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HomeMy WebLinkAbout032-2096-60-000 =partment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 1ding Division Sanitary Permit No: INSPECTION REPORT 572804 0 .4NERAL 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Heichert, Greg &Jodi I Somerset, Town of 032-2096-60-000 CST BM Elev: Insp.BM Elev: BM Description: /� Section/Town/Range/Map No: f D �b b L 'j e 14.30.20.934 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION 4S9 oHI FS ELEV. i Septic t Benchmark 3 3� 163-3'41 b� V Dosing g Alt. B i` /L• Aeration Bldg.Se r Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / Dt Bottom v4, Q� Dosing (J L f. Header/Man. h 9 1,6 Z„g Aeration � Dist. Pipe P ' dZ-9 Holding Bot. System I •`(p /Q Z• Final Grade Lm 01&J 4.oe� /40 f PUMP/SIPHON INFORMATION 0 ,74 a 3.9 V Manufacturer Demand St Cover 1Z 92 •7 Model Number 6 GPM ol 1Z #� Ca A�-,D 2.3 /d TDH Lift gS Friction Loss System Head TDH $ Ft 71 '55 Forcemain Len th Dia. #11 ist.to Well 2 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length�� No.ogfeWnchs PIT DIMENSIONS No.Of Pits Inside Dia. Liquid De`DIMENSION SETBACK S STEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Ty ystem: 7��d > UNIT Model Number: p mOJ✓V Ir'J AA- I - DISTRIBUTION SYSTEM It Header/Manifo Distributio , x Hole Siz i( x Hole Spacing V Vent Air Inta Pipe(s) �j $ Length_Dia/ Length Dia /r Spacing `� 7/ s.J SOIL COVER Pressure Sy tems Only xx Mound Or At-Grade Systems Only .J0.4.1 Depth Over f Depth Over xx Depth of xx Seeded/Sodd::��d xx Mulch Bed/Trench Center ,/ q(_ Bed/Trench Edges Topsoil I P T N o 0 No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: 16 / Z61 I Z4 Inspectign#2: se� Location: 1530 Oak Ridge La Noulton, 1 54082(NE 1/4 SE 1/4 14 T30N R20W) Green Acre C ntry Estates Lot 6 Parcel No: 14.30.20.934 1.)Alt BM Description= I ��) �L I� 2.)Bldg sewer length= f� -amount of cover= Plan revision Required? E] Yes [ No Use other side for additional information. Date Insepctor's Si nature Cert.No. SBD-6710(R.3/97) 1 In Department of m Cor e" PRIVATE SEWAGE SYSTEM Ounty' Safely and Buildings Dlvislm SL Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) San it P r 000.: Personal inforrnaBon you p mk*may be used for sawndwy pwposes[Privacy Um.s.15.D4(1)(m))• Permit mower's Name: City Vi lage T n c : -state •• reg Somerset Township Beichert,G t/f arc ax T BM£ sp.8M Descn 0 2-206 60-0n TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS WLE Septic PU Benchmark D Alt.BM " 6.3F . Dosing Bldg.Sewer s c . 'Pool .P/- Hol ' -S /Ht inlet d 12•y TANK SETBACK INFORMATION �l Ht Outlet a IZ-16.3 8 !R/ Vent to TANKTO P/L WELL BLDG. Air intake ROAD Dt inlet 13. �'�• Septic 7s-o �r.rte NA Dt Bottom q, �,9T = 3 1. Dosing `��f'Q' >/60' ?!eo NA Header/Man. Dist.Pipe H sot.System ' e' °s"�` PUMP I SIPHON INFORMATION }Mrp Fin at Grade I I Manufacturer Demand St cover -e-3 -IL.-L- A ' AfS^ M h;#1..s P*,. Z GP Z Model Number .( t, o TDH Lift Z ,( Friction S tam TDHIJ 3 Ft Tt► A. r< „ jr6 2 4y ,7Z Forcemain Length moo' Dia. 2" Dist.To Well SOIL ABSORPTION SYSTEM BED-170004 W , L+ _Z No_3 ranches tLAKE/STREA No,Of Pits ZinsWe ia. Liquid Depth LEACHING u(er: SETBACK SYSTEM TO P/L BLDWELL H E um r. INFORMATION YPe. 10, ::d 'O" ss System: sh DISTRIBUTION SYSTEM .y x axe x No paCmg Varrt o Air lnta e H r l Mani of D�stri ion Pipe s 1 Length_ Dia- y n Length Dia. swing--x— SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ::::�1 xx Depth Of xx SeededJSodded xx Mulched �De�p�er �Depth Over y� ❑No []Yes ❑N0 ter rench Edges Topsoil ❑ COMMENTS: (Include code discrepancies,persons present.etc.) Inspection#1:tb //y /dn —bT29 a — Lacntion• 1530(3alc Ridge Lane,Somerset,Wl 5405 (NE 1/4J� SE 1/414 T30N R16W)-143020934 Green Acre Ctry Estates-Lot 6 7.4,1 Hlpo S><R/�� m eW. G+RS :«r.I�iC(,T. CerreL}eC{ 1.) Alt BM Description= foP �....a� i o►- G.) (� wi �7.. erg'i A( l�M�, Alf $ • 2.) Bldg sewer length=�G Ali- 6M pj#Vk'1«- Ly rf eleuki;o►- of `.rty y -amount of cover= 'y2' �.) o klo .04 n( � s1-c,— Aelow e t.►.de„.��.s/z� cold »e'[ Ka•P d.i-li-e, v 3� eS'441ultM +ewk5 sy$f001 AW-A kwSf SN�.ni� rsVi Srlv�: Pl �r`�°visiai�equfired7 Yes ❑ No �� G Use other side for additional information_ Fi, ,M, ,, rr ENO aorrssosrs ss ON No rr olroo rrrrrr no rr rr■ ■■ SEEN rlor ■rlrr ■■ !!o lrorrrlrlrr!!rr rrrrrr!!■ !!r!!■rrslrors■rrs! rrrroolo !!r!MONO r!!NONE sr!!!!■ ■rrrrrr■ orrrrr!!!o!lrrrrrrrrr ■rrrrrr■ o!lroor!!ol ENE r!!!o!! ■lrN!!r■ rrrrrror!!rolrrrrrrrr ■lrrrrr■ srrr!!!lrorlrorrorrlr®rr000rr■ ■!rmoon No mom ■!rrrrrr■ ■rrmommrrrr mom rrrsr■ ON MEN os!lorUorololololrrrr■r NOON rr■ rrlrlrs�rrrerrrrrrrrrrrrrlrrrr■ m =.===,rrrrrrr!■moommo !!lrrrrroo!!■ or!!oolo!!rlroorrrrrrrrrrl000■ rr�■o s000rososss�tsss!lrr000loo!■ olrr MOONS rrmom rsrrNorrlrr ONO r■ ■■rrrorolrr NOON rrrmom rrrrrolr■ rrrrrooloroororrrrrr■ !rrrrrr■ !rrlrorlrrloro! ■rrr■ ■rrrrrr■ rrolroolor000SE rlrrrrlrrolrM !r o!!oo■ ■mom srsorsoor mom rrNo !! ■loss■ NONE roolrlrrr mom rrr■ !r!rloolroolrorrorrrlrorrroor■ lrr■lroolorolorrrrrrrorrrrrlos lrrrloloor!!!!loorolr!!■■,■■■■■ ■ ro mom rlr ONO lrrrrrrrrrrlrrr■ o !!mom rlrroolror!!■r!!lrror■ lrrrrlrrorrlrrlr■■rrrrrrorrlr■ orrr ENE rlrrrorlr■rrrr■rrrrrrr■ rllrrrrrrrrrrrrrr■rrrrrrr SEEN rr o!lrroor MONO rrrNOON■rrrONE r■ llrrrrrolo!!o!!lrrrrrrrrr■ ■rrrrrr■!!lrrrrolsrr!®®rr■ County Industry Services Division St.Croix -0 D 1400 E Washington Ave Sanitary Permit Number(to be filled in by Co.) P.O. Box 7162 _ Madis , �72 c7 L) tate lit ApplicatiaF- 21396 section Number In accordance with SPS 3 •��� Code,submission of this form to the appropriate governmental unit is required prior to obt ' ' permit. Note:Application forms for state-owned POWTS are submitted to Address if different than mailing address) q p Protect the Department of S" and Professional Services. Personal information you provide may be used for secondary 1530 Oak Ridge Lane purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. I. Application Information-Please Print All Information Property Owner's Name Parcel# / Greg and Jodi Heichert 032-209(150-000 Property Owner's Mailing Address Property Location /' 1-3q) 1530 Oak Ridge Lane ( Govt.Lot City,State Zip Code Phone Number NE Y.,SE Y., Section 14 54082 T30N R20 Houlton,WI rcle one) II.Type of Building(check all that apply) / Lot# ®1 or 2 Family Dwelling-Number of Bedr, _ / 6 Subdivision Name r Green Acre Country Estates ❑Public/Commercial-Describe Use % Block# ❑ City of ❑State Owned-Describe Use ❑ Village of CSM Number Na ® Town of Somerset III.T vve of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System ® Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System(explain) ❑ Permit Renewal ❑ Permit Revision ❑Change of ❑Permit Transfer to New List Pr vious Permit Number and Date Issued B. ) C Before Expiration Plumber Owner N.Type of POWTS System/Component/Device: (Check all that apply) ❑Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound>24 in.of suitable it ® Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device;(explain) V.Dispersal/Treatment Area Information: ?� (,U, ` Design Flow(gpd) Design Soil Application Dispersal Area Required(sf) Dispersal Area Proposed(sf) System Elevation / 600 Rate(gpdsf) 600 600 f /S,/2, C-1=112.33'C2=101.83' 10 '�/ VL Tank Info Capacity in B o b o Gallons Total #of U Manufacturer w h Gallons Units k o °' New Tanks Existing Ta U �n Ln u" a" Septic or Holding Tank 1000 1000 1 Weeks Concrete ® ❑ ❑ Dosing Chamber 800 800 Weeks Concrete ® ❑ ❑ ❑ VII.Responsibility Statement- 1,the undersigned,assume po i1i installatio f the POWTE hown on the attached plans. Plumber's Name(Print) hum i /MPRS Number Business Phone Number Keith Krtudtson 443 651-470-1737 Plumber's Address(Street,City,State,Zip Code) 927 1501h Street Roberts WI 54023 VIII. oun /Department Use Only proved ❑ Disapproved Permit Fee_ t Ill Date Issued "Issuing Si ` e 1 U LaL�2iL� El Owner Given Reason for Denial $ ' 2 t ( / - pL oval/Reasons for Disapproval 'i /^L t•h _ �q 1.Septic tank,effluent filter and �( M h6 Cam- 14 dispersal cell must be serviced/maintained as per management plan provided by plumber. 2.All setback requirements must be maintained ,- as per applicab a c® f tWBi plans for the system and sub o e ounty only on pa no,ess*An i 11 inc es it��e,� � �t t � t Elk �"✓�:/ `,� GvY�ck ' 7 L SBD-6398(R03/14)/" lit n h Page 1 of 10 Index and Title Sheet Project Name: Greg Heichert Replacement Mound Over Leaching Chambers Property owner: Greg and Jodi Heichert Address: 1530 Oak Ridge Lane Houlton WI 54082 Legal Description: Parcel in the NE 1/4-SE 1/4 Section 14 T30N-R20W Township: Somerset County: St.Croix Subdivision Name: Green Acre Country Estates Lot: 6 Parcel ID: 032-209660-000 CONTENTS Page: 1 Index and Title Sheet Page: 2 Individual Site Design Discussion and Narrative ONALLY Page: 3 Plot Plan OVED aFETY AND Page: 4 Two Cell Mound System Upslope Cross Section and Plan View kl- SERVICES Page: 5 Two Cell Mound System Down Slope Cross Section and Plan.View i1STRY SERVICES Page: 6 Lateral Layout Diagram Upslope Cell Page: 7 Lateral Layout Diagram Down Slope Cell s CE Page: 8 Dose Tank Cross Section Page:9 Pump Curve Data r Page: 10 Management and Contingency Plan(9a-d) `f Attachment: Soil and Site Evaluation Report,Original Soil Reports, Sanitary Inspection Report. Mound Component Manual Used=Version 2.0 SBD-10691-P(N.01/01 Mound Component I Manual(N.06/03)Pressure Distribution Component Manual Used=Version 2.0 SBD-10706-P(N 01/01)In-Ground Component Manu d=Version 2.0 SBD-1075-P(N.01/01) Designer:Keith E. Stoner .•••••••. N * icense#Designer 157-007 KEITH E�. Signature: V- 0J vr®��5 "s one#(715)653-2324 Date: 7-29-14 �M�s. Page 2a+b of 10 Individual Site Design and Plan Narrative The objective of this individual site design is to design and site a four bedroom sanitary system for the Greg and Jodi Heichert,property located at 1530 Oak Ridge Lane,in Somerset Township, St. Croix County. The property under consideration for the proposed sanitary system is a 4.30 acre lot with limited area on which to site a system due to complex slopes and wetland areas. The reason for the individual site design is that a conventional system was installed in the area that the original soil tester Gary Steel had called for a mound system dated Sept. 14`h, 1995. Byron Bird Jr. completed a new soil report in the same area on August 10`h, 2000 approving it for a conventional system and located the system deep within a sandy loam till. The homeowner has been having problems for years with the system and finally with this year's wet spring he experienced a back-up into his structure. Mr. Heichert contacted Keith Knudtson who in turn contacted me to review the site and design a system that would accept the wastewater generated from his residence. Upon reviewing the site we found the existing system located along the south property line. In attempt to locate the new dispersal area below the existing dispersal cells we dug a backhoe pit approximately 45 ft. below the lowest dispersal cell.Information obtained from this boring indicated that the site had been altered at some time as the depth of silt cap over the till material was shallower in relationship to the borings reviewed just 25ft. upslope. Borings 1, 3 + 5 all showed evidence of redoximorphic features at a depth between 4 and 15 inches.An onsite review appointment was made with Wastewater Specialist Edwin Taylor. Our hypothesis was that the area had received some form of compaction from the parking or operating heavy equipment in the area while the subdivisions roads were constructed as there was no evidence of additional redox features for at least 14 inches below that horizon exhibiting the redox features and a weak platy structured silt loam.Mr. Taylor concurred with our thoughts and has provided an onsite report assessing his findings. SPS3 83.44(3)(b) 1 states that a POWTS designed utilizing a component manual recognized under s SPS383.60(1) shall have at least 6"of the 24-inch soil separation required under par. (a) shall be an insitu soil type for which soil treatment capability has been credited under Table 383.44-3. As this plan approval will be applied for as an individual site design it does not require the 6 inches of insitu soil however we still need to evaluate and be confident that the intent or rationale of the 6 inches is met on our site assuring that the influent will be assimilated into the subsurface soils without ponding on the ground surface. Boring 4 was conducted for the purpose of evaluating the soil profile across the site where the dispersal cell was installed. In that portion of the observation pit that was directly over the disturbed area I found a mixture of top and sub-soils with textures ranging from silt loam to sandy loam and colors ranging from 10YR313 to 414 and 5YR414. Each of the soil textures exhibited a moderate structure down to first apparent sign of redoximorphic features at 20 inches. The soils structure became a weak sil/sl mix at 34 inches. Whether enough time has passed since the installation of the system(October 13, 2000)or probably more important was the date, likely with dry soil conditions during the installation the soils structure was not Page 2 of 8 Page 2a+b of 10 compromised and held up in the disturbed cell areas and should provide an acceptable conditions to accept wastewater dispersed from this mound system. The depth of the existing dispersal cells consisting of leaching chambers is 94.50'. My system design proposal is to construct two 5 fl. x 60 ft. mound dispersal cells using 20 inches of suitable soil as my limiting factor(Based on the assessment of the sites redoximorphic features near the grounds surface by Wastewater Specialist Ed Taylor)and adding 16 inches of Astm C-33 sand. The site will be plowed deeply with a chisel plow to re-orient the weak platy structure reported. The upslope cell will be located along the 101.00' contour with a 5 ft. separation between cells. The original upslope dispersal cell will be covered with the upslope mound toe and the two mound dispersal cells will be installed over portions of the existing center and down slope cells consisting of chambers. The upslope cell system elevation will be 102.33' and the down slope cells system elevation will be 101.83'. Based on the existing system elevation the tops of the chambers would be at 95.50' providing a vertical separation of 6.83' over the upslope chambers and a 6.33' vertical separation over the down slope mound cell.This provides the three foot separation above the redoximorphic features and provides ample room above the existing dispersal cells system elevations to insure that the wastewater is properly treated and dispersed. Because of the slope I would expect that a portion of the influent will move laterally across the site. The proposed sanitary system design will consist of an existing Weeks Concrete 1000 gallon septic tank with a Zabel A-100 effluent filter and a Weeks Concrete 800 gallon dose tank. The effluent will be dosed via an existing 2" Sch. 40 farce main to a mound cell consisting of two 5ft.x 60 ft. cells with 2- 1 1/2"laterals per cell. This creates a lineal loading rate of 6.0 gal. /fUday and a basal soil loading rate of.4 gal/fl sq. /day are proposed. I believe by following the design parameters outlined for this system that it will both adequately treat and disperse the wastewater generated from this 4-bedroom home. I further believe that this design complies with the design principles outlined in SPS 383.41 and will provide a system that is safe and will protect public health and the waters of the state. (3)INFn MA+TWE SURFACE.(a)The infiltrative surface of unsaturated soil to which influent is discharged shall be located at least 24 inches above the estimated highest groundwater elevation and bedrock. (b)1.A POWTS designed utilizing a component manual recognized under s.SPS 383.60(.1)shall have at least 6 inches of the soil separation required under par.(a)consisting of an in situ soil type for which soil treatment capability has been credited under Table 383.44-3. 2.The purpose of the 6 inches of in situ soil under subd. 1. shall be to assure that the influent will be assimilated into the original subsurface soils without ponding on the ground surface. Page 2 of 8 Page 3 of 10 P/L 566.05' FN#1530 Garage Drive 469 ft.to Oak Ridge Lane P/L Four Bedroom 0 25 50 Home � --� Graphic Scale (Feet) 1 inch - 50 ft. a WELL Sanitary Site Plan 4"GravitvBldg.Sewer For: Greg and Jodi Heichert Lot 6 in Green Acre Country Estates Existing 1000 Gallon Weeks NE1/4-SEl/4 Concrete Septic Tank w/a Zabel A-100 Effluent Filter Sec.14 T30N-R20W Town of Somerset-St.Croix County 450.43' 4.30 Acre Parcel 4"Gravity Conveyance Pipe Existing 800 Gallon Weeks Concrete Dose Tank CSta::nding Water Grade at Lift Tank=92.10' d in Timber on 1th,2014 Existing Dispersal Area Existing 2"Sch.40 F.M. consisting of 3 cells Tree Line w/a System Elev.of 94.50' Based on Boring info base of slope has been cut. �J C/L of Oak Ridge Lane P/L Open Grass Fire Pit O 98.00' Slope Elevation Data . BM t o.so' 6% Q---� 100.00' Bottom of Pump Tank=84.19 �1 P/L Proposed Upslope Mound contour=101.00' Wood Shed 101.10, 101.00 ProposedP6wnslope Mound Contour= 100.50' P/L 101.50 Pond Water Level=89.50' I Proposed 2-5 ft.x 60 ft.Mound Dispersal Cells. Upslope Cell located along the 101.00' contour w/a S.E.of 102.33'Downslope Cell located along the 100.50'contour w/a S.E.of 101.83' A BM=Nail w/Pink ribbon in base of 4x4 Post N.W.Wood Shed Corner * HRP=Same ASSUMED ELEV.= 100.00' Page 4 of 10 Cross Section of a Mound System Using Two Cells for the Absorption Area 1/10 Observation Pipe A B�� O K W O T B I L A E H K " 1 10.70' L 79.66' B G J 1 6.69' W D 16" ®(ft.sq.)Dispersal Cell Area Total F-1-5-4-2-1(ft.=)Basel Area Available (ft)1/10 B Obs.Pipe Placement f.00 (gpd/ft)Linear Loading Rate Note: C dimension=cell seperation. Mound Cross Section View for the Upslope Cell Aggregate Dispersal Area Finished Grade % H _G IF ,Aisppi'siil Q ells O (ft) ® • Lateral . Invert 6.0%Site Slope (ft)Contour Elevation System Elev. Detail.of Typical Dispersal Cell Geotextile Fabric Shading Key � Cover ® Topsoil Cap o°0°0°0°0°0°00 ®Subsoil Ca 000°°o0o0ci0o°o0 4"Observation Pipe Cap o°o�°o°o°o °o w/waterproofcap and anchored ASTM C33 Sand °0°° Typical Lateral p° F securely w/3/8"re-rod or ® 0°0° ° ° °o° °0 alternate method b" slo ts Tilled Layer 0 00000oMo0 Aggregate 000 oo °000000° o a----- A--- � Note: Prepare Mound Site per Component Manual Constuction Procedures. Page 5 of 10 Cross Section of a Mound System Using Two Cells for the Absorption Area J 1/1.0 Observation Pipe A B O K w O O T B I L A 5 E H a6.6 K B F 5" I L 9.66' C 5' G J W D 16" (ft.Z)Basal Area Available ®(ft.sq.)Dispersal Cell Area Total 1542 (ft)1/IO B Obs.Pipe Placement (gpd/ft)Linear Loading Rate Note: C dimension=cell seperation. Mound Cross Section View for the Downslope Cell Aggregate Dispersal Area Finished Grade — b H G IF O O ispetsa. .e s L.. . (ft) D :m Lateral Invert 100.5 {ft)Contour Elevation 6.0%Site Slope j = System Elev. Detail of Typical Dispersal Cell �Geotextile Fabric Shading Key Cover ®Topsoil Cap 000000000 „ 00000000000 0 4 Observation Pipe Subsoil Cap 0000ijo0o0o0 00 w/waterproofcap and anchored ASTM C33 Sand 0 0CCpTY'Typical Lateral 00 F securely w/3/8"re-rod or Tilled Layer 0000000 o000 000000 altematemethod 6 5 o 0 o slots ® Aggregate 00000000000000 n 0-0 93 -- A— Note:Prepare Mound Site per Component Manual Constuction Procedures. Page 6 of 10 Lateral Layout for the Upslope Cell End Connection Lateral Layout Diagram ' ' P S Laterals and Force Main of PVC Sch.40 per Comm Table 84.30-5 1 X �Tum p w/ball valve or clean out pl g Laterals centered over the A&B dimension 2 .1561 " Number of Laterals Orfice Diameter in. Orifice Spacing 2.83 ft. Lateral Diameter 1.5 in. P g{� 60' Lateral Length(P) 56. ft. Orifices per Lateral 21 7.14 ft-/ Lateral Spacing(S) 3.0 ft. Orifice Density orifice Lateral Flow Rate 11.34 gpm Manifold Length 3.00' ft Cell Flow Rate 22.68 gpm Manifold Diameter 1.5 System Flow Rate 45.48 gpm Total Dynamic Head 29.78 ft, Upslope=cell discharge of Downslope=cell discharge of 22.80 22.68/System Discharge of 45.48= /System Discharge of 45.48=.501 or .499 or 49% Lateral Turn-up Detail 50% Finished Grade _ Threaded Cleanout Plug or Ball 6"to 8"diameter Lawn.Sprinkler Box Valve 000000 Long Sweep 90 or Two 45°Bends Same Diameter as Lateral © 000000 000000 — 0 - 0 - 0 Distribution Lateral Note :Lateral ends at last orifice where variable length to clenout begins. Lateral Layout for the Downslope Cell Page 7 of 10 End Connection Lateral Layout Diagram o ( S P S Laterals and Force Main of PVC Sch.40 I per Comm Table 84.30-5 X Turn p w/ball valve or clean X out pl is Laterals centered over the A&B dimension Number of Laterals 2 Orfice Diameter 156/$t ` in Spacing 3.00 ft Lateral Diameter 1.5 � Orifice S p g X( � Lateral Length(P) 57.00' ft. Orifices per Lateral 20 7.50 ft=! Lateral Spacing(S) 3 0 ft. Orifice Density orifice Lateral Flow Rate 11.40 gpm Manifold Length 3.00' ft Cell Flow Rate 22.80 gpm Manifold Diameter 1.5 in System Flow Rate 45.48 gpm Total Dynamic Head 29.78 ft, Upslope=cell discharge of Downslope=cell discharge of 22.80 22.68/System Discharge of 45.48= /System Discharge of 45.48=.501 or .499 or 49% 50% Lateral Turn-up Detail Finished Grade _ Threaded Cleanout Plug or Ball 6"to 8"diameter Lawn Sprinkler Box Valve 00000 in Long Sweep 90 or Two 451 Bends Same Diameter as Lateral 000000 O O O 0 0 0 0 0 0 Distribution Lateral Note :Lateral ends at last orifice where variable length to clenout begins. Pg.8 of 10 Dose Tank Component Cross Section Approved Manhole Covers With Warning Labels and Locking Device/4"Min.Above Final Grade Weather Proof Junction Box Electric per NEC 300&SPS. 4"Sch.40 Vent 316.012 WAC >or=to 12" Above Final Grade Disco Alternate Outlet Location W/Approved 4"Sleeve lrilet Force Main Diam.= 2 " Weep Hole or Anti Siphon Device Note: Pump switch and alarm to be A wired to separate circuits. 85.02' B Pump Off Elev. C Tank Mfr.Weeks Concrete 800 gal. D Dose Tank Elev. 84.19' Vertical Difference Between Pump Off and Distribution Pipe= 17.81' Minimum Required Supply Pressure......................................= 4.55 163 FT.of Force Main x 4.55 Friction Factor/100FT....= 7.42 Total Dynamic Head....................= 29.78' Max Dose 120 Min.dose 104.51 gals. Number of Doses..._ ~5 Per Day Gal.Per Day/#of Doses= 109.43Ga1. Volume of Backflow .. .. .......I..........= 26.57 Gal. TotalDose Volume..................................................................... = 136.00Gal. Pump Tank Capacity 805.12 Gallons Dimensions Inches Gallons Pump Tank Volume 21.76 Gal/Inch A 18.75 408.00 B 2 43.52 Pump Mfr. Goulds _ C 6.25 136.00 Pump Model WE07H D 1.0 217.60 Minimum Discharge Rate= 45.48 GPM Approx.67 Alarm Mfr. S.J.Electro Total= 37 805.12 Alarm Model Tank Alert I Bed Tank per SPS 383.45(5) Anchor Tank as necessary to negate buoyant forces per SPS.383.43(8)(g). [qGOULDS PUMPS Submersible Effluent Pump MODEL 3885 'xx ru"e y WE Series - 4W PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■Shaft:Corrosion-resistant, Single phase(60 Hz): can be operated continuously Specifically designed for the stainless steel.Threaded •Capacitor start motors for without damage when fully following uses: design. Locknut on all models maximum starting torque. submerged. • Homes to guard against component •Built-in overload with ■Bearings: Upper and • Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing • Trailer courts rotation. •SJTOW or STOW severe duty construction. • Motels ■Fasteners:300 series oil and water resistant • Schools stainless steel. power cords. ■Power Cable:Severe duty • Hos itals •1/3-1 HP models have rated,oil and water resistant. P ■Capable of running dry NEMA three prong Epoxy seal on motor end • Industry without damage to provides secondary moisture • Effluent systems components. •11ounding plugs./z HP and larger units have damage in case of outer jacket 1 ■Designed for continuous bare lead cord ends. and to prevent oil SPECIFICATIONS operation when fully wicking.Standard cord is 20'. Pump submerged. Three phase(60 Hz): Optional lengths are available. •Solids handling capabilities: •Class 10 overload protection ■0-ring:Assures positive W maximum. MOTORS must be provided in sealing against contaminants •Discharge size:2"NPT. ■Fully submerged in separately ordered starter il g g unit. and oil leakage. •Capacities:up to 140 GPM. high-grade turbine oil for •STOW power cords all have AGENCY LISTINGS •Total heads:up to 128 feet lubrication and efficient heat bare lead cord ends. TDH. transfer. Tested to UL 778 and •Temperature: ■Class B insulation on ■Designed for Continuous ® CSA 22.2 108 Standards Operation:Pump ratings are By Canadian Standards 104°F(40°C)continuous /3-1/z HP models. Association 140°F(60°C)intermittent. ■Class F insulation on 2 HP within the motor manufacturer's ce us File#LR38549 •See order numbers on models. recommended working limits, Goulds Pumps is ISO 9001 Registered. reverse side for specific HP, voltage, phase and RPM's METERS FEET available. 40 130 'El 5H — i r — �- - SERIES:WE -- SIZE:1/4'SO LI DS 1 120 RPM:3500& FEATURES 35 110 1750 PM - - - — 1 - ■Impeller:Cast iron,semi- 30 100 wt21H — — -� ► sFrG open,non-clog with pump 90 t,i I out vanes for mechanical ;5 25 80 seal protection.Balanced for t smooth operation.Silicon 20 to H o bronze impeller available as Z ± an option. 15 50 EO H : ■Casing: ast iron volute ° 9� 40� - —�-- - -- - -- f type for maximum efficiency. 10 2"NPT discharge. 20 E03 ■Mechanical Seal:SILICON 5 CARBIDE VS.SILICON _ _ _i- CARBIDE sealing faces. ° °0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM Stainless steel metal parts, BUNA-N elastomers. 0 5 10 15 20 25 3o 3s m3/hr CAPACITY Goulds Pumps ©2004 ITT Water Technology,Inc. ITT Industries Effective December,2004 www.goulds.com w 83885 page 9 of 10 PERFORMANCE RATINGS(gallons per minute) COMPONENTS Order we- we- WE- No. WE- WE- we- WE- we- we- Item No. Desail on No. 03L 03M OSH OOH 70H ISM OSHH 1SHH 20H 1 Impeller HP �/1 �/3 � '/e 1 1'r4 '/z 1'/i 2 2 Casing 3 Mechanical Seal RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 4 Motor Shaft 5 86 - - - - - - 5 Motor 10 70 63 78 94 - - 58 95 - 6 Ball Bearings 15 52 52 70 90 103 128 53 93 138 7 Power Cable 20 27 35 60 83 98 123 49 90 136 8 Casin O-Rin a 76 94 117 45 67 133 m �..�. A 67 68 110 40 83 130 - 57 82 103 35 80 126 7 45 74 95 30 77 121 a it 35 64 86 25 74 116 50 - - - 25 53 77 - 70 110 3 55 - - - - 40 67 - 66 103 5 6 ~ 4 60 - - - - 30 56 - 63 96 65 - - - - 20 45 - 58 89 8 3 70 - - - - - 35 - 55 81 25 - 51 74 .■•` 75 - - - - - 1 90 - - - - - - - 37 49 100 - - - - - - - 28 1 30 DIMENSIONS (All dimensions are in inches.Do not use for construction purposes.) 1 _11 y1" ROT TON 16" , 2"NPT u 31,/4" KICK-BACK Xylem Xylem,Inc. Let's Solve Water 2881 East Bayard Street Ext.,Suite A Seneca Falls,NY 13148 Phone:(866)325-4210 Fax:(888)322-5877 www.xyieminc.com/brands/gouldswatertechnology Goulds is a registered trademark of Goulds Pumps,Inc.and is used underlicense. m 2012 Xylem fnc. B3885 R1 April 2012 z Page 10- 1 of 3 Private Onsite Wastewater Treatment System Mound Management Plan Pursuant to SPS 383.54 Wis. Adm.Code each Private Onsite Wastewater Treatment System(POWTS) Shall Include information and procedures for maintaining the system within the parameters of SPS 383 and 384,and the conditions of approval by the department,agent,or governmental unit. The approved plans and permits for the system will be filed with the county zoning or health department. This management plan complies with SPS 383.54,Wis Adm. Code,the Mound Component Manual for Private Onsite Wastewater Treatment Systems(Version 2.0) SBD-10691-P (N.01 101)and the Pressure Distribution Component Manual(Version 2.0) SBD-10706-P(N 01-01) Table 1: System Design Specifications Sanitary Permit Number - Yov. Number of Bedrooms 4 Design Flow(GPD) 600 Soil Absorption Component Size(s q. ft.) 600 Septic Tank Capacity Gal. 1066 Pump Chamber Capacity Gal. 800 Type of Wastewater Domestic Table 2: Soil Absorption Component—Limits of Reliable Operation Se tic Tank Component Soil Absorption Component Design Flow-Peak GPD 511 600 Max. Influent Particle size NA 1/8 Inch Maximum BOD 5 (mg/1). , NA 220 Maximum TSS (m /1) NA 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 12 months for 8 3 h e- occupants or 2.62years for 7 occupants. Outlet Filte Should inspect at the time of tank servicing... Pump Chamber Inspect at every se tic tank servicing. Soil absorption Component Flush laterals every 18 months. Page 10-2 of 3 Septic 'rank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 1]3, Wis.Adm.Code(Servicing Septic or Holding Tanks,Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits,Seepage Trenches, Privies,or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed by inspection per Table 3 of the maintenance schedule. 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 scum and sludge 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 an 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. Pump Chamber The pump chamber also requires monitoring and should be inspected when the septic tank receives inspection or the time of problem,complaint or failure. Inspection should include checking the dose rate,volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation,the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Septic tank and Pump chamber 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 to the tank. Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases,and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 383.33, Wis Adm. Code when the tank is no longer used as a POWTS component. Page 10- 3 of 3 Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every 3 years. Lateral turn ups are provided at the ends of the laterals for the purpose of flushing the lines of any solids. Flushing these lines should be done every 18 months. The inspection shall include recording levels of ponding, if any,in the observation pipes,and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites,areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary,but is difficult or impossible to repair until weather conditions improve. In general,soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell,which may lead to more intense,and earlier,clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the case of septic or dose tank component damage,measures shall be taken to repair or replace the tanks to there original operating condition. Upon failure of the distribution cell component, the system shall be inspected to determine the cause of failure. Steps taken to repair or replace the mound may involve the removal of a bio-mat,which would require cleaning or replacement of the distribution network as well as replacing the rock and clogged portions of the sand fill. Component Owners Contact List Keith Knudtson Plumber MP# 648443 651 470-1737 St. Croix Coun Zonin g (715) 386-4680 Weeks Concrete Products New Richmond WI Septic PyLnper Powers Sanitation 715 246-5738 From: keithknud @centurytel.net* Subject: Fwd:Greg H.septic agreement Date: September 26,2014 9:30:47 PM CDT To: gregheichert@yahoo.com Reply-To: keithknud @centurytel.net 1 Attachment,433 KB ST.CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Greg Heichert Mailing Address 1530 Oak Ridge La. Property Address (Verification required from Planning&Zoning Department for new construction.) City/State Houlton Wi. 54082 Parcel Identification Number 032-2096-60-000 LEGAL DESCRIPTION Property Location NE t%, SE ,4,Sec 14 T 30 N R 16 W,Town of Somerset Subdivision Plat:Green Acre Country Estates 6 Lot# Certified Survey Map# Volume / ,Page# Warranty Deed# I "3 (before 2007)Volume/ Page# oo 3 / Spec house❑yesdto Lot lines identifiable0yesOno 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§SP&383.52(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 Safety And Professional Services 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. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe 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 4 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.04/12) KEITH E STONER Page 2 9/25/2014 Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 450.00 This Amount Will Be Invoiced. When You Receive That Invoice, ""'Patricia L Shandorf Please Include a Copy With Your POWTS Plan Reviewer,Integrated Services Payment Submittal. (715)634-7810, Fax: (715)634-5150,M-F 8:00 a.m. -4:45 p.m. WiSMART',code:7633 pat.shandorf@wisconsin.gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012,all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. I AR A. DIVISION OF INDUSTRY SERVICES 7Ot 10541 N RANCH ROAD �m HAYWARD WI 54843 3 k' Contact Through Relay I http://dsps.wi.gov/programs/industry-services 9� hC www.wisconsin.gov ° ssroraL Scott Walker,Governor Dave Ross,Secretary September 25,2014 CUST ID No. 224059 ATTN.•POWTS Inspector KEITH E STONER ZONING OFFICE KEITH STONER SOIL TESTING SANITARY DESIGN ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/25/2016 Identification Numbers Transaction ID No.2444396 SITE• Site ID No. 804958 Greg Heichert Please refer to both identification numbers, 1530 Oak Ridge Ln above,in all correspondence with the agency. CONDITI Town of Somerset App St Croix County DEPT OF S FOR: NE1/4, SE1/4, S14,T30N,R20W pROFESSiO Description:Mound,4 bedroom residence DIVISION OF IND Object Type:POWTS Individual Site Design Regulated Object ID No.: 1497590 Maintenance required; Replacement system; 600 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s):Mound The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative odes SEE CORR and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. 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: • This system has been reviewed and approved as an Individual Site Design.The system shall be constructed in accordance with the approved plans and ch. SPS 383,Wis.Adm. Code. Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition,the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the mound component manual are complied with.A copy of this information must be given to the owner upon completion of the project. • Deep and thorough chisel plowing shall be done to the absorption area to help break up any compaction that may exist at the site.The county may,at their discretion,request verification that appropriate plowing is accomplished prior to sand or aggregate placement. • The existing septic/holding tank(s)must be inspected for structural soundness,size and baffles and must be brought into conformance with the requirements of SPS 383, Wis.Adm.Code.If it does not conform a state approved tank must be installed. • The mound must conform to the shape of the contour. y c SOIL EVALUATION REPORT ;n #1235 %ap l Department of Safety(roional -( Page 1 of 3 _ Division of Safety and Bbilli 00'\ `�N Keith E.Stoner �jbigidance with Comm 85,Wis.Adm.Code County Attach complete site plan on than 8Y x 11 inches in size. Plan must St.Croix include,but not limited to:v nd horizontal reference point(BM),direction and percent slope,scale or di ions,north arrow,and location and distance to nearest road. Parcel I.D. Please print all information. 032-2096-60-000 Personal information you provide may be used for secondary purp Da /oses(Privacy Law,s.15.04(1)(m)). / Property Owner Property Location t Greg&Jodi Heichert Govt.Lot NE1/4,SE1/4,S14,T30N,R20W Property Owner's Mailing Address Lot# Block# I Subd.Name or CSM# 1530 Oak Ridge Lane 6 Green Acre Country Estates City State Zip Code Phone Number City E]Village ® Town Nearest Road Houlton I WI 1 540821 Somerset 1 1530 Oak Ridge Lane []-Wo Constructitl t Use: ® Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD �_-peplacement. ❑ Public or commercial-Describe: Parent material LOeSS Flood plain elevation,if applicable NA ft. General comments Request an onsite with a State Wastewater Specialist to determine suitability of soils onsite for a sanitary system.See attached and recommendations: onsite letter by Wastewater Specialist Edwin Taylor. F-11 Boring# []Boring ®Pit Ground surface elev. 97.15 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl' in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Effn 1 0-4 10YR3/4 - sil 2m" mvfr a 3f-m 0.6 0.8 2 4-10 10YR4/2 c2d5YR5/8 sil 2mstNimpi mvfr gs 3f-m 0.4 0.6 3 10-24 5YR4/4 - sl im mvfr gs 2f-m 0.4 0.7 4 24-36 5YR4/4 f2d5YR5/8 sl m mfr gs 2f-m 0.4 0.7 5 36-48 2.5YR3/3 - scl m mfr - 1f--m 0.0 0.0 Appears site has been cut due to the elevation if the sandy loam till. F2 Boring# ❑Boring ®Pit Ground surface elev. 99.94 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi= in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *0f#1 *EfW 1 0-10 10YR3/2 - sil 2msbk/impl mvfr a 3f-m 0.4 0.6 2 10-24 10YR4/4 - sil 2msbk mvfr gs 3f-m 0.6 0.8 3 24-33 10YR4/4 c2d5YR5/8 sil 2msbk mvfr gs 2f-m 0.6 0.8 4 33-45 5YR4/4 - sl imsbk mvfr gs 2f-m 0.4 0.7 5 45-55 5YR4/4 f2d5YR5/8 sl imsbk mvfr - if-m 0.4 0.7 *Soil field capacity at 45" *A-horizon shows signs of compaction likely due to construction of upslope cells. *Effluent#1=BOD?30<220 mg/L and TSS>30<150 mg/L u #2=BOD5<_30 mg/L and TSS s.30 mg/L CST Name(Please Print) Signature: F CST Number Keith E.Stoner 224059 Address Keith E.Stoner Date aluabon Conducted Telephone Number 23220 Wood Creek rd.Siren,W154872 7/11/2014 715-653-2324 3813-8330 OL 11/11) 1 Property owner Greg&Jodi Heichert Parcel ID# 032-2096-60-000 Page 2 of 3 F ❑Boring 3 Boring# Pit Ground surface elev. 99.52 ft. Depth to limiting factor 0 in. ® Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. `Eft#1 •002 1 0-9 10YR3/3 - sil 2msbk mvfr a 3f-m 0.6 0.8 2 9-12 10YR4/2 c1d5YR5/6 sil 2fgr/impl mvfr gs 3f-m 0.4 0.6 3 12-24 10YR4/4 - sil 2msbk mvfr gs 2f-m 0.6 0.8 4 24-29 10YR4/4 - sid 2msbk mvfr gs 2f-m 0.4 0.6 5 29-44 10YR4/4 f2d5YR5/8 sid 1-2msbk mvfr gs 1f-m 0.2 0.3 6 4452 SYR4/4 - sl m mfr - if-m 0.4 0.7 *#2-Redox along roots and pore linings F 4 ❑Boring Boring# Pit Ground surface elev. 101.15 ft. Depth to limiting factor 20 in. ® Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. 01#1 "Efr#2 1 0-5 10YR3/2 - sil 2msbk mvfr cs 3f-m 0.6 0.8 2 5-12 5YR4/4 - sl 2msbk mvfr gs 3f-m 0.6 1.0 3 12-17 10YR3/3 - sil 2msbk mvfr gs 2f-m 0.6 0.8 4 17-20 5YR4/4 - sl 2msbk mvfr gs 2f-m 0.6 1.0 5 20-34 10YR4/4 f2d5YR5/8 sil 2msbk mvfr gs if-m 0.6 0.8 6 34-44 10YR4/4 f2d5YR5/8 sil/sl lmsbk mvfr - - 0.4 0.6 *Note-described filled portion of installed dispersal cell --s] Boring# ❑Boring ®Pit Ground surface elev. 98.90 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMt2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. 'EII#1 •EfW 1 0-6 10YR3/3 - sil 2msbk mvfr a 2f-co 0.6 0.8 2 6-8 10YR3/3 - sil 2fsbk/lmpl mvfr gs 3f-co 0.4 0.6 3 8-15 10YR3/2+4/2 cid5YR5/6 sil 2b s lm I mvfr Redox in pore lini W P 9s 3f-co 0.4 0.6 4 15-20 10YR4/4 - sil 2msbk mvfr gs 2f-co 0.6 0.8 5 20-26 5YR4/4 - sl imsbk mvfr gs 2f-co 0.4 0.7 6 26-44 5YR4/4 - sl m mfr gs 2f-m 0.4 0.7 7 44-52 5YR4/4 f2d SYRS/8 sl m mfr - 2f-m 0.4 0.7 'Effluent#1=BOD?30<220 mg/L and TS >30<l50 mg/L 'Effluent#2=BOD5<30 mg/L and TSS-S.30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate formK contact the department at 608-266-3151 or TTY through Relay. Page 3 of 3 P2 566.05' FN#1530 Garage Drive 469,fi.to Oak Ridge Lane P/L Four Bedroom Home 0 Y5 50 O-PNO soak(FW0 t rook - 60 tt •WELL Sanitary Site Plan 4"Gravity Bldg.Sewer For: Greg and Jodi Heichert Existing 1000 Gallon Weeks Lot 6 in Green Acre Country Estates NE1/4-SE1/4 Concrete Septic Tank w/a Zabel Sec.14 T30N-R20W A-100 Effluent Filter Town of Somerset-St.Croix County 450.43' 4.30 Acre Parcel 4"Gravity Conveyance Pipe Existing 800 Gallon Weeks Concrete Dose Tank CS&a—ndingWater Grade at Lift Tank=92.10' Existing 2"Sch.40 F.M. Tree Line Based on Boring info base ofslope has been cut. P/L �- J CIL of Oak Ridge Lane B ai Elevation Data / B B Open Grass B#1 =97.15' Fire Pit O 5/ Slope I B #5 B#2=99.94' B#3=99. A BM i .50' B 6916 B#4=.1161.15' L_= 100.00' B#5=98.90' p-I' P2 Bottom of Pump Tank=84.19' Wood Shed 101./0 101.00 Proposed Mound contour= 101.00' P2 101.50 Lower lip of riser below cover=93.5 Existing Dispersal Area consisting of 3 cells Pond Water Level=89.50' w/a System Elev.of 94.50' ABM-Nail w/Pink ribbon in base of 4x4 Post N.W.Wood Shed Cornea * IIRP=Same Jul 11th 2014 ASSUMED ELEV.— 100.00' kith E.Stoner CST#224059 ' =Backhoe Pit i Division of Industry Services ART A. 10541N Ranch Road �ti� oA Hayward,WI 53843-6462 o$ ► 9 INSPECTION REPORT 715-643-4870 ,G A �OSSIONA�5 Scott Walker,Governor Dave Ross,Secretary Date of Inspection: July 16, 2014 Persons Present: Project Name: Greg&Jodi Heichert Keith Stoner Project Address: 1530 Oak Ridge Lane Use: single-family dwelling Certified Soil Tester Name and Address: Design Flow(gpd):600 gpd Keith Stoner 23220 Wood Creek Road Legal Description: Siren,WI 54872 NE1/4 of SE1/4, Section 14, T30N-R20W Township: Somerset Owner Name and Address: County: St. Croix County Greg&Jodi Heichert 1530 Oak Ridge Lane Transaction ID Number: Houlton,W154082 This field review was conducted at the request of Keith Stoner, CST 224059,to determine the possible necessity for completing an Interpretive Determination Report for a proposed mound site at the indicated address. Mr. Stoner has documented high chroma mottling immediately beneath the surface horizons in some of the sample soil profiles for the proposed site. Redoximorphic color features observed immediately beneath the surface horizon of a profile in a backhoe pit adjacent to B5 on Mr. Stoner's site map occurred in association with horizontal ped surfaces resulting from what is likely residual compaction resulting from machinery traffic during construction of the road immediately adjacent to the site under consideration. In the profile observed by this investigator,the color features in question were rare and intermittent(as evident from other recorded profiles on the site lacking the condition)along the horizontal extent of the horizon and were typically no more than a few inches thick in the lower portion of the surface horizon. Argillic horizons immediately underlying the questionable features lacked any mottling. Deep chisel plowing during site preparation when the surface is dry would eliminate any of the residual compaction that may have initially caused the colors. The rare,ephemeral and modifiable nature of the condition causing the questionable colors does not warrant the need for an interpretive determination for this site. Direct any questions regarding this matter to my attention at 715-634-3484 or to Edwin.Taylor @ Wisconsin.gov. Ed Taylor DSPS Wastewater Specialist—Hayward Office voL 1474PAGE 37 /o Document Number WARRANTY DEED t��-44'9 KATHLEEN H. WALSH This Deed, made between, REGISTER OF DEEDS ST. CROIX CO., WI KA�T'HERINE A JOHNSON A/K/A KATHERINE ANN JOHNSON, RECEIVED FOR RECORD k a Katherine A. Gephart aAlfRE&WV W� Grantor, 31-29-1999 so:oo AN(ylft and JODI M HEICHERT husband and wife,as Survivorship marital property YARRANTI Witnesseth, That the said Grantor, for a valuable consideration of one dollar and CERT C N other valuable consideration conveys to Grantee the below described real estate in CERT COPY FEE: St. Croix COPY FEE: County,State of Wisconsin. TRANSFER FEE: 150.00 DIfF FEE: i0.00 This IS NOT homestead property.Y• PAGES Together with all and singular hereditements and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements Nam a, COVenants, and restrictions of record, Rm a nd Retum Area and will warrant and defend the same. Address RIVER VALLEY ABSTRACT i TITLE, INC. (Parcel Identification Number) 206 SECOND STREET 032-2096-60 HMSON wI 54016 pp 9W5 / LOT 6,GREEN ACRE COUNTRY ESTATES IN THE TOWN OF SOM AND ERSET,ST.CROIX COUNTY, WISCONSIN. A PARCEL OF LAND LOCATED IN PART OF THE NE'/4 OF THE SE'/OF SECTION 14, T30N,R20W,TOWN OF SOMERSET,ST. CROIX COUNTY,WISCONSIN; FURTHER DESCRIBED AS FOLLOWS: COMMENCING AT THE S 1/4 CORNER OF SAID SECTION 14•THENCE N 00 013'27"E,ALONG THE WEST LINE OF THE SW%4 OF THE SEK OF SAID SECTION, 1319.39 FEET TO THE NORTH LINE OF THE SW'/4 OF THE SE'/4•THENCE N 89°48'13"E, ALONG SAID NORTH LINE, 1323.12 FEET TO THE POINT OF BEGINNING;THENCE N 89°48113"E,ALONG THE SOUTH LINE OF THE NE'/4 OF THE SE'/., 193.08 FEET TO A POINT ON CURVE OF A 358.00 FOOT RADIUS CURVE,CONCAVE SOUTHEASTERLY, WHOSE CENTRAL ANGLE MEASURES 11°32'12", WHOSE CHORD BEARS N 45 047'35"E AND MEASURES 71.96 FEET;THENCE NORTHEASTERLY,ALONG THE ARC OF SAID CURVE 72.08 FEET;THENCE S 89°48'13"W,244.50 FEET,ALONG THE SOUTH LINE OF LOT 6 OF GREEN ACRES COUNTRY ESTATES RECORDED AS DOCUMENT NUMBER 535950 AT THE ST. CROIX REGISTER OF DEEDS OFFICE; CE S 01 P 6"W,50.00 FEET TO THE POINT OF BEGINNING. Dated thi By of tag . HERINE A JO SON AUTHENTICATION Signature(s) ACKNOWLEDGMENT STATE OF WISCONSIN COUNTY ST.CROIX e �d ,J / Personally came before me thi r day of/" , e authenticated this , day of above named KATHERINE A JOHNSON 0M me known to be the to ��� persons) who executed the foregoing signature instrume nd k ledge the same. type or print name Ins signature _ TITLE: MEMBER STATE BAR OF WISCONSIN No a or p bl cnCoun (If not, n N.•ST.CROIX comm7sai Is perm snt� (if not, state expiration date: authorized by$706.pt3, Wis. Stets.) -- t THIS INSTRUMENT WAS DRAFTED BY Names of persons signing In any capacity should be typed or Robert F. Wall printed below their signatures. (Signatures may be authenticated or acknowledged. Both are not necessary.) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address)1530 oak Ridge Lane located at: NE 1/4, SE 1/4, Section 14 , Town 30 N, Range 20 W, Town of Somerset , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s)to be functioning properly. Most recent date of inspection or service 08/21/2014 Did flow back occur from absorption system? Yes No X (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: 1000 Construction: Prefab Concrete X Steel Other Manufacturer(if known): Weeks Age of Tank (if known): /d /D 2-00r) Permi number (if wn) Keith Knudtson ( icensed umber Signature) (Print Name) 648443 (Title) (License Number) MP/MPRS 09/29/2014 (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 From: keithknud@centurytel.net Lf Subject: Fwd: Greg H. septic agreement Date: September 26, 2014 9:30:47 PM CDT To: gregheichert @yahoo.com Reply-To: kelthknud @centurytel.net 1 Attachment,433 KB ST.CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Greg Heichert Mailing Address 1530 Oak Ridge La. Property Address (Verification required from Planning&Zoning Department for new construction.) City/State Houlton Wi. 54082 parcel Identification Number 032-2096-60-000 LEGAL DESCRIPTION Property Location NE '/4, SE '/,Sec. 14 ,T 30 N R 16 W,Town of Somerset Subdivision Plat:Green Acre Country Estates Lot# 6 Certified Survey Map# Volume Page# Warranty Deed# 4 !13 (before 2007)Volume Page# 31 Spec house DyesElo Lot lines identifiable El yesono 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§SPS.383.52(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(l)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 I/3 full of sludge. [/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services 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. Nivmhvr of hnrirnnme 4 SIGNATURE OF A P ANTS) 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.04/12) _. II I .. ° o p 0 tr �; 4q © 0. 0 0 0 c 0 0 cz CD O 0 M ap It N o C N 7 N m _O n C y. o > c m @ n U U tt N N N '9 v p C C O C) O O C V � 7 > 3 O N C Z 0- 0 00 7 6 M = N LL C C C 3 O O ,... 0 �.��EUco n3 v m N (n • O Of O Z d d CD H Z LU 0. m O 2 d c w d Z O .0 c Y) F- r 0 M N C m E D U N �n N _x- 0 N L CO •� N 0 y o O 0- N R N S _ OI N N W z z Z o N 0 y N Q 00 CL w w O O N N L Q m *�. O O O •,w ° a a a Q �+ o •Q .. = 0 O O N Vi J U C o o �_ o _ 1 N N O } U N r Z '„- a 00 O m 9 2 (9 a N O •O d Q A N O 41 -ra O 7 O O C N O 4 E oM� �o L 0 o a o .� N O U t ^L > C U N O • L' o O to 2 M o Y o (n +�'k C. d 0. • Q W V d �- "'1 A 0a 'ONuo r Wisc`*sin Department of Commerce p PRIVATE SEWAGE SYSTEM County: � Safety and Buildings Division St. CTO1X INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitiery PermitNo -: Person i you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 346000 Permit Holder's Name: ❑ City ❑ Village ❑ T n of: State Pla Heichert, Greg Somerset Township CST BM Elev.:- Insp. BM Elev.: SM Description: Parcel Tax No.: 032- 2096 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic OO Benchmark �0 d J Dosing (A e �� Alt. BM ° QP1 `/3_ Sl --- Bldg. Sewer u� S 0 = / SGP � .4 Hol g � / Ht Inlet d 12 ,q TANK SETBACK INFORMATION A/ Ht Outlet 4 1?- TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake 13 .�o C Septic 7 S 0 �( (Q (� �secc NA Dt Bottom q �, f 3 =, d 3 • Z Dosing ��fp 1 >/Bo -7 / oo - NA Header/ Man. A i Dist. Pipe 0 3 Ho g Bot. System a PUMP / SIPHON INFORMATION L 5Ipr Final Grade Manufacturer r u � � Demand St cover a e, 3 '� . Model Number S cry Hs GPM q. L, Z Z TDH Lift 2 ,� Friction System TDHIJ.3 Ft TP (,� � SZ 10d, oss 4.q Forcemain Length Imo Dia. Fi t Dist. To Well r SOIL ABSORPTION SYSTEM BED / T E C Width Len No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM Z 3 DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING M�f % rer: JA 7 INFORMATION Type O ySo CHA BER Moe r �tkc..k o^ Numbe r: System: or, Q. l 0 �/�6 q y 11 DISTRIBUTION SYSTEM dr y Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. y Length Dia. A 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 Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: !U //d mo Inspection #2• Location: 1530 Oak Ridge Lane, Somerset, W1 5405 (NE 1/4 SE 1/4 14 T30N R16W) - 143020934 Green Acre Ctry Estates - Lot 6 .O 7.4,/ A100 1.) Alt BM Description= foe W 4 AyJjefl0(._ &) ( „o{ �r�L4 , ,r/ 8�'1 �1►f IBS e(ed. was ;« cer, tcf �OrrcL {cC� � 2.) Bldg sewer length = l ' Alf. UM b off' - amount of cover = ' L % dee, dam( 4 a-` SL ,4,e6 w ea </2" �f / �. CST k wf" nnoc(ee,.fr arJ cakl�l �.of Ke�� ehfl�e sysFcr- delves G� k•.r "�ovc . ��si�C� 3 � �� 6c W'pv` 'S'aw�S iy5frw� A.N.d a,wSf Sk�r,.,'� reUr`S�Ov� ✓ PI� Aevision / ~a [ Yes ❑ No Use other side for additional information. 1 16 3 6 VVIV SBD -6710 (R.3/97) Da a Inspector's Sign ture Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: —. a s a c B _ f- f 11 FT s v a a a t Wiscbnsin Department of Commerce PRIVATE SEWAGE SYSTEM y' Safety and Buildings Division Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar P y34%84 o.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: ❑ City ❑ Vi age [] To of: State Plan ID No.: Heichert, Greg MomersetTownship CST BM Elev. :. Insp. BM Elev.: BM Description: Parcel T MY- 'N96 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic U/ D C) C) Benchmark . 7 U �' . SSA Dosing t. BM ' 3 o _ —_— Bldg. Sewer aing S Ht Inlet Z, Y TANK SETBACK INFORMATION t Ht Outlet TANK TO P/ L WELL BLDG. Aenntake ROAD Dt Inlet Septic 7 r NA Dt Bottom 7 f 3 Dosing NA Header/Man. ,o. z wom -- NA Dist. Pipe Om /0. 0 4.y# Hold�n'g Bot. System (M� �� l/, a �� . Y U PUMP/ SIPHON INFORMATION �' Final Grade d 17 Manufacturer Demand St cover 3 Model Number L GPM 11,'1Ars� �° "'` (pZ r TDH Lift `, Friction I I S stem TDH Ft Loss mead 0 41 Forcemain Length ��U' Dia. Z, r' Dist. To well (� , I Z /�S'z DO. SOIL ABSORPTION SYSTEM S - 0 , z BED / EN Width Length L y No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth IM � DIMEN I N SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM _LEACHING Many a turer: INFORMATION Type Of CHAMB 0 Mbdel Nu ber System: I f ohQ lo t IT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length � Dia. Length Dia. —(A— Spacing AJA AZ Al SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: /b /lu / /�o Inspection #2• Location: 1530 Oak Ridge Lane, Somerset, WI 54025 (NE 1/4 SE 1/4 14 T30N R16W) - 143020934 Green Acre Ctry Estates -Lot 6 �/ 1.) Alt BM Description= 6P 0 ¢ �atcne�etp %� 2.) Bldg sewer length = AW lW - amount of cover = > Plan revision required? [:]Yes ❑ No Use other side for additional information. SBD -6710 (R.3197) Date inspector's Signature Cert No. Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ��iSCVnSin Personal information you provide may be used for secondary purposes Madison. WI 53707 -730. Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if r state owner Attach complete pla (to the county co py only) for the system. on paper not less than 8 -1/2 x 11 inches in size. Coun State Sanitary Permit Number Q Check if revision to previous application State Plan 1. D. Number I. Application Information - Please Print all Information Location: Property Owner Name // Property Location e /4:! 1/4, S /4 T N. R 4 ( orcw ! Property Owner's Mail' g Address Lot Number Block Number City, State ,L Zip Code Phone Number Subdivision Name or Number II Type of Building: (check one) ❑ City 1 or 2 Family Dwelling — No. of Bedrooms: 2 .��,i/ L v ❑ v own of ❑ Public/Commercial (describe use): ❑ State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. ANew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) System T Existing System ? B) Permit N mber Date Issued A Sanitary Permit was previously issued 3 ln0 3(v 0 C IV. Type of POWT System: (Check all that apply) Non- pressurized In- ground ❑ Mou El Sand Filter 13 Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Dispersal/Treatment Area Information: r 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Perco Lion Rate 6. System Elevation 7. Final Grade Required Proposed Gs� / Rate Gals /day /sq. ft.) (Min. /inch) r/3• Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigred, assume res on ibility for installation of the POWTS shown on the attached plans. Plum Name (print) Plu s nature (no stamps): MPlm PRS No. Business Phone Number PI is Address (Street, City, State, Zip C VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) aApproved ❑ Owner Given Initial Adverse Surcharge Fee Determination 0 (() Z OU tv� IX. Conditions of Approval /Reasons for Disapproval: � �� 5 � v� s �o-Y. / �,i� � 5 w � �n ��� � ✓���e e � � G�� P �`v� �� / �eca� 1,/,r S r.o re (��e (.) e a lc ha o�P�Me. SBD -6398 (R. 07/00) 1S 3a OAK R.irIG& L��E Sanitary Permit Application Safety & Buildings Division Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. tru .��iQr�J~ /�i s for tom leting this application 15 Box 7302 ersonal information you pro ' e o ndary purposes Madison, WI 53707 -7302 Depdrtment of:Commer (Privacy 3� (Submit completed fort to county if not `� state owned. Attach/complete plans to the coun or the n ess than 8 -1/2 x 11 inches in size. County State Ss�an Permit to lication State Plan I. D. Number l SFb I. Application Informat n - Please Print all 10brinlitiolA rnnn Location: Property Owner Name , Property Location A (OK Property Ownees Mailing Add s �FICfi . \ t Number Block Number City � Zip Code ' Pli S / ubdivision Nam or CSM //Number ,C II. Type of Building: (check one) ❑ City / 1 or 2 Family Dwelling - No. of Bedrooms O ow of T O Public/Commercial (describe use) :_c�� O State -Owned Nearer oad ,, , Parcel Tax umber($) g _ III. T ype of Permit: Check only one box on 1 e A. Check box on line B if applicable) I 30. 934 A) I . YNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to B) Permit System System Tank Onl Existing System Number Date Issued ❑ A Sanitary Permit was issued IV. Type of POWT System: (Check all that apply) t on- pressurized in- ground ❑ Mound ❑Sand Filter ❑ Constructed Wetland '❑ Pressurized In- ground O Holding Tank ❑ Single Pass ❑ Drip Line ❑ At de ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other. V. Dispersal/Treatment Area Information: 5� L Design Flow (gpd) 2. Dispersal Area 3. DispeMe Area Soil Application 5. Percolation Rate 6. System Eleyvation 7. Final Grade Required Proposed Rate (Gal$Jda /sq. R) (Minlnch) /y+f' Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Ft - Plastic Information Gallons Gallons Tanks Con- Con - glass New Existing crete strutted Tanks Tanks J$ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I the undersigned assume responsibility for installation of the POWTS shown on the attached plans. Pl s Name (print) ziumbersS Lure (no stamps): MP/(v1PRS No Business Phone Number o 2 s zd Plum s Address (Street, City, State, Zip Code) ! '4� IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Ism g Agent Signature (No stamps) ',Approved ❑ Owner Given Initial Adverse Suygharge F l� Determination X. Conditions of Approval /Reasons for Disapproval: L W PLOT PLAN PROJECT Grea Heichert nl ADDRESS 14823N 57 th st Stillwater Mn. 55082 NE 1/4 SE 1/4S 14 /T 30 N/R 20 W TOWN Somerset COUNTY ST. CROIX MPRS Byron Bird Jr. 220527 DATE 8 -10-00 BEDROOM OF I CONVENTIONAL XXX IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 LIFT TANK SIZE800 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30 BENCHMARK V.R.P top of PL rod ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. same as BM SYSTEM ELEVATION T- 1 =94.9 T -2 =93.3 # Alternate BMtop Of steel stake Elev. 98.85 400' PL Zable Filter A100 3bed house st 30' 150' It 601 � B2 ob drive ay 50' f 4' 93.75' ri. 4 100' P1, 1 10' pond b rep a. r , 30' 'BI # B.M. Oak Ridge Lane N # Wisconsin Departme ^t of Commerce SOIL EVALUATION REPORT Division of Safety "��iildinas —" in - .ordance with Comm 85, Wis. Adm. Code Attach complete ite plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 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 D, Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 0 ('C' Govt. Lot 1/4 1/4 S Z Z TJ7 N R E (ce Property 0 er's Mailing Address Lot # Block # Su d. Name or C M# i f City Mate Zip Code Phone Number City ❑ Village Town Nearest z °a /- � ) c Cc1�G,_ [54New Construction Use: Residential / Number of bedrooms Code derived design flow rate ^ GPD M Replacement ❑ Public or commercial - Describe: Parent material _ Flood Plain elevation if applicable _ _ ft. General comments and recommendations: oring # Boring Pit Ground surface elev. , ft. Depth to limiting factor in. - - T Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G P9 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.ff#1 'Eff#2 i - -r i I _1 Rnrinq ..._ _._. Boring # pi, Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate orizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'F_ff#1 ( 'Eff#2 ox 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 (P,, se Print) ,." Signature CST Number Address a Evaluation Conduct Telephone Number r' f �` ��" Property Owner C.'a"�� _ � Parcel ID # Page _ of � .nrinr Boring # X I J nit Ground surface elev. W ft. Depth to limiting facto 6 !E!, in. - -- Soil Appkration Rate Horizon Depth j Dominant Color Redox Description Texture Structure Consistence Boundary Roots GF D;ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 I i i Boring # Boring a � 1 4 ❑ Pit Ground surface elev. ` &w ft. Depth to limiting factor "�'---.�X in. 7� Soil Application Rate o'hzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GFD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. F Boring C j Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Appli ration Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GF D /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Departmen! or Commerce is an equal opportunity service provider and employer. If you need assistance to access ;er or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608- 264 -877. SBD -8330 (R.6 /00) Ve.sconsin Department of industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Dnicion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. pending APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION gLpeprEoR UrhEEammer GOVT. LOT NE 1/4 SE 1 /4,S 14 T 30 N,R 20X (or) W P 1501 S�outR'Cp IN 6 DDRESS LOT # BLna Green K # S E Acre Country Estates CITY, STATE dd ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD Houlton, WI. 54082 (715)549 -6497 Somerset Scout Camp Rd. [x] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building (j Replacement [ ] Public or commercial describe Code derived dairy flow 450 gpd Recommended design loading rate nP bed, gpd/0 - 2 trench, gpd/ft Absorption area required np bed, ft 375 trench, ft Maximum design loading rate nP bed, gpd/ft - 2 trench, gpd/ft Recommended infiltration surface elevation(s) 100.95 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.95' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ❑ S il U N ❑ U ❑ S (31, 0 S ®U CIS ®U ❑ S MU SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Motlles Texture Structure ConsistencelBound3y Roots GPD /ft .................. in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0 -10 10yr3 /3 none 1 2cpl mfr cs if np .2 >>:ww 2 10 -34 10yr4 /4 none sil 2msbk mfr 9W if .5 .6 Ground 3 34 -44 10yr4 /4 f2f 7.5yr5/4 sil lmsbk mfr 9W na .2 .3 1 6 1 .2 § . 4 44 -50 7.5yr4/4 none sl 2m r mvfr gw na .5 .6 Depth to 54 50 -72 7.5yr4/4 none sl M na na na .4 ::.5 limiting factor 34 " Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2cpl mfr 9W if up .2 w 2 >? 2 10 -21 10yr4 /4 none sil 2msbk mfr if .5 .6 3 21 -35 10yr4 /4 none sicl lfsbk mfr 9W na .2 i.3 Ground elev. 4 35 -70 7.5yr4/4 none sl 1mr3bk mf i na na .4 .5 10 Depth to limiting factor +70" Remarks: CST Name:— Please Print Gary L. Steel Pf10 " 715 - 246 -6200 Address: 1554 200th. Ave., New Richmond, WI 54017 c stm 02298 Signature: Date: – CST Number: PROPERTY OWNER L. Urharrmer SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bai>c�ry I Roots GPD /ft I � in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. Bed !Trench 1 0 -10 10yr3 13 none 1 2cp1 mfr gw 2f .np .2 3 i> 2 10 -30 10yr4 /4 none sil 2msbk mfr gw if .5 1.6 Ground 3 30 -50 7.5yr4/4 none scl M na na na np .2 elev. 97 ft. Depth to limiting l ac% Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. j ft. I Depth to limiting i factor Remarks: SBD- 8330(R.05/92) w STEEL'S SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 NE4SE% S14- T30N -x20w New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 t lot #6 -Green Acre Country Estates N 1 =40' BM.= top of SE lot stake C el. 100' i d I � � c� o w ►�t sf �(/� llw .s��Y b PrrEft- a- A 5�v }q-4 Gary L. Steel 9 -14 -95 Soil Test Plot Plan Project Name Greg Heichert Byron Bird Jr. Address 14823 N. 57th st. Alr �( Stillwater Mn. 55082 C M #220527 or Lot - 6 Subdivision Green Acre Date 811 01 0 0 N E 1 /4SE 1/4814 T 30 N /R W Township Somerset R Boring Q Well PL Property Line County S T. CROIX ,BM or VRP Assume Elevation 100 ft top of PL rod System Elevation t-1 =9 4. 9 t - 2 =93.3 H.R.P. same as BM Alternate BMtop Of steel stake Elev. g. / d yW as M ,K of 400' PL 60' B2 50' pri. a. B 3 100' P 1 W , pond rep a. 50' 30' - B - 1 — �k B. . Oak Ridge Lane Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 017'D Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) bt?C7 Soil Absorption Component Size (ft Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tan Component Soil Absorption Component Design Flow - Peak (gpd) S'a ZTM - Z Maximum Influent Particle Size (in) 0 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). 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 Management Plan for a Septic Tank and Soil Absorption Component ed with an alarm the filter hall be serviced if the alarm is activated . continuous) filter is equipped s y Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a conbned space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption components operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 PUP%P CHI+.P^,lcR CROSS SEC'IOW WO SPECIFICATIOUS (NO SCALE) VEA1T CAP 7 4' VENT PIPE WEATHERPROOF APPROVED LOCKING �: 25' FROM DOOR, JUUCTIOU BOX MANHOLE COVER WINDOW OR FRESH 12'MIU. AIR INTAKE GRADE I I y� MIN. ` 18" M111. COAIDUIT \ ��. 1 IIN I IMLET PROVIDE I I ____ AIRTIGHT SEAL I \ F/ A I III * I II ALARM a I II I I c *APPROVED I I ow 85 5 JOINTS WITH j ELEV. FT APPROVED PIPE PUMP 3' ONTO -� ` OFF D SOLID SOIL COLICRETE BLOCK SEPTIC E SPEC.IFICATIOUS DOSE TANKS MANUFACTLIILER: . ��• ,UMBER OF DOSES: PER DA.!! TAWK SIZE : =` ._:'_ r>�PI G DOSE VOLUME �J ALARM MAIJUFACTURER' ALA �/ � H �j Wff IMCLUDIMG 5ACKFLOW :. GALLONS MODEL IJUMBER: ' -` `• CAPACITIES: A= ,l1%RES OR GALLOu5 SWITCH TYPE MERCURY ' 4 .<_ B =_ :':CNES OR �XLLOI.IS PUMP MANUFACTURCR: C= ,ZLL_ INCHES OR -ALLOUS MODEL (.,UMBER: / e T ` O D = ': , ACHES OP vALLOUS — f • SWITCH TYPE MERCURY _ 44 -ef MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE 5 6PM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFEREAICE BETWEEIJ PUMP Off RAID O15TRIDUTIOAI PIPE.. . ^EET + MINIMUM NETWORK SUPPLY PRESSURE ... . . .... .. -_ FEET + _4_7_C = ET OF FORCE MAIN X ,�' �� - moo Ft FRICTIOIJ FACTOR. FEET TOTAL 0!jIJAMIC HEAD = rc.ET IUTERMAL OIMEWSIOMS OF TAUK: LENGTH 7 / ;WIDTH Z / —/ . ;LIQUID DEPTH �. SIG IJED :_. LICEUSE IJUMBcR:, � DATE: LCr SSC - 7, ANSWER SHEET (PAGE 2) 77 -,,, .`. a , i s , 4 S 0 Pum /Motor Unit a mersibla m } " <` IMM ; m _ Manuel Models. =; "" SHEF401Y11 '" S(IE040 Automatic Models ° "SNEF40A1. 104OA s . Horsepower 4 ' Full load Amps 12 6 5 Motor Type Shaded Pole (4 Pole) t R.P.M. 15so 4Q 50 `bO 70 Phase .10 GPM �, voltage lls x230 Hertz `�� -60 � � � }lead- (fee 14 . 17 ' 21 �5 2t3 � ' 30 35 �''�- Temperature 120 °,f Max. Fluid Tem 5.2 6 1 7.6 8.5 " 8.8 10.7 NEMA Design A (u5 GPli�l b0 ` ' S0 . ` <40 30 20 10 0 Insulation Class A liters sec ?;, 3.8 .3.2 2.5 1.9 1.3 .63 O k- Drschar a Sizc V112" NPT Solids H �, �� s Weight 2s lbs. a�xra• All dimensions. iOthes. (Metric for Power Cord Is/s.'S Tw, 20' t l , international lice)" 430 y� y� 2. Component dimensions may y ary :0 $ An M1 ryt, M 3. Not for construction Handle Stainless Steel p urpose I` RG ° " unless certified. Lubricatin Of Dielectric 00 NPT �•' Motor Housin ' Cast Iron .r F�oAT swITCH 4. Dimensions and weights are Pump Casing "Cost Iron approximate. Shaft Steel Mechanical Seel Faces;Corbon /Coramk . 'F s 5. We reserve t he -right to make Shaft Seal Seal Body: Anodized Steel <, q revisions to our pro ud and their „ Spring: Stainless Stoe1 y,x specifications without notice. Belbws Bonw114k s s' Impeller 4¢ �: ` "` E in Thermo astk "`` G s , �Q y , � n ix 4ti.e h n:e S r: Upp er Bey Broleeve Bea + Lower Bear '> Sin leRo "Ball B orb° r 'r "t ' '" Bottom Plate: Poleste Coated Steel s Fasteners to mess S1 spa+ v .��.' Legs , © 1998 Hydromatie Pumps, Ashland, Ohio. All Rights Reserved. HYDROMATIC Your Authorized Local Distributor - �I r PENTAI 1840 Boney Road Ashland, Ohio 44805 Tel: 419- 289 -3042 Fax: 419.281 -4081 f ,x Web Site: www.penfairpump.com sorFy F SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES �" Refer to "Pumps" in the yellow pages of your phone directory for your local Distributor $ C �OOOM�nc��� 3. f Item #: W -02 -6680 1198 5M �* ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT I AND OWNERSHIP CERTIFICATION FORM �r.� �- d�� &/ - 541 - a-S -7,5 --C ,4r Owner/Buyer 1 C --�— Mailing Address 5,D- A) S �' S S ' M AJ , �:' S © z - Property Address 11.530 a (Verification required from Planning DepartYnent for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location egL ` /a, � V4, Sec. T�N -R W, Town Subdivision r c G -r © 4 /-7 Lot #_. Certified Survey Map # Volume . Page # -- Warranty Deed # 6 y y - , Volume Page # Spec house ❑ yes )9 no Lot lines identifiableXyes ❑ 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, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification and returned to the St. Croix County Zoning Office within 30 that our septic completed stem has been maintained must be coin tY stating y P Y P days of the three year expiration date. G A F APPLICANT DATE 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 b v irtue of a warranty deed recorded in Re gister of Deeds Office. the property described above, y v ty g SI NA APPLICANT DATE * * * * ** information that is mis -re resented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Any P Y �Y Pe g ** 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 Document Number WARRANTY DEED This Deed, made between, f A ERINE A JOHNSON A /K /A KATHERINE ANN JOHNSON, f k as // Katherine A. G Grantor, � JODI M HEICHERT husband and wife, as survivorship marital property Grantee. Witnesseth, That the said Grantor, for a valuable consideration of one dollar and other valuable consideration conveys to Grantee the below described real estate in St. Croix County, State of Wisconsin. This IS NOT homestead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Recording Area easements, covenants, and restrictions of record, Name and Return Address and will warrant and defend the same. RIVER V ALLEY ABSTRACT s TITLE, INC. (Parcel Identification Number) 206 SECOND STREET 032- 2096 -60 HUDSON W1 54016 LOT 6, GREEN ACRE COUNTRY ESTATES IN THE TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. AND A PARCEL OF LAND LOCATED IN PART OF THE NE'/4 OF THE SE' /4 OF SECTION 14, T30N, R20W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN; FURTHER DESCRIBED AS FOLLOWS: COMMENCING AT THE S 1/4 CORNER OF SAID SECTION 14; THENCE N 00 °13'27 "E, ALONG THE WEST LINE OF THE SW' /4 OF THE SETA OF SAID SECTION, 1319.39 FEET TO THE NORTH LINE OF THE SW' /4 OF THE SE' /4; THENCE N 89 °48'13 "E, ALONG SAID NORTH LINE, 1323.12 FEET TO THE POINT OF BEGINNING; THENCE N 89 °48'13 "E, ALONG THE SOUTH LINE OF THE NE' /e OF THE SE' /4, 193.08 FEET TO A POINT ON CURVE OF A 358.00 FOOT RADIUS CURVE, CONCAVE SOUTHEASTERLY, WHOSE CENTRAL ANGLE MEASURES 11 °32'12 ", WHOSE CHORD BEARS N 45 0 47'35 "E AND MEASURES 71.96 FEET; THENCE NORTHEASTERLY, ALONG THE ARC OF SAID CURVE 72.08 FEET; THENCE S 89 °48'13 "W, 244.50 FEET, ALONG THE SOUTH LINE OF LOT 6 OF GREEN ACRES COUNTRY ESTATES RECORDED AS DOCUMENT NUMBER 535950 AT THE ST. CROIX REGISTER OF DEEDS OFFICE; CE S Q0° 11' 6 "W, 50.00 FEET TO THE POINT OF BEGINNING. Dated thi ay of 199 . �� HERINE A JOHNSON • AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN COUNTY ST. CROIX y � Personally came before me thiirday of/U r / above named KATHERINE A JOHNSON authenticated this _day of to me known to be the person(s) who executed the foregoing signature instrume nd k ledge the same. type or print name signature p // type or ' t na e v TITLE: MEMBER STATE BAR OF WISCONSIN Notary blic County, .ST. CROIX (If not, commissi is perm ynt. (If not, state expiration date: authorized by §706.06, Wis. Slats.).) THIS INSTRUMENT WAS DRAFTED BY Names of persons signing in any capacity should be typed or Robert F. Wall printed below their signatures. (Signatures may be authenticated or acknowledged. Both are not necessary.) HUDSON, WISCONSIN 54016 (715) 386 -2007 NAME Leroy A. and Adele M. Urhammer ADDRESS 1501 Scout Camp Trail Houlton, WI 54082 DESCRIPTION A parcel of land located in part of the NE1 /4 of the SE1 /4 of Section 14, T30N, R20W, Town of Somerset, St. Croix County, Wisconsin; further described as- follows: Commencing at the S1 /4 Corner of said Section _14; thence .,Np0 2.7.,IE, along f the west line o the SWi /4 of the SE1 /4 ' of said section, 1319.39 feet to the north line of the SWl /4 of the SRI/4; thence N89 along said north line, 1323.12 feet to the point of beginning thence N89 "E, along -the south line of the NE1 /4 of the SE1 /4, 193.08 feet to a point on curve of a 358.00 foot radius curve, concave southeasterly, whose central angle measures 11 whose chord bears N45 11 E and measures 71.96 feet; thence northeasterly, along the-arc of said curve 72.08 feet; thence S89 11 W, 244.50 feet, along the south line of Lot 6 of Green Acres Country Estates recorded as Document Number 535950 at the St. Croix Register of Deeds office; thence 500 "W, 50.00 feet to the point of beginning The above described parcel contains 0.25 Acres (10,852 Sq. Ft.) and is subject to town road (Oak Ridge lane) and all easements of record. CU RVE DAT CURVE RADIUS CENTRAL CHORD CHORD ARC TANGENT TANGENT Q LENGTH AM BEARING HM LENGTH BEARING BEARING 1 -2 358.00' 11ON 12' X45 1 47 1 35 1 E 71,96' 72.08' N40 N51 NAP NO. 96 -35 4 b'! f DRAWN BY M.J.E. SHEET 2 OF 2 SHEETS 4 • S N LAND SURVEYING • HUDSON WISCONSIN 54016 ( 715) 386 -2007 - Name Leroy A. and Adele M. Urhammer- _ Address 1501 Scout Camp Trail Houlton, WI 54082 Description Located in part of the NEJ of the SE$ of Section 14, T3ON, R2OW, Town of.Somerset, St. Croix County, Wisconsin Further described on sheet 2: N 1 = 100' L._ L_9T . 6 Green Acre Country Estates / 889 0 48 1 13 11 W 244.50' � I o z3 2 0.25 Acres (10,852 Sq. Ft.) N89 ° 48' 13 " E 2 CD __� ¢y i 132 312' N89 0 48 1 13 11 E 193.08' � 11 South l i n e of the NEk, of the SEk, Unplatted Lands / w � m Legend m m o n, 19 Aluminum County Section Monument Found o °z • 1" Iron Pipe Found p 1" x. 24" Iron Pipe set,- - weri ghi ng 1 .681 per linear foot -� Existing Fenceline 2 Iron Pipe Found Sk Corner of Section 14 State of Wisconsin ) County of ST. CROIX ) ss. SCALE OF MAP - I INCH = 100 Feet 1, _ Allen C. Nyhagen , registered Wisconsin Land Surveyor,do hereby certify that on April 27th 1926 _, 1 surveyed the above described and mapped property according to the official records and that the accompanying map is a correctly dimensioned representation to scale of the boundaries,thot r r t' all buildings and improvements lie wholly within.:thV%'iddry,..lines, and that no encroachments by adjoining owners appear from said survey. �;' ,•:' "ti. 'r Map No. 96 - 4 Drawn 8 M.J.E. B 3 r r SHEET 1 of 2 SHEETS � '� � ,� 3� �� I� l� ��� �/ G �� l� 7 / � /�` `� �� v�3 I �� � ___- _ - -- _ -- � 4 . i av38 O1 03wnSSv d0 3N1'I 1SV3 3H1 01 030 IS ly I I' � cn lS 1r Iv Ir IC) 1 — ► I —i > 1� bl N011:)3S `b /13S 3H1 d0 b /13N 3H1 40 3N11 1S3M — ,19'69ZI M„92,11 -- —} ,£b'ooi7 N z w OD 1+ -p t0 N \ 3 N1 CCL W\ �--�� m m OD w O tb \ O o on CD � ul O Q om- 0) �+ o p N 1. 0 0 Q � w �cii, , •�" x do i c��