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HomeMy WebLinkAbout032-2063-80-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division s INSPECTION REPORT Sanitary Permit No: 463104 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. M ° TR�PfIS • /� Permit Holder's Name: city Village X Township Parcel Tax No: Cudd Brothers Construction I Somerset Township 032 - 2063 -80 -100 CST BM Elev: Insp. BM Elev: IBM Description: Sectionrrown /Range/Map No: /60 /Q� I + ` C T 18.30.19.751A20 TANK INFORMATION ELEVATION DATA TYPE _ L k E / / CAPACITY STATION BS HI FS ELEV. L�aQ A- - I� =Ze Septic Benchmark y ZS 16 •Z 1ao Dosing C&--V" BM C am \ Aeration -- - -_ Bldg. Sewer l Holding St/Ht Inlet T � TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG Vent to Air Intake ROAD Dt Inlet Septic 2_0 J \ DtBottom Dosing � Header /Man. / - 5 f ' of. 3 t Aeration - - -- Dist. Pipe 3 0 3 Z- RS 1- Holding Bot. System 2 (oS (J 1 � • (05 Final Grade u PUMP IPHON INFORMATION e Manufacturer Demand St Cover � W (VA " GPM J 2 4D o (, Zo Model Number n — p� C � 2 /� a . TDH 0 a ./r' Friction Loss System Head TDH Ft �' o • o 4 • ' ^ 13 . p 3 30 03.30 OD. Forcemain Length D I Dia. � Dist. to Well SOIL ABSORPTION SYSTEM B Width f Length I No. Of TowAAws- PIT DIMENSIONS No. Of Pits Inside Dia. ENSIONS SETBACK SYSTEM TO � BLDG WELL LAKE /STREAM LE CHI Manufacturer: INFORMATION CHAM OR Type Of System: / /� 1,\1(11 ` NIT em: Mo umber: DISTRIB TION SYSTEM PL l6,0 -W Header anifol Distribution x Hole Size x Hole Spacing / Vent to Air Intake t Pipe(s) Q4• / I Length .� Dia 2 Length Dia ,r7 Spacing � SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over T Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center rench Edges Topsoil Yes [] No Yes [ „i No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: �d / �s / Inspecr ' #2: , 0 8/ ZvD Location: 332 150th Avenue Somerset, WI 54025 (SE 1/4 SW 1/4 18 T30N R1 9W) NA Lot 2 I 1 0 �^' Par No: 18.30.19.751 20 F �s 1. Alt BM [Description 2.) Bldg sewer length = 60 -amount of cover = -� 2 Plan revision Required? Yes X No O Use other side for additional information. f_L SBD -11710 (R.3/97) a j Insepctor's Signature Cert. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. B 7162 / Madison, WI 53707 - 7 Sanitary Perinit Number (to be filled in by Co.) isconsirn (608) 266 -315 f , 3 � 0 Department of Commerce State Plan I.D. Number ,-)b Sanitary Permit Applicati c� ,�. Q 8 Q i Comm In accord with 83.21, Wis. Adm. Code, per oral inform�ti o de /' S t'� !0 ' may be used for secondary purposes Priva rs O t Address (if different than mailing add ess) r l I. Application Information - Please Print All Information �' �C . � `, C� � � � � A1� i Property Owner's Na me /�� �� P cel N Lot H Block # CI ' ddress Property Location Property Owner M ailing A / p / 2.9 t /a, w ' /a ,Section <p City, State G Zip Code Phone Number r �f z _,* L� Z 7i �jj� V, Od (circle one) T J N; R�E orlD II. Ty a of Building (check all that apply) say t SM Number $ or. 2 Family Dwelling - Number of Bedrooms S. Describe /�10 q�� /10 ❑ Public /Commercial - Des be Use ❑ State Owned - Describe Use - City_❑Vill ge IIKTownship of 0*wt III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' New System ❑ Replacement System ❑ Treamiern /Holding Tank Replacement Only ❑ Other Modification to Existing System ❑ Chan B. ❑Permit Renewal 13 Permit Revision El of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. TXpe of POWTS System: (Check all that apply) O ❑ Non - Pressurized In- Ground 4 in. of ita ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (expl• in) V. Dispersal/Treat ent Area Information: X = D.Sb kajk W."AI Des i n Flow (gpd) Design Soil Appligation Rat pdsf j ispersal A® Required (s �ispersal A rea Proposed (sf) System E e Tvation" )( � VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank gyp, CAI / even Aerobic Treatment Unit , li vv Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for Installation of th POWTS shown on the attached plans. Plumber' Na me (Print) Plumber' Si gnature MP /m4ks-Number Business Phone Number e6 64-,_ _7 - OZ �q.7 Z Plumber's Addre ss (Street, City, State, Zip Co e) AV M w 1 L/ a / VIII. County/Department Use Onl KApproved ❑ Sanitary Permit Fee (includes Groundwater Date Issued Issui A Surcharge Pee) gent Signatur (No Stamps) -- ' r? ❑Owner Given Reason For Denial %, J IX. Conditions o ppt•ov / a] SYSTEM OWNER: 3) Z. 1 Septic tank, effluent filter Bpd u dispersal cell must all be servi0ed / Maintained s r as per management plan provided by plumber. 2. All setback re uir m q e ents must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for (lie system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) i _ T 3o R 1 f rvvsff S:t,,�PrsNt _ /dD Tod o • 1 .1�0.. �',�G 99. FF" S,o, t r � h R n d- N Ib Gw�w>e � Way n I+ 30 of'� Fo �oKsc � r H «ire A ® well ti n ISO Ave m k e- Q 0 G Safety and Buildings 4003 N KINNEY COULEE RD colt merCe.Wl.gov LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 isconsin www.w w ww.coe.wi.gov/s / Department of Commerce isconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 30, 2004 CUST ID No.226497 ATTN: POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/30/2006 Identification Numbers Transaction ID No. 1064354 SITE• Site ID No. 689984 Cudd Brothers Construction Please refer to both identification numbers, 150TH Ave above, in all correspondence with the agency. Town of Somerset St Croix County SE 1/4, SW 1/4, S18, T3 ON, R19W Lot: 2, FOR: Description: Four Bedroom At -Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 982796 Maintenance required; 600 GPD Flow rate; 46 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, Cor" l'1 stats. The following conditions shall be met during construction or installation and prior to occupancy or use: � G' RT//f r_��NT General Approval Requirements: � Z I F • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CUs IRE "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 101) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ROGER D NELSON Page 2 9/30/2004 • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of c onstruction/installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Cudd brothers 4 bedroom Mound system Owner's Name: Cudd brothers Constrution Owner's Address: 1645 River Ridge Road River Falls, WI 54022 Job address: 150th Avenue Legal Description: SE 1/4, SW 1/4, S 17, T 30, N R 19 W Township: Sumerset County: St. Croix Subdivision Name: CSM Vol. 17, Page 4464 Lot Number: 2 Block Number: Parcel I.D. Number: 032 - 2063 -80 -100 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings RECEIVED Page 4 Lateral and dose tank 2�� Page 5 System maintenance specifications SEP 2 Page 6 Management and contingency plan SAFETY & BLDGS DIV Page 7 Pump curve and specifications � z Page 8 Plot Plan Designer: Roger Nelson License Number: MP 226497 Date: 09/16/04 Phone Number: 715 - 273 -4444 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 8 , v r Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) 100.00 Contour Line Elevation (ft) 46.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 67.001 Dispersal Cell Length Along Contour (ft) = 8.961 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution I Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 2.99 Lateral Spacing (ft) If N above, enter the elevation ft 3 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 4.00 Estimated Orifice Spacing (ft) = 11.77 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 8.17 Vertical Lift (ft) 40.03 5x Void Volume (gal) 030 Friction Loss (ft) 44.92 Minimum Dose Volume (gal) 14.97 Total Dynamic Head (ft) 21.01 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x x 1.50 x x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser 800 - 325 -8 456 1 Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) JZabel 1- 800 - 221 -5742 Filter Manufacturer 20.601 Dose Tank Volume (gal /in) IA100 Filter Model Number Weiser =Manufacturer Project: Cudd brothers 4 bedroom Mound system Page 2 of 8 Mound Plan View Observation Pipe ❑ — K :-' ................ ... . . 1�;� :; �� •• r :: r•r•: .':.• �::: •. f.r. •'r.f. ::'L•ti: ti:ti:ti•ti.•,: ti. ti.•,.•,.y..,.ti.•,. ti•ti••.• :: •.•ti••. ti:ti••.•• . ;• , r , .• , r , r , r , r , r.r•r • r • r • r . r • r•r • r • r•r•r.; •r•; .f•r•r•r• . B y . . .. . . I . . . . . . , . . . L Mound Component Dimensions A �' &.96ft E 12.45 in H 1.00ft K Eaft ft B 67.00 ft F 9.00 in z 8.37 ft L ft D 6.00 in G 0.50 ft J 4.45 ft W 600.32 (ft Dispersal Cell Area 1161.06 (ft Basal Area Available 8.96 (gpd /ft) Linear Loading Rate 6.70 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.25 (ft) G :r::rrrrr ♦ H ,rrrrrrrrr 2 rrrrii,. 1 :rrrrr r:rr :rrrrrrrr..- F : :: :: Dispersal Cell 101.00 (ft) Lateral 100.50 (ft) — 0- — = :::::: Invert Dispersal Cell :: t Elevation E : D ::: :: - ..... ...... 4 , 100.00 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key m c — Dispersal Cell See lateral details on 1 Ca Topsoil To °. 1.5 ft • . ..•;• Page 4 for number, size, ❑ _ P P o te r•: •r:r•: a: • � : r•: Subsoil Cap w o 5 and spacing of laterals. :�.;.• ©0 ASTM C33 Sand 1° ` r''' •_ ' _' r '' _ F Laterals are a uall ® 0.5 ft FA] N ':'•'Typical Lateral •ti�'�. spaced from the Tilled Layer :..r ., � •.. , ; {: : i;:r; ; { 5 I distribution cell's 5 r•:•r•. A ggr e ga te o r:: :: •: ••'•: •: •: + centerline in the 0 A distribution cell (AxB). Project: Cudd brothers 4 bedroom Mound system Page 3 of 8 i End Connection Lateral Layout Diagram Center the laterals over the A & B dimension •= Turn -up vR ball valve or clog nout plug t ] All P nti cal IE X Holes drilled on the bottom of the lateral equally spaced r ' Laterals & force main of PVC Sch 40 S (per COMM Table 84.30 - Force main connection via tee or cross to manifold at any point_ Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 4.09 ft Lateral Length (P) 65.44 ft Orifices per Lateral 17 Lateral Spacing (S) 2.99 ft Orifice Density 11.77 ft /orifice Lateral Flow Rate 7.00 gpm Manifold Length 5.97 ft System Flow Rate 21.01 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.97 ft Forcemain Velocity 2.15 fUsec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —� Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented iz Alternate outlet location Forcemain diameter Weiser 800 - 325 -8456 Manufacturer 2 in. Capacityl 800.00 Gallons Volume 20.60 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 24.65 507.88 C B 2.00 41.20 Pump off elevation (ft) C 2.18 44.92 92.83 D 10.00 206.00 D Total 38.831 800.00 1 Dose tank elevation (ft) 3" Bedding un er tank. 92.00 Alarm Manuafacturer IS. J. Electro System Alarm Model Number 1101 HW Pump Manufacturer [Myers Pump Model Number I ME40 Pump Must Deliver I 21.01 gpm at 14.97 ft TDH Project: Cudd brothers 4 bedroom Mound system Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Installed by Nelson Plumbing Phone 715 - 273 -4444 POWTS Regulator's Name St. Croix County Zoning Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - 9P Average 400 d Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600.32 f: Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mounidl Ins ect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •••.........•• ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve .. .. Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Cudd brothers 4 bedroom Mound system Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. 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 continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Cudd brothers 4 bedroom Mound system Page 6 of 8 M E40 S enes 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 ISO 200 250 300 350 40 IZ 35 10 In W 30 IL- e Z 25 z w 20 6 /y_ 9 7 -j J Q 7 H 4 0 10 2 5 0 0 0 10 2 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE Gtam 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/288-1144 FAX 419/289 -6658 Telex W7443 K3326 7/91 Printed in U.S.A. Y c: .SM S c i� 9. - oKn os /VOr t �ro «f L• He � � � si °per � Q � N 1 h •C 83 O 0► 0 h lk— n Q $• 0 H , !� Sca 1 e 30 df'- " A �okse � x rash A n �� T� 4,, 01 64 e r RECEIVED Ws SOIL VALUATION REPORT i Page 1 of 3 Division of Safety Q L t (�(� I in accordanc�Wl om 485, Wis. Adm. Code Attach complete site plan on n�4 t17EaW �IF�lndles i n size. Plan must Canty ST. CROIX indude, but not limited to: verti I and ho�dllp/ppoint ) , direction and Parcel I.D. 032 - 2063 - 80 - 100 percent slope, scale or dimensions, no dTfCOW d?tttlD�tetie istance to nearest road. Please print all information. Reyiewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 13 El CURD Brothers Construction Property Lot SE 114 SW 114 S 18 T 30 N R 19 1. Property Owner's Mailing Address Lot # Block # Subd. Name or mw 16 River Ridge Road 2 — CSM 'Vol. 17, Pg. 4464 City State Zip Code Phone Number []Village ■ Town Nearest Road River Falls, WI 1 54022 ( 715 425 150th Avenue Q New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Pubic or commercial - Describe: Parent material outwash/till Flood Plain elevation if amicable N A ft General comments At -Grade System — 0.6 Loading Rate and mss: (If pre-treatment system -below ground drip irrigation) i Boring # 11 Boring Q Pit Ground surface elev. 98.44 ft. Depth to limiting factor �G in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texhse Structure Consistence Bounden Roots GPDW in. Mursei Qu. Sz. Cont. Color Gr. Sz. Sh. *0101 `01102 1 0-9 10YR2/2 I 3fxbk ds cb 3vf-m 0.6 0.8 2 9 -25 10YR2/2 I 2fs&abk ds ab 2vf-m 0.6 0.8 3 25 -34 10YR3/3 — s sil 2fabk mfr cb lvf-m 0.6 0.8 4 34-48 10YR3 /4 — sil Ifabk dsh cs lvf 0.4 0.6 5 48 -50 10YR3 /4 mid 10YR5/6 sil Imabk dsh — lvf-f 0.4 0.6 (Horizons 3 & 4 have many si cts.) (Horizon 3 has some gr.) 'I L:::] 2 Boring # 1 Boring 99.61 47 0 Pit Ground surface elev. ft. Depth to limiting factor � —' in. i Sol Applicabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Cormstenoe Boundary Rook GPDM in. Munsei Qu. Sz. Cont. Color Gr. Sz. Sh. 'EW1 'Ef1182 1 0-8 10YR2/2 = I 3fs&abk ds cb 3vf-m 0.6 0.8 2 8 -17 10YR2/2 I 2fs&abk ds ab 2vf-m 0.6 0.8 3 17-22 10YR2/1 — I lmabk ds as 3vf-m 0.4 0.6 4 22 -32 10yR3/3 — I 2f -msbk ds cs lvf-m 0.6 0.8 5 32-47 10YR3 /4 — sil 2fabk mfr as 1 vf-m 0.6 0.8 6 47 - 53 10YR3/4 fl f I OYR4/ sil I fabk mfr as 1 vf-f 0.4 0.6 7 53 -60 I0YR3 /4 cld 10 YR5/6 sil lmpr mfi — — 0.4 0.6 " E111uent #1 = BOD > 30 220 mWL and TSS >30 < 150 mg& * Effluent 42 = BOO < 30 mgA and TSS < 30 m q& CST Name (Please Print) Signature CST Number M Jo Hollister 224832 Address Date Evaluation Corrduded Telephone Number W9875 690th Avenue, River Falls, WI 54022 09-03-04 (715) 426 - 1775 • r Property Owner C Bros. Constru Parcel ID # - Page of 032 - 2063 - 80 - 100 2 3 _ Boring ❑ Boring # O Pit Ground surface elev. 100.11 ft. Depth to iarift factor in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounds Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -5 10YR2/2 sl 3fi0r ds as 3vf-m 0.6 1.0 2 5 -24 10YR2/2 sl 2f- ma&sbk ds as 2vf-m 0.6 1.0 3 24-31 10YR3/3 - 1 2fabk ds as 2vf-f 0.6 0.8 4 31-46 10YR3 /4 - sil 2fabk mfr as lvf-f 0.6 0.8 5 46-52 10YR3 /4 f2f 10YR4 /6_ sil Ifabk mfr ab lvf-f 0.4 0.6 6 52 -60 10YR3 /4 c2d 10YR5 /6 sil lmpr mfr - - 0.4 0.6 (Some gr.) 4] Boring # n Boring 103.86 32 LJ Pit Ground surface elev. ft. Depth to Iimi ft factor �G in. Sol Application Rath Horizon Depth Dominant Color Redox Description Texture Skudu a ConsWencee Rods GPDlif in. Munsell Qu. Sz. Cont. color Gr. Sz. Sh. "011 "Eff#2 A / 1 0-5 10YR3/2 - sl 3fabk ds as 3vf-m 0.6 1.0 ltd 2 5 -14 sl 3f -msbk ds cs 2vf-m 0.6 1.0 3 14-32 7.5YR4/6 - sl 1 msbk ds cb 2vf-m 0.4 0.7 4 32 -55 7.5YR4/6 f2d IOYR4/6 s&ls Osg dl - 2vf-m 0.7 1.6 5 Boring # Boring • Ground surface elev. 103.86 ft. �� to ft� factor 32 Pit . __ /" irl Sal Application Rate Horizon Depth DonNneM Color Redox Description Texture Structure Canstenoe Boundarl Rods in. Munsell Qu. Sz. Com Color Gr. Sz. Sh. - Eff#1 '01102 1 0-7 10YR2/2 - sl 3fgr ds as 3vf-m 0.6 1.0 2 7 -15 sl 2fabk ds as 2vf-m 0.6 1.0 3 15 -32 10YR3/4 sil 2f -mabk mfr orb 2vf-m 0.6 0.8 4 32-64 _ -- outwash - - - - - - & till Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD, < 30 and TSS _< 30 mglt. 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 TFY 608- 264 -8777. SBD•833OTat MONO) P�Of P�AN (Y OWINM- C e065TRUCTWA m D' Urt2 0 7 o OF i A; ?1Pe — . l T IJ, R Iq W. T ° ❑ -%L POW W/ PKKI. ' NO cow m " a PoOBI m 3,Y3z flcR s � 2 n1 ortF tt PiZ oPERtY u uF Lo Z O 5 �1..' 100. ►1' . U 0154 e to�b4 MT F $ o o 3 gc.�g ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r (k o b 'y Mailing Address Pup 6 r eff r/y Lfi (�� k--, Property Address � 3 Z 1-5- t � V 4 C — (Verification required from Planning Department for new construction) City /State Parcel Identification Number 0 3 Z --Z O 6 - 3 ( . LEGAL DESCRIPTION Property Location ' / <, ' /�, Sec. Zj, T3ON -R -UW, Town of 7 -/V Subdivision , Lot # Certified Survey Map # - 7 l 6 g , Volume - , Page # Warranty Deed # :It 1 ( , Volume Z �� , Page # / Z . Spec house �k yes ❑ no Lot lines identifiable WLyes ❑ 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 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 Zoning Office within 30 days of the three yegr expiration date. SIGNATURE OF P CANT DATE / G OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro grt describe above, by virtue of a warranty deed recorded in Register of Deeds Office. t SIGNATURE OF ' PLl ANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed V 2166P 572 '71X 11 ` KATHLM H. NALSH WARRANTY DEED ST. CROIX OCODEEWI DOCUMENT NO. RECEIVED FOR RECORD 83/11/2083 08t80AN This Deed made between MARVIN O. RADKE EXENK # INDIVIDUAL PROPERTY TRUST, by Marvin O. Radke as Trustee, Grantor and CUDD BROTHERS REC FEE 11.80 TRANS FEE: 93 11.39 CONSTRUCTION CO., INC., a Wisconsin corporation, COPY FEE ormitee, CERT COPY FEE: PAGES. 1 Witnesseth, That the said Grantor conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: Lots Two (2), Three (3) and Four (4) of Certified Survey RETURN TO: /n Map in Volume Seventeen (17) of Certified Survey Maps, Cads - Brb +kgrS 00;5+rut�" Page 4464, as Document Number 71t0493� filed in St. Croix /hy5 1k �tdgc County Register of Deeds office on February 20, 2003, - RI r r s4 s, W I S�lO being located in the Southeast Quarter of the Southwest Tax ID# 032-2063-80 6.2---0447 Quarter (SE 1 /4 of SW '/4) of Section Eighteea (18), Township Thirty (30) North, Range Nineteen (19) West, Town of Somerset. Subject to 150 Avenue and C.T.H. "V" right of way. This is not homestead property. Together with all and singular the hereditamonts and appurtenances thereunto belonging; and Marvin O. Radke Individual Property Trost, by Marvin O. Radke as Trustee, warrants that the title is good, indefeasible in fee simple and free aad clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this day of / x"-elz , 2003. Marvin O. Radke Individual Property Trust IYW 0, �'! O (SEAL) By: Marvin O. Radke, Trustee AUTHENTICATION ACKNOWLEDGMENT Signature of Marvin O. Radke as Trustee of the Mervin O. Radke STATE OF WISCONSIN �� ) Individual Property Trust authenticated this day of March, Awee, IGfX / ) SS 2003. COUNTY OF ST-r �� ) TILE: MEMBER STATE BAR OF WISCONSIN Personally came before me this ' 7A6 day of AMOIJ (Signatures may be authenticated or acknowledged. Both an not 2003• the above named Marvin O. Radke as Trustee o the Marvin O. Radke Individual Property Trust, to me known to be the person who necessary) executed foregoing instnjlnent an acknowedged the same. THIS INSTRUMENT DRAFTED BY: t / ( f D. Peter Seguin Notary Public, State of Wisconsin. MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. My Commission (expims)• —CHAREEK N 110 Second Street, Post Office Box 469 Notary Public Hudson, Wisconsin 54016 Stets of Wisconsle MY Comm. Ex0' Q.Z/ w Wlsconsin Department ofCommerce SOIL EVALUATION REPORT Page - ) of 3- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Coda County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. Reviewed by Date Personal information you provide may be used 15.04 (1) (m)). Property Owner operty Location Lot 5C 1/4 1 /4 S T - R / E (or) Property Owner's ' Ma' g Address Q t • ) 1 Z 0 0 2 )t#" lock # Subd. Na or CSM# City State Zip Code PhcMeCM4®W000NTY ❑ Village Town Nearest Road Z NING OFFICE S� A r Ea New Construction Use: Ep Residential / Number of bedrooms _^ Code derived design flow rate - - S v Z, GPD ❑ Replacement r ❑ Public or commercial - Describe: I —_ - -_— —_— --- - -- -- Parent material - - - r . I t _ -- - - -- -- - - - - -- Flood Plain elevation if applicable _Z General comments Sysf,.e a %t / ` X00 • U and recommendations: (U N r h � [ C7 ' Boring # E] Boring Q EA Pit Ground surface elev� ft. Depth to limiting factor �? — in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 Z 5 i/ 2-mahk -fir c. 5 ' -. // Z ( 5 % 54 m�Y 3 t t C 5C-L 2 war `f a Boring # Boring C19- © Pit Ground surface elev. _ ft. Depth to limting factor?'f — in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 6 - (.0 16 sf' r c 11-Q - 5 21 l m� 3 2 -3 t e �� Zms �,� - • �( ' 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 (PleM Print) 5iSimture CST Number 25 3 Address Date Evaluation Conducted Telephone Number 2113 g0''' e (�I 5 �z- z3 -�z ( -7(5)2- 't7-�8,.-.�-. 1 Property Owner Q—t, wA—d Parcel ID # _ _ Page -- of a Boring # ❑ Boring 9-7.06 ® pit Ground surface elev. ! ft. Depth to limting factor ZO _ in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - 1 k V • 8 2 -Zo in 'mil -'r I c - . 4 4 3 1.5. 14I4P L► - - • .(A F-1 Boring # El Boring — ❑pit Ground surface elev. ft. Depth to limiting factor _ in. Sob Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff #2 F1 Boring F-1 Bonng # Ground surface elev. __ ft. Depth to limiting factor _ in. El pit Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQ1W in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff #2 ' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 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 - 2648777. SOD- 83304RA7/00) I Ono 6L yo ' to lL Z ism l I QO . a To 4 S -le ct 5ys<too -of-* v. /p o . o v ('ori 4u r e Fe -7 - o Z r �s o� 7� 9� °a Pv° d dw pAlo a Ct �,i 8MZ 3 v 7 3- 17J493 VOL 77 PAGE 4464 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR RECORD CERTIFIED SURVEY MAP REC FE 10 =OOAI[ REC FEE: 13.00 COPY FEE: 3.00 PAGES: 2 g a LOCATED IN THE SE1 /4 OF THE SW1 /4 OF SECA � 19W, TOWN OF SOMERSET, LL o ST. D � N UNTY, WISCONSIN. w Planninn 7 — ; — o,, r S V RI EYOR: ' PREPARED FOR THOMAS M. HEALY CUDD BROTHERS CONSTRUCTION S & N LAND SURVEYING, INC. N E B `? 0 2003 682 MEADOW BROOK LANE 2920 ENLOE STREET RIVER FALLS, WI 54022 HUDSON, WI 54016 It not recoroeu w run vu Days or F011�fdblriP62QI�'�Qv01 shall be � IS N89°38'211. �4hMl �Grlp�e 44GD COMPUTED POSITION, dL-l[l i TOP OF PIPE ELEVATION =944.8 889 0 33'40 " 1308.04' t 4 r`13' 1257.91' 100 NORTH LINE OF THE SE 1/4 OFTHE SW 1/4 1 y ��50 50' BUILDING SETBACK LINE 75' SETBACK Lu O I -.4- I M / FROM OHWM Q� J � ch SHED /' ETLAND O I �I �0I �• LOT 3 <I : OHWM =921.6 S89 °33'40 "E 255.73' 208.34' BARN 47.39' LOT AREA TABLE ®s - SI -<;ED "ELL ' •• INCLUDING EXCLUDING Z O i WETLAND RIGHT OF WAY RIGHT OF WAY jOHWM =922.8 75 1 8.535 ACRES 7.155 ACRES LOT 1 (371 ,791 SO. FT.) (311,689 SO. FT. ) ® 3.432 ACRES 3.000 ACRES W n �. LOT 2 (149 ,495 SO. FT.) (130,680 SO. FT.) $ CC) I = I N DRIVEWAY M \ / LOTS 24.226 ACRES 23.824 ACRES C.) w \. (1,055,280 SO. FT.) (1.037,795 SO. FT. ) / cL0 LOT 4 3.349 ACRES 3.010 ACRES (145,886 SQ. FT. (131,118 SO. FT. ) co q l l v- H OUSE ® p ° SEPTIC d o Q? I © c o t.5± ACRES CONTIGUOUS (n 5� ° p 8i NET BUILDABLE AREA z LLJ I I - ol T c\1 S89 25'33 "E 411.72' � I r S89 45'54' E 453.10 _ipp .j (� I I 3.Os ACRES CONTIGUO I 2.3t ACRES CONTIGUOUS N �i U I NET BUILDAB �, NET BUILDABLE AREA ' OT 2 M Ln LOT 4 a� T- p w M M BUILDING SETBACK LINE • --r N m I LINE ` cn �I ................p ....C'. ° N . BUILD K.. INGSETBAC ...• I co 4, o M T # .. /S89 °03'23 "E 345.95 '34.29 +?�9 50' S0 .l $ zess $ I J I / 311.66 _ S8.9 ° 1723 "E z 917.19' �. 353.81' _ .01' _ 473.56_ 3 89 , _ 37.88 37.33' 414. 33. to LO 216. sax" — N69 1 W 1308.22'— — — — 1- SOUTH 1/4 SOUTH LINE OF THE SOUTHWEST N89 °45'54 "W 2524.86 150TH AVg . CORNER SE 1/4 OFTHE SW 1/4 COR. OF SECTION 18 NJGv]G�dGQ1�tPCD dGQL�n]D� SECTION 18 T30N, R19w LEGEND T30N, R19W OO 1Ip-b & FOUND ALUMINUM COUNTY SECTION 7r CORNER MONUMENT THO C1 SET V OUTSIDE DIAMETER BY 18" LONG IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT Z 0 FOUND 2" IRON PIPE SCALE IN FEET l " = 200' HUDS i �OQ� 4— PROPOSED DRIVE LOCATION l 200 0 200 O S tJ R V� ,"&, DRIVEWAY SEPARATION OHWM = ORDINARY HIGHWATER MARK THIS INSTRUMENT DRAFTED BY: WES ANDERSON ESTABLISHED BY THE WISCONSIN DNR JOB NO. 6202 -01 DATE: 9/18/2002 REVISED: 2x7/03 SHEET 1 OF 2 SHEETS Vo1.17 Page 4464 I � J