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Home My WebLink About032-1060-20-000e Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM '"""". St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: ��.on" GENERAL INFORMATION (ATTACH TO PERMIT) iq$qqq �19 State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: UAN" 4AtaLL Sww I TOWN OF SOMERSET 1 032-1060-20-000 TANK INFORMATION ELEVATION DATA TYPE rr �jiCAPACITY lu� IJyIANUFACTU ER� Septic \f4 esep 1585/9sn Dosing i Ion I Hol TANK SETBACK INFORMATION qD ' + 81 ' 33' > teo Dosing ct tl I� Q > (oo 101 Ptl ;I&I 1 J :101011017•1:7 Pd_v 0 1010 1 Manufacturer 6ow-ts GPM�d; Model Number aTDH LiftgisFriction,os System Head TDH Ft Forcemain Lengthg) Dia. (Al Dist.toWell j1{ O De SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark 2 / tae.z�Alt. BBldg. Sewer �St/Ht InletSt/Ht OutletDt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade76bCoverpT cave (p.2j pp BE TRENC Width Length No. Of Trenches PIT DIMENSIONSNo. Of Pits Inside Dia. Liquid Depth DIM`3 (3SETBACK SYSTEM TO P/L BLDDG WELL LAKE/STREAM LEACHING Manufactur INFORMATION CHAMBER ORType Of System: r r )&;Zast Model Numbe'pr� [. Ig150UNIT b 111F�0:71-11110N10IFM��0�PA Header/Manifbld Length Dia Distributit�uPipe( Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedfrrench Edges Topsoil0 Yes 0 No I❑ Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 6'1?12 aLocation: 2098 HWY 35 _t Inspection #2: 1.) Alt BM Description = •2.) Bldg sewer length = 3�j i�g�.yga', cr- amount of cover = `{Z'f �P`1' r III 9tao 6keWo.7d" 99A fUse other side for additional information.n��q Inse-rri Ja �!f.WTr[ 't• 2.a-3.Or l 4.9 r) r� Fldu C r z4 Cert. No. r7 , ��, Department of Safety °"n`'" ST. CROIX • S & Professional Services, Permit Number be filled in by Co.) APR 2 4 2023 ndustr Services Division y Sanitary (to 'f Sanitary Permit Application State Transaction Number NA In accordance with SPS 383? 1(2). Wis. Adm. C cod , submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. (SAME) 1. Application Information — Please Print All Information Property Owner's Name Parcel #>' t BRANDON & APRIL SCHAAR 032 - 1060 - 20 - 000 Property Owner's Mailing Address Property Location 2098 S.T.H. 35 ---- Govt. Lot NA 23 City, State Zip Code Phone Number SOMERSET, WI 54025 715 - 971 - 1803 NjV4_ NE '/4, Section T 31 N R 19 Nor W II. Type of Building (check all that apply) l.ot 4 qX or 2 Family Dwelling — Number of Bedrooms 5 1 Subdivision Name NA Block # ❑ Public/Commercial — Describe Use NA ❑ City of ❑ State Owned —Describe Use ❑ Village of ( CSM Number V51 P1355 E,wn or SOMERSET Z-Ome 111. Type of Powirs Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if —applicable.) A. new System xlteplacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) jrIny-Ground tional) C. El Renewal Before ❑Revision ❑Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration NK I`'. Dispersal/Treatment Area and Tank Information: 3 3 X $D — ID ezf lour > 2.5a 6,4.r4e.r6o 1 Design 50 (gpd) Design Soil OApplication Rate(gpdisn Dispersal Area Required (sf) DispersRA6Proposed (sfl198.50;97.50;96.50FT System Elevation'1 1071.43 L2oo Capacity in Total # of Manufacturer , Tank Information Gallons Gallons Units p jubv �5-g� v o $ New ranks tixisting'I'anks I 0 0 a U in y iL C7 0, Septic or [folding Tank 1585 1585 1 WIESER COMB X Dosing Chamber 950 950 V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POW 1'S shown on the attached plans. Plumber's Name (Print) Plum .gnature MP/`MPRS Number Business Phone \umber THOMAS A. WANG 227469 715-425-9958 Plumber's Address (Street, City, State, Zip Code) W9672 770TH AVENUE, RIVER FALLS, WI 4022 `'I. County/Department Use Only Approved 0 Disapproved Permit Fee $ 5-3Si Date Issued �/s�z3 Issuing Agent Signature wrier Q eason for a] Conditions o royal s r' s�,l_ � wuA* (� 4" 04 91-U�_ . L F` SYSTEM OWNER: Tr' _ r n / '+� l�cc e,� c�-tt-ed! t, '' 13 ` 20 1 3 i 9. Septic tank, effluent filter and dispersal cell �t -- �� 1 must be serviced / maintained as per; L�- management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. ,attach to complete plans for the system and submit to the County only on paper not less than 8 W a 11 inches in size SBD-6398 (R. 03/22) Kevin Grabau From: Mary Jo Huppert <hollisterdesign@outlook.com> Sent: Wednesday, May 3, 2023 1:32 PM To: Kevin Grabau^ Subject- RE Schaar - need well location Atta hments: Schaar well location.p Follow Up Flag: Follow up Flag Status: Flagged This email originated from an external source. Verify the legitimacy before clicking links or opening attachments. Sorry Kevin!!! Well is where the "well" word is. Thanks!! Sent from Mail for Windows From: Kevin Grabau Sent: Wednesday, May 3, 2023 11:30 AM To: 'Mary Jo Huppert' Subject: Schaar - need well location Hello Mary Jo, I am reviewing the Schaar replacement POWTS. I checked both site plans, for the replacement trenches and also the soil test site plan, and cannot locate the well. Would you please provide the site plan with the well location so that I can issue this permit? I attached your site plan for your convenience. Thanks! Kevin Grabau I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 715-381-4382 1 C: 715-716-0698 Kevin.Grabau@sccwi.aov ST. C Ro - U.NTY. OLI �"-'r �"''�C. P4ot Plan Page -a of PROPERTY O'v%fNER: tr lj` )DA) 24� A eyIL . C+tAflR, V == 40 FT. (except where noted) Legal Description: ^l ` C-% V �, F 13sg� M. I TIE: AiE,%% OF T_} = backhoe Pit THE Alt-V 66C. Z.s, 7WA. TZ OW. OF 9, CrTy, euvwy Wt SCCA INI. 0:2- lV6N ;,-O- VOD 2n4g a-F44.3.s f GLp ``�_ Oe1yE`�s►d —._'__ North 2- 61� I (LAWN) y H, ADW, (3) Y X 0' -ML v u �- — ` V tnt� � ( r 1- too .!5' ;• p 12 ant i! I • -' � -- M- q �. IN l,11il : 95, sUf !vr 5'r& ° 5ri:tMM- P "1D �� At3/,NGcNED1 * rr^^ 15 of .Z M I175 %75 1 ��•w', F°RCFMA�i� Pw SF-5?BS y�)� NEW w1e5eli 160�g50 r3Al 4,C• TAdK W/ vU�r#,P r t6a &JLs6�q, brjWCLL (AfTP",y - V,` - 1t I ", J) Site loco Lion: �( S1rE �s `) to Plot Plan Page A of PROPERTI Y OWNER- t1pAp\�o 4- A f1L 1" == 40 FT. (except where noted) Legal Descriation: L T L C.-V U V 1355 Fft. L2�47t I T-%E: AILA backhoe PiT � T'� 1�1, TZ ! �f t+{%, -T7 �tJ op C'•ti � j� ;, �f ` } j� C zoy, ? , n0 f .�� North ' y I r- e�i Aga ,3) N t'I�s � I -+� < i v 1 � _ � � '� 3' ; 1 lAb.4S'_ lot • �S .c J MEL OF z"RStM 1*775 cm75i (� BE AT3A NCcN �D� / OO. fr, o R C A i d q Sfl 43r► ��,� l� PER s �6* �3 knN Z; To%Ij rr r' � F:LTEa •e 1 Site loca Lion : h +- � 3nE PAGE 1 OF 5 In -Ground Dosed -Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Tank Specs Soil Evaluation Report & Site Map___ Sanitary Ownership Form 1 Warranty Deed Project Name 1 Description Owner Name(s): BRANDON & APRIL SCHAAR Phone: "115 --t71 - ['90 Owner Address: 2098 S.T.H. 35, SOMERSET, WI Zip: 54025 Project Address: (SAME) Govt. Lot: NA NE B.1/4 of NE H-1/4, Section 23 , T 31 N-R 19 Township: SOMERSET County: ST. CROIX Project Parcel ID #: 032 - 1060 - 20 - 000 E ❑or W ❑✓ Designer Information Designer Name: MARY JO HUPPERT Phone: 715 - 426 - 1775 Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 54893 E-mail: hollisterdesign@outlook.com License Number: Remarks: 1859 - 007 DOSING REQUIRED (NEW COMBO 1585/950 WLP) Signature: Date_ 04 - 17, 2023 OrO04 signalure requiree Xn eadi suLmOted cc4)y. Plot Plan PROPERTY a1r�J Erb: t1pAp\r�-,vo � Af1L Legal Description: L T L C,% U 1355 Ft. L2�47t 1N T-%iti TH!• Jl� � 5€ T'�IJ TZ �f �, tJ a� C'•ti�j� ;, �f` } j� C zOy, r't► a t�rt�/ ��c'C N vita. �2 1 �'s�r ;"�- C r'^ 2n4� �;,'f.+;. 35 ►M.2;7 ADD w � Is 7 1�•4S'_ lot M EL 'XS r OF z" A s1 M 1 7 5 cm75 �ORCPm PER 5flc, ?S�, `?•3 Ivt,w W IE�EvZ t rvsl Sq ►L�rl N.0 • +� Thar VI/ P MIA P-� PAY U 4 T 1 arJ� Site locaitQn : h +• Sae 2P5 fs, A•s --t -y. �h _a i Page A of 1" _= 40 FT. (except where noted) 1-_3 = backhoe PiT 3. Ino A e Ito Y� d North iI SOIL COVER ;iii 1!!= IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) I� r -1 f 3.0 Geotextile ,.S Cover ___, I 12" min. trench depth L_ (typical) Highest Trench System Elevations = 98.50 ft; 97.50 ft; 96.50 ft; TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Lowest Trench (as applicable) ft; TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.) PLAN VIEW (No Scale) 4" 0 Observation pipe shall be installed at junction between two units. Perforated Lateral Observation Pipe (typical) (typical) - -- — — — — —— —-----��---------- B = 80 ft (ri��I) 750 gpd / 0.7 LR = 1072 ft. 2 re Ere INSTALL PER TRENCH: �Z1203H Bundle 1072 ft. 2 / 50 EISA/unit = 21.44 units (typical) 8 10-ft bundles @ 50 ff EISA/unit = ft2 or 21.44 x 10 ft. = 214.40 ft. (mfd by Infiltrator Systems, Inc.) 214.40 ft. / 3 trenches = Install pursuant to manufacturer's instructions. + 5-ft bundles @ 25 ff EISA/u = ft2 71.47 ft. or 80 ft. (3) 3 ft. x 80 ft. trenches 1072 = Proposed EISA pe tench = ft2 equired Infiltration Area = _ ft2 Distribution Method: 1Z80 IZ oa L{o 0 x = trenches = Proposed Total EISA =�8— ft2 Provide minimum 3 ft separation between trenches. OBSERVATION PIPE DETAIL (No Scale) Screw -Type or . Finished Grade ft Slip Cap (loose) W (mulched &seeded) 4"0 PVC Pipe Top ofi to atorab a rn e grade --- Topsoil Cover • (min. 1 foot) (4) 1/4"-1/2" X 6- Slots Anchoring Device `ft (typical) .,. •. Infiltration Surface IWMWI mom �. -- =1 A - ��.�_ G) m W O 71 Cr RESET A SCHAAR, BFANDON & APRI_ PAGE 4OF5 GRAVITY -DOSED BRANDON SCHAAR SEPTIC / PUMP TANK SPECIFICATIONS 4"0 Vent Pipe (No Scale) >10 ft from Building Electrical must comply with 12" Min. or 2.0 ft above SPS 316 and NEC 300 Established Flood Elevation Weatherproof Extend manhole riser as necessary. (typical) Junction Box Approved Approved Locking Manhole IMPORTANT: Vent Cap with Warning Label Attached (typical) Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) ---conduit 4" Min. or 2.0 ft above Established Flood Elevation (typical) Airtight SealLl Finished Grade _ Quick Disconnect CAPACITIES @ 25 gal/in Depth (in) Volume (gal) A 22 550 B 2.0 50 [C] 5.0 125 D 10 250 A A jj_ t [c] *Pump Tank Liquid Level = 38 in D Force Main Diameter = 2 in 18" Min. (typical) Weep \— Approved Joints with Hole Approved Pipe 3 ft onto Solid Ground (typical) Alarm — On PUMP -OFF Pump • ELEVATION = 91.83 ft _off Concrete I Block Force Main Length = 75 ft 3" Approved Bedding Material Beneath Tank INSIDE BOTTOM ELEVATION = 90.00 ft 75 FT. X .163 GALLONS/FT. = 12.23 GALLONS FLOWBACK Force Main Void Volume = gal [C] Total Dose Volume (TDV) = 125 gal/dose E( < 0.2X design flow + force main void volume 7.71 7- t `CDia 01 IRAM TAAIII. 6.67+1.04 ft Volume = 950 gal Manufacturer: WIESER Pump Manufacturer: GOULD Pump Model: PE 41 (See attached pump curve.) Controls/Alarm Manufacturer: SJE RHOMBUS Controls/Alarm Model: AB TANK ALERT Float switches containing mercury are prohibited. 125 GALLONS - 12.23 = 112.71 GALLONS/DOSE 750 GALLONS / 112.77 = 6.65 DOSES/DAY 98.50 SE - 91.83 PUMP OFF = 6.67 FT. I-ve_ f Cxt,-AL 75 FT. X 1.39 FTi 100 FT.= 1.04 FRICTION FACTOR SEPTIC TANK(S): Total Volume = 1585 gal Manufacturer(s): WIESER Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Filter Manufacturer: POLYLOK Filter Model: 525 PAGE 5OF5 In -ground Dosed -Gravity Management Plan IMPORTANT: The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, Maximum Dispersal Area Operating Limits: Design Flow = 750 gpd; BOD5 <_ 220 mgL"'; TSS <_ 150 mgL"'; FOG <_ 30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Local government unit: ST. CROIX COUNTY COMMUNITY DEVELOPMENT Local government unit address: HUDSON? WI Phone: Phone: 715-386-4680 ZIP: 54016 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. � J -s 13 FrirD � t\ s PInD Mow - be V r wi Pik ITT APPLICATIONS Specially designed for the following uses: • Mound Systems • Effluent/Dosing Systems • low Pressure Pipe Systems • Basement Draining • Heavy Duty Sump/ Dewatering SPECIFICATIONS Pump — General: • Discharge: 1 Y4" NPT • Temperature: 104°F (40°C) maximum, continuous when fully submerged. • Solids handling: '/2" maximum sphere. • Automatic models include a float switch. • Manual models available. • Pumping range: see performance chart or curve. PE31 Pump: • Maximum capacity: 53 GPM • Maximum head: 25' TDH PE41 Pump: • Maximum capacity: 61 GPM • Maximum head. 29 TDH PE51 Pump: • Maximum capacity: 70 GPM • Maximum head: 37' TDH (METERS FEEL 40 PE51 35 1D 30 25 Y.. 20 0 15 O o GOULDS PUMPS Residential Water Systems MOTOR General: • Single phase • 60 Hertz • 115 and 230 volts • Built -In thermal overload protection with automatic reset. • Class B insulation. • Oil -filled design. • High strength carbon steel shaft. PE31 Motor. • .33 HP 3000 RPM • 115 volts • Shaded pole design PE41 Motor. • .40 HP 3400 RPM • 115 and 230 volts • PSC design PE51 Motor: • .SO HP 3400 RPM • 115 and 230 volts • PSC design AGENCY LISTINGS cPus Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association file #LH38549 MODELS PE3l, PW PEst vP. 33. 40. 50 Goulds Pumps is ISO 9001 Registered. sn An 7n taw Ra 5 1 U 15 m3/h CAPACITY r) -n At.' ►AAE R:T - VENT TANKS ARE WANUFACTUREO TO MEET OIq Epp ASTIR C-1227 AEGUIREWml-S --- V&P 1585/9 50 TANK SPECIFICAMNS QRAENSKNs: WALI~ 3- 90TT yK 30 Cowk so MANHOLE 24` LQ. PRECAST Ca4M7E RISER HEIGHT 53-3/4' OA. LENGTH: 10-3/18" O.O. MOTH: 101-3/16' O.O. KLONI WET' 43' O.Q. LJW0 LEVEL: 3e' OUGHT. TANK 13,Oi0 L85 VE04T: COVER E,300 LOS INLET ANO OUTLET: 4' CAST--A-SEAL SOOT OR EQJAL INLET Alq OUTLET BAFFLE AND FILTER: MSOONSIIV� SEE OETAIL 0 (OTHFA STATES SEE CHART) UQUIO CAPACITY: 41.67 CAL (SEpTIC 23.00 GAL/IN (PUMP; LOAaNc OEM: Ix-0• UW .ATURATED SOIL TANK CAN ICE U= AS: SEPTIC/SEPTIC, SEPTIC~ OR SEPTIC/S PHOM COW: Mx of %)N P (►40 Fes) TAW: MIX QESWN p (SMALL FAA) CUSTOMIZED TANIC& FOR CUSTOM TANKS CONTACT S'ER BETE S-i . CRC U NTY SANITARY SYSTEM File #: Office Use Only OWNERSHIP/ADDRESS FORM creored212o27 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. Owner/Buyer Mailing Address OWNER/BUYER INFORMATION BRANDON & APRIL SCHAAR 2098 S.T.H. 35 City/State/Zip SOMERSET, WI 54025 Phone Number (required) 715 - 971 - 1803 Email Address (required) brandon.schaar@mail.com Parcel Identification Number 032 - 1060 - 20 - 000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NE 1/4 NE 114 , Sec. 23 , T 31 N R 19 W, Town of SOMERSET Subdivision Plat: NA , Lot* 1 Certified Survey Map #j g 5-5 , Volume 05 page # NA Warranty Deed # 1146877 (before 2006)Volume , Page # Number of bedrooms 5 Spec house 0 yes ■ no Lot lines identifiable ■ yes 0 no / OFFICE USE ONLY / V `� New Property Address S�we-" (Verification of new address required from Community Development Department for new construction.) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi aov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.aov i 4 Page Wisconsin Department of Safety & Professional Services Division of industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wrs. Adm, Code County ST. CROIX Attach co nptete site plan on paper not less than 8 1 /2 x 11 inches in size. Plan must iririude I parcel I D but not limited to vertical and horizontal reference point (BM), direction and percent slope. 032 - 1060 - 20 - 000 _ scale or dimensions, north arrow. and location and distance to nearest road. LRevmw-w:e:dby Date please print all information. Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04(1)(m)). -- ❑ — Q y Property Location Pr Owner + � s T 31 N R ) _W- BRANDON & APRIL SCHAAR GOVT. LOT NE % NE % 23 19 . Property Owner's Mailing Address i Site Address or CSM and Lot f — 2098 S T.H_ 35 (SAME) LOT 1, CSM V5. F'1355 _ . -- --- - _ --- _ __ Nearest Road City, State. Zip Phone Number ❑ City S0OM page ® Town S.T.H. - SOMERSET, WI 54025 (715) 97 t _ 18o — 5 Code derived desi9nflow rate 79u_tiry E] New Construction Use. Residential / Number of bedrooms _-_ ft El Replacement ❑ Public or commercial - Describe Flood Plan elevation if applicable Parent material SANDY General comments and recommendations, CONVENTIONAL IN -GROUND TRENCHES - 0.7 LOADING RATE - NEW COMBO TANK W/FILTER EBor❑ Boring§ in. / eiev. fl. lo9 Q Pit Ground surface elev. 100.95 ft. Depth to knifing factor Horizon Depth Dominant Color Redox Description Texture Structure In. Munsei) Ou, Az. Cont. Color Gr. Sz. Sh. 1 0_8 7.5YR313 — _ "sf 2f4msbk 2 8-80 7.5YR314 - s 059 I 1 Boring Ground surface slew. 100.85 ft. Grit i Soil Application Rate I Consistence Boundary ! Roots M/Ft` _ 'Ef1*1 `Eff#2 mvfr _ cs 2vf-co 0.6 1 A Y_. lvf-m 0.7 1.6 nil Depth to limiting factor in. I elev. 93.77 fl. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture T Stnxture Consistence Boundary Roots GPDIF12 In. Munsell Ou. Az. Cont. Color Gr. Sz. Sh. V*EEff*2 1 0-10 7.5YR313 k 2f-rnsbk mv(r cs 31 _._ 1.6 27.5YR314 - s 059 ml - --- r S►gnatura-. CST Number 1 CST Name (Please Print) MARY JO HUPPERT (HoNtster"s Sod Testing8 De n) ' L I 224832 Address Date Evaluation C�ucted �Telephone Number 715 - 426 -1775 25720 FIREFLY LN, WEBSTER WI 54893 04 -13, 2023 -- -__— ---- • Effluent #1 - 800 3 30 s 220 rng/L. anxt TSS � 30 s 150 nxyL • EfIluet+t #2 - DOD. s 30 nrylL ar+t7 T38130tngIL SBD-8330 (R03/22) SCHAAR, BRANDON 3 APRIL Page 2 of 4 EBoring 8 [] Boring (3Pit Ground surface elev 98.75 -ft Depth to Wriding factor 80 in. / elev. 92.08 ft. Depth�Dominant In. 1 0-8 2 8-80 Color Munsell 7.5YR3/3 7.5YR3/4 Soil Application Rate Redox Description Texture Struck" I Consistence Boundary ;Roots LHorizon Qu. Az. Cont. Colo Gr. Sz. Sh. ' •Eff#1 'Eff#2 - sl 2f-msbk mvfr cs 2vf-co 0.6 1.0 s rw -- 1vf-m 0.7 1.6 - - - — — -- some grl cobs - I Boring [] Boring Pit Ground surface elev.__ ft. Depth to Wniting factor in. elev. ft. Horizon Depth Dominant Color Redox Description Texture Structure Cana+stence Boundary RootsGPDIFtz In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. Soil AppNcation Rate 'EfW1 '0102 e 1 i -- -----�--- f _ _ _-Y_---- 1 Bonng 0 boring [] Pit Ground surface elev. a. Depth to iirnitirg factor -in / elev. R. —�-- Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsell Qu. Az. Cora. Color Gr. Sz. Sh. Soil Application Rate GPD/Fe •Efgh *01*2 Effluent 81 = BOD > 30 5 220 mqA and TSS > 30 s 150 mg/L ' Effluent 82 = BOO. 5 30 mg/t and TSS 5 30mg/L Plot PIPn PROPERTY OWNER: tp-Am�l �'- Avi<a- SCiiAAlK I Legal Description.-- L6T c2A 12111510 ri-ft. lltL AIL,!� cr- -Tf4E vi mu WELL Ll E';' t)6 2:2 150 j + 0 VjE:5T -pi L d-bi IvI L�i7T 015� 2-95 s su m � -To PER sp-s A. Site location" Wki -4k -A\;r 2 Page Of, 1 11 == 40 F7. {except where noted) TZ - backhoe pit 3, tOO A e Rrs North State Bar of Wisconsin Form 3 - 2003 QUIT CLAIM DEED Document Number Document Name THIS DEED, made between Brandon Schaar and Chase Paulson ("Grantor," whether one or more), and Brandon Schaar and April Schaar, husband and wife ("Grantee," whether one or more). Grantor, quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): That part of the NE1/4 NE/4 of Sec. 23-T31N-R19W, described as follows: Lot 1 of Certified Survey Map recorded in Vol. 5 of Certified Survey Maps, Page 1355 as Doc. No. 388455. This Quit Claim Deed conveys all of the interest that Grantors have in that certain Land Contract between Walter F. Germain and Debra C. Germain, Vendors, and Susan Paulson, Purchaser, which Land Contract was recorded on March 11, 2015 as Doc. No. 1008905. The interest so conveyed to Grantors was documented by a Transfer by Affidavit, pursuant to Sec. 867.03 of the Wisconsin Statutes. Dated January 11, 2022 AUTHENTICATION Signature(s) Brandon Schaar, Chase Paulson autlient' atedJanuary 11 2022 *Kristina 0 la d TITLE: MEMBERS ATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) 1146878 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 01/ 12/ 2022 11:51 AM EXEMPT#: REC FEE 30.00 TRANS FEE 453.00 PAGES: 1 "The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address Attorney Kristina Ogland Estreen & Ogland 304 Locust Street Hudson, WI 54016 032-1060-20-000 Parcel Identification Number (PIN) 'Phis is not homestead property. (is) (is not) (SEAL) (SEAL) *Brandon Schaar (SEAL) (SEAL) *Chas aulson ACKNOWLEDGMENT STATE OF WISCONSIN ss. COUNTY) Personally came before me on the above -named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Kristina Ogland Notary Public, State of Wisconsin Estreen & Ogland, Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUID` CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3-2003 *Type name below signatures. Estreen. 304 Locust St Hudson, Wl 54016-1667 Phone: 715.386.1850 Fax: 715.386.6560 Germain-$chaar Kristina Ogland Produced with ZipFormO by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 WWw,zipLooix.com St, Croix County 1146878 Page 1 of 1 0 Ln M Lo w 00 N N M 0 K� 388455 j FORM NO. 985-A N C Mlll�i CMprry® Stock No. 26273 CERTI F I E D SURVEY MAP LOCATED I N THE NE1 /4 OF THE NE1 /4, SECTI ON 23, T31 N, RI 9W PILED � 0 Z 17983 Or 84 CONK` c 4 J Xoi beoQi 2�1 j �tii UN P— L A T T E D LANDS I 80' 1 UNPLATTED — — — — — — — — — — I � j LANDS N1 /4 CORNER NE CORNER I I ECI SECTION 23 SECTION 23 SEC R19W T31N,R19W "' `n 100' 0 S 87023' 25"E 2702. 63' 33' TOWN ROAD 263. 23 99• � I POINT OF 87023' 25"E 363' I 751 I BEGINNING N, 00 I I o� Q o I I v o NI M I `D I _ w M LO M Ln N M I M Z 363' I 00 LO A,-'N 87-23' 25"W I U � I r� l ZI 2 6 5. 92' 97. 00o ¢1 ULnQ1 I � �z 2-1 u.. J I - I_ o's Z l Lu0 I M 601 Lu LL— w Lu�"� I Lu m N ', p r i a' I � z N V Lu �n I" I Lu 0- F -I Z ( (7 N l NLn ~ N Q � .� C14 m Lli O w w I Lv _ Q ry I Z I Ln I M Z I .- OQ W w LLLIZ� a N rn I = _ cr ¢ I ZI �I Lnrn Li I �-u2 --�I z 0 11, cnZ 4z�; Ln to U Z Ln 1 I ¢_ Luo �' = V N� [-m o I-" E--u- �� L u- O Lu SCALE IN FEET cl� I O uj F-I Ln U- w ( u.l o' 200' 400' � Z ¢ l w SW CORNER OF w N II ~ a_ NW1 /4 of NE1 /4 i jQ v Z� ¢ SOUTH LINE OF THE rn 363' w 75' =I N 1 /2 OF THE NE1 /4 co (*487'29' 59"W 272. 81' 190.19YF I N 87029' 59"W 2699. 42' - -I �c 1100, 1 1 5' I U N P L A T T E D L A N D S I I AMPROVED AvG 0 91983 M N ST. CROIX C,7U;,JTY COMPREHENSIVe FAR--,S PLAr4`6MC' Q' CENTER OF ^No zoi-4NO CoMMr]FE E1 /4 CORNER SECTION 23 SECTION 23 r/T31N, R19W T31N, R19W N 87036' 35"W 2691 . 21' Drafted by Walter J. Gregory. Volume 5 Page 1355 11 2O�J Wisconsin Department of Safety 8r Professional Services APR 2 1 Page of Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site ST. CROIX pl 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 percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 032 - 1060 - 20 - 000 Please print all information. Reviewed by I Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner = - Property Location ❑ El BRANDON & APRIL SCHAAR - _y--j 'GOVT. LOT NE'�+ NE'�• S 23 T 31 N R 19 �Jff) W Property Owner's Mailing Address V n, _ ite Address or CSM and Lot #: 2098 S.T.H. 35 (SAME) LOT 1, CSM V5, P1355 City, State, Zip Phone Number ❑ City El Village ® Town Nearest Road SOMERSET, WI 54025 ( '716 ) 9-I I - 18o� SOMERSET S.T.H. 35 ❑ New Construction Use: qj Residential / Number of bedrooms 5 Code derived designflow rate 750 GPD El Replacement ❑ Public, or commercial - Describe: Flood Plan elevation if applicable ft. Parent material SANDY %PIQ.%Kff iC QC �t I �'W'cs General comments and recommendations: CONVENTIONAL IN -GROUND TRENCHES - 0.7 LOADING RATE - NEW COMBO TANK W/FILTER Boring # ❑ Boring [ Pit Ground surface elev. 100.95 ft. Depth to limiting factor 80 in. / elev. 94.28ft. Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 7.5YR3/3 - sl 2f-msbk mvfr cs 2vf-co 0.6 1.0 2 8-80 7.5YR3/4 - s Osg ml - 1 vf-M 0.7 1.6 some cob a g.sa - - Y -� . . Boring # [:]Boring 2 QPit Ground surface elev. 100.85 ft. Depth to limiting factor 85 in. / elev. 93.77 ft. Soil ADDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-10 7.5YR3/3 - ".4- 2f-msbk mvfr cs 3vf-co 0.6 1.0 2 10-85 7.5YR3/4 - s Osg ml - 1 vf-rr 0.7 1.6 CST Name (Please Print) Signatu CST Number MARY JO HUPPERT (Hollister's Soil Testing 8 De ign) L , ti 224832 Address Date Evalu tion Cialiducted Telephone Number 25720 FIREFLY LN, WEBSTER, WI 54893 04 -13, 2023 715 - 426 - 1775 * Effluent*1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) SCHAAR, BRANDON & APRIL j�� ❑ Boring I 3 1 Boring # [RPit Page 2 of 4 Ground surface elev. 98.75 ft. Depth to limiting factor 80 in. / elev. 92.08 ft. Soil ADolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 7.5YR3/3 -- sl 2f-msbk mvfr es 2vf-co 0.6 1.0 2 8-80 7.5YR3/4 -- s Osg ml -- 1vf-m 0.7 1.6 some gr/f w cobs ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil ADDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1-1Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil AnDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 I *Eff#2 * Effluent #1 = BOD > 30 <_ 220 mglL and TSS > 30 <150 mg/L * Effluent #2 = BOD, <_ 30 mg/L and TSS <_ 30 mg/L Plot Plan Page � of'� PROPERTY OWNER: t4A-P Y. 1" == 40 FT. (except where noted) Legal Description: Lrr I' 13sr" C� La-T 1'S -mL A %N a�' r H E 1, 3 t--/—q l J1 1 ��l�Sli`'�• C �. -- 1ne�i_ .'�.`- L`r'�'� 2D4$ �"r+1,33 -'TOF of I � � 1250 ; ��«► L Sry!1 M ED 9g75 i �p t:E Aij r�CLNLD J / 00. Qom` PkR <p.S ..(? - wELL Site location: :4 r 4 Yl Q _= backhoe pit . ? "0 i'l c' eE i North n 1. C- '. F g446e� 4g� 51 o�x COUNTY No. 1�0 ygLNy 207 f HvJ Y 3 S L2;�RXNS Y 1. . OWNER bPvWtS6AJ4.) IL 5!�ttAhK PLUMBEIOJ'jgjM�AS�W��.LICX 22,7'&?_ AND/OR , BLOCK C�5 M/!�— 90 d%�A� l' 31 SUBDIVISION L -'bne /\/ CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. I AUTHORIZED ISSUING , DATE SIS1,202.3 THIS PERMIT ! EXPIRES RENEWED , !' THAT DATE POST VISIBLE FROM THE ' • , FRONTING THE • DURING CONSTRUCTION SBD-06499 (R11/20)