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028-1024-40-000 (2)
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM 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 Joan Ellis TOWN OF RUSH RIVER CST BM Elev: Insp. BM Elev: BM Description: ��� • o VW A-too-e- TANK INFORMATION TYPE MANUFACTURER CAPACITY w Be sCIF r v Septic 12-oo ©� Dosing 7 << Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic � S r Dr ql / Dosing Aeration Holding PUMP/SIPHON INFORMATION �O G.. , 0 e Manufacturer Deman GPM 3-? Model Number TDH Lift Friction Loss System Head TDH Ft .D5 Dyf^D •� �Z• VV Forcemain Length Dia. c Dist. to Well 3v 2 SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651359 State Plan ID No: Parcel Tax No: 028-1024-40-000 Section/Town/Range/Map No: 15.28.17.140 STATION BS HI FS ELEV. Benchmark QD Alt. BM Bldg. Sewer z 0 v St/Ht Inlet jo. oS g5' St/Ht Outlet Dt Inlet � Dt Bottom Header/Man. q Dist. Pipe Bot. System .20 .Zp I go Grade F L� �.�-= i t 6- 0& �� \ 1 z� Q..d WJ-O�LA" St Cover 30 0 Z f 6 z.v t091D i IE>3•0 BE TRENel+ Width Length No. Of Tzeffe-tes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS to 6 p Z� aks SETBACK SYSTEM TO P/L v. BLDG WELL LAKE/STREAM LEACHING Manufact er: INFORMATION CHAMBER OR Type Of System: �. Model umber: « �O � q2, UNIT DISTRIBUTION SYSTEM I—> �o peC. dUMA,6r G� -(c- 1-1, AM Header/Manifold Distribut n r �� x Hole Size x Hole Spacing "' Vent to Air Intake t 1� c( `p ` Pipe(s) 5 j r/`f ?j� �� S Z�c ��j D Length Dia Length Dia l Spacing . SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No MMEN S: Include cod discrepencies, persons present, etc.) �WkV\. Location: 1844 30TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = 53 _ - amount of coverdQ WWK,�_ U0A U Plan revision Required? ❑ Yes No 12-1 2� 2 Use other side for additional information. Date SBD-6710 (R.3/97) CAInspection #1: IZ $ 2zZ3 Inspection #2: 12/ PIS i R-A4 � l JL Insepctor's Signature Cert. No. I V—Z�2J 2-6 A Ll I Industry Services Division 4822 Madison Yards Way courit--�,- Madison, WI 53705 i;lr,. 1). rTn it Number (to K- 6 1 led in by Co P.O. Box 7162 Madison, W1 53707-7162 Sanitary Permit Application 'M"LleTmnsaetion Number In accordance %Vkh SPS 3183 242), Wis. Adm. CWe, -submission of this fom-i 1.�,o the appropriate goverrimmal. unit is required pnor to obta,,r'Int.3 �,Lnjtwy permit_permit_Nute: Application lorrils or TS POWare submatod to L -fdi crent than Mailing J'Foccl A.'idijrCs s. (I the Departrrientoi-Sa:'Cr� Lind J1,o6essional Services. Personal Inflorr-jai.ionyou piovidc may be used fOr secondary -TtAl purposes . r L! tii ! ii,(! 11 r i v ac y Law, s. 15.04(1 )� M), S L, g5D 3o lie-.j fito I fo ion Rests 'Print A]] I f, A pli n n nu.1 t tt.forin atioll PTOperryOwner's N-,iwe Parcel 4 P4 Z-r 6 F., d r 16 � Z- Property Owner's Ma:,ing A0.1di,ess PTOPcny L(xat.101-1 Govi. Lot City, State ILType .1 1 Type. " dBuilding (check all that al)ply) Wi V11 or 2 Family Dw�lhng - Number- of Bedrooms DuHic/Commercial - Describe Use [.4 tat Owned - Nscrube Use 7 -.,p Code Phone Number Section Z—Z Lot # S ubd i v L,,-. io n Marne z U; k �; I 10t). of CS! Number 433?) Village of Ill. Type orl'OkNA'S Pc-i-riiit.- (Cheek either "New"' or -Rej)[acciucrit" !L111(i other applicable u; line A. 'heck one box of line B. Co"iniflete line C if S eplacement SN m L ),01cr MOCI 1,Cd11.0T1 �0 FNIS(IT18 SVMEM (e pla'n) D X E1'1t1riaJr"[lLfllrlL [,'jia ic-xpiazn) U' [Diol d i n g Tank L In-Grourld [:�i:-Grade (N-mound > 24 I Ind'vidual Site Nsign (Mier Tvpe (explain) (conventional) C • Renewal Before R (" V is I on 7ha nge o C P1 um be r EjTrazi:sfvr to New 0 List Previous Permit Number and Date ISSLed E XP Ir at'l on I I V. Oni, aersa 111. re#3 Men t Area, and I a n k In to irmation: I A - X L tR) [AA-n t,a A n V U U r. J-1-- = "A- - Y IV - & * I 1'rrm-.fi!k&r - 1b:1-01 Design Soil ApplicatignyfUi le(gpdisf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) Svsic rii ElevShon Lj &00 Capacity in Total "lot' Manufacturer Ta r.1% I a fi-,-) ri-ri at i o n Gallons Gallons Units -C 6- r New. Tiaks E x1s L3 ng Tanks ,,3. �-j .11 4�1)1 1,: r I F, L!, 1,iris. L K11111 Z I= Doling Chamber V. Rcsjwnsibilitv ',,i«jixrn-uiit L Oie ungivy-Nii? -iv- ii ine responsibility for instaflatian of POWTS shown on the attached plarts. I LT c, 's Ki.M° �11) /lumberrsSigna e P1'N4Nu m L-K-r Busin ess Phone Number JF IF" ZY 1: 11 umbe is Addre Street, CL ty, �Z I p `ode X -VV, CountytDepartment Use OnJy Approved Dl,�approvc Permit Fee Date 1�.�iucd Issumg it ���rr:�t err �• ,OWTICI GYV t�r tor3 Conditions OG . �P�Ov" . � #1F SY3TEN1n,VJNEiR, L t&4ikA^- Nko U,4. 1 - Ser'.4i 0 t a F1 kL. ff. LJ e 11 1 t in- r ? n is pin rsa cp, must be s% 7-ia ',,n-niad -s per Ok qt to /72-oZS. (Doe-,: IL7 306 5 man-guen-tent [,)t-,ar, crovided by plumber. 2. All setLaOk 7equ:re-n-ir-i1s inust be maintained as per app-L'Tk@ble codle i rvdinpry ces J1 IL'i k,: 1� fo r010.1,% I+Ielll U1141 NlLbru I r to tht'('f L] cl is %)nlV an 15alwr iiii I Jes-% lhau N 1 iik:hus 113 N I I C 4c�t- S] fl)-6"3981 [ ];, 1,1� '21 Designer. Ryan the I' 0 2023 Advanced Certified Soil Tester- 1330832 Envimnmenlal LL C De!sigrier of Engineering Syste_ms. D 2263-7 All rights reserved. d BM = 100 00 Top of 1-1/4" Sch 40 PVC pi pe (note: BM not found) 44 sch AW1 4PT 4 PVC *All property lines not each mark drawn are >I 00ft from A�F Soil BGr-ng N system* 1 SCA1,1' 01 20' 404 Field **Well to be located >50ft edge from soil treatment area & > 25ft from tanks** w/ Best GF-10 ti ±201 2 sch 40 PVC S) S FEM NOTES 4 -r - hi, en, ink -BFcng ns", A 21D 'a I grade -Bes t GF- 10 $16f Wf al -Do nal aou te clear *a' wces into s aUc lank Pump-Tartk F Wnp neod� • MM tw*- aswc t-. —18 1a] n all UbW 17%. y7is -R�aAate ptmF arwiTDHs*inW -Evert MWW "r' j m* mear recomwded Qa%il To-.&,arwn&nr A"w -1 U x W Aggmme ¢,�"und 11A x Bi -77 3'x Z) 6'�xftde dnwsws (L x W "i -IID2 67 dsperwl �14evftn u 102 CC coatour -6' ASTY C-33 swo- I[D) -CLq S,%eps fti.-O to �ed avowd dggiriq -Mcw sntiirs dwrrg contn -Qept� t.-ednctoTi t 28' 1 RedDwriamNc feetires) Tim Ind I "fin in Gch 4C 'es IT pnAec; 7jr made( &16fad WwD* * od CM @ 3 a %W.'Ang Current grade jr -tjkm te be www 18' ftw,. er�d of ted B' to WK 112.90 -Dernard, dose Floso M r,,Us W de,�f gn LOCATION MAP not to scale) F- 0, 6 BM2 107.00 Top nail in 30" harw(>od tree B2 Assume11 102.SITE (17 above grade) 36 R-O-W edge 0 0 Note: BM2 sset 10130123 by C�> ip 30TH AVE *0 Advanced Environmental) Joan Ellis Site Acid 1850 30TH AVE Baldwin, W1 54002 ND, 028-1024-Q-000, 40.0 Acres 3&T-WAVE, mall. Lot 02 Proposec! CSM SW 1/4 SE S1 5 T28N R1 �W TGwn of Rush River ow abubmi 'nft Wpown hm devigmW mW evc9L%&W In a a r a 'm m■ wM StffW and L&KxA cxxim Thowl bwbm qw "wim N" piratect- from dimbirbmwa arxVor carnpoctkxq tofix-a arid Gftw corwtniukri. Scalle: 1� 40' - 11/3/23 ND WMR*Jrf is WW 7W TM SYMM VILL CWY"X 'TO RACMIN NDGWMY. � mat tw pn*" rrvmb**%PdL PAU% ymr spOwWo worapiwrt pin far Wxrnabon on propw oare ond nwktamw� W i,,o�xinsin J kpartmenit of Sa fetv a ild Professik"Ina i -Services DiVision of1jidusury Servi=s 4822 Madison Yards Way TIO Box 7302 Madi.vm, W1 53707 November 27, 2023 CUST I'D NO.,- 1330832 RYAN GAR' BECHEL W 1 19_32 560TI I AVE ARE TT, WI 54021 4XI&W KIM IL I i U a, i me 11, 0 j" 2 1 R MITNIOPAI]TV: TOWN OF RUSH RIVER ST CROIX COUNTY S 1, 1, E: JOAN ELL IS 1850 30TH AVE BALDWIN, W1 54002 LOT 02 P1 POSE13 CSM AA' 1 /4 S. 1/4 S 15 T28N R I 7W TOWN OF RUSH RIVER FOR De ibpi NN'astewater Flow Value: 600 Bedrooms: 4 Urniting Factor(s): 28"' Maintenance Required: Effluent Filter Phme: 608-266-2112 Wcb-. 111,11IF111- . l'ony Evers, Governor Dan lier-eth. Secretary Identi fi cation 'N La Tubers Plan Review No�.� PWTS-1 123026og-C Application No.. DIS-1 12347796 Bile ID No.- SIT-123692 PI ease refer to all i denti fi cafi on numbers i n each C 0 I'T c s p on d en c e with the Department- Condi'YGnally APPROVED Dr: P T Of` SAFE TY AND PROPE S S 10 NAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual - Version 2. 1 May 20,22-2.027) Pressure Di st ri bu t i on C om ponen t M an ua I - ''version 2, 1 (May 2022-2027) SITE RFQt111Fisni N1Fonieu NTmei si tS' 0 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 Depart rent electronic stamp and signature steal I be on the pl an s which are used at the j ob site for con structi on . The following conditions shall be met during cmisirtiction or installation and prior to occupancy or use: . .1 '1 i, wi� 0 Pe-eserve, dispersal area priorandduring construction to avoid dsturb,,e, compaction and use of the site. 16 NN"ith. new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. kk as to wa ter generated from c o n tractors cl ean i rig of eq u i pm e n I and too[ s and/or left over co ri,, t i -ucti on products s h a] I not be discharged into the drains discharging to the privrite nsite wastewater treatment system ( POW 1 -S). Waste generated shall be pi-operly disposed of on -site or off site. Any tall grasses, leaves and shrubs sha I I be cut short and removed prior to ti 11 in the surface for 1 nstal lati on to prevent matti Ing under the dispersal are -a. All loose organic rn{.utenial to be removed from POWTS Dispersal Area, 0 Divert surface water from all POWTS Areas. Prior to construoion of (he dispersal area, check the moisture content of i h e soil, to a depth of 8 inclies Smearing and compactingp oi-,oet wil ".,I[[ result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a :soil sam pl e betL%--een the hands I f it rolls into a 1. /4 - inch N;.--i re. i 1i e ei i e is too wet to prepare. If it cruinbl es, site ,))reparation can Proceed I I" i h e site i s- i;:�w %, (:i to prepare., do not prose(-d t,j i i i i I � i, k I r � c-s, I I I All 111 co piping sli,�,w'k,nn w SPS ]'able - 3,Lsl 3()-_")' and SlIS TiAble I _81 is Insulaie building sewer bc,,,,ond 30 feet per SPS 382.30 (1 1)(c) 0 Weli setbacks to meet chs. NR 811 & 812 0 Tank Installation to follow all manufacture's -recommendations. Verify property Iine(s) prior to installation - Pump Floats to lie set and verified perapproved plan. Any changes may result in pump resizing to meet TDII and GPM Specifications. Areas that are occupied with rock tree rcts, stumps and boulders reduce the amount of soil availablefor proper treautent It"nc) wher site is available, trees in the basal area of the mound must be cut off at ground level. Alarger fill area is necessary when any ()f the above conditiOnS are enCOUntered, to provide sufflicient infiltrative area.. OWNER RESPONSIBILITIES The current owner., and each 4 bsequent owner, shall receive a copy of this letter includi ng i nstructions rel ati ng to proper u se and maintenance of the system Owners shall receive a copy of the appropfiate operation and maintenance manual and/or owner's manual for the POWS described in this approval and Wis. Admin. Code § SPS 383,54 In the event this soil absorption system or any of its component parts malfunctions so as to create a health huard, the property over must follow the contingency n I , plan as described in the approved plans. The submittal described above has been reviewed for conformance vvith applicable Wisconsin Administrative Codes and Wisconsin Statutes- 1'he submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any comporient. manual (s i referenced above. The o%vn er. as defined in chapter 10 1 4 0 1 ( 10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage i nor 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 c on strust i on/i n stal I ati o n./operati on. In granting this approval, the Division of Industry Services reserves the right to require changes or additions I should conditions arise making them necessary for code compliance. As per state stets 10 1, 12(2),, nothing in this review shall relieve the designer of the ibility for designing a safe build' I I I res 1) on si 1 1 1 din; StrUlCtUre., 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 o�n thik letterhead, Sincerely, Tim Vander Leest POWTS Plan Reviewer Division of Industry Services Phone- 608-5 16-6134 Lill -,ill tim vanderleest(O-wisoon sin- gov I-ec Require& $2-50-00 Fee Received- $250.00 Balance Due- $0.00 Refund Expected: $0,00 Property Owner/Client: PIN: 028-1024A"00 Site Address: 1850 30TH AVE, Baldwin,'14`11 54,000 ----------------------- r. ,,Lntyq_T_Crn_ 6 Fff-o,l Pg., 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 EFFLUENT DISTRIBUTION LATERALS Pg. 5 TANK SPECIFICATIONS Pg. 6 DOSING AND PUMP SELECTION Pg. 7 FILTER MAINTENANCE Pg. 8 MANAGEMENT PLAN Pg, 9 MANAGEMENT PLAN Folml �Ofrefl I IzTmd t -1 70, d Tj Wastewater Type: Residential I Estimated Wastewater Flow: 400 gpd RXIMMIM41 EVA L UA 7"10 N.F M 013 MIW momme !V3797.9 "00 11 1 1 1 0 a is Limiting Condition Depth: 28'F Maximum System Depth: At)ove Grade Contour Elevation: 102.00' Li m Iti ng Condition E Iev: 99.67' Land Slope: 9% Pg. 10 SOIL TEST Pg. 11 SOIL TEST Pg. 12 SOIL TEST co"Itfonally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERMES �144110ISIZ111 *100] jlri 0141T41 4 # Bedrooms (residential): 4 # Occupants (per capita flow): - Public Facility Flow.- NA Treatment Level: Effluent 1 I n-situ Sol I Application Rate: 0.4 gpd/ft2 Dispersal Cell Loading Rate: 1,0! gpd/ft2 POWTS DESIGNED PURSUANT TO: Mound Component Manual (Version 2.1) Pressurc-',, Distribution Component Manual (Version 2.1) Comments: ------------ :New 4 1)edroom hori(-2,. No homc% busire esc,;- No sewage ejector/grinder proposed. C 0 IV RYAN G. BECHEL D-2263-7 PRESCOTT JLJL/3/2023 SIGNED: ADVA CED ENVIRONMENTAL LLB Is I C; W1 19 32 560TH AVE, PRESCOTT, W1 54021 (651) 32 7-00 74 e""1111frill %I �0 Designer. Ryan the I' 0 2023 Advanced Certified Soil Tester- 1330832 Envimnmenlal LL C De!sigrier of Engineering Syste_ms. D 2263-7 All rights reserved. d BM = 100.00 Top of 1-1/4" Sch 40 PVC pipe (note: BM not found) 44 ±601 4PT sch 40 PVC *All property lines not each mark drawn are >I 00ft from A�F Soil BGr-ng N system* 1 SCAT I. 01 40 Field **Well to be located >50ft � edge from soil treatment area & > 25ft from tanks** Wieser 1200/800 w/ Best GF-10 ti ±201 2 sch 40 PVC 70 '7 S) S FEM NOTES 4 -r - hi, en, ink -BFcng ns", A 21D 'a I grade -Bes t GF- 10 $16f Wf al -Do nal aou te clear *a'wces into s aUc lank Pump-Tartk F Wnp neod� • MM tw*- aswc t-. -18 1a] n all UbW W -R�aAate Ll! is arlil TDH a* inW -Event MWW j m* mear recargywdod Qa%il To-.&,arwn&nr A"w -1 U x W Aggmme ¢,�"und 11A x Bi -77 3'x Z) 6'�xftde dnwsws (L x W "i -IID2 67 dsperwl cam!' e4vftn u 102 CC contour -6' ASTY C-33 swo- I[D) -CLq S,%eps fti.-O to or avowd dggiriq -Mcw sntiirs "F:1t4— _Pr,*:� 16 dwrrg contn -Qeptl� t.-ednctoTi t 28' 1 RedDwriamNc feetires) Gch 4C 03 F 1 f made( &16fad WwD* * of CM @ 3 a Current grade -tjkm te be www 18' ftom er�d of hid B' to WK .0 n d -Dernard, dose Floso Ltd r,,Us W e,�f g rz 112-.90 age LOCATION MAP (not to scale) ON F- 6 07.00 BMA 1 Top nail in 30" harwood tree B2 Assume11 102.SITE (17 above grade) 36 L R-O-W edge 0 00 Note: BM2 sset 10130123 by C�> i 30TH AVE 00 1 Advanced Environmental) Joan Ellis Site Acid 1850 30TH AVE Baldwin, W1 54002 ND, 028-1024-Q-000, 40.0 Acres 3&T-WAV E, 11-nail. Lot 02 Proposec! CSM SW 1/4 SE 1/4- S1 5 T28N R1 �W TGwn of Rush River an Tug ow abubmi 'nft Wgftn hm b� devigmW Indevc9L%&W In a a r a 'm m■ wft L StffW and cKxA cxxim T1-0 s bwbm qw P m Protect- from dw6jrbonoo arxVor cornpoctkxq tofora arid Gftw carwtnjubm Scale: 1' _ 40' D -a t e- 11/3/23 mD WMR*Jrf is WW 7W TM SYMM MILL CWY"X 'TO RACMIN NDGWMY. � mat tw "" "KArftk%PdL %V% ymr WoWns worapiwrt pin far Wxrnabon on propw oare ond nwktwxxx;,w � 111p 1111P KA 7 J 4.61 L 77.31 W 29-61 Observation Pipes (1/10th of B) 6.01 Dispersal Area Required-, 1500 ft2 Absorption Width (A+I) 25-0. Dispersal Area Proposed: 1500 ft2 Dispersal Cell Media: 112" - 2-112" Aggregate Geotextile abric 104.44' 103.27 Topsoil F & Seed F �J) 2 Aggregate D ASTM C-33 SAND 10 2. 00' 9% OBSERVATION PIPES Screw -type or Inff *T no we, 4" SCH 40 PVC pipe To of pipe to terminate a or above finished grade x 6'* slots spaced 90' apart Anchoring Device (Toilet flange) 10267 Plow 6% 8" deep (min,) prior to placing sand Finished Grade (mulched & seeded) Topsoil cover (1' minimum) ifiltrabve surface PRnP A MP 'W MANIFOLD DETAIL 10127' (Top of Lateral) L 0 11/4' 011/4 7.0" (Altemative manifold connection) ---------------- ------------ Alternative mamfok, connechon,., Number of Laterals = Orifices per Lateral = Orifice Density � I 3 20 10.0 ft2/orifice 0.54 gpm A A, J111 Forcema'In Diameter: 211 Header Diameter: 11/4" Lateral [pia meter.it 11/4I I **A// press ore piping to be Schedule 40 PVC unless otherwise specified' Minimum A verage Head m Lateral Discharge Rate mur System Flow Rate � Cleanout Detail Sprinkler Box Ball Valve Threaded Cap 1 Sweep 90'7 or (2) 45 395' 10.8 gpm 32.3 9Pm P:;eii-, 4 TANK SPECIFICATI4NS 0 Minimum cover = 6 inches; Maximum cover =, 8 feet (unless specified by manufacturer) 0 Aft manhole covers shall extend 4 inches above final grade If the to ri k is within 2 fe e t of final gra de, ins ulate the lid to a n R- Value of 10 0 Min im u m 18 " of cover required aver building sewer; Insulate if greo ter > 30' 16 ng a n d < 4 2 "' from g ra de a r if, < 60""from grade under all high trafficIsnow cleared areas (drive woys etc.) 0 If f6rc e a) iF ii i will h a ve a "J- Hook 0 ass e rn bly, drill a w c ep h ole in the "'hook" 0 Bull diog sewer: No 90's, keep 3 feet between 45s,,, maintain 1 inch in 8 feet (1%) slope, install cleanouts We �Pl her P-r uo f c omt r 01 ho il c om Ph Avil Marill-itfie ;d" .4buVe with 416 � NE r_ WO Sepat al e - , pton-sp -and alvm rA4ClL1JT$ FPCZIAOre�dl go ail'. ApproveO 112.90' 1021 I r3i, k i nir, d rvi c P All light Clean Out oil 5*rve forceMain 102.90' 98.75 40 PV( pFp.e a.Lrcj%% tai&k plic qlv'll Ion I orr P %? ell" 5(..11 1-') -10;.: -F"V(, WL'9z—VWP1' •:3 E f(I oeill F 11 tt.3-f 5- PVC Float'Trve 60 1 %0081 L Pump C) ff) 95d pH 4" PuFrp Block - --- - -is - - - U A pwowd --- - - - - - - --- - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - -a. -it. - - - -•-iMy -imi -ter-. - - - - - - - - - - - - - - - - -- Tank Manufacturer/Mod c-1: Wieser - WILP1200/800-MR ial-ii- ------------ I --------------------------------------- l�l- Filter Manufacturer/Model: Best - GF-10 -------------------- — ------------------------------------------- — -------t'wi Pa,nel Manufacturer/Model, SJE Rhombus - Tank Alert I "-WWWW ------- ----------- —i�i ------------- 11 A A- AL (� J4 C3 4- WLP1 200/800—MR TANK SPECIFICATIONS o,mr%,,S1I0NS. W*LL. 3- 5DTTOW 30 COVER- C MANHX1 2A- ID PRECAST ZZISER "f_jC;H* �,Jw )r, , LN(;TH 664m O WO I of t QW %4LJ T A 1 0 WC1Q"H1 -8S. 4' CA1.15t A �4 At IH 00 T GASKET. f-DUAL 0,61 F - ANt (Xi- r9 1 (OTHER S-ATES S-L_- L10JtO CAPACJy- 3�46 GAL/N stpll 2��4 CIAL/1"Ni �P-W,P) 8' O� L.JN'SAT1.,'QATE[1 Sa.,'L -AfAo, LAN fi-E q up .11P Tic: / "Ll, � -;�- OR SEPTIC /5-IF 1, COV11FR: MIX DES: li 08 ('410 FIEER) 7 ANA MIX DES w�14 09 �WALL F'iaEp (-'IJ*iT0&AZt.0 TANK,' L ()R (,-U 5 1 0M T A NK 5 C-CN I AC T F. 5! R GON CR DRAWINGS SUBMITTED FOR APPROVAL, I F r Nor PA CAA S DOSE SETT/NGS &PUMP SELECTION DHKAD DEDCr)DRAAKUNZ DlZf H[0t7KAC7KJT1Q i Elevation Head: 8.01 Distribution Head: 4.55' Equ�prneiit Head Loss: 0.01 Forcet-nain Fr'lctjon Loss: 0.4 ft TOTAL DYNAMIC HEAD = 13.0 ft TDH MINIMUM FLOW RATE - 32.3 gDm 99.42' DOSE REQUIREMENTS 4t Mii)imum Dose.* 54.7 gallons 98,25p ------ — — — — ---------- ---------- Maximum Dose.- 120.0 gallons 400.3 gals ------ 18,01, I 1 A Design Dose: 108.0 gallons 96351 ------------------- 66.7 gals 311 ------- B Forcenialn Feet: 2 0' 96.50 ------- Forcemain 0: 2.0 tj 111.3 gals 5*0" <5� c TOTAL DOSE 111.3 gallons 222.4 Izals 10" D FEET PE51 95025 NOTE: Doyb12 floats, C-level Senwr,, Transducer, gUquiyalent reaullred -dose volume exceeds pumping range of a single journ ip fl G p N-1 FEET RiNWRINIM6 'RESERVE,' (ALARM) I fie-] 61 oil (PUMP COVER7,1 5 c1JP1%w1 Installation Instructions for the GF10 Filter : J 5ftV 1: Locate and remove the septic tank cover, on the outlet side of tan k- 1 3! Stop 2: Before Installation, place the fitter case on to the outlet pipe. M a ke sure the case is positioned so the fitter can be removed from the t a nk for ma inte- inance and service 4 5 Maintenance of the GF10 Filter A time f'r a" i , n which w p t i c tanks are serviced is se by sutte and loyal codes - Although they may be d I ffe ren % most 1 eg ii I alory agendes suggest two to five yeas We recommend the G F 10 filter be c leaned whert the septic tan k i s n o rm a i I y ckenod and Pumped, or as needed - I WARNING: If the liquid level in the to is above the top of the filter, pump the tank prior to removing the filter cartridge. Stop 3, Fof Installations that CAUTIO N: USE RUBB ER G LOVES WH EN HAN D LING F ILTERS1 0 require or desire add i d o na 1 support. (l[f ad ditkm a I s upport Is not needed, go to Step4) Gluea Stop 1: Remave the septic tank cover section of V Sch 4 40 pipe to the and pump the tank if necessary to two h u s located obottom bn the p revent a ny solids f rorn esca pi ng to the rol! w of the case and the hub located field when the fitter is iemoved. on the side of the case. Stop 4: Glue the fiW case onto Step5: For InstallatbnS where it will the outlet pipe. Insen the filter be difficult to reach the handle, place cart6dge into the case. (Make 1 'Schedule 40 pipe into the tee on the sure the fitter is completely ha n d I � a n d extend it to height that wl 11 inserted into the case.) rrke it easy to remove the Mei. j BEST Installation of an Same as a now spiem on Illy t h e septic to n k existing system. must be pumped prior to installatian. 4D 0 Step 2: Pull the filter Step 3- Wh lie hol d 1 rig t he Stop 4- In sef-%. the cartridge handle and slide the fitter filter cartridge over the back into Ole case making out of the case, access opening of the tank, sire that It is property rl n se the cartridg-e off wttih aligned and compla" fresh water. Ta kip ca re t o Inserted Into the case. make sure all so lid nn-ater is I falls back Into the tank BEST TECHNOLOGY 3 Fseeid Blvd, Wal[Ingford. CT DM92 14977-IWSW Fax-- M-284-8514 Page 7 ��L1►rlT �. ■ jr The owner of this Private nsite Wastewater Treatment Systern (POWTS) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintenance activities necessary to ensure tong -term system performance. Tasks that Should beperformed by the homeowner are ide n tified. Pro tess ional managem en t tasks shall be performed by a registered PO WTS Ma in tainer in acco rdance with S PS 3 83.5 2 (3)4 Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get aCcompliShed in a timemariner. Pursuant to SPS 383-52 12), Wisc. Artmin. Code, this system Shall be corasidered a human health hazard if not maintained in accordance with this approved management plan. No- Keep this Management Plan with your Septic System Owner's Guide. No- Keep copies of all pumping records, maintenance activities and repair invoices with this document. lo- Review this plan, with your POVVTS Maintainer at each visit, discuss any changes in prod act use, activities, or water -use. FA irk rA%A DWgn Pam meb" System SpedficaUons Number of Bedrooms 4 Septic TanK Manufacturer — Meserl Design Flow (gpd) Septic Tank Capacity (gallons) 1.205 Soil Loading Rate (gpd/W) 0.4 Effluent Filter Manufacturer Best Standard Effluent Quality Effluent I Effluent Filter Model GF-10 E311iological Oxygeri Demand (BOD) 2 2 0 mg11 Pump Tank Manufacturer VYTewr. Total Suspended Solids (TSS) 150 mg11 Pump Tank Capacity (gallons) 801 Fats, Oils, Greases (FOG) 30 MIV, Pump Manufacturer Per Installer Treated Effluent Quality Pump Model Per Installer B10109cal Oxygen Demand (SOD) rngll Dispersal Cell Type Total Suspended Solids JSS) /W/ Mound Fats, Oils, Greases (FOG) MV/ Pretreatment Unit Description NA Max Etf luent Particle Size (in) Homeowner Management Tasks Professional Management Tasks Cheek (listen, look) for leak 's it) toilets and dripping faucets. Repair teals promptly. Regularly Cheek for wet or spongy soil around your soil treatment area. Contact service provider If issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes. vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional if any alarm signals. Lint Filter- check for lint buildup and clean when necessary. tf you do not have one, add one after washing machine. ------------ Caps - Make sure that all caps r9od lids are, intact and in place. Inspect for darnaged caps often. Fix or replace damaged caps. Effluent Screen - Check and clear i per manufacturer recommendations. Liquid levels - Check stodge 1serg mleffluent levels in all system tanks, Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent leveis (if applicabie) Verify pump a rid alarm system functions (it appficable) Inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (if applicable) beck event counter/e/apsed time rneter and evaluate water usage rate compared to system design flow. Check dissotved oxygen and effluent temperature W tank. Check for surtacing of effluent or other signs of problems. Verify inspection Pipes are capped and intact. Provide homeowner with list of management results and any action ito be taken. Sep 6c, system repbament area: PMOot semmWry symqwn sft fmm traffic, compaction ., etc. (;'f applicabie) S T &vbr County ZonIng Ofte POWS REGULA TOR. A DDRESS: 1101 Carmichael RD, Safte 1200, Hudwnf W 54016 (715) 386-4,680 PHONE. Pa nay A START-UP & OPERA 77ON For new Qgl3spuctign Prior to SyStern operation, check septic pump tanks for the presence of painting products or other chemicals that may Impede the trc;,atment process and, damage th e dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall notOCCUr when soii I s (-.-i re, frozen at the i nfiItrative surface. 12wrinji Qgymr outegm Pump tafiks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastiewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it Is highly recomrneiidecl to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manualty (JOSe the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over', or otherwise. disturb or, compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. MA INTENA NCE INS TRUC TIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. -,-,pections must include a visual inspection of the to to identify any missing or broken hardware, Identify any cracks or leak s, measure the volume of combined sludge and scum, and to check for any, backup or pond in of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsoundZdefective access openioPls UO.-renla,od i[ioMedia ely. The disper'sal cell(s) shall be visually inspected to check the effluent levels In the observation pipes and to check for any pond in of effluent on the ground surface., Po riding of effluent on the. ground surface may indicate a failing condition that requires immediate attention by a licensed septic protessional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet haffle., or whenever the scum layer is within 3 inches of the bottom of the outlet. baffle. In no case shall total sludge and scum volume occupy greater than ,21511/,7 of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter, should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. if the filter is equipped with an alarm, the filter shall be serviced If the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm and should be evaluated by a licensed septic professional. Pre-treatment components -shall be Maintained and serviced by a licensed septic professional according to the nianufacturer's recommendations. CON77NGENCYPLANS if the septic -tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pal rtip, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal 1)erformance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall, be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at secondary system site (if Identified), or and replacing biologically clogged absorption and dispersal media and associat� ] piping. If repairs or rebuilding is not P().,,slble, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. ALMNDON MEIVT If the septic system falls and/OT is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wise. Admin. Code abandon mei�t regulations. Requirements 111CILide: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local goveri-(mental wilt- WARNING11 SEPTIC, PU M P . AND OTHER TREATMENT TAN KS MAY CONTAI N LETHAL GASSES AN D/O R I NSU FFICI ENT OXYG E N. DO NOT ENTER A SEPTIC TAN K, PUMP TAN K, OR OTHER TREATM ENT COM PO ENT U N D E R ANY C1 RCU MISTAN C ES. D EATH MAY RESULT. RESCUE OF A PERSON FROM THE I NTERIOR OF A TANK MAY BE D1 FFICULT OR IM POSS I B L E. ALWAYS CONSULT M ST CROP NTY SANITARY SYSTEM Fle?F. �1�..ro.i.,��� 10ffice Use Only OWNERS H I PIADDRESS FORM Crea=edzRa21 A Community Development Department Will utilize This information to provide the'property owner With information regarding operation and maintenance of our new or replacement sanity system! This � � p � p � � information will be provided bs part of our ongoing efforts to protect public health, your well, groundwater, OF surface wa' ter, property values, and county resources. once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer oar} EL I i` S Mailing Address ! 8 t} L!- 3 o 4-k rtUe z City/Stafie/Zi p c� I cl W ►`n � .�lLI OD �2 Phone Number (required) Co i a — a, `I- r7 ! Email Address (required) 1 o a-h w►, e, rn Parcel identification Number D a 8' — 10 — 9-0 " 400 parr of (found on the property tax bill) r NEW 5Y5TEMi� LEGAI. DESCRtPTlON u 5,1� Property Location 90/4, 1/a ,Sec. �(�, T a g N RAW, Town of Subdivision Plat: proposcj csm .Lot # f.��. Certified Survey- Map # I U .Volume 33 .Page # 33g Warranty Deed # �3`{ ��� (before 2006)Volume .Page # Number of bedrooms �_ Spec house Q yes ono Lot lines identifiable 1Vyes ❑ no OFFICE USE O LY vC(,cW New Property Addressg5-o� A� S. ;L (venfrcation of new address required from Community Qgve pment De rtment for new construction) - Teo, Staff initials} (Date) This form must be submitted with all Privote Onsite woter Treotment System (POWTS) appl cotions. New System: Include with this form o recorded warranty deed frorn the Register of Deeds Office and o copy of the certified ; survey map if reference is made in the warr onty deed, }F •lid t Community Development Department --- Land use Division 715-386-4680 St. Croix County Government Center - 715-245-4250 Fax cdd _ scCw�.g0V -1101 Carmichael Road, Hudson, WI 54016 ww.sccWi. ov J 2350:" 198 -73.4-7s-7 `t STATE BAR OF WISCONSIN FORM 3 - 1999 Document Number I (QUIT CLAIM DEED This Deed, made between Perry D. Mont etit a single person, Grantor, and Grantee Juan M. EHIs, a- sing eperson. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): SEI/4 of SWI/. of Section 15, Township 28 North, Range 17 West, St. Croix County, Wisconsin. This Reed is given pursuant to the Judgment of Divorce between the Grantor and Grantee herein, which Judgment was granted on December 28,1999 as File No. FS-99-5473. Together with all appurtenant rights, title and interests. Dated this 25"" day of July, , _ , 2003 * AUTHENTICATION Signature(s) authenticated this day of , KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 08/1.1/2003 08:15AH QUIT CLAIM DEED EXEPPT # 8N REC FEE: . 11.00 TRANS FEE COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address First Federal Capital Bank 704 Main Street River Falls, WI 54022 ATTN: Marlene Schmidt 02$-342440-000 P5#xei Identification Number (PIN) is is homestead property. (is) (is not * Pe, ar . Mvntpetit ACKNOWLEDGMENT STATE OF Wisconsin } )ss. Pie '54 Ya I "k, county } July Personally came before me 25`h day of 2003 the above named Perry D. Montpetit, a single person TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) HO��•0 nstrurnent and acknowledged the s e. 04 4* w`417 rs THIS INSTRUMENT WAS DRAFT] �� '■ /-.,O"j Attorney David J. Estreen = [� TAR}` * ,� --"~ _ f •-_ © �3 c..- 304 Locust Street :Nottry Public, State of&V 0-A I Hudson, WI S401b %, M ornrnission is permanent, (If not, state expiration date: • 1� w�a (Signatures may be authenticated or acknowledged. 13ot,Qt. ecessar�r..• tl ' 1;N0a,fikww . 7 * Names of persons signing in any capacity must be typed or pri"w wMOF Lure. Information Prcafmionals Co., Fond du Lac, W1 STAM AISCONSI i 900-65- � 5 �0 1 QUIT CLAIM DEED FORM No. 3 -1999 C�) Wisconsin Department of SM ety and Profession W Servi c�es Page 1 of 3 Divr--zicf� of Industry Services 7 C-023 SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County St. Croix -Attach complete si!e plan on aper nL-.t less than 8 1Y2 x 11 inches in size_ Plan must mt limfled to-�-Yga�Jcal-Adnd onzontal reference point (EIM). direction and Percent slope, Parcel I - D?�, �� scale or dimensions, north arrow, and loCation and distance to nearest road 028-1024-AO-000 Please print all information. Romwed b A Pei-tpoal irtformation ypu provide may be used for secondary [)Ljrppses (Pva Law, s. 115.04(1)(m)). Ir- Property Owner Property Location Joan Ellis 1111 A Is ha Govt, Lot SE % SW 114 S 15 T 28 N R 17 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name 0(� �o 1844 3010 Ave, vyi 02 Na Pro used X city State Zip Code Phone Number El City El Village M Town Nearest Road WI 54002 (612.) 247-5527 Rush River 301" Ave- Ref #2710 L Se Z Residential / N u rr leer of bedroom s 3 Code derived design flow rate 450 GPD Public or commercial — Describe Parent material Glacial Outwash Flood Plan elevation ff applicable na ft. General comments and recommendations- Sorl evauation copi-ripleted for survey maiD review Additional sail testing may be feqUire-d based On final nstru o9jocation choice Site suitat)le for mound POWTS Recommended infiltrative surface elevation to be IP5-V atabove 102 00- conta,,jr D2 i -G? Boring # E3orrng P it G round surface elev. 99.17 ft. Depth to, limiting factor 29 in. 15%nd Annilr:4finn Pntp Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az, Cont. Color Texture Structure Gr. S-,- Sh Consistence Boundary Roots GPDIFt, *Eff#1 E f r-92 1 0-12 1 Oyr3/3 none Sit 2fg r mvfr as 2vf-f 0,6 0.8 2 12-20 1 Oyr4/4 none Sil I msbk mvfr gs 1 Vff 0.4 0.6 3 20-29 7.5yr4/6 none $I I msbk mvfr cs 1 Vf DA 4 29-35 7.5yr4/6 f2f 7.5yr5/8 Is 05g Ml CW 1Vf 07 1.6 5 35-45 7.5yr4/6 saturated flow Is Osg M1 07 1.6 . ........ ... Ll Boring N Pit Ground surface elev. 102.36 ft. Depth to limiting factor 33 101, in Iqn11 Annlie--atinn Pnfin K orizon Depth n Dominant Color Munsell Redox Descrsption Qu Az Cont Color Texture Structure Gr Sz, Sh, Consistence Boundary Roots GPDiFt2 "Eff#1 *Etf#2 06 1 0 1 0-8 1 Oyr3/3 none sl 2fg r mvfr Cs 2vf,f 2 8-21 1 'Oyi-4/4 none sil 2f sbk MOT cW 1 Vf 06 08 1 6 00 3 21-33 7 - 5 y r4,`6 D none f2f 7,5yr5e'8 Is srrat s/ Dsg Ml Cw 1Vf 0.7 00 4 33- 7.5yi-4/6 & 53 1 Oyr— - 53-65 7,5 y r 4.43 Osg & wkly mi cW 5 6 I Ifs cemented Om aw c2d 7.5yr5/8 f S/10S wk[y cemented 0 M tirriueni 41 = bUU, > 51.1 SUU Mg/L an i bzD, > JU S Miall- trTiueni:;;z buu, > 3U S Z21) Mg_11- 2na I bb > �JU S 1N mg!L CST Nar=- (Please Print) S ig na t CST Number James K Thompson -el 30021 Address Date aluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola VVI 54-020 5413 May 18 2023 (715) 1248-7767 SBD-8330 (R04/15) ! ,r 3 Baring # ❑ Baring ® Pit Ground surface elev. 1 a2..29 ft. Depth to limiting factor 228"" in. Anil Anniir_atinn Rasta Horizon Depth In. Dominant Color Munseii Redox Description Texture Gu. Az. Cont. Color Structure Gr. Sz. Sh. Consistence Boundary Roots GPt31Ft2 *Eff#1 *Eff#2 1 0-11 1 ayr313 none sl 2fgr mvfr cw 2vf,fm 0.8 1.0 2 11-28 1 ayr414 none sl 1 msbk mvfr cw 1 vf,fm 0.4 0.7 3 28-38 1 ayr�418 f3d 7.5yr518 s asg ml aw 1 vf,f 0.7 1.6 4 38-66 7.5yr414 f2d.5yr518 sl 1 msbk mfr - 1 vf,f 0.4 0.7 Baring # ❑ Baring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Anil Anniirntinn Pnto Horizon Depth In. Dominant Color Munseii Redox Description Gu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Anil Anniirntinn Pnto Horizon Depth In. Dominant Color Munsell Redox Description Gu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFF *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30E 220 mg/L and TSS > 305 150 mg/L * Effluent #2 = BOD, > 305 220 mg/L and TSS > 305 150 mg/L f1°� �J ao}� Hof � � 12 w Wisconsin Department of Safety and Professional Services Page 1, of 3 ri 'v i i i c, r i of 1, nd u stry Services SOIL EVALUATION REPORT In accordance with SPS 385, Ws. Adrn. Gode County St Croix Attach complete site plan on paper not less than 8 V2 x 11 inches in Plan must include, but not limited to. vertical and houzontal refierence point (13M), dirl":'11, Irl Parcel I,D1-11N," d percent slope, ' scale or dimensions, north arrow, and location and distance to nt: -:,aid. 028-1024-40 000 lief 427 10 Reviewed Please print all information. by Da e PC)"- I 1)atlon you provide may be used for secondary purposes (Priva y Law. s. 1,r). 04 Property Owner Property Location Joan EMS Govt Lot SE 1/4 SW 114 S 15 T 28 N R 17 E (ar) W Property Owner's Mailing Address Lot # Block # Subd N,--ime 0(GSm# A A 1844 30"' Ave, 02 Na o-,�d CSM City state Zip Code Phone Number El city 0 Village ED Town Nearest Road VVI 54002 (612) 247-5527 Rush River 301h Ave, Use. Z Resdentiall/ Number of bedrooms 3 Code derived design now rate 450 GFAD L1 Public or commercial - Describe, Parent material. Glacial Outwash Flood Plan elevation it applicable rya ft General comments and recommendations- Soil evauatiort caprnpleted for survey rnap review, additional soil testing may be requifed based on final pnstruc orl,location choice- S-fte suitable for Mound POWTS Recommended infiltrative surface elevation to be 10,5 67' at Pq above 102 00'contour Horing 4 El ring F1 pit Ground surface elev. 99,17 ft. Depth to limiting factor 29" in; F_s' n it A#n.nl'r�t1 _- 71Ann14r;411n_'_ Horizon Depth In. Dominant Color Munseill Redox Descrip(ion Qu. Az. Cont. Color Texture Structure Gr_ Sz- Sh, Consistence mvfr Boundary as Roots 2vf,f GPD/W 4Eff#1 *Lff#rl 06 08 1 2 0_1 2 1 Oy r3/3, 1 Oyr4/4 7 5yr4/5 7.5yr4/6 nof)�.. s I a 1101ne Sil 2fgr 17-70 20-29 29-35 it 1 msbk mvfr gs lvf,f GA 04 01 0.6 0.6 1 6 sl I msb k mvfr Cs lvf' 4 f2f 7.5yr5ffi Is Dsg Mt CW 1Vf 5 35-45 7,5yr4/6 saturated flow Is Osg nil 0.7 1.6 0 Boring 21 pit Ground surface elev 102epth to limiting factor 33" in F7c�r�, I —An ri I i _rn f iron P n t—P, Horizon Depth ln Dominant Color Munsell Redox Descripflon Qu Az Cont. Color Texture Structure Gr Sz Sh Consistence Boundary Roots GP0}1W aEff#1 'Eff#2 0.6 111.0 1 0-8 1 Oyr3/3 none sl 2fgir mvfr CS 2vf,f 2 3 4 1-21 21-33 33- 10yf4/4 none sit 2fsbk MvIf cW 1 Vf 0.6 08 7 5yr4/6 7.5yr4/6 & none f2f 7,5yr58 Is strat. sl Osg Osg & wkly M1 M1 cad CW 1 V f 0.7 0.0 16 5 6 53 .1vr514 c2d 7 5yr5/8 is/ Ifs f's/lvfs cemente wkly cemented 0M 0 1 -n aw - 53-65 7.5yr4]6 h."Went #f 1 BUU, > JU S 2;eU mg1L and f N:i 1 5U_Mg/,L CST Na-n,-,:- J"lease Print) Signar 7-1 Address, Date 0alluation Conducted P,;i me, OsceoO. "PI 54020-5413 May'18,2023 Effluent #2 =r 8QU, > 30s 220 mg1L and 1-55 > 30 s 150 mg1L CST Number bvo 4-04t&&� 30021 Telephone Number (715) 248-7767 S13D-8330 (R041 I!)) pang 10 OF 'C'07 P�y 'VIC CIO A N IN >40 a N4, IN VA (y2oll +jII j jr ! f i J 3 II 33 }� i � i• y' i s 't� s �� 3 �� s �r ) I Ration (:9) 6c ,a t1e . ....... . ......... .. . . ........ --- - - ------ 11 4- -4L -k 4- Z 4- 4- _x j j -A -A 4- 4- 4-- DESIGN PPA6E PRE:,-1 INARY pm -Ali 13/22/23 5V 5E-T PLAN 9/25/23 MNAL H/a/23 C) LU ir 0 as 0. 0 C.) z 0 pvmw� LUNC) BUIL5ERS o-N6 AL- R:r B- T KOT LINITE--, TC)_ T4- E5-'J8PRN7,5 OR T-Look pLA,45 CREATED NOM 7WiS 4GPM-IENT, '-N-) 5UU, FR5 THE BLULIPR 14' r,4R F--(h? R r-LAq '0 THE C.Zlc7rj:-R FOR PUR.05E5 :- C -CN5TrL$r-T)NG THE 6TR'.CTURt DFP1a 7EP N - 4E BLWE7-R IV OR FLCCr, F14AN, Tf-ff CbTomm S"L- NOT jl-i5TW:eU, . E ro T,6 PLBUC OR D16P-A, TOO tiLUEPRINT LIQ FLOOR PLAN, !Hle, a"O-fZINT ^R F-C>C)IR PLAY 15 NO- A WORK MADE FOR HIRE AS r>EF,,tF_ UNE;,ER I'. LA.&C, secTlov 10 ALT:4CEi 4 EyM,,r pFF-oRT WA5 D.FN "ArE :N PR "FARE*i[a -PF5E *-4"* AND CPEGKT4n -HEM FOR ACZ-RAI--'r_ VER." GR4E:;,EB. tO -tING 5I2g6 rm-F'VATION.5 ROLk-4 armNING5 HEADER Alt} mEtm 6t£E AY,p ALL :77-4ER A,--, SPECS ANz-, BE RES CNS.BLE FOR T-rz $AME, R<B A l 8--ir 1 - 4 101�011 __T_w_3t + (:G,F �Oundatfon Plan (:G,F �Oundatfon Plan 51-4%411 &I-10" rwsoaz-2 ------------------------------------------------------------------------ I --- t--t------------------------------------2€ s -------- - ' 3 1 , 1 I I I I I 1 I , � . ' I EkOrcom •1 1 I I I I I I i I�•_fn x ,��,1 I i I I Z I I Carpet I , I I I 1 I I II 4 -O J ;4 -2 4 , l _ ------ 2x4 9eerl L Al€- 5, �,-x fi S'r_______- ------ .p 1 • - - - - - - - - - - - - - - - - - _, - _ - T - - - - - - - - - - - - - _ _ - - - _ � _ _ - _- _ _ _ _ _ _ _ _ _ .3; �,�II ll�l1 O w. I. C. 3 •p � �.' 9' Cluj. 1 a a• GdrpBq � 1 € � I I •P I 0 D I s~rlY,p I Bath C.? 9' C.IS. T Mach, I 9' GlG. nVT ;Q 9 Cie. o' I L V T x Colv-rste n 'Etsctric I -M PourBd WalI 15arvECB 2Q"xB" F60LI� � 6Q"x30" Tubr5rr. , I V D 1 • 1 ® I I I I F . Pb¢ P � .O • • i Po-Q P ,y ' •s Po-4 P � •V • � 1 np �P• .� nq .G .b AP. I GENERAL NOTES- -ILL EXTERIOR DIMENSION$ A,r-E TO OUT50E Or EXTERIOR 5-+EATWl�6 ,aLL fNTERIOR Da MENSION5 ARE Ta FRAMING A-', i,4 ADER5 2-2A0 UNLE&$ NOTE-- OTHERLUI6E (vEWFT ALL WEARERS EUI7}.I FINAL TRU55 DESIGNl vER?F• FLOOR JOIBT OR F! OCIR TRU55 SP-4C11-4G o Tf:_ ]. KITS:-i=V I5Lrl"06, AND/OR W,P TUB ARE,45 A_L L!N00[U5 5140WN ARE AND RSEN DESIGN PHASE FRE:-SM HCRY F:.A4 5/22/23 g G SET PL:SV 9/25/23 f 11vL.L �L AN 11/8/23 REVISECN I >X U r U Q 6 U LL1\:� MILDER.B CUN5 ALL klr.a41FS IMG«IDIN4. HL'T NOT 1.MITEZ� 70 GOPYRIGu75 DF THE 15LLEPR NTS OR F:AGR PLANS GRFA-E%` JN-� ER 7W 8 AGRFM'lE'NT. LUN21 9urLDE'WS �ICENpiE$ TI-E L71 uuR 47 OR F_OOC P_a\ TO 74E Gi.5TC17ER FOR PURPO&E6 OF GOHSTRLCTING 'fwE STRur--U ZE !: rWIGTM P. 7;4E M WEPRIN' OR _ FLOOR P.AV. -THE 5aALL No- PI._scArr, V-Sl Rfnt?E Tc T'E PUBLIC, OR P15P«' AT TA6 SLl1E�'RIN- CR ✓FLCCR PLA�L -H15 DLUE-RINT Oft FLOOR PLAY 18 !.OT A LLVR< MA:* FCQ >•TAE 43 JVFER 11 L.9.C.=EC-ICV IC'. gLTs•.C>i�G..s EVE"WT HF+O RT f-A& 9EEIt ":+GE 114 -RE-A$ic rC TF@5E I-LAN5 ANF, GHEGIGNG Ti•.[T" FOR AGGJi2AG`", C�1ti-RdCTDR�F:OYEOWYER MUST VERFY SRADE5 FOOTING SIZES F.,.EVAMDIW& Rok;GA OPe NIW1 8. *4AC,VR Aug eEA!l VZF5 Aran aL- CTWER . 3EN$1ON$ AN-- $P~GS ANC 5E RESFON51 :.E FOR TmiE $A`•E. Ag tis"9eR a+Iw- I&.- MOOR 2 s-w 2 0• 4 341-011 ac'-O'l RL*&0a0L1 R.0-5,-O, x 0,-0* 22 -6 41-111 5'-k1" 13'-4" Gil, f6-3 GuiM R.D. T-116" x 111` ri.p. 4'-9" x 5'-0*6" 2 Ply. 9 !f2" LSL 2 r�:y. a 1/2" L5L t !! i j ° !I � 60"xiG"Tua/Shr, !I � Calpet !I \ I€ Master Bedroom 4 l� 1z'-a < I� o" x Lfvlre y Bath !f g' cic,- �v Q- 9' CIO. 3' CIAO. Carpet 4 r LVT Il v `all {Y r!l �11 +I-0 P!r �1! + I]I] D!�. !6 R. 3,�<< x g'-8" 3'-O' x 6'-$" 3 •O` x �' 8'' _�.... �y / t ,( LVP ! L! W, I.C. 5�-211 L -V!I iIs_�r ,411 �'-1111 4f 9' Ci . 4€ GerpBt ! � I I -all Wf' SET TCZUSSES It 1i 1 1i I Bedroom 411 I l� er ! m Ctg. tr-t` x tr'-e• f l} Bedroom •2 � € '� S' CIO. € It € Carpal f It S' CIO. � I x l! Carpet I LL W/ _ - - _ - Girder ea � - - - - _ - - - - - - - - - 1�" Tram. Q t . Porch Q cuz5 C UY25 Z�' j-01, 1�J' -o II WALL BRACING DESIGN F3PASE CIRGUMCRiBED BRAG iNG ._F OF WALL : F OFF W-aLL >=RELIH NARY P:A\ BOx I Y1Er4iC�C1 REL7JIRED �'RC]V11�� NOTES fao)i ' SEAR cpr GONTIhJL�lS 5•!E'A i:J�Wr $ 8f��1�3 5 ^ SET PLAN G +7 BOX ! F"I 51C'E COY'^,CVa &_AiAT"iNG S 15' E+c'EN�C'ia :.1L'A_`E'i �f25f23 L%Cx I R :BHT S:pE CCY?!h JGV7 9+£A1i.,1N�� !..4' 12 F1NA� tl�.�Ft .y 11f8f23 RCr LEFt gU+G, CCV7thJG 39 S.IEAI-ijitJCs 1.5' 17 ra EYl$!CN I FLY=_ TO Rif_( HEIa++T 6 BOX I DIHNS";>45 80 x 30' REYSioN 2 1V: C-'4T56 ILL'_: 9st. INCa Fitbi=fi:: REVISICN 3 j�VlI�j1, yr r c E3ox I RBar �{ _T m LCl o J Ju �cx i Frortt Ir 0 i3 '_ilh.? L'+.:ILDE45 OW45 4',.L R'CaHT5 IVG_s:DiNG. BU7 NQT '- r" ll-LD TO GOPYRIC."'M OF THE B-LSFR 416 OR FLOOR PLANS .' REA-ED JNrt`R Tf-+'S A413RE6`tENT. L UN:, MiLDERB LICENSE5 Ts,E BLUEVII 4' CJR FLOCK P_AN TO T.iE Ci.3T0-'r:K FOR PUR-VSE$ OF CC�N5-rRC_TINiCs 7:4E 57RUG-URE Dr-F ICTED f\ -"E B_t1EFR:N OR FLJPR PwAN. THE G::STP" EQ 5+44LL r,C- CI-J''LIGATE. C ISTR3B'..TE TO T-E GENERAL NOTES: f'I, OR Dt9F A'i THIS F5 _UEc'FI OR 'I LOOR PLAY. 1�115 B' WU ;F !►il CR FLCCFt PLAN $5 NOT A WORK rFAD15 II 641RE- A6 -,)ri ET> J4DER ;I I..B-G- 5EC-IC4 10i A 7.T 'L313F+ EYERY EFFCfRT F+A5 EtEN "AGE IN pIZEF.iQ11G `4'r6f F'LAN5 AND CkECK NG Tj-tr- FC1Q AGCURAG". CON-RACIOR-t-ICMEOu1NER MUST YE7E f aR4nes r TiNG 5€ZE3. ALL EXTERIOR DIMEK510NS A€iE iC OU15IDE OF EXTERIOR 5-EATH€ G E_E✓ATICNS RQL*r 4 (>F'EIINCa5- "FAr~zk AN> !!tE.Arl 6it1 Arlv A rai'IENE AN1 BFECS 4W) Al-L INTER!OR DIMENi51ON$ Af2E TO FRAMING 01II4pd IpN8 L-F III E5?-0145'B,_E FGR Tut 5A'7r. nc.�e ALL WFAIDER& 2-2xi0 UNLES$ NOTFn CTWERlUESE (VFR'FT ALL HEA*JER5 UTH FINAL TRU55 DE5!GN) .'•� ar VERIFY FLOOR JO;ST OR FLC7.^.R TRU53 SPACING TILE K!TC-i=-N 15LANDS, AND/OR W/P TU8 AREAS A_M L INtDOWS &HOI.UN ARE ANiDFR&FN A- . wlN DO I)5 V4E4D • e U.N.O. 5.1 - c- 4 ■ (4)-R; ,!Dof Plan 7 13 RipgrA o 1 -/Ib" C3o` ix irsa [de o 9 7/4" I O 3 R lsera a 7 E 2 TrBB(�s v 114 ' 19Ct ton _ W 30'-0E1 28,-0„ Engineered Roof Tru5see 24" O.G. Energy Neel Min R-50 Insulation Interior Vapor Barrier 1/2" Drywall (P 3/4" T4G Sub -Floor 11 i/8" LPf Joist 16" O.G. a �a 4 ➢- Typ. Energy wail 2x4 Studs 16" O.C. eQ R-15 Insulation o .> 4 3 1/2" Gant. Slab On Compacted Sandi Fill .4 28'-D" ✓G�'� l!4° T l��fl Asphalt Shfngles Ice A Water Shield 150 Roofing Felt 1/2" O.S.S. Roof Sheathing �IE -- 2x& Sub -Facia 24" Vented Sorfit Siding (Verlr� Wlth Owner) Exterior Air InFfltratlon Barrier 1116" O.S.S. Exterior She4thlno 2x6 Studs W' O.G. Min. R-21 Insulation Interior Vapor Barrier 1/21 Drywall 2xro Treated Plate W/ $i I1 Sealer 1/2" Anchor Bolts 6 61w011 O.G, Flax r Poured Foundation Wall WaterprooF f ng Drain Tile 20"x8" Conc. Footing DES16rN PHASE PRE-11KNAz2Y PLAN &W22/23 e C' 511-' PLAN C/25/23 FINk._ ai-1T{ 1!f&123 r�vrSleN 1 REvI5fOr.f REVI�I['�N 3 V J � ■ - W E 5 � fr, _ _ w z 0 u LUN.f. EUILCERS CWN$ A'...:. Rlr,:475. VGLilL'' H,-A t%Jr NCT LIMiTM To CQFYRIG"T6 OF TPE 13 [UEFA . 75 OR F1_0OR P;.A\6 CREATED LN^.ErZ T:r h9 AGF<SE"7E%iT. LUND DLILC-tRS �CETi5E9 ThE 6.u1EPQJN- 04.� FLOOR P-AN TO TJ45 CU$-CMER FOR PUR-05ES � CPVSTi�[iGTING "HE S7R;3CTLeZe C PICTEC iN THE E3_:JEPRiN7 Ori Q P FLDUlLA". `HE ClJSTO"4EQ !s"A;.L N07 rJl1f�_IGA �. i137R1$.J E 7O T,F f aLC. OR MSPLA` 7:416 MJE"R!N" OR FLOOR PI -AN. `14r3 5_UEP41Ni C'R FLOCR PLAN I$ NCT A WCpRK f -.1DE FCIR :,ERE -6 DEF!14i7D F1L?,`R 'T L.S.G. EEC"EGA 'lit. .ALTWC'UI-W E/ERY EFFORT :+A9 BEEN '"!ApM K PREPARiw:t Ti•EE55 PLANS AC r_"ECi IW, T�-Er- =oa .ACcwRACY. C_ONTRACT6RrHOMEoun€ER Mr,; YERIF'T aRACES. FC07 4G Si„TES F-LEV4TION$. RO.AGIa CPEN'4G5. HEAMR AND BEAN 6 ZE5 ANCS A;.,_ OT>4M DIMENSIONS AND SPECS AND BE RE5F'Pti5i6_E °G'R V4E 5A-5 '3CtLLE �� Cr R 1�� 1173865 BETH PABST REGISTER OF DEEDS CERTIFIED SURVEY MAP ST. CROIX C`O-r WI RECEIVED FOR RECORD LOCATED IN THE SE 1/4 OF THE SW 114 OF SECTION 15, 12/01/2023 01:24 PM TOWNSHIP 28 NORTH, RANGE 17 WEST, TOWN OF RUSH RIVER, CERTIFIED SURVEY MAP ST. CROIX COUNTY, �SCDNSIN.,,,`�������»u}s;r��rrai�fr{�� VOLUME: 33 � � 5 `LINN�t PAGE: 7338 ` / N �r REC FEE: 30.00 PAGES: 2 Brandon W. E = King — S--2S32 = r Eau Galle N 114 ComerQ� Sec. 95-T28N-R17W S Wl Found Alum. Cap 32nd Avenue . . Un lotted Lands ''`t,1. .•���` �' -----•--------- !►1tlttItrr11if110". �! S89-49-36E 1311.99 263.64 1048.35 LOT 2 Area Including Road RIW. 1,493,M Square Feet CD 34.2825 Acres Area Excluding Road RIW. 1,461,142 Square Feet 33.5432 Acres WI Cc", -1 C JI '�; S894927E 334.82 Cal LOT 1 :)I z Area Including Road RAM 228,849 Square Feet 5.2537 Acres Area Excluding Road RAAk 217,800 Square Feet 5.0000 Ages co �m to C; o w �4T co SE114--SW1/4 SEC.15-T28N-R17W The parcel(s) shown on this map are subject to State, County and Town laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcels, etc.). Before purchasing or developing any pareel(s), contact the St. Croix County Community Development Department and the Town for advice. Cal crs coW r ry N M ail Garage House 00� 'm Well .0, 131f3.74 v N89-49-27W 334.82 c' N89--49 27W 975.96 �° v m � _ nine- v � . 334.82 • - - 30th Avenue 975.93 - - rr �^-r-.a------r --- . N89-49-27W 1310.74 SW Canner N89-49-27W 2621.49 S 114 Comer See. 15-T28N-R17W Un�atted Lands See.15�-T28N-R17W Found Survey Nail Found Survey Nail Y 0 200 400 Bearings are based ng upon the St. Croix County Legend Coordinate System, NAD 1983, (1991)Pgustment. - }- Found Monument as The south tine of the SW 114 bears N89 49-27W. noted. Y Bearings are expressed in degrees -minutes -seconds. _ Set 314" x 18" Iran Rebar � w Scale: I Inch = 200 feet Distances are expressed in decimal feet. See County weighing 1.52 Lbs. Per Lineal Ft. Surveyors Office for Section data. Brandon I-Gng Land Surveying, LLC PREPARED FOR: N324 County Rd D Eau Gabe Wl 54737 Joan Ell'cs FIELD WORK LATE: 8-30-2022 SHEET I OF Phone: 715-639-5243 Email: bkJsllc@gmail.com 184 30th Ave. MAP DATE,: 9-09-20M 9 Baldwin Vv154002 2 SHEETS St Croix County 1173865 Page 1 of 2 -3 3 OWNERTOOLM eu-cs.............................................................................. PLUMBER 4oGea MaSAJ Ll # Lf TOWN OF Q�H VNiep, .. .. ... .. . . .... . . . . . . . ........ SBD-06499 (RI 1/20) 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, please contact the county authority.