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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 1 Safe gilding Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) state Plan ID383-76 / Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 1 oil 6 e � Permit Holder' Name 1 , I C ity Village X Township Parcel Tax No: (/ 61 1 ed (1 . c d156 -- /646 - 26 -- CST BM Elev: Insp. BM Elev: BM Description: ai Section/Town /Range/Map No: I /60 _ (3rv1, 1 csT - ' 21 . 3 . 1( 3 /T1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER g r 1 Z y ` L /�� / /Op.-6 CAPACITY STATION BS HI FS ELEV. 1 r (vZ /D /• (oZ ) IRS Septic V..,. u , Benchmark GJIeSt... 61 s /Zoo, z • ZX /aZ.Zg /zio, Dosin g / n �� d '��"� Alt. 8M io D f j r I hi+. 'Tu i o I"n —7` ouJ Bld Sewer of CO? V Fay./ P L 1 d L z CZJ f CO' O s ate 93 • $ Holding V St/Ht Inlet ,--- 9, qg 11. vf St/Ht Outlet TANK SETBACK INFORMATION ' ----..... TANK TO P /Ip WELL H B / LDG. nt to Air 1n9 ke IUD Dt Inlet Septic / Dt Bottom Go //4/ 2‘,4 33 /3 SGT Vt . a Dosing 1 i / / Header /Man. �` 40 /Pi zy 53 /0/1// 7 X02, /2- 2. (0 6 / 1 < </, Aeration Dist. Pipe e , Holding Bot. System 3.$2. .3.13/ 9r 7— Final Grade no PUMP /SIPHON INFORMATION Manufacturer (900.A15 Demand St Cove. G ! g� 3/ Model Number ( o�rt -�. 7 TDH (Lift Friction Loss System Head ITDH Ft yi • 93 S. oZ 6. 5e Forcemain Len�thh 1 Dia. Z " Dist. to Well //4 / SOIL ABSORPTION SYSTEM 2 e2--f-- �, , ' 6 - / e , BED/TRENCH Width / Length / No. O f enche ' PIT DIMENSIONS N f Pits Inside Dia. Liquid Depth DIMENSIONS ,, / QU �_ , SETBACK SYSTEM TO P /LJ BLDG WELL LAKE /STREAM L CH Manufacturer. ^___, INFORMATION CHA R OR Typ �.0j System: I _ MO 16 >,5/ 3 > zo ( 4_ NI Model Number: ---,.... DISTRIBU ION SYSTEM 5-ee_ . -5 f d " C1 -4.04/ 440 Scf- '' x H Header c anifo • / Distribution Pipe(s) x Hole Size Hole Spacing Ver� to Air I take Length Dia �� _ Length. Dia Spacing _ 0 ' I 2 -< - ' 0/ / u .10 ..... 1 0=24/47 SOIL COVER / x Pressure Syste my Mound Or t - Grade Systems Only �� / Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched S Bed/Trench Center Bed/Tren dges Topsoil Yes 0 No 0 Yes El No A COMMENTS: t'J (Include code discrepencies, persons present, etc.) Inspection #1: )6 / S / ,p /6 Inspection #2: fr / 7 l e(C/ (C' Location: `Z-2 c / 1 f 20 /�U�_ 61 4- �,,, , ,ic 34 G(,. isle /. Ab,.J p 7 /j` //�� ^^ c.I Parcel No:: 9a /_� 5 1.) Alt BM Description = / rCNno, 1 CO �Ce. (dS4 - J0 P (6 ��'� c a r 2.) Bldg sewer length = Zs{ // - amount of cover = 3 f LiK•t.: v, cs tom. 7 . , Plan revision Required? ® Yes No f Use other side for additional information. 7 /0 l i ,- ‘ G SBD -6710 (R.3197) Date Insepctoi's ignature Cert. No. . 1 conunercawLgov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 SI e>ra a )( i scons. n Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department (*Commerce 70 1 Sanitary Permit Applicatio State Transaction Number In accordance with s. Comm. 8321(2), Wis. Adm. Code, submission of this form to the approprielegenlil1 I V (P OWO unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different mailing address) submitted to the Department of Commerce. Personal information you provide may be used f, secondary purposes in accordance with the Priv Law, s. 15.1' 1,m , Stats. ____.,..........,... Zz'/5 �5 t , "� ., L A ■ • lication Information - Please Print All , , , ati l h ".k t'"'ti� ---Vt. M., ' Property Owner' Name Win Parcel # DO (p • /DAC * ZO - tDC Property • 's Mailing Address (� 1 Property Location /, NS 83— K405 / [� V `Q ST. CROIX COUNTY Govt, Lot • ( City, State " �� Zip Code 'I' r • i{ S�iW++ 7 N E. y .,S ) ''A, Section al Q r v Q r` k , (I &I D° 7 "Its a tog - S3 b / R (circle one) IL T N Type of Building (check alt that apply) Lot # 3 N; i to Lt..) C 1 or 2 Family Dwelling - Number of Bedrooms ell 1 N A A Subdivision Name Ei Q 4 CJt. WAG Block # QC1,0_4 p44-€) Public/Commercial - Describe Use u 6- City of El State Owned - Describe Use / ,/ �� _� CSM Number 1=I Village of 4 /��w yy\� / lL ( p4, p Town of e 1 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' ❑ New System Fi R epl�t Q Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) tem B. ❑ Permit ❑ Permit Revision ❑ Change of El Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner / Expiration 43r ? 7 56 IV. Type of POWTS System/Component /Device: (Check all that apply El Non-Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade Mound > 24 in. of suitable soil gi Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) // V. Dispersal/Trea nt Area Information: 6a, ir.� A, Design Flow (gpd) Design Soil Application Dispersal Area Required Dispersal Area s System Elevation bon .67 (�,6 / I 6150 /$ I 99 g 3 / VL Tank Info Capacity in Total # of Manufacturer , Gallons Gallons Units 1 v 0 N New Tanks Existing Tanks ��^ 11,,, z 1 5 Septic or Holding Tank i �'1 o O 1 Qt 1 �i .QS rS `' r) r vD / .-. I__. � Dosing Chamber � 74 P) gob ; 1 L -K P t t 1 to (C As ✓ VIL Responsibility Statement- I, the undersigned, assume res .. , , ility for installation of the PO sh o the attached plans. P1 . ' Name • • . j P1 . , 's 'gnature A IGIf MP Tumber Business Phone Number 7/S S/ PlumbersAddress (Street, City, /1 State, Zip Code) - I tog / 5 , h IT-va MP.tt7 S - 7 ounty/Department Use Onl • proved Disapproved Parnit F Date Iss Issuing t Sign: Giv ial S 0 � .1:6 /4, /�� � .. i M. Conditions of Approval/Reasons for Disapproval - al -/ •06 1 4441 SYSTEM OWNER: 3) 0 La Y� 1. / Septic tank, effluent filter and ` pp ` u f J �P �, dispersal cell must all be services / maintained 14 \ Ge vasµ. 4 r ti � e as per management plan provided by plumber. J , ( T r i L �� , / �� �. 4 l 2. All setback requirements must. be maintained l n e et 1~ as � t� o �n fl fu paper r the system and submit to the County only on pap not less than 8 z 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/10 pio-r P)4y,. r 7 -& ky u. - --- s -was - .�.- - a t -- Dialvt P 14_ - u1t-st. „wed 7 st. ;fir 0%y , :f- . t — a - - St -.. Tilkg 7 ap / /a 86° cv,'s.'67n,ba /f i I. z., 5as' . a > w_e.0 544 -- _ r 67ivv4) 3, yy K aa ,34 -8 , - i tvr - --- - - - - -- \ A ,, , 0 N , s i la N d Sh.� _ : - 4 -4 ,,, Go d see .0 Z ,[..',al., Safety and Buildings commerce.wi.gov 3824 N CREEKSIDE LA g HOLMEN WI 54636 Contact Through Relay i sco ns i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Aaron Olver, Secretary September 29, 2010 CUST ID No. 220537 ATTN.: POWTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/29/2012 Identification Numbers Transaction ID No. 1860804 SITE Site ID No. 760567 Mark Cellotti Please refer to both identification numbers, 2245 205TH Ave above, in all correspondence with the agency. Town of Cylon St Croix County NE1 /4, SW1 /4, S21, T31N, R16W FOR: Description: Mound / Four Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1282557 Maintenance required; Replacement system; 600 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System: EZ -Flow Mound Component Manual, (R. 8/07), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The mound design manual cited for this design is no longer an approved product listed in the Department's Product Register. The recognized manual for the EZ -Flow product is listed at the top of this letter. • The observation pipes must be located at a junction point between two polystyrene aggregate bundles so as not to create separation of the bundles within a produ . ,1 • The void at the manifold is to be filled with aggregate, r t. • - • - - ..: =, • - : . - a owed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. aECO • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption I area. chs. NR 811 & 812c CALVIN W POWERS JR Page 2 9/29/2010 • 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 POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A 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 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 (A27- Balance . ff4 Due $ 0.00 Charles.L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828 -5902 , Monday, 7:00 A.M. To 3:30 P.M. II CALVIN W POWERS JR Page 2 9/29/2010 • 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 POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A 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 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Charles•L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828 -5902 , Monday, 7:00 A.M. To 3:30 P.M. RECEIVED SEP 222010 EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT T DESIGN D ! ! ! ESIG Residential Application INDEX AND TITLE PAGE Project Name: MARK CELLOTTI Owner's Name: MARK CELLOTTI Owner's Address: 2245 205th AVE, DEER PARK, WISC. 54007 Legal Description: NE1 /4 SW1 /4 SEC21 T31N -R16W Township: CYLON County: ST. CROIX Subdivision Name: 7 ACRES Lot Number: N/A Block Number: N/A Parcel I.D. Number Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZFIow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 PLOT PLAN Page 10 PERK TEST Page 11 SEPTIC TANK/PUMP STATION SPECS Designer: CALVIN POWES License Number. 220537 Date: 09/21/10 Phone Number. 715- 246 -5135 Signature: _� ---�- tf Designed Pursuant to the y � ,,'�G).7 EZFIow Mound Component Manual N N. 46#m): and O t t) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) T OF COMMERCE -TEY INGS EZFIow Mound Version 1.2 (R. 02/04) Page 1 of 11 , _�;,< tLSPONDENCE EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Information assume a Design Note: Sand fill (D) calculations or Commercial Des . (r or c) r Residential o g Table 83-443 in -situ soil treatment for fecal 400.00 Estimated Wastewater Flow (gpd) 443 in-situ of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 2.00 Site Slope ( %) 97.50 Installation Contour Line Elevation (ft) C 140.00IContour Length Available (ft) 20.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 6.00 Cell Width (ft) 3, 4, 6, 7, 9, or 10 Only 1 100.001 = Dispersal CeII Length (ft) 1.00 Dispersal CeII Design Loading Rate (gpd/ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution 1 Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = I 6.00Ift /orifice 2.00 Forcemain Diameter (in) I 220.00 Forcemain Length (ft) Does the forcemain drain back? ( Y 90.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 35.89 Forcemain Drainback (gal) 8.50 Vertical Lift (ft) 90.37 5x Void Volume (gal) 7, col 7.67 Friction Loss (ft) 126.25 Minimum Dose Volume (gal) d ../" 22.67 Total Dynamic Head (ft) 41.19 System Demand (gpm) ZZ Lateral D iameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x ' 1.25 x 2.00 x a 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) WIESER Manufacturer 22.22 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) POLYLOCK Filter Manufacturer 22.22, Dose Tank Volume (gal/in) PL525 Filter Model Number WIESER COMBO (Manufacturer Project MARK CELLOTTI Page 2 of 11 .s' Mound Plan View .••.. J .-.•.••••• -1/10 B :::-:-..-:•:•:•:•:•:•:•:-:•:•:•-•-:•:-:•:•:-: - •:•:•:•:•:•:-:•:•:•••17 • * • • + ----- - Observation Pine .-: : : '-'-:-:-:.:::4- i .K. .....-:.• clitg■MtitgiEl ::::::::::: ..---------.-1--.-.s.-is.is%is VV : : : :-: : A :::•:•:•:•: ::::*-.....:.:.:.:.:.:.:-:.:::.:.: : *... . B :• ••• • • • • • • • • • :* •••••.••••••• • •••••••••••• • : :••••-....** • • - • • • - • • • - - • - - • - - - - • - • - - • - • • • - - - - • - - • • • • • • • • - - • - - • • - • • - • • • • • • - • - • - , .................................................................. 1 %-.%-.-.-.-.••••.%%-.-.%%•.%%-.%%%%%-.%•.-.%%%•.%-.-.-...%-.-.-.-...-.-.%-.%•.-.-.%-.-.-.%-.-.%%%%%•.- ....... .................................................. .. .. ........ ......................................................... ................................................................. %-.-.-.%%%%%%%%%-.-.%-.%%-.%%-.%%%•.%%%%-...%%-.-.%%-.-.%-.-.%%%-.%%•.%%%%%%%%%%%-.-.. • L • Mound Component Dimensions A 6.00 ft E 17.44 in H 1.00 ft K 10.18 ft ft B 100.00 F 12.00 in ft 9.43 ft L 120.36 ft 1 D 16.00 in G 0.50 J 8.02 ft W 23.44 ft 600.00 (ft Dispersal Cell Area I 1542.551 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.83 (ft) --Di- .. ,. • . G I I H F Dispersal Cell '• .*:••• •'.'• • - 99.33 (ft) Lateral .. , ....• . • •.-. ........,..„ Invert Elevation . :- • 98.83 (ft) — ::i:::::::::i:::, 9. ,:. :::::::::::::::::::::::. ::;::::::::::::::::::::::::.. . .............. ............... ............... Dispersal Cell Elevation E :::::::::::::::::::::::::::: 0 : ::::::::::::::::::11::: : :::: : :::::::::::•. . • - • - - - • • • - • - • • - • • • - • • • • • • • - • - • • • - • • • - - • • • • - • • • - - • • ),?,), ■ .'.. %. '''......) W ), . ..).' .‘' ''.4. ''' ' ' -...),,, - ,&,,,..\? . .' \?', A.,{ ''. x.3 iii ...; - --\> ›•:),-A--),'S -,,\,.-- , , +,,,, N , -',',' 4 ----...--.-- 97.50 (ft) Contour Elevation 2.0 % Site Slope Typical Dispersal Cell Shading Key vs 0 1 - g aix See Page 5 El Topsoil Cap o c Geotextile Fabric Cover [i] tz=1 Subsoil Cap 2.- 2.0 ft 31, rl ASTM C33 Sand -0 2 j ,..&iigg'IPAtig!..*5--A14 F gni Noat Tilled Layer d 2 • .0 II 0.5 ft -t*.•.. „pp.- ..7.: ,,,p; fl '&34.33 EZFlow Media zt 0 _4r__ • -...vs--- , ..v..s-' . il ,----- A —4 ' See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: MARK CELLOTTI Page 3 of 11 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Force main connection via tee or cross to manfold at ang point. Laterals are identical Orifices point up, except every 5th one Ec P , pests down for drainage. - S i •= Turn-up +arball valve or x---)1+102 , 1d23 Laterals be face main of PVC Sch 40 cleanoutplug � I per COMM Table 84.30-5 Number of Laterals 4 Orifice Diameter 0.125 in Spacing Latera Lateral Diameter 1.50 in Orifice (X) 2.01 ft Lateral Length (P) 4925 ft Orifices per Lateral 25 Lateral End (Z) NA ft Orifice Density 6.00 ft /orfice ty Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Manifold Diameter 2.O in Rate 10.30 gpm R.. Lateral Flow 9P ,-- System Flow Rate 41.19 gpm Forcemain Velocity I 4.21 ft/sec Dose Tank Information Locking cover with waming label and locking device, and sealed watertight Electrical as per NEC 300 and -;:' Comm 16.28 WAC " 1 4 in. min. 1 Disconnect ......_______ i II Tank component is properly vented E < Alternate outlet location J Forcemain diameter WIESER Manufacturer — a 2 in. Capacity 800.00 Gallons Volume 22.22 gal/inch A Weep hole or anti - sg Dimension Inches Gallons i B siphon device A 18.32 407.11 C B 2.00 44.44 H d 4 Pump off elevation (ft) C 5.68 126.25 in 1 90.831 D 10.00 222.20 D Total 36.00 800.00 Dose tank elevation (ft) Min. 3" Bedding under tank. 4--- 1 90.001 Alarm Manufacturer SPI 1 Alarm Model Number OBSERVER 100 1 Pump Manufacturer GOULDS 3885 { Pump Model Number WEO 5 H I Pump Must Deliver 1 41.191gpm at 1 22.671ft TDH Project: MARK CELLOTTI Page 4 of 11 I EZFIow Distribution Cell Media Layout 6.00 (Cell Width (ft) I 1.50 ISidewall to Lateral (ft) Distribution CeII Cross - section Arrangements Drag appropriate drawing to space below. .VIII 0'`1. *11 ■■:0'1. ANN* r �11111A r 1 �1111►1 -t W1• . • ; 111111 6 ft Wide I ► »»>i ►��..�; »ti »� ► »ti »� s ».�� ti » »► :iii' `iii; . ;;V Var Nat" Component Legend 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths .s. t1. • $ AA 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths 4" Distribution Pipe With Pressure Lateral Inside Turnup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 6.00 'Cell Width - A (ft) I 100.00 I Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. SEE CORRESPONDENCE Force Main - -- - - -- -- - - -� 6ft Wide Center 1 Manifold Mound System Maintenance and Operation Specifications Service Provider's Name CALVIN POWERS Phone 715 - 246 -5135 POINTS Regulator's Name ST CROIX CO ZONING Phone 715 - 386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFiow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade �., 6-8" Diameter Lawn : : : =: Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where - - - Variable Length Cleanout Begins 111 11. Long Sweep 90 or Two viov Vii »>. »>01.104 ,»»tiV»tiNti»»»WINNW 45 Degree Bends Same 1111 11111111111111111111111` 111 1 Diameter as Lateral 111111111111111111Ml 111 EZFIow Media 1111111111111111111111` 1.26 Feet ti 111111111111111111111111 11 4- Distribution Lateral - -► 4 Lateral Cleanout Project: MARK CELLOTTI Page 6 of 11 Mound System Management Plan • Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZFlow Mound Component manual 6/3/03 and SSWMP Publication 9.6 (01/81)1 and local or 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 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Seetiic 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be deaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated 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 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. 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. Mound and Pressure Distribution Svstern No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound 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 mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution 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 dogging 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 shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project MARK CELLOTTI Page 7 of 11 1 • • ` GOULDS PUMPS Submerse $ le R ; Effluent Pump MODEL 3885 _._ WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. T. APPLICATIONS • Shaft Corrosion - resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded • Capacitor start motors for without damage when fully foliowdng uses: design. Loc on all models maximum starting torque. submerged. • Homes to guard against component • Built-in overload with • Bearings: Upper and • Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing Trailer courts rotation. • STOOW or STOW severe duty construction. • • Motels • Fasteners: 300 series oil and water resistant • Power Cable: Severe duty • Schools stainless steel. pow cords. rated, oil and water resistant. • Hospitals • Capable of running dry • —1 HP models have Epoxy seal on motor end • EMA three prong vide secondary moisture • Industry c o m out damage to NEMA plugs. provides s of outer jacket components. • 1 t HP and larger units have and prevent oil • Designed for continuous bare lead cord ends. damage g. and to to p r reve is 2t?'. SPECIFICATIONS operation when fuliy Three phase (60 Hz): Optional lengths are available. Pump submerged. • Class 10 overload p rotection • Solids handling capabilities: MO�� must be provid in • 0-ring: Assures positive W maximum. separately ordered starter sealing against contaminants ` • Discharge size: r NPT. • Fully submerged in unit. and oil leakage. • Capacities: up to 140 GPM. high-grade turbine oil for • STOW power cords all have AGENCY LSTINGS •Total heads: up to 128 feet lubrication and effident heat bare lead cord ends. Operatiorc TDH. transfer. m■ceasom rrs and Designed for Continuous •Temperature: ■ Class B insulation on Pump are S cSA222108 sti cis By Canadian Standards 104°F (40°C) continuous '/3 -1'h HP models. wp the motor manufacturer's c us File #11138549 Assedation 140°F (60°C) intermittent. • Class F insulation on 2 HP recommended working hunts, GouldsPumpsis 509001 Rte. • See order numbers on models. reverse side for specific HE voltage, phase and RPM's METERS r available. • 130 �1 Pf9I!i�ErT =i•■r11■r�r! ■�1.1>t vita l•rlir>•1• . • ' • iaotiat itit�t♦�r♦llti♦ to ■ =�•■a!/ ti . r4 • W /0 SOLIDS FEATURES 11° • - 1 0 l :1.11•■ I�1■!>•rl�rr■■rrimmon �>lai7 r� +` 3500 & r�i� 1/s =�111ES1 11,11111111115g per. 30 - 1 0 0 1W�1• =i!�! s ct'n�r [i-trir • dm Cast iron, semi- �������� with pump- �� 11��_ i■��ppi_,� 1l�Ir >. out echanical ■r>• 0 �i►a11•��a■l••1�■�•M!•1��■r��� ter = 2 5 � v31 " _ r /�rrnaroi rr rr r n�rarr seal protection. Balanced for u ■i r• turn•aivtan`moir.l.u���1■■mm1•is■ nammom1■1.1N smooth operation. SWUM 1 20- ;i �r ■6>r:aat: IIINIM•rr�i>• rI•�IMI•iri� bronze impeller available as g S a 1 its_ ■0r■>. ••ia>■r>E�m Nu ■ mista■�mu■ L_ u._ an ■Irr�ofii�en ■Im<■ - ounom ■ imam r an option. 4 15 - 50 i•*,^7�*11 % ►!8t•1 ►4r i)•1•\!1•■1!• rI• 1• $ ►te r \r duo \.fi\'�uumma ►:,um1•s1tmr� ■ Casing: Cast iron volute g 40 i■1•i -0 1t�1U11 ■il►!11111rr1ca111••1NE■r■■� 10- rf•r,+1n . !e1�■1 t■r \! ■1r1��wawan i•■Iow wee type for maximum efficiency. 10 „t ;,,, rr� •ramwllzeotta ■n•1.r■ur■■.[ muww■01I 2° NPTdischa c*- _ ,- � � 1 li •1.1 � ��•� ' 20 rn1I wo rmer, ��a�i•mtto\r lt�mr•r ■ Mechanical Seat SILICON 5 >t■>•1.1■tI• 1� 1•.,. ∎ r►. CARBIDE VS. SILICON 10 ■n■1•■r(ii■■ 1• t ■na,.,1•r1E■0iMINII/1.1•■■>•1111■r•t1111.1 tt■1onslmumana imarsa■mhookri 11111111111i1111l11111/itri■t CARBIDE sealing faces. 0 - 0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 Gem Stainless steel metal parts. ( 1 1 1 1 ' ' ' ' ' ' , ' ' 1 --'" BUNA -N elastomers. 0 5 10 15 20 25 30 35 maihr CAPACIlY Goulds Pumps o 2004 n1 Water Technology. Inc. ITT Industries Effective December 2004 . - - - - Pte- 9 tcZ. c No - 5 cA3 S.e.caI 73/N -/Z s - a as ;4_4,11.- C _ ,�• e 7 St Cr U 1 y --.., y/K -- A 134 in 6D11O S, in 5e /'= i i o r /d, 60/gap CO t•e- 5.A C ino 61 L ae-k ,,,.„ G 4 e.0 5/f msv ,to a31 Yy K > �o ,3i. tilitAA Ped,sw _ _ _ _ 8,9 4x/ 0D El 98. - - C -t-o .,4 E- 1 9-7 - a ,. � 1 f -'` !a° \ ‘. ti- , ft �d S/� r _ N \ eidp ' - - e - - sa .4. 7/ L./ ) • Wisconsin Department of Commercer NIP SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings rn acco "th Comm 85, Wis. Adm. Code County �+ -- Attach complete site plan on pa r ess than 81/2 x 11 inches in size. Plan must ty J' "1'0 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 460 -*/ -. 24 — 060 Please print all Information. Re wed by Date Personal information you provide may be used for secondary purposes (Paw, s. 15.04 (1) (m)). ' / .4//A5 Property Owner --AEC 0 Property Location t lj-(-kc, 0,�t n V t Govt Lot NE 1/4.S1u 1 Sai T .3i N R /( E (orC) / Property Owner's Mailing Address # Block # Subd. Name or CSM# oat[ S ACS -k A. Q PA N/A ?acres City State Zip Cod:. P @ f tieUNTY ❑City ❑Village (Town Nearest Road a , w� ,kf 00 • :iii, �:: � , ' ' 01 for. , os,f- al ❑ New Construction Use: gi Residential / Number of bedrooms y Code derived design flow rate , e ) GPD gwit Replacement ❑ Public or commercial - Describe: rent material Flood Plain elevation if applicable A ft. General comments and recommendations: 1 Boring # El Boring / 3 5 !3 IN Pit Ground surface elev. 97'.7 ft. Depth to limiting factor -7 0 �/ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 6 - 6 7 syh.3 J. n)dne.. 5 / a if sM m-s*- . s a r h , G , 8 . 4 - a© 7 S'� >)" --Q- 5j/ '- sbk PA $r Cr $ t in , 6 , f1 _3 2 D30 7Sp. S -` Ea . 5y,._5..s Si / ant 5IK ►Y1+', _ — !, ,g . Boring ' # ❑ I1 Pit Ground surface elev. 975 ft. Depth to limiting factor of I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD,ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 , y .Syi-.' d, -- Sril dms6k (/' 4 t A M ,b .. V ? 'f -if 7,s 5 -g 5/ an m3,- C! a,e ,L /, 3 11- olt, - 5 - 4 51 :1 m51 fi t` G / rr ■ d /. 7 p76 . 5-6 c _ C/ sy..s -g 5l a►n S$K mf - ,6 1. . * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * nt #2 = BO; < 30 mg/L and TSS < 30 mg/L Name (Ppre Print) Signature CST Number 0� X0537 iv : n Address Date Evaluation Conducted Telephone Number !4109- fV?7 Akew cf i G.9.1 SYoi 7 -/7- JO '7(s- .)y(o -SIaS j Property Owner ' 1 ak. CamAX 0 fr1 Parcel ID # / Page of 3 Boring # El Boring / [A Pit Ground surface elev. 1 fi ,j ft. Depth to limiting factor o?(,o in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Eff#2 7' Sh l il a 51 as SbK W1 v S C /. A- 7 /1 - 2 S S -S? — 5 / 5.2x p f - 4 w a �� 0 - /y =� 5.• 5-). r� -5/ 9m 5 ` Lk Mcn- w -' A b at, 3 � a7 rf!o cac'ts G -�i .5 ea iv .SOk M4-'t' /. 0 I Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2 I Boring# ❑ Dufing ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. • 'Eff#1 • Eff#2 " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and T$S < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 31304330 te.aroof Property Owner C� b� O 1 i Parcel ID # Page of 3 Boring # El Boring f ,� , g / 1,3 I Pit Ground surface elev. o, / / 5 ft. Depth to limiting factor cp?(o in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0-, 7' c i - r 1 a 51 d 3 SI,x tm xi s-r e c6 a -h .( 6 ; /. c . - 7• `1 "2 Sp. S -P _ 5/ .2 01 52) x p - f w 7 aG36 s „ S -4 caas f._` s/ a iv..51k m4-1‘ — _ e to I Borin # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 1 I Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Mansell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 Eff#Z • Effluent #1 = BOD > 30 < 2 2 0 mg/L. and TSS >30 < 150 mg/t_ * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/1. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. san4330 (11600) S e l. I E..1 4..a,4.,.4 M C 42.11C1 - t+t ' PIG., v Me Jew s a/ T3I NI-- Rh. LA) a /-5 aD s'',4 0 C) clv. fl ‹,:t _ 66 5 C r o 1 X 0265 .' 2..._- -/ �s� 1r 4.v�� u .. I: _5,1 7 •74 e res 7/5 .16,- 5307 E11 bo, 4 44r 8, r .. i _ 's«(� • C-I /oo. b 0 1 t N 36 ' crat, s N °,,. a . N \ '. N .. , \ \,,i N {'� shed \ r \ E . i9 1 \ el cr 9 >s _.._ 50, Lot Z, yk 07 4 Ali • 191- oowootssfvx 8568 - 5r£ - 008 11 9OOZ 'NVr 'AM taw 1 VP �ttva ost�s 4 ' �OU*H sn slam 1Vnrrow OLLd3S ,.mss 6 - a ova , oM GIs was a n -QEs /OOZicna . ° E o i � = hi _ te p ,( p 1-- z � d t a 0 54 OV o g� m ' 1stz 2r. 0 0 -a m ! N /p k �,pp _ to= V go ` w �p � < st•� O Q V a _ p < CI CI @ i .ifa Sal Z 61 3` 2$ V V � a 1 . o 0 ?,', a 1: C 1 co g N a < ti z < m ti co :r o i4 r r t_ g rill 1 4 i as _ i - _ r. — _ ----- - -- j _ = fin - s7 _� a � II : ;.' - i :IN . "`" - ' 's."' 1 / b i I 1 V c r 1 i i . ' 1 1 I I , 1 -96 /1' (r °d - y ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP IP CERTIFICATION FORM OWnerBuyer Mailing Address „ ... /TA> aza Ai-I GOT ...S" Property Address el (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location! g '/4 , SU '/4 , Sec. �} T N R ---�_ W, Town of CyJ � __ Subdivision P , Lot # Certified Survey Map # , Volume , Page # Warren Deed Warranty # 3,3 5U � �° Volume SE( , Page# a Spec house yes ) Lot lines identifiable no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Pro e or maintenance consists of pumping out the septic tank every r the system can affect the function of the septic tank as a treatment stage in the waste disposal al system. Owner maintenance responsibilities are specified in §Conan. 83.52(1) and in Chapter 12 - St. Croix County Sanitary pumper. What you put into h' tary Ordinnce. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form owner and by a master plumber, journeyman plumber, restricted plumber or a licensed, signed by the wastewater disposal system is in proper operating condition and/ (2) after inspection and pumping pr (f necessary), the s ep on- tic tank is on-s eptic less than 1/3 full of sludge. i 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 Coun Pl Zoning Department within 30 days of the three year expiration date. ty arming & I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms L/ / IGNA _` ` Q' I D OF APPLICANT(S) DATE `* *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** nclude with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if eference is made in the warranty de REV. 08/05) PL= 1;5 EFFLUENT FILTER COMilltERCIA Polylok, Inc is pleased to introduce its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD (gallons per day) making it one of - I the largest commercial filters in its class. It has 525 linear feet of Alar ' . I 1116" filtration slots. Like the accessibility r; Accepts PVC Polylok PL -122, the new Polylok e e on handle PL -525 has an automatic shut off ball installed with every fil- ter. When the filter is removed for cleaning, the ball will float linear oft / filtration slots c up and temporarily shut off the Rated for over system so the effluent won't 10,000 GPD leave the tank. No other filter m on the market can make that 7.;.1k daim. Why have a filter at all if SCHD. a0 the effluent leaves the tank during ,, regular eg ar deanin ? 9 iii ...... e ,,,,,-,_„: ,..., ..,,,, .,..,, ,. See Polylok's complete line of products by visiting Gas deflector our Web site: ® Automatic shut -off bal when fitter K is removed .polylok.com - - -- ! . ., -Y -r 60 Capital Drive, Wallingford, CT 06492 - � •10 1- 877 - Polylok (765 -9565) Fax:203- 284_8514 tl Made in U.S.A. E -Mail Address: sales@polylok.com i Web site: www.polylok.com W ork Precaster . Precasters. _ r . ~ ' ' ` ' • ' DOCUMENT NO, y STATE BAR nrWmcomumw , WARRANTY DEED ` "� "�/�/����] y0L ��/� ^� " '�'� r^m ;"^'' m n"vrn /ov RECORDING DATA ~`~^~=m^/ w�� �,/ �� || _ �� BY TRcBDEED, . T , /a |����/sTF�� OFFICE | ii �_ _ - __ - __ ;1 U — -- ST. [R(}\X CO., WIS. ii | ! _ Rac\i fcr Record th� �2� Grantor conveys �m°.""m"m CelIotti and d ! e {�eIlotti. husband wife ,_as ' - teI��lt� ��-----��--- �� _-___ 1, A jil. -- _. _ | ___ S mnmvvwu*mx U xxu valuable consideration --- ------ur»m��--- ____._--'------- | o - ------- ----�-------- RETURN TO --- -- V the following described ,"°/ "w"t" in St. Croix County, State "/ m"""°"/": II , z= w Key U U Thmis homestead property. , C : The North 31 rods of the West 36 rods of the Northeast Quarter of " '. the Southwest Quarter (DJE- � of SW-�) of Section Twenty-one �2l1 | \| Township Thirty-one (31) North, Range Sixteen (16) �- ``eote `" |] U 6 acres more or less. . '�� i' - � ^ � / || / / � TRANSFER / Id 0 0 7��� '| ^'�" | � ! |. Esc°v�amwoount�,: | ` / . ! '' , ii � it Executed 0 ��/" / day a J\ogILst , 19 ' 76. / |/ ....4- _ -' SIGNED AND SEALED IN PRESENCE OF ' �N�«' ^^ -� - - ~ '/ (SEAL) / / / _Ilublc2M Thomas 2V/�� ^- '-------�'----- (SEAL) , || --- �` --- -- �--�-�'-�------' � N/A ___ (SEAL) / U ---- -- ---- (SEAL) j . . , Signatures of Ruby M- Thomas __-� ___--_��_�- - ,, !| authenticated this _-_ ,72 ^ ..,, _--_ day "/ ------�_-_August__ ' 1o 7,Oi r---'------------ ` i! i� G. E., Norman Title: Member State n", of nm""""i"-mr-*t+te-r--1-It"Ele- - -.. *u+h-orii=*• ii-06 -HEY- -r-i-7 U � y STATE OF W!SCONsIN [ \ °"� _-m/��__. / � | Personally came before me, this_ __ ��"x�°.,num°x day m || -_-___-- -----�-' —� --- -- ----- ---��- --�-'--�- -- -' ' _. .'____-- --- - — - ----- | ---- '--- --- ' -----� -�- to me known to be the person who executed the foregoing instrument and acknowledged the ""m". - -- N/A This instrument was drafted by Doar, Drill, Norman & Bakke ------- -��--- New Richmond, Wisconsin 54017 ' m"/ ,,r r.bx" N/A r~."* m°• The use of witnesses is optional. My Commission (Expires) (Is) . .