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042-1086-80-400
/isconsin Department of Commerce f PRIVATE SEWAGE SYSTEM County. St. Croix afety and Building Division INSPECTION REPORT Sanitary Permit No: 463185 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you 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: Becker, David & Jane I Warren Township 042 - 1086 -80 -400 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range/Map No: q, �. t3- i 31.29.19.484F1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer , a Ho King SVHt Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic r.: T _ Dt Bottom eTs Dosing Header /Man. -7 f - - -� �.(�j I0Z. / Aeration Dist. Pipe vu / 02 • ; •; . ��' lU 2..75 Holding Bot. System \ PUMP /SIPHON INFORMATION Final Grade Manufacturer 1 Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft 1s.7 3 L 6. �5_ s Forcemain Length Dia. Dist. to WeIL- 17 a lt , t �_ SOIL ABSORPTION SYSTEM zc BED/TRENCH Width Lengi ; No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 7 / DIMENSIONS f - -_ _- - SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHIN Manufacturer. INFORMATION CHAMB OR Type Of System: r !` IT Model Num DISTRIBUTION SYSTEM t Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake / L\ Lengt Dia % J / PI ngth r t e ' Dia +t Spacing / 3 G SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only )epth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched ed/Trench Center Bed/Trench Edges Topsoil Yes L,a No J Yes Ji No )MMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 11 / /L 1 iy Inspection #2: t ( l�_I r� )tion: 635 93rd Street Roberts, WI 54023 (NE 1/4 SW 1/4 31 T29N R1 8W) NA Lot 4 r'; Z +c_ Parcel No: 31.29.19.484Fr,. BM Description ' , 1 sewer length = �j count of cover Required? Yes No For additional in formati & n Date Insepctor's Signature Cert. No i Safety and Buildings Division County V 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Salutary Permit Number (to be filled in by Co.) N isconsin 1 (608) 266 -3151 - T� J Department of Commerce ; r '�' Sanitary Permi ' atio [RECEIVE 'an I.D. Number T In accord with Comm 83.21, Wis. Adm. Code, p so t r tion ou provide _ 0 (, , 7� 6 7 =�� 5• /�• may be used for secondary purposes Privacy ) m) 2 Projec ddtess (if different than mailing address) NOV 0 1 n I. Application Information - Please Print All Information r ��.c�oixc10JN!, 635 93 `+. Property Owner's Na A � � S{�J f Parcel Lot # ^ Block 11 � operty Owner's M 'ling Address _ Pr -r� rty Location / �^ City, State Zip Code Phone Number 'a k,Section d C 7 �7J! ,�,/Oy3_ ��� rlcircle o ) II. Type of Building (check all that apply) �1 T '� > E or( �1 or 2 Family Dwelling - Number of Bedrooms �</ �S 5 t3�-. Subdivision Na CSM Numbe Ci Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑Ciry_i village ownship of 1II. Type of Permit: (Check only one box on line A - mplet l q2_ _ j 0 - - CTD A. New System ❑ Replacement System I ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision D Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration , Plumber Owner IV. Type of POWTS System: (Check a l_! that appl _ )C 0 �-�' -- ❑ - Pressurized In- Ground XMound > 24 in. of suitable soil 111 Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter 0 Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank L7 Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Ot her (explain) / V. Dis rsal /Treatment Area Information: _ 61 ' Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) ystem Elevation d. ✓� �� os �5 la's, 9� - � — Steel Fiber Plastic VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Gallons Gallons of Units W /� l �p (� 1 Concrete Constructed Glass New Existing Tanks Tanks [[[ Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber 1 `ems' TS s on the attache plans. VII. Responsibility Statement- I, the undersigned, assume responsibility for ' allati of the POW Plumber's Na me (Print) Plumber's si gna re PRS Number Business Phone Number 1 7,2 7 ?Fd �.. S Plumber's Addre ss (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Sanitary Permit Fee i dudes Groundwater Date Issued ssuin Agent Si gna a (No Stamps) Approved u Disapproved Surcharge Fee) ❑ Owner Given Reason for Denial i �YBV IX. Conditions of Approval /Reasons for Disapproval ` SYSTEM OWNER: i 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach Wa►piete putts (to the County only) for the system on paper not less than 111/2 x 11 inches in size Y3 re e I ea driocY sc,,,a� Y � ■ Sa,'ltevala r► EXis�in� �rstole e ler! C�ri�i�cr.� S.E. in(yrrcL� sl.�,ras to eca,44 17 SeLLft 07' goy See. 3 were - 6 6t Ioe.e &10/BO'Adrt 7 off' wa��.,,, Sf .�io7x�'oycJ oie 0 0 P 1 .L-.Sl c i �� 1 Pro po sed rvct.Jaf 2/. ro X ss' cfzsa/ ce.//. Fou.. -(q) "X yy aB' � "" a ed a E .2. S- P�oPosed h 1 of Hof ProPose.d 9B�• 3 btd�q� o ■ re 7- 04 Z w�scrCEmcr'�e w�p i /6��°� ` \ Refe t a- �{urGema'n e•Xiis ,f' 1 "sc 4•yaRr!e. sir �-DrQRESPONDFNCE Agr 3 y � . �.,� , • T of ff C ✓, r e.. F /ee z 1 R F P ioo.�o' Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sconsin `�'~ www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 18, 2004 CUST ID No.227990 ATTN. POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/18/2006 Identification Numbers Transaction ID No. 1069667 SITE: Site ID No. 691008 Carol J Becker Please refer to both identification numbers, 93RD St above, in all correspondence with the agenc Town of Warren St Croix County NE 1/4, SW 1/4, S31, T29N, R18W Lot: 4, Subdivision: CSM Vol 10 Pg 2904 FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 986681 Maintenance required; 450 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. • Condat No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. APPF6 The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT OF .pl�l{ NOF fEY General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORK SF "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (0 1/8 1) • The pit area that is located under the stone aggregate shall be inspected by the county for proper filling and compaction prior to plowing of the site. These areas maybe subject to settling after the construction of the mP p p g Y J g a mound component. The area of the pit shall not be considered as part of the effective absorption area. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. 1: WILLIAM C SCHUMAKER Page 2 10/18/2004 • 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 /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us cc: James K Thompson, A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 l 4 4 • T MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Carol J. Becker 3 bedroom residentail mound Owner's Name: Carol J. Becker Owner's Address: 300 South Division Street Roberts, WI 54023 Prop. Add.: xxx93rd Street Co. Hwy SS Legal Description: NE1 /4SW1/4, Sec. 31, T.29N., R. 18W. Township: Warren County: St. Croix Subdivision Name: CSM Vol. 10, Pg. 2904 Lot Number: 4 Block Number: Parcel I.D. Number: 042 - 1086 -80 -400 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank f Page 5 System maintenance specifications V® Page 6 Management and contingency plan Page 7 Pump curve and specifications IN '�'�`�c� Page 8 Site plan �BW� Page 9 Deflection curve calculations _ t Page 10 Soil evaluation report ONCE Designer: Bill Schumaker License Number: 227990 Date: 10/02/0 © Phone Number: (715) 386 -3121 Signature: =� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) RECEIVED Page 1 of 10 OCT 8 2004 SAFETY & BLOGS DIV. Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00; Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal - - - coliform of <= 36 inches. 1.501 Peaking Factor (e.g. 1.5 = 150 %) 450.00 Design Flow (gpd) 7.00; Site Slope ( %) 100.80' Contour Line Elevation (ft) 22.00; Depth to Limiting Factor (in) 0.401 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.00! Dispersal Cell Length Along Contour (ft) = F 5.00 Cell Width (ft) 1.00' Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c; Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.125 Diameter (in) (e.g. 0.25) 2.50; Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.00': Forcemain Diameter (in) 100.00, Forcemain Length (ft) Does the forcemain drain back? Y 89.001 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 12.47 Vertical Lift (ft) 36.11 5x Void Volume (gal) 1.9 ;riction Loss (ft) 52.42 Minimum Dose Volume (gal) 20.8 otal Dynamic Head (ft) 29.66 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options I choice 0.75 1.25 x 1.00 x x 1.50 x x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 646.00', Total Tank Capacity (gal) 1666.0 , Septic Tank Capacity (gal) 38.W Total Working Liquid Depth (in) Wieser Manufacturer i 7ml gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 646.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 17.00; Dose Tank Volume (gal /in) A100 Filter Model Number Wieser Manufacturer Project: Carol J. Becker 3 bedroom residentail mound Page 2 of 10 i Mound Plan View T . . . . . . . . . • 1/1 0 B •'•'•' ' ' '• ..: :. .'.'.': . .': Q J Observation Pipe ... . . _ l K T A W :•:..:I':'.' . . . B . . . . �. . .'.' ... I . ......... L Mound Component Dimensions A 5.00 ft E 18.20 in H 1.00 ft K 9.28 ft B C� 90:9fl ft F 9.00 i n z 10.51 ft L//61D8.55 ft D 14.00 in G 0.50 ft J 5.99 ft W 21.50 ft 450.00 (ft Dispersal Cell Area 1395.57 (ft Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.72 (ft) F ; : ; : ; : Dispersal Cell 102.47 (ft) Lateral 101.97 (ft) -00 Invert Dispersal Cell Elevation E : D : : : :::: �:: : • . . 1 4 _ `,.� 100.80 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover Shading Key T Dispersal Cell See lateral details on 1 ❑ Topsoil Cap o a 1.5 ft Page 4 for number, c Subsoil Cap H c 5 size, and spacing of 0 ASTM C33 Sand :5 � � � ��•-� °� �•• -.- :.'•, °•' F laterals. Laterals are T y p ical ®0 Tilled Layer H 0.5 ft T Y? Lateral equally spaced from ❑5 0 Aggregate v c the distribution cell's �-- A centerline in the distribution cell (AxB). Project: Carol J. Becker 3 bedroom residentail mound Page 3 of 10 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical I P � •= Turn -up ydball valve or 402 Laterals & force main of PVC Sch 40 cleanoutplug p 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) 44.28 ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 7.41 gpm Manifold Length 2.50 ft System Flow Rate 29.66 gpm Manifold Diameter 1.50 in Total Dynamic Head 20.86 ft Forcemain Velocity 3.03 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 �"!" _ y Tank component is properly vented �— Alternate outlet \ location Forcemain diameter Wieser Manufacturer �_ 2 in. Ca acit 646.00 Gallons Volume 17.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.51 314.74 C B 2.00 34.00 P� ump off elevation (ft) C 5.49 93.26 1 90.00 D 12.00 204.00 D Total 38.00 646.00 Dose tank elevation (ft) 3" Bedding un er tank. F 89.00 Alarm Manuafacturer LevelArm Alarm Model Number DVL Pump Manufacturer Goulds Pump Model Number 3871 EP05 Pump Must Deliver 29.66 gpm at r 20.86 ft TDH Project: Carol J. Becker 3 bedroom residentail mound Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone (715)386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715)386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft 2 Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years 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 ........ ....I Distribution . . • . . . Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Carol J. Becker 3 bedroom residentail mound Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The 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 fitter 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 an 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: Carol J. Becker 3 bedroom residentail mound Page 6 of 10 ,� GOULDS PUMPS Submersible Effluent Pump MITIT� ow EPO4 1 * 3871 EP05 is APPLICATIONS • Fully submerged in high ■ EP05 Impeller: 11hermoplas- i Bearings: U:)per Eno grade turbine oil for tic enclosed design for heavy duty 1) a. he <.r n_� �peci icall� designed for the lubrication and efficient improved performance construct > 1 f )lloviing uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems • oTies Available for automatic and thermoplastic designpiovidcs AGENCY LISfING_ • superior strength and corrosio Farms n manual operation. Auto SP canuiit:nSt.uri�rJ:.�sc_ ;t Heavy duty sump matic models include resistance. • ^Dater transfer Mechanical Float Switch ■ Motor Housing: Cast iron Deriateiing assembled and preset at the for efficient heat transfer, Guuids Pun p 's o eu factory, strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. maximum ■ EPO4 Impeller: Thermoplas- s Power Cable: Severe duty Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total neads: up to 31 feet. pump out vanes for mechanical Discnarge size: 172" NPT, seal protection. • Mecnanical seal: carbon - fotar), stationary, BUkA -N elastomers. • `emperture: 0" F ('I'D C) continuous ' 40 - F (60�q intermittent. METERS FEET �asteners 300 series 10 ss steel. g _.._.. talri e 30 Ca p uhle of running dry without damage to a °— �l _2 Components. 25 - - - -_ .0 7 Motor: ,20.BG W Si n gle P n 6 20r - __ RPFbu It overload ad w5i0 z s Fo Q o wi �.utrmat c reset. t 4 I P05 Single phase 0.5 HP, EN • E 15 V of 230V, 60 Hz, 1550 3 RPfr, bu It in overload with EPO4 utomatic reset. 2 \\ • Pov.er cord: 10 foot standarc length, 16/3 1 SJTCV viith three prong grounding plug. Optional 20 ° ° o 10 20 u ioot length, 16/3 SJTW with tnree prong grounding plug 0 2 4 6 a� 10 ,:tanaard on EP05), CAPACITY Goulds Pant)) 2oC' Go..Id, Pumps 11 l n d ,j si i t' S „u 2002 I dr��ei.�aY ■ 5 a, � va /uaf�a� -1 �o,'E P�iserr`w•�� ♦ EXis�in9 �raalc e %t! jFC�ri�ina,( S.E. �n�yrre..[.-�l Skims tka-,e /o ca-76ed Z7'Ssu.t-4 o{ Bcc��i Lc�S/ eSM nvrti^ /ot/:ne. 3 1 ehel, (�a- C1tYnkwk/0Cf�,ey i -,, - bt , e e/d S; Si 3 ; weir 40 u.,, d - 6 be /o e.& i5eo/BO' n 0 rL2 717. O'l Worre„ S�.CraiXCo�cJ /, of /0f /ine- 0 0 cs-- Lot S Lot J! `i° w/ S'X 9Z' d,SPerSa/ ce //. F o ,, r (4) ari Ce 5,4ac �ropo.s� d �1 W211 � �oa.retSG 17,2r7G� f�rr/'� : / o o �/� •, d.C. ipe o cG e a / 8v'K Pr�Oposcd 9B,so re 5, d ance �F � �i l 0 74 /a LoJ;ewC'oncrcC e wLP I,4vO 16SO j a \ \ Con,b,in�:�n OFF' /uwi�,�'• /Ltiiat S, .Tau -t /ef. - _ Grote tlka {ay cema is ir%.n,(' tkr0ufj A c, 8S ItoY�i o,/' /at Li ne . Distribution Cell - Concave Deflection Worksheet Becker 3 bedroom residential mound e Lot 4, CM Vol. 10, Pg. 2904, Tn. of Warren, St. Croix Co., WI. Site Information: 1. Design wastewater flow: 450 _gpd (3 bedroom)(100 gal /bedroom)(1.5 peaking factor) 2. Depth to limiting factor: 22" 3. Land slope: 7.0% 4. Infiltrative capacity of soil at system elevation: 0.40 gpd 5. System elevation: 101.97' at 14" above 100.80' contour. Dispersal cell sizing: 450 sq.ft. required (450 gpd / 1.0 gpd/sq.ft. ASTM C33 med. sand) Cell length (B) 90.0' Cell width (A) 5.0' Dispersal cell deflection: 1. Percent deflection: (7'deflection/88' down slope effective cell length)(100) = 7.95% 2. Adjusted cell length: [(7.95% x 0.00265) + 1] x 90' contour effective cell length = 91.90' 3. Actual cell length along contour = 92.00' Pg. 9 of 10 u� 6 -e, CK e r — 7 7G - t Wisconsin Dap �ment a Canlrrtexce R abtries) `�71a EVALUATION REPORT 1487 a Nlsion of Safe and Buildin P I of 3 with in acoordsnce COMM 8S, Wis. Adm, C --- A23ch mmptete xfla plan On Paper nol less man a $4 x 1I inch in slZe, Plan Must Steers Soil Service, Inc. Induce, but xl fmilad t d' o > , vertlCal and � 0nw °� County perment $bP acele a " °n08 P (8M), d m tbn end St. Croix FKXM arrola, and ler�tian and dttrtanr�e to nearest road. Parcel — ID. - .. Please print all 1nlormAtf *n, -- - -- — PeltOnll MbITIAW you Ixwlde may be used to secondary purpm (PrivwY tar, 11.15.Dt (1) (m)). RevieWBd 8Y - -- _ — PrOI61Y Owner Becker_ Tom A Caroi PfOpanY Location GOA lot no NE 114 SW 31 T 29 Property Owners Maill Addreso N R 18 W ng - Lots Block* Subd.NameorC3AAA 30 Division 311. �— — city - - .. _ 4 na State Zip Code Phone Number - -. —.. Roberts j WI 54023 715 - 749.3448 Ity } Village — Town ' Nearest Road Warren 93 R St FIANOW onstruction Use; Resldentlel / Number of bodroome ement Code derived design flow rate 600 GPD Publlo or OOfnmerO1 • Describe; terial . - Flood plain elevation, if applicable ne mmants -_ - r1 endetions: Mound Design.System elevation 101,17ft based on Contour line elevation 100.00{11, 1E Boring # IN Boring in Pit Ground Surface s rt. _ Horlmn I oap paninarx Odor Depth to limiting factor —_ z —in. - Redox nP n Texture Strutiun3 Consplerit r 6ourldary cots ItpCrkabon Rate ' "• MuraeO . Sz, Cam. Color f 013 it / 1 Qu Gr. Sz 6n. Efk ,E none Gil 2msbk m fr _ —..._ 2 13.22 10yr4/4 none I —. .. —_i .. 1f 8 .8 racfurt=d 2msbk _ _ Sid mfr I . 3 - — .._ 1 10yr7 /S 6 -- —... � .0 � 4 22 Cs none I limestone -- na 0 72 T Boring # N Boring — Fit Ground Surface elev. 96 .70 ft- Hortzar Dominant Cori Depth to Omiting factor .. 3 0 — In, Redox Detaiptlon •xure Structure trot Aplvranon Rata in t , ou, Sz. Cow color C*nskOwe Boundary 1 . L 0.9 10yr none Gr. tu, Sh. E 0� 'Eff -�!2 sil 2msbk mfr Cs f f 2 9 29 & 8 10yr4/4 none -- sicl -- -- — 2msbk mfr � 4 8 _ CE na 3 I 30 10 r718 � — ... —_.. -- - -- _ —.. y none ractured limestone nra na .0 j -- na I 0 l — - Effluent s1 - BpD e � 30 < 220 rng /L and TSS >30 a 150 mg/L cST Name (Please Print) ' Effluent #2 = BQp < 30 my/1 and TSS 130 mg /L David J. Steel Signaturo: - -- f 7 CST Number fiddrpag Steel'= Sorl Sen ' y 248956 —_ 994 200th St. 8eidw(n WI 34002 — Date Evaluation Conducted — — 7/30/2004 telephone Number — 71 Fr68q_ 511380 Ed Wt10 t700E 02 •6nd T7U'ggcCT Prorerty Owner Becker, Tom And Carol Parcel ID 0 Page 1—of 3 Boring 0 Soring; 7 1 Grouna Surface elev __ 190.90 A. Depth to llmdjng factor 29 in HTO Deprh nt CUM Rod% -- ApOicaWn Rate Co DOWPdon Texture sirimre orwary GPD& 060 Qu. sz. Cone Gr. Sz. Sh. 'Eff#2 0-18 1 0Yr ::0 311 none ail 2m*bk IS if 6 t3 mfr C T 2 1 13-30 I Oyr414 none sic 2m*bk mfr — l no .4 3 10yr7/0 none fractured limestone na na na 0 '0 ❑ Boring 50 drig pit Ground Surface elev, ff Depth to limiting factor in. APPS R8le Hortron Oap7r Dom inant Ulor Padox A Twum stnmwfe Boundary Roots Muned Qu, 81, Cant, Color Or, St. Sh. - Eff*2 *r — g oring 0 Boling Pit Ground Surface el R. Depth to llmfthg factor in, H047M Deplh Damindltl Cola Rodox Deecrfptlon T - ure Str inure — C0113kbneii bounda In. Murrell CU. 81. Corit, Color GPDAP Gf, 8z. Ch. . ... ........ Effluerrt #1 = 800 a 30 < 220 mgtL and TS.S X30 s 15() mgk Mont #2 ■ BOO, S.30 rnA and TSS < 30 mg/L The Deparawnt of'COMMCrOC iS an equal opportunity service provider and employ, If you nee as SiSMICe to access services or need material er, ' An "'temate formal, please contact tho department at 608.266 -3111 OT17Y 608-264-8777, 2d WdTS:0T VOOE Op -6rU TET2982ST�: 'ON XUd 9NIffwn-id W STEEV S SOIL SERVICE Pa 3 of 3 Vid 1. Steel C• CST - POWTS 895b NE Tnm 8c C arol Reck 994 200 th St k Lie. #24 �� Bald winWI 54002 , I /4,SWi /4,S3t,'I'29N,R18W Bas. (7l5) 684- 5680 Town of Waman, St C�aix Co. Fax (715) 684 -3449 I ' O= ' a I•egend >, _ , I - ao A - , Benchmark El e. I00.om Top of 3/4" PVC tripe 0 = Aft Bandunark Ete. 100. t oft Top Of 314" 1'VCPipa wings t Ba ft Elevations B I = 98.70ft 82 = 98.708 B3 = 100.90ft B4 = W.0oft f'� 1 Qa � r , Lo' ,e �2 aim r6bld IBS - 1467 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 Steel's Soil Service, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix 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 mad. Please pri ' formation, ev' wed By Date Personal infomralion you provide m us}d q�3l�pndary purposes (Privacy Law, s. 15.04 (1) (m)). 14�� 2U6, Property Owner Property Location Becker, Tom And Carol -- Govt. Lot na NE 19 SW 1/4 S 31 T 29 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 300S Division St. 4 na City State Zip Code Phone Number _j City _J Village e Town Nearest Road Roberts WI 1 54423 1 715 -749 -3448 Warren 1 93 Rd St 16 New Construction Use: 16 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement I Public or commercial - Describe: Parent material Silty sediment over Fractured limestone. Flood plain elevation, if applicable na General comments and recommendations: Mound Design.System elevation 101.17ft based on contour line elevation 100.00ft. M Im Boring # j Boring Pit Ground Surface elev. 98.70 ft. 22 n Rate fact Sod Application Depth to limiting act APpI Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -13 10yr3/1 none sit 2msbk mfr cs 1f .6 .8 2 13 -22 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 22- 10yr7/6 none fractured limestone na na na .0 .0 Boring # J Boring 16 Pit Ground Surface elev. 98.70 ft. Depth to limiting factor 30 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 9 -29 10yr4/4 none sicl 2msbk mfr a na .4 .6 3 30 10yr7/6 none fractured limestone na na na .0 .0 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD s30 mg/L and TSS <30 mg /L CST Name (Please Print) Signature* CST Number David J. Steel t = o� 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 7/30/2004 715 - 6845680 i Property Owner Becker, Tom And Carol Parcel ID # Page 2 of 3 3] Boring # Boring 3 O 1/' Pit Ground Surface elev. 100.90 ft. Depth to limiting factor Sod Appli Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -16 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 16-30 10yr4/4 none Sid 2msbk mfr cs na .4 .6 3 30 10yr7/6 none fractured limestone na na na .0 .0 F-1 Boring # I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L *Effluent #2 = BOD <30 mg/L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. ` Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200 th St CST -POWTS Tom & Carol Becker Baldwin,WI 54002 Lic. #248956 NE1 /4,SW1 /4,S31,T29N,R18W Bus.(715) 684- 5680 Town of Warren, St Croix Co. Fax (715) 684 -3449 Lot, 4 Legend 1" = 40' Benchmark Ele. 100.00 0 of 3/4" PVC Pipe [Alt Benchmark Ele. 100.1Oft 7 op of 3/4" PVCPipe ❑ = Borings Boring Elevations B 1 = 98.70ft B2 = 98.70ft B3 = 100.90ft B4 = OO.00ft 3F 175' �o nod' `7� D i jfh� 6 ...u, �a cuy ►f Wq :� ftigarof 527694 CERTIFIED SURVEY MAP LOCATED IN THE NE 1/4 OF THE SW I/4 OF SECTION 31 , T29N, R18W, TOWN OFWARREN ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: WALTER LONGEN $ 1 N89008'32 148.48' S'>6 0 47.02 101 * 46- 1 13 4.5 ` 5 6 2 8 l „ I 0 ' o septic vents 33' 33' NOTE: B EARINGS ARE REFERENCED TO THE SOUTH LINE OFTHESWI /4 ASSUMED). 1 house 17 t0 — drlv�-' L 0 T 3 •3 . 4 i ACRES '` ov�•- -•� f '146, 490 SO. FT.) 3.03AC.EXC. ROAD R.O.W. M I 1 .1 32, 150 SO. FT.) APR rc ST. CROIX Cou — I omprehensive Fiars� N W Zoning ^ �RZoning aS1Q $ r, W r: Parks Commit' we Ir as. N86044P35 "W 577.23' I"t 5 3).43' 00 -lp .Wftfn 30 days b 3 = al date n SETBACK 1ACRES 31J�1r031 SI13Qi''+. Q N v r v 1 1 NE n & void Z a O�N ` a Cu J. O N I 3 1 I - 2 1 , 60 9 SO. FT.) Io O _ W i. / R .W, m o 2 .56 AC. C. EASEMENT O _ °o • m E..• Vo �. o v st o ~ 45. /0 54 .90'' S 8 5' a 2 6' 03 "E N J. 1 0 .. 83 577.' a. i 5/. 9 �COMMON DRIVEWAY 532. 73 47 7.83. Z• � EASEMENT. 35.00' � of LOT 5 2.41 ACRES N °' 33 33 I— 1 1 05, 083 SO. FT. I 3 ` 2.15 AC. EXC. EASEMENT/ R .O. W. \ �A • + 1 93, 627 SO. FT. ) O 44.08' y 442.89' S89 32 ° W 486.97 R= 487.03 If UN PLATTED LANDS, Zs''o M ; 't O = SET 1 "X 24" IRON PIPE WEIGHING 8.13 31 LOS. PER LINEAR FOOT, ® % 4 p �w••rn �• Jt. �j Oct 25 '04 11:02 F.02 FROM - SCHUMWER PLUMBING FHX NL. li�3tlbJldl u� i� iVM+ a. .ar .. i I ST CROIX COUNTY SRM'IC fiA.NK M&Ug AOR.HBkM11IT AND OWj1Bi xw CEUMCA'TION FORM Owatt Uyet u MAiUai Addt+os 1� I ! 0 s� (Vari utian tupi d rubo al Dopaitttteat for aw oodowdcd ) Clty awte I Parcel idattitfcatfotl Nwabcr 2- Pt opeety I.ocadotl V4, - sue Y�, Sec. J_�, T„� N•R�W. Tom of subdMdoa Lot CmjUw survey Map 0 b 9 Volume f' to # wtl!lllaty D*W # � g , / . Volum _ 26- pW # Rpaa bouso O yakV no but Um ifi able O so MS sad a+amha m wf Y �wti, syelom ooum MrAlt in its P wwV [ wro to tw$dlo wraates• riopot mabat ae ooao ootnw of pumpiu out die roptic "ovor�thtee years of tonK, it asedad by s lioumd puwpa• W'bat Y" pat isle +be o,. affid the #ADAM Of *A POptia task k ""Ime at BWAO iA U auto tliapoKI rys" tad b a 0o fo i 64 oar Y • r�tltfctrtl tm, 't�s penpaty owsr a� to tatbm�t to St Croix L Depseen�nc iltted by aaastetplwabec, + yQiaaplumbar. edpl 6aror a Licamd rMW verifyia6 deal( 1) system 1s ba popm opmtiaa oaaditiab attllor (2) a ipapaaksoa pwnpit� tit deaeepeY?. ttMS ssptie banit lets them 1!3 [ulE of e1Wtla. a tLe as t wom *ft & afapAar Uwe, the �der�ttyeed have [�sd life above tel4aimglR�rfi sacs apse to rostaaia pit, mapowl W *, batten, as eat by the Deputimcut C.oeoea= and the Depaaiareett O Natttrtl k4muroee, Sate of � �vi<bla 3t) 'aft that roar Updc syst m bas btsoa mast be caett�►leted tad :etum+d m the St. t�oits Cov>sty Zrooi� days of &P" ya.r eicpieedad BATS tit OP A$!'UCIIM i I TA ootel toot all Stamens laic fora we true io the bat of my (our) laaowtwp. I (we) am (am) the ownet( +) 0[ the btd dom above, by vietue of wwmty deed road ed its Rogitt of Deede O[[ioe. $IC$d VAB DP A"LZCAN'C j kr. "� �; _ r C. L, DATE •e«.es Any MEotmatloa last is eed may recall m the sauWay pozoit beittl tevoolced by ft 7mtal bept+rbu ►• It dak wttb Ak aPPtkMM: a 1604dd wumagy dad b m "Reri;ta of Deeds GAIN a Copy al[ the oordf d mmy Up It eeiae me M amAb is the wamoy good . I I i I II Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 8 Adm. Code • O, i COUNTY '°_` �p ST• CC a�x Attach complete site plan on paper not less than 8 1/2 x 11 i ze. Plan musty u , but not limited to vertical and horizontal reference point (BM), t:� and % I sca`t��d ! PARCEL I.D. # F r dimensioned, north arrow, and location and distance tonroad.� REVIEWED BY DATE "� APPLICANT INFORMATION- PLEASE PRINT ALORM� l�'t"IOJ4d <'' PROPERTY OWNER: •�� ; . PR %Y LO W R �- C�SZ $ C �l�R`'[ L L 0 ►J 6 `'� " ` {— 1/4 S W 1 /4,S 3\ T Z q ,N,R 1 E (oO PROPERTY OWNER':S MAILING ADDRESS 1,0 SUBD. NAME OR CSM # 63q 93 vA sr. .. '� ... K 2oposepsz) C- :S - CITY, STATE ZIP CODE PHONE NUMBER r. • QC� LLAGE MOWN NEAREST ROAD �vB e.0 r_ kl I S L/ r. (� I S)'7 X19 - 39 2 R \ Z �L�1 ° 13 ►^a 5 r. QQ New Construction Use dQ Residential / Number of bedrooms '• [ J Addition to existing building [) Replacement [) Public or commercial describe Code derived daily flow gpd Recommended design loading rate - bed, gpd/ft a -3 trench, gpd/ft Absorption area required ' bed, ft trench, ft Maximum design loading rate o - S bed, gpd/ft 0 6 trench, g pdjft2 Recommended infiltration surface elevation(s) .SEEIZ I%JOT` okJ PneN 3 It (as referred to site plan benchmark) r Additional design / site considerations CZTCgm M tEiiCq l G, t.J?M� ,p W Mouhab , "w . \ OF SPRY tFt-l. Parent material S CO t wtev i ova Flood plain elevation, if applicable N • A - It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem EIS CCU OS ❑ U I [IS ®U ❑ S O U IDS ®U ❑ S RU SOIL DESCRIPTION REPORT Boring # Horizon Texture Consistence Botxlc�ry Roots Depth Dominant Color Mottles Structure GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends v z 3 1z — SO 2 1 0'1 wt Q o .s o.6 Zwt -36VX w,'fti- a S 2UF Ground 3 zS- Zt3 -S`�2 �!Z - S vnU'FI. elev. 0 1 `l t1 3/z I? sib 5 11 — Depth toj y Z -613 W"-'j " vn — limiting factor CO,\J AJS G hi MUkSTU\ZC; r - lu tU Remarks: Boring# `L) _ ' o.� ..1 Zvi b. S : 3 1Z S Z Sbk v� dt,, 31Z - std ZMS�h mkt. cS Z v'F o.S o•b tai ::- .:.::...:...:.. �l)`1.R- 312. St wt 1^ Ground 3 t$-Z9 — st ��Aiiz eiev. \ 00.o ft. Z 9 -SS 1Z z I t `, S `t2 s1'6 St Depth to limiting factor Z al't Remarks: TName: Please Print Arthur L. We erer Phone. 715 425 -0165 e Soil Testing & Design Service - P.O. Box 74 River Falls,WI 54022 Signature: Z Date: CST Number: M00576 I - PROPERTY OWNER GQN SOIL DESCRIPTION REPORT Page? - of 3 PARCEL I.D. # • Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends LO-1 \Z 3I2 &k 2u f o S u. 6 Si 1 7Z w) sbk vn i>- o- S NJ u.S u .L Ground 3 t6 -39 l0`t2 3/y — St 2'F'S o. elev. ti ft. 39 -43 tv�R �/` � 51b C as - - Depth to 5 L43-SZ IU`>R 6/6 limiting factor „ Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1 "= yp ' I l� PP2d X 111 R T� Fv M� I.OT U^-' i i J I i U. gul 0 0 / Ttt'Bl ftzL"R Fob. hovkA . - Q.2 Y-41 � � � 2 Z B•3 • C1. p °_ �, P1'1�ORU X ►w1 R'rL 100.0 O"J 4 H1 G H Q 3 /y" D1 R. PvC p1pE w /Lovm Zk tuT Uw i \,AjN LL I L��T Lu CTlI>� �,..p �Ll f�"1WV U1= M- �UvJvp 10 Be ��1Zw� ljt/LJ h'r 1lM` 01= iJL . 715 ) 425 - 01 65 14 00576 CST Signature Date Signed Telephone No. CST # r -- Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations Division of Safety s Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION w R L -Tt 4 `- 0 1-16 ETV G61�-L9� ^ Nk t/4 S W 1/4,S 31 T Z. Of ,N,R 1 E (oto PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBO. NAME OR CSM # 63 CI 93 �-A ST. — — k ii? osez C Swl CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE MOWN NEAREST R_ O D RbB � k1 I S 4 o Z� n I S)1 q 9 39 6 Z w r� `Z ZC�'►.l C)'3 ►^°c s T7. New Construction Use Residential / Number of bedrooms ' (] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate - bed, gpd$ 0 -3 trench, gpd/ft Absorption area required ' bed, ft ' trench, ft Maximum design loading rate o • S bed, gpd /ft , D-6 trench, gpdtft Recommended infiltration surface elevation(s) .SL's Nom oxi V" 3 It (as referred to site plan benchmark) Additional design / site considerations 9-TC -0 M )-o►v G , t - >t'tTL W f�ourup . " t ki • \ 01 Std riUL Parent material S ► L` 4 S to t Me% i o v etz �o�.u� ITE Flood plain elevation, if applicable N • A - ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S CCU OS ❑ U [Is IN U ❑ S ® U ❑ S ®U [Is ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITw& 31z sLl 2`fsDk dw Z�� o•S o•6 S v3'-tt- �/z 1 siI Zw, sbk wti f►- a.s o.s o_6 Ground 3 zs -Z6 - )-S`-tR 31Z - S >z muff elev. 1 o1 i ft. 1$ - Z. 10 `1 R j / Z �. S y fZ Sla S 1 � � 1� . 5 VL vn F1^ e S - Depth to — limiting factor COAJ 'u W G Ii h U � S`�u \ZC T - l� � w Remarks: Boring # Z s 1 Z S k V'6l_ d.t.0 Zv 0• S o. to Z Z l0 -18 loy\z3 /Z - sly Z mS �11 m�t. CS Zvf 'n• .. tj •v.S:t:�'i $ 3/ S h Ground 1 � 3 1 L - elev. j - - 29 -5 to z 1 f sin s� I vr, � - \ oo.o It S Depth to limiting factor 1' Remarks: T Name: - Please Print Phone: Arthur L. We erer 715 -425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: qy_ 6y - 1 Lb �Z4_`Z M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Zof• 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Gnu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends tip , Iv M - 0�, w z o.S 0 .6 S) Zw,s�h wti`r�. es luf o.s o .� Ground 3 f6 -39 IO�tQ- 3 1y S) 2'FSdk �n'Fh C.S - o -S o. (, elev. \ M,Ci ft. y 3 9 -�l3 tC)`1R �/G )�,sytz 51b Depth — Depth to S y 3-sz lU`1R & /I. _ L S 13 limiting factor „ Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # C3 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PLOT PLAN Pa of 3 SCALE 1 "= Yp ' I wrul x�M� �v�Ze wt u*,.e I U. j' j !s J i C2 h Y ,4 u. o t° ' / Z B•3 !' r I ?ss�cn.o x Iwti nit L oN g"bttGli. 'r-'1 u,T ul,E ' 3ly D1n. PVC p�p� w /LRTN i we k LL--"T ZS' WkEL 't k 5-6 VnOQ...A To �3e � SZr 11+�1t11 tTr -lM` ol= �LStGN. - oc� `i 4L- 71 � 5 14 00576 CST Signature Date Signed Telephone No. CST # 9 9 r' State Bar of Wi con,.n Form 2 - 1982 )q L+ �) p nI C 52'�'8a9 U u J f lJ U WAR RAINTY DEED I I Q �] 1 DOCUMENT NO_ _ _ 44 18► =if 09 - �J REGI LTEA'S J; i''. t Ej X County. State of Wisconsin: S /PR O . I Walt -- . �._:1.c�nggen,_IIZ� end. Cheryl- M--- Lonsenr -._ 1995 ' _ - and wife ---- - ----- A1.1 conve s and warren w -� +�9 W. Becker- and Carol J �� r .._._ 1IId tt[if� _ j _ rN17 S _ OR RCCORD.NO OArA �f JO �� � NAME AND Ra I.Jii .. .� � �' P{as � the fo thfollowing wins described real estate I _.s�ti_ t s 4.a r f µp (Pa dent ification Number) Part of NE1/4 of SW1 /4 of t 31, Township 29 Nor , Range 18 West, St. Croix County, Wisconsin, escribcd as follows: t4 of Certified Survey Map filed April 13, 1995, in 1. 10, page 2904, as No. 527694. MAN Z iI t I F11' t� This is not homestead property. ( (is not) . Exception to warranties: Easements, trietions and rights -of -way of record, if any. Dated this __.�l.. _ day of (SEAL) — `.^�7�_— (SEAL) _ Walter C. Lon em. III�_ . (SEAL) •_ ice_ —� (SEAL) • CZtQryl M an -- AUTHENI' ATION ACKNO LEDGMENT . t Sisnature(s) STATE OF WISCONSIN -- St. C roix sa _. County. authentipted this y of , 14. — Personally came before me this _ day of Ap 19_95 the abwv named — SI�Ieac� _Lvngen.- -IIL���C1ie�cLM.._._. _1Ar4&ett,- husband_ and..wife j TITLE: MEMILElt SIJATE BAR OF WISCONSIN _.— (If not. i . authorized by &706.06, Wis. Scats,► to me known to be the person S_ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS ORAFTEO BY KristitLa_0gl4ngi_ M atte M. BarrOrr �� - _ -- -- Notary Publifr 1 -� — - - -_ . Attorne 8t Z8W S' a t e Of Wi SCOt)1si(a ry Public - OI.tG -� CDUety, Wis. Y . _ _ tl (Signatures may be authenticated or acknowledg &Nh arc not M commission is i y permanent. (If not, scat ex piratioJ� I necessary.) 19 I� •N.nw .'r i�� .rylaina n anY �+Mny .MwW Lr q{a t .r win j t"— Iheu to-I. a. i WARRANTY DEED aTATE BAN OF WISCONSIN Wisoonsm L.pal 814nr Co.. Ina . FORM Ns 2 -. I962 MdwauY.a. W's. Il • U. 2686 P 132 ' -7851 KATHLEEN H. •VALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. cROIx co.. VI RECEIVED FOR RECORD. This Deed, ma a between.• Carol J. Becker, a single person, 11/01/2004 08:00AM Grantor, and David T. Becker and Jane M. Becker, husband and wife, as VARRANTY DEED survivorship marital property, Grantees. EXEMPT # B REC Grantor, for a valuable consideration, conveys to Grantees the TRA FEE: 11.00 TRANS FEE:: following- described real estate , in St. Croix County, State of Wisconsin COPY FEE:? 2.00 (the "Property"): CC FEE: PAGES: 1 Part of the'NE %. of SW % of Section 31, Township 29 North, Range 18 West, Town of Warren, described as follows: Recordino Area Name and Return Address Lot Abf Certified Survey Map filed April 13, 1995, i Vol. 10, Page 2904, as Doc. No. 527694. C. L. Gaylord Attorney P. O. Box 46 River Falls, WI 54022 42- 1086-60 -400 (Parcel Identification Number) This is not homestead property. Together with all appurtenant rights, title, and interests. Grantor warrants that the title to the Property is good, indefeasible -in fee simple and free and -clear of encumbrances. Dated this Z� j'I!� day of c 2004: (SEAL) (SEAL) „ ( "Carol J. Becker rantor . (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) of authenticated STATE OF WISCONSIN . this day of 1 2004. PIERCE COUNTY Perso ail came: before 'me this •- ,, • aY �df•. the abo • 0ar.Ql J 004 r C9 C�� 2 n Becker, to me known to be the perso tr� w exeoyted forego in inst ment and ack wledgt'samQ` V = TITLE: MEMBER STATE BAR OF WISCONSIN v (if not, :. 2 • i authorized by § 706.06, Wis. Slats.) C. Gaylord J _ '� r Notary Public, State o Wisconsin �'•., My commission is permanent. ti '•�'� c� > .0 hpi ► ►►1Y � . THIS INSTRUMENT WAS DRAFTED BY C. L. Gaylord Attorney at Law P. O. Box 46 River Falls, WI 54022 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800•$55- L0 1 po 1 3 1995 _- z KA7FtLEENN rs'•rM 52769 CERTIFIED SURVEY MAP LOCATED IN THE NE f/4 OFTHE SW 1/4 OF SECTION 31 ,T29N, RI8W, TOWN OFWARREN ST. CR01X COUNTY, WISCONSIN. PREPARED FOR: WALTER LONGEN $ 1 N89 ° E 148.48' 47.02 701.46' � $� O O ifpr? C V1h1t 33 33' NOTE: BEARINGS ARE REFERENCED t O TP SOUTH LINE OFTHE SWI /4 :1 f ASSUM EDI. I hOYtf 9 O ° LO T 3 :3. 4 1 A C RE S A O VI #� . J 1 '1 48, 490 SO. FT. I 3 C E 3. 0 A .XC. ROAD R -O.W. 1. 1 .1 32.150 SO.FY.I 51 . M A I A 1 ST. CROIX CO:3s -t '07 �:omprei►ensiw P3alrr S LL Parks Coawnittee LL' ti 40. N86 °44'35'W 577.23' �� .. 3 3 1. 43 1 O D' - lt wfd%M W J � W �°7' appnr*W date N y serBAClc Approval shaR� M N m my N L I N E AtIO 3c YOt O • -� o _0 L O T 4 d a: '^ 2. 8 1 ACRES ., ry J. C ry 3 t 1 m �• 2. 36 AC. EX C. EASEMENT /P.O. W. p W Z O ' n0 I 111, 373 50. FT.7 I, 0. 18 . ") w 45. 10 34.90.1 M 3 8 5 0 C) Q: C 26'0 I� 3 E 577. 83 477. a" �• "' 3i ' 89 �COMMON DRIVEWAY 532, 73 93• C1 EASEMENT. _• 33.00' �Jry L O T 5 2.41 ACRES C E AS E S MEO F N ' T . 33' 33 • 2.13 AC. EX / R .O. W. ^' O 1 93, 627 SO. FT.1 ° Gj 442.89' S89 " W 486.97 f R- 48 7.0 3' 1 U LA A p O SET1 E RLI IRON PIPE WEfGH1NG 1.13 ;opt LBS. PER LINEAR FOOT. W I afl • a 1 IRON PIPE FOUND. , JAMFIZ A, Z R ~ S - 1804 >: COUNTY MONuMENr FOUND. SPRING VALLEY cc SCALE 1' c i 00 a Wis. a Z• see-41 1313.33• R S 8 8- 54,52 "W O 50 100 200 ay����_, ��,,. -•�� ,� S OF SI/4 GORNER OF SEC. 31. SEC. 31. JAMES FI. WEBER 5-1804 \� -v- SHEET I OF 2 DA wa.���n .�gaar 9 4 - i's f T R f S IN S T R U M E N r DRAFTED BY JIM W E S E R VOLUME 10 PAGE 2904