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HomeMy WebLinkAbout032-2103-70-000 /Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353301 Permit Holder's Name: ❑ City ❑ Village ❑ 3(own of: State Plan ID No.: ercier- Jim Somerset Township 5 1 e ZSb�3 CST BM Elev.:. Insp. BM Elev.: BM Description: -Parcel Tax No.: 1 0') 1 1 1 1W eon h es- S 032- 2103 -70 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Y Septic UV Benchmark Dosing �QV Alt. BM 3�P A do Bldg. Sewer �� Q Holding 0/ Ht Inlet TANK SETBACK INFORMATION O/ Ht Outlet f TANK TO P/ L WELL BLDG. Air I nta to e ROAD Dt Inlet 2 3 9 3 -c06 Air Septic '> ��d' - � NA Dt Bottom qv Dosing / L �O - 7' NA Header" /Man. / a3 4 0 ci NA Dist. Pipe ding Bot. System a � r 10 3 , 1 0 ` PUMP/ SIPHON INFORMATION Final Grade Manufacturer - � S s0 :"( Demand St cover Model Number c>GO 311 �-- 3 �' GPM (3 w1 5-.5-6 ' (aS sb l 1�7 DH Lift "jev` Friction, �� Syste �) TDH �%5' Ft 4� mead Forcemain Length (t5 Dia. Z N Dist. To Well }/dD r r SOIL ABSORPTION SYSTEM BED/TRENCH Width i Lengtr t o f Trenc j S PIT, No. Of Pits Inside Liquid Depth DIMENSIONS `( DI SETBACK SYSTEM TO P / L BLDG E LAKE /STREAi-CHAMBE ING Manufacturer: INFORMATION Type of < < el Number: System: - 3c> ' + �I } OR UNIT DISTRIBUTION SYSTEM a�.y'�,,�, - �str��- C�sC•p�) Header/Manifold a Distribution Pipe u , x Hole Size x Hole Spacing Vent To Air Intake Len th � Dia. 2 Len th Dia. S acin It I 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 ❑ Y N d Z J 0 COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: (P / 20/ 10 n pectin 2: - gL/ I l /ca Location: 1501 Hidden Valley Circle, Somerset, WI 54025 (SE 1/4 SE 1/4 14 T30N Oi 14.30.20.980 Green Acre Ctry Estates I -Lot 18 -Fo P a� � 1.) Alt BM Description = Gprke O7 5C resit Po rc Clpr, Sf �t9 Stl5 2.) Bldg sewer length = ff - amount of cove = 7 f " S•� �'� Igo C e 5 °`� 6 C� ' u� 4 y �,, 4 C 6 ; 3.) contour — 0 �, `�D ca,I 3. (a0 SOS. Sa '� 1 J Plan revision required? Y No p15 tS of Use q;h s' e fora di ion lo� -r ( 1� S�� 67�Q�(F 9< 7) _ n (1 Psi specto ' ignature Cert No JJJ �rX (� '^'�^Q L � 7 � ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e E i s � e s _ :,.:«. _. 3 � E e x �. �� ............. m„ a . _. .. ; ..,...a e � —,,. s.�.._ , _.�.. ....... '� ... .... _ .... _�a. ,.... ...... _.,. € i t r e e F t t? $$y e E I a t e, a ,.�,..,.mn. .a..� a e..� ........... ,.m �°,_.,., ♦. A .e.e mee a , ..e. :. ,, .,.. e Z v E { s g >r e f� z , e i a E � f m # e . r 1 jj s F � # � E € a f „- E,® �. .. mem a � i a � E g —ld ADDITIONAL COMMENTS AND SKETCH , SANITARY PERMIT NUMBER: _ i i i { t ( t . 7 f t i F y-- I ' F � SANITARY PERMIT APPLI N Safety and hi Division Vi s co nsin 201 W. Wasin ton Avenue t , ' P O Box 7302 Department of Commerce In accord with Comm 83.05, WI dtn`� G Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the sys(e, �fl'papl�pq ess CountX than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing may this a lica state Sa itary Permit Number Personal information y p rovide ^`= 1 Y p Y be used for secondary purposes �' t, ❑ Check f revision to previotis application [Privacy Law, s. 15.04 (1) ( m )] . , C I ," State P ' n I.D. Number 1. APPLICATI N INFORMATION - PLEASE PRINT ALL rt- Prope Owner Na �. r perty Location / N, R E (or� Property Owner's Mailiri§ Address Lot Nu Block Number City, State Ip de Phone Number Subdi is on Name or CSM Number ( ) II. TYPE F BU I DIN : (check one) ❑ State Owned it y Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms ❑ village Town OF S 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo D3A~ /D:5 170 --000 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 []Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _System ______ __System_____________TankOnly_ __ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21,® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 []Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTIO SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min . /i ch) Elevation Feet Feet VII Cap TANK in g a llons Total # of N Prefab. Site Fiber- Exper- INFORMATION Gallons Tanks M Name Concrete Con Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank — 13 El ❑ 13 1:1 ❑ Lift Pump Tank /Siphon Chamber – ® I ❑ 1 ❑ 1 ❑ 1 ❑ ❑ L VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i to lation of the onsite sewage system shown on the attached plans. P Nam : (Pr' t) Plum is gn r Np S ps) MP /MPRSW No.: Business Phone Number: Plumber'0% dress (St C. State, Zi deT. IX. COUNTY / DEPARTMENT USE 5NL Y ❑ Disapproved Sanitar Permit Fee cludes Groundwater Issule jIssuing Agent Signature (No Stamps) Approved C] Owner Given Initial S urcharge Fee) A dverse Determinatio A t v J X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: i SBD -6398 (R. 4199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber r INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly mainTained'. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Di -visien, 608- 266 -3451. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system isto be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the followin`g':'A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which "can effect groundwater. i v The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary December 22, 1999 CUST ID No.267341 ATTN.• POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST s ST CROIX COUNTY SPIA PO BOX 74 , ` 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/22/2001 Identific n ers Transaction ID N . 286838 ,Site ID No. 18549 SITE: Please refer to both identification numbers, Site ID: 185499 above, in all correspondence with the agency. St, Croix County, Town of Somerset SE1 /4, SETA, S14, T30N, R20W - - -- -- Subdivision: Green Acres County Estates I" Addition - lot 18 Facility: James B. Mercier Proposed Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 642182 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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/ instal lation /operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 12/22/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Visconsin www.cornmerce.statew.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary December 22, 1999 CUST ID No.267341 ATTN.- POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST '`; i ST,CROIX COUNTY SPIA PO BOX 74,° 1 101 ,CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL j Et APPROVAL EXPIRES: 12/22/2001 + Identification Numbers Transaction ID No. 286838 ite ID No. 185499 ` <�` " Dfirri SITE: Please refer to both identification numbers, ,� - Site ID: 185499 " . �y above, in all correspondence with the agency, St. Croix County, Town of Somerset SETA, SE1 /4, S14, T30N, R20W Subdivision: Green Acres County Estates 1 Addition - lot 18 Facility: James B. Mercier Proposed Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 642182 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 12/22/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 OerardM. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 TITLE, S �v E T , Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE OF THE SE 1/4 OF SECTION 1' ,T N, R W, TOWN OF 'Elc 1kE2SE COUNTY, WISCONSIN. _ CaXi1JT�Z -4 - =� ls RDD. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PQ'. •�lly PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT Co;ldltt o .PAGE 5 of 6 PUMPING CHAMBER ((�� PA GE 6 of 6 PUMP PERFORMANCE CURVE �ti+� MERGE ENT pF CND �p\lp1NGS pEP PR `4 A Al GE PREPARED FOR SPONpEN SEA G0 "fV 4�' 2 01999 PREPARED BY 4 • WECGEF;tEF� E C3 I L- . TEST I [V (S nES I csM S; EFR W I C=I °� �'��� J R.O. BOX 74 421 N. 11AIN ST. ARTHUR R RIVQ? FALLS. MI 54022 wp QER 715- 4L., -014c j ELLS1roORTM, Ws. d � o uiN 'SIG zy �► , &aNSe� ° � JOB N PLOT PLAN • ` , Page of 6 • Scale 1 BM U1ae _ 1,.oT _ Lc> o 1 �oYC� � X0 3 • e,,, � 1 cam° �� � T 11 P" �I► II i ,II 3 , 32� i 30 t 'ti-• �5' of PUC F "! . S IP 9 r i w __pT_L't3T_?S'_U1'�L..TCC�� -S�- NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. r e quired ) ( `J 3. Install 4" observation pipes with approved caps. ( Z required) 4. tank to be \ 0o0160o gallon capacity manufactured by w LQ-sg2 e0U e-RI.jE pitbP UCTS W up eT - 160o 5. Bench Mark . �oo•o � av 6. Divert surface water around system to prevent.ponding at the uphill side. Page 3 of 6 Approved Synthetic Covering 7�lrs C 33 Distribution Pipe Medium Sand H - - .., G Topsoil = =_- F Elev. X03.0' p 3 E , b 6 % Slope Bed Of 2�- 2 %2 Force Main Plowed Aggregate From Pump Layer D 1 -Q) Ft. Cross Section Of A Mound System Using E 1.q8 Ft. A Bed For The Absorption Area F o.41 Ft. G l- 0 Ft. A g Ft. H 1 -S Ft. Linear Loading Rate= 9.57 GPD /LN FT B q Ft. Design Loading Rate= o- %}.GPD /SQ FT Ft. J 13 Ft. K �j Ft. -elf— 4 -- 6 9 Ft. , W 3Z Ft. L Observation Pipe A -� I• - - - -- ----- - - - - -- ------------------ - - --�1 Force Main W 0 j - - -- Distribution Bed Of 2 "- 2 -2 op4°s 4pirr Pipe Aggregate Observation Pipe Permanent Markers (Anchbr securely) Plan View Of Mound Using A Bed For The Absorption Area Page Of b Perforated Pipe Detail 0 End View Perforated End Cap �° PVC Pipe j e Install permanent �. ��`o� at end of each lateral Holes Located On Bottom, Are Equally Spaced S PVC Force Main Q PVC Manifold Pipe x Distri ution Pipe Last Hole Should Be I Next To End Cap End Cap P Z Ft. Distribution Pipe Layout S y Ft. X 3-� Inches Y -1 f o Inches Hole Diameter `{ Inch Lateral Inches) Manifold Z Inches Force Main Z Inches # of holes /pipe B Invert Elevation of Laterals 103-3 Ft. 4 Place lst hole �8 from center of manifold with succeeding holes at 3 6' 'intervals. Last hole to be next to the end cap. - Combination Sep•tic;Tank and PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS PAGE 5 OF -VEuT CAP WEATHER PROOF I JUUCTIOU 5OX `'C.I. VENT PIPC APPROVED LOCKIKIG ' —•lO' FROM DOOR. rw,�,u MANHOLE COVER wt"M .JitJDOW OR FRESH u - �A(2tVJlJ6 LI�gEI.. AtR IIJTAKE 9 ---- - - - - -- Ia'MIKI. ---- - - - - -- � 11� y�luS�TtoN PIP`r J - -_ - IMLET W 1H-L6zT►Gwr Uri% - - AI PR VIDE SEAL � I � gPFL�S � I III V APPROVED J01M A I I I APPROVED J011� ., W /C.T. PIPE OR Tank constructionI III W /C.I. PIPEoxPILIc shall comply with I I ALARM ILHR ('33.15 and 33.20 a I II I I oK, c I I Ro•(�� LLI- V. FT. PUMP— - -j �. OFF 0 CO►JCRETE �� Q t O Dtl J BLOCK 1 3" APPRoreL RISER EXIT PERMI - ffED OWLy IF TAWK MANUFACTURER HAS SUCH APPROVAL BEOOtNt SEPTIC f SPECIFICATIC)US DOSE T KJ K5 MAL)UFACTURER: C MUMbER OF DOSES: 3 `� S PEIL DAB TAWK SIZE: �uOl� L 60O GALLOUS D05C VOLUME z ALARM MAWUFACTURC.R: s -5. S�tS`( IS IKICLUDIN B ACKFLO W: k33.5 GALLowS MODEL NUMBER: CAPACITIES: A= l $ IUCHES OR 301 GALLOIJS SWITCH TYPE: W1 �Z��'`'Y g = Z INCHES"OK 3 3.x} 4LL01JS PUMP MAIJUFAGTURER: ILJLHES OR 133'8 GA LLO LIS MODEL MUMHER: MC y-Q D= S IKICHES OR 133 ' $ GALLOmS , M - T , Kc = b oz, p SWITCH TYPE: MOTE: PUMP AKID ALARM ARE TO 6E 3Z,� INSTALLED OW SEPARATC CIRCUIT5 MIKIIMUM DISCHARGE RATE y GPM VERTICAL DIFFERENCE DETWCEU PUMP OFF AND..DISTRIbUTION PIPE.. Q-F$ s FEET + mimIMUM METWORK SUPPLY PRESSURE 2 5 o FLET -I- SS FEET OF FORCE MAIM X !'.)V F j X00 FI FACTOR.. x " _ 33 FEET TOTAL Oy1JAMIG HEAD b 6 FEET Pump chamber DIAMETER - ►J IMTERAIAL. DIME.IJStOWJ OF TAKIK: LENGTH Z ;WIDTH — ;LIQUID DEPTH BOTTOM AREA 231 GAL /INCH AS PER MANUFACTURER -- - 1 b.71 . ' GAL /INCH M E40 Series ' 4/10 HP Effluent M YNT and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 N 30 LL Z 25 8 E Z 2 20 6 O i � 15 J O Q I ~ 10 171 4 4 0 5 2 I 0 0 0 10 20 30 40 50 60 70 60 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. or an Human Relations a V I L A r u 511 C t V A L U A I l U N R E P U H T Page - I — of _ i lion of Safety !k Bulidings in accord with ILHR 83.05, Wis. Adm. Code C LINTY Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan rnast include, but _ S ir • Croi not limited to vertical and horizontal reference point (8M), direction and % of slope, scale or PARCEL I.D. # - dimensioned, north arrow, and location and distance tc nearest road. pending APPLICANT INFORMATION- AL,61NFORMATION A�vi�o By DATE F�F RIOPER ER:t- 1' PROPERTY LOCATION ,N,R 20 y10r) W ER' S ty1,e� t GOVT. LUT SE 114 SE 1l4,S. Y9 T 30 NG ADDRESS LOT A� BIOCT 8D. NA ME OR CSM otl Camp Rd. na n Acx'e Ct Es. First Addn. ,S7ATE ZIP CODE PHONE NUMBER — ... .._ HOUlt WE. . 54082 015) 549 -6497 � c17Y Somerset lLOwN NEAREST ROAD Hidden Valley Ciro E 1:4 New Construction Use Ix I Residential I Number of bedrooms 3 ( I Addition In existing building I j Replacement I I Public or commercial describe Code bso derived daily flow 4 50 god ft 37'5 Irench Recommended design loading rate . 5 bed, gpolft — trench, gpd/ft Absorption area required 375 bed, , ft Maximum design loading rate _gi bed, 9pd/ft trench, gpollt Recommended Infiltration surface elevation($) - � 103.00 ft (as referred to site plan benchmark) Additional design I site considerations sY'stem el. based on contour _i ine of el. 102.00 , Parent material g lacial drift FlOod plain elevation, if applicable. „ _- na r u .Suitable for s atom cOrVVSNTIONAL MOUND IN•GROUND PRESSU99 AT GRADE SYSTE41 IN FILL HOLVNG TANK = Unsuitable bU system I ❑ S ®U I IM S O U [IS E2 U O S Eau © S U 0S EA U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color MotlMs Structure GPD /ft 4n. Munsell Gnu. Sz. Cant. Color Texture Gr. Sz. Sh. Cona►8tence Roots Rte: Bed 1 1 0 —$ 1 r3 none ^ 1 _ 2tnsbk mfr cs 2m .5 .6 2 8 -22 10 r4/4 none sil 2msbk rnfr gw lm .5 .6 Ground 3 _ 22 -38 11yr�9 none s icl 2 — . _ _ msbk mf i elev. _ �,... if .4 .5 102 4 3>3 -50 10yr5 /4 c2d7.5 r5 /8 sicl m na na na np .2 Depth to 4 r w w limiting �•. ___ Remarks: Scoring # . — - 1 0 -10 10yr 3/3 none 1 2msbk ' mfr Cs 2m .5 i.6 r 2 - ..._ 2 1Q 10 ' _ -- — _ r4/4 none sit 2ixt sbk _ mfr 9V lm .5 .6 Ground 3 24 -39 10 z�y none _ +sicl lcsbk mfr if .2 � .3 .� 1 er' 6 ft. 4 39 - 50 1 Q r5/9 2d7.5 r5 /8 s icl _ m na na na np .2 Depth to limiting ' - fac�r - g„ Remarks: 0r l' Name:- -Please Print Gar L. Steel Phone: 715- 246 -6200 Address: 1554 2QQth. ve. New Richmond. 54017 Signature: e. � pate: 10 - 24--96 CST Number: mO2298 Wisconsin Department of Industry SOIL AND SITE EVALUATION R PORT Page 1 of _ 3 Labor and' Human Relations DiviGion of Safety & Buildings in accord with ILHR 83.05 W" - R0 OUNTY � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. ust inot�!'! { t St. Croix EL I.D. # 61 not limited to vertical and horizontal reference point (BM), direction and /o � pe, ' 71 G 2 - Zf 6"S - - 4 0 dimensioned, north arrow, and location and distance to nearest road. - _ 6 �, pending APPLICANT INFORMATION PLEASE PRINT ALL INFORMATI W V DATE PROPERTY OWNER: PERTY L' LOT�]\N N/ ,S 14 T 30 NCR 20 �(or) W PROPERTY - OWNER'S MAILING ADDRESS L / ME OR CSM # 1501 Scout Camp Rd. 1 Acre Cty. Es. First Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VIL E KYOWN NEAREST ROAD Houlton, WI. 54082 (715)549 -6497 Somerset I Hidden Valley Circle [ :g New Construction Use [x ] Residential / Number of bedrooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/0 .6 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 103.00 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 102.00' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ® U ® S ❑ U ❑ S C2 U ❑ S CI ❑ S lR U [is R U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourtdahr Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 <_ 1 0 -8 10 r3 3 none 1 2msbk mfr cs 2m .5 .6 2 8 -22 10 r4/4 none sil 2msbk mfr 9W lm .5 .6 Ground 3 22 -38 10 r5 4 none sicl 2msbk mfi 9W if .4 .5 elev. 1 4 1 38-50 10yr5 /4 c2d7.5yr5/8 sicl m na na na np .2 Depth to limiting f��Rr Remarks: Boring # 1 0 -10 10 r3 3 none 1 2msbk mfr cs 2m .5 .6 2 10 -24 10 r4/4 none sil 2msbk mfr gW lm .5 .6 Ground 3 24 - 39 10 r5/4 none sicl lcsbk mfr gw if .2 .3 1 012. 6 ft. 4 39 -50 10 r5/4 2d7.5 r5/8 sicl m na na na np 1.2 Depth to limiting fact 39 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. ,Ave., New RichmorA, WI 54017 Signature: Date: 10 -24 -96 CST Number: m02298 PROPERTY OWNER Leroy Urhammer SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # _pending , Lot #18 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -9 10 r3/3 none 1 2msbk mfr cs 2m .5 .6 2 9 -27 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 27 -48 10 r5/4 2d7.5yr5/8 sicl m na na na np .2 elev. 9 9.8 ft. Depth to limiting factor 27" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor L I Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gar L. Steel 1554 20 h Y Leroy Urhammer 5 200 Ave. CSTM2298 SE4SE4 S14- T30N -R20w New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #18 -Green Acre Cty. Es. First Addn. I �N i 1 =40' ✓ BM.= top of mid lot survey stake @ el. 100' s 273 � o� o 'v yb Gary L. Steel 10 -24 -96 r�'f� 6 r ST CR COU ANCR A01� '�'M f t SEPTIC TANK 1rt1111d'1"!N AND 6 0 CERTIFICATION FORM Owner/Buyer ��ifY� 1 r 1 r� :��l �Cvt Ld _ MailinS Address .Property Address ivertficatton cqu..rc%i from Planning Dcrnrtn►cnl fef now construction) (?3 — ?0 pyre Parcel Idontilication Number 0 3; L- City/State e LF GAL DESCUP )� f Keel. _ Property Location �� ' /•. r /4 Sao- r W . Town of r C . C;;. cot # .. .. �e�v� e Subdivision � . ` C ified urNey Map M , Volume , Pate M yy Page Spec house Q yes Xno Lot lines identiftablekyes 0 no SYSTEM MAINTENA= Improper use and maintenance of your smut; systern :ould result in its promvurc !allure to handle wastes. Proper marnteranct' co -Isists of (stn pin; out ;he septtc tank c�cry I.roe years or sooner, f needed by a licensed pumper. Whet you put into tilt systcn>;�.'.:`i can affect the function of the sep r: tank is a rrest^�.nt sta�c 1n :)1c waste daposal system. F, The property owner esrees ro submit !o St. Croix Zoning Deportment a certification forte, signed by the owner and by.''; m aster plumber, journeyman plumber, restricted plumber ore Lconsed pumper verifying that (1) the on-site Wastewater disposal systf is n proper opsrotine condit,on anchor (2) a'c msPeetien and pump ns (irnecessary). the septic tank is less Char. 1/3 full or sludr, '< ;hc unlcrsrkned havc --ad ;hc ttbuvc rcyu (mcws and at,rec to rwrntain tLe private scwake disposal system with the starduds sot Perth, here m, as set by the Dcpa ^. of Cumnicrce and the Dcp�rtmentof Notate{ Resources, Su;t of Wisconsin. Certtfuuon•t stattn chit your sep'i: system his beer. mrrtarncd must tit co ttl'lcteA an„ returned to the Si. Croix Courry Zoning 0!Act within ?t) ' des f the three ear ex tram date. SICNATURF OF APPLICANT DA E! t 0WNFR URITICATION I. (we) unify that all steccments on `h:$rrom ar t to t �n ROOM of (o ur) k Officee t (we) am (ere) the owtter(s) , tha petty describe hart by vrrtut of i y d ` tom DAM low% ;R11 OF APPLICANT •00000 Any inforntetwn that is Ms•tepresented nay result to the santtsry permit hems revoked by the Zottinl Deperettlent, "• •• Include with this appllestlon• a stam;xd W31Taflty decd from the Resister of Muds o ffles a copy or the certified survey reap if reference is trade in the wanattty deed w to a •dstcesttrt>:rt 5N Ir 21=tn3a we *twat 66- 211-4311 P� -� L i L l • LAND CONTRACT ( 3 Document Number Form 11 CONTRACT by and between GREEN ACRE ENTERPRISE, INC. _ '1 a Wisconsin corporation ( "Vendor', whether d one or more) andJAMES B MERCIER and MELISSA EYSTAD, q 9,0 husband and wife as survivorship marital p roperty U ( "Purchaser, whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in St. Croix County, State of Name in Area and Return Address Wisconsin: Name Lerer*.—UTIM. m 1'f l For 032 - 2103 -70 Grec.A Acre Enterprise Parcel Identification Number 1-501 Scout G*R44-� LOT 18, GREEN ACRE COUNTRY ESTATES FIRST ADDITION, Jul S �3 y 2Ci TOWNSHIP OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. a r a h eLt�tKe- S� %l� K>a ✓� IWAJ .SSdB� 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 $ 45,000.00 in the following manner: (a) $10,000.00 at the execution of this Contract; and (b) the balance of $ 35,000.00 , together with interest from date hereof on the balance outstanding from time to time at the rate of 7.0% % percent per annum until paid in full, as follows: $5,000.00 annual principal payments plus interest, beginning one year from the date of closing and continuing until P aid in full. Piuvided, howeVeF, the enthe outstandin balamee she" be paid im full om or before flie darof fl e vi►- Following any default in payment, interest shall accrue at the rate of 12.0% %, 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 any times 01 Ml� espk2r shall not rested =a&4n default- awth4"peet-to-payrnon"9-lor "o4he=uunpaid= balanee of prtineipai and- Wc!es!- (end -ir nth-to- month - shall -be -tree led- sarunpeid- i"ssiha"e°amovnt =that said- indehitetf rfirst- apecifi - t be continue ' ' nd beingt erefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: NONE. Purchaser agrees to pay the cost of future title evidence. If title 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 closing. Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vem demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such othe. hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ full insurable value , but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: easements, covenants, and restrictions of record as of the date of this contract Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of .30 days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of 30 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with i of re to be conditioned upon Purchaser's full p ayment of the entire outstanding balance, with interest thereon from the date of default at the an e q uity p p PY 9 Y q h a rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage d'by'PgrChaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 26th day of 'prtl 1999. GREEN ACRE ENTERPRISE, INC. JAMES B. MERC Purchaser R A. URH MMER, President vendor � ADELE M. URHAMMER, Secretary vendor ' ME yVlol p Purchaser AUTHENTICATION ACKNOWLEDGMENT Le A. Urhammer and STATE OF WISCONSIN Signature(s) COUNTY OF ST. CROIX Adele M. Urhammer Personally came before me this 26 day of April , 1999 the above named James B. Mercier and authe 116"t" h 2 d y April 1999 Melissa Fwd Ey srAb signature Robe F. Wall to me known to Pe the person(s) who xecut the foregoing instrume n ovule t e s type or print name TITLE: MEMBER STATE BAR OF WISCONSIN signature type or print name 014 � (If not, authorized by ' 706.06, Wis. Stats.) Notary Public County, THIS INSTRUMENT WAS DRAFTED BY My commission is permanent. (If not, state expiration date: .) Robert F. Wall 'Names of persons signing in any capacity should be typed or below their signatures. Goulds °� 6 Submersible Effluent Pump 1 6 3885 APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. following ses: • Shaft: threaded, 400 series an option. g ■Bearings: Upper and • Homes stainless steel. ■ Casing:.Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum efficiency construction. • Trailer courts upper and lower. 2' NPT discharge adaptable • Motels • Power cord: 20 foot for slide rail systems. ■ Power Cable: Severe duty • Schools standard length (optional rated, oil and water resistant. lengths available). ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals Single phase: CARBIDE VS. SILICON provides secondary moisture •Industry • % and %2 HP -16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems with 115 V or 230 V three Stainless steel metal parts, damage and to prevent oil prong plug. BUNA -N elastomers. wicking. SPECIFICATIONS • % -1'/2 HP -14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. %* maximum. •'/2 -1 Y2 HP -14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in SA Canadian Standards Association TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat Underwriters Laboratories carbide -rotary seat/silicon FEATURES transfer. carbide - stationary seat, 300 E Impeller: Cast iron, semi- ■ Designed for Continuous series stainless steel metal open, non -clog with pump- Operation: Pump ratings are parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's • Temperature: recommended working limits, 104 °F (40 °C) continuous Protection. Balanced for g 140 °F (60 °C) intermittent. • Fasteners: 300 series METERS FEET stainless steel. 90 SERIES: 3885 • Capable of running dry 25- 80— , SIZE: 'r: SOLIDS without damage to W E,$H ! RPM: VARIOUS -___. - SGPM components. 70 i WE! 5 Fr { Motor o 20 Single phase: = so U 1 . — WE 7H =_ i i • '/ HP, 115 V, 200 V, 230 V, so - - - 60 Hz, 1750 RPM; %2 HP, Z 15 - i - 115 V, 60 Hz, 3500 RPM; ' 40 W E05H ! l J ! ! '/z HP -1'/ HP, 230 V, a 30! - -= = 60 Hz, 3500 RPM. 0 10 i 1 • Built -in overload with '1 _ i - _ _ - ---- - - ,SI WE 03L automatic reset. 5 I ! • Class B insulation. '- -- -L 10 �- - Three phase: i I • '/2 HP -1' /z 0 0 HP 200/230/ - ! 1 Tr 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 80 90 100 110 1 120 130GPM • Class B insulation. 0 10 2 30 m /h , CAPACITY ®1995 Goulds Pumps, fnc. 3 ' / CT �.Q �^-. ' (J � Effective Mav 1995