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Home My WebLink About018-1030-20-000 Wiscon%A Depeetment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 5 Safety and Building Division ' INSPECTION REPORT Sanitary Permit No: man () `' I "`�"�C GB�IERAL ATTACH TO PERMIT State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Litton, Tony & Laura I Hammond, Town of 018 - 1030 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /00 81v\ l (25 7 14.29.17.215A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i��. CAPACITY STATION BS HI FS ELEV. Septic Y,., S Benchmark L.i t�25a -�. F.'� / Zoo 1 /. 5 V � ///. SS "a <:� Dosing / Alt. BM Bldg. Sewer P o !D/c SZ S IZ. 65 99. Holding St/Ht Inlet / •'Z �' 1/ P i TANK SETBACK INFORMATION St/Ht Outlet � TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �o(A— Septic I A / i — Dt Bottom gS PAC Dosing Q / J ' ^ / r '55' Header /Man. r Z /6X I /V/l7 � Aeration Dist. Pipe 7, Z5 /d V. &j Holding Bot. System PUMP /SIPHON INFORMATION Final Grade �' Z 7 C /6 Z 5 Manufacturer De mand St Cover 7� V 2 7 Z Model Number c 4ho C /o.yc/ /,oi. f7 TDH Lift /3 F,Y Friction Lois System Head TDH Z ! (� / Forcemain Length / Dia. // Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width /- Length No. Of TJ ches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (.v /,!� SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type f stem: CHAMBER OR YPm C 75 AA / t )A— UNIT Model Number: DISTRIBUTION SYSTEM ° Header /Manifoy r • I Distribution xHoIeSi / f x Hole Spacing VeP Air Intake Z Pipes) Length 3 Dia Length Dia r / Spacing SO IL COVER x Pressure Systems Only xx Mound Or t - Grade Systems Only .L..._. Depth Over I Depth Over 1 xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center J / / Bed /Trench Edges ` Topsoil p No No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: $ / Inspection #2: Location: 962 193rd Street , aldwin, WI 54002 1/4 NW 1/4 14 T29N R17W) >35 acres Lot C�w F rcel No: 14.29.17.215A 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = 7 7 n, 01 Plan revision Required? Yes No A — Use other side for additional information. �_j _ L l Q ✓ SBD -6710 (R.3/97) Date Insepct s Sig re Cart. No. Eo , �_rqv IV commerce gov Safe d Buildings Division County 201 W ngton Ave., P.O. Box 7162 j C lu7 )e i s c o n s n fi ��, Madi n, WI 53707 -716 itary Permit Number (to be fi d in by Co.) Department of Comm a ,�+� Sanita P tate Transaction Number I ation In accordance with s. Comm. 83.21(2), Wi e, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary J u oses in accordance with the Privac Law, s. 15.04(1 )(m ), Stats. ? I. A lication Information - Please Pri 7 All Information 7— ! / ,.J Property Owner's Name Parcel # �a ";' y /-/ 7 7 ,e� Property Owner's Mailing Address Property Location n I L Z 1 ri 5 Govt. Lot City, State Zip Code Phone Number , , , J %4 / 'o /<, lZ) /4, Section T N. R circle o n W 11. Type of Building (check all that apply) Lot # X or 2 Family Dwelling - Number of Bedrooms Subdivision Name A i� Q ( Block # 3 7 //)� El Public /Commercial - Describe Use >f� / / I'.v� . �� ❑ City of ❑ State Owned - Describe Use o CSM Number ❑ Village of X Town of /q /// #I G O✓ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Trea ent/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) J l7 r B. ❑ Permit Renewal ❑ Permit Revision Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and OM Issued Before Expiration Owner IV. Type of POWTS Sy stem/Component/Device: Check all that apply) O ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ; eMound < 24 in. of suitable soil / ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaUTrea ent Area Information: De `'gn Flow (gpd) I Design Soil Application Rate (gp Dispersal Area Required (sf) Dispersal Area Proposed I System Elevation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units p o o New Tanks Existing Tanks o L Y w lnk SZS aU in y 55 w� a Septic or Holding Tank / G Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Plumber's Address (Street ity, State, Zip Code) 7 VI . Coun /De artment Use Onl )(A pproved Disapproved Permit Fee Date ued / Issuing ent Sign re er Given Reason for D ' IX. Conditions of Approval/Reasons for Disapproval 3, Ld�►�4t.�, +`� S �� 1 ,� Q � SYSTEM 0y"IM- ,' ".Septic tank, eMueW lifter and ;dispersal Cell must all be services I maintained / ae per management plan provided by plumber. 2, *#A*46q must be maintained the system and submit to the County only on paper not less than 8 1/2 z 11 inches in size SBD -6398 (R_ 02/09) 1 p EPA ,i � ��u�y 8• �T�D u' IA/ I7ij 1 CC3P1( Vt4-p /�5;Y s Hof �,� lof s �i Safety and Buildings commerce.wi. OV 141 NW BARSTOW ST FL 4TH g WAUKESHA WI 53188 -3789 Contact Through Relay i sco n s i n www.commerce.wi.gov /sb/ 4 t Department of Commerce www.wisconsin.gov Scott Walker, Governor Paul F. Jadin, Secretary July 15, 2011 CUST ID No. 267985 A7TN.• POWTS Inspector MICHAEL J MYERS ZONING OFFICE NORTHLAND PLUMBING INC ST CROIX COUNTY SPIA 2943 130TH AVE 1101 CARMICHAEL RD GLENWOOD CITY WI 54013 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/15/2013 Identification Numbers Transaction ID No. 1961900 SITE: Site ID No. 769350 Tony Litton Please refer to both identification numbers, 191 190TH St above, in all correspondence with the Town of Hammond, 54015 en St Croix County NW1 /4, NW1 /4, S14, T29N, R17W FOR: Description: Mound, 4 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1324788 Maintenance required; 600 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). The float switch shall be a type that does not contain mercury. 2009 Wisconsin A044 r it the installation of float switches or relays that contain mercury. Please specify It �i nor to applying for a sanitary permit. The building sewer and distribution network piping shall be of material list le 8 -3 and 84.30- 5, Wis. Adm. Code. FF C O,e• 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. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. MICHAEL J MYERS Page 2 7/15/2011 All holding/treatment tanks are to comply with Comm. 84.25(7)(a). Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Conmi 84 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sin 1_y, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis- Osborne POWTS Reviewer 2, Integrated Services WiS1ulAR (262) 397 -6005, Fax: (608) 283 -7481 j ulia. lewis@wisconsin. gov l s Mound System Cover Page pg, of 6 MIESER ODCRETE JUN 2 9 201 Project Name: Litton -Mound SAFETY & BUI GS Owner's Name Tony Litton Owners Address 991 190th St Hammond, WI 54015 Legal Description Nw • Y Nw • /4 Sec 14 T 29 N R 17 w Township Hammond County Saint Croix Subdivision Lot# ParcelID# 018 - 1030 -20 -000 Table of Contents pg- 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 Designer Name: Michael J. Myers MP /License #: 267985 Date: 6/27/11 Ph. #: 715 - 265 -4115 d Signature:f� F C Mound System Design Methods Used q �tii per "Mound Component Manual For Private onsite wastewater Treatment Systems" (Version 2.0) SBD- 10691 -P (N.01 /01) per" Pressure Distribution Component manual for Private onsite wastewater Treatment Systems" (Version 2.0) SBD -10706 P (N 01� NG'� O �N Spreadsheet provided ed by: 3bAdviseent N12486 220th St, Boyceville, wi 54725 Ph: 715 - 643-6068 email: 3baQ3badvisem A , Mound System Mound Sizing Calculations Page 2 of 6 Project Name: Litton -Mound Site Conditions Design of Entire Fill Project Type: i or 2 Family Dwelling Cell depth at upslope edge (D): 30.0 in. % Slope: 6 % Cell depth at downslope edge (E): 34.4 in. # of Bedrooms: 4 Distribution cell depth (F): 9.5 in. Depth to limiting factor. 6 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gaVft /day Cover thickness over center (H): 12 in. Absorbtion rate of in -situ soil: 0.4 gal/fe /day End slope width (K): 13.5 ft. Effluent quality Eff #1 . Fill length (L): 127.0 ft. Max BOD effluent value: 220 mg /I Upslope width (J): 9.7 ft. Max TSS effluent value: 150 mg /I Downslope width (Toe) (1): 15.3 ft. Fill Width (W): 31.0 ft. Design of the Distribution Cell Basal Area System Design Flow: 600.0 gal /day Basal area required: 1500 ft Distribution cell width (A): 6.00 ft Basal area available: 2130 fe Distribution cell length (B): 100.0 ft Area of Distribution Cell: 600.0 ft Observation Pipes Contour Elevation of Mound: 100.50 ft Location from end of cell (Z): 16.67 ft System Elevation of Mound: 103.00 ft Final Grade of Mound: 104.79 ft Mound Plan View (]bservartion Pipes W K Distribution Cell A T B I k—K Tilled AreallFill Material L Mound Cross Section Final Grade Observation Pipe Synthetic Fabric W G Distribution Cell System Elevation M p Z. , � L d F 1 Cover Material Lateral 3 Fill Material Invert Tilled Area Slope Forcemain System Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. _ Mound System Page 3or s Pressure Distribution Calculations Project Name: Litton -Mound Lateral Layout Lateral /Manifold Design Lateral elevation. 103.5 ft Lateral diameter: In Rows of Laterals: 2 Lateral spacing (S): ft Manifold type: Center . Lateral to cell edge: 1.5 ft Orifice diameter: 0.125 In. Lateral discharge rate: 8.24 gpm # of Laterals: 4 System discharge rate: 32.95 gpm Distal Pressure: 5 ft Manifold diameter: 2 In Lateral Length: 49.5 ft Manifold length: 3 ft Orifice Spacing /Distribution Forcemain Friction Loss Orifice spacing (X): 30.46 Inches Forcemain length: 90 ft Orifices per lateral: 20 Forcemain diameter: z In. Avg. ft /Orifice: 7.50 ft Friction loss in forcemain: 2.076 ft Lateral Side View Lateral Manifold Lateral x x x x x � x x x x x x 2 r 2 Lateral Length Lateral Length Lateral Plan View ' Lateral Length Turn -up w/ball valve or cleanout plug 0 0 o S 0 Offices on bottom of lateral equally spaced PVC laterals and forcemain to comply with specifications per Comm 134.30(2xe] Forcemain connection via tee or cross to manifold at any point Clean Out Detail Observation Pipes Clean -out plug �Final Grade or ball valve Water tight cap or plug Lawn Sprinkler Box lot Note: Closet Cohn Long Sweep go 6" Minimum 11W be used in or two 45's place of 3/8" bar Lateral 3/8' Bar Mound System Septic, Pump and Dose Tank Page 4 of 6 Project: Litton -Mound Tank Information Dosage Volume Pump tank manufacturer: Wieser Concrete Forcemain drains back to tank? • Yes 0 No Pump tank sizelmodel: wi2so /soo -MR Lateral void volume: 20.9 gal Pump tank gal/inch: 20.6 Dosage to absorbtion Cell: 104.6 gal Actual Pump Tank Volume: 783 gal Forcemain volume: 15.7 gal Tank bottom elevation (inside): 91.5 ft Total dosage: 120.3 9 al Septic tank size /model: wi28o /soo-MR Pump and Filter Total Dynamic Head Pump Manufacturer: Goulds Are laterals highest point? y Pump Model: PE51 P1 if not, enter highest elevation: p ft Effluent Filter. Polylock 525 System head (distal x 1.3) 6.50 ft Note- Access opening of strlficient size to be provided to allow Vertical Lift ( "D" to lateral) 11.33 ft removal of filter opening to terminate at or above grade. Friction loss in forcemain: 2.08 ft Pressure loss from filter. ft Total dynamic head (TDH): 19.91 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal 4 Inch With Warning Label Minimum mished A Reserve 22.2 456.7 rade Alternate B Pump off to Alarm 2.0 41.2 Outlet C Total Dosage o 9 5.8 120.3 Locution Elect per Comm D Effluent depth for pump F78 .0 164.8 16.28 and Total NEC 300 Capacity: 38.0 783.0 Weep Hole A orAnti- Siphon B Device C b Pump must be capable of. 33.0 GPM and head pressure of 20.0 Feet Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and /or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical /biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent filter has been installed in the pump /dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump /dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be noted of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. gz O 1 0 'Y22 ,LOP 4 H-mj Ktp/c5;y ITT GOULDS PUMPS Residential Water Systems APPLICATIONS Specially designed for the following OTOR Mound Systems g uses: General: • • Effluent/Dosing Systems • Single phase • Low Pressure Pipe Systems • 60 Hertz • Basement Draining • 115 and 230 volts • Heavy Duty Sump/ • Built -in thermal overload protection with automatic reset. Dewatering • Class B insulation. • Oil -filled design. SPECIFICATIONS • High strength carbon steel shaft. Pump — General: PE31 Motor: • .33 HP 3000 RPM • Discharge: 1 NPT • 115 volts • Temperature: 104OF (40 maximum, continuous when • Shaded pole design fully submerged. PE41 Motor. • Solids handling: Y2" maximum sphere. • .40 HP, 3400 RPM • Automatic models include a float switch. • 115 and 230 volts • Manual models available. • PSC design • Pumping range: see performance chart or curve. PE31 Pump: PE51 Motor: • Maximum capacity: 53 GPM • •50 HP 3400 RPM • Maximum head: 25 p 2 5 • 115 and 230 volts ' TDH • PSC design PE41 Pump: • Maximum capacity: 61 GPM AGENCY LISTINGS • Maximum head: 29' TDH PE51 Pump: • Maximum capacity: 70 GPM • Maximum head: 37' TDH �Cus Tested to UL 778 and CSA 22.2 108 Standards METERS FEET By Canadian Standards Association 40 - File #U08549 PE51 MODELS: PE31, PE41, PE51: 35 .___.. j HP.33, .4Q .50 .... __._ 10 —► 30 .PE41 2 GPM Goulds Pumps is ISO 9001 Registered, _ - 1 Fr o � i 25 '.PE31 20 15 10 5 0 OQ 1� 20 _ 30 40 50 60 70 GPM 80 0 5 10 15 m CAPACITY conunerawWi.gOv Safety and Buildings Division count C n sin 201 W. Washington Ave., P.O. Box 7162 C ro l Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) 15 Sanitary Permit Applications State Transaction Number In accordance with s. Comm. 8321(2), Wis. Adm. Code, submission of this form to tbe appropriate governmental 77 35-5 r 2 unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are submitted to the Department of Commerce. Personal information you provide may be used for secondary Project Address (if different than mailing address) purposes in accordance with the Pdv Law S. 15. 1 ' m stag. . 5 A YY1 2 �(pZ / / 3 r L A lication Information - Please P All Information - Ptoperty 's Name � I On 110 Property Owner's Wing Address p q �+ Property Location �� MAR Mt�f� 1 U Go Lot 0 �'L [ vt City, State J ` Zip Code P(g m N�lt�i& ZONING OFFICE W ' /., N t� %, Section Sq U 1_5 (circle one) II. Type of Building (check all that apply) # T �q N; R w Ok ed N1 or 2 Family Dwelling - Number of B N fl Subdivision Name F1 Public/Commercial - Describe Use eJ se_ Block # 3 7 d /S N r� city of ❑ State Owned - Describe Use / / >> n CSM Number ❑ Village of (O ,(- /d d �/a u,.�V ( I)d Town of M VVX 0 III. Type of Permit: (Check only one box on line A. Complete line B if licable) `� New Svs tem R lacement eP System Tr eatment/Holding Replacement Only Other Modification to Existing System (explain) B. Permit Renewal Before Permit Revision Change of Permit Transfer to List ous Permit Number and Date Issued P ' C Expiration Owner IV. TyPe of POWTS S stem/Com on evice: ck a 1 ��' WWW o00 ❑ LJ Non - Pressurized In- Ground surized In- Ground de LJ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil Holding Tank ❑ Other D' Component (expl ❑ Pretreatment Device (explain) V. Dis ersal/Treatment Ar n rma ' . Desi Flow ' (gpd) Desi ii licati Dispersal Area Required (st) Dispersal Area Proposed (st) System Elevation � J r� � adrd V1. Tank Info ac in Total # of Manufacturer Ions Gallons Units z oo U New Tanks Existing Tanks ( � Z U � � H � Septic or Holding Tank ` t7 S 1 0 � ► 1 ` v?se Dosing Chamber VII. Responsibility Statement - I, the undersigned, assume r bility for installation of the POW1S the attached plans P ber's Name ) 's Si /MP umber Business Phone Number .� rs Plumber's Ad Code) VIII. Conn /De artmeat Use Onl proved Pernmit Fee Date Issued Issuing t Si e en Denial $ 4,2S DI. Condit'r*geasons for Disapproval 1. Septic tank, effluent rilterand 3, L ChQ��a•4S ��- (bi 2atZ_ dispersal cell must all be services / maintained as per management plan provided by plumber. 3. All setback requirements must be maintained Si per apph able Clad! / i64hanm. Attach to complete plans for the system and submit to the County only on paper not less than a v2 z 11 hsches in sine SBD -6398 (IL 01/07) Valid thru 01/10 4 r A I b 2200 SOIL EVALUATION REPORT - -*age 1 of 4 Wiscorlsin Department of Commerce A.C.E. Soil & Site Evaluations Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 018- 1030 -20 -000 Please print all information. vi ewe Date Personal information you provide may be used (m)). Property Owner Pro rty Location 17 W Charles Pace - Tony Litton (Buyer) Govt. of NW 1 /4 N 1 14 g 14 T 29 N R Property Owner's Mailing Address Lot I Block # Subd. Name or CSM# 991 190th St. a na Na State Zip de Ph�n�R91�A RUNTY City _j Village e Town Nearest Road City PLANNING & ZONING OF CE Hammond 190Th Street Hammond I WI 1rf New Construction Use: J Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement J Public or commercial - Describe: Parent material Glacial till Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound system requiring 24" of ASTM C -33 sand fill placed on 100.50' contour. Linear loading rate not to exceed 4.0 gal. /day. See Memo Page. Boring # J Boring 12° in. Soil Application Rate Pit Ground Surface elev. 98.51 ft. Depth to limiting factor GPD/Itz Horizon Depth Dominant Color Redox Description Texture Gr. Sz. Sh. Consistence Boundary Roots *Eff#1 *Eff#2 in. Mun$ell Qu. Sz. Cont. Color 1 0 -7 10yr3/3 none sit 2fgr mvfr as 2f,1m 0.6 0.8 2 7 -12 10yr4/4 none sicl 2fsbk mfr cs 2vf,f 0.4 .6 3 12 -17 10yr4/6 f1 d 7.5yr5/8 sicl 1 msbk mfr cw 1 of 0.2 0.3 4 17 -24 10yr5/2 ml p 7.5yr4/6 scl 1 msbk mfr - 1 of 0.2 0.3 Gb�c w y Boring # J Boring 13" in. Soil Application Rate 0 Pit Ground Surface elev. 97.85 ft. Depth to limiting factor GPDIft' Horizon Depth Dominant Color Redox Description Texture Gr. Str ucture Consistence Boundary Roots �ff#1 *Eff#2 in, Munsell Qu. Sz. Cont. Color 2fgr mvfr as 2f,1m 0.6 0.8 1 0.7 10yr3/3 none sil 2 7 -13 10yr4/4 none sicl 2fsbk mfr cs 2vf,f 0.4 •6 3 13 -18 10yr4/6 f1f 7.5yr5/8 sicl 1msbk mfr cw 1vf 0.2 0.3 4 18 -27 10yr5/2 m1 p 7.5yr4/6 scl 1 msbk mfr _ 1 of 0.2 0.3 * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L * Effluent #1 = BOD 5 > 30 < 220 mglL an TSS >30 < 50 mg /L s CST Number CST Name (Please Print) Signatu 3602 James K. Thompson Date Evaluation Conducted X15- 248 -7767 Num ber Address A.C.E. Soil &Site Evaluations 12/5/2009 340 Paulson Lake Lane, Osceola, Wl 54020 Property owner Charles Pace - Tony Litton Parcel ID # 018- 1030 -20 -000 Page 2 of 4 3 ] Boring # _j Boring J Pit Ground Surface elev. 100.94 ft. Depth to limiting factor 16" in. Soil Application Rate Horizon Depth Dominant Color Redox Description 7Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -9 10yr3/3 none 2fgr mvfr as 2f j rn 0.6 0.8 2 9 -16 10yr4/4 none l 2fsbk mfr cs 2vf,f 0.4 .6 3 16 -26 10yr4/6 c1 d 7.5yr5/8 sicl 1 msbk mfr cw 1 of 0.2 0.3 4 26-31 10yr5/2 m1p 7.5yr4/6 scl 1msbk mfr - 1vf 0.2 0.3 ❑ Boring # J Boring J pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 P *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. F—I Boring # J Boring J pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E 1 G *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * Effluent #1 = BOD 5> 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD S_30 mg/L and TSS < 30 mg /L 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. A.C.E. Soil @ Siee Evaluatlons SBD -8330 (R.07 /00) SOIL AND SITE EVALUATION 2200 Page 3 of 4 ,PROPERTY,( OWNER: Charles Pace - Tony Litton (B uyer) A.C.E. Soil & Site Evaluations PARCEL I.D.# 018- 1030 -20 -000 REPORT MEMO Soil conditions on this site are marginal and require extra ordinary care in system design and installation. Recommend designing system with aeration treatment unit and linear loading rate of 6.0 gpd /linear ft. or design standard mound with 6" of additional ASTM -C33 sand fill beneath dispersal cell and limiting linear loading rate to 4.0 gpd /linear ft. 8� �DI 3 �orE1 /et ftiP • CF /cES Fore.SE /off 5�. Assu.meal s� i p P,dge Es�� eleU = /oD•c�' a �' �� d -. -- EX,:Svnc� ��nC' C1in� �i �' , 4 io o CgL S 6 ��ro �'o W4 / oc-/• 0 Dig - / 03 0 - 20- ero b�irtq 37. BocicKS U / h / r line /03.17' dig Prpp05 L d � 3 6 c.draom ,qesi deyCe a5 C�rr{� odr�a d � a�G of /et s For�sE ,P,J�e Es�aE�s p- �r P ) 5 _ I AI�B� i 5 / o A- .1k a v i cP a 37, $ A� , qL� y G C Safety and Buildings 3824 N CREEKSIDE LA commerce.Wi.gov HOLMEN WI 54636 Contact Through Relay i sco ns i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary March 09, 2010 CUST ID No. 220537 ATTN.• POWTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 03/09/2012 Transaction ID No. 1773592 Site ID No. 755062 SITE: Please refer to both identification numbers, Tony Litton 962 193RD Street above, in all correspondence with the agency. Town of Hammond St Croix County NW1 /4, NW1 /4, S14, T29N, R17W FOR: Description: Mound / Four Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1258807 Maintenance required; 600 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System: EZ -Flow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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. L'011 h The following conditions shall be met during construction or installation and prior to occupancy or use: PP Reminders RA RTMENT ONE; • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. SEE CURRI • The observation pipes must be located at a junction point between two EZ -Flow products so as not to create separation of the bundles within a product. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. 7 CALVIN W POWERS JR Page 2 3/9/2010 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(D A cony of the approved plans specifications and this letter shall be oil-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /nistallation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, FFee equired $ 250.00 eceied $ 17 0 ced Amt $ 750 Charles L Bratz s Amount Will Be Invoiced. POWTS Reviewer II ,Integrated Services When You Receive That Invoice, (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday Please Include a Copy With Your charles.bratz @wisconsin.gov Payment Submittal. WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www.commerce.wi Qov/ SB /SB BuildinRContractorProjzram html co Q o EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN j N Residential Application ao INDEX AND TITLE PAGE ca LLJ U � -5 LU W Project Name: TONY LITTON t Owner's Name: TONY LITTON Owner's Address: 991 190th ST. HAMMOND, WI 54015 Legal Description: NW1 /4 NW1 /4; S 14 T 29 NR 17 W Township: HAMMOND County: ST CROIX Subdivision Name: N/A 37, 8 &-c re.s Lot Number. N/A Block Number. WA Parcel I.D. Number. 018 - 1030 -2040 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZFIo w mound drawings Page 4 Lateral and dose tank Page 5 Distribution media on amy Page 6 System maintenance specifications Page 7 Management and contingency plan ��ED Page 8 Pump curve and specifications Page 9 PLOT PLAN Y Page 10 PERK TEST Page 11 SEPTI TANK/PUMP STATION SP ECS SPOND E Designer. CALVIN POWERS License Number. 220537 Date: 03/04/10 Phone Number. 715 - 246 -5135 Signature: Designed Pursuant to the EZFlow Mound Component Manual (N. 06W), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) EZFlow Mound Version 1.2 (R. 02/04) Page 1 of 11 EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83443 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. ' .5 =156 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) 100.50 Installation Contour Line Elevation (ft) 150.00 Contour Length Available (ft) 12.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 6.00 Cell Width (ft) 3, 4, 6, 7. 9. or 10 Only 100.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fl?) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F�Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft( ) 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.00 fe /orfice 2.00 Forcemain Diameter (in) _ 80.00 Forcemain Length (ft) Does the forcemain drain back? (�Y 94.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) 8.17 Vertical Lift (ft) 90.37 5x Void Volume (gal) 2.79 Friction Loss (ft) 103.42 Minimum Dose Volume (gal) 17.45 Total Dynamic Head (ft) 41.19 System Demand (gpm) Lateral Diameter Selection [Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200.00 Septic T ank Capacity (gal) 36.00 Total Working Liquid Depth (in) WIESER C Manufacturer 22.22 gal/in (enter result in cell B49) Dose Tank Information Effluent Filt Information 800.00 Dose Tank Capacity (gal) 1POL I Filter Manufacturer 22.221 Dose Tank Volume (gaUn) 5L 2:5 Filter Model Number WIESER COMB2 Manufacturer Project: TONY LITTON Page 2 of 11 f l Mound Plan View 1/10 B : .. : Observation Pipe J - -f :. — K i :r:r :.:::.: :..:; r 1 r r r 1 1 5 .1 r 1 v 1r r1. 1 ti t '' ti r j A W �. B 1.(.'.'.:. I • . - i�F : . - - - - : . . .. . - •.•. . . . . . -. . . .•. .•. L Mound Component Dimensions A 6.00 ft E 28.32 in H 1.00 ft K Aft ft B 100.00 ft F 12.00 in I 14.12 ft L ft D 24.00 in G 0.50 ft J 8.90 ft W 600.00 (if) Dispersal Cell Area 1 2012.20 (fe) Basal Area Available 6.00 (gpdtft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.50 (ft) —♦ 11 F ,..;, ,.... * H .,,,.,.,..., 1 I F Dispersal Cell 103.00 (ft) Lateral 102.50 (ft) —10. 6" ` Invert Elevation Dispersal :3: _ Pe rsa Cell Elev E 3. e anon ...... .....: Y�x ...........: . ............... , /`1� _ y r ✓ 7..c�, i 1. .i,. ?'A:i `}.. `�� / h'.'✓�. i '.r , h7 "?.ti { ..,�?. ) x. ,� ?.` r z .e.� ? t,;tJ 4 i,, J ? fix. '. k+. { ta� ,. x�`t,', „� t 1� ✓. ?�.'. z ? ._:s.:?�1 %.?.. ,.5. .. -.. -.. - .- _. .._...V A ... 100.50 (ft) Contour Elevation 6.0 % Site Slope Typical Dispersal Cell Shading Key a CL See Page 5 Q Topsoil Cap -i Geotextile Fabric over Subsoil Cap a o 2.0 ft ASTM C33 Sand :6 Z sa ~, fS. .j' ?:: 'S`5.;. - , r 1, L•,1+ F Tilled Layer 0.5 ft =t•r. t ?.'q: �{ f j j . EZFlow Media �* 0 -�- �.- A ---.� See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project TONY LITTON Page 3 of 11 i Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Force main oonnecdm via tee or cross to manifold at aM point. Laterals are Wndoal Orifices point up, except every 5th one points down for drainage. S •= Turn -up wtball valve or alt " I Laterals & force main of PVC Soh 40 oleanoutplug per COMM Table 84.30.5 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 49.25 ft Orifices per Lateral 25 Lateral End (Z) NA ft Orifice Density 6.00 ft /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 10.30 gpm Manifold Diameter 2.00 in System Flow Rate 41.19 gpm Forcemain Velocity 4.21 ft/sec Dose Tank Information Locking cover with warning label and locking device, and sealed watertight Electrical as per NEC 300 and ---► Comm 16.28 WAC 4 in. min. Disconnect —r_ Tank component is properly vented 1E Alternate outlet location J Fomemain diameter WIESER COMBO Manufacturer 2 in. Capacity 800.00 Gallons Volume 22.22 galtinch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.35 429.94 C B 2.00 44.44 Pu off elevat on (ft) C 4.65 103.42 94.83 D 10.00 222.20 D Total 1 36.00 800.00 D� ose tank elevation (ft) Min. 3" Bedding under tank. 94.00 Alarm Manufacturer SPI Alarm Model Number OBSERVER 100 Pump Manufacturer I GOULDS 3885 Pump Model Number I WE05H �— Pump Must Deliver 41.19 gpm at 17.45 ft TDH Project: TONY LITTON Page 4 of 11 I t c EZFlow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. 6 ft Wade e(Se"(9 Component Legend ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFlow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFlow Bundle - EZ1203HP, 5 or 10 Ft Lengths 0 4" Distribution Pipe With Pressure Lateral Inside 0 Tumup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 100.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. r� Force Main ----------------------- 6ft Wide Center Manifold x©,1,24 Mound System Maintenance and Operation Specifications Service Provider's Name CALVIN POWERS _ Phone 715 -246 -5135 POWTS Regulators Name ST GROIX CO. ZONING Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd,_, Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 fe Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for pondin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade v1 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where .............. ........_......, Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZFlow Media 1.26 Feet Diameter as Lateral 4 Distribution Lateral Lateral Cleanout Project: TONY LITTON Page 6 of 11 Mound System Management Plan Pumuan t to Comm 83.54, Wit. Adm. Code This system shalt be operated in accordance with Comm 82-84 We. Adm. Code, and shall maintained in accordance with its' component manuals (EZFkow Mound Component manual 6/3103 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shag be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no kmger 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 shag be sealed watertight upon the completion of service. Any opening dawned unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shag be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component SoWc Tank The septic tank shag be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shag be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shag be assessed, at least once every 3 years by inspection. The outlet filter shag be cleaned as necessary to ensure proper operation. The titter cartridge should not be removed unless provisions are made to retain solids in the tank that may sough off the ffter when removed from its enclosure. If the filter is equipped with an alarm, the filter shag be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag have its contents removed when the volume of sludge and scum in the tank exceeds 113 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 of when the next service needs to be performed to maintain less than maximum sc urn 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 shag be approved for septic tank use by the Department of Commerce. Pump Tank The pump ( dosing) tank shall be inspected at least once every 3 years. Ali switches, atarms, and pumps shag be tested to verify proper operation. If an effluent fitter is installed within the tank it shag be inspected and serviced as necessary. 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 shag 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 BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mgAL BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10 du /100 mL for highly treated effluent. Influent flow may not exceed maximum design flaw specified in the permit for this installation. The pressure distribution system is provided with a flushing pout at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least ace every 18 months. When a pressure test is performed it should be compared to the initial test when the system was Installed to determine hf onfice dogging has occurred and 9 orifice cleaning is required to maintain equal distnbr>tion within the dispersal cell. Observation pipes within the dispersal coil shag be checked for effluent ponding. Ponding levels shag be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contirmencv Plan_ If the septic tank or any of its components become detective 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) shag 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 dogged 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 TONY LITTON Page 7 of 11 1 IVIDDEL 3885 s F ;. 1 � i ~ 1 f. ,f � y Y r. - .I � r. ' f .. tt - I_r fl. u, •1 Iir 1 ! r, � t' + '.r 1 ■< ! i f t .111 I ,c ,' 1 t/ 1 :t _ t/ fw rt 1 Ir . •t_ it 11 f `• t' r„ • 1.1 1. r. I .t.. 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Cep �1 bo/ {�o, yLo� !� P15.2 c r' J / f^ J n1ar�� t o 37, $ AC � 1 2200 iffiscmsm Depar mwof Corrwreree SOIL.. E11ALUAMON REPORT —I of 4 in accordance v tr Comm 85. Wis, Adm. Code A.C.E. So4.a; Ske Eval ations muck but ad k*Add kK verb and mm MW 87 b n &W St. Croix percent slope. scale ar.dimerr woo Rom arrow. and for sm a ds ecti dsim b neaw road. Parcel LD. ---- — 1'1006. Pdnt all I» formetion. -_ — 018- 1030 20-00 .idam�iooyou Reviewed By Date_ — PwAOM t laws 15.04 (1) (t4). Property Owner Properly Location Charles Pace -Tony Litton (Buyerl Gorr. Lot NW 114 NW 1/4 S 14 T.. 2y N R 17 W Property Owners Ma ft Address Lot 1x Bb * # — `— - - 991 190th St. Subd. Name or CSMiC rra n a Na _ City State Zip Code Phone Number J City _j VMW90 9 Town Nearest Road ` Hammond IM 54015 Hammond I 190Th Street ✓ New Construction Use: in Residential I Number of bedroom 3 Code derived design flow rate 450 GPD .. Replacement ,} Public or commercial - Describe: Parcn: material- _Gla tilt - General aonunents — Fiord plain e►evetion, K app — X18 and recWimenda#bns: Site suitable for mound system requiring 24' of ASTM C-33 sand On placed on 100.50' contour. Linear loading rate not to exceed 4.0 galJday. See Memo Page. Boring 4 Boring ' v„ Pit Ground Surface elev. 98.51 fL Depth to Wnkk9 factor 12" in. "Grim ' 0omirent Sait App�lon Rate irr ° MM" ! 0C To we SUuciue Borrdaty Rook Consistence cut cdw Gr. SL Sk 1 — E # 1 0-7 10y 3... none sil 2fgr mvfr as • AIat i 0.6• 0.8 2... .7 -12 1Qyr4/4 f none sid ' 2fsbk _ rr►fr cs 2vf,f ; 0.4 t 6 r 3 .1217 ' 10yMro fl 7.5yr518 sid lmsbk mfr cw I 1vf i 02 '. 0.3 4 17 -24 #OyrS/2 m1p 7.5yr4/6 sd imsbk mfr - 1vf 0.2 0.3 i i r D Boring S ' Boring - ✓, Pit Ground Surface elev. _97 R i Depth to factor 13 in. Sol Applu dm R� Redw De . Hainan i>e Dotniaanl t dor cri� ion Texbxa in Wand I Cu. Sz. Carq Cdor '.1 Gr. Sz. Sh 8ougary RooRS 0-7 10yr3/3 none ! sii 2fgr mvfr as 2f,1m 0.6 ' •0.8 2 7 -13 1 414 none ! ... �' r _ sid 2fstyk mfr cs ' 2arf,f . ` 0.4 .6 3 — _13-18 - 10yt4/6 11 f1f 7.Syr5l8 - sid r lmsbk mfr { cw 1vf ( 0.2 ; 0.3 4 -+ 18-27y - 10yr5J2 m1p7.5yr4/6 I ad lmsbk mfr - ivf i 0.2 0.3 - 'Effluent #1= BODe 30 < 220 img/t. >3p < $0 .. BOD 90 . m9!4 ' EttluerN #2`a rung!!- and TSS <3l} mg/l. CST Name (Please Print) Signatu CST Number _ Jam es K. Thompson 3602 Address A C.E. Soi18 Site Evehration3 Date Evaluation Conducted Telephone Number 340 Paulson take Lane, Osceola, Wl 54020 12/5/2009 715 - 248 -7767 r Oropedy Owner Charles Pace - T Litton parcel ID # 018-1030 -20-000 - Page _mod 4 C� .1 Boring # J Wng ` 16 Pit Ground Surface elev. 100.94 ft. Dapih to Ong factor 16° in. Soi Rafe Haufton 1 D [ RaftEl"I Olixt Texkxe Skudure Cot Oence IrL l9o�rKlary Roots OL SL Cad. Cofer tie SL O 'E •E 1 i 0-5 10yr3/3 none . so 2fgr ntvfr as 2f,1m 0.6 •.0.8 5-16 10yr4/4 none sid 2fsbk mfr cs 2vff 0.4 _6 3 16 I.,1 c1d 7.5yt5J8 sid lmsbk mfr aw 1vf 02 ' 0.3 _ 4 : 26-31 10yr5/2 mlp 7.5yr4/8 sd lmsbk mfr lvf 0.2 i 0.3 D soft I Boring , _..l Pit Ground surface ekv. ft. Depth to i m>ti g factor in. Sal AppC n Rae DeA Oadm t Color Radar 0eaalptloo Textue Stnx#re Cote Roots Itturmell Qu. St Cad. Cabe Gr. St Sh. •Etf#t `EINk2 t 1 I t i Q soft # J ftft _J Pit Ground Surface Slay. _ , , ft. Depth to li iling factor in. Sol Appi� lion Rate Horizon � !>ar� Cdor Redox Desatiptioa Texture Skit" _ Canienoe t3ounday Rads i Mu" Qu. St. Cant. Cdor Gr. sL Sh. •Ell A«t •Etf#2 i ! . j. t • Effluent #t = soD 3Q < 220 mg/L and Tss >3a <t so mg1L • Etltuent #2 = teat o MODS `. mg& and TSS <_30 mgA. The Departmen[ of Commerce is an i W Pportunity 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. seo�smrao��,o, A.C.E. Sal a Ste Evskeopm i lees, FwI ! - 11 cJ �i [ �! t C�ks /fie u. f � i s, 6. Crpit ,� !! Was 40 1 1 6 -2 /its QPiotc 4 Sscctc of Kam" 'do-op� line. /o3.T!' - era 'Aw -d 3 6cs�rcn..•, Res dcrt 4 S S iAAid ' con6vll ie3.«•tG' � wL bc�:ld2 _1w • � /iE /.art tt AR'�6�5 ��rYlf E •C&I,�C fa6.E� � i 41' - C l uz 'a s r J iff -a • t 0 L al Ej -- la vs Imm Ohio ° �IE glum BMW SEP71C MANUAL warts us awn w wdm SQm rw saga► DAT& J WJARY 20M ° °; REV. JAN. 2005 �� 800 - 3x25 -84b6 I �:�2ao ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ ��I� l�. L 1 TTO lei Mailing Address �7 (D A- ht ' f Property Address / S #A-Mmowo- ' ; (Verificat ion required from Planning & Zoning Department for new construction.) City /State cel Identification Number - 1<030 - 2 0 - 0 60 LEGAL DESCRIPTION Property Location SW 1 /4 , N , -J 14 , Sec. T��_N k Town of M O A.JZ SubdiNision , zj , Lot # Certified Survey Map # , Volume , Page # ,Warranty449" ` ,&+J ' d P4- � , Volume "!O ` 07 Page # Spec house yes no Lot lines identifiable es . o SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, siined by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue o warranty deed recorded in Register of Deeds Office. Number of edrooms SLMATURE OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application 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. (REV. 08105) � i Y' o U 'NI U!� U Q. @i C _ c6' Z 7'. C v, ca sn ' O E V An K U N 03/16/2010 TUE 7:27 FAX 715 386 4 687 ST CROIX CO REG OF DEEDS - -- DERRICK CONSTRUCTION ®002/005 �. - I !11111 Illli IIIII IIIII IIIII !fill IIII 111111 IIII 1111 9 O 8 B 6 7 4 Statc Bar of Wisconsin Form 11-2003 908867 LAND CONTRACT BETH PABST (TO R T JSEU FOR NON- CONSUMER ACT TRANSACTIONS) REGISTER OF DEEDS Documcm Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 12/17/2009 11:00A14 LAND CONTRACT CONTRACT, by and between Ch_adles R. Pace, a single person and Rebecca EXEMPT t J. Pace, a Angle person REC FEE: 17.00 ( "Vendor," whether one or more), TRANS FEE: 776.00 and Tony R. Litton and Laura Ann Litton, husband and wife PAGES: 4 ( "Purchaser," whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this Contract by Purchaser, the following real estate, together Recording Ana i 1 with the rents, profits, fixtures and other appurtenant interests ( "Property"), in t. Croi County, State of Wisconsin: !Name v'd'u"F9NA OGLAPdD The Southwest 1/4 of the Northwest 114 except the South 360 feet of the ESTREEN & OGLAND WestZ66 feet thereof, all in Section 14, Township 29 North, Lunge 17 Vest, 304 Locust St. Croix County, Wisconsin Hudson, Wl 54016 018 - 1030.20.000 Purchaser agrees to purchase the Property and to pay to Vendor at a place from Parcel identification Kulnber (PIN) time to time determined _ _ - nus is not homestead propetly the sum of $ 92.000.00 in the following manner: (I%) (is not) Thin is a purchase money mortgage. (a) $ 29. 00.00 at the execution of this Contract; and (is) (is not) (b) the balance of $ 82.800.00. together with interest from the date hereof on the balance outstanding from time to time at the rate of 5 ° /a per annum until paid in full as follows: Commencing on January 16, 2010 and continuing on the 16 dayof each month thereafter until paid in full, principal "d interest payment in the amount of $654,90. provided the entire outstanding balance shall be paid in full on or before December 16,2012 ( "Maturity Date "). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS• IF NO OPTION IS CHOSEN, OPTION A SHALL APPLY 9 A. Any amount maybe prepaid without preinium or fee upon principal at any tithe. ❑ 13. Any amount maybe prepaid without premium or fee upon principal at anytime after ❑ C. There may be no prepayment of principal without written permission of Vendor. CHOOSE ONE Oh">C )FOLLOWING OPTIONS IF NEITXIF.R I. CHOSEN OPTION A SHALL APPLY Q A. Any prepayment shall be applied to principal in the inverse order of maturity and shall not delay the due dates or change the amount of the remaining payments until the unpaid balance of principal and interest is paid in full. ❑ 13- In the event of any prepayment, this Contract shall not be treated As in default with respect to payment so long as the unpaid balance of principal and interest (and in such case accruing interest from month to month shall State Bar Form I 1 -page 1 ® 2003 s rc BAR of wiscoNsw 1 of 4 03/16/20 T 7: FAX 7 1 5 386 4 687 S CROIX CO REG OF DEEDS — DERRICK CONSTRUCTION 2003/005 be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as specified above; provided that monthly payments shall continue in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded from this Contract. Purchaser shall pay prior to delinquency all taxes and assessments levied on the Property at the tinte ofthe execution of this Contract and thereafter, and deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co insurance, through insurers approved by Vendor, !it the amount of the full replacement value of the improvements on the Property. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of Vendor's interest, and evidence of such policies covering the Property shall be provided to Vendor. Purchaser shall promptly give notice of loss to . insurance companies and Vendor, Unless Purchaser and Vendor otherwise a in writing, insurance p roceeds shall be P !� g p applied to restoration or repair of the Property damaged, provided Vendor deems the restoration or repair to be economically feasible. ❑ Purchaser is required to pay Vendor amounts sufficient to pay reasonably anticipated taxes, assessments, and insurance premiums as part of Purchaser's regular payments [CHECK BOX AT LEFT IF APPLICABLE1. Purchaser shall not commit waste nor allow waste to be committed on the Property, keep the Property in good tenantable condition and repair, and free from liens superior to the lien of this Contract, and comply with all laws, ordinances and regulations affecting the Property. If repair required of Purchaser relates to an insured casualty, Purchaser shall not be responsible for performing such repair if Vendor does not make available to Purchaser the insurance proceeds therefor. Vendor agrees that if the purchase price with interest is fully paid and all conditions fully performed as specified herein, Vendor will execute and deliver to Purchaser a Warranty teed in fee simple of the Property, free and clear of all liens and encumbrances, except those created by the act or default of Purchaser, and: CHOOSE ONE OF THE FOLLOWING OPTIONS; TF NO OPTION IS CHOSEN, OPTION A SHALL APPLY: ® A. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submirted to Purchaser for examination, at the time of execution of this Contract. El B. Purchaser states that the following exceptions set forth in the title evidence submitted to Purchaser for examination, at the time of execution of this Contract, are unsatisfactory to Purchaser: ❑ C. No title evidence was provided prior to execution of this Contract. CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NEITHER IS CHOSEN, OPTi<ON A SHALL APPLY: Q A. Purchaser agrees to pay the cost of future title evidence. ❑ B. Vendor agrees to pay the cost of future title evidence. Purchaser shall be entitled to take possession of the Property on December 16, 2009 'lime is of the essence as to all provisions hereunder. Purchaser agrees that in the event of a default in the payment of principal or interest which continues for a period of State Bar Form I 1 -Page 2 0 2003 STATE BAR OF W 1'C ON51N 2of4 - Tn-- —. 03/16/2010 TUE 7:28 FAX 715 386 4687 ST C R O IX CO RE O DEEDS - -- DERRICK CONSTRUCTION Q200 /005 3Q days following the due date or a default in performance of any other obligation of Purchaser which continues for a period of30 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), the entire outstanding balance under this contract shall become immediatelydue and payable at Vendor's option and without notice (which Purchaser hereby waives), and Vendor may singly, alternatively or in combination: (!)terminate this Contract and either recover the Property through strict foreclosure or have the Property sold by foreclosure sale; in either event, with a period of rede,nption, in the court's discretion, to be conditioned on full payment ofthe entire outstanding balance, with interest thereon from the date of default and other amounts due hereunder (failing which all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property); (ii) sue for speci lie performance of this Contract; (iii) sue for the unpaid purchase price or any portion thereof; (iv) declare this Contract at an end and remove this Contract as a cloud on title in it quiet -title action if the equitable interest of Purchaser is insignificant: (v) have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits; or (vi) pursue any other remedy available in law or equity. An election of any of the foregoing remedies shall only be binding on Vendor if and when pursued in litigation. All costs and expenses including reasonable attorney fees of Vendor incurred to pursue any remedy hereunder to the extent not prohibited by law and expenses of title evidence shall be paid by Purchaser and included in any judgment. The parties agree that Vendor shall have the options set forth in this paragraph available to exercise in Vendor's sole discretion. Following any default in payment, interest shall accrue at the rate of S % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. Purchaser may not transfer, sell or convey any legal or equitable interest in the Property, including but not limited to a lease for a term greater than one year, without the prior written consent of Vendor unless the outstanding balance payable under this Contract is paid in full. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediatelydue and payable in full at Vendor's option without notice. Vendor may mortgage the Property, including the continuation of any mortgage in force on the date of this Contract, provided Vendor shall make timely payment of all amounts due under any mortgage, and the total due under such mortgages shall not at anytime exceed the then remaining principal balance under this Contract. If Vendor defaults under such mortgages and Purchaser is riot in default hereunder, Purchaser may make payments directly to Vendor's mortgagee and such payments will be credited as payments hereunder. All termsofthis Contract shall be binding upon and inure to the benefit ofthe heirs, legal representatives, successors acrd assigns of Vendor and Purchaser. Statc Bar Form I I -Page 3 ® 2003 STATE AAR OF WISCONSIN 3of4 T1 ._ _ . 03/ T 7:28 FAX 715 386 4687 ST CROIX CO REG OF DEEDS a -- DERRICK CONSTRUCTION ®005/005 Dated VENDOR- 2 PURCHASER: (SEAL) A (SEAL) *Charles R. Pace *Ton f15. Litton r (SEAL) (SEAL) *Rebecca J. Pace *Li;;; Ano Litton- AUTHENTICATION ACKNOWLEDGMENT STATE OF ) Signature(s) % R, Pace, a single person and ) ss. Rebecca J. Pace._ a single person and Tony R. COUNTY) Litt n a d Laura Ann Littoq, husb nd and wife authenticated on l a , I I (. Personally came before me on the above -named L L, to me known to be the person(s) who executed the foregoing *Kristin Opland instrument and acknowledged the same. TITLE: MEMBER ST TE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) Notary Public, State of THIS INSTRUMENT DRAFTED BY: My Commission (is permanent) (expires: ) Kristin Ormland, Estreen & Ogland 3-O4 Leeds[ Street, Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Ba(h are not necessary.) NOTE. THIS IS A tiTANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD RE CLEARLY 1DENTIFICD. LAND CONTRACT STATE BAR OF WISCONSIN FORM NO, 11 -2003 type name below sisnutures. INFO - PRO- Legal Forms 80"55-2021 www,infoproforms.pom State Bar Form 1 I -Page 4 92003 STATE BAR OF WISCONSIN 4of4 -7 77 7W Report for Parcel #018103020000 1 St Croix County, W1 Page 1 of 1 / " 2009 Property Record St Croix County, WI f Assessed values not finalized until after Board of Review Property information is valid as of Years in red have delinquent taxes 10121109 NOTICE: All payments received by County Treasurer will be posted the next day. Property Description Billing Information Parcel ID: 018- 1030 - 20-000 Name / Atln.: CHARLES R & REBECCA J PACE Map ID: 14.29.17.215A Address: 991 190TH ST Municipality: TOWN OF HAMMOND City, State, Zip: HAMMOND, WI 54015 Public land Survey: SECTION 14 29N 17W Ownership Quanar. Primary Owner: CHARLES R &REBECCA ]PACE QQ / Tract: Secondary Owner. NO SECONDARY OWNERS LISTED Plot* NOT AVAILABLE Description: SEC 14 T29N R17W SW NW EXC S 360' OF Deed Information W 26V 37.8AC Volume Page Document # Property Address: NO ADDRESS LISTED 1292 351 572189 Total Acres: 37.80 ACRES 1117 273 1031 452 Assessed Value Other Valuation Date: 11/04/2008 Fair Market Value USE VALUE ASSESSMENT Assessment Acres Land improved Total Type Value Value Value Assessment Ratio: NOT AVAILABLE FOR 2009 G5- Undeveloped 12.80 17,200 0 17,200 Net Ate. VAL Raba NOT AVAILABLE FOR 2009 G4- Agricultural 25.00 4,400 0 4,400 Totals -> 37.80 21,600 0 21,600 school Districts: 2422 - ST CROD( (ANTRAL Installments Tax Detail Please pay your 1st installment or full payment to Net Tax Before Lottery, First Dollar Credits .00 Municipal Treasurer, 2nd installment to the County Lottery Credit (_) 00 Treasurer. Period Due Dabs Amount First Dollar Credit (-) .00 Total Taxes -> .00 Met Tax After .00 Tax Payment History Amt Due Amt. Paid Balance Date Receipt Number Amount Net Property Tax .00 .00 .00 Special Assessments .00 .00 .00 Specials Special Charges .00 .00 .00 category Amount Delinquent Charges .00 .00 .00 Private Forest Crop .00 .00 .00 Woodland Tax Law .00 .00 .00 Managed Forest Land .00 .00 .00 Penalties .00 .00 interest .00 .00 Total .00 .00 .00 i httpJ /stmixwi. mapping - online. com /StCroixCo W i/ParmIReporLjsp?k"or" l 810... 10/23/2009 WiorndHumanrRelationsdustry, SOIL AND SITE EVALUATION REPORT Page�bf Division R Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ?, APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY/" DATE PROPERTY OWNER: PROPER Inert I:ooiman 7� °"' Y ' Ta'(_ GOVT. L ; t �C _ ATION — ti1 1/4TT T /4,S14 T M ,N,R E (or) W PROPERTY OWNERS MAILING RESS LOT # _ K# ME OR CSM 856 190 th. St. n/a n/a--T n/a CITY, ST ATF ZIP CODE PHONE NUMBER ❑CITY [:]VILLAGE RVOWN NEAREST ROAD I rnr�tnond, TrI . 54015 (715) 796- ?,753 1'arrioncl 19n th . St. New Construction Use:txl Residential / Number of bedrooms 41 _ [ Ai iti n to existing building [ ] ep acement [ ] Public or commercial describe Code derived daily flow 4 50 gpd Recommended design loading rate . A bed, gpd /ft .5 trench, gpd/ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd/ft Pecomrnended infiltration surface elevation(s) 101.22 It (as referred to site plan benchmark) � Additional design / site considerations n /a, Parent material __ _— g aunt) m Flood plain elevation, if applicable n/a ft S - Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TAW U = Unsuitable for sy stem ❑ S M ®S ❑ U ❑ S M ❑ Sl U ❑ S Y-IU [IS 11 SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Poring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bea Tench 1 1 0 -1 lnvr2 /^ none L. 2 /ri /sbk mfr c/s 27T 7 2. 10 - 26 lnvr4 /z none sic! 2 /n /sbk mfr g/w 1/f .4 , .5 Ground 3 26 -33 10yr4/4 2 7.5yr5/8 sicl. 2 /ms /hl. mfr ,/w na/ .4 j -�5 elev. - oQ.7 ?.it. - 4 33 -60 10yr4 /6 c2n 7.5yr5/8 scl I /f /sli': mfi na/ n/a .2 ;': 33 Depth to 7 limiting - - - -- factor 26" -- -- f E ; Remarks: f;' L pgnng # I 0 -16 lnyr2 /2 none L. 2 /r:i /sht; - fr y/. 2 /f. 15 1 .6 2 0 16 -2 5, 1Oyr41 none sil 2 /m /sbk. r f l 1/f ` .`6 .5 Ground -- 3 25 -38 10yr4/4 2p 7.5yr5/8 sic.]. : /m /sbk f .4 ; .35 elev. 4 38 -60 10yr4/6 f2p 7.5yr4/0 Ifs. 0 /sF rlv u '/ n/a -.5 .6 99.72ft. - - -- I)epth to -- limiting factor Remarks: CST Narne:- Please Print . P o -- -- Gary T - - 715 -24' 6 ? ?,nn Address: 1554 n t h. AV e., PTeta P.ichrlond, T1I. 5407 - `iinn;rtiirn — ate: mbar ti STEEL'S SOIL SERVICE 1 200t Gary L. Steel �g C.S.T. 2298 Pert Kooiman New Richmond, WI 54017 MPRSW -3254 SFJ %RTGTl{ S14- T291\T-R171d (715) 246 -6200 town of Hammond TAT— ' J , /0o i 5b� r d r Gary L. Steel 7 -28 -93 'i Parcel #: 018 - 1030 -20 -000 04/09/2007 10:44 AM PAGE 1 OF 1 Alt. Parcel #: 14.29.17.215A 018 - TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: owner(s): O = Current Owner, C = Current Co - Owner O - PACE, CHARLES R & REBECCA J CHARLES R & REBECCA J PACE 991 190TH ST HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 37.800 Plat: N/A -NOT AVAILABLE SEC 14 T29N R1 7W SW NW EXC S 360 OF W Block/Condo Bldg: 266' 37. 8AC__ ## C / -3 s" 11�// �L �0+ Tract(s): (Sec- Twn -Rng 401/4 1601/4) 14- 29N -17W Notes: Parcel History: Date Doc # Vol /Page Type 02/03/1998 572189 1292/351 WD 07/23/1997 1117/273 SE 07/23/1997 1031/452 LC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 07/13/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 25.000 3,000 0 3,000 NO UNDEVELOPED G5 12.800 10,500 0 10,500 NO Totals for 2007: General Property 37.800 13,500 0 13,500 Woodland 0.000 0 0 Totals for 2006: General Property 37.800 13,500 0 13,500 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY WISCONSIN PR PLANNING & ZONING OFFICE �' "' " " " "' •• ■� ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road '�•� , ,� s - —�-- �' Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 3� January 24, 2005 Ms. Mary Jo Hollister, CST #224832 Hollister's Soil Testing W9875 690 Ave. River Falls, WI 54022 Re: Soil Evaluation Reports for Lots 4 5 f Forest Ridge Estates, Hammond Twp. Dear Ms. Hollister: Per your faxed request on January 14 I checked the soil reports for lots 4 and 5 using the correct site plan scale of 1" = 60 ft. The original concern on both of these lots was the 0.2 gpd /ft soil application rate assigned to horizons that were less than 12 inches below surface grade, which would require a long, narrow mound design. However, these site evaluation reports may still be viable if the following items are addressed in proposed mound designs: 1. Lot 4 had one test pit (B24) with weak - structured silty clay loam encountered between 11 -16 inches from the surface. The other two test pits had deeper silt loam horizons over the silty clay loam, which would allow using the recommended 0.4 gpd /ft rate recommended on the report. Based on hand borings we did on Lot 6 last summer, deep chisel plowing would be a requirement for mound installation to allow introduction of wastewater in these "tight" soils. Based on scale measurement, there is only 45 feet between B25 and B26, so the longest mound dimension allowable would be 75 feet and minimum basal area for a 4 bedroom /600 GPD system would be 1500 square feet. 2. Lot 5 had one test pit with weak -platy structured silt loam from 8 — 10 inches below surface. This condition may be altered by deep chisel plowing or the mound design can be located on a contour between test pits 5A and 5B, where a soil application rate of 0.4 gpd /ft2 can be used. Benchmark #1 on the site plan appears to be correct in relation to the test pit elevations, but BM #2 is incorrect (it can't be 2 feet higher at ground surface when it is right next to BM #1). 3. The site plan for Lot 4 utilized the engineering plan's 2 -foot contours, but the elevations for test pits and benchmarks are off by approximately 1.5 feet. It would be best for mound design purposes if elevations were re- established using an assumed 100' elevation for benchmark #1. Since >2 years have elapsed, this would allow verification that benchmarks are still visible for use in mound installation. �LV Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ ol T Division of Safety and Buildings in accordance with Comm 85, WS. A4m. Code County AMacJt complote site plan on paper not less than 8 112 x t 1 Inchos In size. Plsn muss _ include, but not limited to: vertical and horizontal reference point (13M), direction and Parce?l 10. percent slope, scale or dimensions, north anow, and location and distance to naerest road. ( f 1�a Pleas@ print all informaflon. Review Date < ! -7p Penon•i rnlonn•Ibn you proud• cony be crud for rscondary pu.po■ef (PrWecy lrw, t. 15 04 ( Im1)- 1 � Property Owner Property Lora Ilan l (_R % t14^JW 114 S 1'j T N R 1 w „ Properly Owner's Mailing Address Lot b Block ff Subd. Name or CSM# o► KE P t� 7 �t -- City State Dp Code Phone Number ❑ City [] Village X] Town Nearest Road RWE FAL.L5 wr 1 - 5'102 - 74 (115 ) 4 2- (o –'1204 HA mXo r. E — New Construction Llse:Ni� Residential ! Number of bedrooms Code derived deslgn Mow rate _ Replacement Q Public or cornmerbal • iDescrlbe Parent material _ ti Lt_I 0 ( L�LtJJ�S f{ Flood Plain elevation if ap cable _ — 8 General comments andrecommendations: .eA&ANM byS'TQM t AIJO F1lL D6 C �� EC 1 7 2002 NOT�Lo CT 6 � > X33 ST. CR'l COUNTY Cam, o 0? 2_ is no r►1 ��rr6v' Boring d Boring 2 X , Pit Ground surface elev. it Depth to limlting factor n S61 AppiicaIjqn Rate i Horizon Depth Dominant Color Redor Description Torture Structure Consistence Boundary Roots PD in Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. 'E(flVi 'E"2 3 1 I - v2�s s t � CL5 Z 0.5 0. 5 /Yl dc 4- Boring # � Boring Pit Ground surface elev. Death to Ymltlng factor Sol Appilc2uon Rate Horizcn Deptn DominentCotor RadoxDesutptlo - — � uc ure Strture Consistence Boundary Roots GPD/ff in. Munsell Qu. S Cont. Color I Gr S Sh. _ 'Eff111 'E"2 0 - i o Z/2 Z- li3 51� $ _ Or S p 13-24 i — 0 11K 3/ Cy d z .5 p Vffl I I EMuo p t • BOD : 30 < 220 mg/L and TSS > 30 < 150 rng/L Effluent 02 BOO < 30 mg/L and TSS < 30 mgrl CST Neme (Please Print) Signature r CST Number AIAR 1 10 H _LLSI .R Addmss Data Evaluation Conducted Telephone Nunrt»r W9�75 �4o "`AVe, RiuERFAt_Ls� WT 5`1 0,2z 0g—b -bZ �iS 1 426 -1 - 17s (ZEdIS! - cp ; Qq - -U m� g Z of Property f MAF�K_ Parcel ID p Pa P�J� C) Boring p2l Boring p ''• n Depth to limning facto► � J _ in J � Sa1 ksUon Rate �LpT S� IN Pit Orovnd svlaee efev, _�__._ GPD& Horizon Depth Dominant Color Redox Description Taxi fe Gr cturo C onslslenco Boundary Roos 'E"I 'EtHi2 In. Munset Qu. Sz. Cont. Coto E] Boring Boring p Depth to limiting lector _ ..._ In• g tcatlon Rate P -Z ( ': 5) tai Pit Ground surface efev. _•- vim._._ n, Rooks GPOM Horizon Depth Dornin8nt Color Redox Description Texture Structure Consistence Boundary . Enpt 'ER02 In. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. l p\ 0 Ate ss — N ac Q Z3 Goii ng 30 Boring Ground surface elev. _ 4$�(OQ h Depth to limiting (ado(_ . Soil A icaUort Rate Pit Roots GPD/M O Horizon Depth Dominant Cola Redox DestxlpUon Texturo Structure Consistence Boundary ,E "t 'Eltk2 in. Munsellr. Sz. Sh. �� CO Du. Sr. Cont. Conk. Color 40 I O .$ DV+C4z {a S Of Y Ut�i F 'Co Z O r t1' Z z/z 3 10 -tS of 3 y o u o � 7 15 - 11 to F,3 E to R�1 U s; �, 'T 2— joy 1_ „ 3 o t( cl s f > < and TSS >30 < t50 mglL EMuerti to o BOD, 30 mQ& and TSS —` 30 m9A- Effluent Ni a BOD 30_ 226 rnGn- The pepartment of Commcree is an eque�opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, picave contact the dopariment at 608 -266 -31St or TTY 608- 264 -87 sao•utotx�t i 1_oT S p 82� X gA TSB r ^ 2. Co►SCQ1xlt 0 v�S '. U9 -1 % - D2 04" Ate• c2g1 - K w gm #t= TOP OFP4� . x i Q p s� i.YZ A BID Z- Sp�i>v i LOT r 309773 S. F. , 7 , -1 a ICA �b7- x -- -- - -- ------- .- •._- _T________-____ - - - - - -' , 4- - -� s1E�7.0 , IVN l MN, 3Hl'� A0 / l 3HA J, - JW — r iS3M \\ \ \ \\ 1 ,W Ol - - -- --- �� - - -_ _ - - -- rri Iran /t CA O CM un AA CJ x �° x N \ ° $ ° I T •n � \' i '© \ I � I V p Ll - L \ cw \ © I y Cii rn o 1 I — l \ p I t —-- - - - - -- I I I \ p \ \ x © \ \-- — --�- - - - - - ��00 '86C - I I'00 ! / IV O y '■ x / / O �/ / / I / z / IIcO I f O `� �°� r„ 00 / (, lav / /Oc t"O KE T R I DC �3TPr TES L D T 5 Li P g_ 1q, zo, zI� u ®= 010 N0T C � Q ' r ,/ I N. B. 30,0773 S.F. r� r ; I 2 N B. 7.11 Ac. 1' - i E EE RECEIVED `" HOLLISTER'S SOIL TESTING Mary Jo Hollister W9875 690th Avenue River Falls, WI 54022 -�� (715)426 -1775 M arch 004 St. Croix County Zoning Pam Quinn, Zoning Specialist 1101 Carmichael Road Hudson, WI 54016 -7710 RE: Soil Evaluation Reports for Forest Ridge Estates, Town of Hammond Dear Ms. Quinn, After our meeting on February 13th and further review of the reports that were submitted here are the findings and facts: 1.) Lo 4 :6a�o 2 8 will need to be extended to allow for the 0.2 loading rate for longer moun e have agreed to do this with hand borings that will be completed as soon as possible. The position of the driveway for Lot 30 can be worked around. A licensed plumber has reviewed and stated that lots 11, 13, 14, 17 and 18 have enough area for a system. 2.) As per our discussion, driveway locations were not an issue at the time the tests were completed as it was requested by the County to complete these tests before approval. These will have to be addressed at the time the driveways are located. ALL mound areas were staked and taped as requested previously. 3.) Elevations were corrected on lots 7, 10, 16, and 18 and have been resubmitted. For many years now, my reports have had the accurate readings for BM #2 based on information4rom your office. Now I will report them a different way. A new report for lot 15 was submitted on 11 -25 -03 due to location of lot line. The elevations for lots 20 & 21 are not the same due to different reading locations of the boring (i.e. upslope vs. downslope side) due to site clearance. 4.) The notations for the Structures were corrected in the office. The "L" for "large" structure instead of "CO" has been reported on my reports for years. Thank you for clarifying that for me. If you have any further questions or comments, please call. Thank you for your time and attention to this matter. LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER BF 869 OWNER NA s CHARLES R & REBECCA J Last PACE PROPERT ADDRESS: Hse # 1/2 PD -- Street Name -- Type Apartment 193RD ST SECTION 14 TOWN NW 1 /440 NW Line Description Line Description TOTAL ACREAGE 7.110 PLAT FORE T RIDGE EST 1/30 018/03 LOT05 BLK 01 SEC 14 T29N R17W PT NW 02 FOREST RIDGE ESTAT - SOT 5 16 03 (7.110AC) 7 04 18 _- 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit HOLLISTER'S SOIL TESTING Mary Jo Hollister ; %0 011 W9875 690'" Avenue River Falls, WI 54022 ? (715) 426 - 1775 i FAX: (715) 426 - 4827 13 August 2004 Pam Quinn St. Croix County Zoning Hi. Here's the new tested area for Lot 6 - lForest Ridge Estates. Better soils were in that area we were looking at. l Also t- wanted to let-yo"- that I did extend the areas on Lots 4 & 5 that day with the backhoe. I will not be sending in those reports as the new owne is turning me in for trespassing!!!! Ckf.' Any questions, call. Sincerely, Mary Jo i U ' N p. ` Pani Quinn From: Kevin Grabau Sent: Monday, August 09, 2004 9:14 AM To: Pam Quinn Subject: FW: phone call - - - -- Original Message---- - From: Monica Lucht Sent: Thursday, August 05, 2004 9:48 AM To: Kevin Grabau Subject: phone call Kevin, Chuck Pace called this morning pretty upset! Apparently, Pam was doing onsites in the Forest Ridge area yesterday. He claims he owns that land and is wondering why she was trespassing and what the county is doing out there. Do you know what's going on and would you have time to call him back today? 715 - 796 -8838 home (leave message if no one answers). Thanks, Monica 1 r Wtsoonsin Department of Commerce SOIL EVALUATION REPORT Page( _ of DlvWon of Safety and Buildings In accordance with Comm 85, Wls, Adm. Code �.� Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan must County include, but not limited to: vertical and horizontal reference point (8M), direction and Parcel 10 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. PGNC7IAYo Please print all InfOtrnailon. Reviewed by Date Perlonu iniorm■rbn you provide May b* um■d for socondrrry purpo+es (Prtvxcy Low. s. 15.04 (,) I-)). Property Owner Property Location � Q LLA 114A� 114 S l� T Zq N R) w Property Owner's Mailing Addre Lot M Block 0 Subd,•Name or CSW 'Jt s 5 --- o►e�F R{ D City Slate Code Phone Number C1 City ❑ Village 9 Town Nearest Road 90112-A FAL.Ls Wr S oz (his ) 42b - 480 qA rt E New Consiructlon User Realde tlal ! Number of bedrooms Code defied design flow rate ^ GPI) 0 Replacement ❑ Public commercial • Describe: Parent maienai O�.C�1* Flood P elevation it appNcable General comments T and recommendations: _A& 1. R2 SAJYD FILL 0,Z W.A DlN(e RA ?E Boring 0 { ❑, Boring }o� pit Ground surface 91 ay. �Depih to limiting factor ^ in Soil Appliration Rate Horizon Depth Dominant Color Redox DascrlpUck Texture Structures Consistence Boundary Roots _ PD f Munsell Qu. Sz, Cont. Colo. Gr. Sz. Sh TONI 'EfM2 f o �2 y y J - -- p• Z - a �(is Z — S i vm- 4 0. 5 o. ►I �Ry s`t CL z o.s o. -17 6.2. 0.3 S - D 3 AN A c V\ F a�goring if ❑ Bonn' / ��Y Pit G d surftce elev. apth to NMI ti factor _ _ in. SON ��pn Rile Horizon Depth Dominant Co r Redox Description Texture Structure onsistance Boundary Roots GPDA? In. Munsell Qu. Sz. Cont. C olor Gr. Sz. Sh. + •Effa1 'E"2 l D -5 S r Ir Z S- 10 3 5t) S Or .K 3 — 3 3 / 4 t \ p. 13-L o 3/ .W d 0 . 5 0.1r Effluent it 1 . 0 00 > 30 < 220 mg/L and TSS >30 - i 150 mglL ETUent 1t2 ■ 800 < 30 nV& and TSS < 30 nWL CST Name (Please Print) Signature / CST Number AIARV JO-H- LL JS 1 n Address Dale Evaluation Conducted Telephone Number W 917 690 A NVFSF#LLS WI 5y 02Z. y26-1'17,5 REdlsFo ; Oq -iK -oZ 1 y r v LOT S � z prop"Ownar Parent 1D M � P�N •— Page Boring pit Ground surface elev. rt Depth to limiting factor __•_� _ in. Soil Application Rate Horizon Depth Dominant Color Redox Descriptlon Texture Structure Conslalence Boundary Roots GPOM In. Munael Ou. Sz. Cont. Color Gr. Sz. Sh. 'Effgt 'Efdt2 D1 5- 1H pt�zo Bering It pit Ground surface elev, __•�`,_ It. Depth to Ilmiting factor _ " _ In. Soil Application Rele Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/1f In. Munsell Ott. Sz. Cont. Color Gr. Sz. Sh. 'Ef NI 'EifR2 E] BoWV �v Q - -23 Bo a Ground surface elev. ft. Depth to limiting lector _ in. pit LO OR Soil A {cation Rate Rouen Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eftfll 'Effk2 0 - 5 e 4K-#z -- i1 34 -co .5 002 Z to YK Z/z '' Si rJ 3 10 -Its DV K 3 tk Sid 2 b z 'Jf - ,y 15 - 1 1 10 tt I b oo '- 516 2 LbX jo4i a Z�F -t0 0.�1 0 5 i to 3 to '-ft s;cl sb fi - -tn 2- ' Effluent 01 = BOD, > 30 _< 220 mprL and TSS >30 < 1350 mgtL ' Effluent R2 a BOD, < 30 mtyL and TSS 130 mgrL The Department of Commerce is an cquaopportunity service provider and employer. If you need as:ristance to access services or need material in an alternate footrest, please contact the department at 608 - 266.3151 or TTY 608.264 -8777. sso•r»4 tR.�► LOT S 1 t `! 29 PJ i K \� .►� V 3 00 7 I' I -- LOT W S. F. Fri I , 'I I c 8 Q p (3 _x - - - -- --------- .- - T------- - - - -- ,- - - - -__ b . 4 O r �O K ST RID" ig�Tl�"T�s - LOT S p 6- rq, zo Zj� 2 010 NOT Pits Aty 1 r d ' N f i ; _ f r 1 r - 1 Q O I Koo N.B. 30,9773 S. F. 'i • N B. 7.11 Ac. - 22, P- 8 ZID � r l I 1 I t i I