HomeMy WebLinkAbout038-1136-40-118 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT ry 506141 J�50
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J
Permit Holder's Name: City Village X Township Parcel Tax No:
Neuman, Chris & Lynn Star Prairie, Town of 038 - 1136 -40 -118
CST BM Elev: Insp. BM Elev BM Description: Section/Town /Range /Map No:
160 ✓1 1 r 33.31.18.556C30
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
Septic Benchmark
LV 54
Alt. BM ;z
Aeration Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION SUHt Outlet 7 qy• 7S
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic r6q 3 Dt Bottom
Dosing Header /Man. V zS '73 .9
S Aeration Dist. Pipe ,
Holding Bot. System `A . 1
Final Gradq #I�
PUMP /SIPHON INFORMATION , � Ae- ( 0, 6Z ��• " / �
Manufacturer Demand St Cover
GPM �'� \�.� ,.� 3 � Ake
Model Number
TDH Lif Friction Loss System Ft
Forcemain LIDist. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width / Length j No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 -.Z %fe JI ab `` i �.
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR L/►r. I i;� C
Type Of Syste r I ; p 6 UNIT Model Number
DISTRIBUTION SYSTEM 1`7'r % 3y-
Header /Manifold IDistribution x Hole Size x Hole Spacing Vent o Air -Inca
Length �' Dia i� LP
ngt )� Dia _ Spacin (. �y J
Length
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over ' Depth over xx Depth of xx Seeded /Sodded xx Mulched
Bed /Trench Center 3 d Bed /Trench Edges Topsoil \
. J j1 Yes No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1; / / Inspection
Location: 1831 100th Street Star Prairie WI 54026 (NW 1/4 SW 1/4 33 T31N R18W) NA Lot 4 Parcel No: 33.31.18.556C30
1.) Alt BM Description = 60 JC.ti """
2.) Bldg sewer length
- amount of cover =
Z
Plan revision Required? Yes 0
Use other side for additional information. w a�
Date Inse tor's Si ture Cert. No.
SBD -6710 (R.3/97)
r,
commerce .Wi.gov Safety and Buildings Division County n
0 201 W. Washington Ave., P.O. Box 7162 Sr•
sconsin `ILO -iX
Madison, WI 5 3 70 7 -7 1 62 Sanitary Permit Number (to be filled in by Co.)
t i aepartment of Commerce S O 4't4
Transaction Number
Sanitary Permit Application Stat
A
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for -o PO S are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide m e u for s onda /
p urposes in accordance with the Privacy Law, s. 15.04 I m , Slats. S+ /�3
1. Application Information — Please Print All Information
Property Owner's Name Parcel #
RECEIVED
Property Owner's Mailing Address Property Location
/ X33 /&C-0 - s-t - AY 1 5 2007 Govt. Lot
City State Zip de Phone N /� �t � y., St t.l y., Section � _
N &� tC4#v, !t_J S d Ste.CR r3 �_y—CW` d� / T _3 N, R ircleo�
11. Type of Building (check all that apply)
I or 2.Eamily Dwelling- Number of Bedrooms Subdivision Name
l Block # Xf A
r
❑ Public/Commercial — Describe Use /• 2 5Q3 ❑ City of
CSM Number 7 ✓ ❑ Village of
❑ State Owned — Describe Use --Oil8 // 2�
- 4- 17 J Town of 6 NkJ R f�
2 �;�J- �115 a
1II. Type of Permit: (Check only one x on line A. Complete line B if applicable)
A New System ❑ Replacement System g p Y
❑ Treatment/Holdin Tank Re lacement Onl ❑Other Modification to Existing System (explain)
B. 13 Permit Renewal Permit Revision El Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner r
IV. T e of POWTS S stem /Com on6;Device: Check all that a 1
Non- Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. ofsuitable soil ❑ Mound < 24 in of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersaVrreatment Area Information: _ Z
Design Flow (gpd) Design Soil Applicaa Rate(gpdst) Dispersal Area Required st) Dispersal Area Proposed f) System Elevation / /
4.s ✓ t X92• .� 6 .9 fo(.o� .3 °-�
VI. Tank Info Capacity in Total # of Manufactur r y }' �* ,~
Gallons Gallons Units ° =
New Tanks Existing Tanks
U 'rn y rn C7 Li,
Septic or Holding Tank
Dosing Chamber / [~
VII. Responsibility Statement- 1, the undersign d, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) P tuber's Si Lure MP /MPRS Number Business Phone Number
/J. A -e 7 y� 5 7�f !v 3-252
Plumber's Address (Street, City, State, Zip Code
r- / SS S p7E t -4
VII oun /De artment Use Onl
pproved Disappro Permit Fee Date ssued Issuing t Signature
$ v� S a7
O Iven Reasolt for Denial � S ��
IX. Conditeasons for Disapproval
t
t. Septic tank, etllUKA titer and
dispersal cell must all be services / mayi lned �L
as per management plan provided by plumtfer. �f .
Z AA sd baclt requimments must be maintained
lopw AS
OPPI to complete plans Tor the system and submit to he Countv only on paper not less than g IR x I 1 inches in size /)
SBD -6398 (R. 01/07) Valid thru 01/09
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TION REPORT P ogo
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C)ms,on of Safety and Buildings ... a wiR(C6�rR Vfs. Ad Code
AttaCh complete $,to plan on paper :wl" n8 1/2 x 11 in t,l . Plan
nCt !iT %tad to: vertrfst a VI re �e,ret�.cubn nd Parcel i.D. percent slope. scale or dimensions, h a tan and distance to n rrsl road. pa �+
P /ear print al wbFMOMMIX COUNTY R �!
'Personal inlorrnatan you !NOVIde may
o< uaaewr PWPO"S tucmu. ✓�' /5 67
Prop". owner /r Property Location !
C S f L yAlA✓ N E CJ MA GovL Lot eAJU . rel.JV4 ,3. T.? ( N R / t449 w
p a ^o: s !.~airing ACdress Lot X Block X Subd. Name or CSW
city to
Zip Code Phone Number ❑ City ❑ VOhgr XTo`"n Nnmt Road
nfer,� /Z�clfntac/d w/ 5 all 7!S S? a. P9A4 +u /o o S-10
New Cons truction Vuction Usa Ftesrdenital /Number Of Dedroonu
Cods derived design flow refs �"S� _ GPO
❑ Replacement ❑ Public or commercial . Describe: — '
l ti9 v t°r / S t{ Flood Plain ""Ilion if applicable h
Parent material � C,F1�C�t A r
Geharal comments '
aM rer�mm�ndeb9n5' �A V G`ti7r[ 0 �'SC C. �i'��— r t✓m •Q�5�.J6 /�A' 1. 2 - jkejoJC*
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it Ground surface el ev. _ Sos A lion Rate
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Texture Structure . ConsW Boundary Roots
I IpnZGr Cepth ! pomirant Redox Oetluipfion •Efl#i 'Etf#2
PDAY
M nsen Ou. Sz. Cont. Color Gr. SL Sh.
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Pit Ground surface elev. Soil ication Rate
I exlrXe Structure Consistence Banda
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nnnzgn r tMprn ! "no 4otrx • Flom Unscrogo n "EM 'Eff#2
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EM uent s 1 x BOO > 30 <_ 220 mgll and TSS 30 _< 150 EA1Wnt alr2 800 _ 30 rrrp0.
CST dame Poise �G� S
i�z chi /!i[ Cr Telephone Number
Date Conducted
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7
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PruVUrly ow ner Gt AjA� P*mM ID N a3�s'- PsQ� — .
0 Boring t3or�ng x 9�. d"T fl Depth 10 Iwn6 factor �' � n.
�j �p, cirorund stxhba elw. Soil Rat.
Horizon Depth Dominant Color Rsdox Daalption Texture Shoure Cor>:tttenoa Boundary Rom GPD/ff
in. Munsell Qu. SL Cont Color Gr. SL Sh. 'E *EW2
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l_J ❑ Pil Ground surface elev. fL Depth to limiting factor 'n• Soil Appination Rate
Honzon Depth Dominant Color Redox Description Texture Sh dure Consistence Boundary Root.a GPO/ff
in. Munseh Qu. SL Cont. Color Gr. Sz. Sh. 'Effu1 Effn2
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Horizon Depth. Dominant Color Redox Description Texture Sure Convstenoe Boundary Roots GP
in. Munsel Qu. SL Cont. Color Gr. SL Sh. - Eff#i 'EfW2
■ > < and TSS >30 _ < 150 Effluent # 2 ■ < r g r L end ISS < 30 nV&
•
Effluent 91 BOOS 30 _220 mgll n� BW , 30 n
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he Dupartment of Cununorce is an equal opportunity service provider and employer. If you need assistance to access servrccS ur
need material in as altennate format, please contact the department at 608-266-3151 or TTY 608.264 -8777.
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Tic Licparuuent of Conunorce is an equsl opportunity service provider and employer. If you head assistartce to aCCeSS Seati'aces ur
need material in an altemate ronttatt, please contact the department at 6,08-266-3151 or TTY 608.264 -8777.
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Page 1 of 4
SYSTEMS INC
Leaching Chamber Design Spreadsheet
Project Name: Chris Nueman
Owner's Name Chris Nueman
Owners Address 1833 100th St.
New Richmond. WI 54017
i
Legal Description j NW � 1 /4 Sw %< Sec 33 T 31 N R 18 W
Township Star Prairie
County Saint Croix
Subdivision -
Lot#
ParcelID# 038 - 1136 -40 -118
Table of Contents
pg-
1 Cover page
2 Calculations and Drawings
3 Management and Contingency Plan
4 Plot Map
total # of pages: 4
Designer Name: Miachael J. Myers
License #: 267985
Date: 5/15/2007
Ph. #: 715-643-2520
Signature:
Design Methods Used
"IN- GROUND SOIL ABSORPTION COMPONENT MANUAL FOR PRIVATE ONSITE WASTEWATER TREATMENT SYSTEMS" (Version 1.0) SBD- 10705 -P (R.6/99)
i
SYSTEMS INC Infiltrator and the Infiltrator logo are trademarks of Infiltrator Systems, Inc.
.,,�, Spreadsheet provided under license to Infiltator Systems, Inc by: 3bAdvisement N12486 220th St, Boyceville, WI 54725
SYSTEMS INC
Calculations and Drawings Page 2 of 4
.mn;+5iv,..! T.N::w Y✓uxrorttm.,4n5:kn ="
Site Conditions Infiltration Elevations
Site Type: 1 , Private E: Trench #1 Trench #2 Trench #3
%Slope 20 % Contour Elev: 97.00 96.501 0.00 Ft
# of Bedrooms 3 Infiltration Elev: 93.00 93.00 0.00 Ft
Depth to limiting factor 126 inches Limiting Factor Elev: 86.50 86.00 N/A
Soil Application Rate: 0.7 gal /ft ^2 /day Treatment and Dispersal Zone: 6.50 7.00 N/A
Effluent QualityLr #i �.� Cover Material Required: 0 0 N/A In
Design Flow: 450 gal /day Finished Grade Over Cell: 97.00 96.50 N/A
Max BOD 220 mg /I
Max TSS 150 mg /I Distribution Cell
Choose chamber type:
Septic Tank Infiltrator Quick 4 Standard
Manufacturer: Wieser Concrete # of trenches: 2
Volume Chosen: 1000 Chamber Length: 4.00 Ft
Effluent Filter Selected: Polylock Chamber EISA: 19.1 Ft2
Note: Access opening of sufficient size to be provided to allow removal of filter. Endcap EISA: 5.8 Ft2
Opening to terminate at or above grade. Required Infiltrative Area: 642.9 Ft2
Actual Infiltrative Area: 661.0 Ft2
Total # of Chambers: 34
Cross Section of Septic Tank Total # of Endcaps: 4
Ll Combined Length of Cells: 140.0 Ft
" Min Grade
Cross Section of Cell
18" Min Cover Material Observation Pipe
(if required) _ - Final Grade
All joints to -
be water ti ght D3034 or Ground
ZEffluent Sch40 Contour
Filter Pipe
Leaching System
Chamber Elevation
3" Bedding Under Tank
E: I:ength
L 6 L
0 10 1 0
t�b�erwatkxt C1k:rvaUr�n �dV'tdth
cir 5A 40 4 11 hips ripe
PVC pipe
Infiltrator and the Infiltrator logo are trademarks of Infiltrator Systems, Inc.
Spreadsheet provided under license to Infiltator Systems, Inc by: 3bAdvisement N12486 220th St, Boyceville, WI 54725
Page 3 of 4
In- Ground System Management Plan pursuant to comm 83.54 W. A. C.
Owner's Responsibility:
The component owner is responsible for the operation and maintenance of the component. The
county, department or POWTS service contractor may make periodic inspections of the
components, checking for surface discharge, treated effluent levels, etc. The owner or owner's
agent is required to submit necessary maintenance reports to the appropriate jurisdiction and /or
the department.
Septic Tank:
Septic tank(s) are to be inspected routinely and maintained by department approved individuals
when necessary in accordance with their approvals. The use of chemical /biological "treatments" is
not required or recommended. If such additives are used, make sure they are approved by
Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned
as necessary, with provisions to keep solids from passing the septic during removal. No more
than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank
has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance
with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not
recommend pumping of the septic tank, then the owner must be notified of when pumping should
be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be
watertight and of good repair.
Absorbtion Cell
The absorbtion component must remain free of ponded surface water prior to pump operation. eration. If 4
inches or more water level is detected in the observation pipes, the owner must be notified of
possible problems /failure. The designed daily flow capabilities of the component should never be
exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to
grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive
walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion
capabilities and /or possibly cause it to freeze in winter conditions.
Performance Monitoring:
Performance monitoring must be done at least once every three years following the installation or
at the time of a problem, complaint, or failure.
Contingency Plan:
If the septic tank or other components therein (including floats, alarms, etc) become defective, the
defective tank or component must be replaced immediately to ensure that the system can operate
as designed. If the absorbtion component cannot accept wastewater or ponds wastewater to the
surface, the component must be repaired or replaced in it's current location by removing the
clogged bacterial mat, aggregate /leaching chamber cell, and distribution piping within the cell and
replacing failing components in order to return system to proper working order as required. If repair
is not feasible, a new system is to be constructed in a designated replacement area
eommerce.wi.gov Safety and Bu ngs Division County
201 W. Washingto P. . Box 7162 5� �ie-U t k
s co n s i n Madison, 7 162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce SC�(
AYA State Transaction Number
Sanitary Permit Application
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate mental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned PO S are Project Address (i different than mailing address)
submitted to the Department of Commerce. Personal information yo
p urposes in accordance with the Privacy Law, s. 15.04 1 m , Stats.
1. Application Infor lion - Please Print All Information `
Property Owner's Name Parcel #
ef+2(s S �yN� l���tlnti��J APR 19 2007 03
Property Owner's Mailing Address Pr Location ?
/�33 Govt. � ST.CROIX000NTY �S�iOC — JZ�
/ Lot
City, State Zip Code o/ /I jet %, .5 eV '/4, Section 3 3
�&K! �ICf- (�h0.�/D� W .� �f b / "? (S - 2 - flo ' lvG T N; R ctrclEo(W-
Il. Type of Building (check all that apply) Lot #
.or 7__Family_Dwclling- Number_9fBedrooms Subdivision Name
/ / ('�P�L Block # r`
r
❑ Public/Commercial - Describe Use �? /� 3'3 3 ❑City of
CS umber C3 Village of
❑ State Owned - Describe Use /
�� 1 r �Zi 7ownof 57118 /�IQA /KBE
III. Type of Permit: (Check only one box on line A. Complete I B if applicable)
A. gNew System ❑ Replacement System
❑ Treatm oldi Tank Replacement Only ❑Other Modification to Existing System (explain)
❑ Permit Renewal ❑ Permit Revision List Previous Permit Number and Date Issued
B.
❑ 7(�e of Plumber )Permit Transfer to New Before Expiration r �ZA
IV Type of POWTS S stem /Com onent/Device: ck all that appl
on- Pressurized In -Ground ❑ Pressurized In -Groun El At-Grade ❑ Mound > 24 . ofsuitable soil ❑ Mound < 24 in of suitable soil
❑ Holding Tank El Other Dispersal Component (exp ) retreatment Device (explain)
V. Dis ersal/I reatment Area Information: - f
Design Flow (gpd) Design Soil Application Rat pdsf) Dispersal Area Required st) Dt rsal Area oposed (sf) j S y st W 7v 3
5 o S o 9v p,�3 96D a9. 3 V1. Tank Info Capaci in Total # of Man cturer Gal s Gallons Units New Tanks Existing Tanks ii
C7 i%
Septic or Holding Tank �i/�C��/2. b,v �
ZL
Dosing Chamb er
VII. Responsibility Statement- I e undersi ned, assume responsibility fof installation of the POWTS shown on a attached plans.
Plumber's Name (Print) lumber's S' ture MP /MPRS Nu er Business Phone Number
G ?g�P ?�S-G -4 3 -25
Plumber's Address (Street, City, State, Zip Code)
I SSN S G oYce!�V /Ccc— 472
V1I1. un /De artment Use Onl
Approved El Disapproved
Permit Fee Date Is d Iss g Agen gnat
5 U� IO UJ
❑ Owner Given Reason for Denial 7 J� 0 )
IX. Conditions of Approval/Reasons for Disapproval G / -033 4t
SYSTEM OWNER: 4 �3 ���� 61d1�0`
I Septic tank, effluent filter and ( A�
dispersal cell must all be serviced / maintained d ","
as per management plan provided by plumber. Y q � o , ��
2, setback requlr I system and sdbm i the Coypry o / on pape of Ies than trz x 1 inches in size 1
as per applicable code /ordinances.
SBD -6398 (R. 01/07) Valid thru 01/09
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Parcel #: 038 - 1136 -40 -118 04/19/2007 03:53 PM
PAGE 1 OF 1
Alt. Parcel #: 33.31.18.556C -30 038 - TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
12/21/2006 00 0
Tax Address: owner(s): O = Current Owner, C = Current Co -Owner
O - NEUMAN, CHRIS P & LYNN M
CHRIS P & LYNN M NEUMAN
1833 100TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): " = Primary
Type Dist # Description 1831 100TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 7.210 Plat: 5333 -CSM 22 -5333 038 -06
SEC 33 T31 N R1 8W PT NW SW FKA LOT 2 OF Block/Condo Bldg: LOT 04
CSM 10/2726 (16.24 AC) BEING CSM 22 -5333
LOT 4 (7.21 AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
33 -31 N-1 8W
Notes: Parcel History:
Date Doc # Vol /Page Type
12/21/2006 841132 22/5333 CSM
07/23/1997 1063/119 WD
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 01/12/2007
Description Class Acres Land Improve Total State Reason
Totals for 2007:
General Property 0.000 0 0 0
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
Page 1 of 4
SYSTEMS INC
Environmental Onsite Wastewater Solutions
Leaching Chamber Design Spreadsheet
Project Name: Chris Newman - Conventional
Owner's Name Chris Ne4knan
Owners Address 1833 100th St
New Richmond, WI 54017
Legal Description NW Y., SW Y4 Sec 3-3 T 31 N, R 18 W
Township Star Prairie
County Saint C7oix
Subdivision N/A
Lot# 4
Parcel ID#
Table of Contents
pg-
1 Cover page
2 Calculations and Drawings
3 Management and Contingency Plan
4 Plot Map
total # of pages: 4
Designer Name: Michael J. Myers
License #: 267985
Date: 4/17/07
Ph. #: E15-643-2520
Signature:
Design Methods Used
"IN- GROUND SOIL ABSORPTION COMPONENT MANUAL FOR PRIVATE ONSITE WASTEWATER TREATMENT SYSTEMS" (Version 1.0) SBD- 10705 -P (RAW)
sys
III RIM we Infiltrator and the Infiltrator logo are trademarks of Infiltrator Systems, Inc.
Spreadsheet provided under license to Infiltator Systems, Inc by: 3bAdvisement N12486 220th St, Boyceville, WI 54725
.. M.
SYSTEMS INC Calculations and Drawings Page 2 of 0
Site Conditions Infiltration Elevations
Site Type: Private J v J Trench #1 Trench #2 Trench #3
%Slope 1 % Contour Elev: 91.90 91.901 0.00 Ft
# of Bedrooms 3 Infiltration Elev: 87.80 87.80 0.00 Ft
Depth to limiting factor 96 inches Limiting Factor Elev: 83.90 83.90 N/A
Soil Application Rate: 0.5 gaVft ^2 /day Treatment and Dispersal Zone: 3.90 3.90 N/A
Effluent Quality Eff #1 Cover Material Required: 0 0 N/A In
Design Flow: 450 gal /day Finished Grade Over Cell: 91.90 91.90 WA
Max BOD 220 mg /I
Max TSS 150 mg /I Distribution Cell
Choose chamber type:
Septic Tank Infiltrator Quick 4 Standard 9W
Manufacturer: Wieser Concrete
# of trenches: z
Volume Chosen: 1000/650 Chamber Length: 4.00
Effluent Filter Selected: Polylock Chamber EISA: 19.1 Ft2
Note: Access opening of sufficient size to be provided to allow removal of filter. Endcap EISA: t2
Opening to terminate at or above grade. Required Infiltrative Area: 900.0 Ft2
Actual Infiltrative Area: 90�t2
Total # of Chambers: 47
Cross Section of Septic Tank Total # of Endcaps: 4
Combined Length of Cells: 192.0 Ft
IT Min Grade
Cross Section of Cell
In over Material Observation Pipe
(if required }� _ - _ _ - Final Grade
All joints to
be water tight D3034 or Ground
Effluent Sch40 Contour
Filter Pipe
Leaching System
Chamber Elevation
3" Bedding Under Tank
l.engtti
L 6 J I. 6
p Q
Width
A51'N1 5054
Observation Observataatt
or Srh 10 4" pipe prpe
PVC pipe
Infiltrator and the Infiltrator logo are trademarks of Infiltrator Systems, Inc.
Spreadsheet provided under license to Infiltator Systems, Inc by: 3bAdvisement N12486 220th St, Boycevlle, WI 54725
Page 3 of 4
In- Ground System Management Plan pursuant to comm 83.54 W. A. C.
Owner's Responsibility:
The component owner is responsible for the operation and maintenance of the component. The
county, department or POWTS service contractor may make periodic inspections of the
components, checking for surface discharge, treated effluent levels, etc. The owner or owner's
agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or
the department.
Septic Tank:
Septic tank(s) are to be inspected routinely and maintained by department approved individuals
when necessary in accordance with their approvals. The use of chemical/biological "treatments" is
not required or recommended. If such additives are used, make sure they are approved by
Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned
as necessary, with provisions to keep solids from passing the septic during removal. No more
than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank
has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance
with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not
recommend pumping of the septic tank, then the owner must be notified of when pumping should
be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be
watertight and of good repair.
Absorbtion Cell
The absorbtion component must remain free of ponded surface water prior to pump operation. If 4
inches or more water level is detected in the observation pipes, the owner must be notified of
possible problems/failure. The designed daily flow capabilities of the component should never be
exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to
grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive
walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion
capabilities and /or possibly cause it to freeze in winter conditions.
Performance Monitoring:
Performance monitoring must be done at least once every three years following the installation or
at the time of a problem, complaint, or failure.
Contingency Plan:
If the septic tank or other components therein (including floats, alarms, etc) become defective, the
defective tank or component must be replaced immediately to ensure that the system can operate
as designed. If the absorbtion component cannot accept wastewater or ponds wastewater to the
surface, the component must be repaired or replaced in it's current location by removing the
clogged bacterial mat, aggregate/leaching chamber cell, and distribution piping within the cell and
replacing failing components in order to return system to proper working order as required. If repair
is not feasible, a new system is to be constructed in a designated replacement area
I
RE CEI VED DEC p
Wisconsin Department of Commer ., S IL EVALURTYOWOSEP RT Page of
Division of Safety and Buildings ~ S
I an i h omm 85; ��b�dpio6�, �
ounty "./
Attach complete site plan on paper no an 8 1 inches in size.
include, but not limited to: vertical and horizo ference point (BM), direction and parcel I.D.
percent slope, scale or dimensions, north arrow, an tion and distance to nearest road. Q 3 136—
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I Z /( 3�0
Property Owner � Property Location
4 le ovt. Lot 114 `5A4 S N R z E
Property Owner's Mailing Addre t P lock # Subd. Name CSM#
/b 0 � -
C' Skate Zip Code Phone Numbe City ❑ �Il e [Town Nearest Road
tea! c C�
3 - 7 ( '> ��� 744
on Use:,0 Residential / Number of bedrooms Code derived design flow rate S`U GPD
Replacement ❑ P blic / or commercial - Describe: _ -- ---7,r
.iat4lood Plain elevation if applicable i v` ft.
General comments
and recommendations Ti> — / ? �� - -7, -
a Boring # Boring
❑ pit Ground surface elev. / ft. Depth to limiting fad 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
U
36 �--
q Boring # Boring
d � ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
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
CST Nam (Plq�se Print) f Si tune CST Number
Address Date Evaluation Conducted Telephone Number
Z ,2 ee
Property Owner 1 ��A A 'I Parcel ID # Page of
Boring # Boring
❑ pit Ground surface elev. ft. Depth to limiting factor / in.
Soil Application ;Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
to
F-1 Boring # E3 Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 'Ef1#2
� Boring
U Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil ication 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
R
•
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD 130 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.
SW4330 (UM)
t
Soil Test Plot Plan
Project Name chris Neuman Byron Bird Jr.
I
Address f r'
1833 100th St. NewRichmond Wi.
54017 CSeM #220527
Lot 4 Subdivision Date 1 2/9/1905 County CROIX
NW 1/4 SW 1/4S T 31 N /R 8 W Town ship
[] Boring (D Well PL Property Line# Alt. BM IJ
,BM or VRP Assume Elevation 100 ft.Top of Steel corner post
System Ely T -1 =87.8 T -2 =87.7 H.R.P Same as BM
SCALE 1" = 40 ` Unless other wise Noted
t
l�
BM
PL 146'
� �Z
45'
B3
°1
3 Bed house 75'
93'
60'
Por d
PL 92' B2 Garage
212'
9 ,
45'
25' 195'
o 25'
B
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http: //72.21. 230.178/ website /LRPortal /ARCIMS /MapFrame.asp ?PIN= 12/13/2005
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ell /s' . A ni AAi
Mailing Address / 3 /° �� S , NEu/ �ie �rsxo•y �� w / �'S�° ?
J
Property Address
(Verification required from Planning Department for new construction)
City /State ItJEw tRiicMwaA, tc,< Parcel Identification Number 03 F - //3 �— , Q— //t
LEGAL DESCRIPTION
Property Location A/ `/4, 5�cJ 1 /4, Sec. 3 , T_3 ( AN -R / F W, Town of 5749 1464 11tIE
Subdivision , Lot # 4
L
Certified Survey Map # 3 2 , Volume Z 2 , Page # �e_33 3
Warranty Deed # L 10 q , Volume Page # 1
Spec house ❑ yes no Lot lines identifiable ,yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, joumeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
_0A,&-tT-- l 4 l /3/
SIGNATURE OF APPLICANT / / (O DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. '/
3 e* � x IIC Tl / ?l o7
SIGNATURE OF APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
"• 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
r � I
DOCUMENT NO. j' .� w�R,NTY rota SPACE M="20 roR asceROtwe "TA
STATS BAR OF WISCONSIN FORK ! sssl' REGISTERS OffICE !
4091.IlL I I 4.+ t U PAGE i ST. CROIX CO., W I& I�
Rota for Rtcaid this 10th ,
ii day of Feb.
Wayne.. Straub - A3ryes....S.t dub�...tiusbs�xld._and....... act 8:30 A
wife as joint_ tenan_ir.- • -. i! •
......... . - - -•- - • - -• -•• -• • . ....................•-•. ........._..................... ri
A
conveys and warrants to _ Chris__ P.. - Neuman.. and..L M.- .-- ...._.. �{,t, 4�.aJs•Y
.Neuman.,.. as marital property With rights of .......
sur.Y.4.Y.4.r.sh.i_R.e........ ...... " Oeputy
.. ............................... ......
..... . . ..... .•---........_.._._.........-•--.....--------••--................_ ..................••- .......... - - - -- - - -- -- -
..............._._....._.._.._.._.................._..............._............._ ............................... RETURN TO
I
.. . ..... .... ........... ...._._................_..__ ............_._........._...... ...................... ... �.
.. . ............................ ................................ ._._.........._...
the following described real estate in .........4 . :._.fir... S .................county, j
State of Wisconsin:
Tea Pared No: .............................. I
A parcel of land located in part of the Southwest Quarter (SWh) of Section
Thirty -three (33), Township Thirty -one (31) North, of Range Eighteen (18)
West, further described as follows: Commencing at the West. 1/4 corner
of said Section 33; thence South 01 10' 04" East along the West line
of said Southwest Quarter ISW4), 66.00 feet to the Point of Beginning
of this description; thence continuing South 01° 10' 04" East 744.55 feet;
thence North 89 28' 34" East, 1242.94 feet; thence North 01 10' 04" West
744.55 feet; thence South 89° 28' 34" West, 1242.94 feet to the Point of
Beginning. Parcel contains 21.00 acres, excluding Town Road right of way.
Subject to an easement for Town Road purposes and all other easements of
record.
This conveyance is given in satisfaction of a land contract between the
parties, dated July 8, 1985 and recorded July 9, 1985 in Volume 715,
page 609 -610, Document No. 403325.
i
This ....i.$ .t
_.AQ......_.. homestead property. FU
(is) (is not)
Exception to warranties:
Dated tills .............. 7.th.......................... day of ............. February ... ..... ............. 19- .8.6..
.......... ............ ... .. .. ................(SEAL) ._ _._(SEAL)
. Wa y Straub
- ................................................................ .... .... - - - -- ................... },
- .... - •• --•- -- --- -_. -.- (SEAL) .... .,Cnl/.- �',IJ. L1.- ...........(SEAL)
'
............................................. ------------ - - - -•• • Agnes -- Straub - - --- .....- - -- - _ - - --
AUTHENTICATION ACHNOWLEDOUNNT
Signature(s) ____________ ________ _________ __ •-- --- - --- -- STATE OF WISCONSIN
es.
----•-------•••-------------------------------------- ••••-- •- •••- •- •-- •--- • - -••• St. Croix County.
authenticated this ........ day of- ------ ------- -- ----- ---- 19...... Personally came before me this .....th......day of
... E' __ _________ _ __ 19._$6• - the above named
....----•------------------------•--•--•--------- •••- ••.......•--- • - -••- -• -••• Wayne_ Stra4?b..and.-Agn s..Straub..........
'•-•-• .................•----..........---------- ••- ••- ••••••••- •- •----- ........ ---•-•-----•..............•--•••••......_...._.._ ..._......- •- •••.............._
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not. ...........................................................
authorised by 1 706.06. Win. State.) .
, ..r,.. ---- -.....
to me known to be the rers %', ._.. who executed the
foregog ins fill a oi►{ad� the same.
THIS INSTRUMENT WAS DRAFTED BY J?,
.._. _ .. l ._. •---...._. Reinstra� Van D . Ruth A nsd- •-
New Richmond .. - .................... Notary Public 9tUJ;(Ub - -- Y x� county, Wis.
(Signature may be authenticated or acknowledged. Both My Commission Pe n �(fNIot* state expiration
are not necessary.) �, 1` '' �1' l..
`r,+.�r.
date: � ' � 19 ... ......
...........•'
•Nsmw of Venom signing in any capacity should be typed or printed below their signatures.
RCsaas. Caa,Very®
STAT FORM Net 2 — WIS CONSIN 9 .. Stock No. 13002
8 4 1 1 3 2
VOL 22 PAGE 5333
KA T NLE� A H. M
REGISTER OF DEEDS
ST. CROIX CO. • VI
RECEIVED FOR RECORD
12121/2006 02:30PM
CERTIFIED SURVEY MAP
REC FEE: 13.00
Cury FEE: 3.00
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ST CROIX C OUNTY
i
14-:;„,
PLANNING & ZONING
July 6, 2007 File #: LU0079
Chris Neuman
1833 100 "' Street
New Richmond, WI 54017
Re: Neuman Land Use Permit Filling nd Grading in the Shoreland District
to
g g
1841 1 0 Street, -
0 Parcel # 33.31.18.556C 30 Town of Star Prairie
Code Administrate Dear Mr. Neuman:
715 -386 -4680
This letter confirms after - the -fact zoning approval according to the plans you have submitted
Land lnformarion for constructing a 2 ,300- square foot single- family dwelling and attached garage, and disturbing
Planning an area of approximately 9,600 square feet on slopes of approximately 12 percent to put in the
715-386- 4674 ,. -.-` foundation and sanitary system on the property referenced above. A shared driveway exists with
the parcel to the east, so no filling and grading was required to install a new driveway. The
Real P ...' y property is located within the Shoreland District of an unnamed pond in the Town of Star
715.86 - 4677 Prairie. Staff finds that the proposed project meets the spirit and intent of the St. Croix County
R C ng Zoning Ordinance and Shoreland District with the following findings:
* -386 -4675 1. Single - family dwellings are allowed with a land use permit in the Shoreland District
pursuant to Section 17.35(2)(b) of the St. Croix County Zoning Ordinance;
2. Filling and grading less than 10,000 square feet in area on slopes less than 25 percent is
allowed with a land use permit in the Shoreland District pursuant to Section 17.29(2)(c) of
the St. Croix County Zoning Ordinance;
3. Prior to commencing construction, the applicant obtained a building permit for the
dwelling from the Town of Star Prairie on April 30, 2007 and a sanitary permit from St.
Croix County on April 19, 2007. Construction is almost complete;
4. The dwelling is located approximately 130 feet from the edge of the pond and meets all
required road and side yard setbacks. The OHWM of the unnamed pond is unknown;
5. Silt fencing has been installed between the dwelling and the pond and is still in place;
6. The applicant submitted a storm water management plan featuring a 6 -8 inch high berm, 3
feet wide, and 50 feet long between the dwelling and the pond. With conditions to
maintain the silt fence until self - sustaining permanent vegetation is established on all
disturbed areas, prohibit the use of phosphorous fertilizer to establish and maintain a lawn;
implement the storm water management plan; and record a maintenance and monitoring
agreement against the roe for the berm infiltration area, and vegetation within the ve
_ � g ,
� property rh' g
shoreline buffer area negative impacts to the water quality of the and will be minimized;
g p q Y P >
7. The shoreline of the pond currently features existing tree and shrub cover. With conditions
for maintaining and enhancing the current level of native vegetative cover to substantially
screen the dwelling, preserve wildlife habitat, and provide further filtration of storm water
runoff from the site consistent with the standards in the Shoreland District, the natural
beauty and ecology of the shoreline will be protected;
8. The St. Croix County Land and Water Conservation Department has reviewed the plans
and visited the site and finds the storm water manag plan to be sufficient based on a
g
corrected volume of 110 cubic feet of runoff, and
ST. CRO /X COUNTY GOVERNMENT CENTER
1 10 1 CARMicH.4EC ROAD, HUDSON, W1 54016 715386 - 4686 FAX
PZ @ CO. _SAINT- CRO;X.WLU_S LMJ1,1'L:: �.SAIV'T- ;=RCIX.W'.0
9. The Wisconsin Department of Natural Resources has not objected to these requests but has informed County
staff that the applicants need to verify with the Department that a Chapter 30 permit is not required.
Based on these findings, approval of the land use permit is subject to the following conditions:
1. The applicant shall contact the Zoning Administrator when all construction is completed.
2. The applicant shall maintain the silt fence until permanent, self - sustaining vegetation is successfully
established on all disturbed areas of the site.
3. No phosphorous fertilizers shall be used to establish and maintain a lawn on the disturbed areas of the site,
unless a soil test confirms that phosphorous is needed.
4. Immediately upon completing construction, the applicant shall be responsible for installing a berm between
the dwelling and the pond in accordance with the storm water management plan submitted on July 6, 2007.
5. The current level of native trees, shrubs, and groundcover along the shoreline and within the 35 -foot
OHWM setback/shoreline buffer area shall be maintained and enhanced with additional native vegetation
in order to:
• substantially screen the dwelling from the pond during summer leaf -on conditions,
• filter and slow storm water runoff from the site before reaching the pond,
• prevent erosion and sedimentation along the shoreline, and
• preserve the natural ecology and wildlife habitat of the shoreline (see Condition #7 below).
6. Within 30 days of completing construction, the applicant shall execute and record an affidavit against the
property referencing the storm water management plan and a maintenance and monitoring agreement for
the berm, all infiltration areas, and vegetation within the shoreline buffer area with the Register of Deeds,
and provide the Zoning Administrator with recorded copies of these documents.
7. Within 60 days of completing construction, the applicant shall submit to the Zoning Administrator photos
of the completed project as viewed from all angles, including the shoreline of the pond. The photographs
must also show all storm water management measures including roof gutters, the berm, and all designated
infiltration areas and vegetation. The applicant shall plant additional native trees and shrubs as required by
the Zoning Administrator to meet the conditions above.
This approval does not allow for any additional construction, structures or structural changes, grading,
filling, or clearing of vegetation beyond the limits of this request. Your information will remain on file in the
St. Croix County Planning and Zoning Department. It is your responsibility to ensure compliance with any other
local, state, or federal rules or regulations.
Please feel free to contact me with any questions or concerns.
Sincerely,
Jenny Shillc
Land Use Specialist/ Zoning Administrator
Eric: Land Use Permit
Protecting Your Waterfront Investment
Cc: Robin Haffner, Haffner Construction
Clerk, Town of Star Prairie
Pam Quinn, St. Croix County Planning and Zoning Department
Steve Olson, St. Croix County Land and Water Conservation Department
Dan Baumann, Wisconsin Department of Natural Resources
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