HomeMy WebLinkAbout032-1074-50-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
479260 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)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Sam air, Ed I Somerset, Town of 032 - 1074 -50 -000
CST BM Elev: Insp. BM Elev: BM Description: ON af p Sectionfrown /Range /Map No:
Z, g . & - el" ',,- / _ Z 26.31.19.367A
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER tAPACITY STATION BS HI FS ELEV.
Septic Benchmark ' q �, Z
Dosing /� Alt. BM
finy
Aeration j Bldg. Sevyer
olding t/Ht Inl t
� 9/� /-7
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L ELL d DG. Vent to Air Intake ROAD Dt Inlet
Septic 1 , Dt Bottom
Dosing Header/Man. 2
Aeration Dist. Pipe
3 �Sq. X12
o mg Bot. System
Final Grade
PUMP /SIPHON INFORMATION /
Manufacturer Demand St Cover 7 t 7
GPM r
"'t ` ( `� rp-
Model Number hu K04 '5� — 5 0 q2.
TDH lift Friction s ead TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM ck a44a44 J
BED/TRENCH Width r Length ! No. Of Trenc as PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO ! P/L BLDG WEL LAKE /STREAM EACHIN Manufacturer: l6, /���yj
INFORMATION CHAMBER R off
Model Number.
67 - D
DISTRIBUTION SYSTEM ! . Auk
Header /Manifold VA Distribution / x Hole Size 7Hole pa cing Vent to Air Intake
Pipes j1/�
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
B renc Center 19 07 , /7 Bed/Trench Edges Topsoil Yes j No
COMMENTS: (Inc ude code discrepencies persons present, etc.) inspection #1: / - /
� Inspection #2: / /
Location: 1920 Highway 35 N Somerset, WI 54025 (SE 1/4 SE 1/4 26 T31 N R19 ) Lot 1 Parcel No: 26.31.19.367A
1.) Alt BM Description = �fG�6. #6W H ' / ��/�� — ������
2.) Bldg sewer length = t� j 9 / - `
-amount of cover = a
h'
Plan Reqred?
Yes
Use other revis
for additional Information. o
lat;� Insepctor s ign ture k / Cert. No.
SBD -6710 (R.3/97) ` � r & kj'A `G ���
Page Of
HOLDING TANK CROSS - SECTION
* 4' *Q�
%
o� Weatherproof
2" C.I. w /Return Junction Box
Bend with Approved L�ockiinn Manhole Cover
} i I
Audible /Illuminated with Warning- Cabal Attached
p C t�t�n two Alarm
l
mum 12 ®Pc'IJiniC�
A; trEe Final Grade
J I Airtight
I
open ing
� I
Watertight
Seal High Water I 4//
Tank Dimensions: Alarm Switch 12 u ,r'�
��
Length: or .a Approved Joint
Width: w /Approved Pipe
Working Height: Exi mg 3'
(all dimensions inside) Beyond Tank
Number of bedrooms: Excavation
Thickness Gallons per day: y5 DwF
Wall: 'a u o Ps +. de <l'Iv4`(
Base:
Cover: Water stop
Ja�Li/ GALLON CAPACITY
Lai
3" of Bedding Under Tank Keyway
Alarm: Manufacturer: QLUMBER /DESIGNER .
S
Model Number: Si 9
Switch Type: License Number
i
Tank Specifications: Date:
Concrete mixed to withstand 3,000 psi min., and shall be of monolithic pour
Tank cover and manhole riser joints to be tongue and groove or shiplap
All joints to be sealed watertight with approved sealants
Keyway width to be approx. 30% thickness of sidewall
Water stop shall be copper, neoprene, rubber, or PVC, at least 6 inches wide, and continuous
Provide adequate anchoring = /. sx - &- 7k volumes (cf) X G2,y lb /e
Include all wall tie specifications (See attachment)
Manufacturer specifications for sealent and hydraulic cement meeting ASTM C 595 must be
included in submittal. The sealant must be specified as compatible with both concrete and sewage.
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Safety and Buildings Division
�0 ve. P,O. B 7162 -
County
Sanitary Permit Number (to be filled in by Co.)
isconsin °io _
m ��9 n
Department of Comerce State Plan I.D.Num \
Sanitary Permit A plicationS 2005 G f �,� b / =T 5.1 /)
,nfozmation you provide address}
In accord with Comm 83.21,'lli�is. Adm. Code, P a ; s15. oject Address (if differe it than trailing
may be used for secondary purposes Al Priv Y `��� NTY
/ L 3yd
I, Application Information - Please Print Block #
arcel # Lqt #
Property Ovmer's Name /1 - < /
j �
i-- t� cation
` Pr
property Owner's Mailing Address
� �� 1�(� `�� %y Section
, // Zip e- Phone Number /}
c
City State /. � El on )
�,? � � �, T N;
�,, • e SM Number
II. Type of Building (check all that apply) 19 53
❑ 1 or 2 Family Dwelling - Number of BBe f VZ3/ 9
Public/Commercial - Describe Use- -' -� QCity_DVilla wnship of
State owned - Describe Use
111. Type of Permit: (Check only one box on line A. Complete line B if applicable) p3 Jib ' 7 °
A. ystem ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only Q Other Modification to Existing System
Change of ❑Permit Transfer -New
List Previous Permit Number and Date Issued
B. ❑ permit Renewal Q Permit Revision Plumber Owner
Before Expiration
IV. T e of pOWTS S stem: hec
(Ck all that apply)
> 24 in. of suitable soil Q Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter
Pressurized In- Ground ❑Mound _ -
❑ Aerobic Treatment Unit
[I Recirculating Sand Filter
Constructed Wetland pressuttzed In Ground ❑Holding Tank El Peat Filter ❑ other (explain) ,5 6 1?1�
Leaching El Drip Line ❑ Gravel -less Pipe
Recirculating Synthetic Media Filter E3 g Chamber
rma stem Ele
tion Area Proposed (sfl S va n
Info Dispersal Po r
V. Dis ersal/I reatm Area App lication Rate(gpdsf) Dispersal Area Required (sf) P � % / l
Design Flow ) Design Soil ;pp j or
3 J ' `" " �� Preab Site SteeI Fi er Plastic
� Manufacture f
r
VI. Tank Info Capacity in Total Number Concrete Constructed Glass
Gallons Gallons of Units
New l�xisting
Tanks Tanks
septic or Holding Tank
Aerobic Treaw=t Unit
Dosing Chamber
VII. Responsibility Statement I, the undersigned, me responsibility for installation of the POVVI S shown on the attached Phone Number _
MP/MPRS Number
Plumber's tue
Plum er' Name (Print) , /'� � 4
Plumber's Address (Street, City, Stat L Y Oi 7
, $� � �
Z / l� �` (ICJ
`VIII. Coun /De artment Use Onl Permit Fee 'nciudes G *^ r�" ater Date Issued lsstung A ent Signature (No tamps)
Sanitary
Approved 11 Disapproved Surcharge Fee} 2m _
Q en for Denial J
IXX. Conditions of Approval/Reasons fo Disapproval y dt t
SYSTEM OWNER:
1 Septic tank, effluent filtOr and
dispersal cell must all be Serviced / maintained /1 / �
as per management plea provided by plumber. �/L�
2. All setback requirerneflts must be maintained
as per applicable Code /ordinances.
Attach complete plans (to the County only)
for the system on paper not less than 4112 x it inches in size
SBD -6398 (R. 01/03)
PLOT PLAN
PRO "CT Somerset Auto Salv
J aae ADDRESS 1920 Hwv 35 N. Somerset Wi
� 54025
SE 1/4 SE 1 /4S 26 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX
SYSTEM ELEVATION 93.0/92.9 359
GPD
CONVENTIONAL XXX AT -GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 800 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 560 # of chambers 18
IL BENCHMARK V.R. Top of Well ASSUME ELEVATION 100 Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P Same as Benchmark
Alt. BM op of Telephone Box @ 98.2'
Neighbor's Wel I Scale is P = 40'
rt°�f Atop unless otherwise
Alt. B. noted
Property Li
r 99
- 7 0 �
�. es has
2 eenn cut_
S l o pe lffi� �� 2 •u '
CD Huffcutt ST B-
DNR approved'
holding tank
ca
cn
Pro Autobody
and repair shop
QLs", B.M
Weli Show 359 GPD
room
Two catch basins are being
installed and will be
discharged into the holding
tank! Domestic waste only
will be discharged into the
septic tank
No Greases, oils or
catch bas i ns are to be COPY
discharge into this
system!
r`
Safety and Buildings
' 4003 N KINNEY COULEE RD
commerce .Wi.gov LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
i sc o n s i n www.commer isco govsbt
www.wisconsin.gov
Department of Commerce
Jim Doyle, Governor
Mary P. Burke, Secretary
June 15, 2005
CUST ID No.226900 ATTN: POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING, INC ST CROIX COUNTY SPIA
1008 192 ND AVE 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
Identification Numbers
PLAN APPROVAL EXPIRES: 06/15/2007
Transaction ID No. 11451.70
SITE: Site ID No. 682609
Somerset Auto Salvage Please refer to both identification numbers,
1920 State Hwy 35 above, in all correspondence with the agency.
Village of Somerset,
St Croix County
NE 1/4, SE 1/4, S26, T3 IN, RI 9W
FOR:
Description: Commercial (Retail Store /Shop) In- Ground System
Object Type: POWTS Component Manual Regulated Object ID No.: 1023714
Maintenance required; 359 GPD Flow rate; 130 in Soil minimum depth to limiting factor from original grade;
System: In- ground POWTS Component Manual, SBD- 10705 -P (N.01 /01); Commercial System, 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,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Approval Requirements:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the "In-
ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0"
SBD - 10705 -P (N.01 /O1).
r'' F;
• The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan CfJm. 10,
approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the PP
manufacturer's instructions and the plan approval, the plan approval and code requirements will take
precedence. E RTMEt T L t
O
NF r;E
• The plumbing for this project discharges to a private sewage system. The approval covers only -
domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted SEE CORE -1-SPi
regarding the treatment and disposal of all industrial wastes. Garage floor drainage is not considered
domestic /sanitary waste.
• State and federal regulations prohibit the discharge of hazardous wastes to a private sewage system. Accidental
discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural
Resources or the Wisconsin Division of Emergency Government.
b
SHAUN R BIRD Page 2 6/15/2005
• 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
• 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
construction /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
GZ ��
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
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715- 246 -4516
Date: 6/10/05
Owner: Somerset Aut Salvage
Location: SE1 /4 SE1 /4 S26 T31 N,R19W 1920 Hwy 35 N. Somerset
System type: In- ground absorbtion system(conventional)
Manuals Used: In- ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Calcs.
3. System Plot Plan
4.Chamber Cross Section
5 -6. maintance a ontigency plan
7 -9. Soil Test
Signature
License num 226900
CU
RECEIVED 'AME
JUN 13 2005 JND ' {
NC&
SAFETY & BUILDINGS
Calculations for Somerset Auto Body and Repair
The show room(retail store) has a dimension of 24'X 60'= 1440 ft "2
1440 ft ^2 X.70 / 30 ft ^2 /patron = 34 patron @ 1 gpd/ patron = 34 gpd
10 employees @ 13gpd /employee = 130 gpd
3 floor drains @ 25 gpd/floor drain = 75 gpd
Total gpd = 239 gpd Design flow = 239gpd X 1.5 = 359 gpd
Tank size is 359 gpd X 2.088(Leroy's magick number) = 750 gallon tank required, going to
use a Huffcutt 800 gallon tank.
Chamber Calcs.
359 gpd X.7 loading rate = 513 ft "2 of system.
513ft ^2 X 1 chamber /31.1 ft ^2= 17 chambers, we are going use 18 chambers
Total absorbtion area = 560 ft ^2
PLOT PLAN
PROJICT Somerset Auto Salvaae ADDRESS 1920 Hwv 35 N. Somerset Wi 54025
SE 1/4 SE 1 /4S 26 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX
SYSTEM ELEVATION 93.0/92.9 359
GPD
CONVENTIONAL XXX AT -GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 800 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 560 # of chambers 18
BENCHMARK V.R.P. Top of Well ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
Alt. BM Top of Telephone Box C& 98.2'
Neighbors Wel l Scale is 1" = 40'
unless otherwise
Alt. B.M. noted
Property Line
99'
Tested area has
2% been cut
Lo ri r �,
Slope
Huffcutt ST B-
DNR approved
holding tank
cw
cn
Pro Autobody
and repair shop
B.M
Well Show 359 GPD
room
Two catch basins are being
installed and will be
discharged into the holding
tank! Domestic waste only
will be discharged into the
septic tank
No Greases, oils or
catch bas i ns are to be
discharge into this
system!
Cross Section of Standard Biodiffuser Leaching Chamber
Typical cross section for 2 of 2 cells
Standard Biodiffuser
Leaching Chamber
with 3 1. 1 ft2 of Area To be >1' above grade
Finish grade elevation
Typical Installation 98.5'
Vent Grade Vent
4 ' 4" 4,
��30/34 Septic Tank
;Long 1 5' 6' Long 1
Grade at System Elevation
34' Grade at System Elevation 34"
Spacing 5'
2 - 3' X 57' Cells
Same on other end Observation tubeNent
9.5'
-y �
B A
9 chambers per cell
System elevations:
A
B__92.9
Page M
• ER'S MANUAL & NIANAGEMEMT PLAN
QOWTS OWN SYSTEM SPECIFICATIONS
al 0 NA
Septic Tank CaPar ❑ NA
.ILE INFO RMAn Ot'I ufacturer
o n t Septic Ta
owner nk Man
CC 13 NA
emrit�- Effluent Titer M a nuf acturer
/ 0Z
P Effluent J p NA
ETIr //� NA
ARAM
pESI GH P Tank Capa�y at
Number of Bedraorns 0 NA Pump .
Comma t Units aVd p Tank Manufacturer
Number
Estimated flaw (aveM92) 255 �( al/d . pump. Manufacturer
i
x 1_5)'
Design flow (Peal}, (Esttmat�ed .1 / al/da 1tt� pretreatment Unit
Son APPS Ram Monthly average' Q Sand(GrBvel Filter p Wetland r
l Aeration
t Quality /L f�iecl►anica er.
lnfluentlEfflue FOG) S30 m9 D t7 Oth
Grease ( mfectio
n
Fats,.0il � gOD Sz20 mgn- ❑ Dts
Biochemical Oxy9� Deman ( s1 � 1L- Manufacturer
Total � Solids {fSS) average" Dis rsat Cetl(s) CI In -ground (pressurized)
Effluent C2uaCity l7 NA Mon- n -ground (g mvlt Y ) C] Mound
Pret�� SODS) S30 m9 ❑ At -grade p Omer.
Oxygen Demand ( SS) 530 m91L a Dri ine
B'achemiCa
tided Solids (T 510` afu /S 00m1 rcia0 wa stewater and
Total Suspe eometric an 'e ) va lues tYP►CW for domestic Inon co��T
Fecal Coliforrn (g y8 i diameter tan efftuent. stewater. sepjc
values at ror preveated
v
Maximum Effluent Particle Size .. values typ ic
ENpiyCE SCHEDUL -E Service Frequency Maximum 3 Y� )
MpINT � ❑months earls)
Service Event At least once every of tank volume
and scum equals one -third (1�)
inspect condition of tank(s) When combined sludge [03 month ear(s) (lylaximum 3 YIN-'
ut contents of tank(s) At least once every earls)
Pump ° m onths m
inspect dispersal cell(s) At l once every fl ea
Clean rls) A
effluent filter ontrols & al I7 months Y
At least once every
p c arm O months Year(s )"
tnsp Pump' pump At least once every p years)
s and pr D months
Flush later pressure test At least once every ❑ months O Year(s) ❑ NA
otter At least once every
otter licenses or
UCTI4NS an individual can(Vir one of the following tainer Sepra9e
CE INSTR Sewer. p d
OWTS ector PC any
MAIPIT EVAN of tanks and dispersal Delis shall er made insp
by s to ientify issing or broken
back uP
inspections aster Plumber R ep on o f the tank() for any Ch
ns: Master Plumber. M sludge and wed to the effluent 1evels
p a tor. Tank inspe ction s t include � �e of combined ct and to e
asure the vi sually Ins The po i of effluent on the
Servicing _ cracks or lea. cell(s) sh all be y nding
g round of effluent on the ground surface. ulatory authority.
{ e
r ffluent on the 9 d sur for any pondidng dispe cel notification of the focal re9
or pol ovation pipes and to checK�ndition and roquires the Immediate or more Of the ta ch. NR
nk volume-• the
in the e obse indicate a failing tank equals one -third ( of in accordance �h
ground surface may sludg and scum in any O erator and disposed dance
When the combined accumulation of move a Septage Servicing P
cued by nents', and any
entire contents of the tank shat) be Tern onents, pfeottment comPo S Maintainer -
113, W�nsin Administrative or pressurized POYYTS comp l formed by a certified POWr
effluent filters. months ar les shall be P n of any Se event
rrlcing of inter of 12 f co mpletion e se 'ante o
'Th within It) p days
other maintenance or mono t the local regulatory authority
A seM be provided
report shall ling products or other
s for the presence of Pam trations are
START UP ANO OPERATION the POWTS check treatment tank() cell s)• if high con
or to use p r i o r to use.
n, s and/or damage the dispet^sai
For new OonShvdiO Pd O
the treatment proces a septage servicing operato
chemicals that may i
ot e t of the tank(s) removed by
ntents
d ed hav e the co
elect
i
• // re frozen at the infiltrative surface -
is restored the excess
Sal �nditions a When pow
strait not occur wtien hv'r levels.
system s and may result in the
tai u rages Pump' � 0 a e dose, al c�ti(5 }m °ne larg rn/erioadi the cell { } k removed by a
the . tan Maintainer to
During ��w� tae d- tscha''9ed Lc) the t. O' avoid this situation have e contents Plumber or POWTS
awaW derange of ef,3, ng power to the effluent pump um tank
wast backup Operaficsr Friofzo restore normal levels within the p p disturb or compact,
seplaSe Ong ng the Pump conlrDls r}c over, o otherwise
assist in m oPerafi and dispersal Do not drive or pa
vehicle over tanks o n area - rformance and Prolong the fife
Do not drive or park mound or at -grade sot? absorP lm rove the pe r fo rman ce any
the area w Mn 15 feet down slo fotkt+rrin9 sw abs, de from the meter stream may P , dental floss diapers;
arette butts; condoms, cotton swa g asoline' s
ne
Reduction �- e rUnlnation of the dg efut s; asali; grease; herbicides; meat
of . sump P Fl water, fruit and vegetable pe g g
the POWTS: andbfotics: -baby %�' um s anitary ta
nap kins; mpons; and water softener brine
fa diain ( pesticides: son ry P
d ���Oo ns; of painting pr,oduds;
scraps. steps shall tke taken to Insure that the
AB pNDOMMENT ntly taken . C en out of service the fottow►n ygriscunsin Adminls" ive Code:
When the POWTS falls and/or is Perm trance
system is properly with c h . 83.33, sings sealed.
�dely abandoned in comp rator.
d its shall b me disconnected and the abandoned Pov sed y m o ved a Septage Servicing Ope
Ali Piping tO tanks an P ed and property dispo and the void space
.. The contents of an tanks and Pits shalt be re ping, all tanks and Pb s
hall be excavat and removed or their covers ra
Aftel with sol i, grave, or another 'inert solid material.
After pum
to rovide a code
CONTINGENCY PLAN the following measures have been, or must be taken, P
If the POWYS fails ent��be repairr�d coon and should not
t placem be utiliz ed for the location of a replacement soil
comp A suitable replacement area has been evaluated and m fltecied from disturbance and compa
The replacement area should be P sed stn.l�re, lot lines and wells. Failure to
absorption system• c�cs from existing and propo a suitable
be infringed upon by required setb3 for a new soil and site evaluation to establish
protect the replacement area will result in the need
must comply with the rules in effect at that ttrne.
t area is not available due t � '
re place faiter3 POWTSng advances
replacement area- Replacement system o setback in POW d
p A suitable
re placement k may be installed as a last resort t P n failure of the POWTS a sod an
technology a holding identify a suitable replacement area Upon re p l a cement area is available a
E3 The site has not been evaluated toto late a suitable replacement area if no
site evaluation must be perfo a l of the biomat at
face following removal
tank rnaY be installed as a last resort to replace the failed d i
hording stems may be reconstructed in pla in effect at
that time_
Q Mound and at-grade absorption terns must comply
the infiltrative sufiace. R s of such systems
<<wARNING>> T,4NKS MAY CONTAIN L DF CI R CUMSTANCES DEATH MAY
SEPTIC, PUMP AND OTHER TR A
DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UN
OF A PERSON FROM ER INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOS
RESULT.. RESCUE SIBLE.
AD D ITI ONAL COMMENTS
pOVVTS MAINTAINER
POWTS INSTALLER N ame 4z. u Va � J�>
Phone 7 l J .—
Phone Z �
CING �pERATOR PUMPER LOCAL REGULATORY AUTHORITY � r
SEPTAGE SERVI Agency 57 t '
Name d► Phone 1, d�ument meets
Phone -- 6- .
ryas dialled by Io staffs of the Green t$ke, Marquette and Waushara County Zoning and San U sil of � dent does not
This document 8 3 Z )(b)(tXd)�(fl and 83_S4(1).(_2) & (3). Wisconsin AdniMSUa� Ch W (11013
the minim urn mQuimments of dU Comm
guarantee the performance of the POWTS.
'* RECEIVED
Wisconsin Department of Comme ce SOIL VALUATION REPORT Page of 3
Division of Safety and Buildings
JAOO*thcfwcom 85, Wis. Adm. Code
County � C , /�
Attach complete site plan on pa r not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to ve 6 1 anc!Uriff3i (iI�' r dJ li int ( M), direction and Parcel I.D.
percent slope, scale or dimensi ns, nor TiQW�a36iffol"Eon and istance to near t road.
° e 711
Please print all information. Revi ed b � ' ��_ '� y
Personal information you provide may be used for secondary purposes (wfc(,th .
ihs
Property Owner C e 7 , ► plannino ZO Location
s�%r� �> �i7 �..�:t l �/GL SfL yt 6� 1 /4 s 1 /4 S a�TJ/ N R E ( W
Props Owner's Mailing ddress L # Block # Subd. Name or CSM#
A2 o�
tii ui 44 d`dd 0 `
City
S Zip Code Phone NumberlY no, a a y Village own Nearest Road
P: 0 "A ew Construction Use: ❑ Residential / Number of bedrooms Code derived design fl / ow rate � W O GPD
❑ Replacement � Public or commercial - Describe: SPt ✓!!✓__
Parent material il,t` ,I' Flood Plain elevation if ar ^lical%'- '4 ft.
and recommendations: (�Qj(/�{jJt7� �3 4�2�
® Boring # Boring Q
pit Ground surface elev. ` ft. Depth to limiting factor Z 26) in,
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. 'Eff#1 'Eff#2
R3-0
®Boring # [] Boring
,,_.pit Ground surface elev, 3 ' ft. Depth to limiting facto in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 1 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) — — nature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715 - 246 -4516
r
7
}
Property Owner _ Parcel ID # Page of
a Boring # Boring y,
Pit Ground surface elev. � ft. Depth to limiting factor in.
Soil 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
Boring # Boring T
�it Ground surface elev 1 I l ft. Depth to limiting factor I in.
Soil 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 I 'Eff#2
l OU'Pr. - C r 1 51 0"
-1 O ,✓Jg
Boring
a Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
Soil 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
' Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS 130 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.
580.8330 (R.6100)
Soil Test Plot Plan
Project Name Somerset Auto Salvage Shaun Bird
Address '
1920 Hwy 35N
Somerset Wi 54025 CST 26900
Lot ----- Subdivision ------- Date 12/10/03
SE 114 SE 1/4S 26 T 31 N /1319 W Township Somerset
Boring ()Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Well
System Elevation 93.0/92.9/92.8 *HRPSame as Benchmark
Alt. BM To of Telephone B " —
p ox @ 98.2 _
Scale is 1 40 '
Neighbor's Well unless otherwise
O
noted
Alt. B.M.
Pro ert L'
99'
B -1 B -2 13- x/
0 0
2 %o Cbetn d area has
Slope cut
Cn
,
M. B -3
CD
M
cQ
Pro Automotive repair shop
w
5 Floor Drains, 10 No Greases, oils or
( FFF d catch basins are to be
tment\ discharge into this
system!
B.M.
Well
Pro 40' X 60'
Showroom L p
- 1
I
l
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
� Arm r CATION FORM
\,q j c� CERTIFI
owner/Buyer )
Mailing
Address D
Property Address ��--'
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number
LEGAL DESCRIPTION
'on �� i /�, -� i / Sec. i) , TN -R
Property Location
#W Town of t2��`.4�y
i
Lot # � _—
Subdivision C�
Pa e# <
Certified Survey Map # � 6 S
Volume g
i , Volume /.. r , Page #
Warranty Deed # �
Lot lines identifiabl es ❑ no
Spec house ❑yes
SYSTEM MAINTENANCE
ce
Improper use and maintenanceof your septic system could result in its premature failure to handlewasyes. Proper �m sy�m
consists of pumping out the septic tank every three years or sooner, if needed by a licensed Pumper- ew
can affect the function of the septic tank as a treatment stage in the waste disposal system.
owner a to submit to St Croix Zoning Department a certification form, signed by the owner and by a
The property that (1) the on - s it e wastewaterdisposal system
Ma ster plumber, journeyman plumber, restrictedplumber or a licensedpumpe r ve g the tic tank is less than 1/3 full of sludge.
is in Proper operating condition and/or (2) after inspection and pumping (if necessary), Sep
m with the standards
Uwe, the undersigned have read the above requirements and agree to maintain the Private sewage disposal gate
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of O 30
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning
days the y expiration date. f� / 0 / fl - :r —
DATE
I ATURE OF APPLICANT
6 L1� -�
OWNER CERTIFICATION I we am (are) the owner(s) of
I (we) certify that all statements on this form are true to the best of my ( our ) knowle g • ( )
the operty described hove, vi a of a warranty deed recorded in Register of Deeds Office.
DATE
NATURE OF APPLICANT D � �N GtiC��
ent.
« « « « «« A information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departm
*« 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
N � :,.. 'Si'. :.a+w.: : i +aa+.:.. V- 5... _., s.a..:.sti; ase .�a: =i. r ... .•as ... ..,._ _ ... .. .. _ _ _ ,V a/ -�_
:. i ►ot 1.`?�� c
57450'7
}� STATE BAR OF WISCONSIN FORM S —1982
PERSONAL REPRESENTATIVE'S DEED
DOCUMENT NO.
` RLUlb I t
OFFI
� Eleanor L Beaver CR IWI
Rn'iI for Raowd
{
•t �t*'l4 �, _ � as Personal Representative of the estate of
Frieda A. S ampair MAR 1$ 1998
('Decedent'), 9 :30 A t
- !�':.... -4
for a valuable consideration conveys, without warranty, to Rr br d th>•da
Edward' E. Sampair
3 = , Grantee,
,'� A,a� • , THIS SPACE RESERVED FOR RECORDING DATA
:. the following described real estate in St. C r O i X - County. _ #
State of Wisconsin (hereinafter called the "Property NAME AND RETURN ADDRESS
South 35 acres of NE; of SE;: NW; of SE; C. L. Gaylord
" and part of S'h of SE4 described as follows: Attomey at Law
Commencing at Northeast corner of said Sk of PIIveP�Ils,oW154022
SEh; thence South 40 rods; thence West 21
rods; thence North llj rods; thence West
139 rods; thence North 28' rods; thence
Int. East 160 rods to place of beginning; all
in S2Ct10R 26- 31 -19. PARCEL IDENTIFICATION NUMBER
4 ry iil
TRSFER
g .
' ,'
'k
Personal Representative by t is deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately
prior to Decedent's death, an all of the estate and interest in the Property which the Personal Representative has since acquired. 3i
G,I'
Dated this 8th day of October 19 -
� i (S EAL) 1 i 1 s (SEAL)
f� Eleanor L. Beaver
- Personal Representative Personal Representative
N x
s
. '
AUTHENTICATION
ACKNOWLEDGMENT
:?
xl Signture(s) Eleanor L. Beaver State of Wisconsin,
a
Count'
� X °
' authenti to [hi th day" I October 19 97 Personally came before me this day of
the above named
s
b�
f C L Gaylord t ,
,ft�c TITLE: MEMBER STATE BAR OF WISCONSIN
k I r e 4
(I
uthorized by §706.06, Wis. Stars.) to me known to be the person who executed the foregoing I R
instrument and acknowledge the same.
per i THIS INSTRUMENT WAS DRAFTED BY
r T. nalel Attorney
River Falls, WI 54022 Notary Public, County,Wis A
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (I[ not, state expiration date:
necessary)
r • Names o[ pumas stgaag in my capacity shoutd be typed a printed below their signatwV& j
r W ' STATE BAR OF WISCONSIN ri "a'I` s . W ,
q PERSONAL RFPRESENIATIVE'S DEED Form No. S — 1982
P o
. 1 -
CERTIFIED SURVEY MAP
SURVEYOR'S CERTIFICATE:
I Robert D. Engelman, Registered Land Surveyor, hereby certify:
That I have surveyed divided and mapped that part of the Southeast % of the Southeast
%4, and than part of the Northeast % of the Southeast % of Section 26, Township 31
North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin, described as
follows:
Commencing at the Southeast corner of said Section 26, thence N 00 0 40'07" E, 660.21
feet to the point of beginning of the parcel to be described; thence N 88 0 07'23" W,
346.50 feet; thence N 00 0 40'07 "E, 740.65 feet; thence S 87 0 56'38 "E, 346.52 feet;
thence S 00 "W, 739.57 feet to the point of beginning.
Said parcel contains 218,000 square feet exclusive of the portion used as highway
easement and 256,391 square feet inclusive of the portion used as highway easement
and is subject to all easements, restrictions and covenants of record.
That I have made such survey land division and plat by the direction of Edward
Sampair, owner of said land.
That such map is a correct representation of all exterior boundaries of the land surveyed
and the subdivision thereof made.
That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin
Statutes, Chapter AE -7 of the Wisconsin Administrative Code and the Subdivision
Regulations of St. Croix County in surveying, dividing and mapping the same.
Dated this 8th day of June, 2004.
Ss Si,' Robert D. Engelrr n, RLS 1694
RO ERT D. 4
,t f ENGELMAN
S -1 694
SCHOFIELD i
W' APPROVED
ST. COWKCOUNTY
Pqmmo +0 a Zor*M C=mn* fte
FEB 0 2 2005
Prepared by Lewis Specialties, Inc. IT not recorded witnin ao day, Of
9307 Camp Phillips Road approvaI data apPMst sh*'A be
Schofield, WI. 54476 null and void
SHEET 2 OF 2 SHEETS
Vol 19 Page 4923
�3
CG
76 OEM. 539
VOL 19 PAGE 4923
KATHLEER N. MTiLS)T
REGISTER OF DEEDS
ST. CROIX CERTIFIED SURVEY MAP RE CEIVED FOR R I WI
ECOORRM
OF PART OF THE SOUTHEAST 1/4 OF THE SOUTHEAST 1/4 CERTIFIED SURVEY mAP
REG FEE. 13.00
AND PART OF THE NORTHEAST 1/4 OF THE SOUTHEAST 1/4, COPY FEE: 3.00
OF SECTION 216, TOWNSHIP 31 NORTH, RANGE 19 WEST PAGES: 2
TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN.
�o
EAST 1/4 CORNER c '
SECTION 26. I cu
POSITION ESTABLISHED FROM COUNTY
WITNESS MONUMENTS OF RECORD. I
UNPLATTED 60' I
L a _ _
S 87 E 346.52
N Z
W ° 293.23' 53.29
0 0 LANDS I +
r o (
i r tx 218,000 SO. FT. (5.00
w a a W ACRES) EXCLUSIVE
w = a"+ OF ROAD EASEMENT.
r o
r
N
L' = q WNED 256,391 SQ. FT. (5.89 I I °
– – ACRES) INCLUSIVE I .o x
W OF ROAD EASEMENT N m
C3 i I y i
' Z
LEGEND W
L OT 1 1-
m I 65' I
r
SET 3/4'X24• IRON ROD f �'' n I ' 5
w
0 WEIGHING 1.50 LBS. /LIN.FT. c ¢ 3
BY ° c:5 i 31 in ^ I
0 FOUND 1 -1/4' IRON ROD C ^ _
CK
<F f I
(L
OFFICE AND SHOP I H
' PLATTER BUILDING -- j " J
T nil
ROBERT ,/ HOUSE o « 1
N L N v I r - --� I :r _
J o
— �V
9JNPLATTE 1 `— =y
SOH a ---- - - - - -D I �I
i I
r' L
1111111 LANDS AVE.
295.96' 50.54' —
N 88 W 346.50'
JUNE 8, 2004 OWNE o I
�o
120 0 120 BY OTHERS I i
1 60' 55'
Scale 1' = 120'
I
EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND W
TOWNSHIP LAW$; RULES AND REGULATIONS (Le., WETLAND, MINIMUM LOT
SIZE, ACCESS TO PARCEL, ETC.). BEFORE PURCHASING OR DEVELOPING o
ANY LOT, CONTACT THE ST. CROIX COUNTY ZONING OFFICE AND THE
TOWN OF SOMERSET.
0 0 �
SOUTHEAST CORNER OF Z
THIS INSTRUMENT DRAFTED BY SECTION 26.
R. D. C FOUND BERNTSEN MONUMENT.
SHEET 1 (IF 2 SHEETS
Vol 19 Page 4923
"r- '- 0;'
ML 07t
574507 STATE BAR OF WISCONSIN FORM 5 - 1982
PERSONAL REPRESENTATIVE'S DEED
DOCUMENT NO.
5MCE
Eleanor L. Beaver CR IX CO., W1
47T C 71 X C
env for R"Ord
as Personal Representative of the estate of
Frieda A..Samr)air r MAR 2 1998
9:30 A M
('Decedent"),
for a valuable consideration conveys, without warranty, to
Edward E. Sampair
Grantee,
the following described real estate in St. Qrqix County, THIS SPACE RESERVED FOR RECORDING DATA
State of Wisconsin (hereinafter called the -Propeny): -4 ME AND RETURN ADDRESS
South 35 acres of NE; of SE;; NW4 of SE- C. L. Gaylord
and part of Sk of SE4 described as follows: Attorney at Law
F ails. W1 54022
Commencing at Northeast corner of said iver id Sk of PO. Box 46
F
SE- thence South 40 rods; thence West 21
rods; thence North 11 rods; thence West
139 rods; thence North 28� rods; thence
East 160 rods to place of beginning; all 22 7 30 03Z 1074 50
t PARCEL IDENTIFICATION NUMBER
in Section 26-31-19.
R K
$
FE
Ia
e a me
Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the D cc de nt h i mmediately tely
poor to Decedent's death, and all of the estate and interest 4, the Property which the Personal Representative has• since acquired.
Dated this 8th day of October
(SEAL)
(SEAL)
Eleanor L. Heaver
Personal Representative Personal Repit"Unn
ACKNOWLEDGMENT
CKNOWLEDGMENT
Eleanor L. Beaver State of Wisconsin,
County
of
authent October io97 Personally cone before me this — day ti
19 the above named
a L Gaylord
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Seats.) to me known to be the person who executed the foregoing
Instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
I' r. T.- Gaylare' At-t-nrnpy
River Falls, WI 54022 Notary Public. County, Wis,
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (if not. state expiration date: I j
necessary.)
Nantes of persons signing in any iapwty should be typed or printed below their signaLunes- wiscons-ri L"M Bib* Co- Inc-
STATE BAR 1 * 1 SCONSIN Merrell as YYa j
PERSONAL liffilf';ENTATIVES DEED Form Nw S - 1962
ILA