The URL can be used to link to this page

Home My WebLink About032-2106-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 399454 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: Rose, Mark I Somerset Township 032 - 2706 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: r(` % TANK INFORMATION I ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark to 10 3 -5 D � -- - - -- Alt. BM o 1 2, Aeration Bldg. Sewer / 3 �' ding Ht Inlet (p Z 6 TANK SETBACK INFORMATION St/ t Outlet 7. f�� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom � i'UU � Dosing — Header /Man. Aeration Dist. Pipe F. 1 4 *'(,,& S zi 3� 3 Ho g Bot. System `. /016'/ '1 Z , `/O Final Grade PUMP /SIPHON INFORMATION facturer Demand St Cover PM X 7 Model Number TDH ILi Friction Loss System ad TDH Ft F rcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 1 DIMENSIONS Z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAQHING Ma fact ffr: INFORMATION AM OR (�✓ Type Of System: 7 Sd / �/ > i Mad�l Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to n a �a / tr Pipe(s) . / Length 1 + Dia Length Dia / Spacing (i 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 U Yes No Yes [0� No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/_/ d Inspection #2: Location: 818 165th Avenue Somerset, WI 54025 (SW 1/4 NW 1/412 T30N R19W) North Bass Lake Parcel No: 12.30.19.998 t n 1.) Alt BM Description 7) ��Q wfics 0 � f WP 2.) Bldg sewer length =2;� jct! e ocd� �,, � (,jk,5 or trod d ' (� SCOT ro�:ly� ad - amount of cover = > 3 f // / I //rIGm9� G�Gv %M / A Q 3. serum`, ' ,1 / pcs ti� e l c� �r� .� 5�( S Plan revision Required? ❑ Yes No Use other side for additional information. ate Insepctor's ' ature Cert. No. SBD -6710 (R.3197) Over ---!;p i L S V �/ O Q �' h l l f � �.-- �----- 23 Sanitary Permit Application Safety & Buildings Division r 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 ""lSCOnS Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for th sys t e m, on paper not l ess than 8 -1/ x 11 inches in size. Counter J z � State Sanitary Permit Number ❑ Check i fr vision to previous application State Plan I. D. Number 313 j I. Application Informatio - Please Print a 1 nformation Location: 1 I Property Owner Name / Property Location o't / / ✓ Z, S/4 T E ) Property Owner's Mailing Address / Lot Number Block Nu r S C/ City, State Zip Code Phone Number , Subdivision NNamL&QSM Number a/ II. Type of Building: (check one) "'i ❑city 1 or 2 Family Dwelling - No. of Bedrooms:- ,� ❑ Village ❑ Public /Commercial (describe use):_ 9e of ❑State -Owned ��` �7 �.iKs1. ��• O Nearest rT(I'G/ Parc 1 Tax Number(s)-;?V— , Jb III. Type of rmit: (Check only on A oW%n line A. Check box B if applicable) — oZ 10 — 41,0 — o00 A) 1. 2. ❑ Replacen- ❑ Replacement of 4. 5. 6. ❑ Addition to System Systems Tank Only p 1 41 Existing System B) _ Permit Number Date Issued s ❑ A Sanitary Permit was previ ed IV. Type of POWT System: (Che - cR avvly) - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: L 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4! Soil Application 5. Percolation Rate 6. System Elevation 7. Final Gr i Required Proposed L Rate (Gals. /day /sq. ft.. (Min. /inch) Elevati n /7) VII. Tank Capacity in Total # of Manufacturer Prefab Site eel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ 13 A VIII. Responsibility Statement I, the undersigned, assume responsibility for install tion of the OWTS shown on the attached plans. Plumber's ame (print) Plumber's g ture (no s ): MP/MP S N Business Phone Number Jai �6,v Plumber's Address (Street, City, State, Zip Co IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (IncludLGroun Date Issued Issuing Agent Signature (No stamps) pp roved A ❑ Owner Given Initial Adverse Surcharge Fee) Determination X. Conditions of Approval /Reasons for Disapproval: 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. All setbacks to system and residential structure must meet applicable code requirements. (note the 75 -foot setback from the Normal High Water Elevation 890). 3. This system was designed in accordance with the in- ground soil absorption component manual (version 2.0). 4. Any filling and grading that will affect the capacity of the HWL retention area is prohibited. 6. Well setbacks to be maintained per NR 811 & 812. SBD -6398 (R. 07/00) OT PLAN PROJECT Mark Rose ADDRESS 6574 53rd St N. Oakdale Mn 55128 SW 1/ NW 1 /4 S 12 /T 30 /R 19 W OWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 BEDROOM 3 CONVENTIONAL )00( IN -GRO D RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of 1/2" Steel Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 93.54/92.43 Vent \9 > 12 Si winder High of Cover Ca acity Leaching Plans Designed Using Clamber Conventional Powts 6' Long 16 Manual Version 2.0 34" Grade at System Elevation o3 B edroom 2-3'X 69 ith >3' Spacing House 20' sewe , B - 4 20 ' Vents i 2 B- 40' B -3 B.M. 14% / 10' e 50 153' I 336' B -2 Property t Vents Line � Horizontal I reference Green Point Electrical Box 554' Property Ine I OT PLAN PROJECT Mark Rose ADDRESS 6574 53rd St N. Oakdale Mn 55128 SW 1/4 NW 1/4S 12 /T 30 /R 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 BEDROOM 3 CONVENTIONAL XXX IN -GRO D RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of 1/2" Steel Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOR OLE O WELL *H.R.P. Same as Benchmark �vj L �( SYSTEM ELEVATION 93.54/92.43 c Vent Si winder High >12" Coacity Leaching Plans Designed Using of Cover 9amber Conventional Powts 'Long 16" i Manual Version 2.0 34" Grade at System Elevation ' Pro 3 B edroom 22 -3� ith >3' Spacing House � 20' B -4 20 , w Vents i 25 B- 40, B -3 B.M. 14 0 / 10' e 50 153' I 336' B -2 Property I Vents Line � Horizontal I reference Green point Electrical Box 554' Property Ine i Maintenance and Contingency Plan for a Septic System Maintenance Plan 1 . Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger Miter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other flailing components as needed. Plumber: Shaun Bird 71 5- 246 -4516 64 ems,�� a, , �,s- -3cP4- W <D ?6e Shaun Bird #226900 Wisconsin Department of Comnierce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code . C X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County co include, but not limited to: vertical and horizontal refe nce point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arr a d ogaPo distance to nearest road. Q 3a - aQ y 5 - 1 0 r ,1 '4. Please prin rmatiOn • ° N,, R 'ewed by Date Personal infomlation you provide may be sewn �Io es (Privabj! s. 15.04 (1) (m)). Property Owner; Location (�r Ros � '� ' ? Govt. Lot St1 1/4 AAd1 /4 S l c - � T 30 N R I q E ( r) W Property Owner's Mailing AddressX Lot # Block # Subd. Name or CSM# 65� s3 �a S +. S� ,� A J. &SS La kE ESfa Ci State Zip e - Pho // r * > ❑City ❑ Town Nearest Road V�1r�OQIQ IMA) ('b ) 30_r., S. SpwlefSC'f /65 ave ❑ New Construction Use: g Residential / Number r'ooms 3 Code derived design flow rate 4 1 0 GPD [ E] Public or commercial - Describe: arent material q q, s J. Flood Plain elevation if applicable ft. General comments and recommendations: � a — (c i -75 — T Q E�' cU e. C l� 5 � vi F. I +r -, c • � Dr sS Fo e t A. T, "( 93,594P) 7.3 t 9►.3a.� std S�. , 1 • ' ! y , S, }t 2, • T• 4 C 9a• ��'� F/-1 Boring # [] Boring Q 5r Pit Ground surface elev. 7 3,s y ft. Depth to limiting factor 7 p, D 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 / 0 -9 Ioy 3 1a SL AR F&9 WN QS a F IS .9 R 9 -3a 761 q)e L aF5Q d Cw F -5 .9 3 3 -y IS `l ` Jib 5 o -s9 d L- C W WF . - 7 1. o k S -s 9 d L. Boring Boring # ^' J9 Pit Ground surface elev. '7� ft. Depth to limiting factor A bD 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 o -Cg 10\IR 3 a 5L ar-&R as a F .5 .9 oZ S -a3 - 7,5 V q Ito S L- aS E E 6k C W I F 5 . q 3 a3- 3o - 1 . w7 g h, S O S K 0 • 1 1• A. y 3a-t 7,s S o -s9 d� ` — ' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number �n or q � S;+ar da ley Address Date Evaluation Conducted Telephone Number a a0 s S +ar Pmir 'te W1 Sqt b 9 -13-01 ay8 -352% SBD -8330 (R07/00) Property Owner m ar K Rose Parcel ID # Page of F3-1 p� _ Boring # ❑ Boring pit Ground surface elev. 9232 ft. Depth to limiting factor / 0. 5 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 0 -9 JO yR 3 /a - SL, FIsR ds1, as aF .S ,q a q -3a -1 S IR y jy SL a ES 6K d C W I . S 3 3a -50 - 76 W y b Sc l- m56'K cw w F 'q .10 y solo �,syR SI�I S - 3L i�'q- 30 "lo 3rAwl I -- err Q3. F/I Boring # ❑ Boring 9s � l pit Ground surface elev. • 7 ft. Depth to limiting factor /o 0 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 U-9 IOYR3 - SL a F&,9 os� 0,5 0 .S .9 o� 94 7,S VR 4 116 SL R FSt3K 81, Cw I F .5 ,9 3 a9-38 7,5 YR 4 10 S 0 -59 6 L C W 1 J F , 7 1. 4 IS-1 p ? ,S VR S ' z"' - -- S 0 "5 L e . ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. El pit 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 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. SBP8330 ($.07/00) •, r , _ Sw Ili LJ- Sec. t �L T 3o N 9, 19 to * _ : -- g t , i . 3. a�'s rs ( 't'o 4'! 1 "`",. Q �. cw L Vie. 1� +, c- - � � 9 7 l0 r S3 91 i g - .� �, - - - -- _ - � - i I j _> _ _ . _ __ - -. _ __ i _ _._ _ _ __ -. __, _ _ � - _. i !, ___ - _ _ -____ _ __ _ __ __ _ _. i ��-- r Wisconsin Department of Industry SOIL AND SITE EVALUATION RE Page of Labor and Human Relations Division of Safety -8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scc e qt PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. e i f— c b 3 - 2 • ,Z 0 1'S APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION 0st A / REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION tivi Gerald J. Smith GOVT. LOT SW 1/4 p- 1/4,S 12 T 30 N,R 19 k(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # 11160 190th,, Ave. N.W. 4 n;4 N Ragzq Take RQJI CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE kJOWN NEAREST ROAD Ilk River, MN. 55330 612) 441 -8888 Somerset I 85th, st. [ New Construction Use [ Residential/ Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate -7 bed, gpd /ft - trench, gpd /ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate __ ,7 bed, gpd /ft 8_ trench, gpd/ft Recommended infiltration surface elevation(s) 91.57 ft (as referred to site plan benchmark) Additional design / site considerations alt site system el. = 90.85 , Parent material Qutwaah Flood plain elevation, if applicable n ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN 1111 HOLDING TANK U= Unsuitable fors stem ®S ❑ U ®S ❑ U ® S ❑ U U S ❑ U I S ❑ U ❑ S 7 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTrendri ................. .................. ................. .................. . .... < 1 0 -12 10 r3 2 none 1 2msbk mfr cs 2f .5 .6 2 12 -18 10 r4/4 none scl 2msbk mfr 9W if .4 .5 Ground 3 18 -27 7 r4 4 none sicl 2msbk mfr crw if .4 .5 elev. 95 ft. 4 27 -84 7.5yr4/6 none cos osg ml na na Depth to limiting factor +84 11 Remarks: Boring # 1 0 -9 10 r2/2 none 1 2msbk mfr gw if .5 .6 2 2 9 -23 7.5 r4 4 none scl 2msbk mfr qW if .4 .5 Ground 3 23 -37 10 r4 6 none sicl 2msbk mfr .4 ..5 elev. 4 37 -84 7.5 r4/6 none cos oSq ml na ''n`a; .8 9 1 Depth to limiting �\ fact 199 5 Remarks: Si r G CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 1�N� 1 Address: 1554 200th e. New m d WI 54017 Signature: Date: CST Nu ' 4 -15 -97 PROPERTY OWNER Gerald J. Smith SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -9 10 r3 2 none 1 2 .6 2 9 -19 10yr4 /4 none scl 2msbk mfr 9w if .4 .5 Ground 3 19-34 10 r4 6 none sici 2msbk mfr aw 1f .4 .5 elev. 94,Ba ft. 4 34 -38 7.5vr4 none S1 lcsbk mvfr of na .5i .6 Depth to 5 38 -84 7.5 r4/6 none cos osg ml na na .7 .8 limiting factor Remarks: Boring # 1 0 -9 10 r3 /1 none 1 lcsbk mfr cs cs .2 .3 2 9 -18 10 r4/4 none scl 2msbk mfr qw 9w .4 .5 Ground 3 1 18 -28 10 r4 6 none sicl 2msbk mfr CIw Cfw .4 .5 elev. 4 28 -84 7.5 r4 6 none cos 0SCI ml na na .7 .8 94.6B Depth to limiting factor + Remarks: Boring # 1 0 -9 10 r3/2 none 1 2msbk mfr cs 2f .5 .6 S 2 9 -24 7.5 r4 4 none scl 2msbk mfr if .4 .5 Ground 3 24 -30 7.5 r4/4 none sl 2m r mvfr CFw na .5 .6 elev. 4 30 -84 7.5 r4 6 none cos 0SQ mfr na na .7 .8 9 3.75 ft. Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: I� SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Gerald Smith 1554 200th Ave. CSTM2298 SW41 S12- T30N -R19W New Richmond, WI 54017 MPRSW 3254 tow'� f Somerset (715) 246 -6200 lot #4- St. Croix Estates N 1 11 =40 1 BM.= top of SE lot Stake C el. 100' �61" Alt. BM.= top of NE lot stake C el. 98.15' p.2 13 ors � � 0 - RZ r Gary L. Steel 4 -15 -97 Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites . ...::'.+ i{ i % x ?} }'} { ?:::;.•:;:ii'i }4;ijXhi �': �. �. :.. ..': ...� .�::. �.: -.:.. �•. :: :':? .iii:?•: } }. ..fi'iY. -:•i [: .i... AcCor.4 . o. :iets$:<$c >uag ode, atltvStQn Stan ;..' needs; Cp be €submltced end a cove f nor to the tsst�anc tzf lZ Y ldI ig p r lts #or 2 family dwelling units ut 1 #+C + fiSliCiAS we ih0A1 �[OStbn cohtrpl pf4v1A1pi�Sl alemQi1�►ClltttgC axeitf r Standard Gantrttl flan is pcnded to assist in tneeting ihts requirement. , ............v... ... ..: n. .. ... :. w::}': pi}' f. �::::: ii:::: i !:•;::.:�:'::::.- ::,�:C::;:w:.v :.n.: } }: } }::: ^:vv..X : rh' r.: v:.::. v.-::: :::.:: .::............v::i }:i } }:::v::: :::: :.:..: -: .... ........t . :?:.,... }• :::::::: ::::::.. fv: }::: :r: v:..: v::::.::: ::.ter:: •: i:?.::. }'.i:ni }i }iii::�!•i:) }i.`• }ii:: ? x , {f:::?:.:..::::.: : . :::.}.:.... -5::::::v::i .. <<'�: "ildtn •��xis :..�. :�tav��uClt�tn ::ta<�r . uest;�asraa tantrol.> xneasuresYart `1`{s... r utrecl$by }Gbd�wfien: emu........... :.:..... xs ...... .......................ty....:. g ............... :. > ?uc,�t ear es< r::deemed ttea.. to tne�t.th civiall ortana csf ketpin.xnirn site `, i:?>.::•} isiiviii::: ti: �.?}: ii: i. i}}>:'' fii:' vir?2 ?::::::rv:;i>ii:iti'iii: .........:.... ... .: ' o:•:R•: :4ii::':: ;::.}Y } - -:.y ; .}: v ' :: :ii i i }i {i. ?:':..::. }. i r } }'ti: } '• . ::i$.:ii:iy::::i::f; _r i : {aaQi. };. i_:.::::� dtisiutZ mare than:::acres t7r err :. rt: addvela merit thatvstut mrehan 3 }::.rcaCo...ircttpn,.:ro ectx .:........................ ..............:.....::::::::::. a:::..::::.:.:........ ....:.....:..:......:.::::.:..: } ............. p...... ............................... ........::.:...... ........ :............:...:.....}.:.ii:.........::::': ?a:i }.:;..i'.> - : <.< ::t ...} :< >.:< : ................ >::. <::: e';v ar a::::..trtic<:::frttt : r<..:.:... nslm':: ,:. ::'�► .:, ..ur .ed. aq .;.�b;aYtt::a:.:?cQnstniitt�a: cite[: ��tQtu:.. �. �:::' �.:: i..:::. a:.::. 5.:::.: P�:..:r:.::::::::::::.::< �: :.:::.::::.t..:::::::.:;::.�:.. b Ces: �::>::::>:>.:::»>:>.:>:»::>::::>::>:>'»»: �::»» s:::>:<>:<:>`::»::»>:::<:>::>::> s> �<:::>#>< �:_;;, i:::::::}.:;: i:. i:.;:.;:•. i:.>:<: i:<::;;;>;>'<'::<><>>> �>>' �� >�<'�<�'s »`:.i;;ii };;:: »i'.;< ...............: vv.: � vv.v: . v} iki}}} i:. ii: 4iiii: t:. ii}}}:?•}} i::- i}:< v:• i:.i` i} isv0: 4:•: i:::} is :: ...... . ...r::::::::::::::::::: :::.:::::: :v::::::::::. �:::::::::.; ..:::nom :::::: :•::.; ... i:?$.•' ; %; <: ; <: ?::ifi:::i2;i::�:;::�::i � i:::::i:i::;' �:::i::i <i'' ?_;i;: ::::[:;: ; %';:::i %i � itiri: k:;:: i::;:; isi;':::5::;:;:;:i %� ?'ssf<::::� 3i'•%?%?: - .'•`�3:::;:;::'::: %':::��'i. ?: ..: :.x: :i : ?:::•fv {: r ?• } } }:iv;} :.:::::::.::. �.::.::....:.:: ::... ...+... .... .n... ....: �.:.....:.:::::::::::.... .. ..... .:..: \...:......:. n.....:::..v:; • }.i ?r.�.0 ?..... i................ . •::L..'�: -:} }:: ': {: }'. } } }:• } } }:• =r: '� ^•:iii } }: i:v'yi }:'r. ?ii:ir:' Applicant: Ka m Daytime telephone number Street address, city, zip code ., Landowner. SO1 i`'� to 0# l Name Daytime telephone number Street address, city, zip code Location of the building site (complete as appropriate): - 30 quarter of Section Z . Town N., Range G L Nt Lot. Z / , Block _ /L/6 221 Street address Instructions: 1. Complete this plan by filling in requested information, marking (.0 appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wisconsin _Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608/266 -335& Erosion Control for Home Builders (GW0001) can be ordered through Cooperative Extension Publications, 608/262 -3346. 4. Submit this plan at the time of building permit application. Chock appropriate boos below, and complete the site diagram with neoessmy information: �G b (pm o`s Site characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. - t — ❑ Location of odsting drainageways, streams, rivets, lakes, wetlands or wells. ❑ -�— Location of storm sewer inlets. The gradient and direction of slopes before grading operations. The gradient and direction of slopes after final grading operations. Location of odsting and proposed buildings and paved areas. ❑ Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ❑ Location of temporary soil storage piles. Note: Although not specifically required by Code, it is recommended that soil storage piles be placed behind a sediment fence or more than 25 feet from any downslope road or drainageway. Location of gravet access drive(s). Note: Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (which ever is less). ❑ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will prevent eroded soil from leaving the site. ❑ Location of sediment barriers around on -site storm sewer inlets. ❑ Location of diversions. Note: Although not specifically required by Code, it is recommended that concentrated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff j'' (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats ❑ Location of practices that will control erosion in areas of concentrated runoff flow. r \ Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area In- channel practices should not be installed in perennial streams. ❑ Location of other planned practices not already noted. -Site Diagram - Note: Any base map of useable scale can be substituted for this sheet. PM j 1 C ' Site Diagram Legend Please indicate north direction _ _ _ PROPERTY SILT by completing the arrow. LINE FENCE EXISTING STRAW DRAINAGE BALES TD TEMPORARY yti GRAVEL I DIVERSION —N-1 FINISHED TREE - -' DRAINAGE PRESERVATION I LIMITS OF STOCKPILED GRADING TOPSOIL VEGETATION iO SPECIFICATION Scale: AREA 1 inch=. 4 1(0 feet Indicate aamgement strategy by checking (.*) the appropriate box: 410 0� Management Strategics ❑ Temporary stabilization of disturbed areas. Note: Although not specifically required by Code, it is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 15th), or by other cover, such as tarping or mulching. 21 — Permanent stabilization of site by re- vegetation or other means as soon as possible, ❑ Use of downspout and/or sump pump outlet crtensions. Note: Although not specifically required by Code, it is recommended that flow from downspouts and sump pump outlets be routed to stable areas such as established sod or pavement. ❑ / ?(— Trapping sediment during dewatering operations. Note: Although ot ci cal it . ecommended that sediment -laden discharge w gh s pe )i ly required by Code, is r charge ater from pumping operations be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing stra w bales will be replaced (typical bale life is three months P (tYP . ) • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Gravel access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. t. I hereby certify that I understand the construction site erosion control provsiQns of: the Wrsoottsrn Uniform Dwelling ode, and that i accept responsibility for - catryril&out : he above erosion control plan< s pproveti by the :code :enforcement<a tho 't . azure of a Lcani . �aitr PP. A publication of the University of Wisconsin - Extension, Ron Struss, UWEX Water Quality Education Specialist (12192). ?Ids publication may be freely duplicated Additional copies are available through the UWEX Environmental Resources Center, 216 Ag Hall, 1450 Linden Drive, Madison, WI, 53706 6081262 -3652. } EROSION CONTROL FOR HOME BUILDERS IN Preventing Erosion Is Easy Erosion control is important even for home sites of an acre or less. The materials needed are easy to find and relatively inexpensive —straw bales or silt fence, stakes, gravel, plastic tubes, and grass seed. Putting these materials to use is a straightforward pro- cess. Only a few controls are needed on most sites: • Preserving existing trees and grass where possible to pre - -- vent erosion; j' • Silt fence or straw bales to trap sediment on the down - slope sides of the lot; By controlling erosion, home builders keep our streets • Soil piles located away from any roads or waterways; and waterways clean. • Gravel drive used by all vehicles to limit tracking of mud onto streets; Erosion Is a Costly Problem *Cleanup of sediment carried off -site by vehicles or Eroding construction sites are a leading cause of water storms; quality problems in Wisconsin. For every acre under con- struction, about a dump truck and a half of soil washes • Downspout extenders to prevent erosion from roof into a nearby lake or stream. Problems caused by this sedi- runoff; and ment include: • Revegetating the site as soon as possible. Local taxes — Cleaning up sediment in streets, sewers and ditches adds extra costs to local government budgets. Dredging —The expense of dredging sediment from lakes, << harbors and navigation channels is a heavy burden for taxpayers. Q1 z Asa. Lower property values— Neighboring property values are damaged when a lake or stream fills with sediment. Shallow areas encourage weed growth and create boat- mpr ing hazards. o t - Poor fishing —Muddy water drives away fish like north- ::^;. ern pike that rely on sight to feed. As it settles, sediment smothers gravel beds where fish like smallmouth bass find food and lay their eggs. st oe "' nor Nuisance growth of weeds and algae — Sediment carries fer- tilizers that fuel algae and weed growth. i Erosion Con For Hoi STRAW BALE or SILT FENCE • Put up before any other work is done. • Install on downslope sides of site parallel to contour of land. • Extend ends upslope enough to allow water to pond behind fence SAMPLE EROSION 1 • Bury 8 inches of fabric in trench (see back page) CONTROL PLAN I \ • Stake (2 stakes per bale). Stuff FOR O 2 ® \ • Leave no gaps. Stu straw between bales or overlap sec- DWELLINGS tions of silt fence. \ • Inspect and repair once a week and after every %2 inch rain. Remove sediment if deposits reach half the fence i \ height. Replace bales after 3 months. I \ •Maintain until a lawn is established. � \ SOIL PILES \ TD • Locate away from any downslope street, driveway, / \ stream, lake, wetland, ditch or drainageway. AREA TO BE TOPSOILED, • Temporary seed such as annual rye or winter wheat is SEEDED AND MULCHED recommended for topsoil piles BY OWNER AT THE HOUSE COMPLETION OF ( GARAGE CONSTRUCTION I M TC GRAVEL DRIVE • Install a single access drive using 2 to 3 inch aggregate. \ \ • Lay stone 6 inches deep and at least 7 feet wide from \ �� the foundation to the street (or 50 feet if less). M ' • Use t6 revent tracking p king mud onto the road by all vehicles • Maintain throughout construction., RNV LINE SEDIMENT CLEANUP S OIL TYPE: SILTY CLAY STREET NAME • By the end of each work day, sweep or scrape up soil SLOPE: 3% tracked onto the road. • By the end of the next work day after a storm, clean up the soil washed off -site. SEWER INLET PROTECTION • Protect on -site sewer inlets with straw bales, silt fences o or equivalent measures (see back page). eam • Inspect, repair and remove sediment deposits after every storm. ee s o r o m DOWNSPOUT EXTENDERS d a ari • Not required, but highly recommended. o e q ! Install as soon as gutters and downspouts are completed n o to prevent erosion, from i-oof runoff. I o Route :wate;fo a grassed .or paved, area. a v • Maintain unto a lawn is established. oI Practices e Sites PRESERVING EXISTING VEGETATION • Wherever possible, preserve existing trees, shrubs, and other vegetation. EROSION • To prevent root damage, do not grade, place soil piles, CONTROL PLAN or park vehicles near trees marked for preservation. LEGEND . Place plastic mesh or snow fence barriers around trees PROPERTY to protect the area below their branches. LINE N EXISTING �- TOPSOIL - -' DRAINAGE REVEGETATION TD TEMPORARY DIVERSION Seed, sod or mulch bare soil as soon as possible. DRAINAGE FINISHED SWALE —" DRAINAGE LIMITS OF SEEDING AND MULCHING - — GRADING • Spread 4 to 6 inches of topsoil. ■ ■—= FENCE • Fertilize and lime if needed according to soil test (or apply 10 lb. /1000 sq. ft. of 10 -10-10 fertilizer). • �—• STRA • Seed with an appropriate mix for the site (see table). GRAVEL • Rake lightly to cover seed with 1/ "of soil. Roll lightly. vEGETnTION • Mulch with. straw (70 -90 lb. or one bale per 1000 CONSTRUCTION sq. r ENTRANCE/EXIT SPECIFICATION ) AREA • Anchor mulch by punching into the soil, watering or TREE by using netting or other measures on steep slopes. PRESERVATION . Water gently every day or two to keep soil moist. Less STOCKPILED watering is needed once grass is 2 inches tall. SOIL SCALE: 1" =40' SODDING . PROJECT LOCATION: EXISTING CURB PROPERTY OWNER: • Spread 4 to 6 inches of topsoil. AND GUTTER ANTICIPATED STARTING DATE: • Fertilize'and lime if needed according to soil test (or CONTRACTOR: apply 10 lb./1000 sq. ft. of 10 -10-10 fertilizer). ANTICIPATED COMPLETION DATE: PREPARED BY: DATE: • Lightly water the soil. • Lay sod. Tamp or roll lightly. • On slopes, lay sod starting at the bottom and work toward the top, overlapping like shingles on a roof. Peg each piece down in several places. • Initial watering should wet soil 6 inches deep (or until i water stands 1 inch deep in a straight -sided container). o Then water lightly every day or two to keep soil moist . but not saturated for 2 weeks. 0 If construction is completed after September 15, fmal seeding or sodding may be delayed. Temporary seed (such as rye or winter wheat) may be planted until October 15. Mulch or matting may be applied after. October 15, if weather permits. Straw bale or silt fences must be main- ta ined until final seeding or sodding is completed in spring (by June 1). - a ` SewerRlnle P otectio, .c TNO zc"s y ,� i .,�, • l C autions Consider public safety when using inlet barriers. These barriers create ponding and mud deposits on streets. Frequent maintenance is essential. After every storm, remove sediment deposits and repair barriers. Repairs may be needed several times a day during major storms. Curb Inlet 1. Place concrete blocks on their Figure 6 —Curb Inlet Block sides around inlet. and Gravel Barrier Block & Gravel 2. Put a 2" x 4" wood stud through _ Curb inlet Barrier outer holes of side blocks to O " support front row of blocks. 3. Put wire mesh with half inch openings on outside of blocks. Wire mesh Cover mesh mesh with filter fabric s filter fabric Gravel filter concrete block extending fabric 12 inches onto Runoff pavement. water with Overflow Rtteredwater sediment 4. Pile 1 to 3 inch washed gravel on fabric to top of blocks. Sediment Note: Allows overflow to prevent Wire mesh 2• x 4" Curb inlet excess ponding. & finer fabric `"ood stud 1. Place concrete blocks on their Figure 7 —Drop Inlet Block Drop Inlet sides around inlet. Adjust height of and Gravel Barrier Block & Gravel barrier by stacking rows of various Wire mesh concrete block sizes of block. a finer fabric _ Barrier 2. Put wire mesh with half inch t o openings on outside of blocks. _ Cover mesh with filter fabric - extending fabric 12 inches onto pavement. Gravel filter 3. Pile 1 to 3 inch washed gravel Runoff w rce mesh filter fabric water with Ov r Filtered water er Note: Allows overflow only when water on fabric to top of blocks. 4. reaches top of blocks. Adjust height to prevent traffic hazards or damage to Drop Wet structures. sediment with grate Drop Inlet 1. Build a frame of 2" x 4" wood Figure 8 —Drop Inlet Filter around inlet. Drive stakes into Fabric Barrier Filter Fabric ground at least 12 inches. 2• x 4• wood frame Barrier 2. Dig an 8 inch deep trench _ outside frame. v 2 4• maximum 3. Attach wire mesh to frame II extending mesh 2 inches into i i 12• minimum ii II trench. 4. Attach filter fabric to frame wire mesh 6 filter fabric extending fabric at least 8 inches into trench. Overlap joint to next o'o; f s stake. g S between Note: Allows overflow only when water 2 stakes reaches top of frame. Adjust height to 5. Backfill and compact soil in trench. prevent traffic hazards or damage to structures. �^- - • .,,�.ry Co � � o sect E os o Co #ro s Strata Bale Figure 2 —How to Install a Straw Bale Fence Fences 1. Excavate a 4" deep trench. 2. Place bales in trench with bind- ings around sides away from the - ✓,✓ _- ground. Leave no gaps between Figure 1 —Cross Section �' ��'� , bales. of Straw Bale Installation ice 11 1 1 0 — W i Bale r ..� •'�'"•`." i:r.M1 Width Staked and Entrenched Binding Wire Straw Bale Compacted Soil to 3. Anchor bales using two steel re- � / • � or Twine Prevent Piping bars or 2" x 2" wood stakes per - Filtered I II i Sediment Laden bale. Drive stakes into the ground 4. Backfill and compact the Runoff i t II I _ Runoff at least 8 ". excavated soil. r ta i - I . Source: Michigan Soil Erosion and Sedimentation Control Guidebook, 1975. Silt Fences Figure 4 —How to Install a Silt Fence 1. Excavate a 4" x 4" trench along 2. Stake the silt fence on downslope Figure 3 —Cross Sections the contour. fabric into the trench. 8" of of Trenches for Silt Fences / Filter Fabric Flow .� 4" a" flo i(�- - III — JI if � 1 3. When joints are necessary, over - 1% bench I IF I lap ends for the distance between 4. Bac klill and compact the two stakes. excavated soil. Fitter Fabric —+ I A - AI I �" II ��Il ]U7= <4 "�li l / / /� // Source: North Carolina Erosion and Sediment Control Planning and Design Flow Flow Manual, 1988. Gravel Entrance I Install as soon as possible after Figure 5 —How to Install a Gravel Entrance start of grading. � O 2. Use 2 to 3 inch aggregate stone. Hard Surface road 3. Drive must be at least 7 feet wide so' or distance to foundation and 50 feet long or the distance to the foundation, whichever is less. Ei" minimum depth � 4. Replace as needed to maintain 6 inch depth. r: t 1 • 't ' r .s,, .�i `*�'(s1;:: - fir 87' C; I? O I; ( SETTIC: TANK T hfF'f�7 AND 0 'F I.SHIP CERTIFICATION F'OIRM C ._..'....... (Venfica! ion required frotn Planning Department for new construction)._ ... _...._ ._.:. ..,.......:.:. (. tly! Late. k',trc�l I dentificatio n Numt�4r. _�' �. _ s? `� —� v ..._..._...._.. _ t . Prop,: v Lo- 'i41, /V . %,, Sec. / _ - i' 3 ?.. ►w � .,W �.�`..1 Vv , 'Tow1l of S: v �-t :_,. Si;bd viiio ct ..,._.._ C ,�.�:.. a. _ , _ _ ._._.. _..._ ,�.._ ......... �.._.._._.. __.__...y I. i , Cem lecl SC; ,1' i�t+.p ;� ... _. _.. _ ...._� Volulm - . _.._ ... Pale # Volume. Pa A Spec, .louse - 1 -s 24 no Lot Lines identifiable. Vyes U no V,'i improper.' E:ue and maimeuanceof your septic system could result in its premature. failure to handle wastes. ProM ma�vlenance con s' t of pur;api;r out the seFntic tank every three years or sooner, if needed by a iieensed oumper. What you put, into tts;r, system can at:: Ixt the r.ur:r::tion of the septic tank as a treatment stage in the waste disposal systern. The owner aj zees to submit to St. Croix l onvag Department a certification form, signed by the, ownar.;;rr..d by a master plumbs, € tn::tneymanplvMbtu, restrictedplumber or a Licensed pumper verifying that (1) the vu-site wastewatei din ptssd(r :tiystam is in pi —)per ap ;r:u ±: ig condition andfor (2) after inspection and pxu#ing (ii necessary)., the septic tank is less than 11.3 full O. Audge. l /we, ie undetsi rr:i :d have react. the above, requirements and agree to maintain the 'private sewage disposal system witl•A tbrr t.tandards set foria, hereiai. ti <.. ,,et by the Department of Commerce and the Department of Natural Resow:ces; State of Msconsin. Cer' Aration statintr. that you ;i:; rde system leas been maintained.must be completed and returned to the St. f: roix Zoning. Office i lkhin 30 days o ` the 67-c t it cxpi.ratio ti ;fate. 3 that all : on this form are true to the best of my (our) knowledge. T (we) am (are) die ow'arr(s) of the pr. ,deny desc ti! )cd above, t: y virtue of a warranty deed recorded m Register of Deeds Office SIGN. TLOF I .':)' DATE Any infw nation that ii nus- represented may result in the sanitary permit being revokad by the Zoning lnus :ude with a (j 1s applicatiitn: a stamped warranty deed frorh the Register of Deeds office a copy of the certified swvey map if reference is made in the watfuncy decd - 14 24P4GE 123 w " WARRANTY DEED 60255S KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI Document Number RECEIVED FOR RECORD 05-04 -1999 9:30 Alf WARRNM DEED EXEMPT I ! l CERT COPT FEE: Return Address L I' COPY FEE: TRANSFER FEE: 93.00 J ES ! �. ;1 RECO RDING FEE: io.00 ICUECT WI Parcel I.D. Number: 032 - 2106 -40 Forest Oaks Condos Inc conveys and warrants to Mark S Rose , the following described real estate in St. Croix County, State of Wisconsin: Lot 4, North Bass Lake Estates in the Town of Somerset, St. Croix County, Wisconsin. This is not homestead property. Exception to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this . el d,c. day of April, 1999. Forest Oaks Condos, Inc. i B (SEAL) Ge d J. Smi resident AUTHENTICATION Signature(s) Forest Oaks Condos, Inc., by Gerald J. Smith, President, authenticated this ? ct �l�— day of April, 1999. Kristin bglan4 f TITLE: MEMBER STATE BAR OF WISCONSIN THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 z a N 00'32'22" E 171.67' ;� ��• o �, i T ODD { No � z '1 l o x ° S I i FF m O 3 N uN g�3a ° .\ \ I� 4 1N303 I 1 3 dM a0 N 4 \ gym- - -- 9y $ N 0 2" 267.77' M Cj' V \ �' —• - -• - Z 00 at IV ti 1 10 4� `° / ! -EAST LINE OF THE SOUTHWEST j rn Icn A 70 \ 1/4 OF THE NORTHWEST 1/4 a OD— �3� — — 4 C, I O 3 I f V ( A N S 6 �� WEST LINE OF THE SOUTHEAST / D W s 114 OF THE NORTHWEST 114 1 n (n m `. V) m `� •� I I 622.06' 101.37' W 1255.27' I °� EAST LINE OF THE WESTERLY 5 ACRES OF THE { y SE 114 OF THE NW 114 OF SECTION 12, ALSO BEING THE WESTERL Y LINE OF LOT 1 OF CS" VOLUME 11, PAGE 3025 I op C I o� I Z \ I ti� I � I I I I I { I I I I I i c I 1 I 1 0 1 -� 1 I n I I I I Im I IZ I z I I I I I 0 10 I I D 1� lO 1(/) I---� I I 1 1 I C I i I I D I (Jl I< I I Z I m 100 I I 1 CA I (D I 1 D I I I I