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WiscOnsin ljgpartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix S4ety andfSu. ding Division "INSPECTION REPORT Sanitary Permit No: 420504 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village x Township Parcel Tax No: Larson, Scott Troy Township 040- 1267 -80 -000 CST BM Elev: Insp. BM Elev: BM Des ,�aa,, 1. t �(� �•� n L��6w f Gtif' 1 �( �'�_.� TANK INFORMATION t ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic d Benchmark r 1 /o .Z4_eA- wo Ii Dosing n Alt. BM /o Aeration Bldg. Sewe i Holding St/Ht Inlet TANK SETBACK INFORMATI f A St/Ht outlet TANK TO P/L WELL BLD Vent to Air 1 take ROAD Dt Inlet Septic I r Dt Bottom Dosing � / + � � � Header/Mard Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION (" � Final Grade Manufacturer Demand St Cover / GPM �S Model Number l� I ; U ' �' �1 l 770s Oz,2iss.�I TDH Lift Friction Loss System Head TDH Ft / Z, Z, 3- Z S Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. uid Depth DIMENSIONS / (J(' `5 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM anufacturer: INFORMATION Type Of System: / CHAMB 33 f / / f �__ IT Model er. DISTRIBUTION SYSTEM eAj J 5 Header /Manifold Distribution x Hole Size 6� x Hole Spacing Vent to Air Intake 7 f Pipe(s) 7 Length ] Dia 2 - Length • L Dia / Spacing _ ✓ I 3 ./ P / — SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil — r Yes I No .;''. Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: f I A) / PZ_ Inspection #2:�_/�_/� Location: 565 Chattanooga Drive Hudgoq WI 54016 (SW 1/4 SE 1/4 16 T28N R19W) Glover St L t 99 / Par el No: 1.6.28.146 .0 �Jr 1.) Alt BM Description = )° -q� cn ' t • f 41,q lit, 1 lilC`�l �1 S U <,r( 2.) Bldg sewer length = ✓L, CQ ; - amount of cover �� ���—Li I�Gjl�rt�'L 3.) Contour = . r —' - _ �rt, �J J VA M ice, q - Pla revision Re uired. No (� Use other side for additional information. / __ ___ _ _ - -__ __ - �! / ( Dat r ns ctor Si r�at�re �1 ' Cert. No SBD- 6710(R.3/97) �" 7 •� , f¢t�1ti i -� /�L �� ��l CAS -`N' GcrtG��� °`��[ �! Gry#{ klti �tsc.cF 1 4 "cA I I Cautk/�Q�(�� J�lOkJV�UY1f�'� Safety and Buildings Division County N *is eonsin 201 W Washington Ave., P.O. Box 7162 son, T Madi WI 53707 - 7162 Site Address — Department of Commerce Sanitary Permit Number Sanitary Permit Application Wis. Zosn In accord with Comm 83.21, s. Adm. Code, personal information you provide ❑ Check Revision may be used for purposes Privacy Law, sl5. 1 m I. Application Information - Please Print All Information State Plan I.D. Number pvsrts . /d, o Property Owner's � E CEIV 1 Number . /% O Property Owner's Mailing Address © _ O CT T 1 8 2002 pe Location 17 rw if s -A-. S N,R E City. State Zip Code Pho&'NfiiRQtX COU,V r Block Number Zop%,' UFFICt" PSu�; bdivis' n Name CSM Number go U _ II. Type of Building (check all that apply) G a c (Al 4 — ❑City 4 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial _ � Msc be Use 7C co ei,,- ❑state owned ,�" F ti o ownship Neare III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicab A. 1 gNew 2 ❑ Replacement System 3 11 Replacement of 6 11 Addition to For County use Sy stem Tank Only stem B • ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑Non - Pressurized In -Groin 21�Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Groin 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At-Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/ // Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Euis ft Taaka Tanks , Septic or Holding Tank 4W 1 d co Dosing Cbamber VII. Responsibility Statement- I, the undersigned, assume responsibility for on of the POWTS shown on the attached plans. Plumber's Name (Print) P is i /MFRS Number Business Phone Number Phnnber's Address (Street, City, State, Z' e) .Corm /De artment Use Onl XApprovcd ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Ltsuing euu Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse Determination �j p , zz q� 1X. Conditions of Approval/Reasons for Disapproval � . -- Attach complete plans (to the County only) for the system on paper sat teas tbm Sin z 11 inches in size SBD -6398 tR. 05101) 6124 - 1 - 100 �r p �. aao35 7 7�f X 131 �j7,3a 8 X 13 3 VO H �i' �3a3Y a s c x Sa,jt4, A o--7 I Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary October 11, 2002 CUST ID No.220357 ATTN.• POWTS Inspector ZONING OFFICE BRADY J UTGARD ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/11/2004 Identification Numbers Transaction ID No. 797797 SITE• Site ID No. 652191 Scott Larson ` Please refer to both identification numbers, Chattanoose Dr Lot 9 above, in all correspondence with the agency. Town of Troy St Croix County SW1 /4, SETA, S16, T28N, R19W Subdivision: Grover Station FOR: Description: Mound 600 Gpd. Object Type: POWT System Regulated Object ID No.: 876166 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Correspondence Notes: • This plan action is subject to designer notes / comments on the plan. • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" Version 2.0 SBD- 10691 -P (N.01 /01) and the "SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems. "1' • Comm 84.10 All materials used in this installation shall conform to the rovisions of this chapter. P P ,C r•• A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits p } required by the state or the local municipality shall be obtained prior to commencement of O F construction /installation/operation. O�v 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. • BRADY J UTGARD Page 2 10/11/02 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. Sincere Fee Required $ 350.00 Fee Received $ 350.00 Balance Due $ 0.00 Thomas E Devereaux Plumbing / POWTS Reviewer II, Integrated Services WiSMAILT code y 633 (715)634-3026, 7:45 am - 4:45 pm Mon. - Fri. tdevereaux@conunerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 'w MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: SCOTT LARSON Owner's Name: SCOTT LARSON Owner's Address: 177 CTY. RD. Y BALDWIN, WI 54002 Legal Description: SW 1/4 SE 1/4 SEC. 16 T28 NR 19W Township: TROY County: ST. CROIX Subdivision Name: GLOVER STATION- 5TH ADDITION Lot Number: 99 Block Number: Parcel I.D. Number: PENDING Plan Transaction No.: Pagel Index and title 0111 J Page 2 Data entry Page 3 Mound drawings 4 Page 4 Lateral and dose tank j ov �£ `ptpGS Page 5 System maintenance specifications o Page 6 Management and contingency plan Page 7 Pump curve and specifications GNC ,rNG Page 8 PLOT PLAN GOER . .7 ? Designer: BRADY UTGA License Number: 220357 Date: Pho ber: 715- 268 -6995 Signature: Designed Pura the Mound Component anual 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 3.11 (R. 06/01) Page 1 of 8 s + 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) 2.25 Site Slope ( %) 96.60 Contour Line Elevation (ft) 28.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) 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. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 75.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head ft 1 x .3 12.23 Forcemain Drainback al Y O (gal) 7.85 Vertical Lift (ft) 62.81 5x Void Volume (gal) 2.70 Friction Loss (ft) 75.05 Minimum Dose Volume (gal) I U� 13.80 Total Dynamic Head (ft) 41.94 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200,001 Septic Tank Capacity (gal) 1 36.00 Total Working Liquid Depth (in) W Manufacturer 22.22 gal /in (enter result in cell B49) It- 1Z Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 22.22 Dose Tank Volume (gal /in) A100 Filter Model Number WEASER IManufacturer Project: SCOTT LARSON Page 2 of 8 . J . Mound Plan View F K- /:i observation Pipe : p : J f1 W i:. g I L Mound Component Dimensions Down slop toe extension made. A 6.00 ft E 9.62 in H 1.00 ft K QIft ft B 100.00 ft F 9.25 in z 9.00 ft L ft D 8.00 in G 0.50 ft J 5.44 ft W 600.00 (ft Dispersal Cell Area 1500.00 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 10.00 ft 1/10 B O () bs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.04 (ft) ----► ,... ..... * H :: oispersai ceii 97.77 (ft) Lateral 97.27 (ft)-01 — : Invert Dispersal Cell Elevation E D : 6 Y <l � ^� ' . ? ? l .l .? •• v ti. 96.60 (ft) Contour Elevation 2.3 % Site Slope Geotextile Fabric Cover Shading Key '� �. T Dispersal Cell See lateral details on — Topsoil Cap c 1.5 ft • . f;r• Page 4 for number, size, SUbS011 Cap H :� ' • 'ti •' • •• • • :'• and spacing of laterals. ASTM C33 Sand Later s 1° '' • �•�; F al are equally 1... �. Tilled Layer 0.5 ft Typical Lateral spaced from the ❑5 Aggregate v o ti i,l• distribution cell's centerline in the — A ^ —* distribution cell (AxB). Project: SCOTT LARSON Paae 3 of 8 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical qP i P s •- Turn -up vWball valve or If X- 4IEu12 I k12 +1 Laterads & force main of PVC Sch 40 al ea nout plu g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft'/orifice Lateral Flow Rate 10.49 gpm Manifold Length 3.00 ft System Flow Rate 41.9 4 gpm Manifold Diameter 2.00 In Total Dynamic Head 13.8 ft Forcemain Velocity 4.28 ft/sec Dose Tank Information Locking cover with warning label and locking device and Electrical as sealed watertight per NEC 300 and - Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E— Akernata outlet location ` E Forcemain diamet Manufacturer 2 in. Ca acit 800.00 Gallons —� Volume 22.22 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.63 436.09 B 2.00 44.44 C Pump off e levation (ft) C 3.38 75.05 D 89.92 11.00 244.42 D Total J 36.00 800.00 i J_ Dose tank elevation (ft) 3" Bed edding ' und er tank. 89.00 Alarm Manuafacturer LEVEL Alarm Model Number IDLV Pump Manufacturer GOULDS Pump Model Number IEP05 Pump Must Deliver 41.94 [gpm at 1 0 ft TDH Project: SCOTT LARSON Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD Phone 715 - 268 -6995 POWTS Regulator's Name ST.CROIX ZONING Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 Maximum BOD5 220 m /L 9 9Pd mg /L 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 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 Ins ect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation e 8 -1 e watertight ca pip s are slotted and materials conform to Table Comm 4.30 ,hay a wa ertigh p, 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: SCOTT LARSON Page 5 of 8 A Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Ge neral 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.010) 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, Stats. 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 fitter 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. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: 1 Page 6 of 8 4 v f V GouldsE Submersible k Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housin : Cast iron Specifically designed for the stainless steel. grade turbine oil for g following uses: • Capable of running lubrication and efficient for efficient heat transfer, strength, and durability. • Effluent systems dry without damage to heat transfer. • Homes components. ■ Motor Cover: Thermop!as- • Farms Motor: Available for automatic and tic cover with integral bangle • Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic and float switch attachment • Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical points. • Dewatering RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe dur; automatic reset. preset at the factory• rated oil and water resstanc SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■Bearings: Upper and lc ,er Pump: EPO4 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing built in overload with construction. - _ •Solids handling capability: automatic reset. in EPO4 Impeller: Thermo 1 /4' maximum. • Power cord: 10 foot plastic Semi open"design • Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for AGENCY LISTING • Total heads: up to 24 feet. with three prong grounding mechanical seal protection. • Discharge size: 1' 12 NPT, plug. Optional 20 foot ■ EP05 Impeller: Thermo standards associa fen • Mechanical seal: carbon- length, 16/3 SJ7W with plastic enclosed design for (CSA listed model numoers rotary/ceramic- stationary, three prong grounding plug improved performance, end in 7" or "AC ".) BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 100F (40 °C) continuous 140 °F (60 °C) intermittent. superior strength and • Fasteners: 300 series corrosion resistance. stainless steel. MElER FEET • Capable of running � i dry without damage to components. s 3o i I ( '�- =:: `�; ---- Pump: EP05 5 GPM - ---- -- — e • Solids handling ca ability: 0 25 ::• maximum. a 7 - • Capacities: up to 60 GPM. _ _ I • Total heads: up to 31 feet. " s 20 i • Discharge size: 1'r/' NPT. a • Mechanical seal: carbon- 0 5 .- r otary/ceramic- stationary, 0 15 BUNA -N elastomers. 4 • Temperature: 0 3 O — EPOS - 104 ° 10 F (40 °C) continuous 140 °F (60 °C) intermittent. 5 j I 04-- ---- -- I 0 0 10 20 30 40 50 r.oA� ® Tim -a ! loo io , 7of A uc- X 131 = 1 x )3 3 vo H uu y 3a3 y 0 s c� � � U 8 =3 - Sep 18 02 07:31a David J. Steel 7152465085 p.2 1140 Wisconsin Department of Commerce SOIL EVALUATION REPORT p I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sol Service Attach complete site plan on paper no[ less than 88% x 11 inches in County size. Plan must St. Croix include, but not limited lo: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrm, and location and distance to nearest mad Parcel I.D. pending Please print all infomnadon. Reviewed By Date Personal mkir uton you prow de may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location Hartman Homes Govt. Lot SW 114 SE 114 S 16 T 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# PO Box 731 99 no Glover Station 5TH Add. City State Zip Code Phone Number City J Village 401 Town Nearest Road Hudson WI 54016 Troy Chattanoose Dr. iY! New Construction Use-' 6M Residential / Number of bedrooms 4 Code derived design now rate 600 GPD Replacement .J Public or commercial - Describe: Parent material Loess over till Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 97.60ft based on contour line 96.60ft M Boring!! ` - Ong Pit Ground surface alley. 97 ft. 28 .30 in. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cor>s stence Boundary Roofs GPDfR' •Eff#1 I - Eff#2 1 0-8 10yr3/3 none sil 2msbk mfr gw if .5 .8 2 8 -28 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 28 -75 5yr414 c2d7.5yr5/6 WWI om no na na .0 .0 o AM P J Boring t Ground Surface elev. 96.80 ft. Depth to limiting factor 36 in. Sail Appli abw Rata Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/W - Eff#1 I - Elf#2 1 0-11 10yr313 none all 2msbk mfr gw 1f .5 .8 2 11 -36 10yr4 /4 none Sid 2msbk mfr gw no .4 .6 3 36-84 5yr4/4 c2d7.5yr516 Is/scl om no no no .0 D ' Effluent #1 = BOD ? 30 < 220 mg1L and TSS >30 < 150 mg1L • Effluent #2 = BOD _30 mg/L and TSS <_0 mg& CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, Wt 54017 9/162002 715- 246-5085 Sep 18 02 07:31a David J. Steel 7152465085 p ,3 Property owner Hartman Homes Parcel ID # pending Page 2 of 3 31 Boring # _. _, Boring to Pit Ground Surface elev. 96.40 ft. Depth to limiting factor 28 in. Horizon Depth Dorinant Color Redwc Desc n T Sal Appltca(ion Rate extun: Structure Corssistence Boundary Rootr GPD1fF 'EfWI 'Eff#l2 1 0 -12 10yr3/3 none SO 2msbk mfr 9w 2c .5 .8 2 12 -28 10yr4 /4 none Sid 2msbk mfr gw it .4 .6 3 28 -74 5yr414 c2d7.5yr5/5 ls/sd orn na na na .0 .0 a Boring * Bo ing .J PR Ground Surface elev. M Depth to limning factor in. Sol Application Rate Horizon Depth DaminaM Cola Redax Dexription Texture Structure Consistence Boraxtery Root C�i ON 'Eff*1 'Eff#2 F-1 Boring tt _J Boling J Pill Ground Surface elev. ft. Depth to Urnting factor Application Rate Horizon in SEW Dept Dominant Colo► ReAat Dperiptan Te�dure Structure Cori twxe Boundary Roots WNW 'EN#ri 'Eff#2 Effluent #1 = BOD > 30 < 220 m9ti and TSS >30 < ISO mg/L Department of Commerce is an equal "Effluent 1M'2 - SOD, <_30 mg/L and TSS <,0 mg /L The Department opportunity service provider and employer. If you need assistance to access services or L t Sep 18 02 07:32a David J. Steel 7152465085 p.4 Page 3 of 3 STEEL'S SOIL SERVICE David I Steel 1564 Cty Rd GG CST- POWTSM / / / New Richmond, WI 54017 Lie. # 248956 I� 4 r1 - (715) 246 -6200 5 w y 5C IN S<< ) G rzr u R 1`► u-' (715) 246 -5085 6 /0 ✓C r 5 4 -1 14;0 1 7 AWC1. ILO f J Cf �.ey!'nGV 010 I,y- Ji t p vc >'� 7 3 J t�f G�- f S y S'� e 27 i.�o Sv ' b Ate► i 1140 Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, W is. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Crobr include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I. D. pending D / 9 / 9 �, Please print all information. t By n Date Personal information you p uMe may I for mimidary p ( y Law s. 15.04 (1) (m)). OA. 2 2 Property Owner a Property Location Hartman Homes ` Govt. Lot SW 114 SE 19 S 16 T 28 N R 19 W Property Ownees Mailing Address 6' ) Lot # Block # Subd. Name or CS PO Box 731 99 na Glover Station 5TH Add. City State �ip Code Phone Number City . j Village it- Tam Nearest Road Hudson WI Troy Chattanoose Dr. New Construction Use: Residential / Number of bedrooms 4 Code derived design flaw rate 600 GPD Replacement Public or commercial - Describe: Parent material Loess over fill Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 97.60ft based on contour line 96.60ft Boring # Boring LLL���JJJ Pit Ground Surface elev. 97.30 ft. Depth to limiting factor 2 8 in. Sod Appticakion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *Eff#1 I "Eff#2 1 0-8 10yr313 none sil 2msbk mfr gw 1 f .5 .8 2 8 -28 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 28-75 Syr4 /4 c2d7.5yr5/6 Is/scl om na na na .0 .0 Boring # Boring Pit Ground Surface ele-v. 96.80 ft- Depth to limiting factor 36 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft - Eff#1 I `Eff#2 1 0 - 11 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 11 -36 10yr414 none sicl 2msbk mfr gw na .4 .6 3 36-84 5yr4/4 c2d7.5yr5/6 Is/sel om na na na .0 .0 ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg /L ` Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond WI 54b 7 9/16/2002 715 -246 -5085 Property Owner Hartman Homes Parcel ID # Pending Page 2 of 3 Boring # Boring Am Pit Ground Surface elev. 96.40 ft. Depth to limiting factor 2l in. S Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft *Eff#1 *Eff#2 1 0 -12 10yr3/3 none sil 2msbk mfr gw 2c .5 .8 2 12 -28 10yr4/4 none sici 2msbk mfr gw if .4 .6 3 28 -74 5yr414 c2d7.5yr5/6 IS/SCI om na na na .0 .0 F—I Boring # Boring �•� Pit Ground Surface elev. ft Depth tolimiting factor in. APPIcation Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft *Eff#1 *Eff#2 F Boring # � Boring Pit Ground Surface elev. k Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Strrcture Consistence Boundary Roots GPD/ft= *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 < mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST POWTSM /�( /� New Richmond, WI 54017 Lic. # 248956 T �''" ��''+` 1 1 1 01 s (715) 246 -6200 5£ 1 /q IJ (2 15 w (715) 246 -5085 �OW17 oS Trod 54-,, 4j- a., " AWV ,coy �r VCf �_ rho o'F' 4V p dc- P " 4 " : I?°ri N r 9 - �uS /3 riny f�ta�c Lof I FY _ 17. 36f'k- 14 i F�- �y S 4- e Z7 s Im ARC � ` ST. CROIX COUNTY SEPTIC TANK MAINTAINANCE AGREEMENT AND OWNERSHIP CERTIFICATE FORM OwnerBuyer O CO T,T 2 A&OJ Mailing Address 177 lL l cJ %h r. M Property Address g A - ; Y& �(}� (Verification requires from Planigng Department for new construction) City/State R g j f�M WT Parcel Identification Number ® 2b P LEGAL DESCRIPTION Property Location iA) %,, SE , %..Seec.l�_TAN -RI, Town of - Fro Subdivision 1 n�� stet.! �� �� Lot# I Q -/ Map# , Volume Page Ltw t`s*lTR1t�T' , Volume Page 105 Spec house yes X no Lot lines identifiable d es no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result 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 masterplumber, 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by th Department of Commerce and use 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 Countv Zoning Office within 10 days of the three year expiration date. SIG<ATURE OF APPLICAN r DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of m (our) knowledge I Y (we) am g ( (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. S:Cal�� /" Id SIGNATURE OF APPLICANT DATE 0 Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department***** •• Include with this application a stamped warranty deed drom the Register of Deeds office a copy of the certified survey nap if reference is made in the warranty deed. J I929F 105 l STATE BAR OF WISCONSIN FORM 11 - 1982 8 4 4 is CD KATHLEEN H. WALSH LAND CONTRACT REGISTER OF DEEDS Individual and Corporate ST. CROIX Co. MI (TO RE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON- CONSUMER RECEIVED FOR RECORD Document Number ACT TRANSACTIONS) 07 -17 -2002 3:30 PM CONTRACT, by and between C.M. Bye, individually, and Dennis R. and LAND CONTRACT Sandra C. Schultz Revocable Trust, Dennis R. Schultz and Sandra C EXEMPT II 3 Schultz, Trustees, both with full power of sale encumbrancing REC FEE: 13.00 _ TRANS FEE: COPY FEE: ( "Vendor", whether one or more) and Tcott R. Larson and Cornelia P. CERT COPY FEE: 4Larson, as surviv orship marital property PAGES: 2 Recording Area ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Name and Return Address Purchaser, upon the prompt and full performance of this contract by Purchaser, C.M. Bye the following property, together with the rents, profits, fixtures and other PO Box 167 appurtenant interests (all called the "Property"), in St. Croix River Falls, WI 54022 County, State of Wisconsin: 2, t7 - 8'0 Lot 9 Glover Station F ifth Addition, Town of Troy, St. Croix County, Wisconsin. (Parcel Identification Number) Purchaseres have been provided with a copy of the private covenants, have been advised the property requires a mound system and is located in the River Falls School District. This Land Contract is given in correction of the Land Contract dated October 2, 2000, recorded in the Office of the Register of Deeds for St. Croix County on October 13, 2000, in Volume 1550 of Records, page 270, as Document No. 631663. This _ is not homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at a Place reasonably directed the sum of $ 80,000.00 n the following manner: (a) $ � at the execution of phis Contract; and (b) the balance of $ 60,000.00 together with interest from date• hereof on the balance outstanding from time to time at the rate of eight (8) % percent per annum until paid in full, as follows: Interest payments only on January 1 and July I of each year, commencing July 1, 2001. Purchasers shall have the right to prepay at any time providing the entire principal and interest are paid off by January 2, 2006. Seller to pay all year 2000 real estate taxes and purchasers shall pay all real estate taxes thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the 2nd day of Jan _ 2006 (the maturity date). Following any default in payment, interest shall accrue at the rate of 8 e/ per annual on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after November 1 2000 (OR) there may be no prepayment of principal without permission of Vendor.* In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the armor that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded here from. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Abstract to be provided at time of final payment showing clear title except easements and covenants of record. Purchaser agrees to pay the cost of future title evidence. if title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on October 2 2000 Cross out one. LAND CONTRACT- Individual and State Bar of Wisconsin Corporate Form No. 11 - 1982 Information professionals Company, Fond du lac, WI 800.555.2027 w ,r J 192', ? 06 Purchaser promises to pay when due all taxes and sessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing as such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ N/A , but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall Puy the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all Bens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: Private, Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 30 days following the specified due date or (h) in the event of a default in performance of uny other obligation of Purchaser which continues for a period of 30 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser eiected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely m security for an indebtedness of Purchaser. fat the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this _lb day of 2002' (SEAL) s (SEAL) C.M. By - Vendor ' Scott R. Larson —,. Purchaser ��fi✓f/I _ (SEAL) + Dennis I Schultz Sandra C Itz Ve + Corattlia P. Larson Purchaser AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix — COUNTY) authenticated this day of Personally came before me this day of 2002 the above named C.M. Bye, Dennis R. Schultz, Sandra C. Schultz, Scott R. Larson and Cornlia P. Larson TITLE, MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the persons G+Fpt'ft?L�d ,(Foregoing ns rumen[ and ac owledge th e O authorized by § 706.06, Wis. Slats.) V J un PHIS INSTRUMENT WAS DRAFTED BY 9 `Dana Benedict 1 °- m C,M, By e __ c Attorney at Law Notary Public St. Croix '. -1'r 0 ty, W irsconsin My Commission is permanen ript, state explOtion date: (S ig n atures may be authenticated or acknowledged. Both are not Augusta 20 O .) +... 1( neces • Names of persons signing in any capacity should be typed or printed below their signatures. 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Epde. 1 COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in siz I�ri'x(iist includ , but S`� ' c-V-o lX not limited to vertical and horizontal reference point (B4, direction and (�o ope, PARCEL I.D. If IN G dimensioned, north arrow, and location and distance to nearest road.. APPLICANT INFORMATION PLEASE PRINT ALL INFORM�ION � ',',. REV D DATE //� PROPERTY OWNER: PROPE , RATION f 1/4 S C .il lS J-jT ?.-E� ,N,R Lg E(OOW PROPERTY OWNER':S MAILING ADDRESS • ' .LOT # BLOCK f T SUBO. E OR CSM # Z S8 TzlV �1z.S lDE �C� LUE Al :9, --- t SM U)u S CITY, STATE ZIP CODE PHONE NUMBER []Ct3 I VA E- OWN . NEAREST ROAD 1Z -LU��2 �CLi_S w1 Sy,oZZ.hLS) �1 ZS - $ '�Zp� -( New Construction Use [ Residential / Number of bedrooms y [ J Addition to existing building [ I Replacement [ ] Public or commercial describe Code derived daily flow b 00 gpd Recommended design loading rate bed, gpd/ft - trench, gpd/ft Absorption area required SoL bed, ft S 00 trench, ft - Maximum design loading rate S bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) l O Z. 2 S It (as referred to site plan benchmark) Additional design / site considerations M OUtvt"-) 2) ' �(,� ' 8eD , M1 AU , ',Z," 0,- SIP j F:�rr LL Parent material L r�, E'%S okj S --jLL-L Flood plain elevation, if applicable Sal fl ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FlLL HOLDING TANK U= Unsuitable fors stem O S ®U ®S O U IDS ®U 0 S O U 0 S ®.0 10 S IQ U SOIL DESCRIPTION REPORT Boring# Horizon Depth DominantColor I Mottles (Texture I Structure I ConsistertcelBouxlrylRoots GPD /ft :. . in. Munsell Qu. Sz Cont Color Gr. St.. Sh. ged tstdt D -9 lz L �2.. 31 Z — Stl z`Fsbk wL`fl^ �S 1� • S •� . Z 9 3 b l 0 `1. li 3l [o — s 11 Z`Fsbk yvt-Fi.- e w � • 5 . � Ground 3 3b-L! ZS`�fL31y g) 1C -Sb12 1MV`�1- �S -t{ ,S elev. V 31- - L ft. y q4 1) . S V(Z -:�ly SLf 2SA, Depth to limiting factor Remarks: Boring # -S �b E Z )D -jn 1 D L tV- 31 SA 2`F z �IfF e-W •S H 3 30 -�l� �.S�t�.3IY — � lesb� i12� ct � •4 •5 Ground i elev. � SYtZ.3ly � L O tiy lyl�l ,3r,� C L9 - 3 ft. Depth to _ limiting factor Remarks: T Name: -- Please Print Phone: 715 — 2 5 —016 5 Arthur L. We erer ' e gerer Soil Testing & Design Service —P.O. Box 74 River .Falls,Wl 54022' Sgnature: Date: CST Number.. OO�1o3 — �1g 5 —O l=bU 220254 PROPEMYOWNER / SCH L'rZ SOIL DESCRIPTION REPORT Page? of PARCEL I.D. # 1A Boring Horizon Depth Dominant Color Mottles Structure g In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Botatdary Roots 7edTm rxh •• Bed te £ °i 3 ga o _q 1b - YZ 3LZ — S I 2 5b 1�l Ground 3 Z7_t�3 -$ Y231 y — esbk t►, elev. ' S MS3 I t. S yfL Sly Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to — limiting factor Remarks: Boring # • 4 Ground elev. It. Depth to limiting factor Remarks: 3oring # h�>> around ,Iev. It. )epth to imiting actor 1 - 71 Remarks: _ •rl rr'1 •rnr1 .:r �• n 1 PLOT P LAN I Page - of 3 O i i Wisconsin Human Relations Department Industry Labor and SOIL AND SITE EVALUATION REPORT Page � of 3 Labor Division of safety a Buildings in accord with ILHR 83.05, WI Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST' - O-V-0 �X not limited to vertical and horizontal reference point (84, drection and % of slope, scale or 1 PARCELI.DJ dimensioned, north arrow and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION L e. � Z.l� C t kl) ��A1 \S S C C Z GGW -{:AT !S 1/4 S C 1 /4,S j JO T l ,N, l q E(OR PROPERTY OWNER':S MAILING ADDRESS• LOT # BLOCK# SUED. NAME OR CSM;t ZS8 �.tvE12S tDE �2LUE 9 — G \) St1o>v 5 Pr�U . CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN ' NEAREST ROAD Ct1y�'I V� DQ , pq New Construction Use [ Residential / Number of bedrooms y [)Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 6 00 gpd Recommended design loading rate bed, gpd/ft - trench, gpd1ft Absorption area required Sow bed, ft S 00 trench, ft - Ma:dmum design loading rate • S bed, gpd$ • b trench, gpd/ft Recommended infiltration surface elevation(s) L O Z- 2.S it (as referred to site plan benchmark) Additional design/ site considerations y`-I.OUtvt� $ '�(,� ' 8� , h�J 1,tJ . �Z" of- F=t LL Parent material L6 NS oQCfZ -t—LL-L Flood plain elevation, if applicable M _ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT•GRADE SYSTEM IN FlLL HOLDING TANK U= Unsuitable for stem 111 S ® U ® S [I U 1 S ® U I ®S ❑ U O S E (❑ S IOU SOIL DESCRIPTION REPORT Boring epth Dominant Color Mottles Structure GPD /ft g # Horizon in. Munsell I Qu. Sz. Cont Color I Texture I Gr. Sz. Sh. I Consistence `' I Roots Bed rerldl 3 D -9 10`12 — Sil Z sb `� k YvI.`fi� S 1•� • s .6 #L44L l b `�l 1Z 31 L Sly Z'Fsbk >rL e Lv _ • 5 Ground elev. ft . S VrL2V P_ 5"? - Depth to limiting face Remarks: Boring # 0-I 1 pK 31 Z . Si I - L - es b 1Z xff nS -S = h Z Z 1D -_�o 1 1) kV 11 Sil Z`Fs�k h`Fi- cW •S -� Ground 3 3u��l0 �.SLtli' 31y — L eSb�c h�t Ct� •�! -5 q `� q S�l�y ��sy2s/Qs L o>,, >n -3 Depth to limiting - factor Remarks: T Name: — Please Print Phone: ress: Arthur L. We erer 715- 425 -0165 ' egerer Soil besting Signature: & Design Service -P.O. Box 74 River .Falls,WI.54022 . Date: 5 _ CST Number.. ' 1 9 220..54 I PROPEMTYOWNER SC.t{-U L11 SOIL DESCRIPTION REPORT Page? of 3` PARCEL I.D.A� Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouncla�y Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench r >:� 3 "� � � 1 D `'J YZ 3 [ Z Z, Sb 1n� L � • S -6 Lt i s �>, s Ground L12 elev. \ oo.o ft. y 4 �o S ytZ Sly �-! -) -SLm /S L,.sl oti,, WJ`{ • 3 , �J Depth to limiting factor Remarks: Boring # �z Ground elev. it. I Depth to — limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: 3oring # around ;lev. It. )eplh to imiling actor Remarks: L_ PLOT PLAN Page of � 3 3 i i i I i j i August 2, 2007 File Ref: SE0127 John and Debra Beard 24413 S Ribbon Wood Road Sun Lakes, AZ 85248 Re: St. Croix County Special Exception - Filling and Grading in Shoreland District Parcel #: 01.29.17.737, Town of Hammond Dear Mr. and Mrs. Beard: The St. Croix County Board of Adjustment (Board) has reviewed your special exception request for filling and grading in the Shoreland District of Pine Lake in the Town of Hammond. After the hearing on July 26, 2007, the Board approved the special exception request with conditions. The enclosed document is the formal decision regarding the application. Your must obtain any other required local, state, and federal permits and approvals. Should you have any questions or concerns, please contact me at 715- 386 -4680. Sincerely, Jenny Shillcox Land Use Specialist/ Zoning Administrator Enclosures: Formal Decision Protecting Your Waterfront Investment cc: Kevin McCoshen, Symmetry Homes, Inc. m Troy Nemers, Humphrey Engineering, Inc. Clerk, Town of Hammond Steve Olson, St. Croix County Land and Water Conservation Department Dan Baumann, Wisconsin Department of Natural Resources FINDINGS, CONCLUSIONS, AND DECISION OF THE ZONING BOARD OF ADJUSTMENT ST. CROIX COUNTY, WISCONSIN File: SE0127 Applicants: John and Debra Beard, property owners Parcel ID #: 01.29.17.737 Complete Application Received: June 4, 2007 Hearing Notice Publication: Weeks of July 8 and 15, 2007 Hearing Date: July 26, 2007 FINDINGS OF FACT AND CONCLUSIONS OF LAW Having heard all the testimony, considered the entire record herein, and reviewed the site the Board makes the following findings of fact and conclusions of law: 1. The applicants are John and Debra Beard, property owners, with Kevin McCoshen, Symmetry Homes, Inc. and Troy Nemmers, Humphrey Engineering, Inc., acting as their agents. 2. The site is located on Lot 5 of the Pine Lake Subdivision at the W % of the NE 1 /4 of Section 1, T29N, R17W, Town of Hammond, St. Croix County, Wisconsin. 3. The applicants filed an application with the Board of Adjustment for a special exception permit for filling and grading an area exceeding 10,000 square feet in the Shoreland District of Pine Lake to construct a single - family dwelling, two accessory structures, and to install a driveway and sanitary system pursuant to Section 17.29(2)(d) of the St. Croix County Zoning Ordinance. 4. The site is zoned Ag Residential and is within the Shoreland Overlay District of Pine Lake. It is also located within a primary environmental corridor as identified by the St. Croix County Development Management Plan 2000 -2020. A County park is located along the lake due in part to the value of the lake as an important fishery. Conservation easements have also been established by residents along large portions of the shoreline to protect the special features of the lake and the primary environmental corridor. With conditions for implementing and maintaining proper erosion control measures before, during and after construction; and re- vegetating the disturbed area with trees at the same density and consisting of the same species as the trees removed, the request will be consistent with the goals and objectives of the St. Croix County Development Management Plan 2000 -2020 aimed at conserving and protecting woodlands and their related benefits for wildlife habitat, protecting slopes and controlling erosion and sedimentation from development, identifying and protecting environmental corridors, and guiding development to locations and conditions that minimize adverse impacts to natural resources. 5. With conditions for implementing and maintaining proper erosion control measures before, during, and after construction; and re- vegetating the disturbed area with trees at the same density and consisting of the same species as the trees removed, this request will not violate the spirit or intent of the St. Croix County Zoning Ordinance and will meet the requirements of Sections 17.70(7)(a) and 17.70(b) of the Shoreland District regarding potential negative impacts to the water quality, ecology, and natural beauty of Pine Lake, except as indicated in Condition 46 below. 6. The ose ro d fillin g and grading activities encompass an area of approximately 24,000 square feet on P P slopes less than 20 percent within 1000 feet of the OHWM of Pine Lake, not including the sanitary system. According to the applicants' agent, the exact location and design of the sanitary system will be completed during the system design and the disturbed area was represented to be approximately 3,000 square feet, bringing the total disturbance to 27,000 square feet. The Board finds this amount, which would encompass nearly half of the lot, to be excessive in view of the standards in Section 17.70(7)(b) of the St. Croix County Zoning Ordinance and given the sensitivity of the site. 7. The proposed single - family dwelling, accessory structures, and retaining walls meet all required height limitations and setbacks, and no filling and grading or tree removal is proposed to occur within 50 feet Na of the OHWM of Pine Lake. 8. A.Qp,the applicants propose to use one of the accessory structures as a studio. Plans for the studio include a restroom, kitchen /bar area, and attached room for which the use has not been designated. The St. Croix County Zoning Ordinance defines a habitable structure as "any structure or portion thereof used or designed for occupation by humans for the purpose of cooking, eato 'leeping, recreation, and general living peri 1' Accessory apartments, secondary dwellings, and other types of habitable space within accessory s uctures are prohibited in the Ag Residential �'- District and within the Shoreland Overlay District. With conditions prohibiting such use on the site, this request will comply with the requirements of the Ordinance. 9. The Town of Hammond Town Board recommends approval of this request. 10. The St. Croix County Land and Water Conservation Department finds the storm water management and erosion control plans to be adequate for the site and recommends that the applicants record an operation and maintenance plan for the storm water measures against the property, maintain silt fence around the construction site until self - sustaining vegetation is established on all disturbed areas, and maintain a 35- foot vegetative buffer adjacent to the OHWM of Pine Lake. 11. The Wisconsin Department of Natural Resources has reviewed the application and has verified that the project does not require a permit under Wisconsin Administrative Code NR 341 and is exempt from Chapter 30 permit requirements. The Department concurs with staffs comments to the applicants that vegetation removal be kept to a minimum, particularly around the shoreline of Pine Lake, and that guest houses are not allowed per the St. Croix County Zoning Ordinance. DECISION On the basis of the above Findings of Fact, Conclusions of Law, and the record herein, the Board approved the special exception request, with the following conditions: 1. This special exception permit allows the applicants to disturb an area not to exceed 24,000 square feet on slopes less than 20 percent in the Shoreland District of Pine Lake to construct a single - family dwelling not to exceed 35 feet in height, two accessory structures not to exceed 20 feet in height, and to install a driveway and sanitary system in accordance with the plans submitted, and as provided in the conditions below. Approval for this special exception permit does not include any additional grading and filling (including filling and grading to install the sanitary system), tree removal, structures, uses such as home occupations or habitable space within an accessory structure (see Condition #9 below), or other development activities. 2. Prior to commencing construction, the applicants shall secure a building permit from the Town of Hammond and obtain any other required local, state, or federal permits and approvals, including but not limited to a County sanitary permit. 3. Prior to commencing construction, the applicants shall submit to the Zoning Administrator a surety in the form of a compliance deposit in good funds in an amount of $1,100 to be held by the Planning and Zoning Department until the project has been completed and approved to be in compliance with the 2 conditions of this permit and all applicable provisions of the Ordinance, at which time the deposit will be refunded in full. 4. Prior to commencing construction, the applicants shall submit to and have approved by the Zoning Administrator revised grading, erosion control, and storm water management plans to show the sanitary system within the limits of the 24,000- square foot approved disturbed area. 5. Prior to commencing construction, the applicants shall install erosion control measures in accordance with the approved plans. During construction, the smallest amount of bare ground shall be exposed for as short a time as possible. The applicants shall maintain silt fence around the construction site until self - sustaining, permanent groundcover is successfully established on all disturbed areas of the site. Phosphorous fertilizers shall not be used to establish and maintain a lawn on the disturbed area of the site, unless a soil test confirms that phosphorous is needed. 6. Prior to commencing construction, the applicants shall submit to and have approved by the Zoning Administrator a vegetation management plan showing the location, species, and size of replacement trees for those to be removed. The replacement trees should be planted in appropriate locations around the perimeters of the proposed structures, ponds, and driveway at the same density and consisting of the same species as the trees removed. Replacement trees must have a minimum width of 2 inches DBH. The plan should also include an understory of smaller native trees and shrubs and native ground cover in order to restore sensitive wildlife habitat within the primary environmental corridor and Shoreland District, and stabilize and protect slopes to prevent long -term erosion and sedimentation problems. The plan shall also include a timeline for planting, as well as a maintenance and operation agreement for the long -term care of all native vegetation on the site. 7. Prior to commencing construction, the applicants shall install construction fencing or another suitable barrier around the grading limits that are not already surrounded by silt fence to protect existing trees from damage during construction. 8. Prior to commencing construction, the applicants shall schedule an on -site pre- construction meeting that includes the property owners, architect, contractor, engineer, and St. Croix County Planning and Zoning and Land and Water Conservation Department staff members. Items to be discussed include but are not limited to coordinating installation of erosion control and tree protection measures, construction timelines, compliance with all other pre - construction conditions, and roles and responsibilities of all parties. 9.. NNO-atcessory structures shall have living quarters — including household appliances, kitchen plumbing fixtures/ sinks, and household furniture. 10. Within 30 days of substantially completing construction, the applicants shall record an affidavit referencing this decision, the storm water management plan, the vegetation management plan, and the operation and maintenance agreements against the property, and provide a recorded copy of the affidavit and all referenced documents to the Zoning Administrator at this time. The intent is to make present and future owners aware of the responsibilities and limitations associated with this decision. 11. Within 30 days of substantially completing construction, the applicants shall submit to the Zoning Administrator photos of the site, interior photos of the proposed studio and garage, and certification 3 I from the project engineer or registered landscape architect that the project has been completed as approved. 12. Any minor change or addition to the project, including but not limited to design of the project, shall require review and approval by the Zoning Administrator and the Land and Water Conservation Department prior to making the change or addition. Any major change or addition to the originally approved plan will have to go through the special exception approval process. 13. The applicants shall have one (1) year from the date of this approval to commence construction and two (2) years from the date of this approval to complete it. Failure to do so shall result in expiration of the special exception permit. If the special exception permit expires before construction commences, the applicants will be required to secure a new special exception permit before starting. The applicants may request extensions of up to six months not to exceed a total of one year from the Zoning Administrator prior to the expiration of the permit in the event that additional time is needed to secure other required permits and approvals. 14. These conditions may be amended or additional conditions may be added if unanticipated circumstances arise that would affect the health and /or safety of citizens or degrade the natural resources of St. Croix County. Conditions will not be amended or added without notice to the applicants and an opportunity for a hearing. 15. Accepting this decision means that the applicants have read, understand, and agree to all conditions of this decision. The following vote was taken to approve: Malick, yes; Struemke, yes; McAllister, yes; Nelson, yes. Luckey was not present. APPEAL RIGHTS Any person aggrieved by this decision may file an appeal in St. Croix County circuit court within 30 days after the filing date shown below, pursuant to Sec. 59.694(l 0), Wisconsin Statutes. St. Croix County assumes no responsibility for action taken in reliance on this decision prior to the expiration of the appeal period. St. Croix County does not certify that the identity of all persons legally entitled to notice of the Board of Adjustment proceedings, which resulted in this decision, was provided to the County. If an appeal is taken of this decision, it is the responsibility of the appellant to submit at his/her expense a transcript of the Board of Adjustment proceedings to the circuit court. The Planning and Zoning Department can be contacted for information on how to obtain a transcript. It is the responsibility of the Board of Adjustment to submit its record (file) of this matter to the circuit court. ZONING BOARD OF ADJUSTMENT Signed: Clarence W. Malick, Chairperson Date Filed: 08/02/07 4