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HomeMy WebLinkAbout030-1051-50-000 n O v n tv r_ N O d v� 7 7 CD i 0 CD 'O � :! .D c �r A (D N CD �m o o w toll .. W ,, O m ? d A T L WC? 0-4 O N N C 7 O cn N (o SO W CD C 1 N N O- 7 O 0 � -' 5 0 o-a A 7 N --1 p O c 7 O A7 t0 cn N O D D A a N m n W a = 3 O CD o c o rn Q o Q Z ' { ° (D N° o O n o c CD Cn CD w a a Z a O O O `° °'• o F ', v 3 v, cn u, s m 3 Q v v v 3 CD j Q c N o I d � > ; 4 CL z O ` z c D D o ~ O v O c Z o m n • I � � CD c w m I m 1 (n Z O ? Z O Z O O TO O< --4 W <- Z CD C �, T7 y ;o CD N p) N ° nD 3 j 0 C = 0 O Q\ N y o s 0 t CD `� a I A c N O I � c N 4 0 b o O ti 0 ~' Parcel #: 030 - 1052 -10 -000 04/25/2005 12:20 PM PAGE 1 OF 1 Alt. Parcel #: 23.30.19.1971 030 - TOWN OF SAINT JOSEPH 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 SPENCER B & NORMA SCHULDT SCHULDT, SPENCER B & NORMA PO BOX 385528 BLOOMINGTON MN 55438 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 23 T30N R19W PT GL 1 COM 1981.4 FT W Block/Condo Bldg: & 1700 FT S OF E 114 SEC 23, TH N 21 DEG E 66 FT TO POB: N 33DEG E 40 FT, N 69DEG Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) W 203 FT, S 28 DEG W 40 FT, TH S 69DEG E 23- 30N -19W 200 FT TO POB Notes: Parcel History: Date Doc # Vol /Page Type 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 5157 56,400 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 55,500 0 55,500 NO Totals for 2004: General Property 0.000 55,500 0 55,500 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 27,400 0 27,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 040 -OTHER ASSM'T SPECIAL ASSESSMENT 46.98 Special Assessments Special Charges Delinquent Charges Total 46.98 0.00 0.00 G Si c 0 0 d �1 o � CD O �� N o ° CA) �ww. s �wQ p N 3 Q A A C O i i N p a A f0 C N A 0 =r r: O (D 7 -i V O CD o A 3 > > w n p° to Er CD (n Z D N m cn D W K = CD 3 0 N N i C `i O y o o h y p c o@ 3"c T t� Z 000 ° - 70 /y 0 3 c ca to N? m v 3 cr v v c 3 n �l O A ' = lr d i Z � lv D D o O 0 O lei o °' N • C A c w A� n 3 (p r m CD Z A Z 7 o. W W p w Z a CD 3 � � w � m I � N pj v o a CD N fi I y Q t a fi I N N N O O �n A tv O ti N d0 O A O ti c ° O L r� ti Wsoonsin Dupartment of commerce PRIVATE SEWAGE SYSTEM county: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provlce may be used for secondary purposes [Privacy Law s.1 5.04 (1)(m)]. 384265 Permit Holder's Name: ❑ City ❑ Village Town of: Sr Plan ID No.: huldt, Spencer St. Joseph Township 6gi 3 CST SM Elev.: Insp. BM Elev.. BM Description: Parcel Tax No.: 4 030- 1051 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. Septic S �Q Benchmark , 1 /66,5-1 Q Dosing S joeQ It. BM 'Z Aer Bldg. Sewer H / Ht Inlet S TANK SETBACK INFORMATION t Ht Outlet TANKTO P/L WELL BLDG. V ROAD Dt Inlet A •Z f NA Dt Bottom Septic >3 ` 0 Dosing NA Header / Man. / / 7 3d� ' � S� ( 3 ' O A NA Dist. Pipe. Holding Bot. System PUMP / SIPHON INFORMATION Final Grad w l V. Manufacturer Demand S Cover Gc� s . rr Model Number w EdStt 50 GPM TDH Lift 22 •';I Friction2 s l System 2.5 o TDH ��. iZFt �� lot. S'8 ° Forcemain Length S D` Dia. (l Z Dist. To Well 2 SOIL ABSORPTION SYSTEM BED / TRENCH Width i Length 1 Ne 6f�rere4+es P No. Of Pits Inside Oia. d Depth IM N 1 N 3 1 OIMEN I L Manu adurer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM MBER Num r. INFORMATION ��S 1 /OQ i System: OR UNIT DISTRIBUTION SYSTEM 4o rock x Hole Size T ng Vent To Air Intake Header /Mani of I rl DistributionPipe�(s) L n b 1 q I Length � Oia. 1 Length 3 Dia. • o Spacing 3 ' /(0 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over : fxx ept h Of �xx ded Bed /Trench Edges soil No ❑Yes ❑ No COM MENTS: (Include code discrepancies, persons present, ection #1: / /Q/ Ins e lon #2: e&A 7 1 n1 / G� / Location: 1422 Hidden Oak Trail, New Richmond, WI 54017 (Gover'nment ot 30N R19W) - 2330191970 1.) Alt BM Description = staff 2.) Bldg sewer length - amount of cover = > 1,?" 3.) contour= q 4 `l 3,9 4p�' % 0,37 ZS 0 ( Plan revision required? ❑ Yes ® \No Date inspector's Signature ob 29 o I Use ther de for ad itional information. Q Cert No �v tl BDZ1� 0 (R.319 ) Ck 3 0 , Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 N � seonsin personal information you provide may be used forcondAn purposes Madison. WI 53707 -730.^ Department of Commerce [privacy Law. s. 15.04(1 (Submit completed forth to county if r a \ ` state owne, Attach complete plans (to the count) copy only) for the on er not7>ss''[..hi 8 -1/2 x 11 inches in size. County State Sanitary Permi Number ❑ Che r ision to applic'a�a5n State Plan 1. D. Number - C t'o t � � 4 3 I. Application Information - Please Print all Information '= Location: Property Owner Name p - .t rop)Y Locatign / t 4 l { C,k 5(C ` I/4 1A S - Z _ 30,N, R or Propertf Owner's Mailing Address \-jc Lot Number Block Number City, State Zip Code Phone b I Subdivision Name or CSM Number IV&) II Type of Building: (check one) ❑ City X I or 2 Family Dwelling —No. of Bedrooms: Z ❑ Village ❑ Public /Commercial (describe use): RL Town // of T CI State-owned t, _.A A III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Ro d A) I. ❑ New System 2. P(Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Only Existin S stem © /,D Qx:x B) Permit Number Z-3 - 30-/j, /f L Date Issued 11 A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground ,"Mound ( / , ! k 3 '/') ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Dispersal/Treatment Area Information: z f (_ _S 5 3 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required 3v0 Proposed 30 (p Rate (Gals. /day /sq. ft.) (Min. /inch) 9 (� 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 ❑ ❑ ❑ ❑ —�—p D 11 la I Resp risibility Statement I, the undersigned, assume res on ibility fer installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (nos �ps):MP Business Phone Number ,-nom 2�<v5 / - '772- - 3Zi Plumber's ddress (Street, City, State, Zip Code) 0/ Z _0 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 : 7 0- cn v l x ,0 IX. Conditions of Approval /Reasons for D n // �e ew'o5. Coo# weasL re5 S<1�,1! 4e in5fallep / � 7�re 1 `S 4ee,.f pT ' a / 55 /// _ / / / Wet( 3e,4fC<S 4_0_// UC VeY;ti rrf / �Cttr / :" 4e f`owi 61c,' ✓c`or �b ,O iK5�4llR�,or, le abv,41 D S ✓ �D r / ` SBD -6398 (R. 07/00) Safety and Buildings " 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 Vhsconsin www.TDD #: (608) 264 -8777 www•commerce W scon s in.gov wisconsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary June 07, 2001 CUST ID No.226524 ATTN.• POWTS Inspector ZONING OFFICE ROGER L TIMM ST CROIX COUNTY SPIA 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 CONDITIONAL APPROVAL Identific 6 4 9 Numbers PLAN APPROVAL EXPIRES: 06/07/2003 Transaction ID No. 649342 SITE: Site ID No. 630651 SPENCER SCHULDT Please refer to both identification numbers, 1422 HIDDEN OAK TRAIL above, in all correspondence with the agency. TOWN OF SAINT JOSEPH, 54017 ST CROIX COUNTY SW1 /4, SETA, S23, T30N, R19W FOR: DESCRIPTION: TWO BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 795175 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 Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 101). • 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 existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Aden Code. If it does not conform, a state approved tank must be installed. ROGER L TIMM Page 2 6/7/01 • The existing POWTS must be properly abandoned. • 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(1). In addition, 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. • 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 of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. 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 /-" I BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services WiS +LA t" .wdei 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz @commerce.state.wi.us Spencer Schuldt - Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01/01) Pressure Distribution, SBD - 10706 -P (01/01) Location: SW 1/4, SE 1/4, Sec. 23, T 30 N, R 19 W Town: St. Joseph County: St. Croix Date: May 25, 2001 Owner: Spencer Schuldt Address: 1422 Hidden Oak Trail New Richmond, WI 54017 Plumber: Roger Timm V� Signature: Ot P License # MPRS 226524 Attachments: 6748 -Plan Approval Application SBD -8330 page l: cover 2: design criteria & calculations COnifidonally 3: plot plan 4: system cross section APPROVED 5: plan view, lateral detail DPMDMff OF CUUMM 6: um tank exit detail p P 7: pump curve AGE 8: system management page 1 of 8 1 ,' x Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL Bedrooms x 100 gal/bedroom/day x 1.5 IV-0 gallons /day hydraulic load Design Calculations In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock ' ° Z in. Cross slope at system % Force main length Z- ft. of Z in. Manifold /header length ft. of O Z in. Drain -back gallons Lateral length 3 @ ft. of ° in. Lateral elevation ft. @ bottom of lateral Lateral hole size 3 A b in. @ in. ( 3 .1$ ( ft.) Spacing I holes /lateral Z - holes total Lateral volume 1 gallons Total lateral discharge rate Z - gallons /minute @ Z •�� ft. head Network pressure compensation losseg'`" y � X' /' ' ft. Elevation 2 3.SS� t difference ft. fi Friction loss 3. ° / "b Z •s 1 ft. @ g gallons /minute Total dynamic head z`�• ft. Pump /siNon gpm @ 3 ° ft. of head Manufacturer ° i`� `fig Model # IC S W Z Dose volume �' g allons Lift/si a, Q.��s n tank gallons �S 1� i g Septic tank g allons Effluent filter Measurement pump on and off in. Height alarm from tank bottom 9•. g in. Reserve capacity ° 3 } gallons s P ecs.calcs Page Z of g 9 ,� NI A tA N v � r n i� � f , o P g 9 ' r 7 N - -�' v ;4 y p , 31 a Ol of t r n \ d a � a --3 P YL. ( t w..s��; y►°vX 3 (� 0.�( t Mt ti�� � �i`Ow Z. U 11 w� � Ct9•iS� ao.a , � aQ s.� . 9 b. � / � tLtirh �c � o p e �'• 1 - Z i I ' �la.h V �2.w► ` �I c_ .. _..... —�— 14.4' �� S3•�S� I PuC 2. 1 c t • r I / 34 / z.T I l I I I I t.�G.��� �"./ Vw`Vf. �•X�C Or• �gK:Vr1.�WNt �n Z Q V C. S t_� • o \ v, o ... 1 Aa..X Qom.. �. 1p o o ... \ ,. ,� n � ,1 o•�Q o� � L � a VEUT CAP `f" C.I. v-.'JT PIPC WEATHER PROOF APPROVED LOCK!MC > �- , DOOR, JLIUCTIOtJ BOX MAMHOLE COvEF, — � = R0.�1 WI t2, / wARN%�► c� �ICCW OR FRESH LAQ�L AIR I1;7AKE GRADE I CO►JDUIT �-- t I 11� PROVIDE I AIRTIGHT SEAL I I T i � I k� r I o t •. I I I Crta,s , ( APPROVED JOIuiS W / . PIPE W I I ALARM EXT1MDIWC, 3' oMro soup solL 1 ow Q•ti$ I I PUMP_ ' —� OFF 6 .. CLOCK 3•� Ilk a1 ay. X3.0 TS O tt 4L , I i ,I I I - y Bulletin CL2.1A J uly 8, 1983 • For Homes - �7idL�L.DcJ • Farms • Trailer courts Model 3885 to Motels (Supersedes Model 3870) • Schools • ' Submersible • Hospitals Effluent Pump Effluent Pumps • Industry is Effluent Systems Pump Specifications anywhere effluent Solids Handling Capability to 1 /4'' or drainage must be Discharge Size ?' N F? T disposed of quickly, y' P q Y Semi-Open Impeller quietly and efficiently. 3 vane design tire, +Ur;i! snalt I fired units use uupvller luckuul to pruvunl acJr;,; :�!. back -off. Purnp out vanes on baCkSide of irnpen, for prolectrun of mechanical seal Casing Volute typo for mnxinu011 efficiency Stainless Steel Fasteners Heavy -Duty Solids Handling Series 300 stainless steel for corros un resistance Dependable Capability to 3 /4" Mechanical Seal F_ �� Caram���� vs C;irbon ,t,;:nnq faces ,t,;�nirs> s„ spring anU L„ri,r N ela�,tomers Maximum Temperature 1 /3 , 1 /2 H. P. 60 Hz 160,E Capable of Running Dry Single Phase 115 230 Volt. wimoWt damage to con ponents Motor Specifications 1 /2, 3 /4, 1, 1 H.P. 60 Hz Motor Fully Submerged in nrgn grade turmine oii for permanvnl Single Phase 230 Volt. Three tion of ne anr,,;s and rnucn;;nrcal seal x;c Phase 208 -230, 460 Volt. efficient ne:;t oi,s,pation Motor s­ t,:.d tro!,i envirdrlmerl; Dy ruggcU Cast iron enclusoit Bearings Heavy -Uuty ill bull Dearmg conslr_. 1,1n Stainless Steel Shaft Sums 300 st.iinless stuei for corros­n resistance Threaded snaft Single Phase Units All snrylc ouilt -u. 90 OVOIC) d pr'�11 °C11,u1 with ;!utOmaliC re,et 8o Three Phase units (wcrlOd,l �1r Jlri: i, Jn n: �!Lrter Will WE MODEL 3885 466 volt, Tn a r, �.,.,7 sn,,rt 60 Hz ope :.,!�.n , F 70 RPM 1750/3450 Power Cord W Weiler an _ staril LpoAy se',l on 60 n ;l,a Q WE07H dan�ag�� t,� L!cket�ny Corros„!� ress!,t 2 50 glano n,rt Single Phase Units Q QQ iii' , .,1 with .)I iD Z SJ10 ,v,Ir 1 rur ) ng P w; - 1 1 ri r 30 WE03M models uy v stn of 1a 3 PTO power o � Q cord t O 20 WE03L ` "� -N . SPECIFICATIONS ARE SUBJECT TO CHANGE 10 WITHOUT NOTICE 0 0 10 20 30 40 5P 60 70 80 90 100 110 120 r„ GOULDS PUMPS, INC. GALLOflS PER MINUTE SENECA FALLS NE`^/ YC)PK 1Ji46 OI �� ,� .. .• `v ' System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Timm Excavating, 715- 772 -3214, or the St. Croix County Zoning Office, 715- 381 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the.system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic-tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water, try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ORIGINAL 1223 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing oun y Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 030 - 1051 -50 -000 Please print all information. wed B Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). D Property Owner Property Location Schuldt, Spencer G ovt Lot SW 1/4 SE 1/4 S 23 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM 1422 Hidden Oak Trail A City State Zip Code Phone Number Cit Village N Town Nearest Road New Richmond WI 1 54017 715 - 246 -5388 St.Joseph Hidden Oak Trail New Construction Use: Residential / Number of bedrooms 2 Code derived design flow rate 300 GPD Replacement Public or commercial - Describe Parent material t il l Flood plain elevation, if applicable NA General comments and recommendations: install 9'x 34' rock unit mound on 96.3 contour as upslope edge of rock w/ 0.5' sand fill FT] Boring # Boring Pit Ground Surface elev. 94.5 ft. Depth to limiting factor 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 1 0 -6 7.5YR 3/2 - sl 2 f sbk ds cs 1f /m .5 ✓ .9 ✓ 2 6 -14 10YR 3/3 - sl 2 m sbk dsh cs 1M .5 .9 ./ 3 14 -31 10YR 3/4 - sl 1 m sbk ds cs 1 m .4 ✓ .6 ✓ 4 31 -53 10YR 4/4 f2f 10YR 6/2 scl 0 m dvh cw 1m 0 0 ✓ 5 53 -70 7.5YR 4/6 - s 0 m dh cs - .3 .5 6 70 -102 7.5YR 4/6 f2d 7.5YR 5/8,5/3 s 0 m dh - .3 .5 irregular s inclusions in horizon ( irregular 7.5YR 4/4 scl inclusions in horizon 6 7 Boring # Boring in Pit Ground Surface elev. 96.3 ft. Depth to limiting factor 58 11 - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sl 2 f sbk ds cs 1f /m .5 .9 ✓ 2 5 -23 10YR 3/3 - Is 1 m sbk dsh cs 1 m .7 ✓ 1.2 3 23 -58 7.5YR 4/6 - s 0 sg ml as 1 m 7 ✓ 1.2 4 y 58 -64 10YR 4/4 cl d 10YR 6/2 scl 0 m dvh - 1 m 0✓ 0 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name ease Print) ig ure: CST Number . Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 10/9/2000 715 - 233 -0398 Property Owner Schuldt, Spencer Parcel ID # 030 - 1051 -50 -000 Page 2 o 3 FT] g Boring Boring # � Pit Ground Surface elev. 98,3 ft. Depth to limiting factor - 50 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sl 2 f sbk ds cs 1f /m .5 ✓ .9 r 2 5 -34 10YR 3/3 - sl 2 f -m sbk dsh cs 1 m .5 .9 3 34 -50 7.5YR 4/6 - s 0 sg ml as 1M .7 1.2 4 50 -60 10YR 4/4 c1 d 10YR 6/2 scl 0 m dvh - 1 m 0 0 ❑ g Boring 4 Boring # Pit Ground Surface elev. 96.9 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sl 2 f sbk ds cs 1f /m .5 •i .9 ✓ 2 5 -21 10YR 3/3 - sl 2 f -m sbk dsh cs 1 m .5 .9 ✓ 3 21 -33 10YR 3/3 - sl 1 m sbk dsh as 1m .4 .6 ✓ 4 33 -41 10YR 4/4 c1 d 10YR 6/2 scl 0 m dvh - 1M 0 ✓ 0 .� ❑ Boring # M 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " 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. SBD -8330 (R.07 /00) Certified Soil Testing Pn p A r A A v g ,, P s P s � °d d y ar 0 IA c i N J d' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer � iCLQirKl r SGT �� Mailing Address IVZZ Wl�n g ng k Property Address �� (Verification required fr om Planning Department for new construction) City /State /4� & Parcel Identification Number O 30 - ! b 51 - So o 0 LEGAL DESCRIPTION Property Location 5 4) r /4, SC ' /., Sec. 3 , T 3 d N -R i-W, Town of +�• Ja s ,QA Subdivision — , Lot # A Certified Survey Map # , Volume , Page # Warranty Deed # 44 3 qq 2 4;,y , Volume $�� 3 , Page # 3� Spec house ❑ yes CK 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, restrictedplumber 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, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da of the three year expiration date. o b / tit, O 1 9ftATURE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** i *' 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 4 � o�V O N � 9 O 1C Ly o G, oo''o i o• 2 ° H IV 19 G v O o t 0 N Ll w A 0 , } �o1yj ir) O ' �l N�. o\ i � N • t �M 0000VENT N0 C��j Q TATE BAR OF WISCONSIN- FORM 2 V�� '' ' • 3� V WARRANTY WEED T HIS 344 I 'VOl SvACE aE StotVt SERVtD 1 o« t1ECO110WG flAtA - -- -- Ki � 'T�"� Q F!rE BY THIS DEED. _Lealie-.Schujdt_ Elsa H_ S chitl AL,_bu shand - and wife, as _ jyZiat_ L enanrc of Sr Pail B�,ri -ey County, , ''Y `� r 1st Minn.; nta, O ct .tr). ' 9 _77 Grantor conveys and warrants to Rppnrpr A je. 1211 ' P• r husb and w ifg, r '� �o�ni t nanta of Rlnnmin gt,pg T `��- ---- j��� - �epin �CQU s Minnacntn Grantee -- fora valuable consider One Dollar and other good and valuable It ETUIIN TO ronsideratinn, -ri Go 5avi1,i 5 and Loan the following described :eal estate in Sr - Crni y - County, State of Wisconsin: , V ` ��a �_ / O r QQ � om�_�ag Ci a t North East Corner of Government Lot Two�� �-- _ �7 Section Twenty Three (23) Township Thirty (30) North, of Range Tax Key 8 Nineteen (19) West; thence South 1700 feet, thence West 1981.4 This is homestead property. feet to point of beginning; thence North 21 5' East 66 feet; thence North 69 20' West 200 feet more or less to shore of Bass Lake, thence South 21 5' West 66 feet; thence South 69 29' East 200 feet more or less to point of beginning, // U �� / / it (gy lA Together with right of ingress and egress across land owned by James C. Simon. And a parcel of land located in Section Twenty- three, Township Number Thirty North of Range Number Nineteen West, St. Croix County, Wisconsin, further described as follows: Beginning at an iron pipe stake which is 1981.4 feet West and 1700 feet South of an iron stake at the East quarter corner of said Section "23 "; thence :north 21 5' East 66 feet to an iron stake which is the starti•.ig point of this description; thence North 33 East 60 feet to an iron stake; thence North 69 4' West 205 feet to an iron stake; thence South 28 West 60 Feet to an iron stake; thence South 69 20' West 200 feet to the point of commencement, together with an easement to the above described parcel of land for an access road; except the northerly 20 feet heretofore conveyed to one Warren R. Beck. Exception to warranties: [ URr NS ER '� 2 � . tr2 F r , ~ � � -r Executed at, 3illt__F :li11nt?3 this -- 29 +.h de A nrtnhpr , 19-1-7-. SIGNED AND SEALED IN PRESENCE OF - r (SEAL) Leslie Schu dt i �L- _ -L _ �. >f (SEAL) Elsa H. Schuldt (SEAL) - - -- -- -- -- — - - -- -- (SEAL) Signatures of authenticated this _ __ —_ dey of_ -- Title: Member btate Bar of Wisconsin ur Other Party Authorized under Sec. 706.06 viz. STATE OF W4kWbMPj MINNESOT s s. County. � Personally came before me, this -_ 7 day of _ Orrnhpr 19 72, the above named ____ S UP i S h t 1 d t__and F 1 ca " SCh" I'l l - to me known to be the person i_ who executed the foregoing instrument and acknowledged the same. This instrument was drafted by iJ; „� R'• ` j C t. x t* t� ���_ JOHNSON L AW OFFICE_ : . .�' ♦ I, Notary Public Ramsey County, IM. 2510 E. Seventh Ave. , North St . Pauli 2i } ; •• • ` / •� M Commission (Expires) (Is) �. i L /yiT The use of witnesses is optional. �� R , t y on pir Names of persons signing in any capacity should be typed or printed below their aignatires. N C YNNM Ceti r .1 WARRANTY DEED-STATE_ BAR Of WISCONSM, IORM NO 2 - 1971 I