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SAFETY AND BUILDINGS DIVISION commerce.wl.gov Integrated Services Bureau 13 East Spruce Street INSPECTION REPORT Chippewa Falls, e. 54729 i sc o n s i n www.commerce.sta 726 2544 (715) 726 -2544 Department of Commerce Richard J. Leinenkugel, Secretary Date of Inspection: April 21, 2010 Plumber Name and Address: Project Name: Campbell Roger Nelson, MP 226497 Use: Residential 122 E. Summit Ave. Legal Description: SE, SE, 22, 28, 19W Ellsworth, WI 54011 Site Number: 745767 Subdivision: Lot 32, The Tribute Certified Soil Tester Name and Address: Municipality: Town of Troy Marry Jo Huppert, CST 224832 County: St. Croix Plan Transaction Number: 1635222 Sanitary Permit Number: 515040 Owner Name and Address: Zac & Brooke Campbell Wastewater Flow: 450 gpd 242 Legacy Ct Persons Present: P. Quinn & R. River Falls, WI 54022 Yarrington This inspection was completed pursuant to s. 145.20 (3) (b) Wis. Stats., as part of the annual audit of the St. Croix County Private Onsite Wastewater Treatment System program. The following code discrepancies were noted at this site and require attention by the owner and the installing plumber. 1. The mound's soil cover is not compliant in that is it less than 12 inches depth over the centerline of the mound and less than 6 inches at the outside edge of the cell. The synthetic fabric and aggregate are exposed at the end of the mound. Since it appears that the owner is completing final landscaping, both the owner and plumber need to discuss whether adequate soil cover existed prior to the initial landscaping and how landscaping can be properly completed at this time without creating a code violation. Please see that the above discrepancies are corrected by June 11, 2010. The plumber will need to contact either the county inspector or me for an inspection of the corrected installation. If you have any questions regarding this report, please contact me. Leroy G. Ja ky, PSV, Wast ater Specialist leroy.jansky @wisconsin.gov E -mail 715/726 -2544 Voice 715/726 -2549 Fax cc: ®County ® Plumber ❑ CST ❑ Owner ❑ Other I Wisconsin Npartment of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515040 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, 05.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Campbell, Zac & Brooke Troy, Town of 040 - 1303 -00 -032 CST BM Elev: Insp. BM Elev: BM Description: r Section/Town/Range /Map No: 22.28.19.1767 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' Benchmark Dosing +/� Alt. BM Jew. �•'T �17 19 Aeration) a Bldg. Sewer 2 / ' Holding St /Ht Inlet fU. r j .6� TANK SETBACK INFORMATION St /Ht Outlet TANK TO 1 P/L WELL qDG. Vent to Air Intake ROAD Dt Inlet Septic ` t Dt Bott om Dosing 7 Header /Man. ( '41 . Aeration Dist. Pipe V ! j Holding i Bot. System PUMP /SIPHON INFORMATION Final Grade 3.�(p 161-1414 /Zl Manufacturer r Demand St Covec ; Cw ='GL) GPM � i�z�• d , Model Number � Z7. 19 TDH Friction L� System Head .- TDH g r MO 2 D Forcemain Length r D Dist. to Well / s l SOIL ABSORPTION SYSTEM BED/TRENCH Width ! Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 {ar. `• __ ' '_.- SETBACK SYSTEM TO /L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION a CHAMBER OR Type System: E . UNIT Model Number: DISTR BUTION SYSTEM l He amfold , Distribution x Hole Si / / x Hole Spacin� / Vppt to Air Intake 4W ��pp Pipe(s) a IV erfgt Dia Length y3- Dia /! Spacing � 3 Z " 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 1 Bed/Trench Edges � Topsoil 1 6 4 yes No Yes [J No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: - / t' / '4 Inspection #2: i Location: 242 Legacy Court River Falls, WI 54022 (SE 1/4 SE 1/4 22 T28N R19W) Walnut Hill Farm aka The T But Lo PArcel Nqe 22.28.19.1767 1.) Alt SM Description = �" ; t t � s•a;:. ' ., >. ,x; » � '" .L. (. L� �. 2.) Bldg sewer length= 3c' - - amount of cover = / 4Signatur Ptan revision Required? Yes No L Use other side for additional information. .J Date Insep Cert , No SBD -6710 (R.3/97) i i i commerce.whgov Safety an =u u dings Division County 201 W. Washin Ave., P.O. Box 7162 t / Q+'� Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commer" Sanitary Permit Application StateTransacti ° nN °tuber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental G 3 z, Z Z unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department rovi of Commerce. Personal information you su p y p p urposes in accordance with the Privacy Law, s. 15.04 I m , Slats. Z�f Z r C q G l� ov 1. A lication Information — Please Print All Information Property Owner's Name Par el # Z ,t 4- coo *�e r r a 9 2009 /0 130 -00 —o3a Property Owner's Mai I ing Address Pro erty Location / 7ec / 7/� `��5��� "4u �o ` ST. CFt01X iJUNTY Go .Lot ( • City, State CJ / Zip Code Pho y., y., Section o . /l [ , p� c 4 /5O circle on (,l K/ v(/ f lJ T N; R � E II. Type of Building (check all that apply) jj�C 4D Lot # I I or Family Dwelling — Number ofBedrootns _ubdi.Y�si Q�nNp�tney_ -___ Block # 7 / �� ❑ Public/Commercial - Describe Use I 5�,t ❑City of . (,,,,/�-- # 1 ❑State Owned - Describe Use / CSM Number ❑ Village of &T OW nOf d✓ IIl. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System 11 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) 6^ A7 ❑ Non - Pressurized In -Ground ❑ Pressurized In- Ground ❑ At -Grade Mound > 24 in. ofsuitable soil ❑ Mound < 24 in. of suitable soil e v' I ❑ Holding Tank ❑Other Dispersal Component (explain) Pretr atment a ice (explain) V. Dispersal/Treatment Area Information: wn r Design Flow (gpd) / Design Soil Application Rat (g f) Dispersal Area Required (so Dispersal rea Propose s System Elevation Vl. Tank Info Capacity in Total # of /fi 44artufaaurer y Gallons Gallons Units K // ✓ .G. r f. � F �� r "� o o New Tanks Existing Tanks � � / I X l� y �j Pr` a tg W rn w C7 a Septic or Holding Tank QC Dosing Chamber G-0 VII. Responsibility Statement I, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) ` Plumbers; igriature �1 MP /bAPR6 Number Business Phone Number Plumb is Address (Street, City, State, Zip Code) f P �� �r/or h �fJ tS G D! VIII. Count /De artment Use Onl Approved ❑ isa ed 6 Permit Fee sued Issuing t Signature 13 ne ven Reaso Denial $ 5 Z r IX. Conditl9VSqt4oVVf *easons for Disapproval 1. Septic tank, effluent filter and 9� /a ����, a-A dispersal cell must all be services / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained 0 n S C C 4 /G i✓� Attach to complete plans for the system and submit to the County onl on paper n Z than 8 1/2 x 11 i'es 1n SBD -6398 (R. 01/07) Valid thru 01/09 r� PIot Plan Page 8 of8 PrOperly OWWff eAM.p Be.L, 7_,ye � Z&OCKE 1 " =4ofx Legal D"CrOdOx 6-1 3z I t s �� 8u7�, _.._, � (except where noted). 5E1/y �� T sz z, Igyj RIqw Tower Q F �`- = Backhoe pit TRat / st. ego +x cv N y� t,u s ►,v , _ j, 0 YO ArVZtP cc WELL North 0 � 9. v �� a �-A° / d o , I E' ICP y� 10 0 K Soe�TEF- p t� ? Site Location: 3 �� I e � ZZ Z7 2 3 1 � ,°►2 G ECO Plot Plan Wage 8 of Property Oxwer C AAAP Br r --L, z,-,e TbFo 1 » =40f� Legal Dcrcr4P&n Lct - - F z R , g; (c wept where noted) 6 'rh E SCYC4 5Z7- r T4 R►4 w Towns F ] BQekkoe .040 ACRE`P � t� �aop W North 0 9. v D ° � N, Aj° S10 � a a � d Q tr K SowTkF- p 1i ? Site Location: F II , � sic .c ZZ- X a Safety and Buildings PO BOX 7162 commercemi.gov MADISON WI 53707 -7162 Contact Through Relay isconsin www.w www.coe.wi.gov/s sin.go / iscosin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary February 13, 2009 CUST ID No. 224832 ATTN: POWTS Inspector ZONING OFFICE MARY JO HUPPERT ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/13/2011 SITE: Identification Numbers Zac &Brooke Campbell - Dwelling Transaction ID No. 1635222 Legacy Court Site ID No. 745767 Town of Troy, 54022 St Croix County Please refer to both identification numbers, SE1 /4, SE1 /4, S22, T28N, R19W above, in all correspondence with the agency. Lot: 32, Subdivision: Tribute FOR: Description: Mound Object Type: POWTS Component Manual Regulated Object ID No.: 1216416 Maintenance required; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY, APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(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 Department per s. 145.06, stats. 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 R C construction /installation/operation. Ct -1'Zu In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should I conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review A, shall relieve the designer of the responsibility for designing a safe building, structure, or component. DT AEP Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address DIVISi 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 SL_E CO SRI installation, operation or maintenance of the POWTS. MARY JO HUPPERT Page 2 2/13/2009 ;ter ere Fee Required $ 250.00 Fee Received $ 175.00 Invoiced Amt $ 75.00 E Pagel This Amount Will Be Invoiced. Private Sewage Plan Re i wer , Integrated Services When You Receive That (608)266-2889, M - F, 00 - 1430 Hrs Invoice, Please Include a Copy pete.pagel @wisconsin.gov With Your Payment Submittal. WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. RECEIVED MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN FEB 1 2 2009 Residential Application SAFETY & BUILDINGS INDEX AND TITLE PAGE Project Name: ZAC & BROOKE CAMPBELL Owner's Name: (same) Owner's Address: 1470 Pleasant Avenue Baldwin, WI 54002 1-4gal Description: SE 114 of the SE 1/4, S22, T28N, R19W Township: Troy County: St. Croix Subdivision Name: Tribute Lot Number: 32 Block Number: NA Parcel I.D. Number: 040 - 1303 - 00 - 032 Plan Transaction No.: ►'�, r Page 1 Index and title Page 2 Data entry �� Page 3 Mound drawings '•. +` Page 4 Lateral and dose tank * ;' MARY JO '* Page 5 System maintenance specifications HtlPPERT s Page 6 Management and contingency plan a t 1359 2 Page 7 Pump curve and specifications ;RtVEP "�LLS,,� Page 8 Plot''Plan V ftIG � a l n r, a ��►� Designer: Mary Jo He*i9ter,041/0P License Number: 1859 -007 Date: 02/09/09 Phone Number: (715) 426 -1775 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and r Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01 /01)� "• ], �• Version 5.1 (R. 06 /06) Page 1 of 8 F Y4 CS y SPQ I 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 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 4.00 Site Slope ( %) 98.70 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 46.001 Dispersal Cell Length Along Contour (ft) F 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) E Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation ft 3 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) = 6.82 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y A 89.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 10.12 Vertical Lift (ft) 41.55 5x Void Volume (gal) V. 4 ' ..... 0.48 Friction Loss (ft) 46.44 Minimum Dose Volume (gal) -- , - 0.50 In -line Filter Loss (ft) 27.19 System Demand (gpm) 17.60 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice C 0.75 1.25 x x 1.00 x 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 1 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser I Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.001 Dose Tank Capacity (gal) Best Filter Manufacturer 17.001 Dose Tank Volume (gal /in) BTGF10 -8 Filter Model Number Wieser I Manufacturer Project: ZAC & BROOKE CAMPBELL Page 2 of 8 Mound Plan and Cross Section Views ..................... ............................... T . .: .: .: .:-; .:-; .: .: .: .: .: .:-: .:-: . ;:• ............::.:.:.:.:.:.:.: .. J Observation Pipe T A W B : ....... ..... I .. :- L Mound Component Dimensions Down slop toe extension made. A 10.00 ft E 15.80 in H Aft ft K 8.66 ft B 45.00 ft F 9.25 in I ft L 62.33 ft D 11.00 in G 0.50 ft J ft W 30.86 450.00 (ft Dispersal Cell Area 1125.00 (ft Basal Area Available 10.00 (gpd /ft) Linear Loading Rate 4.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.39 (ft) --► G j F Dispersal Cell 100.12 (ft) Lateral 99.62 (ft) —� -- Invert Dispersal Cell] ..,.:.. Elevation D ,. 4 9 .70 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key a —� Dispersal Cell See lateral details on 1[] _Topsoil Cap ° 1.5 ft Page 4 for number, size, •������ Subsoil Cap c and spacing of laterals. ASTM C33 Sand 10 Laterals are equally Tilled Layer m 0.5 ft ::` Typical Lateral spaced from the Y = 0 distribution cell's © Aggregate a c centerline in the A - -* distribution cell (AxB). Project: ZAC & BROOKE CAMPBELL Page 3 of 8 End Connection Lateral Layout Diagram Cont*r the laterals ower rho A 8 B dimension •. Turn -up wrbf ll valvo or ci&inoutpluq P ' All laterals are i sontical 1E- X —) I Holes drill art 4he bottom of the lateral oquany spaced S laterals & force main of PVC Sch 40 !C (per OMM Table 84.30.5) S Force main cannectron wa tee or cross to manifold at any po"- Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.07 ft Lateral Length (P) 43.47 ft Orifices per Lateral 22 Lateral Spacing (S) 3.33 ft Orifice Density 6.82 ft /orifice Lateral Flow Rate 9.06 gpm Manifold Length 6.67 ft System Flow Rate 27.19 gpm Manifold Diameter 1.25 in Total Dynamic Head 17.60 ft Forcemain Velocity 2.78 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per WAC 4 in. min. NEC 300 and --� Comm 66. Disconnect ��-- Tank component is properly vented F— Altamatp rnrtlot location Forcemain diameter Wieser Manufacturer 2 in. Capacityl 650.00 Gallons Volume 17.00 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.50 365.56 B 2.00 34.00 C Pump off e levation (ft) C 2.73 46.44 90.00 D 12.00 204.00 D Total 38.24 650.00 Dose tank elevation (ft) " Bed ing under tank. ~- 89.00 Alarm Manuafacturer ITank Alert Alarm Model Number HW101 / Pump Manufacturer JGould Pump Model Number Pump Must Deliver I 27.19 gpm at 17.60 ft TDH Project: ZAC & BROOKE CAMPBELL 1 Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri-County Sanitation Phone 715 386 -2130 POWTS Regulator's Name St. Croix County Zonin Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak $b gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average AOO gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size ff 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 Lears� 5 a Mound Inspect for pondin and seepage once eve 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. J. All gravity and pressure piping materials contorm to the requirements in Comm 84, vvis. Adm. Lode. 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 Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: CAMPR�tLL `tAc i3p,00KE Page 5 o 8 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.01101), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01)] 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 filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, d 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 Svstem 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 mg1L FOG, and 10 dull 00 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 togging 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. Continency 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. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: CfliKP6�LLl ZAC � $�pOKE Page 6 of 8 (gJ GOULDS PUMPS Submersible Effluent Pump PE SMMVA mom KARIM rip— General: ■ cones, cow mraomsum, when 11s � 230v�oks ■ 1lhernit impe<lerand �. • solids tr rg: ��- taft with ara ln& feat ■ upper sleeve and lower nraxlnitan sphere. - am B insubtion. lwa" dray W bea* APKICATKRO • Automatic models imhrde a •Owed design, cortoudim f bat swAch. ' High shength carbon steel a Motor is pena wrendy Specialy dedWW for t • Manual models ate. shaft. kbirated for wbwing uses: see PE31 Moor. servk* hk • Mound Systems P&tnnwMdwtOrUnW • 33 HP, 3800 RPM r Poweeed for amitinuou s • taw Pressure Pipe S �� capadl�r. 53 GSM * 11 5h� Pole desert ■ =are within due • Basenwe Draining • Maxhnurn head: 25' TDH PE41 Moto: barks of the MOW. • Heavy DWY Sump/ PE41 Pdnp: .40 HP, 3400 RPM r Q 2a d h , k*9 i iodinwn opa*. b1 G"A 115 and 230 volts how du 1G13 wfttr • Maximum head: 29' TDH ` PSC i 15 a 230 v°k gmurlding PE51 haw PE51 Motor: • ArlaxhntipM1 apiary: 70 GPM � . 2i1 � v r unit is Ml • Madnqurn hark 37' TDH 3 compam METERS Fit • PSC IN � s" 1s tarborL 40 ,� O n w. BUNA and stakdess • - moon& PM. ff*1, rest • w►. J. as so I r Stairrss steel fasteners 10 ' 2 GPM _ r - * /WENLYLJS1rNm 25. _ _ • V ! C 17 20 - psi _ '' Tesetd ID U M atrtd 10� -- "" , _ G�uldai�iwEcitl6090bf e� T ��.•��M' 'rte t -� i = I• , , . T���.�.� �I °° 10 30 40 5 w 70 " so PRASE�'c L#Ntl fir.►. 0 7 112OoKE 5 10 is nrt In VUrsconsin Department of Commerce SOIL EVALUAT ON REPORT eg P age 1 Of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST. CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 040 - 1303 - 00 - 032 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. i 7 .7 Please print MCRUX Personal information you provide may be used . 15. 1) (m)), I/WVL 3 Q Property Owner Prope Location ZAC & BROOKE CAvt. L SE 1/4 SE 1/4 S 22 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# U2 1470 Pleasant AvY 32 -- , Trribute City State Zip Code Village W Town Nearest Road Baldwin, WI 1 54002 ( ) NK Legacy Court Q New Construction UseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material loess over till Rood Plain elevation if applicable U ft. General comments Mound System -- 0.92 ft. sand fill -- 0.4c loading rate and recommendations: k / ���_ /_ 5 / Ac' I / 5 J� 1 �6rh2 -�i• -- ( ,400 Iss am) a uk - TD CLc:rt tl l'A; 8P DtJ /11J6 a Boring # 0 Boring Q Pit Ground surface elev. 97.60 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -8 10YR3 /2 -- 1 3fabk &gr mvfr ai 3vf -m 0.6 0.8 2 8 -16 10YR3 /4 - sit 2f -mabk mfr cs 2vf-m 0.6 0.8 3 16 -25 10YR3/4 - sit 3fabk mfr as 2vf-m 0.6 0.8 4 25 - 32 7.5YR4/6 c2d lOYR5 /4 sit 2f -mabk mfr -- lvf-f 1 0.6 0.8 Horizon 2 has some broken 2mp1. ❑ 2 Boring # Boring 99.40 30 El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -8 10YR3 /2 1 3fabk &gr mv a s 3vf -m 0.6 0.8 2 8 -16 1OYR4 /3 - sit 2f -mabk mfr cs 2vf -m 0.6 0.8 3 16 -24 10YR4 /3 - sit 2fabk mfr cs 2vf -m 0.6 0.8 4 24 -30 7.5YR4/6 - SO 3f -mabk mfi as lvf -f 0.4 0.6 5 30 -36 7.5YR4/6 f2f IOYR4 /6 scl Om mfi -- -- 0.0 0.0 Horizon 2 has some broken 2mp1; Horizons 4 &5 have some gr & cobs. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 nx A- and TSS < 30 mg/L CST Name (Please Print) _ _ re CST Number Mary 7o Hu ert ollister's Soil Testing & Design) (} 224832 Address Date E u Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 02-09-09 (715) 426 - 1775 I n � Pag Property Owner CAMPBELL, Zac & Brooke Parcel ID # 040 - 1303 - 00 - 032 Pa e 2 of 3 Boring 3❑ Boring # E] Pit Ground surface elev. 97.30 ft. Depth to limiting factor 50 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0 -6 10YR3/2 -- I 3fabk &gr mvfr as 3vf -co 0.6 0.8 2 6 -15 10YR4 /3 -- sil 2f -mabk mvfr cs 2vf-co 0.6 0.8 3 15-24 10YR3 /4 -- sil 3f -mabk mfr cs 3vf-co 0.6 0.8 4 24 -36 7.5YR4/6 __ sl 2f -mabk dh cb 2vf -m 0.6 1.0 5 36 -50 7.5YR4/6 -- is Osg dl ab Ivf -m 0.7 1.6 6 50 -55 7.5YR4/6 f2d 10YR5 /6 Is Om dsh -- -- 0.5 1.0 orizon 2 has some broken 2mp1; horizons 4 &5 have some gr & cobs. ❑ Boring # Boring 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Mu nsell Q u. Sz. Cont. Color Gr. Sz. Sh. 'Ef(#1 `EINQ I F-1 Bo Boring nng # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg& * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity p q pportu ty 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- 9330Test (R07 /00) Plot Plan for Site and Soil ,Evulua don Page 3 of 3 Property Owner eAMF BELc. -, Z Ae— �- ZgD oKE_ 1 4Q Legal Descriptwn Le 3Z, -rn E T iz bi TE . (em where noted) - '� u r- Tt% -< SZz •rzvAj. Rt4 w Toat)�; F v = BacUoepit TRoV s7. er.01, C0i4Ai 'l/, WlSedV:S j a U O ACRES North a v � rv' z Site Locatiion: F C�, We . a. WV 4 i 12.5' S. F. 37 -- °' ► 15, 496 S. F• � I N — � 4 Ac. --•I ►� 1,14 Ac -- — Jo 'I I I v I .--- -- - - - - -� ' I N 89'18'30 L E 329.55' 89'18'30 W 218.34' JOINT - _ rn Ln 89 1830" E 217.73' w - - ' 4 - - -- o Qo \ If O 52 - - - -_.- I I S 89'18 30" W 329.58' ► IL I cn Icr IP 36 N w I N o 68 o loo I 494 04 S.F wI o I v F I w w w i 1.13 Ac. a , 48873 S.F w I c° : I LN 89_06'05" E 329.63' �� 1.12 Ac. I m I m CA IOIC — Z I I Io F- _ IZI - 43. s0 — — -- 35 — --� o b 2 0635' . I ^'- to j N 87'11�1g��w 250.15' 66 i� 45369 S.F. I ImI N► 33' 00' 33' 1 L_ 1.04 Ac, o f I 69 I 53 O 0D 54 0 .1 N 88 --- --- " yy 329.90' = D W - 48513 S.F. 1 2 1 301,13' �r*,I 11 Ac. t' � , / 34 / 28.77 Icnl� o — / / / ! l 44747 S.F. 1.03 Ac. / I 2 � I 15' a _88.35_ 54 p W 228-50' 2 (Z W co W 22 8.50' "� ��'?' �� `` 33 I w 4 'sr 47655 S.F. 03.81' �9s 2 8 1 9 `S 9 s� d' � 23 \ 1.09 Ac. I 8 26 24 25 ► N st 52. „-- 30 w \47722 S.F. { \ 1.10 Ac,/. � ` 29 \ �° 54475 S.F.\ 4s 32 IN \ a•\ 287 S.F. N 25 Ac. 31 �s� 1.04 Ac. I a i 45409 S.F. A — 1.04 Ac, a — — 2 02, L 352.26' �, 139.70' S©OTH LINE OF THE SE 1/4 S / E CORNER SEC. 22 . ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer za c -0 / '5G 6 o & P C�C•l 1??� 1� Mailing Address Property Address °� `� Z t-� fiq e t ( / Verification required from anning Zoning Department for new c City /State 50 l V � Parcel Identification Number � % 0 l,� �� � — ©O - 03 � LEGAL DESCRIPTION Property Location L� '/4 , cS Z ' /4 ,Sec. e�� T _a!�N R / Town of Subdivision Lot # 3 Z- Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable es 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. Uwe 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 I::" P _- Z / 1 Z/ O3 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 warranty deed. (REV. 08/05) 1 111111 Illil IIIII III {I fi(II IIIII li(f 111(11 (III lil( * 8 8 6 9 8 0 1 State Bar of Wisconsin Form 1 -2003 8$6980 WARRANTY DEED BETH PABST REGISTER OF DEEDS Document Number Document Name ST. CROTX CO., WI RECEIVED FOR RECORD 01/20/2009 02:45PM THIS DEED, made between Brightkeys Development Corporation, a Minnesota WARRANTY DEED Corporation EXEMPT I ( "Grantor," whether one or more), REC FEE: 11.00 and Zac Campbell and Brooke Campbell, husband and wife TRANS FEE: 225.00 PAGES: 1 ( "Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area / estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is Name and Return Address needed, please attach addendum): River Valley Abstract &Title, Inc. 1200 Hosford Street, Suite 201 Lot 32, Plat of Walnut Hill Farm in the Town of Troy, St. Croix County, Wisconsin Hudson, WI 54016 File # 2801117 040 - 1303 -00 -032 Parcel Identification Number (PIN) This i not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, restrictions and rights -of -way of record, if any. Dated January 1 , 2009 Bri hIkUs Development Corporation (SE A'1 j -j S (SEAL) * * Philip S. Dommer, Vice President (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) - - STATE OF WISCONSIN ) authenticated on ; ) ss. St. Croix COUNTY ) Personally came before me on January Aa , 2009 , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Philip S. Dommer, Vice President of Bright keys Development Corporation (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrumen d ac n wledged the sa e THIS INSTRUMENT DRAFTED BY: Attorney Doug Berg Notary Publ' State of Wisconsin 1200 Hosford Street, Suite 201 Hudson, WI 54016 My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 1 -2003 • type name below signatures. 1 of 1 CROIX COUN P LANNING & ZONING w,wc�-. ,ate.. eraz•- rfl, ,r+iersara.�r.,m�a .,vmr,_mw.m.,.�,:ramam� m .,... ,.:uw, n e ...zr.. - EROSION & SEDIMENT CONTROL PLAN . , Site location: 242 Legacy Court, Lot 32 of Walnut Hill, Town of Troy Owner(s): Zac and Brooke Campbell Parcel ID #22.28.19.1767 Code Administ 715 - 386 -4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land Infonmatio addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715 - 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.htmi) Real Property 715- 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 - 386- 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation and driveway excavation, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and /or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. (A specification sheet for temporary diversions is available from county). 4. It is likely that contaminated runoff will not be contained with temporary diversions, so installation of approved sediment control products (straw wattles, silt fence, etc.) as shown on engineer's site plan will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and recommend additional action required to comply with applicable regulations. Control measures should be installed prior to mound plowing. ST. CRO1X COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD HUDSON, W1 54016 715386 FAx PZCaCO. SA1NT-CRO1X. W1. US W W W.CO. SAI NT-C ROIX. W I. U S Page Two — ESC Plan Acknowledgement Form 5. bilize exposed soils (septic system included) with seed and mulch immediately after installation - DO OT wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. n late - season weather conditions will not permit seed germination, a heavy straw mulch cover will pre erosion until vegetation can be established. Erosion control matting can be applied any time of year and talled properly, will provide protection even if seed germination is delayed. The owner rd during site construction will be responsible for compliance with state and county code requirement pecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding ero & sediment control product installation. PLAN PREPA BY: RYAN YARRINGTON, SOIL EROSION INSPECTOR #683475 Owner ac wiedizement of ESC Plan requirements: _/_/2009 (PleaseA6 and return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and mai goiance agreement, which is given to the plumber at time of permit issuance.) ovide copies for excavation contractor, plumber, and town building inspector as needed 6 li Sr CRO1X COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HuosoN, W/ 54016 715. 386.4686 FAX PZ @CO. SA/NT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US Wisconsin Department of Cwvnerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code CW* ST G ie o/ 1 L- W ude, but n EROSION CONTROL PLAN must be Parcel I.D. C it � completed before sanitary permit issuance °�' L Pe A40.6-3 6— b R viewed by Date Personal kdortaation you Provide may be used for secondary PjPmes tPnvecy Low. s. 15.04 (1) (m)). c A j � '%40.? V Propenyowner Property �3 E S T�D C�IJ // #4 Cpvt LAt !fl ( yq S 1/4 S � T ZB N R l / 46 (or) w Rap" Owner's Mailing Address Lot # Block Tj Subd. Name or CSM# 4) 0 1 GA AV-0- - 3 2- wALNOr gull City ,SN State ap Code Phone Number ❑ City ❑ Village la Town Nearest Road M,c (rkr7[1� Ef t 5-50 We 651 �y8' to� -rRoy so: &JouER 0 01 New C utruction Use: 0 Residential / Number of bedrooms Code derived design flow rate 0 � D'o GPD ❑ Replacernent ❑ Public or commercial - Describe: t A Parent material /O0 01 A!4t. SG f61 _ Flood Plain elevation if applicable r— fL G tions: •Ajfe,- 7'E •' 5017 - lVe s y5 Z(S %N G — �� Sf! - �Vp f( /( /( . N FTI Boring # 0 5 7 , Z s'ss' r ® Ph Ground scxtace elev. ft. Depth to lirriting factor Sod AppkaGon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQff b IM Munsed Qu. SL Court. Color Gr. SL Sh. 'EN#1 'Etf#2 � o•s .oyR��3 � zi�,sh w 3� . S .� N 2. s • /3 AD fle y Si / -6Sh S A / f ' Z- • 3 %A / .2.5 14 S << z hK �GI s .s • (9 z 25 ci o -4o r 5GL. 1jc5h • Z • 3 U # ❑ Borin 1 ,9 1) . ! 2� S S S • �, ® Pit Ground surface elev. ft. Depth to knibrg factor in. sod Application Rate t^ Mortzon Depth Dominant Redgx Desaiption Texture Structure Consistence Borrdary Roots GPD/if� � In. MrmseN Qu. Sz. Cont. Color Gr. SL Sh. 'Etf#1 / d) /d 3 L .?64 13 f • s N 2- i S /C_ S • 3 N 5 2 C 5 . S . • s •s cZ � 5cL / . Z • 3 /Dl i2 S/ ' Effluent #1 = BOD > 30 1220 nglL and TSS >30 1 150 mall ' Effluent #2 = BOD < 30 mglL TSS _< 30 n#L CST Name (Please Prl*) R 'Lt LB R t C k'r Signature Z 5 'dress Ulbricht & Assgciates 5 Date Evaluation Conducted 7t S 7e y Private 7� 2812 1 Oth Ave. Spring Valley, WI 54767 P %mss 4PRRO x • 2 - yo &tZs . oya • /o8s • so • � p yo . / 1 0 96 . /o • ono dyp • /0g6. 20 • oV10 o yo • 108 6 ' MV 05'0 • /o �� - 70. 6M o y p • /D�� • & • oaa TOI�l� T✓ ?E � 5 T�D? f�rnpert,r Parcel I D # G p f 3 2— Z '? page of ESI p t Ground surface etev. ft_ th to in. DeF �� #actor � Florizott Depth Do se Rectort3esa in. MM Texture SftIx* g Consistence Boundary Roots GPDAf° unson Qu. Sz Cont Color Gr. Sz. Sh. `Ef##1 `E}� p cS S I-Ie5 d UGC • Z 3 F — ] Boring # F-I Bon Q pit Ground swface elev. ft. Depth to kniting factor In- SoIlAppWalion bate Nocizon Depth DorninaM Redox Description Texture Structure Consistence Boundary Roots GPDttf in Munson, Qu. Sz. cont Color Gr. Sz. Sh. 'Elf#'# 4 092 Boring El Pit Ground surface elev. ft. Depth to ' In. Srxg Application Rate Horton Depth DomFnant Color Redox Description. Texture StructT6 Consistence Boundary Roots t In. Munson Qu. Sz. Cont. Color Ca-r Sh. •Mi 'Eff#2 Sating t , El Bering -- - pit Ground surface oleo. ##. Depfh to 9 factor &n. Sod ftpkaWn Rate Hmtzon Depth DOMIM tt Cdor Redox DescdPkn- Texture Structure Consistence Boundary Roves GPDRF in. Munsell Qu. Sz Cont. color Gr. Sz Sh. 'Etf#1 `Eff#2 e Effluent #1 = BOD > 30 1 220 mgfl.. and TSS >30 �E 150 mgtL Effluent #2 = BOD, < 30 tr g& and TSS < 30 mg+t. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or treed material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608-264-8777. 264 -8777. sea.aaiotRSmot PLOT PLAN WA LN U T HILLS FARM. LOT # 3 1"" Pg. 3 of 3 G1 = Contour elevation lines. • = Backhoe Soil pits. 0 = Benchmarks set, maRKED WITH FLAGGED lathes. 1/2" steel conduit pipes. SCALE: 1" = 30 1 5 7 Ztu�,�v �`9o C Al--e E K Ig �� OA r ' o. 1. Ia ° tr A3 2 14 1 o �. � � � o• y9,5o z 15 A qqq R ST CROIX C �u�. 0 24 PLANNING &. ZONING rf 6 ypplNG O EROSION & SEDIMENT CONTROL PLAN Site location: 242 Legacy Court, Lot 32 of Walnut Hill, Town of Troy Owner(s): Zac and Brooke Campbell Parcel ID #22.28.19.1767 Code Administ 715 - 386 -4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land InFormatio addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and/or landowner to follow erosion control procedures and maintain them until 715 - 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www.commerce.state.wi.us/SB/SB-DivCodesListing.htmi) Real Property 715 386 - 4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 - 386- 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation and driveway excavation, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and /or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. (A specification sheet for temporary diversions is available from county). 4. It is likely that contaminated runoff will not be contained with temporary diversions, so installation of approved sediment control products (straw wattles, silt fence, etc.) as shown on engineer's site plan will be required. The POWTS inspector and /or building inspector will evaluate ESC plan effectiveness and recommend additional action required to comply with applicable regulations, Control measures should be installed prior to mound plowing. ST. CROIX COUNTY GOVERNMENT CENTER 1 1 O f CARMICHAEL ROAD, HUDSON W1 54016 715 = 386.4686 FAX °zgco.SAINT-CRoa.Wl.US WWw.COSAWT- CROMWI U F, - - Page Two — ESC Plan Acknowledgement Form 5. bilize exposed soils (septic system included) with seed and mulch immediately after installation - DO OT wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. n late- season weather conditions will not permit seed germination, a heavy straw mulch cover will pre erosion until vegetation can be established. Erosion control matting can be applied any time of year and tailed properly, will provide protection even if seed germination is delayed. The owner rd during site construction will be responsible for compliance with state and county code requirement pecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding ero & sediment control product installation. PLAN PREPA BY: RYAN YARRINGTON, SOIL EROSION INSPECTOR #683475 Owner ackp of ESC Plan requirements: 1` - 5 /14/2009 (Please and return original ESC form to Planning &,' ing Vept. A copy is attached to the owner's permit and mai ance agreement, which is given to the plumber at time of permit issuance.) ovide copies for excavation contractor, plumber, and town building inspector as needed ST. CROIx COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715- 386 -4686 FAx Pz @CO.SAImncROIx.Wl.U5 WWW.00.SA1NT- CR0IX.WI.