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HomeMy WebLinkAbout042-1016-10-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453126 0 GENERAL INFORMATION (ATTf-kC H T* PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, 15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: We land, Vic & Clara Warren Township 042 - 1016 -10 -200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / C . I ' ( < °, -r 13 ^-_ - t t t 07.29.18.97C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic i Benchmark ices. V Dosing Alt. BM Aeration Bldg. Sewer . _ Holding SUHt Inlet �• UL= 10 ( 7 `� J� 'C' _— St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �- SC: � > f Dt Bottom Dosing �, Header /Man. -� _ Aeration Dist. Pipe `ti io i i 3 i t Holding Bot. System 4 . — U , ; S � `{ PUMP /SIPH INFORMATION Final Grade Manufacturer Demand St Cover f' - fc_r > GPM Model Number C TDH Lift Friction Loss ._ ` ystem Head TDH Ft z� S i 3 9 t /v Sw Forcemain Length Dia. j Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width ` Length No. Of Trenches PIT DIMENSIONS No. Inside Dia. Liquid Depth DIMENSIONS °Z SETBACK SYSTEM TO P/L JBLDG 1W ELL LAKE /STREAM LEACHING Man slut INFORMATION CHAMBER O Type Of System: Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution I x Hale Size x Hole Spacing Vent to Air Intake Li Pipe(s) 2 3 Lengt Dia _ Length , -1 Dia t `/ f Spacing ) % �, ` SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx See d /Sodded xx Mulc ed Bed /Trench Center Bed/Trench Edges / �, Topsoil '� Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: t / =L / 04 Inspection #2:�_/ 1 / Location: 992 107th Ave Unknown (NE 1/4 NE 1/4 7 T29N R18W) NA Lot Parcel No: 07.29.18.97C 1.) Alt BM Description 2.) Bldg sewer length = -amount of cover= C c� Plan revision Required? Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature A, Safety and Buildings Division County C 2 © ( 201 W. Washington Ave., P.O. Box 7162 Madis�•n, W - IV E D a ry Permit Number (lobe filled in by Co.) viscon (608) 6 31 ' V E Q ,S (z Department of Commerce Sanit ermit A hcatl ' Stan Plan I.D. Number Q � / 2 �,7 ^ ' S y pp APR 1 6 2004 o = S # In accord with Comm 83.21, Wis. Adm. Code, personal informati you provide pro' ct Address (if different than mailing address) may be used for secondary purposes Privacy Law, s15.04 1)(m) ,ST. CRUXCOUMT� I. Application Information - Please Print All Information 6 /0 a g�� Property Owner s Na me Parcel # Block # Property Owner's M ailing Address Property Location "7e / /v /a,Section — 7_ City, St e Zip Code Phone Number (circle o e) C T V N; R1 u or II. Type of Building (check all that apply) t Subdi�isld'tl"i�fame CSM Number 1 or 2 Family Dwelling - Number of Bedrooms V, �3 ❑ Public /Commercial - Describe U v _-� ❑ State Owned - Describe Use �,trww`` r D T ❑City _ ❑Villager ownship of iU�E III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A • `ANew System p y' g P Y ❑ Replacement S ❑ Treamneht /I- Ioldin Tank Replacement Only ❑Other Modification to Existing System B. El Permit Renewal 11 Permit Revision ❑ Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Ty e of POWTS System: (C ck ❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil El At -Grade El Single Pass Sand Filter C1 Constructed Wetland C, Presswized In Ground Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treat ent Area Information: Design Flow (gpd) esign Soil Application Rate(gpdsf) Dispersal Area Required (sf) ispersal Area Proposed (sf) System Elevation 1.0 ") t 3-3 q�5;0 / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank �K_ il/I Aerobic Treaunent Unit /�• Dosing Chamber / VII. Responsibility Statement I, the undersigned, assume responsibility for i nstallation of the POWTS shown on the attached plans. Plumber' Na me (Print) Plumbe S1 gnature MP /1 Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip C e) � L VIII. County/Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date ssued ssui Agent Signatur (No Stamps) Surcharge Fee) o� 2 ❑ Owne iven Reason for Denial IAAA LX. Conditions proval 1 SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced I malntaload as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 inches in size SBD -6398 (R. 01/03) PLOT PLAN Page 3 of Scale 1 " =L4 K�' 7_z of y`;PvC J S I D J v . a � a � • ? r N O � 01_ eeLL 7 i i �3 1 t 1 ( 3 ��* 1 �- \0�_0� oN \�� l►Z,.Q1.1 p11�L LpT cORNLI'2 . Z grh }4Z _ T �1.. loe. S � d�1 Top a= Cw1CP 300` TO goo `rr sr. 1 z) NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be \oo p gallon capacity manufactured by ttit L� eor►,�C . (W,L1r 1000 -r V6 VD/pr =ld60 Wit- �L`(Z?�• m�►P �clo 13t w���So.wl� . .4. Bench marks Szi_z PrsuV E 5. Divert surface water around system to prevent ponding at the uphill side. ��. Safety and Buildings 4003 N KINNEY COULEE RD r , ¢ LACROSSE WI 54601 -1831 r _.. � TDD #: (608) 264 -8777 I sconsIIf www.commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce `''- 2,03 i i Jim Doyle, Governor Cory L. Nettles, Secretary October 09, 2003 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2005 Identification Numbers Transaction ID No. 926257 SITE: Site ID No. 666048 Vic & Clara Weyland Please refer to both identification numbers, 107TH Ave above, in all correspondence with the agency. Town of Warren St Croix County NE1 /4, NEl /4, S7, T29N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 923691 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes CDi:1 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. APPS The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT OF General Approval Requirements: SEE CORRE • 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 (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTHUR L WEGERER Page 2 10/9/03 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 n Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET t9ke, e of BOUND SYSTIi1A S 2 3 FOR **11//'' A 3 BEDROOM RESIDENCE' Bt ass ,, � � f / This plan has been prepared in accordance with the M unv'Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P c cz_ ; //q 'c R. 1. t49� LOCATED IN THE N 1 /4 OF THE Nt� 1 /4 OF SECTION _ , T Z9 N, R TOWN OF ST. CR-t) �X COUNTY, WISCONSIN. X01 - L C3 Y- csm INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION ON PIPE LAYOUT PAGE 6 of 7 PUI.IPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR Z23 8 S t1) L1'-f F of W D FCpM y MERG PREPARED BY INGO WECGEF�EFt SO 31 L_ . TEST I r4CG SPONDENCE AND. DES = CS" Sr= ICE P.O. Box 74 421 N.Main.St. River Falls, 141 54022 N M9N�N�1 Phone 715 - 425 -0165 Fax 715 - 425 -6864 �,�5fl•5��' j WEGERE14 o"sfs � BLLSWORrH :` wtiS. • ' ••~••� i A '•�s��y S I G �• JOB NO. Mound System Management Plan page Z of Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. ThAzaerating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet felt r s hall be cleaned as necessary to e ro er o e 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 10 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, Safety and Buildings Division. Pu 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. . sary. Mound and Pressure Distribution S tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound r shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetrati on. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration r 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg /L FOG. 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 cleanin is required to maintain equal distribution within the dispersal cell. g Observation pipes within the dispersal cell shall be checked for effluent and an ec t ponding. Ponding levels shall be report y levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent oniito ngwner, General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous ases may be present g y p e t 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 an ete shall be secured b y effective locking device e to prevent accidental or unauthorized entry into a tank or component. Contfnoencv 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 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 and replacing cloed adsorption and dispersal media, and related piping, . acm P said components Operating condition, g P is as deemed necessary to bring the system into proper u Questions about the operation or maintenance of this system should be directed to: The County Zoning-Office at The system .installer at Y _ JV � SO)�'j The tank manufacturer at _ 0= 3`_�S The effluent filter manufacturer at IOU - '2Z! S7\ I Z;Y3-TL The pump manufacturer at PLOT PLAN Scale 1 " =L4 Q' Page o f �7 Sv 66 es v —� zo' o F q PN) Q � S ' o J v a a Q I X o � 30 _ � �D tioT eo�aR�r viz 1v�� t �fZuY.l T:k 1 To P U Ch'LCP 300` 1`O loo `r�I ST'. NOTES: _. 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). c tank to be � O 3. Septic � O gallon capacity manufactured by l,ute&kM coNC� -� C'�'•L�'tio - r" 1 L ��` .�r�tPl vlclo 13�'w�i� - z so Z , 4. Bench marks SZ$ 1 £ �. Divert surface water around system to prevent ponding at the uphill side. Page '407 7 Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand H �..r G Topsoil 3 E t o b '7 % Slope Distribution Cell of Force Main Plowed 2" to 2 Aggregate From Pump Layer � �•� = Ft. E •U Z Ft. CROSS SECTION OF A MOUND SYSTEM F 0.8 Ft. G o •S Ft. A Ft. H \ - Ft. Linear Loading Rate = O GPD /LN FT B s Ft. Design Loading Rate= 6_33GPD /SQ FT I Ft. F. J �o t K �_ Ft. Position L g3 Ft. of .. Force Main W Ft. t - Observation Pipe j -- - - -- - --� rQ«� o----------------- - - - - -- --------- - - - - -- - - - -- pax A L o_ �_Dlstribufion Cell of I z to 2k I Pipe aggregate Observation Pipe (Anchbr securely) PLAN DIET OF A MOUND SYSTEM Distribution Pipe Layout Pzce J of - J Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each late,-al up with the use of log, tt;rs or 45 f r�:ns to a point within six inches of the final grade. Te =Late the ends of the late.-als with a valve,:threaded caa or • threaded plug. Provide access fr s. om final Bade for the valve; threaded cap or threaded plu T`t L LZZSS N I C. PVC J FR Lateral — Manifold Lateral �Uteral � x Lateral Length — p Distncuticn Line C-- _ r --- i ��+- �'�•2ir � i,C�:3s Spy; I \ \ • �-- � Pir C u T''11.7 P Ft. Hole Diameter 311 b Inch 5 3 Ft. Lateral 1 �' Inch(es) X Z�( inches Manifold Inches Force Main " _ Z Inches i of holes /pipe �2_ Invert Elevation Of.Laterals -S Ft. . � l°1.�o.�U = �.2.S�K y = So.l6 s�►� . : PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE OF � YEIJT CAP 4 VENT PIPC INGATHER PROOF , APPROVE 2: 10' FROM ODOR, D LOCKING MANHOLE JUAJCTIOIJ 80X COVER WITH WARNING LABEL 12'MIU. WINDOW OR FRCSH I AIR IIJTAKE I GRAQE L. L V S 1 " MIU. • I - � 18' Mlu. CONDUIT - 1J3'l�IIN � ---- -- -- -- . ........... . 11� INLET PROVIDE _- ' AIRTIGHT SEAL APPROVED JOIIJT/ A I I APPROVED Jog$ I I I I I I I ALARM I . I I oIJ _ c I1 ° L._ FT. 1 - -GLEN: S Z.S . PUMP —" OFF 0 `") r3 p COMCKETE DLOCK 3" ADPf2eve� RISER EXIT PERMITTED OWLy IF TAWK MANUFACTURER HAS SUCH APPROVAL g SPECIFICATIOAIS DOSE ��1C1 S TA1.IK MAIJU FACT URCR. , IJUMBER OF DOSES: �' PER OA4 • �1S v TAAJK SIZE . GALLOWS DOSE VOLUME r ALARM MI1yUFACTURER: `S' `�� 1-0 S�'IS I "Ig INCLUDIAIG 6ACKFLOW: �� `' 4 GALLONS MODCL AJUMBCR: IQ� 1 CAPACITIES: A- S >uCHE5 OR 30 � ' Z GALLOUS SWITCH TyPLS L�2�1Zy • B =? _INCHES OR L G�LIOf►IS PPutAp MAMUFACTURER: L 1 M-2 C s S IIJCHES OR 10 �" � GALLOAIS MODEL WUMbEIL. D = `S " INCHES OR 36,4 , Z GALLONS SWITCH TYPE: � �- MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHARGE RATE S O' "D GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFPEREIJCE bETWEEIJ PUMP OFF AUO.OISTRIbUTIOIJ PIPE.. • S FEET + MILIIMUM SUPPLY PRESSURE 3 ' �S FCET ........... - � S FEET OF FORCE MAIM X S - OZ f 3, / Qo fLFRICTIOU FACTOR. �' FEET TOTAL OyWAMIC. HEAD = i W �fEET As per:aanufacturer �� Z� - gal /in. Liquid depth ME40 Series M"M 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 W 30 ~ Z 25 8 X 20 6 J = 15 J 0 4 ~O 10 F- 5 so .I 6 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 • 419/289 -1144 FAX 419/289 -6658 Telex W7443 K3326 7/91 Printed in U.S.A. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page , of Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code County 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. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Z Please print all information. Rev' wed by Date Personal information you provide may be used for secondary purposes (Priva Law, s. 15.04 ( 1 m)). Z 3 /� C Property Owner ) r y L on 1 / C �'Pr1Z VV ( Gent: -Lot- � 1/4 N 1/4 S " T Z N R E (or� Property Owner's Mailing Address lock # Subd. Name or CSM# ZZ3� S�CLIR L�v� ����1 4 CS , �03goei 1313 City State Zip Code Phone umb®r [� City ❑ Village ® Town Nearest Road [g—New Construction Use: Residential / Number of bedrooms J Code derived design flow rate Q GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material LL Flood Plain elevation if applicable 1 V Jg ft. General comments and recommendations: M b ICJ! (-� r K �S 1� l S �1'� ( @ Q -10)'J yv1 I iv 1 V h� t ` O[= S f k- F LL . Boring # ❑ Boring ® pit Ground surface elev. o ^ S ft. Depth to limiting factor n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 LA 9- Z q - S t o - a- A 3 2S -30 2. VI o L) Boring # ❑ Boring lI 1 [ pit Ground surface elev. X63 ft. Depth to limiting factor 3 � — in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft . In. Munsell .. Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-9 to%- tQ-3Lz _ S L i z�'sb� t� c.,.5 Z� . S -'6 q -3� to 3 6 _ sit 2Yn Sbk h L N_w 0 8 (-ctz S/8 si cJ c)�-, Effluent #1 = BOD, > 30 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 CST Name (Please Print) gnature CST Number Arthur L Wegeier C�, ,,m�'. 3 -� b �' - 220254 Address N e g e r e r Soil T e s t i n g & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, WI 54022 o _ 1 6- 0 3 715 -425 -0165 Property Owner \AJ Parcel ID # Page of _ R Boring # ❑ Boring ® Pit Ground surface elev, I S - 3 ft. Depth to limiting factor in. Soil Applicati on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 D-- 104 31 z s i Z. s Z 8 Zy 1 -f /6 - sl a�sbk cW 1� - S - 43 3 Zy -3 -� s� 23 �y — SO) 1 e S k M`N- 0 - k H. L4 3L V R � /y I F-1 Boring # E] Boring ❑ 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 I I Boring # ❑Boring Ground surface elev. ft. Depth to limiting Pit P tin factor ❑ 9 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 rr - F - T • 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.6/00) I PLOT PLAN Page 3 of Scale 1' J 0 J �0 y �.� \ \ t S1U\ 'n*1s nn, t p � ►' � �T �i�.x. . 100 `rte- sr. -LD 715- 425 -01,65 22025 o 3_ J 6g CST Signature Date Telephone I-To. CST NO. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page , of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 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. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 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 C- C �-'P �Z YV/� 6errt -dot- 1/4 N 1/4 S T Z q N R Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Z Z 3 S fNQ1 F� L P�v� 2 -- ,' C s�'l City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road �5g0oj I k, S�Ot b (Z 1S) 531 - cgS`f 1�1'tcz2�, 1 O `l 'N- PN EL New Construction Use: Residential / Number of bedrooms J Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material )L— \, S O v 1Z - 71 LL Flood Plain elevation if applicable ft_ General comments and recommendations: Y"1 b vYV�7 (� ' �S' 1� l S �lZ( U `Tl 0►v C� L- Y`�1 U A-i 1 Or- S Pfd I'1 LL . COtV�V2'�! l Oy . p' FT] Boring # ❑ Boring ® pit Ground surface elev. I�3 ^ 5 ft. Depth to limiting factor -S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 0 -9 �o z3 Z q -ZS �UHlZ3)b �w 1�' •s -� 3 zs_so �o�cfZ y lb �� fLS �� sic.\ c) V'- Boring # , ❑ Boring [ a pit Ground surface elev. ll� - CJ ft Depth to limiting factor 3� in. � Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 - 'Eff#2 1 0:.9 �0`1tZ3lZ _ g 1 24 yn`� Cw t 2M Sbk cw -):S Ll rz-qty 4 (L s sl cJ - rn� i - - •- Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L _ • Effluent #2 = BOD, < 30 mgll and TSS < 30 mg& CST Marne (Please Print) _ f _ nature N ,..1 t: CST Number; f. `O 3` _ L:b.�, :�., 2 ,. ' - � 22i�254 ` Address •W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number,.- 421 N. Bain St. River Falls, WI 54022 o 715 -425 -0165 Property Owner w �� YV Q Parcel ID # Page of _ ❑ Boring # ❑ Boring ® Pit Ground surface elev. S - 3 ft, Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 3 24 -3 D - is11 23 I S te ( 1 �s k -Z- L4 30 -`I 8 - 1 S V R Y/y `F ` 1,S �I 2 s /8 s i e J o w . Yrl 't - u Q D F -1 Boring # ❑ Boring ❑ 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil GPD //ft n Rate z 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/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 I services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 - 8777. SBD -9330 (R 6J00) PLOT PLAN Page 3 of 3 Scale 1' =W) ' J d J y A \ 9� , Cow, i pv� E i 1 �D �+Ol'C01�1P rrtT- GtZ � 1�L3YU \� `flf�s fitZa's`14 t 0to \� \1ZAN • p) �� � LpT COiZNl1'Z . Ct� CP 100 �t9- sr. C A- 0_b3 715- 425 -0165 220254 v CST Signature Date Telephone Ito. CST NO. Job NO. Pam Quinn From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Sent: Thursday, November 20, 2003 9:35 AM To: 'Pam Quinn' Subject: RE: "Buried A horizons" and old soil report I don't recall exactly what I told Shaun, but as I look at the soil test this site does not have A +4. An interpretative determination or monitoring will have to be completed. We are willing to accept some old (pre July 1, 2000) fill sites for use if soil development has occurred and there are no redox features in the fill. Fill sites are tricky, and more than 3 borings may be necessary to establish conditions across the site because of high varibility. I'd have to think about it some more, but this site probably was not suitable for a mound in 1996 when the test was completed. Leroy G. Jansky, Wastewater Specialist DComm - Safety and Buildings 13 East Spruce Street Chippewa Falls, WI 54729 (715) 726 -2544 Office (715) 828 -5902 Cell (715) 726 -2549 Fax • - - - -- Original Message - - - -- • From: Pam Quinn • Sent: Wednesday, November 19, 2003 12:53 PM • To: Leroy Jansky (E -mail) • Subject: "Buried A horizons" and old soil report > Shaun said he'd discussed a 1996 soil report with you, performed by Bob > Ulbricht, where B3 had an A horizon 10 Y/R 3/3 from 0 - 14" and a "buried > A > 14 - 33" with 10 Y/R 2/3 color. Heck, I'll fax the thing to you, but > Shaun > was referring to a portion of the code that any A horizon >20" thick that • may have been naturally (or unnaturally) filled requires an on -site • determination of suitability. I just was looking for clarification and > edification for myself - if the one boring is not viable, an additional • soil • boring would be necessary to design a mound on this site, correct? Shaun > did not make it clear to me where to find the code reference or maybe in > the > handbook? I'll add this information to our red policies binder category > "old perc & soil reports ". Thanks! • Pam Quinn, Zoning Technician • St. Croix Co. Zoning Dept. • pamq @co.saint- croix.wi.us 1 r y"Isconsin Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page / o f 3 • 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # W APPLICANT INFORMATION - 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 f/uH 13 / RD G AND Property Location PAw- 13,q / / ( Cp� Govt. Lot /V£ 1/4 Vb _1 /4,S 7 T 29 ,N,R �a p E (or)o Property Owner's t Block# Subd. Name or CSM# Mailing Address Mail ? 2 j Z Lo # 1545T �y�� i sr A47 �,�, . 81v y • ,,,:N�,E 15 z pENn�N� cs y �¢ Hof ,y iv o City State Zip Code Phone Number ,�/ Nearest Road 5f. Aut MN SS / o/ (l12_) 7-7-2- 5555 0 city ❑ Village L� Town X0 7 4vQ Lr'J New Construction Use: Bi esidential / Number of bedrooms 3 Addition to existing building ❑ Replacement Y El Public or commercial - Describe: �/ Code derived daily flow [,DO gpd Recommended design loading rate( bed, gpde ' trench, gpd" Absorption area required bed, ft 2 5 2 0 trench, ft Maximum design loading rain . T bed, gpd /fiz ' S trench, gpd/ft Recommended infiltration surface elevation(s) s-JW— Fq - 3 ft (as referred to site lan benchmark) Additional design /site considerations Si TE T� S7` D �C 4V //(FS M O v-JD P /FJE�' SysTE�l . Parent material 5767 51 5111'W-6 — / , ? I— Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground AT -Grade System in Fill Holding Tank U = Unsuitable for system El 0 ba l ❑ U E] S tL7 u El ❑ S 1�ru' [Is SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPDAl2 In. Munsell Qu. Sz. Cont. Color Texture' Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench AW L 4 f vo "' �b>I�t / f s6.� �i, i' al r , s Grou nd y � 0 3 � , s � G �/ ) ­An J_ w Depth to limiting J factor �in. T $SS Remarks: Boring # / o i s 1 /PtsXX- es' 7 Ground AV O J!/ f 56�c ih, 7 e S - S slay. -5 /o / / s /.�, _ 7 :, ft. S Depth to limiting factor S3 In. Remarks: y r` CST Name (Please Print) Signature Telephone No. �or3T Zl /c Gr7_ 396 - 8 /8S' Address Date CST Number t G 4 '5rXi 2 g Private Sewage Consultants 855 O'Neil Rd. Hudson, Wis. 54018 ORIGINAL r PROPERTY OWNER IIVW I-e4 SOIL DESCRIPTION REPORT - PARCEL I.D.11 LO T Z -! CS_A p �� o j -lJ(� Page Z of 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure 2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 3 ► o -lo /o ,e 3! � 17 e es z f Ground . C(S / 3 /O e C Si� elev. SJ,4t 41 - F R a A-' -7. /. 31"1 'tf Depth to limiting factor in. ; SSS Remarks: Boring # /'O ,e 313 /elf, %oIle ,5 c 2 S 4 Ground elev. "- 93 o ft. Depth to ; limiting factor SSS Remarks: Horizon Depth Dominant Color Mottles Structure in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots GPD f Boring # Gr. sz. sh. 012 / 1 � 3 Bed ,Trench /o.t lfs 6k nti, -F,- es 7, 10 313 o Ground C 2 � Al r/ N 9 7 el a it. S ''" ' Ai Depth to limiting factor ELI 6S5 Remarks: Boring # Ground elev. h. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08;85) j t r e. 1 k l re "D ; SO ie u E YOQ 'S I ` Z p A t-�i w I - O i CO ieP X e- n K) o Lo T" . �o L ©T Z 13s 3� Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 SvG6eSTC- t . R &5 i i 30 f3 i 8 Z - ,84cej%"e P t T-S r3 Z g sd o � y` sc�ti��sr�� .Gial�,vt� S W1 `2_,S0 53 -0 I3 S S Po " P7 . 3 oT3 0 /0 7 vo /il /UU rK1 1J:1L rA.k /1J Joo 4000 J1 VKd VV LVINIMI w.jvva ST CROIX COQ SEPTIC TANK M.AI MNMC$ AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer t/ M- ailing Address propeM Address a` la �� F artment for new construction) (Verification required & nning Department � c '� City/Sta �� te _ o/'� - �� / ` Parcel Identification Number • - d . 00 EGAT. DESCRIPTION Property Location' /•, �JC ' / <, Sec. T t -R W, Town of G.✓�e Lot # Subdivision Certified Survey Map # {o � .,� � � f Volume � �"� . Page # . Volume _ 23 0 $ -- --,Page # 5.5 Warrauty Deed # . _ � _ Spec house ❑ y es p no Lot litres identifiable) yes ❑ no , SYS'I EM per maintenance Improper use and maintenance of your septic system could result in its prcmattuc failure to haadl wastes. but into the system consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. can affect the function of the septic tank as a treatment stage in the waste disposal system The property owner agrees to submit to Sr . Croix Zoning Depsitmeat a certification form, signed by the owner and 6y a masterplumber,l ur ey�P -site wastcvraterdisposalsYrttm o lurmber, restrictedplurnber or a licensed pumpervcrifYing tbat(1) t h e on the septic tank is less than 1!3 full of sludge. is in proper operatimc condition and/or (2) a13or inspection and pumping (if necessary), cd have read the above requirements and agree to maintain the private sewage disposal system with the standards Vwe, the undccsign set forth, herein, as set by the Department of Commerce and the Department of need t al th hrO Resources, State Wo ning o�Ce thin 30 stati)2 t your epdc tem has been maintained must be completed and returned te S t. C C roix Count y Zoning days f tin ye e�iration date. DATE SIG A'IURB APPL.CANT O was WNER CEIZTIFICATT ON tinowlc our d e am the o d s) of We) eertity tha statements on this for= brae to the best of my (our) g I ( we ) ( arc ) the p perty des bed , by virtue_of warranty deed recorded in Register of Deeds Office. DATE SI 2 ATURE O PLI ssssss y CAtr1' An iafocmation that is mis- represented may result in the sanitary permit being revoked by the Zoning Depa itnient. ss Include with this application: a stamgcd warranty deed, from the Register ro � � Offtc ft the ry decd a copy of the certified survey uaap # 4/14/2004 16:41 St. Croix County Sharon Fuller- +HALVORSON, CHAD 2/2 j 2 3 0 8 P 5 5 1 - 72C=3s 'Ea � !l STATE BAR OF WMONSIN'FORM 2 - 1998 KATHI Rr - H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., NI This Deed, made between Franck Land, LLC, a Minnesota Limited RECEIVED FOR RECORD Liability Company 07 / 10 / 2003 09 -. 30AII WARRANTY DEED EXEUPT Grantor, and Victor Weyland and Clara L Weyland, husband and wife REC FEE: 1 i. 00 ^ _ TRANS FEE.- 153.80 COPY FEE: CC FEE; PAGESt 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St Croix County, State of Wisconsin: Recordine Area Name and Return Address Lot 2 f Certified Survey Map fried May 27, 1999 in Volume 13.yage 3653 as EStreen & Ogland o cument Number 603909, St. Croix County, Wisconsin 304 Loe[:st Street HUC180n, W1 540'16 Ll 8 042-1016-10-200 Parcel Identification Number (PIN) This is not homestead property. Cis) 0S not) Exceptions to warranties: Subject to easements, restrictions ,reservations,covenants and rights of way of record, if any. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone taking from them in the chain of title, to an arnount not to exceed the consideration expressed herein, that being the sum of $51,000.00. Dated this 30th day of June 2003 Francis Land, LLC « * by President * * Austin J. Baillon AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) )35. Ramsey County. ) Personally came before me this 30th day of authenticated this day of June 1 2003 the above named Austin J. Baillon TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (if not, in t and acknowled a the same. authorized by § 706.06, Wis. State.) THIS INSTRUMENT WAS DRAFTED BY v 1TAP P I AlUz gpM ■ Paul A. Baillon, Attorney at Law ' Paul A. Baillon y M o OMWSS40N E...ES 1,,.a., Notary Public, State of Wi a (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent (If not, state expiration date: necessary.) January 31 2005 ) .Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF W 13CONSIN FORM Ne. 2 - laea INFORMATION PROFESSIONALS COMPANY POND DU LAC. WI 600-655-2021 2 z P o 5 2 Y. HALVEIRSCR-4 HUNIES P-IC' CIA: �l FA 7 1. 5, V,3 x 1�. f P 4 cc pa, SI pf y 1 7 eo "0 O I S 41 14 At V) z � I , , ,, g U I awl i CERTIFIED SURVEY MAP Corner Ck Q Located in part of the NE} of the NEI of Section 1, T29N, R18W TDW St, croix County, Section 7 W z Wisconsin, N UNP a_i"f o " Q L ED L! k o ro 0 � k < ` N89 °3 '35 "E 3. 1' Q W 1 219.98' .98' 219.98' 180.00' 33.71 1- W — — 313,77' — — e 9.94 — 0 W W N M w LOT 4 LOT 3 LOT 2 LOT 1 H WI z 2,10 Acres Inc, RIW 1.10 Acres Inc. RAW 2,09 Acres Inc. R/W 2,89 Acres Inc, RIM N W ' x .x3 4 o 0 91,623 sq. Ft, 91,322 sq. Ft. 91,020 Sq. Ft, 115,825 Sq. Ft. i 3 in N 1,02 Acr Exc, R/W 2,02 Acres Exc, VW a 2.01 Acres Exc, R/W 2.37 Acres Exc, R/W 0 0 �,' N t� 81,992 Sq. Ft, ,� 87,992 Sq. ft. 87,992 Sq. Ft, 103,229 Sq. Ft, y i 01 M Co 3 — w, 0 0 1 0. . 1 r`t N 0 O N N N Q I Li I-N f 0 U N 0 0 N . iiAQ Z 0 N p p r 0 X z z 0 t: ZI x a �I u r; (D — --S89 1 39 1 35 "W 748,61' — — ni S89'39 / c 88,61' O 219.98' 219,98' r 219.98' I , �.' — — , F E ... n 2 W 9 05.41' IpREY RECORDED AS N89 4819 °E) W p 5" LEE OF THE HE 1/4 Of HE IA 9 LOT 3 AVENUE LQT I LOT 2 m 0 0 C.S.M. IN V8, PS C.S.M. IN .�261 0 _ _ Legend ` Alumunlm County section Monument Found offlej n 0, P5� 2457 Mumbird land Corporation O 1 "x24" Iron Pipe set, neighing 1,13 lbs East 1404 First National Bank Building Scale in Feet per linear foot. 331 Minnesota Street, Corner F 100' Roadway setback line St. Paul, MN 55101 Section 1 Proposed drive location at the discretion of the township L N PLA I TELL LANDS N89 ° 39' 35 "E 973.71 T 219.98 LOT 2 :. R/W 2.09 Acres Inc. R/W 1 ,020 Sq. Ft. R/W 2.02 Acres Exc. R/W 87,992 Sq. Ft. � r O 3C CD CD Ln Ln O O � N O G C 2 11 W 748 1 � ���` �.� if 5 W � �}q QQ L 1 9.98 1 L4 L8 v W 905.41 t (PREVIOUSLY REOROEU AS N89 4P 4 IF 14F 1/4 OF NE 1 A