Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
030-2007-70-000
0 F c f �T 0 d v1 ' o I c .. ° fD r1 M T � ro ^ 1. 3 �_ I v C N O 0 O W Cl) Z to O v Chi Cl) A Ow <� �i • CT = ro O <n O S O }�Jl 4t < c w 7 �' «. < c I L w r CD CD N f2 CD Cn o N a = CD 'Jr O PQ X y O m S CD O 7c j N c O '� (D CD C4 O O N N CL c O O Cq O m N 0 0 0 N j CD --I D) O O CD N c d O <_. CO 0) c C� O <. O n 0 3 ? N I 7 U " j O r. C . C O C y y ri a w m D m o Z m (0 m a CD t (D �:" D II 07 n W 0 c C c r l c 7. O O r . CD CD ."^ -4 O CD O (D "` v O (DD "aim, N 0 m � N CD C CD O CD O O O c n 0 c ch Cn CD CD d M Cn1 O CL � 0 �. Q = = �I c - c 'o v Q v v Q °' h• O O O o O Z O CC O CC O o A Z ? A O z < N Z rY•A o o n c V�1 N y o n n c N y D N v < cr O O _G No < a T O _C C.0 ! O O — N w tN A I O O — (D M N A T lV CD CD D1 N O CD 61 N (P O (� N `0 N m W N z z 7 D M. Z o D D o O o O < C) 3 ° CD < o CD a �• (D ro — ro jo cn z Z =3 Z 0 CD n n a`+zo v v O 3 0 j Z -q w Oo oo v m o A a a Z 3 0 3 a o r ° o Z 3 z 3 N (D 'a CD Q W Q CD a w� a N w c o� c O C 3 O CL CD � I oZ N oZ I N f CD i o I y cD N fi CD CL a N N (0 O � o � A I I O O b O j N m ffl 0 ffl 0 v p � CD Wisconsin Derertment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division 4 i INSPECTION REPORT Sanitary Permit No: 01 0 GENERAL INFORMATION (ATTACH TO PERMIT) state Plan I o: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: n,,' City Village X Township Parcel Tax No: Sh Vln �Ar 1 SF E � -M St. Joseph Township 030 - 2007 -70 -200 T BM Elev: M I , / Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 6r( �_ Z � — Benchmark la }•S�, CFO 0 Dosing , It AI . BM T ct ID� -�- Aeration Bldg. Sewer f f (og', 9� •!� Holding St/Ht Inlet Q rZ °1562, f St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > ?�- / -�5 !+ ( ( Dt Bottom ,� ((� • l 2 . �2 f Dosing t i t i << 2-=f / Header /Man. , ( I O , qs Aeration Dist. Pipe � 2� :7.0 O �•g,�f Holding Bot. System • 25 r L o -3 Final Gr ada PUMP /SIPHON INFORMATION c Lsj w ;L( !Zt r ,-Zk �°►. Manufacturer emand St I t � GPM o&I7) 9� 1o2.ZI `Z a Model Number / n� O ��,qZ O < <t q ash 0• o � - Z� �° TDH Lift I Friction Loss System Head TDH Ft r Forcemain Length I Dia. I I Dist. to Well SOIL ABSORPTION SYSTEM a $ ( 3 BED/TRENCH Width t Length N Osrxt ui th PIT DIMENSIONS No. Of Pits Inside Dia. i DIMENSIONS / SETBACK SYSTEM TO 10 P/L BLDG WELL LAKE /STREAM LEAC G ufacturer: INFORMATION CHAMBE Type Of System: r 79- #- �_ Model Number: DISTRIBUTION SYSTEM -� Eai p�` .. Header /Manifold 11 Distributi 33 x Hole Size x Hole Spacing Vent to Air Intake t Pipes) . U '\ r •��- -� Length (• Dia i `Z Length @� a Spacing �' 6 g v SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched e Bed/Trench Center Bed/Trench Edges Topsoil [ ] Yes [] No ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:�/• 1 3 Inspection � 7 - --^- Location: 639 Perc ake Road Hudson, WI 54016 NEE 114 NW 1/4 34 T30N R19W) Nff Lot��I Par I No: 34 .19.376C2 � 1.) Alt BM Description 2.) Bldg sewer length = It 03 - amount of cover 3.) Contour = �p Z .b - `-°"'°r" n'w�".."►xs5 �i�jW� �"""' 4 ` / :64J A Plan revision Required? (� No L, Use other side for additional information. — �1 J _ SBD -6710 (R.3/976 Date Insepctor's Signature Cart. No. - "A4�JAXa 9 a �4- es�eE ) Wisconsin Department of Commerce •� SOIL AND SITE EVALUATION Division of safety and Buildings Page � of _J Bureau of Integrated Services in accordance with sjLHR 83.09; W is. Adm. Co e� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must , Cougty C �� include, but not limited to: vertical and horizontal reference point (BM), direction �, C rOir percent slope, scale or dimensions, north arrow, and location and dig(ance to nea O Pakc.W I D. # APPLICANT INFORMATION - Please print all inform t!On. � T ClNC7f� Re ie�m d by Date Personal information you provide may be used for secondary purposes (Privacy 1 aw,§. 15.04 Property Owner f ocaion, ;: 5 t 4 H ti //e7 -vM) r \ i • l4 /Vl f 1/4,S 3S/ T .�Q ,N,R �' fir) W Property O ner's Mailing Address B Subd. Name or CSM# X37 f " fie Au, .2 City , State Zip Code Phone Number Nearest Road ❑ City ❑ Village RjT Town X New Construction Use: ICI Residential 1 Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow rO gpd Recommended design loading rate bed, gpd /ft trench, gpd /ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations ) p Parent material G J �C aia- ! Flood plain elevation, if applicable S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S ® U ❑ S ® U ❑ S P? U I ❑ S N U ❑ S B U ❑ S WU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Wy Ca ryR�� SL l lvP .2 Ground 3 �p 2 �3 C.2,0 5 7, y NP elev. ft. x io Ov 7 rye 5C w► �, • --- .3 . Depth to limiting factor Remarks: /Vo Boring # k Z Q as P1 L 7.S-y2 C 4j Ground Y S=` f� � elev. n. Depth to limiting /' I n� // factor in. Remarks: �D� wo-f !/�Sy ' L � �v� IS-!� C se e /pr LL o 4 O !cLG k ) CST Name (Please Print) Signature Telephone No. Address Date CST Number S3'6 G/�1/�. ���1 e !J Samoa s- 6 -.?_ �''9 �Z27 5Qf _j PROPERTY OWNER > TE'de d S OIL DESCRIPTION REPORT Page of 3 I PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 70 ct Br PS e 0 n GO' a Ground 0ly�n i x , 4_e 4 ;IV B U ft. 1 �' f es ' r ev a -e �o Depth to s S OY` /`�G'a. ✓` /� OS C 0 limiting factor in. Remarks: Boring # ........................... ........................... .......................... Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) L , i I, I I ; i i I I I • jj_ � � ', i I I 16y e 7 jNv -�Yl 71 - ti k ;� , _ _ _ ,_ I _ , _. �� � �_ _ , � -_ - _ � -�� I i ', '� k �, : � : i � �. '. 1 i i I : � � � � '� : �_. i _ � _ .. i ,_._ _. � , _. � - - �. i �. '. 'i ;�. I � � I � �. "" is ti -- '� �... �i :� � �. � �� 1 _ _ .. � I �. .. '., i ., �, �. I �� i, i _ l .— _ ' I i 1 '. i '. i I +_.�� '. � � i �. I �. �. I - � i � . I I _ � i l ' � _.__ __ _ , 1 1 �. -r ,- �. �,_ _ I , I , ' , i I -- ; -_ _ - ; - ; I 1 � ;: I � __ � - -- i - � ' � ,, t_. �__ �__ . r__ r _� I I _._ _ _ I I � i Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page L of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code lo complete site plan on ` County Attach com pl p paper not less than 8 t!2 x 11 inches )jr size. Plan must ` `., �, Include, but not limited to: vertical and horizontal reference polnt direction d X " r 1 re "' percent slope, scale or dimensions, north arrow, and location a dtance is ad. ,; a , T rlfl �- o -.20 APPLICANT INFORMATION - Please print all in orr6trc��.) s fj w wed by Date r'nrh'rnn) 11,01m0011 ynrl (nnvPln rnny ow ilhnrl Irq nnr•rnulniy Inning ^nn 1 'rbn�,yy 1 nw n Ir 4 A,I,{i}rtfi Ptop eity Owner ', >, Locatlyfn ;'} ZOt+t� 1/4 1/4,S T N,R W ' 1t . , erz , �; /Uu 2� 1 3Q 1W) Property O ner'sMailing Address � r Lat_l.. "l}Idp Subd. Name or CSM# 637 f L'R AO-4/. City State Zip Code Phone Number ❑ City ❑ Village gr Town Nearest Road o►z rJ� 2916 (� New Construction Use: Iry Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ' ISW gpd Recommended design loading rate - bed, gpd /ft2____ __.___trench, gpd /ft Absorption area required .__________bed, ft _ trench, ft Maximum design loading rate - - -- bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) _ ,ft (as referred to site plan benchmark) Additional design %site considerations // I p v1 Parent material C /LQ G1 lr.I 'TI / Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ❑ S N U I EIS RU EIS R u EIS N u ❑ S W U ❑ S Wu SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Jr- Ground .� ,30 2 h 'CJQ 7 ,$� Z" Y'l C 6%) N P: . elev. 7 y e . ft 6�0 yf r S` S'L wf �; -- .3 Depth to limiting factor n . u N Remarks:' vta Boring # / -V'a /o a 317 P, CLr E l 10 - A 0 3�f/ Z rn ,6 P4 i-" -S7 . 6 3 a 1 C-?Q r 3 r G .20, SQe h4 C Ground 7 �6 /� �1a �yR V/11( YYrl elev. [� _ ft. Depth to limiting factor � O �,' C.� .3.� N a 8 in. Remarks: i Gva.t �/ v� e e On CST Name (Please Print) Signature Telephone No. �toMa , l�ir►s: 0 - SVIF eis Address Date CST Number -586 .42 PROPERTY OWNER Sye d /y/ OIL DESCRIPTION REPORT Page or 3 PARCEL I.D.# r Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots W : In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench W Gro /A i x r ftie 4� r_ v�S� � l8 v --- ft. / els C r iee' q r' ,' ,' / 4 0 l Q o I / o Depth to limiting factor in. Remarks: Boring # Ground ft. Depth to — limiting factor In. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # r 2 y Ground elev. n. Depth to limiting factor in ' Remarks: Boring # I n d Ground elev. ft. Depth to limiting factor In. Remarks: SBD -8330 (R. 07/96) ■■■■ f ON ■■ l j on ■■ OWES! i rig Lail nrom 1PU.■ �xw PA ■ ■■ Pi■■■ M■■■ ■�' ■■■■ ■■ ■■ ■■■■ 11 ■ ■■■ ■■■ ■ rat ■ ■■■■ ■■■ sm" AlAmm" n - M I MOMMEW 2 % OEM NO Safety and Buildings Division County ! N �+r 201 W. Washington Ave., P.O. Box 7162 S ��I�S�� Madison, WI 53707 - 7162 ` Department of Commerce ) 266 -3151 Sanitary Permit Number (to be filled in by Co.) (608 4 130 Z Sanitary Permit Application state Plan I.D. Num In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 3/1 may be used for secondary purposes Privacy Law, s 15.04(1)(m) Project Address (if different than mailing address) I, Application Information - Please Print All Info atlo'R E C CE I D (�3 Property Owner's Na me 3 0 2003 Block # Parcel "0 - 7 + Property Owner's M ailing Address — a ��� Property Location _ reey �ys �, -� Zo ��r 1 C - 37�C —Z City, State Zip Cade -- Phone Number A • Se cdon ,$ 2 (circle II. Type of Building (check all that apply) —`� T 3d N; R _ZY _ E 4 Kl or 2 Family Dwelling - Number of Bedrooms Subdivision Name�� � �f,;S#9 A'umber E Public /Commercial - Describe Use _ C� l S (� State Owned - Describe U M#O I)d %77 9 r 7 — - �� -__ � ❑City ❑Village I�fownship of� Illf. Type of Permit: ( eck my one box on line A. Complete line B if applicable) New ❑ Replacement System ❑ TreatmendHolding Tank Replacement Only ❑ Other Modification to Existing System A. B. ❑ Permit Renewal ❑ Permit Revision Change f ermit Transfer to New List Previous Permit Number and Date Iss ed Before Expiration Plumber Owner � IV Type of POWTSS ystem (Check all that app les (�❑ 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 Tan Peat Filter ❑ Aerobic Treaunent Unit U Recirculating Sand Filter L] Recirculating Syntheti Media Filter ❑ Leaching Chamber 0 D rip Line ❑ Gravel -less Pip ❑ Other (explain) V. Dispersal/Treatment Area Information: _ d D 1 Design Flow (gpd) Design $qil Applicati Rate(gpdst) Dispersal Area Re (sl) D rsal Area it ol ysum Elevati J VI. T ank InfU Capacity ' Total Number Manufacturer T Prefab Site Steel Fiber Plastic Gallons Gallons of Units _ Concrete Constructed Glass Ne Tan k Existing Tans Tanks 7 %fi Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber G 'I C) V II. Responsibility State ment- I, the unde rsigned, a respon sibility for' allation of the P OWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature MP MPRS Number Business Phone Number Sch�.,�..a&eJ- ,Lam' �-- a.2 � 9QD 7/5' 3PF - 3/� r Plumber's Addre ss (Street, City, State, Zip Code) ? D Sr o So ` SYO /� V A oust /De artment Use Onl oved ❑Disapproved Sanitary Permi[ Fee (includes Groundwater Dat Issued Issuing Ag t Sig nlr tamps) Surcharge Fee) / /� �� /O 1� U Owner Given Reason for Denial J C/ , �Q IX. Condttlons of Approval /Reasons for Disapproval 10 STEM OWNER: 3 Septic tank, effluent filter and 6 ✓l1 v,j Z "4, dispersal cell must all be serviced / maintained G ' as per management plan provided by plumber. All setback requirements must be maintained V as per applicable code /ordinances. - CeYhrh• 9 3, c{3 Attach complete plans (to the Count' y only) for the system on paper not less than ST/2 x 11 inches in size f SBD -6398 (R. 01/03) � ri,yt rLtitV e Page y of 1 Scale 1 " _�� 0 ' QW = LOS 2 L T �L'RC� `�1G1-1 1jLvSlTY SY`'CZ- UF'��'1 ::IJVSt %v �� I F'�?,UU't0L �'r�ZJlT1.Uti� F1? -U 1� - 1Zq �'� - nUN, - � � DoT Cor1p t�2T nR I G�SNRt3 - MIS fZsA 8 Q I \511 r1 J \ �_ - 31 � —T• --- g� �0� LrL . IoZ ! I J y BD 1Z� puC�� GZ NOTES: l.- Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps, ( Z required). 3. Septic tank to be . \ - LZ0 /8 oD gallon capacity manufactured by Vq 1 CUU C1 00 Lf> rtrjo Mob,m 1, wf ' — Lb oD 4. Bench mark • LL,1W.i3'CN )-0 OF Z` l'VC 11 Fe w / LAS}-{. �. Divert surface water around system to prevent ponding at the uphill side. J N o< _ �rn0� O On c 00 m Z � rn (At X o m u m Orn Cl) m m q O x ��" Z - CA ' m � � wN z rn c O c O z —� n � —' o 0 00 O z ;a r" z N 0 Z c o Cl) _ z z T� C� G) M CA C �r flK _ � Z p (V m m � C � �. r m O to C 0 21 ° o m Z C �O C oo X C m o Cl) 0 Z O �N nN �O Z O p a 7 O N W a m gm D G) M � �. � �.o �s �M��g �a� W N O/ W • N rre Z �O f l 7 N 7 iT1 �O • p' N W w G N 'Z � /1 al 3 V/ v 3 a 06 y --I C $ Cc) w n d$ a N z O Q� s =Z y T =r 7 � m S �m m y O 7 r r + _ RECEIVED Safety and Buildings + � ' PO BOX 7162 MADISON WI 53707 -7162 \Vl sconsin S E P 1 9 2003 TDD #: (608) 264 -8777 www.commerc .vAs ons www.wisconsin.gov Department of Commerce ST. CROIX COUN - T ZONING OFFICE Jim Doyle, Governor Cory L. Nettles, Secretary September 11, 2003 CUST ID No.691727 ATTN.• POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/11/2005 Identification Numbers Transaction ID No. 918318 SITE: Site ID No. 665023 Mike Borum Please refer to both identification numbers, 639 Perch Lake Rd above, in all correspondence with the agenc Town of Saint Joseph St Croix County NEIA, NW1 /4, S34, T3 , R19W t. 2, FOR: Object Type: POWT System Regulated Object ID No.: 920725 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. The following conditions shall be met during construction or installation and prior to occupancy or use: A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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 mainten ce of the POWTS. P 0. W. / oc go Sincerely, Fee Requir&V"119fJW Fee Re c e h- Balance W DEPARTMENT of Al n C Wendorf DIVISION OF SAFW Wa water Specialists , Integrated Services WiSMART code: 7V3 (608)235 -0595 , SEE COfr awendorf @commerce.state.wi.us Y ft TITLE SHEET Page of MOUND SYSTEM FOR A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057P and the Pressure Distribution Manual SBD- 10573 -P C 2. b l g q " ' C 'Iz. 619 9 � LOCATED IN THE k 1/4 OF THE P1 1 /4 OF SECTION 3q ) T 3 0 N, R 19 . - W, TOWN OF gT. J v S H I - V COUNTY, WISCONSIN. Lb Z O r- CSM vow 15, INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION F?FCEIVED PAGE 7 of 7 PUMP PERFORMANCE CURVE oI4 2 9 200 PREPARED FOR ' & BL CGS. G �� V s p o•. • rally, s`n�� `LJrZ, r�1iv s so - Z C°n Lt NNI ? '10 S PREPARED BY DIM, OND4'� LVECGEf�ER SOIL .TES 0 AND. DES I CCN S1 I CE P.O. Box 74 421 N.Main.St. River Falls, WI 54022 �Npta Phone 715- 425 -0165 '�' O�Ct)S Fax 715 - 425 -6864 ..•M' •.., ARIMUQ WEGFin a D9t6I GLLSWQg7M ANDty L , iESPONDENCE JOB NO. 3 —BS Mound System Management Plan Page Z- of — 1 - Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall 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 filter 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 shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pum° 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 shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's edmet r p e ,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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R.- 6/99)] 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 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continoencv 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, pump controls, alarm or related wiring becomes defective the defective component shall 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 if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to The County Zoning -0ffice at �S -?3F� b 4.680 Sr C l ac The system :installer at e S — 3 6 t 3 Se -141im >;.1 0z The tank manufacturer at 0 s, ZG7 g q S6 UV (t�:Seqz The effluent filter manufacturer at S - The pump manufacturer at _ _.._.1 3�! 6 L LEE Go L. a Q DS PLOT PLAN Scale -Page of `1 'N)), QTW 1 N _Q t?.UU' i 0 L � ITIU 1.� lq•t- F -�'�.0 ST 1� 1Z.n `i�"r� U N , NUT Cor'1P ftA r nR ! b1S1vI�ZL3 `THIS Maft �! o Z4� j J PV NOTES: 1.- Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be . \ - Ls3o/8CyD gallon capacity manufactured by Lv 1FSQ2 COU �� LP 1Zoc� '�} —L$ Z �L 4. Bench mark • LL,tOU,p' � s -- °►`� 1_U� O�Z `cam•• V e 1 l�w�L� S. Divert surface water around system to prevent ponding at the uphill side. J y • Face Or Apprave� S;n,_t.�!etic Covering AST -H C33 Distribution Pipe Medium Sand H _ IG 1 c g E ( b 9. Slope Distribution Cell of ^ Force Main Flowed Z" to 2z" Aggregate From Pump Layer D , y F0 lo` sW" b E Ft. CROSS SECTION OF A MOUND SYSTEM F R C 6 S Ft.. A 9 Ft. F \,0 Ft. Linear Lcadir_c Rats =�. �D /L��t FT 6 6 Ft. An Desicn Loading Ra-e c (}� y G D /.,Q FT S F I t. J — 7 FI. . K 11 Ft. L Ft. F _ u. _ W � I Ft �} -Observation Pipe 7 A ►� " o -�-- -� 8 - -- --- - - - - -- - ----- _- - - - - -- _--- -- - �y -- --------- -- - - -- --------------------- --i- -a Force Main Distribution Pipe Cell of -,"'to 2 z" a ggregate Observation. Pipe (aachbr secsrely) - PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout - -� Page �• e o g Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the Pipe and holes. Extend the end of each lateral up with the use of long tumor 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve e,: threaded cap or . threaded plug. Provide access from final grade for the valve threaded . r threaded I p ug. pv C FCC P\) C. Lateral Manifold Lateral X x x x x12 x!2 x x X x Lateral Lenath — Lateral Length — p Oistribtiion Line — —o S PVC ►=ozC t >> ' 1 F 3 3 Ft. Hole Diameter �$ Incf� - S -S Ft. Lateral 0 Inches) X Z4 Inches Manifold n I )- / - t-Inches Force Main ° Z Inches # of holes /pipe 0 Invert Elevation of. Laterals Ft. Y, _ X11 - SZ Gph ' y a Combination Sept4c; Tank and PUMP CHAMBER CROSS SECTION AIJO SPECIFICATIONS PAGE OF 7 VEUT CAP WEATHEK PROOF JUIJCTIOIJ BOX . ti C.I. vEIJT PIPE i APPROVE . D LOCKING 110' FROM DOOR, MANHOLE COVER rNM 1+ ` t3 pi10tJ P IPt; :itAJ00W OR FRESH 2 wAQ NJUG l.l+�6EC.. ` '��Pncz�sg3 — rnp ALP, IIJ7AKE S cor�c�lr FJ N LsJ� 1 i Y' AJU. G Zro IAILET PROVIDE `•'' �AtRTIGHT SEAL I I : ^. 8 riFrL� I I I I Approved ZMF-L r-w-T A i II I Approved PVC pipe joi nt w / FY —`boa .� I ALARM PVC joi n t pipe a I � 1 I I ow C I LLEV. F C PUMP �, --J ` OFF 0 COUCRETE - RISER EXIT PERMITTED O►JLy IF,TAAJK MALUFACTURI%R HAS SUCH APPROVAL 3 "AyPf2o,tn_ SEPTIC F SPECIFICATIOUS DOSE TA W K i MAL)U FACT URER: f`JUM9ER OF DOSES: � 3 wLP 1Z PER DA8 TAIJK .,IZE ; OU/ UOI) �Q GALLOA,15 DOSE VOLUME r ALARM MAUUFACTUR.ER: S S. � �0 S S'� �S IMCLUOIAJG BACKFLOW: � 33 ' k4 GALLON: MODEL IJUMBER: 1 O w CAPACITIS: A= tIO�. • E INCHES OR GALLOys SWITCH TyPC: - 8= Z IJJCHE!'OR 4 y' s G O V . G�LLOUS PUMP MAUUFACTUREK: L DS C= 6 IiJCHES OR 133 GALt0U5 'y ��O S MODEL UUM9EK : ,., D = INCHES OR � (1 GALLOUS SWITCH TYPE: _ Y�C?`i2CLti2,y u OTE: PUMP AU ALA0.M R TO�L MIIJIMUM DISCKARGE RATE Y )• SZ GPM INSTALLED * 0W SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEJJ PUMP OFF AJJO,.DISTRIBUTIOAJ PtPE.. 8'S-7 FEET + MJUIMUM M ET WORK SUPPLY PRESSURE, FEET �. + `�' FEET OF FORCE MAIN X . SR - • • • . • ' 14 1 / . �0 f[FRICTIOU FACTOR.. FEET TOTAL 0!JUAMIC. HEAD = C i's b •FEET . As per manufacturer gal /in. Liquid depth 3��` Goulds iE °`' Submersible Effluent Pump - u _ EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical p oints ' • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 /4 ° maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING -• • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. CO CamadianstandardsAssociation } • Total heads: up to 24 feet. with three prong grounding EP05 Impeller. Thermo - / •Discharge size: 1 /z" NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 0C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. t0 • Capable of running dry without damage to s 30 components. I _ _ " • ! Pump: EP05 e • Solids handling capability: c 25 3 /a' maximum. 7 - _ I • Capacities: up to 60 GPM. _ l • Total heads: up to 31 feet. 2 6 20 S • Discharge size: 1IN NPT. Q 2 �' t � I _ • Mechanical seal: carbon- 0 5 15 rotary/ceramic - stationary, — 4 ! BUNA -N elastomers. - iPOS� • Temperature: ° 3 10 104 °F (40 °C) continuous I _ 140 °F (60 °C) intermittent. 2 - 5 1 0 00 10 20 30 40 50 GPM , 0 2 4 6 8 10 12 m -1h CAPACITY ©1995 Goulds Pumps, Inc. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRBEMENT AND OWNERSHIP CERTIFICATION FORM Own uyer 2 Ar Mailing Address o2S3 �R c �sc✓' s G N 'JAI' : v>. -+ � •2 A.t,J 15'5 Property Address (49 3 (Verification required from Planning Department for new construction) City /State H � i-`� � Parcel Identification Number 7 LEGAL DESCRIPTION property Location N 5 '/4, /J0 '/4, Sec. 3'1 • T 3 0 N R Town of S �. IV I Su bdi ' ' _ Lot # Ce i Survey Map # Volume Page # 7- 33 a ct # Volume � , Page # Warranty D � Spec house ❑ yes 2 no Lot lines identifiable eyes ❑ no i±YSTEM 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, }ourneymanplumber, restricted plumber or a licensedpumper verifying that (1) the on site wastewaterdisposal 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 system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the iration date. SIGNA O LICANT DATE OWNER CERTIFICATION I (we) t all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p s ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA NT DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.""" «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed L U 2334 P 547 ?32415 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This_D n�t�sig_beb�.een Kevin L. Shackle and RECEIVED FOR RECORD Roxanne M. Shackle,.husband and wife, 07/28/2003 12:15PH WARRANTY DEED Grantor, and Michael D. Borum and Jennifer L. Borum, husband EXEMPT # and wife, REC FEE: 11.00 TRANS FEE: 135.00 COPY FEE: CC FEE: Grantee. PAGES: 1 . Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of NE1 /4 of the NW I/4 of Section 34, Township 30 North, Range 19 Name and Return Address West, St. Croix County, Wisconsin, described as follows: Lot 2 of Certified✓ Su rvey Map filed October 10, 2001, in Vol. 15 Page 4188_ No. �� I 658733. -----------—vc � 030- 2007 -70 -200 Parcel Identification Number (PIN) This is homestead property. (is) MXOQ Exceptions to wananties: Easements, restrictions and rights -of -way of record, if any. Dated this day of July 2003 • in L. Shackle + * 'Roxanne M. Shackle AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of , Personally came before me this 0 4 day of July 2003 the above named * Kevin L. Shackle_. and- Roxanne M. Shackle, _ hiigl)and and wife, t TITLE: MEMBER STATE BAR OF W to mejkqQwn to be the person(s) w ex ted a foregoing (If not, i dged th e. - authorized by § 706.06, Wis. S THIS INSTRUMENT WAS ✓ e SG1'1 m I' Attorney Kristina Deland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is perm ent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Bo iessary.) 0 -' 15 O ) • Names of persons signing in any capacity must be typed or printed below their signature. Information Processionals company, Fond du Lac, W1 WARRANTY DEED STATE BAR OF WISCONSIN OW455• FORM No. 2 -1999 Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 5- t' (2Q f1C �sconsin Madison, WI '53707 - 7162 Site Address. Department of Commerce !-,fl Q� . Sanitary Permit Application Sanitary Permit 42 70 other In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑Check it Revision rite be used for second ses Privacy , I. Application Information - Please Print All Information �'` State Plan I.D. Number Property Owner's Name DE C O 6 20 Parcel Number S 0 30 -�t 7 - ?o _A00 .3 -floc - Property Owner's Mailing Address Property Location -tN (� ZONING FICE n (>� --oC. / u Nth 'A; S 64 T3 o N. R/ City, State Zip Code /Phone mber Lot Number Block Number Subdvisto Name CSI�Number sV -6 7 77 (V .- 3 8 ? r� II. Type of Building (clieck all that apply) a,4 Per > ❑City, R1I or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Comme d� - ��D��escribe Use �I•ownship ❑ State Owned l! t^ ifl 'r tt t/ a earest Road 4 .� ,c, too, V ,�Q "p = I�•o /.33 R j dVo III. Type of Permit: (Check only one box on line A (rifnberinkcherne for internal use). Complete line B if ap ble A. 1 New 2 ❑ Replacement System 3 ❑ Re cement of Addition to For Co S stem I Tank O y E g S stem B. ❑ Check if Sanitary Permit Previously Issued P t Number Date Issued IV. Type of Permit: (Check all that apply)(n nbering scheme 6 for Inter 1 use) . *_10D 6r, , 44 11 Non - Pressurized In- Ground 21 and 47 El Sand Ft 50 ❑ Constructed Wedand 22 11 Pressurized In- Ground 41 lolding Tahk 48 El Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dis persal /Trea tment Area Informa n: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Per\1ionRate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Mi Elevation "7 so -7S /.D 102, e I0Y.� VI. Tank Info Capacity in Total Number Manufacturer Pre fa Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass u New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber g5o �r Nw� VII. Responsibility Statement- I, the undersigned, asstmie responsibility for Installation of the POWlrS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/ Number Business Phone Number: Plumber's A dress (Street, City, State, Zip Code) 96, - 7 L S qo ; VIII. Count !De artment Use Onl Approved Disapproved ' Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse Determination IX. Conditions of Approval/Reasons or Disapproval { �.e,6tuv ar - c�ol,t,. /� sep�G-E -r.� � f �• a,,, PAL w►o.aAA- S Attach comp etc p (to the Comity only) for the system on paper m less th IM TTrMXt she SBD -6308 (R. 05101) Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Vh4co,nstn www commerce s iscon i.usts Department of Commerce www•wisconsin.go Scott McCallum, Governor Philip Edw. Albert, Secretary November 26, 2002 CUST ID No.222781 ATTN: POWTS Inspector ZONING OFFICE HENRY J NECHVILLE ST CROIX COUNTY SPIA 967 HIGHWAY 65 1 101 CARMICHAEL RD BERTS WI 54023 -8510 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/26/2004 Identification Numbers _ Transaction ID No. 815492 ITEc Site ID No. 653855 Mike Borum Please refer to both identification numbers, ch Lake above, in all correspondence with the agency. Town of Saint Joseph St Croix County NE1 /4, NWI /4, S34, T30N, R19W FOR: Description: Five Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 883550 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) COnditi and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (01/81) APPRI • Comm 83.44(6)(a)2. The orientation of the cell is to follow parallel to the surface grade contours on sloping DOWUME sites. The upper effective edge of the cell is to follow the 101.47 foot contour. &AFTE • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. SEE C MIRES Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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. HENRY J NECI IVILLE Page 2 1 1/26/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/ instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 y , MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Mike Borum 5 bedroom residential mound Owner's Name: Mike Borum 6c; Owner's Address: 1016 South 5th Street /1/�� ► 1/4r 2 Stillwater, MN 55082 Jr 200? Legal Description: NE1 /4NW1/4, Sec 34, T.30N., R.19W. Township: St. Joseph County: St. Croix Subdivision Name: CSM Vol. 15, Pg. 4188 Lot Number: 2 Block Number: na Parcel I.D. Number: 030 - 2007 -70 -200 Plan Transaction No.: Page 1 Index and title Page 2 Data entry 're Page 3 Mound drawings NOV 2 2002 Page 4 Lateral and dose tank Page 5 System maintenance specifications �g Page 6 Management and contingency plan y LJ Page 7 Pump curve and specifications Page 8 Site Plan - E MM ERC Page 9 Soil Evaluation Report Co C IRC SON E Designer: Henry Nechville License Number: 222781 Date: 11/15/02 Phone Number: 715 - 749 -3322 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 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 500.00 Estimated Wastewater Flow ( gpd ) Table 83 -44-3 in -situ sal treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) caiform of <= 36 inches. 750.00 Design Flow (gpd) 9.0 Site Slope ( %) 10147. Contour Line Elevation (ft) 20. epth to Limiting Factor (in) 0 1 -situ Soil Application Rate (gpd/ft Dis ' ti CelIInformation 100.00 ispersal Cell Length Along Contour (ft) = JO ell Width (ft) r Dispersal Cell Design Loading Rate (gpd/ft z ) 1 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 3.75 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) _ 2.50 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y 93.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 9.51 Vertical Lift (ft) 90.53 5x Void Volume (gal) 0.69 Friction Loss (ft) 95.43 Minimum Dose Volume (gal) 16.70 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options I choice 0.75 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treat ment Tank Information 950.001 Total Tank Capacity (gal) i W1 585/951 Septic Tank Capacity (gal) 38.001 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 25.00 gal /in (enter result in cell B49) Dose Tank Information Efflue Filter Inform ation j 950.00 Dose Tank Capacity (gal) Zabel _ Filter Manufacturer 25.001 Dose Tank Volume (gal /in) A100 Filter Model Number Wieser Concrete I Manufacturer Project: Mike Borum 5 bedroom residential mound Page 2 of 9 Mound Plan View T Observation Pipe . • :3 K .•. ,.•,.,..,.•,.•..•..•.•,.•..•... T - M . . I .. .. ' ^ . . . . . . . . . . . . . . . . . . . . . . . — .. . . . . . . . . y L Mound Component Dimensions A 7.50 ft E 24.1 0 in H 1.00 ft K gift ft B 100.00 ft F 9.50 in 1 13.56 ft L ft D 16.00 in G 0.50 ft J 6.20 ft W 750.00 (ft Dispersal Cell Area 2106.16 (ft Basal Area Available 7.50 (gpd /ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.60 (ft) ,rrr ..... G ♦ H ,rrrirrrrr 2 rrrrrrrr,. 1 ,r�i�irr r r F : : Dispersal Cell 103.30 (ft) Lateral 102.80 (ft) ► -- Invert Dispersal Cell Elevation E I D: i i 4 i. fl`� f ., : .. _ _. , i• _:+.1: � q � � .K ,� •. .,, _ .� • . .. _ ., .__ _ -, t , y _ , �, .1••ti •�< •.. •./'mss 101.47 (ft) Contour Elevation 9.0 %Site Slope Geotextile Fabric Cover Shading Key a Dispersal Cell See lateral details on 1[] ® Topsoil Cap c 1.5 ft Page 4 for number, _ • l © rrrrr Subsoil Cap :: -, •• • r;.'' • , size, and spacing of 6 T © ASTM C33 Sand -•'! .' F laterals. Laterals are Tilled Layer m 0.5 ft '•. Typical Lateral •.;.:• n4 0 Y c w • • :• equally spaced from ,,:� - 05 Aggregate o . the distribution cell's — A * centerline in the distribution cell (AxB). Project: Mike Borum 5 bedroom residential mound Page 3 of 9 I Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P $ •= Turn- upwlballvalve or IEx 1Exl2 I xl2�l Laterals &Force main of PVC Sch40 cleanoutplug per COMM Table 84.30 - 5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 3.75 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 3.75 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 16.70 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented E - Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acityl 950.00 Gallons Volume 25.00 gal /inch A ._ Weep hole or anti - Dimension Inches Gallons B siphon device A 20.46 511.52 C B 2.00 50.00 Pump off evation (ft) C 6.04 150.98 93.79 D 9.50 237.50 D Total 38.00 950.00 iF7 Dose tank elevation (ft) 3" Bedding un er tank. 93.00 Alarm Manuafacturer I LevelArm Alarm Model Number Pump Manufacturer lZoeller Pump Model Number 98 Pump Must Deliver 1 32.95 gpm at 16.70 ft TDH Project: Mike Borum 5 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name H. Nechville,MPRS #222781 Phone 715 - 749 -3322 POWTS Regulator's Name St. Croix County Zoning _] Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow- Peak 750 9P d Maximum Influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 220 mg /L Septic Tank Capacity W1 585/95 gal Maximum TSS 150 mg /L Soil Absorption Component Size 750 ft' Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 ears 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 mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 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 f Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve .. . Distribution Lateral I ' ) J44__ Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mike Borum 5 bedroom residential mound Page 5 of 9 i Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code en r G e al This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Cade, and shall maintained in accordance with its' component manuals (SBD- 10691 -P (N.01/01) 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 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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 fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter 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 shall advise the owner of when the next service needs to be perfumed 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 shall be inspected and serviced as necessary. Mound and Pressure 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/L FOG for septic tank effluent or 30 mg/L BOD 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 least once every 18 months. When a pressure test is performed it 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. Parading 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, pump controls, alarm or related wiring becomes defective the defective component(s) shall 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 if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page)K of this plan for the name and telephone number of your local POWTS regulator and service provider. 5 Project: Mike Borum 5 bedroom residential mound Page 6 of 9 HEAD /CAPACITY CURVE HEAD CAPACITY CURVE EFFLUENT MODELS -- j TOTAL DYNAMIC HEAO/CAPACITY PER MINUTE EFFLUENT AND DEWATERING j SERIES 5749 97 96 177.109 181 167 166 166 iBe Ity ♦— ai — f — _+ — FT N. G-9 L64 G.. L66 G41. Ln Gd, LYS GN L6Y 0N. Las Ga. Lin. G61. L67. Gd L9s �56 5 1.62 43 160 56 212 72 273 104 091 106 401 6I 271 6I 23t 66 22p Sd 10 306 ]a 129 a6 171 61 201 7fl 300 100 J79 el 231 61 ?31 66 220 151 677 15 4.57 19 72 36 153 46 170 W 91 341 W 227 60 227 $6 220 tat 537 Ia6 96 549 20 6.10 1S 57 25 36 136 62 310 69 223 80 227 66 220 t76 �- . 616 1 a 6", 2b 7.62 6 30 74 260 67 216 69 273 $i 220 128 /61 >J 6I — 5u7 J0 A14 66 216 66 205 68 220 90 540 Sa 220 121 4661 t2, 44, w 1219 46 174 46 172 66 We 75 294 66 220 106 397 1a u1 ... - 186 50 16.24 _ _ _ 21 60 33 125 61 191. b8 219 58 220 90 341 1 i x 7.*y 60 1929 16 67 43 161 36 136 58 2201 71 269 - 95 .1Z 114 10 36 S2 — I{!7 r 61 J 7C 206 19� 26 17 5 + i 90 27.44 _ R 1211 2 Ii 57 14v ' 100 X48 — 19 - -�- 66 7}; UO 7200 T 7 Lock Vw4 19.26 23,76' 73 — _ 26 _ 66 86' 97' 73' 116' 91 112 EFFLUENT & DEWATERING Warning: Model 185 should not be subjected to less than 30 feet TDH. 189 Note: For Head Capacity on Model 112, industrial 70 T.r). – — _ _ _ column - explosion proof pump, see FM 219. - 97� lee - - 759' „9 - SEWAGE & DEWATERING tiLlcrrs '00 11_1° 1 =° 1 140 1,50 I°L WARNING: Model 293 should not be subjectec J TE F S -_ 160 24 320 4°0 480 560 640 r to less than 15 feet TDH 24 80 W TOTAL DYNAMIC MEAD /CAPACITY PER MINUTE 75 — -- SEWAGE AND DEWATERING SERIES 262 266 _ 267 268 262 261 292 293 __ _ 294 295 70 —' —!-' 1 - - } - -� FT M Gal. Lill Gal Lll, . Gal. Gal. Llrs. Gal, Llrs. Gal, Llrs. Gel. ills Gal L lrs Gill L ill Gal 1 20 5 152 90 3.41 128 484 128 484 126 484 130 492 180 681 140 530 _ t9d_142 725_ 65 - --- —T - -_10 305 60 227 89 337 _ 89 337 89 337 95 360 158 598 124 469 IB1 665 - - ? 0- 776 _ t5 1 5 7 2 2.5 85 _5 18 9_ 50 189 50 189 63 2 t35 511 106 401 130 492 16 5_6_25 1B5 700 18 — 60 - �_ -- I - 20 610 ,0 38 10 38 10 38 33 125 106 401 88 333 119 450 150 568 66 7c -- 25 7.62 '-'— —_._ 68 ._ — -- 76 288 68 257 106 401 136 515 153 5t "' 140 53 53 __- 55 . _____� _{._ —L� 0 12.t9 — <J 183 47 178 _ 90 7 4_0 121 158 u0 0_ 76 5 19 50 169 94 356 435 _ 50 15 24 ' 60 1 8.29 - -- -- . 14 70 21 34 __ s5 45 - — � Loch valve 18,__ __21.5' 26' 35' 47' S0' 01 -_._ 7. 1 L — 40 - - -- --�-- -- _ . t.. — 35 i I I '- . 282 7 - 1 1 — - o -- T � t - 292 �I 262 266, 267, 268 284 291 285 - - - - -- C 10 20 30 40 I 50 60 70 80 90 100 110 120 1 130 140 150 160 170 180 190 200 210 220 230 .'TEAS 0 80 160 240 320 400 48u 560 640 720 800 880 eC PL � 5m,'I Eva /cca�on �� 6 rac;c a le ✓a�E rvr, 5 C.Q : ASSu�»ed ETW. =lot�.Ll�; Are i - �'3�=: - - - - --- 1 8� SPa cxci a� 2.53 � — SEE CORRESPONDENCE Bz loarc t &Mt . ,ALL b.,+t, ToP of 1 R ✓.c. s/ su(.sv 6 /s /?so ga to-P El¢K= 103,73. P.d.e. s.TIP.C.,)/ abclA -� /of!yv, QFf lu en�F'ltc.� a t S. . ioKoz' c�„�tl�t. /03.3f' Pro postal S bcclrcov., kous< as S -6aA/o_&. eoaa � � 6 ro.�e Q. le ✓a�,r � Sea : /_ o aF ✓. �. �O.�oe. �(ssu�ed a Tt✓• � IoO.Gn; — 63 — - - � 6" Area --- _ - - -___ ":_ -3i.= ' BC�.ti 16L4va s a t /%z" "r y9.3./ J/ Y8 5P4 ctd a4-1 z • 53 CORRESPONDENCE — — 11 5 CA . C/O 10 a e SEE _ ,ce-rct &Mtn ,A Lk b. M. ToO oF2 . p ✓.C. h/su(.SIO 3 /.5-8 /���• El¢K= io3.73. ��® P.r!C. S. T.�OC.,J/abcl�� ro9�9� e ene - te✓ a t S . 1(. 0 a ,, tlet. /03.3K' Pro pos-c.d s bcJroo kousc as 5ta/led. f i �.�or � G rad t ¢ I¢ ✓a,Etcr M.¢ 4 M 5 •� V peO ! � s w�� 1 A b• -cc! / %z "x s� Spa ud 2.53 - 4 .�. ���. tk. 4.,n. • To of 2 �F ✓.c y "sue.(. t!o 3 � /9so B..P. G�„b.^ P r ` 1or EkV = /03.73., ® S.T / I ly,�w6cl.9-/ a QF/'Ju eirG F'/ f Ci•r��"S I Fwd ` .,,, ( � I • p I . � � /oSl.o.Z O�,t>~ /f �. • ��; ��, ,7 � / /03.3' ` Pro Posed S bcd�oo►y, p kouse, as IU S u � M Y _. ...... .. .... .. ,...._... �........' _.....n..e+w. -w�.. t R L l �z Ca i Ito- ty �r �F�hrir n � .ti,,,�,....y �,3IT4.��,'r,.r. +L.dis•.. 4� t � M ,455 .»ed c P S r Y? b� $ ® 1 � �, a � j __•. t � �i5�"r �� AEG i W 7`.2G �x Uo, 7JO ��, 7ar`xido•o'd,3,ayscr..�ce1 /. Four�v� _ -_ __�� 44,4 --4 a•t /%z "x I9.3 w/ Y8 „ oriAiccs �� SPac_ea✓a.� 2.53 - - - -- - -- fll.E. b. rt. ToA VF1'F ✓.c ��P� Ala✓ = io3.�3. Ail. ' C t9ht/v ct� 0 �• iostoZ' c��tlet. f� Pro eo5.t.d ('bust C1S S- &a/lt -d. Y I �4 A P d 4 t � f d ni � x a 5 k f i� r' �” r w ,.0 ^. , r,.. ,m .,Mn„s Mn.,.,T nR. M .nn.w,l•F•x4i�lw'e?1�+�'f}r,+�Y ."6"6aA1!'"i'u '!4�. «n.', 1070 ` Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8 %x 11 inches in size, PI n must St. �v St. Croix include, but not limited to: vertical and horizontal reference point (8M), dire ion an percent slope, scale or dimensions, north arrow, and location and dista o nearest road. P P arcel D. p art of: 030 - 2007 - Please print all information DEC 0 6 2 Date Personal information you provide may be used for secondary purposes (Privacy s. 15.04 (1) (m)). (Iy,p(p IOZ Property Owner P eUTdT4" Shackle, Kevin 11vG tat SIG NW 1kl S 34 T 30 N 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1840 Oak Glen Drive 2 na I CSM Pending City State Zip Code Phone Number City .J Village i Town Nearest Road Stillwater MN 1 55082 1 651 -638 -2289 St.Joseph Perch Lake Rd. New Construction Use: J6 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement A Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a mound system. System elevation to be based on contour line established at 101.47'. a Boring # AW Boring 1id Pit Ground Surface elev. 102.17 ft. Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. $h. "Eff#1 fl#2 1 0-11 1Oyr4/2 none I 2fsbk mfr cs 2m .5 .8 2 11 -21 1Oyr4/3 none sit 2msbk mfr cw 1f .5 .8 3 21-40 1Oyr4/4 none sit 3msbk mfr gw - - - -- .5 .8 4 49 PO 10yr4/6 m2 g1� /2 sl 2msbk mfr gw - ---- .5 .9 5 50 -72 10yr5/6 rn33 Y1r2vr6/2 sl 1 msbk mfr - - -- - - - - -- .4 .6 Boring # Boring ld Pit Ground Surface elev. 102.07 ft. Depth to limiting factor 27 n• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 " Eff#2 1 0 -11 1Oyr4/2 none sil 2mgr mfr gw 2m .5 .8 2 11 -20 1Oyr5/4 none sit 2msbk mfr gw 1f .5 .8 3 20 -27 1Oyr4/6 none sit 3msbk mfr gw - - -- .5 .8 4 27-40 1Oyr4/6 m2d 10yr6/1 sil 2msbk mfr cw ---- .5 .9 5 40 -73 5yr4/4 :) r .� 6/2 sl Oma mfi -- -- - ----- .3 .5 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset WI 54025 8/11/01 715- 549 -6651 I Property Owner Shackle, Kevin Parcel ID # part of: 030- 2007 -70 Page 2 of 3 ❑ 3 Boring ' # Boring A Pit Ground Surface elev. 99.51 ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh, I *Eff#1 *Eff#2 1 0 -12 10yr3/3 none sil 2mgr mfr gw 2m .5 .8 2 12 -20 10yr4/3 none SO 2fsbk mfr gw 1f .5 .8 3 20 -24 10yr4/4 cf SyrS /2 sil 2msbk mfi gw - - ---- .5 .8 4 24 -29 10yr4/6 cfd 10yr6 /3 Sid 3msbk mfr gw - - --- .4 .6 5 5/6 5 29 -72 10yr5/4 m3p 10yr6 /2 sil 2msbk mfr - -- - - - - -- .4 .6 5 5/6 Boring ❑ Boring # g Depth to limiting factor in. Pit Ground Surface elev. g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDW in, Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 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 Commerce is an equal opportunity service provider and employer. If you need assistance to access services or —A mot —;.l in on oIt --tp f—t -1-- — the APnortmPnt of !.(iR_7(./._Z 1 S1 nr'M'V AnR- 7f.A_2'T7"7 pe P em Luke Ro4ml t df .17 )PZ/4(- A EL. 1,03.7 r- - i I I lo�F•v a i or aM /dYv bl'aw lkl 4 y3 et itl Shack Q�qw�� 6 ys y � /�Y0 Oak- G" Oro CSTi" .2.2 7 V 74 Me So ,ner S.e7�j IV- 7, "0 .21 - 11WA. S'ac .3 y T30N � s Op, S Ts A A o4' fi a i !f 1070 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper n County ot less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal refemoae point (BM), direction and percent slope, scale or dimemsions, north armw;:anq labationand•distance to nearest road. Parcel I.D. part of: 030 - 2007 -70 Please pri �ll`i►iformation. Reviewed By Date Personal information you provide hied for seco� (Privacy 15.04 (1) (m)). Property Owner j ._� € IL roperty Location Shackle, Kevin f fr ovt. Lot NE 1/4 NW 1/4 S 34 T 30 N R 19 W Property Owner's Mailing Addres9 2 N 1. of # Block # Sutxl. Name or CSM# 1840 Oak Glen Drive T , 01 2 na CSM Pending City State, Zip a1B1�� umber ] City Village ie Town Nearest Road Stillwater MN' 55082 St.Joseph Perch La Rd. jid New Construction Use: Resiad"izk/N mb edrooms 4 Code derived design flow rate 600 GPD Replacement ] Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a mound system. System elevation to be based on contour line established at 101.47'. M id Boring # 1A' Boring Pit Ground Surface elev. 102.17 ft. Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture StWure Consistence Boundary Roots GPDtft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -11 10yr4/2 none I 2%bk mfr cs 2m .5 .8 2 11 -21 10yr4/3 none sit 2msbk mfr cvlr 1f .5 .8 3 21 -40 10yr4/4 none sit 3msbk mfr gw - - --- .5 .8 4 40 -50 10yr4/6 m2510yr6/2 sl 2msbk mfr gw -- - - -- 5 9 5 50 -72 10yr5/6 m33 10yr6/2 sl 1 msbk mfr - -- - - - - -- .4 .6 ymlo Boring # Boring 16 Pit Ground Surface elev. 102.07 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G PDItN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 - Eff#2 1 0 - 11 10yr4/2 none sit 2mgr mfr gw 2m .5 .8 2 11 -20 10yr5/4 none sit 2msbk mfr gw 1f .5 .8 3 20 -27 10yr4/6 none sil 3msbk mfr gw - - - - -- .5 .8 4 27-40 10yr4/6 m2d 0/1 sit 2msbk mfr cw ---- -- .5 .9 5 40 -73 5yr4/4 m3p0yr6 /2 sl Oma mfi - -- ---- -- .3 .5 * Effluent #1 = BOD? 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 Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, W154025 8/11/01 715 -549 -6651 III j Property Owner Shackle, Kevin Parcel ID # Part of: 030 - 2007 -70 Page 2 of 3 3] Boring # Boring IM Pit Ground Surface elev. 99.51 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. Eff#1 *Eff#2 1 0 -12 10yr3/3 none sil 2mgr mfr gw 2m .5 .8 2 12 -20 10yr4/3 none Sil 2fsbk mfr gw 1 f .5 .8 3 20-24 10yr4/4 cf g O y 6 /2 sil 2msbk mfi gw - ---- .5 .8 4 24-29 10yr4/6 cfd 10yr6/3 sicl 3msbk mfr gw ---- -- .4 .6 5 r5/6 5 29 -72 10yr5/4 m3p 10yr6 /2 5 5/6 sil 2msbk mfr - - -- - - -- 4 6 F-1 Borin Boring # Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F -1 Borin Boring # ,, Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 — < 30 mg/- and TSS <30 mgA. - The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or ...A mot.A.) in oTf oltarnotP fnr f A—. —t—t the /IPh01'tA,P1,t of fAQ- '7(,-1 1 G1 ^r TTV KI)R -')AA- 2'7'7'7 �P3 P era k li /R oa d t of ,?" f'l/G l aiv E'L. 103.73 Go�tQU r- L �',r &, /D/ ? y� < > . I SID lool- ryl kecL IQ / �o P� /o �.v` Q� /a y ' �-- Q� asl� 4 r t 4 s /c pr�wv,Yiy -ivr,; 1�ev�� YAack /19 YO Desk- (S lei br, Ve CST ,2.22 ydy �c► r►�erse7�, L✓�.. .S"Yazr � s y T3ov�l !z /9 �' �is� S`S/ - 7� sA fP Je sVA 4 ©+ �2 t � , , .._. ' ; • ,. - z i � �f � , �` . �. i.." .. - ... �. i .1 ' � -�i �, � _. i .-. ,.. _ , _ .. -'. , `f � - ... , fi „ - y - .. .. a y :� r. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRBBM13NT AND OWNERSHIP CERTIFICATION FORM �uyer Is -YC L6 Mailing Address t �.J/ Pea v °`' Properly Address 3. �'- (Verification required from Planning Department for new construction)_,_ City/State }a.",� , r . Parcel Identification Number CJ 3 0 a 00'7 7 0 LEGAL DESCRIPTION Property Location /V '/4, r /4, Sec. T -R Town of 5 f� Subdivision . Lot # lsu.s ��%-#' tc 5'9 -7 3 3 S y / lag Certified Survey Map - 2 y 8 8 -) 3 . Volume Page # 6 °a• Warranty Deed # ' o �' S .5 , Volume / 4 Y 6 . Page # 1 3 � Spec house ❑ yesW no Lot lines identifiable Oyes ❑ 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the ear expiration date. S ATfJRE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descri d bove, by virtue of a warranty deed recorded in Register of Deeds Office. d- GNAll R OF APPLICANT DATE g D * * * * ** * * * * ** Any information that is mis- represented may result in the sanitary Permit bein revoked b y the Zoning D e p artment- ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ` App c�c /V 1448PAGE 436 6C?$455 WARRANTY DEED REGISTER OF DEEDS DOCUMENT N O. ST. CROIX CO., WI a4#1 RECEIVED FOR RECORD 06-12 -1999 9:30 AM EXEMPT DEED EXEMDT N CERT COPY FEE: This Deed made between STEPHEN M. TRAY FEE: TRANSFER FEE: 90.00 ALLEMANI and KIMM E. ALLEMANI, husband and RECORDING FEE: 10.00 wife and each in their own right, Grantors and KEVIN L. PAGES: 1 SCHACKLE and ROXANNE M. SCHACKLE, husband and wife as survivorship marital property, Grantees, RETURN TO: D. Peter Seguin Witnesseth, That the said Grantors convey to MUDGE, PORTE 110 Second St, PO ,.-,. Grantees the following described real estate in St. Croix Hudson, W1 54016 (d�� t 'r j County, State of Wisconsin: Tax ID# 030 - 2007 -70 -000 Lot'.' of Certified Survey Map recorded May 26, 1978 in Volume "T', Page 602, Document Number 348873. except the Westerly 48 feet thereof. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; and Stephen M. Allemani and Kimm E. Allemani warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this �_ day of /� _ 1999. d - - -- (SEAL) UIIL�C .rl G� — (SEAL) Stepl en M. emam Kimm F. Allemani AUTHENTICATION ACKNOWLEDGMENT Signatures of Stephen M. Allemani and Kimm F. Allemani STATE OF WISCONSIN ) authenticated this day of ) SS 1999. ST. CROIX COUNTY ) Personally came before me this - _. _ _ day of � TI "TL.E: MEMBER STATE_ BAR OP WISCONSIN 1999, the above named Stephen t`1. Allemani and Kim F� (Signatures may be authenticated or acknowledged Both are not Allemani, to me known to be the persons who executed the foregoing instrument and acknowledccd the same. nccessanj ` THIS INSTRUMENT DRAFTED BY:�, D. Peter Seguin MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. Notary Public, State of Wisconsin 110 Second Street, Post Office Box 469 My Commission (expires): Hudson, Wisconsin 54016 • Viif 1578PAG 21 la- 637219 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI AFFIDAVIT OF CORRECTION 01-23-2001 FOR RECORD Document Nx e 01 -23 -2001 9:30 AM (TYPE �R PRINT F docum e Y IN BLACK OR RED UYK) CORRECTIVE AFFIDAVIT umtr EXEI'.PT q AFFIANT, Peter Seguin hereby CEP,T COPY FEE: swears or affirms tha docuax recorded on the y COPY FEE: 9 9 da y of TRANSFER FEE: (year) m volume 1 4 4 8 Page __ 4 3 6 as kECORDIHG FEE: 12.00 number 6 S was 5 which w recorded FACES: p to Sr r_ rai nty, S () R 4 tate of Wisconsin, contained the following error (u more space is , please attach addendum): Kevin L. Schackle and Roxanne M. Schackle, husband and wife as survivorship marital property, Grantees. Recordin Area AFFIANT makes this Affidavit for the purpose of correcting the above document Name and Return Add test as follows (if more space is needed please attach addendum): Grantee names should have been as follows: hand Title, Inc. Kevin L. Shackle and Roxanne M. Shackle, 1900 Silver Lake Road, Ste 200 i husband and wife as survivorship marital New Bri hton MN 55112 ar property. TS Qj 03 0 - 2007 -70 -000 Parcel Identifiation Numbs (PIN) AFFIANT is the (check one): C Drafter of the document being corrected. Owner of the Property described in the document being corrected. O Other (explain: The original document ❑ is Q{is not attached to this Affidavit if original doe ( umcm is not attached, please attach legal description). I Signed: State of Wisconsin ) County of ) ss. Subscribed and sworn to (or affirmed) before me this 16th da of a 2 r MARY K. POTTER . b&, State of Wisconsin Notary Public State of Wisconsin My Corntnission (expires) T44: 03- -09 -03 rinns INSTRUMENT WAS DRAFTED BY: w This instrument O is 12 is not (check one a conveyance of real ro _ (The Wisconsin Real Estate Transfer return is required for instruments nth t do convey real p rope wms. 'Names ur persons stgnmg in any capacity must be typed or printed betow their signature. 1 1 � n • ,i vin 1578PAU 22 WARRANTY DEED DOCVrtEW NO. This Deed made between STEPHEN M. ALLEMANI and KIMM E. ALLEMANI, husband and wife and each in their own right, Grantors and KEVIN L. SCHACKLE and RO XANNE M. SCHACKLE, husband and wife as survivorship marital property, Grantees, RETURN TO: D. Peter Seguin Witnesseth, That the said Grantors convey to MUI)GE, PORTER ET AL. Grantees the following described real estate in St. Croix 110 Second St, PO Box 469 Hudson, W154016 County, State of Wisconsin: Tax ]]D# 030- 2007 -70 -000 Lot 2 ertified Survey Map recorded May 26, 1978 in Volume "3 ", Page 602, Document Number 73, except the Westerly 48 feet thereof. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; and Stephen M. Allemani and Kimm E. Allemani warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this day of '1999. Stephen M. Allemani (SEAL) Kimm E. Allemani (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures ofStcphen M. Allemani and Kimm E. Allemani STATE OF WISCONSIN ) authentcated this _ day of ) SS 1999. ST. CROIX COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN personally came before me this _ day of 1999, the above named Stcphcn M. Allemani and Kimm E. ( Signatures may be authenticated or acknowledged. Both are not Allemani, to me. known to be the persons who executed the necessary) foregoing instrument and aelmowlcdged the same. THIS INSTRUMENT DRAFTED BY: D. Peter Seguin MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. Notary Public, State of Wisconsin 110 Second Street, Post Office Box 469 My Commission (expires): Hudson, Wisconsin 54016 1 FILED MAY 26 197E JAM O' CONNEII >fpbler of Deeds SIB Croix comfy, 79 Wbmsb A" 348873 CERTIFIED SURVEY MAP : THOMAS ALLEMANI Part of the Northeast 1/4 of the Northwest 1/4 of'Section'34, Township 30 North, Range l9 West . mown' -'of St: Joseph; St.' Croix County,'Wi$consin ¢TOW N ROA D N ► /4 COR. SEC. 34. 4 T30 N, R 19 w -- — - --- N 90 O�'� W 33 ` 3 33. 2 1 648. 1 5 �� 33 5. 89' X 33' —� 2 STORY FRAME ' � � f � 0 '. DW ELL ING • ' o��� APIP O ED '� 6 0 ° m'o 0 O ' e o ~., ARN B Q .� 0 SHEDS N AY 17 197 z �o �$1� ,� LOT 3 0 W m LOT I \ �� Al Q % tn Z S.O ACR ai V 5.0 ACRES . Q W III N, O � a .O SuRDiVI51ON d O O •� O� j S MI pVA' EpR ° ` 0 i 110 A� SpV ND F R s y."C SY' N 0 9 0 � Ii I ppE G 51SE (p. Q <Qa O SO V%62 0. W O v z. 6 6 � ZQ PER SON MARSH � Z ED W 9 Z R AR EA - )Z41:,., 1 335.89 i 41 0.' -ajs: � 333.21 652.0 � N 89 ° 4i35E 1321. I+- SCALE I " °20 o Indicates 1 x 2 iron pipe stake set weighing 1.13 lbs. /ft. set. Description: �� 658733 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR ik&U 10-10 -2001 1:50 PM COPY FEE: RECORDING FEE: 13.00 PAGES: 2 CERTIFIED SURVEY MAP N0. PART OF THE NORTHEAST 114 OF THE NORTHWEST 1 /4 OF SECTION 34, TOWNSHIP 30 NORTH, RANGE 19 WEST, TOWN OF ST. JOSEPH, ST /� T � C � ROIX COUNTY, WISCONSIN 100 0 50 100 OIPNER Bearings are referred to the Kevin L & Roxanne M . Shackle North line of the Northwest 1840 Oak Glen Drive Quarter of Sec. 34, Twp. 30N, SCALE W FEET Stillwater, Minnesota 55082 Rng. 19W, as S90°00 00 W. 1 inch = 100 it. U N P L A T T E D L A N D S �( N 1/4 COR SEC. 34, NW COR. SEC. 34, r_TWP. 30, RNG. 19 - - - - _S 0-00,0 "W - - ` g� 30, - RNG. 19 - ` _North line of NW 1/4 S90°00 � i� Sec. 34, T. 30, R. 19 Point of Beginning _AG18.60 ' 265.00 S900 '00'W"") 8 I P E R _C H VC 0.22 K E - 335 .01' R O_A D 265.21' -', 335.01' i 3 S90 00 W S90 ' o X48' M °O O'oo °w M ho r) A C) - r c , l i i nI % I VI_ i ml CJI (t1 �-- SETBACK LINE— SETBAC G MVED ST. CROIX COUNTY — �20' I Planning Zoninn and parks Cn 'nmittee of �� : s€I I I zo'� OCT 10 2001 I I CD � )N If not recorded within 30 days of Jessie Nye Subject: Schumaker, Borum, 430432 (Plowing) Location: Richmond Township (� Start: Tue 10/14/2003 10:00 AM End: Tue 10/14/2003 11:00 AM Recurrence: (none) 030 - 2007 -70 -200 34.30.19.376C20 639 Perch Lake Road 1 �a `/ _ ��� . � °� �pz s �