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032-2016-20-400
Wisconsin Department of Corrfinerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division -- INSRECTIQN REPORT Sanitary Permit No: 430357 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Carlson, Shawn Somerset Township 032 - 2016 -20 -400 CST BM Elev: Insp. BM Elev: BM Description: , _ Section/Town /Range /Map No: Q, 0 `D J fL 1 _/ .Q44_ , — .�vr --¢� 04.30.19.529D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r /— Benchmark 61,1 Dosing / Alt. BM �.fTvz -cam 7� W� 5,'!l a44-.Y . 9 ,' 2 99 - 73 Aeration Bldg. Sewer �o! 7 e T Holding SUHt Inlet /3 Q V /_/ St/H Ou let 7 7 , t�rJ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � Dt Bottom I /� � j q , / / Dosing V !` Head Man! � � Aeration Dist. Pipe ?, Holding Bot. System' 10 , �_ PUMP /SIPHON INFORMATION Final Grade L S/ , �• 99 3 o � Z Manufacturer � / Demand St Cover GPM Model Number TDH Lif� I Friction i vs� SysteMA TDHa L J� Ft Forcemain Length Dia., /! Dist. to ell SOIL ABSORPTION SYSTEM ' I BED/TRENCH W idth IF Lengy- [ No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth :MENSIONS ( X� SETBACK SYSTEM TO P/L C JBLDG IWELL LAKE /STREAM LEACHING Manufa tury� / INFORMATION CHAMBER I . )1 �) l t L/"' 0 Typ f System: / ; UNIT Model Number: rl Vl.'1" t ! r DISTRIBUTION SYSTEM Header/ManifoW IlDistributio t x Hole Size x Hole Spacing V Air Intake Pipes) D — /i Length Dia Length Dia pacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodded r Mulched Bed/Trench Center f,�. Bed[Trench Edges Topsoil Yes No J Yes j No 7 COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: l 0 6 3 Inspection #2: / / Location: 544 170th Avenue Somerset, WI 54025 (SE 1/4 SW 1/4 4 T30N R1 9W) NA Lot 3 Parcel No: 04.30.19.529D 1.) Alt BM Description 2.) Bldg sewer length amount of cover - - ,T Plan revision Required? j ,1 Yes ' ."No ` Use other side for additional information. -- -� -- Date Insepctor's Signat a Ceti. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. w Visc n�in Madison, S E D Permit Number ( be tilled in by Co.) Department of Commerce ( ) 266 -3151 -3 D 3 91 r C6 6Z Sanitary Permit AppliCa 'ono 1 2003 Plan� Number( I In accord with Comm 83.21, Wis. Adm. Code. Personal ' p� vide may be used for secondary purposes Privacy Law. sl 04(1 1 GR01X COUNTY ject Address (if different than mailing address) ZONING OFFICE I. Application Information - Please Print All Information fj Property Owner's Na me Parcel # Block f IAMW X/ s¢ /- o t/ Property Owner's M ailing Address Property Location ' 5aq `D ��• S u ,S - Aa u,Section 7 City, State Zip Code Phone Number T 3D N; R II. Type of Building (check all that apply) 1 or 2 Family Dwelling - Number of Bedrooms ✓ `GI Subdivision Name CSM Number ❑ Public/Commercial - Describe Use 6/-S-,5 G Z d2 p� ❑ State Owned - Describe Use ) W ty _❑Vdlage Wownship of M. Type of Permit: (Check only one boa on line A. Complete line B N applicable) A. WNew System ❑ Replacement System ❑ Treatmentafoldiog Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Ra►ewal P'PPermit Revision ❑ Change of ❑ Permit Transfer to New A& P erm t AP N yG A.ZA ate Before Expiration Plumber Owner y v Z 4E 7 Jr IV of POW'I'S em: (Check all that a ) c LL 7. S - L� Non - Pressurized In -Ground ❑ Mound > ?A in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wedand ❑ Pressurized In-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Symbedc Media Filter Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. ent Area Info 'o Design Flow (gpd) Design Soil Applies ' t) Dispersal Area Required (st) Dispersal Area Proposed (s c System Elevation -/ 9�,p ' s VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units � /O Concrete Constructed Glass New Tj 1 e- ' / Tanks Tanks lei Zi9/ G O V Septic or Ho F— r— VII. Responsibility Statement I, the undersigned, assume responsibijiq for installation of the POWTS shown on the attached plans. Plumber's Na me (Prin% 's Si grt WM-- / MPIMPRS Number Business Phone Number , 44 �2 , / /dW 7o =131 p<of Plumber's Addre as (Street, City, StAe, Zip Code) ��& Fogerty Plumbing & Perk Tuens 6 12 — —47J Co Appro . 1 Sanitary Permit Fee (includes Groundwater Daft Issued S' Stamps) i Fee) Surcharge ❑ Owner Given Reason for Denial IR. Conditions of Appr // ovaUReaso�ForDisa roy al f cad yo ;� rna�, f��h., 3 & �s► b s l�U3. 3 Attach —pkw ptpns 09 m4) fkW the System on paper not lea than a z 11;nchess in size 53 r 83, O� � x � _ N h� n h ^ aq �— z� T Iti �• N g o"o _ u oo h a Pr A I � I � 1 } N I I � I o— Nov 12 03 07:26a FOGERTY PLUMBING —� 171563552BG p.2 Fogerty Plumbing I #221180 rnr:t c; F 28288 McKenzie Rd. PUMP CHAMBER CROSS SEC T I O I J AAIG SPECIFICATION'S Spooner, WI 54801 (715) 635 -9609 VC UT CAP - 4"C 1. vEUT PIPC WEATHERPROOF APPROVED LOCKMIG JUIJCTIOAI DOX MAIJHOLE cOVEF Z5' = Ro.^'1 Oooa. q WINDOW OR FRESH 12 MIU. l AIR IAJTAKE l GRADE l I y� MIIJ. � I w m1u. COAIDUIT -- ---- - - - - -- \ 1 PROVIDE — NULET AIRTIGHT SEAL AL II e , 1 *APPROVED G JOINTS WITH— CLEV. FT-- PIPE " 3' ONTO PUMP —�' OFF D SOLID SOIL CONCRETE DLOCK RISEK EXIT PERMITTED OIJLy IF TA IJK MAIJUFACTURER HAS SUCH APPROVAL SEPTIC E SPEC. IFICATIOUS DOSE - TAWKS MA\JU FACT UREIt: ��f LIUMDER OF DOSES: PER DAJ TANK SIZE: 7S0 Jjnor+<tte) GALLO DOSE VOLUME ALARM MAUUFACTURCR: �Gr�c7r.�t� INCLUDING GACKFLOW �.5�' Z GALL MODEL 1JUMDER: LO — P/l y — CAPACITIES: A= INCHES OR - GALL SWITCH TYPE: "fr-- 13 = Z Q � INCHES OR 3�'' GALL PUMP MAULIFACTURER: �/P� -� s C =I►ICHES OR ����Y � aCrALL a • MODEL UUMDER: 'PEIP B4/ D = INCHES OR A/0 GALL 5WITCH TYPE; .4 � xtlfk MOTE: PUMP AWD ALARM ARE 'Ti) DE MIAJIMUM DISCHARGE RATE �.S GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFER DET WEED PUMP OFF ARID DISTIMbUTIOW PIPE.. �`� FEET if + MIIJIMUM M ETWORK SUPPLY PRESSURE / .. . . . ... . . . - FE:6T Y � + 5 FE ET OF CORCE MAIM X F /oo /LFRICTIOU FACTOR.. FEET 1A 2„ /jam . = AL 101 y1JAMIC. NEA FEET 1 \ITCR�I�1 111MC \161H ►IC !li IK' 1 T 1 TI.1 .�1 IAIIID r1PPTH —. Nov 12 03 07:26a FOGERTY PLUMBING 17156355286 p.3 3 L M ODEL DVP03 MO vertical sump Pump - 04 •0 Submersible Effluent • * *01:4 s 1 j s GOULDS t � .( SF's: ��-y i�'rY�`, .ji: •.'eti j Pump . pecificat ions. :k V� %HP::'. i _ ' '` :x.:�t.. i` ". '•.!aSF;: METERS FEET UPI 4` :.r :7':e` �o p o 0 GPM a ,,:::. r:•. Discharge size 1'/ ,NPT:. 30 MODEL 3871 Solid , maximurn ; <. Motor:' = ! ' Single phase: 115V , 7. ? ° Materials of (;0ilstmCHO11 :; s '° Brasslthermopostic Features and Benefits ' 15 EF06 *Top suction eliminates e 3 10 impeller clogging. Z Eros • Corrosion resistant 5 construction. *Float actuated switch. ° w ° io zo �o so uao!r o z o s e is is m+�. METERS FEET CAPACITY ' zs MODEL OVP03 Pump Specifications Features and Benefits o e m "/p and' /: HP • EPO4 impeller- semi -open design s Up to 60 GPM with pu cal o ut vanes to protect 7B Maximum head to 32' 1D Discharge size 1 :" NPT • EP05 impeller - enclosed design ° Solids:'/" maximum for Improved performance. : s Motor • Rugged glass - filled thermoplastic ' All motors feature ball casing and base design provides 20 bearing construction. superior strength and corrosion zs ao 35 w u.s.c� resistance. Single phase: 115V ° z CAPACm i s . 10 ��` Materials of Construction • Cast iro heat transfer , housing rth, • Cast iron and durability. g Thermoplastic Stainless steel . Corrosion resistant threaded stainiess steel shaft. • Available for automatic and manual operation. • CSA listed models available. All Models are designed for conSnuous operation and feature stainless steel hardware. Nov 12 03 07:26a FOGERTY PLUMBING 17156355206 p -1 FOGERTY PLUMBING & PERK TESTI ,_ 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -9609 Fax (715) 635 -5286 E / j'O'Gr�V"P /4r-W '? Ce/►�4sal�c��Isf �rT��r1; �iT rrt /1r�s�,rf,��: /'�7Ti�Cl�� /Y,�its.� .= .r�vr� lr�r' s'tr�rx��d o�i�• . .l-fT r�YiG� / w/ env �,. // � S•r di��,[a i��rrrrT y o �p o v M f lj 1 i II F CD CD CD ,.�• .: - ' � - s. i (TA ; it CD CD CD VI ! ' .• Art ♦ 1! y O A� k .. .; _y , tD C C CD co �Q ►�—+ co CD CD Go Ln OA :s 1 o CD v C `0 f �, ; CD CD O ' 51 ,� i • p W a� a CD CD t 0A N 5 z II 11 ..a °° N p H Q, U 7 CO h co " " ID N N II W�X� (D �C My N 0Q tC p ;a 3 p N 1i. N � t I t a M 1 � 1 o � a , a _y d d m d c '� n E oo n ' N d C � v 4 0 t �b kA x �K M G _ nl 1358 Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and ",,�� percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. D3 201 & - � O -&oo Please print all information. eviewed B Date Personal information you provide m S. 15.04 (1) (m)). �_ 3 Property Owner Property Location Erlitz, Kevin & Ann Govt. Lot na SE 19 SW 19 S 4 T 30 N R 19 W Property Owner's Mailing Address ` {; Lot Block # Subd. Name or CSM# 685 North Bay Rd 3 na CSM Pending City Statj zip 0 Village J Town Nearest Road rlfN�,) Somerset WI 5 •1-2d Somerset 170Th Ave. New Construction Use: IM Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement I Public or commercial - Describe: Parent material Pitted Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Conventional System. System elevation 98.00ft , tr enches spaced and depth to code 3 Anft below grade _ based on boring # 1. Do " �� [� s' h �" S . f �� y'► � P �� Boring # J Boring 16 Pit Ground Surface elev. 101.00 ft. Depth to limiting factor 76 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sl 2msbk mfr cs 2f .5 .9 2 9 -76 7.5yr4/4 none Is /ms os mvfr gw na .7 1.2 3 76 -96 5yr4/4 none scl om mfr na na .0 .0 a Boring # I Boring $01 Pit Ground Surface elev. 101.40 ft. Depth to limiting factor 76 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sl 2msbk mfr cs 2f .5 .9 2 9 -22 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 22 -76 7.5yr4/4 none Is osg mvfr cs na .7 1.2 4 76-96 5yr4/4 none scl om mfr na na .0 .0 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < m /L CST Name (Please Print) Si re: / CST Number David J. Steel J 248956 - �� Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 10/8/2003 715- 246 -5085 Property Owner Erlitz, Kevin & Ann Parcel ID # Page 2 of 3 3] Boring # Boring tV1 Pit Ground Surface elev. 94.60 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/2 none sil 2msbk mfr gw 2f .5 .8 2 12 -96 7.5yr4/4 none sl 2msbk mfr na na .5 .9 r F-1 Boring # I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # I 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 P in. Murrell 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 need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM Kevin & Ann Erlitz New Richmond,Wl 54017 Lic. #248956 SEI /4,SW1/4,S4,T30N Bus.(715) 246 -6200 Village of Somerset, St. Croix Co. Fax (715) 246 -9372 Lot 3, Csm Legend 1 " =40' k ♦ =Benchmark Ele. 100.00Ft Top of 'h" PVC Pipe • = Alt Benchmark Ele. 100.05ft Top of %" PVC Pipe ❑ = Borings Boring Elevations BI = 101.0017t B2 = 101.40Ft B3 = 94.60ft B4 = 00.00ft �£ r s 16 �� r�y� s /ate ►� "�F i �• 9z �-v,t -� I t�3 ' a3 v� 7c f I (/� . 01 50 D ST. CROIX COUNTY WISCONSIN ~ ZONING OFFICE - ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686 �, For 544 170 St. (Lot 3). Somerset Twp. — owner(s) Shawn Carlson Tf c y3a3 s'1 Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. There will be approx. 100 feet between the proposed construction area and the wetland that extends 150 feet west of the east property line. 2. Route contaminated runoff into vegetated buffer areas on owner's property by creating temporary diversions graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes road ditches). Do not allow diverted runoff to be directed onto neighboring properties or into the wetland. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the Erosion Control Plan. Please feel free to contact me with questions regarding erosion & se e c rol instal Prepared by: Pamela Quinn, Soil Erosion Inspector #6650 Owner acknowledizement of ESC Plan requirements— 1 11 /x/2003 t _ Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 N VI'sconsin Madison, WI 53707 - 7162 Sanitary Permit umber (to be filled in o.) Department of Commerce (608) 266 -3151 3o 357`7 �/49 State Plan I.D. Numbe �✓ Sanitary Permit Application w,14� In accord with Comm 83.21, Wis. Adm. Code, personal information you provide . may be used for secondary purposes Privacy w. s I V E D Project Address (if different than mailin address) I. Application Information - Please Print All Informatio l /5ay Property Owner's Na me Parcel # Lot # Block # Q� L,22 ST. CROIX COUNTY 03.= — /a-.w 03 — Property Owner's M ailing Address OFFICE Property Location + .526) City, State / Zip Code Phone Number SE 'k, 7� s 72 (circle one) U. Type of Building (check all that apply) T D N; R 90 gi ®'1 or 2 Family Dwelling - Number of Bedrooms Subdivi ' Name &IXfT7) ❑ Public /Commercial - De tribe Use,, ❑ State Owned - Describe V X -75 - City_ ❑village Wownship of 40 O C III. Type of Permit: (CheckNy one box on line A. Complete line B if applicable) A. ( New System ❑ Repla ent System ❑ Treatment/Holding Tank Replace t Only ❑ 0 (Ndification to Existin it B. El Permit Renewal ❑Permit Revi ❑Change of ❑Per ransfer to New List vi eVr 3 p %W-M. ' ed Before Expiration Plumber Ow IV. Type of POWTS System: (Check all that 1 ) ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. o itable soil ound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ g Ta ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Applic ion Rate(gpds ispersal ea Requi (sf) Dispersal Area Proposed (sf) System Elevation , 0 5 �' /Z�1� boo /354 L o/. 9 ✓ VI. Tank Info Capacity ' Total umber %ufacttu refab Site Steel Fiber Plastic Gallo Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks ®O ✓ Septic or i4o' 'ug-Tm,k O Dosing Chamber V v VII. Responsibility Statement- I e undersigned, assume responsibility for installation of the WTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature MP /MPRS Number Business Phone Number - � • O --e lla l/ Plumber's Addre ss (Street, C' ,State, Zip Code) VII .Count Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Dat Issue ssuing Age Signature ( ps) Surcharge Fee) 11 Owner Given Reason for Denial 6Z, � 2,y 6 IX. Conditions of Approval /Reasons for Disapproval M , , , ,,, , ,J �t �,o rf 2 SYSTEM OWNER: Pte �.sz �Qc�,R gm iS s - 1 , t� Sy �U�.. S,¢a- -ed S Septic tank, effluent filter ands teed dispersal cell must all be serviced / maintained (3 as per management plan provided by plumber. asl setback requirements must be mai tained 3 it pS <D� 4 (- -P 7t) pe applicable code /ordinances. �.2rt CQ yr tivk y �L A� S! d F L T — Attach complete plans (to the County ody) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Site Plan Page 8 of 8 For Shawn Carlson Lot#3 Csm Pending SEl /4 -SW1/4 Sec. 4 T30N -R19W Somerset Tnsp. - St. Croix Co. 0 25 50 GnqAft seam 1 bmh — 50 tL i Proposal 4 Bedroom Home 125Proposed � zit IS l� 4"Asm 3034 la w /bel A -100 �� P Proposed Weeds Concrete } Proposed I , S 4 Force M Proposed 8x75'Maoid Cell wl 5 e 'bGc 1 102.00' Q w System Elev. = 101.19' 100.00' 5 96.00' Approx. 255' ABM — Aasired 170th Ave. Note: Mmadn wdl and wrWline sdbachs per Comm 83.4398) , ST. CROIX COUNTY WISCONSIN ' T - - -- ZONING OFFICE �NNNNNNN• — Noun" ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 r Fax (715) 386 -4686 rn tT For 544 170 St. (Lot 3), Somerset TM. – owner(s) Shawn Carlson �e)Z 4 4363 s'7 Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. There will be approx. 100 feet between the proposed construction area and the wetland that extends 150 feet west of the east property line. 2. Route contaminated runoff into vegetated buffer areas on owner's property by creating temporary diversions graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes road ditches). Do not allow diverted runoff to be directed onto neighboring properties or into the wetland. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during onstruction. This helps avoid muddy, conditions that may allow contaminated runoff to reach g p Y, Y waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the Erosion Control Plan. Please feel free to contact me with questions regarding erosion & sediment control installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: ' —/ — /2003 STATE OF WISCONSIN DIVISION OF HIGHWAYS GEOLOGICAL AND NATURAL HISTORY SURVEY 2474 11 NW OSCEOLA (VIA WIS. 35) 14 Ml. ET (MIN .) 42'39" ( OMERSET NORTH) 0.2 Ml, O JUNC. WIS. 35 & 6r# 1 40' 5 21 R 19 W \\�• / I © O 93 Q " 4 • • .•'. •. \\ 0 (�• • Q ■ Tan • ate I ater a o I o I • a I ° e nk I o er 1 • O Q I V BR 909 I f n \'° I C I A I ° �3 -Q-0 — ° o © 0 I 084 9 Q � NN © I // I � • a � Iw o � O o 0 ° • - © 984 O ©0 O © I O ° o o C� I U 0 © I M 94 0 o O T I 0 d © 0O o960 10 I IQ � 0 o ( - -- - -- 1 - ° � � ,002 o o_ c _ ° ,o - ' o l o � � I I o o If ° °I o °0 I 0 . 952 � I u !{ I ° Ip� 4 986 Q� -,-� 76 956 IZD ` O O 0 _ r _ I DRIV 40 © pg -� 953 115 -- 1 0 a� C� o� , 0 945 - � � I 56 — I 1935 Qj Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 �. TDD #: (608) 264 -8777 Isconsin www.commerc .wis ons Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary August 27, 2003 CUST ID No.224059 ATTN.• POWTS Inspector ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL %Lys A"7 36 3 5- PLAN APPROVAL EXPIRES: 08/27/2005 Identification Numbers - SITE: Transaction ED No. 898626 Shawn Carlson Site ID No. 663710 170TH Ave Please refer to both identification numbers,'' Town of Somerset above, in all correspondence with the 'agency. - St Croix County SETA, SW1 /4, S4, T30N, R19W FOR: Description: Mound 600 gpd. Object Type: POWT System Regulated Object ID No.: 916605 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 requiremen s. �'� s The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" Version 2.0 SBD- 10691 -P ( N.01101) and the "SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • Comm 84.10, All materials used in this installation shall conform to the provisions of this chapter. 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 • r construction /installation/operation. � •a 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. \, 0 The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, o eratio r maintenance of the POWTS. P / S' Fee Required $ 175.00 Fee Received $ 175.00 Thomas E Devereaux Balance Due $ 0.00 Plumbing / POWTS Reviewer II , Integrated Services (715)634-3026, 7:15 am - 4:00 pm Mon. - Fri. tdevereaux @commerce.state.wi.us WiSMART.code:,7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 David B Fogerty, Fogerty Plumbing & Perk Testing Inc MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Shawn Carlson Mound Owner's Name: Shawn Carlson Owner's Address: 1504 Hidden Valley Circle Houlton WI 54082 (612) 867 -2572 Legal Description: Prcl SE1 /4 -SW1 /4 Sec. 4 T30N -R19W Township: Somerset County: St. Croix Subdivision Name: NA Lot Number: 3 Csm Pen ding Block Number: NA Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan �SpON Designer: Keith E. Stoner , Designer # 1575 -007 Date: 08/06/03 cxrnb * (715) 653 -2324 �C ;� � � Signature: D o R Siren, Designed Pursuako the %. $- Mound Component Manual for POWTS VersioSUMT-SAS 01/01), and SSWMP Publication 9.6 Design of Pressure Dist (01/81) Version 3.11 (R. 06/01) Page 1 of 8 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 coliform of - 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150 %) 600.00 Design Flow (gpd) 5.00 Site Slope ( %) 100.02 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.25 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 25.00 Forcemain Length (ft) Does the forcemain drain back? Y 83.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 4.08 Forcemain Drainback (gal) 7.85 Vertical Lift (ft) 67.41 5x Void Volume (gal) 0.63 Friction Loss (ft) 71.49 Minimum Dose Volume (gal) 13.03 Total Dynamic Head (ft) 34.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weeks Concrete Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 805.121 Dose Tank Capacity (gal) JZabe JFilter Manufacturer 21.761 Dose Tank Volume (gal /in) A100 lFilter Model Number Weeks Concrete Imanufacturer Project: Shawn Carlson Mound Page 2 of 8 I Mound Plan View _ _ T 1/10 B - - : . . 3 :. J - Observation Pipe Q K A .................. .................... ........................................ ........... ** ........................... ......................................... ........................................ ... ........ : : : :• LJ . • :•. : : .•.• :• :. I ......................................... ........................................ ........................................ ........................................ ....................................... . ..................................... L Mound Component Dimensions A 8.00 ft E 18.80 in H 1.00 ft K Efift ft B 75.00 ft F 9.50 in 1 10.09 ft L ft D 14.00 in G 0.50 ft J 6.41 ft W 600.00 (ft Dispersal Cell Area 1 1356.62 (ft Basal Area Available 8.00 (gpd /ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.98 (ft) —► H G . }fffff}f } }ff F Dispersal Cell 101.69 (ft) Lateral 101.19 (ft) _ Invert Dispersal Cell ; M3' = t D Elevation E 3 : , "I x ,x x x x, a x x x x x x l x .ic s A x x x x x fl 4 x } x S A x� x x x x A A„ x x x x x x x x x x A s {, x A x, s x sA` sA A A, r x Y 1 x A ,x, �.(�I A J 4' � 4?5• ' ., a • ..... a x a x x a. x a... A i i .. .,. .•.. '� � �� 100.02 (ft) Contour Elevation 5.0 %Site Slope Geotextile Fabric Cover Shading Key Q Dispersal Cell See lateral details on Q Topsoil Cap 1.5 ft Page 4 for number, size, c Q- © f } } }} Subsoil Cap An o ce p �" W" and spacing of laterals. ©0 ASTM C33 Sand Laterals are equally F Tilled Layer H 0.5 ft Typical Lateral spaced from the p 5 I distribution cell's Q� ° ° re gig° Aggregate o centerline in the � A — * distribution cell (AxB). Project: Shawn Carlson Mound Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection Via tee or cross to manifold at any point. Laterals are identical P S A •= Turn -up vdbal l valve or � X+ -.12 I s02 -1 Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.37 ft Lateral Length (P) 36.74 ft Orifices per Lateral 16 Lateral Spacing (S) 4.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 8.62 gpm Manifold Length 4.00 ft System Flow Rate 34.46 gpm Manifold Diameter 2.00 in Total Dynamic Head 13.03 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and —► Comm 16.28 WAC 4 in. min. _�T Disconnect _ Tank component is properly vented a Altemate outlet location Forcemain diameter Weeks Concrete Manufacturer �_ 2 in. Ca acit 805.12 Gallons Volume 21.76 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.71 472.51 C B 2.00 43.52 Pump off e levation (ft) — t C 3.29 71.49 93.83 D 10.00 217.60 D Total 1 37-001 805.12 Doe tank elevation (ft) 3" Bedding un er tank. 93.00 Alarm Manuafacturer IS. J. Electro Alarm Model Number 1101-01H �— Pump Manufacturer JGoul —� Pump Model Number 193871 EPO4 Pump Must Deliver 1 34.46 gpm at 13.03 ft TDH Project: Shawn Carlson Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri- County Sanitation Phone 715 386 -0114 POWTS Regulator's Name St. Croix C ounty Z oning Office 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 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliforml >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 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 • .............• .............•• Grade ......... . 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Shawn Carlson Mound Page 5 of 8 Page of 8 N GOULDS PUMPS Submersible p Effluent Pu 38EP0 � EPO4 5 APPLICATIONS • Fully submerged in high ■ EPO5 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. Canadian Standards X011 • Heavy duty sump matic models include •Water transfer Mechanical Float Switch ■Motor Housing: Cast iron (CSA listed model numbers end for efficient heat transfer, in "C" or • Dewatering assembled and preset at the "F ".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic Coin Rnp is ISO soot RKjMmKL FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 /4" maximum. ■ EPO4 Impeller: Thermoplas- n Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1' 12" NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic - stationary, BONA -N elastomers. • Temperature: 104 (40cC) continuous 140 (6OcC) intermittent. METERS FEET • Fasteners: 300 series 10 stainless steel. 9- 30 s GPM • Capable of running dry without damage to a 15 FT components. 25 °a 7 Motor: z • EPO4 Single phase: 0.4 HP, `—' 6 zo 115 or 230 V, 60 Hz, 1550 5 RPM, built in overload with o 15 automatic reset. a 4 EPOS • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 `' 3 10 RPM, built in overload with E PO4 automatic reset. z • Power cord: 10 foot 5 standard length, 16/3 1 S1TOW with three prong grounding plug. Optional 20 ° ° 0 10 zo 30 40 so GPM foot length, 16/3 SJTW with three prong grounding plug ' (standard on EP05). o z a s B 10 12 m3ih CA PACITY G Pumps ® 2001 Goulds Pumps ITT Industries Effective May, 2001 83871 Mound System Management Plan 3 Pursuant to Comm 81. 4, 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 ]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 fitter shall be assessed at least once every 3 years by inspection. The outlet finer 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 fitter when removed from its enclosure. If the fitter 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. Puma 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. 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Shawn Carlson Mound Page 6 of 8 Site Plan Page 8 of 8 For: Shawn Carlson Lot#3 Csm Pending SEl /4 -SWl /4 Sec. 4 T30N -R19W Somerset Tnsp. - St. Croix Co. 0 2s so a- (F-J i moh — 50 zt ( Propand 4 Bedroom Home P Proposed Weeb Concrote 1250gaL Septc Tank w /Zabel A- 100FIltw 4 3034 p Pipe Proposed Weeb Concrete 80QgaL -156w Tank Propa�ed 2M Q µ Proposed 85 5'Mow d CeRw/ 102.00' SYAM Foroe M Ekv. = 101.19' 10000' S 9800• 900' Approx. 255 AL BM — Top McW C=dait Amanod Elev. 100' 170th Ave. Note: Maintain weU and dine sel6acb per Carne 83.4398)C) 08/12/2003 08:27 715 - 349 -2520 DEB + KEITH STONER PAGE 02/02 �/n.; /OP o ' oe) 16m% 70� a r 5 �ee� ,6�Z, /0 e Qo2 G l k ��/'�. /b� • t?,2 7 q�oy ra ma 6va.s v1G A4ad ;,h c orrra lly vo P � g r 95 fy r ' r C2 1 T6 a - e M1 --A4 ,woe ae C's Ti" ,W 7 /l/,� .t:� �..�.� � G✓x Imo /T - V�'�� -_ -T , 1 �� �; ,: ��.-. y �,� Q l y .� / of - d s� •r�.G l� L 16 Pr - - , �/ dkr us / , P Acu f p� • . c7 r 7� Lt e rc�s T - '�Gc c/ I q yYrcL� I?0? �JeS. S•rn ci3 B / /b 7 /hej!P -re P �7° n 1 n r�. k��Jr1 �. r �i T2 _ _ lJTae -.�h- b�/ �'�� v L S� ?r,?�j✓ e /rte On ! 1097 SOIL'EVAW,�TlO11 R T Wisconsin Department of Commerce Page 1 of 3 Division of Safety and Buildings�fL in accordance with Com Tom Schmitt ^�,5„Wis. Adm. Code f Attach complete site plan on paper not less than 8'% x 11 inches in siz . 'must �E� � n. St. Croix include, but not limited to: vertical and horizontal reference point (BM on and percent slope, scale or dimensions, north arrow, and location and di j to nearest road. „ Par I, . Please print all information. t 4' �! fl C Rev By Date Personal information you provide may be used for secondary purposes (Pdv s.15.04 (1) Property Owner rop n 4 Erlitz, Kevin &Ann Lot SW 1/4 S 4 T 30 N R 19 W Property Owner's Mailing Address i Ibots k Subd. Name or CSM# b' 685 North Bay Rd. 3 na CSM Pending City State Zip Code Phone Number ity Village ✓ Town Nearest Road Somerset I WI 1 54025 715 - 247 -3778 Somerset 1 170Th Ave. ✓ 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 mound system. System elevation is to be based off contour line established at 100.02'. Area is on a 5% slope. ❑ Boring # Boring ✓ Pit Ground Surface elev. 100.82 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sl 2mgr mfr cw 1f .5 .9 2 8 -19 10yr4/4 none sl 2msbk mfr gw 1f .5 .9 3 19 -28 7.5yr4/4 none sl 2msbk mfr gw - - - - -- .5 .9 4 28 -60 7.5yr4/4 c 10yf66/2/8 sl 2msbk mfr - - -- - - - -- .5 .9 Fil Boring # Boring ✓ Pit Ground Surface elev. 99.72 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -16 10yr3/3 none I 2mgr mfr cw 1f .5 .8 2 16 -30 10yr4/4 none I 2msbk mfr gvv - - - -- .5 .8 3 30-42 10yr4/6 "'i /8 sl 2msbk mfr gw - - - - -- .5 .9 4 42-63 7.5yr4/4 m lt)yr6 2 6 sl 2msbk mfr - -- - - - -- 5 9 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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 Trait, Somerset, WI 54025 1/3/02 715- 549 -6651 Property Owner Erfitz, Kevin & Ann Parcel ID # Page 2 of 3 F - 3 ] Boring # Boring ✓ Pit Ground Surface elev. 98.52 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 *Eff#2 1 0 -16 10yr3/2 none I 2mgr mfr Cw 1f .5 .8 2 16 -22 10yr4/4 none sl 2msbk mfr gw - - - - -- . .9 3 22 -36 10 r4/6 m3p 5yr4/6 sl 2msbk mfr w - - - - -- 5 9 y 7.5yr6/2 g 4 36 -60 7.5yr4/4 m3p 5yr5/6 sl 2msbk mfr - - -- - - - - -- 5 9 1 r6/12 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D 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 +hA ,4a, —t«„ f + AAR_7AA_1I Ql — TTV rl1R_7AA -8777 pa e 3 � 3 r aAe 74a 5-a / ec/a /adk 46h LJas Cdl Vudxg -o Sel 7iS' C.. 4 d-t� dc, 7/-o t� F � 4 e C"s 7 /" ci o ,- i ' I�p }/ r LcS2 � / ri � 1 � i r f/ �-e a 3 S jrr rt i �e� uv /o f 7A-4, Tjiyr r rn 16 g w� 9 r , J' • �rtit I yb F 39' / (�r keviv, f Ai, c r Tz A ra, l y Z4 QZ '� Q � �$ 1 "'�FJ✓' ilJ' Aug 06'03 0.9:43a FOGERTY PLUMBING 17156355206 p•3 • , A r* Jul 22 03 11:27a Shawn Carlson 715 - 549 -5965 P.3 or��si�aa� SB:14 6516311988 _ ROSE)AWD PORTFOLIO PAGE @i SOIL C ® Py Pfte . _ l,_cl I. �VAI.UJITION 3 mvwmatsd*sm&mw h— Xd&M-VGCOmmOS.wit.A*KCode T SdmW AM*- l*&k ftanan pgW0dbW&WOSxltkdrih*LlMWM COG* Sl.Crolx kkWkbdad& W10:W MWdtol6f p1Wp%*Wmpd till oaawNxiapq�hoRadpoaw�LlMboronaat &WmI0n - Not POW to. Pfieasa prfirf alb �IOpMaflOfL ReAmod 01 Dare ++. �e�aNd�uias,w, � .ga<wdanoe�grpp.►t�►lrtz>sartt� Prop"y Omer PropNgr LACat1aP1 KOM AAnn eaRtAl no Se 114 SWtA S 4 T 30 N g iS W PM"M Oran > 1WbW A GMs Bleak M Subd. Nom at 099 00 Haft Rd. rm C SM pendipg _ c ky " mob 2 cpft pbWW Wbar Crj oft" r T&M NumitAosd Somerset WI 1 54M 1 715 -W- 78 Somfaset 1707h Ave. Of NaWQXK&UCftn : W« r ReadenWlr,ivirnbarabedroa+n 3 00dedrdmddaX1nlfWmW 450 OPD Reptaoeaard Publf:erooal•Dsaafbec _ - ?and mob" Pttisd SMadal Oda pe0it ,� tt n. f3enesMoasurKrfb end mmwoones"Is: Aeeala rgbMe for Y manna system- S1rsMm OW40 n to to be bated off eonlar fine fthmb shed at 100.02. Aran k on a ESL aMrpe. a�f _ ✓ Pa 0xmW Snfsoe erar. ' 10 &02 i t DspONb baw factor _ - - M — JK 5ai.pp .*- wf. caw .sw etud.e FA* R Mond OLDLe ccm optics► i 0.8 lova3 0 d 2W ark . ew if .5 .9 2 8-19 HOVW4 none d ?irablt mlt ow if .6 .9 10.25 7 trolls d 20ft mfr pw .--•• 5 9 4 2Q-00 74yM/1 d 2alt:6k 0 � Bodes 1 --�J ✓ Pa t3rarafdfSfxiametw. 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R pepmtp fitk� cft �0 avffadoeflr. f�Atr �� Te,mn rpm iol • t f! • ElAwnllf a 6pp�s ap �43Dd,oR. andT6,4 sip a tE0 � . . The dcprrtwsat ofd ism' oliportonl aewipe a a tOO� an0 TSS c ]p mplL lfyw •�rw s. ,�..,..,,,,.�, �„ +ww+RC.7.t �� ... rry �w_'w.arn 4 Aug 06'03 09:42a FOGERTY PLUMBING 17156355286 p.2 a Jul 22 03 11:27a Shawn Carlson 715- 549 -$865 p.2 Fogerty Plumbing & Perk TOWINS 28288 McKenzie Rd. Spooner, W1 Ph 1r j a � _ r Dr e4 Ar k ,�, f Ax Cr P iz., 9 by: 74$ .�`••S,Q.• ��.� say ���.�,� rJ.`�r.•�.:•r e4e zmyw ,08/1212003 08:27 715 - 349 -2520 DEB + KEITH STONER PAGE 01102 e o j ��so� o des # J `J des o; Q. 4j 15, J d 4 17 a� gqg �6 s-Xuer-. 'ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ilseevti e�,p c .Mailing Address 15 o y is�r/.v vrtCG,�H �s�LrT�.vr- s'�iz Property Address D h4v. o (Verification required from Planning Department for new construction) r--- City/State Parcel Identification Number LEGAL DESCRIPTION Property Location se ' /,, sw '/4, Sec, N - R _L , ? W, Town of g~5ce7 - - Lot # _-3_ _ Certified Survey Map # d F 7 Volume /-10- , Page # %Y� 7 - ,Warranty Deed # 7?Y'' &G 9 Volume .z3 `r'3 , Page # 3 Spec house O yes Ll'no Lot lines identifiable 13 O no SYSTEM MA NTENANCE Improper use and mainteffince0f your septic system could milt in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sow if needed by a licensed pine r What you put into the system can affect the function of the septic tank as a treatment singe 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 masterplumber, joaraeymanplomber, rexhictrdplomberor a licensodpnm4ervexif3,ing that (1) the on -site wastewatxr- disposal system - -- rs mproperoperating oamdtion and/car (l) after inspection aA pumupiog (if nece the septic tank is less Than 1!3 frill of sludge. I/we, the undersigned have read the above regnir nnents and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the D4=tme t of Commerce and the Deparmnent of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the SL Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF 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 Aug 2903 0,4 :43p Shawn Carlson 715- 549 -5965 p.8 08/28/2005 15:24 FAX 715 386 6560 ESTREEN & OGLAND Q002 08/20/03 FRI 13:53 FAX 715 396 4687 REGISTER OP DEEDS __ ® VOL 2393 r nr (599 33$a �6s� SA BAR OF WISCOMIN FORM 2 -1999 KATMUR ff. VALSR Daeaiasst Number WARRANTY DE$D ST. CROIX Co.. ff This Deal. made between Kev in C - XrlltY and /Ana bL X� RE mvn FOR RECM bus band and wife, .`.�. w 0 8/29/20831 18:45 MA81 # >�9 Grantor, and S hawn G and 8 MOS Cnrhoa, husband and wife. ac FBSi 1 % COPT put cc c e. : ji GrOubw- (Or is valuable consid=60% Conveys to CMiftea the *Bowing described real estate in 1St. Crok Cnntnty, SUft of Wisconsin (ifm ne space is asadml, please atut8 addmdcu n � Aeosrdis(: Ara That pert of SEIM SWI14 and part df S W 1/4 SW 1/4 See. 4-T30N- 1t.19W Xmic rid Ram Ads described as foll(MIN Lot 3 ofCesdi2sd Swvay Map reaor ted in Voltaoc 16 �Vld J. Esumn Coiuly, W Maps. Pegs 4327.:s Docnrsuttt No. 682997, St Croft M4 LACUSt EbM !✓ Hudscin, %154016 $01 Pt 032-20164 do 0 32.2016.10.00 0 I'mcd (denofim ran Number (PM) This is a homenosd progeny. &xceptions to wam vibes: Dasemad% restticilm and rigbts- oftway ofnwrd, ifany. Dated this _ ( da of July 200 C. a Aa�i - lti - AUTHENTICAT AMNOW LEDGMSPIT Sigsnturc(s) X"In G F&INx and Asa M. Mier, basbeed and STA OF WISCONSIN ) Wine. - ...— County ) nutbetttleated i of _ l , 2009 i - -- Personalty ulme before me ibis _ day of the above named • Krbt>aa �*d . - TI'TLE: bdEbft L STATE BAR OF.W1ScC)AISDd •� eo nsa irnown bo be th@ p�e.son(s) wire e�►ecuted the fiorcgeiag 0"M - inrtruireat and evlaiowladBed tb0 saitc. aeti 6=d by § 706.06, Va. Sias.) THIS INSTRUMENT WAS DRAFTED BY • _ _ Attori Xrutina nd o y Public, State of Wisconsin 12n o., af--- - -. Not Cosumission is My Commission (If not. sratc expiration date: ($;onuses mar be sutbetnicated or aeioa m1e4pL Be& are set aeoesmy4 • mum of prrrwu 08162w is soy eapsaq Mai ba typed W prbsed behnr gisatme. rea.ew,Y�awaw�soa+a•+w �++��� WARRANTY OEED STATZ BAR ON WISCOMW 8Oim41sa 2 -19l9 i URV MAP PREPARED FOR: KEVIN ERLITZ 3 F THE SW 1/4 AND PART OF THE 685 NO. BAY SOMERSET, W 54025 ON 4, T30N, R19W, TOWN OF 3CONSIN SURVEYOR: DOUGLAS J. ZAHLER S & N LAND SURVEYING, INC. - 2920 ENLOE STREET HUDSON, VVI 54016 3 MUST SUBMIT AN EROSION CONTROL PLAN PRIOR CE OF A SANITARY PERMIT. I. HIGHWAY SETBACK RESTRICTIONS T IMPROVEMENTS, SEE SHEET2. Q Z N c0 0 ° �9 - -- ml N -------- - ----- a mi & ; m ix 2 1 I I W N86 °38'29 "E 1400.56' 1 7.2 (v V) � :0° g M V) N 473.7 .... » ».». ..... O .. �.. — 6.» .» . O , A , M 1111 I » »•w OL 3 �c �o I N N 1 •� A SETBACK • 6 to - WETLAND ». »» N �� D. , _ 4 � oo Q � 473 54' '. 417.10 �• m A co 473. �— ► � _ 417.1 � � .� W 3' ` O SOUtH�QUARTER W j \ CORNEF�'�CTION 4 -------- - - - - -- \ O LEGEND �\ f 0 1 1 FOUND ALUMINUM COUNTY i°� i SECTION CORNER MONUMENT SOUTH LINE OF THE SW 1/4 ® FOUND MASONRY NAIL (P.K.) 0 SET 1" OUTSIDE DIAMETER X 24" LONG IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT. • BORING t PROPOSED DRIVE SCALE IN FEET I"= 300' I CONTIGUOUS BUILDABLE AREA PER TOWN OF SOMERSET _ _ _ p APPh2OVEU 64s a!987 ST. CROIX COUNTY VOL 1 6 PAGE 4327 Plannimm 7nninn wort Pirkp remmitter KATHLEEN H. WALSH JUN 2 8 2002 REGISTER OF DEEDS ST. CROIX CO., HI If pot recuraeo .:uun 3u aays o!Z O o RECEIVED FOR RECORD I proval ��� d l sh Obe r m � ��p���D 06 -28 -2002 3:00 PH 02 w N - m - i - � ----------------------------------- W N 0 ��D� CERTIFIED SURVEY MAP Z � REC FEE: 13.00 z C ° c COPY FEE. w w ^w �_ A o � Z ro in Pa' 4-- m Mum nn Ln D w D rn D - r m ��D�W ��W��� 1 m O m p m O p r '— rn — WEST LINE o D r" cn �� < 91 1 ° 1 ' OF THE SW 1/4 BEARINGS ARE REFERENCED TO --1 D D T o m 9 M THE SOUTH LINE OF THE SW1 /4 D o -_, ., \ ° m OF S 4, ASSUMED TO C'a m ago g $ �c \ m BEAR N88'32'17" icuD C7 C N D r c M 0 P m ;P * S NN pm-nO r Tq�F N �� �� �v o ° m �0 GN =� 'n 1 - cn-rr cn o 0 0 0o �, (� N m D z i?i o N D C >0 Co fit n 0 �D N \ � �0� m m m co I ? 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