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HomeMy WebLinkAbout026-1013-50-000 Parcel #: 026- 1013 -50 -000 05/26/2005 09:13 AM PAGE 1 OF 1 Alt. Parcel #: 4.30.18.47H 026 - TOWN OF RICHMOND Current [X'' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner PEIRSON, JAMES W & BEVERLY E JAMES W & BEVERLY E PERSON 1148 173RD AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1148 173RD AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 5.550 Plat: N/A -NOT AVAILABLE SEC 4 T30N R18W 5.55A IN E 1/2 SW COM Block/Condo Bldg: 1266.34'N OF S 1/4 COR AS POB TH N 732.4'W 330'S TO NLY LN TN RD SELY ON Tract(s): (Sec- Twn -Rng 40 1/4 160 114) SD NLY LN TO POB 04- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1057/438 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.550 55,400 263,100 318,500 NO Totals for 2005: General Property 5.550 55,400 263,100 318,500 Woodland 0.000 0 0 Totals for 2004: General Property 5.550 55,400 263,100 318,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count rOIX Safety anol Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita o.: Personal information you provice may be used for secondary purposes [Privacy Law,X.15.04 (1)(m)]. B er me: ❑ City ❑ VR4vhff1&RFT& p State Plan ID No.: /I (0yos1z CST BM Elev.: Insp. BM Elev.: BM Description: -P arcel 0204:013- 50 -000 rj TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I Zsp Benchmark , J30 c , k, 8b r Dosing C� It U .GS 92, (Z Aeration Bldg. Sewer Holding St / Ht Inlet Ig ° l( , • V L - Pf, �' . Z r TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL ventto ROAD Dt Inlet Air Intake Septic 5 J NA Dt Bottom ($•'�L • 3 / Dosing µ d ` NA Header / Man. 2.5-0 Aeration NA Dist. Pipe 0 Holding Bot. System 3 $•�$ ' PUMP/ SIPHON INFORMATION littEltrd W'11 IZ+ ' catwr .4 Manufacturer Demandq Q�•o� �� '�L pModel Number 41 GPM r , TDH Lift Z I t2 Friction-, Sy a TDH3* `{ Ft 6(/lA $ Forcemain Length_'LZ0 Dia. '�2_ t< Dist. To Well = _y_1_ SOIL ABSORPTION SYSTEM ° r"�� 3 •`t 8 `�`� C Width ! Length Of s PIT No. Of Pits Inside Dia. th D EN OD a DIMEN I N SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA ING Ma cturer: SETBACK CHAMB INFORMATION Type O 8� r Model Number: System: W ~C> OR DISTRIBUTION SYSTEM �'-- ►- .sc -•{. �b� f C9• ($1 Header /Mani fold a Distribution Pipe(s) r x Hole Size x Hole pacing Vent To Air Intake Length Dia. 2 Length 1 ' r�" ^^�ia. Spacing 3 �O � 2 � 2� 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 G�`� • Bed /Trench Center Bed /Trench Edges Topsoil Ins ectio #•b Y s / ❑ /No In els ken #2t No / L COMMENTS: (Include code discrepancies, ersons present, etc. M a 4 (&I "`1" Location: 1148 173rd Avenue, New �' Ichmo „ WI 54017 (NE 1/4 SW 4 4 T30N R 8 ) 1 301847 1.) Alt BM Description �k 2.) Bldg sewer length - amount of cover 3.) contour = ORSO QJS L �) "dk = "Pit ce►�k�� �� ��s�lec . Plan revision required? ❑ Yes t( No FFEE Use other side for additional inforn ation. ° � S SBD -6710 (R.3l97) Date Inspector's Signature Cert No J rd v Sanitary Pei mit Application svilait JD I n accord with Comm 83.21, Wis. Adm. Code 20 t W. Washing Sao Mvem side tix S41lfll eta ie• Po D PM Depirttaant a PGraoru� Weravejon yon provide m.y � M rypmpoaca in. WI 5]7 (Prfvacr Low, �c�t1+>�t�m� -t � , (Submit compkled coon to counA i M nn state t<te / o" not a.dum 8.112 x 11 ' i" State Saaaaey Pee"u1 Nanbor m State Pbn 1. D. Naluba I. A 11cation Information - Pteast nt an Information Pl% - tygpwm tisma L ocation: PmptAy t oartia� Pwpw r Q K . q 1/W S T.3� R W tShr, Stare &V ,. t , � bde Subdiviaon Name ar tit Nwnbw Ty� G of Dandiug. one) T I arc2FamilyD GH%8,No,o( er ,� ,/eK ,p p�a S Suk6`i W ❑State -O� td � '�"° of Row III. G of h rmit: LC hedt one box on line A. Check box on line B if a licable , 3 i 22 B A) 1. rkTaar' 2. Rt;pitroc 3. r R st of 4. S. 6. a -an to tetra } T,6w=— bw — Existing sy"w" i h issue IV. Typo of POWT System: (chock all that apply) OO � �4toond �tty 7c l00 �) O Sand FOtcr O tnstntcted Wctl:nd O At holding +n O Singlet Pass O Drip Line O Aatobic Thatacat [lair O RwAvAtting O Oilier. V. D I anent Area Information: ,- _ S t. Aen Regahpd te P Rata tMt on 7. Find VW Tank aP�tY i" `i oral " 2 . f Mana6tctura Prefab Site Satel Floor- PLstie Informati canons Gallon ranks Cot- Colk- OM Tuft cc! c Sttvcted a co -15 C omko J O O O O VIII. ResponsibUlty SatGment I the node assmaa fat oftbe Pt?WTS Show" o" the attat3ted From P4mnbm's Add&mm (S (Ry, gqp colk) tX CotrntylDGpWment Use Onjy rt ltCe tirtsb+aas t7rouadwata Dace rasued r �Lp'P� ❑ t)w"ct• OIvenC3lvat t"itial AdvGCSG SAC Pee) X. PORCIRIOUS of A pron /Ratan for // r r j� �✓e :tiSD 7 ar' f S��u�Ce �R, /�a�f-ac1'�e�PrS ✓CeO�- ,sn�n�,Cf�.0+15. M e e Weed S , i w- cr G� dJa`ce��.to �`� "i �' �7 ln.� CJ'�� � Gi s 2• bifr�A�� �� • Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Visconsin www.wi www.comm.state.vA.us/sb sconin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary May 16, 2001 CUST ID No.285102 ;_` TTN.• POWTS Inspector ZONING OFFICE CALVIN POWERS JR ST CROIX'COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/16/2003 Identification Numbers Transaction ID No. 640582 SITE• Site ID No. 629296 SITE ID: 629296, JIM PEIRSON Please refer to both identification numbers, ST CROIX COUNTY, TOWN OF RICHMOND; 173RD AV above, in all cone ondence with the °agenc NEIA, SW1 /4, S4, T30N, R18W FOR: DESCRIPTION: FOUR BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 791089 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • 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(l). CALVIN POWERS JR Page 2 5/16/01 • 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 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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. 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. Sincerely, DATE RECEIVED 04 /27/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 Charles L Bratz BALANCE DUE $ 0.00 POWTS Plan reviewer II- Integrated Services (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz @commerce.state.wi.us WiSMART �6 TITLE SHEET PAGE OF I MOUND SYSTEM FOR A_ BEDROOM RESIDENCE This, plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD - 10573 -P. CR. 6/99) (CR- 6/99) LOCATED IN THE 1 -1 /4 OF THE Q 1/4 OF SECTION - T_�T, RW, TOWN OF , ST. CROIX C UNTY, WISCONSIN. INDEX PAGE 1 OF TITLE SHEET C y PAGES %87 W-9RMi T PAGE 12 OF PLOT PLAN PAGE 1 3 OF PLANVIEW CROSS SECTION PAGE 3 y OF DISTRIBUTION PIPE LAYOUT PAGE 1 S OF• PUMP CHAMBER CROSS SECTION PAGE 15 OF SYSTEM MANAGEMENT PLAN PAGE 1 j OF PUMP CURVE A*,c,vwv -SO,' r ¢ PREPARE FOR PREPARED BY POWERS EXCAVATING INC. 'b,, G e q - g 1969 185 AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715- 246 -5135 Con&tlonally A 08%"Mff QV COW*" � iRESPONDEN , IkAJ vVi _._►�. - r z # i i 4 � ¢ � • 1 � � E 1 1 j � s i � � M ! � �— — � f 4 s , ( ' t } I 1 v 3 1 � , I _ 1 6 ' i 3 3 a F � x i tt jj 3 , t s � ° t , j l 1 � I i. l S ° May 15 01 09:22p CALVIN POWERS 715 -246 -5135 p.2 t • ., S i Page Of /6 • � r ' 3 - Synthetic Cov :ring Aq -C33 Distribution Pipe Medium Sand Topsoil - G � t - _-�- F �) 7.6 � tom• 3 E D % Slope Bed Of 'i"— 2 %z Force Main Plowed Aggregate Layer f T Cross Section Of A Mound System Using E , . Ft: A Bed For The Absorption Area F Ft. G Ft. _ A _,.._ Ft. H _� Ft. zT i,ir►�ar �oadir:� .LcitB— 4 � _r. J�\ pp e. i ading Rate= FT K B Ft. L �_ Ft. S -5 Ft. Position I Q Ft. of Force Main W S Ft. t L Observation Pipe K .. a OK A - krDisfributioa p •� W �.----- - - - - -- ----- - - - - -- - - --�Q 1 Of 2 +— 2 ' 2 P ipe .- Aggregate Observation Pipe . • G►ncko r Sc c� r�l�r Plan P a View Mound in Bed For The Absorp Area Us q A e e p May 15 01 09:22p CALVIN POWERS 715- 246 -5135 p.3 Distribution Pipe Lagout Page � of — --- l�a Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. E=90d the cud of cash Ugual up with ft use of loan tuna or as` fittiag to a point within she inch,aa of the Sass grade. Tenmiaate is cads of the Iate I with a valv&..timed up or tbteaded plug. Provide sews from final gtadc for the valve, beaded ' G1P or si rwW plug. • kcC`sg Bax_ cad L • tiUS PVC 9\li C. I tannl lNarr�ela L+t+n! + s s L ug NO I I + r*ru�oo.c `rbStC.� r+�1va P T 1 , °ft. Hote Diameter Inch S Ft, Lateral / Iach( 0s) X , inches Manifold � inches Force Main " al Indies of holes /pipe a5 . Invert Elevation of LsteralsJ9 Ft. P A> 0 .5337 Matj 15 01 09:22p CALVIN POWERS 715 -246 -5135 p.4 Fat • � • � .... u.0 W` VIV JGV IAVIY f11YU Jr L . A L AVf.�A V1YJ I ((o 4" Cl VENT PIPE 12" MIN. ABOVE GRADE E WEATHER PROOF 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE COVER • WITH CONDUIT MANHOLE 4" Cl- RISER W/ PADLOCK E 6 11 MIN , __�, WARNING LABEL ABOVE G AD E - -_�.._ 4 " MIN. 18" Mlit . :I4LET ` 'WATER TIGHT SEALS GAS. TIGHT: v a z Awo A SEAL APPROVED 'I PIPE -�— ALM JOINTS tit/ CI 3' ONTO N PIPE 3' ONTO 30LID _ SOLID SOIL C + SOIL PUMP OFF ELEV . �FT. � —�--- t ~ OAF RISER EXIT PERMITTED ONLY D IF . TANK . MAN MANUFACTURER I 87.5 ti HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE LANK MANUFACTURER: WleSerS NUMBER 'DOSES PER DAY: .5 rAN SIZES SEPTIC 1 .15 0 GAL. DOSE VOLUME INCLUDING DOSE - 7r _ GAL. FLOWBACK: GAL. ' 1LARM MANUFACTURER: CAPACITTES: A = INCHES = _/. GAL. MODEL NUMBER: SWITCH TYPE: _ ! U,r B = 2 INCHES = PUMP MANUFACTURER: S' ol.L !; ofO $ff C = INCHES = 13d GAL. M ODEL NUMBER: SWITCH TYPE: ? f5 fi D = INCHES = 054 GAL. REQUIRED DISCHARGE RATE :GPM PUMP & ALARM WIRING AS PER ILHR WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /'a FEET + MINIMUM NETWORK SUPPLY PRESS RE FEET * � FEET FORCEMAIN X 3 -..5 FT /100 FT.'FRICTION FACTOR . L FEET TATAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTii WIDTH ; DIAMETER LIQUID' DEPTH >> 7. v►,. Mound System Management Plan page of Pursuant to Comm 83.54, V0s. Adm. Code 8ttit� Ttttlst� 71`0 aepfk Ink shall be taunt ed by an w4 widuat c e oed to service Septic tanks under i. 2e1.4a. SINS. The contents of die sepYc Mettle *W be disposed of in accordance wilt► NR 113, Wle. Adm. Code. The operatirp condition of the S"ft tank and outlet ftv NwN be assessed at teats once every 3 years by inert. The outlet ttNer SW to cleaned ss necessary m e wum POWr operallon. The IOW cmrtri0pe should not be removed w#ess provisbAS are made to ""in solids in the lank that XIGY staK O Off ft Met vrhen ranoved flvm its enclosure. If ate tale► is sgwiloed wdh an alarm. to filler shill be WAced if ate Mann is *Ov d Cortlietteotmty. iAmrfiMiant tlNer *W 11 if m" diceN Pogo flows or an impai m leg corm wm Staten. The 811100c tW* *M have Ns Oon*ft r+senwad when the vvoone of skadge and steam in tfte wank waseds t/3 a* liquid voitmne of the Wk If the tmn setts of the tonk we not removed at IQs lane of a biwtrtiat ssaasmarg. It WAMW p pNSOnnel shy Sdviso the ovAm of when the neltt service nsads b De pM[Ormed b etktbtloirt Itws tl+srt rraudrrtuen Baum and soon in **W& The SdditlSn of blobgicoi ar c�mkMditives b aretaaevoe ssptic oink b �nsralty not required. However. if such produete are used My shelf be apw*vW tat septle to* use by ate 0"wVnv* of Cclmwce. So* and ttulldnps Otvisk" . PumaJA* The pump (dotlrta) kw* *W be In epealed at 4" once every 3 years_ AN s wttdtes, alarms, and pumps 9MV be tested to voft ptopw opwodon efAUW f W b k*bWsd wet n tlw tank k sheN be it eveelsd and senrtosd as necesaty. SEE CORRESPONDENCE No bras or shspbi ahbtaid bs pbnbsd on tfle mound. PWnWW may be made avuW new mounds peftleter and ale mound SW be saedad and nlf kited as twpeWV t prevent erosion and b provide stoma pmoKlon from froet pan t. Tmffk (Wes than 10 v Mwillowli a) an the mcum a not mcomrnended since sdl conipacwn they www sermobn of tlw irdwwve MOW* w do am and smw oompsellon M ills w:+tsr wS womot frost ""swat on. Cold wesater (October f"ebrusry) d aiwits Vw ow moamd be Mw *y muWM fru frost prorscebn. kduent 9ARY Otto ate rttotutd system mq not emceed 220 opts. 8005, 150 mprt. TSS, and 30 melt. FOG. ktf M" flow may not mood ma*num dealers flow "Gc fted in the permit for Me htewillatton. The PrNStte�s dia�ltteYon sysMm M ptvvided +eitf'i s Atutlatp pOb+t st ttte +end of eSNt �. and it is ncortaetsnded that Stich lafefaf be tttntiid of aCraetrtutstd "we M last ants every 16 montlls. When a pesters test is perftrmed it shwA be comPstad b the kfl N Met when ttte vistatt wet healed to dalmi * if oace d*WNV has occurred and if w1ke dmnirtQ is r+egtirsd to ma nitwit equal dWiftiullon wiloin to dispersal 00 Observallon pipes vtt`alit Mle 6111persst ce8 sham be checked for effluent pandNtp. Pot dkV levels shaN be reported b the owner. WW any ieveds above t Inches considered as an attpendYtp tvydm%ft biwre requktrip addeonak more *equertt monhw tp. IW syatern *49 b* apwaled in awe whh CArrmtt 07-04 Wks. Adm. Cotta„ and &W miirflkwd in 11110cwdencs with its' oomponsnt mo*Aw jam- 10572 -P (R, MOM and lord or soft lutes pwtakft to system mitil"wwwo and m@;r* nam* r"Caft• No one should ever enter s septic oar Purttp tank stets dsnowaus passe tray be Pry the cow cause death. Septic srtd pimp tank abandpnment 9 W be h saoonlsrtce with Comm 83.33, Wis. Adm. Cods when the lanks are no lorper used as POWTS aofgt anal ls. Septic or pump tank rnardtale risers, access fig rs and covets shocrld to inspRem for waist tightness end sourtdrtess- Access uns sfrvlee WW Rine nssnt OW to seated weleright upon the eontptatton of serAce. Any oW ft darned to base "W" be rspfacod. w.a acom ope:ilhgs Greater Van Swiches in disrneler shall be secured by an effect ve loam device to PfWMt woad dM or uns dwized efty Wft a ter* cw caer►coneMt. c�t�rtia.Aev ptar� tf me W* or arar of fts components I)OCOma defectwe the tw* 9r cenVonwd shall be repalred or replaced to keep the w1sla t in pop& openeirtp corANom tf" Pvsfw. PUMP 4 0n" 1 11 1 - *mm or nleted become defttctive OW deft" component stunk be kwtn*t* rspgdrad or rapImM +mot, a competent of the same or equal perrormance. tf the a'K" W"W"" fees to ac wpt weswllter or bstorts to westfwalar to to gtaund sw5m. k will be rbpaind ar WIII"d it fts' POW* locallon by 111016111aft bust Was. if toe leakage occu or by mnovkV bdoiogla fr dogged ad a pffon and :elated tom. and rept" UW eomomsrft as deeded necessary to bmv Ow +tyae,++ Vo proper Questions on the operation or maintenance of this System should be directed to the County Zoning office at �!S_38d- V$80 or to the licensed plumber who installed the system. Effi. Pump 3885 •11111°1 f V7 APPLICATIONS • Overload protection most smooth operation. Silicon can be operaled continuously S eeificali desi Hari for the be provided in starter unit. bronze impeller available as without damage. p y g • Shaft: threaded, 400 series an option. �.� following v- - - ■ Bearings: Upper and • Homes stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. construction. upper and lower. r9 p • Power Cable: Severe duty • Trailer courts � 2° NPT discha a a da pt able cord: Power c: 20 foot systems rated, oil and water resistant. • Motels for slide rails tams. • Schools standard length (optional a Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals lengths available). CARBIDE VS. SILICON provides secondary moisture p Indust Single phase: *'Industry • Y and % HP —16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems with 115 V or 230 V three Stainless steel metal parts, damage and to prevent oil prong plug BUNA -N elastomers. wicking. SPECIFICATIONS a % -11h HP —14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. %* maximum. • Yr1 % HP —14/4 STO phase mo dels to guard • Discharge size: 2" NPT. with bare leads. On GSA against component damage AGENCY LISTINGS • Capacitles: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor. Fully submerged in SP Canadian StandardsAssot:tatlon TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat U� Underwrttels Laboratories carbide -rotary seattsilicon FEATURES transfer. carbide- stationary seat, 300 ■ Designed for Continuous series stainless steel metal • en, no - non - with Cast iron, semi- Operation: Pump ratings are parts, BUNA - elastomers. open, n on-clog w pump- within the motor manufacturer's • Temperature: out vanes for mechanical seal recommended working limits, 104oF (40 0 G) continuous protection. Balanced for 1401(60 °C ) ir. — ittent. 1s1s>tas eta • Fasteners: 300 suites stainless steel SERIES: 305 • Capable of running dry. 25 80 wEt SiZE W SOLIDS RPM: VARIOUS without damage to - —. 5C PM components. zo `Wet 5FT Motor c 20 Single phase: 60 a . • iS HP, 115 V, 200 V, 230 V, " I is 60 Hz, 1750 RPM; !4 HP, 115 V, 60 Hz, 3500 RPM; n 40 � p %HP- 1i4 HP, 230V, < 60 Hz, 3500 RPM. 10 30 • Built -in overload with w►EO 20 automatic reset. s • Class B insulation. Three phase: t° •'%HP -1 %HP 200/230/ 0 off I I 460 V, 60 Hz, 3500 RPM. 0 10 20 30 a 1 50 60 70 80 90 too i10 120 130GPM • Class B insulation. 0 10 20 30 mo CAPACITY 0 1995 Goulds Pumps � m Dew Effective May, 1995 U B3885 I Wisconsin Department Of commerce SOIL EVALUATION REPORT page __1_a Division of Safely and Buldings in accordance with Comm 85, Wis. Adm. Code Arch complete site plan on paper not less than 8112 x 11 inches in size. Plan must yS +t Q t include, but notilmited to: vertical and twdzontal referance point (BM), d'secdw and Parcel I.D. percent dope, scale or dimensions, north arrow. and location and distance to nearest road. Please Pdnt all kilbM adon. Reviewed by Date P"Ml WOMArfon Y- provide shay 100 used for M=ndwy PWPoses (Privacy Law, s. 15. (1) (rr)i. Propertyowner Property Location � Jlk So r Govt. Lot 1/4�P1/4 S T 3� N R 10 / eM W Property Owners Mang Address Let # Block Subd Name or CSMM CRY StO Zip Code Number O Cky O Village JoTown Nearest Road Jtr i' 1Q " 1 U Q_ q ( New C0n*ucWn LISIM _ _ Code delved design flow rate aQ fZ GPD O Rat O Public or cwmrr>erda{ - Describe: _ Parent meterlal Flood Plain elevation N applicable AJ _ ft Geltetai =nrnents ate# D Boring Pit Ground surfaceetev. 7`, ft. Depth to Wiling factor in. Sol" Appkdm Rata Horizon Depth Dornkwnt Color Redox Description Texture Structure Camistence Boundary Roots G PDff In. Murs;el Qu. Sz. Cont. Color Gr. Sz Sh. *M "12111#2 ",a )pr 1 YJ.1 N a^AL, sb M O+r Q 5 ).S , or c- 51 5 f 1 0--- 4 3 7,s Al 0 nk Mil C S ..�� .� .5 r m•,e. r i A. `..` a`t.. e�tng � � Bonng Pit Ground surface elev. 9/pig R Depth to bruiting factor . > in Sol Application Rate Horizon Depth DoMnerd Color Redox Description Texture structure Consistence Boundary Roots G PDM In. Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. 'EW1 'Effl1't > —1 5 Z-N*_ 51 m Sjk lalfp j CS m ,S / l 33 5 IV a Sr Xm Sbk hn +1 C • EMuwt>f1= BQD > 30 < 220 nviL and TSS >30 < 150 mg& ' Mart #2 = BOD < 30 n & and TSS < 30 mglL CST Name (#dears - _ _ CST Number 7 -0-eLk\3 r% mt�qpgtg Address Date Evaluation Conducted Telephone Number 19 mo &L 4>t I Pmperty Owner �e i rs, e Parcel ID BorkV tI ❑ Bo*V Page - ,�2 - of 3 ❑ pit Ground "ft" eiev. , f L oZ Depth to taexor } a in. Dortrk Redooc Texture Stnxlu+e hate n. MexeseM Qu. Sz Cant Odor ROO "PW Gr. sz Sh •Etfrfl •EfV2 D r 3, 2 a lt¢ 5 m 5!►k 7 -- a, rr, i M O j o,11h - ai®, S o MR, m S�k r > SjK, ih — i !o EJ # ❑ � ❑ pit Ground mffface elev. ft Depth to It nMV factor i Worlaon ° ' Munsell Redox Sz. � Textue Str MUO CWWOMoe Bogy Roots GPI Rate Sz Cora Carr Gr. SL Sh. 'Eff#1 - EM ID S,ft # ❑ Wft I E ❑ Pit GaxuKlasfaoe a w. R Depth b factor in. Hwfwn SW Depth Datt>irtark Cob Redox D TexEt� 5tivchr+Et Rate in. Munse9 Qa Sz Cork Color Co "Wioe y Rods GPM Gr. Sz Sh 'Efl1 •Efllf2 J Eftient 91= BOD > 30 < 220 nV& and TSS --305 150 • � Elfwerk 03 =BOO s — < 30 mgtL and TSS < 30 rreglL T6e Department of Commerce is an equal opportunity service provider and employer. If you Reed assistance to access services or need material in an alternate format, please contact the deparhne:nt at 608-266-3151 or TTY 608- 264 -877, i s F IV 1 Y ii t y f i i 44 I i t VL4 , -��A4 3 s _ _ l 3 I t , g _ t t c C t , ` a i F E , _L : v V t Wisconsin Department of commerce SOI EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must �°" �t'O t 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. t) — 1013 Sb , - 0 © Please print all Information. Revi by Date Personal information mation you provide may be used for secondary purposes (Privacy Law. s. 15.040) (m)). ` i Z Pty Ova Property Location �/ owed Sp r , Govt. Lot N 1/4,1/4 S 3a N R IO ep) W Property Owner's Mailing Address //�� Lot # Block # Subd. Name or CSM# 7 Sh -Avg✓ City Stale Zip Code Phone Number ❑ City ❑ Village 10 Town Nearest Boa /1 V New Construction Use: Ix Residential / Number of bedrooms Code deriv How GPD ❑ Replacement ❑ Public or commercial - Describe: -` Parent material r Flood Plain a if ap� ft. General comments 1 . andtecommendations: MAY i s 2001 S f Cox Boring kP GOp NONFFiCE # ❑ B t Ground surface elev. limiting f / b� ft. Depth to mng act C a �► Pit Soil ADOicalkin 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 '01#2 16 r 1J.1 N 0 - • S c1ft rn t)f - 1 - C g ac. 45 0 t-14: sr M 5 3 6 -H4 °7,5 r rv o*o— S bIC yr% w7 r r*i A. ® Boring # ICI Bonng - Pit Ground surface elev. 4, ft. Depth to limiting factor . 33 _- in. S1 A Rate Horizon Depth Dominant , Color Redox Description Texture Structure Consistence Boundary Roots GPDfff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 d' o w 5,1 am SW tr 'i Iv CS � ,S ✓ g Z 7 4q 5 Sr I m Slk CS m ,S r✓ 6 '7r5 r• Ylf N b-Q- sr dwrs 5 rh`� Ca too - 7 0 r o -7� 7 u t m S� 111� _ 4✓ Effluent #1 = BOD > 30 220 mg& and TSS >30 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Pmf Si to CST N 7 (20 12 1 'r\ O v- P Address Date Evaluation Conducted Telephone Number 1qwq t A U 4 N D' rKo rL-a § / ° 1l0` © I Property Owner �I : W\ T fZ rS c t^ — Parcel ID # c) ,�) (o — 1013 - SU - cx° Page of N goring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor °� in. Soil ikon Rate Horizon Depth Dominant color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 11 �' /p r 3/ ule 5// C 0 a 6 aq C a Ong# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff h Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'EfM1 •EfM2 F-1 # 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 Court. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = SOD, > 30 1220 mg& and TSS >30 < 150 mg& ' Effluent #2 = BOD < 30 mg/L 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. sao- uaotR.6rooi I M ln� ` e; ' a. ; ` - _ 'lei - i F _ t- � i E d f { ' E r f jj , f d i t I . , i I i j ' I j , 1 s 1 i 1 , I ! f ! I i ff , i I I ' r i f i r � ! E r , I j t i d f E d d I i i I I , , . I f i s , f ( L----. i 11 , , , � I i d i 77 c v ' I � t i i r _.. � � i. ' F 1 ' ' I I z �__ , � � _ _� ._ _ _ — r -- __ _ ,_ _, _.�_ _ � — j _ __ � ' � i j ; I ' I 1 � � 1 i I '_ ' ' � i i ` i � � � � , i ' { � I r - i i i � � i _. - - - _ __ _ __ , _. ;. � _ l � _ - -- � _ _ - - ° � �" I � � i � � � -- - - - -- � � � � �, i — -- ,_ _ — __ -- —_� _ — i —— _ _ __ 7 i L } !� { � i � i .. .. �. -. i T . ii r � f ', �, i. �. � � � t _, I �._ ..� ,.. � _;._ � _.1 _ �_�.. jj r r. � ! � _ _. _. _.... ;.. _ . _. ..__ � � i.. .. _ __ _ �. i j ' � f t _ -- - -- i � r _ � � - i � _�_ y � -- � -� -- '; � -- — �. 1 � 1 j i � ;_ .� i 1 i _ - � �- _ .� __ e_. _ . � __ !_ _ � _ _ � � — _ i I I 1 � - ��" - � -�- - - i � -- - --�-_ - -� � I _ ' ` i i r I , � ' _ __ _ i — � - - -. _ _ i _ 1 .. 1 ,_ _ _, _ i . - - -- - - — � - - -- ,_ - _... _ _�_... � _ _ 4 _ -� - - - -� - -- � - -- i i 1 � � i �_ - i i � ! � 1 � — , ; � - - -� -'r- !, I � � � � r - t � -1 -� � __ i � � � � i , � _ _ _ fi _ _ i � � - �- � � ,� I � � j _. _:_- i ._ f -- -- < < i _ 1 a �: _ _ _ � � � -- f �._� . i '� i i �, _ � _ -- I_ r i f. � 1 _— - r . _..__, __. — � __ — _ - — - -- _ __ i ;�— � _� � � _ _,,_ _I i � i � � � � � � i � ' _ __ __. , _ - i i � � � � � j r �_ - r- —T— ' _ ,. � � � j � . � ' � 1 � — I ! � � ! � i ,. ;_ -- - - — � � �_ I 1 _ _ _ . __ s _ __ . _ _ . ___ , _ _. __ _, __... _,_ t - -- i '.; ' � � � I � � _._ _ ._._,_ _.. _ __ _ . __ r .... - - � � � i I t ..._ _. _.. __ _. _. �_ _ - -- -- � �_Y ,. � i �_ �- _. � � �� i .. �_ _ � i i � i � � � - -_ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer So Mailing Address Property Address - r� (Verification required from Planning Department for newconstruction) City /State n �.� Pk l "^ o °L Parcel Identification Number LEGAL DESCRIPTION Property Location OV E � l,, Sw %., Sec. j T 3 Q N -R — t — ' _La w, Town of i Subdivision Certified Survey Map # Lot # Volume Page # Warranty Deed # I � I Volume bS � , page # Spec house ❑ yes 1 (no Lot lines identifiable 0 ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the s ys t em can affect the function of the septic tank as a treatment stage in the waste disposal system. Proper maintenance Ti,e property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and b a P masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdis oral s ystem is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 ful y Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal s ste l of sludge. set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. e standards Ce statin t • en y m with th g our septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ys of the ee year expiration date. rtrfication SIG OF APPLICANT 'NEE 1TIFICATION DATE I ( e) c rtify that all statements on this form are true to the best of my (our) knowledge. I (we) am are the o properly d cribed above, by virtue of a warranty deed recorded in Register of Deeds ) wner(s) of g Office. • OF APPLICANT O DATE r:ny information that is mis- representedma result in the sanitary permit being revoked by the Zoning Department. * * * * ** ov°;th this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL I lPAGE`438 DOCUMENT NU WARRANTY DEED THIS SPA, RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2 --1982 REGISTER'S OFFICE I' ST CROIX CO WI w feias- jointitenantsd Beverly J. Peirson, husband and ���� cord R _r Re - - - - - -- - - - -- - - ------------------------------------------------ __ .- . - - - - -- - -- - -- - - - -- - D EC 2 9 1993 .. - - - - -- - -- - - - -- - - - -- - - - - -- - - -- ___ ____ _ I� James W Peirson and Beverl E 8:30' A. conveys and warrants to - -- -- ---- -- - - -- -- - - -- --- -- - - ---- --------- Peir_son,__ husband- &AS__Fiife - .a au marital � �''�^. prQpel•tX - -- - - - - -- - -- -- - - - - -- ---- - - - - -- - _-- - - - - -- -------- R - -- - - - - -- -- - - - - -- - - - - - -- - - - - -- ----------- - - --- --------- ---- i j, - --- - - - - - -- ----- - - - --- - - - ----- ______ ____--------------------------------------------------- --------- ______ _____ __________ __________ ___ RETURN TO ,. i' I __------------------------------ ji the following described real estate in --------- CTaix ____________________County, i State of Wisconsin: I I Tax Parcel No: - -•- -_--- --- ----- ---- --- - - --- 1 ii Part of the East Half of the Southwest Quarter (EJ of SWJ) of Section li Four (4), Township Thirty (30) North, of Range Eighteen (18) West, described as follows: Commencing at the South quarter corner of said ! Section Four (4); thence North 0 51' West, 1266.34 feet to the j �i Point of Beginning; thence North 0* 51' West, 132.4 feet; thence West 330.0 feet; thence South 0* 51' East to the Northerly line of j! Town Road; thence Southeasterly on said Northerly line to the Point j of Beginning. _ I I I li _- I oo aZ v4' I This __________is _ not - ------ homestead property. I; (is) (is not) I' Exception to warranties: I I I Dated this i; ---- - --- -- day of -------- --- December - - - --- - -------- ------- --- -- - - -- - -- - -> 19 - 93 - - --- i r�--- - - - - -- (SEAL) ' ---- - -- - - -- (SEAL) _!�l_,. °/! .Wi lam-- �}--- �e�r;�a --- -- - - - - - -- * - � - - - --- � -------------- -= - - ---- --_(SEAL) - -- - -- Beverly J, eirson ------------------------------------------------------ - - - - -- - - -- ---------------------- - - - - -- - - -- ------------------- - - - - -- - -- I, AUTHENTICATION ACKNOWLEDGMENT i Signature (s) -------------------------------------- _---------------- _---- STATE OF WISCONSIN ss. ------------------------------------------------------ - - - - -- ------ - - - - -- - - -- St._ Croix ^�� i --- -- - - - --- County. �l authenticated this -------- day of_ __________________________ 19 ------ Personally came before me this __ -------- day of I� - hP_aP- mt2P_ X_•---------------- 19.93__ the above named William T. Peirson and Beverly J. ------------------ *-------------------------------------------------- - - - - -- -------------- - - - - -- -Pei --------------- --------------------------- --------------------------- - - - - -- - TITLE: MEMBER STATE BAR OF WISCONSIN (If not- - ------------ --------- - - - - -- --- ------------ - - -- -- I : ;` ? . ii ----------------------------------------------------- authorized by § 706.06, Wis. Stats.) to a known b the person _______ -__ who executed the THIS INSTRUMENT WAS f0 oin�' ink r ent and acl�no�wledge the-same. R - - - - °------------- --- DRAFTED BY----- - - -- ---------- ------ --- - --- -- i, einstra, Van Dyk & Needham, S.C. _ ', I�EEr7Nw - -- 201 South Knowles Avenue, Box 12� it (Signatures h may be authenticated or acknowledged. Both My Notary Comm1lic n iis ( County Was it are not necessary.) Iftte ---- -- ---- ------- ----- - - - - -- --- ------------- ---- - - - - -- 19 ---------- *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin legal Blank Co., Inc. Y 30 P2,A Oc."" F q 9 to 1y3 — l 175V — A vim' 30 3 330.0 330.00 I 47 D LOT 2 �y1 �1� 159.57 �� �o I o b I 63 59 47E o 0 47C g 47B 0 Cl 0 1330/75 o 0 4b o N 321.85 $ LOT 3 N N 47D -10 M N 318.32' 330.00' 330.00' 330.00' NE 1/4 — W 114 b� I a 3 ws 47F DoT 1 OR 47A 47H 1 330.00' n n /1498 C.S.M. _ _ 1 /257 47G o N 0 �1. 35 0. 244.55' 17,80 S'7�TE�T if E1 `�`� w� l�(�t3 25o.00- 200.00 i/146 d 4 3 LOT 1 LOT 2 0 . g'°� 3 go 50A - 10 M 50D� 50E a 50 A to to 1 ^-s.. I (� �er5ov+r CAA Wni I