficient heat transfer. ■ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage:' ■ Bearings: Upper and lower heavy duty ball bearing construction. ■ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ■ 0 -ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian Standards Association S Underwriters Laboratories u IV zu 30 40 50 60 70 80 90 100 110 120 130GPM 0 10 20 30 M CAPACITY a Effective May, 1995 B3885 o ` 00 V, 230 V, 15 ' 'M;' /2 HP, ; Z 500 RPM °,: ' V,� xM io d with r; ion �. 5 HP =:1'/2 HP200/230/'° ,0 A60,V, 60 Hz, 3500 RPM. • Class B. insulation : . T A ®1995 Goulds Pumps` Inc. smooth operation. Silicon bronze impeller available as an option. ■ Casing:,Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rail systems. ■ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA -N elastomers. ■ Shaft: Corrosion - resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ■ Motor: Fully submerged in high -grade turbine oil for lubrication and efficient heat transfer. ■ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage:' ■ Bearings: Upper and lower heavy duty ball bearing construction. ■ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ■ 0 -ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian Standards Association S Underwriters Laboratories u IV zu 30 40 50 60 70 80 90 100 110 120 130GPM 0 10 20 30 M CAPACITY a Effective May, 1995 B3885 .iman Relations •• •• • •. ^ • •• v • • •.. L V M L v M L it Safety & Buildings �`> /'r •? ` _ _ 'jiff accord with ILHR 0 i : Adm�Code\ Attach complete site plan on paper not less than 81/2 11 inche� in _ lin musinclude; but - not limited to vertical and horizontal reference point (84, direction and; %6of slope, scale_ or � dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATI. ,OON „c rage \ of z> !! PA I boo3_go v vi- K 0 N R: t2 PROPER L ATION ; FCW PE�Y I q m ^GN MS JT S,ZULce GeV++0T N 114 1/4,S 3 I 2_c ,NR 19 E (o�W PROPERTY OWNERS MAILING ADDRESS. LOT 13 BD. NAME OR CSM # A R.Up O S CAA C S''1 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY (]VILLAGE ®TOWN ' NEAREST ROAD �3Ptf mTcr'. " ry S So o 3 (651 Ll 30 =u 16 3 'HvD S 6 ry e IT W v y pq New Construction Use [ I Residential / Number of bedrooms [) AdditiQn to existing building Replacement bC[ Public or commercial describe Code derived dal How a ' sr _ lY --�� 9Pd t b oo Recommended design loading rate • 5 bed, gpd /ft trenc h, gpd/ft Absorption area required - bed, ft2 PrT_ G1Z.nYDtr, trends, ft - Ma:dmum design loading rate S bed, gpd/ft b trench, gpdtft Recommended infiltration surface elevation(s) S Z t G t 3 ft (as referred to site plan benchmark) Additional design /site considerations _AT - 6 rL A-z E S L1STt51 Parent material S A"D4 ovZ pT S H Flood plain elevation, if applicable 1 Ql A It S = Suitable for system CONVENTIONAL MOUND KGROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDWG TANK U= Unsuitable for system ® S ❑ U ( Os ❑ U ®S E] U ®S CI U IRS ❑ u [I S ® U SOIL. DESCRIPTION RFPnRT Ground elev. 10 16 tL Depth to limiting fac tor 94 Xy 4)% Ground 1 p-b fL Depth to limiting factor > 9 1 , Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence BOtr>dary Roots GPD /ft Bed rer>ch t o -10 to 't R.- z L 2 - s i I Z'F5 z l 36 - - 1-S Lm yt y 2 )0 Z L Opt 2 31(p - Wl `'- CS - • 5 . b 3 26 -41 1 - S 6�_ 0 S yrl GS - _� •� Ll ) -6Q � •S `i 2 �`6 - �5 � S M'l � - S r 1 0 LL 4 Rmmnrke- 1 o-• to4Vt _ zLz - s� 1 Z`�5blz `F� r - L Z 3 z l 36 - - 1-S Lm yt y p v , Remarks: Name:— Please Print Phone: Arthur L. We erer 715- 425 -0165 ess: _ gerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 ' afore: ate CST Number . 9 - 2S2 R�C Z. Z. -2,U00 220254 i PROPERTY OWNER PiIJP• �►ftG�Mtr St' S2, SOIL DESCRIPTION REPORT PARCEL I.D. # QZU- LM - A -90 Page Boring # Horizon Depth in. Dominant Color Munsell Mottles q Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bouxl�y Roots GPD[ft Z6 -([o - 1 -S N yly Z.L2 � .s tiR y/6 M • ft. - Depth to c S limiting Bed ra On :� i z k cg - • 5 ..� Ground 3 6 -aS -► S `� R S!!y elev. \ o1.V it. Depth to limiting factor > 0 1 5 ' Boring # 1 , 1 7 m � Ground elev. � ofl. ,ft. Depth to limiting factor >ql 1 Remarks: Boring # yrt �'t- C ti Z q -Z6 10 Li tz 3i C w • Z6 -([o - 1 -S N yly y u -�I � .s tiR y/6 M • ft. - Depth to :' limiting ,n i factor > -) O'' 3oring # .. >r >E <> ;round Aev. 1Dl)L ft. )epth to imiting actor 89 Remarks: Boring # yrt �'t- C ti tti+ritip\ :::k 2�s �k y C w • Ground elev. 1 e sb _ M • ft. cg ` Depth to :' limiting ,n i factor > -) O'' 3oring # .. >r >E <> ;round Aev. 1Dl)L ft. )epth to imiting actor 89 D -1 l) 1 U"t,1Z � 12 S 1 � Z.�S ��'t �vl'Eh t? S• � S � . ( o 3 2 - 3 - f. -- ) - S y/ — S�6h o g� MI cS .. •1 i.$ 4 y6= , stiR yl6 — '�s o s9 s . b t i i z' !Cl l l na. 1 0 -°► »o-l2 - 2 - 1 - Z 3 Z� -37 1 -S 1 - f r2 3!y _ S 8.6>^ y2 y/( - .s .6 yrt �'t- C 50 2 2�s �k y C w • • 5 ;, 1 s 1 1 e sb _ m v '��- c cg ` _ : :' ,n i 2 - 3 - f. -- ) - S y/ — S�6h o g� MI cS .. •1 i.$ 4 y6= , stiR yl6 — '�s o s9 s . b t i i z' !Cl l l na. 1 0 -°► »o-l2 - 2 - 1 - Z 3 Z� -37 1 -S 1 - f r2 3!y _ S 8.6>^ y2 y/( - .s .6 !Cl l l na. 1 0 -°► »o-l2 - 2 - 1 - Z 3 Z� -37 1 -S 1 - f r2 3!y _ S 8.6>^ y2 y/( - .s .6 \ =i1 o, I N N {Q 'N � OD 0 0 fD -- .� S Z �.� c f N a 0 N / D a r rr i � I � L � m n a 1. 6 y - o d R � Z I hi 1 G 1 E rr �r A f� �O �l .n G 8 o ,ED (li J r I v 0 b / r t p l i p co 0 I � � o V 0 0 W O gg v �z n I w c ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ��.rJ_.�1.�� Mailing Address Property Address City /State i , / c ' Parcel Identification Number LEGAL DESCRIPTION Property Location '/4, '/4, Sec. 3 , T 2�� -R �� W, Tawn of Subdivision , Lot # Cert'if'ied Survey Map # �� `/ 4S'!� , Volume I t/ _ , Page # Warranty Deed # Volume 15 ! , Page # Spec house ❑ yes A no Lot lines identifiablexyes ❑ no SYSTEM,- MMINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three a expiration date. SI5R F APPLI ANT _. DATE TUBE OWNER CERTIFICATION I we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pe descri d above, by virtue of a warranty deed recorded in Register of Deeds Office. �/ /R /d S A O APPLI ANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed . V01.1521 173 625244 STATE BAR OF WISCONSIN FORM I . 1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Jay Sperry Enterprises, LLC, a RECEIVED FOR RECORD Minnesota Limited Liability Corporahon 06 -23 -2000 9:30 M WMNTY DEED EXEMP FEE: COPY FEE: TRANSFER FEE: 864.00 RECORDING FEE: 10.00 PAGES: 1 G ran tor, and Hechter Hudson Outpost, LLC, a Wisconsin Limited Liability Company 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): Rec ording A PART OF NE 114 OF NE 1/4 AND PART OF SE 114 OF NE 1/4 OF SECTION 33, TOWNSHIP 29 NORTH, RANGE 19 WEST ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWSF CERTIFIED SURVEY MAP FILED JUNE I, 2000 IN VOL. 14, P AGE 3865, DOC. NO. 624050. amc'and Return Address Steven B. Goff Bye, Goff & Rohde, Ltd. r PO Box 167 4 River Falls, WI $4022 020 - 1094.70-100 Parcel Identification Number (?IN) This is not homestead property. oge er ws a appur e nan g , ti[I (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights -of -way of record T th 'th II t t ri hts title and interests Dated this ,IQ day of June 2 000 AUTHENTICATION Signatures) Jay S perry _ authenticat d ihis _1 day f June 2000 1 ' Steven B. Goff TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by § 706.06, W is. Stats.) (signatures may be authenticated or acknowledged. Both arc not necessary.) an Names of persons signing in any capacity must be typed or printed below their signature. Infamatlon Vrolenionats Company. FdW du t Pn 000.655.2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 • 1999 JAY 7S, LLC • Jay sp-rr t ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. County ) Personally came before me this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Steven B. Goff, Attorney at Law Notary Public, State of Wisconsin Ri Falls My Commission is permanent. (If not, state expiration date: 10 FILED JUN 0 1 2040 lisle! . ki, •� It CERTIFIED SURVEY MAP CATED IN PART OF THE NEI /4 OF THE NE1 /4 AND PART OF THE SE1 /4 OF THE NE1 /4 OF SECTION 33, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN] BEING LOT 2 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 13, PAGE 3560, CSM IN a CAUTI WNER w F` ; JAY SPERRY -- (4 U L 11124 HIGHWAY 55 N O O ° o D.O.T. NOTES PER TRANS 233 PLYMOUTH, MN 55441 a As owner I hereby restrict all Lots and Blocks so that that no owner, possessor, °o a' �. user, licensee or other person may have any right of direct vehicular u v ingress from or egress to any highway lying within the right -of -way of ru Lj z a U.S, interstate '94', as shown on the land division map; it is expressly w w W fi f th intended that this restriction constitute a restriction for the benefit of C11 42Cq public as provided in 5.236.293, Stats„ and shall be enforceable by the Ix ~ o r department or its assigns. W WO a z ° The lots of this land division may experience noise at levets exceeding a the levels in s. Trans 405.04, Table 1. These levels are based on � - 1 N federal standards. Owners of these lots are responsible for abating i m �F¢ noise sufficient to protect these lots. o� U.S. INTERSTATE " 94" d coo zz M ------------ - - - - -- NE CORNER z S89'44'21'E NORTH LINE OF THE NEl /4 SECTION 33 m e v I in a 2662.84' veorem r 01ruT - -WAY CORNER ION 33 I LOT 1 .° I CSM IN y v z N' s l l ~ � I 4 I O 0 f I W I m� 4 of WI v � i 0I r ti 1n i a Ot W qi = JI r I 0 I Qi 2 J d� Z I ZI W IS 1 1�PI�'�f 8 ae@r n.30� bs aFN LOCI �pRNER MM i fld r A n i Z N ` N 1 0 N Y U 3 W i' p F. U Z to N r r � a W C3 a a ? W F7 J oe z H W a = S 1 � r z 1 y U; x r Rec. As N89141'W 60.4 5' LOT 1 I N89.33'17'w s9 O l 0 69.96' i. o CSM IN UNPLATTED LANDS S - 1/9l 7 ( OWNED - BY_OTHERS' SCALE IN FEET 1" = 200' SEC CUR SECTION 33 0 200 400 r .-� N8 •58'53• -� " "_ - _ --- SHEET 1 OF 2 SHEETS Vol. 14 Page 3865 N kD O 0 13/3560 s_ N80 �` 'EXISTING • 943.03'' CENTERL. Facy s9 O l 0 i4rr hQ S.." - vo tirGyy`' T4yS a z v ti pFRkjNG �,y y `'DS SFr t RSrq� • �Rd� fR pit. e a, � _JT �liu' LOT , 3 ''�1rs 5.971 ACRES 260,097 SO. FT. 4 7 � p0 $ LOT 4 rn 111236 ACRE9A 489,419 S �� T• CROD( COUNTY F,,j Z j g Ilea Pxi<s Coe JUN 0 12000 LEGEND ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND • 1' IRON PIPE FOUND ROADWAY SETBACK LINE (WIDTH AS SHOWN) -X X EXISTING FENCELINE 0 3/4' STEEL REBAR FOUND �Wisconsin Department ofCommerce PRIVATE SEWAGE SY "E 4016 Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you pro vice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. r. Permit Holder's Name: ❑ City ❑ Villa e ❑ own of: perry, Jay Hudson Township CST BM Elev - - - Insp. BM Elev.: BM Description: e3. /, 03. I� TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ir Air i to ntake ROAD Dosing M W a S SO era to 3 S NA Ing 760 ` TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. ir Air i to ntake ROAD Septic ' 7 tUu 3 3 S NA Dosing 760 ` Bldg. Sewer / NA ` 1 7 , (3s/ Ht Inlet BLDG WELL NA olding / Ht Outlet SETBACK d `1S ri rvwIr r JrrnvrM n�rvn�wr�r ivt� �� Manufacturer G JA 5 JA,( Demand Model Number G IF6 j q 3,APM TDH Lift Friction Z System TDHj(,,,Ft L oss H Forcemain Lengtht - 3 y' I Dia. 3 �� Dist. To Well I d nI IRAn r r un&i usrnn9kw w r ^wr SOIL ABSORPTION SYSTEM ELEVATION DATA Coun �t. Cr x Sanitnsy�rl{t No.: State Plan ID Parcel Tax No - 020 - 1094 -70 -100 STATION BS HI FS ELEV. Benchmark No. Of Pits , Li uid Depth DIMENSIONS Alt. BM b Z /,o 2, S Bldg. Sewer Q ` 1 7 , (3s/ Ht Inlet BLDG WELL �, �(� Lam' / Ht Outlet SETBACK d `1S ri Dt Inlet Q 1 -4 1( Type O �l - r�d Dt Bottom u r o er: Header/Man. System:l1"` Dist. Pipe /. Bot. System 3 1 Final Grade St cover 9 L -01 1 1- 3 2 dS� BED/TRENCH Width Len th No. Of Trenches Vent To Air Intake PIT No. Of Pits Inside Dia. Li uid Depth DIMENSIONS b Z DIM SYSTEM TO P/ L BLDG WELL LAKE/STREAM �E Manufacturer; SETBACK C BER Type O �l - r�d u r o er: INFORMATION System:l1"` DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Z /r Length Dia. �_ .2__ �{ L q Dia. g 2 Spacing Topsoil El El No C1 Yes ❑ No 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 El El No C1 Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: 1 y/D O Inspection #2: Location: 596 Outpost Circle, Hudson, WI 54016 (NE 1/4 NE 1/4 33 T29 /N /Rp19W) - 33.29.19.386A10 -i�ot 2 , 1.) Alt BM Description = * 6 f Q, W X �k Z 4 0' � (,.,,red 2.) Bldg sewer length yLf 31( 4 r: 4/ poss4le - (J& re - amount of cover = > Y 2" (w;f/ Q,, ; ws a (,t,�, °,. lu�n/ /✓ l lam\\ 3�3. 't - l 40 • ,p l(9 ad t L � f - °war.. �, 1 K�fe�c►• -- �4r� /�s�s t'(� °�.t a� ��� �;�.e P 44ek 4P L/., ? c�7 ( W�Pti U4.' G ! l +r�v wel( 4e 1 S4I�A 5ee n. CS r.. Plan revision required? ❑ Yes NJ No Use other side for additional inform tion. L� w SBD -6710 (R.3/97) Dat Inspector's Signature Cert No. ' ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: L� Q� Safety and Buildings Division ITARY A 201 W. Washington Avenue � e�4 , P O Box 7302 Department of Commerce U n In c with IL R .05, Wis. Ad Coe Madison, WI 53707 -7302 1 �` p1 I 1 r, I Iw rL copy onYro� th s yst:An Wer not less • Attach complete plans (to the�6unty I County than 8 112 x 11 inches in size. � r • See reverse side for instructions for completing this application State Sanitary Number j ber Personal information you provide may be used for secondary purposes jon t Pee rr mit t El check it real'sio previous p 2tion [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATI N 30 1 G Propert Owner Name Property Location 1/4 1/4, S T !r N, R E (orkio 2 me 0; :Iv ,e , Property O er's Mailin§ Address Lot Number Block Number City, State r Zip Code Phone Number ( ) Subdivision Name um ber 11. TYPE OF BUILDING: (check one) ❑ State Owned ❑ It Village Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms p J k Town OF 111 BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 2 R ?' I 0 7 -1 0 5 7 1 ❑ Apartment/ Cond`p e s / �'lpd ate l ) i� (�' =, for m: -3sft) . ion: ,c r s 17 2 Assembly Hall 6 Facility/ Nursi 1 qVr2_ 10 Outdoor Recreational Facility E] Medical ome f ❑ 3 ❑ Campground 7 [j, Merchandise: Sales/ Repairs ­5'k' j 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 ❑ Mobile Home Park p. 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Mote] 9 ❑ Office/ Factory " ezn ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1, jR 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 Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experim ntal Other 11 E] Seepage Bed 21 C] Mound 30 pecify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 6k 13 ❑ Seepage Pit _ cQ - 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 Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min-/inch) Elevation Feet 11f j Feet VII TANK INFORMATION Cap Ca in gallo Total Gallons # of Tanks r Manufacturers Name Prefab. Concrete Site Con- Steel Fiber- glass plastic Exper. App. New Existing structed -- Tanks Tank e tic o ing Tan Q Q ev s­_,41 ® ❑ ❑ ❑ Cl ❑ Lift Pump Ta i n am er ❑ ill I ❑ ❑ I Cl VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatu e: (No Stamps) PRSW No.: Business Phone Number: r 1. .act r,;2.2 ? P umber's Address (Street, City, State, Zip C c le): ,. IX. C UNTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (I water ate I ssued Issui e t Si na ure (No Stamps) Approved E] Owner Given Initial Surcharge a Fee Surcharge Fee) ,L� �� , Adverse Determination 6 r X. CONDITIONS O � PP� SAL /REASONS FO DISAPPROVAL: / qyM al A,4 SBD- 6398 (RA 107) ' / DISTRIBUTION: Original to County. One copy To: Safity & Buildings Dilf ion, 6wner, kditei' - - r V �? - V 1 V[(.-, U t ( INSTRUCTIONS -1 s. 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The 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 and Buildings Division, 608 - 266 - 3151. To be complete and accurate this sanitary permit application must include: L Property owner's name and mailing address. Provide the IQgal_desc�iption and�arcel, tax number(s) of where the system is to be installed. s . 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. IV. Type of permit. Check only one on 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. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all 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 81/2 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 lass; 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. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Nvisc Department of Commerce March 17, 2000 CUST ID No.267341 V Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 V a TDD #: (608) 264 -8777 1 www.commerce.statemi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN: POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022.._ HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/17 1)2 }. Identification Numbers ;F g Transaction ID No. 301687 r� - Site ID No. 188136 SITE: Please refer to both identification numbers, Site ID: 188136 L above, in all correspondence with the agency. St. Croix County, Town of Huds(�n NE1 /4, NEIA, S33, T29N, R19W Facility: Property Management Serves Retail Sales /Office, B�lding FOR: Description: Commercial At -grade System Object Type: POWT System Regulated Object ID No.: 652239 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 Wisconsin At -Grade Soil Absorption System Manual (Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. • 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. Stats. 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. WEGERER SOIL TESTING & DESIGN Page 2 3/17/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, C 'e ' rard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4 :00 PM jswim@commerce.state.wi.us DATE RECEIVED 03/09/2000 FEE REQUIRED $ 260.00 FEE RECEIVED $ 260.00 BALANCE DUE $ 0.00 WiSMART code: 7633 AT -GRADE SYSTEM Page \ of - 7 • FOR — �� FETO m- LOCATED IN THE NE 1/4 OF THE NE 1/4 OF SECTION 33 , T 2 - 9 N, R 19 W, TOWN OF lU17SON , S C.:Z X COUNTY, WISCONSIN. PAGE 1of7 PAGE 2 of 7 PAGE 3 of 7 PAGE 4 of7 PAGE 5of7 PAGE 6 of 7 PAGE 7of7 INDEX TITLE SHEET PROJECT DATA PLOT FLAN PLAN VIEW -CROSS SECTION DISTRIBUTION PIPE LAYOUT OSE AMBER ona�ly PUMP PERFORMANCE CU �n Aft`'�� PREPARED FOR �.ot�t�1 ��C1iTL�Z P�P�12Tti1 }'1Pm1RG�1 �` S l�2.0 8f� LpoZT , M N 55 o o 3 - PREPARED BY p rolz�tl� +. t a y *„ ` r WECCEFcEFR SCI X L TEST I NG AND 17ES = GN SEFtV I CE F.O. BOX 14 421 K. 11AIK ST. RIM FALLS. MI 54022 115- 4ri -016J • aRTMUq � •'L, We:uE,Eq 4 0.2th p W ARM.&� GIA' 3 -k5 -44 JOB NO. cl q- ,z S ? PROJECT DATA Page Z of This at -grade system will serve a retail sales and office building and is designed for 36 employees /office personel with 1 floor drain and 5000 square feet of retail sales area available to the public. ANTICIPATED WASTEWATER 36 employees /office at 20 gpd = ---------------- - - - - -- 720 gpd 1 floor drain at 50 gpd = ---------------------- - - - - -- 50 gpd .customers = 5000 sq ft X70% = 35001 30 = 116.7 X 1.5 =- 175 gpd Total = 945 gpd The system is designed for 960 gpd. SEPTIC TANK 960 + 750 = 1710 min. capacity required. A 2000 gal concrete tank by Midwestern Precast will be installed with a Gabel effluent filter. Tn CT T A X A 1650 gal Midwestern Precast tank will be installed. c+ cn bo.w b 1 G Q � O � D W O .c _ gg. C t rom En (D (D d " X � L 0 Naaw n ( c a i- PT, ~ ~ cn ct n x : '= (D m a ocn G ov - ( 0o I U) tr n ( � m rtEln I (D 0 � (DX roEn U I a w m w FJ r o Fl- \ m :¢'o � r '' 0 o a ro c P 11 m �fiC�'N N C �C m C m ClF-Ja m0 ro aron� 0 aEnPEn � w ", :J P. r w o m l Q` ,F m I Pi a cn r t tam n o rt* ro '� a (D lj. a (n w -- m F- F•' O N ft a R o r 0 c t� I C Q W r r rr J I 7 m4 CPI 9 71 r z i O b 1 G Q � O � D W O .c _ gg. r 'b X � L v � � r►� ( c L > 5' B i > 5 > 5• T A �— — o — — — — — — — ZI� pvC�7�S�R1T10►a PlPL3_� 3" _o W Lo -F{ii��E1°1P4 - A F- o >5� 1/6B 1/6B 1/2B A= `CU Feet C = 3 � B= \00 Feet Linear Loading Rate= y_$GPD/LN FT L= \\O Feet Design Loading Rate= c,.6 GPD/SQ FT W= Z9 Feet Observation Soil CoverCs �M��� `►!�C �F Fabric Distribution � .,.-`�I' j �I�' �' Lateral S1>Q 121 I� y} 1/2A 1/2A � 5� A C A ' 5� Plan View and Cross Section of a Wisconsin At-grade Unit with rrdo Absorption Areas Within a Single Unit on a Level Site Page Of 1 Perforated Pipe Detail 0 End View Perforated End Cap zv"' PVC Pipe 1. Ins tall permanent -marker at end of each lateral Q s PVC PVC Force Main Manifold Pipe Distri[tion Pipe Last Hole Should Be Next To End Cap Holes Located On Bottom, End Cap Are Equally Spaced P `16•o Ft. Distribution Pipe Layout S 11 Ft. X 36 Inches Y 3 ja Inches Hole Diameter 3))� Inch Lateral Z Inches) Manifold 3 Inches Force Main " 3 Inches # of holes/pipe 3 3 Invert Elevation of 1aterals10l•3 Ft. 33x - 6SS_ ZL.61XZ,- �L3-23 GPrii Place ,lst hole next to manifold with succeeding holes at 3 b't intervals. Last hole to be next to the end cap. ' PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS PAGE OF 1 VEAJT CAP 4'C.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUUCTIOAI BOX COVER WITH WARNING LABEL 10 ' FROM DOOR, 12�MIL1. wIN00W OR FRESH _ I . AIR INTAKE GRADE 18'MIN. COIJDUIT -- ----_--_-- PROVIDE ( --- INLET -T AIRTIGHT SEAL APPROVED JOINT/ A Tank construction, shall comply I�� APPROVED JO1NT5 with COMM 83.15 and COMM 83. 20 ALARM 8 ( II ON C • � I LLEV. FT. PUMP-,_ --� OFF D O I CONCRETE BLOCK 3"APPRwvI> RISER EXIT PERMITTED OJLy IF TANK MANUFACTURER HAS SUCH APPROVAL• gEDplµ� SPECIFICATIOMS DOSE TAAIK MANUFACTURER. M��W� `L1J p C.A�T NUMBER OF D05ES: 41_01a PER OAy TAAJK 51ZE: l � SO GALLOWS DOSE VOLUME z 2.S`l-2 ALARM MANUFACTURER' S', 'Z S� SAS IAICLVOIIJG OACK/LOW: GALLONS MODEL WUMBER: »� �w CAPACITIES: A= Z3 INCHES OR 982 GALL0143 SWITCH TyPC: INCHES OR $S', GQLLOW5 PUMP MAmu FACT URCR: GO V`-DS C= 6 IWLHE5 OR 122- "GALLOM5 MODEL NUMBER: 3$1 e-P0S D- 1 <<ZINCHES OR 3Z1'S GALLOAIS SWITCH TYPE: W MOTE: PUMP AND ALARM ARE TO CE MIIJIMUM DISCHARGE RATE YLZ3 GPM IN5TALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEAJ PUMP OFF AIJO..DISTRIBUTION PIPE.. 121'30 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.50 FEET -F 6 FEET OF FORCE MAIN X 0'S 0 FY,..t KICTIOM,FACTOR.. O-3D FEET TOTAL OtiMAMIC. HEAD = 13` 6 FEET DIAMETER - y INTERAJAL DIMEWSiOW OF TANK: LENGTH - ;WIDTH - ;LIQUID DEPTH _g LZ BOTTOM AREA t 231= GAL/INCH AS PER MANUFACTURER = 4 GAL/INCH _ 4 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. 3871 EP05 APPLICATIONS Specifically designed for the following us s: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EPO4 • Solids handling capability: 3 /4" maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size: 1 NPT. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: %" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1Y2" NPT. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. ©1995 Goulds Pumps. Inc. Mp p mac? M A-M ir.ti rk , __ • Fasteners: 300 series stainless steel • Capable of running dry without damage to components. Motor: • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTO with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 14 0 a W x V g 0 H 0 9 8 7� 6 5 4 3 2 1 � 0 Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EPO4 Impeller: Thermo- plastic Semi -open design with pump out vanes for mechanical seal protection. ■ EP05 Impeller: Thermo- plastic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. �� �J ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover: Thermoplas- tic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING - Canadian Standards Association (CSA listed model numbers end in "F" or "AC ".) 30 f 5GPM. 25 i 20 ! i I 15 I I I 5 10 I ( E Po;_ 5 0 0 10 20 30 40 50 GPM 0 2 4 6 8 10 CAPACITY uouias Submersible Effluent Pump 12 m /h rffc fivo NA." 1oar Wisconsin Department of Industry SOIL AND SITE EVALUATION R R T Labot and Hum Relations Division of Safe& BIdn9s �� nrri wi #h II LJR QQ nr, Mr— F Horizon Depth in. Dominant Color Munsell Mottles Ou. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Botrclary Roots GPD /ft Bed ITiench 1 0 -10 to -f R - z L z. r F' T" 14 �1 1 /4,S 8 3T Z°/ ,N,R 19 E (ki PROPERTY OWNER':S MAILING ADDRESS. z'F- '�� S - • 5 -6 2 CITY, STATE ZIP CODE PHONE NUMBER 6 NEAREST ROAD 3F 4P L:7rX M NJ S so o 3 (651) LI 30 _0 16 3 1 O T ki v y VA. [XJ New Construction Use [ ] Residential / Number of bedrooms (J AdditiQn to existing building 3 Z6_41 3 Li IZ — S N G� 0 S 1 cs - -� •� I SYSTEM IN FILL I ®S D U 1 HOLDING TANK D S N U "Z SOIL DESCRIPTION REPORT Remarks: Boring # IRV Ground elev. 10 6 IL Depth to limiting factor ? 6R" Boring # O Ground elev. lo fL Depth to limiting factor > 9I 1 O -l0 t0`11Z ZLZ _ gl Z`�'Sblz bvt`FV q. S — -5 _ L a _ $- PROPERTY OWNER: C /o BONN 'PROPERTY 1 r` frvt^Gtr M &JT Sk-nLuice - 3 r F' T" 14 �1 1 /4,S 8 3T Z°/ ,N,R 19 E (ki PROPERTY OWNER':S MAILING ADDRESS. LOT # . ' BLOC :* SUBD`:,M OR CSM # 3 ZI -38 - 1•S ip - vl y CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE QrOWN ' NEAREST ROAD 3F 4P L:7rX M NJ S so o 3 (651) LI 30 _0 16 3 1 O T ki v y VA. [XJ New Construction Use [ ] Residential / Number of bedrooms (J AdditiQn to existing building j J Replacement b(J Public or commercial describe 2 x_ S PV_xZ_s Code derived daily flow q 6 O gpd � b oo a ' Recommended design loading rate S bed, gpd/ft b trench, gpd/ft ` Absorption area required _ bed, ft trench, ft Mabmum design loading rate S bed, gpd/ft 6 trench, gpd/ft Recommended infiltration surface elevation(s) S C_t!" 6 E 3 ft (as referred to site plan benchmark) Additional design/ site considerations 'R7 - G 2 Pr%Z 1Z S`­iST2i Parent material L o eS3 U vM S " 1 1 OvTw 116 N Flood plain elevation, if applicable M A ft S = Suitable for system U= Unsuitable fors stem CONVENTIONAL 1Z I MOUND IN- GROUND PRESSURE ®S ❑ U I AT -GRADE ®S D U I SYSTEM IN FILL I ®S D U 1 HOLDING TANK D S N U Remarks: ST Name.—Please Print Phone: Arthur L. Wegerer 715 - 425 -0165 'vegerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI.54022 signature: ate: CST Number: . ZSZ R�C Z Z- 2.l>(10 220254 Page \ of 3 .. _. COUNTY } Attach complete LpVan_�o Inoess; than 81/2 x 11 inc hes in size. Plan must inclGtie bNtf -ri S r T- C \ZOLX PARCEL I:D. # not limited to vertical and horizontce point (BM), direction and % of slope, scale o dimensioned, north arrow, and loc distance to nearest road. 6 d U I- q o APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION IEWEDB DATE a _ $- PROPERTY OWNER: C /o BONN 'PROPERTY 1 r` frvt^Gtr M &JT Sk-nLuice - 3 r F' T" 14 �1 1 /4,S 8 3T Z°/ ,N,R 19 E (ki PROPERTY OWNER':S MAILING ADDRESS. LOT # . ' BLOC :* SUBD`:,M OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE QrOWN ' NEAREST ROAD 3F 4P L:7rX M NJ S so o 3 (651) LI 30 _0 16 3 1 O T ki v y [XJ New Construction Use [ ] Residential / Number of bedrooms (J AdditiQn to existing building j J Replacement b(J Public or commercial describe 2 x_ S PV_xZ_s Code derived daily flow q 6 O gpd � b oo a ' Recommended design loading rate S bed, gpd/ft b trench, gpd/ft ` Absorption area required _ bed, ft trench, ft Mabmum design loading rate S bed, gpd/ft 6 trench, gpd/ft Recommended infiltration surface elevation(s) S C_t!" 6 E 3 ft (as referred to site plan benchmark) Additional design/ site considerations 'R7 - G 2 Pr%Z 1Z S`­iST2i Parent material L o eS3 U vM S " 1 1 OvTw 116 N Flood plain elevation, if applicable M A ft S = Suitable for system U= Unsuitable fors stem CONVENTIONAL 1Z I MOUND IN- GROUND PRESSURE ®S ❑ U I AT -GRADE ®S D U I SYSTEM IN FILL I ®S D U 1 HOLDING TANK D S N U PROPERTY OWNER P MftMN6EM04't' S M SOIL DESCRIPTION REPORT ` PARCEL I.D. # OZ-0- (300a-90 Page? of , 3 Boring # Ground elev. 1pl.l ft. Depth to limiting factor > °► SY Boring # y Ground elev. 1 \)o.6 ft Depth to limiting factor >91� Boring # Ground elev. 1 •7 ft. Depth to limiting factor ? 1 O 3oring # around ,lev. 1D0 - ft. )epth to imiting actor ,� 89 t Horizon Depth in. Dominant Color Munsell Mottles Clu. Sz. Cont. Color Texture sit Structure Gr. Sz. Sh. z S bk Consistence wtfF- Baxxiary c5 Roots GPD/ft Bed TTm rxh Z 10 -3 /i4 .5, 6 o S� o s9 Z�Sb1r wfl,- eg - • S 3 36 -9S VA/ - ,-) •(6 d s9 M . S j i. E i i riumarKS: I hemarKS: 0-9 1<l`11Z 3[ - sil Z.`Fs bl��'�. �S - ,S•6 Z 9 -z6 to Hlz 316 _ 30 2`�sbk yrlfr cw — _ .5, 6 o S� o s9 z6 -uo S H2 yly S = .6 1e5b�r -) y2 y/6 - ,-) •(6 d s9 M . S j i. E i hemarKS: r1e111arK5. I o -°► Iu�,cz zlz - si 1 6 z vv►`�'r wvl - S' - . S . 6 3 y Z3 - �6 y6 �o - I's - m y/ - ),SH R y /6 — _ , S�GI 'F o S� o s9 m1 CS S = .6 •1 .B -) y2 y/6 - `FS d s9 M . S j i. r1e111arK5. 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Y . o _ �•LZ� Mtt Z r �° A n N *isconsin Department of Commerce SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 Tommy G. Thompson, Governor William J. McCoshen, Secretary - KFA - • # = x - 0 1 0 10 Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? County Official Signature, Date 416 NE Z Prope - - y Location Landow*r�rs Name SBD- 10513(N.11/96) WEGERER SOIL TESTING and DESIGN SERVICE" SOIL TESTING - SEWER SYSTEM DESIGN ATTN : DATE Z ZUOU CC: SUBJECT: THE FOLLOWING ITEMS ARE ENCLOSED 0. OF COPIES DESCRIPTION sal v �M( Fj OAJ rj . SENT TO YOU FOR THE FOLLOWING REASONS: ✓ FOR YOUR USE _ FOR REVIEW AND COMMENT _INFORMATION DESIRED AN GSZA 0( y M 0-� « )\l DRX - ��ar ga� 4 (2 s ) IE toe t r 4 Q v`�GST `1� -i--�fi �� L�dl2� �fi � �� D►°� -1 , Z - I -bo . WEGERER SOIL TESTING AND DESIGN SERVICE B - P.O.BOX 74 421 N.MAIN S.T. RIVER FALLS,WI 54022 PHONE 715- 425 -0165 FAX ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016. (715) 386.4680 DATE: d, ` $" zxv TO: Fax Number. `f"Z� - ( 3� q Name: 4:r w 66-ley" P FROM: Fax Number. 3864=6 Name: �2 Number of Pages Including Cover Sheet IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: TELEPHONE NUMBER: Apr—.04- 00 x02Y48P P.03 Safrty and t3uad�ngs 4= N X904 r COULABE 140 tw CAOL%: wi UWi -1831 TOO N V iscons i n earn 1 «o�..ata� m us Department of Commerce Tommy G. Yhomps" Gam nor Wei J. llianehard, 30C Ury March 06.2000 CUST ID No.670426 LEONARD LAMERT LAMBERT ARCHi wts 13837 NE LINCOLN ST HAM LAKE MN 55304 ATTN. Buildings A Structures INSPECTOR MUNIMAL CLMtK TOWN OF HUDSON M COUNTY ROAD A HUDSON WI 54016 -7628 RE: CONDITIONAL APPROVAL . PLAN APPROVAL BXPtRU -. 03AOtfil3000 SIT- Site M: 176408 ST CROIX County, Town of HUDSON. CTY RD U dt 1 -94. HUDSON 54016 NE114. NEIl4, S33. T29N. R19W Facility: OUTPOST CENTER C TY'RD U dt 1.94, HUDSON FOR. Description: RUAIIIOMCF -SM REVISION Object Type: Building Regulated Object ID No.. 479464 5B Masonry- Unprotected class of construction. Revision plan. (Mercantile/Commercial) Identification Numbers Trawadion ID No. 295464 Sik ID No. 1764M Please refer to both idtn itification numbers. above. in all correspo tdence with the agency. 54016 18.367 project sq ft, Unsprinktered, Occupancy The submiwl described above bas been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has boon CONDITIONALLY APPROVED. The owner, as defined in chapter 101 .01(10), Wisconsin Statutes, is responsible for compliance with all code roquirtmonts. - The following conditions shall be met during consa wbon or installation and prior to occupancy or use: • COMM 50.17(lxc) This approval.'will expire I year after the date of this letter if the work covered by this approval is not competed and the building ready for occupancy within that year. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of tine Department, which may include local inspectors. All permits requh by the state or due local municipality *A be obtained prior to commencement of construcdomulaft lat iowope Wom Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely. U�, �•Ea. wARREN DOUGLAS ERLER , PLAN REVIEWER IntaSrated Services (608)789 -4690. MON - RU; 7:45 AM 4:30 PM DERLER O COMMERCE.STATE.WL US FEE REQUMM S 100.40 FEE RECEIVED S 100.00 BALANCE DUE S 0.00 7648 A l o l:l r SEE cc: JOHN J DAHL , BUILDING INSPECTOR, (715) 232 -6600• THURSDAY, 745 A.M. - 4:30 P.M. PROPERTY MANA0Eb!ENT SERVICES Apr -04 -00 02:48P P.02 $A* and Bvikon9i 2216 ROSE ST LA CROSSE vvt 5460S.1905 Vi -C& 0:(601)260 -E777 www.con+�neroa.etale.wt, ce Department at Commerce Tommy e 0. Thom pson. August 26, 1999 OUST ID NoA70426 LEONARD LAMBERT LAMBERT ARCHITECTS 13837 NE LINCOLN ST HAM LAKE MN 55304 RE: CO NDITI ONAL APPROVAL APPROVAL EXPMES: M6R001 SITE: Site M; 176408 ST CROIX County, Town of HUDSON; CTY RD U & I -94, HUDSON 54016 NE1 14, NEII4, S33, T29N. R19W AT TIN.- Buildings A Structures INSPECTOR MUMCIPAL CLERIC TOWN OF HUDSON 480 COL714TY ROAD A HUDSON WI 5 4 0 16.7628 Identil katioonNurnbers Transaction ID Ho. 235550 Site ID No. 176408 Please refer to both identification numbers, above, in all comes ndence with die a gency. Facility: OUTPOST CLNTER CTY RD U & 1 -94, HUDSON 54016 F'OR: Descripdon: RETAIM10FFICE Object Type: Building Regulated Object ID No.; 479464 5B Masonry Unprotected class of construction, New plan, 18,367.project sq ft, Uttsprinlckred, Occupancy (Mercantile/Commercial) The submittal described above has bean reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDTTIOKALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with ail code requirements. The following .conditions shall be met during construction or installation and prior to occupancy or use: • COMM 50.12 This approval It for the building shell only. Interior improvement plans shall be submitted for review and approval as building alterations prior to construction. • COMM 50.17(1)(a) This approval will expire 2 years after the date of this letter if the building shell is not closed in within those 2 years. Also, this approval will expire 3 years after the date of this letter if the work covered by this. approval is not completed and the building ready for occupancy within those 3 years. • COMM 50.12(4)(1) The plan submittal did not include the required structural calculations. • COMM 54.06(2) Provide exit lights for all exits other than the principle entrance, and elsewhere as required to direct occupants to the exits (see s. COMM 51.15 ($)]. • COMM 54.15(3) Fire extinguishers are required to be provided in accordance with COMM 51.22. A copy of the approved plans, specifications and this letter 4ball be on -site during construction and open to inspection by authorized representatives of the Deparemant, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of conso uct iodinstallatios /operation. Inquiries concersting this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, O a� 4 C: S WA RREN DOUGLAS ERLER , PLAN REVIEWER Integrated Services (609)799-4690, MON - FRI; 7:45 AM - 4:30 PM DERLBRQCOMMERCE.STATE. WI -US cc: JOHN J DAHL , BUILDING INSPECTOR, (715) 232 -6600, THUR W PROPERTY MANAGEMENT SERVICES 8/I FEE REQUIRED S 630.00 FEE RECEIVED S 630 -00 BALANCE DUE S 0.00 .7—AS A.M. - 4:30 P.M. 7 n '7nHJ nccc_co) _000 CC :c T C.cG T /o; /On ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address (Verification required front Plaaaiag DepaM=t for new ' - City/State a �,.� r parcel Identification Number /D�1 Property Location .-I/.-- %, � ,, Sec. Z T2,O, Rl_2_W, Town of St6di Lot # ., ., . Certified Sarveyr Map # mo t!` volume 13 page # Warranty Deal # � .5�3Y volume Page # GDS Spec from Q yes RLno Lot lines identiMle 0 yes4l IMPMpermeand 'a 7our COldtesaltlaitrg afailuretohaadawa t*.Properanideena ce coadsts of pamptog out Ilya tank every duee years oa axone , if needed by a lioeaved pumper What you pat into the sydtera cm affiect. 6a labdoa of dw aepdo taalras. a tratamw stage iQ tlu: sEadispv""Item, The pmperty owm a to submat'to SL Cmk 72i ft Deputment u cattificatim form, skoed by the owuw and h'y a i P 'jou=qymaaptn be4vaddctedplwabaoralicandp =Verredfyiagdwl (1 ) ft on-ft wastewaterdigmWsyst= is in proper %=agog =ditim =got M after iaspoc dm sad p=piag,Ctf mcessgry), dye s tank is less than 113 fall of sludge. Ywe, tli 1= derttigned have zead the above zegczasenfs and agree to maintain qua pdv age sy with do standards set fte, heron. by 90 Depawsm of Commerce ad the: DqattmW of Natural Resources, Sate of Wisconsin, Oetifta►tiaa dA d ar • system has bwn naa�it aitud mast be eromple oed and ab=ed to the SL Croix County Zoning Office within 30 year c*atioa date. '7'1 DATE } that ali:tatemmts on this form are true to the best of my (our) knowledge. I (we) am (arc) the owner(s) of the above, by virtue of a warranty deed recorded is Register of Deeds Office. y 2 �C'd DATE iafotmatioa that is mus- represeatedtasy r=dt is the sanitarypccrait being revoked by the Zoning Department. 40000« ti «« Include with this Application: a tbunped warranty decd from the Register of Deeds ofiicc A copy of the certified survey rap if reference is made in the wannty deed DOCUMENT N o, WARRANTY DEED STATE BAR OF W ' ,!,C ONSIN FORM 9 -1111= 5W5343. VOL PAf"fn E j Florence V. LaPlante, a single person . •.......... .................................................. ............................... eunveys and warrant to - -,Jay Sperry Enterprises, LLC, a ......,. iabiIity_corporaticn ......... ............................... - •- ---•--•-- — — ............................ ................................................................. ............................... -------------- •.-- •-- ••----- .......• - - -- ................-••--•-•---- ........................... . ...................... . ..................... ............ ........I....I— ........... - - - -• ....... I _....... ........... . ..... ................. ............................... the following described real estate In 5t. Croix County, ........... State of Wisconsin: REGISTER'S OFFICE ST, CROIX CO., WI Rsc'd for Record SEP 15 1997 10:0 -0 A M �4,ltl -' - "k 0-ja Replsfw of Deeds � 1 114 (� , Iri�155�f Tax Parcel No: ........ Part of the E112 of the 0131/4 of 33 -29 -t9 bounded on the South by the Northerly right of .way line of County Trunk highway "N" on the north by the Southerly right of way line of Interstate Highway "94 "; on the East by County Highway "U "; and on the Went by a line 1224.3 feet West of the East line of said NE1 /4 EXCEPT commencing at the Northeast corner of Section 33; tilence South (assumed bearings referenced to the East line of the NE1 /4 bearing South) 913.90 feet along said East line to the point of beginning; thence N89 °41'W 625.51,feet; thence South 415.60 feet to the Northerly right of way line of County Trunk Ilighway "N "; thence South 415.60 feet to the Northerly right of way lithe of County Trunk Highway "N "; thence N82 "E 143.19 feet along said right of way l.inp; deface N"i theanterty 132.09 feet aloriy of a 2533.0 feel rariius curve concave Northwesterly whose chord hears N84" 20'43 "E 132.06 feet; thence continue East along the Northerly right of way lisle of County Trulik Highway "N" until it intersects with the Westerly right of way line of County lligllway "U "; thence North to the Point of Beginning along the Westerly right of way 1i11P of County 111911way "U ". EXCEPT Part to State of Wisconsin Department of Transportation in Vol. "1203 ", Page 242 and EXCEPT easements, road arid highway right -of -ways and testrictions of record. St. Croix County, Wisconsin. This .- - is not homestead property. (is) . is not) Exception to warranties all liens, . encumbrances, adverse claims or o ther matters, which Grantee has created, suffered or permitted to accrue after the 25th day of April, 1997. Dated this 8th day of September 97 IY......... FFE ...................... .---.. ............................... (SEAS,) ................................. ............................... (SEAL) �li...(SEAL) • Florence V. LaPlante ... .-- ........................... ............................... (SEiii,l • ... .. ............................. .................... . AUTURNTIOATION Signaturs(a) .......................................... .......... :....... •---•-......•• .................................. ............................... authenticated this ....;.::day of........................... it...... • ......... ............................... . .. :.................................. TITLE: MEMBER STATE BAR OF WISCONSIN (If not . ...... ............................•.. authorized by 1 706.08, Wis. State.) THIS INSTRUMENT WAS DRAFTED By Robert A. Geat_in .......... ..................................... ............................... AOENOWLUDGMSAIT MINNESOTA STATE OF MIJ?S61=14 as. ...... RAMSEY ..................._County. Personally came before me this „- 8th ..... day of I ..... September .... September , 19 ... the above named Florence V. LaPlante, a single per son ................. ............. ........ .....................•-................ ..............---.............. I .. ........................ I ............ ............................ to me known tote the person ............ who executed the foregoing hIk1rumen t all acknowledge the same. ...... - . .. ... ...................................... ...................................... ............................... N~ �M►1f (Bignaturas may be authenticated or acknowledged. Both a ROEMA ,`E4M are not necessary.) 1w es� 44amws of Oerao"s Onnin= In any Capacity should be type4 or printed below their signature.. 4 """ win= tt i f � i I STATR DAR or WISCONSIN ...� FOAM No. 2 — 19d2 0 9el — /A? �/? a ,SEEN H. WALSH ST.ICROIX C v W I RECEIVED FOR RECORD 11-20-1996 9:30 AM EY M AP D suRVEY MAP TIFIED SURV CERTIFIE •00 CER CO I OF THE NE1 /4 AN ; LOCATED IN PART OF THE NE1/4 SECTION 33, T29 19W, z THE SE1 /4 OF THE NE1 /4 OF S LINTY, WISCONSIN ° TOWN OF HUDSON, ST. CROIX CO M ' OWNER M w LEGEND JAY SPERRY N cu UMINUM COUNTY SECTION CORNER C3 p AL MONUMENT FOUND 11124 HIGHWAY 55 • PLYMOUTH, MN 55441 z -A ° cn ° • 1' IRON PIPE FOUND WZM X 24' IRON PIPE SET WEIGHIN M 1.68 LBS. PER LINEAR FOOT Lai w o ROADWAY SETBACK LINE CAS SHOWN) Q W z, EXISTING FENCELINE i J °% 3/4' REBAR FOUND � Q ° n 9 4'' R Z U.S. INTERSTATE NE CORNS W z � --------- - - - - -- SECTION 33 S89'44'21'E NORTH LINE OF THE NE1 / 0 C REC, AS 1108- 2662.84' o N CORNER 115,6 83 28 � 39 W 289,34 x Y . As �- SECTION 33 81 37 22 1,/ u Rec r 7 ACRES T1 qs ° w 4 4 o ccn Z0 20 5 SOFT EPTIC o� .,�1, PARCE IN •° o u NK oN ) - - W N z � S•(1� V n z h� , 12 ---- -- z N I ��.1�yN w c �v1 \ - w m FENCE Z AREA �� LOT 2 ¢ Q w 0 6�PJ�V 19.258 ACRES m z U Cl OF N_ 838,858 SOFT. J u Z V fsf WEL E� „E N Ll- v 9 / 54 09 a I - 8 0• S ) -� SEPTIC � N 1B5.03' EXISTING CENTERLINE • N w DRAINFIELD _ N 4 W� ��' - N =► Z 01 8� J , - c� F-i o a w M tx © �Sf 8�� kp s Z � • tip / o W X000 ? A, Q � Y 0 O v ai w c ••�•Y: ; •32 0, � w N � Z i z o ,.�co CI i1� J N S�� � 0 Rec, As N89'41'W w S89.33'17 "E 55,55'N89.33'17'W 3 �., 60.45' 3 N89 v m LOT 1 69.96 co o n OD M CSM N UNPLATTED_LANDS N c SM I I - - - - -- -- o 4/917 E1 /4 COR I SECTION 33 FENCELINE IS 1.2 FEET WEST b I T CORNER ° OF LO Z � CD , >, I LOT 1 SCALE IN FEF _---� 5L1483 0 104_ f7'" " DATA NUMBER C1 C2 C3 C4 C5 C6 LUT DELTA NUMBER RADIUS ANGLE CHORD CHORD ARC BEARING LENGTH LENGTH TANGENTS 280.00' 43'20'49" N67 "W 206.82' 211.83' N89 N46 "W 160.00' 52'53'23" N72'39'09.5 "W 142,51' 147,70' N46'12'28 "W S80'54'09 "W 160.00' $3 S69 "W 65,51' 65.97' S80'54'09 "W S57'16'40 "W 240,00' 23'37'29" N69'05'24.5 "E 98.26' 98,96' N57'16'40 "E N80'54'09 "E ' LOT 1 240.00' 13'41'08" N64'07 "E 57.19' 57.33' N57 "E N70'57'48 "E ESMT 240.00' 09 N75'55'58,5 0 'E 41.58' 41,63' N70 "E N80'54'09 "E 240.00' 52'53'23" S72'39'09.5 "E 213.76' 221,54' N80'54'09 "E S46 "E 200.00' 43 S6752'52.5 "E 147,73' 151.31' S46 "E 589 "E SURVEYOR'S CERTIFICATE 1, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Jay Sperry Enterprises, LLC„ I have surveyed, and napped a part of the NEI /4 of the NEI /4 and part of the SEJ /4 of the NEl /4 of Section-33, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin) described as follows Commencing at the Northeast corner of said Section 33) thence S00'07'43'W, along the east line of the NEI /4 of said Section 33, 913.90 feet) thence N89'33'17'W, 69.96 feet to the point of beginnings thence N13'53'43'W, alone the westerly line of a parcel recorded and described in Volume 1203. Page 242 at the St, Croix County Register of Deeds office, 509.97 feet) thence N61 along said line, 712.70 feet) thence N83'28'39'W, along said line, 289.34 feet) thence S85'48'22 along the southerly right-of- way of Interstate 1 94 1 , 115,60 feet) thence S00'07'43 along the west tine of the east 1224.3 feet of said NEl /4, 1315,77 feet) thence N82'58'53'E,' along the northerly rtght -of -way - of C.T.H. 'N', 603.49 feeti thence N00 along the west line of Lot i of Certified Survey Map recorded in Volume 4, Page 917 at said office, 388,39 feet) thence S89 along the north line of said Lot 1 and an extension thereaf 555,55 feet to the point of beginning. Parcel contains 23,930 Acres (1,042,382 Sq. Ft.) and Is subject to all easements, restrictions and covenants of record. I also Certify that this Certified Survey Map is a correct representation to scale of the exterior Wundary surveyed and described) that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the land Subdivision Ordinonce of the County of St. Croix and the Town of Hudson In surveying and mapping sane. Douglas J. Zahler RLS S b N Land Surveying W� 212 Walnut St.� O '��Q Hudson, WI 54016 D��G�$d. to ZML�R 5145. 7k 1p rl9g Each parcel shown on this map is subject to State, County and Township laws, rutes and regulations u.e„ wetlands, minimum lot size, access to parcel, etc.). • Before purchasing or developing any parcel Contact the St, Croix County zoning Office and the Town of Hudson for advice, ,� Vol. 13 Page $560