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HomeMy WebLinkAbout030-2117-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Builtling Division INSPECTION REPORT sanitary Permit No: 399467 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Viere a Construction St. Joseph Township 030 - 2117 -10 -000 CST BM Elev: (0/ O Insp. BM Elev: IBM Description: o I 'P TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark �v . �, No oli,ov / v v a Dosing 9 Alt. BM S 16 OS Z W r�SPil� �S� Bldg. Sewer / Hol ' Ht Inlet 5; TANK SETBACK INFORMATION t Outlet . 3Z TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet .E 4-/0 1 Septic 7sj) , ( / �— Dt Bottom ( + Dosing >so r LG O Header /Man. /Q r j . - z z Aer Dist. Pipe i Hol ' Bot. System - Final Grade PUMP /SIPHON INFORMATION �SS t Manufacturer Demand St Cover G� GPM Model Number q3 S/_ TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. L t � Dist. to Well 5' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tr riches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS e/ SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM w2p uffcl urer. INFORMATION CHAMBER OR Type Of System: j S UNI Model Numbe . DISTRIBUTION SYSTEM Header /Manifold IlDistribution x Hole Size I x Hole Spacing Vent to Air Intake N Pi pelt' / S (�� 31 3 /� 3 �� Len gth 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 Bedfrrench Center Bed/French Edges Topsoil [up] Yes [] No [] Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: L Inspection #2 ��/� Location: 318 144th Avenue Houlton, WI 54082 (NW 1/4 SW 1/419 T30N R19W) Whitetail Ridge Lo Parcel No: 19.30:19 62 1.) Alt BM Description = er.. 2.) Bldg sewer length = # - amount of cover = '7 y ' 3.) Contour = " 6:3' 6 eklvicew 5 Plan revision Required? Yes No Use other side for additional informatio Date Insepctor's ' ature Cert. No. SBD -6710 (R.3/97) y 09/26/01 WED 12:31 FAZ 715 986 4896 ST CRL CO ZONING 402 Safety and Bufidit>as Division 201 W. Wmh ftM Avg., P. O. Box 71b2 ST• C ro t d � � IY Mme• WI 53707 - 7162 Mee Address Dep artment of Commer " P Sanitary Permit Application W avy �` �j / / Number In wmd ,vim carom Val. wis. Adm. coat, pax-ad iatbrmatim ray FwA& ❑ Cheek if aev�F�n way pe used 1Aw, s14.04J1 1. ANUMiam Ildnzasdi n - Please Prime Ali Iatarmaim am Phu LD. Number Pmpstty Owner's Namt fuel Numbs Wee reloUze, Con 'ton la ►1dme• o n L(>c>e Wig 'A 19 T N R� city, Steve Zip cafe Ph aoe Number Lot Number Biodc Number }Eu ds©n t LoT.. 5y t ( 38{o- q 71 L4 &"WM- Namo CM Number '( whi kfai 1 Red G b1a810 II. Type of BWMW (cbeck all that apply) e de w EY '$j or 2 FWAy DweUng - Number of Beaton L3 PubwCo nvuem w - 0awmik use t ft - JO`J © ease awned Ncarwt 1wo.a IIL Type of Parole (C w& m* -a box ao llne A (M►B sCh— far bsternal use). Camplets Hdo B if appligible) A. I V4iew 2 ❑ I RVMM -1 O xspiacemant of G 0 Addidon so For Cevs* an arm TH& B. ❑ e7rocl: if S•aira� Pewit Prewldtsly Issued Permit Number note 10" IV. Typt of Psyrmit: (Check an that ne ff (mmsbaring sthsms h for bkowal use) 44 0 Non - Pwssuri W 1wGrama 21 Moaua (q 'k a7 O saga Saar M O Caenrumd Wedwid 22 ❑ Presarrimcd 10-4round 410 HaMia` TM* 46 © Mooe POW 510 Drip line 45 0 At-GWo 45 0 Aorvbir TrraMUM Unk 49[)RwkalMW 30 0 Odor V. nt Area InfarrtlsuEloa: _ - 6 5 T Design Plow 00 phpersd Area Dispersal Aram Sol Applkmtba Patedi tton Rats system 1E a adoa Vaal Grade It -Phad Proposed Rase(cialsdDays/Se•> 0 pvtie./UW Sa.adm �00� ✓ a D a 3 - �, 0 _�: -f /a1 VL TW* Ilia Capschy m Toad Nnmlxr Milstth►tt Prefab Site sratl Fiber Plasda MUM Ga(km of Tanks Coaosdt C amavasad Glass Now Edift Tab sspdde °r 1toWag / .. 60 ' tamer 716 Z 4 1 ~ VII. RwpunfiMFq Stall =nt > . t a ass®re — elf the 1 ONO dwmn en the attasbed Phanbees Name iPrk4 Mv Z MPFA RgwNnmbar Basin= Phones Nambr �avkl �•s 5tet ne r a s 5851 715- yz� -�5gL1 Pbmgmes Adarws 04=1� CuY, Sato, 'Yip cede) n! 8230 qq5 - - RI v er Fa 11s, to x 6q o ZZ. VIII. COUMIDeparbneint Un May lair pSeas siaava:tti (Na St7tmps} AMruvad 11 � Par" Fca (incLvdt: omondwarer Data Lowed to 0 Owner Cdva Ieidai A&erre 4t -7. Dtreemlaatlaa M Cwddit / f t o�n - s of ApWovedllRe tsaos for DiiapVGVal f f C f 0C ]' //ej a W /10,0 V 0v.ccn k';r�tr u , c✓ � iK S a ✓L Gonla�e>�a'�`o�5. MtO& "HI1M PIRMS 0 she C—Y 0VlW f- ma aim w PFW ra fees dm fill x 11 h& to due SBD -6398 (R. 05101) - , • �' ,.r,....y t .. ' ' � - , �+.. 1 1 ` • �. .. r �.a j �:� J . � � t ,.. '1 .�' �� 4 I .., . f �i `� .. , PLOT PLAN 1 - Scale l" ' Page 3 of N Co,. MUR-Q, 01.9..0' m g0'1 - nM 0P CkrLL. r, zs NL, TC1_S rsp Iu JT 01" MeT / S, 6�'1 t*Z R Lsly K12, / •I] r`1 8.3 V1 l t I &3 2s, �S'o�Zy�vC tr X �S'oF�PuC r B*�s�l � r top' c m N N ZS' QL - -- - -- -- a1 2_ . _.Lb L: Q p- - - - -- NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be %o0 600 gallon capacity manufactured by WktS21 QtJc. COMBO Jfo. k W /R Lso0 ZtBQL 4. Bench marks _ SQL Prz n 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188 -2439 �� TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip E Albert, Acting Se September 21, 2001 CUST ID No.691727 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/21/2003 Transaction ID No. 674684 SITE: Site ID No. 636062 VIEREGGE CONSTRUCTION Please refer to both identification numbers, COUNTY HWY V above, in all correspondence with the agency., TOWN OF SAINT JOSEPH, 54016 ST CROIX COUNTY NW1/4, SWl/4, S19, T30N, R19W LOT: 1, SUBDIVISION: WHITETAIL RIDGE FOR: DESCRIPTION: MOUND, 4 BEDROOM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 811965 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: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01 /01). 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 mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. 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. C'oflditio i 0 t of the private sewage system installation is required. Arrangements for insp t' 1 e O vEr de��tk'the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wit DEPARTMENT OF COW DIVISION OF SAFETYMW SEE C(r ARTHUR L WEGERER Page 2 9/21/01 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, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 0 BALANCE DUE $ 0.00 JULIA A LEWIS - OSBORNE POWTS REVIEWER 2, INTEGRATED SERVICES WiSN1ART code: 763 (262) 548 -8638, FAX: (262) 548 -8614 JLEWIS @COMMERCE. STATE. WI.US • TITLE SHEET Page l of `7 FOUND SYSTEM FOR A BEDROOM RESIDENCE This plan leas been prepared in accordance with the Mound Component Manual SBD- 10691 -P and the Pressure Distribution Manual SBD - 10706 -P (N.01 101) (N.01 101) LOCATED IN THE MW 1/4 OF THE Sw 1/4 OF SECTION 1 c, , T 3p N, R 19' W, TOWN OF Slr :Z , S ( i,L0LK COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR - -. PREPARED BY • WEGEF =tER St3 = !_ .TEST 3 !VG AND. DES Z Get SSRV S CE P.O.. Box 74 421 N.Main St. River Falls, WI 54022 ,��,� Phone 715- 425 -0165 ,...... •.. Fax 715 - 425 - 6864•' % %- ' ' � •RTWJk - � Y:EGEFEA , 1 • D -015 P . 3� 6l'.SWCRTI. Wis. D ®,�a SjGr SAFETY & BI-Das. DIV. .+UIL0)NGS JOB NO. 9 DESPONDENCE Mound System Management Plan page Z of Pursuant to Comm 83.54, Wis. Adm. Code ` Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of. the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain .solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The - septic tank shall have its.contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the - tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. T (other than for vegetative maintenance) on the mound is not recommended since soil compaction raffic may hinder aeration r the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L 8005, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [ and local or state rules pertaining to system maintenance and maintenance reporting. �$� _�Obgl -P CN.OIlOI� No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be Immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about 'the operation or maintenance of this system should be directed to: The County Zoning Office at _ � �68� �S C,R-0Uf The system installer at The tank manufacturer at SOO- 3ZS tti 1, mm The effluent filter manufacturer at $00- The pump manufacturer at q L9. _Z$-q - l Nq ' PLOT PLAN • • •Page 3 of 1 Sale 1 " =50' — `1.C1•. p' ° o Trn ►� of Cet.L, m � 2g Nt, qq_S lip Ivor �1"- '►PRer / � a� �z T`r} L3 19 �A ,�f' 8 • Z '`� ' r'1 V1 / d 2S LIS y PUC y y` ---r 8• ( _4 s I 1S'oF�PVC •- -- 8*�ts S lip c _ v 07 N N VAtu ZS' �- �• 1� � RUE . _ � +h�i — C'�. I :QD�O`_0►v- $:�GL�,31�'`_ Q113 __P:VC- P._1.P_�.-- w1- L�I� -: -- - -- - -, - -- ��-� Z S d �: E°LZUI'j _.►' 10►�p _ 11 ? _Zc'S -10µ'l NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be % 6o gallon capacity manufactured by \J1 Vzzz (`DK)O— COMBO - Tft lk W /l4 LSOO ZtWL 'FL_ - V Puw� ��,1 1U l3 150 6 AC �1�� 4. Bench marks gL` p�olTN �. Divert surface water around system to prevent ponding at the uphill side. Page 4 - 7 .Approved Synthetic Covering AST.-q C33 Distribution Pipe Medium Sand • :mss � S2`a.'a.! a� IG Topsoil _ =-- -; F El e =r. J1 E -_p _ 3 / ` Z. % Slope Distribution Cell of - Force Main Flowed 2" to 2 " Aggregate From Pump Layer 0 0. S Fi. E o. - 27 Ft. CROSS SECTION OF A MOUND SYSTEM F O - Ft. G o -S Ft. A 9 Ft. H 1- 0 Ft. Linear Loading Rate= -.q5 GPD /LN FT 8 67, Ft. Design Loading Rate =O GPD /SQ FT j l Ft. J S Ft. K S Ft. Q L 3 Ft. *f W ZS Ft. - Observation Pipe -- — -- — -- ------------ --- - - - ----� A o4­ Force --- - - = - -- -------- - - - - -- --- - -- Main Force Distribution ," Pipe Cell of � to 24" aggregate Observation Pipe D=Chbr securely) - PLATT VIED OF A MOUND SYSTEM Distribution Pipe Layout Page S of Place the 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 Ion" turn or 45 ° fitting to a point within six inches of the final grade. Termin the ends of the laterals with a valve cap or • threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug, - ,4cc ,_ss sox T`t P - 1 c'� C.. C,�pS S S �c.. ►�7 pv� FVC a vG Lateral Manifold Lateral x x x x x!2 xt2 x x x x Lateral Length — Lateral Length — p Distribution Line IT — —o rma���o S PVC wv� n �J a -- P 31. S Ft. - Hole Diameter 3 /1f. Inch - S 3 Ft. Lateral " ) Inches) X Inches Manifold " Z Inches Force Main " Z Inches #of holes /pipe 1 Invert Elevation of Laterals W3.0 Ft. \_ k Y _ 6 = `L - Z.b K '-L3. S 6 G P" M ' PUMP CHAMBER CROSS SECTIOW AMD SPI_CIFICATIOMS ' PAGE OF -] VEIJT CAP `i "C.T VEAlT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE JuuCTiO►,1 80X • 1 10' FROM DOOR, COVER WITH WARNING LABEL WINDOW OR FRCSH i2�MlL1. AIR INTAKE I GRADE on t i 4 Aw. COWOUIT 18"MIA1, -- - - - -'- � tAIL ET • PROVIDE — , AIATI6?{7 SEAL APPROVED JOIUT A I I I APPROVED JOIUTS I l I I I 1 ! ALARM I 1 ON c I . I - - CLEV. FT. j PUMP 1 .� OFF L D �'L , ?j, p01 COUCRETE BLOCK IV RISER EXIT PERM11TED OWLy IF TAWK MAQUFACTURCR HAS SUCH APPROVAL 3" ADPRcYeD gEpptNG SPECIFICATIOUS DOSE WL ��Z C01V C TAAIK MA✓utlFAtTURCR: t�--� NUMDEA OF DOSES: S' Z PER OA;i TANK 51ZE: 1 S0 GALLOWS DOSE VOLUME 1 ALARM MAW_U�TLj S' •�', ZL 7 ' 4 1tiiCLtlOtlJ6 6ACKfl.OW ti � GALLONS A10DCL WU1A5CR: - -L� 1 �w - CAPACITIES: A= Zd INCHES OR y0S-� CALLOUS _- SWITCH Tupt: _ � ��- Y g = Z IIJCH>;S OR �� k' G�LLOL15 PUMP MANUFACTURER: t X25 C = pp WCHES OR 1 �? GALLONS MODEL NUMSEIL: -- �"�� 0 INCH H ES , OR '� - -Z '—� GALLOAIS SWITCH TSPE: �� KI OTE: PUMP AND ALARM ARE TO 5 0 " MINIMUM DISCHARGE RATE GPM IN5TALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIV PUMP OFF AuO,OtSTRIBUTIO' M PIPE.. l �' FEET I III ' + MINIMUM NETWORK SUPPLY PRESSURE , . 3'� - FEET (Z- Sx.l. + FEET OF FORCE MAIM X �' B f /o o t>: FRICTIOU FACTOR—La- FEET TOTAL. DtIUAMIC. HEAD = .�.�� •FEET - ~ + -- .._ _.._ - .__.---- -• . ... ....... ..._ .. tI - As per.*manufacturer • ZQ�_Zb gal /in. Liquid depth 3'1 t PP�G (� OF i ME40 Series '4110 *HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 N 30 W L Z 25 8 f Z 20 6 15 J O 4 0 10 F- V3.s 16 - 5 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. Lai boran d d Hu bons sVy La SOIL AND SITI- EVALUATION REPORT P of 3 Labor an Human Relations g _ DNo.�,.)rsafery s Buildings in accord with ILHR 83.05, 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`S . e4Z-J1.X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. 9 pP�v�r- OF dimensioned, north arrow, and location and distance to "t ��� a 3 O - 114%j13- 1C APPLICANT INFORMATION- PLEASE PRI tt?►,IMATIOC� R IEWEDBY DATE PROPERTY OWNER: Pt�Q ATY LOCATION Ev N V 1E1Z G6 ` tc��VEO 1/4 S LV 1 /4,S 11� T 3 O ,N,R 1 E (or " 1 PROPERTY OWNER .S MAILING ADDRESS • • f �// LQT BLOCK # SUED. NAME OR CSM ;r NZ OB ivt�wl P 6a� - f ; -� wvfC�'Z L CITY, STATE ZIP CODE ONE NU X , []VILLAGE ®TOWN ' NEAREST ROAD J)j p(j New Construction Use [)j Residential / N r pf tled �' 7 [ j AdditiQn to existing building j ] Replacement ( I Public or commerci 2fes r' I I Code derived daily flow ' - gpd Recommended design loading rate • y bed, gpolft ' trench, gpolft Absorption area required - bed, ft - trench, ft Ma:omum design oading rate • S bed, gpd/ft b trench, gpd1ft Recommended infiltration surface elevation O o s) � • S ' 4. 5" (as referred to site plan benchmark) Additional design / site considerations MuvwD w /8 )L 63 B et 3 S D)Zi� Parent material Lw--s s Flood plain elevation, if applicable A ft S = Suitable for system CONV�ONAL MOUND IN-GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S Q U 0 S E U ❑ S GNU ❑ S Elu ❑ S ®U [is IZ U SOIL DESCRIPTION REPORT Poring # Horizon Depth Dominant Color Mottles Structure GPD /ft �O w I Texture I Consistence Bouidary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed jTpench Coe1� l Z Zo 3� Lo`12 �1 b si 1 I is `I k Vh.h (R— S — •S •� ' Ground 3 S� 10'L 31 L 5 `� 2 / 5 � 1 O y►L'�i- _ 1�P :Z , d elev. o l q. - I Depth to fimiting factor � Remarks: Boring # Z`FS lDk c w z �: z �z_3 to �r� �l b — s � Z�'s b1� m�• �S. - •S � � 1.Olt R 316 Ground `( 5 y 2 lye elev. 1n 0.0 ft Depth to limiting factor Remarks: T Name - - Please Print Phone: Arth L . We erer 715- 425 -0165 Ad dress: - egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 Signature: Date: .. CST Number:. 4 �4 --�{7 -7 —�S gcj 2202 5 I I � , PROPERTY OWNER - kZNZ- GG SOIL DE . SCRIPTION REP PARCEL nT" o� 03p„ IO113 REPORT Page z of 3 Boring # Horizon Depth Dominant Color Mottles Structure in. Munsell Qu. Sz. Cont. Color Texture Consistence Roots z. h GPb /ft Gr. S S.' Bed T ranch $U, .S .� Ground 3 �6 - 3� lvy 3/6 elev. c.Sbk (� � cS .Z z y a -0 ft. �' -S$ �•S`�R V/ C S`t{t -'��y Sll OV" Depth to limiting : factor i Remarks: I ` Boring # Ground elev. f It. Depth to — limiting factor Remarks: ' Boring # :.. '::s IN Ground elev. it. Depth to limiting I factor i Remarks: tt Boring # 2:2 Ground elev. ft. Depth to limiting factor Remarks: _ . r.rl tr •, •rnrn ..r •.. .. I r PLOT PL Page of 3 SCALE 1 "= y0 t �� �fiiGl♦, 3 / _pUC Ptp� W��'TN .,ag r tA,a,pQi1 nl Uj J IB *-I +J o.o' ON 8 "�-nGN, 2 Sly ° DIl�. PVC Pt�� W /Lft�Tjj �ocP�O>\1 Shs"Tc1i I o `�vsn► ° 1 2 � �o 8 � bu— 4 �; 1 t L � 1 1 �t' t� ►Z 1. ��a ( 715 425'-0165 CST Signature Date Signed Telephone No. CST # r .'A".,,' - -y sett AIVU 511 t tVALUATION REPORT Pa e N of labor and Human Reiadons 9 _ Division of safety 3 ealdngs in accord with ILHR 83.05, 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 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. dimensioned, north arrow, and location and distance to � r 0 3 O _ IoYO- 10 APPLICANT INFORMATION- PLEASE PRI t�, AFtRMATION. REVIEWED BY DATE PROPERTY OWNER: , rCeIUEO `Pffp RTY LOCATION E1) Ar tv v E-L k 1 6G E M'1J 114 S W 1l4,S 1°} T 3 O ,N,R 14 E (or, W PROPERTY OWNER' :S MAILING ADDRESS • .//!t Ll; BLOCK SUED. NAME OR CSM;< NZ o8 ��� I t P Sw 4_� i 199 ri I — 1 WV j T L G CITY, STATE ZIP CODE - ONE NU X (]VILLAGE ZrOWN ' NEAREST ROAD � YvbSOr� , ti.l 1 S � of 6 •�'(��� } !� • Z S'o S c'Yl� C�C'1�, M �} " M New Construction Use D4 Residential / N� r of badrooms "'\ (] AddinQn to existing building Replacement () Public or commerdaTi Code derived daily flow - apd Recommended design loading rate • y bed, gpd/ft • trench, gpd/ft Absorption area required - bed, ft - trench, 11 Maximum design loading rate S bed, gpd/ft • b trench, gpo1(t Recommended infiltration surface elevation(s) lz o • S ft (as referred to site plan benchmark) Additional design / site considerations Ml1yNvZ w /S 63' Bez) C 4 lZmIzk w is @DiZwj� Parent material Lies s - Flood plain elevation, if applicable Iy A n S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ❑ S Q U O S❑ U ❑ S L� U C S U ❑ S IO U 0S O LI SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color I Mottles Texture I Structure Consistence Bot xfay Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed re<Idt �`� o � tie`�,tz - �tZ - s� z,�f sbk mom- �w - •s ,� ; Z 7 ►�`trz �1 b s�'1 Z�'sl�1z V"Vi�- e s - -S •� Ground 3 3Z -S7 ) 0 `•t2 31 elev. o q.. 3 fL Depth to limiting Remarks: Boring # Z` 3 'Dk mph CLj - • S Z z 1z_3 �o �r4 �! — s11 Zs bk mfr �S. — • •6 Ground 3 3z_�y 1. 0'T R 316 5 y 2 y /y o1)' Lo CIS OF 7•S`�2 y/6 1oo.O 3 Depth to limiting factor Remarks: T Name:— Please Print phone: Arthur L. We erer 715 -425 -0165 Ad dress: Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 Sgnature: Date: CST Number. . -1S_c1 220254 PROPERTY OWNER y \ t t;r t< SOIL DESCRIPTION REPORT PARCEL I.D. 1 _ TAT• OF o 3 d 1 0`I D - 10 page Z of 3 Boring # Horizon Depth Dominant Color Mottles Structure � in. Munsell Qu.Sz. Color Texture Consistence GPD /ft . >s£:M: 1 0 9 Lost Z t3 Gr Sz. Sh. Y Roots Bed Trench 3 a > 1 3 Ground 3 Z6 _ 3� ! p H tz 3/6 elev. Si i 1 C S b Vt {tit'�►� c S q 8.o rt' c V. Depth to limiting , factor i 3�a Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # � x r .�.•.roK .3 Ground elev. it. Depth to { limiting } factor Remarks: Boring # Ground elev. ft.. Depth to limiting factor Remarks: r•r� no•�nrt� ..r •, n. PLOT P LAN Page 1 of 3 SCALE 1 "= X10 ' i 1 i 101_0 UN e I 1 � V1AGH, 3 1 "DtA _PVC plplr LtT B-Z- WD d / D UI J h J 8r �►- I rJ 2 �oCA�o� Sh`Tc�i o scnt� l" =800' `�vs r ° 1 1 gl"C y X 9 �8ntz ty-i tt- ' zzoZ S`I ( 715 ) 425 -01 n 5 =- CST Signature Date Signed Telephone No. CST # 09/22/00 FRI 14:46 FAX 715 986 4686 ST CRX CO ZONING Q001 ST CROIX COUNW SEPTIC TANK MAII+l MANCE AGRHE M MT AND OWNERSHIP CERTIFICATION FORM ezml- �.Q- T0Q. Owner/Btrytr Q;YYI �-c 501 a .� Address b Property Address *,-' * (Verification required lam Piamiag Depuumat for new eanstrucaw CitylState �Q Parcel Iddntification Number 2 1 r - I D. SAL DESCRWnON Property Location iiii Y Y,, Sec. T -R Town of-SL SubdiNlsion Lot # �. CtrWW Survey .Map # U l s ID . Volume _ _� �.Par # �..._- War mty Deed # CQ Q0 , Volume _ ,,) 1 - `, Page # . ..._: Spee house .0 yes 0 no Lot lines idantiSable 0 yes O no Kim= NAUMM= Improper an and mainteosnoeofye>Atr sepses systeem ce>uid result in its preemature faire m baadk wastes. Proper exeasists of pence oat the septic teak esvery tLree yersta air >ooiove:r, it needed by a lioensod pumper. What You Put x" the system =a abed Ike fimeaion of the septic tank as a treatment stage in lbe waste disposd syueat. The property owner agrees to submit to St. Ceoix Zoning Dgmanea s eerilf"tM farok signed by tyre owner and by a madapdwabet. jetnYreymmpltesabnt, regtictedpte�aaabex or a ticeasodpumpec that (1)1110 WSW -'dspossi syt;t0m is in peeper opw6bg eond f m an&w (2) after inspection and pwaping (if nee►), the Bgdc tank is lets &M Ili foil of sledge. Vw% We andecsigned have rmd @re above re qW remeras and agree to wahanin tins pinto sewage: ditpOUI syatom with the standu* set ft a. heroin, as set by the Dgnstmont of Circe and the Depstmaeent of Natural Reece, State of WiOOMia. C a sa►ing dslkt your septic system has beers maintained mast be co pleted and r ftmd to tbo Sit. ON& County Zoning office widds 30 of gibes tLree year tarp' tier data 3ICil+tA7URL' OF APPL CANT DATE OWNER CER CATION I (we) catify that all statements on this form are true to the but of my (oat) knowledge. I (we) am (are) the owne(s) esf deffer ilied "ve, by vkwc of a warranty deed recorded in Re Odff of Deeds OtTM D S1014ATURE OF APPLICANT DA'T'E .aa." bang revoked by the 7adag Dep> - ••.ass Any information that is mis- represented may result in the caaitary pet+arit Udwh with this application: a stamped wattanty deed lt+em tM Register of Docds office a copy of the: cutitied aatvey mop if ftfaame is made in the warranty dead I� /D 41.7 PAU -9 00 6U0898 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI DOCUMENT NO. RECEIVED FOR RECORD 04-07 -1999 4:20 PM This Deed made between MARVIN O. RADKE, a WARRANTY DEED single man, Grantor and VIEREGGE CONSTRUCTION EXEMPT N COMPANY, INC., a Wisconsin corporation, Grantee, c Witnesseth, That the said Grantor conveys to TRANSFER FEE: 480.00 RECORDING FEE: 10.00 Grantee the following described real estate in St. Croix PAGES: i County, State of Wisconsin: A parcel of land the SW - 114 of the NW and NW 1/4 of the SW 1/4 of Section 19, T30N, R19W, town of St. Joseph, St. Croix County, Wisconsin described as follows: Beginning at the West quarter corner of said Section 19, thence g g q N00o18'36 "E 55.42 feet along the West line of the NW 1/4 of Tax Parcel 030 - 1040 -10 Section 19; (bearings referenced to the West line of the RETURN T o ; Northwest quarter of Section 19, assumed to bear North /Vag► e /,;; , 00°18'36 "E); thence S89o04'41 "E 1229.07 feet; thence South y� wl4 00°02'08 "W 55.42 feet; thence SOOoO5'02 "W 481.68 feet; thence Southwester y 961.54 feet along the arc of a 833.00 feet radius curve concave to the Northwest whose chord bears South 33°09'09 "W 909.04 feet; thence S66o 13' 16 "W 169.50 feet; thence N89oO5'06 "W 388.36 feet; thence Northwesterly 187.90 feet along the arc of a 233.00 foot radius curve concave to the South whose chord bears N67 o 39 11 W 182,85 feet; , thence S89o14'38 "W 27.63 feet to the West line of the Southwest quarter of Section 19; thence NOOo24'09 "E 1255.54 feet along said West line to the Point of Beginning, containing 1,539,526 square feet (35.343 acres) more or less, and being subject to all easements, restrictions and covenants of record. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. It Dated this 7 day f April, 1999. Y P C l `Lc6l — (SEAL) Marvin 0. Radke STATE OF WISCONSIN )SS ST. CROIX COUNTY Personally came before me this 2 day of April, 1999,,.th€abov named Marvin 0. Rake, to me known to be die person who executed the foregoing instrume a d led e. f .. Notary Public, State of isconsin My Commission is permanent. THIS INSTRUMENT DRAFTED BY: Robert W. Mudge, Attorney MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. 110 Second Street, P.O. Box 469 Hudson, Wisconsin 54016 �_ LL , I� X. D n rl QZ § rp G w = W Q Ira 41 54.�� Z w Q � a= o � dp �l4+ J O $4" 5 ui C :� d r- C� (`' ( 4� 41 o x z i ° �n 2 ' z00rp �0: z p4 zz o b� a� f.,�n A w Fob w rrW WV_: �� g < 0 I ll Z �" $ �. 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