HomeMy WebLinkAbout028-1020-95-100 - Wisconsin Department ofCommerce y
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count St. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) SanitarX�Qn
No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. J UUGG2tS5
Permit Holder's Name: ❑ City ❑ Vj1lag owra,.pf: State Plan ID No.:
Haugen, Tim us C1 fiver 1 ownship
CST BM Elev -- Insp. BM Elev.: BM Description: Parcel b ` X020 -95 -100
�v Oo �.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Se /000 lGVO � � �o_la z oo
BM
Dosing t '
Bldg. Sewer / 2. 3 9
Holdi g) Ht Inlet 2 Zp
TANK SETBACK INFORMATION
TANK TO P / L WELL BLDG. Air I ntake ROAD
Air
Septic 7 Y 1' NA Dt Bottom
Dosing '7 Z / NA Header /Man.
er Dist. Pipe 3 Z,
Holding Bot. System
PUMP/ SIPHON INFORMATION << Final Grade
Manufacturer Demand St cover 1 9 J
Model Number Po Y Z6. V GPM 2 vU `� (� d V , a
TDH Lift Friction- 2 Systerrt S TDH /Z. G Ft
Forcemain Length �� ' Dia. 2 r Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Len th No. Of Trenche PIT No. Of Pits Inside Dia. liquid Depth
DIMNI Z 0
SYSTEM TO P/ L BLDG WELL LAKE/STREAM L NG Manu rer:
SETBACK CHAMBE
INFORMATION Type Of Num er:
System: OR UN
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length __T:� Dia- Length _IL__ Dia. Spacing d(�
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
_]
Depth Over TDepth Over xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center /Trench Edges Topsoil Yes El No E] Yes E] No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: 3 / ?/ 2O nspection #2•
Location: 318 Highway 63, Baldwin, WI 54002 (SE 1/4 SE 1/4 13 T28N R1 7W) - 13.28.17.112C10 -Lot 3
1.) Alt BM Description= �Vp o�
2.) Bldg sewer length= I P'
- amount of cov r = > 3
3.) contour= '1 D Cy- [o�
, 0" We ll 6v �;rlv(
Plan revision required? ❑ Yes 12 No
Use other side for additional informAtion. q /
,G SBD -6710 (R.3/97) Dat Inspector' ignature Cert. No.
ADDITIONAL COMMENTS AND SKETCH '
SANITARY PERMIT NUMBER:
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun
Safety and Buildings Division ' 9i. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitajr�yRgr�gaitNo.:
Personal information you provice may be used for secondary purposes [Privacy Law .15.04 (1)(m)]. 7 V v G GbbJJ
Permit H IcJer's Name: ❑City ❑ Ila e To of: State Plan ID No.:
augen, 4 Tim U 1WervTdw' reship
CST BM Elev. Insp. BM Elev.: BM Description: Parcel.Tax gb20 -95 -100
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 1 b o U Benchmark 0
Dosing �� Alt. BM
r H e ra I Bldg. Sewer
o g / Ht Inlet
TANK SETBACK INFORMATION Starrett - --�
TANK TO P/ L WELL BLDG. veintake ROAD -Dt- In et
Septic NA Dt Bottom
Dosing NA Header / Man. G Z
A a Io NA Dist. Pipe C , �-
Holdi Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand t cover
p,
Model Number Zo_ I GPM y / 0 t 1a d
TDH I Lift Friction System TDH Ft
L oss Forcemain Length O/ Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width length No- Of Trenches PIT No. Of Pits Inside Dia. epth
DIMENSIONS D MEN I
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN nufacturer:
SETBACK CHA R
INFORMATION Type Of Model er:
System: UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
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 ❑ Yes ❑ No ❑ Yes E] No
CO MMEN 31$ ude c d re a s i Hig�w, 13a�
Zocatton: ay �3,Vi s 5��f ��4 t 15 13 T28NR17W) - 13.2 -Lot 3 .
1.) Alt BM Description = C r �o S(�°6 ` tOO.(P
2.) Bldg sewer length = I
i
- amount of cover = 7
3.) contour= 9 ( , p'
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. TI I
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
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ADDITIONAL COMMENTS AND SKETCH ,
SANITARY PERMIT NUMBER:
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�3 4 Safety and Buildings Division
�/! SANITARY PER I � ON 201 W. Washington Avenue
�, P O Box 7162
Department of Commerce In accord with Com d�, W)s. Adm. Code : Madison, WI 53707 -7162
• Attach complete plans (to the county copy only) fort •'jute Jill' r not Iss county r
than 8112 x 11 inches in size.; `' �E • l�f 01 X
• See reverse side for instructions for completing this p cation mt rCh nitary Permit Number
Personal information you provide may be.used for secondary purpose g� if revision to previous a tion
(Privacy Law, s. 15.04 (1) (m)]. •-
{3y State Plan Review Transaction Number
L APPLICATION INFORMATION - PLEASE PRINT A RIVIAT
Property Owner Name r p ation
�1.Yh C 0; 1
1/4,S T , N, R I'? l E (or)
Property Owner's Mailin Address Lot Number r Block Number
City, State Zip Code Phone Number Subdivision Name or C Number
n I ( S� S S - 33S
II. TYPE BUILDING: (check one) ❑ State Owned it Nea st Road
❑ Vi) age
' Public 1 or 2 Family Dwelling - No. of bedrooms Town OF R US h 11�r t. ,� - 31JC� 1p
III. BUILDING SE: (If building type is public, check all that appl n y / - ' _ Parcel Tax Number(s) - 1-7 . 2 G 10
1 ❑ Apartment/ Condo ~�~ oa 8 - loa - 17 100
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
Syrstem ________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 Experimental Other
11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill C
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 1 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
H S O 3 r/0Feet �f- Feet
Ca c1t
VII. INFORMATION in g allons Total # of Manufacturer's Name Prefab. Con" steel Fiber- Plastic Exper.
Gallons Tanks Concrete glass App.
New Existin strutted
Tanks Tanks
ptic Tank or a J00 w ❑ ❑ ❑ 1 ❑ ❑
L ft Pump Tank amber —' I Cl I Cl I ❑ ❑ ❑
VI11. PONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plum r' Sign ure: S m ) MP/MPRSW No.: Business Phone Number:
lJ1 6 a►D 3 J `7 1 - $ - (pq�'S
Plu/t�er's ddre r e , ity, State ip Code): w IO
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Elssui a S' nature (No Stamps)
C] Surcharge Fee)
Approved Owner Given Initial c �� / Adverse Determination l I oo I
X. CONDITI NS OF APPROVAL / REASONS FOR DISAPPROVAL:
�
�'loor� n e_G
SBD -6398 (RA 2199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two 2
Yp � )Y ears.
2. Your sanitary permit may be 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 it stallation
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:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
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 isto 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 8 1%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 loss; 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.
Safety and Buildings
' PO BOX 7162
MADISON Wl 53707 -7162
m TDD #: (608) 264 -8777
N visconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
June 09, 2000
CUST ID No.220357 ATTN.• POWTS INSPECTOR
ZONING OFFICE
BRADY J UTGARD ST CROIX COUNTY SPIA
110 KELLER AVE N APT 112 1101 CARMICHAEL RD
AMERY WI 54001 -1034 HUDSON WI 54016
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 06/09/2002�
Transaction ID No. 321649
Site ID No. 193652
SITE: Please refelrc► both.i
Site ID: 193652, TIM &JENNIFER HAUGEN aboo, �p w
ST CROIX County, Town of RUSH RIVER; STE HWY 63
SETA, SETA, S13, T28N, R17W
Lot: 3,
FOR:
Description: NEW MOUND DWELLING 450 GPD
Object Type: POWT System Regulated Object ID No.: 667287
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.
CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date P.
of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Condit&
Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit
approval if submitted to the Issuing agency on or after July 1, 2000.
Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. APPRC
DJARMIVIENT OF
The following conditions shall be met during construction or installation and prior to occupancy or use: D SON F SAFE?
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to SEE CORRE5P
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.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 06/04/2000
FEE REQUIRED $ 180.00
FEE RECEIVED $ 180.00
ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00
Integrated Services
(608)261-7735, 8:OOAM - 4:30PM, MON -FRI
RKANTER @COMMERCE.STATE.WLUS�
cc: TIM & JENNIFER HAUGEN
I
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
Project TIM & JENNIFER HAUGEN
Owner TIM & JENNIFER HAUGEN
Address 855 PARK ST # 17
HAMMOND WI 54015
Legal Description SE 1/4 / SE 1/4 / SEC 13 / T 28 / N -R 17 / W
Township RUSH RIVER County ST CROIX
Subdivision Name Lot No. 3
Parcel ID Number 028 -1020- 95-100
Plan Transaction Number
T.S.
Index and title sheet Page 1 nally
Mound calculations Page 2 V Mound drawings Page 3
Pres. dist. talcs. and laterals Page 4� ILD�NG
TDH and pump tank drawing Page 5 /,�
PLOT PLAN Page 6
SOIL TEST Page 7 DNDENCE
Designer BRADY UTGARD License Number MP 220357
Signature Phone No. 715 - 268-6995
Date 5-10 -2000
Notice: Tampering with this file by unauthorized persons.is prohibited.
Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats.
Personal information you provide may be used for secondary purposes [Privacy Law, x.15.04 (1)(m)).
SBD- 10462 -E (R.05✓se) Page 1 of
MOUND SYSTEM DESIGN
Complete red boxes as necessary. 1000 gpd maximum design flow.
Inch- ounds Metric
Residential or commercial? R (r or c) (y or n) C � Replacement system?
Creviced bedrock site? N (y or n)
Slope 4 %
Wastewater flow rate 450 gpd 1703 Lpd
Depth to limiting factor 27 in 68.6 cm
In situ soil infiltration rate 0.6 gpd/W 24.4 Lpd/m`
Contour line elevation 96.1 ft 29.29 m
Use standard fill depths? x OR 5 FS p t h ? in cm
Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth.
Center or end manifold C (c or e) Hole diameter 0.25 in 0.12`', 0.158, 0.188, 02 19, 0 2s,
Laterals spacing 0.281, or 0.313 inch oniv.
� g 0.00 ft use 0 lateral spacing for trenches.
Estimated hole space 4.00 ft Not a final calculation.
Number of laterals 2 Pump tank elevation 85 It Outside bottom of tank.
Forcemain length 100.0 ft Forcemain diameter 2.0 in 1.5, 2 3 or 4 inch onl
2.067 in Actual I.D.
HOLE DIAMETER CONVERSIONS
SYSTEM SOLUTIONS Inch-pounds Metric 5t32=0.156 1 9/32 0.281
Estimated daily flow 450 gpd 1703 Lpd 3116=0.188 &16=0.313
7/32 = 0.219
Absorption cell
Design load rate & area 1.2 gPdV 375.0 ft` 34.84 m`
Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m
Design width (A) 5.00 ft 1.52 m
Cell length (B) 75.0 ft 22.86 m
Depth of cell (F) 10.0 in 25.4 cm
Sand filter
Upslope fill depth (D) Iflft' in 30.5 cm
Downslope fill depth (E) in 36.6 cm
Basal area required (gpdrnfiltration rate) 69.68 m
Supporting components
Topsoil depth pth 6.0 in 15.2
cm
Subsoil depth at center 12.0 in 30.5 cm
Subsoil depth at cell wall 6.0 in 15.2 cm
End slope toe length (K) 10.30 ft 3.14 m
Up slope toe length (J) 7.60 ft 2.32 m
Down slope toe length (1) 10.30 ft 3.14 m
Total mound Ibngth (L) 95.60 ft 29.14 m
Total mound width (W) 22.90 ft 6.98 m
Project: TIM & JENNIFER HAUGEN
Transaction Number: Page 2 of
MOUND PLAN VIEW
observation pipes (typical)
�J .
22.9 ft q A= 5.00 ft 1.52 m
6.981m B = 75.0 ft 22.86 m
W B J= 7.60 ft 2.32 m
I K I = 10.30 ft 3.14m
K= 10.30 ft Ljj4
_ 95.60 ft
29.14 m typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (AxB)
J = up slope dimension = plowed area (LxW)
K = end slope dimension W (152 mm)
T
MOUND CROSS SECTION
D = 12.0 in 30.5 cm
lateral topsoil G H subsoil cap E = 74 .4 in 36.6 cm
invert 97.60 ft F= 10.0 in 25.4 cm
elev. 29.75 m F G = 12.0 in 30.5 cm
ASTM C33 H = 18.0 in I 45.7 cm
Sand FM E
sys. 97.10 ft y y
elev. 29.60 m 96.10 ft contour
29.29 m elev. 4 sl
slope
D = upsiope fill depth plowed layer
E = downslope fill depth Note: Absorption cell media will consist
F = absorption cell depth of aggregate and pipe with laterals
G = subsoil + topsoil depth at cell wall centered across AxB media. The cell
H = subsoil + topsoil depth at cell center media is covered with geotextiis fabric.
Designer notes:
Project: TIM & JENNIFER HAUGEN
Transaction Number. Page 3 of
PRESSURE DISTRIBUTION CALCULATIONS
Absorption cell Inch-pounds Metric
Width (A) 1 5 ift 1 1.52 Irn
Length (B) 1 75.0 ift 22.86 m
Lateral specifications
Number laterals 2
Holestlateral 9 holes
Lateral length (P) 36.13 ft 11.01 m
Hole diameter 0.250 in 6.35 mm
Lat. dis. rate 10.49 gpm 0.66 Us
Sys. dis. rate gpm 1.32 Us
Hole spacing (X) in 129.5 cm
Lateral diameter Pipe diameter Desi options Design dnoice
Designer must 1 in (25 mm) Place X in red
")r one choice 1 1/4 in (32 mm) x box of chosen
from the options 11/2 in (4o mm) x diameter.
provided. 2 in (50 mm) x x
3 in (75 mm) x
Manifold diameter Pipe diameter Design options Design choice
Designer must 1 in (25 mm)
"X" one choice 1 1/4 in (32 mm) None required.
from the options 1 _w in (4o mm) No choice necessary.
provided. 2 In (50 mm)
3 in (75 mm)
4 in (100 mm)
Distribution system contains: 2 Lateral(s)
LATERAL DIAGRAM - CENTER CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
E P I end cap
1 - X--- >IEsf2 I W2 +1 Laterals @ Force main of PVC Sch 40
en
Last hole drilled nest to d cap (per COMM Table 84.30 -5)
Holes drilled on the bottom of the lateral.
equally spaced . - permanent end marker
Inch-pounds Metric
Lateral length (P) ft 11.01 m
Lateral spacing (S) 0.00 ft 0.00 m
Hole spacing (X) IZD in 129.5 cm
Manifold length 0 ft 0.00 m
Hole diameter in 6.4 mm
Lateral diameter in 1 50 Imm
Forcemain diameter 2. in 50 mm
Project: TIM & JENNIFER HALIGEN
Transaction Number: Page 4 of
Total Dynamic Head TDH and Pump Tank Drawing
Operational head 2.50 ft M rn m
Vertical lift 11.90 ft 1 m Are laterals the highest pant in the
Friction loss ft l�
00 m system? Yes *r here.
Total dynamic head 15.20 / If no, what is the highest elevation
Dose Volume downstream of pump?
Dose is > 10 times lateral volume Forcemain drain
Lateral void volume 12.6 gal 47.7 L tuck to tank? ("x" one)
Minimum dose 126.0 gal 477.0 L x ]No Yes
Drain back 17.4 gal 65.9 L
Dose volume 143.4 __ jlgal 542.8 L
Typical Pump Chamber Layout
In combination
month state approved treatment tank. Tank construction rust on as r Comm 83.20 3
pe O WAC.
weather approved mantioie cover with
proof
warning label and locking device
grade levels Junction box
grade levels
a�ernate
4•' vent pipe electric as per NEC 300 and �— outlet
Comm 16.28, WAC
location
18" (46 cm) min.
wall of pump �— approved
chamber or outlet JaM
combination tank
A Provide 1/4" weep hole or anti-
alarm on siphon device as neoessary
pump on B
C Grade levels
lump 85.7 ft - pump tarn manhole = 4" (10 cm)
Off elev. 26.1 m minimum, above finished grade
D - vent =12" (30.5 cm) minimum
above fi grade
85.0 ft Pump tank elevation
" tank 25.9 m bottom of tank
Tank manufacturer Pump tank capacity n
Pump tank volume Pump manufacturer Inches Gallons
Pump model humber PO4 c A 24.2 392.8
.0 B 2 32.5
Alarm manufacturer EVEL — E C 8.8 143.4
Alarm model number L 'p' D 5 81.3
Project: TIM & JENNIFER HAUGEN
Transaction Number. Page 5 of
U
SASO S13- 72SM --R27W
town of Ruah River
18 acres
N•
1 u =40 1
HM. top of 1° angle iroQi al. 100'
Alt. SM.= nail in pine t,z'ee 0 el.'
9 P V
�--- • � � � 270
IV }
J
Mo
� � � � • � � � Se��i �c vii .rL v � � � � �---
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$M Zd " J
sou Kt 4'4r - 1 °x&50 ''� e
7
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Goulds r
Submersible
Effluent Pump
3 871 EPp4
EP05
APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron
Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer,
following uses: • Capable of running lubrication and efficient strength, and durability.
• Effluent systems dry without damage to heat transfer.
• Homes components. ■Motor Cover: Thermoplas-
tic cover with integral handle
• Farms Motor: Available for automatic and and float switch attachment
•Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic points.
• Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical
RPM, built in overload with Float Switch assembled and ■Power Cable: Severe duty
• Dewatering rated oil and water resistant.
automatic reset. preset at the factory.
SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower
115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing
Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction
g .
• Solids handling capability: automatic reset.
3 /4" maximum. • Power cord: 10 foot Plastic Semi -open design AGENCY LISTING
• Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for
• Total heads: up to 24 feet. with three prong grounding mechanical seal protection. Canadian Standards Assoela6on
• Discharge size: 1'/2" NPT. plug. Optional 20 foot ■ EPOS Impeller: Thermo -
g p g p plastic enclosed design for (CSA listed model numbers
• Mechanical seal: carbon- length, 16/3 SJTW with "
"
" "F or AC .
rotary/ceramic - stationary, three prong grounding plug Improved performance. end in )
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104 °F (40 °C) continuous superior strength and
140 °F (60 °C) intermittent. corrosion resistance.
• Fasteners: 300 series METERS FEET
stainless steel. 10
• Capable of running
dry without damage to 9 30 sc3P�a
components.
Pump: EP05 8 2s Fr
• Solids handling capability: G 7 25 a0, y$
/," maximum. W
• Capacities: up to 60 GPM. s 20
• Total heads: up to 31 feet.
• Discharge size: 1!6' NPT. 5 /S' 070
• Mechanical seal: carbon- e' 1s
rotary/ceramic'- stationary,
BUNA -N elastomers. 4 — — — - EPOS
• Temperature: ° 3 10
104 °F (40 °C) continuous
140 °F (60 °C) intermittent. 2 EPO4
5
0 00 10 20 30 40 50 GPM
0 2 4 6 8 10 12 m
'1 V / T nwowrKV
4 -01 -1995 12:27PM FROM P.1
SOIL AND SITE EVALUATION REPUM I
i N a
lt and 4!!!! ? .:�
Oariisn of Salter l EWldrnes in 8=10 with I LHR 83.05. Wis. Adm. Code
COMY
Mtaeh comOste site phm an Paul rsot less Ow 81-12 x t 1 o in size. Plan must include. dn. St . Croix
not limited to venieal and horizontal »fenonq point (W, *Moon and % of sips, scar• or F s
danemia , north arrow, and location and distance to noarea road.
APPLICANT INFORMATION - PLEASE PRINT ALL INEORMATtON 1 DA
PROPERTY OWNER: PROPSM LOCATION .
Dave SMith GOVT. LOT SE v4SE 114 -S 13 T 28 .N.R 17 fdM W
OWNERS M XW. ADDRESS LOT a BLOCKS NAM NAME OR CBM 0
2088 30th. Ave. na na I cam
j► P COD NUiB N
W• 54002 (715 584 -4610 1 Rush River I St. Hy . *63
I tWx constly W use f 1 pm ttu I *mw of bedroans 3 (l AdWW W twisting DA"
! 1 pWpk==" t t Pubic or cossunerciaV ttasrtibe
Code derived der wow 450 gPd ReCOnttnendld design beet to • 5 pad, gOII2 .6 teach, MW
,, area fgq * , @ d .375 bM . ttz 375 t1'eftCtt, !tZ Nludntun desgtt boding tale • 5 bed. gpdittZ • 6 tlaldl,
Aeoomrr+ ended Wftsm male elevations) -- 97.10 h let ~ed b silo Plant be+O neN
Additional design f cite acrasidaralm system eL based on oontour line of el . 96.10
Parent MWiW glacial dirft over snadstone uplands Food ptWn *vow. it8W6m le na It
u:u"n eror t (Os MU M M 8 s Ou O � s ]u Q tBu FS MU
SOIL DESCRIPTION REPORT
Baring X Horizon Depth Dominant Color Mon Texture Strtkture ConsbWw �� Roos . GPa ANWAMM in. Munsom nu. Sz. Cant. CDIor Gr. Sz. Sh. Bad
�
-
i 4 1 r none 1 2msb)c mfr gw 2f .5 .6
rA 1
2 4 -29 10yr4/4 none sil 2msbk mfr 4W if .5 .6
Gum 3 9-48 10yr5 /4 c2p 7.5yr4/6 sicl Imsbk mfr grin na .2 .3
g ft• 4 8 10yr5/8 none sandst4 me residw
Depth b
I MF
rrcroiin4
Remarks:
Boring P
a I -15 10yr2 /2 ncM 1 2msbk mfr gar 2f S .6
2 2 5-27 I0yr4/4 none ail 2tnsbk mfr gw if .5 .6
3 7-44 10yr5 /4 p 7. /6 sicl Imsbk mfr gw na .2 .3
Gtwnd
dw. ff59
59 7.5yr4/6 2p Syr4 /6 $l Itnsbk MWfr gw na .4 • .5
94 t<
69 5yz6 /2 I 5yr4/6 sands a rersid
D�pft b
Gniat�p
lador
27
Ramada:
NAMW.. -vlws Print L. Steel
Iff Ga ry Pl�ona 715 -246 -6200
�m�
41 mom
4 -01 -1995 12:28PM FROM
P.2
G
STEELPS sou. SERVICE
Gary L, Steel DAVE CSTM2298 SAS4 5113 T28N -R17W New Richmond 017
MPRSW 3254 town of Rush River
I 8 acres (71 248.6200
N
1 =40'
8M.= top of 1" angle iroi e el. 100
Alt. BM-= nail in pine tree 4 el:'
� m
t27
}
1
I
to U ri ID
$ M zd
.l►� C E i_. 9(. ►�
� YA �aY,Ci y
Gary L. Steei
1Q -5-g5
I
°'�' SOIL AND SITE EVALUATION HEPUH I t'sp of
udwand
V*Won of safety a sum n" in accord with ILHR 83.05, WI Adm. Code COUNTY
St. Croix
Attach complete site plan on paper not less than 8 112,x I I incMs in size. Plan must inducts. but PARCEL l.. t
not lky*od to vertical and horizontal reform" point (8M), direction and % of abps, scale or
dimensioned, north arrow, and location and dWtonoo to maces! road. OZo
APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION 8
— 0
PNEA: PROPEM Y LOCATION
i S th (iW. LOT SE 1I4 t«,S 13 T 28 AR 17 W W
NER' MAIUN3 ADDRESS LOT N BLOCK S SUED. NAME OR CSM #r
th. Ave. na na calm
Fk n, WI. 54002 CODE ( 684 -4610 Rush River NESt. x*63
III Now Construcdw Use JK J Resnknilal 1 Number of bedmome 3 [ I Addition b QXiB np building
l 1 Replaoememt (j Public or com merdw dalxibe
Code derived daily low 450 go fleoars W*d design b m*V rate • 5 bed, gpolft .6 trero. axW
Absorption area requited 3 ___75, bed. ft2 375 W%K R Vaimurrf design lo"M role • 5 bed, .6 tronch, !
Recormmemded W*aaam surface eleva kwgs) 97.10 ft (as ref oe(l to sib plan bendaeark).
Addifio * design I sbe comiclerafts system eL based an ocntour line of el. 96.10'
purer m@teriei glacial dirft over snadstone glands Fbod plain elewstim. Bapphicable na ft
S : While for sys �, CONVENTIONAL MOUND N4ROtN D PRESSURE AUMDE SYSTEM N FLL HOLOM 7AN(
U• U nsdiable for Os o u LXS OLIJ OS ®U CS VU OS [$U 13S ® U
SOIL DESCRIPTION REPORT
Boring 8 Horizon DePth Dominant Color fiA IN$ Texture Structure � �� Roots GPO/
In. Munsell feu. Sz. Cont. Color Gr. Sz. Sh. Bed fends
1 -14 10yr2 2 none 1 2msbk mfr 9v 2f .5 .6
1
2 4-29 10yr4 /4 none sil 2msbk mfr 9w If .5 .6
Ott 3 9-48 10yr5 /4 c2p 7.5yr4/6 sicl lmsbk mfr gat na .2 .3
g 1 IV: 4 8 -60 10yr6/8 none sandstone residu
ft.
Depth lo
�rq
3
Remarks:
Soong # 1 15 10yr2/2 none 1 2msbk mfr gw 2f .5 1 .6 i
2 2 5 -27 10yr4/4 none sil 2=bk mfr 9w if .5 '.6
3 7-44 10yr5/4 r2p 7.5yr5/6 sicl lmsbk mfr gw na .2 1.3
Grtklrtd
Slew. 4 -59 7.5yr4/6 =2p 5yr4/6 sl lmsbk mvfr gw na .4 .5
94
5 9 -69 5yr6/2 n1d 5yr4/6 sandst4 me resi
Deo M
lector
27"
Re marks: -
Name:- PleeaPnm Gary L. Steel 715- 246 -6200
1554 200th. Ave., New R chmond, WI. 17 10 -5 -95 cstm
2 •`'
PRO�RTIfOhMNER .Dave Smith SOIL DESCRIPTION REPORT Papesil 3 ,
PuCELi.a. r
Boring Horizon
Do h Dominant Color Ma" Striure 13PD/2 Consislorm # in, Mansell Qu. Sz Cons Color Texture ct
Gr. Sz. Sh. R oots E iTie O
1 0 -15 1 r2/2 mane 1 2msbk mfr 2f .5 1 .6
2 15 -27 10yr4 /4 none sil 2msbk mfr gtir 1f .5
Gad 3 27 -36 10yr4/4 none sicl lmsbk mfr gv na .2 1.3
97 4 36 -52 10yr5 /6 none . 1 fS Ogg mvfr na na .5 .6
ID
�n9
Remarks:
Boring #
G=W
dw
fL
Do fa
WW
Remarks:
Boring # I
Ground
NO elev.
!i.
to
Remarks:
Boring #
A ,
eler.
tacror
t
I
S'
STEEL'S SOIL SERVICE
Gary L. Steel DAVE SETH 1554 200th Ave.
CSTM2298 SE'JSEJ S13- T28N -R17W New Richmond W154017
MPRSW -3254 town of Rush River (715) 246 -OW
i 18k acres
1
N
1
BSI.= top of 1" angle irori_O el.. 100
Alt. BM.= nail in pine tree C el.' 01.70• 1Y)
n j
} 270
1
> c v U- N ID
)ot� ion
�titC- v
a � �
1
Gary L. Steel
10 -5 -95
A�1
SEP 1 IC �'r%NK `4AliYI ENANCE .�CiIZFEtiiF.'v i
AND
OWNERSHIP CERTIFICATION FORD!
Owrtz ;!Buyer 72 �= J /s ��i i`'2A tra 9r►i - --
W6 ig Adcom� s'ss . JA l s 0 1 ? k�.o z^ vt�� syois
p
' (Veriftaiioa mquhtd from Planning Depotment for MW construction) f
City/;'tate .r•, l Parcel Identifiee.'on Nwr�ber b rig
k
LEG iL DT S'; tIPT �C11\
Prot -ty Lo -v in S � .:, s 15 _ '/4, Sec. 3 T _ N -R W, Town of R v s M r vL
Subd: rision _ _ L _ S _3 Lot ft
Cenci led St,r .;! Map Volume /02 Page # — :335 �,.
Wart arty Ut e':. # I j:T C 7 2 - , Volume /YZ9 Page #
Spec noase - es 9 no Lot lines identifiable yes G no
SYS'! EM Mi.... ` i'MNAN CE
._.__. Imp o pt r i se snd main :enuee of your septic system could result in its premature failure to handle wastes. Pmper mai'Menance
consis' : of purrtpiu: ; out the set-tic tank every three years or sooner, if needed by a licensed pumper. What you pur, into tt.e system
can of xt the fw,::i ion of the s , rptic tank as a treatment stage in the waste disposal system_
The pT. .o: �y owner al:rees to subunit to St. Croix Zoning Department a certification form, signed by the owner -ud by a
master aiambc, , J ui: uneyrman plt.mbcr, restrictcd plumbcr or a licensed pumper verifying that (1) the oo -site wastewater dispo5ai system
LS in .: )pct' op -r.:� ig condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of" sludge.
Uwc, c undcisi -i ;d have rear: the above requirements and agree to maintain the private sewage disposal system with the; t..ndards
set for. i, ,erei t, -;et by the L epartment of Commerce and the Departrnent of Natural Resources, State o: WisconsaL Ce4 - Jiication
stating; �ha: you - :: tic system l as been maintained must be completed and returned to the St. Croix Couery Zoning Office ;V 30
days o the t u expiratic i date.
5I ,P I DATE
()Wt, ER C K.' FIC A TI _ON
1 (we) -..ro ify that all i.tatements on this form are true to the best of my (our) knowledge. 1 (we) am (arc) the ownvr(s) of
the pr.. aemq dc wd abo e E y virtue of a warranty deed recorded in Register of Deeds Office.
SIG J: T(TRl✓ }.: k'FLICAiv" DATE
Any ir>_fctmuktion Llut±.t i'; mr~ presentedimy result in. the smr '=y pemit being re.:vokfAi by thn Totki,rtn, ne?t?*t�er�':. "oar•«
wl:;� is applicati in: a stamped wanrant.y t". mod ftwn the P`egistcT of Deeds olf Cc
a copy of t? c certified survey map if reference is made in the walW anry decd
VOL 14 2PACE
STATE BAR OF WISCONSIN FORM 2 - 1982 5 9990
WARRANTY DEED KATHLEEN H. WALSH
I' REGISTER OF DEEDS
ST. CROIX CO., WI
DOCUMENT NO.
RECEIVED FOR RECM
David A Smith a single Person 03 22 9:30 RN
it AARRANTY DEED
i' EXEMPT 1
r CERT COPT FEE -
j COPT FEE:
conveys and warrants to Jennifer L. Carrick, a sinal TRANSFER FEE- 84.00
Person and Timothy J Hauaen, a singie Person. _ RECORDING FEE- 10.00
PAGES: 1
I
THUS SPACE RESERVED FOR RECORDING DATA
�i F-AME AND RETURN ADDRESS
the following described real estate in St. Croix County, ! i r S f 1
State of Wisconsin:
S ay' 1 t7
it
I tlSa�sc C. l S+{O l /o
028- 1020 -95 -100 ✓ I
PARCEL IDENTIFICATION NUMBER
I I
tl
i,
ii
Lot 3 of Certified Survey Ma IPA September 18, 1997, in Vol. 12 of Certified Survey Maps,
page as oc. o. 5 5
6549 located in the SE1 /4 of the
SEl /4 and in the NEIA of the SE1/4
,
of the SEl /4 and part of Lot 1 of C.S.M. Vol. 11, Pg. 3001, all in Section 13, T29N, R1 7W,
Town of Rush River, St, Croix County, Wisconsin.
i
�i
i�
This i a not homestead property.
(is not)
Exception to warranties: Eas ements, restrictions and rights -of -way of record, if any. -
Dated this / day of M 19 .
(SEAL) (SEAL)
David A. ith
(SEAL) (SEAL)
I .
AUTHENTICATION ACKNOWLEDGMENT
Signatures) State of Wisconsin,
ss.
St. Croix County
authenticated this day of 19_ Personally came before we this day of
March 19 9 - 9 , the above named i
David A. Smith, a single Person,
TITLE: MEMBER STATE BAR OF WISCONSIN p Pptallt
uEj,1
(If not, te�
authorized by 0706.06, Wis. Stars)
N � to be the pei n who executed the foregoing
$fate L' instru m and ackno get sarye.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristina Ogland ,
Hud sm, WI 54016 Notary Public, County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If n stat ex trap n dace:
necessary)
• Names of pcn s signing in any capacity should be typed or printed below their signatures.
STATE BAR OF WSSCONSIN wise Legal Blanc Co loo.
WARRANTY DEED Form No. 2 - 1982 Mihva*w. wig.
sss�s�
CERTIFIED SURVEY MAP
LOCATED IN THE SE I i4 —SE I i4 AND IN THE NE I i4 —SE 114 AND PART OF LOT I C.S.
VOL. 11, PG. 3001, ALL IN SECTION 13, T28N, R 17W, TOWN OF RUSH RIVER, ST. CRO I X
COUNTY, WISCONSIN
E1i4 CORNER OF SEC. 13.
PREPARED FOR: DAVID SMITH I (COUNTY MONUMENT FOUND).
UNPLATTED LANDS
------- - - - - -- 1S
S8 ° 4 4 9" E 694.00' �
APPROX. NORTH L INE�OF THE ;SE -SE I �`Lg 1 997
50' 150' Z i S H
I islet 0 j Deeft 1 1
LOT 3 ;�I ` SjCtoiXCo »�
a 6 -4 I I • ..
ro 7. 6 ACRES
co 33, 8 FT ) ro 0 p i = l 1 Im
U 7.63 ACRES EXC. SEMENT rn
o
(332,216 SO. FT.) ; i = m
O O II °I mmn
O 66' COMMON DRIVEWAY EASEMENT m -
O N89 ° 59' 07'W m l W o CO i
O 50.00' I I = m -4 N
O
m r
N89 59' 07" W 693. 99' W , - I _ n
;a z m
643.99' S00 00' 00" E ; wa I Z cii m m
c 66. 00' - T c I n I r m 50.0 9 $ I-1 I n x m
Ir _ I� m z
LOT 4 � I Z m o
Ip 4s p 00
o N
7.66 ACRES c $ �' I O I z v +'
n
(333, SO. FT.)
I zv
7.63 ACRES EXC. EASEMENT
-
(332,227 SO. FT.) - o
1 00'
H I GHWAY J I I
BUILDING
SETBACK LINE
392. 07' 301. 93' I p
689 42' 35" W 694. 00'
Cor;?r: •wss� �
LOT 2
C.S_M_ VOt.I_I UNPLATTE_D_LA_N_D_Sul
ADDED
-1 � - ON I >:
N89 ° 40' 49' W
50. 00'
S89 E -- /-- 2610. 14_-- - - - - -_ �,,
L- AE--CORNER OF SEC. 13, 4.s:
SOUTH LINE OF THE SEI /4 (COUNTY MONUMENT FOUND).
r SI14 CORNER OF SEC. 13
(COUNTY MONUMENT FOUND) UNPLATTED_LANDS I I
O -SET I" X 24' IRON PIPE WEIGHING I. 13LBS 1�r JAMES M. �}
PER LINEAR FOOT. WEBER
S-1804
f%
• •I" IRON PIPE FOUND. SPRING VALLEY
WIS.
1" =200'
JAMES' 1�
N
TED T
0 100 200 4 00 SHEET I OF 2 DATED r �
97 -073 THIS INSTRUMENT DRAFTED BY JIM WEBER R ,
Vol. 12 Page 3351 19