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002-1069-60-100
ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SAM[TARY REPORT Owner C� 1 4M tT G r o S C Property Address ') ? S Z 30 1 " St City /State 04 / d H �•✓ Legal Description: Lot _ I Block Subdivision/CSM # V '/a tj V 1 /4, Sec., TAN -R 1 6 W, Town of l34 /d n PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer ✓ , 'd- e-s a " -",, Size ST/PC 1 66 0 1 750 Setback from: House 7 Sf Well S P/L Pump manufacturer 2 �// e rf Model S 3 Alarm location 13 kj is - c- c. S e r v i t (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: /"a k n d Width S Length 9 Number of Trenches Setback from: House Well G� P/L / 1 0 Vent to fresh air intake ELEVATIONS a 1? ' ti n of benchmark � � � Elevation Description � p o 1" Description of alternate benchmark Elevation Building Sewer ST/HT Inlet Q ► 5 ST Outlet � - i (-' PC Inlet 9 4 -ql PC Bottom c t3 , S 7 Header/Manifold r 7 Top of ST/PC Manhole Cover / 7 Distribution Lines O q q � k O O Bottom of System Final Grade Date of installation / / IlPermit number State plan number' Plumber's signature License number �%� . Date j/ 7 ' Inspector kG V e n Complete plot plan � X i NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW 1 C 11-Y v h at M - NG to KATE NORTH ARROW i f isconsin Department of Commerce p PRIVATE SEWAGE SYSTEM County: S.fety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344547 - Perrrft"Ieg ,Npme: ❑ City BALDWIN Town of: State Plan ID No.: ��JJ �AticZ VV C H 3 f CST BM Elev.: Insp. BM Elev.: BM Descriptio : Parcel Tax No.: % e0-0 r I , tro .o ' 1 7igAk L 002- 1069 -60 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic It Benchmark g!i (eo . D Dosing #, Q ©. $o Aeration Bldg. Sewer A Holding St/ Ht Inlet QQ. TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLD Ventto ROAD Dt Inlet 9LL Air Intake Septic ti s S� NA Dt Bottom �- Dosing « " �.$p ` NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand a Iy' (q.?. *o Model Number 5 �GPM TDH Lift ,jk Friction Syestem�� TDHa,�lFt oss / Fii Forcemain Length bJ( Dia. 2 Dist. To Well 71� SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt No. Tr nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING manufacturer: SETBACK CHAMBER INFORMATION Type Of ��D >!� OR UNIT mode Number: System: DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) I 4 x H l Size x Hole SSp acing Vent To Air Intake It Length Dia. Length %S Dia. ( I2 Spacing S� 39 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: BALDWIN 28.29.16.421A- 10,NW,NW 775 230TH STREET ilbe.�g��Q, lit Cyr of w ) 14-11� r 0� ad" �� X 40 per, Plan revision required? ❑ Yes D4 No / Use other side for additional information. 0 1 O 3 e0 1 1 5 1 2 t0 �° SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: y t a � � f _ A e t I � I d , w s i e 3 i a t a e, a i 3 - a s' m� C e ,.e... . , .. m .... .. , ..... e. g .. . ... E yAem a _..,:,.ee, w. ...,.,, be.,. — ,.e €. ea e m ...... ,. mm e.,a•..aj r { i i C T t 8 i R e 8m 3 3 E e , ........ .... e ....... . e � t p a 7 m ¢ » .m d._ —. .... ., .. .�.....{ E f ..,. ,..... .., w:..: �, ..,,., a ... .... ... .. ..... ..... .. ... ... .,.,..«..,.. ,.. e.,. .. , ..m. t e_ i � d $ j " E Safety and Buildings Division ILconsin SANITARY PERMIT APPLICATION 21 Boxa Department of Commerce shingtonAvenue In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. V. C r p1 A • See reverse side for instructions for completing this application State Sanitary Per Number Permit Personal information you provide may be used for secondary purposes ❑ Check if revision io previ ap plication (Privacy Law, s. 15.04 (1) (m)]. State Plan LID Nu ber . I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION I 1i o23 Z c 1le Prop rty Owner c ame Property Location i rh �J A r 0 If W 1 /4 Al bV 1/4, S T a 9 N R � �v E (or) W Property Owner's Mailing Address. Lot Number Block Number 3 10 5+. City, State Zi Code Phone Number Subdivisign � or Yo �u ib r Ulioc�ol�; I w 1 (1 / �' ) (� -a Il 5 ( moo , r'' ,t `I II. TYPE OF BUILDING: (check one) [I State Owned !t Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms row of a 11 a d III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) — K ) (_ _ D 1 ❑ Apartment/ Condo DDS _ 14)I - 60 �lo� 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1. New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------ System System Tank Only_ Existing System _________Existing System B) [ Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 OMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 []Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fi I I Q'• VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 4 46 / � -6 94 1,5 Feet Feet VII. TANK Capacit gallons Total # of xper. Prefab. Site Fiber- E INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Exist' structed Tanks Tanks I 1 Septic Tank or Holding Tank v ❑ ❑ 1 ❑ Lift Pump Tank /Siphon Ch amber /` � Ql �C°f� 1 ❑ ❑ I ❑ ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility jbr instal ion of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum is Si nat r o Stamps) [ MP/MPRSW No.: Business Phone Number: Plumber's Address (Str et, S Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing ent ignature (No Stamps) �] Approved ❑ do Surcharge Fee) Owner Given Initial f� _ 7 9 ry Adverse Determination X. CONDITIONS OF APPROVAL /REASON FOR DI PPROV L: SBD- 6398 (R.1 1;97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber , INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the k Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- i GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. x Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 18, 1999 CUST ID No.223475 ATTN.• POWTS INSPECTOR ZONING OFFICE JOE STANG ST CROIX COUNTY SPIA 506 WILLOW DR 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 06/18/2001 Identification Numbers Transaction ID No. 231418 Site ID No. 174600 SITE• Please refer to both identification numbers, Site ID: 174600 above, in all correspondence with,the;agency St. Croix County, Town of Baldwin NW1 /4, NW1 /4, S28, T29N, R16W Facility: Jim Jarosch FOR: Description: Mound System - Three Bedroom Residence Object Type: POWT System Regulated Object ID No.: 474805 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/10/1999 1 � FEE REQUIRED $ 180.00 t FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim @commerce.state.wi.us Wi MA TC dc, 76 MOUND SYSTEM DESIGN RECEIVED Residential Application INDEX AND TITLE SHEET JUN - 9 1999 SAFETY & BLDGS DIV. Project Jim Jarosch 3 bedroom residentail mound Owner Jim Jarosch Address 314 Maple Street Woodville, WI 54028 Legal Description NW1 /4NW1/4, Sec. 28, T.29N., R.16W. O �' f cots � y Township Baldwin County St. Croix® CE Subdivision Name CSM Vol. 13, Pg. 3630 Lot No. 1 T O F coMM - P Parcel ID Number 002- 1069 -60 Plan Transaction Number c o DEt Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer Jop, Stan License Number 223475 Signature d,-f' Phone No. 715 -698 -2266 Date / 6/01/99 Notice: Tampering with this file by unauthorized persons Is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Slats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10461 -E (R.05t98) Page 1 of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? r (r or c) (y or n) �� Replacement system? Creviced bedrock site? n (y or n) Slope 3 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 30 in 76.2 cm In situ soil infiltration rate 0.6 gpd� 24.4 Lpd/m` Contour line elevation 98.1 ft 29.90 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold c (c or e) Hole diameter 1 0.25 in 0.125, 0.156, 0.188, 0.219, 0.25, 0.281. or 0.313 inch oniv. Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 3.00 ft Not a final calculation. Number of laterals Pump tank elevation 92 ft Outside bottom of tank. Forcemain length 30.0 ft Forcemain diameter 2.0 in 1.5, 2 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 =0.125 114=02M SYSTEM SOLUTIONS Inch-pounds Metric 5/32=0.156 9/32=0.281 Estimated daily flow 1 450 Igpd 1 1703 Lpd 3/16=0.188 5116=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 9pdKe 375.0 fy 34.84 m2 Linear loading rate (LLR) 6.00 gpdtft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) sif in 30.5 cm RECEIVED Downslope fill depth (E) in 35.1 cm Basal area required (gpd/infiltration rate) 69.68 m 2 JUN - 9 1999 Supporting components Topsoil depth 6.0 in 15.2 cm SAFETY & BLDGS DIV Subsoil depth at center 12.0 in 30.5 cm • Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.10 ft 3.08 m Up slope toe length (J) 7.70 ft 2.35 m Down slope toe length (1) 9.70 ft 2.96 m Total mound length (L) 95.20 ft 29.02 m Total mound width (W) 22.40 ft 6.83 m Project: Jim Jarosch 3 bedroom residentail mound Transaction Number: Page 2 of 8 MOUND PLAN VIEW observation Pipes (typical) �J 22.4 ft :: q� A = 5.00 ft 1.52 m 6.831m :•:::::::: = ::• :::::: :•::::•:......:•. B = 75.0 ft 22.86 m W �- g J= 7.70 It 2.35 m I K I= 9.70 ft 2.96 m K= 10-10 ft 3.08m _ 95.20 ft 29.02 m typ• obs. Pipe (anchored securely) I = down slope dimension = absorption cell (A) B) J = up slope dimension Q = plowed area (LW4) K = end slope dimension 6° (152 "m) T MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil r; H subsoil cap E = 13.8 in 35.1 cm - 4.1 cm invert ' F9 . - F In elev. 30.36 m _ JF G = 12.0 in 30.5 cm T ASTM C33 H = 18.0 in 45.7 cm y Sand Fill E sys. 99 - 1 - 01 ft Y elev. 30.21 m 98.10 ft contour 29.90 m elev. 3 % —� slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Jim Jarosch 3 bedroom residentail mound Transaction Number: Page 3 of 8 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric _ Width (A) 1 5 Ift 1 1.52 Jm Length (B) 75.0 ft m Lateral specifications Number laterals 2 Holes/lateral 12 holes Lateral length (P) 36.42 Ift 11.10 m Hole diameter 0.250 in 6.35 mm Lat dis. rate 13.98 gpm 0.88 Us Sys. dis. rate 27.96 gpm 1.76 Us Hole spacing (X) 38 ] in 96.5 cm Lateral diameter Pipe diameter Desi opfions Design &e«ce Designer must 1 in (25 mm) Place X in red "X" one choice 1 1/4 in (32 mm) x box of chosen from the options 1 112 in (40 mm) x x diameter. provided. 2 in (50 mm) x 3 in (75 rnm) X Manifold diameter Pipe diameter Design opwns Design dwome Designer must 1 in (25 mm) "X" one choice 1 114 in (32 mm) None required. from the options 1 1/2 in (40 mm) No choice necessary. provided 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. P end cap if v- d2 ,2, I W Laterals & force main of PVC Sch 40 Last We dulled next to end cap (per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral. s = permanent end marker equally spaced Inch-pounds Metric Lateral length (P) 36.42 ft 11.10 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 38 in 96.5 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 lin 40 mm Forcemain diameter 2.00 lin 50 mm Project: Jim Jarosch 3 bedroom residentail mound Transaction Number: Page 4 of 8 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 6.30 ft 1.92 m Are laterals the highest point in the Friction loss 0.41 ft 0.12 m system? Yes -r here. Total dynamic head 9.21 2.81 m If no, what is the highest elevation Dose Volume dowristivar'r of WW- 1� Dose is > 10 times lateral volume Forcemain drain Lateral void volume 7.7 gal 29.1 L L back to tank? (")e' one) Minimum dose 112.5 gal 425.9 L x Yes Drain back 5.2 gal 19.7 L No 117.7 al 445.5 Dose volume g Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather Proof warning label and loddng device grade levels junction box -� disconnect Weis els alternate 4« vent Pipe electric as per NEC 300 and - E- outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump � approved charm or outlet joint combination tank A Provide 1"' weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 93.3 ft C - pump tank manhole = 4" (10 cm) Off elev. 28.4 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 92.0 Ift Pump tarn elevation 3 " (75 mm) of bedding under tank 28.0 m bottom of tank Tank manufacturer Midwestern precast Pump tank capacity 19.5 gal�n Pump tank volume 750.75 gal Pump manufacturer JZoeller Inches Gallons Pump model number 153 o A 18.5 360.1 ', B 2 39.0 Alarm manufacturer 1S.J. Electro systems E C 6.0 117.7 Alarm model number 1101 HW p D 1 12 1 234.0 Project: Jim Jarosch 3 bedroom residentail mound Transaction Number. Page 5 of 8 _ HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEADICAPACITY PER MINUTE N X ~ sus w � SERIES 47 44 3739 11 171.171 1404140 16114161 1674161 1694163 11SM11s 116M116 1111411/ 1174111 111 li ii. M. WI. Lkw GM, Lb. GN. Lks G.J. Lks - G.I. .119 " Las G41. LH Got. LAM G41. Lb, G41. Lim G41. LIM. GN. Lks. G41. Los: G41. -:Lis 140— s IM 16.5 62 21 116 Q TO 72 Ir1 17 .752 N 736 106 401 41 111 N 111 SI 720 US "I 1sS 317 43 .111 42 10 $A6 111 so 27 or 14 in 61 771 71 - 700 " 741 too 771 61 271 IT 111 so no 141 561 151 M 45 171: 13 1S 4'11 1.1 13 19 7 45 64 4 87 14 01 N 1 So 1 H 221 171 7 145 : 4S :7 20 6.10 2.5 9 7 IT n 9s 16 176 17 '276 42 716 $1 221 60 227 so 220 in .SIJ 140 370, 4S : 171 40 25 1A2 i 70 61 1:11' 14 200 $1 ;116 51 227 so 120 124 444 171 907 45 170. i 3 70 1.14 57 "1 6S 24i S9 111 SI 270 >0 340 58 221: 121 40 121 411 45 1.170: 40 .1111 70 : 114 46 1717 46 in ss 200 IS 767 st 210.:. IQ$ X7. 114 Al 45 11,71 38 1 2 30 1311 21 A 11 t23 st 111 51 x219 $4 120 10 211 Too i711 4S ro' 60 1517 a it a 111 36 776 u 221. 11 714 ; 15 i 32.1 45 1111 12 70 2134 70 IU to A 52 917, $1 111 70 215 4$ ;1?.$ 36 191 10 4A 14 0 4S 111 21 ' lot 54 IM 45 - 170' 11 90 11A7 R 127 2 1 )7 144 4S 171 too 70.41 TI N..; 21 : -.rt 40 34 110 1100 I b 1 10 120 7u1 105 130 ».0 32 Las V41vs: 21.! 21• 1915 21' 2C W si• 66• IT 7r 11' 115 17r 100 30 95 28 90 186, 26 4186 85 165, 24 80 4165 75 0 22 1� 70 x 9 20 .2 65 Q a 18 60 163, 4163 189, -' 4189 0 55 �— 16 50 14 45 12 40 140, 188• 35 4140 4188 10 30 137, 165, 8 25 139 4185 6 20 15 4 'T 2 5 43 48 53,55 98 161, 57,59 1 4161 0 U.S. GALLONS 10 201 50 401 50 60 70 80 90 100 1110 120 ll3 140 1150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922 796 P.9c. M �.►. rt d Z.'W /Y Note: For Head apa &ty on ModZ112, industrial column- explosion pr000f pump, see FMO219. c�8 (f)cc;n e r: ,Coca -� are 3o So: t Q4ul'aa:'a„ Sec. zB, 7-2ff, ♦ (,Jcpol d."l_Le cJl. Q. /lo tc) T . off' aaLd� %✓1, S Sl gE . Croix ee., wt. N SGale • / c, �O , pro posed o Q ro /�os?al tJCI� �+ a 3 b¢ d roO ►''� res d«ce A b ,- d- bk��d;nq sewer -6L U o "230 - ropasec� /, tGb 5cplac f4n)(' S-L N v � « t� ,45Twc -D 303 '" pU.C. e- wluen lye -Ek�aded r`od /(SSu+te;o( P. ✓C. ,�me wta:n Pk,,.p cJ,a.Kbc!' 0 1 � �ro�.�b:ted Dis�.vbance. i ' Arta Ar — LLC(Ity Pole. Page 1 of __3 _ Wisconsin Department of commerce SOIL AND SITE EVALUATION inches in size. Plan A.C.E. Soil &Site Evaluations Division of safety and Buildings in accord with Comm 83.05, W is. Adm. Code County Ian on paper not less than 8% x 11 must St. Croix Attach complete site P point BM direction and Parcel LD 02- 1069 -60 slope, scale or dimensions, north arrow, and loca .# - include, but not limited to: vertical and horizontal reference poi ( is a 0 percent tion and distance to nearest road. - Date APPLICANT INFORMATION - please print all information. Reviewed By I You Provide may be used for secondary purposes (Privacy Law, s. t 5.04 (t) (m)) - ' Personal information yo p Location Property 29 N,R Property Owner Govt. Lot NW 114 NW 1/4 S 2 T__.._ _ 16 - Block # I Subd. Name or CSM# _ Lot # Vol 3 1 Jim Jarosch_ __ - CSM , Pg 3630 Property Owner's Mailing Address _ _ - -- _ - -- Nearest Road 1 - L�Town 314 Maple Street _ -- - �J B; [ ]Village 230Th Street City State Zip Code PhoneNumber Baldwin Woodville WI 54028 715 -698 -22 r New Construction l _- Residential I Number of bedrooms _ 3 — t_ to existing building Use: _ /ft Bpd , Replacement public or commercial describe 2 6 trench, gpd /ft Recommended design loading rate �_� 5 bed Code Derived daily flow 450 — e Bpd nch, gpd1W Maximum design loading rate -5 — bed, gPd /ft — 6 Basal area required 900 bed, 9q. t , ft 750 trench, ftZ ft (as referred to site plan benchmark) ----- Recommended infiltration surface elevation(s) Additional design / site considerations Flood lain elevation, if a livable N� A ft Glacial till. AT -Grade System in Fill I Holding Tank Parent material Mound In- Ground Pressure I g U Conventional S U _Is [ xi U I -J I�' S S= Suitable for system O U U s U LJ �'J U= Unsuitable for system I f_] s t =1 u U SCRIPTION REPORT /ft� SOtL DE GPD pth Mottles Texture Structure Consisten Boundary Roots _ Bed De Dominant Color Trenr Horizon r. Sz. Sh. Boring# in in. Munsell Qu. Sz. Cont. Cont• Color 5 2f & m 0.5 0.6 None fsl 2fsbk mvfr as -�� - 1 0 -10 l 0yr3 /Z - -. - - 05 1 - -- - - - cs 2f & m - mvfr - - 2msbk - sit l0 r5/4 None 2 10 -17 -- - ' Y - -- ' - -- cw 2 , m 0 5 _ _ - _ mfr - - 2msbk Ground 3 17 -28 1 Oyr5 /6 None gr s - _ 0.4 0.' elev - l csbk mf - 1 f & m c2d 7.5 r/8 sl till ' 102.13 ft 4 28 -42 10yr5/6 -- -- - Depth to - — - -- - - - - -� limiting factor - g 99 28' Remarks: - ___ 0.5 mvfr as 2f_& m 10yr3/2 0.5 None sl 2fsbk _ _ l 0 -10 - - - - -- 2 - - cs 2 ° ____- 2msbk 2 10-17 1 0 r5 /4 mvfr -- None - -- -- — `_ -- - 0.5 - - cw 2f, 1 m - mfr - - 2msbk -- -- sl None _ -- Ground 3 17 -30 10yr5/6 -- t -- - 1f & m - - -- mfi - elev - sl tilt 2msbk _ - - -- l0 r5 /6 f2d 7 SyrS /8 - - — - ' 104.20 ft 4 30 -42 Y -_ -- - ' Depth to — ----- - - - limiting — factor -- -- 30' - - Remarks: - Telephone No. Signal a 715- 248 -77 _.- CST Name (Please Print) Ref # _ - - - - - -- CST Number - - -- - - Date 1041 James K. Thom son -_ - -- Address A.C.E. Soil & Site Evaluations 6/2/99 3602 340 Paulson Lake Lane, Osceola, 1 54020 1 3-C3 own — �! »� -- �a.- o 6c, f /, CS,r( A P /3, log- 30 • So: 06- - Z 0.17 3 /f 1 p(golk SE. lal oa*y,, See. 2-8, 7 7 2M, ♦ 97cda -o, L'acod of - u2, ol. oe. /& W, 7 off' aaZd"X 1, S Sl0,78 SE.• CroiX �'e cJl. p„oposed 3 bed�do.y, res;dc�ce rd• 21GV� _ /a! SC4 oZ3 8cnc1. vK�rll: To(� o -r %z ' o l • e �c� _ /ad ao' 0 RECEIVED JUN - 9 1999 SAFETY & BLDGS DIV. A K a vt4:I i n LLC t. t P -le . Elev. = fella' `Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 R Division of Safety nd Buildings � in accord with Comm 83.05, Wis. Adm. Code AC.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8 x 11 inches in size. Plan must Coun include, but not limited to: vertical and horizontal reference pant (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and loc lad distance to rarest road. P C ?f1 r 002 - 1069 -60 APPLICANT INFORMATION - p/ _a ftewedpy D ate Personal information you provide maybe used for purpos (Privacyt;,s. 15.04 (1) (m)). Property Owner NEC EVE •I? perty Location Jim Jarosch �� ! . Lot NW 1/4 NW 1/4 S 28 T 29 N,R 16 Property Owner's Mailing Address 't �s t Block # Subd. Name or CSM# 314 Maple Street _ 1 CSM Vo113, Pg.3630 City State i e Phor>f < City Village ZTown Nearest Road Woodville WI 5 7�+►tl� % Baldwin 230Th Street Z New Construction Use: Z Red I / r e ms 3 ❑Addition to existing building j Replacement [:] Public or cbdbe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/ft •6 Bch, gpd/ft Basal area required 900 bed, fll' 750 trench, ft' Maximum design loading rate .5 bed, gpdr .6 trench, gW Recommended infiltration surface elevation(s) 99.10 at 12" above 98.10 contour ft (as referred to site plan benchmark) Additional design I site considerations Parent material Glacial till. Flood plai n elevation, if applicable NA ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ❑ S u ® S❑ u ❑ S® u ❑ S® u ❑ s ®u ❑ S M U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 1 0 -10 10yr3/2 None fsl 2fsbk mvfr as 2f& m 0.5 0.6 2 10 -17 10yr5/4 None sit 2msbk mvfr cs 2f & m 0.5 0.6 Ground 3 17 -28 10yr5 /6 None gr sl 2msbk mfr cw 2f, lm 0.5 0.6 elev q#. 4 28 -42 10yr5/6 c2d 7.5yr5/8 A till Icsbk mfi - lf& m 0.4 0.5 Depth to W lot limiting factor two 28" l� l Remarks: l 1 2 1 0 -10 10yr3 /2 None A 2fsbk mvfr as 2f &m 0.5 0.6 2 10 -17 10yr5/4 None A 2msbk m vfr cs 2f & m 0.5 0.6 Ground 3 17 -30 10yr5 /6 None sl 2msbk mfr cw 2f, lm 0.5 0.6 elev q$, �oa.?tlft 4 30 -42 10yr5/6 f2d 7.5yr5/8 sl till 2msbk mf - if & m 0.5 0.6 Depth to limiting factor 3 Remarks: CST Name (Please Print) Signature: Telephone No. James K. Thompson ` 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, Wl 54020 6/2/99 3602 1041 SOIL DESCRIPTION REPORT Page -_ E 2 of -- 3 PROPERTY OWNER; Jim broscfi A.C.E. Soil &Site valuations PARCEL .1-13A ._ U- 1069 -60 _ - - -_- . -_- - -- - .- - - -- -- GPDlft Depth Dominant Color Mottles S Bed Trench tructure nsistence Boundary Roots Horizon Texture Gr. Sz. Sh. in. Munsell Qu, Sz. Cont. Color None sit 2fsbk mvfr as 2f & m 0.5 0.6 1 0 -11 10yr3/2 - - - 2 11 -17 10yr5/4 None sit 2msbk mvfr cs 2f& m 0.5 - - Ground None sl 2msbk mfr cw 2f, lm 17 32 10yr5 /6 0.5 0. 3 - elev mfi if &m 0.4 0.5 4 32 -41 10yr5 /6 c2d 7.5 r5 /8 sl till l csbk y -- - Depth to -- - limiting - - - - factor 32 ' - -- - -- -- -- - -- - -- - - - -- - - - Remarks: Ground elev - - - - - - -- - Depth to ; limiting - - - -- - - factor - - Remarks: - - - - - -- Ground elev Depth to - limiting - - -- - - - - factor Remarks: - - -- -- - -- - - -- - - -- - Ground elev Depth to ---- , factor - Remarks: - - - r 3 CcA,, e r: .Cocci ors 13, / oj. 3G 3o • 5o: t o-' 3 /f� �KaP /c SE. 111, s 'IIwyy, Sac. ;14 7 ♦ Veda /lo W., Tn. of 8a4dm;r7, 5•S/O,ZB '�£. CroiX C'e., cJl. � I p 3 bcdr�o�, rts;dcace l y $C Yr(pa^Ij� - r p 0 { tkntaded red. /lss"Med e lem, , /00 cq y - - -- -- - -- -- - - - - - - J -s lope - - - - - -- - - - - - -- - - -- -- - - - - -• /yam' ,�A�E. a. ✓tail in ul; litY Pile. ofe Wisco�,n Department of Commerce SOIL AND SITE EVALUATION Dmsic.r of'Safety and Buildings Page of Bureau of Integrated Services *(;o d h s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less 11 \ 1/2 x i rP,�es in size Plan must County include, but not limited to: vertical and ho • on referer ) direction and percent slope, scale or dimensions, north and location and to ne est r J. P rcel I.D. # av APPLICANT INFORMATION - P print a on a 'ewed by Date Personal information you provide may be used for o ry Law, s.`154, (1) �0 3b Property Owner F Property Location /'Yi? /G' r rt Y Govt. Lot NI,) 1/4 N�1 /4,S W T Z ,N,R /� ( Property Owner's Mailing Address Lot # Block# I Subd. Name or CSM# Z azq I VA City State Zip Code Phone Number ❑ City ❑ Village ,R Town Nearest Road B a /O/W,. ►ti td / . sin ©z I ( ;7/j ) a Id cv;l Z 30 , ,K New Construction Use: Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily ow '150 Recommended design loading rate bed, 3 Y 9Pd 9 9 9th ° trench, / gpd/ft Absorption area required -375 bed, ft 3 �J trench, ft Maximum design loading rate ° 5 bed, gpd/ft —6 trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material Q5 Flood plain elevation, if applicable A ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system EIS O U 12S ❑ U ❑ S R U I ❑ S,2rU I ❑ S IRrU ❑ S,,8 U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft jA2 U in. Munsell ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench ! o -/o 16 Y -q Z A� n P s"/ /rn s-d m4- C. •Z , 3 Z /o /0 YR *'6" Ground 3 l9 /0 VA 6 Aon It, 5— f ) 1' le-'v- c ? / i / • s • Depth to limiting factor 30 in. Remarks: Boring # / 1 -2 /oy ,4 1Z A149 r7 t'. Si'/ /rn 1.,,2 -�, •2 •3 Z ' , 1 3 9. 12 / /0>31Z 5� A 01J t'e, c, l Z rrr - : 5 • �, 3 2/ -33 /O Y, r< - A."p Z rn / 1 , G '� -5 ' • 6 Ground Aj 3 3 -'18 /!U Y A S'6 C Z 75y 7 S�r ^.r r!?S6 r4F,�- • elev. Depth to limiting factor 33 in. Remarks: CST Name (Please Print) Signature Telephone No. _Z>q /r__ 1- c�o�sor. _ t v c-e �7 '�" 7/5 33 7� Address / Date CST Number I SOIL DESCRIPTION REPORT PROPERTY OWNER Page Of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 i o -/o /o YR z 1C>Y k, ^ �' si� ,2r�s6 �-�r C w /7 •� Gr -3 2/ -3 ICY Art? > s'/ �r�s� n?✓ y� C /�' • 5 : �G M-1-ft. CZcV 7 5YR 5 2 /v5z 11 v- .� Depth to limiting factor _3Z in. Remarks: Boring # 13 Ground elev. ft. ' Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture ourxlary Roots Structure Consistence B D iff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. ' Depth to limiting factor ' Remarks: Boring # �.: m ; Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) �L SOIL DESCRIPTION REPORT PROPERTY OWNER Page _ of PARCEL f.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. g . Trench t 3 I O °/0 !a YA z. A/0, e- rx2-(: G vd Z2 3 Z ia /n y s Non e �i ,Z,ns m r G w Ground 3 21 -3 / DY R sr rn✓ r G i •5•: �� elev. ALL VA 1G czw 7 , 5 YR g � /�✓ • �- .6 Depth to limiting factor Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G PDAl2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench i Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) `� A) } L F /) � r/ {� N r o p e n 7- Ile) 5 23 z 9 Sod ✓e . s�c.z8 T z Na qoo' iZ6' P Bz BM 7,y zG' BI /e✓, I3M' B l - /oz-08 oZ - 08 • Bz - /o y / 4' 133 - /o 3 , Z0 � . C}, 8M y �ygoZZ lsD/I a ll 7vKY cl" UMV A L I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer i (y) J CL � 0 5 G 1 '1 Mailing Address 3 I �Yl Lw l r, C�1i00 U I � Property Address 4 r — (Verification required from Planning Department for new construction) I City/State Parcel Identification Number Q 6 D - 10 6 n j - (v LEGAL DESCRIPTION Property Location N W %,, IV W '/<, Sec. 33,' T J N -R I (p W, Town of CjaL )_q Subdivision . Lot # I XCertifted Survey Map # Volume 13 . Page # 3 (D;3 C YWarranty Deed # w` l 1 � 110, ; Volume I L 430 Page # 531 Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the thre expiration date. / APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ,gyp 1 F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed V 1.1; 1430PAGE 531 is � �o KATHLEEN H. WALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX Co., WI RECEIVED FOR RECORD This Deed, made between Andrew M. Tollefson and Ruth Tollefson, 06 -02 -1999 10:15 AM husband and wife, Grantor, and James J. Jarosch and Karin A. Jarosch, husband and wife, Grantee. WARRANTY DEED Witnesseth, That the said Grantor, for a valuable consideration of one EXEMPT li CERT COPY FEE: dollar and other valuable consideration conveys to Grantee the COPY FEE: following described real estate in St. Croix County, State of Wisconsin: TRANSFER FEE: 57.00 RECORDING FEE: 10.00 PAGES: 1 Recordinq Area Name and Return Address kke Norma C. 90 in eet PO B B in fM ' WWII fAL BANK OF BALDW14 990 Ma:a Street B"ed 549 Part of 002 - 1069 -60 (Parcel Identification Number) Part of the Northwest % of Northwest % of Section 28, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin described as follows: Lot 1 of Certified Survey Map filed April 29, 1999 in Vol. 13, Page 3630, Document No. 602248. This is not homestead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this 25 day of May, 1999. *Andrew M. Tollefson *Ruth TbIlefson AUTHENTICATION ACKNOWLEDGMENT Signature(s) Andrew M. Tollefson and STATE OF WISCONSIN ST. CROIX COUNTY Ruth Tollefson Personally came before me this 25 day of May, 1999 the above named Andrew M. Tollefson and Ruth Tollefson to me authenticated this 25 day of May, 1999. known to be the person(s) who executed the foregoing instr ment and acknowledge the same. signature I signature Dal R. Jensen type or print name type or print name TITLE: MEMBER STATE BAR OF WISCONSI Notary Public St. Croix County, Wisconsin. (If not, N/s My commission is permanent. (If not, state expiration date: authorized by §706.06, Wis. StatS>j v •' it�` 1/12 2003 THIS INSTRUMENT WAS DRAF3 J *Names of persons signing in any capacity should be typed or Thomas R. Schuma printed below their signatures. _h Baldwin, Wiscons (Signatures may be authenticated or ackno t necessary.) I II Information Professionals Company Fond du Lac, Wisconsin 800 - 855.2021 3 0) 602248 CERTIFIED SURVEY MAP Andrew M. And Ruth Tollefson Part of the Northwest 1/4 of the Northwest 1/4 of Section 28, T 29 N, R 16 W, Town of Baldwin, St. Croix County, Wisconsin LEGEND INDICATES / "x 2# IRON PIPE SET O (M /N. Wr. - /. /3 LBS. /LIN. FT.) NORTHWEST NER SECT /ON 2B, T29 R /6W 0 INDICATES / "IRON PIPE FOUND (BERNTSEN NAIL FOUND) / I A INDICATES BERNTSEN NAIL FOUND I• b (R =) RECORDED AS, 41 UMPLATrffO LANDS S BB 32' l9 "E 399.50' 1 a O /' (0I vl q Lor i mtih `^ 221,211 Sp. FT. OR 5078 ACRES b 0; V r (INCLUDING R /W) N h 3 b 1 203, 226 Sp. FT. OR 4.665ACRES Nj R N x I (EXCL Umme R /W) , R J M�-4 /00, �I SCALE /N FEET 1":130 J1 NI �? Q1 D I 25 50 75 300 , /50 CENTEAL /NE 33' 33 I Bearings are referenced to the West 3 ,09 I j� line of the NW of Section 28, assumed bearing South. J67.3B' N 65 45 32" W 400.47 SOUTH L /7��� (R- ,v �5 °45 06 "W) LOT / T 2 m _ _SURVEY MAP "- OWNERS ADDRESS VOLUME g� P 2 2329 Both AVENUE I — BALDWIN, W/. 54002 � I � ` ��1t1 11111 q�y, , y ` ♦ �.�� \ gC O N WEST QUARTER CORNER . } �0 SECTION 28, T29N, R16W Z ? LAURE W M PHY c (BERNTSEN CAP FOUND) • A • oc e 1 '4 1713 �. RIV R FALLS,,: Dated: October 30, 1998 •tt`,9�'' Wise Laurence W. Murphy R_gistered Land Surveyor This Instrument Drofted by Mork W. Peavey SHEET / OF 2 Vol. 13 Page 3630 Standard Erosion Control Plan ' for 1 & 2 Family Dwelling Construction Sites A+cc�rdtng t4 Chapfers I1.i iR 20 & 21. of the Wisconsin UAtfvtut Dwelitng Code, a soil erosion �nirol plan needs to be submitted and approved prior to the issuance of building permits for 1 8c 2 family dwelling units in those jurisdictions where the soil erosioicoiitrol provisions bf the Uniform Dwelling Code areuforced. This Standard Erosion Controi Plan is provided to assist in meeting this irequirement Buildutg inspectors have authority to request erasion rxiitirol measures not specifically required by Cade when such measures are deemed necessary to meet the Code's overall performance standard of Ox soil on site orbs <more< Construction projects that disturb more'than 5 acres, or a ,art of a development that disc than 5 ::'' Gres, ire alsd required to obtain a construction site storui:'?wae discharge permit from the Wiscoiisin Department of lsl'atural Resources Applicant: - 7/54W - 3 0 7c) Name Daytime telephone number Street address, city, zip cod Landowner. Sgr\ e a a �v2 Name Daytime telephone number Street address, city, zip code Location of the building site (complete as appropriate): NW i �y �` r �N quarter of Section Z Town _ 21 N., Range Lot Block Street address Instructions: 1. Complete this plan by filling in requested information, marking (./) appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608866 3358. Erosion Control for Home Builders (GW0001) can be ordered through Cooperative Extension Publications, 608862 -3346. 4. Submit this plan at the time of building permit application. I . Check appropriate boxes below, and complete the site diagram with necessary information: ' bW 8 CPS �o� Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. ❑ )!L Location of storm sewer inlets. The gradient and direction of slopes before grading operations. The gradient and direction of slopes after final grading operations. Location of existing and proposed buildings and paved areas. runoff sheet flow comi onto the site from �( Overland ( ) g a areas. J Erosion Control Practices ❑ Location of temporary soil storage piles. Note. Although not specifically required by Code, it is recommended that soil storage piles be placed behind a sediment fence or more than 25 feet from any downslope road or drainageway. >, Location of grave] access drive(s). Note. Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway 50 feet or to the house foundation (which ever is less). ❑ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will prevent eroded soil from leaving the site. ❑ Location of sediment barriers around on -site storm sewer inlets. ❑ Location of diversions. Note: Although not specifically required by Code, it is recommended that concentrated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note. Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats ❑ '� Location of practices that will control erosion in areas of concentrated runoff flow. Note. Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod and rock rip -rap. When used a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams. 13 Location of other planned practices not already noted. ' 04�r12 r ` --�! »� SC.L� �f /, CSrr( r/o� /3, �, 3G 3D • Sc: � OI�sC!'�a�'oy� 3 /f� map /c 5�. gc�,w�Awyy, see. z8, 7 ♦ E/cda,'o►, VOM cooiy Co*,O cif. N , N Scal / S/ O P , proposed p -tee 3 bed /der res;dedce ♦ f -d- P, lee ! 1641 ,AS - 3a3d P.�c. te 6t&;Id;l Sewer °�� o ro(�OSet� � rLID � ScpG'c fe.r� ..TG. �r:•tC. -,.rte � � P.U.C. 'fArl nt X.Ne / 70 Scnck rr(a r -- - T - .Op C4 %Z ' - C - krti,aded rod. Assumed elev- _ /Qo. ,a o 7So �auP I nloar - - - - -- - - - - -- --------- = r] - -- -- - - - - -- ,fit Area ; Z SO L.F. S; I Fe.,ce- A --' . Q fl k.1 t o U.0 (' +y Pile. ever- ,� I i _� i I i I �I -Site Diagram- Note: Any base map of useable scale can be substituted for this sheet. Site Diagram Legend Please indicate north direction PROPERTY SILT FENCE by completing the arrow. EXISTING STRAW ' DRAINAGE BALES I —+— TD TEMPORARY ya:ti GRAVEL DIVERSION FINISHED TREE —� DRAINAGE PRESERVATION LIMITS OF STOCKPILED GRADING TOPSOIL VEGETATION O SPECIFICATION Scale: AREA 1 inch = feet I _ Indicate management strategy by checking (.0 the appropriate box: e� Management Stra�el;L ❑ Temporary stabilization of disturbed areas. Note. Although not specifically required by Code, it is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September ISth), or by other cover, such as tarping or mulching. Permanent stabilization of site by re- vegetation or other means as soon as possible. ❑ �' Use of downspout and/or sump pump outlet extensions. Note. Although not specifically required by Code, it is recommended that flow from downspouts and sump pump outlets be routed to stable areas such as established sod or pavement. ❑ Trapping sediment during dewatering operations. Note. Although not specifically required by Code, it is recommended that sediment -laden discharge water from pumping operations be ponded behind a sediment barrier until most of the sediment settles out Proper disposal of building material waste so that pollutants and debris are not carried off -site. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. - • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Gravel access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. �lgneement I hereby certify that :I understand the construction site erosion control provisions! of th6:::: isconsin Uniform Dwelling Code, and that I accept responsibility: for carrying ourthe above crosion control plan as Approved by'' the code enfor n taut rity. S` Date A publication of the University of Wisconsin- Extension, Ron Struss, UWEX Water Quality Education Specialist (12192). This publication may be freely duplicated Additional copies are available through the UWEX Environmental Resources Center, 216 Ag Hall, 1450 Linden Drive, Madison, Wl, 53706. 6081262 -3652 EROSION CONTROL FOR HOME BUILDERS Preventing Erosion Is Easy Erosion control is important even for home sites of an acre or less. The materials needed are easy to find and relatively inexpensive —straw bales or silt fence, stakes, gravel, plastic tubes, and grass seed. Putting these materials to use is a straightforward pro- cess. Only a few controls are needed on most sites: r • Preserving existing trees and grass where possible to pre - vent erosion; • Silt fence or straw bales to trap sediment on the down - slope sides of the lot; By controlling erosion, home builders keep our streets • Soil piles located away from any roads or waterways; and waterways clean. • Gravel drive used by all vehicles to limit tracking of mud onto streets; Erosion Is a Costly Problem • Cleanup of sediment carried off -site by vehicles or Eroding construction sites are a leading cause of water storms; quality problems in Wisconsin. For every acre under con- struction, about a dump truck and a half of soil washes • Downspout extenders to prevent erosion from roof into a nearby lake or stream. Problems caused by this sedi- runoff; and ment include: • Revegetating the site as soon as possible. Local taxes — Cleaning up sediment in streets, sewers and ditches adds extra costs to local government budgets. Dredging —The expense of dredging sediment from lakes, ;r harbors and navigation channels is a heavy burden for taxpayers. Lower property values — Neighboring property values are o` damaged when a lake or stream fills with sediment. k Shallow areas encourage weed growth and create boat - ing hazards. dace t a Poor fishing —Muddy water drives away fish like north- o '� ern pike that rely on sight to feed. As it settles, sediment smothers gravel beds where fish like smallmouth bass find food and lay their eggs. Nuisance growth of weeds and algae — Sediment carries fer- tilizers that fuel algae and weed growth. i Erosion Con For Hot STRAW BALE or SILT FENCE • Put up before any other work is done. • Install on downslope sides of site parallel to contour of land. • Extend ends upslope enough to allow water to pond _ behind fence. SAMPLE EROSION 1 \ • Bury 8 inches of fabric in trench (see back page) CONTROL PLAN 1 \ \ • Stake (2 stakes pe bale) Stuff FOR1 OR 2 ®\ i \� • Leave no gaps. Stu straw between bales or overlap sec- D F WEL i \ tions of silt fence. \ • Inspect and repair once a week and after every %z inch \ rain. Remove sediment if deposits reach half the fence i \ height. Replace bales after 3 months. \ • Maintain until a lawn is established. \\ 0 SOIL PILES_ \ TD �� \ • Locate away from any downslope street, driveway, stream, lake, wetland, ditch or drainageway. r ry AREA TO BE T MULCHE D • Tempora ary seed such as annual a or winter wheat is SEEDED AND MULCHED ' recommended for topsoil piles BY OWNER AT THE HOUSE COMPLETION OF GARAGE CONSTRUCTION TC GRAVEL DRIVE STD • Install a single access drive using 2 to 3 inch aggregate. • Lay stone 6 inches deep and at least 7 feet wide from \ \ the foundation to the street (or 50 feet if less). TD ® =� • Use to prevent tracking mud onto the road by all _ To vehicles..n R/W LINE r • Maintain throughout construction.' SEDIMENT CLEANUP S OIL TYPE: SILTY CLAY STREET NAME • By the end of each work day, sweep or scrape up soil SLOPE: 3% tracked onto the road. • By the end of the next work day after a storm, clean up the soil washed off -site. SEWER INLET PROTECTION G1 • Protect on -site sewer inlets with straw bales, silt fences 1 or equivalent measures (see back page). • Inspect, repair and remove sediment deposits after every storm. ee s n r o m DOWNSPOUT EXTENDERS ai • Not required, but highly recommended. o • Install as soon as gutters and downspouts are completed o to prevent erosion from.ioofrunoff. 1 r -1� Route :water to ,a grassed .or paved area. • Maintain fintil a lawn is established. o� 'Practices e'Sites PRESERVING EXISTING VEGETATION • Wherever possible, preserve existing trees, shrubs, and other vegetation. EROSION • To prevent root damage, do not grade, place soil piles, CONTROL PLAN or park vehicles near trees marked for preservation. LEGEND . Place plastic mesh or snow fence barriers around trees PROPERTY to protect the area below their branches. N LINE I EXISTING -- TOPSOIL — — DRAINAGE REVEGETATION TD TEMPORARY DIVERSION Seed, sod or mulch bare soil as soon as possible. _ DRAINAGE FINISHED SWALE —' DRAINAGE LIMITS OF SEEDING AND MULCHING GRADING • Spread 4 to 6 inches of topsoil. SILT FENCE • Fertilize and lime if needed according to soil test (or STRAW apply 10lb./1000 sq. ft. of 10 -10-10 fertilizer). ♦ —�� BALES • Seed with an appropriate mix for the site (see table). GRAVEL • Rake lightly to cover seed with 1 /a "of soil. Roll lightly. CONSTRUCTION VEGETATION * Mulch with straw (70 -90 lb. or one bale per 1000 s ENTRANCE/EXIT SPECIFICATION sq. ft.). AREA * Anchor mulch by punching into the soil, watering or TREE PRESERVATION by using netting or other measures on steep slopes • Water gently every day or two to keep soil moist. Less STOCKPILED watering is needed once grass is 2 inches tall. O SOIL SCALE: 1 1 =40 1 PROJECT LOCATION: SODDING EXISTING CURB PROPERTY OWNER: • Spread 4 to 6 inches of topsoil AND GUTTER ANTICIPATED STARTING DATE: • Fertilize and lime if needed according to soil test (or CONTRACTOR: ANTICIPATED COMPLETION DATE: apply 10 lb / 1000 sq . ft of 10 -10-10 fertilizer) PREPARED BY: DATE: • Lightly water the soil • Lay sod. Tamp or roll lightly. * On slopes, lay sod starting at the bottom and work toward the top, overlapping like shingles on a roof. Peg each piece down in several places. • Initial watering should wet soil 6 inches deep (or until t water stands 1 inch deep in a straight -sided container). Then water lightly every day or two to keep soil moist _ but not saturated for 2 weeks. o If construction is completed after September 15, final seeding or sodding may be delayed. Temporary seed (such as rye or winter wheat) may be planted until October 15. Mulch or matting may be applied after.October 15, if = "r weather permits. Straw bale or silt fences must be main- tained until final seeding or sodding is completed in spring (by June 1). WIR - � �4 J M 'a' t : $ c C autions Consider public safety when using inlet barriers. These barriers create ponding and mud deposits on streets. Frequent maintenance is essential. After every storm, remove sediment deposits and repair barriers. Repairs may be needed several times a day during major storms. Curb Inlet 1. Place concrete blocks on their Figure 6 —Curb Inlet Block sides around inlet. and Gravel Barrier Block & Gravel 2. Put a 2" x 4" wood stud through curb inlet Barrier outer holes of side blocks to support front row of blocks. 3. Put wire mesh with half inch �` openings on outside of blocks. wi Cover mesh with filter fabric & filter fabric Gravel filter Concrete block extending fabric 12 inches onto Runoff pavement. water with Overflow Filtered water sediment " 4. Pile 1 to 3 inch washed gravel on fabric to top of blocks. Sediment • """ I '�– R� Note: Allows overflow to prevent Wire mesh 2" x a Curb inlet excess ponding. & filter fabric wood stud Drop Inlet 1. Place concrete blocks on their Figure 7 —Drop Inlet Block sides around inlet. Adjust height of and Gravel Barrier Block & Gravel barrier by stacking rows of various Wire mesh Concrete block sizes of block. & filter fabric -- - Barrier --• 2. Put wire mesh with half inch openings on outside of blocks. Cover mesh with filter fabric extending fabric 12 inches onto pavement. Gravel filter 3. Pile 1 to 3 inch washed gravel wiAok Runo o Wire mesh & w fabric Note: Allows overflow only when water on fabric to top of blocks. s12* 2 o " reaches t of blocks. Adjust height to t prevent traffic hazards or damage to inlet structures. Sediment with grate Drop Inlet 1. Build a frame of 2" x 4" wood Figure 8 —Drop Inlet Filter around inlet. Drive stakes into Fabric Barrier Filter Fabric ground at least 12 inches. 2" x a wood frame Barrier 2. Dig an 8 inch deep trench outside frame. 2a" maximum 3. Attach wire mesh to frame extending mesh 2 inches into 12" minimum trench. i 4. Attach filter fabric to frame wire mesh & filter fabric extending fabric at least 8 inches into trench. Overlap joint to next overlap eras stake. S betwe twe Note: Allows overflow only when water 1 1 _ 2 stakes reaches top of frame. Adjust height to 5. Backfill and compact soil in trench. prevent traffic hazards or damage to ' structures. n, i - o ax se os o Co tr ' s Straw Bale Figure 2 —How to Install a Straw Bale Fence Fences 1. Excavate a 4" deep trench. 2. Place bales in trench with bind- ings around sides away from the - �- - ground. Leave no gaps between Figure 1 —Cross Section '" �"'�. bales. of Straw Bale Installation ' •." "'.:- :,- .,�..,�• a IOW �~ '/'.i... .. " r.. t�,•, ; s: /: „�• �� :'T ►`: Bale 1 , 1 I. Width Staked and Entrenched Binding Wire Straw Bale 3. Anchor bales usi two steel re- Compacted Soil to g --� or Twine Prevent Piping bars or 2" x 2" wood stakes per r Filtered �11�1i Sediment Laden bale. Drive stakes into the ground 4. Backfill and compact the Runoff I I l t t I I_ Runoff at least 8 ". excavated soil. J . _ Source: Michigan Soil Erosion and � , � � - - =� r Sedimentation Control Guidebook, 1975. -- 1 Silt Fences Figure 4 —How to Install a Silt Fence 1. Excavate a 4" x 4" trench along 2. Stake the silt fence on downslope Figure 3 —Cross Sections the contour. side of trench. Extend 8" of fabric into the trench. of Trenches for Silt Fences _ / Filter Fabric low �� _ F's tul! a" a , III t Flow iii �--.�' Jr � I 3. When joints are necessary, over - V trench I I�"ll = lap ends for the distance between 4. Backfill and compact the two stakes. excavated Soil. Filter Fabric — o TMU 1 ill a k -; <� all Source: North Carolina Erosion and Sediment Control Planning and Design Flow Flow Manual, 1988. Gravel Entrance 1. Install as soon as possible after Figure 5 —How to Install a Gravel Entrance start of grading. � O 2. Use 2 to 3 inch aggregate stone. Hard surface road 3. Drive must be at least 7 feet wide so' or distance to foundation and 50 feet long or the distance to the foundation, whichever is less. 6" minimum 4. Replace as needed to maintain d epth 6 inch depth.