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HomeMy WebLinkAbout038-1038-10-100 C Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463387 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 LeQue Builders LLC I Star Prairie, Town of 038 - 1038 -10 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No 09.31.18.160A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a ,c9 Benchmark 3 � .5�3 /as dad Dosing � Alt. BM � fi 5' ` �, �3 3 Aefflbzyr p Bldg. Se er � `3 a 93 e '1 a J Holding St/Ht Inlet �� •b L St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic C 7 ! ,,m Z I �� Dt Bottom ' Dosing 6 6 7 ' -756/ 2-' Z i Header /Man. I 9 7q • Q l ' Aeration Dist. Pipe �. 1 6•S`I .7 Holding Bot. System 41 , U Ok PUMP /SIPHON INFORMATION Final Grade Manufacturer .061 1, GPM Dema St Cover /� C ®6 .� "1'J 7 v uP Model Number � V` TDH Lift • g� Friction Loss System ead TDH F 3 Z.Q o Forcemain Length Dia. i I Dist to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length / No. Of Tre h2j PIT DIMENSIONS No. Of Pi Inside Dia. Liquid Depth DIMENSIONS 3 Ile& 1 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: �Z INFORMATION CHAMBER OR Type Of ystem: �,.: 7Cpr /� UNIT Model Number: C b G� to ,lam" a DISTRIBUTION SYSTEM 3 6 36 97. F /aL-) Header /Manifold // IDistributioZ x Hole Size x Hole Spacing Vent Intake Length / Dia_ Length Dia \ Spacing Pipe(s) \ \ \ 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 3• / 0 1� Bedrrrench Edges Topsoil " Yes ! No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 2276 County Road CC New hmond, WI 54017 (NE 1/4 NE 1/4 9 T31N R18W) NA Lot 1 Parcel No: 09.31.18.160A10 G s� � f 1.) Alt BM Description = a arc \ 4na ture 2.) Bldg sewer length = z - amourtt of cover = Plan revision Required? i ',1 Yes � � Use other side for additional information. L l Date Insepcto Cert. No. SBD -6710 (R.3/97) ' safety and Buildings Division Canuy r 3 201 W. Wasdingm Ave. De artment of Commerce < t ? 2 C Perna (�- f1Ned in by Cn ) 33 SaWtaU Permit A n A PR 1 1 2005 Pun ID. Number In accord with Comm 83.21. Wis. Ada. Cods. you provide Way be used for secondary purposes privacy LaT CROIX COUNTY Address ( di than !'ag address) G OFFICE �a� `�'- ( I �on iMa _ Print 1. AppI��L Pmperty Owner' me . Pnucel N Lot rr aty�(c t �U R r . t^� Owroer's adios Address ply ��� lea lv) City. Staft Zip Code Phone Number _!L_r u ' �'' Sectio E .. CIrCie U- Type of a8 that apply) O C T 31 N: R I � E ore rl� I or 2 Family Dwelling - Number of bx400na Subdivision (acme Number - ❑ Public/Commercid - Describe Use �� �� �� 1 Jl� ❑ State Owned - Use __4 _ 7` LICity [�Yittage 1. ow nship of i t IQ. Type of Permit: Kbeek only am box as One lime B if aylpillcabie) A. KNe System Cl Replacement System ❑ Treatment/Holding Tank Replacement Only L] other Modification to Existing System g• ❑ Permit Renewal ❑ Permit Revision Li Change of L� Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner - IV. Type of POMS Syatm! (che& all that a &) y � Noe tt triDed 1rrGttwrd U Mound > 24 in. of s "ble s011 H Mound < 24 in. of suitable soli I..) At -Grade Single Pass Sad Filter �❑ Wetiard ❑ Pressurised in- Ground ❑ Holding Tank l j Peat Treatment Unit Ll Recircuhxing Sand Filter D Rccuckdafillg Syatberfc Mafia Filter ❑ Leaching Chamber ❑ DM Lure Gravel -less PiM ❑ 00w {explain) V. Area Information: Desip " ( Wo gpdsi) Dispersal Area Redttl@t! (sf) Dispersal Ana (sf) System Elevation 3 g SC 0 3 r sod d 7. Vi. T Info n Taal Number Manarfacturer Prefab Site Steel Fiber Plastic - � Gallons Gallow of Units Concrete Constructed Glass New Exwft Tanks Torres j aldiw Tank low � -- - -- — Aerobic Tnatnrcrx Unit Dosing �s �s y v CTWOber f _ I - V P VU. Statement I. aw, mod. y tar ' of the POW" abown on the attaeb" pbuu. I 's Na me (Priu s pia rc Business Phone Number Pltmtb�er's Atidre sa (Sweet, city. Slue. Zip Dade) Elm Altd ❑ Disapproved sun Permit Fee (includes Groundwater Date ing A t S to Stamps) ❑ Owner Given Reason for Denial a p S IX. 4" for Dbappr^oval n J 1 ep Ic tank, W and dispersal cell must all be serviced / maintained as per Management Plan provided by plumber. /J 2. All setback requirements must a main as per applicable code /ordinances. ph— OR As on pap rut at x IaeCMa s@e IF 3. 5-�-� i 1 r Ci I 0 I ' , A CR M� al E � 1 : 1 r -1 I , I I _ I i i ' : i , I : , II , I i L - 1 , ; I I 3 1 : : I I 1 : i : : I I � i 1 ' I I 1 ; , : , , , 2 : i : I . : I I , : , , i 1 ' - ! Ley`^ " i i D 'Pr► • P [O t S9 N a $O�c 1S cw - Qe�ci r . 1. ST C- V\6 i S) Vv= A at� r w rd 3 '�- 35 O r �� d -- d i1 EZ1203H Ik t r,r - .w ►r.r. 12n �� 4.62" ,. r ... . t I v ..• w!wei�: • ...rr.r...r. 24 rl _ -- 12 -1/2 DIA. + V oid CoeffWww m + 1tl F. O.D. 0( 4 - p4w - 4.6Z3 iac# SOH (2 SWr'uaNs) j t2ertb. � ° 0 .li2 t3' lft C3.D_ of tew ry { • t 12.5 -------`------ ___�__�� Vo,g Vplyrpe w of t�aA[s 6 , fO8/ Sail Iwterly� Ata r tylw.ler •�l.ar _ 1 2.11zsa [,14 SCE E ) U F7. at t2ir i f, rutstdt Cybnde" - 12 , sties 1 j' Va,d volusrrc rn --WC cylir,d�s - ; • 1 t� ?R 1: pro" Trek Ares Izak Sttic+ralt Herd 12 2. ,n •2 1 j � 4 axt +ntumc at f�uttp Fr // 2,00 5q. Ft ' cyt •. !1 14 - Ow 1 f daF � 36 rn ) 1 } tt2in�h 41 _� I 011 $4 FL f te�.,n ��`OZisrt+ � b a,d ><oL,u,.c at 1'�1K'ted Trettc; Area d Ouxulk blows comp 1 ts: of Void SAR SV Ft. f Tau! roKf bciwccn L3i++rde+sl 0: 1 t ( 117. -0422 +11.981 •0.215 0.108 • 1 783 eWxc it r fr f per fl . t 765 Y 7 48 - i t � r k EPS Aggregate Trench System i EZ 03H i r ow R'n9 Oat,st Q cr�1,� O+ k1Q d T?V Park Rd. d — --- _ axe -Mt 4" Cl VENT PIPE 12" MIN. ABOVE GRADE £ WEATHER PROOF* > 25' FROM,DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MA C COVER £ WARNING LABEL .� _ } �_ 4 ,' MIN Lit 18 IN - GAS- ET 1' 'WATER TIGHT SEALS --�— TIGHT ,�0 A SEAL I APPROVED "� 11 JOINTS W/ CI T PIPE B ONM PIPE 3' ONTO 3' ONTO __T_ SOLID SOIL SOLID C 'OIL PUMP OFF ELEV . G,�I FT. --- ►' OF RISER EXIT PERMITTED ONL� D IF.TANK . MANUFACTURER HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE , TANK MANUFACTURER: NUMBER DOSES PER DAY: 5 TANK SIZES SEPTIC - 100D GAL. DOSE VOLUME INCLUDING , 3 p DOSE ^ (ooh GAL. FLOWBACK:` ��D.,3_____ GAL. ALARM MANUFACTURER: CAPACITIES: A = /S INCHES = b GAL. MODEL NUMBER: B = 2 INCHES = GAL. SWITCH TYPE: t, CaTT PUMP MANUFACTURER: n I s C = �O�a INCHES = /03 GAL. l n� Q MODEL NUMBER: �5�3 «_ D = `�, INCHES = 143, GAL. SWITCH TYPE: \c� REQUIRED DISCHARGE RATE GPM PUMP £ ALARM WIRING AS PER ILHR 16.23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /e? FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . ... . . . . . . % FEET + FEET FORCEMAIN X 33 FEET , FT /100 FT. FRICTION FACTOR , - -- TOTAL DYNAMIC HEAD = 1 6 FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH 4-6- 0-5 a 1. 1 f_ i i •G.. t. f fl. „ •r. ♦ M1 .r r i ,; ! ! •f' ! = ��+*+*�sw #wow / / / /wrwwwww /w /ww +5.: , ink 71 7 717: a /son / /nn / /#n/mmmwrr/ .. ' wn�wwwnwmm O w# /r���•r�•� w rl rilrris #mw / / n #w � ...�wwr # MAN �s►��iIN m aws ri► #r / #�ii / / mrnw #r # #r #■ .� n nwmmwmmnnwmmnoo /n oon/ w/ mommwmizrm#omnmm /m /onrli #/ w -0 C# owl -gown"--mww /w /ai Now wwww / / /w/ mumumm e ! r, ,,,' ' * " = '` : / \Uawwi ■isi /C��t►'"..Sr wm ►r/ / /wmw/ /i�+i� ►`#�/ #mown man ' � � "' ► \lliC��ww�'� #wli��wr /.►ior \ten # /r or r- :.:.-- ��i 'r /►�.- .wwmGr.�Om IN wwn# ! ww /wawww��a�w \w ww�w��ww / iWASIONINIMMINUMM n /•�w�r /mw#ww � �.;ww /►�na.: /'�}'irrr�r�annIIn << , wrwm# /#wnw#wnsnr #annn wnm�i mm�n /w "f • E1: f ! ! e y ., •.! ! :r !.r , ! ! .! -! -! r i I•r qW isc& Department of Comm -," .C` 6 SO ALUATION REPORT Page of division or Safety and Buildings i in,ae Atom as. Adm. Code County Attach complete site plan on pkP r, hot less thfp &IMX11 Inch s+1n ize. Plan must r include, but not limited to: verticol eh$ horizontid (B direction and Parcel I.D. percent slope, scale or dimension f; np�h ary� tance to nearest road. w PI @aS@ 04ni j /[I# Cl ' Rei 7 Date i Personal information you provide may be (Privacy Law, S. 15.04 (1) (m)). O Property Owner Property Location Govt. Lot 1/4/ 1/4 S T f N Rf - E (or Property Owner's Mailing Address L Block # Subd. Name r SM# Ci $tater Zip Code Phone Number City ❑Village town Nearest Road 2ZNew Construction Use Residential /Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ / Public or commercial - Describe: Parent material Flood Plain ; 77 cable General comments .0 i S 1pp�4� and recommendations: � � � � F71 Boring # ❑Boring O. 3 3 S y0� s .� Pit Ground surface eiev. � fL Depth to limiting factor �� in. , Soil gplicatioA 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 -, 4-7" m / r 6 n Boring # ❑ Boring � J pit Ground surface eiev. IL Depth to lim g4 c:or in. Soli 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 AZZ Lq Lip Effluent #1 = SOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST NaMe (Please Print riaatu CST Number A r Add Date Evaluation Conducted Telephone Number * A Property Owner �� 5 'IV n Parcel ID # Page of Boring # ❑ Boring pit Ground surface elev. 3 ft. Depth to limiting factor 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 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate rizon 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 ® Boring # ❑ Boring] 7 / pit Ground surface elev. - ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 ©_ / �a de—, ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608 -264 -8777. SBD -8330 (R.6=) ST. CROIX COUNTY bow WISCONSIN ZONING DEPARTMENT r - ~ ST. CROIX COUNTY GOVERNMENT CENTER i N N M M N■ ....rr, 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to File From: Pam Quinn Date. 4/27/2004 Re: Sandy loam structure misinterpretation on subdivision soil reports Recent soil on -site determinations have brought a problem to our attention. During these on- sites, borings were excavated to confirm soil conditions where two conflicting soil reports had been submitted for zoniflA department review. The soil profiles, evaluated by myself, Dave Fogerty, and Dave Steel (all certified soil testers) differed from the original soil reports in that massive (structureless) sandy loams were encountered in horizons that were described as having either moderate, medium subangular blocky (2msbk) structure by Adam Schumaker or weak, medium granular structure (I mgr) by Shaun Bird. There apparently has been a misunderstanding between "structure" caused by handling samples of the soil during texturing versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand texture, with pressure parted into "crumbs" that appeared at first to be subangular or granular in shape. However, these were not true peds that broke apart along planes of weakness, but fragments created by handling. The soil when observed in the horizon did not have distinct units of structure and should have been reported as "massive ". Added notation: on 4/23/04 Mark Iverson (Cedar Corp. certified professional soil scientist), Shaun Bird, and myself did an evaluation of soils on Lots 6 & 9, Richmond Meadows where the original soil report described the third horizon as sandy loam, "lmgr ". On Lot 6 we checked soil profiles within a POWTS distribution cell and then excavated a test pit on Lot 9. The sandy loams in question were a weak, coarse to very coarse subangular blocky structure, where planes of weakness were just discernible when peds were parted from the profile. The peds separated with very light pressure by soil tester. Sand coatings were observed on the ped faces in the Lot 9 soils, which supported the determination that some structure existed to allow water to move through the upper portion of the sandy loam horizon. However, below the weak - structured soil we found massive (structureless) sandy loams and the boundary between these horizons was irregular, which would mean a distribution cell could encounter alternating weak and massive sandy loam. Shaun said he would amend his soil reports with a memo recommending that any sandy loams he identified as "lmgr" or "2 mgr" be assigned a lower loading rate of 0.3 gpd/ft2 (see attached memo for Whitetail Meadows) to provide a larger dispersal area. Page Two — Soil Memo 4/27/04 Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports were higher due to the structure having been described as either weak or moderate, which affects the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon had been described on the soil report as "lmgr" with firm consistence. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on -site verifications for any lots with this potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as its structure will be required to use a design based on the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. Z ' s LEGAL ST. CROIX COUNTY, WISCONSIN NEW TXSCR02 REAL ESTATE TOWN OF STAR PRAIRIE COMPUTER NUMBER 038 - 1038 -10 -100 Parcel Number 9.31.18.160A -10 OWNER NAME: First JEREMY M & KATHERINE J Last SHILTS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment CTY RD — W SECTION 9 TOWN 31N RANGE 18W %160 NE 1 /440 NE Line Description Line Description TOTAL ACREAGE 2.262 PLAT CSM 17 -4547 038/03 LOT01 BLK 01 SEC 9 T31N R18W PT NE NE 15 02 CSM 17 -4547 LOT 1 16 03 (2.262AC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit U 3 S —Qom `` ) vt4 Soil Test Plot Plan Project Name Susan Me ed s Byron Bird Jr. Address 1077 Cty Rd H 4 wj��� � N Ri chmond Wi. 5 4 0 17 CSTM #220527 Lot 1 Subdivision -------- Date 10 /14/00 NE 1 /4 NE 1/4S T 31 N /R W Township Prairie n Boring Q Well PL Property Line County ST. C ROIX ,BM or VRP Assume Elevation 100 ft top Of nail in little Elm Tree System Elevation 97.9 H.R.P. same as Alt. BM # Alt BM top of wood stake 220' elv 100' PL 150' Alt I 1 ,M 45 B.M. 35' PL B4 B1 pri. 100' 1 3 ' B3 P rep a. B5 B2 Co rd CC 726968 VOL 17 PAGE 4547 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR ECORD 06/23/2003 11345AM CERTIFIED SURVEY MAP CERTIFIED SUR VEY MAP PAGES: 2 3 .00 Located in the NE 1 /4 of the NE A XIC T3 IN, RI 8W, Town of Star Prairie, St. Croix County, Wisconsin. ST, CROIX COUNTY Planning 71ninn and Parks Committee WNER / SUBDIVID ,JUN 2 3 2003 SUSAN MEEDS 9 1077 County Trunk Highway "H" NE CORNER, SECTION New Richmond, WI. 54017 rocc+d ed witnin 30 days of ( ESTABLISHED FROM I of . pproval date approval shall be TIES OF RECORD) null and void LEGEND BEARINGS T LINE OF THE NE V4 OF SECTION 9 ASSUMED, SOOP50'56"E. SECTION CORNER ° TT (AS NOTED) c 0 1" X24" IRON PIPE WEIGHING 1.68 LBS. / LINEAR FOOT SET. a; -x FENCE m UNPLATTED LANDS w ° N 89 31'52" E 44 7.09' N 397. 09' T 50.00' 45' Scale V =100' 0 36 - to?'-8 - /o — i 0 o 50, LOT 1 NOTE: the driveway N 98,519 SQUARE FEET (2.262 ACRES)IN $ IZ I to be built within the N INCLUDING RIGHT -OF -WAY JOINT $ Joint 9r-ivvmiyAccess (a 0 87,519 SQUARE FEET ( 2.009 ACRES) .O AC* °. ' c y IC Easement shall be built 0 EXCLUDING RIGHT -OF -WAY I to town road standards Z' °� . Dv EASEMENT ( $ I I to the point at which g `* : D of 49.78'8 m the two driveways 0' N 89 31'50" E 448.55' M �; separate. til iv 398.55' g; 50 m 1_ '111 r . ' V ti � O ` 50.22 ch m i N D a p3� 103 -/ o --Zoo :W It Z I $ Z , < I v zo LOT :0 $No n NI c 98,839 SQUARE FEET ( 2.269 ACRES) ; No p �(7 I N INCLUDING RIGHT -OF -WAY : r QI o m ' 87,839 SQUARE FEET ( 2.017 ACRES) Z - Z EXCLUDING RIGHT -OF -WAY • m I m E ! I 400.00' 150.00' 50 S 89 31'48"W 450.00' T 50'tn SOUTH LINE OF THE NE1/4 OF THE NE1 /4 I g UNPLATTED LANDS ( I THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG M SCALE IN FEET I"= IU0 0' 25' 50 100' 200' 300' E1/4 CORNER, SECTION 9 NBE * ( ALUMINUM CAP FOUND) i �ll1h' Rir PN)ND PREPARED BY: GR,4NBERG SURVEYING 1239 C.T.H. "E" ...• �O �� NEW RICHMOND, WI. 54017 v0 S U ll% U PHONE ( 715 ) 246 -7529 JOB NO. 00-058 SHEET 1 OF 2 Vol. 17 Page 4547 � �S �� � �g� � I 1 J 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and parcel 1. . percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Re ' wed by Date / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owne Property Location Govt. Lot ��- 1/4 1/4 S f T N R E ( w Property Owner's Mailing Address Lot Block # Subd. Name or CSM# 76' /�3� City State Zip Code Phone Number ❑ City ❑ Village Town Ne re t Road ,tad/ New Construction U : Residential / Number of bedrooms r flow r e GPD ❑ Replacement Public or commercial - Describe: Parent material Flood Plain elevation if a plicabl _ ft. Cverwal comments / SEP 2 0 20 4 and recommendations: 5� t� T QNING OF s F1 I ❑ Boring '� i Boring # t Ground Ground surface elev.� ft. Depth to limiting factor in. 'I Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 2_ - , Boring # Boring 99 limiting v A lp Ground surface elev./ ft. Depth to ng factor in. / �`'"� Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. I Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D /-A r - Z lJ a I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1 150 mg/L ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 nVL CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715 - 246 -4516 o r /oil Test and SystemPLOT PLAN PROJAR T Dan Orf ADDRESS 780 132 Ave Hudson Wi 54016 NE 1/4 NE 1/4S 9 /T N/R j W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/10/04 BEDROOM 3 CONVENTIONAL XXX IN -GRO D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1617 # of chambers 52 IL BENCHMARK V.R.P. Top of p.l. stake ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 90.7/90.6/90.5 /90.3 6' below qrade 200' Property Line « Plans Designed Using V Alt. B. M. � Conventional Powts " � s is top of Manual Version 2.0 — � 'f @ pipe 0' Well is to meet all �kE(a0VED 130 setbacks required by WDNR p 200 Pro 3 , SEP 2 Bedroom 90 S� GRO�XG�O� House zoN�NG oFFac� Vent t Standard Biodiffuser 10' Leaching Chamber 4-3' X 83' Cells with 31.1 ft2 of Area B -2 ST with >3 Spacing g III 10' 3 4" Grade at System Elevation 35'B-4 30' lease note: system was oversized due to the 25 presence of massive sl in the 3rd horizon, 70' also system was lowered 3' due to the pressence of weak sicl in the 2nd horizon so B -3 system was installed below this layer. B -5 40' Vents Cty Rd CC 70' 398' now Property Line El -- _ • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 1!20is GA 0 NA ow Tank ner � 11 IL vol. O © C) gal sept+� o D� ❑ Hadir,g 1 Permit # 3 Tank hii� W % .0 S ^Q ✓S (0 o KK. � ❑ NA DF PARA#ifE1'ERS 0 NA fa oow D How vol . gal Numb of;Bedroonrs 3 p �( a' NA er ❑ NA Effluent F N4riirfa r Wxnbet of Public Facility (Units Ef&Md Fihar Model Estimated faverage) lbw 3 © 0 NA Design (peak) flour = (Estimated x 1.5) ,5C7 Pump Meanufacturer CQIUD [� � pump Model �� � NA Soy Application Rate f thtit Standard kX&M nt/Ef'fl+ Quality F)fter 0 Peet F ilter Fats, Oil & rrease (FOG) S3 rrrg 0 NA E3 Mechanical Aeration 0 wetland ch Bioemical Oxygen Demand (Boo 5224 mWi- D Disinfection D Other: Total Suspended Sok assi 51 s0 mgfl- Monody average Manufacturer DNA pretreated Effluent ttY Dhoosd Cuts) Biochemical Oxygen Demand (BOO 530 mg/L ound (gravity) 0 k,(iround wed) Total � Solids (TSSI 530 n /L N ❑ Mound rneanl 5 chi/t01 D At -Grade Fecal CoBform ( D NA D 13 Drip -UQe Other: y 0 N Maximum Effluerrt Particle Size D NA C] NA +Values typical for domesoic wastewater and septic tenkeffl►ax+t• Other. wUNTEHANCE SC}IEDUtE Service Sovioe Event s1s) (MIt 3 yes) D NA Inspect condition of Uv*(s) At bast once every: s ludge and 3> 0 era+ orie -third (1y1 of tank volume ❑ NA when combined Pump out contents of tanks) D When the high water alwm is activat moitEh(a) tMexhnum 3 years) 0 NA Inspect dispersel,aell f s) At bast once every: rr►onds($1 ❑ NA Cryaw clean effluent filter At bast orwe every Q monlfitsl D NA Inspect Pump, pump &alarm At bast once every: p month(a1 ❑ NA ❑ (s) Flush laterals and Pressure test At least once everY: D month(s) DNA r. At least ors every- D ) ❑ NA aarrYing one of the fotlowmg k:ft Peer Or ce rtifi ca tio ns: MARITENANCE B49TIlUCIIONS an individual � 5 O c (Pumper). i of tanks and real cis shall be made by Sainricing Sewer: POwTS inspector: hardware, id enY cracks or ter Master pl Mas plumber Restricted of the tank(s) to identify any or broken of effluent on the ground Tank inspections must include a vise inspection scum end a check for any back up or ponding pipes and to check for :env leaks, measure the volume of combined sludge kr the observ surface. The dispersal COWS) Mug be "pjaily inspected to i�ieck the e f fl uen t l evels surface may indicate a fsiling condition a surface. The po�ng of effluent on the groom Ong of e ffluent on the grorrid . requires the immediate notification of the local regulatory suthoI �s one-t� (y9) or more of the tank volume, the When the combined accumulation . of sludge and scum in any treatment tank an and disposed of in accordance with chapter NR 113 entire contents of the tank shall be removed by a SePtale Servicing operator Wi Administrative Code. mechanical or pressurized components, pretreatmen but not limited to the servicing of effluent filters, � Ail other services. including but a certified POVVTS Mainta at intervals of 512 months, shad be performed units, and any servicing authority witivrr 10 days of cornptet� of any service event. A service report sfiaR Mt p rovid ed to local. regulatory GMW (2 102 START UP AND OPERATION Page 4 of For new construction. Prior to use of the POWTS shack treatment tank(s) for the presence of painting chart cats that may impede the treatment g Products, solvents or other have the contents of the 'tank($) removed by Proc ess and/or uc Op the sot � callus)• If high cone are detected ' � operator fMior to use. System start up shelf not occur when sod condition$ am frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal hig hwater levels. When wastewater will be discharged to the c�(s) in one large dose and power is restored the excess discharge of affluent. To avoid this sitvatlon have the ht$ Of the PUMP overload ttherrh resulting Or surface to restoring power to the effluent vTS tank finer ram oved as a in minu Sarvlcyng Operator prior P� or contact a Plumber Or POYVTS Maktiainer to assist marhurally o� the punish controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal calls. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope Of any mound or at -grade self absorption area. Reduction or elimination of the following from the wastewater stream may improve the Performance and POWTS: antibiotics: baby wipes; cigarette butts, c"WMvk cotton swabs: prolong the fife of the foundation drain (sump, Pte) discharge; fruit and vegetable degreasers; dental floss; t Scrap .' m edi c d o s; fat; p°8l gasoline; herbicides; meat scraps: m oil; painting products; pesticides; sanitary napkins; tampers: and water softener bribe. ARANDONMENT When tha POWTS falls and/or is permanently taken out of service the following steps shag be taken to insure that the system is Property and safely abandoned in compliance with chapter Comm 83.33. Wisconsin Admirggauth Code: • AN Piping to tanks and pits shah be disconnected and the abandoned Pipe openings sealed. • The contents of ail tanks and pits stall be removed and Property disposed of by a Septage Servicing operator. • After Pumping, all tanks and pits shall be excavated and removed Or their covers removed and the void space filled with soil, gravel or another inert solid material. CO NTW40EENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a system. The replacement area should be protected from disturbance and replac b e in ri m absorption re4 setb�cs from a . compaction acid should not be infringed upon. by 9 and Proposed structure, lot tines and wells. Failure to Prot the replacement area will result n the need for a new soli and site evaluation to estabtiedh a suitable neptacament area. Replacement systems must comply with the rules m effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. technology a holding tank may be' as a last resort to replace the failed POWTS. � advances in POWTS L s not ua to ' tify suit area. allure of the a soil and site I \ be to a a " ble area. If no available a ng k a last to tepl failed ❑ Mound and a"rade SON absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must conhqhly with the rules in effect at that time, < < WARNING> > S EFi . A PUMP SEPTIC AND , PU OTHER MP OR TREATMOTHE9t TREEHNT ATME TANKS NT MAY TANK CtON'AN UNDBt ANY LETHAL C GNAS YISTWS AND/OR INSUFFICIENT OXYGEN. DO NOT PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IWOSSMLE, ANCifS. DEATH MAY RESULT. RESCUE OF A ADDITIONAL COMMENTS POWTS WS TALLER POWTS MAI NTAIiWER Name < 4 W Name Phone s Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name c c Phone Phone rhis d tw- ocument was drafted the S by staffs of the Green l.afca, Marquette and 1Nac>strsra Coemeh, 2.oning end � In with CortKn 83 .22(2)tWt1)(d) & (f) and 83.54(1). (2) d, (3). YVisconsin Administrative Code, _ sf CROIX COUNTY SEPTIC TANK MADnINANCE AGREEMENT AND - OWNERSHIP CERTIFICATION FORM � u.� der►' � S Mailing Address 0. Pmpacy Address 22j Lp CjA PA CCU (V« Depastment for new conoxtion) ciwstate �_ Q..i,) P-I nnc) n�� Pmr-d Ideafificaaon Number I D •10 LEGAL D CIU=fi LO WA Location I %., 1., Sec. W, Town Of Subdivision f� PC Lot #_ Catifed Survey Tap # Vobme J Warrant Dta # — l 3 �. I oIume Page # Ic 2 Spec hou 0 YM P no Lot Line identiftable,,a yes D no came s ttae and maiatma�ofy6w septiesystpa ooaM m its porn tte fac'teae m mnale.ras6es. Prapermsiatenaare cm at&et t fast` "red► � s or soak if'a�a by a I�sea p�p� wLsc yes pus hm do sysa:C„ c tank as a humancat stage is the Wass` lop=s sym=L Tie property owm age m to seebatit to SL Cko t Muff Depachumn a e feem. �¢ oW neat by a h in P phmabarare Hccwedp=Wm ma(I) the owe at�swalm — pos system Pt'op�+' conditiom� aod/ac (Z) sfler seed p {{ f� � tart is teas 11�aa U3 SsII ot's�tdge. have seas aba a and, to the p:i ata symem,,n& do -7 d arfcmmtameaedd=Dgm m wofxaumat sbL Cmasatian. 4. has been smmt be cowed gad mid to the SL Croiz Cormty Zonigg Ofitfx WAdda 30 date T ZTtJRE OF 4 S DATE fy then aU ace this form am eras w the best of say (ow) I (we) am (w* the owAw(s of "bed above, by vitae of a .qt dwd mcosded is Register of Deeds O�Ce. CW APPLW -A T DATE •���' ALy ialfcorissatioa that is enis- maY mmlt m the sanduy pen m being rcvolmd by the Zonmg Dom • :s•.s " Indude with tft aWkaffma: a stamped y deed Roca the Rem of Deeds office a copy of die cmiMW sntvey map if rafu= is mach in do wanamy deed U Z 7 7 7 P 2 y S KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX Co.. WI DOCUMENT NO. WARRANTY DEED RECEIVED FOR RECORD 04103/2005 02:40PM WARRANTY DEED EXEMPT # This Deed, made between Jeremy M. Shilts and Katherine J. Shilts REC FEE: 11.00 as husband and wife. survivorshio marital Property , Grantor, TRANS FEE: 115.50 and LeQue Builders Inc COPY FEE: CC FEE: Grantee, PAGES: 1 WITNESSETH, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin:: RETURN TO: Lot One (1) of Certified Survey Map filed June 23, 2003, in SCAT Vol. 17 of C.S.M., pg. 4547, as Doc. No. 726988, being located in the 252 S. Knowles Ave. Northeast Quarter of the Northeast Quarter (NE' /,/NE' /.) of Section New Richmond, WI 54017 Nine (9), Township Thirty One (31) North, Range Eighteen (18) PID #: 038- 1038 -10 -100 West, Town of Star Prairie, St. Croix County, Wisconsin. Together with and subject to joint access easement as shown on said Certified Survey Map. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantors warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and covenants of record and will warrant and defend the same. This not homestead property. Dated this Ito i_ day of rhuY(:�'k 2005 (SEAL) < - %� C (SEAL) ere M. Shilts (SEAL) - -- �Shil K athenn AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN } } ss. authenticated this day of COUNTY OF St. Croix } Personally came before me this �_ day of f Y1LU L 1- , 2005 the above named Jeremy M. Shilts and Katherine J. TITLE: MEMBER STATE BAR OF WISCONSIN Shilts (If not, to me authorized by §706.06, Wis. Slats.) known to be the persons who executed the foregoing instrument and acknowledge the THIS INSTRUMENT WAS DRAFTED BY sa e. '..'I .............. �.0 ppt:cN LOBE_RG LAW OFFICE •• " xr.• Robert L. Lober�7 'v Linda .Green - :� Ql� •.•'• 't =_ (Signatures may be authenticated or Notary Public St. Croix Count y. �P V acknowledged. Both are not necessary) Ig/ Commission is permanent. (If r9ot i y : •v e expiration date: 2 -15 -2009 Parcel #: 038 - 1038 -10 -000 04/11/2005 12:05 PM PAGE 1 OF 1 Alt. Parcel #: 9.31.18.160 038 - TOWN OF STAR PRAIRIE Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 3 Tax Address: Owner(s): * = Current Owner * MEEDS, REATIRED NUMBER REATIRED NUMBER MEEDS Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 9 T31 N R1 8W NE NE Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09- 31N -18W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 06/23/2003 726988 17/4547 CSM 07/23/1997 1034/618 WD 07/23/1997 1002/386 WD 07/23/1997 1000/117 LC more 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/22/2004 Description Class Acres Land Improve Total State Reason Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 59,900 111,000 170,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 038 - 1038 -10 -100 04/11/2005 12:08 PM PAGE 1 OF 1 Alt. Parcel #: 9.31.18.160A -10 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner SHILTS, JEREMY M & KATHERINE J JEREMY M & KATHERINE J SHILTS 1240 N 4TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2276 CTY RD CC SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.262 Plat: 1728 -CSM 17 -4547 038/03 SEC 9 T31 N RI 8W PT NE NE CSM 17 -4547 LOT Block/Condo Bldg: LOT 01 1 (2.262AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09- 31N -18W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 11/25/2003 747443 2462/114 WD 06/23/2003 726988 17/4547 CSM 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 29787 31,900 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.262 33,300 0 33,300 NO Totals for 2004: General Property 2.262 33,300 0 33,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 038 - 1038 -10 -200 04/11/2005 12:08 PM PAGE 1 OF 1 Alt. Parcel #: 9.31.18.160A -20 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * ORF, DANIEL T DANIEL T ORF 780 132ND AVE HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2274 CTY RD CC SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.269 Plat: 1728 -CSM 17 -4547 038/03 SEC 9 T31 N R1 8W PT NE NE CSM 17 -4547 LOT Block/Condo Bldg: LOT 02 2 (2.269AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09-31N-18W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 04/28/2004 760912 2559/164 WD 06/23/2003 726988 17/4547 CSM 2004 SUMMARY Bill M Fair Market Value: Assessed with: 29788 31,900 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.269 33,300 0 33,300 NO Totals for 2004: General Property 2.269 33,300 0 33,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00