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038-1219-08-000
Parcel #: 038 - 1219 -08 -000 04/03/2008 03:09 PM PAGE 1 OF 1 Alt. Parcel M 16.31.18.1201 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): O = Current Owner, C = Current Co -Owner DANIEL J MUNSON O - MUNSON, DANIEL J 2194 CTY RD CC NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2194 CTY RD CC SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.270 Plat: 09- 055 - BRITTS WAY LOTS 5/9 038 -03 SEC 16 T31 N R1 8W PT NE NE BRITT'S WAY Block/Condo Bldg: LOT 08 LOT 8 (2.270AC) FKA CSM 16/4342(L3 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 16- 31N -18W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 04/02/2007 847565 WD 11/06/2003 745963 2451/190 QC 04/03/2003 715861 9/55 PLAT 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.270 33,400 161,300 194,700 NO Totals for 2008: General Property 2.270 33,400 161,300 194,700 Woodland 0.000 0 0 Totals for 2007: General Property 2.270 33,400 161,300 194,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations ` bivision of Safety & Buildings in accord with ILHR 63.05, W IS. Adm. Code C- OUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM),�iFec 6` 4 ' Ya-ct Lope, scale or PA ` dimensioned, north arrow, and location and distance to, deaNst'foad," / APPLICANT INFORMATION- PLEASE PRINT"ALL INFORMA1,ION \• R VIEWEDBY DATE I -31- PROPERTY OWNER: PROPERTY LOCATION Ne GronMMquist GOVT. LOT NE 1 /4NE 1/4,S16 T 31 N,R 1 PR ?4575 OaEEppkhillAl ff AWRESS �LOna BLnaK# ScBD si n �# L12- � 4/( CITY, STATE RRdd ZIP CODE P ONE NO �}, ❑CITY []VILLAGE ®TOWN NEAREST ROAD Scandia, M. 55073 (715, 433- 59 5'2�>cE prarie I cyt. Rd. "C- J New Construction Use [x] Residential / Number of`bedrgorrms [ ) Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 4 50 gpd Recommended design loading rate • 4 bed, gpd /ft trench, gpd /ft Absorption area required 1125 bed, ft 900 trench, ft Maximum design loading rate •4 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 103.20 ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 2.0 0 from grade Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem 0S O U EIS CCU [3 S❑ U ❑ S E] U El E] U ❑ S CCU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed jTw& 1 0 -8 7.5yr4/4 none sil 2msbk mfr gw 2f .5 .6 1 2 8 -90 5yr4/4 none scl 2msbk mfr na if Ground elev. 10 ft. Depth to limiting factor +90" Remarks: Boring # 1 0 -9 10yr4 /4 none sil 2msbk mfr 9W 2f .5 .6 L 2 2 9 -84 5yr4/4 none scl 2msbk mfr na if .4 .5 ......... Ground elev. 1 01.6 ft. Depth to limiting factor + 84 11 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 -246-6200 Address: 1554 200th. Aw4 Richmond 4017 Signature: Date: 9 -22 - 9 9 CST Number: mO2298 11,_�. 1 __ 1 PROPERTY OWNER Nels A. Gronquist SOIL DESCRIPTION REPORT Page of 3. r PARCEL I.D. # 038 - 1064 -10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Ba.rr>cbry Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTmnch 1 0 -9 10yr4 /3 none 1 2msbk mfr cs 2f .5 .6 3 ' < 2 9 -21 10yr4 /4 none sicl 2msbk mfr yw if .4 .5 Ground 3 21 -84 5yr4/4 none scl 2msbk mfr na na .4 .5 elev. 1 04.7 ft. Depth to limiting factor +84 Remarks: Boring # 1 0 -7 .5yr4/3 none sil 2msbk mfr gw 2f .5 .6 4 2 7 -84 5yr4/4 none scl 2msbk mfr na if .4 .5 ................. Ground ' elev. 105.2 ft. — Depth to -- limiting factor + 84, Remarks: Boring # 1 0 -9 7.5yr4/4 none sil 2msbk mfr gw 2f .5 :.6 5 2 9 -80 5yr4/ 4 none scl 2msbk mfr na if .4 .5 BEEN Ground elev. 1 05.2 ft. Depth to limiting factor +80 Remarks: Boring # Ground elev. j ft. l Depth to limiting factor 4 Remarks: ` SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Nels A. Gronquist 1554 200th Ave. CSTM2298 NE4NE4 S16- T31N -R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 N 1"=40' ' BM.= top of 1211 pvc pipe C el. 100.00' Alt. BM.= top of 121 pvc pipe C el. 99.30' p 6 . 5 2 (O' 3 a� Gary L. Steel 9 -22 -99 I BRITTS WAY LOCATED IN PART OF THE NOV rHrAST OUARTER OF INE NORTHEAST OUARTER OF SEC17ON 16, 7VW -WIP J1 NORTH, RANGE 16 WEST, 70WN OF STAR PRA/RK Sr CRO1X COUNTY, W/SCONSTN, OBNO LOT J OF A CERWIED SURWY MAP RECORDED IN VOLUME 16, PAGE 4J47 AT THE ST, CROKY COUNTY RE69S7ER OF DEEDS OFncr; RIGHT - - WAY NarMeost Comer , UNPLATTED LANDS DEDICATED TO Swc -11M 16 -51 -18 A Abe of Me -- -- -- THE PUBLIC Right - of - way (found oAwnAtum SO' 40' ?� � 114 or Me NEED -,1/4 County mommant) _11 1ANUF4.�`- �— � _ Centerline -- 1 o — "�N89'S8'02 "E i 3. - NBOW02"E BENCHMARK: TOP OF —18"44 24 — C1 i1a C2 - C5 a MONUMENT - 936.00 _ _ + �N00'37'41'W�r' ' y� r 1 n — I (ASSUMED DATUM) I 66 I 135.73' AAKE - aso' 1�1� (NOT To ecKq I 3 )T 1 '\ AL Y � � d CERTIFIR URVdy MAP ----------- -- - - - -- I �� r j fa•unua� V�l. _ 6. AL nKNw nsa Eavr nvr�1� LOTa x AL 0. LQT2 ? +bK 1 — i� 4 . °' rs RIGHT - OF -WAY DEDICATED TO BEA THE PUBLIC OF 1L.42'I y b 36 7 , 36 . E 1 453 30' r ' OWN �•� t�tIt, r° / I of i O N 135E ` wr` 61r X r ° i ' HUD. may: -e f LOT7 ro i4 R !14 d / ' 0 N I Au Z / / i x I C I I Z O i° ` +E m St 739'1 p'E 411-92' I I I y WI. , W.04' 181,66• I I r^ i° `BUILDING uu SETBACK LOTQ j D IZ t3 / M71 N69 - =25% 411.31' rwr 1Ewwr I 222.14' ,17' AWW'MT R LOT 4 LOTS fnot _CERTIFIED SURVEY MAP_ VOL. T 6,_PAGE 4342 8 ; x D x 411.07 0 213.25' x 107 52' 15. NO OWNER W S89'30'25 "W 469.63' n OPERATION C Shed FOR THIS PL FILLIK EXCA WATER UNW WA117t RUNW I ln e House _ �Centerline Drive a e SO' , k0' — — — . — — _ _ GOOSE LAKE �sartA Ahe or Me — O ROAD — N£ -114 of the N£-1 /4 A special escepticn use permit is required far the disturbance of CSM.. °° This peermit apW1: I r a te- I, t,: io�Mapproi°or"" pl ot reviewed through a "Ila hearing by proeees the SL Croix East 114 Caner ' County Board of Adjustment. Section 16 -J1 -18 ALE NOTE The pareNe Mown on this map are subject to Stab, (Awed 1" horn pie) CURVE RADIUS DELTA AI ee County and Townshi a Township laws, rules and ( Le. wetlands, 7• _ —� mini mum vim am to M purc spa? 167 Sill 1 493W 1 144 ONke and - the appropriate Town �Dowd advies.� Zo ning '� C4 9=7 t1'3l43• nE. \ C3 I 391.[9 I 14.16'39' I 147 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division • INSPECTION REPORT Sanitary Permit No: 7 429908 0 � GENtRAL INFORMATION f 4-11 (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: CJ Grand Properties L.P. Star Prairie Township O 3t — /0(1 I f CST BM Elev: Insp. BM Elev: IBM Description: Sectionfrown /Range /Map No: 'j . q 5 `f TJ /f �. A'l . 16.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchm k t..�5 Dosing Alt. B Aeration Bldg. Sewer Holding St/Ht Inlet 7 1 - 3 q S T ANK SETBACK INFORMATION St/Ht Outlet .9,1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet g y v •� Septic r i Dt Bottom Dosing I , �. Header /Man. �P..Q 49.9 Aeration Dis . ipe .38 y0)- 9/7 �� _..w .._.... _ .3fo • Holding °- - ot. Syste f PUMP /SIPHON INFORMAT N 3 7' final Grade Manufacturer d� St Cover rr (l c GPM C.7 Model Number tJ SZ 3 (/ / / ` �- ` ,�,� p• Q y � ��� ( t0 A , TDH Lif Friction oss System Head TDH Ft Forcemain Length ia., Dist. to We I� t �J SOIL ABSORPTION SYSTEM 9. BEDITRENCH Width Length No. Of Trenches PIT DIMENSIbNS No. Of Pits a Dia. Liquid Depth DIMENSIONS -- -.. -- SETBACK SYSTEM TO P/L BL WELL LAKE /STREAM ING Manufacturer: INFORMATION Type Of System MB R m: �� G ,NfC�e�n 1 -4,5 , CvV CjVr UNIT DISTRIBUTION SYSTEM HeadedManifold Distribution x Hole Size x Hole Spacing Vi/ / Pipe(s)., i Length Dia [ ength �4 Dia Spacin � 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 Bedlrrench Center Bed/Trench Edges �/ Topsoil •-�-- � Yes [ No Yes L� No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / 3 Inspection #2: / /O : Location: 2194 County Road CC Star Prairi WI 54026 (NE 114 NE 1/4 16 T31 R18W) Bitlq - _ay_Lo 8� PT No: 16.31.18. 1.) Alt BM Description = F' J - T " MGM h s �� * fir �� 3 2.) Bldg sewer length = 191 �" 00 ve 0 - 1 - mount of cover = r, p ) p� (ors 4- Plan revision Required? Yj No ! �-7 Use other side for additional in for` - -�� /� _ - -.— i ]'Xi SBD -6710 (R.3/97) Date cc Insepctors Signature Cert. No. PUMP PERFORMANCE CURVE PUMP PERFORMANCE CURVE • • EFFLUENT MOO ELS SOLI PA SSING ■� ■ ■ ■ ■m ®° °ee °° ° °e °mm0meeemmm .,■ ��I�■■ ��e o ■ ° e ° e■ ° a ■ ■ ° e ■ ° ° ° e ° e ° °e °O ° ■1� \ \ ■ ■ ■ ■ ■ ■ ■■ • .�\ ■111 \ \ ■ ■ ■ ■ ■ ■■ ����'� ® ®�® . ®m aeommmmm0m ® ►�� \������� ■ ■� ■ ■■ °� ■ ■■ m ° ■■ ° ems RNLOWIIW1\■11■■W N ■■ a e ■ ■ ' ■\ 0 611xI Wa w\■■■W ■ ■■\ \ \1O■11OR OWN ■■■■ I SEWAGEAND DEWATERIING subjected to less than 15 feet TDH. mm 1 ■ SUGGESTED METHODS OF FLOAT INSTALLATION On some installations it may be desirable to install an independent hanger for the level control switches to avoid possible hang ups on the pumps, piping, valves, etc. Float hangers are available from Zoeller Company on Catalog Sheet FM0526 or can be fabricated from standard pipe and fittings. ACCESS COVER - �� doll SCARD PIPE ° j a 10 1457 FLOAT TR, =E WITH 3 FLOATS SHOWN o a - PVC OR LIGHT WEIGHT = - -- - - - -- ° SK1218 PEAGRAVEL STAINLESS STEEL PIPE SK1217 TYPICAL FLOAT HANGER ON CONCRETE PITS TYPICAL FLOAT HANGER ON STEEL COVER PITS OR SEPTIC TANK RISERS "EXTRA PROTECTION SYSTEMS" TWO PUMP SYSTEM ALARM P/N 10 -0028 ILLUSIRAIED The "Extra Protection" Two Pump system is an economical solution to the costly duplex (JUNCWN BO AND PLUG NOT INCLUI alternating pump system and it's easy to install. 0 The "Extra Protection" Two Pump Systems consists of: a. The two nonautomatic pumps with VLFS of your choice It b. One Alarm System c. Two Unicheck Valves as required ADVANTAGES (1) The Two pump systems offers high pump performance without the high price. It is a system that fits your needs and your budget. PEAONAVEL (2) Delivers more dependability than a single pump system and greatly reduces the chance of costly and time consuming problems associated with wear out or damages and the AMM ON resulting system failures. ; y> ' PUMP 2 ON > PUMP , ON (3) Affords greater satisfaction and peace of mind to all concerned by providing state of the art MP 2 OFF protection for costly and expensive surroundings. ® PUMP 1 OFF VARUIBLE LEVEL FLOAT SWIFCH (4) Ability to change lead and lag positions by changing pump plug connection. ® a (KMM) PUMP 2 PUMP 1 SK878 V (5) Easy and economical to install. 'MINIMUM DISTANCE 2" BETWEEN PUMPS MINI THE B ASEMENT SENT 12 Volt backup sump pump system model 507 & model 510 Application - For Clear Water, emergency backup usage when power is off or primary pump fails. t I �? Extra Protection - When the primary AC pump fails due to power outages or system problems. • Storms • Brownouts • Wiring or electrical problems Extra Protection -When the primary pump fails to keep up with excessive water due to rain or overloading. Includes: MODEL 507 MODEL 510 Pump and control Charger TDH (ft) Flow (GPM) TDH (ft) Flow (GPM) Fittings 5 23.2 5 33.8 " Battery Case 10 12.5 10 21.6 (Battery Not Included) 14 Shut -off Head 15 10.6 19.9 Shut -off Head For submersible or pedestal installations. See FM1311 (507) or FM1139 (510) for information. Suitably sized basin required. 0 Copyright 2003 Zoeller Co. All rights reserved. 5 AA t1� A Safety and Buildings Division County �. 201 W. Washington Ave., P.O. Box 7162 CQ ©� �sevnsin M adison, WI 53707 - 7162 Site Address �d C `� .• c r �, Department of Commerce ),t Sanitary Permit App ' 7 ! n l Sanitary Permit Number 1 In accord with Comm 83.21. Wis. Adm. Code, personal ❑ Check if Revision (� �d may be used for secondary purposes Privacy , I. Application Information - Please Print All Information State Plan I.Dber /mss Property Owner's Name w Parcel Number ST. c�oix �o� ry N o P� E T / L. P. zo Property Owner's Mailing Address Property Location / qq 7 1?_ h Q w ke 57 SU ii E /0 � � S4 JJ -A; S /6 T 3) N, R /O City, State Zip Code Phone Number Lot Ntynber Numb � C Block bm Subdivision Name CSM Number 5011lEe5 CT DUI 7 gR,7T5 II. Type of Building (check all that apply) ✓ S CrJltd /k ❑City I or 2 Family Dwelling - Number of Bedrooms 3 ❑Village ❑ Public /Commercial - Describe Use - _ n /� � �J / ®Township sT,4 R �� � (A F ❑ State Owned / ` `�jn,d A.Q. (XX�C �O / � / (lI'� 6 &y g7• t { 5 Nearest Road .76 Cry 9 .0 C C III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A NeFor County use 1 w 2 ❑ Replacetncnt System 3 ❑Replacement of �6AW�dittion to S stem Tank Onl S stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numberi / scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 210 Mound / L`i " , j I 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. DispersaLTreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation hate System Elevation Final Grade Required Proposed at Rate(GalsdDays/S .F , ./Inch) Elevation iT /00.7 y s � y sv VI. Tank Info pacify in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank /000 G E C S C. P . Dosing Chamber 8 D 0 $ Q a r E t✓ 5 C. P. Y VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI ber's Signature MP/MPRS Number Business Phone Number 3ONit) Scolili� Lai f- 3760 1 715 --5 qq_66S1 Plumber's Address (Street, City, State, Z' ode) VIII, oust /De artment Use Only Sanitary Permit Fee (includes Groundwater Date Issued suing gent Signatu No Stamps) Approved ❑Disapproved Surcharge Fee) 4 L11 ❑ Owner Given Initial Adverse 3 Z> Z l G(�YV�/ Determination n . Conditions of Approval/Reasons for Disapproval M 3 r 0 jo3 1/Lt S-�� f� A_ ttaeh ete ptaos tt b � Pr the syat on pr<per oe t E�tucLes Sn slat ty � I SBD -6398 (R. 05101) r M / 1105 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page t of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location G rand P L _ Govt. Lot NE 1/4 NE 1/4 S 16 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Stre e_e_t, S uite 3 00_ _ �� CSM Pending City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 1 54025 1 715 - 247 -5900 Star Prairie I Cty. CC ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable NA General comments and recommendations: Area is suitable for a mound system. System elevation is 99.20' based off contour tine established at 97.45'. Depth to limiting factor is 15 ", slope 11 %. Boring # Boring ✓ Pit Ground Surface elev. 97.60 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0 -7 10yr3/3 none I 2fs bk mvfr cs 2f .5 .8 2 7 -16 10yr4/4 none I 3fsbk mfr cw 1f .5 .8 3 16 -31 5yr4/4 c2dO 92" sl 2msbk mfr gw - - - - -- .5 .9 ---- - - - - -- - - - - - -- --------- - - - - -- 4 31 -55 5yr4/4 c3 10y� /8/2 sl 1msbk mfi - --- - - -- .5 .9 Z Boring # Boring ✓ Pit Ground Surface elev. 97.60 ft. Depth to limiting factor 15 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIlf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -6 10yr3/3 none sl 2mgr mvfr cs 2f .5 .9 2 6 -15 10yr5 13 none sl 2fsbk mfr gw ----- .5 .9 3 15 -19 10yr4/4 mid y� j scl 2msbk mfr gw - -- 4 6, 4 19 -52 5yr4/4 m2d 10yr6/8 sl 3csbk mfi - - -- - - - -- .5 .9 Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg/L and TSS S mg/L CST Name (Please Print) Signature: - CST Number Thomas J. Schmitt r��a, i .r/ 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 6/7/02 715 - 549 -6651 PFOperty owner Grand Properties, LP Parcel ID# Page __ 2 lil Boring # Boring - ---- ✓ Pit Ground Surface elev. 94.05 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots Ef # PD/ E2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 - 10' 1Oyr3/3 none sl 2mgr : mvfr cs 2f 5 _.9 2 10 - 1Oyr4/4 none sl 2msbk mfr cw - - - --- •5 • m2d 1Oyr6 /8 Sid 3msbk mfr - - - - -- .4 .6 3 19 -43 7.5yr4/4 5yr6 /1 ❑ 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 /fV— in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. F-1 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 GP D/ft= in. Munsell Qu Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD 5 > 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 nPP i motu�iol in on oltarnotP fn.+not nlnacA nnntont th lrPnO. rmPnt of M)R- 14t -11 G 1 n. rry AM- 1LA- 111'77 fg f� yvJ Sly 0 1221 � t D 3q , 1 Z r — , i Y s 7x4-.—e%5 S, —S,- A.•,,'# 1� �S c c G • �j x e,1�_ NORTHFAS' CORNER 16 -31 -18 i 220TH AVENUE 3 176' �) > oS old • LOT . ... .r to 1.6 ACRES LOT - A `'T T. LOT � �° LOT $ �s ! 1.5 ACRES 2.9 ACRES 1.9 ACRES 337' 327' i--- O JO NT C j 4r5' i?R �EWgY Z LOT I 1.5 ACRES • �� ••• � - ,�_ �•. 412' v • l � � g /' LOT 6 � 1.5 ACRES 0 • N T 411 t� lVEWAY LOT LOT 5 — 22.6 ACRES 1.5 ACRES a f • • i SCALE 1 = 2'30 , j CONCEPT MAP 16 LOTS - MINIMUM SIZE 1.7 ACRES- AVERAGE 2.0+ACRES THIS CONCEPT IS SUBJECT TO CHANGE EASED ON FIELD SURVE• TOPOGRAPHY, SOILS, AND REVIEW BY GOVERNMENTAL AGEN(;IEL I EROSION CONTROL PLAN For Lot 8, 1375 2194 County Rd. CC (Star Prairie) — Owner(s) Grand Properties LP Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." The Owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The main source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. 2. Divert contaminated runoff into vegetated buffer areas by creating temporary earthen berms graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. Use diversions to contain runoff on owner's property and away from adjacent properties. Maintain existing vegetation to protect wetland area >75 ft. NW of home construction. See attached site plan for proposed silt fence location. 3. If builder /excavator grades the site to create temporary diversions (see 42) to contain sediment and Ieaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property, away from wetland area, with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must use only one driveway access off public road that is properly stabilized for heavy equipment; this helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. This includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. All vehicles, except those used for mound installation, MUST stay off the entire mound site to prevent damage that would make it unacceptable for use. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions or to request assistan th erosi & sediment control installation. Pre ared by: Pamela Quinn, Soil Erosion Inspector #6650 Owner acknowledgement of ESC Plan requirements: r r p' .. ............... . t } $W ... 4 . ... ,.. tip .... \ �. A'� : PJ 2003 .. _ ....._....__. ...... ....., _.... ... t tt� t Z© F es► ... . _... , ....._ . ... ... • A . .., s ic.T 3 960e0000 t - 5 KPILC WgIL Poe Ol -r oev p�PwrW .. i PRAwtir6 JQF•fru SrkMcrr°' GepN t�oFE�7rt35 L .; tv' �� ^C lC" �' ..7 o en G k'. 5e .S tE�es �'!'ll 5 022 G LOT 8 &v k d c c t zzork._ -✓ Q/i10 10 'r& _ - -._ - - a07 v C' L.4NO L 1 1' a p ° 1- -- Y OWOV 0 _ - -- 1 �� SLDPF 5� p - 4 t_J A At i _Bm ?o P 0r a" #�dC _,"t. 97,10 r' _ — — - - - - - -- - - .. - - -- — -- 70 _-ZAM44 - - - — -- - -- - - - _ PRoPo�ev_ Q 3 BGoecc� �. N4_64 6 4 yytEGL pQ1 la`� - I rQT DRgw«v(a_o_� G2p.NQ . loo_ EQriES L� • -- ._ —. l fl ru - sck in cff /S 40 SoInt�e_5&_r- Safety and Buildings 4003 N KINNEY COULEE RD i LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Nvisconsin www. w ww.cornrnerce.state.wi.us/sb wisconin.gov Department of Commerce . Jim Doyle, Governor Cory L. Nettles, Secretary March 10, 2003 CUST ID No.223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 03/10/2005 Transaction ID No. 844263 SITE: Site ID No. 656369 Grand Properties / Mike Germain Please refer to both identification numbers, Couny Road CC & 220TH Ave L above, in all correspondence with the agency, Town of Star Prairie St Croix County NE1 /4, NE1 /4, S16, T31N, R18W Lot: 8, 2l 6� . FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object 1D No.: 894001 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.O1 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N,O1 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be iven to the owner of the tank explaining that periodic cleaning of the filter is required g P g P g • P WTS tank and a minimum of 50 feet from the abs The well must be a minimum of 25 feet from any O , Condrt area. chs. NR 811 & 812c APPR with the RTMENTC • A Sanitary Permit must be obtained from the county where this project is located in accordance N DAFT requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORREE • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the county designated official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat g ty JOHN F SCHMITT Page 2 3110103 • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 review shall relieve the designer of the responsibility for designing a safe building, structure, or component. 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. Sincerely, Fee Required $ 175.00 f� Fee Received $ 175.00 eligr Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 SCB7WTT & SONS EXCA VA TING ��� 586 Valley View frail ��► Somerset, *7 54025 (�� 713 - 549 -6651 �OV 1tIAIOUND SYSTEM sO For. C AN VI Pe ©P Fe7`IC s Z. P `{'1 jxc 6E,e,n Address: - 71a A Sr. Sui 7",E ) Oo 56 n e s E7 - W r S Legal. IV "A/ S 16 7 :3 / Al R / 111 Township: 574 e j Wee 7 County: -' C ,eO / y Contents Page 1 Plot flan Page 2 System Cross Section Page 3 Pipe Lateral Layout Page 4 Dosing Chamber Page 5 Pump Curve Page 6 Management flan Attachment I Soil Evaluation Deport Attachment 2 m 4 p .Mound Component Manual (Version 2.0) SB D - 10 691 - P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD-1 0 706-P(N 01 /01) By: MPRSw a.�23760 Date: _�2 -c16 COINMERC UILDI GS PONDEN E Loy` _8 - or _.�d CC � zze, 4v� aar .4 MO - - 7' - w S LOP F _ - - -- 1 —' I - AiN ♦ g m' ToP' o- Z ' EL Rc7 Brn TOP_© _ E _ 1'1— MWIwIt - � / 0 G,4 _Z.44,51 4 -loD I 3 BCoeov� 4. 64 eav W W - G+Nq ! �ftioQEQTiES L. �, Jfl- /-r'n?- . ScYo,(rr- � � , sr. Su /rE /QO - C 1 16: /,507 .4oe ------- - o ��r,t e5z _ 1 SYp S Page a Cf 6 1 Strflw, Marsh Hay, Or S covering ASTMC38 Distribution Pipe Medium $end w G 6 Topsoil a — F SYS• ILLEV.,122- 0 ,E 0 % Slope Bed Of 2 force Main Plowed Aggregate Layer (6s, Below Pip D 1.75 Ft. � Cross Section Ot A Mound Ft. nd Sy4tsm Using FO�79 Ft. A Bed For The Absorption Area G 77 Ft. A b,D Ft. N J.0_ Ft. Signed: g Ft. K Ft. License Numbers. c2-2 7& 0 / L .d Ft Date: 2-26 -o3 .8N Ft. Alter Position I jb.L Ft. of ---- w ? 'Ft . Force Main ...r - L --------------- pbtrryown Pipr ' 1!6 ?01110 S From Las►d of Bed K r.... rlr► +r +r rr.rwrr�,rr ♦r+rrr.. +♦ • �.rr ..rr _ --------- r+ r r r .. r �•�� A r� Force Main rrr►'r rr+ .. .. «r - -..r „r rr .. +,, .,.rr ll rr �+ w...• r.r �r +� v rr� 9 � M islribution LS 0 d ©f z 0 Pipe A 1 l permanent Markers Obseryation Pipe •. 1t0 �O U14 9 From End of Bed Ptah view 01 Mou nd Using A Bed t%or The Absorption Area Turn -up with Cleanout Access Bqx Plug or Bell Valve � PVC Force Main Diddbudon Lateral LL S PVC Manifold PX x x� X/2 Distribution Lateral Layout Pft. . X 0 Inchp% Hole Diameter 3 16 Inch Signed: �., Lateral °' 1. Inch(es License N ber; 3 7( 0 . Manifold Inches Date: - 6 03 Force Main " a Inches # of holes /pip Invert Elevation of Lateral $97 fit• PAt.c ��' or pUM? CHP,a�� R CROSS SfC1' ?OBI Aa�o _5�tcr>~aCArlous lb ., VCIJT CAP 4 Vt)JT FJPC WCAT34CK P1t0o. /IPPRO iQCKINfi .ruUCT'IOM b01[ MANHOL.0 .0 GOVKR • r � f K +i /4 hrrrrA, I � � ,��Npuw LlN i itLb1l � �1' Mt►�. � grit tUTAKE GRAI7C « f bi "MIA. .. ... .. a.wr.. �. ter• PROVIDE , .+........ w JI1JLCT ..�.. AIRTia.44T WAL W A j f /C. ve Q14lTf A *PII01lIE0 J0IRIY i . W/ G.2. pops 3 } f ALARM �l.Tt.MQIN6 3' 911TCN0IN& 3' i ONTO WAD iou. omyo 60410 Sot k- f 1 1 f oiJ C � � I LLEV 9 ° fT. t�ut+tP -•� 1 a ).7(� c - /iA) cH Off COUCRETE &LOCK r A . FtISCR CX17 PERMITTED CAJLtJ OF TANK MANUFACTUREIt HAS SLJGN APP11.OuAL. 'j gC�11Ni� SEPTIC � PECIF'iCATIOWS 0069 AK.Kj MANUF^Crult9K: S MUMOER OF QOLCS: `� Pfr.l� X51 TI►►JK WZE So �..... GAI. L,OWS 0059 VOLUML nM111iArCTUR�R 5 ��l�IJl��t?�}T twICS.uotaur, oACI�r4ow: g ?° y �,nucNt M00C I..II.IMIltR: f CAPACITIES: A. J IAICHC� piR ...x:..:. Y Wi.L41i0 SWITCON TOPE :._ .... D ` .._.IWCwe� oil 03•S :C90I,Loas LIMP MA#1Ufli►C *Ult!#R: Z Or LLf=2 C o._.Lr....lkif wt i opt W.Lout AOOC6 1 11�-� -__._ 00 ' 1Mr:NE1 OR �!o /•! GALLOUS SWITCH TVP9' _ /fit; e( , PUMP AND ALARM ARE TO aC NWIMIAM DI*cjA.RfaE KA riC, p „� C�fM I ON SEPARATE 41RCUtTS VEIKTICAL 01FFLLEM&C BrT•WCCIJ PUTAP OFF AIJO.O►STRIbUTION P►PC.. )o FEE + hliw mUfA ' MCTWCRIt SUPPLO PKESSUitC .. . . . .... . 2 FLET ♦ .1....�.... rr ET OF FORCE MAIM X 3 ... ,� /ao t *> fACYpR,. °Z � FEET TOTAL DI WAMIC KEAO -= ' F&ET IA1T%R><h6 VtMLw6 Of TAWK; f L. EK Itil' K�...... �� ,. ;w;DT}4..........�.��L -iQuio DEP"I'ti .Y..:........ gIO1JR>^ O: (�� / � l.ICER25E u +JMekik: 2.-�376 D oAYe: 2 p3 I . . • ' .. ME UNTLIN i t E© mi ®m MIM ■■■ ® �, �y ® ��fcr:.s ®���F7 ° ®:�"" ��_t�i-i�L � ®YYSSN��L1�0 ^«• �3 ®��3t-c ®�.�3�% ®mod' ®�rY�4,i - _ =�_m-m_N m' .��v�:��.99M® m=l md im ' - m =mom 1. mummpmmmmm ■,.mmmm � {dtwdYY ma @ ,.�a- .-.11� M&SI , °' �..ai�:M' w..« Ma E' !L•i[Ck�-_i__ -_Cd�l ■,■ {r3HYtl �� aL-L£nuiw-n mLly�f1wyy.�{- 'im� • ■ ®� � [ ■■,■.■■■■■■■o■.■ .. ■\M\EMEME, MENNEN 85A 0 mom MENEM MEMENNEN :1Nis1 SAMSON SON ME OMEN �� \�111��►� Mom MOEN \► \II \1►u�m MEMNON 55� r� "%kklS'M'Ll \ol lv IME1 01 mom so "it Sk �NO MEN �� \I►�11��� ILI MOEN 25� 'AMMEN WIU \m11`►r ! m \kis 0mMm ��� 0 % OuRkm M OMENS 6 go Me POWTS OWNER'S MANUAL & MANAGEMENT PLAN pa ge FILE INFORMATION SYSTEM SPECit .... 0NS Owner 6R -4jlJ a re0 c.2Ti� Septic Tank Capacity D DO al 13 NA Permit #. of 9 Septic Tank M,.anufacturer EE >; S DNA DESIGN PARAMETERS Effluent Fitter Manufacturer /q t L ❑ NA Number of Bedrooms 3 p NA Effluent Filter Model A - / v D p NA Number of Commercial Units ® NA ; 9 Pump Tank Capacity g D C) ga l 0 NA Estimated flow (average) 300 at/d Pump Tank Manu w FK S 13 NA Design flaw (peal, (Estimated x 1.5) g alld ay pump ManufaicWrer 13 NA Soli Appi'ication Rate o S gal/ da /ft Pump Model 0 NA influent/Effluent Quality Monthly average` pretreatment Unit t&NA ❑ Sand/Grevel Fitter C3 Peat Filter Fats, 00 & Grease (FOG) 530 mg/L p Mechanical Aeration O Wetland Biodhemicat QXygen Demand (BOD 5 ❑Disinfecti 220 mg/L on ❑ Other. • Total Suspended Solids (T'SS) 51 S0 mg/L Manufacturer Pretreated Effluent Quality O NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODE g 530 mg/L ❑ In -ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) 5 ❑ At-grade 1$t Mound 30 mg[L ❑ Other Fecal Coliform (geometric mean) 510` du/100ml ❑ Drip-line the Maximum Effluent Particle Size Y inch diameter values typical for domestic (non- commerciao wastewater and septic tank effluent. •• Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Frequency Service Event inspect condition of tank(s) At least once every 3 ❑ months Q year(s) (Maximum 3 yrs.) pump out contents of tank(s) When combined sludge and scum equals one -third (Y,) of tank volume Inspect dispersal cell(s) At least once dvery ❑ months '® year(s.) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months . (A year(s) Inspect pump, pump controls & alarm At least once every ❑months to year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ® year(s) ❑ NA other. At feast once every ❑months ❑ year(s) ❑ NA Other At least once every ❑ months ❑ year(s) O NA MAINTENANCE INSTRUCTIONS al cells shall be made by an Individual carrying one of the following . licenses. or Inspections of tanks and dispers certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS inspector, pOWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) shall be visually inspected to check l Q e effluent levels in the observation pipes and to check for any pond of effluent on the ground surface. The po 9 ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority When the combined accumulation of sludge and scum in any tank equals one -third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shalt be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION g products or other For new construction, prior to use of the POWTS check treatment tank(s) for the p a presence of intro chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. • System start up shalt not occur when solCconditions are frozen at the infiltrative surface. Page �i of During power outages pump tanks may till ebov norm at highwat levels. When power is restored the excess wastewater will be discharged to the dispecsal cents) in one large dose, overloading the oell(s) and may result in the backup or surface discharge of effl4mt.. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior.b¢"testorikg power to the effluent pump or contact a Plumber. or POW7'S Maintainer to assist in manually operating the pump controls to restore normal levels within tare pump tank Do not drive or park vehicles over tan kks and dispersal Ceps,, Do. not drive. or park over, or otherwise disturb or compact, the area within 15 fleet down slope of any mound or at -grade soil absorption area. Reduction oreGmination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipe. , dQ=tte butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; buridatbri diain (W np. pump) water; fruit and vegetable peelings; gasoline; grease herbicides; meat soaps; medications; oQ; painting P6d Pte' sanitary napkins; tampons: and water softener brine. ABANDONMENT When the POWTS faits and/or is permanently. taken out of service the following steps shalt W taken t>D insure that the System is properly attd safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • AN piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shalI 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. CONTINGENCY PLAN if the POWTS fats 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 replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement 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. has no evalua identify a su" a replaceme a. Upon the POWT o d e e uati must pe ed locate uita re ent ar I replaceme is available a holding tank may be ins Ned as a las sort to repla a failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. « WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES 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 IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name J p tf N 5C 14 t r i? Name p W iU t k 5 C N co Phone 1 7 1 5 - Lt - ( (, S' Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL. REGULATORY AUTHORITY Name pWiJ ~QS C HID I C r= Agency . � Cc�Orx Cou�v7Y �oN�iJ6 Phone Phone 7 3 g ( — Z/ (O $ This document was drafted by the staffs of the Green: take. Marquette and Waushara County Zoning and sanitation agencies. This doc meets the minimum requirements of ch. Comm 83.22(2)(b)(i)(d)&Q) and 83.54(1), (2) & (3), Vlrisconsin Administrative Code. Use of this document does not guarantee the performance of the POVVTS. MAW (ai) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer j yn I Ke �C�JII1l /i1� ��(-'NNa P&P,�,eiiES Mailing Address 742 d Q ► Li 4 -ea Sr S u Tom: /00 .5 tt) m f e s,Ei tr Property Address (Verification required from Planning Dep ent for new construction) City /State Parcel Identification Number 6 78 if - -/O - __3 L GAL DESCRIPTION Property Location %s, .� V,, Sec. T2N R�W, Town of S%qk gegieig . >� S Subdivision W Lot # Certified Survey Map # Z &r 3 . Volume . Page # L f 3 Warranty Deed # , C, 8 !,6_3 9-' , Volume _ /f 7r1 Page # Spec house ® yes ❑ no Lot lines identifiable ® yes ❑ no SYSTEM MA.INWNANCE 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 )he 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 masterplumber, journeyman plumber, restricted plumber 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 necessar the septic tank is less than 15 full of sludge. Uwe, 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 do three year a iratioa date. I _ � 3 /Z5P-5 J� 1 ` SI TURF O 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 prop" descdbel bove, by virtue of a warranty deed recorded in Register of Deeds Office. M. I 3 2! !ob 3 x SIGI TURF F APPLICANT f DATE « « « « «« being b the Zoning « « « « «« . Any information that is mis may result in the sanitary mg Y � �P� ea •« 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 I _ 1 • 1105 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings Tom Schmitt in accordance with Comm 85, Wis. Adm. Code Attach complete site an on r not less than 8'% x 11 inches in size. Plan must County P PI Pape St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and rcel I.D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. J 03� to -ta 30 Please print all information. Re ' y Date Personal information you provide may be used second ) (m)). ;I Zd 63 Property Owner Prop irty Location Grand Properties, LP Govt. of NE 1/4 NE 19 S 16 T 31 N R 18 W Property Owner's Mailing Address J Lot Q Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 8 CSM Pending City State Zip C de P o rICE City Village le Town Nearest Road Somerset i WI 540 5 1 Star Prairie Cty. CC ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable NA General comments and recommendations: Area is suitable for a mound system. System elevation is 99.20' based off contour litre established at 97.45'. Depth to limiting factor is 15 ", slope 11 %. Boring # Boring ✓ Pit Ground Surface elev. 97.60 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fiz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Efi#1 - Eff#2 1 0-7 10yr3/3 none I 2fsbk mvfr cs 2f .5 .8 2 7 -16 10yr4/4 none I 3fsbk mfr cw 1f .5 .8 3 16 -31 5yr4/4 c2d 10 !6/2 sl 2msbk mfr gw - ---- .5 .9 4 31 -55 5yr4/4 03 10 1 /8 sl 1msbk mfi - - -- -- .5 .9 2 Boring # Boring ✓ Pit Ground Surface elev. 97.60 ff. Depth to limiting factor 15 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 0-6 10yr3/3 none sl 2mgr mvfr cs 2f .5 .9 2 6-15 10yr5/3 none sl 2fsbk mfr gw — -- .5 .9 mld 1 /6 3 15-19 10yr4/4 1 /1 scl 2msbk mfr gw - ---- .4 .6 4 19-52 5yr4/4 m2d 10yr6/8 sl 3csbk mfi - - -- ----- .5 .9 " Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L ` Effluent #2 = B00 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt s 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 6/7/02 715 - 549 -6651 l Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 73Boring # Boring ✓ Pit Ground Surface elev. 94.05 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/3 none SI 2mgr mvfr CS 2f .5 .9 �� 6t 2 10 -19 1 r4/4 n sl 2msbk mfr Cw - - - - -- .5 .9 0y one m2d 1 0yr6 /8 3 19-43 7.5yr4/4 5yr6 /1 Sid 3msbk mfr - - -- - - - -- .4 .6 F—I 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 GP in. Munsell Qu, Sz. Cont. Colo Gr. Sz. Sh. *Eff#1 *Eff#2 Borin F—I Boring # g Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 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 —A fl— .inns f—f at !.(152_7!.!._'21 i r — TTV (./1R_7(.A_r2777 P 9 ° 1721 t 4 4IO 4 c t � l � 3y 1 � c 51. 5YWr 3 I V6 S4 i f B C G G NORTHEAST CORNER SECTION 16 -31 -18 220TH AVENUE 3 3 7 ' 176' a _� r ..LOT o N ... ° 4 - • - • -. gs 1.6 AC ES 2 ? O • • ; LOT lr( 19A RES LOT4 1.5 ACRES - . • •2.9 ACRE 337' .N C z • L' OT • '' : 1.6 ACRE o � 412' D LOT' O . f 1.5 ACRES n '•- J NT 0 411' D IVEWAY `� • LOTS � �-- LOT . im 226 ACRES 1.5 AC S 411' �CALE 1 " =zoo' CONCEPT MAP 1b LOTS - MINIMUM SIZE 1.7 ACRES - _AVERAGE 2.0+ACRES l THIS CONCEPT IS SUBJECT TO CHANCE BASED ON FIELD SURVE TOPOGRAPHY. SOILS_ AND RE%AFW RY f!0VFRNAAFNTAl ArF N(tlF -f �� :9 ,� �, I ll U 19 7 0 P 1 5 5 669539 STATE BAR OF WISCONSIN FORM 2 -1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., MI This Deed, made between Ca E. G ron uist, a sia Ie erson, , RECEIVED FOR RECORD 09 -06 -2002 9:30 AN WARRWTY DEED EXEMPT t Grantor, and Gran Properties, LP a Wiscon Limit Pa rtnersh ip C FEE: 11.00 ip _._. TRANS FEE: 315.00 COPY FEE: CERT COPY FEE: _- - - - - -- - - -- 1 Grantee. PAGES: 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): Part of NE 1/4 of NE 1/4 of Section 16, Township 31 North, Range 18 West, Recording Area St. Croix County, Wisconsin, described as follows: Lots 1, 2 and 3 of Name and RPj OGLAND Certified Sutvev tdan filed July 25 2002 in Vol. 16 Page oc. No. 6849$8. ATTORNEY AT LAW --- P.O. COX 3513 HUDSON, WI 54016 P of038- 1064 Panel Identification Number (PIN) y Zp0 This is n ot _— homestead property. — 3,0 p{) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this (,A day of — Au g ust 2002 • + Gary E Gfonquist AUTHENTICATION ACKNOWLEDGMENT Signatures) Cary E. Gronquist, a single person, STATE OF WISCONSIN ) - ) ss. /� A- County ) authenticated this ?A_ , day of — A ugust 2002 - — Personally came before me this — day of the above named • Kristin Ol —_' ' — _ - - - TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the forcgoin ; (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY • _ _ _ Attorney Krlstina Ogland _ Notary Public, State of Wisconsin H udson, WI _ 1� My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) • Names of persons signing in any capacity must be typed or printed below their signature. tNOrmatan P,cr«aiamis Company. F ond au tae wt STATE BAR OF WISCONSIN 800.855 - 2021 WARRANTY DEED FORM No. 2 -1999 I, - r J 684958 Ad ,ZOO 43 VOL 6 PAGE 4342 300 ,Z74 6/ KATHLEEN H. WALSH REGISTER OF DEEDS ��� ST. CROIX Co., MI A.- RECEIVED FOR RECORD CERTIFIED SURVEY MAP 07 -25 -2002 8:00 AM The Northeast Quarter of the Northeast Quarter of Section 16, Township 31 North, RacgR?fF%yo, §ff9Egf hAp Star Prairie, St. Croix County, Wisconsin. REC FEE: 15.00 Prepared for and at the request of: ORDINARY HIGH WATER MARKS `11RIFIED OWNER: qquu 7 -22 -02 BY ST. CROIX COUNT MMNG DEPT. 145 Oakhill Road North Scondia, MN 55073 UNPLATTED LANDS Drafted by Howard H. Harrild III — — — BENCH [W1RK BEARINGS ARE REFERENCED TO THE EAST LINE OF THE A NE COR SEC. 16 -31 -18 NE 1/4 OF SECTION 16 TOWNSHIP 31 N., RANGE 19 W. ASSUMED: 936.00 FT. WHICH IS ASSUMED TO BEAR S 00'56 E. NORTHEAST CORNER NORIN SEC.18 31 CORNER NORTH LINE OF N£ 114 SEC UMINUM MONUMENT) (FROM TIES SHEET) OF SEC. 16- .31 -18 _ 220TH AVE —N 88 58�92`-f -1317. `1312.45' C / I ® U < I o L1 / rr SWAMP I • • ..OR DI WA NARY c LOT •� : . I '.. HIDER �0X �I LOT 2 9,5.6 :� II I I I Y ' v I b s I °0 I I � Z v N y DETAIL VIEW ON NEXT PAGE p I v'w n N 53'Ol'4f'• W 0 . 138.1,1 •-ins, I p (n 100 SETBACK pl ORDINARY ' o E v = FOR POSSIBLE HIGH WATER ' E v w NI r W FUTURE TOWN 911.8' AL A, A,. ° ! I a E ° a o � ROAD POND : I� I WI m ' 3 SETBACK �` w; LOT 3 "C ol= ,I''� `' 0 0,; E ° o gl r7 �2 � PROPOSED �W I �I �v a ZI w n rn DRIVE O�Iz �0 C 0. 4 r LOT 4 �S 49* 0725' W 469.63' - I� ^ I 3:— v+v w ♦,•I 0o '0 W / fA= I 23.25• 58:56 Z'a a o ~ SHE r l I CL 0 �+ u as �► 5 m o o SEPTIC �� ( l y �' rn / OUSE I o o z WELL 62.16 -► - - 477.53' _ - 265.4fi -04` 9 ' ° , - - .. 1257.55' � S 89"57'53" W 1319.71' �� SOUTH UNE OF THE NE 114 q C.T.H. 'CC" - - I OF THE NE 114 EAST LINE OF UNPIATTED LANDS THE NE 114 CURVE DATA IAME �o CURVE I RADIUS I LENGTH I CHORD I ING I DELTA I TANGENT BEARINGS if A -B 1116.78 185.06 184.84 N 8526'31.5 E 09'29'39 S 89'48 39 E N 8(Y41'42 E C -D 493.07 167.09 166.29 S 8W35'48.5 E I W 24 5o N 80'41 42 E S 7^x'53 1 E I E -F 591.69' 147.50 147.12 S 87'01 48.5 E .1 S 79 E N 85 E I LEGEND I . County Section Comer Monument EAST 114 CORNER of Record SEC. 16 -31 -18 * Set 1" x 24" Iron Pipe weighing (FND 1 IRON PIPE) a minimum of 1.13 pounds per linear foot. 250 6 y,. O Found 1 -1/4" Iron Pipe PPROVE[� r R ALD F , �} Ilk. Denotes Wetland JOB f VA057SU88 n mitten 1C�H *1S�N Pr e pared } �J �� by. w SCALE FEET: 1,I�h AMPR 1 E O � �9UUG. �' iF1F> � '► Consulting Group Inc. �j tJ L � �, ••� �� Phone No. (715) 246 -4319 it not recorded wlthin 30 days of y '9N E 83 s Fox No. (715) 246 -30 1H approval date approval shall be O SU R`t ,dam P.O. Box 325 null and void R taNaaM S `� New Richmond, NA 54017 1 Sheet 1 of 3 } 1 ' Vol. 16 Page 4342 i ,r ' J CERTIFIED SURVEY MAP The Northeast Quarter of the Northeast Quarter of Section 16, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Prepared for and at the request of: OWNER: Gary Grm'qulet 145 Oakhill Road North Scandia, MN 55073 DETAIL 220TH AVE 2207H kSW 175.24 "35.24 ° \ 337.37 B6.00'I N 175.25' N �$- S 89'48'39" E n 611.62' - \33.00' 3 o i\ro n � �$ N LOT 1 N� W. N 11 � z 6 ? N LOT 2 x 337.27 1 N 86' ' yy N 1H 150 0 150 ORAMIC SME SCALE IN FEET: 1 Inch : 150 feet LOT AREAS LINE TABLE UNE DIRECTION I DISTANCE LOT 1 LOT 2 L1 N 8T41'42 E 75.52 TOTAL AREA : TOTAL AREA L2 S 79'53'19' E 76.71 82,200 SQ. FT. 73,775 SQ. FT. L3 N 00'37 W 135.73 1.89 ACRES 1.69 ACRES AREA EXCWD. R.O.W. AREA EXCWD. R.O.W. .�i,.'•;'i ;, �/ . 70,847 SQ. FT. 67,659 SQ. FT.ti4* 1.63 ACRES 1.55 ACRES LOT 3 LOT 4 R ALD F. >ar TOTAL AREA ; TOTAL AREA : � 17FINSQN 516,079 SQ. FT. 1 060 883 SQ. FT. a � -1 1 CIS 11.85 ACRES 14.36 ACRES W A M C' Q Y, AREA EXCWD. R.O.W. AREA EXCWD. R.O.W 010 Wt3. 451,075 SQ. FT. 1,035,394 SQ. FT. a C.. 10.36 ACRES 23.77 ACRES � �t O S U R J t Vol. 1 6 Page 4342 Sheet 2 of 3 EROSION CONTROL PLAN For Lot 8, 1375 2194 County Rd. CC (Star Prairie) — Owner (s) Grand Properties, LP Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." The Owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The main source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. 2. Divert contaminated runoff into vegetated buffer areas by creating temporary earthen berms graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. Use diversions to contain runoff on owner's property and away from adjacent properties. Maintain existing vegetation to protect wetland area >75 ft. NW of home construction. See attached site plan for proposed silt fence location. 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property, away from wetland area, with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must use only one driveway access off public road that is properly stabilized for heavy equipment; this helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. This includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. All vehicles, except those used for mound installation, MUST stay off the entire mound site to prevent damage that would make it unacceptable for use. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions or to request assistan th erosi & sediment control installation. Pre ared b : Pamela Quinn, Soil Erosion Inspector #6650 4 Owner acknowled ement of ESC Plan requirements: -tr/ 43/2003 l BRITT'S WAY LOC.IIED T /N PART OF 7HE Nw7HEAST IX/ my S r 7l/E' NA47NEAST OUAR7ER A� St�7. NDR7RAUIU RECORDED IN 1171CU E IB, D ACE 4�t? A/NX RpS7E rr N•Mh 114 Corner RIGHT-OF-WAY WAY ' Comer Ssetkn /d -Jl -ld North /h. of b>* UNPLATTED LANDS DEDICATED TO (�� atiNU t/4 0/ Ma /1�£_t /4 - - - - - - - - - - - THE PUBLIC Right-M -way ld -11 -)d (ftner aienhw" 50 220TFi1 VgL — �N89'58'02 "E 7.13� - I I 6B�N00'37'41'W�rr � AL C2 � Ir cs a b0' I I 735.73' I AL ARE into 'k Mc T TO LO 1 OT _ ERTI CFIED_ URV�Y MAP ( 't` V3L. 16. PA� 4342 ` AL M ou w iw�i� Nara ) OW LQT 2 LOTS \ I S --- - - - - -J I V4& " a 13&7 '3e'E 1 4sa30' r R NXM / it. �yd LOT7 1 m. o< Z ' I c 8 r~� ; x c +� x I A` m SE739Y9�E 411.9 t.ds' + I x x I ,-2C i I $ SE It Lore At ' b + � N89'JO'2S'E 411.31' 22214' I _ Aw7v�sT SOT 4 I LOTS attn I CERTIFIED SURVEY MAP 8 yOL. 16,_PAGE _4342 — x O i x 411.0r v 213,25- x 19742' ci S89'30'25 W 46943' n Shad a House, I � 3 I ,4 rcentrline Orive I N � - SwM Aha of bta W -114 of tho W-//4 9 r A of obpea epxbl oxcapte" am PwmN b not Id radutrad for the dkbmbc n I 2D7i r greater on"nod m "app M. --,**w CUL Thlo Writ Is oppbd for through the a b ravbwod through a pupNe boring p t w tr�. Cre4d GRAPHIC SCALE County Bond o/ Adjustment Boat 114 Cavnr bts. (&ww 1' *w )d-J1 -ld� . ,• • r r ,. C TM and Towehip r rw" m, °era datibi°nMaat to s (Ibww mintmwn lot Nn, 00000a to pr ate Lw raNen� ) I lest tl any Prcot aantoct the 3t. 0.* County or OMea and the oppoprtots Torn Herd W odvba, 0