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032-2193-10-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law. s.15.04 (1 xm)l Permit Hoider's Name: City Village Township Teresa Hawke and Corrie Roytek I TOWN OF SOMERSET CST BM Elev Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic kLs'-4 cb", - i DDD Dosing Cook Aeration 5` Q> r OAS ti r aC a TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7nsrqua� 2 � 3� Dosing G Aerati Holdi PUMPISIPHON INFORMATION Manufacturer Ic Demand e v S GPM L♦z9Pm `�`I' Model Number �i 3z 31 �d TDH Lift Friction Loss System Head TDH Ft 5.(,2 D 5 y SS ID.h} Forcemain Length Dia. Dist. to well 5D z' 4 rJeT nsklle� SUIL A55OKPTION 5Y5TEM ELEVATION DATA CountySt. Croix Sanitary Permit No: 648401 State Plan ID No: Parcel Tax No: 032-2193-10-000 Section/Town/RangelMap No: 05.30.19.1631 STATION BS HI FS ELEV. Benchmark r All. BM Bldg. Sewer St/Ht Inlet q.oy ID1.9(a SuHtoutlet— I?Lwet— Dt Bottom 12� 98.1 Header/Man. -7, ZS 103.�2. Dist, Pipe Bot. System �,0 �03.0 Final Grade St Cover �n ota,r 0 (o.o �0 D pso t DISTRIBUTION SYSTEM Header/Manifold IDIstribulion x Hole Size x Hole Spacing Vent to Air Intake Pip(s) Length 3 Di a .S Length 73.3_3 Dia Spacing 1519 Z s3 SOIL COVER x Pressure Svstems Only Mound Or At -Grade svatems Only Pry v, )L-7 Depth Over Depth Over xx Depth of xx SeededlSodded )a Mulched Bed/Trench Center Bed/Trench Edges Topsoil i 2 Yes U No WYes Q No COMMENTS: (Include code discrepencies, persons present, etc.) Location. 1731 42ND ST 1.) Aft BM Description = 2.) Bldg sewer length = i� 4s`, 56 49 J��k - amount of oover I $ Plan revision Required? ❑■ Yes i No q Use other side for additional Information. SBD-6710 (R.3197) Date Inspection /W,IF- 3 Insepctoes Si re Inspection #2: Fl hat g N-0 r )++s- Con. No. SIN- IDL3— 005 2.� 4W Yemds Way Cl"* i . la o. �l 4 2023 Samisy P it rlmsbmr (b be lid o by Ca:) • WI53707-7)62 T b qO r Sanitary Permit AMIi n---tv. Develo ment S'"eTMEMC M` Q 1..wee"m .6 SPS 39321(2), VA, Adm Cod, su aielat dAia room eo dw lope q a -, MRaleo. .. I" R T s — 2 oo f o o --e troject Addess (if d fft - l fro *ems ddnles) Id p rkw +* etas a semil■y F F '- No6m Aplpiadon IN for sIM&owwW TOW S eve arbniNod to ere Depsameet or8eft sd hutanool Sepias. P4saod ifamstiom 7a pm may be and for eae omdeey pwpowes i woadeaa wid die Lehr, e. Is s), 9W& 3 - Mh Prbd AN 1whM dbo ro"Oly Owm es Nssee �Z/f PIN 8 S 3 0 w/ - PMw9y�Owm es Meling edira itiapmy Loeotiom 1 / � W 3ati. /+� p�y zip/may � 77 T R IL Type Stave iiat (CIMA an OM V*) 3 SmidlrlrlomNerre ®loff 2FisOyDwmYa18-)IserorofBadmansDocrboUse f Bloet i of Omrod - nole o Ute [Yost of CSdI Nse6v Xor��]�,�E�S� _ m. TM of i5 n— ft (CM& WWr -NW or amt otter arpOeaYe w Yie A. Cheek ewe Mm M fte R Cbnoeie Nee C It A. $yMlms AIR [IMOWM t Systw �er MwMkwiom I. &deft SyMem (6.*M;) Peaattmatt UFA (e:pirie) To& �hFa Mww (om eoteo..tj 01Eaeade 1 J ladev[dmd SMe Damp Typo {tuplm) > 2 C. )Zsswml Hmfas �Rerieiaa JoL dllssber to J.h herian Pesmlit Nwmbernod Date lowed 6+opi/atiom r f iV. Arme etai Task rdermslliea: Daiym R— (/pd) D=W Sal Dieeal Arms (srn D*K=W A=s Ptopeeed (a!j Syalom Piovstion 7, IDJ 7s, T31ric Idee.lwie�. Clii a.m. TOW e;I.Yeon / of vmI1e rfaenfredaae p.�►�(.k r Tnis T � so [iniM Glmnlrer Lxwp I M-1=11MIS V. Rae�aeli�y Shleaee d- L„ tV �deeeipsel, s#a■e d Ire POW[8 smwa N dw wle.ad prur. Prmaber' ) I PresrL� / AiPIb U N�cr 8esimCs Prose Nabar -, ys s «�. 23P VL UM AWwW 0 D"W _ 6 � �z�{%Z�Z3s�a.tmle tls�� rot Ddi.I 2 J) S NER: yi raj-i' Pw� pbc tank, effluent filter and disperse) COD � must be serviced / maintained as per nagement plan provided by plumber. � AA— I setback requirements must be main airM ��rm s -- r.-- -rr--- Aerd w Ogle ONE trr 41110 Owlet ud d" M 45 COMMIq arb M pWW and [we rns 114 It U &NOW IN Mw SBD.6398 (R Mal) Wisconsin Department of Safety and Profesional Servicss Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 January 23, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-1-23 Plan Review: PWTS-012300100-C Kim O'Connell 504 3rd Ave E Osceola, WI SITE: Hawke 42nd St Town of Somerset St Croix County SW'/. NW % SS-T30N-R19W Phone:60&266-2112 Web: hup. 'sip - i.�to% Email: +s:: F_ Tony Evers, Governor Dan Hereth, Secretary Condidonally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE FOR: Description:3 bedroom-450 GPD mound-29" to limiting factor- Effluent Filter - Mound Component Manual — Ver. 2.1, SBD- 10691-P (5/22-5/27) Maintenance required. Pressure Distribution Component Manual — Ver. 2.1 (May 2022-2027) Verify proper dose is achieved and system is not being over dosed. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. SUM • 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 state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • 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 The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SIPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)634-5124 Joshua, rowle wisconsin. ov ' APPLicwTiM FOR REVIEW rr �* mug PiweoneliM§WO . nor be and lbrm iftyate.ms IRIur LAWS. t&MMOM wired Private Onsite Wastewater Treafiment Systems OiA*m of InkaMy Sees ❑ PMM to to E418d. PMVIM ShaMft t hear nine below_ For plan soMm. -tack our wsbelle at hdnJMscs.wi.aov Enrol lsCdrr1 ! cads qusMiom to ranlmCSPSSBPowbTedt®wl.00v Several oour N I ime been delagehd oerMb auvwft b nwiaa► pros In Neu of Olvision d M'xk*&y asevkxm Fare my ent Nst of lhoee courdso and Sw* domkpmlm dmK* am wdWb at 1. Probed lydfeneeeise - A in an i•raren rMnnei ft OteRiaaR#ou of mo ftmad lea nrtinwr. 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To iegRast aniehr arrgils to appopeiaia1111rani end a-msi i. deg vdii YOW esQiarrad ShmmPbrt um maar b MMM2dMbMftpMoftM. 1f pions arm being eLd oMbd via pqw. I" vA be assigned b�ne lower obw asoslp ej nud 9iubmlbel efMM eon be fte d in each a�abM amVc sot ensMMOoft an Ow r FAQ ,- , PQeelselre /Mee D6ir8 iiUeeer INW DWS 2 m Uldiwet or as 1o4 2331 San i.uie Plow 091010ek16M S400 Gro m 9e% VA 54304 008706413i4 = 94W Fax 606 i854KM Far i2D4M2-aM Ent Fins! Aisrs amalo pwomboa bt olrision of re/ree g =re-C OR ❑ Ch*dc boat to dip P m mul mien 6Mail, 1016.iari.ef 6lrrr.r.n. -qSD-ioW(it 3" 1D � LL 1 I I !J! W ( 1 S N 888 t7 'q v_ p8p8Opd C� j m YW9� p$S Oj 1h N N4l �— 00p6 Z 8 8 p CL N N a* m N p }Ca; p i9 M 1A � 6 C• '� N Vf N fA MI � a � M fr _ yT o Y W M • � � � >_� � ®S � C � a 4 � �W3 P S n'3 a ❑❑ _ m �q ii p E � C ee O0O f li7 3 55 Ld ��D II C eS5O��n�f�CEW� t1 CC j 0 CvDai ANfn F�! Q I f v $ 25g$ m 25gg � �� 25$ 1 a o C, � c O a E W r ne fT s ai .ei x k a a+ S� 0 E a a � `11��gmCL10 c�v o 00 € m m N 4 o a E a ELL 4p ` 9 a to C ❑ A =_ m • em�y CL �; a m v16 `o oo g r n 4 E � � �S fi F 2 $ ❑❑ 2 ` o Ln . Nc c pp _ LC 91 m .y` > E a c m a m m S t11 • m a mx 7 u W g m a a m E m am F V E m a y .� 2pC a1. ❑❑ t 40 ❑❑�❑ az°a Oti ° ❑❑❑❑❑❑ o a u 2 y m❑ �� x kK c a ❑ m co❑E y IF m E ❑ ❑ CL nm co fa 4 rr- MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Hawke .& Roytek Owner's Name: Teresa Hawke & Corrie Roytek APPROVED U. . �, S lTZTT'AND PRCTESSIONAL SERVICES Owners Address: 846 250th ST DIVISION OF 1NQ1ISTRY SERVICES Osceola WI 54020 Q &416 1tv ../.., SEE CORRESPONDENCE Legal Description: SW -NW -secs T30N-R19W Township: Somerset County: ST.Croix Subdivision Name: Old Mill Landing Lot Number. 10 Block Number. Parcel I.D. Number. 032-2193-10-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 ATT soil evauation Designer Kim A Ocon ell License Number: Date: 01/15/23 Phone Number .� Signature: - 224263 715-381-7917 Mound Version 2.1 Ma Component Mee al Design References. y 2022-2027) & Pressure Distribution Version 2.1 (May 2022_2027) Version 7.0 (R. 11112) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 =150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpole) R 300.00 1.50 450.00 13.00 105.00 29.00 0.40 Distribution Cell Information ff 5.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 1 I Influent Wastewater Quality (1 or 2) (C or E) Pressure Disribution information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) a 3.00 2 0.186 2.50 2.00 46.00 98.00 4.55 System Head (ft) x 1.3 7.42 Vertical Lift (ft) } 1.00 Friction Loss (ft) 0.00 In4ine Filter Loss (ft) 12.97 Total Dynamic Head (ft) Lateral Diameter selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.D0 x Nate: Sand rill (D) calculations assume a Table 363-44-3 in -situ soli troafinent for fecal coliform of- 36 iro:tm. fi.00 Cell Width (ft) Are the laterals the highest nt in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 7,50 felorifice Does the forcemain drain back? Enter Y or N 7.34 Forcemain Drainback (gal) 67.32 5x Void Volume (gal) 74.66 Minimum Dose Volume (gal) 32.31 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3,00 Gallona/Inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 36.D0 Total Working Liquid Depth (in) Wieser Manufacturer 27.78 gal/in (artier result in tail B49) Dose Tank Infonmation Efflu*nt Filter Information 600.00 Dose Tank Capacity (gal) Polylok I Filter Manufacturer 16.76 Dose Tank Volume (gailn) PL-525 I Filter Model Number Wieser IManufacturer Project Hawke & Roytek Page 2 of 9 Mound Plan and Cross Section Views 11l1. Otmeniniftn P" K. ..... ..... . . ..... .. ..... ....... ......... ........ ...... .............. .................... — ...... ........... ......................... ..................... ..................... ........... ... ......................... I .............. - .................. ........ - .......... ....... ......................... ....................... ...... —, .......... ................................. .. J A L Mound Component Dhnansions A 6.00 ft E 16.36 in H 1.00 ft K 8.30 ft B 75.00 ft F 9,50 in 1 13.06 ft L 91.59 ft 7.00 0.50 4.05 23.10 D gin G ffilft J Aft W aft 450.00 (ft?) Dispersal Cell Area 1429.30 Basal Area Available 6.001(gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 107.38 (ft) H G F 106.08 (ft) Lateral 105-58 DWpwul Invert Dispersal Cell F Elevation 4 105.00 (ft) Contour Elevation 13.0 % Sfte Slope Shading Key I & - -I-- Topsoil Cap '& 1.5 ft Subsoil Cap ASTIVI C33 Sand Tilled Layer C! 0. ft Aggregate F T . . ............. 0 — A 0 Geotextile Fabric Cover See lateral details on Page 4 for number• size• and spacing of laterals. Laterals are equally spaced from the distribution call's centerline in the distribution cell (AxB). Project: Hawke & Roytek Page 3 of 9 End Connection Lateral Layout Diagram Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Velocity 1.50 73.37 3.00 16.16 32.31 12.97 Dose Tank Information €lectrical as per NEC 300 and 10 SPS 316.300 WAC Disconnect y — Tarok component is properly vented Wieser —capagitil 600.00 Volume 1 16.76 Manufacturer Gallons gaVinch Dimension Inches Gallons A 20.34 340.98 f3 3.00 $0.28 C 4.45 74.66 D 8.00 134.08 Total 1 35-801 600.00 tank. Alarm Manuafacturer JSJE Rhombus - Tank Alert Alarm Model Number 101-01H Pump Manufacturer lGoulds Pump Model Number JPE 51 Pump Must Deliver I gpm at t2.97 ft TDH 0.156 in 2.53 ft 30 7.50 ftlorifice 3.00 ft 1.50 in 3.30 ft/sec Locking cover with warning lapel and locking device and seabd watertpht 4 in. min. 1� E---- Alternate outlet location Fomemaln diameter --11 2 in. Weep hole or ar"i- siphon device • Pwnp off elevation (R) 98.67 Dose tank ebvation (ft) 98.00 Note; Switches containing mercury may not be used in this system. Project: Hawke & Roytek Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Phone POWTS Regulators Name I St Croix Coun Zoning Phone 715-386-4680 Sys M Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 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 fF Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Freauenctr Inspect and/or service once every 3 years Should inse2d and clean at least once every 3 ears Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 3B4.30 (6)(i), Wis_ Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384. 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 •ssssssss.ssss •.••.••.••►••.• Grade ` �1 Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution ng p 45 Degree Bed srSame Diameter as Lateral Project: Hawke & Roytek Page 5 of 9 r Er +w E - is F S = O 10 20 an 40 SO 60 70 80 O s 10 1s CAlMOrV s sz 10Q 75 29 m u 2S 0 s s� 70 57 15 46 a� 33 25 16 Pon i6ilir Ri.eaiv.r.d A 10 67 u s is a � 30 i6 as a 7 VAsoorsin and Prolessi ind D� Division of l Services SOIL EVALU TION REPORT CSr.�•a P ele 1 3 r. i lniv CQW •t with SPS 385, ►Ts. Adm Code �eu.'•1 St. Croq Attach coml 2 x 11 indrera in size. Plan must include. but not lima fret (BM), direction and percent slope, PsroWI 13.0?a-2193-10-00066,2542 scale or dim Asnoe to nearest road . owed b� logbk Personal infom 1��'1.�-� ! Law, s. 15 1 m Property Owne Property Location Va"y View Wi_� y ` Govt Lot NE Y. SW Y. S 5 T 30 N R 19 Property Owns Lour Block i Subd. Name or CSMB 374 V Vier. � � ew 10 Na Old MO Land City state 27p Code Phone Number ❑ City ❑ Viiags ® Town i Nearest Road i %M I cwrrn) I r i Somerset i CO. Rd. W E (or) W 2 o/ 2 ® New Constnxiim Use: ®Reaklm W / Nunberotbedi oon ej Cade derived de flow race M GPD Rep�m❑ Parent �� S Parent material Glacial DrNt 0.�0 Flood Plan elwatbn It applicable 0i R General oomments and recommendations, Soil Evalug&m preformed to salidy MqWmfwft of mqa peat review application. AdddkrAl wil 3 site evaluation may be required prior to system design and penal issuance. E t Bor" a ® Pit Ground surface slaw. 105.95 n Depth to limiting factor 1� in Soil Application Rate l Horizon Depth In. Dominant Color Munsell Redox Dssaiption Qu. Az. Cone Color Texture structure Gr. St. Sh. Consistelm Boundary Roots GPD/Ft' 'E1M1 'EfW2 1 0-6 10yr3/4 none 21 2fgr ds talc tvf.f 0.6 1.0 2 6-20 7.5yr" nave d t mebk dsh Qs 1 vf,f 04 0.7 3 20-40 7.5yW4 none sl lcsbk mdr cw 0.4 0.7 4 40-57 7.5yr4/4 f2f 7.5yr5/8 at Om nth 0.2 0.6 271 Boring # ❑ Bodrg ® Pit Ground surface elev. 106.00 R Depth to WnAfD factor 2T in. Setif Ann icmt Rare I Hartron Depth In. Dominant Color Munsell Redox Description Qu. Az. Coat. Color Temrs Structure Gr. Sr- Sh. Coasial —, Boundary Roots GPD/Ft' 'Eff81 'EW2 1 0-8 10yrV3 none as 2fgt ds as tvf,f 0.6 0.8 2 8-29 10yW4 none ail 2msbk mfr ow tvf,f 0.8 0.8 3 2M2 10ytW4 f2f 7.5yr58 $it lcsbk mfr 04 0.6 CST Name (Please Print) CST Number Jsrnes K. ThornWn 30021 Address Evaluation Condu Telephone dumber 340 Paulson Lake Lane, Osceola WI 54020-5413 July 23 2021 15 248-7767 VWVJW \n�I� �Jr El ❑ Borm ® Pit Ground surface elev. 100.06 fl. Depth to 11m0n9 factor M: in. �. t* lo -I Horizon Depth In. Dominant Color Munsell Radom Description Ou. Az. Cont. Color Texture Structure Gr. Sz, Sh. Cornistence Boundary Roots GPD/F? Twi -Era2 1 0-6 1 Dyr3/4 none sl 2fgr mvk c s 2vf.f 0.6 1.0 2 6-23 7.50416 none sl 1 msbk nwtr 0w 1 of j 0.4 0.7 3 23-34 7.5yr414 none sl 1 csbk mfr aw 0.4 0.7 4 34-53 7.5yr414 fV 7.5yrM sl Om rrdr 0.2 0.6 _J Boring 4 ❑ Boring ❑ Pit Ground surface Wev. A. Depth to lirrritirq factor in. C. A AL —Al -fir- Rol. Dgvrfnp a ❑ SO&O ❑ Pk Ground surface elev. R depth to limiting factor in d • Effluent #1 - BOO. > 30 s 220 frQ& and TSS > 30 s 150 mg1L ' EHhrerrt M2 . SOD. > 30 s 220 mgiL and TSS > 30 5 160 R*& I - L-L r- F L L T 71 ..� • Tip eF ��"sd►.�o , k�;• -, �! * Cosa. 1 � � ��. �o'br r3X► �L�r• sI*lej 1 r COUNTY PLAT OF: OLD MILL LANDING LOCATED IN PART OF THE NW114 OF THE SWl/4, THE NEI/4 OF THE SW2/4 AND THE SW1/4 OF THE NWi/4 OF SECTION 5, SON, R19W, TOWN OF SOMEILSfT, ST. {SOD( COUNTY , WISQDNSIN; LOT 2, CERTIFIED SURVEY MAP VOLUME 30, PAGE 6750, DOCUMENT NO.1D96256. 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I LOT 3/ �r�..`'` f f�,% x.w �•� �\� 1 t � i� .�-`♦ \`� l \ (� , J 1 J / % •ter-�_ ♦ //�-' I _�-.i��` \ ! 1 \ 1 \ + •• \� \\ �\� / It = . }�10 t. r _,�. r 11b' -iY'. !~�` `'� J/ 1 1 zz� l LOT 2 Aw �>t�� ♦-� /1 !-.� „rt`�ti `�1`/r /J /r�r//^ t 1 ` 4't /. xorts++ • / ! /�-•1_.._• �..� 6 I f LOT 1%..1 ♦ I \ f tl!lll��l 1 �1 r/ 11 \!\ 1 K..,. 1'•1f10' '`O rl l: f...\_'�...•. ••� �•�i�`� `J 1 t �t-•♦ ll •H wry.„�{y��OOf'a4 \ ` � i �\ J ;� him- . '�`• ' .51 AM,El114Y�M i% �- �woawaaa- � i / r'.` � �•'� r-.,�.._ F%WETV�!!D "�` / f `� '•` ' � � awe [ .1 \ 1 PREPARED BY: \ i t ! / • ♦ _ '�': a•'4� % LL 1 i AVIII 0WISMITUI ASKKIATi5 \I t' \ + 1 •.t � t •. ` --� 1 ��� /'- 2!>'1OLOf17flHTfUriYrJ1 I ! � • r.� � -��.� � _ 1 � 1 µwspExnS�OIS { I \ \t r� JAl / PR9%"D FOR., 1 ! I I fr `\ ' `�♦1 r' f ! �! VA►11T VWW M1511 IMVEF"AMM Ur- t Pa fa7t 115 i !7 � ST. CR NTY SANITARY SYSTEM FileN: """"tn� za�o2l� OWNERSHIP/ADDRESS FORM clued y o�� 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 OWNER/BUYER INFORMATION Teresa Hawke & Corrie Roytek Mailing Address 846 250th Street City/State/zip Osceola, WI 54020 Phone Number (required) 715-781-6953 Email Address (required) croytek@yahoo.com Parcel Identification Number (found on the property tax bill) 032-2193-10-000 NEW SYSTEM: LEGAL DESCRIPTION Property Location SW y, , NW ,�+ , Sec 5 T 30 N R 19 W, Town of Somerset Subdivision Plat Old Mill Landing _ , Lot # 10 Certified Survey Map # , Volume , Page # Warranty Deed # 14 [ 1 s-6 (before 2006)Volume Page # Number of bedrooms 3 Spec house © yes ■ no Lot lines identifiable ■ yes 0 no New property Address A -- (staff Initials) USE ONLY -+31 q-2- S`r �oa GCS Nerific lion o new address required from Community Development Department for new construction.) l Z (Date) This form must be submitted with oil 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 mode in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.yov o.a>j" Room. LLC 2022 §71 l`§' is, E ■ | § g § } ( i ( !� .\�p��=/ I'll, �3� �- - | ;eR@k&T_M� \ a., ,m �7�,M �2 Dfa-fto Roan. U.G 2022 W S !l ryS CA P ;l A 2 I 2 E ndo ' I-j14Z"f & -11 I a: -a Dr~f4 Rnom. LLC 2022 C,laln'� Pr" Room-. or►ie Roytek 6 Teresa Mawke ,�" a'a 17xx 42ndjtreel,jomemt, Nl 34023 Dome" I I I I I D I I I I I CPMCTM — �z zs a m > o _ 0 _ cn � gl4i���� �pa •r'.:•• � a alp e air, _ -_ �+ /rw� wr` � w s► OLD MILL LANDING X�� VALLEY VIEW WEST INVESTMENTSMO OF MMSU. ST. OM COLOM. *scam DETAILS err • �+.•�• �� a State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number 0 Document Name BY THIS DEED, Valley View West Investments LLC, a Wisconsin limited liability company, ( hereinafter "Grantor," whether one or more), convey and warrant to Corrie S. Roytek, a single person and Teresa A. Hawke, a single person, as joint tenants, ( hereinafter "Grantee," whether one or more), the following described real estate in St. Croix County, State of Wisconsin: Lot W, County Plat of Old Mill Landing in the Town of Somerset, St. Croix County, Wisconsin. Exception to warranties: easements, restrictions and covenants of record; highway and street rights of way; and Municipal and zoning ordinances and agreements entered under them; and further except real estate taxes accruing in the year of this conveyance. Dated �C_ 6 �_ vJ , do a -�— Valley View West is LLC, a Wisconsin limited liability company ICT�AT 1 90 — 40 glen J. Wittstock, Member AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by WA, Stat. # 706.06) THIS INSTRUMENT DRAFTED BY: St, Croix County Abstract & Title Co., I AcbySamantha Olson at the direction of the Grantor. 22-S31238 1149146 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 02/28/2022 11:31 AM EXEMPT*: REC FEE 30.00 TRANS FEE 299.70 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address St. Croix County Abstract & Title Co., Inc. 575 N. Knowles Ave., Suite #B New Richmond, WI 54017 John P. Emmeck, Member 032-2193-10-000(2022) Parcel Identification Humber (PM) This IS NOT homestead property. (SEAL) �,•��,1'`�'`Nt°say `��,,,',. ACKNOWLEDGMENT; y ; NOI�,q m E STATE OF WISCONSIN =t"'. �/C St. Croix COUNTY Personally came before me on the above -named Valley View West Investments LLC, as Wisconsin limited liability company — Allen J. Wittstock, to me mown to be the person(s) who executed the foregoing ins trurn nt and acknowledged the same. Notary Public, StA of Wisconsin My Commission (is permanent) (expires: Gj l (Signatures maybe satheatica led or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 Type name below signatures. St. Croix County 1149146 Page 1 of 1 ayw.ac. v. a..c u.araw.u.esaa aqua. ac. u. Uw X% Town of Somerset, St. Croix County, Wisconsin; described as foil Lot 2 of that Certified Survey Map recorded In Volume 30 of sold LOT 9 $ acres of land more or less. ArU�'. 131,481 SQ. FT. Dated this 27th day of August, 2021 v 3.018ACRES Ij H.W.L•960.0 Douglas l. le 45 \ LSA.-962.0 \a{ Auth Consulting E. Associates 2920 Enloe Street Suite 101 e� \ Hudson, WI S4016 (715) 33&2007 OWNER'S CERTIFICATE OF DEDICATION ValleyView West investments, U.C, a Limited Liability Company, a ' —i said Limited Liability Company caused the land described on this further certify that this plat Is required by S.236.10 or s.236.12 t IN WtTNE¢S WHEREOF, the said Valley View West Investments, t of 20 L. •' �° LOT 10 ° Valley van view West 1 C \ 140,928 SQ. FT. I W \ 3.23S ACRES o I41 WI \ \ ¢r a Cl, Imp State of Wisconsin ) fit► +��•� n� - County of St. Crolx)SS. +I b" EwsEaenrr'2-9 curs � I ■ a^j' ^' Ey Sai•Il2+'E n.00• Personally come before me this � day of ' LOT 1 I t2 ,ram•: WE 115.0 executed the foregoing Instrument, and to me known to be such 131,108 SQ. FT. I 0 SWW761E sasr as the deed of sold Limited Liability Company, by its authority. 3.010ACRES I I E. S1Y1071-E .7.ae• EA�BIfI' Es serlraw 1Al0• I s 1 � I Ee sasa•zs,e ae.a!• I f �jG E7 xr.4i+9'W seas Notary Public Sy r E ! D ` Ea,uectftisnr.' .- Ss Mrrlsi.-W ¢. n / IN �y' Efans•.oti•E 1". � �, ss.ao• M I � 1 'r � 7i. // ,• ,,T. �, ds,?s, My commission exires /i%U.'r. titi U..7 I / Y�►C eR io do m \ ikW.L.lMp.9 / � I rn �i 4s.98' I AL A I�b a CONSENT OF CORPORATE MORTGAGEE Il�1... MldWsotOne Bank, a corporation duly apanlud and existing u ` H. W.L=979.0 ) �' tf �r 9W 31 convent to the surveying, dividing, mapping, and dedication of owns, IN WITNESS WHEREOF, the said MIdWeetOne Bank, has cause. 1 3Sp e, i ti� This day of i1 i1! r zo. a \ Fg� Jw- IN THE PRESENCE OF: to �19\\ / MldWsslOns Bank , VIRfoFsaiderrt STATE OF WISCONSI j / Q('\ COUNTY OF ), I 1 �Q- Personally cone before me this 2/d y o! k,ll 1sl 20. 0:'X foregoing Instrument and to me known to be h Vice Provide 1ENT RESOLUTION �/ S eorpl%adon. by No authority. o ��d�D� PTION Wisoonsin grrid afety and Professional ces Page S of 3 Division of I try Services p 2 2021 DSOIL EVALLIEPORT County ante with SPS 385. Wit. Adm Code County Attach coral 2 x 11 inches in size Plan must include, St. Croix but not limits �, int (BM), direction and percent slope, Parcel I.D.0 S� _ 21 q �_ �� _ scale or dim �f1� 1U� stance to nearest road. 000 Ref #2642 4 rtnation. ReXiewed by D72o Personal inforr C l�lJ w1 f to Priv Law, s. 15.04 1 m . 9 Property Owne jJ` J� Property Location Valley View VA n D (mil Govt. Lot NE % SW '/4 S 5 T 30 N R 19 E (or) W Property Owne ar �- S! f �' Lot 9 Block * Subd. Name or CSW 374 Valley Vies Iasi 10 No Old Mill Landing City State Zip Code Phone Number ❑ city ❑ Village ® Town Nearest Road Houlton Wt 54082 1 ( ) I Somerset Co. Rd. W NJ ® New Construction Use: ® Residential Number of bedroomsda Code derived design flow rate no GPD ❑ Replacement ❑ Public rCoT7rcsal — QewAba. Parent material Glacial Drill 0.50 P JL.s Flood Plan elevation if applicable no ft. ZD YXJ. x General comments and recommendations: Soil Evaluation preformed to satisfy requirements of major plat review application. Additional soil & site evaluation may be required prior to system design and permit issuance. 117 Boring # ❑ Boring ® PR Ground surface elev. 105.95 ft. Depth to limiting factor 40" in. Cnil A—IL—ri— 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 0-6 10yr3/4 none sl 2fgr ds c W 1vf,f 0.6 1.0 2 6-20 7.5yr4/6 none sl 1msbk dsh gs 1vf,f 0.4 0.7 3 20-40 7.5yr4/4 none sl 1 csbk mfr Cw 0.4 0.7 4 40-57 7.5yr4/4 2f 7.5yrW8 sl Om mfr 0.2 0.6 2❑ Boring # ❑ Boring ® Pit Ground surface elev. 106.00 ft. Depth to limiting factor 29" in. C..fl Are•-J in 6i- O. 6- Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont_ Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'EA#1 'Eff#2 1 0-8 10yr3/3 none sil 2fgr ds as 1vf,f 0.6 0.8 2 8-29 10yr4/4 none sil 2msbk mfr cW 1vf,f 0.6 0.8 3 29-52 10yr4/4 f2f 7.5yr5/8 sil 1csbk mfr - 0.4 0 6 r MUMM it � Mt ll 1 J .vl S e/[ I R 11 Mm 1. X D -vl C 1 V 1 —11 /' L1MnAFl! > = Mull , " G 9- n man — T , - n t 1 r lnnn CST Name (Please Print) not CST Number James K. Thompson _ `a— 30021 Address Bdte Evaluation ConductA Telephone Number 340 Paulson Lake Lane Osceola WI54020-5413 Ju 23 2021 715 248-7767 JtlLW33U (HU417t) u FBoring # ❑ Boring ® Pit Ground surface elev. 100.p6 R. Depth to limiting factor 34" in. aw Appitcation mate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 *Eff#1 'Eff#2 1 0-6 10yr314 none sl 2fgr mvfr cs 2vf,f 0.6 1.0 2 6-23 7.5yr4/6 none sl lmsbk mvfr cw 1vf,f 0.4 0.7 3 23-34 7.5yr4/4 none sl lcsbk n* aw - 0.4 0.7 4 34-53 7.5yr4/4 f2f 7.5yr518 sl Om stir - - 0.2 0.6 I 1 Boring # ❑ Boring Cl Pit Ground surface siev. fl. Depth to limiting factor in. Horizon Depth In. Dominant Color Munsell Redox Descnption Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots OU11 MGPD/Ft'' rcare � •Eff#1 'Eff#2 I F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 -Eff#2 Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L • Effluent 02 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L V. s� _'Vo' 1/�llcy e.) T vesf,nr?rU, u.c �„�� /�. �r&� of Old /�'i If,C�•r+cll 0 ". /Of! PY I/ tft.S[. -40 OAK- ulin%u-4 ctv! 6-3 Tape EAmV ' `�_ \ • l � � i � �v( •.+.tip 4 r �4 30 f3 COUNTY PLAT OF: OLD MILL LANDING LOCATED IN PART OF THE NW1/4 OF THE SWl/4, THE NE1/4 OF THE SW1/4 AND THE SWl/4 OF THE NW2/4 OF SECTION 5, T30N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN; LOT 2, CERTIFIED SURVEY MAP VOLUME 30, PAGE 6750, DOCUMENT NO. 10962S6. t f� ,`tom\ ti ♦_—���_ J lllJ f/ UNPaT EDAD` J 1 ) I J )1 r1 ` ♦ l` \� `\ `/�ll1}II1 /rrl /1 t` ✓ rt si wr ' / I�� j —N 1`i"\ J r r ) I �♦ \��_ Jl lr� /J ��\ xwawr�/ , \ . 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' tN�\t�J�J lI I 1 `��—\\ \\`\� ♦t J! // /Y J r�_� \ L0T9; \ LOT4 \�\ 1�' . _ �o..•• 1 ) hy:>?� ♦ \ 1 . �� �h\ �so iuFr\\\\\ti ! / 4�SCt FT.�o 1 \\ \.� �� 1C1• wa.epA ! �' _ 1 \� ^� \\3c } V L r I \ l 1 1% 1%. tr a.sK a /: J V �. \ �� �\ . ! 1 1 ♦ dP -»'a ) \ tv�J )(t\ \ ♦ •,� Jr � J/ I1r/ 'p \ �`:� �. \ \\� Via/ 1 ( \ 1 �r T �? —.—:L/.1 J �./ / r. \ —. \ ) ! ~` \� %tom a \\ I \ �\ `�r`r J J \\ ! , I..... �, rr / \ �. oe \ 1 TJ ri 1 L6T3/ (, vro /i'i \f J I! If ! �• _!;\\ `1L►q,f'I6S4FT. r J // 1) ! --,r-- �") :,h�` aa¢/�/"/f�+� xwCi.adr+.a �` ♦\ / 1 11 } I •t•—`�\\�`\\ \ ~\\ � 1 � . '• \�_.���f/r0r/i / � /— ��1�—\ � � C� / I �� 111} 1}.1�\�y\`\ �`\ 0 l,OT10.�'\\�n' SJb,9}I SO. Fr.ti S4. FT. -TM , — — — — / J J •. ` r �CN " L 1 \ l ► J r ', `_--_sao�c/ r r/_ �_ -- -tom NORTH e7 /J 1� .� Il f'�••l�•.•.^.`^--\/ .' .',� ,/ r t �i �(r/rrlor. SCALE: I,- xw / ! LOT 1.... 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Y i T K 1 N OlD MILL LANDING r..r�.... � VALLEY VIEW WEST INVESTMENTS• mm ff motm. fT. iri•Csi(�oddw DETAILS �W •M w�asq Kevin Grabau From: Kevin Grabau Sent: Tuesday, January 24, 2023 4:41 PM To: kimoconne1156@yahoo.com; al@wittstockbuilders.com Subject: SP-648401 - Hawke & Roytek Attachments: 20230124162422486.pdf; 20230124161203137.pdf; Old Mill Landing TRT Final 9-16-2i.pdf Hello Kim and Al, Attached is a PDF copy of the Sanitary Permit for Teresa Hawke & Corrie Roytek. SP-648401 1731 42"d ST Lot 10 —Old Mill Landing Town of Somerset Please see the other two attachments. As part of the plat approval, each lot in this plat needs to have a rain garden/biofiltration basin on the lot. The second attachment is the diagram and requirements, and the third attachment is the Conditional Approval letter for the plat of Old Mill Landing. We aren't holding up the Sanitary Permit for this rain garden, but it will need to be completed. Thanks, guys. Have a great evening. From: Kevin Grabau <Kevin.Grabau@sccwi.gov> Sent: Tuesday, January 24, 2023 4:24 PM To: Kevin Grabau <Kevin.Grabau@sccwi.gov> Subject: CDDIa1 This E-mail was sent from "CDDLAl" (IM C4500). Scan Date: 01.24.2023 16:24:22 (-0600) Queries to: helpdesk0sccwi.aov 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.gov ST. C R NUNTY 1 ST. C C,�,X Community Development Government Center Ci Y 1101 Carmichael Road Hudson WI 54016 CQlZSGlZ• Telephone: 715-386-4680 Fax: 715-245-4250 Www.sccwi.gov September 161h8 2021 Doug Zahler 2920 Enloe Street, Suite 101 Hudson, WI 54016 RE: Old Mill Landing — Final Plat Town of Somerset, Major Land Division — TRT Action Letter (10 lots) Dear Mr. Zahler, PLT-2020-009 The Technical Review Team (TRT) has reviewed the final plat materials submitted on August 2', 2021, the final plat was conditionally approved with the following conditions: 1. Finalize the long-term stormwater management agreement and record with the final plat. a. Revise to read "Old Mill Landing" throughout document. 2. Outline the process for how each lot owner will be notified about the site -specific stormwater management requirements? 3. The covenants for shared driveways will need to be revised to reflect driveways for lots 4/S and 7/8. 4. Covenants and homeowner's association bylaws were not included with the final plat submittal. Will these documents be completed for this subdivision? If so, provide copies for our files. Note: 1. You have 90-days to meet the conditions and 90-days to record the final plat once conditions are met. 2. The financial assurances for the stormwater management practices will be retained until the site is determined to be substantially complete. The current letter of credit is valid until 6/23/22 and may need to be extended and/or reduced upon final acceptance of the stormwater improvements. Respectfully, Tamara Traxler EC: townderk@townofsomersetwi.com fgermainPvd.somerset.wi.us Greg HaioPsccwi.ao AI@wittstockbuilders.com zfaaapPauthconsulting.com mike.wozniak@sccwi,gov File Tamara Traxler tamara.traxler@sccwi.gov (715) 531-1906 0 w a W O d a a H O a z 0 0-0 04 A z 0 U Q H 0 w w x H z 0 x w Q w N w W W s a ON 3 O A co W