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HomeMy WebLinkAbout040-1239-80-000 Wisconsin Department of Commerce j PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division a INSPECTION REPORT sanitary Permit No: 405129 0 ATTACH TO PERMIT) GENERAL INFORMATION ( State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) ;Zq Z Permit Holder's Name: City Village X Township Parcel Tax No: Mulhollam, Michael Troy Township 040 - 1239 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: CA. D t OD • t ► v� esAc.- _ c-%r q 04 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic * Benchmark D a . OV .•p Dosing L-. 1?&C/ Alt. BM Aeration Bldg. Sewer Holding SVHt Inlet Qq 2 f • 1 f - 1 TANK SETBACK INFORMATION SVHt Outlet Z'ZD ° f°J•'fof TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 5� o , Dt Bottom B Dosing r Header /Man. Aeration Dist. Pipe �i4 Holding Bot. System L PUMP /SIPHON INFORMATION Fin y�•„U 6e 12+ "dv Manufacturer Demand St Cover Q D I E GPM yep, S', T odel Number 4_� ,�t�•�'�" L f d Z.� o f c�0 • a �. H Lift 4 , t , , Frictio Loss System Head TDH Ft ��. • s4l Forcemain Length I Dia. « Dist. to Well z In '.- SOIL ORPTION SYSTEM , S Width Length / No. Of Frenel PIT DIMENSIONS No. Of Pits Inside Liquid Depth IONS E S SETBACK SYST M TO P/L BLDG WELL LAKE /STREAM LEACHIN acturer: INFORMATION Type Of System: ( CHA LINER O I Number: A (St ID -+ i - DISTRIBUTION SYSTEM Header /Manifold K Distribution x Hole Siz tt x Hole Spacing Vent to Air Intake Pipes) t i t-ength��/Dia Length Ss • S Dia 2 - Spacing _�' I.52 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Mulched Edges ITopsoil Bed/Trench Center Bed/Trench Ed g 171 Yes 0 r No Ft] Yes [] No COMMENTS: (Inclu c discrepencies, persons present, etc.) Inspection #1:0� Z _� Inspection #2: D1� I I �� , _ 8.1 .12 6 Location: 585 Country Oaks Cr. Hudson, WI 54016 (SE 1/4 SE 1/4 21 T28N R18W) Cc tr� aks Ad Parcel No: 1.) Alt BM Description = 2. Bldg ewer length 9 9 - amount of cover = ' 3. Contour 0 Cs�- an revision Required? 0 Yes No 17— Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. 5 6Es- � - Y OA k,S C,Lte Ll.� • Safety k Buildings Division 201 W. Washington Ave. Sanitary Permit Application PO Box 7302 Nvisconsin In accord with Comm 83.2 1, Wis. Adm. Code Madison, W153707 -7302 Department or commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not (Privacy Law, s. 15.04(1)(m)) 6'31 state owned. Attach com late plans to th county co py only) for the system, on paper not less than 8 - 1/2 x I I inches in size. County i• State Sam ry Permit Number ❑ Check if revision to previous application Stale Plan 1. D. Number Z I. Application Information - Please Print all Information r Location: Property Owner Name Property Location �1 , �d �(o • Q - - -- — MAY—"­ - n? -- 15e 114 .51 S a1 TON, or ro Pperty Owner's Mailing Address Ou Lot Number Block Number �Pi T. CROIX COUNTY City, State Zip Code jPhone 12091Ndl♦ Subdivision Name or CSM Number II Type of Building: (check one) u �s rai S uL S 11 City 1 or 2 Family Dwelling — No. of Bedrooms: rn \ ❑ Village O Public/Commercial (describe use):_ ( /) P of O State -owned / %d III Type of Permit: (Check only one box on line A. Check box on line B if applicable) rest R ad A) 1 • New System 2. El Replacement 3. ❑ Replacement of 4. ❑Addition to Parcel Tax Ntu rber(s) System _ Tank Only , _— Existing System _ Q B) Permit Number Date Issued ❑ A Sanitary Permit was 'previously issued IV. Type of POWT System: (Check all that apply) /ao 6-FF. A L ❑ Non - pressurized In- B16und 9b �• ound ❑ Sand Filler/ 11 Constructed Wetland ❑ Pressurized In- ground Ca"`� ❑ I lolding Tank ❑ Single Pass ❑ Drip Line O. At -grade 44 t ❑ Aero is Treatment (Jnit ❑ Re irculalin ❑ O her: V Dis ersab Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Role (Gals. /day /sq. ft.) (Min. /inch) Elevation q UU II ,S I' � � ').1(.,o VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons 'Tanks Con- Con- glass New Existing cret structed Tanks Tanks _ 1 SA lobo b u { R ❑ ❑ ❑ ❑ 0 0 11 ?1k rl 000 VII Responsibility Statement I the undersigned, assume res onsibilit for installation of the POWTS shown on the attached plans. Plumber's Name nt) Plumber's Signsture(no Stamps): MPIMPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Co tJ VIII Counly/Departnitent Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) lKjApproved C1 Owner Given Initial Adverse Surchar a Fee) 6L� Determination .� Conditions _ of Approval /Reasons for Disapproval; � �/Wt.6t.►��Q/' U � Vtnk.�`+1�17tA+yt, c Tt� 't't � bd t f� ■ U fe � c � A n O A A O 1 M1 � � O p R LA G p O � e V1 1 0 0 J o c o � o � 1 � o A �' ND ` C iz (D D, t A •� P o Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 ' N *isconsin www.wisconsin.gov i n.gov r isconin.gov Department of Commerce Scott McCaHurr, Governor Philip Edw. Albert, Secretary April 29, 2002 CUST ID No.222904 ATTN. POWTS Inspector ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/29/2004 Identification Numbers Transaction ID No. 727244 SITE• Site ID No. 643354 Michael Muhollam Please refer to both identification numbers, 585 Country Oaks Circle above, in all correspondence with the agency. Town of Troy St Croix County SE1 /4, SE1 /4, S21, T28N, R19W FOR: New mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 847478 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes P.0 .RN 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. �nyjl�l The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: l N1ENT G pp D • 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" SBD- 10572 -P (8.6/99) Onsite Wastewater Treatment Systems" SSWMP Publication 9.6, "Design Of Pressurized Distribu FE C Networks For Septic Tank- Soil Absorption Systems." • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Key Item(s) • The actual gallons per inch for the specified pump tank is 21.76 and the liquid level is 37" per product approval. The proposed pump settings have been adjusted provide a dose volume that is greater than 5 times the void volume and less than 20% of the design wastewater flow plus drain back. r JAMES W BOUMEESTER Page 2 4/29/02 Note • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. 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. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(i). • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). • Provide frost protection per COMM 83.43(8)(c). • Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee pro ' e a copy of this letter to the owner and any others who are responsible for the installation, operatio r main an a of the POWTS. Sincer Fee Required $ 175.00 Fee Received $ 180.00 Refund Amt $ 5.00 cia L Refunds Of $25 Or Less Will Be POWTS Plan Reviewer, Inte rvices Made Only On Written Request. (715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm WSMART code: 7633 pshandorf @commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Michael & Jody Muhollam 3 bedroom residential mound Owner's Name: Michael & Jody Muhollam Owner's Address: 520 Foster River Falls, WI 54022 Parcel address: 585 Country Oaks Cr. Legal Description: SE1 /4SE1/4, Sec. 21, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: Country Oaks 1st Addition Lot Number: 15 Block Number: na Parcel I.D. Number: 040 - 1239 -80 -000 I.S. n uliy Plan Transaction No.: \( Page 1 Index and title of cv E ut G Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank _gpONp CE Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evlauation Report Designer: Jim Boumeester License Number: 222904 Date: 04 /01/02 Phone Number: 715 - 386 -1794 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) RI Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.001 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) colifonn of - 36 inches. 450.00 Design Flow (gpd) 11.00 Site Slope ( %) 96.20 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 112.501 Dispersal Cell Length Along Contour (ft) = 4.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 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) j - -- cl Center or End Manifold 0.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 1.50 Estimated Orifice Spacing (ft) = 6.08 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 91.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 5.87 Vertical Lift (ft) 50.90 5x Void Volume (gal) 0.80 Friction Loss (ft) 57.43 Minimum Dose Volume (gal) 13.17 Total Dynamic Head (ft) 30.48 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 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 800.001 Total Tank Capacity (gal) 1 1000.001 Septic Tank Capacity (gal) 37.E Total Working Liquid Depth (in) Wee concrete Manufacturer 19.05 gal /in (enter result in cell 1349) Dose Tank Information Effluent Filter Information �� 800.00 Dose Tank Capacity (gai) Zabel Filter Manufacturer I-tb k,4 -�G6 Dose Tank Volume (gal /in) A100 Filter Model Number * eeks concrete Manufacturer Project: Michael & Jody Muhollam 3 bedroom residential mound Page 2 of 9 Mound Plan View T :O J 1 :. Observation Pipe ................ ipe 3 — . .. I Mound Component Dimensions A 4.00 ft E 19.28 in H 1.00 ft K [ aft ft B 112.50 ft F 9.50 in z 12.98 ft L ft D 14.00 in G 0.50 ft J 5.55 ft W 450.00 (ft Dispersal Cell Area 1909.98 (ft Basal Area Available 4.00 (gpd /ft) Linear Loading Rate 11.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.16 (ft) —► G H 2 f Al I F Dispersal Cell 97.87 (ft) Lat tera 97.37 (ft) — Invert Dispersal Cell :: ; 3n Elevation E D ` 96.20 (ft) Contour Elevation 11.0 % Site Slope Geotextile Fabric Cover Shading Key o Dispersal Cell See lateral details on 10 — Topsoil Cap ,a 1.5 ft Page 4 for number, Subsoil Cap 0 0 •5 , ' • • size, and spacing of Q � ASTM C33 Sand � - - '�'•.,•+ F laterals. Laterals are ® Tilled Layer c m 0.5 ft ' Typicai Lateral equally spaced from �5 Aggregate a o _ '�� the distribution cell's —A centerline in the distribution cell (AxB). Project: Michael & Jody Muhollam 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P 5 •= Turn -up m'ball valve or IE x�lEsl2 I W241 Laterals & force main of PVC Sch 40 el es n out pl u 9 per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 55.48 ft Orifices per Lateral 37 Lateral Spacing (S) 0.00 ft Orifice Density 6.08 ft /orifice Lateral Flow Rate 15.24 gpm Manifold Length 0.00 ft System Flow Rate 30.48 gpm Manifold Diameter 0.00 in Total Dynamic Head 13.17 ft Forcemain Velocity 3.11 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - 0 Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented ':' A cation outl� location Forcemain diameter Weeks concrete Manufacturer 2 in. Capacityl 800.00 Gallons Volume 21 k, gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A Wit) 3 C B 2.00 - 3940 y N Pump off elevation (ft) C 41-.30 2,-7 t 1 92.00 D 12.00 2 .5 1 D Total — 4+-%F - 800. 00 3 os D tank elevation (ft) 3" Bedding un er tank. 91.00 Alarm Manuafacturer ILevelArm - -^] Alarm Model Number I DLV Pump Manufacturer JZoeller Pump Model Number 198 Pump Must Deliver 1 30.48 gpm at 1 3 ft TDH Project: Michael & Jody Muhollam 3 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson, POWTS Maint'r #300211 Phone 715- 248 -7767 POWTS Regulator's Name St. Croix County Zoning Dep't. 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 Wastewaterl 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 eve 1.5 ears Mound Ins for ndin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •...........•.. ................ Grade \ ' . ' • 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Michael & Jody Muhollam 3 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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 fitter shall be cleaned as necessary to ensure proper operation. The finer 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 finer is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter 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 n the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel s hall 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 fitter 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Michael & Jody Muhollam 3 bedroom residential mound Page 6 of 9 HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 185/4185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE CY -- IJ S15f 1171)9 1011140 1634161 163/4161 t6Sa163 1194113 1 W 419 104111 109!1 19 9 1 . al Gal_ 1 1 G I I , Un G a l . L6 G a l ._ Ut GII. L61 G41, Lb/ Gal. lbl Gal. Wt Gal. L1n. Cal Ln, Gal. Lam Gal, Lln, G41. Lm Gal. Lrs 140 -- - S 1.12 U'S 17 13_ - 101 43 113 17 171 91 157 N 156 106 101 �11 231 61 111 - -- SI 710 ISS !Jl If3 91 /S Ili 42 -- IC ) C6 1).1 _SO I1 1 1/_179 6 1 DI 79 _m 10 111 100 171 it 1)1 11 tJt - -_ -- SI 770 1N 360 1St 617. IS 170 13 - -- 1 1_9 it 37 i± _ 4s 17p _N 4 a 51 _ ba t w 227 __ sb in 147 t 10 610 7.5 1 3 11 13 1s 16 134 7) 216 a 110 $1 711 60 777 s l 220 0 313 10 _ 45 1�1 _ _ - -_ _ - - - - _ SJ 1)$ t/ 710 S7 :713 f9 77) - - - -- SI 777 f76 K/ 111 50.1 IS - 1:0 40 73 41 1 30- - - — SJ 701 6S 116 SS 101 S1 170 10 NO $1 170 171 4" Ill 01 45 I,0 4C 17.11 38 125-- 30 111 46 174 46 .117 SS 706 15 76] $1 no 105 711 114 111 45 110 -- - - $4 11 us S1 11 $ i_ its S1 277 90 711 107_ -179 _41 - T 7 —� -- 6G td to IS 17 /] 16 116 fl 210 II 231 IS R 1 1f7 f 1.7 I j120 - - ---� -- — -10 - 111 10 U S7 197. $I )0 165 _ 36 - 91 4S 110 16 176 f1_�+ 710 t7 11 bo s 1 bas 7 1 a 2 is 40 111- J: 16 _ u9 3200 - -- _ 7 26 1 m So t+4 1 10 — - -- — — _ — -- ' -- -- — -- - -- — - -- — — 1 105 ua 19,4.1 _ 32 -- —� �— la3 Wl, 1 111' 7P 913' 13 ' 16 K' 56 66' IT S 15' 91' 117 137 1 — - -_ -_ 195- - -� -- -- -- -- - - — — — — 90-1 - -- - 26 -�- 4 1 85 1 -- - - 180 ;6165 - 75 22 - 70 - -� -- -- - -- - —I— -- - — - — 2U - -j— - - - - — - 1 6 - -� 60 - 163, -� — -- �— - -�- - -- - -- 4163 189, �__ -- I 55 4 189 i- 1 -- 50 - - I — —_ - 455 - - - - - -� -- - -i- - -- -- -- 40 - -- 140, 188, 35 4140 -1 4188 --f - �— .- -- -- - -- 30 U - - - - - - - -- 185, -- -- — �' 7 4185 2 S _— 137, I i 20 t = - - -� -- -- - -�-- -- — j 15- — - - l -- - -- - — - -- I I 1 %z , -t .18 53 � 5 -� -- — g� - 161, - - - -�— -- 97,9 4161 � S r 3 NS 1 20! _ 5U 60 70 80 9U 100 1110 120 1130 140 150 160 C 6'J 240 320 400 480 560 610 �/ o r1-0'1 PER 1.11NUIC 009971 �� / �>C 7 30,4/8 G.RM. M,'n;mum 56c�t7 /y/12s�c r cc ;�cd. Note: For Hllead Capacity on Model 112 induirial column - explosion pr000f pump, see FMO219. � r z --C Q LA ► ■ LA � U C � A n o � J A 0 1 1 ^ 1 O � C P Q W tr t 0 O J� 0 s 0 � o � F ' o C s Na Nb O Q Vj C�, v ,. 1440 Wisconsin Department of Commerce `OIL EVALUATION REPORT ! r 1 Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing oun y Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix 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. 040 - 1239 -80 -000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Mulhollam, Michael & Jody Govt. Lot SE 1/4 SE 1/4 S 21 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM 520 Foster 15 1 1st Ad Cou O aks City State Zip Code Phone Number City M Village W Town Nearest Road River Falls WI 54022 715 - 425 -2482 Troy Country Oaks Circle New Construction Use: fj Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD J Replacement in Public or commercial - Describe Parent material loess over bedrock Flood plain elevation, if applicable NA General comments and recommendations: install 4' x 112.5' rock unit mound on 96.2 contour as upslope edge of rock w/ 1.2' sand fill F-9 Boring # "" Boring jw Pit Ground Surface elev. 97.7 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon ! Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in Munsell Q Sz. Cont. Color Gr. Sz. Sh. 1 0 -6 7.5YR 3/2 sil 2 m gr mvfr cs 1f /m .5 .8 2 6 -15 7.5YR 4/3 sil 2 f sbk mvfr cs 1m 5 .8 3 15 -29 7.5YR 4/4 - sil 3 f sbk dsh cs 1m .5 .8 4 29 -34 7.5YR 3/4 scl 0 m dvh as 0 0 5 34+ LSBR r common gy sl cods on pads t5-29 -- L I Boring # Boring L g Pit Ground Surface elev. 97.7 ft. Depth to limiting factor 47 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. — trrIF ]- 1 0 -5 7.5YR 3/2 sil 2 m gr mvfr cs 1f /m .5 .8 2 5 -13 ! 7.5YR 3/2 sil 2 f sbk mvfr gs 1m .5 .8 3 13 -22 j 7.5YR 4/3 sil 2 f sbk mvfr gs 1m .5 .8 4 22 -40 7.5YR 4/4 sil 3 f sbk dsh cs 1 m .5 .8 5 40 -47 7.5YR 314 scl 0 m dvh as 1 m 0 0 - -__s__ 47± LSBR common gy sl con s on peas 13-40 - - Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name ease rent ign ur : CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 10/26/01 715- 233 -0398 I Property Owner Mulhollam, Michael & Jody Parcel ID # 040- 1239 -80 -000 Page 2 of 3 T Boring # 0 Boring Pit Ground Surface elev. 96.2 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sil 2 m gr mvfr cs 1 m .5 .8 2 5 -10 7.5YR 4/3 - sil 2 f sbk mvfr gs 1m .5 .8 3 10 -18 7.5YR 4/4 sil 3 f sbk dsh gs 1M .5 .8 4 18 -22 7.5YR 3/4 - scl 0 m dvh as - 0 i 0 5 22+ LSBR Boring # Boring Ig Pit Ground Surface elev. 94.0 ft• Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD4 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 sil 2 m gr mvfr cs 1M .5 .8 2 5 -14 7.5YR 4/4 - sil 3 f sbk dh gs 1m .5 .8 i 3 14 -22 7.5YR 3/4 scl 0 m dvh cs 1M 0 0 4 22+ LSBR - -- - -- - - - -- -- -- I orizon 3 has some LS gr & co FTI Boring # Boring Pit Ground Surface elev. 96.2 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD _ in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. I 1 0 -5 7.5YR 3/2 - sil 2 m gr mvfr cs 1M .5 .8 2 5 -12 7.5yr 3/2 sil 2 f sbk mvfr gs 1m .5 .8 3 12 -21 7.5YR 4/4 _ sil 3 f sbk dsh gs 1M .5 .8 4 21 26 7.5YR 3/4 scl 0 m dvh CS 1M 0 0 5 26+ LSBR I Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L fhe 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. �F3D -s �7i (R 07100) Certified Soil Testing 1 a Ot- I o s Q rel c 0 � 1 v J 1� J S � i o � J S 0 s s d r r r VW Co3 f r(ORIGIN ? 1440 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing ounty Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix 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. Par I I.D. 040 - 1239 -80 -000 Please print all information. ieweq By e Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7 Property Owner Property Location Mulhollam, Michael & Jody Govt. Lot E 1/4 SE 1/4 S 21 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM 520 Foster 15 1 st Add'n Country Oaks City State Zip Code Phone Number City Village Town Nearest Road River Falls WI 1 54022 715 - 425 -2482 Troy Country Oaks Circle New Construction Use: Residential / Number of b o s, Code derived design flow rate GPD Replacement Public or commercial esoribe :: ' . Parent material loess over bedrock A' ood plain elevation, if applicable NA General comments and recommendations: install 4'x 112.5' rock unit d on 96.2 contour as upstop edge of rock w/ 1.2' sand fill r 1 q n4 Boring # Boring ' C,OUNTlt epth to li ❑ Pit Ground Surface elev ' x '97.7 tot= ra' to factor 34,, in. }� 9 —� Soil Application Rate Horizon Depth Dominant Color Redox Description (Texture Structure/ Consistence Boundary Roots GPD /ft' Env in. Munsell Qu. Sz. Cont. Color Gr. Sx-3'fi. 1 0 -6 7.5YR 3/2 - sil 2 m gr mvfr cs 1Urn .5 .8 2 6 - 15 7.5YR 4/3 - sil 2 If sbk mvfr cs Inn .5 .8 3 15 -29 7.5YR 4/4 - sil 3 f sbk dsh cs 1M .5 .8 4 4 29 -34 7.5YR 3/4 - scl 0 m dvh as 0 0 5 34, LSBR r common gy sl coats on pe s - ❑ Boring # Boring Pit Ground Surface elev. 97.7 ft. Depth to limiting factor - *7— in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sil 2 m gr mvfr cs 1f /m .5 .8 2 5 -13 7.5YR 3/2 - sil 2 f sbk mvfr gs 1 m .5 ! .8 3 i 13 -22 7.5YR 4/3 - sil 2 f sbk mvfr gs 1M .5 .8 4 22 -40 7.5YR 4/4 - sil 3 f sbk dsh cs 1M .5 .8 5 40-47 7.5YR 3/4 - scl 0 m dvh as 1 m 0_ 0 6 47+ LSBR common gy sl coats on pecis - Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L " Effl ent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) tgn ur : Number Henry F. Grote , 222774 Address Certified Soil Testing Date Evahation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 10/26/0 715 - 233 -0398 t, Property owner Mulhollam, Michael & Jody Parcel ID # 040- 1239 -80 -000 Page 2 of 3 Boring # M Boring Pit Ground Surface elev. 96.2 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sil 2 m gr mvfr cs 1 m .5 .8 A b 7:pYt4j3 , },� . - sil 2 f sbk mvfr gs 1m .5 .8 3 10 -18 7.5YR 4/4 _ sil 3 f sbk dsh gs 1m .5 .8 4 18 -22 7.5YR 3/4 - scl 0 m dvh as - 0 0 5 22+ LSBR a Boring # Boring Pit Ground Surface elev. 94.0 h• Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sil 2 m gr mvfr cs 1 m .5 .8 2 5 -14 7.5YR 4/4 _ sil 3 f sbk dh gs 1M .5 .8 3 14 -22 7.5YR 3/4 - scl 0 m dvh cs 1 m 0 0 4 22+ LSBR I onzon YF as some gr & co Fil Boring # Boring Pit Ground Surface elev. 96.2 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 7.5YR 3/2 - sil 2 m gr mvfr cs 1 m .5 .8 2 5 -12 7.5yr 3/2 - sil 2 f sbk mvfr gs 1M .5 .8 3 12 -21 7.5YR 4/4 _ sil 3 f sbk dsh gs 1M .5 .8 4 21 -26 7.5YR 3/4 - scl 0 m dvh CS 1M 0 0 5 26+ LSBR i i I ` Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing 03 '! ir ; r M 6-4 y v 'P r► r J r n 1 ,�. � ar � ` u � ej J Ml jrA i C 0 S 1 S r 6 � � P d J Ci o Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number os' - I Z T) Number of Bedrooms Design Flow - Peak (gpd) A d Estimated Flow - Average (gpd) 3a 0 Septic Tank Capacity (gal) p Soil Absorption Component Size (ft Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) oc So Maximum Influent Particle Size (in) Y 1/ Maximum BOD (mg /L) a, 0 220 Maximum TSS (mg /L) i G 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se ti and outlet filter shall be assessed at least once every 3 years by inspection. The utlet filte sh be cleaned as necessary to ensur p roper operates The filter cartridge should no 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 I y Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption components operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386 -4680 Boumeester & Sons Excavating 386 -9020 Tri- County Sanitation 386 -2130 I 3 , r i i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM er Owner/Bu a o AQ Y Mailing Address �.� '� Property Address e A �rij r v N (Verification required from Pla ing Department for new construction) City/State � Parcel Identification Number 6 -1J39 L EGAL DESCRIPTION j � ._� Property Location. �E /,, � /., Sec. T N -R W, Town of 5t Subdivision L6 Lot # Certified Survey Map # ; Volume , Page # Warranty Deed # Volume o Page # 8� Spec house 0 yes no Lot lines identifiable l l yes 0 no SYSTEM MAMNANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, joumeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da f "three year expira ' to. SIGNAtUtE OF APPLICANT DATE �DWNER CERTIFICATION 1I we) certify that a1i statements o ' this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro de d ve b i warranty deed recorded in Register of Deeds Office. SIG ATURE OF ' PLICANT DATE i • " +" Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departm ent. "'•" Include with this application: a stamped warranty deed from the Register of Deeds office -a copy of the certified survey map if reference is made in the warranty deed I I) STATE BAR OF WISCCNSIN rOhit' 2 — 19142 5'(4 WARRANTY DEED DOCUMENT NO. IJ /� a��i j f BP'S (fir F!•:F Ray Gal ep, Robert L. Mackey, Laurence v _ Murphy an d No Ecklund -, — i ,JUN 2 1991 pa prop erty. 8:30 A. M rnnveysand warr,,ntsto _ Michael E. Mulhollam and _ss,i.. Jody L. Mulhollam husband and wi e , as +dylste:orDeuJs surviv __._� s _ i marital ro er t L - - P P ��� -- — THIS SPA R ESE RV ED FOn AEC .nOIND UATA _ — NAME AND FIE TURN ADDRESS rite following descrilxd real estate in — S �C)`QIX — �— C-Inty, (� State of Wisconsin: I r t l PARCEL IDENTIFICATION NUMBER ,t Lioy,st. t 15 Plat of First Addition to Country Oak in the Town of Croix County, Wisconsin. f i This is not homesteadpropeny. XXi)gXX (Ts not) Exception towarramies: E asements, restrictions and rights -of -way of record, if any. Ualed this �� � day of Iy1Qit� _ , A.D., 19 97 i ._ rence Murph orwood Ecklund (SEAL) (SEAL) ' AUTHENTICATION ACKNOWLEDGMENT i_• Laurenc Ptu rhy, State o Wi sconsin, Signature(,) _ ss. Norwood Ecklund — _ cnunty authenticated this ?A" day of , 19_ 97 personally came before me this day of 19 ,the above named Kristina gland i TITLE. MEMBER STATE BAR OF WISCONSIN — (11 not, authorized by 8706 .06, Wis. Stats.) to me known to be the person who executed the foregoing irrovitnent and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin UZ Iand Hudson W1 54016 N" public, County, Wis. (Signatures may he authenticated or acknowledged. Both are not Lty commission is permanent. (I( not, state expiration date , nrccssuy) — • Nana% of pervona .igninR In my capashy %hmid M typed or printed below their signanun. _ -- _- - - - - cc" TIAR Or %V15CONtIN W. w:ve.r: M!I f1 ,r. ham; �o w' \RRANiv nrrn Fnrn. No 2 - tan. Mewaro•n. C OAKS lD THE SOUTHWEST 114 OF THE SOUTHEAST S T, TOWN OF TROY, ST. CRO1 X COUNT Y, LEGEND 0 /NO /CATfS 2 " IRON PIPE FOUND, EJ /1 CDR. SEC. 2/, 12B N, R19W, • lNO /CA TES I" IRON PIPE FOUND. INDICATES 2 "X 30' IRON PIPE WEIGHING 3.65 IBERNTSEN CAP /N 2" IRONP/PE y 48S.7L IN. FT SET. FOUND/ ALL OTNER CORNERS MARKED WITH A I "X 24 - IRON PIPE WE IGII /NG 1. /J Los. /L /N. Fr SET. R(50.00') INDIC4 TES PREVIOUSLY RECORDED pis TANC OR AGE 1157 BEA8/No SHOWN /N P4RENTHES /S. tp ALL LINEAL VEA S URENENTS HAVE BEEN MADE N TO THE NEAREST HUNDRED TH OF FOOT ALL s ANGULAR MEASUREMENTS HAVE BEEN MAO£ YO THE NEAREST 20 SECONDS AND COMPUTED TO THE VALUES SHOWN. 257.48' INDICATES WATER COURSE. 730. 85' —••— lND /C4 TES ROAD SETBACK LINE. 968.33' - -- INDICATES Ur14i TY EASEMENT l 2' w/Df ♦ INDICATES ACCESS DRIVEWAY LOCATION b • INDICATES JOJNT MAILBOX LOCATION, LOTNUMB£RS 11 ` TO BE SERVED INDICATED IN PARENTHESIS AFTER a' SYMBOL. 003 ACRES ti NO Ur1Ll Y /ES MAY SE /NST4LLEO W/TH /N J'OF 4 SURVEY 4, 473 SO, FT. MARKER. O I ` 3 i G A J ~ 600 p0 2B0 p0' o u h a 13 j6. 30' 13 "W U. 3 14 ihH 6 3.974 ACRES J Q O 260.222 SO. fT, O w ; r ti !3 b Q N r 2 a 2 4 ♦ 2. 493 ACRES h Z� = w ~ 108, 605 SO. FT. - 1 h ♦ Q W O N ♦ � N •r 0 0 0 "I \S 6 6 0 , 0 B6 h p �I �� ♦��CiOlys.l► . .II a Q �`f,,..�...,ti a , S � • Jl 2 UURENCE S • 2 6 e T W MURPFIY ° w S 1713 a 5 o Z S N t.RIVE/t iALLB, j ? 10 LAMQ 20 i © 15 SCALE IN FEET 01 D 15' 50' 75' 100' 150' 200' 300' w 3.610 ACRES ♦ - 50' 157.:73 SO. FT. © 2 / CA//NfNO[ W. YtlRPNY S- I1 13 R[V /S[OTN /f ® N NZI/S T[R[D L A NO JURV[YOR � �~ DAY OF 11 'Jr+ V9J OZ SOO TN AV[. �Tr,GY f91f. 02' H 6Il J R/VZR FALLS. l 04OZZ \ 55' z DATID TN/Z a¢_ DAY OF w W ' 4 h W 17 >� E 2.019 ACRES 16 c, 5.50/ ACRES W NW N 87, 914 SO. fT' 152, 517 SO. FT. O SW S Sat .00' 591. 71' ;./ S LIRE SE I/4 SE COR. SEC. 2/, T 28M. R 19 W, (BERNTSENCAPIN2'1RO,VPIPE LOCH TION SKETCH FOUND/ SEC.2i, TDWNSN/P 2B NORTH, ANDS _ RANGE 19 WEST THIS INSTRUMENT DRAFTED BY JAMES D. FI LKINS SHEET I OF2 Wisconsin Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and f •`r , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel 1 r ') f 3 d APPLICANT INFORMATION - Please print all information. Revie y Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Crii 11 }ry G �1WRE,V G� w• Ml/RPISf y �P^RT�u,65R Govt. Lot SE 1/4 ✓� '�pdG �c E or W Property Owner's Melling ddress � g Lot ff Block# Subd. Nam w 9302— goo 7-h Ate. fit' 1s: •90 �, - �� A�>y ohms Ciry State Zip Code Phone Number Nearest Road R+ l7+E E � NS W � . S�{ o � Z (•�j 5 ) (�1- -1032 ❑ Cit ❑ Village 03 Town C'oV►.1T P-Y 44X EA-1 New Construction Use: Residential / Number of bedrooms 3 Addition to existing building N/� NOT P,y�' j�� Lrl ❑ Replacement ❑ Public or commercial - Describe: lV fR (JOT Code derived daily flow ( 0_ gpd Recommended design loading rate bed, gpd/ft • 3 trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate NIP bed, gpd/ft ' 3 trench, gpd/ft Recommended Infiltration surface elevations) p9 .3 ft (as referred to site plan benchmark) Additional design /site copefftations '7y ­'q S rS 7 eViA /,. Parent material BZ SOW As "Tiif - S, 4T S &Di vE v Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In Ground Pressur AT Grade - System in Fill Holding Tank U = Unsuitable for system ❑ S [r�U ES ❑ U ❑ S � ❑ S ICU ❑ S [-j ❑ S [lU SOIL DESCRIPTION REPORT Boring # rHotizo Depth Dominant Color Mottles Structure ry GPD /ft In. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bounds Roots Bed ,Trench J� y /D y 3/ 5 11. 1 f sh& cS' Ground 3 � ' ' lo g 3r ----- S //. 1.4m ,6, .>M �F cS �v . 5 el v. Depth to ,*1 ` /Y T4N�" hi t'.1� A4 7 AGO C .vTtF, , _eS limiting factor Z& .55'.S. Remarks: Boring # 5-11, 2'`f 3 V2 - o 31 ::: U­ I V Ground /o 5 C L• 2 /I"l f h� elev. ,� l�Dlo N eov Depth to limiting factor S S S- 2G In. Remarks: CST Name (Please Print) RD(3ER T" L k Signature Telephone No. R 1'c l� 7- 716 386 - F35 Address Date CST Number 13 csr-A y z f a Z Pclvate Sewage Consultants 855 O'Neil Rd. Hudson, Wis. 54016 � s PROPERTY OWNER SOIL DESCRIPTION REPORT . /J� Page :2- of PARCEL 1.131 L Q T I, f - "e UN T/p Drll Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 3l 3 C' S 5 Ground ' xJ X7 /7 /' 4h'�7�� Cs / U F ' S , ' V elev, 9 �,ft. SCL Q tivt 411 _ N Depth to limiting factor -34 in. $55 Remarks: Boring # Ground elev. it. Depth to limiting factor ___In. Remarks: Horizon Depth Dominant Color Mottles Texture Structure in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Baring # Bed ; Trench Ground elev. _ ft. Depth to limiting factor 4 in. Remarks: Boring # r Ground elev. - ft. Depth to limiting factor In. Remarks: SBDW -8330 (R. 08/95) I PROPERTY OWNER SOIL DESCRIPTION REPORT Page -2- of PARCEL I.D.ff LQ T � ' �UN 7 X QtV Boring # fHodzon Depth Dominant Color Mottles Structure 2 u In, Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench �- /0 YK 31 ---- s,/ 1-F s 4 41j -roe c S (0 Ground I 311 ✓�% Ziw► , /Yr� 7C� C S /,q , ,S ; • 40 elev"- Depth to limiting factor Remarks: Boring # 5 Ground elev. ft. Depth to limiting factor Remarks: Horizon r1n.t Dominant Color Mottles Texture Structure Consistence Boundary Roots Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # � r . z, Ground elev. —' ft. Depth to limiting ; factor — in. Remarks: Boring # Ground elev. tt. ' Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) 0 o� d � N rl R� � 3 Z EP G t' � � 7 Q � 0 o � , _ 9 .c. O lN� o a y 0 c o to � L b � m 1 m c� y o CD y o m o M O v 60 h C N ti o kn tl O O N O N C 44 NI N Z LL c � o i Q 3 M r z Li �W� o � m d .-Nw am N I- U) C p aui Z Z i to F- r N n `Y) N ^\ C f0 2 Z O o N Q N Z LO Y I •• +• N _ l{f 0 FL Z •N °;aaa a • * 1 �l 3 N y N N y CD u N N } O � w E p o a 7 h U m) c d � 0 m Q Z (A Q O O c y C E LO O 0 0 O O f0 U 4. r G C C - p N V W N I O N p N Ci CO L C,4 N C C fU r • ~ N `O O O N N U y y, N H 1Y O Z c Y ^ L (n ~ w .m � a r xt a d - 4 • 0. d .0 d C� IL