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HomeMy WebLinkAbout040-1295-40-000 0 0) ° f $ % k ° r � k � " & 2 (E o ° $ ® 2 i f % ƒ 2 / ) k \ E o D 0 2 ¢ 2 9 {i, .% ] $ @ G \ % k \ ■ � E E « 8 0 g § $ © / § f K E E \ = m CL g S . 2 k C 0 S 2 § E r- 0) ' Z E _ -n # \ m E k k k 5 o q 7 CD E ■ k S g $ / @ I CL § § A / Z \ 4"1 ' ° e a \ \ k k \ & = E + Q ) $ ■ -0 2 d © CD § / 7 § e 7 $ z . � q � k k > 0 § \ c z % $ qt as i \ � � . . 0 . G § _o \ i R \ � Wisconsin Del5artrrpnt of Comrrierce P �r PRIVATE SEWAGE SYSTEM County: St. Croix Satetl ar�d Building D�JI$1011 � INSPECTION REPORT Sanitary Permit No: 499129 0 GENERAL' jNFORMATION (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: Ricci, Bob Troy, Town of 040 - 1295 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: m L5T 19.28.19.1696 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 14), 0 1 lb , 6 cro , O Septic t t � � l � O Benchmark /0 3`b 7 _ W ,5 , U Dosing � Alt. BM low � F Aexatien Bldg. Sewer I O 2 �t .51 Holding St/Ht Inlet u .0 V X2.95 TANK SETBACK INFORMATION St/Ht Outlet lt, (o • ` I • -7 2 $ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 2.5-7 Septic Dt Bottom `t V Z y ) ZD , VV , s/ Dosing Header /Man. t Aeration Dist. Pipe eS • / 9 in Bot. System Holding S �s�� lotl Final Grade � PUMP /SIPHON INFORMATION 3 ,� ✓D (o ' Z yL Manufacturer ( Demand St Cover rp t i •"" Y /� cj� cat Qc,. C Model Number / 6 J Z Z3 TDH Lift Friction Loss System He d TDH Ft 45,/0? Z•7 (.53 Z3 Forcemain Len h I Dia. Z 1) Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. O�j rent s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS JC / U 1 /� --- SETBACK SYSTEM TO JP& BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION T e f stem: CHAMBER OR 4 � Yp Y �� / , / A , � UNIT Model Number: a� -1 ,V DISTRIBUTION SYSTEM 7 Z Header /Manifold / Distribution 1 JJ C / x Hole Size / 11 x Hole Spacing / Ven o Air Intake Lengt Dia Z- 5 Length a , Spacing z• 5 53 z " z Jv SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Ix Mulched Bed/Trench Center ' 71 Bed /Trench Edges Topsoil ` es r N es No Y COMMENTS: (Include code discrepencies, persons present, etc.) Inspec ion1: law .Inspection #2: �� / / Location: 366 Mitchell Road Unknown (SW 1/4 SE 1/4 19 T28N R1 9W) rrebus Valley E's ates Lot 4 C /, P No: 19.28.19.1696 1.) Alt BM Description = FN" 6tJ2.,__ G - " sue, 2.) Bldg sewer length - amount of cover = / Plan revision Required? Yes S`No ' I 13 C(,o Use other side for additional information. Date Insepc is Sign re Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division Counly 201 W. Washington Ave., P.O. Box 7162 , Cco V Visc6nszo Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) epattment of Commerce (608) 266 -3151 °112 Sanitary Permit Application S 2Plan II..DD. CNumber In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 3 0 U I T w S ' t 4 may be used for secondary purposes Privg ry Law. s15.04 1 m =__ d differe _ nt � then mailing address I. Application Information - Please Print All Informa on 1 r 1lTU I�� �OGCGC� property Own 's N ZOO 6 Parcel # Lot # - Block # 91 picc �4v- I�q1 40 ,�". /b76 Property / Owner's Mailing Address Property Location (i I b (D 1 '� l 1 X4' s I y ' —__j . ,/. '/. Section - I City, State Zip Code Phone Number C Q yna rerL U`1 L 54' o) surds o T � N; R�E or� ) H. Type of Building (check all that apply) ], �, p 1 m P( I or 2 Family Dwelling - Number of Bedrooms J R"r Subm t � � 4ed I oy x p1m Subdivision Name CS Number c ' [I m Public/Cnmmicial - Describe Use The bu s U u 1 le CM vS�Q w ❑ State Owned - Describe Use ❑City_ ❑Village Township of 1`b 111. Type of Permit: (Check only one box online A. Complete line B if applicable) A ' ' ,New Sys ❑ Replacement System ❑ Treatment/Hokiing Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner / IV. TM of POWTS System: (Cbeck all that app M ❑ Non - Pressurized In -Ground Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground El Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Pamber ❑ Prip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: / _ ve1 Alarryt — V - V r l Rxv Design Flow (gpd) Design Soil Application ✓1 gpd p Dispersal Area Requited (af) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks I Tanks Septic or Holding Tank Aerobic Treatment Unit , r Dosing Chamber ' i too (/�/ i t° Se r X VII. Responsibility Statement - I, the andersigued, assume rnponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Phan ign MP/MPRS Number Business Phone Number TODD FEATHERSTONE 242514 715- 381 -1704 Plumber's Address (Street, City, State, Zr Code) P.O. BOX 467 HUDSON WI 54016 DATE: VIII. Coun rtment Use On k,r proves El Sanitary Permit F includes Groundwater Date Issued su Agent Si o Stamps) ►�l Surcharge Fee) {�} ❑ :0 rvcu Reason for Denial ✓V IX. Conditions p e SYSTEM NER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / rrteintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County ally) for the system on paper not less than 81/1 x 11 inches in site SBD -6398 (R. 01/03) r` 7� It - 3 " I .S 4 0/4,S ( 7 T Zfi LOT. BL _.: SUB ✓'twJ Cl7V ❑T" V 4 d Safety and Buildings 5`?c 13 E SPRUCE STREET • commerce /' ICE CE IVE D CHIPPEWA FALLS WI 54729 7 TDD #: (608) 264 -8777 4 t i sconti n/ .cU� r AUG 1 0 2006 """"' c �www wiscons n.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 08, 2006 CUST ID No. 242514 ATTN: POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA PO BOX 467 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identi Numbers PLAN APPROVAL EXPIRES: 08/08/2008 Transaction ID No. 1308590 SITE: Ricci Site ID No. 716610 Mitchell Rd Please refer, to both, identification numbers, Town of Troy, St Croix County above, in all corres ondence,with theag ency. SW 1/4, SE 1/4, S19, T28N, R19W Lot: 4, Trebus Valley FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1090809 Maintenance required; 450 GPD Flow Rate System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), and Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.0 1 /0 1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. Thissystezri °tobe,coraseted and Yocated,n accordance with the enct,sed apptad,Ps artt wtlte:c+�mporitrnahial(s referenced - above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Dept. per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • The pressure network is to be constructed in accordance with publications SBD - 10706- P(NO1 /O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/8 1)". • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.01 /01). • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. TODD C FEATHERSTONE Page 2 8/8/2006 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Leroy G. Ja ky, PSS, astewate recialist Integrated Services Bureau W�sMt�RT:co>1e •7W (715)726 -2544 Voice Ijansky@commerce.state.wi.us l _ t MOUND AND PRESSURE DISTRIBUTION COMPONEN SI INDEX AND TITLE PAGE ��Of Project Name: RICCI Owner's Name: ROBERT RICCI Owner's Address: 1661 19 3/4 ST CAMARON WI 54822 P.H. 715 434 1403 OR 612 670 7939 Legal Description: SW 1/4 SE 1/4 S 19 T 28 N R 19 W Township: TROY County: ST CROIX Subdivision Name: TREBUS VALLEY Lot Number: 4 Block Number: Parcel I.D. Number: 040 - 1295 -40 -000 Plan Transaction No.: 13085 Page 1 Index and title P.O. .T.S. Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan DIViSiON Cif Srt, UY AND BUILDINGS Page 7 Pump curve and specifications Page 8 A C E soil evaluatuon report 00 Page 9 A C E soil evaluatuon report 00 SEE CO E-1' ENCE Page 10 A C E soil evaluatuon report 00 Page 11 A C E soil evaluatuon report 00 Page 12 Site Plan By FEI Designer: TODD FEATHERSTON License Number: 2425144 Date: 07/31/06 Phone Number: 7153811704 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 3.11 (05101) Page 1 of 12 Mound Plan View 1/ 3 J Observation Pipe ❑ — K o L?j o A W ... I — B n z 3 L Mound Component Dimensions A 5.00 ft E 10.20 in H 1.00 ft K 7.34 ft B 90.00 ft F 9.25 in z 8.05 ft L 104.68 ft D 6.00 in G 0.50 ft J 4.39 ft W 17.44 ft 450.00 (ft Dispersal Cell Area 1174.84 (ft) Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.27 (ft) --� F Dispersal Cell 105.00 (ft) Lateral () 104.50 (ft) — Invert .' Dispersal Cell ' Elevation E D 4 104.00 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover Shading Key y S. –� Dispersal Cell See lateral details on 1❑ Topsoil Cap o ° 1.5 ft Page 4 for number, size, © Subsoil Cap �+ c 0 and spacing of laterals. ©0 ASTM C33 Sand ! F Laterals are equally ®� Tilled Layer 0.5 ft Typical Lateral spaced from the 0 0 Aggregate v o 0 distribution cell's T A —� centerline in the distribution cell (AxB). Project: RICCI Page 3 of 12 I Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identic at -�p�- "I' P S •= Turn -up wtball valve or IF X— *Ifxf2 l x1241 Laterals & force main of PVC Soh 40 oleanout plu g per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 4.21 ft Lateral Length (P) 44.21 ft Orifices per Lateral 11 Lateral Spacing (S) 2.50 ft Orifice Density 10.23 ft /orifice Lateral Flow Rate 5.92 gpm Manifold Length 2.50 ft System Flow Rate 23.69 gpm Manifold Diameter I Y /L I r Total Dynamic Head 28.64 ft Forcemain Velocity 2.42 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and —1 Comm 16.28 WAC Disconnect 4 in. min. Tank component is property vented TForcemain Aftemate outlet ocation diameter WIESER Manufacturer �2 in. Ca acit 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 22.62 629.48 B 2.00 55.66 C p ump off e levation ft C 3.31 92.22 —f 1 83.67 D 8.00 222.64 D Total 1 35.931 1000.00 tank elevation (ft) 3" Bedding under tank. 1 83.00 Alarm Manuafacturer ILEVEL Alarm Model Number I LVL1 Pump Manufacturer IZOELLER Pump Model Number 1152 Pump Must Deliver 23.69 gpm at 28.64 ft TDH Project: RICCI Page 4 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXC. INC. Phone 715 - 381 -1704 POWTS Regulator's Name ST. CROIX CO. Phone 715 -386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 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 month) Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound Ins ect for ondin and seepage once eve ears 3 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 Tum -up Detail Finished ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve B ............ Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: RICCI Page 5 of 12 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 ISBD- 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, 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 fitter 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 fitter when removed from its enclosure. If the fitter is equipped with an alarm, the fitter 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: RICCI Page 6 of 12 ......... ............................... - '4T/`9].%Zr006 09: 11 FAX 715.248 7764 ACE SOIL &SITE EVAL. � Q02 2000 Wisconsin Department of Commerce $OIL EVALUATION REPORT Page I Division of Safety and Buildings in accordance with Comm 85, Wis, Adm. Code A.C.E. Soil & Sde Evaluations County Attach complete site plan on paper not less tnan 8 % x 11 Inches in size Plan must SL Croix _ include, but nol limited to: vertical and horizontal reference point (8M), direction and Parcel LD percent slope, scale or dimensions. north arrow, and location and distance to nearest road, 040 - 1 295 -40 -000 Please print all information. Reviewed By Date Personal information you provide nial oe and for secondary purposes (ftvecy Law, s, 1 15,04(l) ( m)l. Property Owner Property Location Robert & Debbra Ricci Govt, Lot SW 114 SE 114 S 19 T 28 N R 19 W . _......_., Propeny Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1 661 19 314th Street 4 Plat Of Trebus Valley___ City Stale Zip Code Phone Number City f Village el Town Nearest Road Cameron I WI l 54822 t Troy 366 Mitchell Road y� New Construction Use: io Residential I Number of bedrooms _- 3 Code derived design flow rate 4$0 C� D _� Replacement — Public or commaroiet - Describe' .._... _. . Parent material loess - _ _____ __... Flood plain elevation tf applicable General comments and recommendations' Site suitable for At -grade or mound. Recommend installing mound system at elev. = 105.57' at 6" above 104.57' contour to increase dispersal of effluent throughout system area. Boring # _! Boring V' Pit Ground Surface elev. 104.59 ft. Depth to limiting factor 30 in. $oil Application Rate Honzvn Depth Dominant Color Radox Descn ion I Texture Structure Consistence Boundary Roots —_ GPD�tt' in, Munsell Qu. Sz. Coro. Color Gr. Sz. Sh- i 1 0-8 1Oyr3 /3 none I ; 2fer mwfr cs 2f,1m 0.6 0.8 2 8 -17 i 10yr4l3 none sit 2fsbk mvfr i.. ci 2f,1m 0.6 0.8 - -- 3 17 -23 I 1Oyr3/2 none i 2f &msbk mvfr cw 2f,1m 0.6 0.8 4 23 -30 10yr5/4 i non I sit 2f &msbk dsh cw 2f,1m 0.6 0.8 5 30 36 10yrSl4 I mild manganese I sit lmsbk I rnfi cw lfm 0.4 0.6 -- - -- - 6 36 1 10yr4/4 '; m2 7.5yr 518 sicl I !msbk mfi 1fm 0 -2 0,3 i Boring # J Boring - - y!I Pit Ground Surface elev. 104,37 A. Depth to limiting factor SoN Applicator Rate Horizon Oepth i Dominant Color Redox Description Texture Structure Consistence I Boundary Roots GPt)nt' in. Munsetl Qu. Sz, Cont, Color Gr. Sz. Sh, 'Eff#1 'Eftr�2 1 0.10 1 0y r3/3 none — Ifs 0 sg mvfr 0$ 2f,1 m 0.5 1.0 2 10.15 i0yr312 none I t— lthinpl mvfr cr 2f,1m 0.4 0.6 3 15-1 10yr312 none 1 I I 2fsbk mvfr cw 2f,1 m ` 0.6 j 0.8 _ .. _ - 4 18-41 1Oyr5 /4 - ! none sit 2fsbk mfr Cw lfm 0.6 0.8 5 41 -54 l 1Oyr514 ! mid manganese j sic! 1msbk I mfi cW 1vf 0.2 i 0.3 6 54 -83 1Oyr5/4 f2f ➢r sici 1CSbk i mfr 1vf 0.2 0.3 FI#6 ne ring saturiillor 91 bottom of horizon. Effluent #1 - $OD 5 > 30 t 220 mg(L and TSS }30 150 1L ffluent #2 = ROD _30 mg/L and TSS < 30 mg /L CST Name (Please Print) Signature; CST Number Jam K. Thom pson �� 36 02 . 2- �.- - . -- -... .. — — ---... - AodrOSS A.0 E, Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake lane, Osceol 1 54020 7127/2006 715 -248 -7767 _D7/31/2•p46 09:Y2 FAX 715.248 7764 SOI ACE L & SITE EVAL. -003 Q40_12950-00 — Page - ,,2 of 3 Property Owner Robert & D ebbra Ricci parcel ID Boring # B ng 101 96_, ft. Depth to limiting factor 42" in. Sol Application Rate � Bon Ground Surface elev, - Textu Strucure I COnitistence� Boundary Roots Cip-D —_ Horizon Depth Dominant Color Redo% Description re ; -- in. Munsell Qu, Sz, Cont Color Gr, 5z. Sh. { � i Eff#1 'Eff#2 4 sg mvfr CS 2f,1 m 0.5 1.0 Ifs 1 0_19 10yr3/3 nonE I - -- �._.... _.. _. tis Ci 2f.1 m 0.5 1.0 2 19 -32 I 10yr312 & 41$ � none none I Ifs 0 s 9 �� .._.. - - -- -- m � fr I 1vf 0,6 0.8 3 32 -42 10 y x sil 2f &msbk 514 none — -- sil 2m 1 V 0.6 0,8 4 42.71 J 1Oyr5 /4 f1d m anganese -- - -__ -- �__ ..� . - —.. t -- - - H #2 consists of an unsorted mixtu W ofi Oyr3J2 & 10yt413 Ifs. Boring # J Boring ft Depth to limiting faot in. Soil Application Rate l3 - 1 Pit Groons] Surface elev... — _ H4�on Depth t7aminanl Dolor Redox Description Texture Structure Consistence SOUndary Roots i Gr. Sz. 5h, 'EffJf1 Eff#2 n. Munsell N. $z. Cont. Color I � I I Borin Bo # J S De to limiting factor n. Soi! Application RXI L—J $ J Pit GrOUnd Surface elev. ...._ ft, P � - - -... �- Horizon ' Depth Dwinant RedaxDesoriptlOn Texture Structure Cnnssterxe Boundary Roots •E(ftei Eff#2 n. Munsell Ou- Sz. Cont. Color Gr. Si. Sh. I ! I I 1 J i Effluent #1 = SOD 30 < 220 rrglL and TSS r3C 4 150 mglL ' Effluent #2 = BOD x_30 mg /L and TSS < 30 mg /L l'he Lkparttn f ent o CDmntcruc is an equal opportunity service provider and employer. If you necd assistance to access servit.:0 or necd materiui in an alternate formal, plcusv contact ths; departmcm. a t 608.2GG -3 15 l ur'I'I - Y Gott - 2 644777 . A.C,E, 500,4 $k,- Ewd,,awnS sisr)A3 ?6 rR rrrrnnt C11 Lof" Let leg a .a _.. V ! 5� Pit PiD# ) - U -U S �a � /4,S j T :Lf--N,R _ LOT `_L` BL_ SU rt6v; V1� CJ C0 V 1 Tla - 2425 �2- 2000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimernsions, north arrow, and location and distance to nearest road. 040- 1295 -40 -000 Please print all Information. R iewed'By � to Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 6i 1 6 Property Owner Property Location Robert & Debbra Ricci Govt. Lot SW 1/4 SE 1/4 S 19 T 28 N R 19 W Property Owner's Mailing Address Lot # Block # �Subd. Name or CSM# 1661 19 3 /4th Street 4 Plat Of Trebus Valley City State Zip Code Phone Number City �J Village f1 Town Nearest Road Cameron WI 1 54822 1 Troy 366 Mitchell Road 0 New Construction Use: 16 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement Public or commercial - Describe: Parent material loess Flood plain elevation, if applicable na General comments and recommendations: Site suitable for At -grade or mound. Recommend installing mound system at elev. = 105.57' at 6" above 104.57' contour to increase dispersal of effluent throughout system area. Boring # I Boring 0 Pit Ground Surface elev. 104.59 ft. Depth to limiting factor —�in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots "Eff#1 P Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -8 10yr3/3 none I 2fcr mvfr cs 2f,1 m 0.6 0.8 2 8 -17 10yr4/3 none sit 2fsbk mvfr ci 2f,1m 0.6 0.8 3 17 -23 10yr3/2 none I 2f &msbk mvfr cw 2f,1m 0.6 0.8 4 23 -30 10yr5/4 none sit 2f &msbk dsh cw 2f,lm 0.6 0.8 5 3 36 10yr5/4 m1d manganese sil 1msbk mfi cw 1fm 0.4 0.6 6 36 -64 10yr4/4 m2d 7.5yr 5/8 sicl 1msbk mfi - 1fm 0.2 0.3 Boring # Boring f/ Pit Ground Surface elev. 104.37 ft. Depth to limiting factor 41 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 -10 10yr3/3 none Ifs 0 sg mvfr cs 2f,1m 0.5 1.0 2 10 -15 10yr3/2 none I 1thinpl mvfr ci 2f,1m 0.4 0.6 3 15 -18 10yr3/2 none I 2fsbk mvfr cw 2f,1m 0.6 0.8 4 18-41 10yr5/4 none sil 2fsbk mfr cw 1fm 0.6 0.8 5 4 4 10yr5/4 m1d manganese sicl 1msbk mfi cw lvf 0.2 0.3 � :6 54 -83 10yr5/4 sicl 1 csbk mfr - 1 of 0.2 0.3 H#8 I ring saturation at bottom of horizon. * Effluent #1 = BOD 30 < 220 mg /L!,and TSS >30 < 150 g/L ffluent #2 = BOD S30 mg /L and TSS S30 mg /L CST Name (Please Print) Signature: CST Number James K. Thompson �� 3602 Address A.C.E. Soil &Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake lane, Osceol 154020 7/27/2006 715- 248 -7767 e, le c, cin o6u.'6. ♦ Clc r /a � ors E /cv�- ioS.9Q� • /oca..�ce�,ort�.St� -- S ca '6ZI4 � Lot t' el -sec . �q T. zl�il, �' i 9u 05 �' / I ado o ,, n a 63 le i � sSd e lam: = /a2 4V.' �. 3�F� ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer b ob Ricci . Mailing Address 1 Co 6 l jq3 /4 Si. 0— re V'- 55 q 8 2 2 Property Address # 3�C rO f Tc*& (� (Verification required from Planning & Zoning Department for new construction.) City /State V'K- � W l Parcel Identification Number 040 - I Zq 5 40 -00 0 LEGAL DESCRIPTION l /6 O Property Location S W 1 /4 , _S %a , Sec. , T N R_ ( �_W, Town of Tro Subdivision I V-S Vaj E 5 - S , Lot # . Certified Survey Map # , Volume , Page # Warranty Deed # 2. 5 q 7 , Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic 'tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank-as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNATURE OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warrany deed. (REV. 08/05 i 497 S ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Ace-A- 4024 ��' p� 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations County Attach complete site plan on paper not less than 814ic 11 inc les in stzer' 0an St. C rook include, but not limited to: vertical and horizontto reference point (9M), direction �Kd Parcel I.D. percent slope, scale or dimemsions, north arrQw,•airdfocationrd distance'to nearest road. 040- 1078- 40 -000, 0#19.28.302 Please print a;fl infcfnna yy~ ;�k By D Personal infomration you provide may be use for. sC co ary purposes (Pmacyr Law, s. 15.01(1 jl. Property Owner - Pr Location J.T.B. Properties, L.L.P. C/O John 1 V1 en Govt= SW 19 SE 1/4 S 19 T 28 N R 19 W Property Owner's Mailing Address VfF l Block # Subd. Narne or CSM# 1564 West University Avenue ' ZOfi Trebus Valley Estates City State Zip C r City Village V Town Nearest Road Saint Paul MN j 55104 j Troy I County Highway "F" New Construction Use: je Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe -- Parent material Glacial drift _ Flood plain elevation, if applicable na General comments and recommendations: Site suitable for At -grade system. Recommend installing mound system at elev. = 101.70' at 6" above 101.20' contour to increase dispersal of effluent throughout system area. `C Boring # �j Boring CoQ2 �e ad 4. ��$ • ?.�D �T� ►J Pit Ground Surface elev. 101.14 ft. Depth to limiting factor 40" in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDfft= *Eff#1 *0#2 1 0 -12 10yr3/3 none sl 2 mvfr cs 2fm 0.5 0.9 (� 2 12 -16 1Oyr4 /4 none sl 2msbk mfr cw 1 0.5 0.9 , 4 3 16 -21 1Oyr4/4 none scl 2msbk mfr cw 1vf &f 0.4 0.6 �cf 4 2140 10yr5 /4 none sl 2msbk mfi gw 1vf &f 0.5 0.9 ,( 5 40-68 10yr5 /4 f2f 7.5yr5/8 s/Is/sl 1 msbk dsh - - 0.4 0.6 1-1#5 contains colluvial Osg s, 1 mat rnsk k sl, with 1/2" - 4" 15 limestone fragernents. Baring # �j Boring jo Pit Ground Surface elev. 101.48 ft. Depth to limiting factor m in. Sal Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD /ft' *Eff#1 *Eff#2 1 0 -15 1Oy13/3 none sl 2fsbk mvfr cs 2fXO. 0.9 2 15 -24 10 yr3/2 none sl 2msbk mfr cw 1fm 0.9 3 24 -32 1Oyr4/4 none sl 2msbk mfr cw 1vf 0.9 G 4 32-44 7.5yr4/4 none sl 2msbk mfi gw 1vf &f 0.5 0.9 . 5 44 -75 7.5yr4/4 f2d 7.5yr5 /8 Is /sl/scl 2csbk dsh - - 0.4 0.6 1-1#5 contains colluvial 1 ms bk I I, and 2csbk scl with 20% 1/2" - 4" limestone fragements. * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30(-150 mg/L cent - BOD <30 mg/L and TSS < mg/L CST Name (Please Print) Signat CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Dot Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 540 0 12/5/01 715 - 248 -7767 Property Owner J.T.B. Properties, L.L.P. C/0 John Parcel ID # 040 - 1078 -40 -000, ID #19.28.302 Page 2 of _3 F3 ] Boring # �j wing ld Pft Ground Surface elev. 99.11 ft. Depth to limiting factor 55" in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Stricture Consistence Boundary Roots GPDHF *Eff#1 *Eff#2 1 0 -14 10yr3/3 none sl 2fsbk mvfr cs 2fm 0.5 0.9 2 14 -30 10yr1 /2 none sl 2msbk mfr cw 1 f 0.5 0.9 3 30 -38 10yr3/4 none sl 2msbk mfr cw 1 VW 0.5 0.9 4 38 -55 10yr4 /4 none sl 2msbk mfi gw 1vf &f 0.5 0.9 5 55 -78 10yr616 m2d 7.5yr518 sAs/sl 1 csbk dsh - - 0.4 0.6 H#5 contains colluAal Osg s, 1 msbk Is, 1 msbk sl, and 20% limestone fragements. Boring #� Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ❑ Borne # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots *Ef1#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD -i 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. ` 92. o6 o f ♦ E" /edQ� ` 1 o �• ° o q wco�e.e/ a �.� � - �oQ � o .�/8 "i•c.f�s: s Cd ft SSum ec , ! e%.✓x = /do• ca: bl z 6 &44' 1.33 I , , i � f 4 0T \ t 4546 S S - 3W25' E 3W. 54 .48 C. � 14 104.3R ` .S S 2 , LOT 4 --- --, ' 194260 $F. 2.1 fi/Ac. � � f 1 - L OT 3 � f °4 101994 S. F N rr�� 1 2.34 Ac. 2 1l,, F E 9W DRAMA" 4 # df Ac. 7 1117 2. � ORAw/lCIE T C LOT 22 170984 S.F. u1 L12 s 3.93 Ac. L13 - _ L�.J � � � � I I 989V (9 LL) XEJ • 089t - 98E (9 LL) O LLL L0 , V9 IM `uospnH peon laey3lWJe0 LO L L --- - w d31N301N31NN83AOJ A1Nnoo xiouo ■ ■■ ■ ■`._ -- rrrnwnnrr H3I330 OAIINOZ NISNOOSIM - AINno3 XIOao '1S i r ' 8 2 5 8 7 8 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 1 — 1998 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO.. VI RECEIVED FOR RECORD Document Nu mber 1 05/22/2006 03:20PN This Deed, made between All Season Decks. Inc . Worpgration WARRANTY DEED Grantor, and Robert Ricci and Debbra Ricci husband and Wife EXEMPT # Grantee. Grantor, for a valuable consideration conveys to Grantee the following REC FEE: 11.00 described real estate in St. Croix County State of TRANS FEE: 337.50 Wisconsin (the "Property "): CC PAGES: 1 Recording Area Name and Return Address 040 1295 40 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) L Plat of Trebus Valley Estates, Town of Troy, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 22nd day of May 2006 (SEAL) (SEAL) Scott Klanke as President All Season Decks, Inc (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wiscons(n, ) as. St. Croix County authenticated this day of Personally came before me this 22nd day of May 2006 the above named Scott k to me known to be n o executed the TITLE: MEMBER STATE BAR OF WISJIB"( *tary e a no edge th same. (If not, authorized by §706.06, DSO atsJ. qVi �� ai Y 'ns \(1 (f THIS INSTRUMENT WAS 6�Yt � 1SC0 lic, tae Wisconsin Coldwell Banker Burne icholson 1301 Coulee Road My commission is permanent. (If not, state expiration date: Hudson, WI 54016 6 -30162 I r ) (Signatures may be authenticated or acknowledged. Both are not necessary.) " Names of persons signing in any capacity must be typed or printed below their signature. loft � 4 ILL OF— ;1 H'E : NORTHER SOUTHEAST ST 1/4 /4 O F THE S U THEAST 1 4 OF S OU THEAST 1 q / THE SO EST 1 4 O SOUTHEAST 1 /4 AND F THE SO ALL RANG UTHEAST 1 /4 OF S E 19 WEST, TOWN SECTION 1 g, T( IN. OF TROY, ST. CROIX COUNTY N, I \ 7th i \ 4 0T \ S 89'35'25" E 396.64' 4546 S 104.58' 292.06' .48 C. S EE \ .S ET 2 LO' �' . P'. C LOT 3 2.1 A c. E. = 900 Ac. � 1.2? ' s 101994 S. F.A s �• • 63 IV P 2.34 A, -- �- M.F.E. ` = 900' �k�r / s '�• 'fir!• DRAINAGE HIND 901.2 � ' �9 • �� HWE �' � 897.4' kh L23 %a \ EASEMENT L25 . 4 1 le 40 1 r ,� ,, 4 r,, 1 e �. f t ygf ` � � R; � �� � , ,� �' 9 �� .. 1., I � y . 1 Y '�l" l r r � i • � �� S 'E ' "R. 1 di a