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026-1045-80-000
• c �' off+ 3 �" d con n d S O y O v I N !n O z co w 01 cn N N> >• = CC: M D f�D O C O Z W Y FM CL fA N N a 7 @ f=D y y I O_ 07 W N cr ° o °o c A c o��i I I n = o Q 0 3 a v w O 7 N I O O 3 fA ! ~ l� AAAA O m I A v v D tn zD co a c I m O cn a o_ - 0 _ IW 0) CL I N ?� ..� O O A O O Z Co w N o c �+ O O 'Ti C a � $o 0000 0000 I °:� N =� C 'o a o �' ! < z N0 yNN in cn o D CD FA CD m t N `C 01 V I = d (D w N z I rr 0 Z c '+ D D o I A a 0 o (D a y j lV • _ CD O N n a m m (6 y a B: 7 A z 7 Cl. I � I z -I a co I O O m o cn Z O :. I O :. m � N I y z CD t � o $. .mm n CD c�� a I d ccb c o c a o a I �=.=r a o a aa= m z I ° CD co �M 8 c3 e fi e xw� o I �' an CD o nI I o U) t I w N N 7 aN I 0 0 N f Xv O O (�D C 0 O 0 I O b CD a o 0 o 0 j t °° Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun Nt. Croix Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) sanita374921gtNo.: Personal information you provice may be used for secondary purposes [Privacy Law, (1)(m)]. Permit Holder's Name: ❑ City ❑ I! ate Plan ID No.: P rism Plastics, �t��n�n�P"TaBi)ii 1O - T . /A:* CST BM Elev.: Insp. BM Elev.: BM Description: arce ftNM45 -80 -000 c� .�� l Pcr _ =C- � TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic M ��Ur Benchma ( y io All. t51V1_ Ib �� uS. - 7.W Bldg. Sewer (lO" Holding St /Ht Inlet 13 -3( ft q ? - t TANK SETBACK INFORMATION St/ Ht Outlet 3.5 ° tf� • �$ TANKTO P/L WELL BLDG. Air to i ntake ROAD Dt Inlet Air Septic 5 0 r r '>- Zoo' ' ' NA Dt Bottom 7. 1(0 ,g ` Z rp.t- >Zan..� t�40 ` --- NA Header/ Man. 1p - S'� ?200 ?ISO �IS'D` NA Dist. Pipe "� 01 -s3 Holding Bot. System PUMP/ SIPHON INFORMATION Final Grad ._cl, ) cove C S Demand � S - fi R$'. Manufacturer S — � Model Number APO s &; 'j 2 (3 80 � • `�� b l:k DH Lift �z,•C10 L oss a.tl� System s TDH i B,S(oFt ST# �, 13 •G Rp. b3 H ead Forcemain Length tarp' Dia. 83 Dist. To Well ? Zoo �°(• SOIL ABSORPTION SYSTEM BED H Width Lengt f s PIT No. Of its Inside Dia. Liquid D EN I N S DIMENSION SETBACK SYSTEM TO P/ L BLDG I WELL LAKE/STREAM LEACHING Man urer: INFORMATION Type 0 , CHA Mo el er: System: f $ 3&V >5" NIT DISTRIBUTION SYSTEM Header / Manifold y Distribution Pipe(s) u x Hole Siz e x Hole Spacing Vent To Air Intake Length �� Dia. _ Length a. 12 Spacing 3 •� 3 4 9 .2 `c I > 3 o 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 ❑ Y / a N E] Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection l:,l _ Inspection Location: 1544 Highway 65, New Richmond, WI 54017 (NE 1/4 SE 1/4 15 T30N R18W) - 153018227D =Lo 1.) Alt BM Description = 1.a'1 2.) Bldg sewer length = C 30 - amount of cov r = � 3.) contour = 1 9 • Q3 2 x 4 - � � b t / Plan revision required? ❑ Yes No • 30 Use other side for additional information. i SBD -6710 (R.3/97) �e n_ /) Injpector's Signature Cert. No. C 11.05 C I S ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: k .I.., .,.,,.. t 4 y p f t � E tE' 4 �R 4 r-4 I s Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wi 201 W. Washington Ave. See reverse side for instructions for p t i ion PO Box 7302 14scons Personal information you provide m b for secon oses Madison. WI 53707 -730^ Department of Commerce [Privacy Law. . 1 (1)(m*w �j \ (Submit completed form to county if r state owner. Attach complete plans (to the count) copy only) e s 'st a er not let a 8 -1/2 x 1 I inches in size. Count State Sanitary Permit Number ql7ock if revision to previp*Wpli t" State b I. Application Information - Please Print all Information -`� - cw Location: Prop y Owner Name t;OG c,t C�J Property Location 1/4 6Jv4. S A5T3 '�k P or W Pr p Lc ertyOwner's Mailing Address -- -- � � � I / � Lot Number , �� Block Number \ _ ` _L Ll � e { (� e Phone Number Subdivision Name or CSM Number II Type of Building: (check one) ❑ City ❑ 1 or 2 Family Dwelling — No. of Bedrooms: ❑ Village O' Public /Commercial (describe use): pdf To of ❑ State -owned III Type of Permit: (Check on' e ex on ine A. Che box on line B if applicable) Nearest oad A) 1. ❑ New System 2. `Replacement 3. ❑ eplacement of 4. ❑ Addition to Parcel ax Nu er�)j S stem ank Onlv Existin S stem p� / 80 CMG U B) Permit Number iS- 30 • 1, P 2 2 � Date Issued ❑ A Sanitary Perrot was previously issued IV. Type of POWT System. at apply) ❑ Non - pressurized In- ground *Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit O Recirculating ❑ Other: 9_ V Dispersal/Treatment Area Information: ` 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required5/, Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VI Tank Capacity in Total 4 of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks /7S /7S �, ❑ ❑ ❑ ❑ ❑ s� ❑ 11 ❑ VII Responsibility Statement I the undersigned, assume res on ibility f6cr installation of the POWTS sh own on the attached plans. Plumber a print) lumber' gnature (nos /MPRS No. Business Phone Number ,� Plumber's Address (Street, City, State, Zip VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) {� Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination 3 Z S dU V 2 UU >Y- IX. Conditions of Approval /Reasons for Disapproval: Z.r�1i5 SyS7sr !✓4S su�iS aeq� GtCCO- r+pof!tf� �GL ♦( CJ���+ µ5c.. an G/ ah �jC��CA %r�CYCQSt itn M4aN�J�r Off' eu,�laYceS, 4 r/or 40 �i s �afu 2xpk�S7ov., 4 4e g pplica,,,i 60i1( b ref&ired jo aiop/Y �bv Q h�W �pec�cL� �ICC�� fort__ SBD -6398 (R. 07/00) Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.state.W.us Department of Commerce i !:- ~'_•. Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 09, 2000 f Y EGE��L CUST ID No.267341 i TTW. POWTS INSPECTOR ARTHUR L WEGERER O`r G WEGERER SOIL TESTING & DES S0 Nfk0i- i stl1ING OFFICE 421 N MAIN ST c", ; Z LNG , CROIX COUNTY SPIA PO BOX 74�,_. 101 CARMICHAEL RD \f '- t i ~` .� HUDSON WI 54016 RIVER FALLS WI 54022 j RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/09/2002 Identification Numbers Transaction ID No. 410809 Site ID No. 194142 SITE: Please refer to both identification numbers, Site ID: 194142, Prism Plastics above, in all correspondence with the agency. St. Croix County, Town of Richmond NE 1/4, SE 1/4, S15, T30N, RI 8W FOR: Description: Commercial Mound System Object Type: POWT System Regulated Object ID No.: 753335 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 (R.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 component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The plumbing for this project discharges to a private sewage system. The approval covers only domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes, including those combined with domestic /sanitary wastes. In addition, this approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • 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 p P g Y Q g P the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. ARTHUR L WEGERER Page 2 8/9/00 • 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 07/24/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 &erard. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us W SMART'icode: 7633 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N visconsin www.commerce.state.w Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 09, 2000 CUST ID No.267341 �E��wEQ �-A : POWTS INSPECTOR ARTHUR L WEGERER WEGERER SOIL TESTING & D I 1 t., 2QOO ING OFFICE 421 N MAIN ST ROIX COUNTY SPIA PO BOX 74 SvOUN i(jl CARMICHAEL RD RIVER FALLS WI 54022 �' zOitvG Ot:s �G� ,<� SON WI 54016 RE: CONDITIONAL APPROVAL `✓ PLAN APPROVAL EXPIRES: 08/09/2002 �'`- - - =-'" Identification Numbers Transaction ID No. 410809 Site ID No. 194142 SITE: Please refer to both identification numbers, Site ID: 194142, Prism Plastics above, in all correspondence with the agency. St. Croix County, Town of Richmond NE1 /4, SETA, S15, T30N, R18W FOR: Description: Commercial Mound System Object Type: POWT System Regulated Object ID No.: 753335 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 (R.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 component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The plumbing for this project discharges to a private sewage system. The approval covers only domestic /sanitary wastes directed into this system The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes, including those combined with domestic /sanitary wastes. In addition, this approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Aden Code, to determine if plan submittal and approval is required. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on - site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. ARTHUR L WEGERER Page 2 8/9/00 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 07/24/2000 10 00- "r)v FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 : TITLE SHEET Page 1 of g MOUND SYSTEM FOR This plan has been prepared in accordance with the Mound Component Manua - - _ _ 1 SBD 10572 P and the Pressure Distribution Manual SBD 10573 P LOCATED IN THE 1/4 OF THE SE 1/4 OF SECTION `S , T 3 N, R I W, TOWN OF \ZLLyY- 1,01Jj) S , Q-M X COUNTY, WISCONSIN. INDEX PAGE 1 of 8 TITLE HEET S PAGE 2 of 8 SYSTE24 MANAGEMENT PLAN __AA /� PAGE 3 of 8 PROJECT DATA v� / 4� PAGE 4 of 8 PLOT PLAN A4 �� ) -1 PAGE 5 of 8 PLAN VIEW_CROSS SECTION < I 1 Q PAGE 6 of 8 DISTRIBUTION PIPE LAYOUT en PUMP PAGE 7 of 8 C ROSS PAGE 8 of 8 PUMPPERFORMANCECURVESECTION �` ©nn PREPARED FOR cS , J 41 tv R h�� S�fol7 PREPARED BY WF— =CCEE;tER SOIL_ .TESTING Alm . DES I GLV S�F?V = CE P.O. Box 74 421 N.Main St. ��'A River Falls, WI 54022 CQN�, Phone 715- 425 -0165 f � Fax 715 - 425 -6864 volt ; aarrnp � WEGERE1q d RAE SI RS,€ �Rb M G ■ D PFD 1 — CO OF =t,yG� W S JOB NO. 30 tct I . SYSTEM . MANAGENE2JT Page z- of Management and maintenance of this system is critical to its proper operation and longevity. The system owner must be provided with a complete set of plans including the management section. GENERAL Proper functioning of any type of on -site waste disposal system is dependent on the amount of water entering the system and the quality of the water.. The lower the volume of water and the lower the level of contaminants, the more efficient and longer lasting. the system will be. Typical system components include a septic tank to settle out and break down solids, an effluent filter at the septic tank outlet to filter out small particles, a pump tank with an effluent pump and controls and an absorption cell to dispose of the water in a manner which will protect the groundwater and public health. RECOMMENDATIONS I. Install water saving devices when and where possible. 2. Repair any water leaks as soon as possible. 3. Do not pour greases, oils, chemicals such as paint or paint thinners into the system. 4. If you have a garbage disposal, use it sparingly. 5. Do not dispose of any paper products other than tissue into the system. 6. Try to avoid excessive of water in short periods of time Spreading clothes washing throughout the week is recommended. MAINTENANCE I. The septic tank should be inspected by a licensed pumper every three years or less and pumped if necessary to remove solids and scum. 2. The effluent filter must be cleaned periodically to remove any accumulated particles. It should be washed back into the septic at 6 month intervals or as per the manufacturer's recommendation. 3. Periodic inspections at the observation pipes should be made by the owner to determine if any ponding is taking place in the absorption cell. Also check for any seepage to the ground surface. If consistent ponding or seepage is noted, a licensed plumber should be contacted. 4. This sytem.contains an alarm which must be installed on a separate circuit from the pump. If the alarm activates, minimize water use and contact a licensed plumber immediately. CONTINGENCIES Monitoring of the volume and effluent quality may become necessary if problems develop. Monitoring must be done as per the requirements of COMM 83.54(2). Pumping and disposal of wastewater by a licensed pumper may be necessary while analysis and repairs are made. 1. Failed mound systems may require removal and disposal of the existing sand fill and replacing it - with new sand or installing an aerobic pre - treatment unit to reduce or eliminate any clogging mat . that may be present. 2. In- ground soil absorption systems or at -grade systems may require the installation of an aerobic pre - treatment unit or replacement of the system. Additional site and soil evaluations may need to be done and additional plans may need to be ,prepared and approved by the Safety and Buildings Division of the Department of 'Commerce. PROJECT DATA Page 3 of This system will serve a building containing 25 employees and 2 floor drains. ANTICIPATED WASTEWATER 25 employees at 13 gpd = ------------- - - -- -- 325 gpd 2 floor drains at 25 gpd = ----------- - - - - -- 50 gpd 375 gpd 375 X 1.5 = 562.5 gpd design flow. SEPTIC TANK A 1000 gal precast concrete tank followed by a 750 gal tank in series will be installed to provide 1750 gal capacity. A Zabel effluent filter will be installed at the outlet of the 750 gal tank. Q °T�p► -t of C�Z,� k)ELL X � �l q9 z _C?L,gg6 L am? -- ----�� epet J Q f I I 1 � 1 I 1L998s � � Paz _ � ts � � ML "'� fit .. ��Q• � bN �a ----_ CA-- t" ?\)c NOTES: if 3U e or- 7 � 1. Elevations shown are existing 2. Install 4" observation pipes with 3. Septic tank to be % l a P O gallon T IJ sk7z 4. Bench mark - _ SLZ P�ouE 5. Divert surface water around system Page S Of g Approved Synthetic Covering ASTH C33 Distribution Pipe Medium. Sand G S Topsoil Elev. E l0 3 / ; �u b S % Slope Distribution Cell of Force Main Plowed 2" to 2- Aggregate From Pump Layer ' 0 1•rJ t. E Ft. CROSS SECTION OF A MOUND SYSTEM F 0. Ft. G O • S Ft. A 6 Ft. H 1 • Ft. Linear Loading Rate = b b GPD /LN FT B 9 -5 Ft. Design Loading Rate= 0-13. GPD/SQ FT I \Z Ft. j _ t o Ft. K 9 Ft. L 111 Ft. E W?�Ft. L �II f - Observation Pipe fir -- - -- — - - - - -- -- -- - - - -- $° A �1i6 8 - --°--_ W - - -- - -- -- - - - --- -- - - - - -- Force Main Distribution Cell of V to 2 Pipe aggregate Observation. Pipe (anchor securely) PLAN VIEW OF A MOUND SYSTE, Distribution Pipe Layout PAce 6 of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Iona turn or 45* fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or threaded plug. Provide access from final grade for the valve,' threaded gap or threaded plug. 7'-1 r \ Cr L L,ZgS S A7 FV C F�1i !}V C -FRI Lateral Manifold Lateral x x x x W2 xQ x x x x E ral Length — Lateral Length 21 Distribution Line P --- `- rftcz SAX MM11Fd� S FORCE r, qy,V i P `_ 1 E Hole Diameter ' I1.6 Inch - S :fit. Lateral n 1 iZ .Inch(es) Manifold n X Inches _ ,Inches Force Main " Inches # of holes/pipe Zy w Invert Elevation of.Laterals \•o Ft. ' .. '2.�[X o.b6 �S •B�X�L=, 6 3. 3 6 spay PUMP CHAMBER CROSS SECTION ARID -SPECIFICATIONS' PAGE - 1 OF • VEIJT CAP - I'C.I. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE 2: 10' FROM 0009, JULICTIOIJ BOX COVER WITH WARNING LABEL WIMOOW OR FRCSH IYlyIU. AIR UUTAKE I - GRADE MIIJ. CONDUIT -- ' 11� INLET PROVIDE -- AIRTIGHT SEAL I I I v APPROVED Jo11JTf A Tank construction shall comply I III APPROVED JOIIJ with COMM 83.15 and COMM 83.20 I III I I I ALARM 1 1 I ON C -- S6. 'Z5 LLE I K _...__ FT. PUMP --.� OFF r► 0 COUCKETE DLOCK 3" APPRoWED RISER EXIT PERM11TE0 ONLY IF TANK MAIJUFACTURCR HAS SUCH APPROVAL BEDD SPECIFICATIO&IS DOSE T-A1J„Ka MAIJ UFACTUItCIt: t1 � 1) WM,-evW p �?' iJUr+9ER OF DOSES: 3 ' Z PER OAy TAAJK wzc: '�� GALLONS DOSE VOLUME Z ALARM -- _MAyUFACTURLR: S•S'. �1 �Rl� S�LST S' INCLUDING 5ACKFLOW: 2 - � D '� G1►LLONS MODEL WUTAbrp.: �O� ��w ` CAPACITIES: A = i l WCHESOR S ?'b� S GALLOyg 3WITCH TVPZ: - MT — 04 Lf a = Z IIJCHES ox 6 GfLLOUS PUMP MANUFACTURCR: 6OVS C= IWCHESOR Zoo' GALLONJ5 MODEL NUMBEIV. ��`�S W EDS D -9 ImCliES t OR Z 0 - y GALLONIS SWITCH TYPE: M A \1\Ck°, - 1 fJOTE: PUMP AND ALAR RE TO DE MI NIMUM Disco man RATE 6 � .6 GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEENJ PUMP OFF AIJO.0I5TRIBUT101J PIPE.. 1_ FEET f MIA IALIM • NETWORK SUPPLY PRESSURE 3 � S -FEET f Z 8S F EET OF FORCE MA X 1 8 F 00 ptFRICTIO►J FACTOR. 3 ` FEET TOTAL OtIIJAMIC HEAD = la'6$ FEET - Y -- -- As per manufacturer . gal in Liquid depth 3$tlZ, uoulas Submersible Effluent Pump 3885 APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. fallowing uses: Bearings: PP • Shaft: threaded 400 series an option. ■ Bearin s Upper and • Homes stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum efficiency. construction. • Trailer courts upper and lower. 2" NPT discharge adaptable ■ Power Cable: Severe duty • Power cord: 20 foot for slide rails stems. • Motels standard length (optional y rated, ail and water resistant. • Schools ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals lengths available). CARBIDE VS. SILICON provides secondary moisture Single phase: • Industry • Y3 and'f2 HP -16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three BUNA -N elastomers. wicking. SPECIFICATIONS • prong plug. % - 1'/2 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. W maximum. • 1 /2-1'/2 HP -14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: 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 SA Canadian Standards Amciation TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat I Underwriters Laboratories carbide -rotary seat/silicon FEATURES transfer. carbide - stationary seat, 300 ■ Designed for Continuous series stainless steel metal •Impeller: Cast iron, semi - open, non -clog with pump- Operation: Pump ratings are parts, BUNA -N elastomers. within the motor manufacturer's • Temperature: out vanes for mechanical seal recommended working limits, 104 °F (40 °C) continuous Protection. Balanced for 140 °F (60 0 C) intermittent. METERS FEET • Fasteners: 300 series 90 stainless steel. i_'! i . -r-- �- slRil3s,3sas • Capable of running dry 25 80 ' RPM: VARIOUS S without damage to + f 5GPM t components. zo, WE1 5Fr Motor 20 - - -' Single phase: = sor iMEO71i • % HP, 115 V, 200 V, 230 V, is 50 60 Hz, 1750 RPM; %2 HP, 115 V, 60 Hz, 3500 RPM; 0 40 vltEOSrr + i '/2 HP -1'/Z HP, 230 V, 60 Hz, 3500 RPM. ° 10 30 • Built -in overload with -(V � vuEO automatic reset. • Class B insulation. (g 10 Three phase: I i i • %2 HP -1'/2 HP 200/230/ OL 0 ! i 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 80 90 too 110 f 120 130GPM • Class B insulation. ' o 1 20 30 math CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 11 83885 Y wis&onnsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR B3.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but S t., Croix not limited to vertical and horizontal reference point (B % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distanc o,�`' + . 026- 1045 -80 -000 APPLICANT INFORMATION- PLEASE PR br L INF*RMATId REVIEWED BY DATE Z PROPERTY OWNER: _ "O ERTY LOCATION Prism Plastics, Inc., Paul o . LOT NE 1/4 SE 1/4,S15 T 30 N,R 18 iE (or) W PROPERTY OWNER':S MAILING ADDRESS - -~ L'd1' BLOCK # I SUBD. NAME OR CSM # 1544 Hy. #65 �' 51 C 1 ; &- na I csm vol. 4 945 CITY, STATE ZIP CODE NE NUM OF+cE Y VILLAGE �jfOWN NEAREST ROAD New Richmond, WI. 54017 .2 "-, 5 .- Richmond St. Hy. #65 [ j New Construction Use ( Residential / Num Addition to existing building V1 Replacement [ Publicorcommercialdescribe 25 employees, 2 floor drains Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd /ft .5 trench, gpd /ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate .4 bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 100.55 It (as referred to site plan benchmark) Additional design / site considerations na Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U 12 S ❑ U ❑ S ®U O S ®U ❑ S ®U O S 1K] U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Y Tyeoch 1 0 -4 10yr3 /3 none 1 2msbk mfr gw 2f .5./�. 2 4 -21• 7.5yr4/4 none scl 2msbk mfr gw if .4 Ground 3 21 -90• 7.5yr4/4 none sl 2msbk mfr na na .5 .,., elev. 9 Depth to limiting factor + 90 11 . Remarks: Boring # :::; ::...........::: 1 0 -11- 10yr2 /2 none 1 2msbk mfr yw 2f .5,/'. 2 < 2 11 -28 • 10yr4 /4 none sicl 2msbk mfr 9w if .4 f 3 28 -38 .7.5yr4/4 none scl 2msbk mfr gw if .4 / Ground elev. 4 1 38-50 • 7.5yr4/4 c2d 7.5yr5/6 scl 2msbk mfr na na .4 ./ 99.8 Depth to limiting facttot Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave w Rich and W 54017 Signature: Date: 6 -26 -2000 CST Number: m02298 le l - j PROPERTYOWNER Prism Plastics, Inc SOIL DESCRIPTION REPORT Paget of 3 � � PARCEL I.D. # 026 - 1045 - 80 - 000 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. g T 1 —10 • 10yr2 /2 none 1 2msbk mfr gw 2f .5 ✓ 2 0 -22 10yr4/4 none sicl 2msbk mfr 9w if .4 ✓ Ground 3 2 -33 • 7.5yr4/4 none scl 2msbk mfr 9w if .4 elev. 4 3 -55. 7.5 r4/4 c2d 7.5 r5/6 scl M na na na 97 ft. y y P ' 2,— Depth to limiting factor 33" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Prism Plastics, Inc. 1554 200th Ave. CSTM2298 NE4SE4 s15 T30N - R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #1 -csm vol. 4 -pg 945 t N 1 -40 BM.= top of 1 pvc pipe C el. 100.00 h` Alt. BM.= top of 1 pvc pipe @ el. 97.55' U �J0 Sid o , i Ind ��csis� ►�s 0 3 3 6� Gary L. Steel 6 -26 -2000 i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 'sm 5 Mailing Address (o C S I Property Address 1M� (Verification required from Planning Department for new construction) City/State -MC;lU t V_Lm"� Parcel Identification Number b �2 rl O S LEGAL DESCRIPTION Property Location AL: ' /,, ' /., Sec. 1 T j 0 l -R /OW, Town of L�4v_�rlj Subdivision - - . Lot # / Certified Survey Map # ��—�O , Volume Page # Warranty Deed # 6 1 0 , 3` Volume 7 . Page # �02 Spec house ❑ yes)4 no Lot lines identifiable)) yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, here' t by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification I ' y system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 f the ar iration date. � / SIGNATURE F APPLICANT DATE OWNER CERTIFICATION I e that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the erty des d abo 77 by virtue of a warranty deed recorded in Register of Deeds Office. ZL g NATURE OF A DXTE * * * * ** An information that is mis -re resented may result in the sanitary permit revoked * * * * ** Y p y ry p s being ev ked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Il Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 2648777 Visconstn www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary July 11, 2000 CUST ID No.256381 ATTN: Buildings & Structures INSPECTOR ROGER THIEL MUNICIPAL CLERK 6600 MIDLAND CT WLATERS BUILDINGS TOWN OF RICHMOND PO BOX 388 1121 130TH AVE ALLENTON WI 53002 NEW RICHMOND WI 54017 -6417 RE: CONDITIONAL APPROVAL Idenhfica,' on Numbers' PLAN APPROVAL EXPIRES: 07/11/2002 Transaction ID No. 322799 Site ID No. 194142 SITE: Please refer fo both ntificahon numbets,: Site ID: 194142, PRISM PLASTICS ., above,:m,all correspondence wVith the;,,agency ST CROIX County, Town of RICHMOND; 1544 $WY 65, NEW RICHMOND 54017 FOR: U Type: Building Regulated Object ID No.: 668339 8 Wood Frame- Unprotected class of construction, Addition plan, 7,344 project sq ft, Occupancy (Storage) 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. The following conditions shall be met during construction or installation and prior to occupancy or use: COMM 50.12 This review does not include heating, ventilating or air conditioning. The owner should be reminded that HVAC plans and calculations are required to be submitted for review and approval prior to installation. 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 Co y required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. APF Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address DEPART{ on this letterhead. DIVI N Of Sincerely, DATE RECEIVED 06/30/2000 SEE CO FEE REQUIRED $ 480.00 FEE RECEIVED $ 480.00 ELLIS PIFER , ENG RING CONSULTANT BALANCE DUE $ 0.00 Integrated Services (608)266-0676, MTWTF 8:00 AM -4:45 PM EPIFER @COMMERCE.STATE.WI.US?$I�I'1; e I cc. JOHN J DAHL ,BUILDING INSPECTOR, (715) 232 -6600, THURSDAY, 7:45 A.M. - 4:30 P.M. PAUL KORN v 3t'1 • 364.330 ♦ 0 f LS D' I) 25 '" MAY 2 11980 '' &VWW of TIFIED SURVEY 6 MAP LEGEND 3/4 "ROUND STEEL BAR FOUND NOTE, SECTION CORNER AN ESCROW OF $100 MUST BE EI /4 CORNER O 3/4 "X 24" STEEL REINFORCING PAID TO THE TOWN Op SECTION 15, RICHMOND BAR WEIGHING 1.502 LBS / SHOULD T30N �• A RESIDENTIAL BUILDING LI L FT. SET EVER BE BUILT �1 ON THIS PROPERTY, 4 I o I a} O o 3 N 89 °56'2d'E 6 60.00' of a I o POINT BEGINNING O. a EGINNI 5 84.99' ' N w� . 7 5.01 o r 0 y 10 6• O a I q: nl TS - • � - 0 1 'rl .- 55 W 4 � 0 0' 3 a to N aT I cr z Cr 3.26 ACRES TO a 00o'',�ry vi S•T.H. R/W LINE �° y W 41 vi PROPOSED TOWN EASEME N 2.82 ACRES T ANp Z0 �? z R w O W ROAD R/W LINE 3l. _ ` 1 W Z Q I ~ r rn 3 a t QD 1? l0'n 0 5 59.99' "'r o ' 0, 100'•x, O u M z l 0 5 S' z 40' S 89 °56'2d'W 100.oi' 660.00' r Surveyed for: I I William Derrick a W SCALE IN FEET R°(�J�✓ 1 ' t W I I Richmond, Wia. 4 A O ►00' god DESCRI�PTibIV S 017 I = e parcel of land located in � :�. 0 R1 Town of Richmond the NEB of the SE4• of Section 15 F o described as fol ' S � Croix Count , T3O,y lows: Y, Wisconsin, being further SE CORNER SECTION 15 W a C ommencing at the E W corner of said Section- said lin�430�0phe Westerl , thence S89 °50'20 "W Y right -of -way line of S. 0 11 a10n y Secy: z W s ° 56 1 20 "W (�0 to the point of If T.B 5 ; thence 30oe E_Hl�11 t. w °f beginnin 00 , thence NO °37'40 "W 2.15 g' thence continuing SO33�I 1 37 40 h s1onE On W and g. Said parcel contains .00';' thence 1, 9 0 56'2 "��' 40'E 215.'C';therc• egress purposes bean 3.26 acres and is sub 0 600.00' to t 8 described as follows: subject to an easement for pail /! `o Car>raencing at the Ei ine''cs: Lire ' ..° the westerly °f Section 1 geld 55.00 5; thence S8 ° line 43 y right -of -wa 9 Sb'20 "k' el 8 $9 0 56 20 �' to y. line O_ S 110_„ g the j:-!q } i;I ° ,I W 100.01, the point Of beginning; , thence - thence SOo Secto N� 3T'4d'W 77. 0' th ?ce N2 94.0 ' conr.trllttlr .Oo37 "a0"E7'40 "E s) .One ,thence N89 56'20"E 75.015 tottheoe N290 2 2 1 20 "E 50.00'. 215.00'; then... Bradl J. Canada 1 point of Uegirt0.0 ' thence surveyed add Y, registered Wisconsin Land S epre sentatio pp`d the above described urve ✓ ° =, do hereb Plie n Of -the exterior bo Property; that ;ch isy cErtif'y that I t8t d with the provisions of bou ndaries of the la s plat a true and correct Utea Chapter 236.4 he survey correct atul the St. Croix C 3 of the .�1sco•1sin and t hat -have fu11 �* ? aunty Subdivision Ordinance to Of p ,• alt': j Y e k 'led underatar+' he �1b•• ' t : •�� s ey J. Canaday ' C, ^Zd belief. Land Su Y prat% sin En yor S- r yCou1 gineers, Inc. �'; �'! sr, ^.LfY J. ee g -Box PR CAMIXAY ' Wisco�in 54016321 OVER m S - 14'. 2 R R1v. — .i -/,LLS 198 M 2 1 98 :s. � < • �pZ � ors .4 NL � �. p eso ST. CROIX COUNTY 0 J •1 �• 9'(S ..- Co MPl1ENE?LIYE PA[1(,f IYAI'CWNC �w6`viy�>•.' � w.1489PAy1520 6182 STATE BAR OF WISCONSIN FORM 1 • 1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF Document Number This Deed, made between Michael T. Hudalla RECEIVED FOR RECORD 02 -11 -2000 1:45 Ph WROTY DEED EXEKPT I Grantor, and Prism Plastics, Inc., a Wisconsin corporation CERT COPY FEE: COPY FEE: TRANSFER FEE: 510.00 RECORDIN FEE: 10.00 PROFS: I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 1 of Certified Survey Map dated March 3, 1980, and filed May 21, 1980, Name and Return Address in Volume 4 of Certified Survey Maps, page 945, Document No. 364330, PRISM PLASTICS, INC. located in part of the Northeast Quarter of the Southeast Quarter (NF -114 of 1544 Highway 65 SE -1/4) of Section 15, Township 30 North, Range 18 West, St. Croix County, New Richmond, W1 54017 Wisconsin. 026 - 1045-80 Parcel Identification Number (PIN) This isoot homestead property. Together with all appurtenant rights, title and interests. hid (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of cncurnbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this // day of February 2000 • Michael T. Hudalla AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. ST. CROIX County ) authenticated this _day of Personally came before me this f/ day of February 2000 the above named Michael T. Hudalla TITLE: MEMBER STATE BAR OF WISCONSIN tome kn to th erson(s) who execMlmegmi-g (If not, instrum t nd led E the same. authorized by 5 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Timothy J. Scott Notar Pub ic, State of Wisconsin ak a orman, .C. -New chmond, 017 My Commission perman ent . ) (Signatures maybe authenticated or acknowledged. Both are not necessary.) Iii hlf m �W VraressfonalsCoMpany. raw du [x. wi • Names of persons signing in any capacity must be typed or printed below their signature. Soo-s&2021 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. I - 1999 I i .. S9 .. X M H ° ..59.. MV11H :JO �W d�IN�D 7 - �/I ]Hl d0 1W 1Sd] In .00'SI M ,.0- . o 0 S _ uJ t I .ZL �o Z U O O O X LL W I Ln W O Y- m n CD w� o U , I u LL I u C) LU Zen w �Qrn t J u) < I I � I zQ� ewe I , I I- = I' I U z O z I; �Qw c� < w� C O -1 ry z � i < II n m U it I� 7- ..0 -. Z L Qo o+ ; I f icb) o ` n QO 00 r 4„ . 0o 'S17 'I ..Ob .L 00 'N < = r ' Parcel #: 026- 1045 -80 -000 01/23/2007 01:18 PM PAGE 1 OF 1 Alt. Parcel M 15.30.18.227D 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): O = Current Owner, C = Current Co-Owner O - PRISM PLASTICS INC PRISM PLASTICS INC 1544 HWY 65 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1544 HWY 65 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0945 -CSM 04/0945 SEC 15 T30N R18W 3.26A IN NE SE LOT 1 OF Block/Condo Bldg: LOT 1 CSM VOL 4/945 EXC PT TO CSM 13/3769(RD) ASSESSED BY DEPT OF REV -MFG ISOMETRIC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TOOL & DESIGN 15- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 02/11/2000 618231 1489/520 WD 07/23/1997 933/165 07/23/1997 805/205 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 176947 615,100 Valuations' Last Changed: 10/18/2006 Description Class Acres Land Improve Total State Reason MANUFACTURING G3 3.260 20,600 459,000 479,600 YES Totals for 2006: General Property 3.260 20,600 459,000 479,600 Woodland 0.000 0 0 Totals for 2005: General Property 3.260 21,500 504,900 526,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FORM NO. 985-A N,G M.Il.� Cm...ny® n OT 6 CERTIFIED SURVEY MAP LEGEND NOTE: 0 3/4" ROUND STEEL BAR FOUND AN ESCROW OF $100 MUST BE E 1/4 CORNER SECTION 15, SECTION CORNER PAID TO THE TOWN OF RICHMOND T30N, R18W 0 3/4 "X 24" STEEL REINFORCING SHOULD A RESIDENTIAL BUILDING S89%d2d BAR WEIGHING 1.502 LBS. / EVER BE BUILT ON THIS PROPERTY, W 55.00' LINEAL FT, SET _ I 0 o o M M O d O N 89 E 660.001 POINT OF BEGINNING N O, e9o2s 584.99' o :o�• 75.01' o a oa, w 1 1 ; 6� N � !n iL w In i � 7 5' In Ld 55' �' 40' N ° Z o ' cD N t6 4 J Z ' o = \ a w W N L� Z 0 3.26 ACRES TO S.T.H. R/W LINE zo O w I 2.82 ACRES TO EASEMENT AND WX 31_� i - M Wz PROPOSED TOWN ROAD R/W LINE 01 M +' o o cn 3 Z o�a�0 u a J ► o - o �m I00' X55' Z 40 0 0 &O J 559.99' z' 100.01' In F- S 89 660.00 ( a Surveyed. for: w William Derrick Route 1 II SCALE IN FEET New Richmond, Wis. 54017 I I W - _ - o DESCRIPTION 1- v 0 100' 200 z w °M O n parcel of land located in the NE of the SEA of Section 15, T30N, SE CORNER F N R18W, Town of Richmond, St. Croix County, Wisconsin, being further SECTION 15 described as follows: 1- z w a Commencing at the E corner of said Section; thence S89 ° 56'20 "W along the E -W 1 Section z m Line 55.00' to the westerly right -of -way line of S.T.H. "65 "; thence S0 "E along W said line 430.00' to the point of beginning; thence continuing SO 0 37'40 "E 215.00';thenc � s89 0 56 1 20 "W 660.00 thence NO "W 215.00'; thence N89 0 56'20 "E 660 -.00' to the point W In of beginning. Said parcel contains 3.26 acres and is subject to an easement for ingres cn w and egress purposes being described as follows: 0 z Z F- X w Commencing at the E4 c of Section 15; thence S89 ° 56'20 "W along the E -W 4 Section W w Line 55.00 to the westerly right -of -way line of S.T.H. " 65 " ; thence S0 "E along o z said line 430.00' to the point of beginning; thence continuing s0 215.00'; then S89 0 56 1 20 "W 100.01'; thence NO ° 3'7'40 "W 94.05'; thence N29 ° 22'20 "E 50.00'; thence N NO 0 37'40 "W 77.40' thence N89 0 56 1 20 "E 75.01' to the point of beginning. cn Q a w I, Bradley J. Canaday, registered Wisconsin Land Surveyor, do hereby certify that I hav surveyed and mapped the above described property; that such plat is a true and correct representation of the exterior boundaries of the land surveyed; and that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin rte+, Statutes and the St. Croix County Subdivision Ordinance to the �,'�`,3. best of my professional k sledge understa. g, d belief. Bradley J. Canaday ce SRAuLEY J. Wisconsin Land Sur yor S -1 Cf+ ^;:isAY = Stevens Engineers, Inc. PROVES 4 , F FALLS s —ia y 1409 Coulee Road -Box 321 VJ;5. y Hudson, Wisconsin 54016+' �• ,. ° O' MAY 21 1980 0* <.q /Vo a u R A .4 March 3, 1980 tedr4 5�1 ST. CROIX COUNTY Volume Page 91 C OMPREHENSIVE PARKS PLANNING 400 - 160 AMIbTb0RiK*SWM)AE11tfr DRAFTED BY : - REPORT OV INSPECTION INDIVIDUAL SLOIAGL SYSTEM b PJ4/� �j Cl, . S a ri .i. t a fi q V v >r rn.< t _ S.ta.t;,. Septic_ U AM f (�► ._� _- L�t1_L Tow n e hi p 'C St. C r o i x C o u n t rj Subd.tv.i.A,i.on �1 V11C 1ANK S c ��'1 � gaffon.S Nurnbe.n o6 eornpahitments t( r nce >1om: weed' /j� ; ,� tic4c�de.ng_ 126 6kope N.ighwa tP_n. I'IIMPING CHAM8E R ti� mac' gaIIon6 Pump Manu�ac.tuneh �adeP Numbe�u 110LVING TANK S4 ze ' gat'E' one Number cifi Campan.trnen to Atan.m Sy4 tem Ui A tance BCi`Pd� ng I ..,,... T e`E ape — - - -- N,ighwa-ten A- 0PPTION SI fiv Trench t ('r ti Icwrc rn: Wef'I' Buikd�n _ "s Aeo.i C e. I74:g eh / \WtiORVTION SITE DIMENSIONS w width oh TK ench — At Re.qu�.ned an.ea I.eng #h oA each tin 7 —. Depth oA Hach below ti le e rr 'Numben oA fines _ 2 Depth. o6 noeh oven t44 i -n Total fe.ngt o6 t.tne.A , ='`c At Depth o4 t ite below gr i n D1 6 zance between tines � y _ 6 .t le ope o tn.e.nv.h -,i.n. pe 100 A t l ab5olcption area 6t Type oA Coven.: Pape /arc caw - -.•- �: U 1 Ml Na l ON_S om h oA p�.t -- GAaveP aro p�.ts y e ,5 no OfIto('de diamete. A t Depth below inee,t A t l o tak abAo p;t,ion ',tea � } _..._.._ A rc a hecIut - �h IN I'f c1f 11 � �' TITLE A 1' 4.1 0 �V, 1) DATE Zz r i"'1 11 CIfV DATE 198 '1 ASON I OR REJECTION i r State and County State Permit # 16 , 1 40 O P LB 6 7 Permit Application County Permit # m AMp ca •n for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required d t State Plan I.D. # '�+ 7 e A. OWNER OF PROPERTY Mailing Address: 1 B. LOCATI N: _ ' /< '/4, Section �, T N, R F (or) _W- Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: * Commercial * Industrial *Other (specify) * Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete concrete - -, �Y Poured -in -Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured -in -Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New o )( Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top No. of Trenc es Seepage Bed: �a� — Width _ Depth Tile depth (top p No. of Line Seepage Pit: Inside d'a eter Liquid Depth No, of Seepage Pits Percent slope of land E Distance from critical slope WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if o ther than p owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Te ter, � NAME dw A.)F /1- C.S.T. # S 5�4i and other information obtained from (owner /builder). Plumber's Signature P /MPRSW# J�{- Phone Plumber's Address " PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. E y .....» ... _ .... ...,. �....., m. ..,. .. c...., a ..... P. t .a e ems.,.. „�..,.. E S 3 i , a C r I t 3 t a I � E a i F 3 ! i ? e 3 E i 3 3 i F t � a E Do Not Write in Space Below FOR COUNTY AND x TATE EPARTMENT USE LY Date of Application �� �f' Fees Paid: State C my Date �o Permit Issued/ liit�a}ected (date) �—`` r�/ Issuing Agent Name Inspection Ye No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 EH. 1 1 5 Rev. 9/78 c, REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION %a, '' /a, Section 4E:_,T.2N,R.L411 (or) W, Tow or Municipality Lot No. , Block No. County L i �+'ir ✓ ' u ►v►s►on ame Owner's /Buyers Name: Mailing Address: r v PLA^j TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL 4L EFFLUENT DISPOSAL SYSTEM: NEW .__d_�REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS �7 XC% PERCOLATION TESTS f /g Ai? SOIL MAP SHEET _ Z NAME OF SOIL MAP UNIT J_ 7r PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTEF INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P— S •� ► P— P P— P— P— SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B— 3 _ d B— 91 B > " _7 B— C i ? 9Z U B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. «o 1l s < A w� < , E tgy e M g t < C f �57a s _. �a> } < p 44 E e P 1, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) 4 Certification No. < -> Address .Name of installer if known Copy A — Local Authority CST Signature Allow - �, j� .3 eus. X /.5 N�Ad 7f�c�rc�o Aix $f�P XaD —/GD 9.41 q/j;" S POP 1000 . q,#1 rxor ro ,BE asm - �P /DDOq�.� ��u C�PA� /,� �0 � �` ✓s' l/los' Fir r _. i✓.CE? / i O ur.cET /10 Sl3wE i I , 1 l F i ,�Pi�,J✓ f1E✓4 J UN I ,3 Cus. X , o s = • o 9 2s-o- ass ,moo sires 1 P` 981 3.a X a sd _8aci -. /a 'X 6 q ' = sa '��f �a iountAv - s�-l- 1 P t s 43 loujyll FSUOD Rlat NIW (STELt A05r T "Y i f,C /oo JUN 161981 PLU''WaikdG OUR -EAU 7 'E PL �j # 0 C 4-A i rcttf r i L. i r i s 1 ST.) s STS Pb 0,09 X F—y,tST SIAS. -'r Iq 9. A (7 f,V F c T(A+314 T) 0 F C) 10 C P t.) L AT) 0 n L rY? gal All C17 • Department of Industry, Labor & Human Relations r Division of Safety & Bldgs. S tate of Wisconsin Bureau of Plumbing Platting & Fire Protection P.O. Box7969 Madison WI. 53707 Tel. 608- 266 -3815 i, IN ALL CORRESPONDENCE REFER TO PLAN IDENTIFICATION NO. NAME OF PROJECT TYPE OF APPROVAL 5 S STREET AND NO. 3 nC ♦ C' CD CITY OR TOWN COUNTY STATE ZIP CA Z 100 co OWNER l �" O Gentlemen: Examination of plumbing plans and specificatio s the above - mentioned pro;ect has been completed. In accord with Chapter 145, Wisconsin Statutes and Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon com- pliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of plans bearing the stamp of approval of the department. In the event installation of the plumbing improvements or system has not commenced within two years from this date, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit require- ments of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will auto- matically void this acceptance. Sincerely, James Sargent- Bureau Director PLANS REVIEWED BY: DATE: cc: DPS -OWS Owner DI LHR Local PI Plumber H & R (2) County Mfg. Rep. Bur. of Health Fac. & Services DI LHR S8D -6099 (N. 06/80) Rec. & Env. Services ' r ^� T gyp. i t r - K w Fes►+ - Lw+�1..t+w.�; , � ,�,�Ar^ �. " ` a i ��es5 � �" r � �'�'s , �ast�.� ,,...� �' '+ � �„t � zY Lr';• �.�, : iR t ..�,�, a `, yy ". a� ,, +f�','. - } t "#,+�.�s.� kdr- ' : � �< � " I� „' . 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