HomeMy WebLinkAbout030-2131-26-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
453272
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:
St Joseph Development Inc I St. Joseph Township 030 - 2131 -26 -000
CST BM Elev: insp. BM Elev: BM Description: Sectionrrown /Range /Map No:
/61) & C ` T 23.30.20.1080
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic t , ; /a Benchmark O
Dosing Alt. BM
G go�J
Aeration Bldg. Sewer I , ! z
Holding St/Ht Inlet 5.35 1 g4 j . ZIS
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic / / / Dt Bottom
Dosing 1 2- / 1 / Header /Man.
Aeration Dist. Pipe
Holding Bot. System q5 9 ou4
3(,®
Final Grade
PUMP /SIPHON INFORMATION I "- d-,
Manufacturer / n 6,j S GP an St Cove A �a S-7 `� 6
Model Number (fie- 5 70 6
TDH Lift f ` Friction Loss System Head TDH Ft (J w
Forcemain Length - 1 Dia. �1) Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. f Pits Inside�Dia. Li iq�d Depth
DIMENSIONS (Z e \\ \
SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of stem: „ f /� UNIT Model Numb
DISTRIBUTION SYSTEM
Header /Manifold Distribution_ / , / I x Hole Siz Q // x Hole Spacing Vent to Air Intake
Length U Dia I �L L ngth `��' - Dia ' Spacing 3 \� v ( �� � 1Ll 5�
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodde xx Mulched
Bed/Trench Center , Z Bed/Trench Edges \ Topsoil (�_ Yes No Yes;i No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: o / / / 6 + Inspection #2:
Location: Unknown (SE 1/4 SW 1/4 23 T30N R20W) Settler's Glen Lot 26 otc. � arcel No: 23.30.20.1080
1.) Alt BM Description = ZJ S�. C.a _ , C,� Ghl �O�J boa J�.R�
2.) Bldg sewer length = i Z,. v� s � - /-t c �5 6 ✓,_
- amount of cover
3.) Contour =
Plan revision Required? Yes o
Use other side for additional information.
SBD -6710 (R.3/97) Date Inse t rs Sig re Cart. No.
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Safety and Buildings Division County
` 201 W. Washington Ave., P.O. Box 7162 St. Croix
aonsin Madison, WI 53707 - 7162 Sani Permit Number (to be filled in by Co.)
Department of Commerce (608) 266 -3151 tLC, 2 72
Sanitary Permit Application State Plan I.D. Nurnb K 16v 3 of
In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide % . 16;*
maybe used for secondary purposes Privacy La , -� jest Address (if ri erent than mailing address)
V �
I. Application Information - Please P t All Information 1429 Thelen Farm Trail
I D
Property Owner's Name arced # -10 Block #
St. Joserh Development Corp. 6
Property Owner's Mailing Address ? Q N I N G O F F I C Property Location
12415 55th Street North SE SW
'/4, '�., Section 23
City, State Zip Code Phone Number
Lake Elmo, MN 5504/2 651 - 439 -2414 T30 N, R 2C ( circleone)
II. Type of Building (check all that apply) w 5 Alk
Subdivision Name CSM Number
El 1 or 2 Family Dwelling - Number of Bedrooms 4 S • Settler's Glen
® Public /Commercial - Describe 1
❑ State Owned - Describe Use 9(i K �p� [3City [village Township of St. Joseph
_ 19.0
III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0 30 - 213( - Z - a=6 1090
® New System ❑ Replacement System ys ep ys ❑ Treatment/Holding Tank Replacement Only 13 Other Modification to Existing System
li List Previous Permit Number and Date Issued
❑ Permit Renewal ❑Permit Revision ❑Change of � Permit Transfer to New
Before Expiration Plumber Owner
IV. Type of POWTS System: Check all that appl
❑ Non - Pressurized In- Ground ❑° Mound > 24 in. of suitable soil 13 Mound 124 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter 0
Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter ❑ Leaching Chamber 11 Drip Line 13 Gravel -less Pipe ❑ Other (explain)
V. Dis ersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) I Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
600 0.5 1600 600.32 1 95.5
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units [ n ^!� Conorete Constructed Glass
New Existing
Tanks Tanks • f� i
I Septic or Holding Tank 1200 1200 Weiser X
Aerobic Treatment Unit
Dosing Chamber 800 800 Weiser X
VII. Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumb 's Sign MP/MPRS Number Business Phone Number
Roger Nelson 4 M MP 226497 715- 273 -4444
Plumber's Address (Street, City, State, Zip C
122 East Summit Avenue Ells Zo rth, WI 54011
VIII. Coun /Department Use Oni
roved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued suin ent Signatur o Stamps)
[[[[[[ vvvvvv Surcharge Fee)
❑ Owner Given Reason for Denial
IX. Conditions of Approval/Reasons for Disapproval
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code/ordinances
Attach complete plans (to the County only) for the system an paper not less than 81/2 x 11 inches in size
SBD -6398 (R. 01/03)
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Safety and Buildings
4003 N KINNEY COULEE RD
commerce .Wi.9ov LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
i sco ns i n www.commerce.state.wi.us /sb
www.wisconsin.gov
Department of Commerce
Jim Doyle, Governor
Cory L. Nettles, Secretary
May 24, 2004
CUST ID No. 226497 ATTN: POWTS Inspector
ROGER D NELSON ZONING OFFICE
NELSON PLUMBING ST CROIX COUNTY SPIA
122 E SUMMIT AVE 1101 CARMICHAEL RD
ELLSWORTH WI 54011 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/24/2006 "
Transaction ID No. 1003284
,SITE: St Joseph Development - Lot 26 Site ID No 683948
P *,Wre er '40% �ficalao
Town of Saint Joseph, St Croix County ��."w �.
SE 1/4, SW 1/4, 523, T30N, R20W abou,i all:orr ndtovvlt '
Lot: 26, Subdivision: Settlers Glen
FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 959533
Maintenance required; 600 GPD Flow rate
System(s): Mound Component Manual - Version 2. 0, SBD- 10691 -P (N.0 1 /0 1)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
e Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of
the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening
used to service the filter shall terminate at or above finished grade with a watertight cover.
0 This system is to be constructed and located in accordance with the approved plans, the "Mound Component
Manual for Private Onsite Wastewater Systems Version 2" SBD - 10691- P(N.O1 /O1).
• The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /01) "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the
sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS
(01/8 1)"
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.
ROGER D NELSON` Page 2 5/24/04
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
tt Wastewater Spe alist
Integrated Services Bureau
(715)726 -2544
Ijansky@commerce.state.wi.us
cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
r
• i
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: 4 bedroom Mound system for lot 26
Owner's Name: St. Joseph Development Corp.
Owner's Address: 12415 55th Street North
Lake Elmo, MN 55042
Job address: 1422 Thelen Farm Trail
P.O.W.T.S.
Legal Description: SE 1/4, SW 1/4, S 23, T 30, N R 20 W (`au tionally
Township: St Joseph APPROVED
DEPARTMENT OF COMMERCE
County: St. Croix DIVISiO,N OF SAFETY AND BUILDINGS
Subdivision Name: Settler's Glen
S c GOR SPON NCE
Lot Number: 26 Block Number:
Parcel I.D. Number: c�
Plan Transaction No.: 1 0 3 2 4
Page 1 Index and title
Page 2 Data entry
RECEIVED Page 3 Mound drawings
Page 4 Lateral and dose tank
MAY 2 0 2004 Page 5 System maintenance specifications
YP
Page 6 Management and contingency Ian
9
Page 7 Pump curve and specifications
SAFETY & BLDGS DIV Page 8 Plot Plan
Designer: Roger Nelson License Number: MP 226497
Date: 05/18/04 Phone Number: 715 - 273 -4444
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 4.0 (R. 04/03) Pagel of 8
r
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a
400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal
1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches.
600.00 Design Flow (gpd)
3.00 Site Slope ( %)
94.50 Contour Line Elevation (ft)
25.00 Depth to Limiting Factor (in)
0.50 In -situ Soil Application Rate (gpd /ft
Distribution Cell Information
67.001 Dispersal Cell Length Along Contour (ft) F ____ 8 _ 9 _ 6 _ 1 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd /ft
1 I 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) a Center or End Manifold
2.99 Lateral Spacing (ft) If N above, enter the elevation ft
3 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
3.00 Estimated Orifice Spacing (ft) = 9.10 ft /orifice
2.00 Forcemain Diameter (in)
75.00 Forcemain Length (ft) Does the forcemain drain back? Y
75.00 Pump Tank Elevation (ft) Enter Y or N
6.50 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal)
20.08 Vertical Lift (ft) 62.62 5x Void Volume (gal)
1.21 Friction Loss (ft) 74.86 Minimum Dose Volume (gal)
27.79 Total Dynamic Head (ft) 27.19 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x x
1.25 x x 2.00
1.50 x 3.00
2.00 x
3.00 x
Gallons /inch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Weiser 800 - 325 -8456 1 Manufacturer gal /in (enter result in cell B49)
Dose Tank Information Efflu nt Filter Informiltion
800.001 Dose Tank Capacity (gal) Zabel - 800 - 221 -5742 PFilter Manufacturer
20.601 Dose Tank Volume (gal /in) JA100 Filter Model Number
Weiser Manufacturer
Project: Lot 26 Mound Page 2 of 8
Mound Plan View
..
........................ ..........
... ................................
1/106 -(5bservatio*n
. J
• . . . . . . . . . . . .
K z
--- - - - - - - ---
A
W . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.. . . . . . . . B
..........................................
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...................................
. . . . . . . . . . .
..... ....... ..........
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... .....................................
* ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
............................ ..........
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
L
Mound Component Dimensions
Down slope toe extension made.
A 8.96 ft E 14.23 1 in H .00 ft K 8.47 ft
B 67.00 ft F 9.25 in 1 .95 ft L 83.93 ft
6.02 23.93
D 11.00 in G 0.50 ft J [Aft W Aft
1 600.32 (ft Dispersal Cell Area 1200.00 (ft) Basal Area Available
8.96(gpd/ft) Linear Loading Rate P 670 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 97.19 (ft)
2 G H
........................
F Dispersal ell
95.42 (ft) 95.92 (ft) Lateral
— 11 0- Invert
.. .........
..... ........
Dispersal Cell
.... . . ... .
Elevation E D . . . . . . . . .
......... . . . . . . . . . .
..... .......................
.. ....... ........ ................
......... .
..........
4
4
94.50 (ft) Contour Elevation
3.0 % Site Slope Geotextile Fabric Cover
Shading Key o. T Dispersal Cell See lateral details on
... T
Topsoil Cap 1.5 ft Page 4 for number, size,
0 r
5
rrrrr
Subsoil Cap 0 0 and spacing of laterals.
Laterals are equally
cd
ASTM C33 Sand F
0.5 ft I spaced from the
ME= Tilled Layer
distribution cell's
V 5.
5
F51 M Aggregate 0 W centerline in the
A distribution cell (AxB).
Project: Lot 26 Mound Page 3 of 8
End Connection Lateral Layout Diagram
Center the laterals over the A & B dimension •- Turn- up Woo n out plug
P _I
All laterals are identical I<- X —� I Holes drilled on the bottom of the lateral S
equally spaced
Laterals be force main of PVC Soh 40 S
(per COMM Table 84.30 -5)
Force main connection via tee or cross to manifold at any point.
Number of Laterals 3 Orifice Diameter 0.125 in
Lateral Diameter 1.25 in Orifice Spacing (X) 3.12 ft
Lateral Length (P) 65.52 ft Orifices per Lateral 22
Lateral Spacing (S) 2.99 ft Orifice Density 9.10 fe /orifice
Lateral Flow Rate 9.06 gpm Manifold Length 5.97 ft
System Flow Rate 27.19 gpm Manifold Diameter 1.50 in
Total Dynamic Head 27.79 ft Forcemain Velocity 2.78 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
in. min.
Tank component is properly vented E— Alternate outlet
location
Forcemain diameter
Weiser 800 - 325 -8456 Manufacturer _ 2 in.
Capacity 800.00 Gallons
Volume 20.60 gal/inch A
Weep hole or anti -
Dimension Inches Gallons B siphon device
A 23.20 477.94
B 2.00 41.20 C P� ump off elevation (ft)
I
C 3.63 74.86 1 75.83
D 10.00 206.00
Total 1 38.831 800.00 D
Dose tank elevation (ft)
3" Bedding u Me r tank. 1 75.00
Alarm Manuafacturer IS. J. Electro Systems
Alarm Model Number I 101 HW
Pump Manufacturer JGoulds
Pump Model Number I PE 51
Pump Must Deliver 27.19 gpm at 27.79 ft TDH
Project: Lot 26 Mound Page 4 of 8
I
Mound System Maintenance and Operation Specifications
Service Provider's Name Installed by Nelson Plu mbing Phone 715- 273 -4444
POWTS Regulator's Name St. Croix County Zoning I Phone 715- 386 -4680
System Flow and Load Parameters
Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L
Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L
Soil Absorption Component Size 600.32 f: 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
Mounidl Inspect for ponding and seepage once every 3 years
Other
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap,
and are secured in as shown in the 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 • .............
MGrade
6 -8" Diameter Lawn _� Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lateral
g Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Lot 26 Mound Page 5 of 8
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its'
component manuals ISBD- 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 fiter 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.
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. Ponding levels shall be reported to the owner, and any
levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Continnency 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Lot 26 Mound Page 6 of 8
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21 11/03 THU 12:15 FAX 715 831 4621 FIRST SUPPLY EC PLBG IZ002
r, GOULDS PUMPS Su bmersible
Effluent Pump
a
PE
SPEORCATIONS MOTOR FEATURES
Pump — General: Generate ■ Corrosion resistant
• Discharge: t'h" NPT • Single phase construction.
• Temperature: 104 °F (40°C) • 60 Hertz ■ Cast iron body.
maximum, continuous. when • 115 volts ■ Thermoplastic impeller and
fully submerged. • Built-in thermal overload pro- cover.
• Solids handling: '' /2" section with automatic reset. ■ Upper sleeve and lower
maximum sphere. • Class B insulation. heavy duty ball bearing
APPLKATIONS • Automatic models include a • 0il-filled design. construction.
float switch. • High strength carbon steel ■ Motor is permanently
Specially designed for the • Manual models availlable. shaft lubricated for extended
following uses: • Pumping range: see PE31 Motor: service life,
• Mound Systems performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous
• Effluent/Dosing Systems PE31 Pump: • 12.0 Maximum amps operation. Low Pressure Pipe Systems • Maximum capacity 50 GPM • Shaded pole design ratings are
within the
• Basement Draining Maximum head: 25' 1DH woridng limits of the motor.
9 PE41 Motor.
• Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM ■ Quid( disconnect power
Dewatering • Maximum capacity: 60 GPM • 7.5 Maximum amps cord, 20' standard length,
• Maximum head: 29' TDH • PSC design heavy duty 16/3 S)TW wRh
NEMA 5.1 thr
: PE51 Motor. �' prong, Pump: 115 volt grounding plug.
• Maximum capacity: 70 GPM • .50 HP, 3400 RPM N Complete unit Is heavy duty,
• Maximum head: 37' TDH • 9.5 Maximum amps portable and com
METERS FEET PSC design ■ Mechanical seal is carbon,
ceramic, BONA and stainless
MODEM 1131, re41. PE31 steel.
35
I : NP. 33-40- so ■ Stainless steel fasteners.
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
i
Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must -
include. but not limited to: vertical and horizontal re and parcel I.D.
percent slope, scale or dimensions, north arrow, an Iocat�i�aricl;is�iGe
d-�nea t road.
Please print all info ation. Re 'wed by to
Personal information you provide may be used for ry pur Pr a� 15.04 ) (m)). c4 30
Property Owner Prope ocation
C c � ) T' Govt. IT SiF 1/4 301/4 S z 3 T� N R 2 U E (or)
Property Owners Mailing Add Block # Subd. Name or CSM#
- 12 S ' der
Z(o 15e , ems
City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road
• Iluo` c I HN 155b I (Z 1) (4'51-241 11w 3s
EP New Construction Use: [3 Residential / Number of bedrooms Code derived design flow rate t/ 16 U GPD
❑ Replacement ❑ Public or commercial - Describe:
�' Flood Plain elevation if applicable lam- h•
Parent material U F s
General comments �S r►l —el-e- 1. yS 5
and recommendations: �vll v r U SU
Boring # ❑Boring
®pit Ground surface elev. `l ( �
S L ft. Depth to limiting factor 2 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description jTexture Structure Consistence Boundary Roots GPD /ftz
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
rY r c s Iv
3 2 /� C p • 5 JL4 5,c- Zms�
Boring # ❑ Boring
❑pit Ground surface elev. r 4 2 U R Depth to limiting factor Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
1 0- i0 �I2
'E> � 2rr�bk c 5 I V. .5 g ,
2 10 - t) r '115 5 1 1 2mt bl< ,n, r C S . co
3 - 15 y( -- th, C10 - 1.5 `� 5', �I 2 Sbk UdL — — J
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = 8013, 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sign, a C� CST Number
"C4 WIX s i Zs33o
ddress G � �,y �•� � ��� Date Evaluation Conducted -7 /.. 57 - Number
Property Owner G arr . jpQc I Parcel ID , # Page Z of +�
1 27 Boring # • ❑ Bod 2 '; : ❑ Pit Ground surface elev. fl Depth to limiting factor 3y In.
Horizon EDe th Dominant Color Redox Description Texture Structure Consistence Bo FR15 Soil Appligtion Ra
. Mansell Qu. Sz. Cont. Color _ undary GPDtflz
Gr. Sz Sh.
.Elf/12
Z
c l - 10 I Si i Zm sbk mr
F-1 Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rai
Horizon Depth Dominant Color Redox Description.._ .. Texture _Structure Consistence Boundary Roots GPD /fl=
In. Munseli Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2
D Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Ralf
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /K2
in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff #1 •Eft #2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgrL ' Effluent #2 = BOD < 30 mgN and TSS < 30 mg /t.
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.
sea3330 tR.o7rool
PAGE ,3 OF
NAME Oa rv\'4 TOT #ZG LEGAL DESCRIPTION Y l a S --, T 3a N,R_Z E (or )Q
" ,SCALE: 1 "= J1U -- -- - --
BM I ELEVATION f�
BM 1 DESCRIPTION
BM 2 ELEVA'T'ION
7,5
BM 2 DESCRIPTION ;l ,' - --
� I
SYSTEM ELEVATION
SYSTEM TYPE rho u 'A
CONTOUR LEVATION
do
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SIG 1 E - - - -- DATE
s awl x co uN t
SEPTIC TANK MAINTENANCE AGP.EEME7'47'
AND
OWNERSHIP CERTIFICATION DORM
OwnceBuyer _ St. Joseph Development Corporation
Mailing Address 12415 — 55th S treet North, Lake Elmo, MN 5V42
l it'R o
Properly Address AW — T h F. 1, N A
(Verification required from Planning Department for new co n)
Citylstate Town of St. Joseph, WI Pared Identification Number See Attached Deed
o3o - 21 3 1 - Z(6 - /a
LEGAL DESCRIPTIC)N
Property Locatioa NE /,, sw 1 /,, Sec. 2 3 . T 3 0 N -R 2 0 W, Town of S Joseph
Subdivision Settler's Glen , Lot # �
Certited Sarvey Map # . Volume . Page #
Warranty Deed Deed # 7 0 0 5 6 9 . Volume 2� Page # �0
Spec house 0 ycs no I,ot lines Mcndflable yes ❑ no
SYSTIEM MARTMNANCE
. Improper use and rm.intenance of }roar septic r could result is its gremab failure to hwdle wastes. Proper mamtcriaace
consists of p=Ving out the septic tank every three years or sooner, if needed by a licensed pamper. What you put into the system
can affect die function of $u septic tank as a tnatmcat stage is flee v%ste fiisposal system.
The property owner agrees to submit to St. Croix Zoning Ducat t oafiifxcatioa form, signed by the owner and by a
=as6erp1mmber, joameyr=pb=ber, restrictedpb=ber or a hoeusedpumperverifying that (1) the on - site wastewaterdisposal system
is is proper operating condition and/or (2) after inspection And pining (if necessary), the ecptie tank is less than 1/3 full of sludZe.
Uwe, the undersigned have read the above requirements and agree to maintain Vac private sewage disposal system with the standards
set forth, herein. as set by the Department of Commerce and the Dq=tu of Na Resources, State of Wisconsin.. Certification
stating that your septic cystmn has been maintained must be comp to St. Croix County ' cc within 30
days of ti
1 i
SIGNATURE OF APPLICANT DATE
QWNER CEfZT ICATION
I (we) certify that an statements on this farm am true to the best of my (ou) knowledge. I (we) am (an) the 0%mc*) of
the property dcAribed above, by virtue of a warranty deed recorded in Regster of Deeds Office,
f
SI ATURE OF APPLICANT BATE
sass Any information that is mis-mpresented may result in the sanitary permit being revoked by &,c Zoning Department
•` Include with this application: a stamped warranty decd froth. the Register of Deeds office
a copy of tiie certified survey map if reference is made in the warranty deed
J 2065P 548 -712) m569
KATHLEEN H. WALSH
Document Number
TRUSTEE'S DEED ST. CROIXOCC). , W,
HENRY J. LENTZ, as Trustee of The Henry J. Lentz Family Revocable RECEIVED FOR RECORD
Trust Agreement dated May 24, 2000; and Bernice A. Lentz, wife of 12/02/2002 01:00P1!
Henry J. Lentz, for a valuable consideration conveys without warranty to EXERT i
ST. JOSEPH DEVELOPMENT CORPORATION, a Minnesota
corporation, Grantee, the following described real estate in St. Croix REC FEE: 13.00
County, State of Wisconsin: TRANS FEE: 4590.60
COPY FEE:
CERT COPY FEE:
PAGES: 2
See attached addendum.
This is homestead property Recording Area
Name and Return Address
LAND TITLE, INC
1900 5:'_'.:: L ^OAO
FIE17 55112
FILE NO. all "1 q / WA
030 - 2032 -50 -000; 030 - 2032 -10 -000;
030 - 2032 -70 -000, 030 - 2033 -20 -000;
030 - 2033 -40- 000;030- 2043 -10 -000
(Parcel Identification Numbers)
Bernice A. Lentz, wife of Henry J. Lentz, joins in this conveyance to relinquish any homestead and marital property interests,
but does not join in any of the warranties.
Dated this � day of �II��U. 2002.
*Henry J. L Trust
*Bernice A. Lentz
AUTHENTICATION
ACKNOWLEDGMENT
Signature(s) r 2 Ct vi
-� STATE OF WISCONSIN
f ✓l 'r a- A. Le — Jz ST. CROIX COUNTY
Personally came before me this _ day of
authen ' ted t is k day of ���• 2002, the above named Henry J. Lentz, as Trustee of the
n Henry J. Lentz Family Revocable Trust, and Bernice A.
AXX Lentz, to me known to be the person(s) who executed the
signature foregoing instrument and acknowledge the same.
type or print name
TITLE: MEMBER STATE BAR OF WISCONSIN signature
type or print name
(If not,
authorized by' 706.06, Wis. Stats.) Notary Public St. Croix County, WI
THIS INSTRUMENT WAS DRAFTED BY My commission is permanent. (If not, state expiration date:
Robert F. Wall ')
'Names of persons signing in any capacity should be typed or
printed below their signatures.
Lentz TrusteesDe edStJosephDevelopment -02
1 2065P 599
Property Description -
(Henry J. Lentz Family Trust /Grantor to St. Joseph Development Corporation, Grantee)
A PARCEL OF LAND LOCATED IN PART OF THE NWl /4 OF THE SW 1/4, PART OF THE NE1 /4 OF
THE SW I/4, PART OF THE SE1 /4 OF THE SW I/4, PART OF THE NW1 /4 OF THE SETA, AND THE
S W 1 /4 OF THE SE 1 /4 ALL IN SECTION 23, AND IN PART OF THE NE 114 OF THE N W 1 A OF
SECTION 26, ALL IN T30N, R20W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN;
DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTH QUARTER CORNER OF SAID SECTION 23, THENCE S89 °59'28 "E
ALONG THE SOUTH LINE OF THE SETA OF SAID SECTION 23, 1329.95 FEET TO THE EAST LINE
OF SAID SW 1/4 OF THE SE 1/4; THENCE N00 °05'53 "W, ALONG LAST SAID EAST LINE AND THE
EAST LINE OF THE NW 1/4 OF THE SEl /4, 2662.66 FEET TO THE EAST -WEST QUARTER LINE OF
SAID SECTION 23; THENCE S89 1 57'49 "W, ALONG SAID EAST -WEST QUARTER LINE, 1103.88
FEET; THENCE S00° 15'03 "E, ALONG THE EAST LINE OF LOT 2 OF CERTIFIED SURVEY MAP
RECORDED IN VOLUME 3, PAGE 711, AND THE SOUTHERLY EXTENSION THEREOF 541.62
FEET; THENCE S89 °44'57 "W 349.84 FEET; THENCE N00 °15'03 "W A DISTANCE OF 100.00 FEET TO
THE SOUTHWEST CORNER OF SAID LOT 2; THENCE ALONG THE SOUTH LINE OF CERTIFIED
SURVEY MAP RECORDED IN VOLUME 4 PAGE 944 S89 0 44'57 "W A DISTANCE OF 699.66 FEET
TO THE WEST LINE OF LOT "A" OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 4, PAGE
944, AT ABOVE SAID OFFICE; THENCE N00° 15'03 "W, ALONG LAST SAID WEST LINE, 445.55
FEET TO SAID EAST -WEST QUARTER LINE OF SECTION 23; THENCE S89 °5749 "W, ALONG
SAID EAST -WEST QUARTER LINE, 1107.54 FEET; THENCE S00 °) 7'14 "E A DISTANCE OF 304.14
FEET; THENCE N89'4 1'28"W A DISTANCE OF 404.95 FEET; THENCE S00 °17'14 "E A DISTANCE
OF 1025.47 FEET TO THE NORTH LINE OF THAT PARCEL DESCRIBED ON DEED RECORDED IN
VOLUME 562, PAGE 563; THENCE N89 °05'35 "E ALONG LAST SAID NORTH LINE, 1222.12 FEET
TO THE EAST LINE OF SAID PARCEL; THENCE S00° 15'40 "E ALONG LAST SAID EAST LINE,
1352.12 FEET; THENCE S02 1 5223 "E, ALONG LAST SAID EAST LINE 1324.16 FEET TO THE
SOUTH LINE OF SAID NE 1/4 OF THE NW 1/4 OF SECTION 26; THENCE N89 °5 5'00 "E, ALONG
LAST SAID SOUTH LINE, 66.08 FEET TO THE WEST LINE OF LOT 1 OF CERTIFIED SURVEY
MAP RECORDED IN VOLUME 5, PAGE 1352, AT ABOVE SAID OFFICE; THENCE NO2 0 52'23 "W,
ALONG LAST SAID WEST LINE AND THE WEST LINE OF A PARCEL RECORDED IN VOLUME
623, PAGE 331,1325-87 FEET; THENCE N00 °1 5'40 "W, ALONG LAST SAID WEST LINE, AND THE
WEST LINE OF LOT 1 OF CERTIFIED SURVEY MAP RECORDED 1 VOLUME 2, PAGE 348,
521.61 FEET TO THE NORTH LINE OF LAST SAID LOT 1; THENCE S89 °53'49 "E, ALONG LAST
SAID NORTH LINE, 894.17 FEET TO THE EAST LINE OF LAST SAID LOT 1; THENCE SO4 °28'32 "E,
ALONG LAST SAID EAST LINE, 523.40 FEET TO THE SOUTH LINE OF THE SW 1/4 OF SAID
SECTION 23; THENCE S89 0 53'32 "E, ALONG LAST SAID SOUTH LINE, 107.05 FEET TO THE
POINT OF BEGINNING. PARCEL CONTAINS 162.778 ACRES, SUBJECT TO RIGHT -OF -WAY FOR
S.T.H 35/64 AND C.T.H. "E" AND SUBJECT TO ALL OTHER EASEMENTS, RESTRICTIONS, AND
COVENANTS OF RECORD.
\ • � a ��` "1'��`� � 8y�_ '
\35,' • ` , ,� cT •�t� :C�m' ' x�� � x ,'iJ.. `•\ (!
LOT 22
3.001 ACRES �'� a '"s - �'f',•`>"
130.707 SQ. FT. c,`` ,� •, r ,,, '"
' : ? CONSERVATION
EASEMENT
LOT 21 y`'•` "T
[] {{
3.001 ACRES
F ..,. s
\ \ 130,733 SQ. Fr. �,� t .� � ,LOT 20
ACRES \
20' RECREATIONAL '130,721 SQ.: FT. \
MLtASEMENT
\
CONSERVATION \ e � a"",� `''� "'� L B O =866.0 .
EASEMENT
1
\mss LOT 24
T
}\ EWT
� t' G. , ' ,. � DETAIL
Figs
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IN
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5 N p 1 ^w
DRAINAGE j
. ..; r
130 , 6W SQ. EFr. \ EASEMENT D
rr L.B�0- \\ SEE'DETAIL
\ \ \ss\ LOT 26
\ \
\3.001 ACRES
88°o8b6"VV 232.45
N 130,707 SQ. FT. \
\ n '�.
L.B.O. =866.0 ah
OUTLOT 1
.. n Z 6 I 1.000 ACRES g5
s
I $ ' 43,580 SO. FT. • : ��:
w 02 CEMETERY
3.001 ACF
DEDICATED TO THE 130, 709 SC
— — — — — — m ! TOWN OF
-' ST. JOSEPH L.B.O.=
O
422.10' I L_
_ _ FARM - I 587 0 0707"E 358,72' \
N87°0T07 W 846.92' TRAIL - 2 \