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HomeMy WebLinkAbout042-1046-50-350 0 Cl) p - 0 0 r_ o d f c d o .cam. m (D ' m v H' -o (D m m Ts z 0 11 CD N C} O fb a < v A �� • � A4 � N �. N N H e-a O CD :Mt 7 j CD O CO N C- zJ E co 7 > z OD CD :J N 0 G) � N d 7 CT N O O cn R O O p 3 3 N y p �O � CO O Oa CD C z D Cp G CD z:` z w a c c cz. c N O i .: O cr :I N O O y N O C T Ln •rt 0 2 r r o !I Sri < w z O N N N w O D d � r -3 o =3 m N CD d m .d► N N 3 3 y N CL O o c D D a O c Da � - 3 a O h • N - I � fD ro N Oq N Z CD O N p Z CD Ch DI Q A Z 7 0 N C z 3 3 z 00 U) z CD w A I a CL o' T N c OZ C N i H ,A Z F I O ti O O V 0 b CD 00 ffl O O\ CD O CD 0 y a O d ti y r _ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488213 0 j GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal informatidn you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holdar� Name: City Village X Township Parcel Tax No: Nelson Gary Warren Town of QYZ- l ali to - So- 3 p CST BM Elev: Insp. BM Elev: BM Description: Section/Tow R ge /Map No: ti A T 17.29.18. Zfo TANK INFORMATION ELEVATION DATA a - S� TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 5. ZS 16's. Z5 /do Septic ' z, $ ,r4-• /�� Benchmark lnJ`` 4105. M ` . -7 JGI .'7 /CIS Dosing W � AI Ft L�� aeffltiea (1 a sz S Bldg. Sewer 77 93 . Z18. 0,5 0 Holding Inlet g 13•a� 97. zy TANK SETBACK INFORMATION SVHt Outlet 1 13-11 9Z Vl TANK TO P!L WELL BLDG. Vent to Air Intake ROAD Dt Inlet "14, 13 .3 W - 0 Septic 142- 142- � 1 /1 3D , q2, + Dt Bottom 4 S� ,3 Dosing -42, �./I 3v / Ah Z / Header /Man. Aeration Dist. Pipe 2. N / - 31 Holding Bot. System 3 T A . 7 Final Grade i 9 I H bt. /n3 •1S PUMP /S N INFORMATION P O Manufacturer 5 � n ,.� DP^ and St Covert ` , +�( c TS.$ �. — K � T'J Model Number 6 Z6 4 O (o. Z X00 •`l�v G C� - TDH Lift Friction Loss System Head TDH Ft 13. i 1 6.77 1 6.5 Z Z Forcemain Lengj. i Dia. 2 . t Dist. to Well 1� �� J / SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length / No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 75 -� — �— SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type O System: � 7 5 ' ^'� UNIT Model Number: D 04%_ , v /lJj J DISTRIBUTION YSTEM Ue5'f' rLengt der /Manifold t t / Distribution �(�(t t i x Hole Size ' TH pa cing V t to Air Intake Pipe(s) 3 7 T r 1 ` •�j(p iJw� CD h_ Dia Length Dia Z Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over t De th Over xx Depth of n xx Seeded /Sodded xx Mulched Bed/Trench Center 1 Bed/Trench Edges \ Topsoil I �" , Yes 1 ] No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: (C / L / —b- 1 0 Inspection #2: ! / Location: 982 101st St Roberts, WI 54023 (NW 1/4 NW 1/4 17 T29N R18W) NA Lot 3 Parcel No: 17.29.18. 1.) Alt BM Description= 2.) Bldg sewer length - amount of cover = 5.7 / Plan revision Required? ] Yes XNo I Use other side for additional information. L_ —_— -- - Date Insepct s Si ature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Div' ' Co 1 W. diso ngto '�COns'�,n adison, W 5370 2 San' Permit Number to be filled in by Co.) D artment of Commerce fig) 6 -3151 QQ M-213 Sanitary Permit 'eatio ' " state an LD. Number Q In accord with Comm 83.2 1, Wis. Adm. Code, personal in rmation ou provji¢e Ci�01X c'QU ', kR F& Z may be used for secondary purposes Privacy law, sI5.N(I ) ddress (if different than mailing ad ) I. Application Information - Please Print All Information �O Z / r S Property ZOw Nam Parcel # Lot # Bi # Property er's ailing Address Property Location City, tate 14 K, ,e1 L-V., tY Zip Code Phone Number Section 7 ) cur ie II. T�� N; R or, ype of Building (check all that apply) S � .9 or 2 Family Dwelling - Number of Bedrooms 4u �C-S —M Number ❑ Public/Commercial - Describe Use t/� 2 / . �/ �� ❑ State Owned - Describe Use ❑Ci ty ❑Vi Iage RTownship of III. Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B- ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner .. et IV. Type of POWTS System: Check all that a ❑ Non Pressurized In- Ground ❑ Mound 2:24 in. of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Constructed Wetland ❑ Pressurized 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. Dis ersalfFreatment Area Information: o Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) yteem Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons ofUni W /P.A L.s Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans Plumber's a Print) Plumber's i MP/MPRS Number Business Phone Number Pl er's dress (Street, City, State, ip Code) c VIII. Coun lepartment se Ont Approved I ❑ Di Sanitary Permit Fee (includes Groundwater Date Issued Issui g Agent Sign (No Stam s) Surcharge Fee) p 110, n Reason or ial -^ IX. Conditions prov 72� SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained �°-� �J r as per management plan provided by plumber. 3 -- �'0� `°'�S 2. All setback requirements must be maintained as per applicable code /ordinances. U Attach complete plans (to the County only),for the system on paper not less than SW z 11 inches in sift SBD -6398 (R. 01/03) I � u� T h c p i p ZI iA cm r T' 1 m g; , r n z m Al i r _ C Off' `S0 Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin w ww.commer ce.w i. gov/sb www.wisconsin.go of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 31, 2006 CUST ID No. 224263 ATTN: POWTS Inspector KIM A O CONNELL ZONING OFFICE K.O. CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/31/2008 Identification Numbers Transaction ID No. 1276248 SITE: Site ID No. 713545 Gary Nelson Please refer to both identification numbers, 100TH St above, in all correspondence with the a enc . Town of Warren St Croix County NW1 /4, NW1 /4, S17, T29N, R18W Lot: 3, FOR: A Description: 3 Bedroom Design Object Type: POWTS Component Manual Regulated Object ID No.: 1078120 c� Maintenance required; 22 in Soil minimum depth to limiting factor from original grade; System(s): Mound Q C�� Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0 , • SBD- 10706 -P (N.01 /O1); Poly Lok PL -525 Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Coc}"�, , "a and Wisconsin Statutes The submittal has been CONDITIONALLY APPROVED Tlus,system is to be;cbnixuted (� a ncl N. RJ acated in ap tth tlae ©oa rlavplu.adt the�int_(1rracect Iry The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code .� requirements. §.� No erson may engage in or work at plumbing in the state unless licensed to do sob the Department per s.145.06 CJ`S P Y P g� Y P P stats. rc" The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01 /01). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /O1). 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. .9 KIM A O CONNELL Page 2 5/31/2006 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 ennis R orenson Wastewater Specialist, Integrated Services WiSMART code: 7633 (608)785 -9336, dsorenson @commerce.state.wi.us r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE -Project Name: GARY NELSON Owner's Name: GARY NELSON Owner's Address: 1027 110TH ST ROBERTS WI 54023 -Legal Description: NW-- NW—SEC 17— T29N --R18W Township: WARREN County: ST CROIX Subdivision Name: CSM Lot Number: 3 Block Number: - Parcel I:D. Number: Plan Transaction No.: Pagel Index and title Page 2 Data entry Page 3 Mound drawings Page 4- Lateral and dose tank RECEIVED Page 5 System maintenance- specifications- Page 6 Management and contingency plan MAY 2 3 2006 •P -age 7 •Burp curve an specifications ecifications O 113 � pENC � 4 IFY & BUILDINGS 7 G OR R �sp Designer: KIM A O CONNELL License Number: 224263 - Date: 65/19/06 Phone- Number: 7T5-755-31 Stgnatur Designed Pursuant to the Mound- Component- Manual -for POWTS Version. 2.& SDB- 10%1 -P (N: 01/01), and - SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.01 (R. 09/04) Page 1 of $ 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 300.001 Estimated Wastewater Flow (gpd) Table 83-44-3 in m of soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) colifor of <= 36 inches. 450.00 Design Flow (gpd) �8.50� Site Slope ( %) I 100.461 Contour Line Elevation (ft) 0 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 76.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) i 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 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125r Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.00 ft /orifice r,. 2A0 Forcemain Diameter (in) 80.001 Forcemain Length (ft) Does the forcemain drain back? F Y i 86.00; Pump Tank Elevation (ft) End Y 1# 6.50 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) 15.13. Vertical Lift (ft) 67.38. 5x Void Volume (gal) 0.77 Friction Loss (ft) 80.43 Minimum Dose Volume (gal) 22.40 Total Dynamic Head (ft) 20.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x X 1.00 1.50 1.25 x 2.00 1.50 x X 3.00 2.00 x 3.00 x I I Gallons /Inc Calculator (optional) T Tank Information 100000 Total Tank Capacity (gal) 1 1000.001 Septic Tan Capacity (gal) 49.00 Total Working Liquid Depth (in) jWEEKS , Manufacturer 20.41 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 008 00 Dose Tank Capacity (gal) P")Y- Filter Manufacturer 21.76 Dose Tank Volume (gal /in) PL- -525 I Filter Model Number ,WEEKS ( Manufacturer Project: GARY NELSON �' Page 2 of $ � ag Mound Plan View ..................... ............................... T F K Observaton Pipe 3 ......................... h A W :1:: ..... B ........::.......... ........ ..... I .......... ....... ......... L Mound Component Dimensions A 6.00 ft E 20.12 in H 1.00 ft K A23.83 ft B 75.•00 ft •F 9.50 in 1 11.95 ft •L ft D 14.00 in G 0.50 ft J 5.88 ft W ft 450.00 (ft Dispersal Cell Area 1 1346.48 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50, (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.42 (ft) 1 2 .....,.,,,...... 1 I F Dispersal Cell 102.13 (ft) Lateral 101.63 (ft) -► r, Invert Dispersal Cell C] t Elevation : E 3 100.46 (ft) Contour Elevation 8.5 %Site Slope Geotexble Fabric Cover Shading Key m ° Dispersal Cell See lateral details on Q Topsoil Cap c 1.5 ft T Page 4 for number, size, Subsoil Cap c M 1 and spacing of laterals. © ASTM C33 Sand / F Laterals are equally 0.5 ft Typical Lateral spaced from the Tilled Layer c , distribution cell 05 Aggregate jd' centerline in the �--- A ®r distribution cell (AxB). Project: GARY NELSON Page 3 of % End Connection Lateral Layout Diagram Laterals centered over the A & B dimension 0 = Tu rn -u p wf ba 11 va Ive or of ea n out pf u g E. P ' A ll laterals are identical 1 < - X--+l Hof es drilled on the bottom of the lateral - equally :spaced Force main connection via tee or orosS to manifold at ang point. Laterals & force main of PVC Sch 40 (per COMM Tabk -94 ;30-51 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) - 3.06 ft Lateral Length (P) 73.44 ft Orifices per Lateral 25 Lateral Spacing (S) 3.00 ft Orifice Density 9 ft /66fice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft System -f low ,Rate 20.60 gpm Manifold Diameter 1.25 in Total Dynamic Head 22.40 ft Forcemain Velocity 2.10 ft/sec Dose Tank Information Locking cover with warning label and.locking, device and sealed watertight Electrical as per NEC 300 and --► -- Comm.16,28 WAC: 4 in. min:. Disconnect Tank component is properly vented 1 1 5. �-- "Altemate outlet location Forcemain diameter WEEKS Manufacturer � 2 in. Ca aci# 800.00 Gallons Volume 21.76 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.07 414.93 B 2.00 43.52 C P ump off e levation (ft) C 3.70 80.43 _t 87.00 D 12.00. 261.12 D Total 1 36.761 800.00 Do se tank elevation (ft) 3" Bedding under tank. 1 86750 Alarm Manuafacturer (SEPTRONICS INC Alarm Model Number ITM 1 Pump Manufacturer 1STA -RITE Pump Model Number I EC440120M Pump Must Deliver 20.60 gpm at 22.40 ft TDH Project: GARY NELSON Page 4 of X Mound System Maintenance and Operation Specifications Service Provider's Name I KIM OCONNELL J Phone 715 - 755 -3145 POWTS Regulator's Name ST CROIX COUNTY ZONING I Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average, 300 gpd Maximum -BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft Maximum .FOG -30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once eve "3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years 0 +h 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 "bassi 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 v1 . "'"" 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: GARY NELSON Page 5 of 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 shan Inaccordancewith its`componerlt 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 7isers and covers should be inspected for water tightness and soundness. Access 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- shag 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. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. - The outlet - filter shag be cleaned necessary to-ensure-proper-operation. The -filter cartridge should not be removed union 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 fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 - the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shag be approved for septic tank use by the Department of Commerce. Pump Tank The pump ( dosing) tank shag be inspected at least once every 3 years. Ail switches, alarms, and pumps shag be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be•inspacted and serviced -as necessary. Mound and Pressure Distribution System No trees or shrub& should lye-planted onthemound: Plantings-may be- made -around the mound's and the-mound shall beseeded 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 oempeetion in the winter will •promote frost penetration. Cold weather 4notallations {Oclober- Febnmry) 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 ROD 30 mg/L TSS, TO mg/L FOG, and• lecfu/TOt1 mL for Highly treated'eftlttent. Influentfioi# 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 shag be repaired or replaced to keep the system in proper operatinq 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 aaound component fails to aooept wastewater orbegins to dk KftF,ge wastewater -to -the.ground srxfooe, •lt will -be , repaired or -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 na+ye and telephone number of -your Iecal POWTS• regulator and service provider: eC Pfoj # : GARY NELSON Page 6 of $ COMPOSITE CURVES STA -RITE' S EF; PUMP CAPACITY LITRES PER MINUTE 0 50 100 150 200 250 300 350 400 450 500 550 90 Fyn - � o 0 2s A 80 24 22 70 FC 20 o, � 60 18 F y� Fcs �' lj is F - Zyo � W W W 50 A 14 Uj � Z Z 0 x F�, x 0 40 .9 / 12 10 .o y� 30 20 yp s FC 4 10 \ / � y 2 A 0 0 25 50 75 100 125 150 CAPACITY GALLONS PER MINUTE i NOTE.• Please see page 11 for ST.E.P. Plus' Series performance curves. 20 a m 0 oa+� ' \ S 7 0 6 cps n z m � � Zb • - �/� -,' 1905 of C C � 1L EV RT pap 3 Division of Safely and Buildings AC.E. Soil & Site Evaluations in ounty Attach complete site plan on paper not loss than 8% x 11 " rence rze. Plan must St CfODC include, but not limited to: vertical and horizontal refe point ). di artb percent slope, scale or dmemsions, north arrow, and location nearest road. cel I.D. Prt of 042-1046-50-000 PMe w print alf kfvrntratdi m. St . ;KU I PersonW w4ar xim you probe may be used for a�n�rY P+rP� ( L aw� F I CE eanewed @y ` O 5 Property Owww Property Location J Eldo E. & Marian E. Hamann Govt. Lot NW 1/4 NW 114 S 17 T 29 NR 18 W Property Owner s hAar7irrg Address tot # Block # Subd. Name or CSW 1019 100th Ave. 3 Proposed CSM City State Zip Code Phone Number City J Vtilage a Town Nearest Road Roberts WI 1 54023 1 (715) 749 - 3903 Warren I 100Th Ave. 0 New Consin cdon Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPO J Replacement Public or c ommrercol - Describe: Parent material t ;facial till Flood plain elevation, # applicable na General comments and recomm ions: Install mound system with 4' 112.50 dispersal cell System elevation to be 101 at 14" above 100.46 contour. J Boring � Boring # Pit Ground Surface elev. 100.46 ft. nth to limiting, factor 31' ►n. Sail Appticafwn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/flz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I - Eff#2 1 0-9 10yr33J3 none sit 2fsbk mvfr aw 2vffm 0.6 0.8 2 9 -21 10yr414 none so 2fsbk mvfr Cw 1 of f 0.6 0.8 3 21 -31 7.5yr4J6 none SI lmsbk mvfr Cw 2vf,f 0.4 0.7 4 31 -53 7 "5yr4/6 f2d7.5yr5/8 st 1msbk mvfr - 1vf 0.4 0.7 tr.�t Boring # —J Bor VI Pit Ground Surface elev. 100.43 ft. Depth to limiting factor 22" in. Solt Application Rate f onzw Depth Dommanf Color Redox Demon Texture Structure Consistence Boundary Roots GPD;'ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Ef `01#2 1 0.11 10yt3/3 none sit 2fsbk mvfr as 2f,lm 0.6 0.8 2 11 - 22 7.5yr416 none Sid 2fsbk mfr cant 2vf,f 0.4 .06 3 22-40 7.5yr416 f2f 7.5yr5/8 st 1 msbk mfr Cw 2vf;f 0.4 0.7 4 40-51 7.5yr416 f2f 7.5yr518 sci 1msbk mfr - 1vf 0.2 0.3 ` Effluent #t = BOO t > ) 30 < 220 mg/L ar TSS >30 < f50 mg/L �ffkm t #2 = B€ D .S 30 mgiL and TSS <-t3 mgtL CST Name {Please Prime Signatur . CST Number James K. Thompson g �__ ." . 3602 Addis R.C.E. Solt & Site EvWuabons Evaknitlon CorxkjCtW Telephone Number 340 Paulson Lake Lane, Osceola 54020 4/22/2005 715 - 248-7767 l propedy owner Endo E. & Marian E. Hamartrt Parcel ID # Prt of 042 1046 - 50 Page 2 of 3 Baring # Ong F I Y Pit Ground Surface elev. 98.12 ft. Depth to limiting factor 24" in. Sod AWhabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Cf DE in. Munseff Qu. Sz. Cont. cow Gr. Sz. Sh. *Eft#1 EfM 1 0 - 11 10yr3/3 none sil 2fsbk mvfr as 2f,1m 0.6 0.8 2 11 -19 10yr4/4 none sa 2fsbk mfr C s 2vf,f 0.4 0.8 3 19-24 7.5yr4/6 none sl 1 msbk mfr cw 2vf 0.4 0.7 4 24-48 7.5yr4/6 f2d 7.5yr5/8 SI lmsbk mfr - 1vr 0.4 0.7 F-I Bonng # � Bori fL Depth to limiting factor in i Rate Pit elev. Soil ticatwrn Ground Surface APP Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Root in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. `Efftl1 Boring F # I Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Murrell Qu. Sz. Cont. Color Gr. Sz. Sh. `E-w *Eff#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < M mg/L • Effluent #2 = BOD < 3D 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. F ► � Soi /c��aii'on�o;E N S cale : / ve /o e-3 GG. -- - - - - -� 63 - 1 g% Slops - - o / S/G' fx C �OV flG. 62- � r TP o{ PC. Arsc -me,d e � l�. To�o�sftc /�cna� n �5. 3oF3 j� RECEIVED 0 MAY 0 2 2005 ST. CROIX COUNT ZONING OFFICE CERTIFIED SURVEY MAP LOCATED IN THE NW1 /4 OF THE NW1 /4 OF SECTION 17, T29N, R1 8W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. OWNERS SURVEYOR ELDO & MARIAN HAMANN EDWIN C FLANUM NW CORNER 1019100TH AVENUE NORTHLAND SURVEYING, INC. SECTION 17 ROBERTS, WI 54023 P.O. BOX 14 ROBERTS, WI 54023 Ci w - l7°g4'49W 2a c' I 1 GOTH A s _ �56. I 1 w I I -4' O m 1 o co I N I N I � �rn m A o f ............... W,o y c �........� LOT 1 "I,o c w N o ( 2.22 ACRES I A I r o - ° m \ 96,904 SQ. FT. j 33' 133 1 i I I o o i_8 \ f N.B.A. = 1.7 AC. I Zo (71 I 10 �Z �p�puvU❑ U @ [_ c ° n \\ -4 l O 367.78' a 1 I�i a �' \ v� \ 3044 cn ' $' 1 X11 -n G3t�OG3DGDl W \ tc` N83 ' "E ° I v N 1� 1� i -- -- — 10 cn v \ \ 1 1 `lnJl Cl/V W W �, 1 9 O a I w \\ 50 \�� 10 I � � N89 °54'46' W 366.0 � \\ \\ °D t I o. �— co 300.00' 66.00' \ LOT 2 0 02 2.37 ACRES 1 1 I 0 a 103,358 SQ. FT. N B.A. 80'R I I N N. 2.2 AC. TE P. LOT 3 W I CUL s ' Nnl 2.51 ACRES N85 °05'55 "E 387.98' I / I 0 109,277 SO. FT. N N.B.A. = 2.5 AC. g 0 I I� ;A 760.40' - 80' RADIUS TEMPORARY I W N85 °05'55 "E 826.40 CUL -DE -SAC EASEMENT TO I UHPRA` V[9N) L&HM)Q BE ROAD EX ION ON ------------- - - - - -- 1 I g SOUTH LINE OF THE I I C NW1 /4 OF THE NW1 /4 DRAINAGE AREA LINE TABLE LEGEND -i— A . NUMBER BEARING DISTANCE ALUMINUM COUNTY SECTION L1 Isoo 53'26 "W ML 0 110.57' N ( CORNER MONUMENT FOUND .. r.�..n. n 7,n.i0, ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O RSHIP CERTIFICATION FORM Owner/Buyer -, I / 1 Mailing Address e �z Property Address l 3 a 101 � ( Verification required g P uired from Planning & Zoning Department for new construction.) i City /State lL� Parcel Identification Number LEGAL DESCRIPTION Property Location d 1 /4 , 1 1 /4 , Sec. _Z 7 T R Town of /�,�,�E�� Subdivision L ot # 3 . Certified Survey Map # Volume , Page # 5 /!2/ Warranty Deed # , Volume _ ,Page # Spec house yes C % Lot lines identifiable 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by 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 SIGNAfft 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) 823788 KATHLEEN H. WALSH REGISTER OF DEEDS State Bar of Wisconsin Form 7 -2003 ST. CROIX CO.. MI TRUSTEE'S DEED RECEIVED FOR RECORD 84/27/2806 02:38PN Document Number Document Name IL TRUSTEES DEED EXOPT i THIS DEED, made between Eldo E. Hamann and Marian E. Hamann REC FEE: 11.88 as Trustee of Eldo E. Hamann and Marian E. Hamann Revocable Living Trust TRANS FEE: 187.50 dated December 22, 2003 ("Grantor," whether one or more), COPY FEE: and Gary D. Nelson and Jillienne J. Nelson, husband and wife as survivorship CC FEE: marital property PAGES: 1 ( "Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Recording Area St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address Lot 3 f Certified Survey Map recorded in Volume 21 on page 5191 as um Wisconsin Assured Title, LLC ent 1810 Crest view Drive # 1 B o. 822630, being a part of the Northwest Quarter of the Northwest Quarter '/4 Hudson, WI 54016 o NW', , ection 17, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. Part of 042- 1046 - 50-000 Parcel Identification Number (PIN) Dated April 26, 2006 (SEAL ��w�t (SEAL) * * Eldo E. Hamann (SEAL //'I2i.t�f�.aJ , It 4=92 -04 ate• (SEAL) * * Marian E. Hamann AUTHEN I ION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) authenticated on COUNTY ) ss. . � ) Personally came before me on April 26, 2006 TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Eldo E. Hamann and Marian E. Hamann (If not, t known to be the person(s) who executed the foregoing me authorized by Wis. Stat. § 706.06) t and acknowle th e. THIS INSTRUMENT DRAFTED BY: * Richard K. Y. Lau, Redmon Law Chartered, Merile J. Bune 2217 Vine Street, Hudson, WI 54016 Notary Public, State of Wisconsin My Commission (is permanent) (expires: 11/8/09 ) (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. TRUSTEE'S DEED ®1003 STATE BAR OF WISCONSIN FORM NO. 7-2003 � o T�e name below signatures. , 822630 VOL 21 PAGE 5191 KATALEW H. REGISTER OF DEEDS ST. CROIX Co.. NI CERTI FI ECG S V RVEY MAP RECEIVED FOR RECORD 04/11/2006 02:35PM LOCATED IN THE NW1 /4 OF THE NW1 /4 OF CERTIFIED SURVEY NAP SECTION 17, T29N, R18W, TOWN OF WARREN REC FEEs 15.00 COPY FEE: 4.00 ST. CROIX COUNTY, WISCONSIN PAGES 3 OWNERS MRI SURVEYOR A N HAMANN 1019 100TH AVENUE NORTHLAND SURVEYING. INC. ROBERTS, WI 54023 P.O. BOX 14 EDWIN C. ROBERTS. WI 54023 _g FLANUM S SCALE IN FEET 1" =150' NW CORNER NOTE: ' s-2487 AMER s SECTION 17 NO OWNER OR RESIDENT SHALL DO £ IY _m �, �' e� 50 O 150 ANYTHING THAT WOULD INTERFERE WITH %<Q,,� � (� OR CHANGE OPERATION OF THE PONDING �\ AREA AS SHOWN ON THIS CERTIFIED i��� r ��„������ m \ �a�`� 9 SURVEY MAP. THIS INCLUDES BUT IS NOT M n��_ LIMITED TO BUILDING UPON, � \� EXISTING - \ '\ OBSTRUCTING. ALTERING, FILLING, EXCAVATING OR PLANTING IN THE j o4q 48 m DRAINAGE AREA. ,-- ST 288.91' —� \ ��OOTH A _ CA r, s7-r - - - - -- -- 0 BENCHMARK / i§ �Q q,1 m 4 I / I � 1 — JI TOP OF REBAR I `N ELEV. a 1061.69 N LOT 1 1 ,o m I .. • �� 2.22 ACRES I m Z w j I o � 96,904 so. Fr. � j > A 1 O \\ N.B.A. = 1.7 AC. I I 1 m I � L8\ 8 \� L.B.O. = 1066.14: w a \\ 9 � \\ N83 °3044 "E 367.78' A j A \ \ BENCHMARK LOU _9 C�o�o�it1 Bm I � � \ TOP OF REBAR CO) C�IOO [�o BOO fl G°�Co X09 `i \ \ten ELEV. = 1073.71: I �o_ to C 3 - - - - -- — C. a+ \ \ 6 \\ �_ 33'`33' I� o A N89 °54'46 'VV 366.00' \\ \\ LOT 2 A I �o co zi co 3M. W 66.00 ga \ V —, 2.37 ACRES I I N 103.358 SO. FT. - _ s N.B.A. = 2.2 AC. I 1 ^' I CENTER m A LOT 3 2. N85 °0555 "E 387.98' I 4 1 10° 109.277 SO. FT. 1 1 g N.B.A. = 2.5AC. 1 / N85°05 55 "E 826'40' 80' RADIUS TEMPORARY j � � �,p[�Di CUL -DE -SAC TO BE REMOVED aP l , �� 1 _ UPON ROAD EXTENSION AND I 1 SOUTH LINE OF THE EASEMENT EXTINGUISHED. I 1 C ` - N W1 / 4 0 F THE NWI /4 DRAINAGE AREA LINE TABLE LEGEND NUMBER BEARING DISTANCE (9 ALUMINUM COUNTY SECTION N L1 S07'1 9'45'E 113.49 CORNER MONUMENT FOUND 1 L2 S51 °58'40'W 90.73' L3 S15 °18'40"E 103.35' 1 5/16" O.D. IRON PIPE FOUND L4 S17°47'24 "E 158.17' 0 3/4' IRON REBAR FOUND w L5 S72°1 2'36 50.00 r L6 NI7°4T24"W 159.25' 0 3/4"X 18" IRON REBAR SET WEIGHING O R u0i L7 N15 °18'40W 91.65' 1.50 LBS. PER LINEAR FOOT W1/4 CORNER w w SECTION 17 L8 N7W54'59'W 17.51' A SOIL TEST w CURVE DATA TABLE ,m 5 CE —X —X EXISTING FENCELINE ' pp NUMBER C1 C2 cc O RADIUS 1302.00 1335.00' 100 BUILDING SETBACK LINE CENTRAL ANGLE 2 °30'59" 2°45'42" O= CHORD BEARING S79°00'17.5"W S79°OT39"W — 4 PROPOSED DRIVE CD X CHORD LENGTH 57.18' 64.34' N.B.A.= NET BUILDABLE AREA p ARC LENGTH 57.19' 64.35' m v TANGENT IN S77°44'48"W S77 °44 '48'M/ _ _ . _ _ . _ 12' WIDE UTILITY EASEMENT AN OUT SBO °15'4T W S80°30'30 W L.B.O. = LOWEST BUILDING OPENING THIS INSTRUMENT DRAFTED BY SAM ADAMS JOB NO. 05 -14 DATE 3 -29-05 SHEET 1 OF 3 SHEETS H.W.L. = HIGH WATER LINE ELEVATION 1 of 3 Vol 21 Page 5191 4 a WwmmDeparbmntd-Comme= ' Page 1 d 3 Dri rMon of Safety andBditd ngs G Ar� AC E. Soil & Site Faluations Atta&corripletesileplan an paper not leas #= 0A x 11' Plarrmust ounty St Croix include, but mtlffib f'to- t t arnd tm imrtiaatre*,ce p nt ar� 2 2005 percent slope, scale or dimemsiois, noth arrow, and location nearest road. Lo. of 04 iX COUNT Y 2- 1046 -5F�4 Press& Pow amfrrliormWOM 87.CR0 FILE jevlaved By t]alle Property Owner Property Locom Eldo E. & Madan .E Hamann Govt. Cot NW 1 /4 NW 1.k1 S 17 T 29 NR 18 W Propeft Owner Mailing Address Lot Block* Subd. Name orCSf# 10191.00th Ave. 3 Proposed CSM City State Zip Code Phone Number City Village Town Nearest Road -Roberts I W4 54423 (7i )749-39G3 Warren I MTh Ave. I New: Cron Use- M. Residential Numberof. bedroom 3 Code derived design.lbw fate 450 GPD Replacement ^ir' Public or commercial- Desen'be: Paient=atenat Giactal till flood plain Waffion, # applicable- na General comments and mcommendatidw tnstarll mound system. with 4' x 112.50' dispersal cell System elevation to be 101:63' at 14" above 11M46' j Cow. I 'I I.go ft # A &Xtg im Pit Ground Surface elev. 100.46 ft. t htto.l itingfector 31TM Application Pate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in Munsell Qu, Sz. Cont Color Gr. Sz Sk *Eff#1 *Eff#2 1 0-9 10yiSl3 none sil 2fsbk rmo aw 2rf frn 0.6 0.8 2 9-21 IDYMM none ad 2f6-bk mvfr cw 1vff 0.6 0.8 3 21 -31 7.5yr4ro none si lrnsbk mvfr CW 2vff 0.4 0.7 4 31 -53 7.5yr4/6 12d 7.5yr5/8 st 1 msbk mvfr - 1 of 0.4 0.7 # - Pit Ground Surface elev. 1 00.43 ft. Depth to limiting factor 22" in. Soil Application Rate Worizorr Depth Dominant 0d& Redox Description Texture Structure Consistence Boundary Roots G in. Munsett Qu. Sz. Cont: Color Gr. Sz Sh. *'EM -011#2 1 0-11 10yr313 none sit 2fsbk mvfr as 2f,1m 0.6 0.8 2 11 -22 75yr416 none sid 2fsbk mfr cast 2vf f 0.4 .06 3 22-40 7.5yr4/6 f2f 7.5yr5/8 st 1msbk mfr cw 2vff 0.4 0.7 4 40-51 7.5yr4ro f,2f 7.5yr5f8 ad 1 rnsbk rr* - 1vf 0.2 0.3 * Event #1 = tom 30 <22 mg 1l. TSS >-W t 1 #2 = SOC < W mg;& and Tss <jXmgk CST Name {;Please PAnQ Sigrsatur , / CST :Number James K. Thompson / 3602 Address A.C.E. Solt & SiftEvaluations Evaluation Conducted Telephone Number 340 Paulson Lake Lane psceola 54020 4!2212005 715 -24 &7767 Property Owner f3do E & MariBrt'E. thmom Parcel ID # Prt of fl42 #046- 58-000 Pam 2 of 3 Boring 9 M9 { l .Pit Ground sur€ace eleu. 98.12 it. Depth.to. limiting factor 24" ire_ � Owkistion� Horizon Depth Dorninant -Color Rsdox Descaptim Tei due Structure Consisteence Boundary Roots in. U. Sz. Cont. Color Gr. Sz. Sh. *t:.. 1 *Etf#2 Mulled Q 1 041 10yfM none sit 2fsbk rrtvFr as 2f lm 0.6 0.8 2 11 -19 10yr4/4 none sit 2-N* Mfr cur 24rf,f 0.4 - 0.8 3 19-24 7.5yr4J6 flarae st lrrisbk mfr CIN 2vf 0.4 0.7 4 24-48 7.5yr4/6 f2d 7.5yr5/8 St 1 msbk mfr - lvf 0.4 0.7 1 B a Pit Cko Surfaceelev. f. Depth to .limiting factor in Soil AMdratmn Rate Horizon Depth Dornninant Color Redox De aiption Texture structure Consistence Boundary Rood in. MUMA Qu: Sz. Color Gr. Sz. Sh. 'C-f 1 *EM # It_ Depth to .limiting factor in. f'it Ground Surface elev. Soil Application Rate Horizon Depth DommAGolor Redou Description Texture Structure Consistence Boundary Roots GPDM in. MUMH Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Efl#2 Efluerrt #1 BOD t > 30 < M mg& and TSS >30 < M m "Effluent #2 = B00 c W riot and TSS <_N mgft- 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. i P 7 - - -� 83 We \ gy 1 0-Pe. AcstAmed e IW = /&0.629' ion o' M ��. : To�oFSEcc /,dce� H s� ,� a,,3