Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-1069-70-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ounty: t. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: i 453072 0 GE14E #kL'INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal informatio -4ou provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Glenrid a Properties I Warren Township 042- 1069 -70 -030 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / 0 �U / j 0 5•� Q �j 25.29.18.392A30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. I I Z - Sl0`9 Septic / t / O Benchmar /O � D W � ` Dosing �6 Alt. BM • ^ -.� , Aeration Bldg. Sewer W ,� 303(l 16 - C. Holding St/Ht Inlet t :3,62 e TANK SETBACK INFORMATION St/Ht Outlet �!i • g (p TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , t > I \i 6 4 i t Dt Bottom I Dosing s (J � Head /Man. �d g 2 Z . GO L6 S. S Aeration Dist. Pipe 'To f Q [ ! T Q� S ,S� Holding Bot. System r �- , /D d Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover f r /S� GPM b• I G 1 b `(- Model Number 3 2. 17 b D 3 -61 TDH Lift Friction Loss System Head TDH 44 'k . / "j Forcemain Len tty ia.� r Dist. to We 1 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. If ;Trenches PIT DIMEN S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO VlJ J P/Lok JBLDG IWELL LAKE /STREAM NLEACHIK Manufacturer: INFORMATION C OR Ty Sy `� r (S Model Number: DISTRIBUTION SYSTEM ,,PJL / �S a � Header /Manifol Distribution y x Hole Size x Hole Spacing a Air Intake N P1pe(s) / Q 2 .5 3 c( Length Dia _ Length `-, y! 0 Dia�Z Spacing_ / 4 SOIL C VER x Pressure Systems Only xx Mound Or At -Grade Systems Only 4 S • ok , Depth Over �� Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center if�y.� Bed /Trench Edges Topsoil . �-r " Yes No Yes o COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:-7 / 2 U Inspection #2:�/ Location: 729 140th Street Roberts, WI 54023 (NW 1/4 SW 1/4 25 T29N R18W) NA Lot 3 Parcel No: 25.29.18. 2 1.) Alt BM Description = jer, Cow -� c� 2.) Bldg sewer length = 70 t Vim, /J amount of cover = COY / _ / �h , /l�� „/,,, _ p! t�� j�%�. • . _���"er Plan revision Required? Yes ', No G 6,1 Use other side for additional information. - SBD -6710 (R.3/97) Date Insepctor's Sig q�tre Cert. No. a�...v Sat,!4 and Buittiinj� Divisiun County 2G1 W. Washinit8n Ava. P C). 80% 1162 C 1 _ S 'ter Permit Wambor (t0 be �luiisGn° VJI 3370 71b2 Y nep�rtmer<t tat Commerce (WSJ 266.3151 - - -- ._ - - Sanitary Permit Application state PLO t.,� �uMear in accord wrtt~�t Cot:ttu 43.tt. WIS, A"u Coda, p#r &onat iatOrrMati0il you tov, it D �o y - — -^ s toty be toed for Secondary pumotes Privacy Law, s15.0060A ; P Address (if different than mailing ad- drea,? 1. Applkation Wonnodvn - PW M Print Alf iltformat R E C F €V 'Property Owner 's Na me w Pare 1 Block .l Proparty Owner's M tit)t&S Address - - .�' Property L 64 00 3z; o 31;?,-- � City. s tate e ; P4toat Mimbor 3 /9at1..5 - 0A/ r' S d/� l �� (circie one) T N; tSG�.. g at, II. Type of 11"al (check all Nut apply) Ph B' ' 'r , 1 or T Prmity Dwt1G Subdivision rune +� 6 'umber - r nS - Number of Bedrooms f j PublivConw*mitd - Ducriba Vsa •_ ` y q_ 5:ats Ow"d - Ducrlbe Use _ - , !'t0 (N�'L ry _ t L VStlr e ownahl ur — _ U of : 1 Type OUP (Chack only sane box o n lint A A. Complete: line H It a A. Now SystemC Replacement SyStetn _._. TreatmerkaoidinS Tank Repla;:eme tt OnlY Other Modifleation w F.zistiij Systnrr: -- .....�......-- ..__... .. Perytl� Rtsrtewai P erm i t ttav;siot: List Previous Pernut lv�ettbar and Dote lxsucd ^ I � v.(Y nge of C PC Transfer to New 6etws 8tptraticn ! � i P. ut nt»: �� ZO !V. T c Cl tPawn I uc k 11!1 tltuc ...�...� _,.....:..........._W _.!. attmt a�l�} -_ -� _ _ � i Non *rouurixw w airoand Mound > 24 in of swuibk soil �+ Mound a 24 in, of suiabie soil At -Grade Sitio Pass Sand Fitter 1 � Conatructed Widaad 11 Pressurized In•Oround Holding Tank C' Peat FJter Aerobic Treatment Unir R#cvculWry Sated Fike;s f KNOMAU111 8 Asiatic Media !tiller Laic" Chamber � Drip in# � Crave? -Ids pi �! odor (e►a Lain --~--- --- -- _._.._.__ .L,...w....._._,..._. Y. ilia . _ ryameat ant AM -I& " TJesiyt Flaw Design 5o1C ApptroStron ( P, f Dispersal Area Re,; irtd (0) + Dispersal Area Proposed (at) , SyatMn alevation �� h o t (_ i Gam /?� ��o �q6 1 7� _ plasti I. Tank Into Cap y in 'fot±u Number Ma ".u(att.rer at'eb Site Stoat Fiber `d e l In Gallons of UtUta ! Ctutcrua Constructed doss � r rOw T � + I Setuic or Hotdfy TarJc j �►aro raat»taot at Ov e e t, I � PM SLas,Stnemt' I, tt&e und#ral d, assume r#a andbibt Piunto No I" for WStattt►tittn of ttta POW I3 shown on itu attstch platy. _ ar °& art&} Plumber's Si jnarure _ f MP;4iPRS Number Bus;neu Phone Number plumber °s Adam 16 (Sarw, City. Sttsy Zlp Coda) ---- -+ -- _ _ _ ; 7�S ens a pp >nisepprovgd 5anitary Permit Fee t,Oudet Groundwater ' i _ Surcharge Fee" I Date .&Sued slums Ajett Signature temps) + Ix Owner 0tv an 3 for Dottie! Sd , tN ( -7 _ Caadttlogo d Appr val% p1o1r� fa � cotroty w�i�') for - ......._._^- f !RRD -6191t f R n l lrTZ 5 Dawr twt wwS area n a it iaala iA Sip + A Ele on • Loca-6". ce pl o"o Sit N /of .3 C S*1 Boy' /7 /�. y( See. ZS, 77. S E. Cra ?,C �o' • t J l Assu.•r?tc/ eltc` = /00.cn' I_ wtou d j -4- .2o. ao k /i7 &Ix 1a)'d'S cell Four (y) d r' id cc�� /a:fua/sa / ",K 44/ ' cq'1iJ' "o-r�Vets s�cedaE I•S3: � 03. V1 �roposed /o3sY��• 31 i a e Kj pr � cf residence -?U 1 2 14 5JI. 40 P.u.C. F}opos wms« Canere�e W 1250 /75a 4 Co.n6o. . 01 ,e q1" 4- ,of,'L '--6 oustc6• IpS Q� / elev /t "� — • $outs /iE' :71,64M. 7 V o i05, df " WILLIAM C SCHUMAKER Page 2 6/17/04 • 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. 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/ instal lation /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 Fee Received $ 175.00 Balance Due $ 0.00 .1 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 t ,. .- ,° r � 1 MOUND AND PRESSURE DISTRIBUTION COMPONENT AI �G �� Residential Application INDEX AND TITLE PAGE Project Name: Greenridge Properties, LLC 4 bedroom residential moun �!_ Owner's Name: Greenridge Properties, LLC - Dick Stout Owner's Address: 1353 Awatukee Trail Hudson, WI. 54016 Site Address: 729 140th Street Legal Description: NW1/4SW1A, Sec.25, T.29N., R.18W. Township: Warren County: St. Croix Subdivision Name: CSM Vol. 17, Pg. 4613 Lot Number: 3 Block Number: Parcel I.D. Number: 042 - 1069 -70 -030 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan v Page 9 Soil Evaluation Report A 8 £RC _ lNGS J/VOE Designer: Bill Schumaker License Number: 227990 Date: 05/31/04 Phone Number: 715 - 386 -3721 Signature: �1 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 ' Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope ( %) 103.75 Contour Line Elevation ft 24.00 Depth to Inviting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point _ in the distribution [ __ _ _Y _ Pressure Disribution Information network? Enter 7 or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. [ 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 105.00 Forcemain Length (ft) Does the forcemain drain back? [ _ _Y 96.7 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 17.13 Forcemain Drainback (gal) G1 ��✓ 7.50 Vertical Lift (ft) 40.24 5x Void Volume (gal) l 2.42 Friction Loss (ft) 57.36 Minimum Dose Volume (gal) 16.42 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection - in. dia. o tions choice in. dia. op tions choice 0.75 1.25 x 1.00 x x 1.50 x 1.25 x 2.00 x - - - 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Trea tment Tank Information 773.76 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) 48.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 16.12 gal /in (enter result in cell 649) Dose Tank Information Effluen Filter In formation 773.761 Dose Tank Capacity (gal) JZ abel __ Filter Manufacturer 16.12 Dose Tank Volume (gal /in) A 100 _ Filter Model Number Wieser Concrete Manufacturer Project: Greenridge Properties, LLC 4 bedroom residential mound Page 2 of 9 Mound Plan View :O: J 1/10 l B ;. • Observation Pie p 3 T `�1► l ...... ... . 1 .. .. ...... ... K.*. ....... ...... .... . ... .. ... . .... ..... ... W I. I . ' S - - - - - - �.• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions A 6.00ft E 14.16 in H 1.00ft K 8.52ft B 100.00 ft F 9.00 in z 8.01 ft L 117.04 ft D 12.00 in G 0.50 ft J 6.19 ft W 20.20 ft 600.00 (ft Dispersal Cell Area 1 1401.10 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.50 (ft) - -► I F Dispersal Cell 105.25 ( Invert / /lt / /. I {. (ft) Lateral 104.75 (ft) --► Dispersal Cell Elevation E D • { • i • ' • { 5. • .l • �i • 1 .{ i. / �• 4 i. i. { { % '{ i. i. }, !..Y �. i. 1..: {.: . �. 1.. !. ,{ I y .' 4 _ ' .!, • -_._, .f - {ice `{i` =' +{iti`K. :'� i�. -�'- ••t � } ti c r_ j •t -_ s +cj } - i 7 �i' i j - ~ i.~i i i .{ i i 1 � , �l. ;i` 5•..'4'���..?, .4 ,� .�.... ��l �1 �`�, � i i . . .. . 103.75 (ft) Conto Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key I _ Dispersal Cell See lateral details on Topsoil Cap c 3 1.5 ft Page 4 for number, / / /// Subsoil Cap " 4 : size, and spacing of - '�` ©�••.[�:•: ASTM C33 Sand :� Z •��•�� F laterals. Laterals are FAI Tilled Layer H 0.5 ft :•' Typical Lateral equally spaced from �5 Aggregate v c ��' •' �� the distribution cell's �--- A centerline in the distribution cell (AxB). Project: Greenridge Properties, LLC 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical I P • = Turn -up M ba II valve or ;<-X---+j+02 Tlxt2->l Laterals & force main of PVC Sch 40 cleanoutplug I per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 2.00 in Total Dynamic Head 16.42 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and 10 — } Comm 16.28 WAC I 4 in. min. Disconnect -- -- -----,_� y Tank component is properly vented �— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acity f7 -T7a.76 Gallons Volume 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A ^ 5 2, 34 424.65 B 2.00 32.24 C Pump off elevation (ft) C 7.66 123.43 97.75 D 12.00 193.44 D TotalY 7.00 773.76 Dose tank elevation (ft) 3' Bedding uniTer tank. 96.75 Alarm Manuafacturer R velArm _ Alarm Model Number Pump Manufacturer Goulds Pump Model Number EP05 Pump Must Deliver 1 32.95 gpm at 16.42 ft TDH Project: Greenridge Properties, LLC 4 bedroom residential mound Page 4 of 9 MODEL DVP03 MODEL 3871 Submer. U" 1!410,9100010 P 1 " r GOU LD 14 i Pump Specifications 3HP MEIENS flfl Jp to �5 GPM o C.�UDiL X311 ischarge size 1 Ya" NPT 9, �o maxi III uIII u' Motor 7 25 �ing!e ;phase: 115V a c 20 klaterials of Construction 6, 2 _ �rasstnermoplastic s Features and Benefits o c?ion eiiminates ��Is�on resistant 1 0 10 Q JL IL :ctr,atea stv tch. G - - - -- -- 6 - -- - -- - - -- 3,2.95 "TY 1e_� d Pump Specifications Features and Benefits MODEL DVP03 _ w anri ),, HP • EPO4 Ililj)e 1,=1 Up to 60 GPM :Itn pLJ111 — Maximum head to 3- inaci�a uc�l e:�i Discharge . ge site 1' NPT • EP05 wloe l _r t c Solids �/, 111aX111TM 01" ilillllC`: li U I!)! u C� _= IVlotor All motors teatufB bearing construct�ui; I, 2U 70 35 a0 U S GPM eS1St l IC a e e o,�l�lll Single ph;ise_ 115`, _ CAPACITY Materials Of Construction ast �r :-1;P Cast roll - 'tll;:it�ni ilt'_i: L'�ll �!�! C d t. Theimuplastic l! n). Stainless steel s1,11nte`rs st �I •;;,lall,lbe f_r a_ILC;'r,�. -. _I�_. Ill Oi?r °I.l'IVI ,All Malels are cieslgned for continuous operation and feature sraul�ess s:eei n.�r.nv ;r,�. Gr v Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and P-�l I.D. r l _��(� �j 7o O 3 O percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 7 Please print all infor n C� E V E D Date Personal information you provide may be used for seconds n'Yacy w, s. 15.04(l)( t Property Owner Property La tlori ! • Fred Lenertz DEC 1 8 ?1 f v l ' 2 -ot NW 1/4 SW 1/4 S 25 T 29 N R 18 4 ' BlProperty Owne'%Mailing Address # Subd. a 220 Livestock Exchange Buildin ST. CROIX C (/u Lenerrz N-)NIN(7-j OF City State Zip Code Phone E] Ydtege • own Nearest Road St. Paul MN 1 55075 ( 6 -7320 140th Strmt a New Construction UseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement El Public or commercial - Describe: _ Parent material t rwcc nvPr p yygh FloodlRlain elevation if applicable rr�� ft. General comme and recommendations: s* sand with continuous bands of lfs, I Oyr4 /4, 1msG1'c�i„ paced approximately .25' apar t� a6o� . in thickness. IFits horizon s owa sce -° izeo for a .4 to .a loaning rate. Boring # [] Boring Q Pit Ground surface elev. 102.84 ft_ Depth b limiting factor 42 to 53 in. Soil A `ica6on 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 'Etf#2 1 0 -19 1Oyr3 /2 sil 2msbk mfr cw 2f ,5 .8 2 19132 1 4/4 - sicl 2msbk mfr cw 1 f ,4 .6 3 42 - IOyr4 /4 f2f5yr3/8 sicl lmsbk mfi cw .2 .3 4 53 -55 1 4/4 s Osg ml cw 1.2 5 55 - 110 ' l O4 16 s Osg* ml* .4 .6 I 2 Boring I El Bori # 104 >110 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicatio Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP_D/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-11 10yr3 /1 sil 2msbk mfr cw 2f .5 .8 2 11 -18 1 3/4 sicl lmsbk mfi cw if .2 .3 3 18-27 1Oyr4 /4 sicl Imsbk mfi cw _ .2 .3 4 27-38 1Oyr4/6 is lmsbk _ mvfr cw .7 1.2 5 38 -110 10yr4/ s* Osg* m l* _ - .4 .6 Effluent #1 = BOD > 30 < 220 nvYL and TSS >30 < 150 mg/L #2 BOD < 30 mgfL and TSS 5 30 mg CST Name (Please Pnrd) Si — CST Number Thomas C Nelson - 2273 Address Date Evaluation Conducted Telephone Number 1432 120th Strcct, New Richmond, W1 10/30/02 715 -246 -2454 Propert Owner L enertz- Warren Parcel ID # Page 2 of 3 Boring # B aing 105.07 39 to 46 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/If in. Munsell Qu. Sz- Cont. Color Gr. Sz- Sh. •Eff#1 ' 'Efft12 1 0-14 10yr3 /1 - sil 2msbk mfr cw 2f .5 .8 2 14 -24 1 3/4 - sicl 2msbk mfr cw 1 f .4 .6 3 24 -39 IOyr4 /4 - sicl lmsbk mfi cw - •2 .3 4 39-46 lOyr4 /4 f2f5yr5 /8 sicl lmsbk mfi cw - 2 .3 �f 5 46-48 IOyr4 /4 ✓ L4-� cs Osg ml cw - .7 1.6 6 48 -110 lOyr4 /4 - s Osg ml - - .7 1.2 [-4] Baring 0 Wig# � los.so >1 10 E_! Pit Ground surface elev. it. Depth to limiting factor Soil R- icaG6n Rate Horizon Depth Dominant Color Redox Description Texture Str a tune Consistence Boundary Roots GPDM in Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Ef1#2 1 0-13 10yr3 /l - sil 2msbk mfr cvvv 2f .5 .8 2 13 -17 _ A 2msbk mfi' cw 1f .5 .8 3 17 -33 1 4/6 - sicl lmsbk mfi cw - .2 .3 4 33-40 7.5yr5/8 - is lmsbk mvfr cw - .7 1.2 5 40 -110 10yr7/4 - s* Osg ml - - .4 .6 SQih f Boring # Ong 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 'EfT#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 services or need material m an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. sen -8330rm (&07=) ' Fr e c� e n e ct t-- hQ V, S . u /, I s e_C.� I-S �ar re r,TUw r " S �'t' r N i ti D e Q3 2 j Seale t = 4 -1 � ^ C-) ��� � e Q a 1 c !` o n �• P '� 1 0 � i �_ 5 y Q�� of if k ��s.� b ^r ho f*1 t. S toS. 2 Z1 3 s7 b� 1®5. , 0 g ? \r 0 / � w w 0 ° & @ w, m i _ \ \ N k § 2 & \ ° / / CO § 2 ; § E E \ \ J @ CA) E CO c B \ © . / z > E E ®; > e §: . \ C3 § k \r � k � k O ƒ ( a 0 r (a ® — w & % �. / , IT I 0 0 0 =' / 2 ca co \ / § d m J 7 I �4 � $ : \ £ E § 3 E CD f :03 \ k % \ t�/ %kU) :3 CD 0 E / ® 3 f \/ 0 3 E 0 En m 2 z $ f/ j k X g 'n° CL G) ; /%\ . Eq = \ z ¥ E E / w M 2 ° CL �0 Q9 0 k z % � ^ � Em> k § (0 \0 Z CL E � £ � 0 ■ 0 0 k ! 2 ] 2 m ■ 0 . o � \ ; § a i \i � �\ Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker ^ 1 Phone 715- 386 -3721 POWTS Regulator's Name v St. Croix County Zoning Phone. 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System I Laterals should be flushed and pressure tested every 1.5 years Mound _ Insp for pon ding a seepa once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ... .............. . Grade \ 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral �y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Greenridge Properties, LLC 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet 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, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If art effluent filter is Installed within the tank it shall be Inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Greenridge Properties, LLC 4 bedroom residential mound Page 6 of 9 ♦ E/c daft on • Locn,�cdP�o s� N �o reed /; cl9e L.L. e. /of 3 Csr►g 7/�, 4G /� See, 16', Tn. oF&-laerew), SE.Cra;xG• -) i n re 77 o or loe Star(�f. As9u- a /I&1 = /OD,Gn' Proposed mo— a4- .2 0. 10 k //7 •'A � !o'X / ce //. Fou/ ( W'f'y "ori"Fi'us s�ncedaEZ•S3: %3 C, �Jr °�Sed 103. sy '■ 31 S /ooh well 1, hob _�_ �4i -•p �� ` `I- Proper �/ "Sc.l, yo P. IV, C, / O _ /03.x` o3•eo — w 4 loll o a - 03 ,2 "sck. - F}oposAd wM5v Concrc4c W !25 /75 n+R Corn 6o. -eFF lu•nf oCAS({� )Os el6y 1111 v / (P ,A Lf • 4,n, To�,o o /o E / 54a1o. Eleu = /os,0" i 4 1 ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT a a a f w u■ w w� r..�r ST. CROIX COUNTY GOVERNMENT CENTER ~ - 1 101 Carmichael Road Hudson, WI 54016 -7710 ' "`— -�---- Phone: (715)386 -4680 Fax (715)386 -4686 Memo to File From Pam Quinn Date: 5/13/04 Re: Soil Report on -site verification (Glenridge Properties CSM #740368, Section 25, Warren Twp.) On April 26, 2004 I performed an on -site inspection for lot#1 of the above CSM to verify soil reports submitted for conventional POWTS installations. The following is a brief summary of my findings: Two borings were excavated at approximately same area as Tom Nelson's B3 & B 1. The test pits revealed mottling at the boundary between sandy clay loam and fine sand horizon below, as well as mottling and redoximorphic features within the sands. Layers of cemented sand were observed at < 36" in the northerly test pit. The southerly (B1) area had less depth to the fine sands, which also had many coarse prominent (M3P) redox features throughout the horizon. These sands overly weathered sandstone bedrock and the occurrence of cemented layers at less than 48" below mottling from textural change precludes the use of a conventional POWTS. The 4 lots on this CSM will require additional soil data and designs for mound septic systems. This same situation occurred at a lot on the corner of 70` Ave. and 140` Street last year, where sandstone bedrock was much closer to the surface than was reported by soil tester and a mound system had to be designed. I provided copies of that soil report with the approved permit application to warn the plumber and owner about the potential problems with soils in this vicinity. The original soil reports were not completed with the installation of a mound POWTS in mind. The borings are spaced too far apart and the contours are not accurate enough to properly design a system that would meet state plan review. I recommend having additional borings done to define depth to limiting factors within each mound distribution cell and establish contour elevations taken that would enable locating the system to fit each site's topography. I expressed my concerns regarding these soil reports during sanitary application review and only issued the permits with the conventional systems to allow the owner to obtain building permits. Note the conditions on each permit application, which required field verification of soils. Cc: Richard Stout, Glenridge Properties Bill Schumaker, Plumber /applicant Safety and Buildings DiViSiun County 241 W. Washington Ave., P O. Box 716 2 1 i� 4 ' Y - 7 6 Sanita Permit Number (to be filled in by Co,) N VAic!'�ftS�`ll t i Madison, Wl 537G7 1 2 y Qe artment of Commerce I (608) 266 -3151 yS3 6 Sanitary Permit Applies F .04(1)(ml)(m) _ S Plan 1. D. Number In accord with Comm 83.21, Wis. Adm. Code, personal iafon tEd 11�Ei(' AJ A may be used for secondary purposes Privacy Law, s Project Address (! different than mailing address) I. Application Information - Please Print All Information 04 7 9 / /0A sr- Property Owner's Na me �j Parcel Lot g Block M + ZONING} F �IC - p i acv �,�/ il /1� J p -1d & ' U— Property Owner' al"'7'A/�-& g Address Property Location 1Q 3v -39 � c �d.' l a t4, S�1 u, s e cion tion 3d City, State Zip Code Pho ' 'umber _ .?� r �� cucle o i II. Type of $trilling (check l that apply) T ___.L_ N: R %S B ar ('1 or 2 family Aweliing - Nuru of Bedrooms Subdivision Name 3�0 CSM Number 11 Public Commercial - Describe Uae _ 1 7 cos l ❑ State Owned - Describe Use a 3 15 C� L(� l I ❑City L�Village,ownship Of 42 a III. Type of Permit: (Check only one x on Hne A. Complitillne B if applicable) A. 1 z Ne w Syste ❑ Replacement S tern 13 Treatmen olding Tank Replacement Only 01 0 odification to Existing I B. C3 Permit Renewal Permit Revision C Change f ❑ Permit Transfer to Now Lis I'rev' a Permit red "- Before Exp!ration Plumber Owner I i r r I V. Type of POW" System. (Check all th a ) ;N - Pressurized I n- (around ❑Mound > 24 in. of tall oil ❑Mound < 24 in. of suitable soil At -Grade ❑ SiDgle Pass Sand Filter C Constructed Wetland O Pressurized In- Ground ❑ g Tan;c 11 Peat Filter C Aerobic Treatment Unit u Recirculating Sand Filter ❑ Recirculatin Synthetic Media Filter CI Leachin Citatnbe CJ Drip Line Q Gravel -less Pipe Odw (ex lain) i V. DispersalITre atment Area Information: -5 v C , *,. 6 a 6uo Design Flow (gpd) Design Soil Application R§t sf) JDiskrsal Area Requ!red (30 Dispersal Area Proposed (s VI. Tank Info Capacity in Nu ber N Manufacturer Prefab Site Steel Fiber Plastic Tanks Ta New Gallons Gallons of tuts �/ A ��� Concrete Constructed Glass # EX , g �r 4 Tatults Tan i Septic or Holding Tank I k Aerobic Treaunant Unit Dosing Chamber d t/ VIL Res nsibWty Statement- I, the understgtsed ume responsibility for atksn of the POWTS shown on the attached plans. + Plumber's Na are (Print) Plumber's Si cure &WkS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) l d - 5 , c a VIW County/Degartmat Use Onl Approved ❑ Disapproved Sanitary Permit F (inciudes Gra ndwater Da ssued I �ntgma t ampsj , Surcharge Fee) ✓ 1 � ❑ Owner Given Reason for Denial 0 � �� Q IX. Conditions of ApprovaUReasorlls for Disapproval 64c ;� t aj, Aye �t Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber 3 jys �P yh lC�i QA� I QUIT 2. All setback requirements must be maintained �� /+ as per applicable code /ordinances. S �� lC1 .5 SB13 -6998 (R. 01 lf)3) Attach complate plain (to the County only) for The system on paper not less than gll2 x 11 ieehea In � b�d� ; e sit ---- It- -74 ell IL r C I C j I e i r to I v � c� X3 e, n e, (I-� f_— �Li SW V, ge 3lon � ca c r k ' TV L✓ P Lb� B 1� o t l- L s a I L p �C o �3 43 D� $`� i05- EpAl TOP g� ��o� Q• P� too 4 �.a�et, o� 1POt� � • i? � b 105.0 � 221 3 8? i34 105. • �..+.w�......�.. - • .... V 1. ( L f[ :, ..�L'.. 1 1 �% ti . , r y P .. r . T . « CAT w� T -. �i � C N 4 "'CI VZNT PIPE 12" MIN. ABOVE GRADE & 75" FROM DOOR, WINDOW OR WEATHERPROOF FRESH AIR INTAKE JL'NCTIONv' BOX APPROvED WITH CONDUIT .iANHOLr CGVER FINIS�iEO GRAt +E ♦ W/ PADLOCK 6 4" Cl RISER WARNING LABEL MAX. . -No E T WATER TIGHT SEALS GAS- TIGHT ' PPROVED 0PROVED _.i_.. SEAL ;� JOINTS WITH 'tPE 3 g ►;� - �A..M APPROVED PIPE JNTO S►'IL ID ON 3 ONTO ' 1 SOL $OI L PUMP OFF I;LEV . •^. -»�.F T , ,.. ,.... �' ' " : RISER EXIT D PERMITTED ONLY Lj__ IF TANK "4ANUFAC'T'JRER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL ..ONCRE1 E PAD 3PECIFICATZ0NS SEPTIC r DOSE TANK MANUFACTURER: ✓ ��.er NUMBER DOSES PER DAY: T. �Nl; SIZES: SEPTIC s GAL,. DOSE YG:,UmE INCLUDING DOSE ov GAL. FLOWBACK: j.�.?..__ GAL. ALARM MODEL NUMBER: D L 44& Ago !% IES: A : �_ :NC:?ES ar .. JAI,. MODEL NUMB ,,,,,,_, SWITCH TYPE: PUMP MANUFACTURER: _ Gau /�s' G r .. INCHES (( GA - G ;�. MODEL NUMBER: ,' SWITCH TYPE: ^ _....._. AL. REQUIRED DISCHARGE RAT D GPM PUMP S ALARM WIRING AS : ER ILKR 26.23 WAC IERTICAL DIFFERENCE BE. OFF AND DISTP PIPE . !.2 FEET P MINIMUM NETWORK SUPPLY PRESSURE , � _441 __ FEET FORCEMAIN X . FT /200 F '. FRICT:ON FACTOR ` FEET T•CTAL DYNAMIC HEAD : ? FEET XrERNAL DZMENSIt?NS OF PUM? TA, ?�y. i.E0.'UT.y D T WIDTH i i •••`'� " WEGERER $OIL T ESTING PAGE ag s Goulds Pftse `I or t Submersible E mpen# Pu mp ;. rf MUNN r 38 EPO4 r 71 EP 05 5 APKICArda ' t'ubners: 900 O F U Sp'�l�►y deemed for u� >�rWoe steer. road in No ■ MNor Honer Cast Iron �p usos: • GpNble o! nrnninp hrbr �a t � emdntnac trsnafdr, ' Em totems dry WOW d4ntlpe to hest tr mft end dur Nilyy- * Home 00mi o mi, a Mtlletr 0m 1WIMPIU- motor. Artlleble br Wink so do cxtwr MAIN ftow hwie ' y duV sump la bete 0.4 H? muel ooxam.0 l lltlt end ow tn�lc4t wmt ' is or �'80 Hz t S56 ' >rla� a ' i In ove►foett o ft Flow Off ■ POW QW.- $"'I duty eutorn & r eset, ~ rated oYamt wAw raustent. ' 1 T ohm . . .. 0.� HP, w lerirk u� per =nd bar .HL mt, 1550 a F" tiff heavy duty t>ofl eaufnp ° Soft bait b own* Wb htntdlinp �; riutoaNtk reset a IAOt kqwbr Pwmo• C°^g a► be' miutimWtt a Pftwr Bard: 10 foot ON* WON d*n up to 56 GPM. tltdfd ' 1 64 S1Tp p+ v GO on tr >�CY WtW9 � macheltipi aptp�obclbn, � . Q Ong ■ E> ller: d /r' IV dtAt�ametloR PT 0 ()Pknsr ZO toot eeetcarbon lergth, i3 &M &M vft Pin* � TWmO- t Won for (CSA kW model numbers tfuoe ,ono oroundrno plug improved o tbrRwia, end In 'r pr -AC -.) tStenderd on EP05). ■ Calml ow lot Aug* ( continuous the ftv ttrwm 140•f (f+ ) komeeet sul(orfto and • 3w c�rrotion �Is�nd. oft mvwu PUT • � e mwftnede to o as pump: on Soft • m o 7 - r T � up to 60 GPM, • up tDa1 fat M=Immx 114 WT. e • eln�orrrn. ` i t041� s to 1►.i 14N Ntent .� 1 o o o z � C �eee Gwk� Pn m + 'v. CAPAWY . a 3J8AU) o ! 0 a 0 'Q E D O U N0 U �n cnOOt r �s ° - - co ro CL m 3 off:= y y,3 o ?� .0 b m r l Aa a > c� 11 1 a T • � ♦ X i� � N li eu It U. `� c m 1 e o 11ju E: CL LL o� N[ r• Q o �e � s Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 3 " Divisionof Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel i.L . percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all info F f* G v E ® Rev ad Date Personal information you provide may be used for seconds purp n acy w, s. 15.04 (1) ( )). Property Owner Property LolatiM Fred Lenertz D E C 1 �dBt.Lot W 1/4 SW 1/4 S 25 T 29 N R 18 E (or® Property Owner's Mailing Address f C # Subd. Name or CSkW 220 Livestock Exchange Buildin ST. )NiNn G IC Lenertz City State Zip Code Phone r jV4L -ge JDTowrt Nearest Road St. Paul MN 1 55075 ( 6 -451 -7320 140th Street New construction Use[E Residential/ Number of bedrooms 3 Code derived design Flow rate _ 450 GPD Replacement n Public or commercial - Describe: Parent material I .neSg over autwash Flood Plain elevation if applicable NA — ft• General comments s* sand w ith continuous bands of Ifs, 1Oyr4/4, lms1b mfi, spaced approxi .25' apart and about .04 in and recommendations: thickness. is orizon should be — siz e oar a. "fo .fittra�ll'1gTat . -- SG a Boring # a Boring _ Q Pit Ground surface elev. _ 102.84 fL Depth to limiting factor 42 to 53 in. Soil A ficetion 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 -19 10yr3 /2 sil 2msbk mfr cw 2f .5 .8 2 19 -42 10 4/4 sicl 2msbk mfr cw if .4 •6 3 42 -53 1Oyr4 /4 f2f5yr5 /8 sicl lmsbk mfi cw - .2 .3 4 53 -55 10yr4 /4 s Osg ml cw - .7 1.2 5 55 -110 10yr4 /6 s* Osg* ml* - .4 •6 axe d ❑ 2 Boring # Boring 104 >1.10 Q 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 1 0 -11 10yr3 /1 sil 2msbk mfr cw 2f 5 .8 2 11 -18 1 3/4 sicl lmsbk mfi cw if .2 .3 3 18-27 IOyr4 /4 sicl ltnsbk mfi cw - .2 .3 4 27 -38 10yr4 /6 is lmsbk mvfr cw - .7 1.2 5 38 -110 10yr4/6 s* Osg* ml* - - .4 .6 Effluent #1 = BOD > 30 2M mg/L and TSS >30 < 150 mg/L ent #2 = BOD < 30 mg/L and TSS < 30 mgR CST Name (Please Print) _ Si 9paittxe CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, Ne Richmand, N'VI 10/30/02 715- 246 -2454 .i s v Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Div_Ision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach comp site County St. Croix pl plan on paper cwt less than $ 1/2 x 11 inches in size. Plan must include. but not limited to: vertical and horizontal referenoe point (BM), d iction end C` _�0o Parcel I.D. percent slope. scale or dimensions, north arrow, and location and distance to nearest road. Please pdnf all in F (� E I I V E D Date Personal information you provide may be used for seco w, s. 15.04 Z () perty l- ion rolierty Owner Fred Lenertz DEC 1 8 P ot 1 4W 1/4 SW 114 S 25 T 29 N R 18 E (or) Property Owner's Mailing 220 Livestock Exchange Buildin ST. CROIX C ��� - # �' ��,1�� ertz City State Zip Code PhonQ 0 Village own Nearest Road St. Paul MN 1 55075 1 ( 6 - 7320 140th Street Q New Construction UseE] Residential / Number of bedroom 3 code derived design flow rate 450 GPD Replaoement Public or commercial - Describe: Parent material T .,i•,sr p y pt oulmmqh Flood fain elevation it applicable R General comments s* sand with continuous bands of Ifs, I0yr4 /4, I mnfj paced approximately .25' apart hbou . 4 in 0 and recommendations: thickness. TVs honzon sh uo d be sized for a .4 to .6 loading rate. 7 Boring # 0 Bing Q Pit Ground surface elev. 102.84 ft. Depth to limiting factor 42 to 53 I. Soli Application Rate Horizon Depth Dominant Cofer Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Mansell Qu. Sz Cont. Color Gr. Sz- Sh. •Eff#1 I •Eff#2 1 0-19 10yr3/2 - sil 2msbk mfr cw 2f .5 .8 2 1942 10w4/4 - sicl 2msbk mfr cw if .4 .6 3 42 - 10yr414 t2f5yr5B sicl lmsbk mfi cw - .2 .3 4 53 -55 1 4/4 - s Osg ml cw - 1.2 5 55 -110 10yr4/6 ( Ose ml* - - .4 .6 V . ❑ ❑ Bori Bori # Q Pit Ground surface elev. 104 ft. Depth to limiting factor >1 10 in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/If in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-11 10yr3/1 - sil 2msbk mfr cw 2f .5 .8 2 11 - 18 1 3/4 - sicl lmsbk mfi cw If .2 .3 3 18 -27 I0 /4 - sicl lmsbk mfi cw _ .2 .3 4 27 -38 10yr4/6 - is lmsbk mvfr cw - .7 1.2 5 38 -110 10yr41 - s * Osg* ml* - - 4 .6 °7 Eflkuent #1 = BOD > 30 _< 220 nV& and TSS >30 150 mg& #2 = BOD < 30 myL and TSS < 30 mg& CST Name (Please Print) Si CST Number Thomas C Nelson __._ _ 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, Ncw Richmond, WI 10/30/02 715 -246 -2454 Pe-, 3 X3 Y)LiV, ge0 1,� arre ► 'TOO �.� 3 B1 a5 50 o j QS Top al loo C.oxe/b Rol 7, F r 1 p � � ' b � _ S � e t V, d. �.� re H c.:c� � L-o-r L t t Al 04. — 'T — Vxa m k s bS i o5. V7 22`? 3 s7 64 1 05. 50 'ORIGINA t 1855 'Wisc €nsi�i,Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must qt rrn*y include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel-I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please print all information. evi Date Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 lm))• ewe S E P 6 20 Property Owner Property Location /3 03 T. R C T Delander, Jamie Govt. Lot swig swig 23 �8 Property Owners Mailing Address Lot # Block # Subd. Name or 302 W. Elm St. 1 CSM # 718732 City State Zip a Phon m City j Village 16 Town Nearest Road Roberts WI 1 540 1 71 49 - 3708 Warren 140Th St. 9 4tA,0� New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4'x 114' rock cell mound on 95.0 - 94.6 design line as upslope edge of rock w/ 05 0.9' sand fill F-1 Boring # Boring 16 Pit Ground Surface elev. 95.1 ft. Depth to limiting factor — 3 ��in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eft# GPD/ft � Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -10 10YR 3/3 - sil 2 f -m sbk mvfr cs if .5 .8 2 10 -31 10YR 3/4 - sil 2 m sbk mfr cs lm .5 .8 3 31 -34 2.5Y 8/2 f2d 10YR 7/6 fs 0 sg ml cs - 5 9 4 34 -66 i � SSBR F SSBR by resistance to penetration; weakly cemented M Boring # --1 Boring t/_) Pit Ground Surface elev. 94.5 ft. Depth to limiting factor 46 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eft# GPD/ft � Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -4 10YR 3/2 - sil 2 m gr mvfr cs 1f .5 .8 2 4 -11 10YR 3/2 - sil 2 f sbk ds cs 1 m .5 .8 3 11 -26 7.5YR 4/4 - sl 1 m sbk dh gs 1m .4 .6 4 26 -38 7.5YR 4/4 - sl 0 m dh cw 1m .3 .5 5 38 -46 7.5YR 4/4 - s 0 sg dl as 7 1.2 6 4 - 9 5YR 4/4 f2d 10YR 6/2 sl 0 m mfi cs - 3 5 7 49 -59 SSBR wk cemented Effluent #1 = BOD 30 < 220 mg /L and TSS > 0 < 150 mg /L ` Effluent #2 = OD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Sign to CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number 715 - 233 -0398 E. 4366 353rd Ave., Menomonie, WI 54751 9/13/2003 5 cwx Cwu Sr:P TA,,,r, �,1AJNTFNAN CE AC A N OWNERSHIP CBF, IF! C -094 k*c Glev)v- �' VR �� - V "Verification required L- pluming Da�trnenl 01 zlew parcel Wenti5ca:tjm Numb= 2- A w, Town 14, Sec. Lot P ag e certiflad survey Map # ., page v�-,;xromtY Lot line's S, no no PrcpCi 111A WIM:n -e failure -,o hmidle V.,Jjr VADMAA2 �t MULADLU system could TMU1t 1 tt Pr" r-atUSr- U P%',", im!c tht-- qYate'rn WI =*MUM&Uce of Y= Optic 800.ner it -0 CC)OL3Cd PUIM.Per. Y0 it tile leptic, tawk everY thrle yetis 07 efyie , d by a ii of M=Piag OL age M fm * "Upo" sY of thl ,4t certification form, agrrves 4-0 subm t Su Croix 7=!r4 DeTart" "te wastewater6isposal gy�lem aa- -,tropctty OW tha %&pt tat ; i4 g Itt.jo than 133 full Of sllld pl=ber, r 0 rtri 01 e d ' D1amb ' --1 Or %pe . c tjon md. pu=pirk ( gt&oT (2� D jVPsr Op e gur.dards J � it nmting cop asai system w I enD th above. an� ap Tttstl=ts, State of Wiscousin. -) 30 tht Departmp-nt 0' runty Z6 Ofpj� �vjtbu at by the aMeTt Of C;Onlmerceaud and -etis=6 to the st� cro gt! fo herein. s ja must be COMPI'�ted cypinhon date E t c. e w.r( P— DA B `:}r. best Of rff� � �i , I zerhfy tut all Mtemont3 1) r d --ft rezolydcd it. f Ttv Use 'bed 6*Vt,-.b- 10 J, Gtenv DXTF nis Mfg lturip wa-TartY deed warn the Register ed r� dee-6 -.ade Ln the -& q W. APPILCation; a q rvtv TM P it ref" � w1th + I ref tj- -W cc I POWTS OWNER'S MANUAL & MANAGEMENT PLAN page Of ?! FN.E lidl[ORMATION SY YFM SPECIFICATMW Permit M Sept Tank Captsoity ,? a l 0 NA Septic Tank Man D NA DEdION PARMITERS Effluent Filter Manufacturer 0 NA 1 Number of Bedrooms 0 NA Effluent Filter Model �4f 0 NA Number of Public Faculty Nita o NA Pump Tank Capacity al 0 NA Estimated "ow tayerape> C� - 14 1ton, Pump Tank Manufacturer r C) NA +tw' 0 04n ftow (peck), [Estimated x 1.61 �! Pump Manufactur — Le t/da y 'e'W...0 1 Q NA Sole A0plicatbn flat* al/d /ft4 Pump Model tab `{ O D NA Standard inffuenWic"Atent Uunmy Monthly average p , t UM Fats. Oil & Oreass (FOG) S30 m 1L NA S C1 lilarcd/f3rsvet Filter 0 Pest Rlftsr Sioch*ft*Sl Oxygen Demand (SOD & ) 5220 MOIL p NA ❑ Mechanical Aeration 0 Wetland Total &Wpondod Solids (TSS) s16C1 milli O Disinfection O Other: Prat »ated Efftwnt gw8ty Monthly average Dtepereal Call( 0 NA Sloch'SM10411 OXVW Demand 1800 S30 mg /L ( rev}tvl D In- Ground ( essurized pr 1 Total Suspended Solids (TSS) s30 m911. NA d At-Grade q Mound Fecal C011fonn (geamatNo mean) S10° full 0 0 DNp -Line D Other: Maximums Effluent Pwtk to See N► in die. 13 NA Ott 0 NA C NA etas ►: 0 N A • Values typical for don»atic Wwwwater and septic tank etfluem. 0 NA iCi1WNL! awwn Etrent tNrvtde Fr*oluanm Inspsot beftftlan of tank(s) At loaat once every: rr�on s IMa>Idrttum 3 years) O NA PUM mil ou content* of tenkte) When corflflined atudge and scum equate one-third (Y of tank volume ❑ NA IFISIPW dleparaa( oall(s) At least once every: man a) � m 3 years) 0 NA Clean effluent fitter At least once every: eta) Cf NA Inspect pump. pump controls & alarm At least once ivory: -- O � a t0 NA Flush lahwals and pressure test At feast once every: a 13 yearl man "a) O NA Other. tr10t11h�i At least once every: y C! � 0 NA ther; ON MAINTO"WW maTRUCTWNS Inspections of tanks end dispwast cops shafi be made by an individual carrying one of the following floeneso or aortificationa: Master Plumber, Master Plumber Restricted Sewer, POWTS inspector; POWTS Mafntalner;, Septage Servicing Operator. Tank in*psOtlOne must Include a visual inspection of the tank(*) to identify any missing or broker[ hardware, identify any cracks or looks, measure the volume of Combined siudgo and scum and to check for an back up or ptmding of effluent on the ground surface. The dispersal oei((s} shall be visually inspected to check the effluent levels M the obsomatlon pipes and to Check for any pondin Of effluent on the ground surface. The ponding of effluent on the ground surface may Indicate a failing condition and requites the imrnsdiata notification of the boa( regulatory authority. When the combined accumulation of Sledge and SCUM In an tank cantents of the tank shall be removed by a y sgUafe ens -third (Y or more of the tonic volume, the entire Wisconsin Administrstive Code. Septage Servicfn0 Operator and dlsposod of In accordance with chapter NR 113, All other servloes, including but not limited to the servicing of effluent flitera, Mechanical or pressurize units, and any servicing at Intarvsla of %12 months, shall be performed by a C#nlf(ed poW7 8 Maintainer4omponanta, pretreatment A "M" report shall be provided to " IOC regulatory suthw*V within 1 0 drys Of Completion of any service event. U 2527P 438 7SE."77<3 STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN O D EEDS t� REGISTER OF DEEDS r WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD Document Number 03/16/2004 04:06PM This Deed, made between Frederick G. Lenertz. sinole Grantor, and [ 1 Pnri4 Properties 1 .T T Grantee. WARRANTY DEED Grantor, fora valuable consideration conveys to Grantee the following tXEMRi t described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property"): TRANS FEE: 420.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address .— i�i(N 170. Burnet Title 7550 France Ave. S. First Floor Edina.'1IN' 4i43i 42 1069 70 000 Paroel Identification Number (PIN) This is not homestead property. (is) (is not) Lots 1, 2,3 and 4, CSM in Volume 17, Page 461located In part of the NW % of the SW % of Section 25, T 29 N, R 15 W, Town of Warren, St. Croix County, Wisconsin. *0,5 60(- "n4"rt 00- - �Ll D lA� Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except � \• Dated this day o 2004. (SEAL) (SEAL) F ederick G. Lenertz (SEAL) (SEAL) • AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, } ss. St. Croix County authenticated this day of ers � rlally came before me this day of l_,C\ , 2004 the above named Frederick G. Lenertz, single to me known to be the person who executed the foregoing instrument TITLE: MEMBER STATE BAR OF WISCONSIN and acknowledge the same. (If not, authorized by §706.06, Wis. Slats) THIS INSTRUMENT WAS DRAFTED BY Notary PUblic, State of Witconsin Coldwell Banker Burnet 1301 Coulee Road My commission Is permanent. (If not, state expiration date: Hudson, WI 54016 4-22660 Apr A —We-K (Signatures may be authenticated or acknowledged. NOTARY PUBLIC Both are not necessary.) STATE OF WISCONSIN Names of persons signing In any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. � 7 r. R PAGE 4673 H Urn— its via CERTIFIED SURVEY MAP 0 l� amirri a �t u S I r ZD SRIRYM 1tAA LOCATED IN PART OF THE NWI /4 OF THE�i� SWT f4 OF SECTION 25. T29N, R18W. TOWN AA t8e 2 OF WARREN, ST. CROIX COUNTY. WISCONSIN. I.6GBND Foc►NO ALUMINUM sr, ae ax C OUNTY PREPARED FOR: �r1AOORNEROF l9 SEC110N cORNEIt MONUMENT _. - aQCT10N Z0. Tyr, R1 aw FR£D LENO 3V 3 apaVlWAY o SET I` OUTSIDE DIAMETER By la' P.O. 2 I LONG IRON PIPE, WEIGHINQ 1.13 LBS. Sw 00mm OF LOr 1, PO! LWEAR FOOT SOUTH ST. PAUL. r — MN 37075 C*M VOL & PAgE 770 PROPOSED DRIVEWAY LOCATION SURVBYOR:� TH 4t LAMND EAtY N8 ' SURVE"NC. INC. 3 ' D LING f 2920 ENLOE STREET \ � a SOUTH 33 »o� L / HUDSON, WI Wl$ / 1 \ LOT 1 , P.�W 1 C ---� -- po --� 2.14 ACRES I • „ t (93,01SIS So. RT.) INC. Ri1N ^ �C N � � 2.00 ACRBS O ; (87,120 80. Fr.) EXC. R/W � � f ti� APPROVED � � aeaa eo•a et 7.a7�^A s�M .,.,..,.,. ......,. C, x I N ° \ 464.67 S E P 1 f� --� LOT 2 a ra wmow -vin N -ya . 1 , . 1Zt14 ACt I > �'0vol, ,pproval"er I +'o .. u+ (93,Oa6 SQ. I'tTT.) tNC. RNV P I .. 1 f � 2.00 ACRES ° I / (87,120 80. FT.) ®CC. R/W 8 I ° Ih! •�' 4&4 277 I N00*12'48 "B 889'39W28"g Oi7.a7' � o " 80' aD 4 . 0 Q�(PlLQ4"U't�® (LAG�jt�� coaoffo vn�" (V8 ti'g6 677.li7' 2305 PACE �pu 4 1 I $I 2.14A E8 I ( SS 84. Fr.) INC. RIVV �gCON x+(87,120 00. FT.) MCC. RfW 880'4007'E 617.6T ' S ' ct 484. Vs LOT 4 NN $ 2.14 ACRES c .f S r I (03,085 SO- FT.) INC. R/W H' $ I 2.00 ACRES 1 (87,120 80. TT.) Wzo. FVW f SOUTH LINE Of THE Nw,M OF THE sw 1A / SW CORNER 889.4a4e "@ 81 T.a7" THE NW THE SW 4 F / .. Z DRIVEWAY UN&AZ � , SCALE � IN FEET 1' - loo 80� 3311rz raN. R/ 8W � .r .� 1 i+� 60 f DRAWN 8Y. �� 3322 9RUW S A S 083 SINGIM JOS No. soMW DAM ItW oos mWvWa. OM204 1p3 SHFBT 1 or 2 SHEMTS V ol. 37 Page