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HomeMy WebLinkAbout006-1046-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division County: St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 538845 p Personal information you Provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. State Plan ID No: Iph0MmaS ermit Holder's Nae: City Village X Township Parcel Tax No: Dalton, TP. & Theresa C Ion, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~6-1 X46-80-~~~ /1 I C s S~` Section/Town/Range/Ma No: Qty TANK INFORMATION 'v Z'5~06"Z 1.31.16.324A TYPE ELEVATION DATA b ~ ~6d MANUFACTURER S CAPACITY STATION ,I FS ELEV. Septic ECG NIJ icGV 14LIQ Benchmark 91 Dosing 41. ~ ~d7i ~~6 C4 ~ Alt BM / Aeration 00 #1 519 /6l• (0'7 ~i', j►- 6~ / ~C Bldg. Se er / / Holding U GPI/ rC ~ /',75 93 * 3 St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet ` TANK TO WELL BLDG. Air Intake ROAD Dt Inlet Septic ~ ~ ~ ~ Dt Bottom G Dosing $ 7• ~J /(~j /L~o 7 / Header/Man. Aeration Dist. Pipe Holding Bot. System z .z-5 /6 PUMP/SIPHON INFORMATION Final Grade Manufacturer t 7~ / p~ S ~v ~ ~ GPM Demand St Cgyer ~ Af.S0 a ✓ O /+6 G~ 7 Model Number 15 C5 46 TDH Li Fricf n Loss System Hea TD b 9 C~bw~ ev z G ~9 7 Forcemain Leng~Q Dia. I I Dist. to We _ 2 SOIL ABSORPTION SYSTEM jj BED/TRENCH Width /Z' V f V. Len/1gth/5 No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO INFORMATION P/ BLDG ` WELL LAKE/STREAM LEACHING Manufacturer: Type ~O~►/$)ystem: ~7 CHAMBER OR ~ /O JA, L~ /Z/ UNIT Model Number: DISTRIBUTION SYSTEM 1o Heade Manifold ~ Distribution x Hole Size Pipe( s) / x Hole Spang Ven to Air Intake Length Dia Length Dia / ` 3 u Spacing • SOIL COVER x Pressure Systems onl Depth Over y xx Mound Or At-Grade Systems Only Bedlrrench Center /I Dept Over T Depth of xx Seeded/ dded Bed/ Orench ver Edges xx Mu hed Topsoil I es 0 No es N No COMMENTS: (Include code discrepencies, persons present, etc. Inspection #1: /J Inspection #2: 5131_41 ~Z. Location: 2254 200TH AP Deer PI WI 54007 (S}Q/ 1/4 E 1/4 21 T N R16W) >35 acres Lot r tiCJC. C~ T ~•o II'~JC Par I No: 21.31.16.324A 24A 1.) Alt BM Description = vJam- "15 2.) Bldg sewer length = 33 Lj r 1 - amount of cover = ~7 t J I -As Pb 4b- t d, 4. ` pol Plan revision Required? Yes No Use other side for additional information. I~nll SBD-6710 (R.3/97) Date Insepctors Sign re ----J Cert. No. t C VN1~,~t3 Safety and Buildings 7162 County 201 W. Washington Ave., Pseons i n Madison, WI S r/07Sanitary Permit Number (to be in by Co) 44 r tiepartmepll.oi! Cor>tmerve anitarX,,Per it Application State Transaction Number In accordance wi s. Cott4 ~submission of this form to the apprI unit is required rhFXW* Note: Application forms for state-S are Project Address (ifdifferent than mailing address) submitted to the epartment of Commerce. Personal information you provide may be ndary u ores in accordance with the Privacy Law, s. 15.04 1)(m), Stats. L Application Information - Please Print All In tion as - --;~oo4A, Property Owner's Name Parcel # 1~ r w r Property Owner's Mail ng Address - Property Location v S Yo City, State Zip Code Phone Number Section _,XL - v (circle on ` I. Type of Building (check all tha apply) Lcii1 _ L__ N, K I; r rji I or 2 Family Dwelling - Number of Bedddrooms Subdivision Name ` f Block # ❑ Pubhc/Commercial -Describe Use `J R~' b J'52. t NAD Y\ 04 ❑ City ol'--------- - ❑ State Owned - Describe Use CSM Number ❑ Village of C ;K Town of_ 111. 'T'ype of Permit: (Check only one box on line A. Complete line B if applicable) lJ~ A. ❑ New System ~ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) i B• ❑ Permit Renewal ❑ Permit Revision ❑ Chan e of Plumber List Previous Permit frunsfer to New Number and Date Issued B ❑ Pennit' / Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) a~ ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil V Mound < 24 in of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: Ga. 111-1, Design Flow (gpd) Design Soil Application Rat pdst) Dispersal Area Required Dispersal Area: Proposed . t System Elevation V1. Tan Info fCa act in, P tY Total # of Manufacturer Gallons Gallons Units c New Tanks Existing Tanks A ° : ptic.. r Holding Tank Q Dosing hamber i VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of th OW'TS s the attached plans. Plum er's Name (Print) Plu er's gnature PRS umber Business Phone Number i1(7AAr%o (_14 0 7~5- P5g Plum'ber's Address (Street, City, State, Zip C de) A VIXNJ VIII. ounty/De artment Use Only/ Approved isapprov Permit Fee Date I sued Issuin ent Signat re Gen Reason r Denial $ IX. Condit*+A-r€o easons for Disapproval b ~ ~ 6,L t~ Septic tank, effluent filter and rNspersal cell must all be services / maintains / as per management plan provided by plumber, CO Q*~D i A.. 2- Alfl ack requirements must be maintained n ( / I A G ltrJ IrG, 5 C.~tM,• ~L Attach to complete plans for the system and submit to the County only on paper not less than 8 vi x I 1 i ches in size Y SBD-6398 (R. 02/09) _ _ _ . ' ....i.... • ..__._...:.........._............t...... ' ! I 1 ..1..... i.-r. ........F......».»~......._»........_j... i T ! , . : Q _.......I......................... I A i ! , ! .............M........... t............. ~Cti\ 1' T-._. _.,..........I.... ...T... ....I. I i . 1 1 I I I 1.... + i..... 1 , _ C.... Qf Y1 nn ff jj .:...r I 1 k i I 1. O • _..».....1... vf ; . } ..........................:......._...;......_ir.l..~l~. I f4.' _ ( , I i r.. :7....... t<U..' I.. t............ ,._.;r.. 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Q V01 I_..........__....._t__..Ti1S din _ _ DLj n~S - Clarence Glotfelty Bnviro-Tech Systems & Services - N4955 Suiuly all Road Weyerhaeuser, WI 54895 1 ell •~`~p yARTMB,y , Safety and Buildings 10541 N RANCH ROAD a$ \ F P HAYWARD WI 54843 D Contact Through Relay 3 S P www.commerce.wi.gov/sb/ q~ S. www.wisconsin.gov A ~O sSIONE+~ Scott Walker, Governor Dave Ross, Secretary September 12, 2011 CUST ID No. 220728 ATTN: POWTS Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/12/2013 Identification Numbers Transaction ID No. 1997235 SITE: Site 11) No. 771380 Tom Dalton Please rett& to both identification numbers, 2254 200TH Ave above, in all correspondence with the agency. Town of Cylon St Croix County , S21, T3 IN, R16W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1335575 Maintenance required; Replacement system; 450 GPD Flow rate; 8 in Soil minimum depth to limiting factor from original grade; System(s): Ezflow Mound Component Manual, (R. 8/07), SSWMP Pub. 9.6; 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: Deep chisel plowing must be utilized to break up the weak platy structure at the A horizon interface. Surface waters must be diverted away from the mound footprint. • This system is to be constructed and located in accordance with the approved plans and with the EZflow Mound Component Manual, (6/03) 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. CLARENCE L GLOTFELTY Page 2 9/12/2011 Sincer ly, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Carl J Lippert Wastewater Specialist, Integrated Services WiSMART code: 7633 (715)634-3484, clippert@commerce. state.wi.us cc: Carl J Lippert, Wastewater Specialist, (715) 634-3484 T Dalton EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Dalton Mound Owner's Name: Tom Dalton Owner's Address: 1728 95th Street New Richmond, WI 54017 phone: 715-760-0210 Legal Description: 40 acres (exceptCSM#2447)SW SE Sec.21 T31 N R1 6W Township: Cylon County: St. Croix Subdivision Name: n.a. Lot Number: n.a. Block Number: n.a. Parcel I.D. Number: 006-0046-80-000 Plan Transaction No.: .0SPage 1 Index and title Co; di-1'011tl~ ty Page 2 Data entry Page 3 EZFIow mound drawings Page 4 Lateral and dose tank OEPAPTMENT o9 coMMEaCE Page 5 Distribution media pivi N Of SHEET AND BU1Ll1tNGS Page 6 System maintenance specifications Page 7 Management and contingency ESppNDENCE Page 8 Pump curve and specifications SEE C Designer: Clarence Glotfel _ License Number: 220728 Date: 0 2 1 Phone Number: 715-868-5831 Signature !A&W Desig d Pursuant to the EZFIow Mound Component Manual (N. 06/03), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) p EZFIow Mound Version 1.2 (R. 02/04) Page 1 of r Mound Plan View T J 1/10 B 3 :1_ • Observation Pipe ❑ - K T~ T A 5 • . . I • . L Mound Component Dimensions Down slope toe extension made. A 4.00 ft E 30.48 in H Eaft ft K 13.56 ft B 115.00 ft F 12.00 in z ft L 142.12 ft D 30.00 in G 0.50 ft J W 31.22 ft 460.00 (ft2) Dispersal Cell Area 2250.00 (ft) Basal Area Available 3.91 (gpd/ft) Linear Loading Rate 11.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.00 (ft) ► G ♦ H j 2 F 1 Dispersal Cell 104.50 (ft) Lateral - 6 Invert Elevation 104.00 (ft) Dispersal Cell . E D Elevation 4 101.50 (ft) Contour Elevation 1.0 % Site Slope Typical Dispersal Cell Shading Key d Q. See Page 5 7 1❑ Topsoil Cap 2 c Geotextile Fabric over Subsoil Cap 0 .0 2.0 ft ASTM C33 Sand v 2 Tilled Layer .5..:;::::; c 0.5 ft 0 EZFIow Media 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: Dalton Mound Page 3 of EZFIow Distribution Cell Media Layout 4.00 Cell Width (ft) 2.00 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. ft Wi e r Component Legend ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths Q 4" Distribution Pipe With Pressure Lateral Inside Turnup Enclosure - - - - Lateral Distribution Cell Plan View Layout - Typical 4.00 Cell Width - A (ft) 115.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. A-- Force Main 6ft~Wi Ce er Manifold - Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The Septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5,150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18-24 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with its' component manual [SBD-10691-P (R. 1/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm. 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater that 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. L...... f..... I , ~LI.... J.. _ .T.......p I yo I J.d : ~ r... ; . ..~.........L....... I G q rp. L._ p , j. 1 i. ...J.. . L ...»..._...t............ ~.....................I........... .1 _ I I I I ~f,, L. 7. f +M {.VV. ......E....:. ..4; . 7.....;.~ 1~ r I , . r I~ I ............y.... ,............t............. T.. i............,......................... ^...._,ai,[•~rr.n - + .l ._j............f............i............ 1............. 1..... ._....,/~•/11 ` . 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Q I. 1....... - . , • I 1 ..1 0 Cy . i71 ELK/ Air . • .t oLo ne.rs L 4 Clarence Glotfelty Bnviro-Tech Systeuu & Services N4955 Suiuiy Hill Road Weyerhaeuser, WI 54895 t S111 5,<Z Safety and Buildings 10541N RANCH ROAD o HAYWARD WI 54843 s 0 ` Contact Through Relay 3 K P S y www.commerce.wi.gov/sb/ www.wisconsin.gov SWIN Scott Walker, Governor Dave Ross, Secretary September 12, 2011 CUST ID No. 220728 ATTN.• POWTS Building Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 (Please forward a copy of this letter to the fire department conducting inspections of this project.) CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/12/2013 Identification Numbers Transaction ID No. 1993209 SITE: Site ID No. 771380 Tom Dalton Please refer to both identification numbers, 2254 200TH Ave above, in all correspondence with the agency. Town of Cylon St Croix County , 521, T31N, R16W FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1333441. A depth to the limiting factor of 6 inches will be utilized in the mound design. 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. Only those object types listed above have been approved; other submittals such as plumbing and those listed below under Also Submit, may be required. The following conditions shall be met during construction or installation and prior to occupancy or use: Deep chisel plowing must be done to break up the weak platy structure at the bottom of the A horizon. The mound length must immediately abut the corn field to the west. A linear loading rate of 4.5 gallons or less and a basal loading rate of .2 gallons or less must be utilized. Surface waters must be diverted away from the mound footprint 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. If plan index sheets were submitted in lieu of additional full plan sets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. For more information, visit the Department of Natural Resources wetlands identification web page or contact a Department of Natural Resources service center. Nothing in this approval limits the power of municipalities to make or enforce additional or more stringent regulations, providing the regulations do not conflict with this code or any other rule of the department or any law. This plan has not been generally reviewed for compliance with fire code requirements, including those for fire lanes and fire protection water supply, so contact the local fire department for further information. If this construction project will disturb one or more acres of land, a Water Resources Application for Project Permits (WRAPP) (previously known as the Notice of Intent) shall be filed with the Department of Natural Resources prior CLARENCE L GLOTFELTY Page 2 9/12/2011 to any land-disturbing activities. More information regarding the DNR's permitting requirements for runoff management for construction sites can be found at the DNR's website, httv:Hdnr.wi.gov/runoff/stormNvater/constrforms.htm. 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. The Division does not take responsibility for the design or construction of the reviewed items. Per s. Comm 61.40(4), projects for buildings of over 50,000 cubic feet total volume shall have supervising professionals who file compliance statements with this agency and the local code officials prior to occupancy of the project. The compliance statement form is available on our website, hqp://dsps.wi.aov/sb/SB-DivFonns.html#commcrcial under forms for commercial buildings. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. We look forward to working with you to make this code-compliant construction. Sincerely, Fee Required $ 240.00 4i4qw Fee Received $ 240.00 Balance Due $ 0.00 Carl J Lippert Wastewater Specialist, Integrated Services 1ViSMART code: 7633 (715)634-3484, clippert@conimerce.state.wi.us cc: Carl J Lippert, Wastewater Specialist, (715) 634-3484 T Dalton Note: The State of Wisconsin will adopt the 2009 International Code suite with an effective date of September 1, 2011. For further information, including a copy of Wisconsin amendments to the I-codes, visit our code development webpage, htlp:Hconuiierce.wi.gov/SB/SB-CodeDevelopnient.htnd#A60 Note that submitters wishing to have new projects approved under the 2006 I-codes will need to have those submittals postmarked or in our offices by August 31, 2011. September 2, 2011 TO: Those Interested Persons RE: Interpretive Report and Corresponding Info for a Proposed A+0 Mound Type Septic System for Tom Dalton Property T-Cylon, St. Croix county WI. Dear sirs, Enclosed is an Interpretive Determination Report, Soils Evaluation Report, Site Map, and a Soil Survey Map for a proposed mound system on the Tom Dalton property in the town of Cylon, ( SW 1/4 SE1/4 Sec. 21 T31N R16W) St. Croix County WI. The site address is 2254 200th Ave. Baldwin, WI. Fees have already been submitted and a Transaction and Site ID number allocated: Transaction ID No. 1993209 Site ID No. 771380 The purpose of this Interpretive Report, and it's corresponding information is to determine that even though this site does not have soils that meet the required A+4" criteria, the upper 6 - 8 inches of soil in the proposed mound area are well drained enough to provide the adequate wastewater treatment and effluent dispersal necessary to meet the septic requirements of the proposed (replacement) three bedroom home. The existing structure has been badly burned and is not considered worth repairing. Would you please give our submittal your careful thought and consideration and direct any questions you may have to myself, Clarence Glotfelty 715-828-4324 (cell) and/or Ryan Yarrington, St. Croix County zoning technician 715-386-4680. Thank you. Sincerely, Clarence Glotfelty CST S #220728 INTERPRETIVE DETERMINATION REPORT FOR AN A+0 MOUND TYPE SEPTIC SYSTEM ON THE DALTON PROPERTY Introduction On August 5,2011, Clarence Glotfelty, CST & MPRS conducted a Soil and Site Evaluation on the Dalton property for septic system potentials. Mr. Carl Lippert, Wastewater Specialist of WI Div. of Safety and Buildings, was contacted and performed an onsite of the same property on August 26, 2011 and is agreement with this site's potential for an A+0 mound septic system. The Dalton property is located in the S W 1 /4 SE1/4 Sec. 21 T3 IN R16W, Town of Cylon, St. Croix County WI. Site Address is 2254 200`x' Ave. Baldwin, Wl. Methods Documentation of soil types and characteristics, interpretation of redoximorphic features and other soil color patterns at this given site followed guidelines under COMM Chapter 85 of the WI Administrative Code. The property was subjected to a preliminary survey of the St. Croix County Soil Survey and a site topographic map. During field investigations, 3 backhoe pits and 2 hand dug borings, 30 to 48 inches in depth were documented using the USDA-NRCS soil descriptive system. Also noted was the vegetation type, the landscape position, that there was adequate length along a suitable contour, and the hydrology determined. The soil pit locations and landscape elevations were accurately surveyed and recorded on a plot that shows contour lines every '/2 foot. This Comm 85.60(2) Interpretive Determinations Report will demonstrate that a minimum of 6 inches of unsaturated soil exists at this site making it suitable for a mound type septic system as allowed under Comm 85.30(2)(b). Local Hydrology The local hydrology at this site has water input from annual precipitation which is approx. 32 inches per year. Surface water inputs are minimized at the proposed site by an adjacent road ditch to the south and it's landscape position which puts it close to the top of a slight rise. Groundwater inputs are a non-factor at this site since there are no lakes, rivers or even wetlands within 1000 feet. The only apparent groundwater is associated with a deep 85 foot well located approx. 150 northeast of the proposed mound site that provides the drinking water for this property. There is a deep clay loam glacial till strata over the water table sands and gravel that provides substantial groundwater protection from sources of surface contamination. Water outputs from this site are related to three functions - surface water runoff, soil infiltration and evapotranspiration. Soil Series According to the St. Croix Soil Survey, the area designated on the plot plan for the mound septic system consists of somewhat poorly drained Magnor Series. The field observations of the soil pits generally agree with the St. Croix County Soil Survey. The Magnor Series is an Aquic Glossoboralf consisting of silty deposits over sandy clay loam glacial till. Redoximorphic features are absent in the upper 6-8 inches of the soil profile indicating a well oxidized condition free of soil saturation. Redox features at greater depths, as described, consists of iron concentrations and depletions, indicating the potential of periodic soil saturation below 6 inches. All the soil pits and borings, both reported and unreported, show the soils to be very uniform and consistent thru-out the entire site. Data Safety and Buildings has approved A+0 mounds with a minimum of 6 inches of unsaturated soils in th upper part of the A horizon. The Dalton soil and site evaluation report and data are similar to some of these sites. (Examples: Paul Meier site, Wood County, Janzen onsite, Site ID#183202, Kevin Grant, Town -Emerald, St. Croix County, Site ID#648717, Lawrence Peterson, town of Medford, Taylor County, Trans. ID4629769, Michael & Sally Snyder, Town -Springfield, St. Croix County, SiteID#652884, and many others to numerous to mention). Government Reports Mr. Carl Lippert, Wastewater Specialist, WI Div. of Safety & Buildings Division, and Ryan Yarrington , Zoning Technician, for the St. Croix County Zoning Office were present at this site on August 26, 2011 and are in agreement that this site's soils and landscape position were suitable for an A+0 mound system with a minimum of 6 inches of unsaturated soils. Conclusions/Recommendations Since saturated soil conditions do not occur in the upper 6 inches of the soil profile, as indicated by the lack of redoximorphic features, this site is acceptable for the installation of a mound type septic system with a minimum of 6 inches of unsaturated soil for the treatment and dispersal of wastewater, as allowed under the WI Administrative Code currently known as Comm. 83.44(3)(b)1. The 6 inches of unsaturated soils will assure that the effluent will be adequately assimilated into the subsurface soils without ground surface ponding. ~ ~ v Lf :ontlnue an Paps 72 V R it 1r. - 6~i cl f~' fl s+ ''1at.:liW .SH " s ~ •^I~w `.i > y'`ER "i, r ° 8'x`3. , ~ 6 ~a ~.-aa ~ r . ~.s 'sue ' ~ iFe, n r x ~ _ ~ x 1. Y , 3 r .1 .t p.. O \ 1. r ti . J / Jv /l ~ 00 1~ f i . N :,ei O = ~ J { Y r .yN ~ f_~' d~• . Y• rp. 31 A R \ - 9 mw to u- \ W i /rte m F~ ® it! , t L Q : ~r s ~i . 4-1 wnwrt 'R i € 3~ I~ ll G r : r~ .";7 .R `tis ~'~F, $o ! ` xw'<1 , p'. cam. w O ,y % ''mow ) rtxlx tt . 46 M / f ~wiw rt ~ f rN''-1^w. t 7•ti ~ ro.. 'hrl{'r .~U.s•, s: ~c• • } f TTTTT .1 e3.` ` iaft IYw rt . i ] ro J \~.fnD~' i p ~y a / s 4 me. ix n x ©u O t > 1 I/'fl }I m ,Mx >t I W tirw / .i k, xw n\. ..raTw n a i rrttwin L-i CF. •tA ~ Y 4 r >'f ~s• y . < l~ e `N- E O Y f di rMx tt > SM \ ..3~ . pF> n artw n . ..1_ ~ i ~ 1 1~ ,NSx n ~ ~ .p ~ i f' G i a rM R O Nn n w1 ! 3 .s Soil Map-St. Croix County, Wisconsin Map Unit Legend St. Croix County, Wisconsin (W1109) Map Unit Symbol Map Unit Name' Acres in AOI Percent of AOI AdA i Adolph silt loam, 0 to 2 percent slopes 1.1 1.4%11 AIB Amery sandy loam, 2 to 6 percent slopes 13.3 16.6% AIC2 Amery sandy loam, 6 to 12 percent slopes, 25.9 32.4% eroded AmB Amery loam, 2 to 6 percent slopes 0.5 0.6% r CyA Clyde silt loam, 0 to 3 percent slopes 4.0 5.0% FnB j Freeon silt loam, 2 to 6 percent slopes 12.0 15.0% MaB Magnor silt loam, 1 to 6 percent slopes 5.6 7.0% j OtB Otterholt silt loam, 2 to 6 percent slopes 4.71 5.9%1 SaB Santiago silt loam, 2 to 6 percent slopes 3.9 4.9% SaC2 Santiago silt loam, 6 to 12 percent slopes, eroded 2.2 2.8% 1 Se Saprists and aquents 1.8 2.2% Sm Seelyeville muck 5.0 6.3%11 Totals for Area of Interest 80.0 100.0% LJSDA Natural Resources Web Soil Survey 9/1/2011 Conservation Service National Cooperative Soil Survey Page 3 of 3 y ~ N W M 0040005 OO£OOOS OOZOOo9 OOL0009 0000009 0066661, 0096661, .,04 OZ 26 g o O ..L6 OZ Z6 N.- rn rn t0 a S 8 N N N O p c7 O N ~ N 8 p N O N N C O I C O O ~ SN_ y L 8 T'o m o u> X g cfl Z (D 8 Cn U N N 0 N ~ n U) 0 ns 0 g C U) 8 v z N ~ y O YS ~ g 8 N _ O 0 K N h O aZ O 8 Q N o^o O C V N O O ~ N ffi C p n O h p N O N S ~ N ;cn O O N O ~2 N C f0 O $ ZQ ZU „LZ ,LZ.Z6 ..BZ dZ<Z6 004 009 WE 009 OOZ 05 OOL 009 000 005 06166t, 0091661, ~ N State of Wisconsin INSPECTION Department of Commerce Safety & Buildings Division. REPORT Bureau of Field Operations Inspection Date Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m)]. Name of Premises Address or Legal Description f;]ty/Township.,, County Master Plumber Name and Address Master Plumber Firm Name and Address Plan I.D. No. Sanitary Permit No. Journeyman Plumber/Soil Tester Licensed Person's Name(s) and License Number(s) Owner's Name agrd Address ' X r i~f.F/!x✓f..!?cj',r ~~s!`:J.! ~y~~~^. ~ `t' ~tk`~ - ~~a~, . / %~f~'.``..`rC+°"'~,~'> zz/ x% o t~ /l mss' , A-t 67, , i t r v~ r _ ~K1' !4i'rf J if~~<.^lf' J✓ a~ ~L ~ 4! ..~.y~A''` ~ ~G-' f'~,."_. Page r of Signature of Responsible Licensed Person (only one needed) i' (that Check all \ Sign atGfg of Plymbing Gort;y fzuf;Pr ate Sewage Consultant 11 - Original. Copiesto: apply ~ sera-6192 (R.12/ss) District 0 S&B 0 Plumber 0 Owner County/62`al tfisp. Other ST. CROIX COUNTY WISCONSIN ZONING OFFICE t ri n u"" ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 ` (715) 386-4680 FAX (715) 386-4686 Page / of 3 COUNTY ON-SITE VERIFICATION FORM Inspector: P04111ivih 0 V t-i0 k Date: 0/ S / iL y Parcel ID Number p0 G, - 8// /i 5- V 2o6 - PropertyGnner Propertyl-ocation Gm. Lot 5VI). 19 S,C 1 A S 2 I T 3~ N R/ r!ji E~ W PropyOwners IA ili ss Lot# Block# Sued. Nan-e orCSA14 ST City,, State Zip Code Phone Number City ❑Village Tawn Nearest Road /J. ~%Ghrn prod (/L/ U 1 -7 { lr r 20 041- AM . ❑ Ne Construction U~: ❑ Rasidential / Number of badmoms _ Code derived design ftDvv GPD piloement ❑ Public or commercial - Describe: Parent material _ - Flood Plain elevation if applicable General comments and recommendations: J" v`'` ~!/A tm Being # ❑ Batng Q 611-1 EVPit Ground surface elan. _ft. Depth to limiting factor - in. Sail Application Rate Horizon Depth Dominant Color Rcdox Description Texture Structure Consistence Boundary Rods GPDIih in. Munssil Gu. Sz. Cont. Color Gr. 5z. Sh. TIN1 Tff#2 ! /0 3 5t~ Z e- el r / 0 "ke 2- bk, 3 E It) s d ~i r2~ a sr I a kk y 13 ~0=-'~ s• jv sble 14 07t, Az Conditions: _ rM C lT \ ~'d2o L~.rJri ~f'a . Z -3 Soil Survey description: Notes: -cv 2 CL2v G~ FEE: ST. CROIX COUNTY ON-SITE VERIFICATION FORM PmpertyOwner_ Parcel ID S1 V (o 6, v Page -Of ® Boring ❑ gQ/ - Pit Ground surfaw ale ft. Depth to limiting factor---- in. ' Sal Applirsttion Pab Horizon Depth Dominant Color Radcx Description Texture Structure Gonsislence Boundary Roots GPDfif in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. •Effi+1 •M -A-o-w 11 o ?/3 S'I 26 r Yhv cs Z D' `5 1 2 CV ?f/ K .s ~.5 5 d b Notes: 13 0 Boring # E] Boring yv c~ (J rat Ground surface alau fl. Depth to limiting factor----- in. Sal Application Rate Horizon 17apth Dominant Coker F dox Description Taxiure Structure Cam istL -nee boundary Roots GPQtTf in. Munsall Qu. Sz. Cant. Color Gr. SL 5h. •I- 92 2 r - 3 jq~u S, Q , 00 "12 V7A/ Notes: ❑ Boring ❑ Baring ❑ Pit Ground surface elev. ---ft. Depth to limiting factor--_ in. Sal Application Fate Horizon Depth Dominant Color l3doxDesciption Texture Structure Caisistence Boundary Rocts GPDff in. Munsell iu. Sr- Cram. Color Gr. Sz. Sh. '2f#1 Notes: , . . -4. -A • I rn , 4 I I ~ ,r'-... . _ - ........a......... w I r - ' I , Pow f. r- ff//. p n v . , I.•... , __..1_..._. ..._I Mal , , Non t I ~ 2 I r. _ ....M ' I I , t t-4 I t " Clarence Glotfelty _ I ntviro-Tech Systems & Services a T N4955 S=iy Hill Road Weyerhaeuser, WI 54895 - Wi4consinDepartment ofCommerw SOIL EVALUATION REPORT Divislon of Safaty and Buildings p NDr ~fn i)th Comm 85, Wis. Adm. Code - . 4 County Amc:h complete alto plan on paper no` ° "2 x' 1 inches in size. Plan must i include, but not limited to! vertioal and horizontal mferenco point (I3M), direction and Parcel I,D V pereentslope, scale or dimensions, north arrow, and location and distance to nearest road. 0G(p 0 -(~`~l XJ (J v Please print all information, ReAewed by Date Personal Intormatlon you pmvlde rnoy be used for secondory purposas (PrlvaCy Low, S. 15.OA (1).(m)). PropeltyOwner PropartyLocation i/ CLCf~.S , D o4'F-i:8t 114 1l4 S T N R L W Property Owner's Mailing Address Lot # Blor..K # Subd. Name or CSM* 17 SL 91 C Tote ZiCode Phone Number Hy p City Vi11 e Town Nearest Road &h= di d 0 New Construction Used Residential / Number of bedrooms Code derived design flow rate G r'Q Raptacement P blic or commercial - Describe: YI Parent material Flood Plain elevation K applic*Ue ft. General comments { and reCpmrnendatlans: / I 2~ 30 ~ - S ri , ~ -~J Boring ~S Irk` g , - - f3orirlg ~ Pit Ground Surface elev'-ZLL ft. Depth to limiting fc ator in, r FF - IiCntion Rite--_e e Horizon Oepth Dominant Color Redox Description Texture Structure Consistence Boundary Roof; GPDif~ in. Munsall Qu. Sz. cont. Color Gr. Sz. Sh. -Eflfl1 'Eff#2 (t9 4) t --..47..- - 77 4e-~7~- pit Ground surface ciev. ft Depth to limiting factor! in. aii lication bate I Horizon 06pth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GRDJtf In. Munseil Qu, Sz, Cont Goior Gr. Sz. Sh. `Eff41 *Eff 2 i , L biz r s s - - ---Y = --1 ' S 1 d L-013 ` Effluent #1 = BObr 3D a 220 mg/L and TSS >30 = 150 mglL 1 t #2,= t30 e 3j mglL and TSS c 30 mglL C$7 Ne (Please Print) CST NunLcr Addross jDatevaluatl you 7cjleniAxm Nunt};~ ~ ~ - f}npparly Owner page of Boring Boring # j~ in. Fit Ground Surface elev, ! 1! L! _ ft Depth to limiting factor r-_-`~ in mil F. IiC~tion Horizon Depth Dominant Color Redox Descxtption Texture $tructura Consistence Boundary Raois GPOnf 'Eff#l 'Effti2 in. Munsell Qu. Sz ConL Color Gr, Sz. Sh, 10 --P3 Sh k .^Sz6t 7 4 175 A z - 42,n 4LOM M-; boring - i~.o~- SV~vt/~- rti. she fIIR/►- / Boring It ~fo I Pit Ground surface elev. ft Depth to.lirning factor In. Sell lioation Rate Horton Depth Dominant Color Redox Dmeription Texture Structure Consistence Sound; Roots RE GPDtIT in, Munseil Qu. Sz. Cant Color Gr. Sz. Sh. (m i { -i Boring # B elev. ft. Depth to limiting factor In. Pit Ground surface De th Dominant Color Redox Description Texture Structure Gonslstence Boundary Roots _GPL)IT Hotlzon p In. Munsell Qu. Sz. C.ont Color Gr. Sz Sh, Eft#1 'Eft#~ ' - I i I _ • E LIerit.41 = ElO'D, a 30 oe 220 mglL and TSS >30:5 150 MgfL " Effluent #2 = BOD, t 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 m4kterW in an Wte=te format, please contact the dcparmmt at 608-266-3151 or'TTY 608.264-8777. g8a.p "TM rRm.wM E ,E, j . .._....._a . I ~ I ~ 6 A ry) 4 ._.,.t-,»„r r._ I I I j .t l I _ C I~.! ` ` ..J.... I I , D J~~, ~ . . ..........................1... t...: . R r 1.._....... _ _ 4 y f 1 11 t - . yw , I ~ y I I • i r , . rz- , I I .,p .11 i , , .....W~ ,o» ».,L. - I 7 I li Clarence Glotfelty niviro-Tech Systems & Services N4955 Swuly Hill Road r Weyerhaeuser, WI 34895 Parcel 006-1046-80-000 08/10/2011 11:15 AM PAGE 1 OF 1 Alt. Parcel M 21.31.16.324A 006 - TOWN OF CYLON Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - DALTON, THOMAS P & TERESA M THOMAS P & TERESA M DALTON 1728 95TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2254 200TH AVE SC 3962 SCH DIST NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 38.430 Plat: N/A-NOT AVAILABLE SEC 21 T31 N R1 6W SW SE EXC CSM VOL 2/447 Block/Condo Bldg: & EXC P324B Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-31N-16W Notes: Parcel History: Date Doc # Vol/Page Type 10/14/2008 882772 ALC 01/30/2006 817449 EZ-U 10/06/1999 611718 1461/543 LC 01/20/1998 571501 1289/109 TI more... 2011 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/10/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 25,000 74,000 99,000 NO AGRICULTURAL G4 10.000 1,800 0 1,800 NO UNDEVELOPED G5 26.430 26,400 0 26,400 NO Totals for 2011: General Property 38.430 53,200 74,000 127,200 Woodland 0.000 0 0 Totals for 2010: General Property 38.430 53,200 74,000 127,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0 00 I I!!I!{ I!I!{ IIIII IIIII IIlII Iilll IIlI EXTENSION AND g lIIIII IIII IIII 8 2 7 7 2 2 AMENDMENT OF LAND CONTRACT $$2772 KATHLEEN H. WALSH REGISTER OF DEEDS This agreement made this 1St day of October, 2008, ST. CROIX CO., WI but signed this 6t" day of October, 2008, by and between RECEIVED FOR RECORD Fern Wilbur ("Vendor") and Thomas P. Dalton and 10/14/2008 11: 45AM Teresa M. Dalton, husband and wife ("Purchaser"). LAND CONTRACT EXTENSIO EXEMPT A REC FEE: 13.00 PAGES: 2 Judith A. Remington REMINGTON LAW OFFICES 126 S. Knowles Avenue New Richmond, WI 54017 PINS: 006-1046-60-000; 006-1047-10-000; 006-1046-80-000 WHEREAS, Vendor, Fern Wilbur, did enter into a land contract with Purchaser, Thomas P. Dalton and Teresa M. Dalton, dated September 30, 1999, and recorded in Volume 1461 at Page 543 as Document No. 611718 in the Register of Deeds Office in St. Croix County, Wisconsin, whose legal description is as follows: The East Half of the Southeast Quarter (E1/2 of SE1/4) and the Southwest Quarter of the Southeast Quarter (SW 1/4 of SE1/4) in Section Twenty-one (21), Township Thirty-one (31) North, Range Sixteen (16) West, EXCEPT the Certified Survey Map recorded in Volume 2 at Page 447 as Document No. 342527 and EXCEPT commencing at a point on the section line 22 rods West of the Southeast corner of the Southwest Quarter of the Southeast Quarter (SW1/4 of SE1/4) of said Section Twenty-one (21); thence North 250 feet; thence West 100 feet; thence South 250 feet; thence East 100 feet to the point of beginning, St. Croix County, Wisconsin. WHEREAS, the land contract shall become due and payable in full on September 30, 2008; WHEREAS, Purchaser wishes to extend and modify the land contract, and Vendor has agreed to do so; 1 of 2 NOW, THEREFORE, the parties agree as follows: 1. There shall be monthly payments of principal and interest in the amount of $600.00 per month, commencing October 1, 2008, and continuing on the same day of each successive month thereafter. Provided, however, that the entire outstanding balance shall be paid in full on or before the 30th day of September, 2011. 2. The interest rate shall remain at 5.8%. 3. Both parties acknowledge that all payments have been made and the balance as of September 30, 2008, was $67,310.79. In all other respects not inconsistent with this amendment, the land contract shall remain in full force and effect. Signed at the date first written above in New Richmond, Wisconsin. VENDOR: PURCHASER: le -I 4~/ 111OW-C-4 FERN WILBUR THOMAS P. DALTON TERESA M. DAL O STATE OF WISCONSIN ) ) ss. ST. CROIX COUNTY ) ....,Persbnally came before me this 6th day of October, 2008, the above named, Fern Wilbur, Tom`>l':; Dalton and Teresa M. Dalton to me known to be the person(s) who executed the `.-.foregoing instrument and acknowledge the same. ti ithA:'Remington, otary P is :''~11r1y Commission is Permanent. THIS DOCUMENT DRAFTED BY: Judith A. Remington #1016706 REMINGTON LAW OFFICES, LLC 126 S. Knowles Ave. New Richmond, W154017 Telephone: (715) 246-3422 2of2 q ~ l 1 a - 4 1 i I " _ ~j -4 y ~ L~- _v_.~ . t a Page of ST. CROIX COUNTY ON-SITE PLOT PLAN Scale: Owner Name: Parcel ID Number: Inspector: "'r CROIX COUNTY PLANNING & ZONING FAx MEMO DATE. 2_2~Z6 To: &.t~ \ . p F-e ~ Code Administration 715-386-4680 FAX NUMBER: 2 g / ~ X ll~o~ J o vv Land Information & 2ya Planning FROM: I p 41) a vVl iq - 1~n-_ 715-386-4674 FAX NUMBER: 715-386-4686 Real Property PHONE NUMBER: 715-35(i-4677 Rec'~-cling 7t3-386-4675 NUMBER OF PAGES, INCLUDING COVER SHEET: In RE: q Wl (0, Ce- 61b J"S )C-01-d VVU- our y 61-~ .S~r is JUG ►n oh / . ST. CRO/X COUNTY GOVERNMENT CENTER 7 1 5-386-4 686 1 AA PZ@CO.SAINT-CROIX.WI.US 110 1 CARMICHAEL ROAD, HUDSON, W1 54016 WWW.CO.SAINT-CROIX.WI_US