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Home My WebLink About032-2151-70-000 Wisconsin,Clepartment of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix A +Sfety and Build'', g Division INSPECTION REPORT s��,I o: N 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: Williamson, Steve & Tressa I Somerset, Town of 032 - 2151 -70 -000 CST BM Elev. Insp. BM Elev: BM Descri / L Section/Town /Range /Map No: 0 6 � p 7 a� �� S�-e � � p� — (7 13.30.19.1320 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � � D Benchmark D Dosing 1 Alt. BM 4Z h ?� wh I ICJ f o 'L Aeration VLO S Bldg. Sewer (it/ Xo Holding S H Inle qg. TANK SETBACK FORMATION St/Ht Outlet TANK TO P� WELL j IBLDG. Vent to Air Intake ROAD Dt Inlet S ep Se tic / Dt Bottom ' Dosing Header /Man. Aeration Dist. Pipe Ct Holding Bot. System r n 1 Final Gr PUMP /SIPHON INFORMATIO Manufacturer Demand St Cover L G / .GrP 7 Vi l 2 •) a Model Number h'LQ/yt r TDH Lift Friction Loss Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM -�— . . Atd o 5 I's 4 23• Z BED /TRENCH Width 3 / Length No Of TrencIn PIT DI NSI No, Of Pi Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLD WELL LAKE /STREAM (CHAMBEFO EAC IN Man�fas INFORMATION Type f System: f I R x+1 7l� � \ Ste'/ Model Numbe DISTRIBUTION SYSTEM Header /Manifold Distribution L n, x Hole Size x Hole Spacing Vent t Air Intake Y Pipe(s) off„' 7 &A' I Length�r� Dia Lengt / w Dia Spa ing rw SOIL COVER e x ressure yste s y xx Mound Or At -Grade Systems Only Depth Over t Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center ,� �/ Bed /Trench Edges Topsoil L 7 Yes I No Yes [ No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: /_ / 1 I pection #2: Location: 1590 86th St. New Richmond, WI 54017 (NW 1/4 NE 1/4 13 T30N R19W) Natha` t_ �5a arc I No:: 13.30.19.1320 1.) Alt BM Description = / a p b� Z n7 / '7. Io � b e��// q7.2 Q 0 ' l0/ 2.) Bldg sewer length = 0 , 2 O S Co - amount of cover = 3 _CV,4 rr` `�' (, . �I Pl Use other revision Required? Yes o de for add additional information. formation. — 7 �/� � �C/lit�a -•,`- _ SBD -6710 (R.3/97) Date Insepctor's Sign. re Cert No. � 001 04/22/06 TUB 05:30 FAIL 715 366 4686 ddlglillM�0�.1M�.001V Sail sad Y pp l ` 20i W. .O. Hoot 7162 gods 7yeeoaoiao Nore�bar Sanitary Permit Application U awordim oa wide: Cases. 0 2J Wis. Xd.. Cody, wiomiooiom oCdiie some b drs �ddroeoCd� �, �s;�.amrn) eeic is mm"immi Pew a Obvinwo s sseery pwmk Now ^wGMww fume he nobsreed a► on Owntn w at Ca momeem !omelet kfm=odee Yoe s.1S 1 s it. — � Tiroei rropsq+owmeoweme - °' +, 1t1Gnti ,,o,=i zip ; u sad. C»Y. Sate T _ OX ��_.. --- D T .5_ O X I C i' - Typed ceiedr a5 epp�) D /; NMee i or2TwAi1yiDwdlist - NMWm *( /" � � �. r Q — Desoaloe tJoe 7 /k / ^ O aw of „ CsWwwwobor D VdYpeaf .... --- Q —OewwH Uee af. 3 t! M—Pf �. a- t- liL Type *trwwft (Ch"k em b" am Uw A. Gmpiere ll w B if e s ❑ie.a.o..we e O gTadc Oe�Y ❑oUherlitodiliaeioete8drtios °e ) LietPosvierrs ��'� Meem S. 0 Persil 3taKwd O Pwmit aw:iow CAs�o �tl Select Evokatim ear iV T drowWS at dlee Reaar®dIwomwed 13 ltieeerrixed -0rem" OA"ked. 0 MOMd2!- of' eidbtsaoi wieoa+d «t ie.etniawsa O O Pn4auese Dwi= V. Ares A,sRrPi� Ditp� wowAepwd 80 APO 1111 VL Took loft ava Y a Tod i at �✓ $tea- . � arY rs VII. $eedeeoowl - Lift firNMaSNioeetlielOWlSrMwwawBotMdeYd rMoeel�r r zi N�raber o tirn+e k S �- PisaWS wddiea csmeat. Cie. '- Pwook Fee Dow >• $vim s '85 . °a 7 g p$ t"@@w1brbhMPPwa o" boom ilX. 1. Septic tank,.effhAnt filter and dispersal cell must all be s / maintained as per management plan provided by plumber. 2. AN sailback m*drements must be maintained 1 105111 11i I riaridt r Mean" as {l imod s loam SBD4398 (R. 0107) Vaad dim 01109 PL T PLAN PROSECT Steve Williamson DDRESS 740 107th St. Amery Wi 54001 NW 1/4 NE 1/4S 13 /T 30 / 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 7/5/08 4 DATE BEDROOM CONVENTIONAL XXX IN- GROUND SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZ 55 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE RATE .4 ABSORPTION AREA 1543 # of chambers 76 BENCHMARK V.R. . Top of Steel Po ASSUME ELEVATION 100° Filter BEST Filter ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 96 .0/95.7/95.4/95.1 5' below 506' Pro erty Line 60' B.M B -1 5' 5' B 20, 2% SLo e 35' B -3 Bedroom 7 > House �� B -2 ST 10' Area has been cut, soils will be rechecked to ensure proper installation depth ell is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 Vent j 6" Quick4 Standard -W over Leaching Chamber C 249' F with 20.0 ft2 of Area Long 12 " 5.8f A2 /pair of end caps A 34" Grade at System Elevation PL T PLAN PROJECT Steve Williamson DDRESS 740 107th St. Amery Wi 54001 NW 1/4 NE 1/4S 13 /T 30 / 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7 /5/08 BEDROOM 4 CONVENTIONAL XXX IN- GROUND SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZ 55 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1543 # of chambers 76 BENCHMARK V.R.P. Top of Steel Post ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 96.0/95.7/95.4/95.1 5' below 506' Property Line 60' B.M.* B -1 5' 5' 20' lL 12% SLope 35' B -3 Pro 4 Bedroom 75' 35' z' e- 11-s House B -2 J 20' 10' -2 ST 10' Area has been cut, soils will be rechecked to ensure proper installation depth Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 Vent >69' Quick4 Standard -W of Cover Leaching Chamber 249' Property Line with 20.0 ft2 of Area 4' Long ;: of end caps 34" Grade at System Elevation 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 filter 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 g cy Plan f system,fails, determine cause of failure, use alternate area and install new sted replacement area. Install system at a lower elevation, by removing chambers, removing biomat, ew system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 71 5- 246 -5148 Shaun Bird #226900 2105 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 4 Divisions of Safety and Buildings in accordance with Comm 85, 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 horizontal reference point ( and St Croix percent slope, scale or dimensions, north arrow, and location and Parcel 1, 2 - 2151- 70-000 Please print all infonsnation. Reviewed gate Personal inbrafim you provide s.15. (1) (m)). s �' Property Owner Property Location Steve & Tressa Williamson Govt. Lot NW 1/4 NE 1/4 S 13 T 30 N R 19 W Property Owner's Mailing Add � Lot # Block # I Subd. Name or CSM# 740107th Street 15 Nathan Hills 1 St Addition City Ste 2iRtTC i 4 r City I Village 01 Town Nearest Road Amery iNG FILE 5 Somerset 1590 86Th St. New Construction Use: 16 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conventyional POWTS. See Memo page for sizing and design details. Boring # I Boring [ 1 0 Pit Ground Surface elev. 100.82 ft. Depth to limiting factor >117" in. Soil Appllca Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Mucesll Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 ` ifrik2 1 0-7 10yr313 none SO 2fsbk mvfr as 2f,m 0.6 0.8 2 7 -17 10yr5 /4 none sil 1fsbk mvfr cs 2vf,fm 0.4 0.6 3 17 -38 7.5yr4/6 none si lmsbk mvfr aw 1vf,fm 0.4 0.7 4 38 -50 7.5yr4/4 none scl 2fsbk mfr ci lvf,fm 0.4 0.6 5 50-64 7.5yr4/6 none Ifs 0 sg ml gi 1vf,f 0.4 0.6 6 64-1171 10yr4 /4 none Ifstfs/fs 0 sg ml - - 0.4 0.6 contains i d iscontinuous 1% 2" an 7:5 H nsists of a strati ed mix of 10yr314 Ifs 10yr4/4 Is, 10yr 4/8 10yr5 s- Loading rate of horizons reduced to rmiability restriction associated with textural changes. M Boring # - ng Pit ce elev. 100.75 ft. Depth to limiting factor >1 14 " in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 - Eff#2 1 0 -12 10yr3/2 none sil 2fsbk mvfr as 2fmc 0.6 0.8 2 12 -34 10yr5 14 none sil lfsbk mvfr cs 2fm,lc 0.4 0.6 3 34-49 7.5yr4/6 none S1 mvfr aw 1vf,fm 0.4 0.7 4 49-65 7.5yr4/6 none Ifs' 0 sg ml gi 1 vf,fm 0.4 0.6 5 65 -114 10yr4 /4 none Ifs/Is/fs 0 sg ml - - 0.4 0.6 H#4 contains irregular, discontinuous 1"- 2" b o 4/4 sl. H#5 consists of a strafified mix of 10yr3/4 Ifs,10yr4/4 Is, 10yr 4 & ioyrsffi S. Loading rate of hori s reduced jo reflect permiability restriction associated with textural changes. Effluent #1 = BOD? 30 < 220 mg/L and SS >30 < 1 mg/L Effluent #2 = BOD S30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signafu CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 11/27/2007 715- 248-7767 Property Owner Steve & Tressa Williamson Parcel ID # 032 - 2151 - 70-000 Page 2 of 4 Boring # -j Boring ✓J Pit Ground Surface elev. 98.70 ft. Depth to limiting factor >111" in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/3 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-34 10yr5/4 none sil 2fsbk mvfr cs 2fm 0.6 0.8 3 34 -59 7.5yr4/4 none scl 2fsbk mfr gw lvf,fm 0.4 0.6 4 59 -78 7.5yr4/6 none sl lcsbk mvfr ci 1vf,fm 0.4 0.7 5 78 -111 10yr4/4 none Ifs/l 0 sg ml - - 0.4 0.6 H#5 cr of a stratified mix of 10yr3/4 Ifs, 10yr4 /4 Is, 10yr 4/6 fs & 1 Loading rate of horizons reduced to T ct permiability restriction associated with t u I changes. F-1 Boring # – Boring I Pit Ground Surface elev. ft. th to limiting factor m. Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. *M1 "Eff#2 F-1 Boring # - Boring _ f Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD? 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. SFUM330 (R 07/00) A.CE. Soil & Ste EvdNrad" SOIL AND SITE EVALUATION EiDEJ Page of 4 PROPERTY OWNER: Steve & Tressa wiiliamson PARCEL I .D.# 032- 2151 - 70-000 A.C.E. Soil & Site Evaluations REPORT MEMO Site suitable for conventional dispersal cell at 0.4 gpd loading rate. Recommended installing 74 Q-4 cham 4 trenches at 72" below original grade. Final grade over system area to be cut to maintain maximum cover of 4 " over chambers. Pressure distribution recommended to overcome reduced permiability of stratified materials described in 5th & 6th horizons of all soil profiles. Sca/e•• /= s�o� � 7`Tfio.r,`JU» PI-i7107 Qencl, a /` 7 T- ,� b S. d ;mod .0/19 of Y � �e+ice�bs� irJa's .ir o�Gorrter ,4/t. 6.,r/ T /oE ��.�.,r� T ai /a�s�c�Ke. \S�eve¢TicssAcc�; / /,a„oSc7� 5ta ee. 7,zs E(,W.: 9S 76 s ,viae- ofrra�,. 5Olo.9.3� �t °t o °�0 T 3o if.� P R ,f Sv�.G �k D' Cot t,Jl, po �► 0 .41 -.1/S/ 70 - eno , � ,, `, `\ ,•,�;, , ,; `,� _ ,� �� ear --� � __ , \ 1 3 SS 3 •� �ot I • a / o,-op oo�se -o( 4� �6 e�E� ' \� �� `� o �I H. ONNA vaET�At�t� _ / \�i� / f� 978 7 z ('�L �95� v x� X, y \_ / / /� /�ri i✓ �i i SQ. x \ \�� / / \ \\ Ol ACRES\' 942.8N \ \ \ \ \�\ / F.E. v �lix Axx, /x / l ,�,r r� vririliva t x \/ 969.6/ xn �xx \ i� /�� x979 a6� �� x 0D — �� q80. �� \} x X ) V \� V \ \ \ \� Oj 971 �� vac �' , -J r �979.6� 2 s \. x 985.3 x 987.5 /984.9 x CD \ \ N_Y m \990.3 ,� N, �8°� 1.3 0 J. 02 A 985.0 3 5 47.3 9 1.3 x - V/ Cb r 93 98X .7 ZE Z OD r 938.8 r / u X x IT \\ \ \ \ \\ \ n \�Nv\� ° \ '� A 'S 04 v \ vV �� ix/ Co1nunerC®.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St, Croix isCa Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) of Camnmve Sanitary Permit Application State Transacti In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental Project Address (if fferent than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are submitted to the Department of Commerce. Personal information you provide may be used for secondary 1590 86 Street p urpos us in accordance with the Priv Law, s. 15.04 1 m , Stats. I. Application Information - P Information Property Owner's Name RECEIVED Parcel# Steve & Tressa William n d ---- 032 - 2151 -70 -000 s/ Z 0 Property Owner's Mailing Address Property Location 740 170 Street I ST. CRO14 cQ1 INTV Govt. Lot City, State ZONING ogp@pde I Phone Number NW Y,, NE '' /., Section 13 (circle one) Am n, Wl 54001 (715) 268 -7835 T 30 N; R 19 W II. pe of Building (check all that apply) Lot # A l or 2 Family Dwelling- Number of Bedrooms 4 15 Subdivision Name ail % �2uai JC ry yY, �✓,, j?�� Blocs # Nathan Hills I" addition O Public /Commercial - Dewribe Use 71�f1 C' Na r' ❑ City of O State Owned - Describe CSM Number O Village of Na Town of S O e 4A . III. Type f Permit: (Check only one box on line A. Ninplete line B if appli6ble) A. New System O Replacement System O T ent/Holding Tapk' Replacement M ification to Existing System (explain) a B. ❑Permit Renewal ❑Permit Revision El Change of Plu ❑Permit Transfer New List Previous Permit Number and Date Issued Before Expiration Owner IV of POWTS S stem/Com onent/Device: Check all th l Non - Pressurized In- Ground ❑ Pressurized In- Ground OAt-GA ❑ Moun > 2 of su' le soil Mound < 24 in, of suitable soil O Holding Tank O Other Dispersal Compone tment Device (explain) V. Dis ersalfTreatment Area Informal on: 76 Infiltrator W" chambers @ 20.0 s .ft EISA / ch + 4 pair end 5.8 L154 = Design Flow (gpd) Design Soil Application s LWpersal Area Required tsl) ViSpMal posed (sf) System Elevation Z 600 gpd 0.4 in -situ soil ,/ 500.00 sq. ft. 1 3. 0 . ft. 3 96.0', 95.0', 94.0', 93.0' VI. Tank Info Capacity in a Total # of Vanuficturer Gallons Gallons Units c New Tanks Existing Tanks V A w C7 P. Septic or Hol ng Tank 1,250 1,250 1 Weiser Concrete / ) X Dosing Chamber I,,r c ' �- / Y VII. Responsibility Statement- I, the un rsigned, assn responsibility for ins n of the AOWTS shown on the attached plans. Plumber's Nance (Print) MP/MPRS Number Business Phone Number James K. Thom son Plumber' ign ' �►--- 1 30021 1 (715 ) 248 -7767 Plumber's Address (Street, City, State, Zip C 340 Paulson Lake Lane, Osceola, Wl 54020 -5413 VIII oun /De artment Use Onl Approved O Disapproved Permit Fee Date N4ued Issuing Agent ignature O Owner Given Reason for Denial �- IX roval/Reasons for Disapproval 3� 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. G`Z1 _ . A �? „ c,�• 115c p-:Ph 2. All setback requirements must be maintained 6 U " as per applieeb e c cum aas for the system and submit to the County only on pa=#I- 8 in a 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 byTT�com/OSCy7 /1/47/07 Qencl, cri` T a,c 7= 600ev4GuaL4r7 �o,'t 6,Y S. &iY 10 129 1 oteernei- �Qssccryrea' 1z . 6. o i►t .� /c E . (S. T • /a �S6 eve � Lip ai q,Q: - o i e�4oU; 9 , / cJw% n£/'Sec. /3 T 30i(. r,P, y —� _-- /e5,CvencP • , l Love- !ot/Zf- ela- ,nbe/'J. ` t 1 ��C�i G52✓ � "a 41 rcpo5erl �'" O to I SGo W,- �' . d e. k.3 4- o, P K Ine dash ew6 a6 ouerz2. e Pro�osfd we <l /o c.a� �, S4. C 0 Frn.., sgoF,c� diJ b b cc�; an b vl- I/ea ".'., by o.yi pur, ///.7/07 QeheL, y�' i' T a.c T- s� 0 6or %e valua L•z,�,o,t �e+7c��cb3� Cdr .ir otcernQ� ,4 6.,rr To o{ „�.d /cE .4��.8 : T \56eve¢ T icss u cv,' / /,ate , S Ke. E /e%'_ AO 7.,Z--5 o E(W , 9s, 76' Vi+ o, q,g, oZ o. /3 SC�(v .?3 t �� •, • + T 30Q,� P 2aGc) Tn, oL ScrI si + L✓ �, �.o'oo? el.ev- It 1 1 C- /'Gf/Uie•S (S' /o (li cue 2S -�30 r 0� `` '+ � dc /..S2�1 r ', , �• rte a;'S�i'i bu.�.•o bat• 3 �+ S S � 4� A•ST.r(. 3o30 1 elvelLt nc 3 ropose.d n � � // CDJ o Pr o5cs/WC!l /O Ca.��,y, f a it'/ � Q� e �� a / oroa o v � 6" C= io6.78' c/ From se,�{y„,� �lc.I; t ser Csnc c c�c dis b i 6 cc�L+ b c,r Wiscon Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings I' in accordance with Lamm 85, Wis. Adm. Code Attach complete o plan on paper not less than 81/2 x 11 Inches in size, Plan must County t>s � ►' � Include, but riot limited to. vertical and horizontal reference pant (BM), direction and Parcel I.D. t s scat percent lope, a or dimensions, north arrow, and location and d i s tance n , sta ce to Barest road. e >~ L _ Please print all information Reviewed by 0 Date Personal Information you provide may be used for secondary purposes, (Privacy Law, a. 15.04 (1) (m)). Property Owner " Property Location / Q -1— 2 0q Govt. Lot 14k a�1/4 S 13 T 3 (9 N R Property Owner's Mailing Apdoe Lot # Block # Subd, Name or CSM# ChY to iq a one umber City [f Village Town Nearest Road lUt,t,U 1 r•J 5{0 Construction sidenttal / Number of bedrooms Code derived deslgn flow rat — j U— GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 00 -:t-. Flood Plain elevation If applicable 1 ft, General comments / �f and recommendations: 57's4-e, Boring # Boring t ' J 'PIt Ground surface elev, - � Depth to limiting factor 1 1 2— in. n. Ratd' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary GPDMN In, Munsell Qu. Sz. Cont. Color Gr. Sz, Sh, Z ._-. �� a z � 7 Boring # Boring l c/� t Ground surface elev. / � Depth to Ilmiting factor /` in. Sob Ap Icatlon Rate Horizon Depth p Dominant Color Redox Description U Texture R Structure Consistence Boundary Roots GPD/ftr In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 l 0 -/ 1 S , ys s AA V w . S 4 9 ' 27 ._4. Effluent #1 = BOD > 30 < 224 mg/L. and TSS;'3Y 150 mg /L ' Effluent #2 z 800,< 30 mg/L and TSS < 30 MWL ' CS7 N n18 (Pipase Print) ignaturo Address (� Date Evaluation onduCted ia.Joj„alTelephone Number W) I Property Owner Parcel ID # Page of Boring # ❑ Boring �, 12 pit Ground surface etev. ��f j� t. Depth to limiting factor/ in. Soil Apelication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface eiev. ft, Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munseil Qu. Sz, Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑Boring Ground surface elev. ft. D epth I p to limiting factor ❑ Pit in. Soil Ap Ncation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 I 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. SaD -&130 (R,07100) ' Soil Test Plot Pla Project Name Brian Boardman S, Project Address 824 East 11th St. 5 New Richmond Wi 54017 STM #226900 Lot Subdivision Nathan Hills Date 10/30/01 W 1/2 NE 1/4S 13 T 30 N /R19 W Township Somerset Boring 0 Count Well PL Property Line Y ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 100.0 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 96.0' Alt M Soil test was done to satisfy zoning requirement, test may not be suitable for owner's desired building location Tested Area has <1% 80' Slope a� t~ 45 45 > B -3 a� 0 30' �o 0 B -2 I Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code G eneral The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01101). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 5 15' below service pad elevation. 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. Septic 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 the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. 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. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October - March) dictate that the system be heavily mulched for frost protection. Influent quality into the 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. 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. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 3864680. Pg. 5 of 6 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND / OWNERSHIP CERTIFICATION FORM Owner/I Mailing Address /e T 5- ° �� c� f • 55�6� t Pro rt Address 1 5_� d Y� l A akw Verification required from Planning & Zoning Department for new construction.) City /State Ad arcel Identification Number 7 '" 6 00 LEGAL DESCRIPTION /,1 ?20) Property Location � 1 /a , aE' /a , Sec. 13 , T = 2 2 – N R� Town of �J �� Z Subdivision / /G2 iQ f�', /�•S 76 U?-) 1 2av / �/& f � Lot # Certified Survey Map # I4 0 , Volume , Page # Warranty Deed # V X , Volume , Page # Spec house no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms <f`� �✓�c.�� . ,�. � ��i ---.fir °,� SIGNATURE OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) I • I �ll�� 1�1� I��I �I�1I ��fll ��ii f�� k��l� �t�l {I�) * 8 6 4 2 4 6 1 STATE BAR OF WISCONSIN FORM I - 2000 864248 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Michael C. Chickett Jr. and Michelle RECEIVED FOR RECORD Chickett and Pamela J. Chickett, as joint tenants, Grantor, and Steven 11/16/2007 11 :20AM Williamson and Tressa Williamson, WARRANTY DEED k * Grantee EXEMPT t Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 11.00 described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 155.40 " Property "): PAGES: 1 Legal Description: Lot 15, Nathan Hills First Addition in the Town of Somerset, St. Croix County, Wisconsin. * *a /k /a Steven S. Williamson and Recording Area Tressa B. Williamson, husband and wife Name and Retum Address: as surviv6rship marital property St. Croix County Abstract and Title Co., Inc. 219 S. Knowles Ave. New Richmond, WI 54017 SFA6332 Together with all appurtenant rights, title and interests. Parcel Identification Nutttber (PIN) 032 - 2151 - 70 This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants, and conditions of record. Dated this day of November, 2007 - �� % �->D * Michael C. Chickett Jr. * •chelle Chickett * Pamela J. Chicke AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY St. Croix ) ss. authenticated this Personally came before me this T day of November, 2007 the above named Michael C. Chickett Jr. and Michelle * ,;.. ;.,,, Chickett and Pamela J. Chickett to me known to be the _`.��. �y�il person(s) who executed the foregoing instrument and TITLE: MEMBER STATE BAR OF WISCON r •.••,,.: •••• •. .2 ? { ikacknowledged the same. If not t, Q•: authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTE uBL�C tary Public, State of Wisconsin Robert L. Lober g y commission is permanent. (If not state expiration date: Loberg Law Office 1W. •- • ».....•••'' O T.. cG,zr (Signatures may be authenticated or acknowledged. Both are a "Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 1 of 1 - - - - -- --------------- - - -! -- - a 01 0 M I N 1 - - S 10 I 10 I ,9Z 1 *Z5 -- 3- ,MLO.00 N I -- - --� -- I -- v 1 0 3 ,CC,L0.00 N - - - - - - - - 3N/7 &-718v H1nOS —HL&ON titer Cl r V � w n 0 y o b mar rn v co N O CY)o - c `� m ti woo y I ti N 00 -4 E� a j �A 4 o • l / w`"•ss o \ r L *0 66 Qbr 3 •.�[ 0 . . 9 • 1 a •o N ES = \D \� / I Z .001 75 4.06; I vi D . \ • �— v � OD O ro cn� •F DA �� a U1 _ w u M �2 0 J