The URL can be used to link to this page

Home My WebLink About034-1016-10-100 I Wisconsin - Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary lo.: Persona inf you provice may be used for secondary purposes [Privacy Law, s 5.04 (1)(m)]. Permit Holder's Name:, ❑ City ❑ Vi[hge lTfle1(1 10WriS State Plan ID No.: Grant, Joe & Vicki JJ1 CST BM Elev.; Insp. BM Elev.: BM Description: Parcel TM41l- :016 -10 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic �<< <<r (�� Benchmark Alt. 13M Dosing�' 3 06.20 Aeration Bldg. Sewer It 52— Hol St Ht Inlet b op- TANK SETBACK INFORMATION St Ht Outlet ff 16 U TANKTO P/L WELL BLDG. Air Intake ROAD Dt Inlet A y Septic 7,,-5, U S NA Dt Bottom j q _ , of L Dosing >/5� ' > NA Header /Man. 0 Aera I - NA Dist. Pipe 3 Holdin Bot.System �s Y PUMP/ SIPHON INFORMATION $ Z s r Final Grade St Manufacturer Demand cover Model Number �'� 1 3r,3-? , GPM p j> TDH Lift Lriction� System TDH /S.U 'Ft Ii _ Forcemain Length } Se Dia. 2 Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of J re the No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �/S DIM N I SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEA anu acturer: SETBACK 1 CH MBER INFORMATION Type 0 Mo System: �l(�U >� OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 3 Dia. z Length Dia. 2 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.) l(�` / / 1'.U s Inspection #1: � /inspection #2: /V Location: 2770 County R� pa�d E, Woo ville, WI 54028 (SW 1/4 E 1/4 7 T29N R15W) - 07291511B -Lot 1 1.) Alt BM Description= `�3' �' r1 `�'° S: ktwx a, w tff ey 2.) Bldg sewer length = Z 5 - amount of cover= T s"' 3.) contour = 3, ( 3, ly Plan revision required? ❑ Yes No Use other side for additional inform tlon. t f V4 SBD -6710 (R.3197) Dated Inspector's Si ture Cert. No. I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a d � t � } E w E x g E -- ----j w€ i { ..__ v a 2 3 E 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 `W1 seonsin personal information you provide may be used for secondary purposes Madison. WI 53707 -7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04(I)(m)] state owned. ) Attach complete plans (to the county copy only) for the- sysfem, o er not less than 8 -I/2 x 1 1 inches in size. County State Sanitary Permit Number ❑Sc eck ifrevision to, previdUs�application State Plan 1. D. Number I. Application Information - Please Print all Information, -�? Location: Property Owner Name Property Location O it il lw-4 Ann 5 4 6)1 /4 /4,S7 T Z 9,N, WSf W Property Owner's Mailing Address , Lot Number Block Number Z ,9 1 u s-�'c 0401.3 �7 cc =o; City, State Zip Code %4\hoRZCNtiIAa Subdivision Name or CSM Number sVoA3 \`� �' 3lsr' Csar 440 13 v�, 36 .09 II Ty or 2 pe of Building: (check one) '�.'j__,.�~ ❑ City p_ / I Family Dwelling — No. of Bedrooms: ❑ Yj'Jlage � _ aS P e r �,1RriS Swpwto own of ❑ Public /Commercial (describe use): ❑ State -owned .5 & � n Q � III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Ne est Rogg C 1 A) 1. ew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Num er(s) System Tank Onl Existing System $) Permit Number Date Issued 13 A Sanitary Permit was previously issued IV. Type of POWT System (Check all that apply) _ \ • Non - pressurized In- ground V <und (ak 't x -7 ) ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Dispersal/Treatment Area Information: Z3"6 4z' C6 r /0 0- - ;Z - 0 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation yso ys o vso i. o o . V lo.2, 62 �o 5/,..Z , VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed - 1Q Tanks Tanks ❑ ❑ o ❑ 7,50 ❑ ❑ ❑ ❑ I Responsibility Statement 1, the undersigned, assume res on ibdity for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no s ps) MP/MPRS No. Business Phone Number Xe, '�o�v�l i ` �u - z Z So -� 7/ 3 F� - G Z Plumber's Address (Street, City, State, Zip Code) 070 gUarfg k 0 GE ,20 -jo 1+,V D-So 4 VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) I�Approved ❑ Owner Given Initial Adverse Surcharg Fee) ,__ Determination � 3 Z S Z go 0 z IX. Conditions of Approval /Reasons for Disapproval: n I I•� �,��c t�1 hG Y�Q v.ta.inee� /servic.e',';l per lenavclttct etur�vs retbwmel4d4 •dr.5. SBD -6398 (R. 07 /00) Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 06, 2000 CUST ID No.827623 ATTN POWTS INSPECTOR ZONING OFFICE MIKE MCDONELL ST CROIX COUNTY SPIA 340 PAULSON LAKE LN 1101 CARMICHAEL RD. OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Nutters , PLAN APPROVAL EXPIRES: 09/06/2002 Transaction ID No. 431191 Site ID No. 198009 SITE• Please refer to both idenfi£ic##ton "gfiers, Site ID: 198009, JOE GRANT ',above, in all correspondencekh tha ency,, ST CROIX County, Town of SPRINGFIELD; LOT 1 CO HWY E SWIA, SE1 /4, S7, T29N, R15W FOR: Description: NEW DWELLING MOUND 450 GPD Object Type: POWT System Regulated Object ID No.: 759041 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A State approved filter capable of reducing the wastewater particle size discharged to the drainfield to a P. 0. maximum diam. of 1/8 inch is required to be installed ��Id� • Maintenance information must be given to the owner of the tank explaining that periodic cleaning ofthe State approved filter will be required. • A User's Manual shall be provided to the POWTS owner as per Comm 83 Wis. Adm. Code. H DEPARgAEN ' A copy of the approved plans, specifications and this letter shall be on - site during construction and open to 7Si U 6AF 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. SEE CCiF FZI 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 08/23/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)261-7735, 8:OOAM - 4:30PM, MON -FRI RKANTER @COMMERCE. STATE. WI.US I WiSMARfi code: cc: JOE GRANT I� RECEIVED AUG 2 2 2000 MOUND SYSTEM DESIGN SAFETY & BLOUS. UIV Residential Application INDEX AND TITLE SHEET Project Joe Grant 3 bedroom residential mound Owner Joe Grant Address 1049 Rustic Rd.#3 Glenwood City, WI 54013 Legal Description SW1 /4SE1 /4, Sec. 7, T.29N., R15W. Township Springfield County St. Croix Subdivision Name CSM Vol. 13, Pg. 3689 Lot No. Lot 1 Parcel ID Number 034- 1016 -10 -100, ID#7.29.15.11B Plan Transaction Number Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 W.T. Pres. dist. calcs. and laterals Page 4 'tionall TDH and pump tank drawing Page 5 y Pump specifications Page 6 I OV E D Site plan Page 7 't Tum -up detail Page 8 r of COMM ERCE Management plan Page 9 ETY A auu.DIN Attached soil eval. Report Page 10 / SPONDENCE Designer Mike McDonell License Number 225036 Signature z Phone No. 715 - 386 -8692 Date August 17, 2000 Pagel of 10 MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximum design flow. Residential or commercial? (r or c) Slope 6 % Design flow rate 450 gpd Depth to limiting factor 13 in In situ soil infiltration rate 0.4 gpd/ft` Contour line elevation 107.0 ft Use standard fill depths? x OR Design depth? in Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Orifice density 5.92 Orifices per ft` Center or end manifold � (c or e) Orifice diameter 0.125 in 0.125, o 0.3 3 In c, o r dy. o.zs, 0.281, or 0.313 Inch ordy. Lateral spacing 3.00 ft Use 0 lateral spacing for trenches. Estimated orifice space 1.95 ft Not a final calculation. Number of laterals 4 Pump tank elevation 101 ft Outside bottom of tank. Forcemain length ,0 ft Forcemain diameter 2.0 in 1.5, 2 , 3 or 4 inch only. 2.067 in Actual I. D. DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS 5/32=0.156 9132=0.281 Design flow rate 450 gpd 3116=0.188 5116=0.313 7/32 = 0.219 Absorption cell Application rate & area 1.0 gpdfle 450.0 ft` Linear loading rate (LLR) 6.00 gpd /ft Design width (A) 6.00 ft Cell length (B) 75.0 ft Depth of cell (F) 10.0 in Sand filter ` Upslope fill depth (D) 23.0 in Downslope fill depth (E) 27.3 in Basal area required (gpd/infiltration rate) 1125.0 ft Supporting components Topsoil depth 3.0 in Subsoil depth at center 9.0 in Subsoil depth at cell wall 3.0 in End slope toe length (K) 11.79 ft Up slope toe length (J) 8.90 ft Down slope toe length (1) 14.10 ft Total mound length (L) 98.58 ft Total mound width (W) 29.00 ft Project: Joe Grant 3 bedroom residential mound Transaction Number: Page 2 of 10 MOUND PLAN VIEW observation pipes (typical) ( _ A = 6.00 ft 29 ft " . • • . •.•.•.•.• :.•..•........•::....4 A B = 75.0 ft ::. .:•••::: :.. J= 8.90 ft W B I - 14.10 ft I K K= 11.79 ft y 1/613 =F12,5 0 ft L _ 98.58 ft typ. obs. pipe (anchored securely) I = down slope dimension ::�:�: = absorption cell (AxB) J = up slope dimension = plowed area (LxW) K = end slope dimension 6 " MOUND CROSS SECTION D= > U In'\` lateral topsoil H subsoil cap E = 27.3 in invert 10372 ft F 10.0 in elev. F G = 6.0 in ASTM C33 H 12.0 in D Sand Fill y Sys. 1 :62 ft . elev. i 0.70 ft contour slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: System installation to comply with standards as specified in Mound Component Manual SBD- 10572 -P (R.6/99). Project: Joe Grant 3 bedroom residential mound Transaction Number: Page 3 of 10 PRESSURE DISTRIBUTION CALCULATIONS Dispersal cell Width (A) 6 ft Length (B) 75.0 ft Lateral specifications Number laterals 4 Orifice/lateral 19 holes Lateral length (P) 37.00 ft Orifice diameter 0.125 in Lat. dis. rate 7.83 gpm Sys. dis. rate 34.32 gpm Orifice spacing (X) 24 in Lateral diameter Pipe diameter Design options Design choice Designer must 1 in x Place X in red X' one choice 1 114 in x box of chosen from the options 1 1/2 in x diameter. provided. 2 in x x 3 in x Manifold diameter Pipe diameter Design options Design choice arab 1 in x X' one choice 1 1/4 in x Place X in red from the options 1 1/2 in x box of chosen provided. 2 in x x diameter 3 in x 4 in x Distribution system contains: 4 Lateral(s) LATERAL DIAGRAM - CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Force main connection via tee or cross to manifold at any point. Laterals are identical I P .% 0 = Turn -up ydball valve or IE X— �IEw12 I x12+1 Laterals & Force main of PVC Sch 40 cleanoutplug per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Lateral length (P) 37.00 ft Lateral spacing (S) 00 ft Orifice spacing (X) in Manifold length 3.00 ft Orifice diameter :35 in Lateral diameter 2.00 in Forcemain diameter 2,00 in Project: Joe Grant 3 bedroom residential mound Transaction Number: Page 4 of 10 TDH and Pump Tank Drawing Total Dynamic Head Operational head 6.50 ft l Vertical lift 7.12 ft �'} I °" Are laterals the highest point in the Friction loss 0.50 ft 11 system? Yes 'X' here. C] Total dynamic head 14.12 ft If no, what is the highest elevation Dose Volume downstream of pump? Dose is ? 6.1 times lateral volume Forcemain drain Lateral void volume 25.8 gal back to tank? (Y one) Minimum dose 157.4 gal x Yes Drain back 5.2 gal No Dose volume 162.6 Igal Typical Pump Chamber Layout In combination with state approved treatment tank. approved manhole cover with weather proof warning label and locking device grade levels junction box -� U grade levels disconnect alternate 4" vent pipe electric as per NEC 300 and E-- outlet Comm 16.28 WAC location 18" min. wall of pump Lam appro chamber or outlet joint combination tank A Provide 114" weep hole or anti - alarm on 6 siphon device as necessary pump on B Grade levels pump 102.3 ft C �e - pump tank manhole = 4" off elev. minimum above finished grade D - vent =12" minimum above finished grade 101.0 I ft Pump tank elevation 3 " of bedding under tank at bottom of tank Tank manufacturer Wieser cocrete 750 gal. Pump tank capacity 20.28 gal /in Pump tank volume 760 gal Pump manufacturer JZoeller Inches Gallons Pump model number 198 0 A 15.5 313.4 N B 2 40.6 c Alarm manufacturer ILevelarm E C 8.0 162.6 Alarm model number JDLV p D 12 243.4 Project: Joe Grant 3 bedroom residential mound Transaction Number: Page 5 of 10 HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE V (r w s3 ss RIES 4 _ 44 _ s/. 01 01-139 1W414 14114141 1 1411 165A4165 iIL4IOs IW4186 tw4lu I WIN 111 1T. 14. G+1. lYs. WI. Ltra. WI. Lln Gal. Lta Gal. Lua Gal. LYa Gal Lb Gal. Lba Gal. LK Gal. LOs. WI. Lln. G+I. LQt. G+I. Lb. G+I. Lb 14 1 132 10.5 62 11 IN Il 117 TI 173 17 IR x 350 100 401 61 131 61 111 sl 211 la 41 a1 517 41 - ill 42 10 7.14 111 10 31 Il 34 Us Ill 331 71 300 90 341 100 771 11 LIT 11 131 14 110 14 NI 111 072 a Ill 1 3 Is 4.31 1.1 A IS 17 19 71 IS IN N 241 114 IT 10 al to ul 11 44 la 1 141 as it 20 6.11 1.3 1 1 11 is 11 31 1x 71 its 11 sit $1 113 s0 121 11 211 116 fit 14 110 45 ill 40 1 3 23 IA1 1 30 U Its 14 110, 57 sit $I 311 54 111. 121 4" 171 f03 45 I11. SO 1.14 si 101 Is 744 SS - "I 71 121 90 xl $l 31) 171 41 121 41 as Ill w Itl1 10 114 46 170'; 4 :172 55 210 13 281 11 110 103 nl 114 .131 41 171 36 — 125-- 50 1321 71 k 11 121 si Ill SI 111 fl 111 N 34 1 IN J/1 If 111 10 1010 is $1 a 101 li 170 SI tN 11 11111 32. 4S .111': 120 )0 :131 30 li4 11 U SI III IT 142 11 M as 17i 36 191 to 14» 14 13 a 120 24 106 $4 30i a 11 115 N 21A3 32 111 2 I 11 140 as 111` IN 70'4 If 4 21 71 w -tit:. 34 ttl 1700 1 b 1 >0 30 :511' 1 1 0 170 1031 _ 70 li :. 32 1 170 21.13 10 30 Lad Ytiva: 714' 71' 1115' 71' 74' 4' N' N' 17 l3• 111' IT Ili Ill' 100 30 95 28 90 186, 26 4186 85 165, 24 80 4165 75 0 22 70 v 20 a 65 z o i 8 60 163, 4163 tgg 1 0 55 4189 � 16 50 14 45 12 40 146 , 35 4140 4188 10 30 137, 185, B_ 25 139 4185 6— 20 5 7v 4 10 2 5 43 4 161, 0 7,59 98 4161 U.S. GALLONS 10 201 3 401 50 601 70 80 90 100 11 10 120 11:50 140 1150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922 3i.32�P�1. m1�. SuP�l r'a Note: For Head Capacity on Model 112, industrial column explosion pr000f pump, see FMO219. I a& CA hueX. /fa ;/ �� 'E /du', .?o a Gran•E prep. trec./fssamcdE /QV.`= iao.cn ��tdoP /y�j roB9, 5c1�►/� Sc� St! s. T, �. c�'�ort/�.G't(c! � �� / Obsar' ✓a�,�.» �0; t ♦ E7,3 g 4e "Ce/:ne /fI7 / (/ 33 Propoud M~Cf a. , 6.29X wa w,t b'X 9S'469W,106'0 n ct //I ' /a&rs a -xt 37 O'eucA w. tl• f`g 8� ' of 4 •us of.ty , ,*aaciy. z "ScJ�. ifo oed. y. �oP, r'G. C a m of N W Y• y "�l•s,r.M 3o3y P. d. c. eC�' /uenf :AC. Proms , cw bufAd;�q 5�� '�-- Pro�SCq� � bcdrao.n res ;dcnet. /f O P,.O pO Cd tx71 Pg. 7o•�Ia Access Box Threaded Plug Lateral r Manifold Lateral turn -up detail Pg. 8 of 10 i Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be ma intained in accordance with component manual SBD- 10572 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 28 1.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System Trees or shrubs should not be planted directly on the mound. Plantings may be made around the mound's perimeter. The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the mound and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate 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 become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector. Pg. 9 Of 10 ' Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safe and Buildings � g in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must Coun ty include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location D ennis Oehlke Govt. Lot SW 1/4 SE 1/4 S 7 T 29 N,R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2739 90th Ave. Proposed 20 Acre CSM (E1 /2 SWSE) City State Zip Code PhoneNumber City E] Village ®Town Nearest Road Woodville WI 54028 715- 698 -2705 Springfield County Road E Z New Construction Z Residential / Number of bedrooms 3 ❑Addition to existing building Replacement Use: [:] Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •4 bed, gpd/ft .5 trench, gpdff Basal area required 1125 bed, f1 900 trench, 11 Maximum design loading rate •4 bed, gpd/ft .5 trench, gpdff Recommended infiltration surface elevations 108.00' at 12" above 107.00' contour ft (as referred to site plan benchmark) Additional design / site considerations A + 4" mou to r epla c e p r op osed privy. Parent material Glacial till. Flood plai n elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ❑ S M U ❑ S ®U El S U El S M U EIS ®U ® S❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPDIft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bed Trench 1 1 0 -8 10YR4/3 None sl 2fcr mvfr as 2f 0.5 0.6 2 8 -13 10YR4 /2 None sl 1 thin pl mvfr cw 2f 0.4 0.5 Ground 3 13 -21 7.5YR4/4 m2d 5YR5/8 sl 2msbk mfr gw if 0.5 0.6 elev m2d 5YR5/8 & 106.32 ft _ 4 21 -43 7.5YR4/4 f2f10YR6 /2 SO 2msbk mvfr 0.4 0.5 Depth to limiting factor 13' Remarks: 2 1 0 -8 10YR4/3 None sl 2fcr mvfr as 2f 0.5 0.6 2 8 -20 10YR4/2 None s1 2msbk mvfr cw 2f 0.5 0.6 Ground 3 20 -28 7.5YR4/4 None sl 2msbk mfr gw if 0.5 0.6 elev 108.03 ft 4 28 -49 7.5YR4/4 Qfl0YR6 /2 scl 2msbk mfi - - 0.4 0.5 Depth to limiting factor -- 28' Remarks: CST Name (Please Print) Signal e: Telephone No. James K. Thompson s 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 4020 3/20/99 3602 1010 PROFEWOWNER: DennisOehlke SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LD.# A.C.E. Soil &Site Evaluations Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPDI12 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -8 10YR4/3 None sl 2fcr mvfr as 2f 0.5 0.6 2 8 -17 1OYR4/2 None sl lmsbk mvfr cw 2f 0.4 0.5 Ground elev 3 17 -26 7.5YR4/4 m2d 5YR5/8 sl 2msbk mfr gw if 0.5 0.6 106.41 ft 4 26 -48 7.5YR4/4 m2d 5YR5/8 & scl 2msbk mvf1 - - 0.4 0.5 f2fl OYR6 /2 Depth to limiting factor 17' -- Remarks: Ground elev Depth to limiting factor Remarks: - - - - -- Ground — elev Depth to limiting _ — factor Remarks: - Ground elev Depth to limiting factor Remarks: O wn !7 en 0z kLKc S,,J!%/ "h'y, See. 7 , T. zgIf., ■ So;C Ob&r✓ 'a, 2739 96T cll a l - tzl a Lj /. Croix Co., cJ �. • 50, e ✓a-t" {ownd to bt t.lnsk t"te C a • 1 v LL d o L • ■ w 6 � N O +t- / y7 b - f • 5E C." net' ar -t ke S ")*j6E' %5! (oGD r .sec 7 ' * isconsin'Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 1 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must Coun include, but not limited to. vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, an I is�tance to nearest road. parcel I.D.# 93 V-14 APPLICANT INFORMATION - p► 01 0 f 811i ►>fotisa k Rev' a By Date Personal information you provide may be used r ry purp*s (Privacy Ldw, . 15.04 (1) (m)). at c � c Property Owner \[U 'z :_ 4. Property Location Dennis Oehlke / ,� G vt. Lot SW 1 SE 1/ 4 S 7 T 29 N,R 15 W Property Owner's Mailing Address L t # Block # Subd. Name or CSM# 2739 90th Ave. ' ST CROIX Proposed 20 Acre CSM (E1 /2 SWSE) City State r ode Ph �` City ❑ Village ❑Town Nearest Road Woodville WI 4 - - Springfield County Road E ❑ New Construction Use: N Res Yj hlu rooms 3 [_]Addition to existing building ❑ Replacement ❑Public or com raal describe Code Derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd/ft .5 trench, gpd/ft Basal area required 1125 bed, ft 900 trench, ft Maximum design loading rate .4 bed, gpd/ft .5 trench, gpd1ft Recommended infiltration surface elevation(s) 108.00' at 12" above 107.00 contour ft (as referred to site plan benchmark) Additional design / site considerations A + 4" mound to replac proposed p rivy. Parent material Glacial till. 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 for system ❑ S ®u ❑ S ®U ❑ S ❑ U ❑ S ®U ❑ S ®U ®S ❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPDIft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bed ;Trench 1 _ 1 0 -8 10YR4 /3 None sl 2fcr mvfr as 2f 0.5 0.6 2 8 - 10YR4 /2 None A 1 thin pl mvfr cw 2f 0.4 0.5 Ground 3 13 -21 7.5YR4/4 m2d 5Y R5/8 sl 2msbk mfr 9w if 0.5 0.6 elev - 106.32 ft 4 21 -43 7.5YR4/4 m t 2 2fl0YR6 /2 SO 2msbk mvfi - - 0.4 0.5 Depth to limiting factor 13" Remarks: 2 1 0 -8 10YR4 /3 None sl 2fcr mvfr as 2f 0.5 ! 0.6 2 8 -20 10YR4/2 None A 2msbk mvfr cw 2f 0.5 i 0.6 Ground 3 20 -28 7.5YR4/4 None sl 2msbk mfr 9w if 0.5 0.6 elev 108.03 ft 4 28 -49 7.5YR4/4 m 12fl0YR6 /2 scl 2msbk mfi - - 0.4 0.5 Depth to limiting factor 28" Remarks: CST Name (Please Print) Signature. Telephone No. _ James K. Thompson 5--- 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 3/20/99 3602 1010 ApP&TOWNER: Dennis oeNke SOIL DESCRIPTION REPORT 1010 Page 2 of 3 PARCEL I.D.# A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure GPDIftz Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. nsistence Boundary Roots Bed Trench 3 1 0 -8 10YR4 /3 None s1 2fcr mvfr as 2f 0.5 0.6 2 8 -17 10YR4 /2 None sl lmsbk mvfr cw 2f 0.4 0.5 Ground elev 3 17 -26 7.5YR4/4 m2d 5YR5/8 sl 2msbk mfr gw if 0.5 0.6 106.41 it 4 26 -48 7.5YR4/4 m2d 5YR5/8 & scl 2msbk mvfi - - 0.4 0.5 f2fl0YR6 /2 Depth to limiting factor 17" Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: „ : ♦ !0(00 �� kNe %/ sckq,, Sep. 7, T. 194., ■ 0X Obscr✓ 'a'7 2 ?39 90 U)COcto fe t.c7 /. S�• Cro;x �o., cJ�. V • So;L e ✓aGc ;was 5y02g — t'ownd to bt Q� uvtAttsk&GleC A- V a • • w 6' a -� i gent, tYla/'11�� /2aiL ii! • ,As5amcd Etc 0” SEC��ne� aF' Coto f Sec 7 Co. k' C -— ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O WNERSHIP CERTIFICATION FORM owner/Buyer a 4 Mailing Address /d& P"S'6 ,�a 3 ��e�� { v / SY0 /3 Property Address 7 d (Verification required from Planning Department for new construction) City /State Parcel Identification Number -!0-/ .z 71 9,/S ��B ¢ LEGAL DESCRIPTION property Location - 5 IJ - %4, S ' / <, Sec. �� T_ N -R /,�W, Town of %n .i Subdivision Lot # Certified Survey Map # Ot: 96d' , Volume 3 Page # 36 Warranty Deed # , Volume , Page # Spec house ❑ yes E -lfo Lot lines identifiable G -yds ❑ 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 mastorplumber. journeyman plumber, restricted plumber or a li cense d pum 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. 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 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. S A OF 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 owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. q,2�,o0 S A OF APPLICANT DATE « « * « *« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL 1489pa176 STATE BAR OF WISCONSIN FORM 2 . I[M i& Z ei x (Di3 Document Nmnber WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS This Deed, made between Matthew E Oehlke and Brid¢et O hllra ST. CROIX CO., WI husband and wife RECEIVED FOR RECORD Grantor, conveys and warrants to Joseph G Grant and Vi kie L 02-08 -2000 9.30 AM Grant hus wife WARRANTY DEED Grantee. EXEMPT Y CERT COPY FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee the COPY FEE: following described real estate in St. Croix County, State of Wisconsin a TRANSFER FEE: 126.00 "Property")' (The RECORDING FEE: 10.00 PAGES: I Recording Area Name and Return Address V r'^ f:REDIT UNION �.aice Box 160 i:;anomortib, Wisnnnsin 54751 034- I016- 10-004 Parcel Identification Number (PIN) This JlI_0lt omeatead property. Lot I of Certified Survey Map filed July 16, 1999 in Vol. 13 of Certified Survey Maps, page 3689, as Document No. 6O696S, located in the SW ''A of the SE 'A of Section 7, T29N, RI 5W, Town of Springfield, St. Croix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this { f `l day ofJ� 20tl0. Zurid E. Oddk ` � tl e t ACKNOWLEDGMENT STATE OF WISCONSIN ) AUTHENTICATION ) ss \Y� County ) Signature(s) F8b f� I�l� Personally came before me this `( day of Jaauuy, I authenticated this day of January, 2000. 200(1, the above named Matthew E Oehlke and Bridget Oehlke. husband and wife _ to me known to be the " Knsnna Ogland person(s) who executed the foregoing instrument and acknowledge the seen . TITLE: MEMBER STATE BAR OF WISCONSIN (If not, c authorized by § 706.06, Wis. Stas.) " `- Notary Public, State of Wisconsin TFaS IN WAS DRAFTED BY My Co (If not, state expiration Rate: At torney Krishna Ogland 0 Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ' :sco rvitrl — "Names of persons signing in any capacity should be typed or printed below their signatures WARRANrY DEED STATE BAR OF WISCONSIN FORM No. 2 -1"S '"FORMATION PROFESSIONALS COMPANY FOND DU LAC. WI 800.655.2o21 GOG968 CERTIFIED SUR VEY MAP Located in the SW V4 of the SE' /4 of the fractional Section 7, T29N, R15W, Town of Springfield, St. Croix County, Wisconsin. UNPLATTED LANDS S 89° 54' 31" E 662.38' I z � 6 7 NORTH LINE OF THE J �LE� 2 SW1 /4 OF THE SE1 /4 U! 1 6 1999 11 -+ 8 O 3 Z N 0 Scale 1" = 200' OWNER / SUBDIVIDER DENIMS OEM" m Bearings 2739 9d Avenue N � referenced to the Woodville, WI..54028 South line of the SURVEYED FOR O SE V/4 of Section \ M4 77 OEhII" N 7, assumed S89 cot N o i� 58'20'E. Q O 5: r LOT 1 w ;� ° 0153 ACRES � � 0 877,883 SQUARE FEET (20.153 ) � Z INCLUDING RIGHT-OF-WAY a Ico 848,067 SQUARE FEET (19.469 ACRES) EXCLUDING RIGHT -OF -WAY SIM CORNER OF SE CORNER OF SECTION 7, 100' BUILDING SET BACK LINE SECTION 7. T29N, R1 SW T29N, R15W ( P.K. NAIL SET) SOUTH LINE OF THE SEIM 7 . ( ALUM. CAP) 45.01 S 89_58' 20" E 662.55 45.01 1 325.11' #N 662.E N 89 58'20" W 662.56 � S 890 5 8'20" E_ COUNTY TRUNK HIGHWAY "E" r, S 89° 58' 20~ E UNPLATTED LANDS LEGEND �� 01% Indicates Section corner JOSEPH monument (as noted) * GRANBE • Indicates 1 "X24" iron pipe N S-22 0 weighing 1.68 lbs. / lin. & set. I *--,E- Indicates fence. PREPARED BY: u 1 YING O �yC S`C 'LE IN FEET I s 200 GRANBERG SURVE S R 1239 C.T.H. "E" ' 6d 100' 200' 400' soo' New Richmond, W1. 54017 Phone ( 715 ) 246 -7529 5 THIS INSTRUMEn DRAM M BY JOSEPH W. GRANBERG Job No. 99 SHE1rT 1 OF 2 Vol 13 Page 3689 L r 60G968 CERT ED SURVEY AMP Located in a SW V; f the SE K of a fractional Section 7, T29N, R15W, Town of Springfield, t~ Cro County, Wi nsin. UNPLA7TED LANDS S 89° 54' 31" E 662.38' �y 6 LED y' NORTH LINE OF THE JUL 1 6 1999 ► 2 SW1 /4 OF THE SE1 /4 N 8 � CIE H WAM r VA 3 m 1 - ° Scale V = 200' OWNER / SUBDIVIDER DE MM OEHLKE _ M Bearings 2739 90 Avenue �n referenced to the Woodville, WI. 54028 SURVEYED FOR South line of the AM 7T OEHLKE SE 1 /4 of Section co), i IC 7, assumed S89 O� h m o iZ 58'20 "E. LO c�j ,V m i c 1 to g �O �� N LOT 1 w '� Z i C 877,883 SQUARE FEET ( 20.153 ACRES) � �1 Z INCLUDING RIGHT -OF -WAY 1 C4 848,067 SQUARE FEET (19.469 ACRES) EXCLUDING RIGHT -OF -WAY S114 CORNER OF SE CORNER OF SECTION 7, 100' BUILDING SET BACK LINE SECTION 7, T29N, R15W ............................... . ( P.K. NAIL SET) SOUTH LINE OF THE SE1 /4 T29N, R15W 45.01 7' ( ALUM. CAP) S 89° 58' 20" E 662.55 45.01 � 662.56' N 89 58'20"W 662.56 1,325.11' S - 890 5 8' 20" E COUNTY TRUNK HIGHWAY "E" rh S 89 58' 20" E ------------------- UNPLA7TED LANDS -- Indicates Section corner monument (as noted JOSEPH W. • G Indicates 1" X 24" iron pipe S--22 E weighing 1.68 lbs. / tin. ft. set. o 1 �--,F- Indicates fence. PREPARED BY: O� S 'LE IN FEET 1 = 200' GRAMM SURVEYING 1239 C.T.H. `B" o' do' 100' 200' 400' Goo New Richmond, WI. 54017 Phone ( 715 ) 246 -7529 5 �� THIS INSTRUMENT DRAFTED BY JOSEPH W. GRANBERG Job No. 99 SHEET 1 OF 2 'Vol. 13 Page 3689 r 4 z 3o z iRMS 610-66 'ox qot 6Z5L ( 91L ) Auld c LiObS 'ItA `PUOUtgoir nWrl .�. .& RID ID 6£ZI 9AWHAMS 9mHffmW9 �g Qdr'RId pan pus N nu 4Q II IsAwddB QWP lenadds !o sAsP 0£ ultpm 689£ 96ed £ L' IOA Iowo3a.1 IOU dl 98 4"" 0 0 IV pue 6uiuoZ 6uluueld 4AJSuet4Ajdwc : bn t IM s ONOW14401 M3N (33A0�.i'"d'.a = S67.7 � �� 9ki38N 9 • K • A HA r ~E SN O O aoinpe io3 pseog uenoZ o1updoidds aqI pug aoWp SuluoZ,(iunoo xtoto *IS otp pwoo loond Aus Sutdolo ap .io Sutsggomd aiojag ( ola `laste of ssaom `azis Iol Lull um gp um `Spu to `•a•i) suoileln8at pug saint `smsl dlgsumos pue fquno3 `alelS oI loafgns st dsut sM uo moils ladled gosa � 6661 `L I AVW PaTBQ 1taqusig •M gdasot Aq polpip sluoumnsut stgZ Soo iagl uoilsluasa idai �a 1100 pug acid s a to uoilduosap pue deal sn p Isgl pus aousaip tp uoisiAipgnS f4unoo xiojD •IS alp pus douguipip uoisinipgnS pjagSuudS jo unaoZ oql `salnlslS utsuoosiM agl jo b£'9£Z ial dsga `spi000i I11iolUo glien oouepmom ut uoaiaq umogs spuel axp podd= pue paAanms ansq I `03MGp SMW `JaunAo agl J0 11oiloa. ip aql Aq imp Aga iaq `JOAOnrnS purl utsuoosiM paaalsi8ag `8iaqe jo u •M gdasor • `I U VX.M S, 8 AHAI •p3ooat30 1;lue110noo pus suoiloulsai `sluautassa lle oI Ioafgns 8111aq pus seal io aiout (satos £Si'OZ)3 aisnbs £88`LL8 SuMMuoo `8uiuui8agl0 ;m0d OW ol '/ HS 01113o auq glnOS Piss Suole ,95799 Ac XASo68M aouagl `•L U04MS P!mJ0 PARS agl3o auq glnOS aql 0 4 *A HS ail33o' /� MS axp3o aui WM Pps 8 u 0 ls .,OZ'SZ£I &,9b�IZ.IOS 001101 `•L u0rMS P!"3 '/t as alp 3o v, MS owo gull Iseg all of /� gS NIP m MS OWO ami WON Piss Suole A£'Z99 &.I £.t7So68S aouagl `•L u0iloaS P!" 3 t/z gS aq4 JO % MS agl J0 gull gjtoK agl OI A6'SZ£I A aouagl `•(&AZ,8So68S pouinsse `L uOgWS JO gull glnOS agl (4 paouaiajai s8uugaq ) Suluu?oq 3o Iulod agI of L UORMS Piss JO M HS ag130 auq SOS agl 811018 .9S'Z99 &,0Z,8So68S aouagl `L uoiloaS PMJO .tau -103 M S 01 11 Suiouaunwa :snnoilo3 se pagltosop wgvT `ulsuoosiM `Alunoa xioia 'IS `plogSuudS3o uenOZ `MS III `M6ZZ `L uOnooS Isuo!M4 agl3o' /� gS mp3o' /� MS aip ul Palsool Puvi3o looted V •utsuoostM llunoZ) xtoio 'IS `PiaUgUUdS 3o uenos `MS III `ri6ZS `L 110IMS IAUOiPv3 OT P MUM ag130 M MS aql m PgMO'I aVM IHA was Qgmr yga I