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Home My WebLink About042-1065-90-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township DAVID & MARY ELLEN PLATSON TOWN OF WARREN CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURE CAPACITY .h S Septic w/ N = Dosing Aeration Hsi col 10: 525 TANK SETBACK INFORMATION TANK TO P• l�. WELL BLDG. Vent to Air Intake ROAD Septic 72� Dosing iDJ d 86 Aeration /0N //A Holding V V 7 74� PUMP/SIPHON INFORMATION �er Qlv�� ,�.o7�pw► Manufacturer / �US Ov Demand 57 Model Number nOc j' 5 TDH Lift G� Friction Loss � System Head�. � TDH Q Ft Forcemain Length v Dia. �s Dist. to Well MN L SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 617870 State Plan ID No: Parcel Tax No: 042-1065-90-000 Section/Town/Range/Map No: 23.29.18.365B ELE TION DATA g , 3 I D $ , , > jp�, STATION BS HI FS ELEV. Benchmark (� r Z5 v 108 25 j 0 0 / Alt. BM Bldg. Sewer -�-' (o•� (07, 2 SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. S. «� loot 3 Dist. Pipe Bot. System Q, 75 V Ia 55 l Final Grade St Cov r 4Z T � �r� ov-c,r— 8)! one.- rP 6f, Bs - q- z s. � BEDfTRENCH DIMENSIONS Width � 5 Lengt � /\ v f lraashss q PIT DIMENSIONS No. Of P' Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LA E/S REA ACHI G anufa tuner: INFORMATION AMBE OR UNIT TypeQ_fSystem: (j[77 ^ co� Model ben DISTRIBUTION SYSTEM Header/Manifold ,• DistributiopnQ ' / / � x Hole Size � x Hole Spacing Vent to Air ke 2.5 , Pipes) 8 � 46 / � I 2 XT' Z % \ L" Length Dia_ Length Dia 2 Spacing ___ «c777 J� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only �Cr- �)�►M� •� D2¢ftiOve�' p,% � Depth Over �� xx Depth of xx Seeded/Sodded xx Mulched bedri'rench�enter p Bed/Trench Edges Topsoil 7 l O Yes � No � Yes 0 No COMMENTS: (Include code discrepencies, persons l-present, etc.) Location: 1360 CTY RD TT �aC�S �1,1� alb 1^S 1.) Alt BM Description = �(� d &V4,� 2.) Bldg sewer length = Z 00%, 1 ^7 - amount of cover = SU llW�-(� 742 Plan revision Required? ❑ Yes � No j Use other side for additional information. I Date SBD-6710(R.3/97) r —7 - Inspection #1: q:3° a w� Inspection #2: �L �' /1 i n _ -� fly � J N��iO ��;t�:"'_ fit: �, - - � - - County �,.._ �'"' � `'�' Safety and Buildings Division •� "', p `.I�nn�, 3 Q 2020 201 W. Washington Ave., P.O. Box 7162 St. Croix Sanity Permit Number (to be filled in b CoJ { (./ N � '.: •�,�- /�t. Croix Count �� an ermit Application StateTransa°"°°"timber / W �� L-�j-�'�,/ In accordance with SI'5 383.21(2). Wis. Adnt. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms 1'orsiate-owned P0�4"I-S are submitted to Project Address (if different than mailing address) the Department of Safeq- and Professional Scn�ices. Personal information you provide may be used for secondary m oses in accordance with the Privac - Law, s. 15.04(I)(nt), Stats, Same I. A lication Information —Please Print All Information Property O+ener's Name C Parcel N , � David & Ivla Ellen Platson 042-1065-90-000 Property O+vner's Mailing Address Property Location 1360 Co. Rd. TT Govt. Lot S W %, SE '/,, Section 23 C itv, Stutc `Lip Code Phone Number (circle one) Roberts, W I 54023 (715) 245-7101 T 28 N; R 19 E or w II. Type of Ruiltling (ettecic all that apply) Lot i1 ®I or 2 Family Dwelling — Number of Bedroor s 3 � O1 Subdivision Name � Na Block it ❑ Public/Commercial —Describe Usc ❑City of Na ❑ State O+vned -Describe Use ❑Village of CSM Number ®Town of Warren Vol. 3, P . 774 III. Type of Permit: (Cheek only one box on line A. Complete line 13 if applicable) � `� ❑New System ®Replacement System ❑ TrcaunendHolding Tank Replacement Only ❑Other Modification to Existing System (explain) Move existing holding tank B, ❑Permit Renewal ❑Permit Revision ❑ Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration O++mer IV. Tv e of POWTS System/Corn onent/Device: Check all that a I Non -Pressurized In -Ground ❑Pressurized In -Ground ❑ At -Grade ❑Mound > 24 in. of suitable soil ®Mound < 24 in. of suitable soil i ❑Holding -f:utk ❑Other Dispersal Component (explain) ❑Pretreatment Device (cxpl in) 1'. Dis ersal/Treatment Area Information Pol Lok PL-525 effluent filter C� � Design Flow (gpd) Design Soil Application Ra e(gpdsf) Dispersal Area Require (sf) Dispersal Area Propose (sf) System Elevation 450 Gpd 0.4 gpd/sq. ft. 1,125.00 sq. ft. 1,263.59.00 sq. ft. 99.65' at IS" above 98.40' contour V1, Tank Info Capacity in Total sr of Manufacturer � c Gallons Gnllons Units � :? J o � V � � v_ Ne+e'fanks Gsisting1'anks w c � � � �; � � � I r a V N � cn ii (7 i% ^srt»icarttotdingT»nk I,000 Na I,000 1 Wieser Concrete X uosingchnmber 600 Na 600 1 Combination V11. Responsibility Statement- I, the undersigned, assume responsibility for installation of the PO1'VTS shown on the attached plans. Plumber's Name (Piing Plumber's Si nature MP/MPRS Number Business Phone Number Dale Hudson / q�� , � MP 220853 (715) 684-3378 Plumber's Address (Street, City. State, zip Code) 820 Main St., Baldwin, W 154002 �'lll. Count /De artment Use Onl Approved ❑ Disapproved Pcrr»it Pee $ Da Issued �� Issu' g Agent Signatur � ❑ Owner Given Reason for Denial �" � �� 1\. Conditions of Approval/Reasons for Disapproval 3) D �I � Sower ��,Q� � � �t�,- (�� n _ _ '�"—b "��"�o'C �+'��/ SYSTEM OWNER: / 1. Septic tank, effluent filter and =''µ � �'r'`v��(W �- �g2� 30 �II��G � � dispersal cell must be serviced /maintained L(1 �� i � T¢„��- y� � as per management plan provided by plumber. / S�/ / 2, All setback e ' as per applicable co�l�+lfiFc`1itSd11��.trt»ns ror we system n d su�b/mit to the County only on,,patrcr no(t�Icsgs th�nn 8/Ir�2,x I I inche r size � S13D-6398 (R. I I/I l) �� -`L�---�f ��_ 9ETE��,u St. Cro , Couno Communi Develop id J. Steel ,= T-POWTSM i ico #248956 715�76M347 STEEL'S SOIL SERVICE David Platson S W 1 /4,SE l /4,S23,T29N,R18 W Town of Warren, St. Croix Co. 3.2 Acres 1360 �ty Rd TT Roberts, WI54023 715- 245-7101 This soil evaluation was conducted to satisfy a zoning reduirement, it may or may not be suitable for your use. Legend 1" = 405 I► = Benchmark Ele. Top of 3/4" PVC Pipe = Alt Benchmark Eli Top of 3/4" PVC Pipe = Borinlgs - jam 1;rie 100 .00 ft 100.10 ft Boring Elevations 98.30 ft 98.30 ft 97.40 ft 0.00 ft N ra c ubrv' r r r Aasumtd e f ¢ ilWf V 1'lofba.cO Ieldwrdaz'x2.06;{/092�' uy 50' 9a'or,51uW tt �%'�"'pr/��e�S �Y1 to 0/a v�R OI�' �!�" •— S�crFrtc< a/Q►! a Y9 kS`a�/�S'a.GatK 9e t'0'con w6da/; • �1 -�„ coo •."" f G5 � . �iY/��/1 �A.o�C G �� 9 r r ' � VA r 99.?ur d,d d nary Ei/� l�/a, 1&. VC04419 7?r y waist VA P✓e. eo ��-cuvtant /a�v, e5��a! 04 P+ *4k4 / 'Y, 5cc.,2J, l 9dy uih�lrt5( e•/&a, •tr•SyS�s� �.�i,i� Propostd v),"o4te bah 3. 2ARe�s Cowsbwla�rcn Asr#t-diY VOAle . iq o aFiar•4v t4(r4 btMJ4a11co(a 6.7 �I.303 t/e/ra., out "Y 40 ros 05 (44 d! a 4 �r Wopwp,mvc in E,r/✓� n� ws(( w;Hd�►trl( 3op�l�fwa, �, Ex,s�(� hauscz� k ' �ti tal �tVJ�•f� bG --- p►ySu,lo�6�-d a S Cows , P�o�o3Ld � �eJrcan-, Si o(at1Ce • Residential Mound PU w I i Index & Title Sheet Project Name: Platson 3 Bedroom Residential Mound Owners Name: David &Mary Ellen Platson Owner's address: 1360 Co. Rd. TT, Roberts, WI 54023 Site address: Same Project Location: Subdivision: Lot 01, CSM Vol. 03, Pg. 0774 Legal Description: SW I/aseua, Sec. 23, T.29N., R.18W., Town of Warren, St. Croix Co., W1. Parcel ID #; 042-1065-90-OOU Page I Index and Title Sheet Page 2 State Approved Mound Design Page 3 Filter Specifications Page 4 Septic/Pump Tank Cross Section Page S Septic Tank Maintenance Agreement Page 6 Warranty Deed Matey Plumber Restricted Service: Dale Hudson, DSPS Credential #220853 Signature: Page t of 6 Design pursuant to In -Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) l U \i ' S S .. December 5, 2019 CONDITIONAL APPROVAL PLAN APPROVAL E?�PlRES: 2021-12-US Plan Review: PWTS-121902533-C DALE HUDSON BOLD"f'S PLUMBING & HEATING 820 MAIN ST. BALDWIN, WI.54002 SITE: David &Mary Ellen Platson 1360 County Road TT Town of Warren Saint Croix County SW, SE, S23, T29N, R18W Total Amount: $250.00 DIVISION OF INDUSTRY SERVICES 2850 MIDWEST DR STE 104 ONALASKA WI 54650 Contact Through Relay http:/Ids ps.wi.g ov/prog rams/De fa ul t.a spx www.wisconsin.gov Tony Evers -Governor Dawn Crim -Secretary FOR: Description: Three Bedroom Mound System \Sloping site Mound Component Manual — Ver. 2.0, SBD-10691-P (N.OI/01, R 10/12), Pressure Distribution Component Manual, 450 GPD, 2 1 " depth to limiting factor from original grade, Maintenance required, Effluent filter, Replacement construction The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and \Visconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10). Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, slats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements ol'Sec. 145.19, VI'is. Slats. • Prior to construction of the dispersal area, check the moisture content of the soil ton depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated cotuity official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manuals) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SIPS 383,54(1), • 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. • 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 components) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making then) 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 member listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the PO\vTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard i`•l Stivim POWTS Plan Reviewer, Division oflndustry Services (608)789-7892 — voice \ (608)785-9330 — fax ierry.s\%inr,(i \4i.t"ov i NOV .14 20119 MOUND AND PRESSURE DISTRIBUTION COMPOtl�'�Q�I,CP(jNVICS Residential Application INDEX AND TITLE PAGE Project Name: Piatson 3 bedroom residential mound ESTIMATED DESIGN Owner's Name: David & Mary Ellen Platson Owner's Address: 1360 Co. Hwy TT Roborts, WI 54023 Site Address; Same . Legal Description: SW1/4 SE1/4, Sec. 23, T.29N.,tR.18W. Township: Warren County: St. Croix Subdivision Name: GSM Vol. 03, P . 0774 Lot Number; 1 Block Number, Na Parcel I.D. Number: 042-1066-90-000 Plan Transaction No.: Designer; Date: Signature: Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Hudson Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Site Plan Attached Soil Evaluation Report License Number: Phane Number: 220853 (715) 684-3378 Designed Pursuant to the Mound Component Manual for POVVTS Version 2.0 SOD-10891-P (N. U1/01, R. 11/12), and Uoth SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver, 2.0 SBD-10708-P (N. 01/01, R. 10/12) Version 7.0 (R. 11i12) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet , Site Information R 300.00 1.50 450.00 9BA0 21.00 0.40 Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ffz) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) e Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) P29 0.00Forcemain Length (ft).. 00 Pump Tank Elevation (ft) Project: 6 System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) -line Filter Loss (ft) Total Dynamic Head (ft) ateral Di ameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note; Sand fill (D) calculations assumeal: Table 36344-3 in -situ soll treatment for fecal coliform of <= 36 Inches, 5,00 Cell Width (ft} L Are the laterals tho highest point in the distribution LY� network? Enter Y or N If N above, enter the elevation (ft of the highest point. 5.00 fie/orifice Does the fol'cemain drain baeit? Enter Y or N 6.52 Forcemain Drainback (gal) 81.15 5x Void Volume (gal) 87.67 Minimum Dose Voiume,(gal) 37.07 System Demand (gpm) Manifold Dfarneter Selection Note; Sand fill (D) calculations assumeal: Table 36344-3 in -situ soll treatment for fecal coliform of <= 36 Inches, 5,00 Cell Width (ft} L Are the laterals tho highest point in the distribution LY� network? Enter Y or N If N above, enter the elevation (ft of the highest point. 5.00 fie/orifice Does the fol'cemain drain baeit? Enter Y or N 6.52 Forcemain Drainback (gal) 81.15 5x Void Volume (gal) 87.67 Minimum Dose Voiume,(gal) 37.07 System Demand (gpm) Manifold Dfarneter Selection in. dia. o !ions choice 1.25 x 1.50 x x 2.00 3.00 Gallonsllnch Calculator (optional) Treatment Tank Information 603.36 'dotal Tank Capacity (gal} 1000.00 I Septic Tank Capacity (gal) 36,00 Total Working Liquid Depth (in) Weiser Concrete (Manufacturer 16.76 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 603,3G Dose Tanl< Capacity (gal) Pol Lok Filter Manufacturer 16.76 1 Dose Tank Volume (gal/In) PL-525 Filter Model Number Weiser Concrete Manufacturer Platson 3 bedroom residential mound ESTIMATED DESIGN Page 2 of 9 i CJ N O � O N O q q O CD M O O O cd ci o wG:.0 O O O cn C n o � m C '< v U O v -t N � Q_ J 00 O � sa C S af QI C EU U �U a N Nm O a0 0 t0 (D ca > > T O v O 4 _ 7 co .0 0 0LL C U CL C.0 cilia QD V o O CO a a '4+ C� adid uogen.rasgo PaTtois'e!P out V D G a c ro c Fz (`(n E< F Q aoc�o .o. tN End Connection Lateral Layout Diagram A.II iatorais aro IAontlool �t a'rurn•up wtbnll valve cr•airianoutplup l�.x.--a� HolasdtllledontAabottamafthatatoral oqunlly spao.od . Foroo main oanneoilon via ttte or nrnss to mantiotd at.any point'. l.eisral� �faraemaln Sah Qt7 pUC p®r SPS Tal'la 3B�.Sl]-g Number of Laterals 2 Orifice Diamotor Lateral Diamefer 1.50 in Orifice Spacing (X) Lateral Length {P) 88.44� ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate • 18.54 gpm Manifold Length System Flow Rato 37.07 gpm Manifold Diameter Total Dynamic Head 14.46 ft Forcemain Velocity Dose Tank information Electrical as per NEC 300 and "" `—� SPS 316.300 WAC _ Tank component Is properly vented Weiser Concrete Ca aclt 603.36 Volume 16.76 Manufacturer Gallons galJinch Dimension _Inches Gallons A �' 18,77 314.57 B 2.00 33.52 G . �.23 87.6"I D 10.00 167.60 Total 36.00 G03.3G Alarm Manuafacturer SJE Rhombus Alarm Model Number SJE 1011421 �' A 8 C Disconnect �_ Pump Manufacturer Goulds �� Pump Model Number 3871 EP05 Pump Must Deliver 37.07 gpm at 14.46 ft TDH Project: Platson 3 bedroom residential mound ESTIMATED DESIGN 0,125 2.01 45 5.00 2.50 1,50 3.79 In ft ftzlorifice ft in ft/sec Locking cover vrlth warning Iabe1 and locking devlce and eealed waterflght d in. min. �— Alternate outlet location Forcemain dlamotor � 21n. Weep hole or antE- siphon devlce PJ�elevatlon (ft) 93.33 Do` sa tank elevation (ft) 92.50 Note: Switches containing mercury may net be used in this system. Mound System Maintenance and Operation Spepifications Service Provider's Name Dale Hudson Phone 715 684- 378 POWTS Regulator's Name St. Croix County Zoning Dept• Phone 715 •386.4680 System Flow_and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size Estimated Flow - Average 300 gpd Maximum BODS Septic Tank Capacity 1000 gal Maximum TSS Soil Absorption Component Size 460 ftz Maximum FOG Type of Wastewater Domestic Maximum Fecal Coliform Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frepuency 1/8 220 160 30 >10E4 in Ins ect and/or service once eve 3 ears Should Inspect 'and clean at least once eve 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.6 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards mglL mglL mglL cfu/100 mL 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual• 2• Dispersal cell aggregate conforms to SPS 384.30 (6)(1), Wis. Adm. Code. 3. All gravity and .pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ••.••.•••...... •••.••.••••�••• Grade � •,• `T`'�'�' 6-8" Diameter Lawn Sprinkler Valve Box Protect: Distribution ;♦; ;I,f Platson 3 bedroom residential mound ESTIMATED DESIGN Threaded Cieanout Plug or Ball Valve Longg Sweep 90 or Two 45 De ree Bends Same Diameter as Lateral Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.541 Wis. Adm. Code General This system shall be operated in accordance with SPS 382.84 Wis. Adm. Code, and shall maintained In accordance with Its' component manuals (SBD-10691•P (N.01101, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Vor. 2.0 SBD- 10706•P (N. 01101, R. 10/12)j and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump lank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in aceordanao with SPS 383.33, 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 &Inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component, Septic Tank The septic tank shall be maintained by an Individual certified to service septic tanks under s. 201940, 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 otlllel filter shall be cleaned as necessary to ensure proper operation. The filler 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 filler Is equipped with an alarm, the fiilor 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 113 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 lank use by the Department of Commerce. PuMp Tank 1'he pump (dosing) lank shall be inspected at least once every 3 years, All switches, alarms, and pumps shrill 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 Systorn No lreos or shrubs should be planted on the mound, Plantings maybe made around the mound's perimeter, and alto mound shall bo seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound Is not recommended since soil compaction may hinder aeration of the Infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather Installations (October -February) dlctate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg1L BODE, 160 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 rng/L BOD5, 30 rng/L TSS, 10 mg/L FOG, and 104 cfu/100 miss, for highly treated effluent. 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 lest is performed It should be compared to the initial test when the system was installed to determine If orifice clogging has occurred and if orince cleaning Is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be chocked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 Inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan I(the septic lank or any of its components become Uofective 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 detective the defective comporient(s) shall be Immediately repaired or replaced with a component of the same or equal performance. If the mound component falls 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The Information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disirnfeclion units are attached as separate documents and are considered part of the overall management plan for Ihls system. Project: Page 6 of 9 Ott "OULDS PUMPS APPLICATIONS specifically designed for the following uses: • Effluent systems Homes Farms • Heavy duty sump Water transfer Dewatering SPECIFICATIONS ° Solids handling capability: '!t' rnaxinturn. • Capacities: up to 60 GPM. Total heads: up to 31 leet Discharge size: 1'V' NPT. • Mechanical seal: carbon* rotary/ceramic_stationary, BUNA-N elastomers. • Temperature: 104`F (401C) continuous 1401VF (60,10 intermittent. Fasteners: 300 series stainless steel. Capable of running cry without damtige to components. MOIUI': CPU4 Single Fihase: 0.4 HP, 115 or 230 V, 60 Flz, 1550 RPK built in overload with automatic reset. r EPO,; Single phase: 0.5 HP, 115 V or ?.3UV, COIN 1550 RPM, built in ovetfuad with automatic reset, Power cord:10 foot standard length, 16/3 STOW with three prong grounding plug. Optional 20 foot length, 1613 S1TW with three prom grounding plug (standard on EP05). e� 2onz csoutds vurnr>: krtective September, 20A2 03871 • {=ally submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float St'vitch assembled and preset at the factory. F[A7UftES w EP04 impeller: Thermoplas- tic Semi•open design with pump out vanes for mechanical seal protection. 7 � CPO EI'05 � EP05 hmpeiler: Thern�oplas- ticenclosed design for improved performance. m1 Casing and Base; (tugged thermoplastic design provides superior strength and corrosion resistance. t� Motor Housing: Cast iron (or efficient heat transfer, strength, and durability. �► Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. Power Cable: Severe duty rated oil and water resistant. 10 !.. .. ........ ..... . ! - a �...._� .._ fit .1_..._._ _ _.._ _ 25 r 7 ,.......... .. .... ... . . ,t r u! i v ...,.. it, ........ ._......V..1... .... z5. \, � Bearings; Upper anti Iower heavy duty hall bearing construction. AGC•NCY LISTING SFtCanadlanStandardsAssociation Goulds Pumps is IS 0 9001 Registered. GPM �h—s �._..,_ 7..S Fr i............................. .... ................ r:Poa .... I..._......, _Vitt__..... ,. Stitt ...._..w._.._... ,...._ VA, Vitt ._......._ of' ......_. -.._._ of 0 z it e CAPACITY r 4O._ 50 GPM a to 1'2 mW/h GOUlCiS Pumps ITT Industries 70r? lract {yeas 0 `coi�etki/u�ccv11416 ' AYFFCA Piol,�lo;� rsbsr Y A"(4mcd At10TV cdn?vl o l at ev064 cys/'JX 1?4'_ _e,�/.�/. �vo C•t�f'N dju'1f74 �W�J dL+(h7j aSw 41Ar arrkdoi40cwavJ?,ol -- SvrFac< a/a►! o Y9.k.S'a�/�S'a.Gat�t 9B i�o'con $aa4^* FIFIFFI a,PNPPF 41 L't Z*6J bCocw��.rbty��aa/%/c{�cc'ln/ aya�danra� /Yrli o . 4eajKwK sbw` IFFIFF Propodclte co�CrGw4°, Me /44 60A.Vc w,H.dowl sopFoCdr,�a� W Ex,s�� hausc� /0 ,1c.e' f?,scyc.E,27:/Rn�Rr((9mR� eem 7r 1 64, y jA.o��a rr'Bn, erL0.s, a.�RJ, 9B2•.3r' --- insu.la.6; d 40 D.a,pa,03OZI30 i r i r Pro�oud ,� fKJrc� �s,dace. i ncaY,�IIh:P5,3A�;.1^!1@Y dfi 112h 41°incliesiQil>Jl00. 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Parent r>�ritaria( fitted Ol#�pi11.Ov a a i l'colt'l;Idfn Aitivalloit lt,appllc8bfe t� punerOwmmenl5 Morintl Dagit;ri, ayntom otcyaki'an.9..0;5'Sitbn&e'd,bn r)'r)tlttLUi,Hilo;ef'avalYatt 98;301 . Mitiimtuum• 1S;ittchcgAi Tli `33 ut,a rocomn�onctr(Uonc: :if(iii lili(it1l. f3f9U�{2i}SSiJi I4O'YIQV._ 3U tl: [iop(h'tCt IltrtitiA{�Yd�lUr•. 14: -r ptb t(drfizon pgn6' (t)onftnanf oloc, stedpxU'Qsatlplfon trrxtura fcttc4ttt+! rnmglstep.><.el unitary' It�AOR: OP '-' a. Jiiiuna IJl': ; lU' :viz: an pol'Qr )..Sz:. tt, 1 - -n itfffl " -ftoil ItE - _ i 0-#� t}yt'a}!Z,dmaklC %ORO* . t3 :B � l !.A 9:,1:6:' R .. ;.�pn�; slb1.. 2urA try �, w . .: ket;l, '� A , t6 . 1' yr;4%4•', 1. LG�21E, ' 76yt'�Ul.4I . - :glut I,- ',� .' risb�C` °. ' "` ... - art ; . 7T .C1 I;Oyx8%lat :a r5yr..4"yve 11 aft gaud '' takorta' 'Atu4 nn rig- at 406 t 0 12+ <$ .i I: J.... will...- ...-.... _ I ,,r.� .� . .............. lip 14; IMF mmmmmiftwoI PA b t ,• 2 I ' Raring. 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IN �orfn� IG 1 ; �dritl�. a 'hlt '�a(AUpd SU(fpgpiOleYaiu;Moil pthttnlimll.!o�ifin atQr,�;;�;,M,�.,;lp, �^ I; .... rca ••n 'te , MIX % FloTizdn ' noplli •t?t3'ddXDEfserl(�tf6n 1'Aktutct� Sfn?Ct(it�i° •R9ul.�. ` C�(' . ;'Outiiblant't3rl'or ,'pij�($i�n� I,.QUnifd►IY �pqb� �a.2�•�.��INQ`t,�'p7►,dti:SS•p;39 �?Got7ti>�(N '!t'muenl�t?r�'�5�4 I!l�and'r5:9:�TaQ'mo4, fiiu;l7G�t:. pf'�uli:Sy;ai>,d �.'ro:fGYsioupl:�Q>;V•lAcs is. un; ct?ptil•gJ�poctuuity��c)vAA.c::pro�!icldr+and awgloyga'. 1f'yoix neodi•ns9iel'unoartu aoocsn satv:�ocs Ay,r1e88 �malpcitil; iu• an. altcrnnCc,'a~tlzmats,aAUfl�il:thc• S1QpActnlogt:J18�N✓l:6b%3.1 �°l, oF'`bTx;fhrnugh'1Z'rslny r i sqd,,tk..Aa:L�,r� Fps :�'�R.sltAiY F �`brl� ' '{` - 'c.,i.'tol'fttt�'! I�X1Ct7.�:Q�ijSt'x' , ��'ir ��i.��•� �bl�ta�•p'��'�.°l'.�tlik;%�'��r l%t�K11i�'•�`9a `�1Y�w'a"�&'f`�'.��,�, � . 'Thi's°aol•euttlnatia�uWas,�uu'rluetuil:fa;snt�sTyu:zwn`in��,t�e��r�einedf,fi�nngy',;axaia�r��4�?'�A+�l1�t��?�,�iti`'�1�t� r�;� xae;lfisu P, `=451. l'k;izf 1;00Aaft, ' Rolefi OR mov+ nw �r l .. r J SO 0 150" 4" CAST -A -SEAL IIII I� .I Ilu Ir 24� � •- � 11 �--� T(P II FILTER OR IIII II BAFFLE IIII IL TOP VIEW WLP1000/600-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 56" O.D. LENGTH: 150" O.D. WIDTH: 84" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36" 4" CAST -A -SEAL WEIGHT: 14,870 LEIS, INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL r10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 16.76 GAL/IN (SEPTIC) (PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPl1C/PUMP OR SEPTIC/SIPHON 4" VENT COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN n 0 (STRUCTURAL FIBER) n CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE OUTLET i,l I v M II I M n SIDE VIEW PUMP PAD TANKS ARE MANUFACTURED TO MEET OR REQUIREMENTS EXCEED ASTM C-1227 DRAWINGS SUBMIl7ED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: � J Z O 4 V o t- a t , Omo; ut.r+;s in Ptrc;%+.'r .;.ray, Ito:" lal>al" A r;i:,:iun ul hua4u:. L•.c. r>iJ� )%_tJ �Sl'fllt(:1`t( �'l�f(.'1' "['fti PL-v25 Filter is rated for 10,000 GPC) (gallons per day) making ik one of the largt?st Filters in its class, It has 5'?ri (ini:ar feel of I /1G" Filtration slats, L.il« lhi Polyluk Ply �1?2, the Pvlylot: PL-525 has an atttunultic shut-off ball installed t�vitlt evtery filter. When the filler is removed fur cle<uting, tha ball tyrill float up and temporarily shut off thc� system su the ilfluent tvun't Ii';l1rl` the rant:. ' I:,�tlrt) lur It),001) c.,l'F> (galli>n5 I?er d;+)')• - i2`,i linear Ittct ul I/ lb" filh'ation. At:cel1ts �l 'anti (>' SLI-iI) CIO pipe. • l;uilt in gati dcllactur. r\utumah� shut off ball when filter is rt:muveil. •- r\I�urn acce5sibilit}�. /\civ��pls PVC intension handle. hlral I<?r risidinti,�l anti iiunmercial tt+asti Flvtvs up to t0,t)Ui) t�allhl1ti I'>il' oily (CiPU). 1. l..on3te the outlet of Nye septic t;utk. ?. Rt�taovi Ihi hu\k it?ver anti puntl? t�utl: iF nirtasary. ;i. C.�iui: the' I'illir hausin}; tp Utc �(" or ti" outlet f,ihe. 1F the Iillir is nut ietnh.red undt:r the ,tct:rss i�penitt}; use �+ Pvl)•Ic?k L:xtrnd t� l.uh or pittii of Itiipe to cintt'r filter. 4. In:rcrt Utc 1't.•5.?5 filter into its huusin}:;. 5. Ia�placi aril secure tlw ::c:plic huvk covt'r. 'fhi PI. `"i2f7 f:Illui'nt Filters will o}?e?r,tte e:IFicit:ntly for several }'era's !atilt r normal runclitii,ns beFore r�'iluirin� clianin}r,. It i� rr,-unimirniicti that llti I'iltir be cleaned i�vt•ry lintt� the• rant: is pumpi'd, itr at lirtst i'vir}r threit years, li the inatallitl lilti'r conUtins cut uptivnal alarm, Uri ittrne�r Trill he nutiliid by an alarm tvheu the Filter needs s..rvicin};. ��irvicinr, shinUd be iionc b}' a rertifieti s(:}?tiC tart!: pumpe.t• of installer'. 1. Curate thi• c?ullt�t ul' the septic tank. Z. Rumuve' rant, lover and fnnnp Guth it nt'cissary. ?,. [")u nut use lalurnhin�; t�'htrn filth i> t'��nu>ve�il. 'I full 1'1_�`_42_, r<u'triti};t`: tort of tltc' housing. 5. I�iosi oft liltir over thr septic lrtni<. Agaki surf all :;ulids fall f,;tck into sci?fit: tanh. '1%�1(i' l�ilh'ation Sltlts I'"- t\Iltrm Switch 10,OQQ C�1 D I{ C.� � _ .� '��., '! �{ Iixlensinn 1-landle I 1""' e � „ $�, �i �t�. �'t xt� �'�` r Ratctt tar j, *�� -�jj�u y��rtfin¢q��lt��l, IU,u000I'C? )} ��`�', s £�F ls'� � ��}}t�"thy I�i� - ,r.L�s�� ,k��,�tit��.c�;5�� 5C:11I'� dtl pil7c t `aa� � i`t-�;f� � � 525 Linear 1�1. �F$ Its}qC r� ''F y `�'Yf—'-�-"`�'-'-t`^ �j;. hillration`iluts �.. ... 6. Insert the liltt:r iarh•id};i back into the huusint, nrticint� t untduui SntarlFitiCr4y tAlarin sure the filttrr is props rly alil;ned and Conti?litely insitt�ti• Put) -tut:, Zabet ,< Hest filters ncceht ' thcSnwrll`iltt�,@9 stvitth and alarm. 7. Kr'}�Iace and sei art_• si:l?lir tank cover. �. i t. ,_�,,..., ,..�,,: lislcud l t.t,lc"' L'nsill+ installs into csisling tanks. Nuh'luk;, Inc. :i Fairl'itad 131vd. \\'alliu;;furtl, C'I` t)6=t92 "lull Fria: 877.7(i`.t)5GS F<Ix:2U3.?.8rl.fiSld tvwtv.pulylult.t:unt APPLlCA110114FOR RVIEW *Complete all pages s��'(�r'r NOTE: Personal information you provide may be b . 't r'ggr (Privacy Law s. 16.04(1)(m), Stats.) RECEIVED NOV 14 2019 P iv 0 site 0 l ater Treatment of � Systems ' Division of Industryf Services ❑ Plans to be E-filed. Provide SharePoint User name below: For plan status, check our website at hU ://ds Is.wi. ov , I Several counties have been delegated certain authority to revlew•plans In lieu of Division of Industry services, For a current list of those counties and their designation check our website at htt ://ds so io o . 1, Project Information • Fill In all known Information. Confirmation of assignment to a reviewer. Project/Silo Name: Piatson 3 Bedroom Residential Mound Transaction ID; Location, Number & Street of project (if unknown, indicated nearest road) Previous Related Trans, ID; i 1360 Co. Rd. TT Roberts, WI 54023 Estimated Completion Date: Legal Description: SWIM SE1/4, Sec. 23 T.2fN.. R.18W Tn. of Warren Assigned Reviewer: County St, Croix Assigned Office; ❑ Cit Q Village (]C Town of Mail to your off too of choice below: Hayward, LaCrosse, Waukesha _ 2. After plans are reviewed, please: (chock all that apply) ❑ Cali customer 1, 2 (circle number)" NOTE; We reserve the right to re•dlstrlbuto plans to another office if ❑ Requesting party will pick up a needed to reasonably balance turnaround httn;/ldeps.wLgov for ofllgo availability and times. Chock next available review date ® Mail plans to custorrlel 1, 2 (circle number)' `Refers to customer number from below. I 3. Complete tho (ollowing doslonor/owner/requesting information, utilize tho chock boxes when designor, owner or requesting partylls tho'same to avoid ropoating Information, Designer Information (Customer 1) DSPS Other Please Specify Below (Customer 2) DSPS First Name Last Narne Customer Number First Name Last Name Customer Number Dale Hudson 220053 ompson Th_ James K. 30021 Company Name Company Name Boldls Plumbing & Heating A,C.E, Sell & Site E4aluations, LLC j Address Address 820 Main St. 340 Paulson Lake Ln. City State ZIp+4 (9 digits) City State ZII +4 (9 digits) Baldwin WI 64002 Osceola Wl 54020.5413 _ Phone Number Email address Cell phone Phone Number E•mall address Coil phone (area code) (area code) 1715 604-3378 (715) 248.7767 aces ll ,frontiernet.not _ Check if applicable Chock it applicable or specify relationship j ❑ Owner ❑ Owner Other — ape Irelationship Consultant Information and Plan. Submittal Checklists. POWTS pre -scheduling Is not available. Plans will be assigned to a reviewer after receipt at a DSPS office, Submittals received may be assigned to offices other than the receiving office depending on reviewer vallability. Submittal checklists can be found in each applicable component manual appearing on the POWTS. Publications page, h ://dsps.wi,gov/php/sl aloop/grodcode result.Iltp/POWTSM/POWTS COMPONENT MANUAL. You may email technical code questions to DSPSSBPowtsTechffi)wi.aov. J Hayward DSPS 10541N Ranclr Rd hiayward WI54843 715.634.4870 Fax: 7164034.5150 Email: DscsSbPlanSchedule ,�y&gov_ LaCrosse Aron DSPS 3024 N Croekslde Iiolmon WI54630 (NOTE CHANGE) 0U8-785-9334 Fax: 608486.9330 Small: s sSbPlanSphoduIe onwi.aQv_ Waukesha DSPS 141 NW Barstow St � 4'"Floor Waukesha WI63188.3789 262-548.8600 j Fax: 262-548.0614 EmaI1: ASpaSbPlanSChedute( s OR Malmo Chocks Payable to: Division of Industry Service .___.. � ❑ Check box to invo' designer and sign below �r TOTAL AMOUNT DUE $ 260.00 y / RevIlowCode 7633 Designer Signature t/ 313 SP5-10577 (R 10115) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM nUmer/Riiver David & Mary Ellen Platson Mailing Address 1360 Co. Rd. TT, Roberts, WI 54023 Property Address City/State Same (Verification required from Planning &Zoning Department for new construction.) Parcel Identification Number 042-1065-90-000 LEGAL DESCRIPTION Property Location SW %4 , SE '/4 , Sec. 23 , T 29 N R 18 W, Town of Subdivision Plat: Na Certified Survey Map # Warranty Deed # Spec IiouseDyes��o Warren Volume 03 , Page # 43 31 (before 2007)Volume 8, Page # Lot lines identifiable yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §SPS. 383.52(l) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning &Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge. 1/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 Safety And Professional Services 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 Planning & Zoning Department within 30 days of the three year expiration date. 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. Number of bedrooms 3 GNATURE OF APPLI�,ANT(S) 10/11 /19 DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning &Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Wet 843 PAGE 31 iV DOCUMENT NO. 1STATE `,4AR OF WISCt'ONSIN FORM S — ItP82 11)fjeR6)QHf [ R 4486a4 1 TRUSTEE'S DEED Honor O'Connell Hacker and W. -T: ----------------------------------------------------- Trustees_ ofthe Trust Created under the Wild%: of John_ L.__.,O' ConnE:ll> eta�iv�os>X>sirxYstat;�x�c --------------------------------------------------- - for a valuable consideration conveys, without warrant; , to ..........................___. d atson and Mary.Ellen_Platson, husband oint tenants and wife as nts._]._-•----------------------------------•-....... - - , Grantee, St. (;r01X County, the following described real estate in State of Wisconsin (hereinafter called the "property"') TNIS SPACE RESERVED FOR RECORDING REGISTER'S OFFICE We CROIX CO., WI Rec'd for Record d1 J U Pal s 3o 969 : M R 15 of Deide" , UU %' Register of beads '' Lot 1 of the Certified Survey Map recorded in the Office of Register of Deeds, St. Croix County, Wisconsin, on March 6, Re Document eedst in Volume 3 of Certified Survey Maps on This deed is given 55497 in compliance with the land contract of April 30, 1979, between the above parties. .................•-- the 1977, Page 774. Tzle Trustees X81�&f11EihtMby this deed do)�convey to C:rantee all of the estate and interest in the Property which the Srii/iII�1 a�7d'�>7��and all of the estate and interest in the ,"ropexty which the yXXilC since acquired. rusfee�t1e Dated this 2 6 day of --------------- -------------------------------- 1 •r==s " W = T . Doar • Jr* - �enfelsaa»,xelcexuapsc'i Co —Trustee AUTII a NTICATION Signatures) .----W'---T •__-Doer �...Jr-------------------- authenticated this 2_6__day of M��------------------ is__ 8 9 * (J�sePh p . Guidote r `-fir= TITLE: MEMBER STATE BAIL OF WISCONSIN (If not, ------------------------------------------•-•-----._.------.. authorized by § 706.06, Wis. Stets.) Honor O'Connell Hacker Co -Trustee ACIiNSSOWLEDCIMENT STATE OF}��7�Il��1�X HIS INSTRUMENT WAS DRAFTED BY ss RamseX_______County. Personally Came before me. this _____Istday of June__________•_.__., 1a.. �._ the above named O_' Connell_.�iacicer___________________ to me known to be the person who executed the foregoin ins trument yand acknowledge the same. T�.r(wL(��.le-�� W. T . Doer, , Jr ...............•----------------......- •---------------•--....._....-- I�OAR; Patricia_ M_ •B1ees..... Notary Public Ramsey ..blew---l�chmond. YJT7 __...5 y......._. Count �caHo My Cgtnmission xs }pyilR>i�?SkK>FiI?ioi�C361sDx eoA x (Signatures may be authenticated or acknowledl ed. Both eX fires are not necessary.) dato .i��° .•._., 1cJ........) - t 1 Ir t of porsons sinning in nny cap'Linty should hu typed or I)pIntod buluty Utulr nhsnntut My c� minisylot1 t� 5, tpI 26,,�- 1990 STA'1'P: ItAtt 0V IVISCON91N wh+utnutin Lolt'nl IJLutIs qu. Ins. _. --—�__�...._...........,.!a .,mmn o'ORNI No. 6-1082 Mlltvuttlasu. wls..-. I�av�d � I�soh. -� �30/�� SCHULT HOMES - 201 INDUSTRIAL DRIVE -REDWOOD FALLS, MN 56283 - (507)697-5150 \/mow r"Clif Of Co di un'Y� FORM N0. 985-A IlGM1il,rCmp,.y® 3�549`9( CERTIFIED SURVEY MAF SW 1/4 SE 1/4� SEC. 23, T29N? R18W LEGEND �90 0-1"X 24" IRON PIPE SET, �s WT. 1.68LBS./LIN. FT. x 0 10d 75' 5d 25' O 5d p o w SCALE IN FEET 0 w -J w 00 0 O_ THIS INSTRUMENT WAS DRAFTED BY G.C.S. 78-79 9GP-22�-Bd' \ 44.63' S I/4 COR. R.R. SPIKE SET GENTERLIN 3 89�-39'- 25" E 363.00' LOT I 3•IS A. EXISTING HOME 1 BEARINGS ALON RECORDED G THE EAST LINE OF THE' SE 1/4 - SEC• 23 45oO8%%% 3.83' i N 89" 39'-25" W 363.0d N 89�- 39'-25" W SOUTH LINE 14T5.35' SE 1/4 E I/4 COR. No.6 RE - BAR FD. EAST LIN /SEI/4 SE COR. R.R. SPIKE FD. SURVEYORS CERTIFICATE: I, Gene C..Shaffer, a registered Land Surveyor, hereby certify that by the direction of David Platson, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map: that the exterior boundary of the land parcel surveyed and mapped is described as follows: A part of the SW 1/4 of the SE 1/4 of Section 239 T-29-N, R-18-W, Town of Warren, St. Croix County, Wisconsin, further described as follows: Commencing at the SE corner of the said Section 23; thence N 890-39'-25" W along the South line of the SE 1/4, 1475.35 feet to the point of beginning; thence continuing N 890-39'-25" W along the said South line of the 363.00 feet; thence N 00°-02'-00" W, 382.00 feet; thence S 89°-39'-25" E, 363.00 feet; thence S 00°-02'-00" E, 382.00 feet to the point of beginning. that this Certified Survey Map is a correct representation of the boundary surveyed and described; that I have fully complied with the current provisions of Chapter Wisconsin Revised Statutes, and the Land Subdivision Ordinance of County of St. Croix in surveying and mapping; same: Certified this Z�' day off, 1978, at Hudson, Wisconsin. Signed: Gen�C . Shaffer",' Lana. aurveyor Wisconsin Registration No. 1325 APPROVAL OF THIS MINOR SUBDIV DOES NOT MEAN APPROVAL d 3U1LDING ,r,; OR SEPTIC SYoTEM, REFER TO H62.200 PAGE. CmERTIFIE7D� SnnU��RT77�V�77mmEY MAPS �.'Croi��o�uniy 3�54H7-Pagls 1 0�1- SNAPPER S-1325 HuosoN WIS. rya ArQ SU R''� exterior the 23G•34 APPRQVED NOV 17 1978 CO:NP.;E7IENSlVE PARKS PIANnINC3 AND ZONING COMMITTEE Wis. De�t. of Safety and Professional Sery ces � S�EVALUATIO EPORT Division f Safety anc�B�i�iL®S�nty St. � rpent i accordance with SPS 385, Wis. Adm. Code Community Develop Attach otYi�le a 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location David Platson Govt. Lot SW County Parcel I.D. �Sfi-mod i� /a 5 Page 1 of 3 St Croix 042-1065-90-000 1/4 SE1/4 S 23T 29N R Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1360 HWY TT NA NA 3.2 Acres City State Zip Code Phone Number City Village own Nearest Road Roberts I WI 54023 ( 71�-245-7101 Warren � New Construction Use Residential / Number of bedrooms 3 Code derived design flow rate 4SU GPD Replacement � Public or commercial -Describe: na Parent material Pitted Glacial Drill Flood Plain elevation if applicable na ft. General comments Mound Design, system elevation 99.SSft based on contour line elevation 98.30ft. Minimumm 15 inches ASTM 33 and recommendations: Mound sand. 1 � Boring ❑ Boring # f�I 98.30 f ■ I Pit Ground surface elev. ft. Depth to limiting factor 24� in. Soil Aoolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence oundary Roots '` GPD/ft z ff#1 ff#2 1 0-9 10yr3/2 none sil 2msbk mfi• cs lc .6 't'�O, 2 9-16 10yr4/4 none sicl 2msbk mfr gw lc .4 .6 3 16-24 7.Syr4/4 none scl 2msbk mfi gw na .4 .6 4 24-53 10yr8/2 c2d7.syr5/6 sand stone residumm na na .0 .0 Boring # � P t mg 98.30 21 ■ Ground surface elev. ft. Depth to limiting factor � in. Soil Aoolication Rate Horizon Depth in. Dominant Color Redox Description Munsell Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence oundary Roots � GPD/ft z ff#1 ff#2 1 0-9 10yr3/2 none sil 2msbk mfr cs 2c .6 2 9-21 10yr4/4 none sicl 2msbk mfr gw 1 c .4 .6 3 21-48 7.Syr4/4 c2d7.syr5/5 scl om mfr cs na .0 .0 4 48-60 10yr8/2 c2d7.syr5/6 sand stone residumm na na .0 .0 on � non ..,...n .....1 TCc �'ln t � �n mn/I Fray �Pn+ �� = Rnn < 30 ma/L and TSS < 30 ma/I ....,.. 5 - ., _ _.....�. _ _..- � -- - - - - CST Name (Please Print) � CST Number David J Steel 248956 Address Date Evaluation Conducted Telephone Number 1699 150th ST New Richmond, WI 54017 6-22-2019 715-760-0347 f%� �.O .,L�-.,.,.,., �..., .., David Platon Property Owner 3 ❑ Boring 97.40 Boring # ❑ Pit Ground surface elev. ParcelID # ft. 042-I065-90-000 24 Depth to limiting factor in. 2 3 Page of Soil ADDlication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu, Sz, Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots * GPD/ft 2 ff#1 * ff#2 1 9-0 10yr3/2 none sit 2msbk mfr cs 2c 6 1`9. O 2 9-24 10yr4/4 none Sid 2msbk mfr• gw I .4 .6 3 2448 7.5yr4/4 c2d7.5yr5/6 scl/sl om mfr na na .0 .0 ❑ Boring # ❑ Boring I I Pit Ground surface elev. ft. Depth to limiting factor in. Soil ADDlication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft 2 ff#1 ff#2 Boring ❑ Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ADDlication Rate Horizon Depth in. Dominant or Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots * GPDlft Z ff#1 ff#2 Effluent 41 = BOD 5 > 30 < 220 mg/Land TSS >30 < 150 mg/L *Effluent #2 = BOD 5 < 30 mg/Land TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-315I or TTY through Relay. SBD-8330Test (RI1/ll) STEEL'S SOIL SERVICE David J. Steel David Platson 1360 sty Rd TT CST-POWTSM SW1/4,SE1/4,S23,T29N,R18W Roberts, WI54023 Lic. #248956 Town of Warren, St. Croix Co. 715- 245-7101 715-76M347 3.2 Acres This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend 1"=40' O= Benchmark Ele. Top of 3/4" PVC Pipe Alt Benchmark Eli Top of 3/4" PVC Pipe = Borings B1 = B2 = B3 B4 = = air 100 .00 ft 100.10 ft Boring Elevations 98.30 ft 98.30 ft 97.40 ft 0.00 ft 3of3 I� IIIMMMMMMM�ft cq Ia�� LmuniAPR 10 ULU St. Cro County STEEL'S SOIL SERVICE 3 of 3 iltlt Development ;did I Steel David Platson 1360 �ty Rd TT ST-POWTSM SW1/4,SE1/4,S23,T29N,R18W Roberts, Wl54023 ;Lie. #248956 Town of Warren, St. Croix Co. 715- 245-7101 715-760-0347 3.2 Acres This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend N 1" = 405 t/ ♦ = Benchmark Ele. 100.00 ft I Top of 3/4" PVC Pipe • = Alt Benchmark Eli 100.10 ft Top of 3/4" PVC Pipe = Borings Boring Elevations B 1 = 98.30 ft B2 = 98.30 ft B3 = 97.40 ft l'2 Of C�v�- �� B4 = 0.00 ft r r l 7. S"CT'� --... *9AS� 3qy' e err � Cie 0 �GD(� l y � TT Kevin Grabau From: Sent: To: Subject: Attachments: Follow Up Flag: Flag Status: David Steel <djsteel@frontiernet.net> Friday, April 10, 2020 4:51 PM Kevin Grabau Septic location for cty rd TT property plot plan Scan_0029.pdf Follow up Flagged Sorry for the delay have a great weekend! i