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HomeMy WebLinkAbout030-2079-10-000 a o ) a 3 0� 3 o O? O . 7 bG y C 4• o o I w @ Y z w vi C c 00 w 0 N E (n E mm a�Q y -0 a) c a� C + O E + U Y O m CL CO (U O) 0 N N 3 O C LL 0) M -_O O — O O O. -0 v r z @ c m axi Y N . m N I ' D a LL C .O N CO LL C C x 0 m a aSN U CU M 3 M Z w E E cn :: o 0 Z a m a co m 0 Cl) I- U) c C9 I O Z d 30 N CO N CL _ E CL E V,(J O1 i m m ar o o Q o o a Z CO Z Z co z N '+ c c L m L O .. m 47 Q p N i a O G a G C a a O H H H dl In F FN- F- N O O O Pn 0 0 0 • ry o a a CL 0 a a a C) 0 N y aO W Q) to J U O O E} O } m N N �O �. z CO 00 0 O O OI 0 0 Q N . d ,QI Ni O d �, al 0 � o LO > > C o o w c > a c ° o o g o o E 00 ( o c c reY � N p N m m a) d c m m c Cp t, is N O O N M f ` a? C C �I. O O) Cl) O O z y�• "� p M CO O m m .C' N O E 1 + co M N CO O • MV L' o co CO Y v o _? x Of V Y d Y .m a a • CL a� 2 d a c d m c A U a m O N U O N V � \ f 6 i 0 j \' k \ � $ § k � ƒ 7 � /\ - k u § »x -0 < . � Cl) CD \ E \ z p CD § 2 Cl) \ / a ■ . / � E 2 t § \ k ® \ ■ - / k \ / \ j _§ + ' 6 Q )/k \ � z i 7 # § ~ _ ( � } IL ® d S 2 cc ikk \ -� t �§ a a a U) \ U �o f \ � j \ \ § / \ . = o 0 J 2 \ E » 2 ° C z C) � _ # » m , % 2 ; 2 ° § E % « / k o E \ $ / 7 G J ] ; co § a � § k § � l n ) ) c \ ® n e = .1 \ \ \ / § k 2 f / ± � ■ � � 2#m �a -- "a» E J ) k a § ^ 3 a 2 o U LO) Parcel #: 030 - 2079 -10 -000 03/24/2005 10:12 AM PAGE 1 OF 1 Alt. Parcel #: 33.30.19.668 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner " PATRICK M KRANZ KRANZ, PATRICK M 1205 RED OAK RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1205 RED OAK RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.690 Plat: 2234 -OAK KNOLL ADD SEC 33 T30N R1 9W OAK KNOLL ADD LOT 11 Block/Condo Bldg: LOT 11 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 33- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 714/313 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 6378 195,000 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.690 83,900 107,900 191,800 NO Totals for 2004: General Property 3.690 83,900 107,900 191,800 Woodland 0.000 0 0 Totals for 2003: General Property 3.690 49,200 90,100 139,300 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 • AS BUILT SANITARY / SYSTEM REPORT OWNER � �l_ if �� TOWNSHIP 5 P.O. ADDRESS SEC. T N, R W ST. CROIX COUNTY, WISCONSIN. a` I SUBDIVISION LOT—LI LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM e } . NoU� k K k SEPTIC TANK(S) MFGR. (� �'P i2 CONCRETE X STEEL NO. of rings on cover Depth DRY WELL TRENCHES NO. of width length area BED no. of line width flength area depffi - to top of pipe LS AGGREGATE _V1 hLCp t llG 1 C O j PERK RATE AREA REQUIRED S AREA AS BUILT U X Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. { INSP !( DATED I I9 1% PLUMBER ON JOB LICENSE NUMBER Rr.POP.T Or I11SPECTIO!1-- INDIJID1JAL SE14AGE DISPOSAL SYSTEH Sanitary Permit .. r State Septi .,11E � � �� � -��' TOZ- 111SHIP j t. roiti County SF °TIC TA 11: Size gallons. 'umber of Compartments Distance From: Well ft. 12% or greater slope x % 11. Building' / t. Wetlands f. Highwater ft. DISPOSAL SYSTEM Nile Field or Seepage Pit(s) Distance From: Well 0 ft. 12% or greater slope /bo Jt Buildin ft. f Wetlands - f;. FIELD Highwater ft. Total length / of lines .ft. Number of lines 3 Length of each line _ ft. Distance between lines ft. Width of the trench ft. Total absorption area -_ - S� c� sq. ft. Depth of , rock below tile /' ?— in. Depth of rock over tile in.. Cover _- over. iock, Depth of tile below grade gin. Slope of trench " in per 100 ft. Depth to Bedrock ft. Dept's to Around water ft. PITS , Number of oits 4,, si' meter ft. Depth below inlet ft. Gravel a i : es no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required :square feet of see �e nit a required - Inspected by: �" Title: Approved �! Date 197 Rejected Date 197 r EM 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES y r DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 f' MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS 'yam / n�3 N, R/ &(or wnshi or Municipalit ,S V QSj ?'+ LOCATION: �' /a /4, Sec[io � p p Y „ Lot No. , Block o. County , X ubdivision Name Owner's Name: v z Q Mailing Address:��K TYPE OF OCCUPANCY: Residence X No. of Bedrooms �3 Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET i� —�� q SOIL TYPE �� nrZ X;C �Jy — /QAXsDAoe PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P 0Z ire O l P tr Z /ll� - 5 l 3 Y 3 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- Quo oel� VI s.. 7 5 ler " rC s° 70 `' /i e d S q` y Ir s. B— G(e " /�GdtL ? 7 " rr i° PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.) 3 Indicate on the plan the location and square feet of suitable areas. Indicate num r o quare feet of absorption area needed for building type and occupancy. � mod` ������ /fir Aet Indicate scat or distances. Give horizontal and vertical ref r nce ts. dicate slope. �[ N 1.2 � ° 'AOL F Y7 N !a t 0 0 5 ¢t, 2 e Y L g' \ � r O I, the undersigned, hereby certify that the soil tests reported on this form were maaet�e in a� rd with he pri dures�' and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) �'� i�' Certification No. Address ou Name of installer if known CST Signature ` ` COPY A — LOCAL AUTHORITY _ 1 • s State Permit 6 7 and P ` State C ounty Permit Application County Per for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: // 2 C - -7 VW s B. LOCATION: ,A60, ,S' %, Section M, T30 N, R (or) ot.. City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township ldmgN C. TYP15 OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family A Duplex No. of Bedrooms 3 No. of Persons 2. D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES ,CNO # of Bathrooms — Automatic Washer I C_YES NO Other (specify) E. SEPTIC TANK CAPACITY No. of tanks 00 c> Total gallons *Holding tank capacity Total gallons No. of tanks New Installation XC Addition Replacement _ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _,L 2) j 3) _LTotal Absorb Area sq. ft. New X Addition Replacement *Fill System 6f6��'� �Qic.=rs✓1 Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length _ Width /ef! Depth " Tile Depth r No. of Lines 13 r+ Seepage Pit: Inside diameter Liquid �Depth Tile Size Percent slope of land �e �D °j o s tyK Fgr Distance from critical slope 3C I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Ce T 'fied Soil ter NAME '� C.S.T. # = /S�q and other information obtained from S own ). Plumber's Signature MP /MPRSW# �(pG Phone # 38G - Zes - 0 Plumber's Address ° PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ♦ Ele�4,�.>v� • _�ra�o_sec� �,¢�CG fro, to 164e, Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Raid: Stat 0 County Date Permit Issued /$sjoeled ate) ssuing Agent Name Inspection Yes No Valid# Date ec'd 1. county (whit No 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 i TV l _ F i� i i f i I 0 In 0 C7 to O 2) 0 r w c p d p r/ 2 m e �1. m (D m v • T 7 T � c M I M 3 rr - - 0 3 O O fD N N I = L W O ro W N 7 O ro N O ° N ',S• Z a ti -< (' OD N -, O r N W cn 0 J CJ u: N ' O C p fl) N 7 N �Q. k, s" m m U) cc �° cro p O0 6 err m 13 o ° 0 ° w N CD f0 N 0 O N O O O m „ m m o (D :z" ? a a CD n c m l c - o o a o - o o rn a o 0 0 M N J J 0 N Z7 O O= N p c N w w m N m U, 01 c .. a CL CL O O O a a O O O p ch CA Cl) 3 p N ll1 N cn x v cr o v � o _ Ln w ro m d m p ro M m ID °� N O - 3 °y ' a) <_ 3 °y ' D co o D o 0 O a :3 O p I� ro m CD j% c m , • U N N t►� N ' ro N I V C (D N (D a a 3 7 7 CD @ � -� 1 N O O A Z A D o � n A CL ::3 3' .. I I cn-) W v C CD co w M � a � Z 'o _3 0 3 ;1 O •'.•'. O .. (n w M N z N Z1 (D CD A W W N n (D NO j a Q N p a N N y T N 08 CL T O CL N Q x 3 T CD O>N C CD �p w C a Z a aCD CL z p O — p CD N CD a W (D N y _ CL T N N TZ (D S17 7 7 y — C � N <D co a Qm 3 A. a 0 v o CD + ao 3 o °° CD e coact ro m y w CL 0) O 3 N N O O O = � o � > co (p Op 0 0 a m m a +a o <fl O En O Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479368 0 GENERAL. INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Kranz, Patrick I St. Joseph, Town of 030 - 2079 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: QZj 6 IM � C S � 33.30.19.668 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 1 Septic NOV 14 Benchmark Z A3 5 e& 4 ' L. 6+ ZB Awetiorr Bldg. Sewer Holding Stf}it tn4et F; TANK SETBACK INFORMATION LI.7z -f 7- - I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ------ LL 7 7 ZS .1 � � / � B' 1* Bottom T Dosing Header /Man. _ Aeration Dist. Pipe $$ S , g q . 4 4S 1 . 9 - 7 Holding _ Bot. System I �� Final Grade ; 2— ,5 �? .7` `f 3 PUMP /SIPHON INFORMATION Manufacturer De St Cover a b 10Z.'43 Model Numbet�' 1 11 TDH Li Friction Loss System Head TDH Ft �( Q �� Forcemain Len Dist. to Well T U I Ci/ - I T SOIL ABSORPTION SYSTEM BED/TRENCH Width 1 Length No, Of Tr enche s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 35 1 -3 e EL I �, �__ � SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: �/ 1 �� I UNIT Model Numbe ' 5 � d wd/ n Co✓\� to /v DISTRIBUTION SYSTEM b +-16 t C ? _ z iz 1 "i - Header/Manifold Distrb t \ ion x Hole Size x Hole Spacing Ven AI fa _N__ Int J5 Pipe(s) \- I— w Length Dia Length Dia Spacing \ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth Qf xx Seeded /Sodded xx Mulched Bed/Trench Center �( C/� Bed/Trench Edges Topsoil \ _i Yes ` No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1205 Red Oak Road Hudson, WI 54016 (SW 1/4 SE 1/4 33 T30N RI 9W) Oak Knoll Lot 11 / Parcel No: 33.30.19.668 1.) Alt BM Description = 2.) Bldg sewer length= ��-; c� dL� j O ✓� - amount of cover = 1 \) Plan revision Required? ;Yes \ _ C -- -- - -- - - - -- �p 3 -- -- Use other side for additional information. _�_____ Date Insepctor's ignatur Cert. No. SBD -6710 (R.3/97) Safety d B - dings Division County _ ` 201 W. W Ave. re0k. S / t C sConsin 533 nPlam ber (to be filled in by Co ) 8 6 -315 g Department of Commerce a ber S anitary Pe rmit Applicj§JZ In accord with Comm 83.21, Wis. Adm. Code, personal info may be used for secondary purposes Privacy Law, s Pr ect Address (ifdi erent than mailing address) 1. Application Information — Please Print All Information q � Property Owner's Name Parcel # Lot # Block # T O— Property Owner's Mailing Address Property Location ��Q S ((� y, I -A, Section /„ S( City, State Zip Code Phone Number o ((J v _ circle ) 53 'S Y T,� N; RE oW II. Type of Building (check all that apply) Subdivision Name CSM Number ❑ I or 2 Family Dw -Iling — Number of Bedrooms ❑ Public/Commercial — Describe Use d t ❑ State Owned —Describe Use U t t.J� _ � ®>''�h a City_ ❑Village NTownship of - 5 � III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System ® Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System 772163 revious Pertnit Number ant sued B. ❑Permit Renewal ❑Permit Revision ❑ Change of ❑Permit Transfer to Ne �� Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ■ Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ■ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Require�(sf) Di spersal Area Proposed (s Sy temElevation LO SQ Sao 90i VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks t Septic or Holding. Tank Q Aerobic Treatment Unit Dosing Chamber VII Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI is Signature MP PR umber Business Phone Number Plumber's Address (Street, City, State, Zip Code 5 6 11A — � O VIII Count epartmentfUse Only Approved ❑ pp Sanitary Permit Fee (includes Groundwater Date ssu Issuing nt Signa ure ( o tamp isa rov Surcharge Fee) ❑ Own iven Reason for Denial �t� IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: 1. Septic link, effluent filter and dispersal cell must all be services / maintained as par management plan provided by plumber. 2 All stuck requirements must be maintained ri M' per applicable code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81R x 11 inches in size SBD -6398 (R. 01/03) r A PP cX GRA-06�' ff, Atlonov ` y,s PIIAI 14!, 93. j 1%710 U 3 sys� err �L, s sy5 7el-? 6� , L IOAy e 3 Br p _ r de�Cr`G Sr T;t�N��i, y pov� tEn66; Ge C f - J VACT 81"1 ® S. R' Sou r�/ p 4 K -- A _. __ - i -- .- ! - - - l c S R o� rc R - - - - S - - V Aa 111_�w_ R A ^' S� L 3 - c 14 93_l /`7/ 9z 3 �o �7 \ 04- �°" - - - 9� - -- - -- - - -- � -- i 1 Cr poop t , Cr qf I o rl i - - -- i Sou r/* P J_. , i �� • - t uX - - lit11 ' t 1377 Wisconsin Department of Commerce `< SOIL EV R N REPORT p age 1 of 3 Division of Safety and Buildings in accor'tfance.with )romm 8 , Wis.99 VED Tom Schmitt �d77 County Attach complete site plan on paper not less than 8 %x 11 r must St. Croix include, but not limited to: vertical and horizontal reference on andJUL 2 g Z Q percent slope, scale or dimensions, tion a e nearest road. sions, north arrow, and location reel 1 • Please print all informadon. ST. CROIX CO I`I 4i / Date Personal information you provide rovide m ay be used for second ary WrPoses (Privacy ING OF E y . -7 Zf O Law, Property Owner Property Location Kranz, Patrick Govt. Lot SW 1/4 SE 1/4 S 33 T 30 NR 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1205 Red Oak Road V Oak Knoll City State Zip Code Phone Number City f Village pd Town Nearest Road Hudson WI 54016 715 - 549 -6428 St.Joseph I Red Oak Road New Construction Use: 611 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD IM Replacement J Public or commercial - Describe: Parent material Outwash �ood plain elevation, if applicable NA General comments and recommendations: Area is suitable for a conventional system with a 0. gpdW rate. Possible system elevation for replacement area is (high trench) 93.9' (mid) 9 .3' (low) 907. Slope 18% Boring # Boring 01 Pit Ground Surface elev. 99.42 ft. Depth to limiting factor 125+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF *Eff#1 I *Eff#2 1 0 -15 1Oyr3/3 none I 2mgr mfr as 3c,2m .6 .8 2 15 -28 1Oyr4/3 none I 2msbk mfr gw 2m,1f .6 .8 3 28 -39 1Oyr4/4 none sil 3msbk mfr gw 2vf .6 .8 4 39 -52 1Oyr6/4 none vfsl 2msbk mfr gw .4 .8 5 52 -101. 1 Oyr6 /4 none Ifs 1 csbk mfr di — .5 1.0 6 101 -125 1Oyr5/4 none Cos Osg ml — .7 1.6 Boring # j Boring fiA Pit Ground Surface elev. 99.42 ft. Depth to limiting factor 110+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *E 1 0 -9 1Oyr3/2 none sl 1mpl mvfr as 2m,1f .6 1.0 2 9 -26 10yr4/4 none grsl 2msbk mvfr gw 1f .6 1.0 3 26 -55 1Oyr5/6 none gris 1csbk mfr gw .7 1.6 4 55 -110 1Oyr6/4 none s Osg ml — -- .7 1.6 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS <,0 mg/L CST Name (Please Print) Signature: f CST Number Thomas J. Schmitt , ✓ 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 727/05 715 - 247 -2941 Property Owner Kranz, Patrick Parcel ID # Page 2 of 3 a Boring # Boring Pit Ground Surface elev. 95.92 ft. Depth to limiting factor 108+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -9 10yr3/2 none I 2mgr mfr as 2c,2m .6 .8 2 9 -22 10yr4/3 none I 2fsbk mfr gw 3vf,1m .6 .8 3 22 -36 10yr4/4 none sil 3fsbk mfr gw 2f,1vf .6 .8 4 36 -46 10yr4/6 none scl 1 msbk mfi gw .4 .6 5 46 -58 7.5yr5/6 none Ifs 1 csbk mfr cw — .5 1.0 6 58 -108 10yr5/6 none fa Osg ml — .5 1.0 F—I Boring # Boring { Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *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 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. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Patrick Kranz Thomas J. Schmitt, CST 227429 Address: 1205 Red Oak Road 1595 72nd St. City, State, Zip: Hudson, Wl. 54016 New Richmond, W1.54017 Phone: 715-247-2941 Subd.Name: Oak Knoll * Lot No.: 7 o ? Legal Description: SWIM SEU4 S33 T30N R19W ® Backhoe pit Township, County: St. Joseph, St. Croix County ® Bench Mark El. 100.00' Top of 2" pvc pipe 0 Alternate Bench Mark El. 102.90' Top of existing T manhole cover Slope= 18% Rd da-k A d Scale 1 " = 40' �_, � ab L �'� l� ` 3 � V \ 3 \ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer gA r fi /G r r aly z Mailing Address f 0.5� ,/► A /3 0 Property Address M 405- &1 a-h QA A (Verification required from Planning Department for new construction) City /State CIt'S'nc &1 -1 , - Parcel Identification Number U3 -,J D 79 -/D —DOd LEGAL DESCRIPTION Property Location SW V4, 5� %4, Sec. 33 •• T 3 D N -R. LLW, Town of S T. ZS ZQ H . Subdivision ©A K /C A/Q L Z- , Lot # Certified Survey Map # . Volume . .Page # Warranty Deed # %Q1 ?6 , Volume ?I , Page # 313 Spec house ❑ yes N no Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, 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 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 7jae year iration date. / /O dF;: AP#UCANIV DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of e pro erty desc 'bed a ve, by virtue of a warranty deed recorded in Register of Deeds Office. - 2 l�8 /OS (W AMCAlff DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty d eed l • POWTS OWNER'S MANUAL & MANAGEMENT.PLAN Page of ALE INFORMATION SYSTEM SPECIFICATIONS Owner PA Septic Tank Capacity / ,0 0 0 a l ❑ NA Permit 0 Septic Tank Manufacturer —j , p ❑ NA DESI PARAMETERS Effluent Filter Manufacturer Z ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model A ❑ NA Number of Public Facility Units i NA Pump Tank Capacity a l ® NA Estimated flow (average) g al/day Pump Tank Manufacturer ® NA Design flow (peak), (Estimated x 1.5) O al /da Pump Manufacturer ® NA Soil Application Rate gal /da /ft2 Pump Model ■ NA Standard Influent /Effluent Quality Monthly average' Pretreatment Unit 6 NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L E In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) S10` cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA �, 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA i MAINTENANCE SCHEDULE Service Event Service Frequency { Inspect condition of tank(s) At least once every: ® ea�(sj(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ® yea�('(s) (Maximum 3 years) ❑ NA - Clean effluent filter At least once every: M month(s) ❑ NA /,2 -130 year(s) ❑ month(s) ■ NA Inspect pump, pump controls &alarm At least once every: ❑ year(s) ❑ month(s) NA Flush laterals and pressure test At least once every: ❑ year(s) Other: - ❑ month(s) r; r` I At least once every: ❑ NA ❑ year(s) I Other. ❑ IVA z�' t# , MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications %" x Master Plumber; Master `Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank �-, ust include a visual inspection of the tanks) to identify any missing or broken hardware, identify an insp ections my cracks or leaks; i ce: measure the volume of combined sludge and scum and to check for any back up or pondtng of effluent on the ground surface.:- " cell(s) shall be visually inspected to check the effluent levels in the observation pi The dispersal pes and to check for any ponding�� of effluent on the ground surface:. The ponding of effluent on the ground surface may.indicate a failing condmon and requires the s, i immediate notificatwn of the local regulatory authority n -urn' - When the combined accumulation of sludge and scum in any�ank equals one third (Y or more` of the'tank volume,nthe eMre s ! contents of the tank shall be removed by a Septage Servicing Operator._and disposed o I in accordance witht chapter Wisconsin Administrative Code "g. i t'i- .;... - a v f"" +t.'^ 1 ", r d Ar *`;Fax a�., v, ant All other services, )ncluding but not limited to'the servicing of effluent filters,'mechanical o pressurized components, preXreatm �:,s, - :,..., :, ...�:. ,�;.,... ,p.,....s = ,. 4 ✓. "cr.�.. a..:.: .,. rmed `{:. �.n, un)ts, and any servicing ;at ,intervals of 512 months, shall b e perfo by a ;certified POWTS Maintainer.-A.,- # , 3 ; aA'S.s'.esr' rxp C',�;r •` ,w, e.1J ,r, •c"S.. >xa $5.9�*r,x = w : -.;Y 2i a t+:' A service report , shall be r pro 5 vided n ;to the local regulatory authority within 10 d ays of.completion of any service event r ,'�$ ��• .+`" `'OS'k1�. - r � ` 7 , t - s � � t' "' ✓ , :'* { •: 9 j # 'iF - P� l ,7- j r.- y $ x r, r k'k3'xd S i � t"� -}. r a. s "�• i -. K s a7, .u.tti a d�.�'ry 'S�2s °v�._4, Z*. . �F h. -F "�F �"}� "f�. is�� t 3* °:�L't r `� ? #i x .k" f it �. C' k r�,� L F{Y•��J`�3` t r��v � '3h K t nq •_ v� '� � � `h.. r _ '.. ,Y � �a'` ti.` � ` ��� h� , ° 4 x f � kr... Y # .� '.� f � tr���,'�, � + . Page of p { h START UP AND OPERATION For new construction, prior to use of thee POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or_damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a se'ptage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location•of a.,replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable - replacement area. Upon failure of the POWTS' a soil and site - evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at `the , infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN; ,DO, NOT ° ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT { RESCUE OF A I PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.." ADDITIONAL COMMENTS ;a t i POWTS INSTALLER POWTS MAINTAINER i r } Name -- Name !! Phone '. r x §'41 a SEPTAGE SERVICING I PERATOR L OCAL REGULATORY AUTHORITY T � 4 ,Name .� , rt� ^ : :,�.�, -�i _ -• ., :r��, , r � q :. } k ,�' AYE ,�f 5' Phone ' Phone This document was drafted in compliance with chapter Comm 83.22(2) b)j1jjdj and 83 54(1) (2)'& (3) Wisconsin Administrative Coda. a 4 a t M fi::, x d ,h f E i d r '� // `'�.. �'k. r � 1: ' ( ,R ,a ,5 '' 4 r ,''•' t ' r c � '� �- v �`��iY. =. �� ` w , ST +rE LAR t.-F KaIN FOR►: -tS +2 r •. %.-t ■t •r ,p .00 .,comr•NO D &T♦ WARRANTY DEED i 40 769 i L4 PAS 313 This D eed. trade between Midwest Federal Savings and REGISTERS OPHCE Loan Assoc iation ion of blinneapol is, a corporat ion ST. CR04X CO• WIS, .. ........ ....... .. ...... ... ...... RZc'd• fox Rec�ctd htis 17th _ ... .......... . . .. .. Grantor, day of Tune A. D. 1985 and....�'atrick M. Kranz, a single person y • ... ........ ......_..... ............ .... Grantee I Witn esseth , That the said Grantor• for a ralcabic consideration ..... i .. .- .... .. ... .... ... .. ... . -. ... -. ...... .. ------- ... ••CTU RN TO conveys to Grantee the folios. ng descr:i. rcai estate in _ St. CrO1X County, State of Wisconsin: T:.z P:.rcel No: _..P- 16- 0 --------------- - ...... I:ot 11, Oak Knoll in the town of St. .Joseph., St. Croix County, Wisconsin C C • 'r7 � t 1 is tie.) (!s T, r si! ..nd !•ar ti:e 1 -< ,•'; is and rter.:,..ces cre:nto }c•! aging; Inc! '.lid�.cst Federal ti,MTIgS and Loan . \ssoc'iation of Minneapolis , r!a:.•a !i.�S �? - ..�� o.` ..IUDE? .. _.....---• 19 -.�5_. ..._. ,. , - .>1 ,_ n t. x. - L'r lira. -an, EA L) _ (cc'.4L) " 7er�- .,.- ar) AUTH N ACKNOV. LE:DGMENT ?.'i'E: :!P nn r t, .,. 13th . !uno H. f A:= i t.3nt. 9i� Pr(-,Li ' <`t�t. ;and ;daili:,� r r3 r2' r t.�rY TITLE- a ,., P STA PAR of _ (If not.. - r 'o ' ':qtt{ 4dr, I:5c row � ;( i i Ct', i.ill'. l,1 W 1,1.11 1)1 i;;E , S!1 tc I'!) _ _ 1377 SOIL EVALUATION REPORT p 1 of 3 Wisconsin Department of Commerce Tom Schmitt Division of Safety and Buildings in accordance with Comm 85, W is. Adm. Code County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (mp. Property Owner Property Location Kranz, Patrick Govt. Lot SW 1/4 SE 1/4 S 33 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Oak Knoll 1205 Red Oak Road Town Nearest Road City State Zip Code Phone Number J City J Village e Hudson I WI 54016 715 - 549 -6428 St.Joseph Red Oak Road Use: Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD J New Construction �✓ ✓J Replacement � Public or commercial - Describe: Flood plain elevation, if applicable NA Parent material Outwash General comments and recommendations: Area is suitable for a conventional system with a 0.5 gpd /sgft rate. Possible system elevation for replacement area is (high trench) 93.9' (mid) 92.3' (low) 907. Slope 18% Boring Boring # 125+ in. Soil Application Rate j/ pit Ground Surface elev. 99.42 ft. Depth to limiting factor � Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots �Eff#1 PD �`Eff#2 1 0 -15 10yr3/3 none I 2mgr mfr as 3c,2m .6 .8 2 15 -28 10yr4/3 none I 2msbk mfr gw 2m,1f 6 8 3 28 -39 10yr4/4 none sit 3msbk mfr gW 2vf .6 •8 4 39 -52 10yr6/4 none vfsl 2msbk mfr 9w 5 52 -101 10yr6/4 none Ifs 1 csbk mfr di .5 1.0 6 101 -125 10yr5/4 none Cos Osg ml � .7 1.6 E Boring # Boring 110+ in. Sal nation Rate Pit Ground Surface elev. 99.42 ft. Depth to limiting factor � Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary 'Eff#1 /fF #2 1 0 -9 10yr3/2 none sl 1mpl mvfr as 2m,lf -.6 none rsl 2msbk mvfr gw if 6 1.0 2 9 -26 10yr4/4 g 3 26 -55 10yr5/6 none 9 ris 1 csbk mfr gw .7 1.6 4 55 -110 10yr6/4 none s psg ml — ____ .7 4.6 r 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L * Effluent #1 = BOD ? 30 < 220 mg /L and TSS >30 < 150 mg/L CST Number CST Name Please Print) Signature: ( 2 27429 Thomas J. Schmitt Date Evaluation Conducted Telephone Number Address Tom Sch 7/05 715 247 - 2941 1595 72nd St., New Richmond, WI 54017 72 Property Owner Kranz, Patrick Parcel ID # Page 2 of 3 ]Boring# Boring im Pit Ground Surface elev. 95.92 ft. Depth to limiting factor 108+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2 'Eff#1 'Eff#2 1 0 -9 1Oyr3/2 none I 2mgr mfr as 2c,2m .6 .8 2 9 -22 1Oyr4/3 none I 2fsbk mfr gw 3vf,1m .6 .8 3 22 -36 1Oyr4/4 none sil 3fsbk mfr gw 2f,1vf .6 .8 4 36-46 1 Oyr4 /6 none scl 1 msbk mfi gw .4 .6 5 46 -58 7.5yr5/6 none ffs 1 csbk mfr cw --- .5 1.0 6 58 -108 1Oyr5/6 none fs Osg ml - -- ---- -- .5 1.0 F-1 Boring # Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 'Eff#2 i ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 'Eff#2 1 j I I j C, \ * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Patrick Kranz Thomas J. Schmitt, CST 227429 Address: 1205 Red Oak Road 159572nd St: City, State, Zip: Hudson, Wl. 54016 New Richmond, Wl. 54017 Phone: 715-247-2941 Subd.Name: Oak Knoll Lot No.. Legal Description: SWI/4 SEI /4 S33 T30N R19W ® Backhoe pit Township, County: St. Joseph, St. Croix County ® Bench Mark El. 100.00' Top of 2" pvc pipe Q Alternate Bench Mark El. 102.90' Top of existing T manhole cover Slope= 18% Rd d , Scale 1" = 40' 8 1 ' w j D /