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Home My WebLink About032-2110-60-000 Wisconsin Department of Commerce ` Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 363837 Permit Holder's Name: ❑ City ❑ Village ❑ Tgyvn of: State Plan ID No.: Larson Tim Somerset Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: 032 - 2110 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ( 1'�k.Ag� 10m 6S'a Benchmark 5-05— p a • f) f Dosing Alt. BM $ Aeration Bldg. Sewer Holding St /Ht Inlet �p,?( ' 2, fY TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. A V Intake Intake ROAD Dt Inlet Septic 30 NA Dt Bottom Dosing 3o NA Header / Man. Aeration I NA Dist. Pipe Holding Bot. System `I� 011 jSp PUMP / SIPHON INFORMATION Final Grade Ma ufacturer Demand St cover 8. odel Number �l�' Frictio S stem TDH Lift ,0 L •`� Hy ,2 TDH��a Forcemain Lengthd$d Dia. 2 �� Dist. To well SOIL A PTION SYSTEM Width / Length / No f Trenches PIT No. Pits Inside Dia. Li epth DIMENSIONS DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHI Ma urer: lt INFORMATION TypeO 15 i �� CH UNIT Mo m er: System: DISTRIBUTION SYSTE � • � p"`�°� {° Header / M nifold 4 Distn ution ipe(s) « x Hole Size x Hole Spacing Vent To Air Intake Length Dia. ?' Length Dia. 2 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/Tr nch Center Bed /Trench Edges Topsoil ❑ Yes ❑ o ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #l: L*/041 Inspection #2: Location: 1787 46th Street, Somerset, WI 54025 (NE 1/4 NE 1/4 5 T30N - 9.1034 Cedar Valle 16 AjW 1.) Alt BM Description= l IG 2.) Bldg sewer length 0 - amount of cover = 1$ " Cdr , /p> 3 1 p 3.) contour = Pla revision re uire Yes ❑ No se o side for additio al information. {,( SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 14 FF ®a f I 3 g q i # i 8 pgj gg i t t t ] I m ISC.I_ Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page / of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 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. # APPLICANT INFORMATION - Please print all information Reviewed by _ Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ' Property Owner Property Location ,0 Govt. Lot r 1/4 F 1/4,S T ,N,R Z9 E (Oro Property Owner's Mailing Address L�ot ock # Subd. Name or C J / C ❑ City ❑ Village � City State Zip Code Phone Number Town Nearest Road New Construction Use: OResidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow _ gpd Recommended design loading rate -r bed, gpd/ft --j— trench, gpd /ft Absorption area required bed, ft trench, ft Maximum design loading rate , - bed, gpd /ft2 _ gp trench, d /ft Recommended infiltration surface elevation(s) / f5 ft (as referred to site plan benchmark) Additional design /site considerations f Parent material ,a" LT Flood plain elevation, if applicable ft LUD uitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank nsuitable for system ❑ S ®U ®S ❑ U ❑ S ®U El S ®U ❑ s E ❑ S 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 $� Ground elev. ' Depth to limiting factor Remarks: Boring # � 4a, Z 7 , - D t s– f Ground elev. Depth to ja�tStN�� limiting factor ,Z0 in. Remarks: CST Name Ple a Print) Signat Telephone No. -3I Address Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench IV S ,G S Ground Depth to limiting factor _in. Remarks: Boring # ........................... .......................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) x4oz a,;Oxiee, T 77:g ,.37j //Zo z L ' ��jl �,��(I � <�( �� O> , �•G/JLire T s! �L 1�'N� /a� S'� �!/ �'P� r' 3is:a Cp, ✓�u��r /DD. SY I I C6 CZ 1 ?STH ST � � o W I N N (y O j, n m - W r -4 / x/ 1 401 _ 17 '49' W ° 3. 80' r I U 11 — i n j Elt ij ^�, E a EF I ti SINE �F TF Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue Visconsin ��- - P O Box 7162 C Department of Commerce In accord with Co jnj. 1 "? ~ -` Madison WI 53707 -7162 • Attach complete plans (to the county copy only) for th ap $Lnot lesfCount than 8 1/2 x 11 inc hes in size. See reverse side for instructions for completing this ap tary Permit Number 36 3'3 3 Personal information you provide may be used for secondary purposes C �i QQ revision to previous application [Privacy Law, s. 15.04 (1) (m)]. r C OL a Plan Review Transaction Number I. APPLI ATION INFORMATI N - PL ASE PRINT L 772 Pro O ner Name L t �v / P pe ' S S T 3 C), N, R/ or)(9 Property Owner's Mailing Address o N Block Number City a Zip Code / Phone Number Subdivisio Name orCSMNumbe v e ( ) II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ it� arest Road vil Public 1 or 2 Family Dw elling - No. of bedrooms � ❑ Tow OF S 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 5, 3 0 , 1 °l, i5 1 []Apartment/ Condo 03 - a / 10 - 60 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Mote[ 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. Iq New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an ______System System Tank Only System Exijllig9System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 X'Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 C] In-Ground Pressure , IF 42 ❑ Pit Privy 13 E] Seepage Pit K �. 43 ❑ Vault Privy 14 ❑ System -In -Fill qq, o 2 VI. ABSORPTION MSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade LSD Require ( ft.) Propo ed(sq. ft.) (Gals/day /s . ft.) (Min. /inch) Elevation Feet ^ Feet Capacit VII. TANK in Ca allons Total_ #of r Prefab. Site Fiber- Exper. INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete strutted Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank a ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu t) r6 ,f&[ Plumbe ignatu : (N /MPRSW o.: Business Phone Number: Plumber'sAddress (Street, City, State, Zip Coe yu r I 4" = IX. COUNTY/ DEPARTMENT USE ONLY []Disapproved S apitary Permit Fee (includes Groundwater ate ssue Issuing Agent Signature (No Stamps) j Approved []Owner Given Initial "QP Surcharge fee) Adverse Determination 3as. — Z X X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: Vew � t SBD -6398 (RA 2199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. z 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. 'The septic tank(s) must be pumped by a licensed pumper wheneve.,r necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the - State of Wisconsin, Safety and Buildings Division, 608-266-3151. _ To be complete and` this sanitary permit appliEkion must include: I. Property owner's.narne and mailing address. Provide the legal description and parcel tax number(s) of where the system is to oe installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII_ Responsibility statement. Installing plumber is to fill in name, license num]Ar with appropriate prefix (e.g. MP; etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller.-than 8 1/2 x 11 inches mustbe submitted to the county. T4% plans ngust include the following: A) plot pfari, drawn to scal Vor with complete dimensions, location of holding tank(s); ieptic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction Loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system ii required by the county; E) soil test data�on -a 115 form; anti F).. all sizing information. GROUNDWATEISURCHARGE „ 1983'Wisconsi Act 410 included the ereation ofsurcharges (fees) for a ttiuriiber of reguiated practices which can effect groundwater. ti The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264 -8777 Viseonsin www.cornmerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 18, 1999 CUST ID No.273148 ATTN: POWTS INSPECTOR ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA 110 N KELLER AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 11/18/2001 Identificat' rs Transaction ID No. 2 Site ID No. 184192 SITE: Please refer to both identification numbers, Site ID: 184192 above, in all correspondence with the agency. ST CROIX County, Town of SOMERSET; 46TH ST NE 1/4, NE 1/4, S5, T3 ON, R19W TIM LARSON 46TH ST FOR: Description: MOUND SYSTEM FOR TIM LARSON Object Type: POWT System Regulated Object ID No.: 637201 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. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 11/10/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 KEI A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524 -3633 , M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WiSMART code: 7633 cc: TIM LARSON r MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET >' Project TIM LARSON N A o Owner TIM LARSON ad Address 361 GLENMAR AVE 4i- ST PAUL, MN. 55115 I Legal Description NE NE S5 T30N R19W Township SOMERSET County ST. CROIX Subdivision Name Lot No. Parcel ID Number 032 - 2110 -60 Plan Transaction Number Z ZV 1 Index and title sheet Page 1 { ,% Mound calculations Page 2 �({ ` ° y p� y "'�` �y Mound drawings Page 3 DEPARTMENT OF CRMIMI ; - RaU Pres. dist. talcs. and laterals Page 4 DI VISION OF SAFETY AWG BUILJiNGS TDH and pump tank drawing Page 5 PLOT Page 6 PUMP Page 7 ALE CCOR RE SP0NDLP.CE Designer BRADY UTG D License Number 220357 Signature Phone No. 715 - 268-6995 Date 10 -15 -99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary actin p ry n under s. 145.10, W1s. Slats. Aersonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (R.05/98) Pagel of 7 V - -S S � S ti MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch- pounds Metric Residential or commercial? R (r or c) (y or n) J Replacement system? Creviced bedrock site? n (y or n) Slope 5 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 32 in 81.3 cm In situ soil infiltration rate 0.5 gpd /ft ` 20.4 Lpd /m` Contour line elevation 99.0 ft 30.18 m Use standard fill depths? I X OR l5esign depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold (c or e) Hole diameter 0.25 in 0.125, 0.156, 0188, 0.219, 0.25, Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. 0.281, or 0.313 inch only. Estimated hole space 4.00 ft Not a final calculation. Number of laterals Pump tank elevation 89 ft Outside bottom of tank. Forcemain length 125.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1 /8 =0.125 1/4=0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5==0.156 9==0.281 Estimated daily flow 450 gpd 1703 Lpd 3116=0.188 5116=0.313 W32 = 0.219 Absorption cell Design load rate & area 1.2 gam 375.0 ft` 34.84 m` Linear loading rate (LLR) 6.00 gpd /ft 74.4 Lpd /m Design width (A) i 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 10.0 in 25.4 Jcm Sand filter Upslope fill depth (D) aflftl in 30.5 cm Downslope fill depth (E) in 38.1 cm Basal area required (gpd /infiltration rate) 83.61 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (IQ 10.38 ft 3.16 m Up slope toe length (J) 7.40 ft 2.26 m Down slope toe length (1) 10.90 ft 3.32 m Total mound length (L) 95.76 ft 29.1 T m Total mound width (W) 23.30 ft 7.10 m Project: TIM LARSON Transaction Number: Page 2 of 7 r MOUND PLAN VIEW observation pipes (typical) �J 23.31 ft *:' :`'- :" : * *' A = 5.00 ft 1.52 m 75 7.1 m ::::::::::::::::: A B = .0 ft 22.86 m W B J= 7.40 ft 2.26 m I K I = — 10-90 ft 3.32m K= 10.38ft 3.16m -- L-1 95.76 ft 29.19 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell ( Ax B) J = up slope dimension �� = plowed area (LxW) K = end slope dimension 6' (152 mm) T MOUND CROSS SECTION subsoil cap D = 12.0 in 30.5 cm lateral topsoil c H E = 15.0 in 38.1 cm invert 100.50 ft ____ __ ______ F= 10.0 in 25.4 cm elev. 30.63 m JF G = 12.0 in 30.5 cm D AS TM C33 H = 18.0 in 45.7 cm Sys. 100.00 ft y Sand Fill E elev. 1 30.481 m 99.00 ft contour 30.18 m elev. 5 % —� slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: 11 Project: TIM LARSON Transaction Number: Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 1 5 ift 1 1.52 Im Length (B) 1 75.0 ift 22.86 m Lateral specifications Number laterals 1 Holes/lateral 19 holes Lateral length (P) 72.00 ft 21.95 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 22.14 gpm 1.40 Us Sys. dis. rate 22.14 gpm 1.40 Us Hole spacing (X) 48 in 121.9 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) Place X in red X' one choice 1 1/4 in (32 mm) box of chosen from the options 1 1/2 in (40 mm) diameter. provided. 2 in (50 mm) x x 3 in (75 mm) x Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) `X" one choice 1 1/4 in (32 mm) None required. from the options 1 1/2 in (40 mm) No choice necessary. provided. 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Distribution system contains: 1 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals oentered over the A & B dimension end cap E P Last hole drilled next to end cap IF X 3�1 Laterals & force main of PVC Soh 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30 -5) equally spaced . ■ permanent end marker Inch-pounds Metric Lateral length (P) 72.00 ft 21.95 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 48 in 121.9 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 2.00 in 50 mm Forcemain diameter 2.00 ] in 50 mm Project: TIM LARSON Transaction Number: Page 4 of 7 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ]ft ft 43.29 76 m Vertical lift 10.80 m Are laterals the highest point in the Friction loss 1.10 ft 34 m system? Yes ~x' here. Total dynamic head 14.40 ft 39 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 12.5 gal 47.3 L back to tank? ('x' one) Minimum dose 125.0 gal 473.2 L x Yes Drain back 21.8 gal 82.5 L No Dose volume 11 146.8 Jgal 555.7 1 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with T weather proof warning label and locking device grade levels junction box — � disconnect grade levels alternate 4' vent pipe electric as per NEC 300 and outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump approved t chamber or Lam""— outlet joint . nation tank n combination A Provide 1 /4" weep hole or anti - alarm on siphon device as necessary pump on B C Grade levels pump 89,7 ft pump tank manhole = 4' (10 cm) Off eleV. 27.3 m minimum above finished grade D - vent = 12" (30.5 cm) minimum above finished grade 89.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.1 m bottom of tank Tank manufacturer MIDWESTREN Pump tank capacity 15.85 gal /in Pump tank volume 650 gal Pump manufacturer IGOULDS Inches Gallons Pump model number [EP05 o A 24.7 392.2 B 2 31.7 Alarm manufacturer ILIEVEL C 9.3 146.8 Alarm model number DLV — p D 5 79.3 Project: TIM LARSON Transaction Number: Page 5 of 7 oT PLft-i z f/ AA �.rf � �ba7�7 �Sorf 1 n ��: er► � , P, of kj& ,5 "kp 1000 C .c fo � e. er � 82 r � • �— MO rc 6.r S c /.t "4.6ow �ssum dk" I z Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page I of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County include, but not hmrted to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimernsions, north arrow, and locatiorf to nearest road. Parcel I.D.# APPLICANT INFORMATION- Pleas rmt all lnfonnatiorr: 032- 2110 -60 APPLICANT �'P � gy Date Personal information you provide may be used for so6ondary pu s fl 'vacy Law, s. 15. (1) (m)). — F361 y Owner b'`7 rty Location Dawn Larson Govt_ of NE 114 NE 1/4 S 5 T 30 N,R 19 W ty Owner's Mailing Address "`'cog kLbt Block # � Subd. Name or CSM# I Estates O f C edar Valley e �T ; � - Plat o c y .. k lenmar Ave. N re st Road City State ZoGode, P ty L] Village ❑Town ea Saint Paul MN 55I`�5. 65 - - Somerset 46Th street ❑ New Construction Use: ❑ Resideniu s 3 ❑Addition to existing building L] Replacement ❑ Public or commera`Ta escnbe Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpolf 2 .6 trench, gf Basal area required 900 bed, ft 750 trench, ft Maximum design loading rate .5 bed, gpdff .6 trench, gpd/ft Recommended infiltration surface elevation(s) 100.04 at 12" above 99.04' contour ft (as referred to site plan benchmark) Additional design / site Considerations Site contours require mound to be installed in a slighhy concave "cresent" shape. Parent material Glacial Till Fkxxi plain elevation, if applicable NA ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ❑ S ®u ® S u ❑ S H u ❑ S u DS N u ❑ S N u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GP Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz Consisten Boundary Roots Bed Trench 1 1 0 -8 10yr3 /3 None ifs 2fcr mvfr cs 2f &m 0.5 0.6 2 8 -23 1Oyr4/3 None Ifs 2fsbk mvfr cw 3f 0.5 0.6 Ground 3 23 -32 7.5yr4/4 None sl 2msbk mfr aw if 0.5 0.6 elev 96.74' ft f2 4/6 Ifs /sl/scl Om mfi - 1 f N.P. 0.2 4 32 -80 7.5yr4/4 d5yr -- Depth to ' limiting Horizon #4 consists of several layers of Om Ifs, Om fsl, & Om scl too numerous to one as individual horizons. Redordmorphic concentrations observed factor at interface of many horizons and redox deplet fou nd within scl bands. 32 "� Remarks: 2 1 0 -8 10y Non Us _ 2fcr mvfr cs 2f &m 0.5 i 0.6 2 8 -27 10yr4/3 No ifs 2fsbk mvfr cw 3f 0.5 0.6 Ground 3 27 -40 7.5yr4/4 None sl 2msbk mfr aw If 0.5 0.6 elev 96.78' ft 4 40 -83 7.5yr4/4 f2d5y /6 lfs /sl/scl Om mfi - If N.P. 0.2 Depth to _ limiting Horizon #4 consists of several layers of Om Ifs, Om fsl, & Om scl too nurnerars to define as individual horizons. Redaodmorphic concentrations observed factor at interface of m horizons and redox depletions found within scl bands. :�, -- Remarks: CST Name (Please Print) Signatu : Telephone No. James K. Thompson — 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, W1 54020 9/27/99 3602 1116 PROPERTY 6WIM Tim & Dawn Larson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LD.# 032 - 2110 -60 A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPD/ft� Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -11 10yr3 /3 None gr.sl 2fcr_ mvfr cs 2f &m 0.5 0.6 2 11 -27 1Oyr4/3 Non Is Osg ml cw 3f 0.7 0.8 Ground elev 3 27 -39 7.5yr4/4 None sl 2msbk mfr aw If 0.5 0.6 99.17'ft 4 39 -82 7.5yr4/4 f2d5yr4 /6 Ifs /sI/scl Om mfi - if N.P. 0.2 Depth to limiting factor Horizon #4 consists of several layers of Om Ifs, Om fsl, & Om scl too numerous to define as individual horizons. Redoximorphic concentration observed at interfa of many ho rizons and redox de pletions foun within sd bands. Remarks: _ -- — —_ -- _ — Ground elev Depth to limiting - -- factor Remarks: — Ground elev Depth to limiting -- factor Remarks: —_ Ground elev Depth to limiting —_ factor Remarks: — - f z Dcyne ✓ � .,/o AW,17 la r6an ■ S oi 1 065¢l4A i V rl t`/'y/7E`y Sec. S T..30/t;,oe. i9GJ, TK. oF' So•�ers t,�, �� . Croix �e ., c /. apP b(A e� 1 ON p 3 101 _ �� Mgg�e} T oP4 ~` nsinDeparAnentotIndustry, SOIL AND SITEEVALUATION REPORT Page i of - 4 Labor and Human Relations Division of Safety & Wkfings i accord with ILHR 83.05, Wis. Adm. Code COU NTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (8M), direction and % of slope, scale or I.D. # dimensioned, north arrow, and location and distance to nearest road. 032-2017-30 APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION DATE s 2'ZOQI) PROPERTY OWNER: PROPERTY LOCATION Mike Lund GOVT. LOT NE 114 NE 1/0 5 T 30 ,N,R 19 j (or) W PROPERTY OWNER':S MAILING ADDRESS LOT #' BLOCK * SURD. NAME OR CSM # 2040 Orin]ia Ave, N. 16 CITY, STATE ZIP CODE PHONE NUMBER OCITY OVILLAGE (MOWN 14EAREST ROAD Still-vat { ) ( New Construction Use [ 34 Residential /Number of bedrooms 3 [ ] Addition to existing buikkng L I Replacement [ I Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate _,,5 _ bed, gpolft .6 trench, gpdqt2 Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate ___ .5 bed, gpd/Fi .6 trench, gpd/ft Recommended infiltration surface elevation(s) 99.45 ft (as referred to site plan benchmark) f Additional design / site considerations -gf.I tem el. based on contour l ine ne of el, 99-r45. Parent material pittiRd glacial drift f=lood plain elevation, if applicable na R S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL FOLDING TANK U= unsuitable for system [ Is EO U O S O U 0S IR U I b s ®U I [is ®u j ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in Munsell Qu. Sz, Cont Color Texture Gr. Sz. Sh. Roots Bed Traich 1 0 - 1 r4 3 none sl 2msbk mvfr 2f .5 .6 r 1. , r ��' °'�' 2 12 -27 7.5 r4 4 none sl 2msbk mfr qW 1f 1,.5 .6 Ground 3 27-49 7.5 r4 4 none sl lcsbk mvfr 9W na .4 .5 eiev. 98-.95 -b• 4 49 -70 7.5 r4 4 c2 2.5 r4 6 S1 m na na na .3 .4 Depth to limiting factor Remarks: Boring # a s 1 0 -15 10 r4/3 none sl 2mgr mvfr gw 2f .5 �.6 t 2 j ffi 2 1 15-29 10 r4 4 none sl 2mgr mfr gy if .5 .6 Ground 3 1 20-60 7.5 6 none lfs -__ 0sci mvfr na na --:�8 9 _9_1t- ISQ , .2 Depth REM D limiting �-- '� f factor A10 03 '1997 ST CROW Remarks: COUNTY CST Name: -- Please Print G L. Steel Phone: 715 -246 -6200 � Address: 1554 200 ve. New nd W 54017 Z Signature:, Date: CST Num 298 PROPERTY OWNER Mike Lundberg SOIL DESCRIPTION REPORT Page --2z0 -a— PARCEL I.D. # . Boring # Horizon Depth Dominant Cotor Mottles Texture Structure Consistence Boundory Roots GPD /ft in. Munsell Qu. Sz. Cont Color Grp Sz. Sh. Bed Texh 12:w 1 0 -10 10 4 3 none sl r mvfr 2f .5 .6 �'i 2 10 -17 7.5 r4 4 none si 2mgr mfr 9w if .5 .6 Ground 3 7 -60 7.5 r4 6 none ifs 0sq mvfr qw if .5 .6 elev. )5.M –h• 4 WO 7.5 r4 6 c2d2.5 r4 6 lis lcsbk mvfr na na .2 ' .3 Depth to limiting factor Remarks: Boring # r Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM229$ Mike Lundgren New Richmond, WI 54017 MPRSW 3254 NEkNEk S5- T30N -R19w (715) 246 -6200 town of Somerset lot #18 -Cedar valley Estates Lo of mid lot survey stake @ el. 100' 0j p t. BM-= top o lot #18 & #22 lot stake @ el. 85.85' I'� 17" gri 5f CL o o t 1 2 ' +T Gary L. Steel 5 -28 -97 i ST CROIX COUNTY SEPTIC TANK ANIf. MAINTENANCE AGREEMENT ANDr OWNERSHIP CERTIFICATION .. FORM Owca .�I/Btiyt:: � � r " L �R ✓�_ 5 .�J - - Mar . �1g Adch e! 3 (e / Props %.rty Addti= r eg /E n� TT (Verifievtion require4 from Planning Departinent fo ( new construction) ` i Cite States ✓.. F t < P arcel Identifcation Number Pra i #y Lotw.1it °i pan A. /V & -s /a, Sec, T_JON -R W, Town, of �.. -- —., Subci:visian Lot # _ l� CeMi;ffed StF^i . M y Map # Volume - - -.. , Page # ?',' C / `a . Volume P /S_ Page # V_L.l2 S .. - ..� house .c p� es na ]Lot Imes idcntffiable);' yes ❑ no Impra lwr. , toe and miatemanceof your septic system could result in its premature failure to Faaudle wastes. Pn3per mn tsySraapce eo ns� . !of puippt-4.11 out the se; stie tank every three years or scsorw if needed b a licensed ect the ai'11o= of the s+c as as a treataimit , ti task to y per. Wbat you put iunro t#e `systean can >:ts � �p s tag e in the waste sal system PK ys t Tfie proffl :' ty owner w,ees to submit to St. Croix Zoning Department a cettificafiion form, signets by. the: owner by a usastsx splttmbear, �r !rxtry><maaplttcmber, restrictedplumberm s Ficensedpumper verifying that 1 die oa- �ita'waste�va#ei stet �i , is in jt>;nper *p#r.v condition an&or (2) after im pection and pumping (if necessary the septic tank is lets dean lit f U Uwe, f c undearsi n the above requirements and agree to maintain the private sewage disposal sysresm wit the' sot fns; Vii, Ot teparnneut of Commerce and the Degartm ,cut of Natu=I Resources, State of Wieeoa . oli s t4$ Y iii ?:1 ' t as boom maintained must be ca lewd and returned to due St. Croix Cana Zo ti$ri ty irattio�.o date. �S Pico 34 v S �. t P - � ,.. PLIOAN7." dA'T°P (wej ,:i is that all skatetnents on *as form are true to the best of my (our) knowledge_ I (we) am (are), the q"' of the l»ti ?' sc +ad above, W virtue of ae warranty deed recorded in ltegisteer of Deeds Office, SF j PPLICAN7 DATE " Any in Fcrct u3tioa that iii eels - represented may resWt in the Unitary Penuit being revoked by the Zoning Dep; :rotr mI.I., rt* Int:loide with flea applica0011: 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 60 39 bdJt LS SZ :60 OOOZ /ZZ /VO 1'91 1454PAGL 410 KATHLEEN H. H REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 09-03 -1999 11:45 AN WARRANTY DEED T - /� EXEMPT II I c d le £ (14 grx s CERT COPY FEE: � � a u CRAY FEE: Ce,,J-f TRANSFER FEE: 94.50 m A) SS ' 3 L s RECORDING FEE: 10.00 J Y , PAGES: 1 WARRANTY DEED Individuals to Joint Tenants STATE DEED TAX DUE HEREON:9v5b-) Date: August 30, 1999 FOR VALUABLE CONSIDERATION, Douglas J. Shoenborn and Aimee J. Schoenborn, husband and wife ,Grantor(s), hereby convey(s) and warrant(s) to Ronald W. Senn and Tim J. Larson , Grantee(s), real property in St. Croix County, lIddt>lddti, described as follows: Wisconsin Lot 16, Cedar Valley Estates in the Town of Somerset, St. Croix County, Wisconsin. Together with all hereditaments and appurtenances belonging thereto, subject to the following exceptions: The Seller certifies that the Seller is not aware of an on the premises cribed herein Douglas'J. Scho riimee J. Schoe STATE OF MINNESOTA ) ) ss. COUNTY OF Anoka ) The fpregoing instrument was acknowledged before me this 30th day of August, 1999, by Douglas J. Shoenbom and i e J. Schoenbo , lwsband Ond wife, Grantor_ g ig ture o Person Taking Acknowledgement NOTARIAL STAMP OR SEAL: "• ANGELA L. BURKHALTER NOTARY PUBLIC• MINNESOTA This Instrument was Drafted by: lit 1 4 ��a� Diversified Real Estate Closers Tax statements for the real property described in this 7671 Central Ave., # 104 instrument should be sent to: Fridley, MN 55432 Tim J. Larson and Ronald Senn, Grantees 361 G %gzuu /yea ��trrLe�i • rr� 5� / / �u(V\,� • - MO •0. •0 Submersible Effluent • t i L _ o Pump Specifications METERS FFfi _ — 1 /3 HP Up to 40 GPM l - - - -- - - -` - i MODEL 3871 I Discharge size 1 /� NPT 30 _ - - IDE Solids: ' /e' maximum R 25 - �.— -- - Motor Single phase: 115V t? — 4 6 20 Materials of Construction 5 5' Brass /thermoplastic a — _ - -- EP Features and Benefits • Top suction eliminates a i '- 2 l � impeller clogging. 5 • Corrosion resistant construction. o '0 • - 1 ° o -- 2 0 � J0 40 — so ° s r;i+t • Float actuated switch. ° 2 4 6 R 10 12 WIII APACITY METERS FEET ,� 25 — -- — Pump Specifications Features and Benefits MODEL DVP03 ° and ;, HP • EPO4 impeller- semi -open design ° 6 20 U to 60 GPM with pump out vanes to protect 5 p 32 mechanical seal. ,5 Maximum head to a 4 Discharge size 1 12 NPT • EP05 impeller enclosed design Z Solids maximum for improved performance o 'I 5 Motor • Rugged glass - filled thermoplastic All rnotors feature ball casing and base design provides o s o s z° 2s so �5 ao u S GPM bearing constrUction superior strength and corrosion Single phase 115V resistance. ° 2 4CAPACITY 6 8 10ffvlPoi Materials of Construction • Cast iron motor housing for Cast iron efficient heat transfer. strength. Thermoplastic and durability. Stainless steel •Corrosion resistant threaded stainless steel shaft *Available for automatic and manual operation • CSA listed models available All Models are designed for continuous operation and feature stainless steel hardware.