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0 ■ o P. -0 0 c � } E � � • � � � E � � Cl) ■ z o Ul o§ 0 2 g @ \ - 2 E 2 ' § ' e A k m$ 0 9 ■ p « # CL r � $ e n 2 2 m :- w e § E ' =r @ ƒ ■ � E e C �_ ■; i a R o f = $ $ §: Q. ° � co m / } ) \ �: § E CO) f E § k E "M. 0 0 o 0 .. 2 ■ ■ ■ E: 2 C U) % ~ I 0 ' §CD , n Ct m , su CD m m �� � m K� �¢ � , X � \ E / � Oro 0 ) \ _ w ca o g �_ ■ U) ■ a � (D \ z 9 R m 2 k 14 C L Z , CD 0 i \ / 2 \ _ (D CL =a = f i-4g o 0 CL 0 e c 92 #� / % X77 KE �C, � a77\ % £ �kD $ ee D(0 - \w \ \ k7 /� 7 0 CL \ � [ 0 2 / f A E } 4 S Cl Wiscofssin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506342 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: r, Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Z 69t z ZS Permit Holder's Name: City Village X Township Parcel Tax No: Douglas, Ryan & Theresa St. Joseph, Town of D j0- /Q7 & - (0 - CST BM Elev' Insp. BM Flev: BM Descripti n: ection /Town/ ange /Map No: 27.30.19.1 TANK INFORMATION `ELEVATION DATA 15 is 0 1 00.0 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 115.7 10 0, Septic Benchmark Dosing, Alt. BM fi; r Aeration JJ {{�' Bldg. Sewer 9 Holding Zt( p/ S t Inlet �� St /Ht Outlet O+ al o TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to P J Air Intake ROAD Dt Inlet septi y " 4 , 6 I Iq y5,� tKAh � Dt Botto � � �e� 1 v� Z.1 4K Dosing `' y �' l y ' �� (a Q / ; 4 t Header /Man. �.� 1 1 c 7 Aeration" Dist. Pi e Holding - _ ot. System Final Grade 'IP /S,IPHON INFORMATION " /f'� 1'S � 3 afC Manufacturer G ov (d s GPM Demand #V1 Shc C o ve r, /• �'A 3 9 j3• S7 Model Number Ve E 06 11 14 7 1 11 �^ �f I6_ �f' TDH Lift Friction Loss TDH I Ft l x.15 3.2 System 6 Head Forcemain Len th Dia. 1% Dist. to Weil z 2 1 ►y ` SOIL ABSORPTION SYSTEM BEDlTRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL L /STREAM EACHING Manufacturer \ INFORMATION C AMBER OR Type Of System: UNIT r,&1? iel %jomho: 1 12 ' 10Y its >l00' DISTRIBUTION SYSTEM Header /Manifold t� Distribution V t , x o e Size / / I x Hole Spa n� Vept to Air Int e_ Pipe(s) r 2 �/'�""'p Length__ Dia I . Length 7 � Dia Spacing / 'I 1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Syst Only Depth Over . (0 1 'Depth Over xx Depth of xx Seeded /Sodded xx Mulched End Trench Center ' � Bed /Trench Edges Topsoil I , es No l7es - No COMMENTS: (Include c ode discrepencies, persons present, etc.) Inspection #1: ! Inspection #2: � ° l ` _�12 / Location: 632 Perch Lake Road Somerset, WI 54025 (SVJ 1/4 SW 1/4 27 T30N R19 ) A Lot Parcel No 27.30.19. 1.) Alt BM Description cr 2.) Bldg sewer length /r 5CH/l(Q��CC/It�GL �lCLl2� `- -amount of cover = "l 44 Z C Plan revision Required? mi Yes o j Use other side for additional information, — —" Cerr No. Date Insepctor ignatur SBU -6710 (R.3/97) Safety and Buildings Division Cou 201 W. Washington Ave., P.O. Box 7162 , r � Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Sanitary Permit Application State Transaction Number I Ll In accordance with s. Comm. 83.21(2), Vim Aden Code, submission of this form to the appropriate governments! 0 unit is required prior to obtaining a sanitary permit. Note- Applit n fonts far stat"wwA POWTS are Project (if difibrant than railing address) submitted to the Department of Con merce. Penal information you provide may ith be used f D 1 `, purpqscs in accordance w the Pri Law, a 15. t 1 0, Stafs (3Z I t`C�l Gka RO L A lieation Infennatbn - Please Pd_ nt Ali Worm Wen ,- ,. _ _, _ Parcel # 207 ,1,.,�y r Property s Mail itlg Properq Location -7 1 C ©�� (� ST.CROIX Govt. Lot City, Stage Tip Cade Phone yti Yti Section A 7 (circle a%4 TN; R_fi IT. Type of Building (check all that apply) t De.•+v� Lot - - SubdivinNtum� _. 1 --, or2- Family -Dwelling- NumbcrofBedrooms --- rQ -- - - -- - Ala a r A, O Block V a ❑ PubliclCommercial - Describe Use N ❑ City of raw.. CSMNumber ❑ Village of ❑ State Owned- Describe Use -Town of - (P X /ISD 0 %A/ M. Type of Permit: only one box on line A. Complete Mae B d applicable) - ea=S ❑ Replacement System ❑ T Hokbng Tank Replacement Only ❑Odra Modification m & at..g System (tnoplam) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List ins Permit Number and Date brsued Before Expiration Owner IV. Type of POWTS o nenHDevfce: Cheek all that ' ❑ Non - Pressurized h4kouud ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound? 24 in. of suitable soil Xmound < 24' . suital // nk mil p ❑ Holding Tank ❑ Other Dispersal Component (explain (enc ❑ Preftatment Device WU h,16p� V. D` reatment Area Iafotmation: Design Flow (gpd) Design Soil Application Ratfl Dispetsal AreaR s� Dispersal Area st) fikvetion (ono h� lt� 5 5 , 75 VL Tank Info Capafty in Total # o Mantrfactina Gallons Gallons Units New ranks Existing Tanks 1 .8 Septic Hotting Teak V ' t Dosing_C�ambet_ - ' . _ .!�� � a6 0A – -- - — – VII. Ftesponsilpft Statement- 4 the undersigned, assume ty for installation of tti r.,,. _- -- Sao attach" pram P a Nate (Print) P s Si Bmn= Plume Number c t Plumber's Address (S VIII. nun ent Use Onl Perm Fee Da I Issuing Sigoanue pprovred $ b� ' OV l � �� ❑ veer Reason DL Condl VA&* *8Reasoas for Disai pproval *A PreJtdL� �bF� 1. Septic tank, effluent flfter and CD dispersal cell must all be services I maintained as per management plan provided by plumber. CAA- v 2 2. All setback requirements must be maintained P" qVk4be co , de / ordinances. 6cx Attach to complete plans for the system and submit to the COWNY only N paper set tbwa 1A x 11 inches m she SBD -6398 (R. 01/07) Valid thou 01/09 I /g ocQ -la4\ 6f io a _Puc � . @ e( /off?_ kt Bfi - ajG.t ifL No - /.._ Fi lb S ell ow - . oil - d - _ R� - - -E GAR 07 Cl (314 4AM-1/900- -- Sx 30.77 ai vc Pal , - -- - _ o �v !, - n. a ``!fl 11111 flili 1111 illlif iiil iifl 2 854046 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD CERTIFIED SURVEY MAP 06/22/2007 09:30 LOCATED IN PART OF THE SE 1/4 OF THE SW 1/4 AND IN PART OF THE CERTIFIED SURVEY MAP SW 1/4 OF THE SW 1/4 OF SECTION 27. T30N. R19W. TOWN OF ST. VOL: 22 PAGE: 5415 JOSEPH, ST. CROIX COUNTY. WISCONSIN. REC FEE: 13.00 COPY FEE: 3.00 PREPARED FOR: PAGES: 2 RYAN DOUGLAS do NOTE: ORDINARY HIGH WATER �3 THERESA DOUGLAS MARK (OHWM) SHOWN WAS 3 5780 LEXINGTON ST. EDGE OF WATER. DETERMINED BY S&N LAND Mc FARLAND, WI 53558 ELEVATION 9, o ° SURVEYING. THE OHWM AND 44.4 MINPL Q t APRIL 2007 7�1 EDD 75' SETBACK ARE SHOWN FOR OWNER - — — - VISUAL PURPOSES ONLY. JOHN SCHOTTLER 8 AREA BELOW OHWM i — L AND S — CONTACT THE ST. CROIX GEORGINE SCHO_TTLER 0.13* ACRES COUNTY ZONING OFFICE FOR S88'S3' E WM 113 CTY D . 54025 p � ► 4i ' �� 281 DET OFF NA PRIOR TO VA 93* 51 -+'.. 137.0 CONSTRUCTION OF ANY SURVEYOR: Jot! STRUCTURE NEAR NAVIGABLE BENgiw1ARK - WATERS. TY R. DODGE �� �j "` Z10P OF r IRON Pty S do N LAN SURVEYING. INC. / �' 2920 ENLOE STREET f _ /•�, HUDSON, VA 54016 EACH PARCEL SHOWN ON �►� = STATE, COUNTY AND T TO "� N TOWNSHIP LAWS. RULES AND REGULATIONS (I.E.. NOTE: �1c' SIZE ASS 70 PARCEL. ' ELEVATIONS SHOWN ARE USGS NAVD 1988 DATUM ETC.) BEFORE PURCHASING FROM GPS OENC IWARK- 9+8-9• OR DEVELOPING ANY OBSERVATIONS. TOP OF I- IRON PIPE) PARCEL CONTACT THE ST. CROIX COUNTY ZONING OFFICE AND THE TOWN OF ST. JOSEPH FOR ADVICE. NOTE: LOTS MAY BE SUBJECT TO CS' FUTURE SPECIAL ASSESSMENTS FOR ANY 1 l07 z UPGRADES AND I G° g !3 -o IMPROVEMENTS TO THE d ROAD. j A g P° LOT 2 ffw N j L A EGEND 0 >E TOTAL AREA I FOUND ALUMINUM I u 4.48*OACCRRES COUNTY SECTION I v' S G t CORNE MONUMENT 1 S! EX R W g 120 SET 1' OUTSIDE 4.27* ACRES I p � c DIAMETER BY 18" O LONG IRON PIPE, i WEIGHING 1.13 LOS. PER LINEAR FOOT H N z� I S FOUND 2' OUTSIDE ��*+ DIAME I IRON PIPE ci OHWm ORDINARY HIGH � S� WATER MARK SOUTHWEST g N g CORNER - 8281.06 W ' SOUTH 1/4 SECTION 27 124 9.081 PERCH LAKE R_OD_ CORNER 27 SECTION \ "� ; urumrnrrar� k • N88'53*45"W 281.06' 1104.17' A n N &'u CENTERLINE V� pn�n pp 1 SOUTH LINE OF �F * c V u V r� L D + _ / DODGE ' . i ° `1t�CsD L � I _C�.SS. uH THE SW 1 4 - - - -- I s -2asa CA nMUD j VOL. Ip cu 600 SCALE IN FEET ' CLEAR LAKE, j �_ — — --------------- �p -.. Wi 'O Q,t! 1 �_ -- N8853'45'W 2634.31' -- 100 O 100 nrn i..rt, �•, r• �RtNN� THIS INSTRUMENT DRAFTED BY: WILLIAM KANE ' °' JbB NO. 6710 -01 DATE: 06/06/2007 SHEET 1 OF 2 Vol. 22 Page 5415 Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerisco sin.gov Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 11, 2007 CUST ID No. 220537 ATTN: POWTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2009 Identification Numbers Transaction ID No. 1405083 SITE: Site ID No. 726572 John Schottler Please refer to both identification numbers, Perch Lake Road above, in all correspondence with the agency. Town of Saint Joseph St Croix County SW1 /4, SWIA, S27, T30N, R19W Lot: 1, FOR: Description: EZFIow Mound. Object Type: POWTS Component Manual Regulated Object ID No.: 1136191 Maintenance required; 4 BR Design; 22 in Soil minimum depth to limiting factor from original grade; System(s): Ezflow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Polylock PL 525 Biofiilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: o V.F,4 , sift Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01 /O1). • This system is to be constructed and located in accordance with the approved plans and with the EZflow Mound Component Manual, (6/03) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. CALVIN W POWERS JR Page 2 6/11/2007 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Dennis R Sorenson Wastewater Specialist, Integrated Services WiSMART code: 7633 (608)785 -9336 , dsorenson@commerce.state.wi.us cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. �t A r ^ j� I EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT 9 GA � Residential Application 6' INDEX AND TITLE PAGES ap V Project Name: JOHN SCHOTTLER � Owner's Name: JOHN SCHOTTLER Owner's Address: 1374 CTY RD I SOMERSET, WI 54025 Legal Description: SW 1/4 SW 1/4 SEC 27 T 30 N R 19 W Township: ST JOSEPH County: ST CROIX Subdivision Name: Lot Number: 1 Block Number: Parcel I.D. Number. PENDING Plan Transaction No.: Pagel Index and title Page 2 Data entry Page 3 EZFIow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 PLOT PLAN SyS -rc-TA Page 10 PERK TEST Page 11 SEPTIC TANK/PUMP STATION S PECS f ly Designer. CALVIN POWERS License Number. 220537 7� Date: 06/02/07 Phone Number. 715- 246 -5135 r Signature: Designed Pursuant to the ;y�,ir EZFIow Mound Component Manual (N. 06103), and t�''OND SSINMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) EZFIow Mound Version 1.2 (R. 02/04) Page 1 of 11 EZFlow Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 =150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 15.00 Site Slope ( %) 110.58 Installation Contour Line Elevation (ft) E 130.00 Contour Length Available (ft) 22.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/fe) Distribution Cell Information L� J 6%0 Cell Width (ft) 3, 4, 6. 7, 9. or 10 Only 100.00 = Dispersal Cell Length (ft) Dispersal Cell Design Loading Rate (gpd/le) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y� Pressure Disribution information network? Enter Y or N (c or e) c' Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.00 If /orifice 2.00 Forcemain Diameter (in) 70.00 Forcemain Length (ft) Does the forcemain drain back? Y 100.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 11.42 Forcemain Drainback (gal) 7 0 11.41 Vertical Lift (ft) 90.37 5x Void Volume (gal) 2.44 Friction Loss (ft) 101.79 Minimum Dose Volume (gal) �. 2Q.35 Total Dynamic Head (ft) 41.19 System Demand (gpm) Lateral Diameter Selection Manifold Diamet S election / in. dia. o lions choice in. dia. options choice 1/ 0.75 _ 1.25 x 1.00 1.50 x x 'J 1.25 x 2.00 x 1.50 x x 3.00 T 2.00 x 3.00 x Gallonslinch Calculator (optional) Tr eatment Tank Information 800.00 Total Tank Capacity (gal) Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) � Manufacturer. 22.22 gal /in (enter result in cell 1349) Dose Tank Information Effluent Fi lter Information 800.001 Dose Tank Capacity (gal) ( P OLYLOCK _ I Filter Manufacturer 22.221 Dose Tank Volume (gal/in) PL525 __ Filter Model Number WIESER Manufacturer Project: JOHN SCHOTTLER Page 2 of 11 Mound Plan View 1 .......... ......................... ...... ........... "... ".. J 1/10 B Observation Pips •:- :•:•:- '•'•'•'•'•'•'• ... — T K .:r:• : :. .. . 55 ti ..... A W B I .... ...... .... ..... I .. ..... .. .... . .... ... ... . . . . .. ........ • 3 • .............. ............................... L Mound Component Dimensions A 6.00 ft E 24.80 in H 1.00 ft K 10.85 ft B 100.00 ft F 12.00 in z 19.45 ft L 121.70 ft D 14.00 in G 0.50 ft J 5.52 ft W 30.97 ft 600.00 (fe) Dispersal Cell Area P2545.451 (fe) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 113.75 (ft) --► G I ........ ...... ........... F 1 Dispersal Cell . 112.25 (ft) Lateral 111.75 (ft)- -► Invert Elevation Dispersal Cell . 1 Elevation E D , �tt?..• � �� � ���� •� ..x.:; 4 1` { l ,�„ '� �' Z 775 xa.? t} 110.58 (ft) Contour Elevation 15.0 % Site Slope Typical Dispersal Cell Shading Key gym, a 7— See Page 5 11 1' - 1 , Topsoil Cap e c Geotextile Fabric over Subsoil Cap a 0 2.0 ft T ASTM C33 Sand F Tilled Layer �5 EZFIow Media C - o �---- A -- See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: JOHN SCHOTTLER Page 3 of 11 L Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Force main connection via tee or cross to manifold at am point. Laterals are identical Orifices point up, except emery 5th one S P points down for drainage. •= Turn -up wlball valve or �- X,4----3+.W02 xt2 +l Laterals & force main of PVC Sch 40 clesnoutplu0 per COMM Table 84.30-5 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 Z - vU Lateral Length (P) 49.25 ft Orifices per Lateral 25 Lateral End (Z) NA ft Orifice Density 6.00 ft /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00. ft 30 Lateral Flow Rate 10. gpm Manifold Diameter 1.50 in System Flow Rate 41.19 gpm Forcemain Velocity 4.21 ft/sec Dose Tank Information Locking cover with warning label and locking device, and sealed watertight Electrical as per NEC 300 and - 4 in. min. Comm 16.28 WAC Disconnect --- �!ll� --- ------w Tank component is properly vented ': -- Alternate outlet location Forcemain diameter WIESER Manufacturer 2 in. Capacity 800.00 Gallons _T Volume 1 .22 gal/'inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.42 431.57 C B 2.00 44.44 P off elevation (ft) C 4.5 101.79 —t 100.83 D i 10.00 222.20 D Total 36.00 800.00 iF Dose tank elevation (ft) Min. 3" Bedding under tank. 1 150 Alarm Manufacturer SPI Alarm Model Number ;OBSERVER 100 Pump Manufacturer GOU Pump Model Number 1WEO 5H -- -- -__v Pump Must Deliver 41.19 gpm at 20.35 ft TDH Project: JOHN SCHOTTLER Page 4 of 11 EZFIow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. 6 ft Wide (O(Se"(S Component Legend ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths 4" Distribution Pipe With Pressure Lateral Inside Tumup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 100.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space beloi ��- Force Main -- — - - - — — - — — — — — — — — — — — -- 6ftWide Center Manifold Mound System Maintenance and Operation Specifications Service Provider's Name [� CALVIN POWERS Phone 715 - 246 -5135 POWTS Regulator's Name [ ST CROIX WING Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L Type of WastewaterL Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or ser once every 3 years Effluent Filter Should inspect and dean at least once every 3 years Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and see aq once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6 /3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 0000 *0000000000 Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where ............... Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZFIow Media Diameter as Lateral 1.26 Feet �-- Distribution Lateral --► f-- Lateral Cleanout Project. JOHN SCHOTTLER Page 6 of 11 Mpund System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [FZFIow Mound Component manual 613103 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent acciderrtal or unauthorized entry into a tank or component. Septic Tank The septic tank shalt be maintained by an individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shag be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have Its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shag advise the owner of when the next service needs to be peftrmed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shag be inspected and serviced as necessary. Mound and PMU11re Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. 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) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/t. FOG for septic tank effluent or 30 mg/L BOO 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL 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 crest once every 18 months. When a pressure test is performed fl should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked.for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pomp controls. alarm or related wiring becomes defective the defective comporerd(s) shag be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area d 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 none and telephone number of your local POWTS regulator and service provider. Project: JOHN SCHOTfLER Page 7 of 11 GOU LDS PUMPS SubmerAU E Effluent Pump MODEL .. WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded e Capacitor start motors for without damage when fully following uses: design. Lolmut on all models maximum starting torque. submerged. • Homes to guard against component • Built-in overload with ■ Bearings: Upper and • Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing Trailer courts rotation. • STOOW or STOW severe duty construction. • Motels ■ Fasteners: 300 series oil and water resistant O Power Cable. Severe duty • Schools stainless steel. power cords. rated, oil and water resistant. • Hospitals ■ Capable of running dry •'A -1 HP models have Epoxy seal on motor end • industry without damage to NEMA three prong provides secondary moisture * Effluent systems components. grounding plugs. barrier in case of outer' jacket • 1 HP and larger units have damage and to prevent il ■ Designed for continuous bare lead cord ends. g SPECIFICATIONS operation when fully wilting. Standard cord is 2G. submerged. Three phase (60 Hz) Optional lengths are available. Pump • Class 10 overload protection • Solids handling capabilities: MOTORS must be provided in 0 -ring: Assures positive 3 /9 maximum• separately ordered starter sealing against contaminants *Discharge size: 2" NPT. ■ Fully submerged in unit. and oil leakage. • Capacities: up to 140 GPM. high -grade turbine oil for . STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 fleet lubrication and efficient heat bare lead cord ends. TDH. transfer. Tested to W. ns and *Temperature: ■ Class B insulation on O �9 Pu mp By c a i ' „sta ndanis 104 °F (40*0 continuous 'A -1'x4 HP models. ' � � re � C�k � 9 See See 14 o rder er nu mbers on models. { intermittent. ■ Class F insulation on 2 HP recommended working limits, P� is ISO 9001 • o nu reverse side for specific HP, voltage, phase and RPM'S METERS FM available. 40 13 SERIES: WE 120 # RPM: 3 35 500 u &� FEATURES i 50 214 H- FEATURES 110 t 5 GPM -� ■ Impeller: Cast iron, Semi- 30 100 1— 5 Fr open, non -clog with pump - 90 Out vanes for mechanical 25- 80 seal protection. Balanced for U 70 smooth operation. Silicon 20 bronze impeller available as o 60 an option. 15 so ■ Casing: Cast iron volute S 40 - — type for maximum efficiency. 10- 30 2° NPT discharge. zo - ■ Mechanical Seal: SILICON 5 CARBIDE VS. SILICON 70 CARBIDE sealing faces. ° ° 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM Stainless steel metal parts, L I t t t t t t I t t L t - L t •_- ' BUNA N elastomers. 0 5 10 15 20 25 30 35 nWhr CAPACITY Goulds Pumps 2004 m water Technology, Inc. ITT Industries Effective oecember, 20°4 www.goulds.com 83885 Nvi � ' sconsin SOIL EVALUATION REPORT #1567 :Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 5 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8%: x"' inc Pla Ura County St. Croix include, but not limited to: vertical and horizontal reference point (B percent slope, scale or dimensions, north arrow, and locatio istance toad. Parcel I.D. Please print aO information. ��. Revie t Date Personal information you provide may be used for seconda s. 15.04 (1) (m)). 7 Property Owner P operty Location Schottler, John & Georgine G vt. Lot 1/4, S 1/4, S27, T30N, R19W Property Owner's Mailing Address APR 3 Lo # Block # Subd. Name or CSM# 1374 Cty Rd 1 2 1 CSM Pending City State Zip ode STPMR" City L] Village E] Town Nearest Road Somerset WI 54 251 71 - St.Joseph Perch Lake Road ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Glacial till (Santiago Series) Flood plain elevation, if applicable NA ft. General comments G' ~ _ and recommendations: Area is suitable for a mound syste System elevation is 41 .75' based off con line es tablished at 110.58'. Slope of system area is 15 %. Boring # Boring ❑ Pit Ground surface elev. 110.38 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none sil 21`sbk mvfr as if,ivf .6 .8 2 9 -15 10yr4 /4 none sil 2fsbk mfr gw 1vf .6 .8 3 15 -28 7.5yr4/4 none scl 2msbk mfr gw 1vf ,4 .6 4 28-49 7.5yr4/4 m2d 7.5yr6/8 sl imsbk mfr gw - - - - -- 4 7 7.5yr6/2 5 49 - 96 7.5yr4/6 m2d 7.5yr6/6 sl Om mfi - - -- - - - -- 2 6 7.5yr6/1 28 " -96" has inclusions of sil lfsbk mfr with redox features, these are scattered throughout horizons 4 and 5 ❑ Boring # ❑ Boring / ❑ Pd Ground surface elev. 105.91 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 10yr3 /2 none I 2fsbk mvfr as 1vf .6 .8 2 5 -17 7.5yr4/6 none grsd 2fsbk mfr gw ivf .4 .6 3 17 -23 7.5yr4/4 none scl 2fsbk mfr gw ivf ,4 .6 4 23 -35 10yr5 /3 m2d 5 .5yr26/8 scl imsbk mfr gw - - - - -- 2 3 5 35 -68 2.5y6/3 m2d 7.5yr6/6 sil imsbk mfr - - -- - - - -- .4c .6 7.5yr6/1 Borings 1, 8 & 9 describe the soils of the mound area. Borings are not in number order for ease of viewing borings 8 & 9. * Effluent #1 = BOD 5> 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD s30 mg /L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 4/23/2007 715 - 247 -2941 SBD -8330 (a.07i00) Property Owner Schottler, John & Georgine Parcel ID # Page 2 of 5 E Boring # ❑ Boring ✓ pit Ground surface elev. 111.58 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#f *Eff#2 1 0 -7 10yr3 /2 none I 2fsbk mfr as 1vf .6 .8 2 7 -16 10yr4 /4 none sl 2fsbk mfr gw 1vf .6 1.0 3 16 -22 10yr5 /3 none scl ifsbk mfr gw - - - - -- .2 .3 22 -30 1 r4 6 m2d 10yr6/6 Sid lmsbk mfr w - - - - -- .2 .3 4 OY / 10yr6 2 9 5 30-43 7.5yr4/6 c2d 7.5yr6/8 sl Om mfi gw - - - - -- 2 6 7.5 r6 2 II I 6 43 -76 m2d 10yr6 /8 sil lmsbk mfr - - - - .4c .6 - - -- -- 10yr6/2 2] Boring # Boring t Pit Ground surface elev. 112.78 ft. Depth to limiting factor 27 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. S z. Cont. C Gr. Sz. Sh. *Eff#7 *Efr#2 1 0 -8 10yr3 /3 none I 2fsbk mvfr as if,ivf .6 .8 2 8 -15 10yr4/4 none sl 2fsbk mfr gw 1vf .6 1.0 3 15 -27 7.5yr4/6 none scl 2fsbk mfr gw lvf ,4 .6 4 27 -56 7.5yr4/4 m2d 5yr5/6 scl lfsbk mfr gw - -- .4 .6 5 r6/2 5 56 -97 10yr5 /3 m2d 7.5yr6 sil imsbk mfi - - -- - - - - -- 4C 7.5 r6 2 .6 Boring # Boring r / Z Pit Ground surface elev. 115.68 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3 /2 none sil 2mgr mvfr as 1f,1vf .6 .8 2 8-20 10yr4 /4 none A 2msbk mfr gw if,ivf .6 .8 3 20-30 10yr5 /3 c2d 7.5yr6/6 g Sid 2fsbk mfr w 1vf ,4 .6 7. 2 4 30 -84 7.5yr4/4 m2d 10yr6 /8 sl Om mfi - - -- - - - - -- 2 10yr6 /2 .6 " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider If r 4 rr ty c p • icr and you nccl assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) SdmVd SoB Testing, Inc. Property Owner Schottler, John & Georgine Parcel ID # Page 3 of 5 1-�'] Boring # Boring pit Ground surface elev. 123.38 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3 /3 none sil 2mgr mvfr as 1f lvf .6 .8 2 8-16 10yr4/4 none sicl 2fsbk mfr gw lvf .4 .6 3 16 -22 7.5yr4/6 none sl 2fsbk mfr gw - - - - -- .6 1.0 4 22 -37 7.5yr4/6 c2d 7.5yr6/8 sl lmsbk mfr gw - - - -- .4 .7 7.5yr6/2 5 37 -51 7.5yr4/6 c2d 10yr6/8 fsI lmsbk mfr cs - - - -- 2 6 1 r6/2 6 51 -84 7.5yr4/4 m2d 7.5yr6/6 sl Om mfi - - -- - - - - -- .2 6 7.5yr6/2 Fil Boring # Boring Pit Ground surface elev. 121.23 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-9 10yr3 /3 none sl 2fsbk mvfr as lvf .6 1.0 2 9 -14 10yr4 /4 none sl lmsbk mfr gw lvf .4 .7 3 14 -28 10yr4 /4 none scl 2fsbk mfr gw 1vf .4 .6 4 28 -37 7.5yr4/6 c2d 10yr6 /8 sl lmsbk mfi gw - -- .4 .7 5 37 -55 7.5yr4/4 c2d 10yr6/8 sl Om mfi gw - - - -- 2 6 10 r6 2 6 55 -87 10yr5 /3 m2d 7.5yr6/8 Sid lfsbk mfr - - -- - - - - -- 2 3 7syr6 /1 Fil Boring # El Boring Pit Ground surface elev. 115.40 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *01#1 *Eff#2 1 0 -6 10yr3 /2 none sil 2fsbk mfr as 1vf .6 .8 2 6-19 10yr4/4 none sicl 2fsbk mfr gw lvf .4 .6 3 19 -26 10yr5/3 m2d 7.5yr6 /8 7.5yr6/2 sil lmsbk mfr gw - - - - -- .4c .6 4 26 -31 10yr4 /6 m2d 7.5yr6/8 sl imsbk mfi gw - - - - -- .4 .7 7.5yr6/2 5 31 -81 7.5yr4/6 c2d 10yr6/6 sl Om mfi - - -- - - - - -- 2 6 ' Effluent #1 = BOD < > < - < < _30 mg /L 30 220 m /L and TS5 30 150 m /L ' Effluent #2 - B D m / n T _ g _ g t O 30 glad SS s > s- The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Schmitt Soil Testing, Inc. Property Owner Schottler, John & Georgine Parcel ID # / Page 4 of 5 B E] Boring Boring # ✓ Zi P8 Ground surface elev. 118.38 ft. Depth to limiting factor 22 in. oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Efr#2 1 0-7 10yr3/2 none sit impl mfr as 1vf .4c .6 2 7 -19 7.5yr4/4 none scl 2fsbk mfr gw lvf .4 .6 3 19 -22 7.5yr4/6 none sl lmpl mfr cs - - -- .4 .6 4 22 -30 10yr5 /3 m2d 10yr6/6 sicl lmsbk mfr gw - - - -- .2 .3 10yr6/2 5 30 -54 7.5yr4/4 c2d 7.5yr6/8 sl Om mfi cs - - - -- .2 .6 7.5 r6 1 6 54-82 10jrr6/2 m2d 7.5yr6/8 sil imsbk mfi - - -- - - - - -- .4c 7.5yr6/1 6 F-1 Boring # El 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F -1 Boring # P Boring El 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/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Colmnerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (8.07/00) Schmitt Sol Testing, Inc. Page S"of S7' Conducted by: Conducted For: Schmitt Soil Testing Inc Name: John & Georgine Schottler Thomas J. Schmitt, CST 227429 Address: 1374 Cty Rd I 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WL 54017 Phone: 715-247-2941 Subd.Name: NA sigrmt= A � Lot No.: 2 n8r" _Z / � 1�0-02 Legal Description: SWIA SWIM S27 T30N R19W Backhoe pit Township, County: St. Joseph, St. CRoix County A Bench Mark El. 100.00' Top of 2" pvc pipe A Alternate Bench Mark El. 119.11' Nail in 30" Oak Tree Slope= 15% p Contour Line El. 110.58' Contour Length 100' r Scale 1" = 40' /S' b� 67 1 O C 5/lajv /0 scale I � on a 11,cti-,1 Ce - cl N 37 v 37 ! i r j I 9 01 � Ilq j 13� ��/ CERTIFIED SURVEY MAR LOCATED IN PART OF THE SE 1/4 OF THE SW 1/4 AND IN PART OF THE SW 1/4 OF THE SW 1/4 OF SECTION 27, T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: RYAN DOUGLAS do THERESA DOUGLAS 5780 LEXINGTON ST. Mc FARLAND, WI 53558 OWNER: JOHN SCHOTTLER & GEORGINE SCHOTTLER 1374 CTY. RD. "I" �► / �P SOMERSET, WI 54025 �P,'' �, SURVEYOR: J?' � "s ��� TY R. DODGE � d t• e S do N LAND SURVEYING, INC. q�` 2920 ENLOE STREET HUDSON. WI 54016 A6J�� Each parcel shown on • g P ,� 6 -7 Q� this map is subject to state, county and township laws, rules \ and regulations (i.e., 7 wetlands, minimum lot size, access to parcel, NOTE: etc.) Before purchasing LOTS MAY SUBJECT TO or developing any FUTURE SPECIAL ASSESSMENTS parcel contact the St. FOR ANY UPGRADES AND '�� Croix County Zoning IMPROVEMENTS TO THE ROAD. Qq office and the Town of Star Prairie for advice. LOT i LEGEND I o L ARE FOUND ALU d 2 3 MINUM 0 ) OHWM m� M ACRES COUNTY SECTION I ro N AREA TO OHWM CORNER MONUMENT I C 0° EXC R �Z v, SET 1" OUTSIDE I Do -1 3.70t ACRES DIAMETER BY 18" o f fr Q z m 0 LONG IRON PIPE. I D 63 �� it N I D WEIGHING 1.13 LBS. PER UNEAR FOOT I V I Z • FOUND 2" OUTSIDE A I f rn DI IRON PIPE v I I- 0 f SOIL BORING Q WELL I M i A OHWM ORDINARY HIGH 1 0i > WATER MARK w $ 0 AX77 $ SOUTHWEST CORNER �$ N 281.06 "W �ti SOUTH 1/4 SECTION 27 , W PERCH LAKE ROAD CORNER HI 124 6.08' 1104. SECTION 27 N88'53'45 "W 28i.06 CENTERLINE (/ V —T SOUTH LINE OF M 17 U OT I C.B.M. ON THE SW 1/4 I�Q(V1DD I �//OO o pr 600 SCALE IN FEET -- N88'S3'45 "W 2634.,31*-- 100 0 100 THIS INSTRUMENT DRAFTED BY: WIWAM KANE JOB NO. 6710 -01 DATE: 04 /26/2007 SHEET 1 OF 2 9 41' 6' t f / 7 >2P ica n 4 w 1 / 0 i L a z o I c A --! 0 O t x O I N aD � o cn A o n az r�c�ao�� � �. n to ;o Ea w Sd -4 0 - O Z C -1y-i vMZCD w J 8 ° v a ° tog °D g+ b 9—. o x cn � r co a,iG c' v �� $ c a $ : ° np A F � Z m °° y►O ►� `' ZZ ° o �� 1 ca a M rn p ;Dj �n D I� Z r E o q : x - YItLP9200 /800 --MR SCALE 1 4'�1` REV NO. DAM 1MAWN s �SWr SEPM C MANUAL cans us WAWW ROac s �5 OATS: JAW)ARY R ,JAM. 2005 800 - 325 -8456 FILE: WLP12 800 - M SEP 28,2007 12:10 Delaney Company LLC 6516743067 Page 2 I � r._.. 1.111 N; 't i N4iJ1)IZ( 8 r, «(:,it t.LRAM1(:'I11.1'. , !I ;/ W IT' TRANSOM is 11 y; 7' � Cl / EDISTAI S ll� I Q. B '0'1,1.1 WOOL PIANO t'()YFlt I)1AN0ROOM � CA Ik ITT WOOD 410 1;'0 DOOR W , !'. i2" I'RANSOM I ,. .. .. d I I('A 1:341 ...._... ...� 1DII1'16016: W I Of 13052 _. Y, .. ;; 1, L' S 3/4 w I & 1 "r; I illiil VIII 1111114111 Ilili lilt! Illl illlil IIII lilt STATE BAR OF WISCONSIN FORM 3– 2000y u 5 4 1 r ° 1 i QUIT CLAIM DEED 854141 I /ATl 11 rr11 1 IIAI PII Document Number nn l nLL[Ir hnwn RLGISiER Or "DEEDS nT n n V nn LIT This Deed made between 0 . U vu , Fri Sc hC j - flea- a)'h 6t C1f i t -P— M S nrrrrTtilrn rnn nrnnnn 11FULIV CV run n[�URV VUILI LVVI VL.JUrII nI ITT r AT$J nrrn G WU11 vLhli'l ULLU 'y LI�t � lld -, nc�� CYC�IDT M G and r RLt, FILL. I1.VU rAur-0. 1 Grantee. Grantor quit claims to Grantee the following described real estate in _ 1, 5 CXo i X County, State of Wisconsin (if more space is needed, i 1 please attach addendum): Name and Return Address L o -r 2 yr 54AU IeA K Y4V -4-7/i k 1Pock&4,45 �-ECotpEA Iry ✓oLu E � P46'c / 04V- -;016- THE -S� yy aF T'fi''E Su/ / !{�v� 7f11E jw /y r33c= !o ��- �� Parcel Identification Number (PIN) This 0 T homestead property. (is) (is not) 4 0 W. - roW-V 01f s Jv�E�y `j Together with all appurtenant rights, title and interests. �I 1; I Dated this day of !� Of (SEAL) EAL) Q (SEAL) GAP y(S 1* AUTHENTICATION ACKNOWLEDIG Q I I Signature(s) State of Wisconsin, k "t r OF authenticated this day of County. A� Personally came before me this day of " t , .700 7 , the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who executed the foregoing authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY d '111t _ Notary Public. State of Wisconsin My commission is permanent. (if not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below their signature. CLAIM DEED STAT F3 WISCONSIN Wisconsin Legal Blank Co.. FORM No Inc. Milwaukee, Wis. Parcel #: 030 - 1076 -50 -000 01/08/2008 02:34 PM PA 1 OF 1 Alt. Parcel #: 27.30.19.270A 030 - TOWN OF SAINT JOSEPH Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/22/2007 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - SCHOTTLER, JOHN T & GEORGINE M JOHN T & GEORGINE M SCHOTTLER 1374 CTY RD I SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 36.010 Plat: N/A -NOT AVAILABLE SEC 27 T30N R1 9W SW SW EXC PT TO CSM Block /Condo Bldg: 10/2968 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -19W es: Parcel History: ETIRED FOR 2008 CSM 22 -5415 LOT 2 Date Doc # Vol /Page Type (030 - 1076 -60 -100 271 B) TAKES PT WITH REMAINDER BEING 030 - 1076 -50 -010 (270A -10) 2007 Bill #: Fair Market Value: Assessed with: 220056 Use Value Assessment Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 29.240 4,300 0 4,300 NO UNDEVELOPED G5 6.770 2,400 0 2,400 NO Totals for 2007: General Property 36.010 6,700 0 6,700 Woodland 0.000 0 0 Totals for 2006: General Property 36.010 6,500 0 6,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 6(u 1:4 I o- Mailing Address Property Address 655_ _P Mh (Verification required from Planning & Zoning Department for new construction.) City /State Parc Identification Numbe LEGAL DESCRIPTION Property Location SW '/ , SW '/4 , Sec. cQ_7 , T .36 N R O q W, Town of Sf . r.JQseI?h Subdivision Plat: , Lot #. Certified Survey Map # D � �� , Volume Z Z , Page # . Warranty Deed # (before 2007)Volume , Page # Spec house yes c.t(o Lot lines identifiable - 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 §Comm. 83.52(1) 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 ( I ) 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 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 Laa A_90� SIG ATU OF APPLICANT(S) 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. 08/05) S T CROIX CO &A a UNTY PLANNING &. ZONING . .. September 28, 2007 He Ref: SE0136 Ryan and Theresa Douglas 1374 County Road I Somerset, WI 54025 Re: St. Croix County Special Exception - Filling and Grading in Shoreland District Parcel #s: 27.30.19.270A and 27.30.1.9.271 (New # for CSM not yet assigned) V*'$-'�: Code Adnvnisa ai To Of St Joseph 715- 386 -4680 Dear Mr. and Mrs. Douglas: Land Information & Planning f Y Board of (Board) y our s 715 386 - 4674 The St. Croix Count Adjustment Bd has reviewed special tion �< J p exce p y Pr � request for filling and grading in the Shoreland District of an unnamed pond in the Town of St. an Real Pr w* . y Joseph. After the hearing on September 27, 2007, the Board approved the special exception 71 4677 request with conditions. The enclosed document is the formal decision regarding the R cling application. - 386 - 4675 '�E Your must obtain any other required local, state, and federal pen and approvals. Should you > >. have any questions or concerns, please contact me at 715 -386 -4680. v , f Sincerely, �3' \ envy Shillc Land Use Specialist/ Zoning Adi inistrator w Enclosures: Formal Decision Protecting Your Waterfront Investment cc: Clerk, Town of St. Joseph Josh Clendenen ,Delaney Company, LLC yN Jon Sonnentag, S & N Land Surveying Steve Olson, St. Croix County Land and Water Conservation Department Dan Baumann, Wisconsin Department of Natural Resources ST. CRO /X COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W1 54016 7153864686FAx PZ9CO.SA/1VFCRO1X. W. US W Ww. CO. SAI NT -C ROIX.W. US FINDINGS, CONCLUSIONS, AND DECISION OF THE ZONING BOARD OF ADJUSTMENT ST. CROIX COUNTY, WISCONSIN File: SE0136 Applicants: Ryan and Theresa Douglas, property owners Parcel ID #s: 27.30.19.270A and .271 (New # for CSM not yet assigned) Complete Application Received: August 6, 2007 Hearing Notice Publication: Weeks of September 10 and 17, 2007 Hearing Date: September 27, 2007 FINDINGS OF FACT AND CONCLUSIONS OF LAW Having heard all the testimony, considered the entire record herein, and reviewed the site the Board makes the following findings of fact and conclusions of law: 1. The applicants are Ryan and Theresa Douglas, property owners, with the Delaney Company, LLC, acting as their agents. 2. The site is located at the S '/z of the SW ' / 4, Section 27, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin. 3. The applicants filed an application with the Board of Adjustment for a special exception permit for filling and grading an area exceeding 10,000 square feet in the Shoreland District of an unnamed pond to construct a single - family dwelling, driveway, and sanitary system pursuant to Section 17.29(2)(d) of the St. Croix County Zoning Ordinance. The proposed filling and grading activities encompass an area of approximately 38,000 square feet on slopes ranging from less than 12 to 15 percent. 4. The site is located in the Ag Residential District and within the Shoreland Overlay District of an unnamed pond, and is within a primary environmental corridor as identified by the St. Croix County Development Management Plan 2000 -2020. With conditions for implementing and maintaining proper erosion control measures before, during and after construction; limiting the use of phosphorous fertilizers on the site; and maintaining and enhancing the current level of native trees, shrubs, and groundcover surrounding the pond — particularly within the 75 -foot OHWM setback area - this request will be consistent with the goals and objectives of the St. Croix County Development Management Plan 2000 -2020 aimed at protecting slopes and controlling erosion and sedimentation from development, identifying and protecting environmental corridors, and guiding development to locations and conditions that minimize adverse impacts to natural resources. 5. With the conditions listed in Finding #4 above, this request will not violate the spirit or intent of the St. Croix County Zoning Ordinance and will meet the requirements in Sections 17.70(7)(a) and 17.70(b) of the Ordinance regarding potential negative impacts to the water quality, ecology and natural beauty of Indigo Pond. 6. The proposed dwelling will be located approximately 150 feet from the OHWM of the pond as required 75 -foot setback. With conditions determined b the project surveyors, which is well over r q Y p J Y , requiring verification from the applicants on the height of the dwelling, the project will meet alI dimensional standards in the St. Croix County Zoning Ordinance. 7. The Town of St. Joseph Town Board recommends approval of this request and recommends that the silt fence be extended as shown on the drawing dated September 4, 2007. 8. The St. Croix County Land and Water Conservation Department finds the storm water management and erosion control plans to be adequate and recommends that the applicants record an operation and maintenance plan for the storm water measures against the property, use a phosphorous free fertilizer, and maintain a 35 -foot vegetative buffer from the OHWM of the unnamed pond. 9. The Wisconsin Department of Natural Resources has reviewed the application and noted that the OHWM was determined by the surveyor and not by the DNR or St. Croix County, and feels that it may not be accurate based on field observations for similar ponds in St. Croix County this year. The Department verified that the project does not require a Chapter 30 permit, but may require a NR 216 storm water permit if the disturbed area reaches one acre or more. DECISION On the basis of the above Findings of Fact, Conclusions of Law, and the record herein, the Board approved the special exception request, with the following conditions: 1. This special exception permit allows the applicants to disturb an area not to exceed one acre on slopes ranging from less than 12 to 20 percent in the Shoreland District of an unnamed pond to construct a single - family dwelling not to exceed 35 feet in height, driveway, and sanitary system in accordance with the plans submitted, and as provided in the conditions below. Approval for this special exception permit does not include any additional grading and filling, tree removal, structures, uses, or other J development activities. 2. Prior to commencing construction, the applicants shall secure a building permit from the Town of St. Joseph and obtain any other required local, state, or federal permits and approvals, including but not limited to County approval of the Certified Survey Map showing the parcel add -on, County sanitary permit, and NR 216 permit from the Wisconsin Department of Natural Resources. 3. Prior to commencing construction, the applicants shall submit to the Zoning Administrator a surety in the form of a compliance deposit in good funds in an amount of $1,100 to be held by the Planning and Zoning Department until the project has been completed and approved to be in compliance with the conditions of this permit and all applicable provisions of the Ordinance, at which time the deposit will be refunded in full. 4. Prior to commencing construction, the applicants shall install erosion control measures in accordance with the approved plans. During construction, the smallest amount of bare ground shall be exposed for as short a time as possible. The applicants shall maintain silt fence around the construction site until self - sustaining, permanent groundcover is successfully established on all disturbed areas of the site. Phosphorous fertilizers shall not be used to establish and maintain a lawn on the disturbed area of the site, unless a soil test confirms that phosphorous is needed. �5. Prior to commencing construction, the applicants shall install construction fencing or another suitable barrier around the grading limits that are not already surrounded by silt fence to protect existing trees from damage during construction. 6. Prior to commencing construction, the applicants shall schedule an on -site pre - construction meeting that includes the property owners, builder, excavator, and St. Croix County Planning and Zoning and Land and Water Conservation Department staff members. Items to be discussed include but are not limited to coordinating installation of erosion control and tree protection measures, construction timelines, compliance with all other pre - construction conditions. and roles and responsihilitics ol'all parties. 2 7. Within 30 days of this approval, the applicants shall submit to and have approved by the Zoning Administrator a vegetation management agreement for the long -term enhancement and maintenance of existing native trees, shrubs, and ground cover surrounding the pond — particularly within the 75 -foot setback area - in order to protect sensitive wildlife habitat within the primary environmental corridor and Shoreland District, screen the proposed dwelling from the pond, filter storm water runoff from the site, and stabilize and protect slopes draining to the pond to prevent long -term erosion and sedimentation problems. As part of this agreement, the applicants shall have the Wisconsin Department of Natural Resources verify the OHWM of the pond. 8. Within 30 days of substantially completing construction, the applicants shall record an affidavit referencing this decision, the revised storm water management plan, an operation and maintenance agreement for the storm water features, and the vegetation management agreement against the property, and provide a recorded copy of the affidavit and all referenced documents to the Zoning Administrator at this time. The intent is to make present and future owners aware of the responsibilities and limitations associated with this decision. 9. Within 30 days of substantially completing construction, the applicants shall submit to the Zoning Administrator photos of the site, and certification from the project engineer or registered landscape architect that the project has been completed as approved. 10. Any minor change or addition to the project, including but not limited to design of the project, shall require review and approval by the Zoning Administrator and the Land and Water Conservation Department prior to making the change or addition. Any major change or addition to the originally approved plan will have to go through the special exception approval process. 11. The applicants shall have one (1) year from the date of this approval to commence construction on the project and two (2) years from the date of this approval to complete it. Failure to do so shall result in expiration of the special exception permit. If the special exception permit expires before construction commences, the applicants will be required to secure a new special exception permit before starting. The applicants may request extensions of up to six months not to exceed a total of one year from the Zoning Administrator prior to the expiration of the permit in the event that additional time is needed to secure other required permits and approvals. 12. These conditions may be amended or additional conditions may be added if unanticipated circumstances arise that would affect the health and /or safety of citizens or degrade the natural resources of St. Croix County. Conditions will not be amended or added without notice to the applicants and an opportunity for a hearing. 13. Accepting this decision means that the applicants have read, understand, and agree to all conditions of this decision. The following vote was taken to approve: Struemke, yes; McAllister, yes; Nelson, yes. Luckey and Malick were not present. 3 APPEAL RIGHTS Any person aggrieved by this decision may file an appeal in St. Croix County circuit court within 30 days after the filing date shown below, pursuant to Sec. 59.694(10), Wisconsin Statutes. St. Croix County assumes no responsibility for action taken in reliance on this decision prior to the expiration of the appeal period. St. Croix County does not certify that the identity of all persons legally entitled to notice of the Board of Adjustment proceedings, which resulted in this decision, was provided to the County. If an appeal is taken of this decision, it is the responsibility of the appellant to submit at his /her expense a transcript of the Board of Adjustment proceedings to the circuit court. The Planning and Zoning Department can be contacted for information on how to obtain a transcript. It is the responsibility of the Board of Adjustment to submit its record (file) of this matter to the circuit court. ZONING BOARD OF ADJUSTMENT Signed: Susan Nelson, Secretary Acting as Chai s ) Date Filed: 09/28/07 4