HomeMy WebLinkAbout022-1017-60-060 (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)(m)].
Permit Holder's Name:
City Village Township
COLE R SMALL
TOWN OF KINNICKINNIC
CST BM Elev:
Insp. BM Elev:
BM Description:
W0.00
NCI Couw o: wl-
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
'A f1ba-r C0 __VL(00
Dosing
$DD
AcrA+invti
01 lo�� 52.5
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
IC0,
3
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer
Demand
�041
GPM
G3
�
Model Number
'If2, 141
TDH
Lift
Friction Loss
System Head
TDH Ft
I`-,n
i.�
Forcemain
Length
Dia.
Dist. to Well
2�
I
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
648486
State Plan ID No:
Parcel Tax No:
022-1017-60-060
Section/Town/Range/Map No:
07.28.18.100A-60
STATION
BS
HI
FS
ELEV.
Benchmark
::r-o?t.YT* *_1
�.28
1
,
Alt. BM
%f 4
Bldg. Sewer
°I2.5
St/Ht Inlet
c+iu+ ni I+iot
vv I IL vMLI%.
Dt Inlet
Dt Bottom
13 05
$$ y l
Header/Man.
Dim-90ell
",roe of 4r.-Ahi
2 , Cos
Bot. System
Fin al Grade
St Cover
cowrov'?,
fi,IJGNMARI� �Q 411
BED/TRENCH
Width
Length
No. Of Trenches
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
DIMENSIONS
�a'
2
SETBACK
SYSTEM TO
P/L
BLDG
WELL LAKE/STREAM
LEACHING
Manufacturer:
INFORMATION
CHAMBER OR
UNIT
�,Ot�l►�r
Type Of System:
Model Number:
DISTRIBUTION SYSTEM 25- �b edge_ D� (D44.
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) k �.5 ` 61e
Length .25 Dia i Length �V Dia Spacing ,3 Z5 F
SOIL COVER x Pressure Systems Only x Mound Or At -Grade Systems Only
Depth Over Depth Over fT
x Depth of ` xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges opsoil
�❑, )( Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: II 3I2D23 Inspection #2:
Location: 994 COULEE TRL
1.) Alt BM Description - Nor 1.7_1 ft.t 4 sand U fkA4 4 46, co-polek
2.) Bldg sewer length = 21
- amount of cover
Plan revision Required? ❑ Yes [:4 No 2 23
Use other side for additional information. 5 15
SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No.
Department of Safety
County
RECEIVED
& Professional Services,
ST. CROIX
P 06/07/2023
Industry Service,&D i v i n—
Sanitary Permit Number (to be fillcd in by Co.)
S
S -n-
Sanitary Permit Application
State Transaction Nuniber
In accordance with SPS 383.21(2), is. Adm. Code, SL[bllliSS1011 of this form to flic appropriate governmental unit
PWTS-062301024-C
Project Address (if different than mailing
is required prior to obtaining a sanitary permit. Note- Application forrns, 'for statc-o-vncd POWTS are submitted to
the Dcpar tinent of Safety and Professional Services. Personal information You provide may be used for secondary
address)
purposes in accordance with the Privacy Law, s, 15.04(l)(m), Mats.
994 COULFF TRIL
1. Application Information — Please Print All n
" Information
Property Owner's Name
Parcel
COLE & ERICA SMAL-.I-.-.
022 - 1017- 60- 000
Property Owner's Mailing Address
Property Location
2245 NAMEKAGON STIZI'l-'T
Govt. Lot NA
City, State
Zip (,.,odc Phone
N L1171 be['
1 IUDSON, Wi
5-10 16
507 - 696 - 5653
S E 114 NE 1/4 Section 07
11� 28 N R 10 . XXV
IL Type of Bu ilding (check all that a pp!y)
Lot #
Subdivision Name
al or 2 Family Dwelling — Number of Bedrooms 4
6
1-3
I
NA
1 o uk 4
P U b I i c/Co in inerc i a] — Describe Use
NA
11 City of
El State Owned — Describe Use
EJ Village of
CSM Number
DD60. Ittl7q2
W-owil of III ICI
F—USF, X
V30nP6856
if
Ill. Type of POWTS Permit: (Check either "New"' or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
,I P P
A,
-ANe—W Sys el
1ieplacenlent System
Other Modification to Existing System (explain)
El Additional Pretreatment Unit (explain)'"
CONNECTING BATHROOM FOR SHED'
Holding tank
IN GI-Offlld
F1 At-Crade
�'X M ound
E1I11djVidL1�'11-SitC1)eS(T11
I RhUTN Ile (CXPIZ1111)
(C-onvelitional)
C.
0 Renewal Before
L-1-1 Revision
El Change Of Number
Ll Transfer to New Owner
List Previous Permit NUmber and I)RtC ISSLICd
Fxpiration
IV. Dispersal/Treatment Area and Tank Information: L, , 5-o' X J, 6' C,& vmA-V 1211(1-0-
I)CS14,111 Flow ((-7Pd)
Design Soil Application Ratc(gpd/s
Dispersal Area Required (sf)
Dispersal Area Proposed (SO
System I'devatl . oil
600
10
300
390
101.50 FT.
Capacity in
Total
;i of
MantifilCtUrer
Tatill.- liff0i-mation
Gallons
Gallons
t.� i i i ts
Ncw'rarks
Existing Tanks
r.
4-j
con
V)
Scptic or Holding 'rank
1200
1 120
1
WIESER (COK4130)
X
Dosing Chaniber
800
800
V. Responsibility Statement- 1, the undersigned, assume responsibj1ity for In to ption of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plum s Si RaW
MP/MPRS Number
Business Phone Number
MICHAEL RODEWALD
931384
715 - 4'-')') - 6200
Plumber's Address (Street, City, State, Zip Code)
285 C.T.H. SS, IUVER FALLS, WI 54022
I. County/Department Use Only
Approved
El Disc l2l2roved
Permit Fee
Date issued
Issuing gent Signature
/l�
ror Det�/
nor Cjiv �icason for Doti'
ohm
Conditions f- Approva1
1-- 3) At[ BPS CAM +-r- M 0 QA.D- aAL L;A 3*c;e— Lj,;,*
SYSTEM OWNER -tias per M;,L+!
It Sepfic tank, effl LIOP t filter and dispersal reli
must be serviced / maintained as per
management plan provd by plumber.
2. All setback rah remerts Tnust be maintained
as per appliaabl� cede / oidint,inces.
Attach to complete plans for the system and submit to the County only on pater not less than 8 1/2 x 11 inches in size
SBD-6398 (R. 03/22)
COPY
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Wisconsin Department of Safety and Professional Services
Division of Industry Services
4822 Madison Yards Way
PO Box 7302
Madison, WI 53707
IONP V
June 6, 2023
CUST ID NO.: 224832
MARY JO HUPPERT
25720 FIREFLY LANE
WEBSTER, WI 54893
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 06/06/2025
MUNICIPALITY:
TOWN OF KINNICKINNIC
ST. CROIX COUNTY
SITE:
COLE & ERICA SMALL
994 COULEE TRAIL
ROBERTS, WI 54023
SE 1/4 OF THE NE 1/4, SEC. 07, T28N, R19W
FOR:
Design Wastewater Flow Value: 600
Bedrooms: 4
Limiting Factor(s): 24"
Maintenance Required: Effluent Filter
Phone: 608-266-2112
Web: http://dsps.wi.gov
Email: dspsAwiscons in. oovv
Tony Evers, Governor
Dan Hereth, Secretary
Identification Numbers
Plan Review No.: PWTS-0623 01024-C
Application No.: DIS-052324743
Site ID No.: SIT-116608
Please refer to all identification numbers in each
correspondence with the Department.
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
1/Jc.,.fit
SEE CORRESPONDENCE
Geomat Mound Component Manual - 5/18/22
Pressure Distribution Component Manual - Version 2.1
(May 2022-2027)
SITE REQUIREMENTS
• A full size 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. A Department electronic stamp and
signature shall be on the plans which are used at the job site for construction.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site.
• With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to
homeowner occupancy.
• Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be
discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be
properly disposed of on -site or off site.
• Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting
under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area.
• Divert surface water from all POWTS Areas.
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and
compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined
by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site
preparation can proceed. If the site is too wet to prepare, do not proceed until it dries.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Well setbacks to meet chs. NR 811 & 812
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM
Specifications.
• Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper
treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is
necessary when any of the above conditions are encountered, to provide sufficient infiltrative area.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and
maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's
manual for the POWTS described in this approval 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.
OWNER RESPONSIBILITIES
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use
and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or
owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 38
• 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 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.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval, the Division of 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. The Division does not take responsibility for the design or
construction of the reviewed items.
Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this
letterhead.
Sincerely, Fee Required: $250.00
r ,
Fee Received: $250.00
f�41{ 4ill-"/1-1'4-%;/ Balance Due: $0.00
Tim Vander Leest Refund Expected: $0.00
POWTS Plan Reviewer
Division of Industry Services
Phone: 608-516-6134
Email: tim.vanderleestgwisconsin.gov
INTO AND COMPONENT DESIGN
GeoMat MOUND AND PRESSURE DISTRIB
INDEX AND TITLE PAGE
lem
( wner in Conditionally
APPROVED
DEPT. GF-SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
Project NaMe'. COLE & ERICA SMALL
Owreef' s Narne, (SAME)
Owner's Addre<35' 2245 N.AMEKAGON STREET
f i U L). VV I ultu I
SEE CORRESPONDENCE
Property Info
Property Address,
Legal Description,
Township
Subdivision Name,
Lot Number,
Parcel I.D_ Number.
Plan Transaction No.:
Index Pages
994 COULEE TRAIL
SE NE S 7 T 28 N R 19 W
County: T. CRUX
KINNICKiNNIC
NA
6 Btock Number-, NA CSM#'. 30/6856
022 - 1017 - 60 - 0100
Page 1
Index apd title
Page 9
Tank, cross sections
Page 2
Data entry
Page 10
Site Diagram
Page 3
GeoMat mound drawings
Page 11
So ' it ' tes,t,
Page 4,
Lateral and dose tank
Page 12
Sailtest
Page 5
Distribution media
Page 13
So'I tt
Page 6
System maint.enance specifications
Page 14
Aeri-:-il
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
d
ll -M I
Jaj�,UPPERT License Number:
Phone Number: 715-426- 41775
5 Y4P
'4A
0 ignat
vk_ W
a r State of Wisconsin Approval Starn.p.
I er
�_4 1 44
iL L
Designed Pursuant to the
GeoMat Mound Component Manual 5)18/22
SSVVMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and
Prey sure Dimrd?uwn Qomponcnt Manuat 'der. 2.1 (May 2022 - 2027)
Page 1 of 14
Mound and Pressure Distribution Component Design
Design Worksheet
All water treatment systems shall be kept out of septic system
Site Information
R Residential or Commercial Design N ISD Required?
400.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
600.00 Design Flow (gpd)
5.00 Site Slope (%)
101.50
�24.00 Depth to Limiting Factor (in)
0.40 In -situ Soil Application Rate (gpd/ft2)
80.00 Contour Length Available (ft)
Distribution Cell Information
6.50 Cell Width (ft) 3.25, 6.5 or 9.75 Only_ 60.001. Designer Input Cell Length (ft)
2.00 Dispersal Cell Design Loading Rate d/ft 60.00u p g g (gp 2) Dispersal Cell Length Required (ft)
Influent Wastewater Quality (1 or 2)
Pressure Distribution Information
E
Center or End Manifold
2
Number of Laterals
3.25
Lateral Spacing (ft)
37.52
Forcemain Drainback (gal)
1.90
Forcemain Filter Loss (ft)
2.00
Forcemain Diameter (in)
230.00
Forcemain Length (ft)
89.50
Inside Pump Tank Elevation (ft)
0.188
Orifice Diameter (in) (e.g. 0.25)
3.00
Estimated Orifice Spacing (ft) _
System Head (ft) x 1.3
Vertical Lift (ft)
Friction Loss (ft)
Total Dynamic Head (ft)
5x Void Volume (gal)
Minimum Dose Volume (gal)
System Demand (gpm)
3.25
12.25
3.47
20.87
54.04
91.56
26.21
Diameter Selection
Lateral Diameter Selection
in. dia.
options
choice
0.75
1.00
1.25
1.50
x x
2.00
x
x
3.00
Manufacturer Information
Are the laterals the highest point
in the distribution Y
network?
If N above, enter the elevation (ft)
of the highest point.w ,w
Does the forcemain drain back?i Y
9.75 ft2/orifice
Manifold
Diameter Selection
in. dia.
options
choice
1.25
x
1.50
x
X
2.00
F_ 3.00
Treatment Tank Information Effluent Filter Information Optional
1200.001 Septic Tank Capacity (gal) Polylok Inc./Zabel Filter Manufacturer
Wieser Concrete Products, Inc. I Manufacturer 3014-525-1/16-107000 GPD Filter Model Number
Dose Tank Information Gallons/Inch Calculator (optional)
800.001 Dose Tank Capacity (gal) Total Tank Capacity (gal)
22.241 Dose Tank Volume (gal/in) Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Imanufacturer gal/in (enter result in cell DoseTankVolume)
Project: COLE & ERICA SMALL Page 2 of 14
Mound Plan View
W
T
J
- T
A
I
� I
L
.................................................
1/10 B :::::::::::::::::: Observation Pipe
..................................................
�p,; ,; ,; ,■�.
. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
.•.•.•.•.1•...•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•'...'•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•1.-.•.•.•.
... B ,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.... ........JJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mound Component Dimensions
Down slope toe extension made.
A 6.501 ft E 3.90 in H 1.00 ft K 7.11 ft
CB 60.00 ft F 14.50 in I 18.50 ft L 74.23 ft
(S 0.00 in G 1 0.50 ft J I ft W 1 29.46 ft
390.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available
10.00 (gpd/ft) Linear Loading Rate 1 6" End of B Obs. Pipe Placement
Mound Cross Section Vie
GeoMat Dispersal Area
Observation Pipe
12" ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
component GeoMat + 12" ASTM C-33 sand
103.71 Finish Grade + -+T+ + �, Cover Material
102.58 Lateral Invert Elevation. �`
*� � ++fit .��� �
+++ ++ +
101.50 Dispersal Cell + + - +
�+ +m +* Slope 5.0
Elevation . . . . . 4 4E ++
+ + + . . .++
+ + + + + + + +
+ ++ * + , Contour Elevation 101.50
Tilled Area
Uhl
Forcemain
In situ soil
In situ soil
hading KeyWw
1 Topsoil Cap
Subsoil Cap
+ ASTM C 33 sand F)
4 ASTM C 33 sand D)
Tilled Layer,
1w eo Mat
See details on page 4 for number, size, and spacing of laterals.
Project: COLE & ERICA SMALL Page 3 of 14
End Connection Lateral Layout Diagram
• = Turn -up w/ball valve or cleanout plug
1st orifice located at Z 1 z
All orifices point down
P
I '
i
Laterals &force main of PVC Sch 40 per SPS Table $4.30-51
Number of Laterals
2
Orifice Diameter
0.188
in
Lateral Diameter
1.50
in
Orifice Spacing (X)
3.10
ft
Lateral Length (P)
59.45
ft
Orifices per Lateral
20
Lateral End (Z)
0.55
ft
Orifice Density
9.75
ft2/orifice
Lateral Spacing (S)
3.25
ft
Manifold Length
3.25
ft
Lateral Flow Rate
13.11
gpm
Manifold Diameter
1.50
in
System Flow Rate
26.21
gpm
Forcemain VelocityE
2.68
ft/sec
Dose Tank Information
4" ltilet • E
13,1110
Project:
1=inished Grade
" Clean out Pipe
Clearflow
NSSCFF324
Locking cover tivith %�-arning label,
lucking device and water tight seal
Electrical box
as per NEC 300
and SPS 31628 WAC r-
Wires From Electric source
Boss stop
and water -
Ak tight gasket
High water alarm
Ba- ,,.
f Pump On Float
Putnp 017C Float
" Bedding. under tan
Dimension
Inches
Gallons
A
19.85
441.56
B
2.00
44.48
C
4.12
91.56
D
10.00
222.40
Total
35.97
800.00
4" Vented Covet- T
sconnect
Optional bal v lve
to control spe d of
effluent bein dosed
Optional o tlet Forcemain diameter
2 in.
4" ASTM 303 pipe to
encase forcem in onto
solid ground
Weep hole or ant Fut nco
siphon device
Pump off elevation (ft)
Pump 90.33
Mock
Wieser Concrete Products, Inc.
Capacity
800.00
1
Volume
22.24
Dose tank elevation (ft)
89.50
gal/inch
Filter Manufacturer Clearflow
Filter Model Number NSSCFF324
Alarm Manufacturer SJE Rhombus
Alarm Model Number AB Tank Alert
Pump Manufacturer Liberty Pumps
Pump Model Number 280
Pump Must Deliver 26.21 gpm at 20.87 ft TDH
Note: Switches containing mercury may not be used in this system.
COLE & ERICA SMALL Page 4 of 14
GeoMat Distribution Cell Media Layout
6.50 Cell Width (ft) 1.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arranqements
00000c�0000a000000000 �oaoa000000coaaac(D U U__ 7U 0- `- oa`�cC�
Component Legend
O Distribution Pipe With Pressure Lateral L-.--I Orifice Shield
Turnup Enclosure — — — — — Pressure Lateral
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
6.50 ICell Width -A (ft) 60.00 Cell Length - B (ft)
End Connection Lateral Layout Diagram
G OC�C�00O�JOC�D�,,��D■■��C���C�(�Ci�DOC�C�C�0�C7r7r_�o
�00
�
0�� C 6 C C 7C O CUOOC CC)
C Q O C O O7 C7 C7 C7 t C] C7 O O C 7 C C O CJ
O O 0 0 0
J00C C OO C}0 (0) L C O OOC C C7OpOC C DpC C C
MW Typical Dispersal Cell
Sand Fill Recommended Distribution Lateral
• Orifice Shield
Pipe Dia.
Approved Infiltrative Fabric
GeoMat
IF
Component
Infiltrative Surface/Plow Layer
t
Observation Pipes
Water Tight
Toilet Flange 4" Min -
r-I
ebarN
Shading Key
Topsoil Cap
Subsoil Cap
f A TM C 33 sand F
ATM C 33 sand (D)
1" Min Install at �_ Tilled Layer
nd/Geo 1' Min
IF �4F
.: _- ; eo Mat
Ik
WAMCWErTqg + /8 Min Dig Retm
+ d'3 +
See details on page 4 for number, size, and spacing of laterals.
Project: COLE & ERICA SMALL Page 5 of 14
Mound System Maintenance and Operation Specifications
Service Provider's Name DARRELL'S SEPTIC SERVICE Phone 715-425-1025
POWTS Regulator's Name St Croix County SPIA - Zoning Office Phone (715) 386-4680
System Flow and Load Parameters
Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 1200 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 390 ft2 Maximum FOG 10 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 Frequency
Inspect and/or service once every 3 years
Inspect and clean as necessary at least once every 3 years
Test once every 3 years
Should test periodically
Laterals should be flushed and pressure tested every 3 years
Inspect for pondina and seeaaae once every 3 vears
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 Synergy Systems GeoMat Mound Component Manual Version 1, 2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component
Manual Version 1, 2017. Media is covered with an approved geotextile fabric.
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.
_
6-8" Diameter O o8 0 8 2
C)O O'O 01c)' °( Finished
OOo()c,
Lawn Sprinkler 0 ��0-c" Grade
Box 'o coo ° °o0 c"�. .. .
Q G 0 C C7 C7 OrC) .)o 0�0 __ c7 c 00000
Lateral Ends at Last Orifice Wherenr n
8b�
1 0p0p000r� Q0p G�0C�0C�0�0i:�0C30C� [30000�O�O�c�� .
00000000000000 0000000 C� 0100
..
00000000 00 0 0[.
00000 C 10 0 0�01 � �c p��j�00 (_
}c 00 CC700 0, C700
00C]000 c Oc 00 0c
� 40000C700C�C�C30C�0�00 �
C�O0OC]OGOC��OOC]�U���C'�0000�"��Oc 000----------------
Distribution Lateral
Lateral Turn -up Detail
°0�'��-M
00000 Threaded Cleanout
�0
CO 0 Plug or Ball Valve
Lateral Cleanout
1.6 Feet
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: COLE & ERICA SMALL Page 6 of 14
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 [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0
SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance
reporting.
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.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to
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 Wisconsin Department of Commerce.
Pump Tank
The dosing (pump) 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. If the force main has a weep hole, it
should be noted if it is functional during pump operation, and if not, it should be cleaned.
*****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.****
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be
seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for
vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30
mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be
flushed of accumulated solids at least once every 3 years. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: COLE & ERICA SMALL Page 7 of 14
bberol, S&
V,y ump
Pump Specifications
UTERS PER WNUTE
5C; 200 250 300
50 "IN
ku�
12
10
0
Lu
z
E
4C
uj
.!H
0
0 10 20 30 40 CC. 70 80 90
GALLONS PER MINUTE
NJ
NO P I RO 1 (11 no 15 iCCopyngW2Af5Lim A=nMhic. Alftn&sn-.,mN-rd.
- - - - - - - - - - -
iil` J I�
4" CA'ST—A—SEAL I �I I i t
F FR 0 R
iLTr
RAFFLE ` I
to to I
4" CAST —A —SEAL
4" VENT
PUMP PAD
OUTLET
<
WLP1200/800-MR
TANK SPECIFICATIONS
S
a.
DIMENSIONS -
LU
WALL: S�
0-
a -
BOTTOM: 3"
COVER: 6"
Li .
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 53"
LENGTH: 130-8"
J _001 IDTH: 8
W
BELOW INLET: 41
E
LIQUID LEVEL: 36"
0
WEIGHT: BOTTOM 14,800 LBS.
CL
COVER 8t170 LBS.
I
Li
INLET AND OUTLET-
M
0
Li
4" CAST ——SEAL BOOT OR EQUAL GASKET
dr
U
<
cc
<
Lj
INLET AND OUTLET BAFFLE AND FILTER:
M
col -
M,
U_
WISCONSIN, SEE DETAIL #10
mw��
wj 2
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 33.46 CAL IV (SEPTIC)
22.24 AL Ili (PUMP)
LOADING DESIGN: 8"-0" UNSATURATED SOIL
Lo
TANK CAN BE USED AS:
SEPTIC / HOLDING / PUMP OR SIPHON
n
COVER: MIX DESIGN #8 (NO FIBER)
0
00
TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WESER CONCRETE
REVIEWED BY
0 0
REVIEW DATE
F-
2DE-VIEW DRAWINGS SUBMITrED
FArPOPROVED FOR APPROVAL
APPROVED BY: SHEET NO. 5 SHEET:
By Glen Schlueter at 11:07 am, Jan 18, 2022
APPROVAL DATE:
TANKS ARE mANUFACTURED TO MEET OR EXCEED A.STM C-1227 REQUIREMENTS PRODUCTS NEEDED BY:
PL
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ST. CR0 N-ry SANITARY SYSTEM File #:
OWNERSHIP/ADDRESS FORM ot�t�euseo�ry
Created lilon
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 Property Files Scanned weblink.
OWNER/BUYER INFORMATION
Owner/Buyer Cole &Erica Small
Mailing Address 2245 Namekagon st
Cit /State/ 1. Hudson WI, 54016
y p
Phone Number (rea uired) 507-696-5653
Email Address (req uired) Colesma1110@gmail
Parcel Identification Number 022-1017-60-060
(found on the property tax bill)
Property Location SE 1/4
p y
NEW SYSTEM: LEGAL DESCRIPTION
NE 1/4,Sec. 7 ,T 28 N R18 W,Town of KINNICKINNIC
Subdivision Plat: ,Lot # 6
Certified Survey Map # 30-6856 I/l/792— ,Volume 0 ,Page # (o
Warranty Deed # 1154642 (before 2006)Volume ,Page #
Number of bedrooms 4
New Property Address
(Staff Initials)
Spec house 0 yes 0 no Lot lines identifiable E yes 0 no
OFFICE USE ONLY
9�q CouL
�.
(Verification of new address required from Community Development Department for new construction.)
(0j/ / Z4? Z
-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 715-245-4250 Fax
cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.ec�ov
State Bar of Wisconsin Form 1-2003
WARRANTY DEED
Document Number I Document Name
THIS DEED, made between John D. Bettendorf and Candace R.
Bettendorf husband and wife as survivorship marital propeqy
("Grantor," whether one or more), and
Cole R. Small and Erica R. Small husband and wife as
survivorship marital propert ("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the following described
real estate, together with the rents, profits, fixtures and other appurtenant interests,
in Sa4itCroix County, State of Wisconsin ("Property") (if more space is needed,
please att h addendum):
LOT SIX (6) OF CERTIFIED SURVEY MAP IN VOLUME THIRTY (30)
OF CERTIFIED SURVEY MAPS, PAGE 6856, AS DOCUMENT
NUMBER 1111792 FILED IN ST.. CROIX COUNTY REGISTER OF
DEEDS FFICE SEPTEMBER 16, 2020, BEING LOCATED IN
THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER
(SE1/4OF NET) OF SECTION SEVEN (7), TOWNSHIP TWENTY
EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF
KINNICKINNIC, ST.. CROIX COUNTY, WISCONSIN, INCLUDING
LOT 5 OF THAT CERTIFIED SURVEY MAP, RECORDED IN
VOLUME 26, PAGE 5078, DOCUMENT NO. 088065 OF ST. CROIX
COUNTY CERTIFIED SURVEY MAPS.
1154642
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
06/ 16/ 2022 10:34 AM
EXEMPT#:
REC FEE 30.00
TRANS FEE 270.00
PAGES: 1
**The above recording information
verifies that this document has
been electronically recorded
& returned to the submitter
Recording Area
Name and Return Address: File# 2148605
Cole R. Small and Erica R. Small
q
Cot
ITO u S.
022-1017--60-060
Parcel identification Number (PIN)
This is not homestead property.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: municipal
and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services,
recorded building and use restrictions and covenants, present uses of the Property in violation of the foregoing disclosed in the
Grantor's (Seller's) Real Estate Condition Report, if any, and in the Offer to Purchase for the Property between the Grantor and
Grantee, if any, and general taxes levied in the year of closing and will warrant and defend the same.
Dat s
. Bettendorf Candace R. Bettendorf
AUTHENTICATION
Signatures): John D. Bettendorf and Candace R. Bettendorf,
husband and wife as survivorship marital property
authenticated on
---------- -
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by Wis. Stat. § 706.06)
THIS INSTRUMENT DRAFTED Y.-
Elizabeth
Johnson Scrivener / 4���r�
Knight Barry Title United LLC °�vr �'`'�p
116 E. Elm Street River Falls, Wl f���
ACKNOWLEDGMENT
STATE OF WISCONSIN
COUNTY OF PIERCE
Th instrument was acknowledged before nee on this
:r day of , .2022, by
John D. Bettendorf and Candace R. Bettendorf (the signer).
The signer was:
X- physically in my presence OR
in my presence involving the use of communication
technology
Notary Public: Sys
Notary Public Printed N me• FA
Notary Public, State of Wisconsin 1
My commission (is permanent){expires: W1 2 y
(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.
WARRANTY DEED Q 2003 STATE BAR of WISCONSIN FORM No. 1-2003
*Type name below signatures
St. Croix County 1154642 Page 1 of 1
LEF
T �E� _ 1�
18 _OYATION
INSERTED 313-1
18�! ELEVATIONJE.
_ V_0
!'v,
n'� —1— 411�1z--�
4,1
=oil
VI GHT ELEVATION
8 _O
1 -1
1624 SQ. FT.
MAIN LEVEL
780 SQ. FT.
GARAGE
1624 SQ. FT.
LOWER LEVEL
z I
30 OESIGN LLC
Architectural Services
(715)248-3010
NOTICE!
BUILDER TO VERIFY ALL DIMENSIONS,
SIZES, AND LOCATIONS AND REPORT
ANY ERRORS PRIOR TO PROCEEDING.
ALL CONTRACTORS MUST FAMILIARIZE
THEMSELVES WITH ALL FEDERAL,STATE, AND
LOCAL BUILDING CODES WHICH. IN ANY MATTER,
AFFECT MATERIALS OR EQUIPMENT USED ON- - - THIS PROJECT. IF NOT SPECIFICALLY STATED dN
PLANS OR IN SPECIFICATIONS, THE
APPROPRIATE CODE SHALL GOVERN SIZE,
QUALITY, AND QUANTITIES AND SIZE OF ALL
WORK.
Cole Small
SINGLE STORY
ELEVATIONS
Project number R-1624-2R-22
Date 11-8-22
Drawn by Bill
Checked by Ryan
Al
scale As indicated
E
a � -1 0: - � §�
z za
ziwv
0a w
�gw ' I i I1 I I I< 5 LU
LL
a
C' Of
< " MH w z a
w C� IL IL
BRACED WALL LINE 111-1
5.0 BRACING REQUIRED I w cr a-
D m C� 'j M a.
8.0SUPPLIE W/4-OPANELS 16 1 : D
I I I m;: wq BRACED WALL LINE R2-1
I 1 11.7 BRACING REQUIRED
12.0 SUPPLIED W/ 4-0 PANELS
o i i I i i i , I ' � I
BRACED WALL H
RECT. #1 G
A4 BRACED WALL C T.?
WALL
C
RECT. #2
VSL4836 3-JO
VSL3636 FW06068
2LYI 3WX91ir VDH3060-2 �t
L UNEN PLVL H
EADER VDH3060-2
Ll'w LE
8'- 0 3/4" KITCHEN
4- 0"
2-6
6D 11-0 X 13-0
DIJ 3-0 IT
a j LIVING ROOM M. BEDROOM
3-0
1 16-2 X 15-6 12-10 X 11-6
4--0- 9'- 6"
H
2-8 4-0
w z
:3
0
NOTICE!
Al
F
U)
>
FAN,
3-0
>
BUILDER TO VERIFY ALL DIMENSIONS,
SIZES, AND LOCATIONS AND
------ v
ED
---------------
3-0
REPORT
ANY ERRORS PRIOR TO PROCEEDING.
10-0 X 8-0 O.H.
LL9&
3-0
O
i
W
2-6
01
T
T
zo
4 Al
ALL CONTRACTORS MUST FAMILIARIZE
2 PLY 1 W X 11 7W
LVL HEADER
10-0 X 8-0 O.H.
2 PLY I Y4* X 117/8-
LIA HEADER
- —
- — - -
1 1 i
3-0
1
— I
I
2'-6-
—I
n -
w
v
7 3/4"
—
LINEN
FAN
>
I=
T
W
THEMSELVES WITH ALL FEDERAL,STATE, AND
LOCAL BUILDING CODES WHICH. IN ANY MATTER
AFFECT MATERIALS OR EQUIPMENT USED ON
THIS PROJECT. IF NOT SPECIFICALLY STATED ON
2
5'- 8 1/4" 12'-
BEDROOM
LIN
DINING ROOM
T- 5 3/4"
DNz
jA FOYE
FAN 3-0
jo
3 0
PLANS OR IN SPECIFICATIONS, THE
APPROPRIATE CODE SHALL GOVERN SIZE,
QUALITY, AND QUANTITIES AND SIZE OF ALL
WORK.
--------- -
A4
-
12-0 X 10-0
1
11-0 X 10-2
C14
5-3 X 11-6
17 RISERS
3
SHELVES 2-8
No.
A
Description
INITIAL RELEASE
D11ate
-8-22
L
VDH3D60-2
3060-2
L-
b,
BRACED WALL LINE 111-2
6 ' 0 BRACING REQUIRED
10.0 SUPPLIED W/ COMBINATION
4-0 PANELS & EXT. HEADERS
I I
-
- - - - - -
CC
I i
j
D
�
VDH3048
m
L
I
D
i
t
BRACED WALL LINE
' I
1 I
�
I I
l i
i
I
ON
I , i
i i I I�
I
I
i I
I ► I
11.7
12.0
BRACED WALL LINE R2.2
BRACING REQUIRED
SUPPLIED W14-0 PANELS
PANEL DETAILS
BRACED WALL DOUBLE RECTANGLE
14 1'-0"
BRACED WALL LINE
RECT- #130-0 X 26-0
11-0 WALL HEIGHT
WALLS SUPPORTING ROOF AND CEILING ONLY
EAVE-TO-RIDGE HEIGHT 10-0
1
'I II
V,
I
T
14'- 0"
PANEL DETAILS
BRACED WALL DOUBLE RECTANGLE
RECT. #2 58-0 X 28-0
Cole Small
CONTINUOUSLY SHEATHED BRACED WALLS
4-0 STRUCTURAL PANEL SHEATHING
EXTENDED HEADER (SEE A4)
II, I1II
91-91
6'- 9'
1
1
5'- 7 3/4" 5'- 7 3W
1
1
9-0 WALL HEIGHT
WALLS SUPPORTING ROOF AND CEILING ONLY
EAVE-TO-RIDGE HEIGHT 12-9
CONTINUOUSLY SHEATHED BRACED WALLS
SINGLE STORY
12'- 6 3/4" 2'- 6" 1
1
1 V- 3 1/2"
4'- 7 3/4" T-6" 5'-y'
4 111
8'- 13/4"
2' - 0"
i
4-0
STRUCTURAL PANEL SHEATHING
MAIN LEVEL
(-,-,�-MAIN LEVEL
f/
30'- a"
T
— 14'- Y'
9'-6"
58, - 0"
Project number R-1624-2R-22
T
1624 SQ. FT.
Date 11-8-22
Drawn by
MAIN LEVEL
Bill
Checked by ---____Ryan
At
Scale
A3
114"
0
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County ST. CROIX
Attach complete site plan on pgWr not less than 8 1/2 x 11 inches in size. PlaUnust 7
include but not limitejW�: rti nd horizontal reference point (BM), directic� Parcel I.D.I , (Pending),
percent slope, north arrow, and location and distance to ne ad.
L2-A
vip
�
" nt all information. Reviewed by Date
!MO I
Personal informs �Ion yvou provide May be used for secondary purposes (Privacy Law, s. 1 m)).
Property Owner c J:Irope tion
.1 K,111�0 M E
JOHN D. & CANDACE R. BETTENDORF of ---- SE 1/4 NE 1/4 S 7 T 28 N R 18 E (or) W
Property Owner's Mailing Address Lot # lock # Subd. Name or CSM#
970 Coulee Trail 2 CSM Pending
City State Zip Code Phone Number f"'V- ity Village ETown Nearest Road
U-1
Roberts, WI i 5401_7715 425-6200 . - Coulee Trail
New Construction Use Residential / Number of bedrooms NK Code derived design flow rate NK GPD
Replacement Public or commercial - Describe:
Parent material loess over till Flood Plain elevation if applicable NA
General comments Mound System -- 1.25 ft. sand fill -- 0.4 loading rate
and recommendations:
Bodng# Boring Ground surface elev. 102.05 ft. Depth to limiting factor 24 in.
Pit I Soil Annfication 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
10YR3/3
sil
3fa&sbk
ds
as
3vf-m
0.6
0.8
2
12-24
1 OY R4/4
sil
2fabk
m fr
CS
I vf-f
0.6
0.8
3
24-30
1 OY R4/4
fl f I OY R4/6
sil
I fabk
m fr
as
I vf-f
0.6
0.8
4
30-36
7.5YR3/4
f2f7.5YR5/6
scl
Om
mfi
0.0
0.0
2 Boring# Boring 30
pit Ground surface elev. ft. Depth to limiting factor in. :nil Annfiration 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
0-11
IOYR3/3
A
3 f-ma&sbk
ds
as
I vf-M
0.6
0.8
2
11-20
1 OYR4/4
sil
3fabk
ds
CW
I vf-f
0.6
0.8
3
20-24
1 OY R4/4
CI
2 fabk
m fr
aw
I Vf-f
0.4
0.6
4
5
24-30
30-36
7.5YR3/4
7.5YR3/4
f2f 7.5YR5/6
si
scl
I mabk
om
mvfr
mfi
ate'
I of-f
0.4
0.0
0.7
0.0
* Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = b0u� < 3u mg/L ana I - Z)b < JU mg/L
CST Name (Please Print) S ture CST Number
Ma g Jo Huppert (Hollister's Soil Testing & Des t 224832
Address Date Lfv uation Conducted Telephone Number
W9875 690th Avenue,, River Falls, W1 54022 07-27- 13 (715) 426 - 1775
C, V% 1-,% ONl n j " n"I In 4N
Property Owner BETTENDORF, John & Candace
-�r3 Boring # Boring
0 pit Ground surface elev. _
Parcel ID # Lot 2 (Pending) Page 2 of 3
96.35 ft. Depth to limiting factor 24 in.
Sniff Ann1iratian Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh. I
Consistence
I
Boundary
Roots
I
GPDM
*Eff#1
*Eff#2
1
0-13
10YR3/3
--
sil
3fgr&abk
ds
as
1 vf-m
0.6
0.8
2
13-21
1 OYR4/4
--
sil
2f-mabk
mfr
as
1 of-f
0.6
0.8
3
21-27
10YR.4/4
m2d 7.5YR5/6
sicl
1 fabk
mfr
as
l of f
0.2
0.3
4
27-35
7.5YR3/4
m2d 7.5YR5/6
sl
1 f-mabk
mvfr
as
--
0.4
0.7
5
3540
7.5YR3/4
m2d 7.5YR5/6
SO
0m
mf
--
--
0.0
0.9
Boring # BoringPit Ground surface elev. ft. Depth to limiting factor in. 461 AnnficaMn Rate
Redox Description
Structure
Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Salpplication Rate
Dominant Color:
Munsell
Redox Description
Qu. Sz. Cont. Color
Structure
Gr. Sz. Sh.
* Effluent #1 = BOD5 > 30 5 220 mg/L and TSS >30 c 150 mg/L * Effluent #2 = BODE c 30 mg/L and TSS < 30 mg/ -
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
MD-8330Tea (R07/00)
Plot Plan for Site and Soil Evaluation
Property Owner
Sao
LqW Desc*don oFTHE NE�� S7.
im I R1E4J, MWK) DF L"I )91A-fjlC� ST. cRDV
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Page 3 of
1" =4Ojt
(accept where noted)
lzo I = Backhoe Pit
pr,VcN#U& z Aca.&
North
Parcel #: 022-1017-40-000
08/29/2013 03:28 PM
PAGE 1 OF 1
Alt. Parcel M 07.28.18.99A 022 - TOWN OF KINNICKINNIC
Current FX-1ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address:
Owner(s): 0 = Current Owner, C = Current Co -Owner
O - BETTENDORF, JOHN D & CANDACE R
JOHN D & CANDACE R BETTENDORF
970 COULEE TRL
ROBERTS WI 54023
Districts: SC = School SP = Special
Property Address(es): * = Primary
Type Dist # Description
* 970 COULEE TRL
SC 4893 SCH DIST RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres:
38.300
Plat: NIA -NOT AVAILABLE
SEC 7 T28N R18W 38.30A SW NE EXC 1.70A
Block/Condo Bldg:
TO CSM VOL 5/1302.
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4)
07-28N-18W SW NE
Notes:
Parcel History:
Date Doc # Vol/Page
Type
11 /19/2012 967743
WD
07/23/1997 425/602
05/19/1997 559546 1239/418
WD
11 /10/1994 523345 1102/296
LC
more...
2013 SUMMARY Bill #: Fair Market value: Assessed with:
Use Value Assessment
Valuations:
Description
Class
RESIDENTIAL
G1
AGRICULTURAL
G4
AGRICULTURAL FOREST
G5M
Totals for 2013:
General Property
Woodland
Totals for 2012:
General Property
Woodland
Last Changed: 09/07/2010
Acres Land Improve Total State Reason
5.000 80,000 278,000 358,000 NO
18.300 21900 0 21900 NO
15.000 37,500 0 37,500 NO
38.300 120,400 278,000 398,400
0.000 0 0
38.300 120,400 278,000 398,400
0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 520
Specials:
User Special Code
Category
Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Certified Survey Map
John D. and
Candace
R. Bettendorf
e 4%41: 06d 0040,704
Part of the Southeast 14 of the Northeast Y4 and the Southwest
Y4 of the Northeast Y4 of Section 7, Township 28 North; Range
S 00"48'13"W
k696-76' 2-J-S�;-M-p
—VO4--1 5, P -9 7 4 10 2
18 West, Town of Kinnickinnic, St. Croix County Wisconsin. .1k --�
-4 '
T-Un-6 &W-714- 0b
NU-
2332.16
26.4,60T 610
c. TH. ,ss
R N 00'40'13"E
ID
�-
231.60'
N6,00
)-7-
cl�
E 114 Cot -,Sep;. 7,
T26N, f? 113 W
CL
U
Uj 04
C6
V)
Q3 4
FIZ
W
I'll Feet I q.0 0,
.200 100 0 200
All bearings referenced to the
EastAlVest Y4 line of Sec. 7,
T 28 .r11, R 18 W, assumed
N 68"11'55'W
\`\jj I I I I I If.*,* /
\SCON
LAURD
W. MUR NY
• s S17 3
UL m
4 'I'
SwoZb
0
W1
Poo ***o LAND
g `���
Dated., August 5, 2013
Legend:
0 Indicates I Y4" O. D. x 16" iron pipe set.
(min. weight 1. 13 lbs.17in. ft.)
0 Indicates I Y4" O.D. iron pipe found.
R (10. 00') Indicates previously recorded data
& Indicates Berntsen Alum Mon. Fd.
V Indicates designated driveway position
ti
CLI
Z)
U.1
�
CV
Nco
Unplatted Lands
S 0002822"W 922.46'
1269,01'
N 00"20'22"E 1302.02'
T LO
C\j
C)
Co
JD ti
m
231.71 33,?0'
C
N 0 04 62 9 -E 264.7
R(Nodh 264.81
cV
LOCV
LO
?Ib
S 01 `4 7'57 W 264.
231.0,1' 33.
W,
R(South)
co
cc
-j
C) (n
Cl) ?)
C0
�2
CL33 33
345,24'
34,00'
N 01 "46'07"E 378,24'
R(North 3 78.3 V)
co
CL
co
low
345.17'
3
S
01 "4 8'61 "W 3 78. f 7K -1
(So378.31)
RR(South
Vj
Owner's Address:
nu 4)
I
970 Coulee
Trail
co
oo r--�
River Falls, WI
54022
ca
4)
Unp la tied L a n ds "Tt t1-
tz
rCL
W 114 Cor. See. 7, M
Sheet I of 2 Sheet. T28 N, R 18 W
ri
sm DiWa"nt Of COMmce YrOA SOIL EVALUATION REPORT
Macm4tre
pap' i Cff 3
11 Boring
24
Boring 0 Pit CnwndgmrfaCe646v,
102-05ft
Depth
to limMrig faCtW
in.
sod
Rate
H=m
DMepinant Cobr
Redox Descrotion.
Textufe
Structure
Con5istence! Bmpdary
ROM
,om
GP"
*Ef1#1 *Eff#2
in-
Qu. Sz- Cont. for
-Gr- Sz Sh.
--munsell
0-12 1 OYR3/3
SLI
3fa&sbk
ds
as
3vf-m
0,6
-
0.8
2
12-24 10YR4/4
sil
I I
2fabk
I of-f
0.6
0,8
3
24-30 10YR4/4
n f I OYR4,i6
I fabk
m
as
I of-f
0�6
0,8
4
30-36 7-SYR3/4
scl
Om
mfi
0.0
0,1D
Bon-ing
30
Swing .100.95
Elpit Ground sMfaoeelev-
Depth to 1-trn" fact0f
Heron OWh 00miront QAW
Redox Dwjip . tion
Texture
StnXtum
Inc
urdary'
Rooft
GPDff
*Eff#1 ,Elff#2
in.
Qu. Sz- Cont. Color
Gr. Sz. Sri.
10YR33
SO
3f-11Lia&sbk
ds
as
I vf-m
0,6
0.8
11-20 10YR4/4
S
3 fabk
ds
Cw
v
I f-f
0.6
09
.
-
3
20-24 10YR4/4
Cbk
1
2fa
m.ft
ate'
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0.6
1
4
24-30 7.5 Y R314
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mv rr
;aw
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0.4
0,7
--
s
- - - -
30-36 7,5YR3/4
t'-) f 7,5Y R 5/6
scl
om
Infi
0.0
0.0
I
mot and Tss:� 30 m9k
Effluerd #1 = 800 > 30 f 220 nv�L and TSS >30,� 15G nV& Eftent #2 80D-k < 30
M Numbw
CST Nam Pleaw Ph nQ ture
224832
M!a Jo Ruppert (Ho...Jfistees Soil Testing &
AWnm -1-j ckma 9Wu*inn Canduded Ted NuTbv
W9875 690th Amain e, Rjvcr Falls, W1 5402-2 07-27- 13 (72715) 426 - 1775
Pr-opertwner B F-TrEN DORF, John & Candace
y O
IE0
"L U Boring 96.35, Boring El pjj Ground surface SkBv ft-
p Soft
pit
Boring # Boring
1:1 9 PH
Lot 2 (Pending) ps�p of
4-
Parcel ID * -
Depth to �mding factOf 24 in.
-----------
Depth to limdIng fact Of in.
Depth io I'mMng failm
- Effitwrit 01 = OM,5 > 30 <- 220 rrg& 8nd I -SS >30 f 150 n4L * Eft #2 = BMI ± 30 mgA- a nd TSS � 30 mg&
T-ft D"anment of Commerce is an equal apportunity 5ervice provid:er and cMPl()Yclr- if you need assistance to access services or
need material 'in an alternatc fomat, pjea-contact the dcpartment at 6W266-3151 or TT 608-264-8777.
�R ollpol
v plot Pla+for Site and Soil Evalwation
propwy Owner
A)
begat l�est�ipdm 2 &1 111
MAL DE 6%wl1�lmdla
—uj
F&,VCE Pta
Alive Aftwo
LO do KNE4- I
A
1W
.M 5mrz ijpj
s&LMJ> AT
OF SA-
TXOW& 10
0
Site Location:
-0 Fm
ts�&WA &—svmp -AFMIR
Wav �M AKS 0 )
Otw--d5mTH Pit- IFOp,
Page 13 of 3
40ft
where noite*
CEI = Backh oe pit
P&j Ex OJ& 0 '44! R-E
North
I
1111"792
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
Certified SurveyMa 09/16/2020 01:30 PM
CERTIFIED SURVEY MAP
John D. and Candace R. Bettendorf Trust VOLUME: 30
PAGE; 6856
Part of the Southeast % of the Northeast l of Section 7, Township REC FEE-. 30.00
28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, PAGES: 2
Wisconsin, including Lot 5 of that Certified Survey Map, recorded in
Volume 26, Page 5978, Document No. 988065 of St. Croix County
Certified Survey Maps. r`
"
E 114 Cor. Sec. 7, T 28 N, R 18 W, ro
(Bemtsen Alum. Mon. F.D.) ro
Lot 1 C.S.M. Vol. 95, Page 4102 r 4
NE Car. Sec. 7, T 28 N, R 18 W,
Lot 2 0
(Bemtsen Alum. Mon. Fd.) S 00"48'13"W 2596. 76' -4
S 00048113"W 393.06` E Line NE 1/4 10Ad
C.T.H. "SS�
S 00 -48 `13 "V I/ 4903. 70' oo S 00'48'13 "W 360. 06' l
� ��
o• Q. o � �
CV) 0 1a, ti 3333' m
6 6'
44a co
~ N Cie
Q`\ N !►
N v v b .� 1 N O
i
a
o
cV cV y
V'3
eu 360.02' oi 33.00' a
V"
CO
a to t=
S 01 °17'33"W 393.02' O
C to
co h co
co
co
rC o O co t-
v.. to ti
ca
W y
L
O
o o� I
° �, a� S7` oQoN� N C
ro
X,`
Q .� p .a cV N o tq
o~o�� � ft a
ya L cy ►
p tp a 360.00 33.00'
to aE
T.
t.. ° v Unplafted Lan N 01'46'29'E 393.00' R(NorthIT
CO 0) CO b a .--- --- ds ) N a
2
-c n = ° Lot 2, C.S.M., Vol. 5,
. _ — k a�
amv�� Pae1
W 114 Cor. Sec. 7, T 28 N, R 18 W, a Dated. May 28, 2020
�. 3/8O.D. Iron '
4 (2 " Pipe Fd.) -. 00
o � N������►�Ilulllru���ri
'n s a . RE
.MU Hy
w S1 13 #
RIVER FALL ..
� v,�.�� S
w •c'°'�� NS wl r �'
to zzz�
~ /1/1j111t4i1tN���
Sheet 1 of 2 Sheets
3o-OA,5Co
St. Croix County 1111792 Page 1 of 2
Certified Survey Map
John D. and Candace R. Bettendorf Trust
Part of the Southeast % of the Northeast % of Section 7, Township 28 North, Range 18 West, Town of
Kinnickinnic, St. Croix County, Wisconsin, including Lot 5 of that Certified Survey Map, recorded in
Volume 26, Page 5978, Document No. 988065 of St. Croix County Certified Survey Maps.
Description. -
That certain parcel of land located in the Southeast % of the Northeast X of Section 7, Township 28
North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, including Lot 5 of that
Certified Survey Map, recorded in Volume 26, Page 5978, Document No. 988065 of St. Croix County
Certified Survey Maps, described as follows; BEGINNING at the East % corner of said Section 7,
thence N 88011'55"W (recorded bearing on the East/West % line of said Section 7, previously recorded
as West) a distance of 522. 66' (recorded as 522. 72) thence N 01 °46'29"E (recorded as North) a
distance of 393.00 .. on the West line of said Lot 5, and the Northerly extension thereof thence
S 88011'55"E 515. 99 ; thence S 00°48'13"W 393. 06' on the East line of the Northeast % of said Section
7, to the POINT OF BEGINNING, containing 4.685 aces or 204, 097 square feet, being subject to
easement for Town Road and County Trunk Highway "SS" right of way purposes over Southerly and
Easterty portions of said parcel as shown on this map and also being subject to easements of record.
Dated: May 28, 2020
State of Wisconsin)
County of Pierce)
1, Laurence W. Murphy, Professional Land Surveyor, do hereby certify that by direction of the Owners,
John D. and Candace R. Bettendorf Trust, that I have surveyed and divided the lands shown hereon in
accordance with official records Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St.
Croix County and that this map and description are a true and correct representation thereof.
General Notice Statement:
Note: each parcel shown on this map is subject to State, County and Township laws, rules and
regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any
parcel contact the St. Croix County Community Development Office and the Town of Kinnickinnic.
St. Croix County Treasurer.
1, Denise Anderson, being the duly elected, qualified and acting
Treasurer of the County of St. Croix, do hereby certify that the
records in my office show no unredeemed tax sales and no
unpaid taxes or special assessments as of , 2020
affecting the lands included in this Certified urvey Aop.
OOP
Doo
3
DAte: C unty su
v/
a f. LgV;nlE ''•
w
• UR
Approved
y
S 1 �Y3 = O
A FALLS
SEP 1 6 2020
o .•
LAND
St. crux County
;nmmun ty Development
Sheet 2 of 2 Sheets
30-W5(e
St. Croix County 1111792 Page 2 of 2
5�G-CReik COUNTY
[Lkll-
........ . . .....
. .... .....
17 cout'-ee
S� r%cinLivLvJti'� PREVIOUS NO.
OWNER �A1.E � ER ICA GVV4qLL
CO&V\& t3D —
SBD-06499 (RI 1/20)
t�
:1...... .... . .
ZDNEX
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
the permit, county authority. lease contact the cvun
P
. .. . .. ......... . . ...... ... ... ... . ...... . ... .. .............
. .. .. . ...