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HomeMy WebLinkAbout022-1018-20-500 (3)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)(m)]. Permit Holder's Name: City Village Township COLLICO FARMS LLC TOWN OF KINNICKINNIC CST BM Elev: Insp. BM Elev: BM Description: u i 1 M �� w, `I r�.e W1 -w of Iv°your TANK INFORMATION TYPE nnnINN' i iFACOT ! 1RER CAPACITY Septic Dosing tin P" y. f j Sc,f S � "4- TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 5c) Dosing Aeration Holding PUMP/SIPHON INFORMATION �(�A�{,CrY(V;�({�( �j SOIL ABSORPTION SYSTEM BED/TRENCH Width Length DIMENSIONS SETBACK SYSTEM TO INFORMATION Type Of System: DISTRIBUTION SYSTEM No. C' Trenches � � & ya, P/L BLDG WELL 716r ELEVATION DATA County: St. Croix Sanitary Permit No: 651264 State Plan ID No: Parcel Tax No: 022-1018-20-500 Section/Town/Range/Map No: 07.28.18.102E STATION BS 1.445 HI . FS ELEy/. 4 0 Benchmark _ A . BM C04W SAt�4,4 r Bldg. Sewer St/Ht Inlet - St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade acv�vf I 00-,0e g PIT DIMENSIONS jNo. Of Pits I Inside Dia. ILiquid Depth LAKE/STREAM I LEACHING CHAMBER OR UNIT Manufacturer: Model Number- Header/Manifold Distribution Pipe(s) + � �' '3 x Hole Size x Hole Spacing Vent to Air Intake Len th Dia LengthDia S V 9 pacing 9 _ P 9 SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Ovg*6 V Bed/Tre Center Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded/Sodded xx Mulched Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 491 90TH ST 1.) Alt BM Description - j* v cov p y WTI( � 4 i 15�-al lc c� , ��� I O Ca-h 0,1 C+414-, 0A. 2.) Bldg sewer length --,-` - amount of cover Plan revision Required? Yes NoLL\ J' Use other side for additional information. I (M SBD-6710 (R.3/97) ate I e or's Signature Cert. No. <6 -y s k r %ICounty ,, SAN-2023-182 -1 RECEIVED 17 1Industry Services Division St- Croix 08/22/2023 1400 E Washington Ave D Sanitary Permit Number (to be filled in by Co.) S P.O. Box 7162 '*N P Paid via Ascent Madison, W1 53707-7162 r0*00 #31237 Jo512(oo Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2). Wis. Adm. Code, submission of this form to the appropriate goverrimental unit n 61 ?:12 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary 491 90'h Street purposes in accordance with the Privacy Law, s. 15.Wl Xm), Stats. L_Application Information — Please Print All Information Property Owner's Name Parcel # Collico Farms LLC 022-1018-20-500 Property Owner's Mailing Address Property Location PO Box 251550 Govt. Lot City, State Zip Code Phone Number '/4, 1/4, Section. 7 St Paul, MN 22125 'f%'rcle one) T28N R18Eolv 11. Type of Building (check all that apply) Lot # Z I or 2 Family Dwelling — Number of Bedrooms 5 Subdivision Name ❑ Public/Commercial — Describe Use Block # AD El City of F1 State Owned — Describe Use CSM N - uniber [J Village of -zo �6 X Doe-"t-f22® Town of Kinnickinnic 111. TXp& of Permit: (Check only one box on line A. Complete line B if appl_icable) 4 � A. New System Replacement System El Treatment/Hol ding Tank Replacement Only El Other Modification to Existing System (explain) B. El Permit Renewal E:1 Permit Revision ❑ Change of El Permit Transfer to New List Previous Permit Number and Date Issucd Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that U21y) ❑ Non -Pressurized In -Ground P *zed round El At -Grade CS Mound > 24 in. of suitable soil [:1 Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) E] Pretreatment Device (explain} V. DispersaVrreatment Area Information: 2 yvko��� ult ===--? Design Flow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Proposed (sfi yst9m Elevation 150 Rate(gpdsf) 250 390 9 0 C14 0.6 V1. Tank Info Capacity in Gallons Total of *-J Manufacturer Gallons Units New Tanks Existing Tanks ft U V! Septic or Holding Tank 1200 1200 1 1 Wieser Concrete � ❑ ❑ 0 Dosing Chamber 800 800 1 :Wieser Concrete 1E1 EJ 0 VIL Responsibility Statement- 1, the tindersigned, assume responsibility for installation of the POWTS shown on the attached plans. atu, Plumber's Name (Print) II1 1I 1 s S, ature MP/MPRS Number Business Phone Number John Schmitt/ 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 586 Valley View Trail, Somerset, W1 54025 VIII. Coung1Department Use Only Permit Fee Date Iss d Issui g Agent Signatu Approved isa 9/2 q 202? 1 v IX. Conditions o Approval %eas-Offis- for Sk4 SYSTEM OWNER: Permit Fee ;ui g Agent Sill e e 7 eason o �n 7LJ1MU_ Approval 44—Az k m& elv� FU_ . L � 1. Septic tank, effluent filter and dispersal cell VAAA- &.e\ must be serviced I maintained as per management plan provided by plumber. AL 2. All setback requirements must be maintained C-1 as per applicable code] ordinances. I A -io tt h M rnmnletp niqn,, for the system and submit to the County only n paper not less than 9 1 r2 x 11 inches in size SBD-6398 (R03/ SYSTEM PLOT PLAN Collins 1 Bedroom Mound Project Address: 90th Street BM1 Symbol: A BM Elevation: 100.00' BM Description: Top of spike in tree BM2 Symbol: � BM Elevation: BM Description: Slope Gradient of Tested Area: (9%) Well Symbol (if applicable) Notes: See GSM for complete lot COPY C 11 '- -lee " �_M .3 600'to NW lot corner Proposeell 0 Design Flow: 150 GPD Attach design flow calculations for commercial plans'. Pipe Materials I ASTM Standard Tnhip-c-, OIR4 10-3 & 384.30-5 4" SCH 40 PVC pipe ASTM. D2665 2" Soh 40 PVC pipe ASTIVI-D1785 1 1/2" Sch 40 PVC pi ASTM-D1 785 75' 2" SCH 40 PVC force ma 19.81'x40.37' Mound w/ 6'x25,' rock & pipe cell Proposed WLP1 20 Septictdose tank N,, Contour line El. = 96.00' I, 11111 l EB3 \ A BM1 N Scale: 1 60' i 0 60 90 120 1 1 152 Pro ed 1 Be orn Sh se Proposed Driveway \ NNI \ \\ \ \ 97' \ 95' B2 93' [­N COPY _J Kevin Grabau From: John@schmittandsonsexcavating.com Sent: Wednesday, August 23, 2023 7:39 PM To: Kevin Grabau Subject: Re: Collico Farms Follow Up Flag: Follow up Flag Status: Flagged Hi Kevin I talked to Josh Collins and he said the do not intend to it living quarters in the shed. They just want a bathroom to use when they are out there. Thanks John Sent from my iPhone On Aug 23, 2023, at 4:55 PM, Kevin Grabau <Kevin.Grabau@sccwi.gov> wrote: Hello John, Do you have a floor layout for the living area portion of the shed? I see the overall shed and a bathroom, but we are supposed to verify that the living area meets the zoning requirement of at least 720 square feet dedicated to the residential portion of the structure. Thanks. Kevin Grabau I Community Development - Land Use Planner 1101 Cc-�_.iichael Rd Hudson WI 54016 T: 715-381-4382 Kevin.Grabaugsccwi.yov <Sig natu rel mage_da8f45c0-d23e-4b29-9e96-25765700c62a. j pg> 1 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 August 22, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-8-22 Plan Review: PWTS-082301772-C John Schmitt 586 Valley View Tral Somerset, WI SITE: Collins 49190t" Street St Croix County Town of Kinnickinnic NW%SE%S7T28NR18W FOR: Phone: 608-266-2112 f Web. http://dsps.Wi.140 Email: dspsAwisconsin. oo P Tony Evers, Governor Dan Hereth Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Description: 1 Bedroom-150 GPD 30" to limiting factor- Effluent Filter - Mound Component Manual — Ver. 2.1, SBD- Maintenance required. 10691-P (5/22-5/27) 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. 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 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. SPS 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.rowlev@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Conditionally Project Name: Collins 1 Bedroom Mound APPROVED Dt___F1. OF SAFETY AND PROFESSIONAL SERVICES Owners Name: Collico Farms LLC DIVISION OF INDUSTRY SERVICES Owner's Address P.O. Box 251550 4IcaR"&Zf St. Paul MN, 55125 SEE CORRESPONDENCE Legal Description'. PT N 1/2 NW11/4, SE1/4, S7, T28N, R18W Township Kinnickinnic County: St. Croix Subdivision Name: Lot Number: 5 Block Number Parcel I.D. Number 022-1018-20-500 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 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 Pump specifications and curve Page 10 Plot plan Page 11 Sanitatary System Ownership/Address Form Page 12 Warranty deed Page 13 CSM Attachment Soil evaluation report Designer: John Schmitt License Number- 223760 Date: 7/31/2023 Phone Number: 715-760-0486 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.1 May 2022 SBD-1 0691 and Pressure Distribution Component Manual Ver. 2.1 May 2022 SBD- 10706 Version 2.1 May 2022 Page 1 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design 1 .110.0] 00 Estimated Wastewater Flow (gpd) 1.50Peaking Factor (e.g. 1.5 = 150%) 150.00 Design Flow (gpd) 9.00 Site Slope (%) 96.00 Contour Line Elevation (ft) 30.00 Depth to Limiting Factor (in) 0.60, In -situ Soil Application Rate (gpd/ft2) Distribution Cell Information Dispersal Cell Length Along Contour (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) I Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) E� Center or End Manifold 3.001 Lateral Spacing (ft) 2 Number of Laterals 0.2501 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) 2.00, Forcemain Diameter (in) 75 Forcemain Length (I"' u5 .-P----ump Ta-nk Elevation (ft) 0u 1 3.25 System Head (ft) x 1.3 VL E11.251 Vertical Lift (ft) KU 0.91 Friction Loss (ft) 0.00 In -line Filter Loss (ft) 15.41J Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 3.00 x x -Treatment, Tank Information 1200.00: Septic Tank Capacity (gal) 'Wieser Concrete I Manufacturer Note: Sand fill (D) calculations assume a Table 383-44-3 in -situ soil treatment for feral coliform of <= 36 inches. I 6.00]Cell Width (ft) Are the laterals the highest point in the distribution E y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. E-1 7.50 ft2/orifice Does the forcemain drain back? Enter Y or N 12.23 Forcemain Drainback (gal) 21.551 5x Void Volume (gal) 33.79, Minimum Dose Volume (gal) 23.30 System Demand (gpm) Manifold Diameter Selection in. dia. options choice x 1.25 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) POLY , LO K Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 525 Filter Model Number Wieser Concrete Manufacturer Project: Collins 1 Bedroom Mound Page'' W Mound Plan and Cross Section Views . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . ... . . . . . . . . . . . . . 1/10 B . . . . . . . . . . ... Observation Pipe . . . . .. . . . . . . . . . . . . . . . . . . . . . . . ................. . . . . . . . . . . . . . . . . . . . . . . . . K :.0:�;:.: . • . . • . . • . . • . • . . . . . • . • . • . . • . . • . . . • . • .• . . . . . . . . . . . . . . . .. . . . . . . B . . . • . . . • . . . . . . . . . . . ......... .......... ............. ............. .................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............. L Mound Component Dimensions j A 6.00 ft E 1 . 2.48 in H 1.00 ft K 7.69 ft . I 1 1 25-00 ft F 9.50 in I 9.581ft L 40.37 ft 6.00 G 0. 50 ft J 4.231ft W .81 in _.,I!L_j ft A 150.00 (ft) Dispersal Cell Area 389.55 1 (ft2 ) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 2.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 9 8.2 9 (ft) H G .a. ...... ...................... II 97.00 (ft) Lateral F Dispersal Ce Invert 96.50 (ft) DisQ: persal Cell D Elevation ................ .. ........ ........ .t A 'Ar A ............ . ...... e j ............. 4 A 91 - A, - _ A a ,a A. _ 1 3 J 1, A- 96.00 (ft) Contour Elevation 9.0 % Site Slope /' Geotextile Fabric Cover Shading Key V CL Dispersal Cell See lateral details on ff] W" Topsoil Cap C-L 0 C 1.5 ft Page 4 for number, size, and spacing of laterals. F2 Subsoil Cap W 0 W M IL T Laterals are equally 7.7 0 ASTM C33 Sand Tilled Layer 0.5 ft Typical Lateral F spaced from the distribution cell's 2 Aggregate 0 centerline In the A distribution cell (AxB). Project: Collins 1 Bedroom Mound Page 3 End Connection Lateral Layout Diagram L �rl-ials centered over thp .6. i--'r B dimension 0 = Turn-u p vs`t.jllvalve or �Iean,---ut plug P n.11 I ;t wr I we ldenkirfal x Holes drilled c-ri the bottomof the lateral Foriop main connection via tee or cross to manifold at anq riciint. Later-9-Is & forcernain Bch 40 PVC per S P S Table 384 .30-6 Number of Laterals 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 23.49 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density Lateral Flow Rate 11.65 gpm Manifold Length System Flow Rate 23.30 gpm Manifold Diameter Total Dynamic Head 15.41 ift Forcemain Velocity in ft 2 ft/orif ice ft in ft/sec 0.25 2.61 10 7.50 3.00 1.50 2.38 Dose Tank Information I f-L-in cover with warning Electrical as per NEC 300 and SPS 316.300 WAC Tank component is properly vented Alarm Manuafacturer SJE Rhombus Alarm Model Number 1036378 Pump Manufacturer Gould Pump Model Number PE 31 !0 label and locking device and sealed watertight ct 4 in. min. Pump Must Deliver 23.30 1 gpm at 15.41 Ift TDH Alternate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device -a Pump off elevation (ft) Iq 85.751 Dose tank elevation (ft) -1W �,,,� 85-00J Note, Switches containing mercury may not be used in this system. Project: Collins I Bedroom Mound Page 4 Mound �ystem Maintenance and o erat on S ecifications Service Provider's Name L John Schmitt Phone 715-760-0486 t r Phone 715-386-4680 POWTS Regulator's Name St. Croix Count y Zoning System Flow and Load Parameters Design Flow -Peak 150 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 100 gpd Maximum BOD51 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 150 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal ColiformL_ >10E4 Jcfu/100 mL Service FEIguency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other 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 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirementsinSPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. ' erosion 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soli and help reduce frost penetration. Finished 9 ee 6,s 9 a oeeoe 0 Grade J 6-8" Diameter Lawn Sprinkler Valve Box Distribution Lateral Turn -up Detail 0 0 0 0 a a 0 0 0 a 0 * 0 * 0 Threaded Cleanout Plug or Ball Valve Sweep 90 or Two 1"t %J degree Bends qnmP Diameter as Lateral Project'. Collins 1 Bedroom Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-1 0691 -P (N.01 /01, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01101, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s, 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm, ved when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the The septic tank shall have its contents remo tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation, If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Systern No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October February) dictate that the mound be heavily mulched as protection from freezing. d 220 mg/L BOD5, 150 mg/L TSB, and 30 mg/L FOG for septic tank effluent or 30 Influent quality into the mound system may not excee mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 CfU/1 00mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. end of each lateral, and it is recommended that each lateral be The pressure distribution system is provided with a flushing point at the flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POINTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: page 6 135— 8" 091-=110 in C3 w Cr OF LLJ INLET 0 Lo a_ 4" CAST--A---SEAL NOW MWAIIAM� OUTLET a- WLP1200/800-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53 0 a - LENGTH: WIDTH: 8'- 0" BELOW INLET: 41" E LIQUID LEVEL: 36" 0 1 Li WEIGHT: BOTTOM 14,800 LBS. 0 0 00 COVER 8,170 LBS. 0 0 INLET AND OUTLET: fn 0 a 4" CAST -A --SEAL BOOT OR EQUAL GASKET �j -j z 0 INLET AND OUTLET BAFFLE AND FILTER: < < 0:� n "to < 0. WISCONSIN, SEE DETAIL #10 0 L Lo (OTHER STATES SEE CHART) tn LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL/IN (PUMP) LOADING DESIGN: 8"-0* UNSATURATED SOIL fy z 00 w I � TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON 0 La o COVER:=_00>- MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) w CUSTOMIZED TANKS: uo FOR CUSTOM TANKS CONTACT WESER CONCRETE REVIEWED BY REVIEW DATE SHEET NO. OF "TAWS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS F I vm In& L-525 Effluent Filter Innovations in Precast, Drainage Zabel"' & Wastewater Products A Division of Poyok Inc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/161" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: * Rated for 10,000 GPD (gallons per day). * 525 linear feet of 1 / 16" filtration. @ Accepts 4" and 6"" SCHD 40 pipe. * Built in gas deflector. * Automatic shut-off ball when filter is removed. * Alarm accessibility. -@ Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4"' or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. PL-525, Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 06" Filtration Slots ' I < Alarm Switch (Optional) J1o,00a Ur" Accepts 4" & 6" SCHD 40 pipe il Outdoor SMartFjIter,,i;., Alarm Polylok, Zabel & Best filters accept the SmartFilterg switch and alarm. Accepts 1" PVC tension Handle Rated for 10,000 GPD 525 Linear Ft. of 1/16" Filtration Slots Certified to NSF/ANSI Standard 46 Gas Deflector Automatic utomatic Shut-off 1� hut -off Ball Extend & Lok TM Easily installs into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, C7 06492 Toll Free: 877-765.9565 Fax: 203.284.8514 www.polylok.com Page 8 Wastewater METERS FEET 40 MODELS: PE31, PE41, PE51 PE51 HP: .33, .40, .50 35 10 —► 2 GPM 30 PE41 1 FT 0 25 PE31 u a 20 z 0 J F 15 O E- 10 5 o 0 0 10 20 30 40 50 60 70 GPM 80 ��p 1'S m3/h 0 5 CAPACITY PERFORMANCE RATINGS PE31 Total Head (feet of water) GPM 5 52 10 42 15 29 20 16 25 0 PE41 Total Head (feet of water) GPM 8 61 10 57 15 46 20 33 25 16 PE51 Total Head (feet of water) GPM 10 67 15 59 20 50 25 39 36 26 35 8 Rage 9 PAGE 3 SYSTEM PLOT PLAN Collins 1 Bedroom Mound Project Address, 90th Street BM1 Symbol: & BM Elevation: 100.00' BM Description: Top of spike in tree BM2 Symbol: A BM Elevation: BM Description: Slope Gradient of Tested Area: (9%) Well Symbol (if applicable) Notes: See CSM for complete lot 600'to NW lot corner Proposed Well 0 Design Flow: 150 GPD Attach design flow calculations for commercial plans: Pipe Materials I ASTM Standard Tnhlpcz IR4 1021 & 384.30-5 4" SCH 40 PVC pipe I ASTM- D2665 2" Sch 40 PVC pipe ASTM-D1785 1 1/2" Sch 40 PVC pi ASTM-D1 785 75'2" SCH 40 PVC N 1 force main 19.81'x40.37' Mound I - w/ 6'x25' rock & pipe cell Proposed WLP1 200/800 pnticidose tank 1%. .qContour line El. = 96.0©' B I B 3 B2 93' N Scale: 1 60' 0 60 90 120 1 1 152 6 P p sed 1 Broom m. S o e Proposed Driveway F 97' SANITARY SYSTEM File #: S"I: C R 0 IX L J N -1'Y Office Use Only Ix OWNERSHIP/ADDRESS FORM Created 212027 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. if you would like to view your issued sanitary permit online, you can do so by using the ProiDertv Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer Collico Farms LLC Mailing Address P.O. Box 251550 City/State/Zip St. Paul, MN 55125 Phone Number (required) 612-849-1549 Email Address (required)joshrlc_6@yathoo.corn Parcel Identification Number 022-1016-2o-Soo (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW /4 1 SE 1/4 , Sec. 7 T 28 N R 18 W, Town of Kinnickinnic Subdivision Plat: , Lot# 5 Certified Survey Map # 1160522 Volume 32 Page # t 1 93 Warranty Deed # 1167033 _(before 2006)Volume Page # Number of bedrooms 1 Spec house 13 yes E no Lot lines identifiable N yes E3 no New Property Address (Staff Initiais) OFFICE USE ONLY (Verification of new address required from Community Development Department for new construction.) 3 pZ-3 (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 cdd@sccwi.qov 1101 Carmichael Road, Hudson, W1 54016 715-245-4250 Fax wWw'SCCW1-Q0V Page 11 Document Number State Bar of Wisconsin Form 11-2003 LAND CONTRACT (TO BE USED FOR NON-CONSUNE-R ACT TRANSACTIONS) Documcnt Name CONTRACT, by and between James A. Ray, Jr. and Elaine A. Ray, husband and wife ("Vendor," whether one or more), and Collico Farms LLC , ""Purchaser,"" whether one or more V Purchaser, upon the prompt and fu en or sells and agrees to convey to performance of this Contract by Purchaser, the following real estate, together -tenant interests ("Property"), with the rents, profits, fixtures and other appin ST. CROIX County, State of Wisconsin: YLot Five (5) of Certified Survey Map, as recorded in Volume 32 Certified Survey Maps, Page 7193, as Document No. 1160522; Part of Lot Three (3) of Certified Survey Map, as recorded in Volume 32 Certified Survey Maps, Page 7171, as Document No. 1158156-9 Located in part of the Northwest Quarter (NW 1/4) of the Northwest Quarter and part of the Northeast Quarter (NE 1/4) of the Northwest Quarter (NW '/,) of Section Seven (7), Township Twenty- eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic, St. Croix County, Wisconsin. Purchaser agrees to purchase the Property and to pay to Vendor at the address desiLnated!2L Vendor the sum of $ 4009000.00 in the following manner: (a) $ 200,000-00 at the execution of this Contract; and 1167033 BETH PABST REGISTER OF DEEDS ST. CROIX Co., WI RECEIVED FOR RECORD 05/23/2023 10:11 AM EXEMPT#: REC FEE 30.00 TRANS FEE 1,200.00 PAGES: 4 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address James A. Ray, Jr. and Elaine A. Ray 948 Coulee Trail Hudson, Wl 54016 022-1018-20-500 Parcel Identification Number (PIN) This IS NOT homestead property. (is) (is 1100 This IS a purchase money mortgage. (is) (is not) (b} the balance of $ 200,000-00 together with interest from the date hereof on the balance outstanding from time to time at the rate of 5.0 % per annurn until paid in full as follows: Monthly payments of principal and interest in the amount of $1,319.91 beginning on July 1, 2023 and being due on the first day every mouth until paid in full; provided the entire outstanding balance shall be paid in full on or before June 1, 2028 ("Maturity Date"). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWE"+;G OPTIONS# IF NO OPTION IS CHOSEN 3 OPTION A SHALL APPLY: Z A. Any amount may be prepaid without premium or fee upon principal at any tirne. B. Any amount may be prepaid without premium or fee upon principal at any tirne after 0 C. There may be no prepayment of principal without written permission of Vendor. State Bar Form I 1-Page I 2003 STATE BAR 01; NVISCONSIN Page 12 St Croix Countv 1167033 Page 1 of 4 New Construction COLLINS-SHED Ml FRONT ELEVATION REAR ELEVATION RIGHT SIDE ELEVATION LEFT SIDE ELEVATION OWNER INFORMATION ARCH ITECTIENGINEER OWNER ARCHnzrjpAL ."elm !C Atdlrlbrl U C caloftmo 1C M&Wn PO 1rtt i!!G *717, F4d RA v Rost Rll"mmix AW.-tAR U040 l lllk,ll11146oagrw 74+%•.Ml 1040-00 CJMRAL COIN TRILM.R BTRUCTu"t E1AWM PROJECT DATA PROJECT LOCATION OOW9TRI/ 014 TYPE a - -. - A6aR@E6 N1ow"0" UK ANDaA361FICATION R ToTA� BUILAIHOARcu aL1�61�R wuenera+um — 00(furY — rRovEwav a011Ci cmi. LWE - - KWAPAL[n CERTWIED TO PEFWOFW Il{8PE{.'TION GENERAL NOTES 1 TrUne VpMmd by rrNnlrl 4m%mana mil, 7. V a Ow amvrcvx ntd owner~ rrlponal W k, m ordma ■ ApOia" OWN 3 ranYlDlw b HAIy dl wan4avr N d dr�r !pdpn opinbq l� w86b lYPF1N f Ct.ahlalW b+r" t! SMMJN C*Md I Xd W anWr"* rwt ph oft Ddtt• ID 5"VwC0Dl. AAA d.wvwcmo shoo dl Wapl# to he OMQF 'I dmwthm mlom dwwv 5 Cnr�pSKtr � rlrporaMe Ar wDrdkrsin9 P� •r+a attttrrtp da^dllata IrDrb At�tMq ca>.liucdm 6. Al Sim Pm,-webam &W Gna11 vrrtlnawon Rnporm" Y d Orwm *4 Cumbsrr.� 7 rU-nmNry 4y OcmFr 9 Sob Conwachon P,ts to m4porw6l,ty d 4w j(wt m 10. Frost adrg omay tel lmoll t A Ws rnponoWl at OUT root WU REFERENCE SAFETY DEVICES ABBREVIATIONS ELEVATION MARKERS REVI&ONS , PLAN INDEX ROOM OESICsNATION - ILLUMINATED EMT SPUN TCm- Top o!F4an TOW Topw Wd TV TOP LOCATWA PAM tNKW,+t IA(& CAMTFant rm r.et a�ntnrs { ECTION NUMBER 5HEET ON WHICH — ELERGENCY LIGHT of FOAV WIF spowr ad Fpalr u VCT Wpo Cc.T .W TkFir GW6 Ga"m Wall Ocwd 6'R 7opo X ELEVATION aw olt tw I P107*16 SECTION IS DRAWN - P. pm* ROOF SLOPE RATIO IQ DETAIL NUI R �— SHEET ON WHICH FIRE EXTINGUISHER SACS-6wpcidadAd Ank C„kgTAm • W b RUN ! Wnou DETAIL 18 DRAWN DOOR & WINDOW MARKS 8,0 DETECTOR- OK 9P7 r a" wwd °Dow561DKE W "'R 1 R OR RISE RUN eas an" WTAI REVISICIN MAZE INTERCONNECTED TO SIRE ALAFOASYSTEM W Com t+nr taws R�llrwnt p.a 40410 vpmkq Hm Har kd ldl � dual - ^�^ WATER HOSE BIB - Wdll VERT . StMIca1 [bAT • Ctx9l =A MR COMPRES" OUT_Efi T Ppp�'lipFConkmnn i a e Itwe DATE SCALE kcbkKtLwW Design LLC 712312023 3mr ■ 1,4, HMIWRtmRd•A110DMA 5Ar169 COLLINS-SHED '• �•� INI wm35mm %@tr0mderxmn PROJECT # DRAWN BY 775 3721 kif 6e,m MO-ULS JB 'a ic V ALE NMV80 133r(,'?Ad io - (33HS-SNIII03 244 caoarszrL BOVd :gl-s unt Apf 60w " Alw -,Pm -" Pam a" )-ndisaa ieirmaii" LK mu" 1*0011t 393M-rXnIS pkjCINMV p WXX" J% 4Q043fS PLM RUDROA&13 &.%L OJA MS pWu mop Wz Id ft e Mg alij rbW laflid LaGWq pKmi $OAS IMW @G&W 9WId dOl ZcddS WqrQp'lrLld Lw0Wq pmWu *utl P" &W#m MH 10 dq U:Idg 911-1W Auld WO" P"4 $A" 044K,0711 MS 10.9i-VIZ IM"AR NVId 8001:4 0 P" 59 01 t--w 4- Pmu- Lp UP a switi wwq O&S PLO so 0 dq orrmp Uir-Im 'rft wpam Rv I RYI vstm 020W 0110 OUBW Fm imam IAI TYv I jowns Do quomoul trui W49 p 4— q AA owuj PLO APPAWOO 4 "&w -)a pug w4m X4 ROW&H al N*w M�iINW lk-md" -NAM q Oftie Qq p45 sw7jwdAs*C AJV mcwxdW10--' % JOPLi ON qO' uow"WW, Pug wWU03 &*Wa tF 4AA M OML WO PALWO 0 IWO 6uwe j4MOdns KZp qp LO'J OW 0 4WA 01 KPM;LKrj'l 31VUS 0110N INIM NOISN3RIO fmsavoTi ML 'IV -nv4%WWALX*--N WAW TWA WJ MD-1 DWYd:l 11 vM hM ]IN 0 1 /—nfmac 0mvi"d molualyl; vmA .0 VIUM t-Owu I a rm IIA"i Di 4" a" A4 atcedo W" u am Q-Z OWWO AM �'GrJ japad Wd La 1 2-z ' WA vGa 'pi Uado Pon 0 'o-m L�— - wamewow buliew &ANN SusApuln UNNUWI =Vol ps PGKw9pw - Ad x G+ No &t-Ay PNAY &4uwsLl writwu "W. As opI t5— — 1,0" WM03 - im w v4wm 1 OKA— 44WF-a-HO is.0oft pimknw (.K).vrE.WM mpg AJO.311 WqXMA 0*1 . ? ugqDftlww BL"- Www ON 10 DALP-11 $- w4 ig vV4UNW W& CA w4t" Aj,,mmw ju 40om, a la 01 w4i u, - ji puaw " WSW v pm 052 ED P&4.mm a 406AN6'. VAW &J- pip* t aw - sn 0 13 aml -Aw 041 *ml , XMI!L.W. WA am OwAftalL " ""A k" ml 4Pft 'W"m in Aft NKOMO � pow F! I ps J"! 14 Aq P",m qk" 40 ww 0zli Ua(# otow ou IN fto a l w us palw N rw %** -q 'Pop" so peft wi p" ***,I Aq*0" aA 0 — qp'oa** SILO PWAV 'I PWW WIMAn P0111t OV40A P M.1 -? - &I'm AU pr'A u"Nuffla *a in am ab-a 041 vc Pam'sq P4w Pm" uxrJd" w4w % F. ON* on u WHO to W UwLmd" ap o its pee uo pm. sq pv Vwkp tunsdAP �p, i -, to mbi wo'q fiuww ic PIA uWad" 241; ka upm ~ 00 km pml eq wm WW* wneW X NUI 4aJ1 Wg to A(W Wal O*VOPR 0141 at " A PMRM* - PRmAm— PW 00 AFft4f= 4A"@" " P0414 Dq 'a OW DJPMW EuyiM{r ptp IQ aQr 'Wd &,l PWjftj*OaLpW A tWWAWIQ &W, PIA OR* W4 L't VALVE PPPM 41 U00000 mffl &A P" P- oft-W- IPI-A 90 W. SA P Wisconsin nal Services 2eo �31 Division of V, T Ait ku d )7 Ul SOIL EVALUATION REPORT Page of 4 J U N 3 0 2022 in &=rdance with SPS 383, Wis. Adm. Code County ST. CROIX Attach co i nplete site plan on paper not less an 8 1/2 x 11 inches in size. Plan must OC% include, bit not lirrabd!W Veiii�rbkd horizoi ital reference point (BM), direction and Parcel I.D. • In - 1018 - 20 -2.00 percent sloper, Ocala orth w, and location and distance to nearest road. Rev wed Please print all information. R Te, by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 21-e 8) e6 -z Property Owner Property Location JAMES A. JR & ELAINE A. RAY Govt. Lot ----- NW1/4 NW 1/4 s 07 T A 28 -N R 18 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSNl# fex,-%0 1�5 948 COULEE TRAIL I -- *Jaw city State Zip Code Phone Number Lyity []Village no Town Nearest Road HUDSON, WI 54016 715 425- 6442 1 Klhll\ ICKIMNJIC 90TH STREET I — --- 1. — New Construction UseS Residential / Number of bedrooms NK Code derived design flow rate NIA GPD Replacement P-Pblic gr corn rcial - Describe: Parent material h�-v8l;T%h qjy eip P. t e! 5 Flood Plain elevation if applicable Z19w4A ft General comments (N MOUND SYSTEM -- 0.50 FT. SAND FILL -- 0.6 LOADING RATE and recommendations: 2ie C, PROPERTY ADDRESS: 469 90TH STREET 1. Boring # 11 Boring Ground surface elev. 93.73 ft. Depth to limiting factor 42 in. El Pit I Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDtff *Ef1#1 *Eff#2 1 0-13 7.5YR2.5/3 S11 2f-msbk mvfr CS 2vf-m 0.6 0.8 2 13-32 7.5YR3/4 sil 2fsbk mfr CS I of 0.6 0.8 3 32-42 7.5YR3/4 C1 I fsbk Mfi CW I Vff 0.2 0.3 42-till 2 U Boring Boring # 39 Pit Ground surface elev. 92.73 ft. Depth to limiting factor in. I Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 *Eff#2 1 0-12 7.5YR2.5/3 S11 3fsbk mvfr CW I vf-co 0,6 0.8 2 12-39 7.5YR3/4 Sil 2fabk mfr CW I Vf-M 0.6 0.8 39-Isbr '0 * Effluent #1 = 130D> w < 99ornnfil nnej T-q.q >-An < vainn-infil * F=ft iont *9 = Ron < in mnA nntl Tc,'-q < In nv A 5 CST Name (Please Print) Sig CST Number VARY JO HUPPERT (Hollistei's Soil Testing & De-si Ign 224832 Address Date EvaluafbA Conducted Telephone Number 25720 FIREFLY LANE, WEBSTER, W1 54830 2022 06-09,'0715 - 426 - 1775 u- 0-- SBD-8330 (R07/1 3) Property Owner RAY, James & Elaine Parcel ID # 3 Boring# 13 Boring Ground surf -ace elev- 95.98 El Pit ft. 022 - 1018 - 20 - 200 Depth to limiting factor 30 in. 2 4 Page of I finis nnfir-nfinn Pnfim I Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDff *Eff#1 *EfI#2 1 0-13 7.5YR2.5/3 sil 2f-msbk mvfr CS 2vf-co 0.6 0.8 2 13-30 7.5YY,3/4 S11 2fabk rn fr CW I of-M 0.6 0.8 30-Isbr r) 'AMR 0 Boring # U Boring I n Pit Ground surface elev. ft. Depth to limiting factor in. I 4Zr%II Annilf-m!nfinn Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *Eff#1 *EfI#2 Boring Boring # [:] Pit Ground surface elev. ft. Depth to limiting factor in. -qAiI Anrtfir-nfinn Pnito Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W *Eff#1 *Eff#2 * Effluent #1 = RODS > 30 < 220 mgA- and TSS >30 < 150 mg/L SAD-8330 (R07/13) * Effluent #2 = BOD5 130 mg/L and TSS < 30 mg/L Plot Plan pap 3 of y PROPERLY OWNER: ILIWGs EL -AAA 9A y 1 40 FT. (except where noted) Legal Description: LD1' 1� CS�vt 4 z44� � �W` y Q� -�-NE NWv1q., SF.C. Q = backhce pit FN lB W TDWA of XIL�NJCK ,,�r�t r, sTcRoAX- z3 • b obi Ac�S 'LOLigCY. wk450N� S 1M.0 OZZ— lO1g_ Zi}- 2..00144loq R6K'` ST. Si s e locatio '400 o.{mac- TP, • .6 From: Kelly Becker Soft Wednesday, August 17, 2022 4:54 PM To: hollisterdesign S -2- 2 - -a- ect ubjJames Ray Soil Test Hi Mary Jo. I'm looking at a soil test you did for James Ray in the Town of Kinnickinnic which is in conjunction with a new CSM. The soil boring location map the surveyors are required to submit with the CSM application appears to the show the borings in a different location than you have show with the site plan on your soil test report. Can you confirm the location of the approximate soil tested area and intended building location on the map clip below? Thank you! Kelly Becker I Community Development - Land Use Planner i i V i t-armichael Rd Hudson W1 54016 T: 71 5 -386-467'. 1 C: Thank you! Kelly Becker I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 715-386-4676 1 C: 715-821-8722 Kel Iy. BeckerC)sccwi.gov TiCR fib±1 Mir T Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page of 4 in accordance with SPS 383, Ws. Adm. Code County ST. CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan must include. but not limited to: vertical and horizontal reference point (SM), direction and Pamel I.D. 022 - 1019 - 20 - 200 percent slope, scale or dimensions, north arrow, and location and distance to nearest road Please print all information. Reviewed by Date Personal information you pro%nde may be used for secondary purposes (Pnvacy Law. s 15.04 11) (m)) Property Owner Property Location JAMES A. JR & ELAFNF A. RAN' Govt. Lot ---- N W 1/4 NW 1/4 s 07 T 8 N R I9 E (or) W Property Owners Mailing Address Lot # Block # Subd- Name or GSM* `�64 948 COULE"F TRAIL I 9;8 City State Zip Code Phone Number aity Village LjaTown Nearest Road ITUDSON, W1 54016 715 4 12- 5 - 6 442 90T14 STREET I E New Construction UseGl Residential / Number of bedrooms NK Code derived design flow rate rlReplacement ment M Public or commercial - Describe, Parent material Flood Plain elevation 0 applicable bi A, ft General comments MOUND SYSTEM -- 0.50 FT. SAND FILL -- 0.6 LOADING RATE and recommendations. PROPERTY ADDRESS- 46q 90TH STREET Boring # 11 goring Pit Ground surface elev. 93.7 3' ft G1 Horizon Depth Dominant CoW Redox Description in Munsell Qu. Sz Cont- Color 1 0-13 7. -5 N" R -1.5,3 2 13 - 321 7.5YR14 4 2 7.5 YR3 / 4 42-til4 I I Boring# 11 Boring Q1-71 IDPit Ground surface elev ft Horizon Depth Dominant Color Redox Description in Munsell Qu 3z Cont Color 7.5 'VR-1.5`3 1 '2-39 1. 5 Y R 34 39-Isbr NK GPD I Depth to limiting factor 42 in, Texture Structure Consistence Boundary Roots Gr, Sz. Sh, sil 2f-msbk mvfr CS sit 2 t s b k m fr CS lvf-t' I fsbk rn fi vG t of-t' Soil NTlicatk:yn Rate GPDtff *Eff#1 *Eff#2 0.6 0.8 0.6 0.8 0.2 ().3 39 Depth to limiting factor in Soil hcatpon Rate Texture Structure Consistence Boundary Roots GPDM G1 sz. Sil. *Eff#2_ sil 3 t'sbk mvfr C%V v GC 0-) (),6 0.8 Nil 1fa b k nift- CA, v t- ni 0.6 1 0.8 Effluent #1 = 1300 2 >_30 < 220 mg/L and TSS >30 < 150 Effluent #2 = BOD�:S 30 ffxyL and TSS < 30 mg/L CST Name (Please Pant) 5a -ji9--v-1uaP Conducted CST Number MAR`JO I [UPPER 011iStICT'S Soil TestinK_& Design)- 20 2) 4 N 3 2 Addrm Date Eva u Conducted Teleph" Nurnber 2�72-0 HKL�LY LANE, Wbbb][L-K. �Vl 54�30 06 - 09, 2. 0 2. 2 715 - 426 - 1775 SUD-83.10 (1407, 0 02) 2 - 10 18 - 2 0 - 2 00 4 - RAY, James & Elaine P2rroi In M Page dof Property Owner 3 Boring# BOnng 95,98 30 Pit Ground surface elev. Depth to limiting factor in. Soil: A iication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu- Sz- Cont. Color Gr Sz. Sh, —*Eff#1 *Eff#2 0-13 7.5N"R2.5/3 S11 21--m-sbk Mvft CS y f-co 0'6 ().8 13-30 7.5YR34 A .2 fabk rnfr Cw I vf-M 0.6 0.8 "OLIsbr I Boring # Boring Ground surface elev P I Depth to limiting factor in ii Amlication Rate Horizon Fori Depth in Dominant Colorl Munsell I Redox Description au- Sz. Cont Color Texture Structure Gr. Sz. Sh. I Consistence Boundary Roots PD/if *Eff#1 -Eff#2 Boring * Effluent 41 = BC DZI > 30 < 220 rng1L and TSS >30 < 150 rng/L * Effluent #2 = BCD. < 30 nV/L and TSS:5 30 M9A- Plot Plan PROPERTY OWNER: E'LA Ay A3�i}SAMo CS M AJW /H IF W LeVI Description: LOT to 07 TZiN , R 11 W St. CKCAXI ODUNSTY W1SCDN StN . OZZ� 1�1$-?1�- 200/ 140 qCt'k ST. Ip 1W Site location: Ji. Pale 3 of IY (except where noted) Q = backhoe -pit Z3.6ob3 AcALS North 7r eIF At !..w �i � 1 4 t" r � � r i , + y i �1 5 y i a i { } GENERAL NOTICE STATEMENT � LOT I ! THE PARCEL. SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOV*4SHtP w a. � co 0 Z 6 s'VOL. Toy PG, 3910 j _LOT 2 LAWS, RULES AND REGULATIONS (�E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO .- 33 I CS VOL.CEL ETC, BEFORE PURCHASING OR DEVELOPING ANY PARCEL C014TACT THE 4D � � A � .0 ..., _. _. MEN # — — — —.------ w.--._._ — ,J- J .`. M., 7 # a �n 5T, CROIX COUNTY ZONING OFFICE AND THE TOWN C}F KINNICKlNN1C FOR AD1r+IC M v �� � # i � ° d z p ¢ W - --`_„— -- -- — -- -- — N87`4�'35"W 2Fi98.82' �I UNPLATTED LAM — — ' I 0 �,, 0 r"- Z N8? 48 35 W 158fi.21' N87-48'35"win y o 0 z 785.5fi - ''�� 215.02' 171 �, 7i ` z i NI—W�u�,Mu;N Mg �w'�O ��559.42 t'V c o a t/ ac 3 a� c ti z co UL 26.21 �-- i 56Q. D Y 'I � ii LL a cc • •-r M N 74 CORNER pt1111 a. a K 0 N= W W FFNOE ,, y ., y A - SEC. 7, T28N, R1 SW � Q� Q U. M � W W Q w LOT 5 y (FOUND ALUMINUM It W N Q 4 u I J_j O 2 21.67 A S MONUMENT) m, r"I m " + LU Co , W rn L) 2 W 944,071 SQ. FT, y � D�'� � y W U O i :� W (INCLUDING RIGHT C3F WAIF} �. O' 9 w I ... ► t� W .-� W �- W I .�� Q J 21.22 ACRES ,� ��wa CS ff W J 924,1'J9 SQ.FT. `�16P, `` 31 � (EXCLUDING RIGHT OF WAY) �p�pta4'` -� '�: � �' ,,� ofr _ Uk +� G ) V I'iii�, Ia pya!�ft .VOL. CLn� ° RICH W N � _ _ _— W JOS Lij En z uO■ tu No W P i �Y �FENCE I % 4�—r U- �Xz ri rol d 51 IC a €� Q r t j '1 ArL 0 w — > I ,� ,jam �r a Cedfied wI o ,,� a .y�� N���, Ah C This Certified Survey Map is for the purposes of adjusting a lot line between Lot 3 of a >- I y ,, ,� + / e 7171 ar�d Lot of a + edified Survey Map Q � 6 (D w o Sp � + - Sure Ma recorded in Volume 32 Pag � z z �t > c _ It 119' Sp B5 27 1 fi / p !� Volume 21 Page 5190, no additional fats are created by this instrument. All aonditiores, � Q W � w wtGEL DESC a r �01 98 `" �restrictions, notes, etc. listed on the previous certified survey map(s) are appli t— oo m `� �' w y Ito Day. # �- -- �! hose portions of land being added to d Lot are desvi�ed �• m _ se indicated, T A othetvw P �`-Z C) �' W a �' y L !4 —J,� I� # 11 25 , St, Croix County Register of heads. This map also includes a minor meat to I— w � �- _ ACRES � � i �'. 1 Lot 3 along the southeast side, The ur Iatted lands located of L O w � � � ��.. � r Ica �,# � � �'�o -. O , the lot line for sand L 9 � cl F- � rn 412,752 SO. FT. �' � �` � L7 � DC c� cn 3 are titled to the same owner so no transfer do�rnents are required fcx sari minor � 2 � IL V) — > LLI W 0 (INCLUDING RIGHT OF WAY) l.c+ PARCEL DESCRIBED ti <c )< cc t � e� i ] U :¢ 9,42 ACRES SEPTIC IN DOC. # 1160025 01 a TANK.E�'Ni? °� W � -- at - 392,763 SQ.FT. c� o O CO O c ) r FOUND COUNTY SECTION CORNER ® -� V- z ir O (EXCLUDING RIGHT OF 1NAY z „ m Z tc Ch 3:� p - It HOUSE MONUMENT (AS NOTED) W c (a w LoT 2 _ �►_ �' C] p m f i r WELL 1 N �' a VOL.- _ _ -- 1 ( 1''CA, t3►, FOUND 1.3" OUTSIDE DIA. IRON PIPE U r- Z ❑ H- IL ❑ n tr) z ., I~v ' uv1vE DRi;i t 1 r 0- �SMAR 6 SHED 1 Et ■ FOUND %" DIX IRON REBAR W 4 a u IL [] W $. �T (DOG. 89522 1 C ,+ Z p p N C H. z �., , 'j + _ _. ' r • ' _ E8 SET:Y X 1 S IRON REBAR, WEIGHING �- r; 0 nmw� ' w - --- Y -_ " ��`� 1,50 LBS, PER LINEAR FOOT , z z W ' 2 �' --� , ,� g�•E � r � SOUTH LINE OF rQ W F cc P I-' co w CL ` r 513 57 �i 5 " THE FRACTIONAL C?AD RIGHT-OF-WAY �F: w Z z � [ �� � '" {�y� Sa 1 # +-8,30 NW Y4 OF THE 1�i�Y YA � W L) LL � C Z W � p � /IJ�33-1 49 a' C� W z o . ,�p� '' } t N Q'Q?'1 1 PE) NOTE:SECTION CORNERS SHOWN HEREON HAVE F- awl of cO] � > Ul U- z Uj , , 6 $ I BEEN FOUND AND VERIFIED WITH TIES OF RECORD SCALE ttV FEET I.- M 0 F` 1`1- LOT 2 I P AND PUBLISHED ST. CROIX COUNTY COORDINATES. ` < Z M V r` z Q �_ � I FIELDWORK COMPLETED ON 8124/22. t U U. as , _ _M_ VOL.VO _ , 0 120 240 u J J — — — 5T446 CRo i k UouN� uq I Roy W U S7L-v - �TICE�IV�TL`vv'r'iL OWNER . . . .0... ..oL.tb (coo.. . . . ... ... .............................................. ........ N08..5Z6u UN .6 ... ....... .... ... .. . f� 7 D►�/ [�117.Y►[�a PLUMBER SotEnS scf}M�t-t'r LIC.# 223-{00 . ................ I .... SBD-06499 (RI 1/20) 149 x 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: 1f you wish to renew the permit, or transfer ownership of