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040-1001-80-100
Wisconsin Dep�rt ment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division � IMcaGrTION REPORT Sanitary Permit No: 430033 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan 10 No: Personal information you provide may be u for secondary purposes [Privacy Law, s.15A4 (1)(m)]. Permit Holders Name: City Village X Township Parcel Tax No: Scher, er, Jerald I Troy Township 040 - 1001 -80 -100 Insp. BM Elev: BM Description: Section/Town /Range /Map No: /0''g /D 01.28. �9B T N 4;� ELEVATION DATA TYPE MANUFACTURER CAF STATION BS HI FS EL Septic w ' X00 Benchmark t7 Dosing w Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet ) � TANK SETBACK INFORMATION St/Ht Outlet JO • dS , (� TANK TO P/L WELL BLDG. vent to Air Intake ROAD Dt Inlet 1 1 - 10 Septic , r ?0 J* �� r Dt Bottom . • D 3 Dosing t �^�� S ^— f Header C'�t c.� � .(o /O3 . ! �. Aeration Dist. Pipe w W 3 - /03.1 Z sF 6C u� is 3. l Holding Bot. System H 3 . 57 Final Grade PUMP /SIPHON INFORMATION 1 /oa. e'- C ft 3 Manufacturer n St Cover E 6 — .¢•, (I. f ?f V GPM Model Number � •2 Z � � i O 02- 1 TDH Lift Fria iop� �o/s�a o System Head T Ft r � -� /, Forcemain Length Dia. Dist. to ell , I q0I a 770 SOIL ABSORPTION SYSTEM , + & s 7 i i q4 bT- j BEDITRENCH Width - 4— Length vC• No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. DIMENSIONS & / SETBACK SYSTEM TO BLDG WELL LAKE /STREAM LEAC anufacturer: INFORMATION CHAMBE Type Of System � r 2 „ M a GL Number: DISTRIBUTION SYSTEM l Header /Manifold 4 Distribution, x Hole Size � x H e Spacing Vent to Air Intake Pipe(s) "* 1 Length - Dia I Length L / 7 - 3 Dia Spacing 3 / e SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over r Depth Over xx Depth of xx Seeded /Sodded xx Mulched I Bed/Trench Center Edges Topsoil —, fi w L / f Yes [-] No uT Yes No COMMENTS: (Include code discrepen persons present, etc.) Inspectio # #1 . �1 Inspection #2: (t / ( 7 - 14 a1 '• /b ' l/L8'- CO n i f M Lsx i vvtV �'�^^ �� Location: 827 Tower Road Hudson, WI 54016 (NE 1/4 SW 1/4 1 T28N R18W) NA Lot 4 Parcel No: 01.28.18.101) _ 9 1.) Alt BM Description = S • ��- cc AA- ' ri s�a�Jne 2.) Bldg sewer length = y '90 (W Ti A - amount of cover t in Required? Yes No � for additional information. ..,._ ----- /) Date I epecor•s Signature Carl. 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Code Madison, WI 53707 -7302 Department of commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not (Privacy Law, s. 15.04(I)(m)] state owned. Attach com late plans to the county copy only) for the system on paper not less than 8 -1/2 x 11 inches in size. County 31 �V Slate S 'ta Permit N ❑Check if revision to previous application a!3 D. Num SL I. Application Information - Please Print all Information Location: Property Owner Name C Property Location Eg;�M L, N W-1/45(,,,) 1/4,S I Tt t ,N 144E or W Property Owner's Maili Address Lo Number B`I c urn er o lN� City, State Z p Cod Phone Number A;F e CS Number ishSlw `�]' XCOUNT ( V- 11 /P Z3R II Type of Building: (check one FFICE. ❑ City ore ; lq I or 2 Family Dwelling - No. of Bedrooms: _ = C • 0 ❑ village O Public/Commercial (describe use n r 7'0 of ! O State -owned 100 l�L III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road i A) 1. EgNew System 2. ❑ Replacement 3. ❑ Replacement of 4., ❑ Addition to Pa rce Tax Numbers) System Tank Only Existing S stem B) Perrpi b Date Issued •� A Sani Permit was reviousl issued j 7 U IV. Type of POWT System: (Check all that apply) ct O Non - pressurized In- ground 8 Moun4 21 %" Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Dis ersaVFreatment Area Inform n: I. Design Flow (gpd) 2. Dispersal a 3. Dt ersal Ar 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final trade R ,,(o / c� Proposed Rate (Ga /day /sq. R.) (Min. /inch) ll E I' / VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks VII ReslIonsibility Statement, 1 the undersigned assume responsibility for inst allation of th POWTS shown on the attached plans. Plumbers Name (print)P171 S' nd starrps): MP/MPRS No. Business Phone Number 7/5 -1 Jv Plumber's Address (Street, City, State, Zip Code) VIII County/Depart ent Use Only ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agegt Signature sumps) Cq) )8( Approved ❑Owner Given Initial Adverse Surcharge Fee) ' �. 3 ` Determination IX. Conditions of Approval /Reasons for Disapproval: n 3� �i i s . Q���°V°`� SYSTEM OWNER: 1 4&ptic tank, effluent filter and -S tar c �p ` �j dispersal cell must all erviced ! in I a {C0. b as per management plan provided by p teuti as per applicable codelordinances. I • r Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin w w ww.commerce.statemims/sb i n.gov ww.wisconin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 16, 2003 CUST ID No.222904 ATTN. POWTS Inspector ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/16/2005 Identification Numbers Transaction ID No. 876133 SITE: Site ID No. 657388 Jeremy Sallzman Please refer to both identification numbers, 827 Tower Road above, in all correspondence with the agency. Town of Troy, 54016 St Croix County NW1 /4, SWIA, S1, T28N, R19W FOR: Description: Four Bedroom Mound System (Revised) Object Type: POWT System Regulated Object ID No.: 897809 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes L'ondij 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. ®PP The following conditions shall be met during construction or installation and prior to occupancy or use: DE TMENTi N OF 0 General Approval Requirements: SEE CORREI • 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.01 101) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (0 1/8 1) • 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 required • 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat r JAMES W BOUMEESTER Page 2 6/16/03 • 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 $ 60.00 a!�%E✓ Fee Received $ 6 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 J f r ti MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Jeremy & Amy Sallzman 4 bedroom residentail mouq,,� Owner's Name: Jerald &Doris Scherger �G� `t�`� Owner's Address: 829 Tower Road 6� 92 Hudson, WI 54016 Parcel address: 827 Tower Road 41k Legal Description: NW1 /4SW1 /4, Sec. 1, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: CSM pending Lot Number: pending Block Number: na Parcel I.D. Number: 040 - 1001 -80 -1000 Plan Transaction No.: Page 1 Index and title 3Vb® Page 2 Data entry y co RE Page 3 Mound drawings /NGS Page 4 Lateral and dose tank Page 5 System maintenance specifications �ppNOENC Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evlauation Report I Designer: Jim Boumeester License Number: 222904 Date: 05/27/03 Phone Number: 715 - 386 -1794 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 I r 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 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) Site Slope ( %) 101.06 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution I Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice Forcemain Diameter (in) 180.00 orcemain Length (ft) Does the forcemain drain back? Y Pump Tank Elevation (ft) Enter Y or N \ lam 6.50 System Head (ft) x 1.3 29.36 Forcemain Drainback (gal) Vertical Lift (ft) 90.53 5x Void Volume (gal) 4.15 )Friction Loss (ft) 119.89 Minimum Dose Volume (gal) 147.9r Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral D Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 1066.24 Total Tank Capacity (gal) 1260.001 Septic Tank Capacity (gal) 1 49.001 Total Working Liquid Depth (in) Week Concrete I Manufacturer 21.76 gal /in (enter result in cell B49) Dose Tank Information Ef fluent Filter Inf ormation QCCi Dose Tank Capacity (gal) Zabel Filter Manufacturer 21.76 Dose Tank Volume (gal /in) A100 Filter Model Number We concrete I Manufacturer Project: Jeremy & Amy Saltzman 4 bedroom residentail mound Page 2 of 9 JUMA16 -2003 02:51 PM A.C.E. Soil &_Site Eval. 715 248 7764 P.02 i Mound Plan View .. � FK' /10 B • plan Plpr ; :.. .. ff i7 N i' { f V ;f l f • rrrrr� rrr��•ti�.�r�:S�: {r%.1ti } } A ' r "'r'r }� .r•.•�r�r+"r�s: f �,r. }.f�r.r.r. •� ?r W B F. Q: x Mound Component Dimensions A ®.00 ft E in H 1.00 ft K 11.03 ft B 100.00 R F in t 14. R L 122.05 ft D 19.00 in G R J R W 27.53 It 60 00 (ft Dispersal C 1 Area 208. (ft�) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 1 .0 (10 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.44 (R) r * H � rrrrrrri 2 iiiiii G • 1 F Dispersal can 103.14 (ft) Lateral 102.84 (ft)--► Invert Dispersal Cell Elevation E D ......,... 4 4 r 101.08 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key $ _1 Dispersal Cell See lateral details on 01 = Topsoil Cap 1.5 ft .. Pag 4 for number, r'+ r•r•f r•�•r•r 9 © R/ Subsoil Cap '� _ s�•�',�':� '"r:r�r sp ng of AST M C33 Sand EM J•J �'�' size, and aci �- F' laterals. Laterals aft' J• j...... f.J. Tilled Lay r 7yprcal j•j•: y w 0.5 R :::•- .• -�•. -, ., equally aced � Q Y sP f rom ti•ti•, ••���• ;.•••ti•�•�•�•� S • the distribution cell's }•r -r• Aggregate v p r•r•r•r•r.t.J r•J•r -, - •--- -- A -- -* centerline in the distribution cell ( Project: Jeremy & Amy Sailzman 4 bedroom r+esidentail mound Page 3 of 9 I R r Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical I P A/L • - Turn-up Ydba l l valve or (F X IE x12 I s12+ Laterals & Force main of PVC Sch 40 oleanoutplup per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Len (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.79 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC 4 in. min. Disconnect _ y Tank component is properly vented E- Alternate outlet location Forcemain diameter Weeks Concrete Manufacturer 2 in. Ca acit c' j Gallons Volume 21.76 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device B 2.00 43.52 C Pump off elevation (ft) C 5.78 125.87 94.00 D 12.00 261.12 D Total 3 03- Dose tank elevation (ft) 3" Bedding un er tank. 93.00 Alarm Manuafacturer LevelArm Alarm Model Number D Pump Manufactur r Zoeller Pump Model Nu ber 137 �- Pump Must Deliver 32.95 gpm at 19.79 ft TDH Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 4 of 9 I k � Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson, POWT Inspect.#4819 Phone 715- 248 -7767 POWTS Regulator's Name j St. Croix County Zoning Dept Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1260 1 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 Cfu /100 mL Service Frequency 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 monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 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 Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 5 of 9 i � � , Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be clea,0ed as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from Its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg /L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page . of this plan for the name and telephone number of your local POWTS regulator and service provider. S Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 6 of 9 Xw HEAD /CAPACITY CURVE o: W w LL HEAD CAPACITY CURVE 1 EFFLUENT MODELS TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE 3 EFFLUENT AND DEWATERING 110 t0 �� 52 SERIES 67-69 97 M 137.139 161 163 166 1 166 IM 1 " 199 100 FT. 4L Gal L64 GaL!LY9 G.L _n Gal. 1X9:!. CSaI Lt1'i C1aL L7r.: Gal Lh: GaL L9a Col Lt, .� 6aL : -: Lt.. Gal L". } " 6 43 183 56 212 72 274 104 394' 106 401: 61 231 61 231:, 69 22D 156 ':667 156 .597 95 — 1 0 4.06. 34 129 b .174 61 231 79 300: 100 379: 61 231 61 2A1. 6a 220 146 W 151 672 i5 5p 16 407 72 36 .143 46 170 64 242. 91 344.: 60 2227.:' 60 227. 68 220 142.::637 146 549 20 8.10: 16 b7 26 95 36 1d6; 92 310: 69 223! 60 227 69 220 136 616 33 140 6 � 85 26 4 30 74 260' 67 ,416; 69 ZZ3; 68 220 126 :484 133 503 24 60 30 AI ♦:i 66 2b..'. 66 =G.. ?20'.. avi . 64 220 121 468 127 441 40 1219,x' b 174, ! 44 66 206'., 76 20.1. 6a 220 106 '.:.'W7 114 '.431 )5 2 186 60 16.24' 21 BO 33 124! 61 191 ba 218 69 220 90 ..341 loo 379 70 60 1429 16 '67; 43 161: 36 136 sa 220 71 .269 86 371 p 70 21.M 30 114: 10 34 62 197 61 193 70 266 65 165 90 2M% 14 64: 45 170 29 rr 106 64 204 16 60 90 27.43 32 121 2 6 37 140 55 100 30.48! I/ 66 21 79 16 T I63 110 32001 7 20. a 30 50 L «k Vah.: 19.26' 23.76' 23' 26' 66' 66' 97' 2 EFFLUENT & DEWATERING 185 N Warning: Model 185 should not be subjected to less 10 -�'- than 30 feet TDH. 3 169 / 6 12p Note: For Head Capacity on Model 112, industrial T06 column- explosion proof pump, see FM 219. 6t , 97 188 5 !i0 p I - 5 5, 7'59 96 13? 9 SEWAGE & DEWATERING GALLONS 1 10 20 30 40 50 60 7D 60 1 9D 1oa IID 120 130 140 150160 WARNING: Model 293 should not be subjected LITERS ! 80 160 240 320 400 480 560 640 to less than 15 feet TDH. 0 N to ro a m S m di rect W f W W 24 80 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE SEWAGE AND DEWATERING 75 22 SERIES 262 266 267 266 262 264 292 293 294 295 T 70 FT. M Gal. Urs. Gal. Urs. G.J. Ltm. Gal. Ufa. Gal. Urs. Gal. Ltra. Gal. Llrs. Gal Urr, Gal, Llq. Gal. Urs. 5 1.52 W 341 128 464 125 484 128 484 130 492 180 661 140 530 196 742 225 852 20 .t,65 10 3.05 60 227 89 337 89 331 89 337 95 360 158 568 124 469 181 655 205 776 15 4.57 22.5 85 50 189 50 189 5o 189 63 238 135 511 106 401 130 492 165 625 185 700 18 60 20 6.10 10 38 10 38 10 38 33 125 106 401 88 333 119 450 1,50 568 168 636 25 7.82 76 288 68 257 106 401 136 515 153 58f) 30 9.14 43 163 47 Ull 90 340 121 456 140 570 55 40 12.19 5 19 50 189 94 356 115 435 16 50 15.24 M 220 89 337 SO 60 15.29 13 49 1 59 223 70 21.34 25 95 1/ 45 Lock Valve 18' 21.5' 21.5' 21.5' 26' 35' 42' 50' 67 77' 12 40 35 10 30 293 8 25 5 20 15 282 4 10 292 2 S 282 266, 267, 268 260 291 295 0 GALLONS 10 20 30 40 I 50 60 I 70 80 I 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 LITERS 0 80 160 240 320 400 480 560 640 720 800 880 i i. 7a �9 w � � � ■ 50 � e ✓aqua - c� o� A P ' e - l e 61a A ' • /oca�ed /o�oa. ,SCAM P 6' 7:P LZ 21 Cb V� a w X `` P A t. M i ` �P > \ C • �✓ g -o -b 9 P ,3 0 3 C C3 s o 0- . 1 \ f 31 c* IF s O N �m I 1642 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site Ian on County St Cro p p paper not less than 8'/: x 11 inches in size. Plan must ix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcell.D. P /ease . print all information. 040 - 1001 -80 -1000 Personal infortna4on you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Jerald & Doris Sherger Govt. Lot NW 1/4 SW 1/4 S I T 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 829 Tower Road Proposed CSM City State Zip Code Phone Number . 2j City j� Village YJ Town Nearest Road River Falls I WI 1 54022 1 715 -425 -1397 Troy I Tower Road f�f/ New Construction Use: 17 Residential/ Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement Public or commercial - Describe: A Parent material Glacial till. Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 102.65' at 19' above 101.06' contour. Fq B or i ng # J Boring ✓f- Pit Ground Surface elev. 100.63 ft. Depth to limiting factor 17" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfi m. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -11 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 11 -17 10yr6/4 none sil 2fsbk mvfr Cw 1fm 0.5 0.8 3 17 -20 10yr4/6 f2f 7.5yr5/8 sil 2fsbk mfr cw if 0.5 0.8 4 20-42 7.5yr4/6 m2d 7.5yr5/8 sl 1msbk mfi - 1f 0.4 0.6 Saturated flow observed at 27". a Boring # Boring 1/ Pit Ground Surface elev. 99.76 ft. Depth to limiting factor 17" 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 1 0 -12 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 12 -17 10yr6/4 none sill 2fsbk mvfr cw 1fm 0.5 0.8 3 17 -21 10yr4/6 f2f 7.5yr5/8 sil 2fsbk mfr cw if 0.5 0.8 4 21-68 7.5yr4/6 m2d 7.5yr5/8 sl 1 msbk mfi - - 0.4 0.6 turated flow observed L] El ' Effluent #1 = BOD ? 30 < 220 mg/L an TSS >30 ;<I 50 g/L -1.30 ent #2 = BOO mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson S 3602 Address A.C.E. Soil & Site Evaluation�a Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, 0 I 54020 5/262003 715- 248 -7767 f i a • Property Owner Jerald & Doris Sherger Parcel ID # 040- 1001 -80 -1000 Page 2 of 3 F3 ] Boring # On g Pit Ground Surface elev. 99.68 ft. Depth to limiting factor 24" 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 -12 10yr3/3 none sil 2fcr mvfr as 20 rin 0.5 0.8 2 12 -20 1Oyr5/4 none sit 2fsbk mvfr cw 2f,1m 0.5 0.8 3 20-24 7.5yr4/6 none sl 2fsbk mfr cw 1f 0.5 0.9 4 24 -36 7.5yr4/6 f2f 7.5yr5/8 sl 1 msbk mf - - 0.4 0.6 4] Boring # On g f� Pit Ground Surface elev. 101.77 ft. Depth to limiting factor 19" in. Sal 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 1Oyr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 10 -19 1Oyr5/4 none sil 2fsbk mvfr cW 1fm 0.5 0.8 3 19 -22 7.5yr4/6 f2f 7.5yr5/8 sl 2fsbk mfr cw if 0.5 0.9 4 22-45 7.5yr4/6 c2d7.5yr5/8 sl 1msbk mfi - 1f 0.4 0.6 Saturated flow observed at 32". 5 r Boring # {' On g III --- 111 I/ Pit Ground Surface elev. 101.66 ft. Depth to limiting factor 17" 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 1 Oyr3/3 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 10-17 1Oyr6 /4 none sil 2fsbk mvfr cw 2f,1m 0.5 0.8 3 17 -20 1Oyr4/6 f2f 7.5yr5/8 sil 2fsbk mfr cw if 0.5 0.8 4 20-48 7.5yr4/6 m2d 7.5yr5/8 sl 1msbk mf - 1f 0.4 0.6 Saturated flow observed at 27". ' Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD <30 mg/L and TSS <_0 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. 1 w, C 3 V 0 Q w tj n S a le -i/a 10 1 10 1 0 $S A IE.$ % TO ■ 104o(0 A C.avvci. ' �►'la/to% o � ` % ..�' E►e w CPi • So l poi t ■ �� i pt i 1 5� � 81 B2 z &,i c4i M — FO)o of ■ B3 ASSocmed rz / ev: _ /O.0 D0,' 5 f 1642 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8%x 11 inches in size. n mu� "` "" St Croix include, but not limited to: vertical and horizontal reference point (BM), dir ion ar#fC I t " - arce! 1 D. percent slope, scale or dimemsions, north arrow, and location and distan to nearest road. 040- 1001 -80 -1000 Please print al! information. I ,, g k Date Personal information you provide may be used for secondary purposes (Privacy , s. t5.tl� (1) a,` (m)). Property Owner Prblferty toWtoa Jerald & Doris Sherger! �" .{V JA SW 114 S I T 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 829 Tower Road Proposed CSM City State Zip Code Phone Number J City _f Mllage !d Town Nearest Road River Falls I WI 1 54022 715 - 425 - 1397 Troy I Tower Road il' New Construction Usw- 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD _f Replacement Public or commercial - Describe: Parent material Glacial till. Flood plain elevation, if applicable na General comments and Install mound system at elev. 102.65' at 19" above 101.06' contour. { '� { # I Boring Pit Ground Surface elev. 100.63 ft. Depth to limiting factor min. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/3 none sil 2fcr mvfr as 20m 0.5 0.8 2 11 -17 10yr6 14 none sil 2fsbk mvfr cw lfm 0.5 0.8 3 17 -20 10yr4/6 f2f 7.5yr5/8 sil 2fsbk mfr cw it 0.5 0.8 4 20-42 7.5yr4/6 m2d 7.5yr5/8 sl 1msbk mfi - 1f 0.4 0.6 Saturated flow observed at 27". I Z I Boring # -I Boring N' Pit Ground Surface elev. 99.76 ft. Depth to limiting fator 17"— 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 1 0 -12 10yr3/3 none sil 2fcr mvfr as 2f,lm 0.5 0.8 2 12 -17 10yr6 /4 none sit 2fsbk mvfr ew 1fm 0.5 0.8 I 3 17 -21 10yr4/6 f2f 7.5yr5/8 sil 2fsbk mfr tw if 0.5 0.8 4 21-68 7.5y 4/6 m2d 7.5yr5/8 sl 1 msbk mfi - - 0.4 0.6 I I uraitted flow observed at 30". I `Effluent #1 = BOD ? 30 < 220 mg/L an TSS X30 < 50 L ent #2 = BOD <30 mg/L and TSS <-0 mg/L CST Name (Please Print) Signature. CST Number James K. Thompson _ S 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, O a, W 1 54020 5/262003 715- 248 -7767 I Property owner Jerald & Doris Sherger Parcel ID # 040- 1001 -80 -1000 Page 2 of 3 Boring # - j Boring Pit Ground Surface elev. 99.68 ft. Depth to limiting factor 24 "c4n 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 -12 10yr3/3 none $il 2fcr mvfr as 2f,1 m 0.5 0.8 2 12 -20 10yr5/4 none sil 2fsbk mvfr cw 2f,1m 0.5 0.8 3 20-24 7.5yr4/6 none sl 2fsbk mfr cw if 0.5 0.9 4 24 -36 7.5yr4/6 f2f 7.5yr5/8 sl 1 msbk mfi - - 0.4- 0.6 l 4 l Boring # Boring I I 1� Pit Ground Surface elev. 101.77 ft. Depth to limiting factor 19" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Ef1#2 1 0 -10 10yr3/3 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 10 -19 10yr5/4 none sil 2fsbk mvfr cw 1fm 0.5 0.8 3 19-22 7.5yr4/6 f2f 7�_r5 sl 2fsbk Mfr cw if 0.5 0:9 4 22-45 7.5yr4/6 c2d 7.5yr5/8 sl 1msbk mfi - If 0.4 0.6 Saturated flow observed at 3 7'. f eor;ng # V1 F - 5 t /� Pit Ground Surface slew. 101:66 ft. Depth to limiting factor 17" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GMT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 10 -17 10yr6/4 none sil 2fsbk mvfr cw 2f,1m 0.5 0.8 3 17 -20 10yr4/6 f2f 7.5yr5/8 sit 2fsbk mfr cw if 0.5 0.8 4 20-48 7.5yr4/6 m2d 7.5yr5/8 sl 1 msbk mfi - 1 f 0.4 0.6 Saturated flow observed at 27". Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 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. r � a C 311 , all �O Q Y d ��W•� Z n ,g -3 6 y 7.5," so, /t 1) ason 1/1e / 03. 0 Sa /�o „E to . o � l'p ,, 10 � 0 A S�41V- 7Ao ■ C. man ke% � � � a;2 3 de n �► rvi a.rk: 'op of 3 /8 `rV'64 r: .4ssL& med e lee: = ioo.M' I J 2270° 001 72S2c�'8 �' STATE BAR OF WISCONSIN FORM 1 —1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. WI Document Number RECEIVED FOR RECORD This Deed, made between Jerald A. Schemer and Doris A. Scheraer, 06/10/2003 11 :00AN husband and wife Grantor, and Je[emv i. Saltzman and Amy C. WARRANTY DEED Saltzman. husband and wife EXBW t Grantor, for a valuable consideration conveys to Grantee the following REC FEE: 13.00 described real estate In St. Croix County State of TRANS FEE: 299.70 Wisconsin (the "Property'): COPY FEE: CC FEE- PAGES: 2 Recording Area Name and Return Address Jeremy I. Saltzman Amy C. Saltzman xxx County Rood U Hudson, WI 54016 ,040- 1001 -80 -100 Parcel ldentifimbon Number (PIN) This Is not homestead property. (is) (is not) See Exhibit A attached hereto Together with all appurtenant rights, title and Interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 29th day of May, M. (SEAL) (SEAL) 9. erald A. Scherger Doris A. Scherger (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, } as. authenticated thlsV ,p W St. Croix County H N (� Personally came before me this 9t day of 6TATE OF WISCO Ma. Z= the above named Jerald A. Schemer and Doris A. Schemer, husband and • I to me known to be t person who executed TITLE: MEMBER STATE BAR OF WISCONSIN fore ping Instrument ar4 apicnowf dge the same. (if not, authorized by §706.06, Wis. Slats) THIS INSTRUMENT WAS DRAFTED BY Notary Public, StatelofWWbrein Coldwell Banker Bumet 1301 Coulee Road My commission is p mia ant. (if not, state expiration date: Hudson, WI 54016 Q 2 56720 ° ) (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons sionino in any capacity must be typed or Printed below their sf nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 -1998 Milwaukee, Wis. I 1 'J 2270P 002 Part of the NW % of SW % of Section 1 nship 28 North, Range 19 West, St. Croix County, Wisconsin described as follow, : Lot 5 f Certified Survey Map filed May 28, 2003 in Vol. 17, P age 4527, Doc. No. 72317 . Together With ana s bjec`t o utility easement and easement for ingress and egress as described in Restrictive Covenant for Shared Driveway in Vol. 2179, Page 354, Doc. No. 71 4137. 723171 VOL 17 PAGE 4527 PROVED XATALEEA R. V� -- REGISTER OF DEEDS �' p ntaf7nnC1^R^O"I^^ ST. CROIX CO VI VI RECEIVED FOR K m �1 MAY 2 8 2103 05/28/2003 e3:eePn CERTIFIED SURVEY MAP r O days Gt REC FEE: 13.00 G 4 �apd °Q U 1 shall be COPY FEE: 3.00 1t} C.T.H. „Vu Z Z _ _ X i — = - SOOWW"E 2647.09'- x — = 0 �' _ LINE OF THE SWI14 �^ A m g n 0 E n N00 °00'00 "E 393.70' „ y "n 1985.38 288.01' ° ' NOV14WE 393.88' If "�• / I At I WGRESS AND EGRESS FOR LOT 5: $ I I I • THROUGH SHARED DRNEWAY ON NORTHWEST CORNER OF LOT 5 i I� 66Qg t22 O � r j m ° N 161P CD It, j I I m r 10 O o_ I oS s4� ; O [ IG' I OU V 0). I� m I Icy w I° ul OD 1 � �; _ >> dlI �' o v I p OD 1 Z' N I �I iso g ° Z qm�/ g g J 6 N Idl� I TZ m �3 Q I O j ► N00 °1244 "E 1 I+ m + � � �, ` 1 ...............€xlw - 268 3000` n -1 S00°1Z44"W393.4e 1 cc� C n `a D D RNEWAY VOL 2179 u I Q T5P12z ,ex+4. I p 661. 10 it V g c° 1 101 o Z �� O) C • w 111 �/ vm -" m I Q A 'Y7 I Q Q Z < N m I I I Z $ 1 1C ) c� � N ° O> 0 rn EAST LINE OF THE 0 :. -150' NWt /4 OF THE NW1/4 1 G Z O T ........ 33.00' I� m IS 626.33 I 0 c < S00 °1244' 6 . 1 a ► O I 0 • 65' I� D" m v Z 0' z z z-g v o it GZi fLT�c � z 0 c z Z I I Z Z ? , O C cn r z Z I Z �. m - m > ; BEARINGS ARE REFERENCED TO THE ! n o C5 C7 m ;; n EAST -WEST 1/4 LINE OF SECTION 1, I I o m y y_ Z $ ASSUMED TO BEAR S89°2639"E m (7 AA Y (7 a Vo1.17 Page 4527 Safety & Buildings Division ` Sanitary Perm 201 W. Washington Ave. Permit Application 7302 PO Box lseonspn In accord with Comm 83.2 1. Wis. Adm. Code Madison, WI Box 02 73 Ooportment or commerew Personal information you provide may be used for secondary purposes (Submit completed form to county if 02 ` [Privacy Law, s. 15.04(1)(nt)) stale owned, Attach w late plans to the county copy onlyl for the sys tem, on paper not less than 8 -1/2 x 11 inches in size. County C C) u Slate Smitsty esrrrjt N r er� O Check if revillon to previous application State Plfp u L ��0 > I. APPACNION Information - Please Print all Informatbn Location: Property Owner Name - - --- -- 1 p -B� /�� L/,�` Properly I.ocatirnr / 0 Property Owner's Mailing Address _ _ -- _2 p O3 I/4 S W S f R' IG or --- - _._ -.___ -- Lot Nurnhe Block Number ST City, State Zip Code l — SubdiAron Nome 0r S umber II Type of Building: (check one) Cit �a 3 - 8 1 or 2 Family Dwelling -No. of Bedrooms: ft p i $ - village O Publ (describe use):_ / 1 Bl't'owr1 ur O State -owned — — - - - -- -_. - -- ._ - - -_- _ T i l III Type of Permitt (C N2.Replacement on line A. Check box on line B if applicable) Nearest Road - - A) 1. New Syste 3. Cl Replacement of 4. ❑ Ad on to Parcel Tax Nunrber(s) 'Isnk Onl Exi S slant O'1C / 00/ R/j - Coto Pennil Nund+er Q A Sanit Permued I - Ihte Issued IV, Type of POVVT system (Check all the ply) <2A/ /��� / X O Non- p/essurized In round ❑ . +..n.t r Sond Filter El Constructed V etlsnd 11 Pressurized in -ground O 1lolling Tonk Single Pass 11 i)rip Line O At - grade Aerobic TreaOnenl 11n' ❑ Recirculating ❑ Other. - 22, 4 11 ,� s� Q V Disperselt1freatm ent Area Information: r-bW 3 l Design Flow (bpd) TReqquired sperselAres 3. Dispersal Area 4. oil Ap ation S. Perco Rate yster Flevelion 7. �� , Proposed Rate (0 /Jay /aq. � (Min .r r) Vi Tank Capacity in Total b of anufacltrrer Prefab Site St p Information Gallons Gallons 'Tanks Con- Con- New Existing /,tJ/ A 160 crele s acted 'ranks Tanks J �oo ❑ (3 o VII Respon bliily Statement 1 the undersigned assume res risibility --_ for instal n of the POWTS shown on the attach Its. Number's Nome (p►hrl) Plumber's Si gn ,(ao sun"). MP%MPRS No. -- — - -- Business Plrarra Jim , -- - - -__ - - -- - -- - -- - P m s ber't Add (Shed City, State , Zip Code I'` 1 r NWL j i�CAW6N �I l� VIII County/Department Use Only 0 DiapproVed Sanitary Permit Fee (Includes Groundwa l ale Issued t g Approved Owner Given Initial verse Surtdarcge Fes) Determination 3Z6'' IX. Conditions of App /Re ns for Disapprovalt ,,, , 0 � B�u��� D f�ti"YGt� a � ,F�GLC� //,, f�c�f�2��tivca,� � ° - `- Q' AA $ my- /'i vjl ' tolLo dAt IMF A) &t4 ` AA4 , aQ ���3�� f� 9 Tai "ed. � moo E va /uaf;m T � do eq I 83 Proposed evlo dat �� 2 ?•2�'X / ol'w /G Xido' 0�` cel /. Two (1J M2 "X 3.43 — — — 4 oe A � A \ o Z (Ai i n 8 / 'orcema;�. N •o ropoS 900 0 ..P. P amber 'o Pr O xd j-e-eo a 0 6c'o c- fanKwIR6- be(__�I Q ouE y'� yo Rd. C. I bu : /d;.� Steer. Propose -d wtl o w pr 1/ bcalroom QeS.alen�,e �.ao Safety and Buildings y 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 *isconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary April 04, 2003 CUST ID No.222904 ATTN: POWTSjnspector, ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/04/2005 Identification Numbers Transaction ID No. 854332 SITE• Site ID No. 657388 Jeremy Sallzman Please refer to both identification numbers, 827 To R oad • pct above, in all correspondence with the agency. Town of Troy, 54016 St Croix County NW1 /4, SW1 /4, S1, T28N, R19W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 897809 The submittal described a e has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The bmittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin tutes, is responsible for compliance with all code requirements. The following conditions shall be during construction or installation and prior to occupancy or use: I General Approval Requirements: • This system is to be constructed and loca in accordance with the enclo approved plans and with the "Mound Component Manual for Private On Wastewater Systems V SION 2.0" SBD- 10691 -P (N.01 /O1) and the SSWMP Publication 9.6 Design of Pre e Distribution N orks for ST (0 1/8 1) • Per manual cited above, limited activities are allowe the 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other ar activities that impact the treatment and dispersal are prohibited. • The changes made to this plan on * by this review ere acknowle d and approved by the system designer. The septic tank will be a Weeks 1260 gallon to • Access to the filter for cleaning must be p ided per Comm 84 product ap val conditions. Mai information must be given to the owner o e tank explaining that periodic cleaning the filter is required • The well must be a minimum of 25 fe from any POWTS tank, and a minimum of 50 feet the absorption Con IN, area. chs. NR 811 & 812c APM • A Sanitary Permit must be obtained from the county where this project is located in accordance with the DEPARTMENT OF requirements of Sec. 145.135 and 145.19, Wis. Stats. OF TEl! SEE CORRES1 I i JAMES W BOUMEESTER Page 2 4/4/03 • 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. Stat • 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 ing purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the TS. All permits required by the state or the loc unicipality sh . e obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & i ngs reserves the right to require changes or additions should conditions arise making them necessary for c compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibi ' fa esigning a safe building, structure, or component. Inquiries concerning this correspondence may made to at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide opy of this letter to the owner and any others who are responsible for the installation, operation or mai enance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code: 7!633 (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 l MOUND AND PRESSURE DISTRIBUTION COMPONENT DES' Residential Application INDEX AND TITLE PAGE Project Name: Jeremy & Amy Sallzman 4 bedroom residentail mound y�41 k Owner's Name: Jerald & Doris Scherger Owner's Address: 829 Tower Road Hudson, WI 54016 Parcel address: 827 Tower Road Legal Description: NW1 /4SW1/4, Sec. 1, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: CSM Vol.7, Pg. 1890 Lot Number: Lot 4 Block Number: na Parcel I.D. Number: 04C- 1001 -80 -1000 Plan Transaction No.: Page 1 In and title Page 2 Data try Page 3 Mound awin Page 4 Lateral an se tank Page 5 System i ance specifications Page 6 Man ment a ontingency plan Page 7 Pu curve and sp ations Page 8 e Plan Page 9 oil Evlauation Report Designer: Jim Boumeester License Number: 222904 Date: 03/26/03 Phone Number: 715 - 386 -1794 Signature: I E D y Designed Pursuant to the WED Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) COMMERCE AN 1LDI GS Version 3.0 (03/01/01) Page 1 of 9 'ONDE CE Mound and Pressure Distribution Component Design Design Worksheet Si Info (r or c) _ Rl Residential or Commercial Design Note: Sand fill (D) calculations assume a _400.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 6 0 — 0 - 01 Design Flow (gpd) 7.00; Site Slope ( %) 100.0 Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0 501 I n -situ Soil Application Rate (gpd /ft D Cell Information 1 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft) `~ �11 Influent Wastewater Quality (1 or 2) Are the laterals the hig poin in the distribution L Y Pressure Disribution Information network? Enter Y or N (c or e) el Center or End Manifold _ 30_0 Lateral Spacing (ft) If N above, enter the elevatio (ft) _ 21 Number of Laterals of the highest point. 0 Orifice Diameter (in) (e.g. 0.25) 3.001 Estimated Orifice Spacing (ft) = 9.09 ft /orifice 240; Forcemain Diameter (in) 100.00; Forcemain (ft) (ft) Does the forcemain drain back? ,max y — - - -- -- 89 Pump Tank ation (ft). '' Enter Y or N 6.50 System Head (ft) x 16.31 Forcemai rainback (gal) 12.33 Vertical Lift (ft) 90.43 5x Vo' olume (gal) 1.62 Friction Loss (ft) 106.74 Mi ' um Dose Volume (gal) 20.45 Total Dynamic Head (ft) 27.19 ystem Demand (gpm) x 10 Lateral Diam eter Selection M old Diameter Selection in. dia. options — choice dia. o tions oi - -- ch- 0.75 1.25 1.00 - -- — 1.50 x x 1.25 - 2.00 j 1.50 x x 3.00 2.00 x 3.00 Gallons /Inch Calculator (optional) Treatment Tank Information, 80"0! Total Tank Capacity (gal) -- - i 'Gc 12d0:fl0 Septic Tank Capacity (gal) , / 42.66 Total Working Liquid Depth (in) Weeks Concrete Manufacturer 14-96 gal /in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.00i Dose Tank Capacity (gal) Zabel Filter Manufacturer __.. 19 Dose_ Tank Volume (gal /in) A100 Filter Model Number Weeks concrete — Manufacturer Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 2 of 9 r Mound Plan View T 1/10 B •'•' . ......... :.: ..: 3 . . . . .. : J Observation Pipe : •'� l K. "'- -..'....•._ . —T W ..I . . — ... B . . . . . . . . .. � ... ....• ........... ........ ............... I ..:. .:..� .. . .:.:. .:. . ... .:... . .:.:. ... .:...: . L Mound Component Dimensions A 6.00 ft E 27.04 in H A7.75 ft K 11.51 ft B 100.0 ft F 9.50 in 1 ft L 123.01 22.00 in G 0.50 ft J ft W 27 ft 600.00 (ft 2 ) Dispersal II Area 1 1946.20 (ft 2 ) Basal Available 6.00 (gpd /ft) Linear Lo •ng Rate 1 10.00 (ft) 1/10 bs. Pipe Placement Mound Cr Section View Aggregate ersal Area Finished Grade 103.63 (ft) --► rrrrrrr�... G * H � . rrrrrrrrr. 2 rrrrvrr.. 1 F f f f 102.33 (ft) Lateral rr rrr r rr Dispersal Cell 101.83 (ft) – ♦ Invert Dispersal Cell Q ::: D Elevation E . 1 i 100.00 (ft) Contou evation 7.0 ° Site Slope Geotextile Fabric Cov r Shading Key Dispersal Cell See lateral details on 10 Topsoil Cap c a 1 ft :,•, Page 4 for number, ©0 rrr' Subsoil Ca y 0 (� p ° size, and spacing of y -!•..' . ©� ASTM C33 Sand � � •- . �• F laterals. Laterals are ®[ Tilled Layer d 0.5 ft Typical Lateral y c equally spaced from 05 Aggregate a o the distribution cell's A centerline in the distribution cell (AxB). Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 3 of 9 APR -04 -2003 12:29 PM A.C.E. Soil & Site Eval. 715 248 7764 P.02 End Connection Lateral Layout Diagram Lma rds comwed ow th •- Turn-up wlbsNwhro J AI Mural. are Idendeal X..y I Hol drlled on the bottom of OW lateral spa fotoe main oarnt�cdon ula as m OtOF;s rA muMfala at any polo lawrars 6 Force fnaMr of PVC 8dh 40 (W COMN W Tale 94,30.5) Number of Laterals 2 Orifice Diameter 0.125 In Lateral Diameter 1.50 In Orifice Spacing ()Q 3.08 ft Lateral Length (P) 98.58 ft Orifices per Lateral 33 Lateral Spacing (S) 3.00 ft Orifice Density 9.09 felormce Lateral Flow Rate 13.59 gpm Manifold Length 3.00 ft System Flow Rate 27.19 gpm Manifold Diameter 1.50 In Total Dynamic Head 20.49 ft Forcemain Velocity 2.78 ft/sec Dose Tank Information Lw emw„b,rwT Q MW and looking dwiu and seem wgNtlght ElecMoal as per NEC 300 W Comm 1 0.28 WAC p �itOCt 4 in. min. Tank oompansnt is pmpelly vented E— o" FaroemelM dlemsMr Weeks Concrete M acturer 2 in. Ca cit 805.12 Gallo Volume 1 21.79 gal/Inch A Weep hoa or ar& Dimension Inches Gallons B siphon devk* A 18 5 40.2.5 B 2.00 43.52 Pump on e ievathn tt C 5.0. 108.8 89.96 D 11.50 250.24 Total 1 37.00 80512 Dow tank erovMaon ft 3" Becoft unaer tank. 8A.00 Alarm Manuafacturer E ve lA Alarm Model Number it Pump Manufacturer Zoe er Pump Model Number 137 Pump Must Deliver 1 27.19 gpm at 20.49 ft TDH Project: Jeremy & Amy Sallxman 4 bedroom residentail mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson POWTS Inspect.#481 , Phone 71 248 -7767 POWTS Regulator's Name St. Croix County Zoning D Phone) 71 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft' Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 y2wfi Pump and Controls Test once every 3 years Alarm Should test monthl Pressure ystem Laterals should be flushed and pressure te§Wd" 1.5 years and Inspect for ponding and see�ac�e ever�3years G Misc aneous Construction and Zeri Standards 1. Observation pipes are slotted an aterials conform able Comm 84.30 -1, have a watertight cap, and are secured in as shown in the ound compon manual. 2. Dispersal cell aggregate conforms to mm 84. (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping material onfo to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished mold board or chisel plow. 5. The mound structure and other disturbed will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tur p Detail Finished •........ ................ Grade 6 -8" Diameter Lawn . . . . . . . . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep or Two 45 Degree Ben s Same Diameter as Lateral Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Jeremy & Amy Sallzman 4 bedroom residentail mound Page 6 of 9 11 , HEAD/CAPACITY CURVE EFFLUENT & DEWATERING TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE I 53 -55 SERIES 5759 98 1371139 161/4161 167/4163 165W65 185/4185 186/4186 188/41 ''. 18914189 -- '_ -_- F7 M ". GAL LTR. GAL LTR GAL LTR GAL 'LTR GAL - ..'LTR': GAL LTR GAL G LTR GAL:'LTR AL LTR 1 GAL LTR 5 1;52 47 16J': 71 yrJ 93 362 706 401 61 '. 27T 61 231 56 220 155 551 { 155 587 -_ 10 J.05. 34 129 s 61 231 79 299 100 {378 Et 61 :'231 61 -.231 58 ::220. 148 151 572 15 4.57 19 <'72 45 170 64 241 91 :344 60 '::.227:: 60 227. 58 220:.. 141 537 145 549 3c - 7 10 6.10 25 95 36 .136 &2 '- 710..: 59 22] -: 60 227' S8 176 t 110 _ 18 - <_ 1 : 25 1.62 8 30 74 280 57 216.. 59 223 68 220' 118 484 133 50J c, . -...._ - -_ • -. -.. 30 9:14 65 _246 55 '208: 58 220 90 340 58 220 711 1581 127 481 25 -- - ?. _ _— +__�.__� _ -_ 40 12.19 46 -174 : 46 112 55 206 `. 75 783 58 210;- 105 797 _ 114 4 71 ~- 1 - 50 15.24 21 40 73 125 51 191' 58 219 58 220. T 90 341 100 J79 . bC _ - - - -• •.__ - T - r _ 60 18,29 15 57. 43 16f 36 136 58 220' 71 269 _ a5 311 I --r - - - - --1-- 70 21,34 30 1 t4 10 3e s2 t97 s1 193 70 165 186. _ 2 2 ` 418fi 80 24:38 14 17 53 45 :D 26 106 _ 54 204 90 27.41 J2 '121. 1 8 J7 14 2o J __ _ 1 1 6 6 - _ 100 .70.48 18 W _ 11 79 110 -3YA 7 26 O oC Lock Valve: 19.25' 23' 26' 56' 66' 87' 73' 115' 91' 112' 6_to 6J WARNING: Model 185/4185 should not be subjected to '° less than 30 feet TDH. - -- NOTE: For Head Capacity on Model 112, Industrial _! column- explosion proof pump, see FMO219. a51,65 89 H - .� L) • S - I - _ - 98 42 5],55 137, 39 C _ Cti.On C 201 JO 40 50 60 )0 80 90 100 110 120 15 110 150 160 LI TERS 80 160 240 510 400 SKBI13 :180 566s 6b S C FLOW PER MINUTE D- .2. 19 .,o M. rrr 'MLc/1) 5 k��Y/az�e r� c SEWAGE a DEWATERING TOTAL DYNAMIC HEADICAPACITY PER MINUTE 12T �._ SERW211, 6 T67 268 262/4282 284142&4 292/4292 193/4293 1941429a — FT. Vs Gal LM Gal Ltq. Gal. L" Gal. Ltrs Gal.II Gal. Ltrs. Gal. LUS1 I. Ltn { - - r 15 89 50 189 50 189: 6J 238 175 6 1 100 3 1 130 492 165 6 625 852 I 5 84 128 481 128 184 130 491 780 611 177 SOJ 1% IQ 205 776 1&5 700 10 8.f0 10 : 78 10 38 10 '38 77 125 106 401 87 322 119 450 150 568 168 636 + �. -- -- -- 26 7.85 1 -- -' i - r - _._ -__ 16 288 66 250 106 401 176 615 t53 580 <- 1 1 JO 9.14 i 43 163 46 174 90 340 111 4681 140 570 _. _. , - - 1 __ - 1 r - � 26 98 50 149 94 758 115 435 , 1 - - -- - -` -.- 1 50 1534 sa 1201 89 337 60 18.29 13 4 59 223 70 Y1,3� 25 45 — r — - - - -- ; Lock Valve: 18' 21.5' 21.5' 11.5' 26' 75' 39' S0' 62 7Y 293 4293 � _ + WARNING: Model 293/4293 should not be subjected to —a— -- t TDH �, <282 q,428a 1 _ less than 15 fee t 12621 29 C - - Y 2 924292T - I ,266. 57, 66 r ._- T _ - r . -- 294.4 :. - - a 295A2951 20 SG eC.' SO 60 )C &0 9C 1001110 1 20O 1CJO C 1150 160 , ]O 160 19 200 21 .... < '-- 1 01 220 2301 240 250 260 210 1280 29C 1 310 32C 330 3.01 J5D 360 JH 59 C ®J 160 2a.; +- 370 400 a T - -- " --- -4_ _'_ - 760 610 ]2D 800 ME, 960 1040 1120 1200 :280 , �60 '.4 C "1J ',OW P M,NJIi 5• 7 09 t♦ So,/ Eva /ua£a� ' w /' /s 1/ 3 8o• -/ 83 � Proposed rv�okndwf 2.7.21 x /Z 3. °S ��, 5�pa ced a� 36 W/ %g on''c�5 " d a 3.49 .' — — — �� t3z � c \ o Z n 8 c. Aorce aln. N G nn_ �O P ro`JoS-'-Cl goo� P ump etram 'o s!'�•S.T. M. 3o3d et't�lCl Gn'� f %!P P r� r o po.Sf -d I, .4 -/ eglu of o u.E /ef y'su4. v Ad. C. Proposed well��, Proposed �{ bcal�oam QeS��den� �.aof9 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIIIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address g4 7 � /Oljj . 6a (Ve ' cation required from Planning Department fo new construction) City/State Parcel Identification Number n40 - w -►�F y Pa o� L& r Z LEGAL DESCRIPTION VL4 P. 0 1 Property Location V., V" S T _N -R W, To f Io n Subdivision Lot # a Certified Survey Map # 7 / Volume Page # y 7 Warranty Deed # A lv �� frfo e Gb Page # Spec house ❑ yes Q no t lines entifiable ) yes ❑ no SYSTEM MAIIVTENANCE Improper use and maintenance of your septi tern could result in its pre failure to handle wastes. Proper maintenance consists of pumping out the septic tank every thr ears or sooner, if needed by a li pumper. What you put into the system can affect the function of the septic tank as a tment stage in the waste disposal syste The property owner agrees to su t to St. Croix Zoning Department a certificatio orm, signed by the owner and by a masterplumber, Journeyman plumber, cted plumber or a licensed pumper verifying that (1) th -site wastewaterdisposal system is in proper operating condition and/o ) after inspection and purging (if necessary), the septic . less than 1/3 full of sludge. Vwe, the undersigned have read above requirements and agree to maintain the private sewage disposal with the standards set forth, herein, as set by the ent of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic syst has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year a tion date. 3 1 / 0 3 GNATORE OF CANT DATE OWNER R CATION I e) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the own er(s) of the prope escn'bed abgr, by virtue of a warranty deed recorded in Register of Deeds Office. I AIU�L6ANT E OF APPL DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. «« linclude 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 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) (� b Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft Type of Wastewater Domesti Table 2. Soil Absorp Component - Limits of Reliable Operation P P P Septic Tank Component Soil Absorption ComporAen t Design Flow - Peak (gpd) 00 C1 C� 1 9Y4 13ps 1 pRpp Maximum Influent Particle Size (in) lit 1/8 Maximum BOD (mg /L) aI; b 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the . ` . Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption com onent's operation eration must be assessed by inspection at least i P P once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. i Traffic around or over the sod absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386 -4680 Boumeester & Sons Excavating 386 -9020 Tri- County Sanitation 386 -2130 3 ,. , i I I I ., Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 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. (y0 " /Qb �� �ZS ' Please print all ' irp /+ Re ' ad y Date Personal information you provide may be used for nda UFA\1ECL, s. 15. (1) (m)). 1 21 d 3 Property Owner Prop rtyLocation Jerald and Doris Schej ger MAR 1 7 2003 Govt Lot NW 1/4 SW 1/4 S I T 28 N 5 19 E (or) W Property Owner's Mailing Address Lot I Block # Subd. Name or CSM# 829 Tower Road ST. CROIX COUNT ILawrence Handlos City State Zip Code ity Village •! own Nearest Road Hudson WI 54016 ( ) El New Construction Use[D Residential/ Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD 0 Replacement Public or commercial - Describe: Parent material T — aver fill Flood Plain elevation if applicable NA ft• General comments Soil test done by the direction of Tom Nielsen (realtor) for the purpose of updating the record for a pending sale. and recommendations: Site is suitable for a mound system a Boring # D Boring 23 Pit Ground surface elev. _ 99.0 ft. Depth to limiting factor 14 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tF �►, in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 h 1 0 -9 10yr3 /3 sil 2msbk mfr cw 2f .5 .8 2 9 -14 10 4/6 sil 2msbk mfr cw if ,5 .8 3 14 -1$ 1 4/6 cid5yr5 /8 sil 2msbk mfr cw - .5 .8 4 18 -40 lOw4/6 cid5yr5 /8 scl lmsbk mfi _ - ,2 .3 F ] Boring # 11 Boring 101.24 >46 El pit Ground surface elev. _____ ft. Depth to limiting factor — in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -24 10yr3 /3 sil 2msbk mfr cw 2f .5 .8 2 24 -40 7 5 4/6 is lmsbl mvfr cw - .7 1.2 3 40 -46 7.5yr4/6 Ifs 2msbk mvfr - - .5 .9 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L ' Effluent = BOD <_ 30 mg/L and TSS _5 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, W1 1/16/03 715- 246 -2454 / Y'A f � Q � r, `� •T �� `1 � __ RQ 1, 7 l Z E r t- • a '¢ r _� r fw, � 1■ r / 7 2 3 1 7 1 VOL 17 PAGE 4527 PROVED i l XATKM H. VALS717 --- ST. CROIX REGISTER OF DEEDS ■ "ao�U..r�mr.'� ■^ / ST. CROIX CO. MI Pl.mlle!17nn "" RECEIVED FOR �tECORD Z (n M !7 MAY 2 8 2003 05/28/2003 03:00PM CERTIFIED SURVEY MAP r m g O M WO of RE C FEE: 13.00 z G �ap a — �ji[ COPY FEE: 3.00 z e PAGES: 2 OR - - - 1 8 1 1 C.T.H. ��V,� > m S00°0000'E 2647.08' - n co , W T LINE OF THE SW1 /4 n n rn D 0 x � „ N00 °00'00 "E 393.70' tsss.3e_ °e - 2se.or O � t1 Noo l r20"E 393.88' i .................... INGRESS AND EGRESS FOR LOT 5 . $ I I I • THROUGH SHARED DRIVEWAY ON NORTHWEST CORNER OF LOT S cn ri� I :w ((0 O ro 1 QIo �� �:�_o VmV r co O I > 888P O i (D IP Iw �� °fez D D oA 8 I �, y Z D m n I I I I I .$ ! NIP r-Z Z n n O to O O ti g 1 N I sZg' N I1� � o m m I� .J ► ���: - I I� I I � z m f 125 W }$q; NI � I N ccc111 I�O � N ► YiR� ► r n��� I �j m,0• 100 w 1.. ► N00 °12'44 "E s s' I I I [� m m 1 I I • ....... 0AW 268.00 1 7� o 33' 33 m I OD \ 1 S00°12'44"W 393.46 \ 33_00 a I c,] --I A v ° S8D ZS39E� X628.46'- - I CUII < M O I gg. I $HARED 1 O T11 T ' � .714137 _ 1 -C Fn I Oo I p ` . fF. 66 � ' - Fu00°17{.TW 334.00'_ ca 2 p 8 00 . 1 4 I I v rn lO gm � yIV'V IQI nDZ� C4 Lo I`3 1 �; Ca I I�I o zm 0 �° „ V V si w (o z O o �Nm m m I I1 <mD N � m o 1 30 Q o v a DI mmZ EAST OF THE � f+7 LINE %�- -150 0 m THE I p 1 00 �ZO 1 NWt /40F ....................... N 628.33' I OO Ti= 0 S00°1. 33 33 I rS A ► O I 0 0 ®� MaPd_Q4CD dQaD�_ 66' I �► D ° mO OO t�/n (`n1C�DD C31T OO 4Gi]C�ff3�' I I � `" x �Q F mgm $ Z - ZM O 00 x cn1 c�rn z o_ m ��„ `z� C Om Z I I Z W `■ -1 ; � BEARINGS ARE REFERENCED TO THE ! +! T1 p EAST•WEST 1/4 LINE OF SECTION 1. I I fr1 �+rn y x m n ASSUMED TO BEAR S89°2G39"E S >3 c: 0 m Sc II z p m m no C0' Vol. 17 Page 4527 ti j 0 i r r = iA aj ... ' t NIA.W 70171 t rir aazm.La•z a w C] 3 Y o 3141 Ol U3'JN3M:i3H allV SONWV � w Q 0 � agza Z Z p z 5 c o �r Z t� z U, I z`�' CC (a Z to ��,�_ t�7 $ $ �Z Z X a O$ mg S C) n A ww U- 0 N _ _ � I a 9RO C91�17 �Jc 0 8 I • L 99 M=.z wos I ,eE�s tt S � ��') - ... .. .... W �mQ Q) O A54 T- RIO ox mo c [3 cn o_ ZC7U 2 4, d M �rdzN`:tiS C" Cl $ O r W co Ln QD ®I"'I iI C a o w $ Q I � X wai p ss a�v � � 4� ,, � ev e£ N�.w m > w (� I I es . bDse ....... 100'893 W i '� m o l ao orw X o I z I w co In .d�? { Qua a{d� 0 J co V r g v ,��{ f�11 �( dd O U .05 : OD 1 ) .................... Z � V) 1 �/ b gX J ;�`' L� N 0 I � ' ESM I p . o x a. OEM 3a00,00aoaN ..� � � a Q ._.'� ` /uVIS 3141 �O 3NT11S w tu HAW w b C N DOCUMCNT NO ` WARRANTY GEED f ill% c7IA1L Hf.9fnY:D FOR PLICIRDINO DATA X69296 STATE B ,OF W SCONSIN FORM 2 -1982 VOL 9MPAGE15 , _ REGISTER. S OFFICE ST. CROIX CO. W1 Wayne. - L,. Flandlos and Ronald M. Handlos,...t, @(i.a(0t.9. irk, ..... • Reed for Ree0fd common ... ... ................ ... .... ......... -...... .............. .............. .. MAY 131991 _ ........................ _... ... ....... .......... I .......... _ .................... ' 11:30 A. .... _ . _. _. ...-... ....... ...-- ....... -. d a' n conveys anti to ..Je d. A. - Scherger ..and.Dor 9- . A . ............ V c Scherger,. husband. and ..wife. ass. survivorship mar.ital ......... '" R�Oh�MefDNdi property............ _.. _ .............. ................... ............ ..................... ... ........ ..... ............ ....._............. ... ... ..... .......... ................ ... ..........- ................ _............ -.. ..._ PETll TO ... .. ................... .... .... .. .......... .... .... .... ... ............ - .... .. .. .. ........... ........... .. ..... . ... .. ...... ... ..... . the following described real estate in ...St....CrctiX .. ........................County, ,State of Wisconsin: Tax Parcel No: .............................. Lot 4 of Certified Survey Map filed in Volume 7, Page 1890 as Document Number 430431 located in the NW 1/4 of the SW 1/4 of Section 1, T28N, R19W, being also part of Lot 2 of that Certified Survey Map recorded in Volume 4, Page 1161, Town of Troy, St. Croix County, Wisconsin. This deed is given in full and final satisfaction of that original land contract dated October 28, 1987, recorded November 3, 1987 at 8:30 a.m. in Volume 795, Page 529, as Document Number 431767, PEL I This is not homestead property. :rx) (is not) Exception to warranties: Dated this 4th ... . day of ._ . May I9 91 . 4 " ._ .. -- _._._...._- --- ...(sEAL) _. _ _ °'�.– [sE.a[.I i� Wayne.. h. Handlos. ---- ------- --- ---- ------ - - - --- Ronald M..Handlas _ _.. .. .... .. . ....... -...---------- .(SEAL) _ ._ ..._ (SEAL/ ACKNOWLEDGMENT ACKNOWLEDGMENT STATE OF WIS60*&IN STATE OF Vli'I.6+8� /w/i✓�so79 1 ss. MINNESOTA � ss. He ...... . county. .•.1lez�rte --- - - - - -- County. ........ Personally came before me this • 4th_ - -- -d of Personally came befor me this -.- -th.. -..day of Ma .... .. 19_.91_ the above named Ma y -----•--- ............... , 199.x.--- the above named W ayne..L�. ..Hdlos.... - ...... Kona].ci.. - M.. IiandlQs.. -- ..................................... ...._..---•-••---•-•---••-----••-•--••-----•---•--- •- •---- •------ .- •---- •- - - -••. ----- •- •-- • - -• -- -----•--------------------•----- •--- . ..----- •••-- .......... . .. ............. ....... .. ............. ------ — _..- ........ ... ................. .. ... ........ ...... ... ............ - - - - -. _.... -- .. -- ................................................ ----- • - - -•- -- ....... " -- - - - - to me knn (,1 a erson - -. - -- .... who executed the to me known to be the person who executed the far a.� ,ap - ••.- fore 1'tfi�t " iYoife 5 I e. foregoint strum�n�t" ant �� nowjefFe tkt�'�1fTh�A -,►tA ~ I� 4 ItiC•� ;Fi'! 'J3L MI i. - Si7A -..._ :.�. 1 t. .'i)A — •, ter :{ - �y1 � J ; 1/ ®� f- M �.... ..: •:.. .. '`' c. OCYElY9.5 f)ec.- i3,- t4XyS. ....- - - -__. ._. ,'... Ae.!»A..C4e�W � Not ; Nota -1 Pu I •I 1olrraecaa Wis, sty, wtsMn . Cnmr •ssion is permaner-t. (If not, state e Hy Comm'ssion i permaner-t.(If not, state expiration r j . �.- date: .. � - ••-•� .. . .. .... ......... ........-- .--- ---- - • 19...5..) date: w e rYt Ku he { V y ar r � *Names of Persons aianinr in any capacity should be typed or printed below th••ir signatures. �Od�l, 9 es Kar OI Boles S. C. 219 N. Main, River Fails, WI WARRANTY DEED STATE BAR OF WISCONSIV wi; --in L:htsl Rlnok V... FORM Pie 2— 1742 v.... r.. k' wi•. L/ _ 4111 /6 /v .L o �GLJ14 4.k. ' A PI - 4304311- t CERTIFIED SURVEY MAP Located in the NW 1/4 of the SW 1 /4 of Section l , T28N, R 19W , Being also r - 1 i-I c lot 2 of that Certified Survey Map recorded in Vol. 4, Page 1161, Town of Troy, St. Croix County, Wiscon-sin. Surveyed for: Lawrence Handlos Rt. 1 L Hudson Wi. 54016 W _ -I N� ' W - V. i0 I 4Z) ILI W W to J� OI \Jr IV1n_ 6 6' 'I © I 'CN'CO' S00 °12'44 "W 661.46' 1 235.00' 395.46' r I W 41 - O a ° � r CID man N = Z o 00 17 ~ LL W # 01 D N ° I I K W N O� O 0 O 10 W ID 8 NI bl N J V N 0 r - x � o Q Q Q Q F I W I 2 M W m a le O I O O O OIL N lL h0 LEGEND O } P' SECTION CORNER MONUMENT WI' 0 1 O h ~O b' K ILK n OI 4 J W ��1 I y N e J NZ H i = > O I" X 24" ROUND IRON PIPE WEIGHING v oo #- 0 1.68 L8S./ LI N. FT.. SET. M O J tiv Av I ROUND IRON PIPE x N Z m W K _ I W - 2 K I 0o V ( V r� W \ W I v, W ; V - 235.00' 393.68' _ 33.00' N 00 14 2 0 E 6 N e e4' 26 8.01' _ w;, �0 393.70' 2 �o NORTH �I 661.71 COUNTY TRUNK HIGHWAY "U" I 6 I l SCALE iN FEET 0-150' O' 75' 150 300' BEARINGS REFERENCED TO THE EAST - + WEST 1/4 SECTION LINE ASSUMED S899 26' 39 11 E . HARVE NOTE: The purpose of this map is to add Lot 4 JOH ON s to Lot 1 of that Certified Survey Map recorded In Volume 4, page 1161 per St. Croix County Z HUD f . Zoning Ordinance 18.02(4)(b)3. Lot 4 is not a buildable lot at this time. Approval *rust be J �� obtained from the St. Croix County Zoning �� U I Committee to become a buildable lot. t�1i1��� VOLUME 7 PAGE 1890 487 -1305 ro � ,r o F r o y • AILED APR o 1982 377192 Go C OIWM CERTIFIED MRVEY MAP APPROVED` 6 W. Corner APR 151982 (6 61 Section SW ; - NW --J LT28N, R19W Tower Road _ — _ _ _ S.. CROIX COUNTY E 31 Corner 313 31 — • ^ 00.00 T -- — +• 460 .47' 319.86' 500.00' 4 1 ° 0 0. 1t a► 780.33' S89 026139 "E 3.00 33.01 I 0 � � o � o •� o 0 I ►-, K) N N I ( ° LOT 2 G' LOT 1 I :9 rn I� 12.3299 Acres (537089 Sq. Ft.) rn 7.5895 Acres I ludin r' - -wa cc (330597 Sq. Ft.) rn i) I 11.2621 Acres `'Including right -of -way W r ON Excluding right -of -way ; 7.2129 Acres I CD C o ' (314192 Sq. Ft.) w s Excluding right -of -way 4 780.62' Vo. 46n 76 319.86 500.00' °• �6 , 30.24' N89 0 27'36 "W 1310.86' LDC3VD I I SCALE IN scat Section Corner Monument 1 x 24" Round Iron Pipe Weighing o wo too goo 1.68 # /Ft. Set SW Corner NW '14 -SW4 DE9C,RIP'rIQN •% --•* - Fence .parcel of land located in the NVJa of the SW; of Section 1, T28N, R19W, Town of Troy, St. Mix County, Wi.soonsin, described as follows:. Beginning at the W4 oorner of said Section 1; thence S89 0 26 1 39 11 E (assumed bearings referenced o the West line of said SW:, bearing assumed NORTH) 1313.31' along the East -West 4 Section ine of said Section 1; thence S0 0 12 1 44 "W 661.33' along the East line of said NW&A of the SA; hence N89 0 27 1 36 "W 1310.86' along the South line of the N� of the NW4 of the SIA; thence NORTH 61.71' along said West line to the point of beginning, containing 867941 sq. ft. or 19.9252 Gres, and subject to easements to Wisconsin Telephone Ccupany, St. Croix County Electric ooperative and St. Croix County for utility and highway easement purposes as recorded in plume 149, page 329, St. Croix County Register of Deeds. , James E. Rusch, registered Wisconsin Land Surveyor, do hereby certify that I have surveyed iid mapped the above described property; that such plat is a true and correct representation f the exterior hot? ies of the lard =4 that I have f•ally corriplied with the rovisions of Chapter 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision rdinance and the Town of Troy Subdivision Ordinance to the best of my profgssional knowledge, nderstanding and belief. IV& 491 knes E. Busch S q(�rS E . Owner and Subdivider: isconsin Land Surveyor S -1376 , ^ � tevens Migineers, Inc. 5.1370 Lawrence Handlos 409 Coulee Roar 1 fox 321 1 Ri�cc Fats, i '; Route 1 .tdson, Wisconsin 54016 • ��'�° �f -: Hudson, Wisconsin 54016 .•� aril 5, 1982 ° '�rNa su h ;.uap is hereby approved by the Town Board of the Town of troy. _ ' n Date Town Clerk