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HomeMy WebLinkAbout038-1080-10-200 C 3 °-0' c r1 > > 3 i T � o c r 7 z O CO d co W O • 7 d N w O 7 Ch1 OD 1..1 CD 3 CL c C N 01. O O O co d SU (n fG �. W Q •S 0 CD o c ro ° °i � ° o' o .�.. 7 N F O O � 0 CD Cl? (D � .p T 0 ° o CL J .l p ' D (D z Co N N " CL CD F3 i :1 O C o O co) N N N — CO co g lr 3 M Z a o00 `„' M Q O 0 O h p (D f�D % N ' �� •O N � N N CA 0 OD z M N 0 D D o c O c 0 3 Q (D I C , W (D OZ (D A Z ° z 7 O 3 i W M m w co C j a z ° :: Z �7 0 y Z � A W D a � l � r m C o m N I fi A A ti ON N O O � f � O w :3 O N CD A v ts� O a CD ti Parcel #: 038 - 1080 -10 -100 06/16/2005 03:00 PM PAGE 1 OF 1 Alt. Parcel #: 19.31.18.329B 038 - TOWN OF STAR PRAIRIE Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * SANDBERG, KARIN M & BRYAN R KARIN M & BRYAN R SANDBERG 839 210TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 4.000 Plat: N/A -NOT AVAILABLE SEC 19 T31 N R1 8W PT NE NW BEING LOT 1 Block/Condo Bldg: CSM 10/2888 4 ACRES Tract(s): (Sec- Twn -Rng 401/4 1601/4) Notes: Parcel History: Date Doc # Vol /Page Type 10/15/2001 658988 1737169 EZ 07/23/1997 1210/286 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 30211 216,800 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 42,000 184,400 226,400 NO Totals for 2004: General Property 4.000 42,000 184,400 226,400 Woodland 0.000 0 0 Totals for 2003: General Property 4.000 21,500 127,200 148,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 568 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r MAR . 490 SURVEYOR'S REC CERTIFIED SURVEY MAP LOCATED IN THE NE OF THE NW OF SECTION 19, T31N, R18W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. SURVEYED FOR: SURVEYED BY: PAT BELISLE A &E LAND SURVEYING 857 210th AVE. P.O. BOX 325 SOMERSET, WI. 54025 NEW RICHMOND, WI. 54017 FILED 247 -5975 246 -4319 Ot h,t R 0 8 1995 R 4 KA �� E o Dee H Deeds St CtOaCo.,W► S — — — — EAST 274 7.64— NORTH - LI NE OF THE NW I/4, S EC. 19 EAST w CENTERLINE 210th AVE. WEST NW CORNER 1820.26' ?;I • EAST 250.00 w 677.3 �� SECTION 19. w RI -O F -WAY _ N11 COR EAST 250.00' SEC. 19. 1 Bearings are referenced _1°0 to the NORTH line of the co NW1 of section 19, ro assumed to be EAST.' ' S — _ _BUILDING SETBACK _ SCALE 1" - i �d 0 50 100 200 LOT I 174,250 SQ. FT. 4.00 ACRES (J__ C IC NORTH 1 INCLUDING R/W `) o IZ 0 1 C I rC 8 I LEGEND iz 166,000 SQ. FT. I ( — 3.81 ACRES I -1 Z EXCLUDING R/W m Section corner monument[ o M of public record. IM o 0 i t7 cn I o 0 Set 1 "x24" iron pipe � �, �M'� � ` � Ir weighing 1.68 # /lin.ft. m N a (Z -- 1:' ence jD C �� :'�5� �0 Z 74 CL nv D F W / vvit;t l ? date ©Q"Uf✓'IS Y� :4. � H u D 145 WIS. a4 i WEST 250.00 . UNPLATTED LANDS This instrument was drafted by Paul M. Gibson. Vol. 10 page 2888 Parcel #: 038 - 1080 -10 -000 06/14/2005 04:26 PM PAGE 1 OF 1 Alt. Parcel #: 19.31.18.329A 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner " PATRICK L &JOYCE BELISLE BELISLE, PATRICK L & JOYCE 857 210TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 857�210_TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 36.000 Plat: N/A -NOT AVAILABLE SEC 19 T31 N R1 8W NE NW EXC PT TO CSM Block/Condo Bldg: 10/2888 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19-31N-18W Notes: Parcel History: Date Doc # Vol /Page Type 11/24/2003 747255 2461/061 EZ -U 07/23/1997 736/579 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 25,000 157,000 182,000 NO UNDEVELOPED G5 35.000 87,500 0 87,500 NO Totals for 2005: General Property 36.000 112,500 157,000 269,500 Woodland 0.000 0 0 Totals for 2004: General Property 36.000 112,500 157,000 269,500 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 203 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: , 4 399571 GENERAL INFORMATION (ATTACH TO PERMIT) state Ian ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. M'ONi►1i • l�• Permit Holder's Name: City Village X Township Parcel Tax No: Sandberg, Bryan Star Prairie Township 038- 1080 -10 -100 CST BM Elev: Insp. BM Elev: BM Description: 1 66 o " r TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1, ddQ Benchmark � 5 00 Dosing Alt. BM Aerati n Bldg. Sewer ' (Jy O L Holding St/ t Inlet TANK SETBACK INFORMATION 701t Outlet C60. TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet J 7� �s Q Septic 0 + f r h ye 11 1� Dt Bottom Dosing . � � � Header /Man. 3 . �(�O �� J Aeration Dist. Pipe J OG . Holdi t. System os• 3 in Grade PUMP /SIPHON INFORMATION M• ; � - 11 J:4 Manufacturer a an St Cover PM Model Number S yyt t ►$' �• ' TDH Lift 1�_ Friction Loss System Head TDH Ft cemain Length t Dia. Dist. to Well f .V a � j ;Z ) I t7D SOIL ABSORPTION SYSTEM E H Width . Length f No. 0 T PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth IMENSIONS 45 SETBACK SYSTEM TO P/L BLDG WELL E/ST M LEACHING M fe urer: INFORMATION CHAMBER O Type Of System: �0 83 1 , ! , l U Model Number: CID DISTRIBUTION SYST M S"l Header /Manifold I y 1, Distribution r 1 iI x Hole Size 1.41. x Hole Spacing Vent to Air Intake I ` P O - y ,, Length Dia P ipe (s) ength 7 3' "rT is Spacing 3' D I ' 1 O SOIL COVER ssure 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 J Yes [] No O Yes [] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: It/ _/ Zy/ OZ Inspection #2:6 Location: 839 210TH Avenue Somerset, WI 54025 (NE 1/4 NW 1/419 T31N R18W) NA Lot 1 � rcel No: 19.31.18.329b 1. Alt BM Descri tion = y ) " �Jy ht.,, �P 60,,/ � 4Ae ,r n p ►�Qc Orme / S`�� ��O , 2.) Bldg sewer length - amount of cover = 3.) Contour = . Z = /n y YZ ( 0 Z" _ h� _ Plan revision Required? ❑ Yes No ' w Use other side for additional information.' Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) LIED �z � Safety and Buildings Division County N N , Isconsin 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Site Address Department of Commerce Sanitary permit Number Sanitary .Permit Application �jR q ��y in accord with Comm 83,21, Wis, Adm. Code, personal information you provide ❑ Check if Revision ✓ r r may be used for secondary ses PrivRc ,Law, s15. 1 m State P lan I.D. Number I. Application Information - Please Print All Inform a' . ( Property Owner's Name ` ,' ,-+ Parcel Number fJ _i Props per's Mailing Address _ ' v ;'.� Property Location 4 • S T3 —S Lot Nurp r Block Number City, State Lip C r % 1 umber y ' r Subdivision Name CSM�b�r- Sa / XW II. Type of Building (check all that apply) Doty Ll 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Commercial - Describe Use Township ❑ State Owned p Nearest Road f{ M. Type of Pe t: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. For County use 1 Nev 2 ❑Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Ord Exis ' System Date Issued B. El Check if Sanitary Permit Previously Issued Permit Number IV. Type of Permit: (Check all that apply) (numbering scheme is for internal use) & - l i 44 ❑ Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wedand 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line b ,- 45 ❑ At -Grade 46 ❑ Aerobic Treatment Uni 49 DYccirculating 30 ❑ Other V. Dispersal/Treatment 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) Elevation �5 LO .o 4� 3�_5 s - l 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 14 , -P,/S' k Dosing Chamber L VII. Respo ibility Statement- I, the undersigned, game, responsibility for installation of the POWTS shown on the attached plans. i Plum is ame ) - Plum 's Sjgda MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) tor _S- VIII. County /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued at Signature (No Sumps) Surcharge F ) / ❑ Owner Given Initial Adverse Determination - -I EK. Conditions of Approval/Reasons for Disapproval AA i Attach complete ptaw (to the County only) for the "em oa papa' not less than $In s It imba to arse V , SBD -6398 (R. 05101) t s . .d /' >�:..�� /,! /, Y�c'n / 1J�„ _�f %y • >�= c�Jv�f• iC /GC',O ; 707 ,� �, ra' � ` •7 '-^ - � c � �'�'t/5 - cJJ -'� ,T�� =.Jf/ /C,5} � /_ s� /G -�7.�! Il i 11 , 7 � j I I / t - _ 1 t t r I / /- � 1 � i Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N visconsin www .wis c ons i n.gov commerc .wis c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary August 27, 2001 COST ID No.224263 ATTN: POWTS Inspector ZONING OFFICE KIM A O'CONNELL ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/27/2003 Identific um b s Transaction ID f o.669613 SITE: Site ID No. 6346 BRYAN SANDBERG Please refer to both i entification numbers, 239 210TH AV above, in all correspondence with the agency, TOWN OF STAR PRAIRIE ST CROIX COUNTY NEIA, NW 1/4, S19, T3 IN, R18W LOT: 1, SUBDIVISION: VOL 10 P 2888 FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 808050 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section V II I of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given, to the owner and each subsequent owner upon completion of the project. • The well shown on the plot plan is to be abandoned in accordance with the provisions of NR 812.26. •, Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is rec aired � R p � P b 1 • 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. KIM A O'CONNELL Page 2 8/27/01 • 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). In addition, 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. • 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. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this 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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Charles L Bratz .••JJJ POWTS Plan reviewer II- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratzCr�,commerce.state.wi.us cc: BRYAN SANDBERG MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: BRYAN SANDBERG Q�wer's Name: BRYAN SANCI;ERG U' Diner's Address 1060 CTH H NEW RICHMOND All 5 017 Legal Description. HE - NW- CEO. 10 _T 31 - N - R 13 W Tovmship: STAR PRAIRIE County: ST CROIx Subdivision Name. Lot Number: 1 r N umbe r: .�,,,u.,,. Blo R m _ r. P I.D. Number 038 - 1080 - 10 - 100 Plan Transaction No.: RECEIVED Page 1 Index and UUe AUG 1 2001 CO"dOnal Page 2 Data entry , `.� Pa 3 Mound dravvir S Page 4 Lateral 2nd dose tank SAFETY & BLOGS DIV._ APPROVED � t� ; Page 5 � stem maintenance specifications g y Pel `' O�R a tTOFCOERCE e 6 Management and contingency qF S Pa 9 9 plan Page 7 Pump curve and s ecifications `� P p" SEE CORRESPONDEN Page 8 PLOT PLAN Designer: KIM A QCONN L l license Number' 224263 Date: 08108i'0 i � P Nur) fiber . 715- 755 -3145 Signatur Dw.ignwi PurF.WHnt to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N, 01101), and 33WMr P ublication 9.6 i?esiyri of rr e3sure Distribution Networks f ST-SAS (01,$1) Version 3.0 (03/01101) Page 1 of 8 .....�_.... T .w Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300,00 Estimated Wastewater Flow (gpd) I able 83 M 3 in situ soil treatment for local 1.60 Peaking Factor (e.g. 1.5 = 150%) coliform of c- 36 Inches 450.00 Design Flow (gtd) 17.00 Site Slope ( %) 104.40 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpolft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpolft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation tt 2 Number of Laterals of the highest pant. 0.126 Orifice Diameter (in) (e.g. 0.25) 4.00 Estimated Orifice Spacing (ft) = 11.84 ft /orifice 1.60 Forcemaln Diameter (in) 76.00 Forcemain Length (ft) Does the forcemain drain back? Y 96.00 Pump Tank Elevation (ft) Enter Y or N n 0 Sy it n I� 8 k ( gal) o.5v �yslCfll H ead �Itf x i.o 6.03 F Or ce fifaiif DrainkiaGKgal1 9.15 Vertical Lift (ft) 67.38 5x Void Volume (gal) 1.77 Friction Loss (ft) 74.27 Minimum Dose Volume (gal) 17.42 Total Dynamic Head (ft) 15.65 System Demand (gpm) Lateral Di ameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 X 1.25 x 2.00 1.50 x X 3.00 2.00 x 3.00 x Gallonsnnch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) 52.00 Total Woking Litlt.ad Depth (in) weeks Manufacturer 19.2 galAn (enter result in cell B49) Dose Tank Information Effluent Filter Information $00.001 Dose Tank Capacity (gal) lZabel Filter Manufacturer 19,64 Dose Tank Volume (galAn) JA100 Filter Model Number weeks Manufacturer n i. n f on Hrn n r Ioi�Ul.: E)R v f r %N vnNL o UL R Page' of c VO o vv�wvv A ...... ..... (10 K O A VV ........... .. ...... B ..... .......... .......... ...................... ...................... . .. .................. ...... ............. ......... ............. ....... ..... . ........ . ... ............. ....... ............ ................... .......... . ..... ...... .......... L Mound %Component Dimensions r I I � --1- .1 1 ^ o. vu It C: 23. 2-4 iii r-I I.W it r\ V. QV ft B 75.00 ft F 9,50 i n 1 19.77 ft L 94.31 ft D 11.00 in G 0.50 ft ft 1 4.39 ft W 30.15 ft I .--- 1JIl (tt b I -.,>, - I 450.001(ft Dispersal Ceil Area I 1W2.4 Area Availabie 6.00[(gpd/ft) Linear Loading Rate 7.501 (ft) 1/10 B Obs. Pipe Placement Lfieund, Cross Section Vlow A ggregate Dispersal Area rinisihed G-1rade 1U7. 1 i (ft) H - � . ;i / /���� 2 G >� F Dispersal Call 105.82 (ft) Lateral 105.32 (ft) Invert Dispersal Cell 0 . . . . . . 4 Elevation E ........ I ....... . . ..... ... .. .......... .... .. ..... ................ 1 4.40 (ft) Contour Elevation 17 0,� vita Qlnno Geotextile Fabric Cover Shading Key -- &p — ersal Cell See lateral details on Topsoil Cap M 1.5 ft Page 4 for number, Subsoil Cap a 0 Q size, and spacing of ASTM 033 Sand :5 F 'i t F laterals. Laterals are Tilled Layer C � I 0.5 ft Typical Lateral equally spaced from Aggregate V 0 the distribution cell's -t- I A centerline in the distribution cell (AXE). -1: On\/ A Ll k 1MOf7 r-)^ Page 3 of L-;r\ -W - \ 1 4 LJ LJ - r% %Z e N F:nrj nnnn ts f - +c 1 1 oS�ua 1llo r m Labe mals cen over the men h3n ♦ = Turn -up w1ball valve or 0106noutplug P AN Iatrrats a" wiengeal 1. _ X ---.)I f-W*r �driltad on the trotoom of 0* lat $ rquaMy spaopd For* malt% oorm o " via tyre dt dtocc to manwd 4( 4ny pant. later CIS Z tome Tain of PVC Sch i0 (pee Ct7 4M Tapp e1.30 6) Nul l lber Of Laterals L Vr ifice Dian � Teter O. i 25 Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft Lateral Length (P) 73.44 ft Orifices per Lateral 19 Lateral Spacing (S) 3.00 ft Orifice Density 11.84 ft /orifice Lateral Flow Rate [ Aft gpm Manifold Length 3 00 ft System Flow Rate gpm Manifold Diameter in Total Dynamic Head Forcemain Velocity Q"v Tank Information Locking cover with earning i--- -. label and lockino device and sealed watertight Electrical as per fdE:. 300 Comm 16 B WAC Disconnect 4 in. min. Tank component is properly vented E— Alternate outlet location Forcemain diameter weeks Manufacturer 1.5 in, Capacity 800.00 Gallons Volume 19,64 gal/inch A Weep hole or anti - Dimension In Gallons B siphon device A 26.08 512.22 C B 2.00 39.28 Apump off elevation (ft) __4� d C 4.65 91.38 rr 96.67 D 8.00 157.12 D Total 40.731 800.00 ose tank elevation (ft) 3" Bedding under tank. ` 96.00 Alarm Manuafacturer I S.J. ELECTO SYSTEMS Alarm Model Number HW 1 Pump Manufacturer IGOULDS Pump Model Number I WE0311L r --T - - r---1 D rufifN iviuSi Deliver L ia.v5l yNfii ai i r.�+21 � vn Project: ° RYA "� v.- . "�D°ERG 17 age Y Of 6 S ystem M a i n t enance and Operati v sr'wi.iw L' Service Provider's Name KIM A OCONNELL Phone 715 - 755-3145 POWTS Regulator's Name _ ST CRO COUNTY ZONING Rmel 715-386.4680 .: 4M1 2 O n -, uii . RrR:Iiv Lmblyf i r - r l:W. 4.7U Igp 118 in I Estimated Flow- Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 I .t 2 Maximum FOG 30 mg/L Type of VVastewrater Domestic Maximurn Fecal.Coliform >10E4 efu/100 mL Service Frenl �encv Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Inspect for ponid and seepage once every 3 ears Other 1111• ' ace 1.. 0...... ... n.�r.wa.. ...a'..... A and II i 1.. fS 1 M ard :i L.Sii3i:v il'w3 rViiv is v:. ii i::i ::ii .Z �r riQ:.i L7 ta�URt 3 4 Y1h�...._ ..: ..... -. � � I..aa �.J ......J ......a... -:..I .. .. ..i........ s.. T /�... -... ... O A 7(� A L.....� a�.J:...ha .. and are secured in ac c yyn in the mnl inri rnmrvinent manilal. �1 1"1'............1 fl el af . ..a,. >: i..,,... C f n 0 A , ISn /a W;N i A A A .JM r`�d G . Lf(Jr.iGi.iG: 'vvi: Gy. + e confoiiii� t., ..:;mi:i Ll�+..r.1 ti•i1ki1, VVi- r.uiii. kj Cod '2, III grayitti and rlreccrirg r materials conform to the req in �r1mm 84, Wis. Adm. (`ode A T'li.. ..0 ai.� 1 a rea i� .... ...I:..h_.J :ah a of 1--and L.i ....I 1..... 4. : S:.Gae v. t he ti.�'7. J.i .Z: v .+ G•vv:3i i ii.Y.: Ji ice,:: r..... a.. ... J:L: it 'd: :,i :!r �i I17Ct (J:IiVV. 5 The mound stn irtl ire and other dictl irhari aroac %AAII ho zaa ari and mr ched to nre.rent cni! erncion ..._. i . _. _.._ __.. _. _._.. Gi la i i—v i v...- i i Vat i.lvi . r ation : Lateral Turn -up Detail Finished ....�.. ..��. Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral -- ---- -- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Projec aR Asti SA "VDBE I n IV f 5 Vf y • puruuarit Lu BV Wis. Adnn. CQKie General lilt yaan w it we opisi ii accorciancevirr �Amrri vvis. iAarri. ',oa6, anci snaii maintained in accordance with ffs component Manualz '5 Qve c;�IQT a WFic� c� pump lanK 5;ncQ ga5u­ ou PrcSk;i­.' zi CQUiG cause Goeir, Septic and pump tank abandonment shall be in accordance with Comm 83 33, Wis. Adm Code when the tanks are no longer used as PoWr S n— ts, R -+ic o. f?rk rnanhn!- rip accocc r orl n Ve— k fn r p t;gh+n-- ­4 c onto nn U66G for W "Ice ana " anaii 06 Waiaa VA.ZaRigni UPOr', ina compiaion a, service. ;Any opening a6emea unaouna, derective, or 5uojea to failure must be replaced. Exposed access ooenincis areater than 8- inches in diameter shall be secured by an effective locking device to Serg!c TI i;"a; uu;k�dl a;; i ; i�; �,V; v�.Q �Ajp i;� I "i iil�l ;Ai �Ir '_` 1 , 4�3, _` iALL,, Ti iu Qvs iLuriLt., ul Lhv WiJiit; 1W 6% -hall hn di sensed of in ar.r.rirdanco with NR 111 VViq Adm Cndn Thnopnratin tank and nitiFt fitter -hall hnn. shortnt uiuju 1 W fWWHi 7.�iUHUZ� iii LHU UUM MaL iiiUy ZAUU$jii Uii Uik;i ;;;lid( ilu;"; SiU vfiQiU";UIU. ii tire MUA iu wquippw wilh art aititim, Lim fiiLkn shall hA.;P.rAr.PAI if the alarm a( nontintimicAv I ntermittent fi Itpr a [arm-, may intlinatA -u m_ in flown or an lmnAndinn rrinfint jot ja alarm The ta n k k &ha!l ha ihc nnntpnfic rpmn ,-;hen +hn non+cnts of thn fnnk -r,n not rCrnn -+ +1,^ +1—,. of , +,;­;,1 ...... ... .... . ... .. - nd thn cr-tm-cl of when the Z;iui - �wv U bu pv; t1j; i r RA;. I Lu H;Uiii . Lu;;! ik.14%i . ii;d;; i'NaXiii;JiN •VUfr; UfIQ . di.;QWHWU I LiVil HI I LTIW . LUM . ThA addition of hiolonical or chemical FidditfvF_- to enhanin.n sentir. tank nPrformancp i% nianpraliv not rmtjirFd Hnwpvpr if such nrorkints arp. u , ed they shalt be ap for ­fi tankuse hy the D­?rtment of Crimmernp 0 i ...3 pump \ MnK aua- 3haii as inap at i6 st a once AR y 3 years. svv afar ma, and pumps shaii be tested to ver p r op er operation. It an effluent filter is installed within the tank it shall be inspected and serviced as necessarv. Nin-nd Min trocs or Ghrub�!� f�hnt!!H hc Hnntnrl no thn Mn nt Pl- 1, —,A- n n 4 +1— ­­4 -^A—Ctcr F­ ond tho mou-nd shn!l bb :jeevdw and Inulu. uz;i iIWv1iziUfY Lo Piw4 w(.riiQj) and io jXU)AQf_' WiTIV Pi(AtKAMi HUM I I ilJ Re! IV,; atiVII. i (all IQ i(ANUF Maii I I or VWfA4Wv%i maintlanannial on thin mound is not rFx nmminnfiArl -,Inr.R soil r.nmnartion may hinder aeration of the infitt•attvia mirfairs, within the mound and snow Cn!d vv!2"th!En- inE!?!!atinn- t0otnhei­ Fehr-,j?,y) fttatethit the mound be htn'Aly mul iiiil""K �juulky info WU MQUii" Hi"Y iiUL i.:AUkkU "­ ;ii�kL L�L�,, ;UJ ;iligiL i ZoC­ aril: .i.J MWL IVI zivpUv Lai(kvifiuviii ui r a)`ngl M(I., 111111d 104, tr_ "ViMly MY! VXCM-11 rTN'VJFTIWTI de�aO.n MOV,' fin in +,h___ pnn__ fnr thin inntn!1,t+;nn The diriroL n F�­em ;F� nm n fl t!F�hinn nn;r f ­ of —Ch and jf io rl-F�nnmrnended th�zt eonh !:lteml he fl-­:�hed Vi accumuiazo-J :otitis at ioast once eveiy 18 montria. vvne. 1 a prr�sure test r5 perm. mec ;E snouic; De corriparau to the initial tea vvrnen the system was installed to determine it orifice clociaino has occurred and if orifice cleaning is required to maintain equal distribution within the dlsrrrrsol Coll. ­��e,­+;Oo -4k;, I NF! cell be - ,hnnklE�d 'or Ponding -,hall her rte± to the mmer, fund nny ler �s aba 6 inch u. considered as an impanaing riyurawic rauura raquirmig addRic'nai, imc, a fr equent monitoring. Continnipiriry Plan If thp F�eptic tank o r onv of ttc� components hF�oorrie defeoti the ting. or component d�hRH he rep ireU orreplaced to keep the sy-stem 1 - 10 — por nmnrntinn nnnHiltinn ;444i;q, Wian rw artmWiateny repAirsd or mplar.M with a r.nmnnnpnt of the ciamp or snual nprformanca If the mound onmponent fails- to or hftninr� to d;=hnrC to the ground surfane, R wifl be repir or repinne-A. in k ^A its' pr=nt lociation by I ncroosing b=-al 0% i f t oo- lookigc ot_�nur* nr by romolying ­J0Jn dogg_ nbs rption Ind d M.-M, I—- arid Wid U F;kki :agcy W uiigill• . UVO ZiY1Xeui HRU PFUPW ViAlefULM• QQPUiUQFi. S Snp. PAnP.A of this plan for the nnme and trAnnhorie ntimhp.r of votir lnrnl POWTS rnniflatnr and su-rvricp provider BRYAN WNJDBLERC]� n. nn 1z; v " Curves Pumps µUIR$ FEfT -- (- � ;MODEL C r�_ �.— ,•_,- -,. - �T � r- -SIZE 1 i4" Soiias WELSH - -1----t- - - -7, . N r - wE tOH • t ---t-- - - � --• -° 1 - -I �. -� •1 r•- - --T- - I � r- - �___r_. --� 7p j. 5 r r• --r -- I--- t---- *---r__. t 1 _- t— -i"c -- �I �.�' � I \'� --T- -' -.1 �, .. ._ to �-- •r-- i —r —r-- -1 - �— `-�—�. I f-- , •- -j` -� _�- � __� 0 10 20 00 40 w fro 70 f> 7 SO 1 W t 1 p CO i M CAPACI1 - Y CGOUL�ti METERS FEET — 7 — -- ,— ,— ,--; —; rr 0 D E L 3885 SIZE �"4 S ;asl 1t0 WE15HH -- r-- 7 ! I T i T - 7 ,t^- -r- p WEOSHH __ - -t--}- j-t -i - �• i 0 10 n x 40 w W 70 W IW 110 I:'0 GPM i 0 10 .J mVh CAPACi7Y •IKO Ovviif Pvmpl, In, Ao 6r Ad A:IJ 1 � I b � �1 JJ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page —/— of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County �— 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. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1 f ) 2 J t Property Owner Property Location Govt. Lot 1/4 1 1/4 S T N R / e(or�(1l [ Prbper � l wner's Mailing Address Lot # Block Subd. Name or CSM# Ci y Sta(e Zip Code Phone Number ❑ City ❑ Village 0Town Nearest Road 4Z 1 ( 7Z 7 1 New Construction use: Residential /Number of bedrooms Code derived design Flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 4/ Flood Plain elevation if applicable ft. General comments and recommendations: © Boring # F] Boring jnl Pit Ground surface ft. Depth to limiting factor . -) 7 in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 .S �) 7 Boring # Boring Pit Ground surface elev. ll+l. G, ;� ft. Depth to limiting factor _ n Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 < l �. 4 t; ` Effluent #1 = BOD > 30 < 220 � > 5 g/L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST (PI e e P 'ryt) igna CST Number Address Date Evaluation Conducted Telephone Number SBD -8330 (1107/00) Property Owne �/ .;� (/ ) �_'[»n Parcel ID # Page of E Boring # r Boring Pit Ground surface elev. �f�.. ' ft. Depth to limiting factor _T_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 �. - C kj 7 S ;/. 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 GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # Boring ❑ El Pit Ground surface elev. ft. Depth to limiting factor in. S oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 7 ' 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.07 /00) .A ,� /'� /�.JC� �� � ?,S l `� ' l�i�� cr � T / / �J� • ,�,� /D- �.7ra7 i / � ; o 1 _ /fit x� a 1 Wisconsin Department of Industry, 1 3 _Labera- HpmanRelations SOIL AND SITE EVALUATION REPORT Pag�_of of ion of sSafety a Buildings in accord with ILHR 83.05, Wis. Adm. Code S' e COUNTY 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), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION R�VIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Brian Sandberg GOVT. LOTr;k; 1/".,T 1/4,S 19 T 31 N,R18 xFc(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # B I S UBD. NAME OR CSM # 1060 Co. Rd. 4�jT n/a n/a n/a CITY, STATE I E PHONE NUMBER [:]CITY ❑VILLAGE )S OWN NEAREST ROAD New Richmond., WI . +C (715)248-3257 Star Prarie 1 210 th. Ave. New Construction Use [xic Residential / Number of bedrooms 3 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd /ft trench, gpd/ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 5 bed, gpd /ft ' 6 trench, gpd/ft Recommended infiltration surface elevation(s) 100.00 ft (as referred to site plan benchmark) Additional design / site considerations none Parent material glacial drift Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S JgU )(N S ❑ U ❑ S iaU ❑ S Qaj ❑ S U ❑ S OU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer>cfi 1 0 -10 10yr3/3 none SL. 2/m /sbk mvfr g/w 2/f .5 .6 2 10 -27 10yr4 /3 none SL. 2/m /sbk mvfr g/w 1/f .5 .6 Ground 3 27 -45 5yr4/4 clf 5yr4/6 sil. 1/f /sbk mfr na/ n/a .2 .3 elev. 9 9.10 ft. Depth to limiting factor 27 Remarks: Boring # 1 0 -11 10yr3 /3 none SL. 2/m /sbk mvfr g/w 2/f .5 1.6 2 € 2 11 -27 10yr4/3 none SL. 2/m /sbk mvfr g/w 1/f .5 .6 3 27 -51 7.5yr4/4 f1f 7.5yr5/8 sil. TI n/a n/a n/a n /pn /p n G ou d elev. 8 9 9 9.10 ft. Depth to limiting r r7 factor o z ��Q rn Remarks: CST Name: — Please Print one: Gary L. Steel 6200 Address: A 5 A4 200th. A e., 'ew Richmond, WT. 54017 Signature: 4 -27 -93 Date: 2298 CST Number: PROPERTYOWNER Brian Sandberg SOIL DESCRIPTION REPORT Page 2 _of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench gg %wv.•.4 4t' may' e:�: 1 0 -12 1_ r3/3 none L. 2 /m /sbk mvfr g/w 2/f .5 .6 =1 =iii ?, 12 -25 10yr4 /3 none SL. 2 /m /sbk mvfr g/w 1/f .5 .6 Ground 3 25 -48 5yr4/4 flf 5yr4 /6 sil. M. n/a n/a n/a n/p n/ elev. 9 5.80 ft. Depth to limiting factor Remarks: Boring # ....: Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # <yvi Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel C.S.T. 2298 Brian Sandberg New Richmond, WI 54017 MPRSW -3254 1060 IIY. #F, (715) 246 -6200 New Richmond, WI. 54017 S19- T31N -R18W town of Star Prarie � YO lo' Z jig 64 DO t �I _ 11/09/01 09:35 FAX 7157553406 BENDING BRANCHES Q01 11/09/2001 10:16 7152473838 BELISLE EXCAVATING I PAGE 82 ST CROIX Cov r1TY SEPTIC TANK MAINTENANCE AGR$gIVMBNT AND OWNERSHIP CERTIFICATION FORM owner/Buyer Mailing Address v ! Property Address - (veriticatian required from Planning Department for slaw construction) City /State Parcel Identification Number Property Location y,, S&L- y,, See, �q , T�N.R /9 W, Town of Subdivision Lot Ce Survey Ma p K - j� w , Volume _„ '*_r'? Pap 0 •-- Warranty Deed N '�5= Volume ,�7/� � Page S pec house C yes 0 no Lot lines identifiable C� yee O no NA r.E Improper use and me intertanceor your septic system could result in its premature fiadure to handle wastes. Proper sitttitttstMm" aortriau of pumping out the septic tank every three Yvan or sooner, if heeded by a teemed pumper. What you put into the System sus affect the function of the septic tank as a treatment stage in the waste diilpoaal systems. 71 * Ptnpeffy vwtui agrees to su bmit to St Croix Zonitsg Detpartaq mt a cettilfeadon lbrn% signed by the upset and by a master plumber, journeytnan plumber, restricted plurtrbeT ar a licensed pumper verifyin= that (I) the oat-site waetowaasdisposal systoam is in proper operating condition and/or (2) after inspection and pumping (ir neceallO ). the septic took is lass dean 11 NU of sludge. Uwe, the undersigned have read the above requiremenie and agree to rnaisstain the private sewage disposal system with the staodtaads M forth, herein. as set by the Department of Commerce and the Depamnent of Nstttt'sl RasoureW Sate of Wimomwa. Ceniftggi stating that youstem ha en maintained gust be completed snd roturned to the St. Croix County Zon ing Office within d0 f the t>,t to, If /Jow l S OATS I (we) cs chat t tstemcnIs On this form arc true to the best of ray (*or) knowkdga, I (we) am (are) ebs owm(s) of t property desc ' ed a y virtue of a warranty deed recorded in Register of Deeds Ofllct. DATE • "••• Any inforhtation tat misrepresented may result in the units ry partt�it being revoked by tits Zoning Depareatertt. •• I<tretude with tats apPlieatien; a starnped warranty deed from the Register of Duda *Rice a copy of the certified survey map if reference is aside in the waimly deed DOCUMENT NO STATE BAR OF WISCONSIN FORM 2-11942 WARRANTY DEED 552529 L 1* % �� )T CRC ;X 1 . 1 0., VA t P&I'd I% PAM &J- - - -- - -_ -- -- ____._ , NOV 2 2 1996 conve d warr n U to ILL - v k! -O 11111' ter of Clsq!f 3 R ETURN TO PA-rkj c AL- L rs kA; ge/,CeAS- 11 1 — the following described real estate in -County. 1� State of Wisconsin: Tax Parcel 2 wo 1 0 BPI 01 10 ��� c,� �� Ji LO(q4ed in 4�e NC V oF-fhe U /,-, p rS� C h M ) q ) T31 N T? NO 0C_* r PP 4gi, 5,r• ak (Owl li FE EXEMP This 1-5 not homestead property. li " Exception tc Warranties: Ca —day of 92 17 ---- (SEAL► (SEAL) • c,, a Ic r__ L e— (SEAL) f —(SEAL) II y Al AUTHENTICATION ACKNOWLEDGMENT Signatl4re(s)_ STATE OF WISCONSIN Ss. County authenticated this day of—, 19— Personally came before me tnis—_ day of 19 _514L the above named ilk 526610 CERTIFIED SURVEY MAP LOCA TED IN THE NE THE NW OF SECTION 19, T31N, R W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. SURVEYED FOR: SURVEYED BY: PAT BELISLE A &E LAND SURVEYING N 857 210th AVE. P.O. BOX 325 SOMERSET, WI. 54025 NEW RICHMOND, WI. 54017 FILED 247 -5975 246 -4319 MAR 0 8 1995 0, 4 KAMjjEUH.WALSH Registet Ot Deeds StCro�xCo�W1 S - - - EAST 2 7 4 7.64' NORTH - LI NE OF THE NW 1/4, S 19-, _j EAST W CEI�TERLIN� 2�Oth AVE= WEST NW CORNER 1820.26 4 • EAST 250.00 " 677. We SECTION 19. Q w RI - O F - W AY _ NjZ 4 COR EAST 250.00 SEC. 19. 1 Bearings are referenced _1 °0 to the NORTH line of.the ra NW1 /4 *of section 1 9,' assumed to bear EAST.- g _ _ _ BUILDING SETBACK SCALE I - , 0 - 50 100 - -- 200 LOT 1 174,250 SQ. FT. 4.00 ACRES C„ 1C NORTH I INCLUDING R/W 0 0 1Z C I i I t _ LEGEND i_U 166,000 SQ. FT. t t 3.81 ACRES : --I 1D Z EXCLUDING R/W iv Section corner monumen 1 - o a o f public record.rn o 3 \ 8 O Set 1 "x24" iron pipe „'' 1i- weighing 1.68 # /lin. ft. m N -N �/ D ° I Z 0 -*--*-Fence Ir o o 1t Iv Iz ill $ 95� n 1 v S '1 OF s not �4 Cp �at�airl 31.0 tsar s �rf «nnsw'.J1 date ha co �' o WEST .00' : 19,3 UNPLATTEQ LAIl This instrument was drafted by Paul M. Gibson. Vol. 10 nAPP 2888