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County: WisconsWCdin nt okcor -mere% PRIVATE SEWAGE SYSTEM St. Croix Safety aidision ,t I NSPECTION REPORT sanitary Permit N . (ATTACH TO PERMIT) 430068 0 GENERAL INFORMATION State Plan ID No: Personal information you proyide'may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. t 4e_ - Permit Holder's Name: City Village X Township Parcel Tax No: P.C. Collova Builders, Inc. I St. Joseph Township 030 - 2122 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range /Map No: /vim �/ c p 1'0� "W .' e" 1-- 23.30.19.997 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � f z �� Benchmark 1 7e / 00 Dosing 7S � Alt. BM 1� i Aeration Bldg. Sewer i i Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � � � , , f � � Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION c o �� G 1 � Manufacturer II Der4and 1, KKSSt Cover q GPM Model Number N 1 d -Gj N w y /. P).E -Sv, c w 7 .9 �0 9 c j ` s w 8. TDH Lift Friction Loss System Head TDH Ft ru f YJ C� <--Y 7. l , g • '7 Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �2 �� SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:` 1 INFORMATION CHAMBER OR Yj G 6 l Type Of System: -k ^� j , G + UNIT Model Number: C o v A-'*,- c. r. rJIC 3 i-4 `�' J .�- 30 DISTRIBUTION SYSTEM C c ; 1r, I;_ — - 3 �•� -� Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia 2 Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center , Bed/Trench Edges Topsoil L Yes = No i;.,I Yes No COMME (Include code discrepenai s perso present, etc.) Inspection #1: /" ! Z 1 0 3 Inspection #2: 1 I Location: ` _4 1 SWest Shore Drive Somerset, WI 54025 (NW 1/4 SW 1/4 23 T30N R19W) Bass Lake Meadows Lot 7 Parcel 23 99� / .30.19. , 7 / 1.) Alt BM Description = Tv P Sep 2.) Bldg sewer length = 1"1 , - amountofcover= ��' t"h�w. �a..�c. �^T ►^'1 b�,e- (d t 1 ' v S�G1� Plan revision Required? Yes o ( lc Use other side for additional informati � SBD -6710 (R.3197) Date Ins tQrs Signature Cert. No. Safety and Buildings Division k.ouuty ` n f 201 W. Washington Ave., P.O. Box 7162 ' L i Madison, 0 /x ` on, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co` isconsin (608) 266 -3151 l 3 W 6 Department of Commerce n ou State Plan I.D. Number Sanitary Permit Application �� � In accord with Comm 83.21, Wis. Adm. Code, personal informano y Project Address (if different than mailing address) may be used for secondary purposes Privacy Law, s15.04(1)(m) J —) / 1 �-;_ a)-0S.T S4/0 k "C7 10 I. Application Information - Please Print All Information Property Owner's me RECEIVED Parcel # Lot # Block # of Property Owner's M ailing A dress S F P 1 0 2003 Property Location C A t•(./ Ik, 52t i,Section� City rate Zip Code h �iifr�i�t✓_lry I 1 n � ZONING OFFICE �� t cir N; E r W rII. Type of Building (check all that apply) s�yYt2 44�� Subdivision Name CSM N ber I� or 2 Family Dwelling - Number of Bedrooms r Public/ Commercial — Describe Use - Zi u State Owned — Describe Use • ` �0 City_�Village nship of �Svs III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/ Holding Tank Replacement Only ❑ Other Modification to Existing System I List Previous Permit Number and Date Issued B. ❑Permit Renewal rmit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner I IV. Type of POWTS System: (Check all that apply) on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized In round El Holding Tank ❑ Peat Filter L Aerobic Treatment Unit Li Rec' ating Sand Fi ft r ❑ Recirculating Synthetic Media Filter thing Chamber ❑ i Line ❑ r ve - less Pipe Other (expl n) v V. Dispersal/Treatment Area Information'7 / b �• Design low (gpd) Design Soil Application Ratersal Area Required (sf) Disper Area Proposed (sf) Stem Eleva o Eck � &"/ f.7 r / Q VI. Tank Info Capacity in Tota Manufacturer Prefab Site Steel Oer Plastic Gallons Gallons of Units p� �] Concrete Constructed Glass New Existing Tanks Tanis Septic or Holding Tank J ' .Aerobic Treatment Unit Dosing Chamber v VII. Responsibility Statement- I, the undersigne a responsi for installation of the POWTS shown on the attached plans. Plumber' Na me (Pi tj Plumber's S' re MP /MPRS N tuber Business Phone Number Plumber's Addre ss (Street, City, State, Zip VII /Department Us Only Approved Disapproved Sanitary Permit Fee (includes Groundwater g Date Issued 1 ing A ent o Stamps) Surcharge Fee) �j .� G 22 03 Aii�t eX j ❑Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval AA-& 1 J _ �`-' f� ova Attach complete plans (to the County only) for the system on pdper lot less thalf 8112 x 11 inches in size SBD -6398 (R. 01/03) i r r PLOT PLAN PROJECT Pat Collova ADDRESS 719 W. Shore Drive Somerset Wi 54025 NW 1/4 SW 1/4s 23 /T N/R 19 W TOWN St.Joseph COUNTY ST. CROIX I % MPRS Shaun Bird 226900 DATE 9/9/03 BEDROOM 4 CONVENTIONAL IN-GRWND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE •7 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. op of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL •H.R.P. same as benchmark SYSTEM ELEVATION 92.5/91.7/91.0 F below grade qd 633' Property Line To west shore drive Plans Designed Using Conventional Powts Manual Ve 2.0 Vent j6'Long Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area Pro 4 Bedroo 3415 Grade at System Elevation 5' fin^ 5 ' 40' Huffcutt Combo 386' 20' B -2 60' B -1 5 ' Vents B -3 8% Slope 30' 3 -3'X 63' Cells with >3' Spacing rd 10 75' operty Line T f PLOT PLAN PROJECT Pat Collova ADDRESS 719 W. Shore Drive Somerset Wi 54025 NW 1/4 SW 1/4s 23 )ND N/R .19 W TOWN St.Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE9 BEDROOM 4 CONVENTIONAL IN -G RESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. op of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL H.R.P same as benchmark SYSTEM ELEVATION 92.5/91.7/91.0 5' below grade 633' Prop Line To west shore drive Plans Designed Using Conventional Powts Manual Version 2.0 L"— >6 » Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area Pro 4 on Bedroom 34 Grade at System Elevation 130 5' 6M 5 ' 40' Huffcutt Combo 386' 20' B -2 60' B -1 5 ' Vents 30' B -3 8% Slope � 3 -3'X 63' Cells with >3' Spacing 100' 75 ' IL �r operty Line E PUMP CHAMBER CROSS SEC T; 4N AND SPECIFICATIONS SEPTIC TANK „ *' MIN. ABOVE GRADE � WEATHERPRQDF v CI VENT PIPE �� J%NCTION BOX APPROV Z:25 FROM DOOR ' NDO OR MANHOLE COVER FRESH AIR INTAKE WITH CONDUIT W/ PADLOCK & WARMING LABEL FINISHED GRADE - f T er 6 tei.n _.,.,... 4 MIN. wo. a+ I N LET `. GAS- r WATER TIGHT SEALS �` TIGHT z N APPROVED A SEA L Ji3Ilt�'S W ITH ALM APPROVED PIPE APPROVED • ID S PIPE 3° - ; S SO DDS OIL 0 SOLID ,� c OHT OFF 5t#IL PUMP UFF EL£v. . � • A FT - -+– D 3 !2 AFFROVED BEDDING UNDER TANK CONCRETE PAD >prCIFICAiIQNS f r�� SEPTIC / DOSE NUMBER DOSES P£g DAY= T ANK MANUFACTURER: � DOSE flSE V£3LjjME INCLUDING G L TANK SIZES SEPTIC �S� GAL. f LOWBACK'. _. _- ---- -- DOSE _ b INCHES = AL- r CAPACITIES: A — C3�3RER = = GAL. ALARM MAI�iJFA _ 2 INCHES MODEL NUMBER: � 8 � �--- -- SWITCH TYPE : i C — INCHES = li — L , Pt3MF MANUFACTURER = ®� � D � 9 INCHES = � �`�" MODEL NUMBER : - /� f- -- SWITCH TYPE: PER I LHR 25.23 42AC �-a GPM - piiliP � ALARM S.IIRING AS REQUIRED DISCHARGE RA E — _ J� FEET - -- r vERTICA3. DIFFERENCE $£TWEEN pU3�SP OFF AND L?iSZRI80TI� PIPE FEET - - - FEET =! + MINTliu NETWORK SUPPLY PRESSURE £T- FRIC'rloN FACTOR - FEET FEET FORCEMA N TOTAL, DYNAM HEAD c `slENGTH WIDTN DIAMETER r TANK: ' .— �� . MP T INTERNAL DIMEI ;sT_ONS OF F LIQUID ��='- ---- LICENSr.- SIGNED :/$8 r r TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 I — Cr w w MODEL 152 153 � � I 50 Feet Meters Gal. Liters Col. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 0 15 4.6 53 201 61 231 T 20 • 6.1 44 167 52 197 C , 30 M 25 7.6 34 129 42 159 z 8 0 30 91 23 87 1 33 125 20 35 1C.7 - -- — 22 85 40 12.2 -- -- 11 42 4 Lock Volve 38.0 rt. 111.6m) 44.0 Ft. ( 1 3. 4m) 10 — - -` - - -- 014508 0 1 0 40 60 80 100 GALLONS LITERS 0 80 160 240 320 - 6 1/4 3 27/32+ - -� -4 5/8 FLOW PER MINUTE — CONSULT FACTORY FOR SPECIAL APPLICATIONS e 3 27/32 • Timed dosing panels available. a +I • Electrical alternators, for duplex systems, are available and supplied with 6 - 3 z l /3z an alarm. • Variable level control switches are available for controlling single phase systems. Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 1 0 � 1521153 Series' 12 1/8 ILI 1521153 MODELS Control Selection Model Volts-Ph Mode A ps Si mplex _ Duplex 5 t N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 , I E152 230 1 Non 4.3 1 2 or 3 s BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. D CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0341 Manufacturers of. . Z 1 . SHIP TO: 3649 Cane Run Road Louisville, KY 40211.1961 /7 � (502) 778 - 2731.1(800) 928 - PUMP rIML/TY, -9 ✓1,YL'f IS,&" http: //www.zoeUer.com MO FAX(502)774 -3624 © Copyright 2000 Zoeller Co. All rights reserved. I T R Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of �- -" Division of Safety and Buildings in accordance with Comm 85, 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 ction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location a f nearest road. (, 2— ' d Please print all information. P ewed y Date Personal information you provide may be used for secondary purposes ( s. 15.04 (1) (m)). ` Z Property ,p Property Locat�io) 7 K ? Govt. Lot ltd 1/4 �J T 3� N R E ( W Property Owner's Mailing Address Lot # Block # Subd. Name or CS -VrOv City State Zip Code Phone Number C3 City ❑ Village T Nearest Road s a�, ( ) New Construction Use. Residential / Number of bedrooms Code derived design flow rate _C ---- — -- GPD ❑ Replacement ❑ Public r commercial - Describe: REGE W-FE- Parent material 4, Flood Plain elevation if applicable ft. General co mments; e lei ac*C.�..c {il (� n 7 SP 1 0 2 0 U 3 and recom 9 o�k / a � ST. . CROIX COUNTY S ak *° ZONING OFFICE Boring # Boring Tt 1� Pit Ground surface elev. � D ft. Depth to limiting factor � tn. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 •Eff#2 D p o 3h- Boring # ❑ Boring Pit Ground surface elev, ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D' l - 3/U ----- m C - 0'�1� S ' 1 / O Allk MW Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1 150 mgA Effluent #2 = BOD 1 30 mg& and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 -���73 715- 246 -4516 i Property Owner ^ Parcel ID # Page of F-31 Boring # ❑ Boring Pit Ground surface elev. S l 3 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 3/z '�' Si f' ..� Q �--- se J A ,12 - /• F1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soi Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/lf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD. > 30 1220 nVL and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg& 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. SOD -8330 (e. 6/00) 03 0-- Z / 22 - -7 Z 2� , �, 7/09/03 RECEIVED To: JUL 1 4 2003 � St Croix County Zoning _ LS t15roix County Real Property Town of St Joseph The address for Lot 7, Bass Lake Meadows has been changed. The new address is 715 West Shore Drive. Please change your records accordingly. Thanks Pat Collova Cc to Renee in Planning I , I , FROM P C COLLOVA BLDRS, INC PHONE NO. 715 247 2747 Jul. 09 2003 03:13PM P1 A ' ST. CROIX COUNTY WISCONSIN 4 N N N.N N i -•: - ZONING OFFICE $I CROIX COUNTY GOVERNMENT CENTER - - --- 1101 Carmichael Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (71 S) 386 -4886 - 7 /s For7. 'W St Shore Drive (St Joseph) — Owner[s) P.C. Coll2va Builders Inc (Pat C011vva) Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance" Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and/or landowner to fopow erosion control procedures and maintain them until the site has been stabilized_ The Owner is responsible for notifying all contractors performing construction on this site that an Erosion Control flan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabili7Ation is compicto. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prcvent erosion. Plan to apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize sediment movement. Slopes drain toward Bass Lake and the proposed septic system is outside the minimum 75 feet setback from the OHWM shown on the Bass Lake Mcadows subdivision plan. 2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALON -CO between excavation areas an t waterways ( see attached do G d an drainage ditches or waterwa y g y � tail for constru of diversions). Make sure no concentrated drainages or ditches can pick up runoff and/or create erosion problems, 3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owmr's property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor' vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize all disturbed areas with topsoil cover, seed and mulch immediate) after final grading- If weather P y lid does not rmit seed germination, a heavy straw mulch cover will p revent erosion until grass/vegetation can 17e B P vy get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed" The owner of record during site construction will be responsible for compliance with the ESC Plan. Attached is a copy of Brosion Control for Home Builders". Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pam Quinn, Soil Erosion Ins for 4665054 c w Plan r u" ts: owner a � . COPY I ST. CROIX COUNTY WISCONSIN i ZONING OFFICE ,n, ,$T. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN _= (7 15) 386 -4680 • Fax (715) 386 -4686 For 71 West Shore Drive St. Jose — Owner(s) P.C. Collova Builders, Inc. (Pat Collova) Under 9t. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize sediment movement. Slopes drain toward Bass Lake and the proposed septic system is outside the minimum 75 feet setback from the OHWM shown on the Bass Lake Meadows subdivision plan. 2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways (see attached detail for construction of diversions). Make sure no concentrated drainages or ditches can pick up runoff and/or create erosion problems. 3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize all disturbed areas with topsoil cover, seed and mulch immediately after final grading. If weather does not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied arty time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Attached is a copy of "Erosion Control for Home Builders ". Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by_ Pam Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: — : ' / ' /2003 Safety and Buildings Division County < l n 201 W. Washington Ave., P.O. Box 7162 ✓ T • t �D 3?1� Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled i by o.) I ��iQI1 SI � (60g) 266 -3151 Departmc,n of Commerce r / 3 0 Sanitary Permit Application state Plan I.D. Numb , r n In accord with Comm 83.21, Wis. Adm. Code, personal information you provide r ` (/0 may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (i different than mailing address)_ - 71 3 I�tt es +� 1. Application Information - Please Print All Information E I �� E C1 T 3b -V ZZ - Property Ow er's Name U OV t' / ✓1 Parcel # # Block # T cc �' 1�bvc� J1Ji� 0 4 200 Property O er's M ailing Address S -�( k cuu t' .; �, Prope��rty Locati9r; 2 —� Lea Z(� liNG 0FFICC �� s�C) 2, -, ,rem S F� i4, �./ ,Section City, State Zip Code Phone Number q • / I� Type � f Building (check ail that apply) r 7 O b b R OT) - T� N; R E c r W 9 1 or 2 Family Dwelling - Number of Bedrooms UfL Subdivision Name C S Num // ❑ Public /Commercial - cribe Use tY 3 [I State Owned - Describe Us ❑City LJVillago0ownship of5; 's S III. Type of Permit: (Check o ne box on line A. Complete line B if applicable) A. New System ❑ Replacstem El Treatment/Holding Tank Replacement Only Other Modification to Existing System em Sy B. ❑Permit Renewal El Permit Revision El Change of ❑Permit Transfer New List Pre u ermit Number and Da Issued Before Expiration Plumber Owner I IV. Type of POWTS System: (Check all that aft) - Pressurized In- Ground ❑ Mound > 24 in. of \Ho' l ❑ /PeFil in. of suitable soil ❑ At -Grade El Single Pass Sand Filter El Constructed Wetland El Pressurized In- Ground El ank ❑ Aerobic Treatment Unit irculating Sand Filter Recirculating Synthetic Media Filter eachin ChaEl Drip Lavel -less Pipe ❑ Ot her (explai V. Dispersal/Treatment Area Information: 1 0 dt � 2�tJ 0 e Design Flow (gpd) Design Soil Application R$e(gpdsf) DisperslVea Required (sf) Dispersal Area Pro sed (sf) System Elevati VI. Tank Info Capacity in Total Numbe r Manufacturer Prefab tte Steel Fiber Plastic Gallons Gallons of U �/� Concrete Construe Glass New Existing Tanks Tanks ✓ Septic or Holding Tank k Z 6e Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, thciXdejY assume responsibility for installation of POWTS shown on the attached plans. Plumber's Na me (Print) lu s Si gnature MP /MPRS Number Business Phone Number � J Plumber's Addre ss (Street, Cit7Stavr: ip Code VIII. ount /De artment Use Onl Approved El Disapproved Sanitary Permit Fee (includes Groundwater b Issued I s g ent Signatur o Stamps) Surcharge Fee) � ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval �Gu"n�it� Y n Sys C 13, SZ � � �►-c aid u�- Attach complete plans ( the Comi nly) for the system on of less 81 11 inches in s(,ze _ � , &(R. -' 0 6 1103 SBD 63� ' T i L LOT PLAN �7 1 f36 a Of PROJECT Pat COIIO ADDRESS 719 W. Shore Drive Somerset Wi 54025 NW 1 / SW 1'/4 S 23 /T N/ 9 W TOWN St.Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6 BEDROOM 4 CONVENTIONAL )00( IN- UND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambe s 30 IL BENCHMARK V.R.P. Top of nail in Cotton wood ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. see plot plan SYSTEM ELEVATION 89.4/89.0 5' below grade 633' Prope Line To west shore drive Plans Designed Using Conventional Powts Manual Version 2.0 Pro 4 Bedroom 10' ST House B -2 Vents 2 -3' X 94' Cells with > T spacin — 50' 3 0 B -3 o B -1 2 , 40' Vents B.M. #1 85' 20 B.M. #2 J6'Long ent 30 rA Standard Biodiffuser rA 386' assum H.R.P. , none Leaching Chamber d was provided with 31.1 ft2 of Area 100' " 4 , Grade at System Elevation Property Line r � ST. CROIX COUNTY WISCONSIN - ZONING OFFICE 0 Nunn" - ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686 For 713 West Shore Drive (St. Joseph) — Owner (s) P.C. Collova Builders Inc (Pat Collova) Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize sediment movement. Slopes drain toward Bass Lake and the proposed septic system is outside the minimum 75 feet setback from the OHWM shown on the Bass Lake Meadows subdivision plan. 2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways (see attached detail for construction of diversions). Make sure no concentrated drainages or ditches can pick up runoff and/or create erosion problems. 3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize all disturbed areas with topsoil cover, seed and mulch immediately after final grading. If weather does not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Attached is a copy of "Erosion Control for Home Builders ". Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pam Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: / 2003: -- I . . . . . . . . . . LOT PLAN PA,,,,�PV3o (4 PROJECT Pat Collova ADDRESS 719 W. Shore Drive Somerset Wi 54025 NW 1/4 SW , 1/4S 23 /UND N/ 9 W TOWN St.Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE6 /4/03 BEDROOM 4 CONVENTIONAL )00( IN- RESS URE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambe s 30 BENCHMARK V.R.P. Top of nail in Cotton wood ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. see plot plan SYSTEM ELEVATION 89.4/89.0 5' below grade 633' Property Line To west shore drive Plans Designed Using Conventional Powts ' Manual Version 2.0 Pro 4 ST Bedroom 10' 10 House B -2 Vents 2 -3' X 94' Cells with > spacing – , 50' 3 B -3 0 B -1 2 40' Vents B.M. #1 85' 20 B.M. #2 Vent 30' jLong Standard Biodiffuser 386' assumed H.R.P. , none Leaching Chamber �— was provided with 31.1 ft2 of Area 100' 34 Grade at System Elevation Property Line I I I'� 1 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 2122 -70 -000 Parcel Number 23.30.19.997 OWNER NAME: First Last PROPERTY A 112 - PG--St et Name -- Type SD Apartment 13 W SHORE DR SECTION 23 TO '/440 Line Description Line Description TOTAL ACREAGE 3.440 PLAT BASS LAKE MEADOWS LOT7 BLK 01 SEC 23 T30N R19W PT GL 7 &8 15 02 LOT 7 BASS LAKE MEADOWS 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit W ya�000sinDeparh l wntofCommerce ' SOIL EVALUATION REPORT page /of Division of Safety and Bungs in accordance with comet 85, this. Adm. code . County CYn • Attach complete site plan on paper not fees than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal , direction and Parcel I.D. () _ a Id- J peroentslope, scale ordimensions, north arrow, a to nearest road. �v-� � Please Print an ; �� Reviewed e „ Date 4 X 11 Personalarmatior+ you provide maybe used ror Lam 5.1 x,04 (1) (m)). / T Property Owner m Location Al ea SS LA..lu a r, r� 0 'v of ,(f W 114 S W 1l4 SZ T 3 N R E (o Property Owner's Mailing Address -t Lot* Block # Subd Name or CSM# sT cao�x -OZ City State Zip Code OFFI�'E ,, � City ❑ Village WTown Nearest Road 15 i y ofco I C5 Y. 4 e (� New Conshuction Use: [ Residential / Ni bar of bedt� Code derived design flow rate �.5'b G O d GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 4 /1 Flood Plain elevation 9 applicable �� R General comments 5 +-e yn 414- d O - C) 6 and : al e ✓• p• $SS -$o low $$�2 t Boring # C7 Boring i Ground surface elev. au 4 R to lim ctor I� n. '�. Pit " y � fa i � SW Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G PQff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Effltl *Eff#2 alp G LS Ck I /• Z F F! -- .7 Boring # Boring • y to favor Q In. ��77 Ground surface eiev. ft. © PSI Pit � �►, Sod Application Rate Horizon Depth Dominant Color Redox Description Texhxe Structure Consistence Boundary Roots GPDNfF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •EMM TOM I 6-11a lbvr.312 -- 5; 2 c 2 v . S" . 8' 3 - Y 4 •n 5 rr► .2 * Effluent #1 = BOD > 30 1 220 mg/l and TSS >30:5 150 rngll * Effluent #2 = BOD < 3D mglL and TSS 130 mg/L CST Name (Please Print) Signature CST Number Sc � -- ' 25 a Address Date Evaluation Conduced Telephone Number Property Owner C'OIIO Parcel ID p F - 5- 1 B °""g # ❑ 64- Pit Ground surface elev. Q/• Q ft. Depth to liff!" factor _ in. Soil Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 I *Eff#2 t C-{ L C v� V"r1 L -r -SI 7• C 5 /• Z 2 E Bones # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor m. Sod Rate Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GPDiff in. Munseil Qu. Sz. Cont Color Gr. Sz Sh. * E Boring # ❑Pit Ground surface elev. ft. Depth to Iiriiting factor in. Sod Rate Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Eflfuent #1 = BOD, > 3o 220 mg& and TSS >30 5156 mglL ' EtiNuent #2 = BOD < 30 mglL and TSS 5 30 mgll The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or j need material in an alternate format, please contact the department at 608 - 266-3151 or TTY 608- 2648777. SOD -8330 (R.07100) • I f W- 4 PAGE J OF NAME CO R O Va LOT# rl LEGAL DESCRIPTION N L' /4 '/4 S Z:5T3d N R I i E or SCALE: I "= �(O BM 1 ELEVATION (QU• O BM I DESCRIPTION ✓ a l ,, 30 "eoklyn BM 2 ELEVATION 100 .0 Z BM 2 DESCRIPTION SYSTEM ELEVATION ALTERNATE ELEVATION �88$•80 6 I CONTOUR ELEVATION q 2- Yo 3 9 y gO �s� S 4 33 s� s� /f3z �o- 1 • a AaMl �. � Gim2 3 SIGNATURE DATE // — — C d EROSION CONTROL PLAN For 713 West Shore Drive (St. Joseph) — Owner(s) P.C. Collova Builders, Inc. (Pat Collova) Under St. Croix County Zoning Code 17.70(3)(b) 5: `The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize sediment movement. Slopes drain toward Bass Lake and the proposed septic system is outside the minimum 75 feet setback from the OHWM shown on the Bass Lake Meadows subdivision plan. 2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways (see attached detail for construction of diversions). Make sure no concentrated drainages or ditches can pick up runoff and/or create erosion problems. 3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize all disturbed areas with topsoil cover, seed and mulch immediately after final grading. If weather does not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during ite construction will be responsible for compliance with the ESC Plan. g P P Attached is a copy of "Erosion Control for Home Builders ". Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pam Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: //2003 3AS5 PAGE S-OF /Aw - 7 NAME C0110V LOTY LEGAL DI SCALE: I"= q BM I ELEVATION_(dQ•0 BM I DESCRIPTION BM 2 ELEVATION 100 -0 BM 2 DESCRIPTION I SYSTEM ELEVATION— `0,c)c). ALTERNATE ELEVATION - 1IV - eg-8- 0 Z CONTOU ELEVATION ,- y 2. qo 3 'I q. qO , V.e fo iq3"t N- N�fy p LA), 0. 5ML /-A 1N J 7 DATE SIGNATURE Ili r s LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 1058 -70 -000 Parcel Number 23.30.19.203G OWNER NAME: First RETIRED Last COLLOVA PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 23 TOWN 30N RANGE 19W %160 '/440 Line Description Line Description TOTAL ACREAGE 3.050 PLAT LOT BLK 01 SEC 23 T30N RI 9W GLS 7 &8 15 02 LOT 3 OF CSM 3/644 INCL LOT 16 03 1 OF STEVENS & SHIRLEY'S 17 04 PLAT ASSESSED WITH P207 18 05 NKA BASS LAKE MEADOWS 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit ,x,�%� +�d10s b W v 0 0 ° rn I S• x� A2�nS Q3IS23�� � x I i ! I A n Z r `� � = cl _ Z A f� s x ° = mro ' „ �" o - — _ z z z — s C -� N �* ©�j z D O5i BEARING ARE ASSUMED • us O , o O c� — z v , ., v m - M — — -� N 00 - 32 -43 W ALONG THE 2 fi z m "' m CD T EAST LINE OF S. W. 1/4 ~Oi~ ��e ♦ � m -n 0 �m OF SEC. 23 ao c . ��I j� ��1►�� N z z z m m -' G D "qr .. z all ' P 533.79 '� Z 'Z w ` 150.0 383.79' 'op` 0 rn D T � 99111WWOD ONINO2 CHY +per N rn D tNINNV1d S)18Vd ?AISN?H3t'dWO� � c" rn 0 i I Z i N cC . -{ rn 8161 6 1 lnr z ° •P C ` � "o U3A08ddb o cn r m 2 � so rn m� z , N o o , n — 4 , o �• '? (A co ,0 N 00- 14 -08 E 9 " - N - D r o D 'Q?'Z91-I Ol ia?1`de 208. m N i N 0 w l wgl"AS :)lugs O '1'c �''t'Ia11( m n z i o oA 2! IVA .) "ddy N` -W J .- '. 4 S304 p�' . r Z �O -n ' rn 140 SIA109AS SOMW SIHI d0 1dA0tl�¢7 o r -4 r Cm Co °� �m (A z -c J "' in :4 p ��� r 0 .I C o Ln w y o� 3: N fi n < A �0 1 y ° � rn m�, w r a r -t w O O rn -� -a �, 1 S 00- 14 -08 W 3 W � m ro 1° ro, r O8 1� (n `.'d'° o Z r� CD - r� 1 1 o Z ° ° rn I . (n - x (f N to X vi = rn 1 m m gx m N J 0 c0 N rn Z co (0 m D 1 V m z N N c ;�o m s o ' rn z ��\ r w �' N o 6' oo ui W N " X32.6' A p ti F 0 °.9,, is co m 2►� � 9 f w N • e' � �� •� . S _ ' ,. , •. c lsr, . , O F'es, 4t1 i lap cc• ilk cy�FC ' IM `' OJ xiam ' jS "l. r • r - -n N _ m S dVI-T ;S ALMIS MISIV920 x .. �, m cn z x c : N m n'19 Vd"IOA ,��V- q m w z o ?�, z In �' t? _'.a = f ~ 11 N Z _x O O Z z z .. O Z C —N ssb O y $' (A O Z b v n � cn o o a — -� — O L • Z '1 Z 0 �'O �, O o G) —� m o> Z BEARING ' ARE ASSUMED — 0 ? t� �a. O m Z m m O ° N 00- 32 -43"W ALONG THE ^'w., tw 0D o o C CD m EAST LINE OF THE S. W 1/4 m m o 0 z N sn OF SEC. 23 Z zz o r m V W rm -t Z W_ 0 1/ {� S oe-32 ' 1 537.44' V 1 1 1 Z tb I • '° 1 ' 1 m 1 I A te+' 1 � 1 1 1 q� to O , (_ < A 1 o to O -P y 1 y 00 N , 1 ' 0 1 1 m O 1 . - 1 1 , Z 0 m 0 r 1 I 3.35 O r 131 n 1 w ,o Z 1 N 00 -32 -43 W -90 N L I 91h N 1 M y c ]M 1 < O 1 cn m z r no iP; m 1 Z C1 ?D N : 0 m N Q rn W r < m 1 m N w ' m rn N 'D O � ( 1 m Z 1 x co �° I 1 _ o 00, tD ZI in = 1 I m' \ \ 0 8 m Z 1 \ \1 '�)tlbYJtyL K�1�ti Lo c0 �'0 S3 ' Z m O i �' �1('E< ti k z O CD pit 1 r N \0 2 d cn W 7 w 1 A w �0 _ `9 533.79' n 150.0 383.79 i Z ( I S 00°-14• -08•W . LOT PLAN PROJECT Pat C011ova ADDRESS 719 W. Shore Drive Somerset Wi 54025 NW 114 SW i /4S 23 AUND N/ 9 W TOWN St.Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6 BEDROOM 4 CONVENTIONAL )00( IN- SSUR E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambe 30 hk BENCHMARK V.R.P. Top of nail in Cotton wood ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE Q WELL *H.R.P. see plot plan SYSTEM ELEVATION 89.4/89.0 5' below grade 633' Property Line To west shore drive Plans Designed Using Conventional Powts ' Manual Version 2.0 Pro 4 ST Bedroom 10 10 House B -2 Vents 2 -3' X 94' Cells with > spacmg 50' 3 B -3 0 o B -1 40' Vents B.M. #1 85' 20 B.M. #2 30' kent 11 Standard Biodiffuser Cd 386' J assum H.R.P. , none of Cover Leaching Chamber was provided with 31.1 ft2 of Area 100' 6' Long 3 4 ' Grade at System Elevation Property Line r V i e Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P AT i Ao 21 E vA Mailing Address - 7 1 c ? W, S464 L & U W- S 713 e 5� �hore� Property Address � oi Ao S 1 , 4 j(e 4� odwl (Verification required from Planning Department for new construction) City /State �c}(�l`CR S'd �"� Parcel Identification Number O 10 `f 0 0 U 2 LEGAL DESCRIPTION l.b 066 I d On Property Location N /. S� ' 4, Sec. T 3 J N -R W, Town of Subdivision A Ss Lot # Certified Survey Map # -D 3 Cod . Volume 3 , Page # Warranty Deed It 3 (06 6 q Volume l �7 4 1, Page # z� Spec house ❑ ye Kno 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 licensedpumper 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. I/we, 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 days of ear expiration date. l3 /d3 SIGIIATURr6V 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 77ml above, virtue of a warranty deed recorded in Register of Deeds Office. GNA F APPLI DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked 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 I r , Vol. 1574fuc 528 Al� STATE BAR OF WISCONSIN FORM 7 - 1998 C 3:a 9 TRUSTEE'S DEED KATHLEEN H. WALSH REGISTER OF DEEDS fUcumnnt Numoor ST. CROIX CO., WI RECEIVED FOR RECORD ! 01 -11 -2001 11:30 AM TRUSTEES DEED - -- - - --- -- ---- ...------ -- - - -- - ._.. — _._ _. as Trustee of j E:(EMPT I _.11ELEN_E_ VAN sl.Ylc)•• REV OCABLE TRUST CREATED BY REIOCABLE CERT COPY FEE: TRUST AGREENENT DATED FEBRUARY 21 I994 ; COPY FEE: ' -" - - "' -- —� -- - TRANSFER FEE: 1275.00 - - -- RECORDING FEE: 10.00 fur ration conveys wtlhoul wa rll�tO _ PAGES: 1 P.C COLLOVA BUILDERS, INC. it IHucrx:l:iyl A,ou Grantee. the following described real estate In ST. CROIX County, !,N a and Return D CARI, S.C. Addross YW O 6 Slate of Wisconsin: 2 4 LOCUST STREET, BOX 125 PART OF GOVERNMENT LOT 7 OF SECTION 23, TOWNSHIP 30 NORTH, RANGE 19 14FST AND LOT 1, STEVENS AND SHIRLEY'S PLAT IN TIiE; HU SON, WI 54016 TOWN OF ST. JOSEPH, ST. CROIX COUNTY WISCONSIN DESCRIBED !! x�o AS FOLLOWS: LOT 3 OF CERTIFIED SURVEY MAP FILED JULY 24, f 1978 I N VOL. r DOC. NO. 350360. '030- 1049 =70 -002 030= 1060 -10 PART OF NE% OF SEk OF SECTION 22 AND PART Or GOVERNMENT d 3o'p�I�1� LOT 7 OF SECTION 23, ALL IN T014NSIIIP 30 NORTH, RANGE 19 Parcel ldentilicuwn Number (PIN) WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: LOT 4 OF CERTIFIED SURVEY MAP FILED JULY 24, 1978 IN VOL. 3, PACE. 644, DOC. NO. 350360. PART OF NEIL OF SE' -c O F SECTION 22, 'TOWNSHIP 30 NORTH, RANGE 19 WEST, DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 22; THENCE N00 ° 32'43 "W ALONG THE EAST LINE OF SECTION 22, 1313.35 FEET TO A POINT THAT IS 16.5 FEET NORTH OF THE SOUTHEAST COIINEli OF TIIF NE!y OF THE SE'!c OF SAID SECTION 22; THENCE 1 ° 47'00 "W, 16.5 FEE']' NORTH AND PARALLEL' TO THE SOUTH LINE OF THIS NE OF THE SE!t OF SECTION 22, 309.00 FEET '1'O THE POINT OF RECINNTNG OF THIS DESCRIPTION; THENCE CONTINUING N89 ° 47'00 "W, 202.78 FEET TO THE SOUTHEAST CORNER OF CERTIFIED SURVEY MAP AS RECORDED IN VOL. 2, PACE 595; 'THENCE N00 ° 32'43 "W ALONG THE EAST LINE OF SAID CERTIFIED SURVEY MAP 539.09 FEET TO THE SOUTHERLY RICHT OF WAY LINE OF A TOWN ROAD KNOWN AS SUNSET 1(1DGIi; THENCE S89 "E ALONG SAID SOUTHERLY TOWN ROAD RICHT OF WAY, 202.81 FEE!'; THENCE SOO ° 32'43 "E, 537.44 FEET TO THE POINT OF BEGINNING.;; I 1 ' '^ i i Dated this day of _____]ANU 9001 :I - - - -._ (SEAL) (SEAL) if H E. VAN SLYKE fnrstee Trustee -- i: AUTHF.N•CICATION ACKNOWLEDGMENT State of Wisconsin, I ss. Cuunly JANUARY 2001 Personally came before me this - _. _. _ -_ __.•__ day of ! allthl`I1lICdICd 11115 day Uf the almvu halted I ITI'LE: MEMBER STATE BAR OF WISCONSIN —._- to ; (If nut. _. _._ -- --,---- _--- --- --- -- - -.— me known to be the person who executed the foregoing authorized by S706.013, Wis. Slats.) Instrument and acknowledge the same. 71 INSTHUMENT WAS ORA( BY _ — _ - HEYWOOD & CAR I.._S.._C,_ 20 4 T.000ST STREET, BOX 125 - - - � -- HUDSON 14 I 54016 Notary Public, Slate of Wisconsin My commission Is permanent. (If not. state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Nama, ul ,n,S:.,a exnbN a n, UpuOy noon ba gtw•d rn p, nue<I I,elnu q,r,r "en•Une STATE BAR OP WISCONSIN MsCWSinLogal Co. Ira:. TRUSTEE'S DEED FORM No. 7 - 1998 M+wauaca. wrs r • - SOIL EVALUATION REPORT Page _�__ of = Wisconsin Department of Commerce ` Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Cro Attach Complete site plan on paper not less than 81/2 x 11 inches ins t Parcel I.D. include, but not limited to: vertical and horizontal reference p )' direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Reviewed by Date Please print all information. Law, s. 16.04 (1) (m)). Personal Inionnn6on you provide may be used for secondary purposes Property Location Property Owner Govt Lot WW 114 S W 1/4 SZ T N R Ili E (or)(@ Lot # 13,1 # Subd. Name or CSM# Property Owner's Mailing Address nn q ll4 `5 rJ Nearest Road Willa a own State Zip Code Phone Number 13 city ❑ 9 City t P ( ) � GPD Code derived design flow rate 6° [� New Constructs on Use: Residential / Number of bedrooms Y � `J ❑ Replacement ❑ Public or commercial - Describe: ,L J 14 it. Flood Plain elevation if applicable Parent material 0 . U d Ge neral nd recommendations: L ,�, -e to V. >r�ae- $5S'sd �'°�"''� r In. Efl Boring Bo ring # ft. Depth to limiting factor � p — Soil A 4(Cation Rate 4a Pit Ground surface elev. �� GPDIt� Roots Texture Structure Consistence Boundary 'EM 'Eta #2 Horizon Depth Dominant Color u. Sz. Description Gr. Sz. Sh. • # in. Munsell Qu. Sz. Cont Color . 0 Z ., �� r a C-- [] Boring In. Boring # pprry� �y� (t, Depth to limiting factor Soil App lication Rate t�l Pit Ground surface elev. GPD /fF Texture structure Consistence Boundary Roots Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. 'Eff#1 'Eff #2 in. Munsell Qu. Sz. Cont Color Z n V �_ GI r 2 L yi-' (0t D— 1 y SIw ► C - 0 "I An C- • EtIluent #2 = BOD < 30 mg/L and TSS < 30 mg1L ' Effluent #1 = BOD > 30 < 220 mg[- and TSS >30:S 150 mg/L CS7 Number Signature CST Name (Please Print ) g ' %? > Telephone Number i . S r sc. Dale Evaluation Conducted Address f' J 'r)/ W `1(i i I 7L ---- -= 'k BENCH MARK: TOP OF 1" IRON d04 owo - PIPE, ELEVATION 130.39 a 40 / AC�ES8 E6S NT 5.67) Si / 19 9_ nn � L�v T_ �o�oUVlla i -L- 1 PUBLIC ROAD AA I __ i rti �U --- Z IVI � 1 Lu I 5ZI Q ' Uxi� w� . I (WEST 527.29) S89°4938 "W 5 27.45' 234.27 T i� DRIVE . — m LOT 8 _ �N ; w .N TO MEANDER LINE 2.984 ACRI?S (129,983 SO. FT.) "� W TO ORDINARY HIGH WATER MARK 3.10 ACRESt = : j MIN FFE = 914.0 i C H.W.L. = 912.0 � RA GF I � ��.. NW394(YE 5C6.52 25.13 30 +/ LOT 7 TO MEANDER LINE 3.329 ACRES (145,018 SO. FT.) TO ORDINARY HIGH WATER MARK 3,44 ACRES ± w MIN FFE = 912.0 H.W.L. = 910.0 N�� S — .— .— ._.. —. — .— .— . —• —•— — — •— • —• —•— L• SOUTH LINE OF �GOVERNMENTLOT7 JED OWHE -1) o"V @cTmEam �y ft/� (S00°1 4 - 08 - E 16.501 800°08'19 "E 18.23' / (N89W51'E 33.30) O 2.88 90.02 1� ° _ 44C D IMP N89°30'49 "E 33.01' p 2& +i- _ ,• N89°i 5 WE 142.W 7[�JG(D C3�7 04CZlI�G3� � 3i ((�� (N89 174-06) — DDLME 3C o NO OWNER OR RESIDENT SHALL DO ANYTHING WHICH `" s WOULD INTERFERE WITH OR CHANGE THE OPERATION OF THE APPROVED COMPREHENSIVE WATER DRAINAGE AND N a: LU PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEADIFLOW PER MINUTE 14 45 153 EFFLUENT AND DEWATERING 12 40 MODEL 151 152 153 g 752 Feet Meters Gal. Liters Gal. Liters Gal. Liters = 10 5 1.5 50 189 69 281 77 291 10 3.0 45 170 61 231 70 265 0 8 151 15 4.6 1 38 144 1 53 201 61 231 20 6.1 29 110 44 167 52 197 6 20 25 7.6 16 61 34 129 42 159 30 9.1 - 23 87 33 125 15 4 35 10.7 - - - - 22 85 40 12.2 - - - 11 42 10 Shut -off Head: 30 fL (9.1m) 38 R (11.6m) 44 fL (13.4m) 2 J - rt 0145088 0 GALLONS 1 10 20 30 40 50 60 70 80 90 100 LITERS 0 40 80 120 160 200 240 260 320 360 FLOW PER MINUTE 014505A Model 151 Models 1521153 CONSULT FACTORY FOR 6 732 5 /, SPECIAL APPLICATIONS 3 7/8 ^ 5 — ! 3 27/32 -f --J- 5/8 Timed dosing panels available. /, .. \ \. 3 z/e I � � 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. - - Variable level control switches are available for controlling 3 7/8 ® 3 27 13z single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. ! 12 ,j8 15111521153 Series _ r 15111521153 MODELS Control Selection Model Vob-Ph Mode Amps Simplex Duplex -� N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 151TEMP SK2064 N152 115 1 Non 8.5 1 2 or 3 BN1521 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2or3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 Et53 230 1 Nan 5.3 1 2or3 SELECTION GUIDE BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level Boat switch. Refer to FM0477. 4 CAUTION 2. See FM0712 for correct model of Electrical Ak ematOr E-Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level Control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety facto is engineered into the design of every Zoeller pump. NAIL T0: P.O. BOX 16347 g Louisville. KY 40256-0347 MantJ48dursrs Of. . SHIP T0: 3649 Cane Run Road ® ® Louisville, KY 40211 -1961 76 - 2731.1 800 928 -PUMP hitp. /Avww.zooi/er.com PUMP 502 7 IO FAX(502) 774 -3624 ® Copyright 2002 Zoeller Co. All rights reserved. i I T , Pat & Laurie Collova 719 West Shore Drive �— Somerset WI 54025 V11- ► � ` �/ September 26, 2003 , `'' r Rod Eslinger °FFicF' St. Croix County Zoning 1101 Carmichael Road Hudson WI 54016 Re: New home at 715 West Shore Drive, Somerset 54025 Dear Rod, I am notifying you specifically that the location of the septic system will be located south and westerly of the new home. This is generally the same location as the original peres, although we reperked to verify and shift location. Shaun Bird has done this and you should have the paperwork. This is, as you know, is not uncommon in new construction. But, I believe that our last revised site drawing shows "proposed drainfield" location west and northerly of new construction. For your information, the "proposed" site did not contain enough suitable area with reasonable elevations. This also required a new location for the water well. It is west of the attached garage. This actually worked out better for access to both well and septic for installation and maintenance. This was done with a practical common sense approach which is used every day in the home building business. I will also notify Matt Heib and Tim Scott. (attorney with Bakke & Norman) Sincerely, Pat Collova i r y 4 �-����,�� ;�� ►,, I t� �1 �' j . 11 y A 'e rdiw fi R I, own –~- - y ` a ' '�` � "a - .two` Yk ` �• E, . . r ` v r e t �� r� © M O � 1 \ you � fig ;" "'w�+ b I � 1 OIx!>�Oi r N ° I I \ \r I I I i ri 1 I x r � x I r I 1 as fit-is Z ' Z s y 1 1 i M* ps M jO / � MrC V V ' :. 1"'1118 11 9"' ITI ` r U . 00�. i O � I ' I �0 1 J W LL W lu d O LL (A , ° > % o V r O w _ w .W Z � O IL m LLZ 0 7` NPR CL W z ! I W 4 z 44 a d LL T F 1 •w 1• J � x it , A`,1 ` ` �� s saossas�s�ea %V s sa 1 M�� � ►��i �I � I 1�1 --•. 1 � 1 1 - - tAfI41LY lIIWIiW' -MIAY 0.T.Y. M' I 4