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HomeMy WebLinkAbout032-2015-95-500 Parcel #: 032 - 2015 -95 -500 02/01/2005 09:05 AM PAGE 1 OF 1 Alt. Parcel M 4.30.19.527F 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner * SCHMITT, STEPHEN D STEPHEN D SCHMITT 586 VALLEY VIEW TR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1743 50TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 10.036 Plat: 0804 -CSM 13/3592 SEC 4 T30N R19W NW SW BEING LOT 4 CSM Block/Condo Bldg: LOT 4 13/3592 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 09/22/2003 740792 2415/518 EZ -U 10/04/2002 692939 1999/406 WD 02/04/2002 670125 1829/169 EZ 02/04/2002 670125 1829/169 EZ more... 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 10692 193,900 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.036 83,000 81,400 164,400 NO Totals for 2004: General Property 10.036 83,000 81,400 164,400 Woodland 0.000 0 0 Totals for 2003: General Property 10.036 83,000 0 83,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/04/1998 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 429910 0 GENERAL INFORMATIldff (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: Schmitt, Stephen I Somerset Township 032 - 2015 -95 -500 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: 1 f D C9 I✓C PI eF 04.30.19.527F TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C� Benchmark /a 16 Dosing Alt. BM gU 1 0&-35 Aeration Bldg. Sewer 7. 77 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 3a TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ; J 7 � 7 , Dt Bottom I YY1 1 Dosing / Header /Man. / 3 •� Aeration Dist. Pipe Holding Bot. System o 6 1 v PUMP /SIPHON INFORMATION Final Grade I• , ( ��' Manufacturer (I 1 / p Demand St Cover p GPM '� L Model Number 0 At0 S Top 5ZTZ 116 i o , 6, TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well > SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Qjh DIMENSIONS -3 1 (p7—') fb t 17 eel SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: / f G (�n,�.1; �Z'Vl•(,/ 1 D ` � S� � �� �/ UNIT umber: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake L1 // Pipe(s) A ' /� A � , E'c4Gl Length Dia ! Length / `r Dia � Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over xx Seeded /Sodded xx Mulched Bed[Trench Cen r Bed/Trench Edges Topsoil o Ls<'p COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 3 CL I1n= .30.19.527F Location: 1743 50th Street omerset, WI 54025 (NE 114SW 1/ 4 T30N R19W) NA Lot 4 1.) Alt BM Description= /V C c�yrvly_ ry Y ` u j i m 11 0/4e rr �� 2.) Bldg sewer length = 00 -5e V ( ' /Vq' V �` - amount of cover = i Cp� f � `� "� A t �,v CL L i Plan revision Required? Yes No - V - - -.. - - -. K<�g n. — Us e other side for additional information. � 1 0 � SBD - 6710 (R.3/97) Date Insepctoure Cert. No. '�; raw P ' C A'3" � Safety and Buildings Division County C QO I X N) P isc onsi fn 201 W. Washington Ave., P.O. Box 7162 5 7, Madison, WI 53707 - 7162 Site Address +1k Department of Cofimerce -4P ( '41 5 't-. Sanitary Permit Application Sanitary Permit Number f Z11 I o In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary purposes Privacy Law, sl5. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name R C C e I V Number 5 FP14EN S(, Hl)i / T i C L 03z4015 - -qs - SW (.,T . F� Property Owner's Mailing Address Pro T Loc�a) tion ss & V /q t ��'. APR 2 1 200 IV S W'.i:S T 3 D N, R )� C,c s� V rt; W City, State Zip Code jPhNu�er,;�OIX, COUn; Lot umbe r , r Block Number ZONING OFF!CE CSM Number so�lc'�SEi LUT sqalz�S 715- 5 Yf CSWw k b'4.S'"& %' l3 P 542 II. Type of Building (check all that apply) f S�Mu ❑City fN 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - Describe Use ®Township s ofi l c P 5, 67 State Owned Nearest Road 3 Y- c2 16 O SO ; rt S ?. III. Type of Permit: (Check only one box on line A (numb e ' scheme for internal use). Complete line B if applicable) A For County use 1 0 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Onl Eris System B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 1 Non - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating — 39PO ther V. D' ersal/'IYeatment Area Information: ` OD Design Flow (gpd) Dispersal Area Dispersal Area Sod Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) 10q, g s Elevation / oro. 8S ,30f� ��10 Gaa . � /05.8 108,.3s VI. Tank Into Capacity in Total Number / Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks C Rf Z 46LL 4 -10o Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank /Svc) i 0 - / W p Dosing Chamber 490 I G <; r 5 C, 0 VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber s Sigg nature MP/MPRS Number Business Phone Number oOA) SeH-1)1117 ;2 -�76 0 71 - syy - G6s� Plumber's Address (Street, City, State, Z' e) So.n,�,e w1 s YDa S VIII. Count /De artment Use Only d ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) M Approve Surcharge Fee) ❑ Owner Given Initial Adverse Determination lX. Conditio4sof Approval/Reasons for Disapproval pl yd1 vi'�4�.nRbJ nb _ /t �ch� plans_ (tq thq C ody)Yor syst� pa not les; x 11 Inch2 In size �� t,v`r(,� bQ ) N f t C�IJ Qj i S SBD -6398 (R. 05101) 4,-4 CA AtA` " ever St , ST ePHfP Sc HM Tr ppR�ox. beau = log. 3.5 �y" PVC IN ,5pECT1DtJ *_VENT__ Q.7 A PReox, 6e = /06 SS fit. = Ios.BS ! 3 _ _ QEo PEEN 4�E _ WTZ 466 A /oo -- A LT. B FENcF BM - f 60 M AO ® NEktSE PePosco J► - SCA�E ju6 - ,�► -Toy o P o W L AG7 Bm T " - 6 oOA _ coeNE _ Posr - . tG. /b7e 6 _- - - -- _.Jos . _ _ ._ - - --- - -� _X - - -- - f j p - - - - -- - SY�TEnt _Q% 5LOPE _. low /0 lf. 8S - - .DRiv�w•4Y - -- - -_ -_ : -- ...11..18 - fkEnJ_C__1i6 - X8 VAuEV V 7e. ` o- - . _ SO m,E s•E . faJ S�IOa S o i�tG �'SE Wr SYOa_s 'TrPHgf\) 5c Nrn i r 3s VG �'NSDEC7 /DN t Y EivT PIP! APReWt. 6ea0E /O6',• - ' C, . l04 8 S Qev PE�2ry ca w E i ' I 7400 CAL s, T W Z ABEL �} 7"'0 ALT, S/V1 - Wt FE Ncr - - -- - PRaAoSCD _- �_ I►�Ci�i+S- - - - - -- _ a . Bm - - Tod tz /vo _ m Ta P -e ►= 6 w oo o coeai f Po;; . t 4, - /b7, 6 L7 B - - s'y�tEvrt_ L•_. _ Nib ... We .5IOP-E _,p9 W 1N_4 ,oe, J STEPREM - ,5c 14 n, r �- - - - - -- - - - S m Q_ e 71 : �.t Stlo 1�'-Z 5-Y s" 1150 Wisconsin Dep artment of Commerce SOIL EVA Pa 1 of 3 in accordance with Comm 8 Wis. Adm. Code Division of Safety and Buildings V E D Tom Schmitt , Attach complete site an on + County pl paper not less than 8/ x 11 inches in size. Plan ust APR � o .^� St. Croix mn include, but not limited to: vertical and horizontal reference point (BM), directio and Parcel I.D percent slope, scale or dimemsions, noM am m, and location and distance to rest road. 032- 2015 -95 -5001 Please print all information. ST. C �H o i x C O ZONING OF D Personal inbormation you provide may be used for secondary purposes (Privacy Law, s. 15.o4 ( ) m . ZI •� Property Owner Property Location J Schmitt, Stephen Govt. Lot NE 114 SW 1/4 S 4 T 30 N R 19 W Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# 586 Valley View Trail 4 CSM 13/3592 City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset I WI 1 54025 715 - 549 - 6651 Somerset 1 50Th St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.5 gpd /sgft rating. System elevation for step trenches (high) 105.85 (low) 104.85. Slope is 9 %. Boring # Boring ✓ Pit Ground Surface elev. 107.26 ft. Depth to limiting factor 55 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 1Oyr3/4 none Ifs 2fsbk mvfr gw 2f .5 .9 2 12 -23 1Oyr4/4 none Ifs Osg ml gw ---- .5 .9 3 23-55 10yr5/4 none ft Osg ml gw .5 .9 4 55-64 1Oyr5/4 c2.5y0yr/66/1 Ifs lcsbk mvfr - -- - -- .4 .6 -Lk 0 jkd 441 " 0 VW1 -- X" � 7 C" 7X o . BS� t Boring # Boring ✓ Pit Ground Surface elev. 107.26 ft. Depth to limiting factor 60 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/itz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 1Oyr4/4 none tfs 2csbk mvfr gw 2f .5 .9 2 14 -31 10yr5/4 none fs Osg ml gw - - -- .5 .9 3 31-60 1Oyr5/3 none fs Osg ml cs ---- -- .5 .9 4 60 8 7.5yr4/4 5yr6/8 /1 sl lmsbk mvfr — .4 .6 Iv•9z.. ,9i. * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS s mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 1/9/03 715- 247 -2941 Property Owner Schmitt, Stephen Parcel ID # 032 - 2015 -95 -500 Page 2 of 3 3 ] F Boring # 'Boring VF Pit Ground Surface elev. 104.21 ft. Depth to limiting factor 54 _ 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 0-14 10yr3/4 none Ifs 1csbk mvfr gw 2f .5 .9 2 14 -31 10yr4/4 none fs Osg ml gw - ----- .5 .9 3 31 -54 10yr5/4 none fs Osg ml aw .5 .9 4 54-80 1n2d 10 0 7.5yr4/4 7 5 / 8 /1 sl 1 msbk Mil - -- ---- .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 QPDW In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Bo ring rin # 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 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD -S 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 naaA motaria) in nn oltamota fnrmot �1.—' —f—t 0 — A--t —t of (.11R_7!.!._2I Q 1 — VTV AnR_7411_R777 li Pav 3cf3 or I f ro 's Vi ` we i - D / 27' L as _ kN �1`4.�.�,L►�i FOr 5�e pLiFti S��•n�1`t f'u�.J iLt� b, /'• ic3s -►aS T. 5c,4 - �'�llQ 7,,;/ cs tom► �7 S , 0��� .�'r fir/, Z✓Z .f Yo/ ? t..� fa S � �� o � Sa �►ers�e�`` PACT of PUMP CHp,M E.R CR055 SECTIOM kMo SPECIFICATKM.'S lb •. VCwT C ^P y"C.i. V(,IJT VJPC WCAT9CK FILOOr APPROVE Ka►tJ: .tusXT1014 IbO1( �1"tAwNQ .0 CO • M 01' to its trrlfrf! i 11 "Miff• I rIWuuw uK r R�blt i a lit tIJTI►KE 611Anc f "M►N. coNCAT IQ 'PliAi. �� PROVIDE _'••••• •• JIJLCT r AIRTW t-i SCAB. I 1 1� (, N,PIII,OYLO ,i01yTi AP!'tLOYiO .yOtuT A I I { W/c. PIPt W/ C.%. POPS 1 I I i ALARM LXTEUDIM6 3 CKTCUDIIJ& 3' I I ONTO JIOLIO i01L OMyo iOLlq •OI L I I 1 OW C I ; L�GK• PUtiP� __J w Off C► COA►CKETE &1.DCK 3" APO" RISCR Ex 17 PCKMITTED CAJLS IF TAWK rAAbjuFACTURE R HAS SUCH APPILOVAL. SEPTIC S PE C. I F I C AT I OW S 0058 Week's C.P. +or -5 �� cy� MA�uiatru�tCA�: del► of aosES: PE1t 0" . T"K LIZE :.._.- 800 .�.... GALL tti1.I5 005E VOLUME MMJLIPAC"CSJRER: tronic Tankmate tMdCLUDti.1(. &^ZKF6*W1 65-2 �,�.� frALIQNf A%ODCL I. UPA& tit: M CAPACITIES; A a 2 0 . 0 IMCNES OP. j.3 5.:.2 %Aj,LONa SWITCN TNPE:._ .r. ' e tC ?ry D ... Q. l A1CtIEi 011 4 3 of"a", UMP MAUUFAtTURCK . ....Z 0 a 1 .1 eJZ C • ...3..52. - wtwtS OK 65 2 6Ai60US M,pCL WLIMRtK:. 151 D 1.2 . 0 jmr.'11J:5. OR 2 6 1: 126ALLON9 SWITCH TOPES _ .,.,rI:.Chani ca,l,�„__ .I! J:; PUMP A1.3P ALARM ARC TO SC M #IJIMIlMI DISCM�AltCaE RATE NA c Prr► INST'A�LED Old 5EPARATf~ CIRCUITS VEILTIC04L OIFFS&E L9 CET•WCCIJ PUMP OFF atJD.QIbTRibUTIDAI P1PC.. 10. 0 FEET + JMIAIIMUM ' WCTWOKK SUPM tl PIkESSUItE . . . .. . . .. ....R.__ FLET , n + 6 0 FEET OF FORG6 MAIW X 3 ...� �ioae•FR ►cY1ou FACTOR— $ FEET i TOTAL Dd)JAMIC McAb = 1 1 - AR FLET ( (o MTERWA6 DIMr,vJ%%91ojf OF TAAJK: LE ?J (wTK .....,...,. ;WIDTH ......r.....; L lQuio 0141"T I .rrwir..,,,, .• SlaNE0.1 LICEUSE WUMSER; cc K w PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD /FLOW 50 PER MINUTE 14 45 153 EFFLUE AND DEWATERING 12 ao MODEL 151 152 153 35 = 10 152 Feet Meters Ga. Liters Gal. Liters Gal. Liters v 30 5 1.5 50 189 69 261 77 291 z 10 3.0 45 170 61 231 70 265 0 8 151 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 6 20 25 7.6 16 61 34 129 42 159 30 9.1 – – 23 87 33 125 15 4 35 10.7 – – – – 22 85 10 40 12.2 – – – – 11 1 42 2 Shut -off Head. 30 ft. (9.1 m) 38 ft. (11.6m) 1 44 fl. (13.4m) 5 0145088 0 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 014509A Model 151 Models 1521153 CO NSULT FACTORY FOR Imo— 6 7/3? —.- 6 114 SP ECIAL APPLICATIONS 3 7 — 4 5 3 27,32- 4+-- -4 5,8_ • Timed dosing panels available. e ,� 3 /, ��� 3 z7;3z Electrical alternators, for duplex systems, are available and / \ �' supplied with an alarm. - e a - 0114 • Variable level control switches are available for controlling / 3 ;; F U 3 27/32 single phase systems. Double piggyback variable level float switches are available _ . .................. for variable level long and short cycle controls. I • Sealed Qwik -Box available for outdoor installations. See FM 1420. - - - -- }- - � � I • Over 1307. (54 °C.) special quotation required. — __ it ':ijtb 12 1/6 1511152/153 Series 15111521153 MODELS Control Selection i Model Volts-Ph Mode Amps Simplex Duplex ! ;' - -,- __ N151 115 1 Non 6.0 1 2or3 - ..... ........ 1 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2or3 BE151 230 1 Auto 3.2 Included 2or3 151TEMP SK2064 N152 115 1 Non 8.5 1 2or3 BN152 115 1 Auto 8.5 Included 2or3 E152 230 1 Non 4.3 1 2 or BE152 230 1 Auto 4.3 Included 2or3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 SELECTION GUIDE BE1531 230 1 Auto 1 5.3 Included 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. A CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. _ MAIL TO: P.O. BOX 16347 Z Louisville, KY 40256 -0347 Manufactu of. . SHIP T0: 3649 Cane Run Road Louisville, KY 40211 - 1961 Quo[ /TYPUMP9 S ,YCE �ff9 p a 2 http: / /wwwzoelier.com PUMP IO (502)77FAX(502)77�403624 928- PUMP © Copyright 2002 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ?/ FILE INFORMATION SYSTEM SPECIFICATIONS F r Septic Tank Capacity 1 al ❑ NA # q� Septic Tank Manufacturer Week' S C.P. ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Zabel ❑ NA Number of Bedrooms 2 ❑ NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Units ■ NA Pump Tank Capacity 800 al 13 NA Estimated flow (average) 200 gal/day Pump Tank Manufacturer Week ' s Q P ❑ NA Design flow (peak), (Estimated x 1.5) 300 gal/day Pump Manufacturer Zggj ler ❑ NA Soil Application Rate 0.5 gal/day/ft' Pump Model 151 ❑ NA Standard Influent /Effluent Quality Monthly average' Pretreatment Unit M NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ■ In- Ground (gravity) b In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /100m1 ❑ Drip - Line ❑ Other: Maximum Effluent Particle Size Y in dia. [3 NA Other: ❑ NA Other: ❑ NA Other: ❑ NA n *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA ; MAINTENANCE SCHEDULE Service Event Service Frequency At least once every: ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) ■ ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) N yea�(s�(sl (Maximum 3 years) 13 NA At least once every: ❑ month(s) ❑ NA Clean effluent filter At least once every: ■ year(s) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ® year(s) ' ❑ month(s) N NA Flush laterals and pressure test At least once every: ❑ year(s) Other: ❑ month(s) p NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks. or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z- of Z ' START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impedb the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may'result in the backup or surface discharge of moved b a Se ta he contents of the um tank re Y P 9 e Servicing Operator prior to restoring effluent. To avoid this situation have t pump power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; • foundation drain (sump pump) water; fruit and vegetable peelings; gasoline, grease; rease• herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ■ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. 13 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name ownp Phone (715)-54 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name nwners choice Name St. Croix Cty Zonin Phone Phone ](71- 1 ) )-386-4680 This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. 09, d - - LAN. _ J i I Site Diagram Legend' _ I I ... PROPERTY SILT I........ — .:_.._ - LINE FENCE EXISTING — ' DRAINAGE �"' "�`_� SALES t 1 t I1 MI'1 14AIiY (MAVI =f IVLIIbIUN FINISHED TPRESERVATION DRAINAGE LIMITS OF STOCKPILED _ _ GRADING TOPSOIL VEGETATION V SPECIFICATION AREA I : NrYY I � I I . i y I - iGAfL'Fk I , CC I I I ...... _..._ I ; I 1 IF I I u� 1. i i I I -- - - I ._.._ — - - !- - -- ' I I I I I i I i I ,b -- -- I ,. QI 1) _ k j . I ' s Q Jn��s�� I ( - a , i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer s / L����� 56 Hn 1 I Tl Mailing Address 5 1 4 C I- F P AE /V 7e Property Address I 1 4 3 so 7H (Verification required from Planning Department for new construction) City/State Sahl eeSe % T Parcel Identification Number 4�31 - 0 2 © /S- 9.5 =d' Oo LEGAL DESCRIPTION Property Location 9 F 1/4, SWJ `/4, Sec. T � N -R_LLW, Town of -5b 1 ceSET Subdivision Lot # Certified Survey Map # Volume 13 ---, .Page # Warranty Deed # r Uu 2 , Volume J ? 9 9 , Page # Spec house ❑ yes 55 no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed Pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted p lumber or a licensed pumper 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 Wisconsi Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of t1ke three year expirati n date. 41- SIG TURF 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 prope described above, by virtue of a warranty deed recorded in Register of Deeds Office. 5/l ail e3 SIG O APPLICANT 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 7 1999P 406 !( 6 9 2 9 3 9 STATE BAR OF WISCONSIN FORM 2 -1999 HATHLEEN H. WALSH Document Number WARRANTY DEED RE GISTER . CROIXOCo. , W I This Deed, made between Kevin C. Erlitz and Ann M. Erlitz, RECEIVED FOR RECORD husband and wife, _ _ 10 -04 -2002 11:15 AM WARRANTY DEED -- EXEMPT N Grantor, and _ Stephen D. S chmitt _ REC FEE: 11.00 - - TRANS FEE: 300.00 COPY FEE: CERT COPY 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 T at part of N W 114 S W I A Sec. 4- T30N -R 19 W described as follows: Name and Return Address f Certified Survey Map recorded in oy I. 13 of Certified Survey Maps, p age 3592, as Doc. No. d956J6. Together with 66 foot access easement as shown on sat ertified Survey Map, St. Croix County, Wisconsin. 032- 2015 -95 -500 Parcel Identification Number (PIN) This is not _ homestead property. 04) (is not) .... -_ Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of October 2002 + + Kevin C. Erlitz -- + + Ann M. Erlitz --- - -- -- -- - -- --- AUTHENTICATION ACKNOWLEDGMENT Signature(s) Kevin C. Erli and Ann M. Erlitz, husband and STATE OF WISCONSIN ) wife, ) ss. - - _ County ) authenticated th' ay of October 2002 — _ Personally came before me this _ day of the above named r Kri stina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Seats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland - _ -_ Notary Public, State of Wisconsin Hudson, N 1 54016 _ -.,. My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) + Names of persons signing in any capacity must be typed or printed below their signature. w—iar, FrM++sbnel+ P-r. 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"T7t^ EIY., iw `v'?'G'.1SI ioQ,1x 4.,, . 111 F ... 70 120 130 9;79.62' ' #£:Mrs A4Tfi'. .. 10 36 191 LOCK VALVE: 19' 19' 19.25 23' 26' 46' S6' 66' 66.5' 73' x' 91' 0' 13 T' 115 34 110 32 105 100 30 95 28 90 186, 26 85 4186 24— 165, 416 75 0 22 w 70 x �' 20 65 Q 0 18- 60 1 63, 41 63 1 89, 0 55 4189 1- 16 50 14 45 12- 40 I 188, 4188 3 10 5 30 185, 8 137, 4185 25 139 6 20 15 4 10 42 161, 2 5 48 4161 53,55 98 57 9 1 T I 0 1 I I I I I I I I I I I I I U.S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922a I n Wisconsin Department of Commerce SOIL. AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in aCct�rd ►C _ vith s; fLHR 83.09, Wis. Adm. Code f Attach complete site plan on paper not less than S /8 2{Y1 inch Ptlan County must , /� include, but not limited to: vertical and horizontal ?" C r nce poin ( +�R 4ttion and J (� /B r percent slope, scale or dimensions, north arrow, rl�lbcati „,and distance to nearest road, , E Parcel I.D. # . ' , 77 P + J APPLICANT INFORMATION - Please in Reviewed by Date Personal information you provide maybe used for seconda)y, "Ser�Qm" a 15.OQ -j1f far)). Prop Owner ` '/` •.,_ Y2ibplerty Location a F N&I sim S ovt. Lot 1/4 5A)1 14,S T _30 ,N,R / � IIII& W Property Owner's ailing Addr ss Lott # Block# Subd. Name or CSM# -e. S, ; Y � Z StateZip Code Phone Number Nearest Ro d ) G��" 7,161 ❑City El Village 1a Town d- �b-� C �ie d New Construction Use: &Residential / Number of bedrooms Addition to existing building ❑ Replacement El Public or commercial - Describe: '7 // Code derived daily flow y god Recommended design loading rate • bed, gpd /ft trench, gpd /ft Absorption area required s bed, ft trench, ft Maximum design loading rate • 5 bed, pd /ftz� trench, 9 pd /ft 9 Recommended infiltration surface elevation(s) 103. �/ ft (as referred to site plan benchmark) Additional design /site considerations S C(. 86 5 -ed 0 CC> 40ter LINe i�F // aA WW1 / 1 ) ( � ,� / Parent material fLe'�lJ �S �, Flood plain elevation, if applicable / Yh ft S — Suitable for system Conventional r,M�ound In- Ground Pressure AT -Grade System in Fill Holding Tank U — Unsuitable for system ❑ S 9U �S ED U ❑ S 0I U ❑ S I�U ❑ S Rb El U 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 L v7i�S d •? . 6 Ground „3 3p 7 3 yS A C . e elev r 24 Depth to limiting ; f��,c,t,P��� f in. Remarks: / /� Boring # ` /� 3�5� S a�r►�S/�iZ /���r L-J - 2 /l S o7i>75�� h'1 Utr G S S_ mom 3 57:4 6 VIV cat ,rye Sys c 4 01WI 'nj r C5 Ground 7 3� .S� J O,S C elev Depth to limiting factor zi�__ in. Remarks: CST N me (Please Print) Signature Telephone No. Address Date CST Number PROPERTY OWNER f1c�r f y Z 1 d SOIL DESCRIPTION REPORT �/ Page . 2 of PARCEL I.D.# • Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench o ve 13 -PSG a -5 / y PYL 1 02wsd k mll f C 1 ' 6 Ground / 3 y �y c` Syk SQ �► �'� G t,YJ /yp / el_ b S >� Depth to limiting facto Rin. Remarks: Boring # .......................... Ground elev. ft. Depth to limiting I 9 factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots 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) T - _ ! /1 4 10 f ! I I - t - -- - Y{ 'L7 dt�l e ! I , I i j ' i I i I 1 02010 Kr J "P� ✓e. ` J� TM o(v1� T io fi Q f Asa y. -- - - 1 � I i i � � i 1 ` ' I _ _ �.._ ; .. I . __ _ � .__�._ _ _... _ ._. .. ._ i_ � i i i __._. �. ..f. � � ' � '', i '. � _ I �. i I •, � .. ' i � i ,_ � I i -. f ,, .._ +I � I I - -t � - � ,, _ !- __ i j � _ � _ s _ ,. , i ' � _l � t , __ I � , '. � � � � � � � � � � � - - � -- r � — - — - -- �� I i ._. ,.... � - __ �. _. _.. f .. i � _.... , __. -- i ... _ _. -- —_._ _.. _. �- ', - - � � u -�. _ �. �. � - - r __ _ - - -- �— � _. - - - -. �� � '. � - I I � i _.. i i i .. �. i i i i