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HomeMy WebLinkAbout191-1021-10-000 Wisc nsn� Departtnent of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix SafehSnd Building Division INSPECTION REPORT Sanitary Permit No: 515203 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City X Village Township Parcel Tax No: Deutsche Bank National Trust, foreclosure I Village of Wilson 191 - 1021 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: _ Section/Town /Range /Map No: 26.29.15.124 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / .+ �/ Benchmark (_ fG; 2 . l Cam: Dosing ( , Alt. B s., AetatTon { I � ! / Bldg. Sewer 4- 3 ' .5 v Holding St/Ht Inlet �� 4 � ( TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet � Septic / Dt Bottom Dosing i Header /Man. jj r 7 Aeration Dist. Pipe Z • 7 Holding _ Bot. System _ - - 6 �• J,� PUMP /SIPHON INFORMATI Final Grade r Manufacturer Demand St Cover GPM :°. / c� _ C�u..i -� �7 Model Number (3 2- 76 TDH Lift ._ Friction Loss System Head TDH _ Ft ' Forcemain Length Dia. rr Dist. to Well cZ SOIL ABSORPTION SYSTEM BED /TRENCH Width i Length No. Of Trench�s PIT DIMENSIONS No. Of Pits Inside Dish liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of S stem: r ! CHAM OR Model Number: DISTRIBUTION SYSTEM,. Header /Manifold r r Distribution r / i x Hole Size 7 � x Hole Spacing Vent Air Intake Pipe(s) j / / ! Length "� Dia Length a _I Dia Spacing j 7 t'' 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 j :— f— Yes El No les No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: fi t- / . / ` / Q Inspection #2: / / Location: 779 310th Street Wilson, WI 54027 (NW 1/4 NW 1/4 26 T29N R1 5W) NA Lot 1 �I^r 0 Parcel No: 26.29.15.124 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = / Plan revision Required? i' Yes )<No �U se other side for additional information. .L _- - - Date Inse or's Si re Cert. No. 3BO -6710 (R.3/97) fd C - w4 -gOv Safety and Buildings Division county f 201 W. Washington Ave., P.0- Box 7162 1 D )4, n� Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) 515203 State Transaction Number Sanitary Permit Application In accordance with s. Comm. 8321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address if different than mailing address) submitted to the Department of Commerce. Personal information you . (I es in accordance with the Privacy Law, s. 15. i m status. L Application Information - Please Print All Informatio I {� (� parcel # �( Property Owner's Name DEC 0 2 2009 a 24 I la � pr°perty owner's hUMMS Addreea ST. CROIX COUNTY a v 5 1 PLANNING a ZONING OFFICE Govt. Lot City, State Zip Code r y,, ' /., Section /V )�CA I r T RE o n W II . Type of Building (check ail that apply) Lot # 3 Subdivision 2 Family Dwelling - Number of edrooms Block # Nam C5 ,,� .�---� Uo / a n � D Public/Commercial - Describe Use 4 � Q " "' '� D City of CSM Number D Village of L✓ ❑ State Owned - Describe Use ' e e J 15>5-57 ce- III. Type of Permit: (Check y one box on line A. Complete line B if applicable) A- D New System lacement System D Treatment/Holding Tank Replacement Only D Other Modification to Existing System (explainj/ J �\ List Previous Permit Number and Date Issued (r J B. D Permit Renewal ❑Permit Revision ❑ Change of Plumber ❑ Pemlit Transfer to New �� • / Before Expiration Owner IV, Type of PO WT i S tem/Ciim onent/Device: Check all that appl ❑ Mound > 24 in. of suitable soil < 24 in. of suitable soil ❑ Non - Pressurized In- C:round ❑Pressurized In- Ground [I At-Grade _ ❑ Holding Tank D Other Dispersal Component (explain) ❑ Pretreatment Device (explain) ti�gn Dis rsal/Tre atment Area Information: ti 1 ersal Area sf) System Elevation Flow (gpd) Desi / g� Soil Appli te(gpdsf) Dispersal Area Requi sfj� sp � ' � � Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o is New Tanks Existing Tanks k-4 V I U Septic or Holding Tank Dosing Chamber 9 l VII, Responsibility State t- I, the undersigned, assn a nsibility for installation of the POWTS shown on the attaehed plans. P is Name (Print) Plum ' tore MP/MPRS Number Business Phone Numbe - zZ Plumber's Address (Street, City, State, Zip e} �. / D 0—c2s (�� S VIII. oun /De artmen Use Onl Permit Fee Date Isf ued I Issuing A e Signature pproved Disapproved 625 Owne n for Den' $ IX. Condit1"tqtAp@� sons for DIU rov 3, PM t�� 1. Septic tank, effluent fixer and dispersal cell must all be services / maintained j �'/�„ �-`qr� ��• �/ I as per management plan provided bypkimj* / 2. AD setback requirwhente mast be maintained 0 adoa jmw.-,4� a system and so fi m ok to the County only paper not was than 81/2: 11 lathes in she HA G 4 y SBD -6398 (R. 01/07) Valid thru 01/09 4"s (o> k7tlr 6eKxc, 4'b lu. PLOT PLAN PROJECT WAMU /Chase Financial ADDRESS 204 S. Knowles Ave New Richmond Wi 54017 NW • 1/4 NW 1 /4S 26 /T 29 N/R 15 W TOWN Springfield COUNTY ST. CROIX SYSTEM ELEVATION 94.4' 1.5' sand lift BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. top of well ASSUME ELEVATION 100' Filter BEST GF10 -8 BOREHOLE O WELL *H. R. P. Same as Benchmark Scale = 1/4" = 10' 4.9 Acre Parcel ST Overflow Old system is to Existing 3 be pumped and 520' Property Line Bedroom buried House Clean out Well B. M. Driveway To be insulated as per code Huffcutt Combo Tank 2.5' 93.5' Grading is to be done 91.5' to divert run -off away from system Tank is to be 90.5' B-2 properly bedded B-3 and provided with lockdown covers with approved warning labels 7% Slop Area 15' below I co system is to 92,9 remain B-1 Shed undisturbed so 150' 410' Property Line PLOT PLAN PROJECT WAMU /Chase Financial ADDRESS 204 S. Knowles Ave New Richmond Wi 54017 NW . 1/4 NW 1/4s 26 /T 29 N/R 15 W TOWN Springfield COUNTY ST. CROIX SYSTEM ELEVATION 94.4' 1.5' sand lift BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. top of well ASSUME ELEVATION 100' Filter BEST GF10 -8 BOREHOLE O WELL *H. R. P. Same as Benchmark Scale = 1/4" = 10' 4.9 Acre Parcel ST Overflow Old system is to Existing 3 be pumped and 520' Property Line Bedroom buried House Clean out O Well B. M. Driveway o be insulated as y percode Huffcutt Combo Tank 92.5' 93.5' Grading is to be done 91.5' to divert run -off away from system Tank is to be 90.5' B-2 properly bedded B-3 and provided with lockdown covers with approved warning labels 7% Slope Area 15' below system is to 92.9' remain B-1 Shed undisturbed 50' 150' j F 410' Property Line JV T - Safety and Buildings commerce.wi. OV 10541 N RANCH ROAD g HAYWARD WI 54843 It �Contact Through Relay i s c o n s i n www.commer isco sin.go / epartment of Commerce www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary December 01, 2009 CUST ID No. 226900 ATTIC POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/01/2011 Identification Numbers Transaction ID No. 1744129 SITE: Site ID No. 753442 Wamu Chase Financial Please refer to both identification numbers, 779 310TH St above, in all correspondence with the agency. Town of Springfield St Croix County NW1 /4, NWl /4, S26, T29N, R15W nditio' FOR: � Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1249812 fo&EP oitj a EM OF q P Y P g uired• Replacement system; 450 GPD Flow rate; 19 in Soil minimum depth to Maintenance re Re s limiting factor � {tY original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribu Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Effluent Filter SE E GORRE: The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative des and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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: Key Item(s) • 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 Action VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. SHAUN R BIRD Page 2 12/1/2009 , • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code. • Insulate building sewer per COMM 82.30(11)(c). 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. 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. Sincerel Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 - Patricia L Shandorf POWTS Plan Revi �er I rate ted Services WiSMART code: 7633 (715) 634 -7810, Fax: (71 34-5150, M-th 8:00 - 4:45 lwi pat.shandorf @wisconsm.gov - -- cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726 -2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a buildingproduct not on the building site. For further information, go to our website: www. commerce. wi. aov/ SB/ SB- BuildinizContractorProeram.html SHAUN R BIRD Page 2 12/1/2009 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code. • Insulate building sewer per COMM 82.30(11)(c). 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. 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. Sincerel Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf Z� POWTS Plan Reviewer , Inte ted Services WiSMART code: 7633 (715) 634 -7810, F (71 34-5150, M -th 8:00 - 4:45 " pat.shandorf @wisconsm.gov err, - j cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a buildingproduct not on the building site. For further information, go to our website: www. commerce. wi.gov/ SB/ SB- BuildingContractorProeram.html Cover e Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 11 / 19/09 Owner: WAMU /Chase Financial Location:NW1 /4 NW1 /4 S 26 T29 N,R15W 779 310th St. Springfield System type: Mound System S Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Iv I D Page# ow 1. Cover Page 2. Mound Plot Plan >PpNpEN 3. Mound Cross Section /7 4. Pipe Cross Section /Pipe Layout / 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contig n plan 9 -12. Soil test Shaun Bird Signature License numbe 6900 Mound System Cross Section and Plan View j �� Dimension Feet J B D 1 S rf . E A " F W i ,�-.• G Z .:Y r a H � .d '? I , I J g K k.. L tl ' 1 .,w'x' `r.� ate^,.... ". �". �':',,,,,,.w�'?',.. W K —B• Z slo o 1a ' L = Topsoil = ASTM C -33 = Clean aggregate = 4 in. sch. 40 pvc Cap Material sand fill '/2 to 2 '/s in. dia. observation pipe Geotextilex, H Fabric y F Ft 1 i•., D ,t E Ft Contour Plowed Surface = - Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x Vii is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 1 /4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C -33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10 /071gj Page of Pressure Lateral Layout Two Laterals -- End Manifo ld � �— Threaded Cleanout Lateral Turn -up ;---► Plug Manifold M dL x ---� I L i Long i Force Main Sweep { V B Distributimi Network 5 cations Pressure Syste Contraction Lateral Diameter In. Manifold Diameter In. Laterals are consum* of Schedule 40 PVC Orifice Diameter 3 in. pipe. orifices are ed perpendicular to X Orifice S ' in. the pipe with a sharp bit and fa down. (Lateral Le Ft. Lateral turn -ups with a threaded L M ' old j Ft. cleanout plug and are =losed in a 6-8 inch Force Main Diameter 2 in. diameter lawn spriuldc r valve box accessible Force Main Ft. from finished grade. i 1 • • • • • Grade 6-8 Inch Lawn Sprinkler Valve ; (( Box k Well 03 /05l j a. . 1 ii • ii • e Cross Section And Pump Performance Specifications Septic -Dos Tank F. Pump Manu 714umber r Manufacturer p Mode i P el Number d Mod 3 Alarm Task Cap Bur acity d Alarms Number � y Depth '' Switch Type �� u Total Dynamic Head CFD - Feet Filter Manufacturer Filter Model Number Elevation Head 3. v Network Loss 1' Minimum pump �erforananoe Required Force Main Loss r v .. GP .� Ft TDH Total Outlet Manhole 4r Above Grade With Manhole Min. 4" Above Grrade le with Locking Device ��g 'ce: Inlet M an h ole Securely Mounted < "Below Sealed W atertimht Weatl f 6 Pry Junction Box woo Fi0shed (ka r Vent Min. 12" Disconnect Above Grade Means With Vent Cap I Outlet Filter --,► - - -- - - - - - -- Inlet Baffle ' .ti Inlet �: a a- '"..`— . '/4 ' Switch Set*V and 'e a :: Weep :' Hole ,;,• V = /.S� GPI ' Tank Q . ; B Gal. lame :•: < Vo �tnensioh� Inches {,eserve} t�. - S .; . off Elevation C ( alarm ) B : 2 3 +, Ft :�: Bottom ,r .S 7 , . <; (dose) . 4" • .. ... Elevation D Ft ., :• (dead) Total ;. <, •,• :.•.•,,,,:.;: '•'< • • > : > + a: • >:: �:: •�•i : :::: •: : a a a a a • a s a < a < s < < a a a a s < ': :sa aa< sasaas ••s<saaa a<as aasaa sasssaa with filled in accordance with the se took is bedded and ba* rer may not TION: The of bury as specified ft . by the manuacu GENERAL Maximum depth manufacturer's product approval specifications. have an effective locking device (padlock} be exceeded without prior approval. Manhole covers exposed connected t the tau t fittings, and installed. piping at the inlet and outlet is of approved material, conaecxtank pVC to b laid on stable soil to prevent settling or sagging• The force Main is sleeved with 4" Sch. 40 .PVC to budge the tank watertight• Electr complies v�nth NEC 304 and Comm 16.2. excavation and the leave is sealed Page * Of - 02/05 Li st sat syswn sbd up sho AtX elf.,rrm Wiwi j j�(iit9ti pvras S OlIN abaft � � fife �sj � gty ttt�titt ttte During P a P oetS{S? . tie dose. tactic tect:ovad by s sp t�,e tint aloe h2vmm tt�e of fire Pip aau:taee w the eft ptw►P OOC s p ecaeP09AlT� m _ S'epmxpe 'ppe va to rea" normal satinets ww1b, the pww tm ns�r ly ` pa trot �i�e or park ova. t � tb aot�e arpa�cv+aNdeS � sx sol abs&pdM WM keducew � �s w�itt •t5 �t danrtt > of s�Y . #� P� � � � � . Otto �= th y a5er sbrwm may imptt� a tDe b u t* co n d , man mat of so powr& ABANDIDT ra�aecr «it o�ae zhe tam sts� sib ba taunt: !xs one that ttte wizen the PO's �'sxrd/ac is P� with ctL Corrgr+ 83.33, � �' C ' O � vjsum is .,d s .W y a WnftrAid in e� and the abdorsed t wed' Aft ptpttig to to pits stag grid csP� of try a 9ey1ge N .. The conlerAw .f a a tastier snd t" std be terr�d wW removed ar � mmowod� the �n3cf s� P att wtks bw p aoffa . • . co NTradENCY PPM measures been. or rsnrst be tart. to pMride a code be r th$ �s tfft Powrs ftft arm !Mt cW4*"Mowwnft-dwp beW evu b j atoo and nW be u0med for the bcag �� a s • [1 A sc:t�ie csp � � st�outd be pcaze� from td �s aha we�a- FailCU+e �o slawdo sbwrPSW' The frorr� ems artd a ssM1e be &*bVed u pon by M sie� in .the neod for a rsew sorb sr"Ee dusd xs ��R� sy�rns rrsustjccrnPtY the rules In eAiect at hi POWTS • D A t� at" is riot ays�abte du� to setback aejtflor sod a t be as a fast r+esorC to neptace a faded PO D POWt'S a sc3.and ssbs ties clot lh M . t o td 4I IR =s+�MP� areaE ff no rap + eras is ava3aDte a sft ewlt nu to tocafle a teat[ tYtay as 8 that nowt W tt� fad ��S fOifv+�S tzaeo� Of ttfe biome SE r+e°°au� Afts 3n elfect�fl�hl�zse RN94G>> W SAPIWORR& MATH MAY AND TRPATIOT TANKS "Y CCWTAW LETHAL t)Cf 1�T A on OTHM REA' ' TA NK KfidAY BED -T OR OF OF a ,owtar 11014 L ms's Fours P WTS STioLLt3R Marne 4Ll.t/ �� IT7 :I .S Nam � � Prone ✓ — Phow 71 ,r oZ " y� LOCAL MEGUiATQq JWTHaW SMAW SaMM i t Phone Phatie _ — This s code. taerotdaedoe tt,e miataw� sbgeehera�r�s dter:. l emns 7CtX acrd W54G ). 0 & CA tWczt� teeth, pieafftpM t$ ll: Ig Pal I D Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County � , /I /x Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 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. / Please print all information. Date R Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 12- Property Owner Property Location r c l of !fj 1/4,v�1f 6 T 1 C N R E (or Y) Property Owner's Maili tddress Lot # Block # Subd. Name or CSM# City tate Zip ode hone Npfp¢gr o r� noo ❑ ❑ Village )S7 wn Nearest Road L [, � ❑ New Construction Use-56Residential / N " moow ® Flic fle derived design flow rate 7 J Z� GPD K Replacernent ❑ Public or co/m� rcial - Describe: __— Parent material Flood Plain elevation if applicable �i�f ft. General comments and recornmendations: / System Type /�PGl ll / 5 � rr�6� l �f / T System Elevation L F, I Boring # [] Boring V1 Pit Ground surface elev. &0. �ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 P Z I2 41 3 ' I 7 Z r {7 T N I Boring # p Boring Pit Ground surface elev o" 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 0 U 3 1 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 546 7 /r 715- 246 -4516 Property Owner _ Parcel ID # Page of ❑ Boring Boring # F - 31 pit Ground surface elev. J ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 kk o- 3 ---- -- s� ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil icatlon Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 150 mgA_ ' Effluent #2 = BOD < 30 mg/_ and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (RAM) WA mfr' i - '- M� ■ �- - ff ' Soil Test Plot Pl*aii Project Name WAMU /Chase Financial Srd Ad dress 204 S. Knowles Ave New Richmond Wi 54017 M #226900 Lot 1 Subdivision -- -- - --- Date 11 /19/09 NW 1/4 N W 1/4S 26 T 29 N /R W Township Springfield Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of well System Elevation 94.4' * R pSame as Benchmark 4.9 Acre Parcel ST Overflow Scale = 1/4" = 10 ' Existing 3 520' Property Line Bedroom House 310th ST. 0 Well B. M. Driveway 92.5' 93.5' 91.5' 90.5' B B -3 7% Slope 92.9' B-1 Shed 50' 150' 410' Property Line 8 X 3 3 4 4 VOL 20 PAGE 5119 KATRL -1W H. REGISTER OF DEEDS ST. CROIX Co., MI RECEIVED FOR RECORD 12/01 /2005 01:00PH REF FEE: 13.00 CERTIFIED SURVEY MAP P AGE FEE- 3 00 PAGES: COPY . LOCATED IN THE NWY4 OF THE NWY OF SECTION 26, T29N, R15W, TOWN OF SPRINGFIELD, ST" CROIX COUNTY, WISCONSIN. NW CORNER, SECTION 26 LL (ESTABLISHED FROM `+ O N o COUNTY COORDINATES) Lu * s G NBE 3 I NEW RICHMOND WI W° w ° su Cp a��` C) Lu UNPLATTED LANDS O WMER z MCGEE I 77M 31 STREET REET ( I WILSON. WI 54W7 co cr LL = ( S89'58'12E 410.63' _ D UNDER cm o LL I 33.00' 377 "63' SUR DIRECTION OF: THE w I I HARRY MCGEE, P.O.A. M 1 33' 33 1 3 i I Z LOT 9 N� I I 213,880 SQ. FT. ZI co INCLUDING RW I (4.91 ACRES) pi 196,691 SO. FT. w wI p I a El EXCLUDING RW �I SI I § i HOUSE (4.52 ACRES) zl a I � I g WELL �I I z GARAGE I > av I I a g SHED � O I I I I 33.00' 377.63' N89'5&12'W 410.63' Z SOUTH LINE OF THE NW THE NWY UNPLATTED LANDS LEGEND Lu - INDICATES SECTION CORNER MONUMENTED (AS NOTED) S p - INDICATES V X 1W (OUTSIDE DIAMETER) IRON PIPE WEIGHING 1.13 LBS/LIN. FT. SET W" CORNER, - 100' ROADWAY SETBACK LINE PREPARED BY: SECTION 26 (ALUM. CAP X X - FENCE LINE GRANSERG SIAMAE) NC3 INr— FOUND) 1235 C.T.H.'E' NEW RICHMOND, WI 54017 01 120' 240' 360' PHONE (715) 246 -7386 JOB N0.05 THIS INSTRUMENT DRAFTED 8Y: KRISTIN J. GRANBERG SCALE IN FEET 1 "21Y SHEET 1 OF 2 Vol 20 Page 5119 I ST. CROIX COUNTY SEPTIC TANS MADamiMCB AGRBMWT AND O'WVNERE]W CERTIFICATION FORM OamerBuyer "- Ma131ng Address aay s. n ��� A ti ti � property Address �/ 3 ( 04 -� (poem. mlWred ftn platming & Zomag Dam far new dam.) City /State Parcel identification Number LEGAL DEScaDTION_ G Property Loca#ion �i ,Z 1 /a 3 /4 , Sec b T � / N R f L W TO--Of 5 l Subdivision ea Survey Map -Volume o� l� , Page # SII q. Cerdfl ey _ � Warranty Deed # ` �j �9 y J , Volume ______, P # Spw bom ,� Lot Baas idtaatifiabla yes CATION c�utd zeaalt pro Wave to hamdba wastes. ft Impa+oper use d. = l0f 7M a &m ed pub• What YU PDx intD ma ma com ofp out &6 sV tc teak away three years oa soa=' if �edod, ity Owaec the system can affect the of flee trek as a tteatn MA stage in tba waste responsibitities are wed in §Comm. 83.52(1) and in chapter 12 - St. Crone C=14y Sanitary The property (MM agrees to stftm t to St. Crone Ca=ty pl==g & Zoning a ° by fire owner andby a masW p p�c, P os a licensed pumper S ask is wastewater $9m is to prop= 00 `andhr (2) s p (if ncc>asa arY). t less than 1/3 ibtl of sludge: dispos system with the i/we, tune undeftwd have read ear above zequ agree and eO t D o & a wiaoonsia. set fcatb„ bwake6 as sat by the Departoaent of Comore and *a plamming & stating tbax y r has been nobU wd must be and ft rabn ed to SL Crotx Cowry 7Aaf:nS vvitida 3o days ofdw em year to we au s date. ertify that tag .an this fomn tree the best of =WO= lmavnledSe- I/aae atto/are ene awaem(s) of the Uwe c propeaty described above, by virtue of a wauamdy dead recorded m of Deeds Offices Number of bedrooms — Z If z — DATE SI ATURE O CAMS) =* =ma Woamatim thet is misse +esented ray result m the sanitary pe=rt being res►oloed by the Plamaia8 & flood fc m the R of Deeds Offi x dad a copy of 8x owMed anTW map ff In witht�nis a�ecocdad9 re6crance is made in the wwast9 dead- MEV. OWS) f 111(lf lilll flllf ii {fl flffl !l111 fill 1lllif Ilil fill * 8 9 8 9 0 3 1 893903 SHERIFF' BETH PABST Document Number DEED REGISTER OF DEEDS ST. CROIX CO., W1 Drafted by: Duncan C. Delhey RECEIVED FOR RECORD 06/26/2009 10:30AN Return to: Gray & Associates, L.L.P. SHERIFFS DEED Attorneys at Law EXEMPT t 14 600 North Broadway REC FEE: 11.00 Suite 300 CC FEE: 3.00 Milwaukee, WI 53202 PAGES: 1 034- 1058 -50 -050 Parcel Identification Number RE: Deutsche Bank National Trust Co. v. Edward McGee a(Wa Edward dames McGee, Roberta Ross a/Wa Roberta Anne Ross, Case No. 08-CV -593 1 t., i 3c� Pursuant to a judgment of foreclosure entered in this matter, the subject premises was sold at auction to the highest and best bidder, Deutsche Bank National Trust Company, as Trustee for Long Beach Mortgage Loan Trust 2006 -3. Therefore, the sheriff does hereby grant and convey unto said successful bidder, all of the following described land, located in the County of ST. CROIX, State of Wisconsin, to wit: Lot 1 of Certified Survey Map filed in Volume 20 on page 5119 as Document No. 813344, located in the NW '/, of the NW '/, of Section 26, Township 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin. SHERIFF - (Strike the inappropriate title) STATE OF WISCONSIN ) )ss COUNTY OF ST. CROIX) /� / �� Personally came before me this (1 day of , 2009, the above -named /s A f?7�t , personally known to me as the officer described allve, and who executed this document as the sheriff or on behalf of the sheriff of this count,. :a S. Martell `ry PUh` , Notary Public S ROIX County, Wisconsin My commission expires: Q ' I 1 of 1 Dee 3, 2009 XXI" _ 4 Sales O r der SaI conCRETE, inn 10068 INVOICE DATE: D.c 3. 2009 1 PAGE: SOLD TO 310TH ST Bird P1uwbinq WILSOR Vn 1008 19201 Ave New ILi-ch md. Wx 54U7 BivdPl Now � 0 ],000/640 SEPT C X00 29" Outside di etaz *AWJo4Z (PER FOOT) r .. a_o 24 " n MANHOLE w /4" 1.00 CHA3:N FOR COVE DE Ll VERY - 1.5% PER MONTH SERVICE CHARGE l 30 DAYS FROM DATE OF INVOICE Akk t3f:k shedtadby � ,.. c 7 WWW. HUFF CUTLCOM 4154 123rd Street ■ Chippewa Falls, WI 54729 ■ t:715- 723 -7446 ■ f:715- 723 -7111 W a - w 9EH SERIES SUMP /EFFLUENT PUMP 11.65 8.95 O 0 Specifications 1100 e.. Unix W VOUS 501105 SUE RON0100 PERFORA1AOf E (OPM @ NFAO) S80TOFF PSJ. PWR. co . WEIORT 00YE8510RS 00. M0. (0 lal WSIWATTS S' t1' 14 20' (FL) 9111-am 509330 U= �) UjsJ Ol a t i m 4110 115 314 13.0 1000 70 54 55 41 32 13.8 21P 24 9.11 01.64x8.94 11.64 x 8.94 9111-CIM 509340 UM 4(10 230 3/4 6.5 1000 70 64 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 98i- MA -RFS 509350 UL/MA 4110 115 314 13.0 1000 70 64 55 41 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH- CIA-RFS 509360 III= 4/10 230 3/4 6.5 1000 70 64 55 Al 32 13.8 20' continuous Duty Rated — "Little GiantWastewater pumps are rated continuous d 27 9.11 x11.64x8.94 utyaslon g as the y arerunwithinthepublishedratingsforthesepumps ." FLOW- LITERS /HOUR Construction 0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron Impeller Material Poly Carbonate 30 10 Impeller Type Closed Vane Volute ABS W 7.s W Power Cord SJTW -A `` 20 Mechanical Shaft Seal Nitrile with carbon and s ceramic faces w W Fasteners Stainless Steel to 2 5 = Shaft Stainless Steel Bearings Upper Sleeve and Lower 0 Tr TTTT TTiT TnT 0 Ball Bearings 0 20 40 4 80 FLOW- GALLONS /MINUTE PUMP PERFORMANCE CURVE 115V 6 0HZ x ' MIMI Little Giant Pump Co. ( ✓� " = PO Box 12010.Oklahoma City, OK 73157 Phone: 405.947.2511 " Fax: 405.228.1550 www. LittleGiantPump • E -mail: customerservice @littlegiant.com A Form 995235 — 07103