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HomeMy WebLinkAbout032-2096-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buildinn Division INSPECTION REPORT Sanitary Permit No: 430513 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Cas erson, Craig Somerset Township 032 - 2096 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 100 • v c. t3M ik ( .� C/�e r� n jW C 14.30.20.935 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (�itSv� o"he> /ZSC� 7�v 1 .14 � l� i.` /oo, c (o Dosing Alt. BM Aeration Bldg. Sewer I 8 Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 7 Sv t4 _ Dt Bottom Dosing f Header /Man. Aeration Dist. Pipe 2. U0. 7 2.? Holding Bot. System 3.� � PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover �... I GPM !•� �, 8 3 Model Number TDH Lift Friction Loss System Head DH Ft t/. S / `) . S ►a t;e✓ t/GV, o. 3 /oo.V 3 3, +� rva, Forcemain Length Dia. Dist. to well / 1 ) - 7 Z No % =N 3. M • 3.`j SOIL ABSORPTION SYSTEM i" (� �n� bad �� 0 , 0 \ - C A BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Pits Inside Dia. Liquid Depth DIMENSIONS Gov / SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM L Manufacturer: INFORMATION AMBER OR Type Of System: Nt. 7 f UNIT Mu v4.K n y 3 „i� (v Mode ber: DISTRIBUTION SYSTEM Header /Manifold Distribution t x Hole Size x Hole Spacing Vent to Air Intake 1 ,� Pipe(s) �i Length Dia Z Length Z'7 Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [ j No Yes F.] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: I /X� Inspection #2: �7 / v 1>(G Location: 1531 Oak Ridge Lane Houlton, WI 54082 (NE 1/4 SE 1/4 14 T30N R20W) Green Acre Ctry Estates Lot 7 Parcel No: 14.30.20.935 �cle 3 t� w�. ? -�i . 3 1.) Alt BM Description = �t n� 3 2.) Bldg sewer length = �O - amount of cover Plan —i— I Use other for additional in Yes Kn o g ZS e � Re quired? �format Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and ty `'Cn un s 201 W. Washi Ave , • 7h62�' �sconsin MadUi9o% I 53707 - 7162 S dtary Permit Number o be filled in by Co.) Department of Commerce ( 266 - 3R T 3 1 2003 30 Sanitary Permit Appli t n S Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, _ S V!ib*q IX COUNTY may be used for secondary purposes Privacy Law, s15. Y� > i91 G OFFICE 1 Address (if diff�t than mailing address) I. Application Information - Please Print All Information Property Owner's Na me Parcel g Lot # Block / 2 — ` Property Owner's M ailing / Property FOR City, State Code Vbooe Numb W. M.Section (circle nam T 3d R H . N; Type of Building (check all that apply) Y / P/L 0 1 or 2 Family Dwelling - Number of Bedrooms � Subdivision Name CSM Number ❑ Public/Commercial - Describe Use �* A-� ❑ State Owned - Describe Use ` b 15 C 45U, I Q (!fit _Z ❑City_❑V illage [h of x _ M. Ty of Permit- (Check only tote boa on line A. Complete line B if applicable) L7 A. New System ❑ Replacement System ❑ TreatmendHolding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. 15peof POWTS S em: (Check all that -a j — ❑ Non - Pressurized In-Ground " ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized h Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel less Pipe ❑ Other (explain) V. D' ent Area Information. Design Flow (gpd) Design Soil Application e(gpdsf) Disperser Ar fired (sf) Dispersal Area oposed (sfj System Elevation •' VI. Tank Info Capacity in Total Number Manufacturer Prefab Sine Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Talcs Talcs r" ,Ae2 2Z v Septic or Heldia ra* r , Dosing Chamber 5 (y M-0 VII. Responsibility Statement I, the ed, assume res . for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) P Si Mir/MPRS Number Business Plow Number Plumber's Addre ss (Street, City, , Zip Code). G f/� Fogerty Plumbing & Perk TOWNS 1 4(- .r/ — — Z Z-F 7 VIII. o pprov0s W*Wam1 Satdtary Permit Fee (includes Groundwater DawAsswd A Si Scamps) Surcharge Fee) � ? 6-0 ❑Owner Given Reason for Denial J' IX. Conditions of Approval/Reasons for Disapproval 1/ e - rFnn n�ni�icr�. - �.�w1/Yi�. G 3•�j� --- �,7�e.�ia..S( )7ir.0'N/�'iG� Q/�f� Septic tank, effluent filter and dispersal cell must all be serviced / maintained ` as er management plan provided by plumber. All setbacR requirements must be mai as per applicable code /ordinances. �y,3 size 412 1 S�it'3-!� tm ��h ) th oo paper �c less than s 1�� mG��(i(JG Iyv to /i3 L Site Plan Page 8 of 8 For. Craig Ckspersbn Lot 7 Green Acres Country Estates NEl /4 -SEl /4 Sec. 14 T30N -R20W Somerset Tnsp. - St. Croix Co. 3c� o as so Proposed Ww- er --� Concrete 12501750 6WOO' y Combination Tank 99 Cell w/5 Proposed 4 Bedroom home w /Zabel A -100 Filter cc `rte 2 "Sch. { t 1% FN# 1531 J . #1 9 .55 98.55' BM #1= Nail in Cherry Tree Elev. 100.00' BM #2 = Nail in Cherry Tree Elev. 100.05' le Note. Maintain well and waterline setbacks Comm 83.43(8)0 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 Department of Commerce ,�consin www.commerc .viis ons www.vvisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 13, 2003 CUST ID No.224059 ATTN.• POWTS Inspector ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/13/2005 Identification Numbers Transaction ID No. 921421 SITE: Site ID No. 665636 Craig Casperson Please refer to both identification numbers,' Scout Camp Rd above; in all correspondence with the agency. Town of Somerset St Croix County NE1 /4, SETA, S14, T30N, R20W Lot: 7, Subdivision: Green Acre Country Estates FOR: New mound, 600 GPD Object Type: POWT System Regulated Object ID No.: 922465 p, 0 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes co and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: F N ;Af General Approval Conditions: — • This system is to be constructed and located in accordance with the enclosed approved plans and with the E (7 \I� "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P (N.01101) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • 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. Key Item(s) • The mound is designed for a level site. CST Dave Forgerty has provided a signed statement attesting to this fact. This mound is not designed for a concave slope or slope greater than 1 %. If these conditions exist on this site, a revision must be submitted before the mound can be installed. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations maintenance information must be given to �} the owner of the POWTS explaining that periodic cleaning o t he e ffluent filter is require . e access op ening used to service the filter sha e a e a or a ove finished grade with a watertight cover. KEITH E STONER Page 2 10/13/03 � r , Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(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 COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left a essee shall ovide a copy of this letter to the owner and any others who are responsible for the installation, op ration or maint nance of the POWTS. Sincer Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 atricia L S orf POWTS Plan Review , Inte ated Services WiSMART code , 1633; (715) 634 -7810, F :(715) 34 -5150 , M -f 7:45 am - 4:30 pm pshandorf @co erce.s wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r > MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Craig and Arnie Casperson Mound Owner's Name: Craig and Amie Casperson Owner's Address: 1531 Oak Ridge Lane Houlton WI 54082 Legal Description: NE1 /4 -SE1 /4 -Sec. 14 T30N -R20W Township: Somerset County: St. Croix Subdivision Name: Green Acres Country Estates Lot Number: 7 Block Number: NA + T s Parcel I.D. Number: ationa Plan Transaction No.: + 0 C M CE Page 1 Index and title Y NG Page 2 Data entry Page 3 Mound drawings - SPONDEN Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan r Page 7 Pump curve and specifications Page 8 Plot Plan %S1SC0 * : .••" "g Keith E. Stoner License Number: Designer# 1575-007 g S KERNQa}: * 09107/03 Phone Number: (715) 653 -2324 TpNER - Sir -, Signature: 4"' `SZGNE.. :.` Designed Pursuant to the �ound Component Manual for POWTS Version 2.0 SM10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 1.00 Site Slope ( %) 99.20 Contour Line Elevation (ft) 38.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? l,:_� 87.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 12.37 Vertical Lift (ft) 90.45 5x Void Volume (gal) 3.01 Friction Loss (ft) 110.02 Minimum Dose Volume (gal) 19.92 Total Dynamic Head (ft) 34.46 System Demand (gpm) La teral Diam eter S Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x GallonsMch Calculator (optional) Treatment Tank information Total Tank Capacity (gal) 12 50.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete IManufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 773.761 Dose Tank Capacity (gal) JZabel J Filter Manufacturer 16.121 Dose Tank Volume (gal /in) JA100 IFilter Model Number Wieser Concrete IManufacturer Project: Craig and Amie Casperson Mound Page 2 of 8 Mound Plan View 1 /10B.....• J j — Q Observation Pipe ' . . T'T. - - R;f „�p ... T :. A .. .• ... ..•.....•••. ... ... .. .. .. . J.. :•.•.• • • . . L Mound Component Dimensions Down slope toe extension made. A 6.00 ft E 6.72 in H 1.00 ft K [ Aft ft B 100.00 ft F 9.50 in I 6.00 ft L ft D 6.00 in G 0.50 ft J 5.22 ft w 600.00 (ft Dispersal Cell Area 1 1200.00 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 10 -00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.49 (ft) H 2 G F ;;:;:;: 1� C D 00.20 (ft) Latera CeN �D� pe s I Cell Invert 1 Elevatio E D : y.. i • - .. i •,. Y +, f l J {..1 l l A 1 1 { { 1, .4 { { { { 4 .( {, { 1 J. .` � J. '5 J J J l �. J, JIA1 J.. .(, .� :� J J, a. i, { i {; J, J { { �I. J J .4 J. J, { { { ^ �{ �(.. J { r i 1 i_ 1� a it ~''. - s. ... .. 99.20 (ft) Contour Elevation 1.0 %Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on Topsoil Cap c EL 1.5 ft a Page 4 for number, size, Q JJJJr Subsoil Cap a o f F and spacing of laterals. ®� ASTM C33 Sand a ^. . ; 4 .�., ®..� : F Laterals are equally ® Tilled Layer 0.5 ft Typical Lateral spaced from the Q distribution cell's Q " ": r:•�: Aggregate o -,�. -. centerline in the A distribution cell (AxB). Project: Craig and Arnie Casperson Mound Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical � P S •= Tum -up vdball valve or ��- X jExf2 YJ2 Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30.5 Holes drOW on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 8.62 gpm Manifold Length 3.00 ft System Flow Rate 34.46 gpm Manifold Diameter 2.00 in Total Dynamic Head 19.92 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► III Comm 16.28 WAC Disconnect 4 m. mm. Tank component is properly vented E - Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer _� 2 in. Ca acit 773.76 Gallons Volume 16.12 gal/inch A Weep hole or anti- Dimension In ches Gallons B siphon device A 29.17 470.30 C B 2.00 32.24 P� ump off elevation (ft) C 6.83 110.02 t F -- 8 - 7 - 8 - 3 -1 D 10*001 161.20 D Total 48.001 773.76 „ Dose tank elevation (ft) 3" Bedding uncTer tank. —T 87.00 Alarm Manuafacturer 19. J. Electro Alarm Model Number 1101 -01 H Pump Manufacturer JGoulds Pump Model Number 1#3871 EP0 Pump Must Deliver I 34.46 gpm at 19.92 ft TDH Project: Craig and Arnie Casperson Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri- County Sanitation Phone 715 386 -0114 POWTS Regulator's Name St. Croix County Zoning Office Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft Maximum FOG 30 mg/L Type of Waste yp water Domestic Maximum Fecal Colrform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •�������������• .�� •�������������� Grade \ ' 6-8" Diameter Lawn --► .: . • • Threaded Cleanout Sprinkler Valve Box . . .. Plug or Ball Valve .. .... .. . ... . Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Craig and Amie Casperson Mound Page 5 of 8 Page 7 of 8 GOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower Sp des for the gra de turbine al for tic enclosed design for heavy duty ball bearing P� Y 9 lubrication and efficlent improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent Systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and • Farms manual operation. Auto- superior strength and corrosion ,per ds �wn • Heavy duty sump matic models include resistance. vt - � • Water transfer Mechanical Float Switch N Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C" or "F".) facto ry strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic Gad& Pub is ISO 9001 RKjswed FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 1 14* maximum. ■ EPO4 Impeller. Thermoplas- 0 Power Cable: Seven; duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet, pump out vanes for mechanical • Discharge size: I lhs NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40cC) continuous METERS FEET 140°F (6090) intermittent. 70 • Fasteners: 300 series stainless steel. 9 30 s GPM • Capable of running dry without damage to $ 2.5 Fr components. 25 Motor: 0 _ • EPO4 Single phase: 0.4 HP, 20 115 or 230 V, 60 Hz, 1550 s RPM, built in overload with o is automatic reset. 0 a • EP05 Single phase: 0.5 HP, o EPOS 115 V or 230V, 60 Hz, 1550 3 10' RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot s standard length, 16/3 t SJTOW with three prong grounding plug. Optional 20 ° 00 10 20 30 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug o 2 a s s 10 12 min (standard on EP05). CAPACITY Gou Pumps ® 2001 Goulds Pumps ITT Industries Effective May, 2001 03871 Page 8 of 8 Site Plan ' For Craig Casperson Lot 7 Green Acres Country Estates NE1 /4 -SEl /4 Sec. 14 T30N -R20W Somerset Tnsp. - St. Croix Co. a as so Proposed Wieser Concrete 1250 1750' °P°sed 6x100 cdook s°° Combination Tank Mound Cell w /S.E. of Proposed 4 Bedroom home w /Zabel A -100 Filter 99.70' 2" Sch. 40 Pprcemain 1% FN# 1531 2 am#1 99.55' 98.55' BMW = Nail in Cheny Tree Elev. 100.00' BMW = Nail in Chen y Tree Elm 100.05' Pole Shed Note: Maintain well and waterline setbacks Comm 83.43(8)0 1350 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 1 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. 0 3 2 70 CD=v R sewed Date Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)). _ �I�� Property Owner Property Location Urhammer, Leroy Govt. Lot na NE 1/4 SE 1/4 S 14 T 30 N R 20 E Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1501 Scout Camp Rd 7 na Green Acres Country Estates City He Y // State Zip Code Phone Number _j City _f Village 16 Town Nearest Road Sam"am I WI 1 54082 1 715 - 549 - 6497 Somerset I Scout Camp Rd. IM New Construction Use: 01 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement I Public or commercial - Describe Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Adenduum to soil test done by Gary Steel 9- 18 -95. New Boring # 2 For Mound System Boring # I Boring 16 Pit Ground Surface elev. 99.55 ft. Depth to limiting factor 42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10yr2/2 none I 2msbk dfr cs 1 c .5 .8 2 6 -16 10yr4/4 none sit 2msbk mfr gw 1f .5 .8 3 16-42 10yr4/4 none sicl 2msbk mfr cs na .4 .6 4 42 -75 7.5yr4/4 none scl om mfr na na .0 .0 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/ Effluent #2 = BOD S30 mg/L and TSS !E mg/L CST Name (Please Print) Signature: CST Number David J. Steel / 248956 Address Steel Soil Servi Evalua ' Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/18/2003 715- 246 -5085 E i t Gary L. Steel STEEL'S sou, SERVICE Leroy Urbamter CSTM2298 1554 200tth A �-j S 14 - T30N -R20W ve. MPRSW 3254 town of scmerset New Richmond, Wt 54017 lot *7 -Green Acre Country Estates (115) 246 -6200 N 1!'= 40' BK.= nail in tree @ el . 100' 1��7 Alt. BM-= nail in tree @ el. 100.05' / 95 � 3 — 7 _ 1 e� r 2 V� 1 E 1 ✓•3 I rz Zy' 30 y CC 1 331 i Gary L. Steel 9 - 18 -95 SE Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code i t � COUNTY Attach complete site plan on paper not less than 81/2 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. pen d i ng APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVI ED n DAT t l I I (p U3 PROPERTY OWNER: PROPERTY LOCATION Leroy Urhammer GOVT. LOT NE 1/4 SE 1/4,S14 T 30 N,R 20 9(or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 1501 Scout Camp Rd. 7 na lGreen Acre Country Estates CITY, STATE . ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE JUOWN NEAREST ROAD Houlton, Wi. 54082 (715) 549 -6497 Somerset I Scout Camp Rd.' [ New Construction Use M Residential / Number of bedrooms 3 [ J Addition to existing building [ J Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate bed, gpd/(t . 6 trench, gpd/ft Absorption area required 3 7 5 bed n2 375 tF ench, ft Maximum design loading rate ' 5 bed, gpd/ft -6 trench, gpdm Recommended infiltration surface elevation(s) 100.19 It (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of el. 99.19' Parent material glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 1 ❑S ®U EIS ❑U ❑S ®U ❑S -E7U I ❑S ®U ❑S ®U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed 1Trench 1 1 0 -9 10yr2/2 none 1 2msbk mfr I cs 2c .5 .6 2 9 -22 10yr4 /4 none sil 2msbk mfr lm .5 .6 Ground 3 22 -37 10 r4/4 none sicl 1 2msbk mfi qw if .4 .5 elev. 99 . 5 5 ft. 4 37 -70 7.5 r4/4 none sl I lmsbk mfi na na .4:: . 5 Depth to limiting factor +70 Remarks: Boring # 1 0 -9 10 r2/2 none 1 2msbk mfr cs 2m .5 .6 2 9 -21 10 r4/4 none sil 2msbk mfr Qw if .5'.6 3 21 -39 10 r4/4 none sicl lfsbk mfr aw if .2.3 Ground 99 3,5 It 4 39 -60 7.5 r4 4 none scl M na na Depth to limiting fa Wr Remarks: CST Name _ Please Print Phone: Gar L. Steel 715- 246 -62 Address: 1554 200th. Ave. New ichm. nd, Wi. 54017 9 -18 -95 CSTMO2298 Signature: Da',e: CST Number: PROPERTYOWNER Leroy Urhammer SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# mending M Boring # Horizon Depth Dominant Color I Mottles Texture Structure Consistence �N Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I Bed iTrerxh 3 1 0 -9 10yr2 /2 none 1 2msbk mfr cs 2m .5 .6 2 9 -26 10yr4 /4 none sil 2msbk mfr gw lm .5 L.6 Ground 3 26 -38 10yr4 /4 none sicl sbk mfi 9w if .2 i .3 98. ft. 4 38 -70 5yr4/4 none scl m na na na np ' .2 Depth to limiting factor 38" Remarks: Boring # Ground elev. ft. Depth to miting factor F71- Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. 1 ft. Depth to limiting i factor F—r Remarks: SBD- 8330(R.05/92) 4 STEEL'S SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 NE4SE4 S14- T30N -R20W New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #7 -Green Acre Country Estates N 1 40' BM.= nail in tree C el. 100 Alt. BM.= nail in tree C el. 100.05' y� I, �0 4� ,�n ik N � d �-- .'={ c 6 � -74 �j t 3 0 , �� r 13 M Y1t-rr/ +VtGC J T_r"`CL L j 3 r Gary L. Steel J r 9 -18 -95 f Mound System Management Plan f3 Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death_ Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components_ Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shah advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shah be inspected at least once every 3 years. All switches, alarms, and pumps shah be tested to verify proper operation. If an effluent fitter is installed within the tank it shah be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shah be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 du/100 ML for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shah be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shah be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition_ See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Craig and Amie Casperson Mound Page 6 of 8 1414PAc1 532 LAND CONTRACT KATH LEEN H. aALS It b REGISTER OF DEEDS Form 11 DocumentNum er ST. CROIX CO., WI Green Acre Enterprise, Inc. RECEP>G FOR RECORD CONTRACT, by and between � � � 12-01-1999 9:00 RM a Wisconsin corporation f Vendor", whether LAND COMTRACT one or more) andCRAIG M CASPERSON EXEMPT t CERT COPY FEE: a sing agrees ORDIM6 FEEl person ( "Purchaser", whether one or COPY FEE. 135'00 - more). sells and a to convey to Purchaser, upon the prompt MMSfER 9 REC: 12.00 and full performance of this contract by Purchaser, the following property, PR6ESt 2 together with the rents, profits, fixtures and other appurtenant interests (all called the "Property'), in St. Croix County, State of Recording Area Name and Return Address Wisconsin: Robert F. Wall 032 - 2096 -70 Parcel Identification Number 522 Second Street Lot 7, reen Acre Country Estates, Township of Somerset, St. Croix Hudson WI 54016 Con , Wisconsin. This IS NOT homestead property. Purchaser agrees to purchase the Property and to pay to Vendor at 1501 Scout Camp Trail Houlton WI 54082- the sum of S 45,000.00 in the IOIW tg manner: (a) $10,000 at the execution of this Contract; and (b) the balance of s 35,000 , together with interest from date hereof on the balance outstanding from time to time at the rate of 7 % percent per annum unfit paid in full, as follows: $5,000.00 ANNUAL PAYMENTS, PLUS ACCRUED INTEREST, BEGINNING ONE YEAR FROM THE DATE OF THIS CONTRACT AND ON THE SAME DAY OF EACH YEAR THEREAFTER UNTIL PAID IN FULL. Provided, however, the entire outstanding balance shall be paid In full on or before the day of .19 (the maturity date). Following any debuts In payment, interest shall accrue at the rate of 12 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at arty time after ' 19 (OR) there may be no prepayment of principal without percussion of Vendor.•. In the event of any prepayment, this contract shall not be treated as in default with reaped to payment so long as the unpaid balance of principal, and interest (and In such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indbbtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the even( of credit of any proceeds of insurance or condemnation, the condemned promises being thereafter excluded herefrom. ftchaser states that Purchaser is satisfied with the tide as shown by the tide evidence submitted to Purchaser for examination except: NONE. Purchaser agrees to pay the cost of future No evidence. N tide evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on .19 the date of this Land Contract \\ \ \ 1 v � fn to vo O �p � � ` . �'• ti u D i M•y5� • W r W ° $ A o m 'V1 74 N - ,Z910ZI - ,£Z'66S -� ,85'tPOZZ 3„ZI,LI,ION -- Z U) a� co O r 2 OD m O W i m N m A 0 pAp • N1 f r Judy Kahler 14. 6-e!) • ; j 0 , y3,, Subject: #430513 Fogerty /Casperson- Plowing Location: T of Somerset -Green Acres Country Estates -Lot 7 Start: Wed 7/28/2004 1:30 PM End: Wed 7/28/2004 2:30 PM Recurrence: (none) 1