Loading...
HomeMy WebLinkAbout032-2035-10-400 qq /* Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary,Pnaut,No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ City ❑ Vil ge [] T of: State Plan ID No.: Arkell, Case komerse? M6ship — rw c fD K 31 f8 3 CST BM Elev.; Insp. BM Elev.: BM Description: Parcel T o 2035 -10 -400 o � z � (���- TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark c .2� (Iti ,Z gyp, o Dosing 66 � O Alt. BM 2 _ � Z Bldg. Sewer -a /o; e..f , 5-0 � 2 H g �/ Ht Inlet TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Air to I ntake ROAD Air Septic Z ' Z NA Dt Bottom y ri h U o i 0__ e? 9, 3 Dosing '�� 3 4 yo NA Header/ Man. 2 Z AeraT A Dist. Pipe _Kold Bot. System S, s (v G PUMP/ SIPHON INFORMATION Final Grade Manufacturer c cd �C, Demand St cover Z ? Model Number (Z GPM Sp 1,/ Z Z 3 ((IZ Z TDH Lifts 5 L riction System LTD H S qFt Forcemain Length s 9 ' Dia. H ead Dist. To well SOIL ABSORPTION SYSTEM TRENCH Width Length No. Of Trenches PIT No. Of Pits I ia. quid Depth DIM ENSIONS DIMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM L� SETBACK Manufacturer: ' INFORMATION Type O � r �S r � Mo um er: System: . (CHAMBER --�'— OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) r x Hole Size x Hole Spacing Vent` o Air Intake Length _- _L Dia. Z Length � Dia. Z Spacing � / Z y 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 /Trench Center Bed/ Trench Edges Topsoil I ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1:.10 /ZD /ODInspection #2: Ia 12- 3/ o u Location: 1649 50th Stre t, Somerset, WI 54025 (NW 1/4 SW 1/4 9 T30N R19W) - 093919607E Lot 4 1.) Alt BM Description =,� 2.) Bldg sewer length = - amount of cover 3.) contour= y)ko we(( Plan revision required? []Yes (yNo Use other side for additional inform tion. G6 SBD -6710 (R.3197) Date Inspector's Sig4ture Cert. No. I ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: ..... .. ... i e d ? gg g t � I I z F E g 4 ' E l _- SCALE 1 t B a 1l 4 50 Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 `�scons Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce mil completed form to county if not [Privacy Law, s. 15.04(1)(m)) (Sub com p state owned. ) Attach complete plans (to the county copy only) for the s stem a er not less than 8 -1/2 x 1 1 inches in size. County State Sanita Permit Number ❑Check re si p v o plication State Pla Number / AWC �oi _344 �- I. Application Information - Please Print all Information i Location: Property Owner Name / ^r f t ,. Property Location 7 I /4.'{J 1 /4, S 9 T'0, N, W Property Owner's Mailing Address ! f S _� Lot Number Block Number C T 4 z City, State V Zip Code onzav r , Subdivision Name or CSM Number to pr C!5on 3k77 II Type of Building: (check one) �.', !�; , �; L ❑City 1 or 2 Family Dwelling – No. of Bedrooms: °' ❑ Villa e ❑ Public /Commer ' (describe use): CA of ❑ State -owned (o •SO III Type ofPer Check only one box on line A. Check box on line B if applicable) Nearest Road -Q 5�• A) 1. 21 ew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Only Existing System 9 boo? B) Permit Number G 3 2 — ? D 3S - l a — 6U""" ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground 9-Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line D At -grade , ❑ Aer b'c Treatment Unit ❑ Other: X / &D Cleo_ w Q V Dispersal/Treatment Area Information: I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation 4 � 6610 &CZ o . s - 97. ' Q VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks 13 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 Signature (no mps): MP/MPRS No. Business Phone Number lumber's Address (Street, City, State, Zip Code) /C"7 V D,50 VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse rcharge Fee) ` Determination I CD T-15— IX. Conditions of Approval /Reasons for Disapproval: - . �- oti. s •� tr r ",U,A SBD -6398 (R. 07/00) i - w Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 - TDD #: (608) 264 -8777 iseonsin www.commerce.statemims Department of Commerce Tommy G Thompson, Governor Brenda J. Blanchard, Secretary September 05, 2000 CUST ID No.827623 ATTN.• POWTS INSPECTOR ,1,�NNING OFFICE MIKE MCDONELL p '�' -\S��ROIX COUNTY SPIA 340 PAULSON LAKE LN �,�� RECEIVED I�}4�� CARMICHAEL RD OSCEOLA WI 54020 HD ON WI 54016 RE: CONDITIONAL APPROV % , ST Identifica ' PLAN APPROVAL EXPIRES: 09/0 ZQ CCti�lvT ( f., ZONINGOFFICE �- TransactionID .431183 Site ID No. 19800 \ , - I Please refer to both identification numbers, SITE: Site ID: 198004, GREG JOHNSON above, in all correspondence with the agency. ST CROIX County, Town of SOMERSET; 50TH ST NW 1/4, SW 1/4, S9, T3 ON, R19W Lot: 4, FOR: Description: NEW DWELLING MOUND 600 GPD Object Type: POWT System Regulated Object ID No.: 759026 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • Wastewater particle size must be reduced to 1/8 inch or less. • 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 08/23/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 2ES B QUINLAN , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, 7:00 AM 3:30 PM MON / FRI JQUINLAN @COMMERCE. STATE. W I.US WiSMAR,cod : 7633; cc: GREG JOHNSON Safety and Buildings ° � PO BOX 7162 MADISON WI 53707 -7162 - TDD #: (608) 264 -8777 ksconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 05, 2000 CUST ID No.827623 f ATTN: POWTS INSPECTOR ZONING OFFICE MIKE MCDONELL�`� i` rr� {`I�� �� - ` ST CROIX COUNTY SPIA 340 PAULSON LAKE LN �+ �(�L_' 1101 CARMICHAEL RD OSCEOLA WI 54020 2000 SON WI 54016 a -- RE: CONDITIONAL APPR4� ST Gaotx COUNTY Identification Numbers PLAN APPROVAL EXPIRES " /� E h Transaction ID No. 431183 Site ED No. 198004 SITE• \� ! —_ _ i _! -�` Please refer to both identification numbers, Site ID: 198004, GREG JOHNSON above, in all correspondence with the agency. ST CROIX County, Town of SOMERSET; 50TH ST NWIA, SWIA, S9, T30N, R19W Lot: 4, FOR: Description: NEW DWELLING MOUND 600 GPD Object Type: POWT System Regulated Object ID No.: 759026 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • When the forcemain is installed in the downslope area as plot plan indicates, the trench for the force main may not be wider than 12 inches per mound manual page 18 #4. • 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. Sincer DATE RECEIVED 08/23/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 ES B =QUINLAN, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, 7:00 AM 3:30 PM MON / FRI JQUINLAN @COMMERCE.STATE.WI.US WiSMART code:-16M' cc: GREG JOHNSON RECEIVED AUG 21 2000 MOUND SYSTEM DESIGN SAFETY & BLDGS. DIV. Residential Application INDEX AND TITLE SHEET ca5e,4re // Project n 4 bedroom residential mound Owner Nottingham Development - Greg Johnson Address 14084 Square Lake Trail Stillwater, MN 55082 Legal Description NW1 /4SW1/4, Sec. 9, T.30N., R.19W. Township Somerset County St. Croix Subdivision Name CSM Vol. 14, Pg. 3877 Lot No. 4 Parcel ID Number 9.30.19.607E Plan Transaction Number Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. caics. and laterals Page 4 TDH and pump tank drawing Page 5 Pump specifications Page g,- j DtJ'ARTMENI CF COMMERCE DIVISION OF SAFETY AW BUILDiNGS Site plan Page 7 Tum -up detail Page POWTS management plan Page 9 SEE CORRESPONDENCE Attachment: Soil evaluation repo Page 10 Designer Mike McDonelll License Number 225036 Signature ,%a, Phone No. 715 - 386 -8692 Date 8/10/00 Page 1 of 10 MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximum design flow. Residential or commercial? (r or c) Slope 12 % Design flow rate 600 gpd Depth to limiting factor 28 in In situ soil infiltration rate 0.5 gPd/fe Contour line elevation 96.5 ft Use standard fill depths? x OR Design depth? in Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Orifice density 6.00 lorificesperft ` Center or end manifold c (c or e) Orifice diameter 0.125 in 0.126, 0.166, 0.188, 0.219, 0.25, 0.281, or 0.313 inch only. Lateral spacing 3.00 ft Use 0 lateral spacing for trenches. Estimated orifice space 2.00 ft Not a final calculation. Number of laterals 4 Pump tank elevation 91 ft Outside bottom of tank. Forcemain length ft Forcemain diameter 2.0 in 1.5.2, 3 or 4 inch only. 2.067 in Actual I.D. DIAMETER CONVERSIONS 1/8 = 0.125 114 = 0.250 SYSTEM SOLUTIONS 5/32=0.156 9/32=0.281 Design flow rate 600 gpd 3/16=0.188 5/16=0.313 7/32 = 0.219 Absorption cell Application rate & area 1.0 gpd* 600.0 ft` Linear loading rate (LLR) 6.00 gpd/ft Design width (A) 6.00 ft Cell length (B) 100.0 ft Depth of cell (F) 9.5 in Sand filter Upslope fill depth (D) 8.0 in Downslope fill depth (E) 16.6 in Basal area required (gpd /infiltration rate) 1200.0 ft Supporting components Topsoil depth 3.0 in Subsoil depth at center 9.0 in Subsoil depth at cell wall 3.0 in End slope toe length (K) 8.45 ft Up slope toe length (J) 4.90 ft Down slope toe length (1) 13.70 ft Total mound length (L) 116.90 ft Total mound width (W) 24.60 ft Project: Greg Johnson 4 bedroom residential mound Transaction Number: Page 2 of 10 MOUND PLAN VIEW observation pipes (typical) FLC AI A = 6.00 ft 24.6ft :: q B= 100.0ft J = 4.90 ft W - -- B I= 13.70 ft K K = 6.45 ft 1/613 = 16.67 ft L _ 116.90 ft typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension p = plowed area (LxW) K = end slope dimension 6 " T MOUND CROSS SECTION D = 8 i►j topsoil H subsoil cap lateral E = 16.6 in invert 97.67 ft F = 9.5 in elev. F = In T ASTM C33 H = 12.0 in D Sand Fill y Sys. 97.17 ft elev. 96.50 ft contour 12 % ---> 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: System installation to comply with standards as specified in Mound Component Manua SBD- 10572 -P (R.f Project: Greg Johnson 4 bedroom residential mound Transaction Number: Page 3 of 10 PRESSURE DISTRIBUTION CALCULATIONS Dispersal cell Width (A) 6 Ift Length (13) 100.0 Ift Lateral specifications Number laterals 4 Orifice/lateral 25 holes Lateral length (P) 49.00 ft Orifice diameter 0.125 in Lat. dis. rate 10.30 gpm Sys. dis. rate 41-32 gpm Orifice spacing (X) 24 in Lateral diameter Pipe diameter Design options Design choice Designer must 1 in x Place X in red X' one choice 1 1/4 in x box of chosen from the options 1 1/2 in x x diameter. provided. 2 in x 3 in x Manifold diameter Pipe diameter Design options Design choice arab 1 in x X' one choice 1 1/4 in x Place X in red from the options 1 1/2 in x box of chosen provided. 2 in x x diameter 3 in x 4 in x Distribution system contains: 4 Lateral(s) LATERAL DIAGRAM - CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Force main connection via tee or cross to manifold at any point. Laterals are identical I 1P - s Turn -up vd ball valve or IE X I* H 2 I x12 }I Laterals & force main of PVC Sch 40 ol ea n out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Lateral length (P) 40.110 ft Lateral spacing (S) 3,00 ft Orifice spacing (X) 24 in Manifold length 3.00 ft Orifice diameter 0.125 in Lateral diameter 1.50 in Forcemain diameter 2.00 lin Project: Greg Johnson 4 bedroom residential mound Transaction Number: Page 4 of 10 TDH and Pump Tank Drawing Total Dynamic Head Operational head 6.50 ft Vertical lift 5.37 ft ( ( 00 Are laterals the highest pant in the Friction loss 1.12 ft 7- system? Yes °x' here. Total dynamic head 12.99 ft If no, what is the highest elevation Dose Volume downstream of pump? L_�J Dose is > 5 times lateral volume Forcemain drain Lateral void volume 20.7 gal back to tank? C x" one) Minimum dose 120.0 gal Yes Drain back 7.0 gal No Dose volume 11 127.0 11gal Typical Pump Chamber Layout In combination with state approved treatment tank. approved manhole cover with weather proof warning label and locking device grade levels junction box -� g� levels disconnect altern 4" vent pipe electric as per NEC 300 and :: E- outlet Comm 16.28 WAC location 18" min. wall of pump �- approved chamber or outlet joint combination tank A Provide 1 /4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 92.3 ft C - pump tank manhole = 4 off elev. minimum above finished grade D - vent = 12" minimum above finished grade 91.0 ft Pump tank elevation 3 " of bedding under tank at bottom of tank Tank manufacturer Weiser Concrete 1250/750 combination ST /PC Pump tank capacity 16.12 gal /in Pump tank volume 758 gal Pump manufacturer JZoeller Inches Gallons Pump model number 9 o A 25.1 405.4 B 2 32.2 Alarm manufacturer Levelarm C 7.9 127.0 Alarm model number JDLV p D 1 12 1 193.4 Project: Greg Johnson 4 bedroom residential mound Transaction Number: Page 5 of 10 HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 185/4185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE V7 W }!� RIM Q i 1 _ 11 111.1 1 14014140 If1N1 1 16304163 IfSN1i3 11 1 IW!ilf 1W111 IItN111 111 77. 01. Gal. Lkw Gtl. Lis. Gal. Lin G,I. U! Gd. Lia Gal, Lis Gal. L" Gal. Lis. Gal. I" Gal. Um G,I, Lis. Gal. Lt.. Gal. LOS. Gal, Lis 1 4 S 1.37 143 42 71 IN 11 IU /7 717 U )33 M $N 106 401 41 771 61 771 $1 720 133 611 Ili $61 43 171 42 10 3. 132 30 23 U N 111 N 771 11 700 10 741 100 711 N 771 11 771 31 771 Iw Nf 151 672 43 171 1 3 Is 4. 1.1 A IS 17 11 71 45 114 64 141 11 J14 11 60 nl {0 XII N 771 142 I 113 W 13 11 20 6.10 23 1 1 11 2$ 11 36 Ixi 13 771 42 710 Ss 777 60 221 11 720 U 0 U 6 311 140 33 Ill 40 1 3 7s 7.12 1 70 67 131 14 710 37 216. 11 777 so 721 111 411 171 607 at 171 10 1.14 51 711 /S 744 SS 710 31 771 w 311 N 771 171 /N 171 431 13 111 w ills 30 111 46 174 46 >172 SS 206 /S 1Q SI 720 113 xi1 114 471 4S ill 38 — 125-- so ILU 71 N 73 121 SI 111 SI its so 221 f0 311 100 771 13 tll 60 1321 1s it 17 ifl )6 114 31 721 11 2N Is 31 43 111 12 10 7134 30 N4 10 3f 52 117 11 111 16 rib 45 Ill 36 1 9 1 10 N.xi II p if 111 71 101 M 201 /S 171 1 1 w 7167 — 17 121 1 1 31 140 at 171 100 ' — — — It N 11 71 w tit 34 110 7100 1 26 1 xi 30 114 I10 120 3644 7e n 32 105 130 ».62 23 2{• le xi Lech V.1": 71.1• 21' 1113' 4' Ir IT ITS' f1' 111 Ur 100 30 95 28 90 186, 26 4186 85 165, 24 so 4165 75 0 22 70 L) 20 a 65 z > 60 16 3, 0 18 4163 \1 89 J a 55 0 4189 � 16 50 14 45 12 40 140, 1BB, 35 4140 4188 10 30 137, 185, 8— 25 139 4185 6 20 4 T� L 15 — 10 i 2 5 43 48 3,5 57,5 9 466 0 1 U.S. GALLONS 10 201 30 40 5U 601 7C 80 90 100 11 I0 120 1130 140 1150 160 LITERS 80 1 50 240 320 400 480 560 640 0 FLOW PER MINUTE 009927 Note: For Head Capacl yin Mo el 112 i ustrial colum n - explosion pr000f pump, see FMO219. P (, or /0 .�cr - vv ._r_�r] � i -r r•i H. L.. t sa i I ex 5 i t @ Eva 1 . 715 248 7 764 P. 0v= u 9z,o t � ►k o Pre � " b� . lot S�a Jty. �9lao Z oAv. d, 1 • el <vab'ar� r- PK t m . �' t �► � � � /ocafadPr�ap. Sca/C : rr� Pr 0 0� ou P wed of <ye r iw, , P�apestal wltlt+,� o ■ 1 Ia�rrrc /J at /h V� D cc1.'t�i 4 self •'lo AA [ .L 6 M�Idr� Stw+s�" 1 9G,srti'1�1�r /1o�'�liam �tvGp ' 6 rY4 � ' WSW Access Box Threaded Plug Lateral Manifold Lateral turn -up detail Pg. 8 of 10 I ' , Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10572 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes 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 operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two 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 Trees or shrubs should not be planted directly on the mound. Plantings may be made around the mound's perimeter. The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the mound and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine 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. Levels above 4 inches indicate 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 become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept.wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector. Pg. 9 Of 10 Wisconsin Department ofCommerce SOIL AND SITE EVALUATION Page I of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8 x 11 inches in size. Plan must County include, but not limited to: vertical and horb ontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# 032-2035-10 APPLICANT INFORMATION - please print all Information. Reviewed B Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Locatwn Gaylen Schilling BUYER: Greg Johnson Govt. Lot NW 1/4 SW 1/4 S 9 T 30 N,R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 498 150th Avenue �{ Proposed CSM City State Zip Code PhoneNumber ❑ City ❑ Village ®Town Nearest Road Somerset WI 54025 715- 549 -6173 Somerset I SOTh Street ® New Construction Use: ® Residential / Number of bedrooms 4 []Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate •4 bed, gpolf 2 .5 trench, 9pdr Basal area required 1500 bed, fF 1200 trench, ft Maximum design loading rate •4 bed, gpolff: •5 trench, gPdff Recommended infiltration surface elevation(s) 97.5' at 12 above 96.5 contour. ft (as referred to site plan benchmark) Additional design I site considerations Parent material loess Flood plain elevation, if NA ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in FBI Holding Tank U= Unsuitable f o r system ❑ S ® U Z S D U ❑ S ® U ❑ S ® U EIS ®U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles S6vcture GPD1ft Boto Horizon in. Munse{l Qu. & Cont Color Texture sister Boundary Roots Bed ;Trench i 1 0 -8 10yr3 /3 None Ifs lmsbk mvfr as 2f 0.5 0.6 2 8 -19 10yr4/4 None ifs 1 msbk mvfr cw if 0.5 0.6 Ground 3 9 -28 7.5yr4/6 None sl 2msbk mfr cw - 0.5 0.6 elev -- — — -- - - -- - -- — - - - -- 98.3 it 4 28 -48 5y r4/4 None A till Om mfr aw - 0 0.4 Depth to 5 48 -70 10yr5/4 mId 7.5yr4/6 sil Om mfr - - NP : 02 limiting factor 48' Remarks: 2 1 0 -8 10yr3 /3 None sl 2fsbk mvfr as 2f 0.5 0.6 2 8 -16 10yr5/4 None sil 2fsbk mvfr cw if 0.5 0.6 Ground 3 16 =32 10yr4/4 None sil 2msbk mfr cw - 0.5 0.6 elev 96-8T It 4 — 32 -50 10yr5/4 m2d _ sil 2msbk m aw _ _0.3 0.4 - -- -- - -- - - -- -- -- -- -- -- -- -- - -- r-- Depth to 5 50 -72 10yr6 /4 mlp 7.5yr5/8 sil Om mfr - - NP 0.2 limiting factor 32' Remarks: CST Name (Please Print) Signatu Telephone No. Jayn K_ 'Thomps — - --_ — _ - -- - 715 248 -7767 —_ Add AC.E. Soil & Site Evaluations Date CST Number Ref # 340 PauLson Lake Lane, Osceola, WI 54020 5/2/00 3602 1220 pRoptffry OWNER- Gaylen Schilling, BUYER: Greg Johnso SOIL DESCRIPTION REPORT Page 2 of 3 ,-PARCEL LDI 032-2035-10 A.C.E. Sod & Site Evaluations GPDfF Horizon Depth I Dominant Color Mottles Texture struchire xtufe sisterwe Boundary Roots ----BE�7—T—rench in. Qu. Sz- Cont Cojor Gr. Sz- Sh. 3 1 0-11 10yr3/3 None A Ithinpi mvfr as 2f 0.4 0.5 2 11-19 7.5yr4/4 None S1 2&bk mvfr cs if 0.5 0.6 Ground elev 3 19-28 5yr4/4 None 2msbk mfr cw I f 0.5 0.6 A 95.06'ft 4 28-42 7.5yr4/6 fl d5yr5/8 S1 2mbk M fi cw if 0.5 0.6 Depth to 0.5 0.6 5 42-50 1 Oyr4/4 m2p7.5yr5/8 sil 2fsbk mfr cw limiting --- --- --- factor 6 50-86 1 Oyr4/4 m3p5yr4/6 sil 0M ml NP 0.2 28' Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: — — — — --- — — - — -- - - - - -- -- -- - - - - -- — — — — — — -- - - - - -- -- - - - -- Ground - elev Depth to limiting factor Remarks: cry ar T,o o1'Yi! `re bar Ab5 UMCCI ek �� Ib. A oA. To of -ro„ \ lot SdaKe. Elegy (0 6 1 ■ \\ \ ■ 5d;/ 066¢rda� \ ♦ eltvafior� A N SCA�C • �` '/� pro 6 ,61. S,`Ee \ co 61 \ 59�. of W 1 -641 isconsin Department of Commerce SOIL AND SITE EVALU TI Page 1 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, twt not limited to: uertical ax! horUnntal reference point (13M), direction and St. Croix percent slope, scale or dirrmiswrrs, north arrow, and location and distance to nearest road. Parcel LD.# APPLICANT INFORMATION - Please print all information. 032-2035-10 Personal information you provide may be used for secondary pu s. 15.04 (1) (m)). Reviewed By Date Property Owner ` ` •4 P Location Ga len Schillin , BUYER: Gr John \ 66vt t N 1/4 SW 1/4 S 9 T 30 N,R 19 W Property Ownel's Mailing Address E' ; Lot # Block # Subd. Name or CSM# 498 i 50th Avenue `� Proposed CSM City State Zip Pho ltit ! City ❑ Village ❑Town Nearest Road Somerset WI 5401 ' 715 -54 ,6 Somerset 50Th Street ❑ New Construction Use: Resttial / ❑Addition to existing building ❑ Replacement ❑ Punic cofnmercial '` Code Derived daily flow 600 gpd ` `. ❑ `R clad design loading rate -4 bed, gpd/fts .5 kends, gpdff Basal area required 1500 bed, ff 1200 trench, ft- Maximum design loading rate .4 bed, gpd/W .5 trench, gpd/W Recommended infiltration surface eievadot(s) 97.5' at 12" above 96.5' contour. ft (as referred to Site plan benchmark) Additional design I site consideration t material loess Flood elevation, d NA It for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank table for system El S® U N S❑ U El N U El S® U El S® U El M U SOIL DESCRIPTION REPORT Depth ruminant Color Mottles Structure GPDW Wig# H °mzon in. Munsetl Q u. Sz. Cont. Color Texture G.. Sz. Sh. Consistence Boundary Roots Bed Trench 1 1 0 -8 1Oyr3 /3 None Its lmsbk mvfr as 2f 0.5 0.6 2 8 -19 1Oyr4/4 None Ifs lmsbk mvfr cw if 0.5 0.6 Ground 3 9 -28 7.5yr4/6 None st 2msbk mfr cw - 0.5 0.6 — S' elev—— — -- -- - -- -- — - - -- -- - -- — - - - -- - — — -- -- — — — — — - -- — — — - 98•36' ft 4 28 -48 5yr4/4 None sl till Om mfr aw - 0.3 0.4 .3 Depth to 5 48- 0 1Oyr5/4 mld 7.5w4/6 sit Om mfr - - NP 0.2 limiting factor 48 Remarks: 1 0 -8 10yr3 /3 None sl 2fsbk mvfr as 2f 0.5 0.6 . S 2 8 -16 10yr5 /4 None sit 2fsbk mvfr cw if 0.5 0.6 . S� Ground 3 16 -32 10yr4 /4 None sit 2msbk mfr cw - 0.5 0.6 elev ' 96 ft 4 32 -50 10yr5 /4 m2d 7.5yr5/8 sit 2m sbk mfr aw - 0.3 0.4 - - -- - -- - -- - -- - — _ - - -- - - -- - - -- . - -- - - - - -- - -- -— Depth to 5 50 -72 1 Oyr6 /4 m 1 p 7.5yr5/8 sit Om mfr - - NP 0.2 limiting factor 32' Remarks: CST Name (Please Print) Signatu Telephone No. James K Thompson 715-248-7767 — - -- -- - _ - - - f Address ACE. Soil & Site Evaluations Date CST Number Ref If 340 Paulson Lake Lane, Osceola, WI 54020 5/2/00 3602 1220 PROPERWOWNER. Gaylen Schilling, BUYER: Greg John son SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I .D.# 032 - 2035 -10 A.C.E. Soil & Site Evaluations l�arlwrr DeO Doman, Color Mottles Texture Structure � SWMM � ndary 12oOtS - - GPDIft= M. Munsell Qu. Sz. Cont Color Gr. & Sh. Bou Bed Trench 1 0 -11 10yr3 /3 None sl lthinpi mvfr as 2f 0.4 0.5 'f 2 11 -19 7.5yr4/4 None sl 2fsbk mvfr cs if 0.5 0.6 •S' Ground elev 3 19 -28 5yr4/4 None A 2msbk mfr cw if 0.5 ! 0.6 , S 95.W ft 4 28- 2 7.5yr4/6 fld5yr5l8 st 2mbk mfi cw if 0.5 0.6 Depth to 5 42 -50 10yr4 /4 m2p7.5yr5 /8 sit 2fsbk mfr cw - 0.5 0.6 knifing - ___ -- tat 8. 6 50 -86 10yr414 m3 /6 sil Om m1 - - NP 0.2 Remarks: Grand elev Depth to 4imiting -- - - - - -- - - - -- -------- - - - - -- factor — — -- Remarks: Ground elev Depth to Gmifing factor Remarks: Ground - - - - -— - - -- -- — - - -- - - - - - -- elev Depth to limiting factor Remarks: • ' enc1, ar : T,o ofY�! °re 6ai: , 3 0 3 55 4u rnetq eklA - 9z.o/ I E. : To 0 0 ?ro►, \ ■ 5a;/ 06serda6' \ P,•t \ ♦ eltvQ6m• 83 • l olPraP• • vscale: propostd b bl�, s, Ee \\ x21 co \ \ \ ■1 9G so'er,6r- 59�. of La-6 propo:�-c / Cs q WSW S, 9, T 30rt� w ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buyer �eW Mailing Address / y� �� Gam, C , �' Y✓l _ S Q Property Address (Verification required from Planning Department for new construction) City/State �o yrx5t . W Parcel Identification Number o L —�o3S' —i0 9• °�� LEGAL DESCRIPTION property Location /l [J - W V4, Sec. 4 , T - N - RA--W, Town of ��►� Subdivision . Lot # Certified Survey Map # �ozS�S'�'y , Volume / V . .Page # ,38 Warranty Deed # Z 90 1 / 0 , Volume /S' . Page # 3G' Spec house ❑ yes 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 masW plumber, journeyman plumber, restricted plumber or a li cense d pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has peen maintained must be completed and returned to the St. Croix County Zoning Office within 30 days 9f-t$e three year expiratio . �APPLII'-"Aw 1- 1151 ©v S�GNAIU�MO DAT E OWNER CERTIFICATION I (we) certify that all stat a on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the rty described above, b i e o arranty deed recorded in Register of Deeds Office. NATURE OF APP C DATE * * * * ** being revoked b the Zoning D * * * * ** Any information that is mis- represented may result in the sanitary g Y g � artment. *« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed vas 1538PAGE436 to STATE BAR OF WISCONSIN FORM 2 - 1999 629040 REGISTER OF DEEDS WARRANTY DEED Document Number ST. CROIX CO., WI This Deed, made between Nottingham Development, LLC, RECEIVED FOR RECORD byGreg Johnson, its sole member, 08-30 -M 9 :30 An WARRANTY DEED Grantor, and Case R. Arkell EXEMPT N — CERT COPY FEE: COPT FEE: - - TRANSFER FEE: 127.50 - -- - - — RECORDING FEE: 10.00 PAGES: 1 Grantee. 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 That part of N W 1 /4 S W I /4 Sec. 9- T30N -R 19W described as follows: Lot 4 Name and Return Address of Certified Survey Map recorded in Vol. 14 of Certified Survey Maps, page 3877 as Doc. No. 624984 St. Croix County, Wisconsin. DAVID J. ESTREEN 304 LOCUST ST HUDSON, W1 546 032 - 2034. 95;032- 2035 -10 Parcel Identification Number (PIN) This is not homestead property. 004) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 2� day of August 200 Nottingham Devsl9ament, LLC a Greg John ole member _ AUTHENTICATION ACKNOWLEDGMENT Signature(s) Nottingham Development, LLC, by Greg Johnson, STATE OF WISCONSIN ) its soli rte nber, ss. County ) aytbin ' e day of August 2000 personally came before me this day of Q the above named i- K TI�1a O TITLtiE i �� STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine O land Notary Public, State of Wisconsin udson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) _ ') Names orpersons signing in any capacity must be typed or printed below their signature, wormation Professicnals company, Fond au Lac, wi STATE BAR OF WISCONSIN 800-655-2021 WARRANTY DEED FORM No. 2 -1999 i 1 *` �� 4 624984 rs CERTIFIED SURVEY MAP b&AtED IN PART OF THE NW7 /4 OF THE SW1 /4 OF SECTION 9, T30N, R1 9W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. SCALE IN FEET 1" = 200' PREPARED FO R: NOTTINGHAM DEVELOPMENT L.L.C. 200 0 200 400 GREG JOHNSON MRIpdLQ�CED RAHD% STI MAIN STREET ----- -_ - - -_ STILL WATER,MN @WMIK) EV (851) 439 -2414 W 114 CORNER EAST - WEST 1/4 LINE OF SECTION 9 SECTION 9 6' +/- N 89'27'08" W 165TH AVE. N 89 27 08 W 625 b � 1 10.1 592 01 3 00 4644.51' t Xt o E1 /4 CORNER FI.1�i.L.; =l 4 M SECTION 9 w z0 Q J�rn �' N �{ /� .{kO:A:;i::FiG t..;::;;':::: :;av: c�l � F- z� J 2 �• � 1 ;!�; , o U o J O V O� ti w I rn 2 WW ';: 4J F 2 Q o w q�0� �i q r- S 89.27 08 E X92171 / ?o ti��vV .0 N w o `' LL cr - = m J �� 131,2?1b SQ :F 1 cw: g 4>/ ¢ LL A IN Z QOD p v ppS89 "E 518.10' "' Q PR VATE ROAD EASEMENT � ode 11 y l52 40 l7oC. m 3 of _ _ _0.1'38" O (O2 y983 1 N 89 'Ol" W 53.00' / W.L. p / 898.0 �Q El CONTIGUOUS BUILDING AREA o W I M p/ LOT 1 1.4 AC �Q/ LOT 2 1.3 AC W �/ LOT 3 1.3 AC > co L. / LOT 4 2.5 AC to I cy oa OI �Q/ CURVE DATA U. I n I O 10 1 0 A l W NUMBER RADIUS 233.00' a I I I N 89'44'18" W 353.02 &t DELTA ANGLE 08'54'03" �I �I w H.W.L. _ CHORD DIRECTION S 84 E DI @I F 898.0 CHORD LENGTH 36.16' LL ARC LENGTH 36.20' LU 3 3 I �� Z TANGENT IN S 89'12'01 E to iu TANGENT OUT S 80'17'58" E o: I� : ....LQT...'1 :....:. : >^ LEGEND 1 OWNER L ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND GAYLEN SCHILLING 33,00 ......::....::...:.. :498 150TH AVE. 353 >QC': ?:`: O 1' X 24" IRON PIPE SET WEIGHING SOMERSET, WI 54025 8%44'1 E 386 .02' 1.13 LBS. PER LINEAR FOOT SOUTH LINE OF THE NW1 /4 OF THE S\..,i. I � {lAJ fl V'/'U..i IV/1i JLul1�J1� i.liV[ L EXISTING DRIVE — 12' UTILITY EASEMENT APPROVIEU n/ � PROPOSED DRIVE ST. CROIX COUN4 o � � _ EXISTING FENCELINE Planning Zoninq and Parks C 'ge v c� 5' STORM WATER RETENTION AREA TO JUN 1 6 200% O H.W.L. = XXX.X HIGH WATER LINE ti H.W.L. = HIGH WATER LINE ELEVATION If not recorded within 30 days of (,� oo NOTE A GRADING THAT WOULD ALTER THE CAPACITY approval date approval shall be (,� f OF THE STORM WATER RETENTION AREA null and void IS PROHIBITED a a 6RD,� SW CORNER NOTE B BUILDINGS ARE PROHIBITED WITHIN SECTION 9 c �D/ O THE STORM WATER RETENTION AREA THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 99 -153 DATE 6/15/00 VOL. 1 .4 PAGE 3877