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HomeMy WebLinkAbout038-1041-40-075 n CO) o'■ "0 n c \M7! M , 2 \ Q! « � -0 z _ 2 \�q @ E 7 E ° a § ° § e % w ) ' 7 § } ƒ \ k R \ 2 / / § § \ j 0 t / 3 � E E U ° \ g § E in 0 CYI ® / I o V ° E _ a 2 $ƒ i§/ o % 3 o 2 Z ® z � � J 0 ~ n r ■ E 8 cL z ; CA o ` ~ ~ CD 2 k M M M E �, \ / 0 6 o ƒ " 2 2 % %§ o ;< N) z � \ / 4 § a) ■ CA E. % > cr 0) § w _ I c ^ N) ® k � \ 0 � ƒ g § § or- CD m . � m � z CD -4 _ CA f ; � ■� + z 9 ■ M 2 k § z ;o § e j z » � C.) R/± � } /$[ CL : � Eam f/ � & � � \ ƒ ( ƒ � \ � E � 2 \ / � 0 ! 2 o < $ c, o a CD a k o % 1 o % Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm ; unty Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. ap t}s include, but not limited to: vertical and horizontal reference point (BM), ' e ti and °Er ; I I r dimensio w and I ti n t ne a tf — 1. perce s ope, s o north arrow, lo an dis s - b y l lJ y , CE1V Revi6 ed by Please print all information. Date Personal information you provide may be used for secondary purposes (Pri v S. 1 1) Property Owner �P PrOftbft 4Zie 414 -A yy� S c •Govt. Lo 4 S () T 3) N R /g E (or ow Property Owner's Mailing Address # # Subd_ me or CSM# ova �,,►� RoQa _,_._., City State Zip Code Phone Number ' Y( ge 5kTown Nearest Road w I I s4ot'7 ( -) IS ) a4$ 3011 s +Ctr pra; A Q00. New Construction Use: (5 Residential / Number of bedrooms 3 Code derived design flow rate L4 5 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Q la-C i C,. 1 Hood Plain elevation if applicable ft. General comments and recommendations: 7t ���y�,. (.C., (P �(, - 7s ly�,g�,r•.. �-�, 1, �0 Boring # ❑ Boring pit Ground surface elev. O 0 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -)a /a - - W, - -__. SL a Fc i K 8s1 cS a I- ,S .9 d )o - ►oo sly w_._._ _ _ SL aFs CW ) F .9 y ilk ` i F�F ? I'll 161 S L. C --- ._7 I - a 19 SL i F 74 Boring # rJ ^g 3 � pit pit Ground surface elev. !� b / O ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I Icy I ya <L P&P s as a): ,5 .q SL dsl cvJ i F' .5 3 � � - � - 4� a � C � � y 41 1� wiy C /y �j - e � --�- C s�`' amsa A C� U F , 5 +9 wa 50 �. J (� "I 4 F)r /, 5 T !a JCL aV SA K CW y +6 so is IONR q1q F)F - ),5 V F, SiGL RmS8K ds -- — .b — F — I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L .CST Name (Please Print Signature CST Number Address Date Evaluation Conducted Telephone Number a� o)06 `' !&+ S +Ar P,o;f�c W s�+ oab q_31 IS- ay$-358g SBD -8330 (R07 /00) Property Owner 1 l7 bSoh Parcel ID # Page R of M Boring # ❑ Boring R§ pit Ground surface elev. - 7 Y ft. Depth to limiting factor 3 S. 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 I 0-7 )640/ SL a R A ds as d t= .5 .9 a - 7,15 1R qJ4 SL aFSB ds L4 IF .5 •`� 3 3 -31 7,5`IR 4N HeSL RMSSK d e.%43 IvF .5 .9 y 7- 45,,54RIM FJP7,5` R 0% Ls o -Ss 7 i, 5 45 -15 SW 414 FIB' 7, 5 yR bl9 SL /FSQ 3sk-� -- • y . b ►o° 0 9�a�el I F Boring # [] Boring JK Pit Ground surface elev. b (. , 8 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 I 0-1y l6,,1 3 /aa SL a F- l P, d5 As a F , s yyt SL arseK as CW I F ,5 3 as - 3a. Is W ly SC I FS6K CW NF , a : ; 1 1151 3a -7S Sqg 41q Fl h I S JR 6 1V SL 1 P.S&K 8S ----- y F-1 Boring # ❑ Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L I 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.07 /00) Pa e Su--) `�y� N E ply" Ste,, �Ca, T31 yo al W C : 17, 450 • �_ v _ o b wl 1066 k � \ \9 h 2„ G.St cAd i - / 50 �..� �]. 60.Lk.k o c- P;-+ 63 / /,. i ♦ - Located in the NW 1 /4 of the NE 1 /4 and the SW 1 /4 of the NE1 14 of Section 10, T31N, R18W, Town of Star Prairie, St. Croix County, Wisconsin. C EP T I F" I ED SUP vE Y MAP Owned by: Steven & Rachel Constant 1160 Old Mill Road N1 /4 Corner New Richmond, Wi. 54017 Section 10 -31 -18 M Aluminium cap found, M.a c n ' w N UFVPL.4T7E0 LAIVOS S 89'50'05: "E 450.02' Legend $ Section corner monument j� e ^ • 1 "X24" Iran pipe weighing im - m d) 1 .68 pounds per' lin. foot P; set. m IL. 5 7 2 m z Bearings referenced to the North -South 1 section 39 217, 789 Sq. ft. W ` I line, ssurned to bear �rl (5.00 acres) P7 N00021-1 Note: 66' Wide easement for W' N o N ingress and egress for this �I m lot is recorded in Vol. �� O e O'�` -- p age - Z I Z N i x 1 N 89 50 ' 08 W 450.02' O z v O O -xvZh. fill �e mart} o8ob -9� • s �L. 3114 Corner Section 10 -31 -18 Aluxniniurn cap found. , GQNS�� HARVEY G. �Y SCALE" 1N FEE7 �"- lso' JOHNSON 8' -7899 rco a 130 300 H UD N Sheet 1 of 2 This instrument drafted by: � 'I SUR`J 401 -2716 T00(� KOSKKor 'H T9TT 99£ QUO ££:DT Z0 /9T /T0 683843 VOL 16 PAGE 4333 '! H. WALSH KATHLEEN OF DEEM ST. CROIX GO. RECEIVED FOR RECORD SIRVEYOn H w� 07 -10 -2002 10:45 A CERTIFIED SURVEY MAP Located in the NW 1/4 of the NE 1 /4 and the SW 1/4 of the REC FEE: 13.00 NE1 /4 of Section 10, T31N, R 18W , Town of Star Prairie, COPY FEE: 3.00 PAGES: 2 St. Croix County, Wisconsin. I C EP T I E I ED SUP V E Y MAP Owned by: Steven & Rachel Constant 1160 Old Mill Road N1 /4 Corner New Richmond, Wi. 54017 Section 10-31-18 M Aluminium cap found. of • 0 N W M N UNPLATTED LANDS $ ---- - - - - -- - - - - -- Legend S 89'50'05: "E 450.02' Y Section corner monument n • 1 "X24" Iron pipe weighing m - I CY) 1.68 pounds per lin. foot set. Z : m IL ®7T 2 CD z Bearings referenced to the Q in Q' North -South 1/4 section _! I 3 217, S ft., m W ' I line, assumed to bear (h (5.00 acres) a In N00 ° 21'33 "W . m m W, - - Note: 66' Wide easement for C), ingres and egress for this ` of is r corded in Vol.1165 1 O O "� i - - - Pa _• 6C.4 6 7 9594 Z Z ;,� �1 73 SETBACK..• \ FROM POND/` ° N 89' 50' 05 "W 450.02' I tu UNPLATTED LANDS w � I APPROVED ST. CROIX COUNTY M � Planning Zonina and Parks Committee z o J UL 0 8 2002 0 Z S1/4 Corner approval date approval shall be approval date apP Section 10 -31 -18 null end void Aluminium cap found. # •• HARVEY G. up SCALE IN FEET I 150' = JOHNSON S -1899 3t I00 0 150 300 HUDSON Sheet 1 of 2 �.• This instrument drafted by: yE Np SUR `� �� 401 -2716 Vol. 16 Page 4333 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420386 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: Gibson, James St. Joseph Township 038 -1041 -40 -075 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION IV U ELEVATION DATA I W a � �. I 1 of / 8b o TYPE MANUFACTURER CAPACITY S PyT� S I FS ELEV. S eptic /Ooo e h 0 / 1 1, 2 D Z �� • o l Dosing Aeration �� �. Bldg. Sewer Holding SVHt Inlet Z TANK SETBACK INFORMATION St/Ht outlet TANK TO ` P /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet J f� Septic , / I f�.J I/ � n 1 Dt Bottom Dosing (l / -- Header /Man. w �6� � s•s /6a.b Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION f L /Q�•�' S Manufacturer i7 Demand Cover Y� (/ GPM Z- Model Number / _�, Q <* ' , TDH Lift Friction Loss System Head TDH t G 2 S 3.3 / 1, ZS� Forcemain Len ( D 1 Dist. to Well wT SOIL ABSORPTION SYSTEM � BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I �5 —1 t ' Q, �. SETBACK SYSTEM TO P/L S BLDG WELL LAKE/ TREAM EAC NG Manufacturer: INFORMATION Type Of System: / n CH ER OR ,✓,Vd I I > ' /'Y� J I IT Model Number: DISTRIBUTION SYSTEM K Lj Q a/ 87 Header /Manifold Distribution x Hole Size /- x Hole Spacing re�_- o Air Intak 4 1 2 Pipe(s) L(1 77 ti i / �i /I I� 24 1"J�aj Length Dia LDia !i Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only to /d / on` Ands Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / 113 wrench Edges Topsoil ;, Yes [� No [] Yes Vii, No COMMENTS: (Include c de discrepencies, persons present, etc.) Inspection #1:�/ I�O Inspection #2: 1 0 O � ^��' Location: 1158 Old Mill Road New Richmond, WI 54017 (SW 1/4 NE 1/410 T31 N R18W) NA Lot 2 Q Parcel No: 10.31.18.179a71�`a 1.) Alt BM Description = f.�'0,1,f �Iv se r T (J / vtac4p_' � k Q- — 7i i So d OW11. C 7° 2.) Bldg sewer length w) , I - amount of cover = 3.) Contour = 1 00 , 00 -1) T Use other for u additional in Yes o �� �� I M� (/ information. r Date Insepctor's ure Cert. No. SBD -6710 (R.3/97) 1 s 201 Safety and DMIdings Washington Ave., P Box 7162 MI <— 1�c 7162 ire Madison, WI 53707 S Address Sanitary Permit Application Sankuy Pffmk Number In accord with Comm 8321, Wins. Adm. Code, persoml informs6on you Provide ❑ Cher Z R 0.2, 0 �0 nay be used for Lw s15. m 1 I. Application Information — Please Print All Infer S Plan I.D. Numbew uses / Property owner's Name Parcel Nmnber 00 �7g Lo' G tf SE; T N, R E City, State Zip Code Number Number Block Number Subdivision Name CSM Number l\l 7 v - "e Q 133 Type of Building (cheek all that apply) a S fV- Ocitr or 2 F=i1y Dweltiag - Number of Bedrooms 0 Putlic/Commem' sarte owed 7 n —to Lt. ` I o r C 2 " Nearest Road, III. Type of (heck only me boar on Rue numbering sebem for internal use). Cotplete Foe B V applicable) N A ' 2 0 Replacement System 3 0 Replacement of 60 Addition to For County use Tank stem B. ❑ Check Samarry Permit Previously Issued I Permit Number Date leaned 1V. of Permit✓ (Check sII that apply scheme is for internal use) A-- Ico - er 4 on Pressurized 1n- Ground 47 0 Sand Fstoer so 0 Constructed wetbwd 22 0 Pressurized In Ground 410 Bolding Tank 48 0 Sin& Pass 510 Drip Imo 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 ❑ Rechculaft 30 0 Other V. Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soff Application Percolation Rate System Elevation Finai Grade Required Pr Rate(Gals./Days/Sq.Ft.) (Min./Ioch) Elevation J l 40 �Oo.7 VL Tank Info Capacity in Total Number Mamdacwrer Prefab Site SteelFiber Plastic Gallons Gallons of Tamps Concrete Conshvicted Glass New liiaadaz Teats Tadta Sq)dc or Halft Teak _ 0 VII. ResponsUdlity Statement I, the repo y for imstaiwo of tM POWTS slwwa an the attached eR& Phm dD LsNam (Print) Plumber's sj#odre WIMPRS Number laud 3s Phone Number Plumber's Address ( Street. City. Sarre. ZW � 0 ) VIM. corm use only II Approved 0 Disapproved Sanitar Permit Fee (includes Groundwater Date Issued Agent fgaamne (No Stamps) Fee) Sumbargc ❑ owner Given Initial Adverse ? �.--- . I �¢ Determinetion J '60�— UL Conditions of Approval/Reasons for Disapp VP . P,KN tln." °� I ► C l (TIN�¢� . f 060 p Q� complete plods ac dw Caoeq nay) tar the sys0en m paper ad lea than tun x u t cba to arse SBD -6398 (R. 05101) r - OT PLAN James Gibson ADWKS 1160 Old Mill Rd. New Richmond Wi 54017 'j- 1/4 NE 1/4S 10 /T 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8 /8/02 BEDROOM 3 CONVENTIONAL A -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of 1" pipe..,/ ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL «H. R. P. SW corner of property SYSTEM ELEVATION 102.5' To Old Mill Rd 483' Property Line Scale = 1 /4 11 = 10' Tank is to be properly bedded and provided with lockdown covers with 4�6 approved warning labels Area 15' below system is to remain undisturbed 0 m Well is to meet all setbacks found in Comm. 83 12% It. B.M. B _ 2 Slope B-1 r CD 100 Huffcutt Combo Tank B-3 10 2' Grading is to be done To have >42" of cover to divert run -off —� away from system Pro 3 Bedro House H.R.P 483' Property Line Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TD #: (608) 264 -8777 erc \ *Isconsin www w ww.commerce.statem i ms / Sb ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary August 30, 2002 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/30/2004 Identification Numbers Transaction ID No. 778421 SITE: Site ID No. 649453 James Gibson Please refer to both identification numbers, Old Mill Rd above, in all correspondence with the agency. Town of Star Prairie, 54017 St Croix County SWIA, NE1 /4, S10, T31N, R18W FOR: Description: Mound 450 Gpd. Object Type: POWT System Regulated Object ID No.: 867219 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: Correspondence Notes: • This plan action is subject to designer notes / comments on the plan. • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" Version 2.0 SBD- 10691 -P ( N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD - 10706 -P (N.01101). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions" „ should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this CO review shall relieve the designer of the responsibility for designing a safe building, structure, or component. �°!� SHAUN R BIRD Page 2 8/30/02 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerel Fee Required $ 175.00 /} Fee Received $ 175.00 Balance Due $ 0.00 Thomas E Devereaux Plumbing / POWTS Reviewer II, Integrated Services WiSMART code: 7633 (715)634-3026, 7:45 am - 4:45 pm Mon. - Fri. tdevereaux@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 I IL s Cover Page g Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 8/8/02 Owner: James Gibson Location: Lot 2 Old Mill Rd. System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -9. Maintance and Contigency plan t ionally 10 -12 Soil test �� CDM RCE ^,ENj AN 1}1LDINGS ;S Signature T ENGE CORR eSPONO License num r 226900 - 77 9' 9-1 8/08/02 OT PLAN PROJECT James Gibson AD s 1160 Old Mill Rd. New Richmond Wi 54017 SW 1/4 NE 1/4S 10 /18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8 /8/02 BEDROOM 3 CONVENTIONAL CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter Zabef A -100 ❑ BOREHOLE O WELL *H.R.P. SW corner of property SYSTEM ELEVATION 102.5' To Old Mill Rd 483' Property Line Scale = 1/4' = 10' Tank is to be properly bedded and provided with lockdown covers with 4�, approved warning labels Area 15' below system is to remain undisturbed 0 - a CD Well is to meet all setbacks found in Comm. 83 B-2 12 % B M. It. B.M. Slope B 1 r CD 9 ' 100 Huffcutt Combo Tank B -3 102' To have >42" of cover Grading is to be done to divert run -off away from system Pro 3 Bedroom House 483' Property Line H.R.P. Date �' ' ez.. Non -Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric (Distribution Pipe eMI C -33 Sond� � " Topsoil Slope �. bed Of fg 2 Force Main �Fiowed Drain Rock From Pump Layer ID l Cress Section Of A Mound'System Using E . i A Bed For The Absorption Area F ' G .�._ A Ft. ti 1� 6 '7 Ft. I �� i Ft. J 6, 3 Ft. • K. Ft.. i L 40• Z Ft. . W Ft. L_ J 40bservation Pipe —,-\ o A a T,F rce W �n- - - - - -- -------- - - - - -- --------------- - - - - -- Moin c I ° -- -- .._ - - -- From Pump t p Distribution Bed Of %i 2 !Z Pipe Drain Rock I `« LL 4 Observation Pipe Permanent Marker Pipe or Rods Plan View Of Mound Using A Bed For The Absorption Area ` PAGE OF Perforated pipe Oetait �0 End View ) Pvtorolva :! PVC P.pe y`d�o Haws t.ecared On 90110rn, �./ Are Equaar Speced fa A"A,Pe S i7 PVC Force Maw �l FettST trots rltxxT :o cannsc4liwt PVC Umtata Pipe LG 0 /al thsaiaut�on Pipe cc Distribution Pipe Layout P& Ft. R R. X49-Z Inches Y Inches Signed: Hole Diameter Inch License Number: -�. 69 ,6G Lateral ,�: Inch Manifold n 7Z,_ Inches, Date: tTz... Force Main " _ Inches # of holes /pipe,.. S Invert Clevdtion of Lateral s OFt. • Nape Ut "' SEPTIC TANK E PUMP CliAMBER CROSS SECTION AND SPECIFICATIONS ++" Cl VENT PIPE 12" MIN. ABOVE GRADE t: WEATHERPROOF Z251 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W / PAD LOCK S FINISHED GRADE WARNING LABEL I,►"M►'.N. 4" MIN. a 18" IN. flt E Z. �1!lI�fRW[wa r. b . a I$ M {M. INLET 1 ' WATER TIGHT SEALS GA S ' TIGHT s RDYED f 1tTER _.1 _. SEAL JOINTSEWITH PIPE APPi00YED 3' ONTO PIPE 3' , ON SOLID SOIL ONTO Sa. 10 - C , SOIL PUMP OFF ELEV - 9 & T. OFF D 3" APPROVED BEDDING UNDER TANK CONCR E PAD SPECIFICATIONS SEPTIC 1 DOSE TANK MANUFACTURER: NUMBER DOSES PER DAY: TANK SIZES SEPTIC GAL. DOSE VOLUME INCLUDING � DOSE i t F LOWBACK : J GAL. ALARM MANUFACTURER : //G ' f CAPACITIES: A =p 3' INCHES = GAL. MODEL IRlMBER : A- SWITCH TYPE: L B = ,� INCHES = GAL. C = b - j INCH =GAL. PUHP MANUFACTURER: 'Y' - --- MODEL NUMBER: D = INCHES = GAL. SWITCH TYPE: `rF g , REQUIRED DISCHARGE RATE GPM PUMP E ALARM WIRING AS PER I � PET WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.��7 FEET MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . • . w + cl FEET FORCEMA.IN X - 3 FT /100 FT. FRICTION FACTOR . 77 — FEET TOTAL DYNAMIC HEAD s = Z, d- ,,,_,FEET INTERNAL DIMENSIONS OF PlJ P TANK: LENGTH e -� IDTH DIAMETER LIQ SIGNED: LICENSE NUMBER: DATE 1/86 r - TOTAL DYNAMIC HEAD/CAPACI HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEIMATERING MODEL 152/153 W tj MODEL 152 153 ti 50 Feet Meters Gal. Liters Gal- Liters 153 5 1.5 69 261 77 291 12 40 10 3.1 61 231 70 265 152 15 4.6 53 201 61 231 w 20 6.1 44 1 167 52 197 s v 30 25 7.6 34 129 42 159 8 30 9.1 23 87 33 125 a 20 35 10.7 -- -- 22 85 0 40 12.2 -- -- 11 42 ~ 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 FL (13.4m) 10 euws 0 20 40 60 80 100 GALLONS 6 1 / 4 LIFERS 0 80 160 240 320 - 3 27/32 4 5/a FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. ® 3 27/32 • Electrical altemaors, for duplex systems, are available and supplied with an alarm. • Vad&e level control switches are available for conlrolling single phase systems- • Double piggyback variable level float smiches are available for variable level long and short cycle controls. r • Sealed (lac -Book available for oukka installabonS. See FM1420. • over 130°F. (WC.) special quotation regnxred. r 10153 Series' 12 1/8 g oloct no" veb-ph Fmik S t /B N152 115 1 Non 8.5 1 2ar3 &1152 115 f AUb 6.5 1+a d� 2or3 E152 230 1 Non 4.3 1 2ar3 eE152 230 1 Auto 4.3 Induded 2or3 N153 115 1 10.5 j:t 2or3 SELEMON GUIDE BN 153 115 1 Auld 10.5 2or3 Et53 290 1 Non 5.3 2 or 3 1. �gb piggyb d vaOWB level"W&h ordotble piggyback v8(bW level ®at BE153 230 1 Auto 5.3 2or3 9dNWL Refer ID FW477. n 1 see FMO712 for coned model of Eiectrkad AN 0w& E -Pak AN k$tW oo of coavob. FIDIANW1100 C devices end witing should be d ons by a quall1l0d 3. Variable Level conbd swtidl 104225 used as a oortfiol advvabr, sim* duplex (3) soused elechiclo. AN dedgical and sd* codes shodd be bdvwed Inclodift *0 MCA or (4) bat system RESERVE POWERED DESIGN For unusual conditions a reserve safety factDr is engineered into the design of every Zoeller PUMP. U41L To. go. BOX 16347 (ouisrie KY 4025 Mamlackmsd.. �p r `0 m e ( ! KY �1 -1 !!T) f�INA� yAam �i�il�7 „, com PL//L1P ,CO_ FwxtSO� n 4 3624 ® Copyright 2000 Zoeller Co. All rights reserved- Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump without float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715 - 246 -4516 Pumper: Tom Mondor 715 - 246 -5148 St. Croix County Zoning 715 - 386 -4680 Shaun Bird #226900 8/8/02 r ' - POWTS OWNER'S MANUAL & MANAGEMENT PLAN page of FILE ptFOt:MATION SYSTEM SPECIFICATIONS Owner Q Ott S I.PUMO Capac ► 4a DNA Nlanufaitiurer DN A ETF r mamda ctiurer D NA �GN PARAM r Number of Bedrooms of Comme Units NA Capaccty D NA Number D NA x1. � DNA Sofl tiOn.Rate pump Model /- S` D NA Unit { ent/>.ffluent Qua6hr 0 sa�rew � 13 Peat FKer Ofl & Grease (FOG) Fais D Medtat� Weiland Bbd" *w w Oxygen Demand (BOD s= mg1L D Oisirdection D other TOW Stud Sods (TSS) 5150 nxA Man uEacluref pn�reated Efltuent Quarky i -t�` M°nihty average' a InVo mss) - D In (pressurized) Biochemical Oxygen Demand (BODs) 530 ' D n -g nd Toth Suspended Solids (rSS) 530 mgrl D A t-grade (9ravKy) Fecal Colform (geometric mean) 510' cfu/100m1 D Otter diameter ues X inch d ter val gprcW for domestic (rwwc nrnwdao wastewater end Maximum Effluent ParWe Size sepuchmk offAw . !� values WOCd for pebeated waste rAff MAINTENANCE SCHEDULE Service Frequency Service Event Inspect condition of tank(s) At least once every D non r(s) (Maximum 3 yrs.) Pump out contents of lank(s) When combined sludge and scum equals o�kd (K) of tank volume At Least once every O months r(s) (Maximum 3 yfs.) !msPe t d' cell(s) s At least once every D mom . ) Clean effluent mer D s) DNA Inspect pump. pump eonbvis & alarm At least 01108 Oval Fl laterals; and P ressu re test At least once ererY 3 D morthsyear(s) D NA At least once every D months D year(s) D NA Odw. Odw.. At least one every D months ❑ year(s) DNA MAINTENANCE INSTRUCTIONS cells, shah be made by an irrdniidt cairryirtg ore of fife bow" licenses or Inspections of tanks and dispersal Plumber Restricted SewBr: POWTS Inspectix. POWiS Maurta� Septap cerh'ficad'ow. Master plumber: � include a visual inspection of the tars) to ideniity any mussing or ix S Operates Tank insPedi s volume of combined sludge and scum and to check for any back up trardwaue. identify WW cracks or leaks. mess dispersal c (s) shall be vislmUY d cl>eck the effluent levels or go ding of effluent on the ground Surface- of effluent °n the ground surface• The potdmg o f ef�nt on the in the observation pipes and rp check for any po�m9 of the local regulatory aut um*- ground Mace may indite a falling Wndltiom and requires the immediate notification ulation of sludge and scum in any tank equals one-ttxrd (X) or more of the tank volume. the When the combined acwm and disposed of in accord with ch. NR entire contents Of the tank shall be removed by a Septage S tg Opera 113. Wb=wjn Administrative Code. - co and any The g of effluent filters. mechanical or pressurized POWfS compo p' POWrS Ma other maintenance or monitor at intervals of 12 months or less shall be performed by A s report shall be P to the beat regulatory autlioih* within 10 days of completion of airy service event START UP AND OPERATION s for the presence of painting products or other For row won. prior to use of the POWTS check treatment tank( the d ems( s ) If high concentrations are chemicals that may impede the treatment process and/or damage detected have the contents of the tank(s) removed by a septage servicing operator Prior to use. Page - *( System start up shall not oaxu when soll'vonditions are frozen at the intiltrative surface. . Dig power outages Pump tanks may to above normal Iigrwater levels. When power Is restored the excess washmater will be aged b the aspersal cell(a) In one lame dose. overW t9 the cdt(s) and may rest* in the backup or surfaice discha W of "Awt To avoid this won have the contents of the primp lank removed by a Septege Servicing Operator trioritd� restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assts In may operaft the pttrnp controls b restore normal levels vill&n the pump tank. Do not drive or park velnides OW looks and dispersal ceps. Do not drive or park aver, or otherwise disturb or compact, the any within 15 feet down slope of any mound or at-grade soli absbrption area. Reduction, or elimination of the following from the wastewater stream may impwm the perfomnance sod prolong the Tile of tine POWTS: andbtotics; baby%%xis; cigareft b(ft condoms: cotton swabs; d dental drsirfec ients; fat tarir� drain ( pump) . fad and vegetable pew gasoite; tom: herbbices; d meat slim mefta &ins; of paring p pis; sanitar "and w86e1' softener brine. ABANDONMENT When the POWTS fags and/or is permmently .taken out of service the following steps shall fora taken th Insure that the system is properly aktd safely/ abandoned M compliance with ch. Comm 83.33, Wisconsin Admktt *adv a Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe opwdW seated. • The contents of all tanks and pits shy be removed and properly disposed of by a Septage Servicing Operator. • Wi or and removed or they' covers removed and the void space anodw Inert wild nv*xbL filled CONTINGENCY PLAN If the POWTS fads and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 0 A stRUWe replacement ar ea has been evaluated and may be utilized for the location of a replamiment soli a�rptim system. The replacement am should be protected from disturbance and compaction and should not be Infringed upon by mqukad setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new sol and site evaluation to establish a suitable replacement area. Replac emernt systems must comply with the rules in effect at that fora. O A suitable rat area is not available due to setback and/or soil limitations. Barring advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. � slte has rat been evaluated fA identify a suitable replacement area Upon fare of the POWTS a sots and site evnuaL'on must be performed trp bcate a suitable replacement area. If no replacement area is avatiable a roidug tank may be as a last resort to replace the failed POWTS. Mound and at-grade sad sorption systems may be reconstructed in place following removal of the biomat at the MMrative striate. Reconstructions of such systems must c om* with the rites in Wed at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL CGASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSE. ADDITIONAL COMMENTS POWTS INST POWTS MAINTAINER Name Name Plane /f --1 -- J Phone ` SEPTAGE SERVICING OPERATOR PUMP LOCAL REGULATORY AUTHORITY Flame Agcy 7l ' Phone F p This dommeM VMS drafted by, the d Its Qrsm take. Ma�quelte and w aushara CoudY 20 t and Swaa w agendas. TMs dooumec►t metes e mu re n* m � d dL Gomm 83.22MXtXd)&) and SWSgl). (2) & (3 vuaaonsin Mninitindn Code. Use of tnds downwIt doss not guarantee the performance of the POWTS. GMW (210t) Wisconsin Department of Corwieroe SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code qty Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must i X include, but not limited to: vertical and horizontal reference point (BM), direction and PamW I.D. percent slope, scale or dimensions. north arrow, and location and distance to nearest road. Please print all infonnadion. by Date Personal kdo motion you Provide may be used for secondary purposes (Privacy Law. s. 15.01(1) (m)). . (� Z Property Owner ! Property Location J 6 , /; --J?Q G/ / Govt Lot J 4J 1/4/vE 1/4 S� T _31 N R// E (oia Property Owner's Mailing Address Lot # I Block # Subd- Name or CSM# i .2 city State tip Code Phone Number ❑ City ❑ Village own Nea reqRW (21r KS —3 Construction Us8 Residential / Number of bedrooms Code derived design flow rate 15� GPD ❑ Replacement / ❑ Pubic or corlynercial - Describe: - - -- _ -- Parent material �Z:,G �61� Flood Main elevation if applicable ft Gerwal commients L ._ /� v and : Sysr� .S' A"JUG 1 2 2002 sT. cF;o,x WUN r M Bodrig # O Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicatiori Rye iHotixort Depth Donlinartt Color Redox Descrfptiort TeAk" Struckwe Consistence Boundary Roots GPD/ff: in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. •011#1 'Eff#2 I Z. A V Y , 3/1- _____ fir- 0 &. ' . S • / ® Boring # Boring 9� Pit Ground surface elev! y' '-- ft. Depth to limiting factor in. Soi Application Rate horizon Depth Dominant Color Redox Description Texture Struct Consistence Boundary Roots GPD/fft in. Munsei Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Eff#2 t © 3 /z L .S . Z o- o 0 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 11 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L CST Name (Plem ..�� Print) CST Number Address le Evaluation Conducted Telephone Number � � J Property Owner Parcel ID # Page of M Bo � # ❑ BoriN O Pit Ground surface elev. a ft. Depth to linrting factor in. Sol Rate Horizon Depth Dominant Color Redox Description Texture Skucdxe Consistence Boundary Roots GPDNF in. Munsed Qu. Sz. Cont. Color Gr. Sz Sh. •Eff#1 'Eff#2 �- S— 1<$1 s r � o eorkV# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod Appl ication Rate Horizon Depth Dominant Color Redox Description Texture SMxxure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2 ❑ Boring # ° Boring Ground surface elev. ft. Depth to Iwniting factor �. Cl Pit Sal ation Rate Horizon Depth Dominant Redox Description- Texture Structure Consistence Boundary Roots � GtM ff in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. - 'Eff#1 'Etf#2 Effluent #1 = BOD > 30 1220 mg1L and TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 mg& 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- 2648777. seanw(L&W) Soil Test Plot P1a Project Name James Gibson Sh ird Address 1160 Old Mill Rd. New Richmond Wi 54017 TM #226900 Lot 2 Subdivision -- ----- Dat 8/8/02 S W 1/4 NE 1/4S 10 T 31 N /13 W Township Star Prairie n Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1" Pipe System Elevation 102.5 *HRPSW corner of property Alt. BM Top of 1" Pipe @ 100.4' To Old Mill Rd 483' Property Line Sc ale Sc ' 0 Cn 0 0 0 12% B.M. Alt. B.M. B -2 Slope B -1� m 98 100 B -3 102' Pro 3 Bedroom House 483' Property Line H.R.P. ST CROIX COUN'T'Y SEPTIC TANK MAINTBNANCB AGREBMBNT Y AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address ' ` Property Address ) l Q ©U M I' l l o a ✓ (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location Llt'l V4, r /4, Sec. A 1 4 TV N -R W, Town Subdivision . Lot # f Certified Survey Map # '� �-3� , Volume Page # Warranty Deed # , Volume Page # 3 q6 ©�� Spec house ❑ yo'� Lot lines identifiab ❑ 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, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of N atural Resources State of Wisconsin. Certification Office within 30 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three ear expiration date. > SI ATURE OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p perry descr d above, by virtue of warranty deed recorded in Register of Deeds Office. SI , ATURE AP C OF DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being re by the Zoning Department. * « « « «« 101 .... ** 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 U 19 6 9 P 0 9 8 ' STATE BAR OF WISCONSIN FORM 2 - 1998 689397 XATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX Co.. MI This Deed, made between Steven D. Constant and Rachel R. RECEIVED FOR RECORD Constant, husband and wife, 09 - 06 -2002 8 :15 AN WARRANTY DEED EXEMPT # Grantor, and James G. Gibson, a single person, REC FEE: 11.00 TRANS FEE: 22.50 COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recording Area Name and Return Address J —I 9_1 A. ReftiftStS111— Part of the Northwest Quarter of the Northeast Quarter (NW 1/4 of NE1 /4) and ES the Southwest Quarter of the Northeast Quarter (SW 1/4 of NE 1/4) of Section p Ten (10), Tp�p Thirty-one (3 1) North, Range Eighteen (18) West described as follow2, bt f Certified Survey Map recorded on July 10, 2002, in Vo 16 at P age 433 as Document No. 683843. Parts of 038 - 1041 -40 & 038 - 1041 -30 Parcel Identification Number (PM) This is not homestead property. (is) (is not) RETURN TO KEY TITLE, INC. 1477 S. KNOWLES AVE. M 101 NEW RICHMOI Nfl 017 FILE # 01A - / /D LU Exceptions to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this ad day of ' 2002 « s STEVEN D. CONSTANT * s RACHEL R. CONSTANT AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. Signature(s) ST. CR OIX County. ) Pers nally came before me this JOA day of authenticated this day of ' 2002 the above named StevqS D. Constant and Rachel R. Constant TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the.foregoing (1f not, instrument apd acknowledge the seAne. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Judith A. Remington, Remington Law Offices ' wkU _2) A c5_ 1 , o - P.O. Box 177, New Richmond, WI 54017 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commis sio is p anon not, state expiration ate: necessary.) ;- _.) *Names of persons signing in any capacity should be typed or printed below their signatures p� Of WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 199E INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 500 -655 -2021 683643 VOL 16 PAGE 4333 REGISTER OF DEEDS ST. CROIX Co., MI RECEIVED FOR RECORD 07 -10 -2002 10:45 A Located in the NW 1 /4 of the NE 1 /4 and the SW 1 /4 of the RECTFEE: SURVEY MAP NE1 /4 of Section 10, T31N, R18W, Town of Star Prairie, COPY FEE: 3.00 St. Croix County, Wisconsin. PAGES: 2 CEP T I F -T ED SUP V E Y MAP Owned by: Steven & Rachel Constant 1160 Old Mill Road N1 /4 Corner New Richmond, Wi. 54017 Section 10 -31 -18 cap found. _M P I 0 N w UNPLATTED LANDS o _ _ S 89'50'05 "E 450.02' Legend 41� Section corner monument u\ • 1 "X24" Iron pipe weighing 1.68 pounds per lin. foot o set. Q IL ®7T 2 v 2 i B referenced to the b Q North -South 1/4 section 3 217, 789 Sq. ft. % W J I line, assumed to bear M (5.00 acres) a N00 ° 21'33 "W . m m o C) « WI Note: 66 � Wide easement for LLJ N � I a ingress and egress for this o CU lot is recorded in Vol.1$Q� O b O p -�� - -- P age /42 _. �� 6 7 9 59 4 zI Z CD z ` �I 73' SETBACK. FROM POND \ \ \ 2 1 1 N 89'50'05 "W 450.02' I su y UNPLATTED - LANDS a m O� D q` 3 APPROVED , _ M ST. CROIX COUNTY Planning Zarin and Parks COm0lt1e0 2 o JUL 0 8 2002 Z S1/4 Corner If not recorded within 30 days of l Shall be Section 10 -31 -18 approval null and void Aluminium cap found. c�OS� �} HARVEY G. �1 SCALE IN FEET "c 150' JOHNSON s loo o ISO 300 HUDSON Sheet 1 of 2 < d This instrument drafted by �, "U N 401 - 2716 Vol. 16 Page 4333 i -