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HomeMy WebLinkAbout038-1205-50-000 �� .s WisconsK upiihrl l nt of Commerce -C if St. Croix County: PRIVATE SEWAGE SYSTEM Safety a�ad�8wlding Di', INSPECTION REPORT Sanitary Permit No: 395158 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: Spain, Henry Star Prairie Township 038 - 1205 - 50-000 CST BM Elev: Insp. BM Elev: BM Description: ( I cp. to .f Pic. CCr I d TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV, Septic Benchmark 3. bz o3-44 1 60- 0 1 Dosing Alt. BM 3d q -3z' Aeration Bldg. Sewer q 1 7 , Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � ZS � ' � � 2 � � Dt Bottom Dosing Header /Man. Aeration Dist. Pipe 14- 2— Holding Bot. System . I t * PUMP /SIPHON INFORMATION Final Grade 4 5O ow * Manufacturer = Demand St Cover e* Model Number PM Y TDH Lift Fri oss System Head I T50 Ft Forcemain Length Dia. SOIL ABSORPTION - S ' YSTEM BAD RENCH Width t Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSI � •� C2, SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manuf; er:, ti n INFORMATION CHAMBER OR Type Of System: UNIT Mod IN mbqr: DISTRIBUTION SYSTEM Header /Manifold t Distribut' n x Hole Size x Hole Spacing Vent to Air Intake I' Pipe(s) o r Length ' Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [g] No n Yes i# No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / 4 Inspection #2: Location: 2165 128th Street Star Prairie, WI 54026 (SE 1/4 NE 114 14 T31N R18M Prairie View Est Parcel No: 14.31.18.1100 1.) Alt BM Description = �j i �` s 2.) Bldg sewer length = 3 S a -amount of cover= w ill 1 41 — 4z -3 -k Plan revision Required? ❑ Yes ON No / 3" Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County // o /, Washington I 201 W. Washi Ave., P.O. Box 7162 ( i *isc6n�in Madison, WI 53707 - 7162 Site Address < Department of Commerce ��� S Sanitary Permit Application sanitary Peanut Number 2 In accord with Comm m 83.21, Wis. Adm. Code, personal information you provide Check if Revision may be used for secondary purposes Privacy Law, sl5. 1 m I. Application Information - Please Print All Information State Plan I.D. Number n 1+ Property Owner's Name Parcel Number (iehr VL f4 j='el 0t (Y /05-2, 0 rsb0 Property is Mailing Address Property Location 5✓ d 2 l {/ 1 �p ?� .s�- N C� L"C` S� � L -' !4; S� T 3 N, R I a E City, State Zip Code Phone Number Lot Number Block Number g Subdivision Name CSM Number Gt4��V— Gr M , �o S J I y.35� ?233 1'�2 e, V, 'c � , �=s� H. Type of Building (check all that apply) ❑City ❑ I or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Commercial - Describe Use t0ownship 4, / ❑ State Owned Nearest Road C,t, 9 (�, M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. i New 2 ❑ Replacement System 3 ❑ Replacement of 1 6 ❑ Addition to For County use system I Tank Onl Existing S stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number T 5ate Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 EP9, - Pressurized In -Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized ln- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Lane 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' ersaWMM tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days /Sq.Ft.) (Min./Inch) to Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 7 6 U G! 5 t Dosing Chamber VII. Responsibility Statement- I, the undeqigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s Signature b6PWRS Number Business Phone Number �a � �2 3 H ? �� ? i s L k4-1- s "r Plumber's Address (Street, My, State, Zip e) VIII. County /De artment Use Onl ( Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) . 11 Owner Given Initial Adverse Determination CC�� IX. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. This revision was submitted to reflect a change in system location. A dose tank is no longer needed. 3. System shall be installed 55 -62 inches below uniform contour line to ensure proper location within soil profile. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 Inches In sae SBD -6398 (R. 05101) S 1��2�w ✓i ► 3K 23y�S' i�fj a.2 e v 3 13 &A 2 2 C h A j"Af, s for c />we- �H n � ` D t7 W U V i qq, a 1 � f r✓. ILO wO�� Q�,S qt n P �t i ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT - -- ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road AIN � __ _ 1 Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 June 4, 2004 Mr. Bernie Kopp New Horizon Homes, Inc. 1475 Hwy 65 New Richmond, WI 54017 Subject site: Parcel #038 - 120540 -000, Star Prairie Township 14.31.18.1099 Lot 4, Prairie View Estates Subdivision RE: Application for new POWTS sanitary permit Dear Mr. Kopp: This letter, in compliance with Wis.§ Chapter 145.20(2)(c), provides written notification that the St. Croix County Zoning Department has disapproved the POWTS sanitary permit application submitted for review on June 1, 2004. The plot plan for the POWTS was based on a copy of the original soil report prepared by Gary Steel, which was later amended (October 11, 200 1) to show that the borings were actually on Lot 5 and that Lot 4 was to be re- tested after the house location had been determined. The tested area was in fact used for no additional testing was complete , effectively leaving Lot 4 with no designated area to install a POWTS. Until a new soil evaluation has been completed and a POWTS designed for soils within the tested area, a sanitary permit cannot be issued. Wis.§ Chapter 145.20(2)(c) also requires that you be notified of the right to appeal the disapproval according to the procedures contained in Wis.§ Chapter 68. If you have additional questions, please do not hesitate to contact me at the Zoning office. Sin erely, amela Quinn Zoning Specialist Cc: Shaun Bird, master plumber /applicant file i Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Cxoix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal r ereneepoin_t (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arr ,and location and distance to nearest road. iri Please pri all, jnforma ion. viewed Date Personal information you provide may be btf� secon q Privacy Laws s. 15.04 (1) (m)). pipT Property Owner roperty Location Ewlen Pr V vt. of SE 1/4 NE 1/4 S 14 T 31 N R 18 fb¢or) W Property Owner's Mailing Address _ Pt Block # Subd. Name or CSM# - ST ORUIX 1430 220th. Ave - -v City State Zip C e. "\ Ph"; riCE City ❑ Village LiTown Nearest Road New Richmond WI. 1 5401 ; 715) 248,73 Star Prairie I QrH "C" {y� New Construction Use: R s 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material pl,f- ch Flood Plain elevation If applicable na ft• General comments and recommendations: trenches @ el. 95.60', spaced to code 4.00' below grade a Boring # El Boring [ Pit Ground surface elev. 99.60 ft. Depth to limiting factor +90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0 -12 10 3/3 none sl igr 2 12 -4 7 F Boring # Boring ® pit Ground surface elev. 99.10 ft Depth to limiting factor +96 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 2 12 -48 7.5 4/4 none sicl 2msbk mfr qw 1f 4 6 3 48 -60 7.5 4/4 none cos os ml qw na 7 1 Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L ` Efflue = BOD S 30 5V 02298 m/L and TSS < 30 mg/L CST Name (Please Print) Signature fi Number Gar L. Steel �7{ Address a tion valua Condu r ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -5 -2000 715 - 246 -6200 Property Owner , Ltd Parcel ID # Pffldi Page 2 of 3 a Boring # ❑ Boring 20 . 97 [}� pit Ground surface elev. ft. Depth to limiting factor +96 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 I 'Eff#2 1 0 -10 10 3/3 none L 2Msbk mfr cs 2f .5 .8 2 10 -26 7.5 4/4 none scl 2msbk mfr qw if .4 .6 3 26 -44 7.5 4/4 none co 7 1 4 44 -96 7 4 ❑ Boring # ❑ Boring ❑ 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 /ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 El Boring # F] Boring ❑ 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 /ff 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 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.6100) l t STEEL'S SOIL SERVICE Gary L. Steel Ewlen properties Ltd. 1554 200th Ave. SE CSTM2298 , 4NE4 , S14 T31N -R18W New Richmond, WI 54017 MPRSW -3254 town of Star prairie (715) 246 -6200 lot Prairie View Estates �s This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM. =,top of 1" pvc pipe @ el. 100.00 Alt. BM-= top of 1" pvc pipe @ el. 97.10' AV Py it ` 7 f rte ,. t Gary L. Steel 12 -5 -2000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1_ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Cr oix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal referencepoint (BM), direction and Parcel I.D. percent slope, scale or dimensions, north alTi* and location and distance to nearest road. pen Please prir)t informs ion. Revi we tyy Date Personal information you provide may be ys&'fgt secon fy (Privacy Law, s. 15.04 (1) (m)). Q Property Owner Qroperty Location . n vt. Lot SE 1/4 NE 1 / 4 S 14 T 31 N R 18 for) W Ewlen Proizierties d i = Property Owner's Mailing Address Lot— Block # Subd. Name or CSM# iG' X 1430 220th. Ave. na City State Zip C e- Phl(r ICE City ❑ Village Town Nearest Road New Richmond, W 540 1 ", / / ,, ,715) 248 7 1`3 �, / Star Prairie "C" New Construction Use: @ Residential / Numb`eret't s&6oms _4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material pu7FWa -- y Flood Plain elevation if applicable ri? ft. General comments and recommendations: trenches @ el. 95.60', spaced to code 4.00' below grade Boring # Boring 1 [� pit Ground surface elev. 99.60 ft. Depth to limiting factor +90 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 -0-12 10 3/3 none sl 2mqr mvfr CS 2f 2 - 12-4 7 ✓ Boring # Boring +96 9.1 0 Depth to limiting factor in. ® Pit Ground surface elev. 9 ft. P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 2. 12 -48 7.5 4/4 none sicl 2msbk mfr if .4 6 3 48 7 60 17.5yr 4/4 none s Osa ml na 7 1 I 4y_ sd. q2 Y Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Efflue = BOD < 30 /L and TSS 5 30 mg/L CST Name (Please Print) Signature .CST Number Gary L. Steel -`'� 02298 Address a valuation Condu ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -5 -2000 715- 246 -6200 I Property Owner ul An D=ome t; o� Ltd, Parcel ID # Pending Page 2 of 3 �_. r ❑ Boring # Boring 97.20 ❑ [� pit Ground surface elev. ft. Depth to limiting factor +96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 .0 -10 1 Oyr 3/3 none L 2msbk mfr Cs 2f .5 .8./ 2 10 -26 7.5 4/4 none scl 2msbk mfr 1f .4 .6 3 26 -44 7.5 4/4 none Osq MI. 9Mz na .7 1-2 4 7.5 4/6 ❑ Boring # ❑ Boring — ❑ Pit Ground surface elev. ft. Depth to limiting factor in. =oil plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El E] pit Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f * 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 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 /00) r STEEL'S SOIL SERVICE Gary L. Steel Ewlen Properties, Ltd. 1554 200th Ave. CSTM2298 SE'NE' S14- T31N -R18W New Richmond, WI 54017 MPRSW -3254 town of Star.Prairie (715) 246 -6200 lot # 4 Prairie View Estates This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' BM. =,top of 1" pvc pipe @ el. 100.00' Alt. BM-= top of 1" pvc pipe @ el. 97.10' r 0 e hey° ` 3 too I Gary L. Steel 12 -5 -2000 w STEEL'S SOIL SERV Gary L. Steel Ewlen Properties, Ltd. 1554 200th Ave. s� s1 ¢ T31 N-�t1 &,t CSTM2298 New Richmond, WI 54017 MPRSW -3254 town o Star Prairie (715) 246- lot Prairie View. Estates Mix soil. evaluation van ca P satisfy a moning r pWmi ent, it way or may not be suitable for your use. The location of the test may or say not be as shown as pest lot lirssr vwe not astablidiei at the tiee tIW tagt WOO cxmductod. N 1 " =40` W.= tap of 1" pvc pipe @ el. 100. 00 Alt. EM.= top of 1" pvc pipe @ el. 97.101 �t Qc�I 'y �0 Vo a N - 1. , W 100 t Gary L. Steel 12 -5 -2000 _ / t ' Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 e !20 ' Jl� iseonsin Madison, WI 53707 - 7162 Site Address Qepartment of Commerce Sanitary Permit Applic Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal ide , ` � El Check if Revision ma be used for secondary purposes Privac Law ' 1 m y I. Appli ca on Information - Please Print All Information Q - State Plan I.D. Ni A Property Owner' ame - r 2 jParcel Nunn c 1�2 v!✓` { l C. J 4 ' -A 0 O 05 -lvG l9OCJ Property Owner's Mail Address / Property , cation / /i 1 Cf� ?? ~� s z- U r !4 L`�i4; S �� T 3 l N, R l d E City, State Zip Code � - I V Lot umber Block Number A bdivision Name CSM Number L�1 S vies .� �'S �y3 G 5 �' �35�7�3 /_r 1 14Gw II. a of Building (check all that a ly) _ ❑City 1 or 2 Family Dwelling - Number of Bedroo ❑Village ❑ Public /Commercial - Describe Use ownship t /� D t C_ El State Owned Nearest Road . et C III. Type of Permit: (Check only one box on line A ( bering scheme for iyfernal use). Complete line B if applicable) A. 1 New 2 ❑ Replacement System 3 El Replacem of 6 11 Addi n to For County use System Tank Only Exis ' stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. T- p of Permit: (Check all that apply)(numbering scheme is internal use) 44 Non - Pressurized In- Ground 20 Mound 47 U and Filter 50 ❑ Constructed Wetland 22 El El In- Ground 41 El Holding Tank /nit 48 ❑ S' le Pass 51 El Drip Line 45 El At -Grade 46 El Aerobic Treatment 9 11 Rec' 30 ❑ Other 3 , & 7S V. Dispersal/Treatment Area Information: �} ...�C�{ Design Flow (gpd) Dispersal Area Dispersal Area o' App icado Percolation Rate System Elevation Final Grade Required Pro sgd Rate(Gals. /D s /Sq.Ft.) (Min./Inch) Elevation `14, 2 z, 103, t PVa �;� VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallo of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank e � S � Dosing Chamber S VII. Responsibility Statement- I, and ed, assume responsibility for installation of the POWTS sho on the attached plans. Plumber's Name (Print) PhunbpYs Signature 14P91vIPRS Number Business Phone Number Sty ) C/ � 5 � 7/ 5�` � S 5- ) � Plumber's Address (S City, ttr, Zi ode) 5v ae tt/O61 a/v //e �v , 5 coo . C epartmSA Use Onl roved ❑ Disapproved Mary Permit Fee (includes Groundwater Date Issued Llssiting Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse Q� V I I Determination 6 l 1 ix. Conditions of Approval/Reasons for Disapproval a l� t_.( wA wf flu l�lsf��lk 4. �b e 1 1 r pme plans (to the county only) for the system on paper not less than 81/2 x 11 inches In size SBD -6398 (R. 05101) _ PA Kry wh G spar f � ►' � I I n LA • � �� ,'j� d 33 ' ��„ � � Le �J�rt n fA - l I L2 �' 21-0 C 04 PUMP CHAMSER CR055 SEC T IOIJ A 00 SPECIFJCA 101. }j VCUT CAP PIPC � WEATHERPROOF APPROVED LOCKIAIG. 25' FROM DOOR, JUAICTIONI BOX MANHOLE COVER WIMDOw OR FRESH AIR IAiTAKE I ` � GRADE CONIIlUIT INLET PROVIDE AIRTIC-HT SEAL * f A I ALARM c APPROVED i ow INTS WITH LLEV. F7. A ROVED PIPE 3' TO MP .� oFF D SOLI OIL COM " ETE BLOCK r RISER EXIT PEKMIAED OULy IF Told. ANLFACTUKCR NAS SUCH APPROVAL SEPTIC f >.3 P C . F I GA QKJS DOSE TALI yoo- -L ` TAI.IKS MAMUFACTU;LER : x �e UMBER OF DOSE$: L PER DAs It TAWK SIZE: GGv — L r+ GALLOWS D E VOLUME ALARM MAMUFACTLIKER: S d t✓ INCL DWG GACKFLOW: / 1 GALLON. MODEL IJUM6ER: CAPACI S� A = T IMCRES OIL �=. GALLOUS SWITCH TYPE: _ 1 Lit "" _?- ;NCHES OR " GALLOWS PUMP MAMUFACTUR[k: G C (/� IAVGHES OR Z" GALLOISS MODEL UUMBEK. D= INCHES OR Z SWITCH - ryP[: E t w.. d/! ✓G✓i d�'1 GALLOW S I E: PLIRP AN LARM ARE TO 8E MINIIM Oise RGE RAT I INSTALLED U 5EPARATE CI UITS VERTICAL DIFFERENCE TWEEAI PUMP OFF AMID OISTRI6UTION! PIPE.. FEET l � Z + MINIMUM MET RK SUPPLS PRESSURE .. " " FEET + U FEET rORCE MAIN X �j� FT 'f (p O � S ^ /ppfLFRMTIOLI FA..CTOR. FEET i TOTAL. OSUXMIC. HEAD = p► �� FEET � �0( Va wu-A� �eov INTERKIAL DI EIJSIONJC YCFAkJK: LEM&TH -- ;WIDTH LIQUID DEPTH LICENMS NIUMBER: DATE: zs � W 6— 20 I 3 5, < ® O i 15 + + 4 O J Q 10 4 3/16 2 s 0 1 1/2 -11 1/2 NPT U.S. GALLONS 1 10 30 40 50 60 70 80 LITERS I I 0 80 160 240 FL PER MINUTE MODEL 98 6 CYCLE Feet Gallons Meters iters 5 72 1.5 4 ' 10 61 3.1 2 }/ 15 45 4.6 170 20 25 6.1 95 L 12 6 Lack Vol— 23' 00997'1 4 3/16 SK1102 CONSULT FACTORY FOR CIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Va le level float switches are available for controlling single supplied with an alarm. and a phase systems. Mechanical alternators, for duplex systems, are available Double ' gyback variable level float switches are available with or without alarm switches. for variabl vel long cycle controls. SELECTION GUIDE Standard all models Weig 39 IIis. - ' z 1. Integral float opera pole mechanical switch, no external control required. g 2. Single piggyback van level float switch or double piggyback variable level, 98 Series Control S on float switch. Refer to F Model Volts -Ph Mode Amps Simplex Z Duplex 3. Mechanical alternator 1 or 10-0075. M98 115 1 Auto 9.4 1 or 1 & 7 Alr — 4. See FMO712, for correct mod IF Electrical Alternator. N98 115 1 Non 9.4 2 or 2 & V 3or4 &5 5. Control switch 10 -0225 used a control activator, specify duplex (3) or (4) D98 230 1 Auto 4.7 1 or 1 — float system. 6. Four (4) tole J -Pak, junction box, fortertight connection or wired -in E98 230 1 Non 4.7 2 or 6 3 or 4 & 5 simplex or duplex operation, 10-0002. 7. Two (2) hole J -Pak, for watertight connec�gh or splice. CAUTION \.",, For information on additional Zoeller products referto on Piggyback Variable Level Switches, All installation of controls, protection devices and wirings old be done by a qualified MO477; ElectricalAltemator ,FMO486;MechanicalAft tor, FMO495;SumpaewageBasins,FM0487; licensed electrician. Ali electrical and safety codes should be f wed including the most 3ingle Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. recent National Electric Cade (NEC) and the Occupational Safety d Health Act (OSHA). RESERVE POWERED DESIGN >,� For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. �. A, MAIL TO: P.O. BOX 16347 Louisvtiie, KY 402560347 Manufacturersof 0 4 SNP TO. 3649 Carne Run Road • 8._'k Louis r8e, KY 4021 1-1961 QZML17r a VW • //NCE http :Awww.zoeUer.com ) P f0 (5 02 ) 778-2731- 1(8001928-PUMP FAX (502) 774 -3624 Wisconsin Department of Commerce SOIL EVALUATION REPORT Pagel —Of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pending Please print all information. Rew ed by Date Personal information you provide may be used f9f se6n'dary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner r , Property Location Ewlen Properties Li . ' t - ` Govt. Lot SE 1/4 NE 1/4 S 14 T 31 N R 18 LC (or) W Property Owner's Mailing Address i - Lot # Block # Subd. Name or CSM# 1430 220th. Ave. _ I) MI 5 na Prairie View Estates .11 City State Zip Code Phone Nyrqt�pr ❑ City ❑ Village ® Town Nearest Road New Richmondl WI 1 54017 1 (71 5 ,y 248 -731 / Star Prairie (M "C" New Construction User Resid6otial l Number of bedroom& Code derived design flow rate 6OO GPD El Replacement ❑ Publicoroa 'Cnm�rcfa�- t)escldbk:. -' Parent material c»>twa �h 1 - ' Flood Plain elevation if applicabi ft• General comments and recommendations: trenches @ el. 101.90', spaced to code 4.00' below grade Boring Boring # Fi 0 pit Ground surface elev. 105.20 ft. Depth to limiting factor +90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -8 10 3 3 none sl mvf 2 8 -50 7.5yr4/4 none co s Osg ml 9w if .7 1.2 3 50 - 7.5 4/6 none ms osg ml na na • 7 1.2 [2 ] Boring El Boring g 0 pit Ground surface elev. 105.90 ft. Depth to limiting factor +96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0 -8 10yr3/3 none sl 2mgr mvfr gw 2f .5 .9 2 8 -28 7.5yr4/4 none scl 2msbk mfr qw if .4 .6 3 28-961 7.5yr4/6 none ms Osg ml na na •7 1.2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L Wuent #2 = B0 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature C �1 CST Number Gar L. Steel `�C n2298 Address Date Ev luation C6nduc ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -5 -2000 715- 246 -6200 1 Property Owner Men Propertie , Ltd. Parcel ID # _pending Page 2 ❑ Boring # ❑ Boring 3 6a pit Ground surface elev. 103. 2 Cl fl. Depth to limiting factor +86 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -6 10 3 2f .5 .9 2 6 -20 7.5 4 4 3 20-861 7.5yr4/6 none ms Os ❑ Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil A plication Rate Horizon Depth Dominant Color , Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 :s 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.6 100) STEEL'S SOIL SERVICE Gary L. Steel Ewlen Properties, Ltd. 1554 200th Ave. CSTM2298 SE'NE'' S14- T31N -r18w New Richmond, WI 54017 MPRSW-3254 town of Star Prairie (715) 246 -6200 lot #5- Prairie View Estates This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM.= top of mid lot usrvey stake @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ el. 103.90' 5 V� f 79 l Gary L. Steel 12 -5 -2000 07 %23101 MON 11:54 FAX 715 386 9686 ST CRX CO ZONING Z001 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 53 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems S13D- 10567-P (R.6/99). Table 1: System Design Specifications S anitary Pe rmit Number _ S Number of Bedrooms Design Fl ow - Peak (gpd) yj� 62 Estim ated Flow - Average ( pd) Septic Tanis Capacity (gal) /0 60 Soil Absorption Component Size (W) t Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation _ Septic Tank Component Soil Absorption Component Design Flow - Peak gpd) ys'o Maximum Influent Particle Size (in) 1/8 Maximum BOD ( /L) T 220 Maximum TSS (m /L ) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year a cle an at least once every 3 years Soil Absorption Component I nspect once every 3 y ears Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm, Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough oft the filter when removed from its enclosure. If the f 07,'23/01 MON 11:54 FAX 715 386 4686 ST CR% CO ZONING 01002 Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental er unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being In full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility, The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic dogging of the soil. 2 07%23;'01 MON 11:55 FAX 715 386 4686 ST CRY CO ZONING 2003 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep -rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flaw. v lbw 3 .213 • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 11 �' �- ct / "C- Mailing Address �� ? �' r� 5 Property Address o2 (Verification required from Planning Department for new construction City/State 6 hl Parcel Identification Number LEGAL DESCRIPTION �� ^ 1 � 1 /4, Sec. �� . T 3 1 N -R V W, Town of St 4A - �2 ei ►H .�'e. Property Location _ Subdivision Pr Ce "z I' e �� s� `� Ste. , Lot # Certified Survey Map # 2 5 , Volume Page # Warranty Deed # S�(> �- �� . Volume l ? ! , Page # L( Spec house 0 yes �o Lot lines identifiable yes 0 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 master plumber, 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 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. --� 4 - 3 / SIGNATURE OV 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 owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. g ? , / / SIGNATURE O�APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** *s 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 vo.,1674PA(,1 429 ' 650286 STATE BAR OF WISCONSIN FORM 2-1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Ewlen Properties, Ltd, a Texas Limited RECEIVED FOR RECORD Partnership 07 -05 -2001 3:30 PM WARRANTY DEED EXEMPT It Grantor, and Henry Stanley Spain and Julie K. Spain, husband and CERT COPY FEE: wife COPY FEE: TRANSFER FEE: 93.00 �- RECORDING FEE: 10.00 GAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address Lot 5, Prairie View Estates, St. Croix County, Wisconsin. ealty'(itle Edina H 400 S. 2nd St., #115 Hudson 4 t3304af. 03 8-1057- 60.000 _ Parcel Identification Number (PIN) This is not homestead property. QI) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 3 nom. day of July 2001 . EWL roperties, Ltd. AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) _ _ --- - - - - -- ) ss. County ) authenticated this _day of _ _ Personally came before me this _ day of July 2001 the above named EWLEN Properties, Ltd., al exas Limited Partnership by -_ a Sc�Krtso it's rear ate+ TITLE: MEMBER STATE BAR OF N18Pfp t e own to be the person wh executed the foregoing (If not, nstr a an ackn wl he in authorized by § 706.06, Wis.. THIS INSTRUMENT W , RA Y Attorney Kristina Ogland %i + Notary Public, State o Wisconsin Hudson, WI54016 a My Commission is permanent. (If nn t state expiration date: (Signatures may be authenticated or acknowledgeYkBoth zealot necessary.) ' '=' - Inrormatb prdessiomis Company. Fong du lac, WI Names of persons signing in any capacity must be typed or printed below their signature. W0 .65e -2021 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 1999 AMER Y, IN. F.F.E. Finished Floor Elevation .'NE OF THE ' WfB, C.S.M. Certified Survey Map :ANGE 18 W. (' 40 SU THIS INSTRUMENT DRAFTED BY TY R. DODGE ODE TO THE NEAREST ONE (1) kSUREMENTS WERE MADE TO I N V D PUTED TO THE VALUES SHOWN. BENCH MARKS: All elevations shown are TOP OF IRON PIPE unless indicated otherwise. UNPL A T TED LANDS Elevations of Top of Iron Pipe shown as: 90Q o0 "4 OF TH£ N£ 114, SECTION 14 514.30' N18'54'29 "W -. VAR /ABLE WDTH 601.68' 33.77' _ _ _ _ - � A N89'01'50 "W 410.43' / `"' "' • 1 — 393.77'— — / ...... ............... 1 .............................. • i2l 81,775 S0. FT. 1.88 ACRES .� � �\ ,. 5$1 .30'44 "W 1 5 3�/ � 2 589 "W 6 `` 339.50 9 ' 208,914 SO. FT. 0 5 W.E. =385.4 4 .80 ACRES •... \ • K Wetland 0 ,l{i, it) C S M LOT 1 N VOLUME 14 PAGE 3870 DRAINAGE EASE A7✓ DOCI S88 F M�7 N A7� - - - - T. , -6 6 •� \ L 02 36 E 162 74 i - - - S ` FT 155 67, 615 S0. k 1 o ,55 ACRES 0 MIN, F.F.E. =389.4 ` �\ \ S89 42 40 W 1 \ N89'01'50 "W 277.77' 3 N \ to S00'17'20 "E • 14A '50 "W �� • © • I 0 386.73' 04' N N89 "W 45C I 0 I I N 76, 767 SO. FT o o N o UNPLA TTED_ LANDS 00 �* N 1.76 ACRES o 00 00 M • ° PARCEL IN WARRANT) N N ° N — O VOLUME 1158 PAGE 2. FT. N 3 I 0 - -- S i 0 o Oo • �� SHED .� o S89 o � - ; N $ I S86'55'26 "W 77.78' �� -- 1 I Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 J Visconsin I\ Madison, WI 53707 - 7162 Site Address rh De art ment of Commerce i� 4 ' l2 f St Sanitary Permit Number Sanitary Permit Application _ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Revision 3 way be used for secondary purposes Privacy I,aw, sl5. 1 m I. Application Information - Please Print All Information Sfax Plan I.D. N6 b Pro Owner's Name / Parcel Number U r1 2 r , l t"e- rat 0 S Y- 105 0 0 Property 's Mailing Address Property Location 1 6 9 ) 5 — (O ? )S 3 d s� N S� -A 0 /- l' : S T 31 N. R O E City, State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number Z � ke- c 5 ' 4 0.e e- s 0),, 0 - 4 0 '(3 G S 1 ° 113 5 7v.? P? ✓� � 7 :✓ �/, 'c �. � e= s � II. Type of Building (check all that apply) 7 ❑City ❑ 1 or 2 Family Dwelling - Number of Bedrooms 3 ❑village y� ❑ Public/Commercial - Describe Use ownship / ' 4 i Q / ❑ State Owned Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) County use 1 R New 2 ❑ Replacement System 3 ❑ Replacement of 6 C1 AdF n to A stem Tank Onl Exis ' tem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 Ehlon - Pressurized In -Ground 210 Mound 47 ❑ Sand Filter 50 ❑Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) a Elevation 3�5 ✓ , 7 = 1. ✓ t 0- �. 5 �✓ VI. Tads Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tank � Tacks Septic or Holding Tank t/ - I 66U e- i re Dosing Chamber VII. Responsibility Statement- I, the and ed, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl s Signature �&P/1GIPRS Number Business Phone Number "t t;C- St*11 � �2 - a3 ?/s Plumber's Address (Street, CAY. State. Zip e) _ x w, i (Jw 1)2, �tJ�U d ✓ � ��� 't✓. ��� VIII. Count /De artment Use Only a Signature (No Scamps) Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Ag Si l Surcharge Fee) f ❑ Owner Given Initial Adverse S® Determination -tom IX. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. This revision was submitted to reflect a change in system location. A dose tank is no longer needed. 3. System shall be installed 55 -62 inches below uniform contour line to ensure proper location within soil profile. Attach complde plain (to the Count,/ ontl) for the system on paper not less than 81/2 x 11 inches In sae SBD -6398 (R. 05101) < 70 e