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645499 032-2003-30-130
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for seoondary purposes [Privacy Law, s.15.04 (1)(m)I Permit Holders Name: City 'Village Township Greg Powers I TOWN OF SOMERSET CST BM Elev: Insp. BM Elev- SM Description: 11-2� TANK INFORMATION TYPE MANUFACTURER w Po E ,n s.9 I CAPACITY Septic Dosing Lem 60 _ t Aeraf en Holding t TANK SETBACK INFORMATION M�M�� M=- - 001"'M = 0 - MA PUMP/SIPHON INFORMATION Manufacturer Eu�(L Demand GPM iS Model Number /62— TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. z If Dist. to Well (—�() :1 SOIL ABSORPTION SYSTEM ELEVATION DATA County. St. Croix Sanitary Permit No: 645499 State Plan ID No: Parcel Tax No. 032-2003-30-130 Section/Tawn/Range/Map No. 01.30.19.474A-30 STATION BS HI FS ELEV. Benchmark 1 All. BM Bldg. Sewer SUHt Inlet l ©s ry, r � f 7j `� St/hit Outlet Dt Inlet Di Bottom Header/Man. Jo 1, 9D' Dist. Pipe 191-20 Bot. System Final Grade �7 t,r- L< (ae t( IZ't- Sait ad St Cover C f o .10 3.30 r �owr d}3a �%3a afl-�f Foc,ccS [o,ll 93�3 6a4t- 3-5-o 60-P) I oora IPIT DIMENSIONS l 1.41 / 9lf" I 13,3a —DIMENSIONS C7r a SETBACK SYSTEMTOl PIL BLDG`t WELL LAKE/STREAM LEACHING Manufacturer �� a:_INFORMATION Type System : f f ' CHAMBE OR I Model Number 2 IA D L Ls DISTRIBUTION SYSTEM 7 t/ �9 P" �1 r` T Header/Manifold _ 01 it q IDistribuyon 1 Pipe(s) �fet.21r lJ/ ` L1,D l (� x Hole Size 3if x Hole Spacing % I 2. 11 Vent to Air Intake Length ` Die Length Dia Spacing /�h SOIL COVER x Pressure Svsterns Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ,. No Yes No r \ �QMMENTS' Include code discrepancies, persons present, etc.) Inspection #1: �12'{17o2 3 Inspection #2: !125-/2OZ 3 Lxatlt 1 9585TH r 1.) Alt BM Description = 2.) Bldg sewer length = t 5D - amount of cover = > T7- r' , o t A -3 D64/uaj� Prfil6' 'n- jD Plan revision Required? s g No �/� /��3 Use other side for additi � Gon. [ ( _ SBD-6710 (R.3/97) a Insepctor's Signature �� i Te�� (44 171�) Cert- No. Trusted. Tested. Tough TM ®r OEProducti9 nformation presented here reflects conditions attime of publication. Consultfactory regarding discrepancies or PUMP COMPANY inconsistencies. TECHNICAL DATA SHEET DOSE -MATE SERIES Models 751, 152, 153 Effluent Pumps PRODUCT SPECIFICATIONS 0 CQ c Horse Power 1/3 (151), 4/10 (152), 1/2 (153) Voltage 115 or 230 Phase 1 Ph Hertz 60 Hz RPM 3450 Type Permanent split capacitor Insulation Class B Amps 3.0 - 10.5 a a Operation Automatic or nonautomatic Discharge Size 1-1/2" NPT Solids Handling 1/2" (12 mm), 3/4" (19 mm) spherical solids Cord Length 20' (6 m) Cord Type UL listed power cord Max. Head 44' (13.4 m) Max. Flow Rate 77 GPM (291 LPM) Max. Operating Temp. 130 °F (54 °C) Cooling Oil filled Motor Protection Auto reset thermal overload N J Q LU CQ c Cap Cast iron Motor Housing Cast iron Pump Housing Cast iron Base Plastic or cast iron Upper Bearing Sleeve bearing Lower Bearing Ball bearing Mechanical Seals Carbon and ceramic ImpellerType Non -clogging vortex Impeller Engineered thermoplastic Hardware Stainless steel Motor Shaft AISI 1215 steel Gasket Neoprene NOTE: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. NOTE: See model comparison chart for specific details. 1 C 40. S.�a.Um ' Qo�R. Te tad to UL Standard ULI7 SSPM ;�oq sN 0 t T� �o and Certifkd to CSA �vE..s Cppj Standard CSA22.2 No. 108 MODELS 152 & 153 6-7/32" (158 mm) 3-7/8" (98 mm) 4-5/8" (117 mml) SECTION: 2.15.080 FM2784 1017 Supersedes 0315 1-112" NPT 4-15/16" (125 mm) SK2444 3-7/8" (98 mm) 3-7/8" (98 mm) 1-1/2" NPT (137 mm) SK2064 © Copyright 2017 ZoellerCo. All rights reserved. 502-778-2731 1 800-928-7867 1 3649 Cane Run Road I Louisville, KY 40211-1961 1 zoellerpumps.com eQ ECE r v� FJ2,6M IP LL{ O— 1 PA-q I- 406ff LE 2 , s(2& 12023 TOTAL DYNAMIC HEADto FLOW PER MINUTE w PUMP PERFORMANCE CURVE MODEL 151/152/153 50 MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 30 9.1 23 87 33 125 35 10.7 22 85 40 1 12.2 L 11 42 Shut-off Head:1 30 ft. (9.1m) 38 ft. (11.6m) 44 ft. (13.4m) 14 45 153 12 40 a 35 = 10 52 30 a �r e � g 20 15 4 10 2 5 0 10 20 3 40 50 60 GALLONS LITERS 0 40 80 20 160 200 2, 3o'f5' FLOW PER MINUTE Qa. 014508 MODEL COMPARISON Model Seal Mode Volts Ph Amps HP Hz Lbs Kg Simplex Duplex N151 Single Non 115 1 6.0 1/3 60 32 15 1 2 or 3 E151 Single Non 230 1 3.0 1/3 60 32 15 1 2 or 3 BN151 Single Auto 115 1 6.0 1/3 60 33 15 2 or 3 BE151 Single Auto 230 1 3.0 1 1/3 60 33 15 2 or 3 N152 Single Non 115 1 8.5 4/10 60 37 17 1 2 or 3 E152 Single Non 230 1 4.3 4/10 60 37 17 1 2 or 3 BN152 Single Auto 115 1 8.5 4/10 60 39 18 2 or 3 BE152 Single Non 230 1 4.3 4/10 60 39 18 2 or 3 N153 Single Non 115 1 10.5 1/2 60 37 17 BN153 Single Auto 115 1 1 10.5 1 1/2 1 60 39 18 * 2 or 3 E153 Single Non 230 1 5.3 1/2 60 37 17 1 2 or 3 BE153 Single Non 230 1 5.3 1/2 60 39 18 * 2 or 3 *BN and BE models include a 20' (6 m) piggyback variable level pump switch. Additional cord lengths are available in 25' (8 m) and 35' (11 m). 50' (15 m) cords are available for 230V units only. NOTE: Model 151 has a plastic base. Models 152 & 153 have a cast iron base. SELECTION GUIDE 1. For automatic, use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM1228 for correct model of simplex control panel. 3. See FM0712 for correct model of duplex control panel. "Easy assembly" OPTIONAL PUMP STAND P/N 10-2421 (pump&disharge pipe not included.) • Reduces potential clogging by debris • Replaces rocks or bricks under the pump • Made of durable, noncorrosive ABS • Raises pump 2" (5 cm) off bottom of basin • Provides the ability to raise intake by adding sections of 1112" or 2" (DN40 or DN50) PVC piping • Attaches securely to pump • Accommodates sump, dewatering and effluent applications NOTE: Make sure float is free from obstruction. CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electrical Code (NEC) and the Occupational Safety and Health Act (OSHA). © Copyright 2017 Zoeller° Co. All rights reserved. 502-778-2731 1 800-928-7867 1 3649 Cane Run Road I Louisville, KY 40211-1961 1 zoellerpumps.com SA-q -202.3 -eo 3 1. SE 2. Ail Department of Safety SCT CROIX (� & Professional Services, Saniany Permit Number (to be filled by Co) Industry Services Division 419 Sanitary Permit Application State Transaction Number hi accordrrce with SPS 38321(21 Wu. Adm Code, aubmiuion of th s enW omit � — I L 2.1- Q v roquiral prior to obftwAng a sntissry pe nut. Note. App =1 forms Project Address (i diffinen faun mailing address the Dgmrancnt of Safety and Profia iotul Services. Paaorfal informetto purpoaea in accordance with the Privacy Law, s. 1 S.WI(l)(�>. Slats. � gip W Property Owners Name JAN riJ 2023 Farrel iV GREG POWERS 032-2003-30-130 Property Owner's Mailing Address St. Croix ' o j �i t y Property Lmotim 2040 HWY 65 ommUr,ty Development —Vt. I'm NW V.. 141�' Y.' $eCtion city, State Zip Code 154017 Pb=Nmbcf NEW RICHMOND WI T 3e N R ofOIL TW MIMM (,,. ri list I / Lot M Subdivision Nine ❑ 1 or 2 ramity Dwellings - Number ofBedr000n 4 3 11 PuNte/Cummercial - Desenbe Use Block tr — — ❑Cityof,--. ❑ Stott Owned - Describe Uas Q village of CSiN Aftanber ?�,� . 713 5 tie fa Town of $aMEficiET t#M. Ty" nl ltfUL. (OW& wow "lWtttr" tx . tire. •�rYe Al tiM A. CMdt iM � w � ■. 4i�iale tiw C A. M New ❑ Replacement System ❑ Other Modification to Existing System (explain) gAdditional Pretreatment Unit (explain) E't1_r&j LAjk$ 11f 1 B ❑ Holding Tank ❑ hi -Ground ❑ At -Graff ($Mound Individual Site Design ❑ Otber Type (ogaI—) (conventional) Z�' C. ❑Renewal Before Cl Revisicxr ❑ Ctmsgt of Plumber ❑ Transfer to New Owner List Previous Permit Number and I]arewied Fxpirrtion .I►m nta. W: 6 x Design Flow (gpd) Design Soil Applieetion Rate(gpolsf) Dispensl A Required (sf) D isperul Area Proposed (sf) Systen Fitnt" 01► 600 1.0 392 392 Capacity in Tank Inforntatim T F,.tsro Tashily Total Craliaru * of Manubotacr � UnitsYA�_J �New v rn �i c-, 5 a Sept or Holdset Task X ISIS t YAESER x �r t x oso x V: VA@pt►2ibft StahrNa!-1,1W aerderidg m asaose tntap�iilty far lueaiai.. dtie rOM'!LR abrws err eb aUMeW RMa� Plumber's Nmee (Print) Ptumbcr's Si�gnaEuuv - MPlMPRS Number t3usirless Phone Number PAUL R KOEli.ER �-`.'� /�i'� 225410 7162b,2eae Plurdber's Address (Street, City, State, Zip Code) 321 WISCONSIN DR NEW RICHMOND WI ttttt (lie Approved ❑ D Permit Peed Date Issued I Agent kiignature j S 6'v ^ 1 Zfl�3 ❑ vm for Denial Conditions o A RtVIINP ful Bi ITS 3 ja, PZC^k:t sysl �U�'� _ • $o *, e11 ue K Ater NO *Wsalod f � � , e f ,a „�[ / �71 �`•� �S be SerVioed I dflAftli;8W SS POf w ` . ?0 r ttpmnt plan pmvdW by �illl�R�er. to L(Llt( feguiremerrts MW be n9bMIM4 5 ZA-e-r- o s a,5 D S n i- r i�c e_ e� vw t^w ••P`F "• ••• • ••+�• xreRa d'awpir pier tlar 6s 777, ikt a 1M Cwaa Mb• MIS im� a in a are , SBD-6390 (R. 03R2) �` h; S5, ?' 4 D •� r - 1 i j 12, QS O,ys W 'A C� eof -(1£ _toot - o� S Wisconsin Departrnenl of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 December 21, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-12-21 Plan Review: PWTS-122202929-C Paul Koehler 321 Wisconsin Dr New Richmond, WI SITE: Ten Mile 1795 85`6 Street Jamestown Township Grant County NE % NE Y. S33-T1N—R2W Phonc 601i-266-2112 Web: httn: Email: dsocrn wis ;omin env Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE FOR: rDescription: 4 Bedroom-600 GPD-30" to GSF Mound Component Manual — (11/19), limiting factor — Effluent Filter - Maintenance Pressure Distribution Component Manual — Ver. required 2.1 (May 2022-2027) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. Install the GSF products and distribution piping per instructions. If using pressure distribution, distribution pipe should be sleeved through the 4-inch corrugated pipe located in the GSF product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position so as to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o'clock position. All pipes must drain after dosing. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans specifications and this letter shall be on -site during construction and own to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. 5PS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. in granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead: The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)634-5124 Joshua. rowleyewisconsin.gov �i�! , Department of Safety C--tr RI Cy I'' & Professional Services, SanS Number (to be fates in by Co.) Industry Services Division Sanitary Permit Application StateTransaction Number In accordame with SPS 38311(2k Was. Adm. Cade, submission of this form iv the appropriate govcrnmerneal unit is required prior to obtaining a sanitary permit Note Application forms for stale -owned POWTS art submitted to Project Address (if different than matluV address) the Department of Safety and Profesrvasrl Services. Persona} information you provide may be used for socondary purposes in accordance with the Privacy Law, a. 15.04(l j(mj, Stab. NEW R�HlsoNO t7tia 16fH STREET Property Owner's Name pie} GREG POWERS 032-2003-30-130 Perty Owner's Matt Addren Property Locution 2040 HWY 65 Gon I" City, State Zip Code Phone Number NEW RICHMON'D WI 154017 �• f• «+ T N R Eayx _iLot N o } or 2 Fatuity Dwelling — Number ofBedrooms 4 3 Subdivision Name ❑ Ptrb]icfCommertid —Describe Use Block 0 Q City of . O State Owned — Describe Use _ _ 0 Village of CSM Number o Tom of SOMERSET ID. TIP you" P .100 (Clialk siiMN' e1lY�w"' tsr'�piBe�" turf der � M illy Al. i�aak tllttt Mrs M i. C A. ® New S yssem ❑ Replaeerrrart System ❑ Other Modification to Existing System (explain) ❑ Additimal PretreatrmeM Unit (eugnlain) s ❑ Hold Tank mg ❑ bv.Gmww ❑ At -Gads CKMaund ❑Individual Site Design OlhcrType (t�laan) T (conventional) (conventional)— ❑ Renewal Before ❑ Revision ❑ CMrnge of Plumber ❑ Traeasfcr to New `hurterrevouserm ist PiPit Nbale Issued Number and D Expiration WUMWAPHM Am OW Tmk Design Flow (spill Design Soil Application Rdajj Nsf) Dispersal Area Required (if) Disperse] Area Fropoaed (af) System Elevation 600 1.0 1 392 392 toz f COWOUR UNE as r Capacity in Call TOW M of Mmufacturrr Tettir Information Gallons units Nsw a Esnataea Tads I ni 0. Septic or Heldms Tmk x _ t safe t I %MENR x Doawi Cieotw X ow I WESMX V. Rslp S6&km aul- too `Master/, aster nspoa bft her i net%gm sttis tfr( WT$ Iati M tin sN*d d !� Plumber's Name (Print) PIlSigruitr MPIMPRS Number Business Phone Number PAUL R a70EF71ER 226410 7141�62GOD Plumber's Address (Street. City, State, Zip Code) 321 WISCONSIN DR NEW RICHMOND WI VL I Uu ❑ Approved O Drsapproved Permit Per Dace Issued Issuing Agent Sigrhre s D Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval wares r I'rawa nor Or TMa 11" geglll it me Cwah' S* " PSPW see lea arm I in a 11 `JW is aiae SACM348 (R. 03122) GSF WI MOUND DESIGN PROGRAM INDEX AND TITLE PAGE Project Name: GREG POWERS Owner's Name: GREG POWERS Owner's Address: 2040 WI 65 NEW RICHMOND WI Conditional7y APPROVED DE ONAL SERVICES Le al Description: SEC 1 30 N 19W hIVIS�1N rF INDUSTRY SERVICES Township: SOMERSET 9w9d" . County. ST CROIX SEE C Subdivision Name: PROPOSED CSM Lot Number: 3 Block Number Parcel I.D. Number: D32-2003-30-130 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 GSF mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Designer Paul Koehler License Number. 225410 Date: 11/29/2022 Phone Number: 715-246-2660 Signature: Designed Pursuant to the GSF Mound Component Manual IN. 08/16), and SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS (01181) GSF Mound Version 2.27 Page 1 of 8 GSF WI MOUND DESIGN PROGRAM DATA ENTRY Site Information R Residential or Commercial Design Number of Bedrooms (optional) 600 Design Flow (gpd) 5.0% Site Slope (%) 97.91 Installation Contour Line Elevation (ft) 100.00 Contour Length Available (ft) 30 Depth to Limiting Factor (in) 1 A In -Situ Soil Application Rate (gpdtftx) EFF #2 Distribution Cell Information A42 Unit Used 8 Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 49 = Dispersal Cell Length (ft) 2.0 Dispersal Cell Design Loading Rate (gpdtft) 2 Influent Wastewater Quality Are the laterals the highest int in the distribution � Pressure Distrtbution Information network? Enter Y or N E Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 4 Lateral Spacing If N above, enter the elevation ft 2 Number of Laterals of the highest point. meter (in) . 0.25) (ft) = 8.52 ftZ/orifice Forcemaln Diameter (in) Forcemaln ngth (ft) maid Pue mp Tank Elevation (ft) Does the forcemain drain back? 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 10.49 Vertical Lift (ft) 42.59 5x Void Volume (gal) 1.96 Friction Loss (ft) 58.90 Minimum Dose Volume (gal) 0 Addy Fitting Friction Loss (ft) 30.15 System Demand (gprm) 15.70 Total Dynamic Head (ft) Lateral Diameter Selection in. diem. options choice 0.75 1.00 1.25 1.50 1 x x 2.00 x 3.00 x Se tic Tank Information 1585 Septic Tank Capacity (gal) WIESER Manufacturer Dose Tank Information 950 Dose Tank Capacity (gal) 25 Dose Tank Voiume (gaVn) WIESER Manufacturer Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator X Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in Effluent Filter Information POLY LOCK Filter Manufacturer 525 Filter Model Number Project: GREG POWERS Page 2 of 8 GSF WI MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View noun LAwnponern Lnmwivoynn A 8.00 ft E 16.80 In H 1.00 ft K 8.35 ft B 49.00 ft F 7.00 in 1 8.76 ft L 65.70 ft 12.00 in G 0.50 ft J 5.43 ft W 22•� ft (ftz) Dispersal Cell Area 821.47 (ft�) Basal Area Available P11! .24 (gpd/ft) Linear Loading Rate 1 4.90 (ft) 1110 B Obs. Pipe Placement Finished 100.49 (ft) Grade G H 99.49 (ft) F .i Dispersal CeH Lateral Invert 98.91 (ft) ....�. �� k";:,+♦ Elevation •��f{ r j , Dispersal Cell �� �„� 3 9 1 � Elevation +� „ Contour Elevation 5% Site Sbpe Shading Key Typical Dispersal Cell 1 + Topsoil Cap 'Z & See Page 5 2 Subsoil Cap a ' 2 ft Geotextile 3 ASTM C33 Sand Fabric 4 Tilled Layer o ( (� X. 5 GSF Media & I F � I Cell Header 1* C 1 0.5 ft j /Footer SF 1� 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: GREG POWERS Page 3 of 8 Kevin Grabau Subject: FW: Message from KM_368 From: Rowley, Joshua - DSPS <joshua.rowley@wisconsin.gov> Sent: Tuesday, January 17, 2023 1:18 PM To: Kevin Grabau <Kevin.Grabau@sccwi.gov> Subject: RE: Message from KM_368 188 is the correct size. From: Kevin Grabau <Kevin.Grabau@sccwi.gov> Sent: Tuesday, January 17, 2023 1:11 PM To: Rowley, Joshua - DSPS <ioshua.rowlev@wisconsin.eov> Subject: RE: Message from KM_368 Sorry to bug you again. Is the orifice diameter supposed to be 0.188 (p. 5 of the PDF) or 0.16 (p. 7 of PDF)? Thanks. Kevin Grabau I Community Development - Land Use Planner ST. CR VNTY From: Rowley, Joshua - DSPS <Joshua.rowley@wisconsin.gov> Sent: Tuesday, January 17, 2023 9:56 AM To: Kevin Grabau <Kevin.Grabau@sccwi.gov> Subject: RE: Message from KM_368 GSF WI MOUND DESIGN PROGRAM LATERAL AND DOSE TANK End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below P • - Turn-p wball velve or dearrout pkq ' Z ' 1st orrtfloe located at Z `•— X-- --' Orrtiio" point up exoWt every 51h one points doom for S drainage. --Edge (A dlatrfbudan cell Faroe main corneallon via tee or cross to manifold at any point. Laterals & foroe mein of PVC Sch 40 AN laterals Identical with ontke equally spooed. (per COMM Table 384.30•-5) r-Edge of distribution oall ( 3/err" 1 "' W— ' r Numbers of Laterals 2.00 Orifice Diameter r Lateral Diameter Lateral Length (P) 1.50 In 47.21 ft Orifice Spacing (X) Orifices per Lateral 2.11 23.00 .fir In 01Tl vl 3 Lateral End (Z) 0.79 ft Orifice Density 8.52 W/orifice Lateral Spacing (S) 4.00 ft Manifold Length 4.00 ft Lateral Flow Rate I 12.39 gpm Manifold Diameter 1.50 In System Flow Rate 24.77 gpm Forcemain Velocity 2.53 ft/sec 46.42 Pump Off Height 12;in Dose Tank Information bra➢ over Wth wrr ft I" and kxWg drwA a, and Bookai as Per NEC 3W ` - ' Saved ratelighx and Own I&M VW C j _ { Oaoaawd,_ Ttrk *MVWwt is Vq-Arty, .axed _1 WIESER Capacity 950 Volume J 25 ,�t� A1Ramis auaet rowean ! {{ L Farcarrain daraaisr }.... 2 in Manufacturer Gallons A gal/inch i 8 I Dimension Inches I Gallons --- / A all C B 2.001 50.00 :� 9a �. D ". �� . Total 38.00 950.00 D ti Mn. 7 0edelnp urdelork Alarm Manufacturer sj rohmbus Alarm Model Number I ps patrol Pump Manufacturer Igoulds Pump Model Number I epos Pump Must Delivery 24.77 gpm at 1b.40 ft VAW ho4 cr y �ri►dawiOrroft) � 89 Dinebrikdowic n(t) 981 TDH Project Page 4 of 8 GSF WI MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout Cell Width (ft) �Sidewall to Lateral (ft) Distribution Cell Coss -section Arrangements Drag appropriate drawing to space below. SASTM C33 Sand/Mound Sand GJlI�fLC�d A42 or B43 Module Lateral U-� Tur"p (contained in Turn -up Enclosure( Distribution Cell Plan View Layout - Typical 8 Cell Width - A (ft) 49.At) Cell Length - e (ft) 12 A42 Modules Required per Row 24 A42 Total Modules Required End Connection Later Layout Diagram Drag appropriate drawing from left to space below. 8 R IMde I 2/ Projed: GREG POWERS Page 5 of 8 GSF WI MOUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS Mound System Maintenenoe and Operation Specifications Service Provider's Name countryside plumbing Phone 715 246 2660 POWTS Regulator's Name countryside plumbing Phone 715-246-2660 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOOS 30 mg/L Septic Tank Capacity 1595 gal Maximum TSS 30 mg/L Soil Absorption Component Size 392 ft' Maximum FOG 10 mg/L Maximum Fecal Coliform 1DE4 cfu/100 mL Septk and Pump Tank Effluent Filter Pump and Controls Aiarm Pressure System Mound Other Service Frequency inspect and/or service once every 3 years Should Inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for panding and seepage once every 3 years Miscellaneous ConsO m%on and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown In the Eljen mound component manual. 2. Dispersal cell media conforms to Elien products approved for use with the Ellen Mound Component Manual approved August 2016. Eljen media is covered with the manufacturers geotextile fabrk. 3. All gravity and pressure piping materials conform the requirements In the state code. 4. linage 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 8 - 8- DK ETER LAWN SPRINKLER FINISHED GRADE -- Tt-1REId7ED CL.EANOLF PLUG LONG SWEEP 90 OR TWO 46 DEGFEE BENDS SAME DIAMETER AS LATERAL Pna eat: GREG POWERS page $ of 8 GSF Wi MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Ran Generat This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its' oomponent manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ewer 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 SIPS 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. Fused access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Seotic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of In accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank end 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 tram 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 talc If the contents of the tank are riot 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, t such products are used they shall be approved for septic tank use by the Department of Commerce. gno TO The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operadw. Ilan effluent filter is installed within the tank it shall be Inspected and serviced as Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mounds perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration Cold weather Installations (October -February) dictate that the mound be heavily mulched as protection from freezing. 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 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 oell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contlnoencv 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 condtion. if the dosing tank pump, pump controls, alarm or related wiring becomes defective the defective componangs) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component falls to accept wastewater or begins to discharge wastewater to the ground surface, 4 will be repaired or replaced in its" present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POVVTS regulator and service provider. Project GREG POWERS Page 7of 8 SSD . C 2 'ice P "t Gf41 r1tw.} f7 yiy /� Lof3 S sO/y��y r« ae Tea Q t� �* aM,or•a an n h•u.t drn.a Zabor warlewnr Irodvrtt A Wsbbn of P*Vlok trc PL-525 Effluent Filter PL-525 Filter 'i'he PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PI-525 has an automatic shut-off ball installed with every filter. When the filter is removed far cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. t Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 1/16" Filtration Slots L-m Switch tional) -cepts 1" PVC ,tension Handle Rated for IOOW GPD 525 Linear Ft. of 1 / 16" Filtration Slots 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 4" t1c e mg p P SGHD 4b pipe the filter is not centered under the access opening use a Polylok Extend tk Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover PIr525 Maintenance: The FL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. 'Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. Cortifted to MSFIAKSI Standard 46 Gas Deflector Automatic Shut-off Ba I I t 7 Outdoor SmartFilterM Alarm Extend & LokT" Polylok, Zabel do Best filters accept Easily installs the SmartNterO switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.potylok.com Wastewater �L ✓r METERS FEET 10 ` 9 30 8 2.5 FT 25 lJ 6 20 5 is J 4 Fd.+ - -- - f - EP05 3 10 5 } i i 0 00 — - 20 3 — 40 50 GPM 0 2 4 6 8 10 12fji CAPACITY MODEL INFORMATION Order Minimum Float 2itAd Discharge Minimum Minimum Minimum M&xbrwm Shipping tiwnber 114+911ts Amps Clrcuk Phase Length Connection do Level Off Level Basin Solids Weight ilreaker Style Diameter Sire 111:16-kq EP0411 Plug / No Switch 10' Manual Manual 20 / 9.1 EP0411A P}VYideybAngk 10' 12' 6' 21 / 9.5 4 115 12 20 EP0411 F Plug / No Switch 20' Manual Manual 20/9-1 21 / 9.5 E-PD411AC Piggyback / 20' 12' 6' 1 Wide -Angle 1 yy' 15' 34' EP0412 230 6 10 No Switch Plu10. Manual Manual 20 / 9.1 EP0412F Plug 20' Manual Manual 20 / 9.1 22110 EP0511F .5 115 13 20 Na � ch 20' Manual Manual EPOS 11 AC Piggyback 1 Wide -Angle — 20, 12' 6' 23 / 10.4 EP0512F 230 6.5 10 Plug / No Switch M. Manual Manual 22/ 10 PAGE 3 IT WLP 1585/950 TANK SPECIFICATIONS UL a 70r DIMENSIONS: ~ WALL- 3' �--------------------- Y BOTTOM: 5' IIII >' I I I -II I 4' CAST -A -SEAL f14CAST-A-SEAL COVER: 8- MANHOLE: 24' I.D. PRECAST CONCRETE RISER IFIIII I HEIGHT: 56' / Za 1 r i 1 LENGTH: 15'-3 3/8' MADTH: 8'-5 3/8' .ul r 1 ,f ' i� ; BELOW INLET: 43- t IT J ri i T �• • LIQUID LEVEL: 38- WEIGHT: BOTTOM 15,977 LOS. o Q ei i i I i COVER 9,300 LBS. FILTER OR v j BAFFLE i l l j '' INLET AND OUTLET: ~ m g a IIiII I IIII �}'------------------"-I 4- CAST -A -SEAL BOOT OR EQUAL GASKET # II------------i INLET AND OUTLET BAFFLE AND FILTER: ryi o o WISCONSIN, SEE DETAIL /1D (OTHER STATES SEE CHART) TOP MEW LIQUID CAPACITY: 41.157 GAL/IN (SEPTIC) # 25.00 GAL/IN (PUMP) LOADING DESIGN: 8'-0' UNSATURATED SOIL O coo in TANK CAN BE USED AS: N Li SEPTIC/SEPTIC, SEPTIC/PUMP, M a OR SEPTIC/SIPHON I J W 'Y r� 4' VFN T O I COVER: MIX DESIGN #B (NO FIBER) _ Ia io TANK: MIX DESIGN 09 (SMALL FIBER) �a � --- _ _ CUSTOMIZED TANKS: I LET ---' - ---- T FOR CUSTOM TANKS CONTACT WIESER CONCRETE ; T W •.., a V 1 Epp I I W) -I irr Q �a 1 r7 j'j dU 1 I I•'I a I 3' 1 a� i7 a It a I j r I z �- REVIEVVED BY t� `o REVIEW DATE _ � ks DRAWINGS SUBMITTED SIDE YU FOR APPROVAL APPROVED BY' SHEET NO, APPROVAL DATE: i ,l .NKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS PRODUCTS NEEDED BY:z OF i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pane I or 2 FILE WFORMATION Owner GREG POWERS Permit f DESION PARAMFTFM Number of Sedroome 4 D NA Number of Public Faciitty Units ❑ NA gal/day Estimated flow (average) Design flow (peahl, (Estimated x 1.51 Q)I;J al/d ay Sall Application Rate 1.0 al/da /ft' Standard Influent/Effivant Quality Monthly average` Fats, Oil & Grease IFOG) S30 mg/L Biochemical Oxygen Demand (SOD.) s220 mg/L ❑ NA Total Suspended Solids ITSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODO :930 mg/L Total Suspended Solids ITSS) S30 mg/L ❑ NA Fecal Coltform (geometric moan) S104 cfu/100ml Maximum Effluent Particle Size Yi in die. ❑ NA Odr: ❑ NA 'Vakiu typical for domestic wastewetw end septic tank effluent. SYSTEM SPFniArennnNa Septic Tank Capacity 1585 al 0 NA Septic Tank Manufacturer WIESER ❑ NA Effluent Filter Manufacturer POLY LOCK ❑ NA EffkieM Fitter Modal 525 ❑ NA Pump Tank Capacity 950 al ❑ NA Pump Tank Manufacturer WIESER ❑ NA Pump Manufacturer GOULDS p NA Pump Model ---------------- EP05 ❑ NA Pretreatment Unit ❑ Sand/Gravel Filter ❑ Mechanical Aeration ❑ Disinfection Cl Peat Filter ❑ Wettand Mother: ELGINS ❑ NA Dispersal Calks) O In -Ground (gravity) ❑ At -(wade ❑ Drip-(.ine ❑ NA ❑ In -Ground (pressurized) CK Mound ❑ Other: Othw. ❑ NA Dther. C NA Other. ❑ NA Swv(oe Event Service Frequency Inspect oondtdon of tank(s) At bast once every: 3 monthls) (Miaxmum 3 saris) years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -Chid IY,) of tank vokutte ❑ NA Inspect dispersal cell(s) At least once every: 3 ma+r(sl s) (Maxhnum 8 years) ❑ NA Clean effluent fitter At least once every: monthis) JG Year(6) ❑ NA Inspect pump, pump controls & alarm At least once ev e�'' ❑ montNsl 3 myeerls) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) AS NEEDED ❑ earls) ❑ NA ether At least once every: D monthle) ❑ year(sl I�jNA Otter. 0;KA MAINTENANCE INSTRUCTIONS InePecxbna of tanks and dispatsal Cella shelf be made by an individual carrying one of the following licenses or certifications: Master Plumber: Mastar Plumber Restricted Sawsr; POWTS Inspector; POWTS Maintainer Saptage Servicing Operator. Tank inspections must Include a visual inspection of the tenk(s) to identify any missing or broken hardware, identify any cracks or leaks, meastre the volume of combined sludge and scum and to check for any back up or ponding of effluent an the ground surface. The dispersal call(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The pon(fing of effluent on the ground surface may indicate a falling condition and requires the immediate nottfication of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals ono -thin) %) or more of the tank volume, the entire contents of the tank shag be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment unks, and any servicing at intervals of 912 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event �, ? 7s START UP AND OPERATION p.ge For new construction, prior to use of the POWTS deck treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. if high concentrations are detected have the contents of the tank(sl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infilt ative surface. During power outages pump tanks may fill above normal highweter levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cells) and may result In the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septaga Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintalner to assist in manually operating the pump controls to reason normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal calls. Do not drive or park over, or otherwise disturb or compact, time area within 15 fast down slope of any mound or at-gnde sol absorption area. Raduction or elimination of the following from the wastswater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wiper, cigarette butts; condoms; cotton swabs; degreasers; denial floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; most scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONNENT When the i'OWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is property and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septegs Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS falls and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot Imes and wails. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a avttable replacement area. Replacement systems must comply with the rules it effect at that time. ❑ A suitable replacement area Is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a lest resort to replace the failed POWTS. ,f% fv/91 Ulu a g ank may kLjmsbLlled4wgrkwt-�� e s 2Di4r$ nezN FbZ N Can�"T -- - r7f ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the Nomat at the Infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR iMPOSSIBLE. ADDITIONAL COMMENTS POWTB INSTALLEIR Name COUNTRYSIDE PLUMBING Phone 715-246-2660 POWTS MAINTAINER Name PAUL R KOEHLER Phone 1715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHOR" Name POWERS SEPTIC Name f'r, ( 20v1N) Phone 715-265-4623 Phone This daoarnent was drafted In complance with ohaptw Comm 83.22(2)(b)(1)(d)61f) and 63.64(1), (2) & 131, Wisconsin Admkdamtive Cods. Parcel #: 032-2003-30-130 01/17/2023 10 49 AM PAGE 1 OF 1 Alt. Parcel M 01.30.19.474A-30 032 - TOWN OF SOMERSET Current XST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 07/06/2022 00 0 Tax Address: GREGORY POWERS LAURIE POWERS 1189 TAMARACK PL NEW RICHMOND WI 54017 Districts: SC = School SP = Special Type Dist # Description SC 5432 SCH DIST OF SOMERSET Owner(s): O = Current Owner, C = Current Co -Owner 0 - POWERS, GREGORY C - POWERS, LAURIE Property Address(es): ' = Primary 1795 85TH ST SP 1700 NORTHWOOD TECH Motes: 2022 FOR 2023 KEEPING SAME PCL 032-2003-30-100AS LOT 1, NEW 032-2003-30-120 AS LOT 2. 032-2003-30-130 AS LOT 3, Legal Description: Acres: 3.190 032-2003-30-140 AS LOT 4 & SEC 1 T30N R19W PT NW NE CSM 32-7135 LOT Parcel History: 3 Date Doc # Vol/Page Type 08/15/2022 1157460 W D 07/06/2022 1155605 3217135 CSM 12/21 /2021 1145551 W D 03/11 /2002 673183 1851 /346 W D mom... Plat: ' = Primary Tract: (S-T-R 40% 160Y. GL) Block/Condo Bldg: ' 7135-CSM 32-7135 032-022 01-30N-19W NW NE LOT 03 2023 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Totals for 2023: General Property 0.000 Woodland 0.000 Last Changed: 08/29/2022 Land Improve Total State Reason 0 0 0 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Chargges Delinquent Char es Total 0.00 TOO 0.00 File #: ST. C RO NTY SANITARY SYSTEM office use only OWNERSHIPIADDRESS FORM Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. if you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer GREG POWERS Mailing Address 2040 HWY 65 City/State/Zip NEW RICHMOND WI Phone Number (required) 715-781-4811 Email Address (required) Parcel Identification Number 032-2003-30-130 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NO v, , 045 1/4 , Sec.d f T 36 N R 19 W, Town of SOMERSET Subdivision Plat' —` Lot # 3 Certified Survey Map # I I5 Volume 3 Z Page # t3s Warranty Deed # ) ISb o (before 2006)Volume Page # Number of bedrooms 4 Spec house 0 yes ■ no Lot lines identifiable ■ yes 0 no �.q ���� USE ONLY New Property Address ` , 5� (Venfic ion of new address required from Community velopment Department for new construction.) Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.Qav Ye! !f • Ifaw� IwldYlf �9AI YW •YTnL 0� FRONT ELEYA TION „r.r-a \OEVERING HOMES O[Yt fIMO taVfT1 KT1aM •ial 11la11. wi[ YID tlO10.1i AN . lIRT4 A raw nnooYe !vt t+on TD24 OM an®Iw.owiCaw j��QNOIIGE-� carwxwrt ra rle: wufmws t s asw1te n I gY®fY IIOYii LLL !If K I1A113 uT MaT wf K- IIiW rm AIn bwto K s7ol" "s MY a M AF4040 a!Calm A14 m-w!K 000ly o of'no61 Awrwlt4aw1%TrmovrAo * uurrrm m ohYLw I+o" i ut DATE DESORMM POWERS Enter address here ELEVATIONS Mfrs lA�r POWERS p 1 /6 �+ As indlufed .. - I I 1 1 •A.AR I �CfiQ7 1 I 1 ua.l,n ! 1 YVI•. r..c wMf.� 1 1 i 1 I 1 I r r I .w«nw .rww. ro I I!• -1 I .-���r-. 1 Jul • , If 1 ________arJ lLIIJI �I.I �_______ a b l J 1 a I IT r t a I I ` M62, r ou*sas.o■ I � .,Le .A� A r ------------------ I w..11wr �.I,J I I 1 I i it I r I 1 � I 1 I i 1 I I ------------- b S j I 1 I J I Me�+•,T 1 i wwt.rwe r r.prA�ems ' I � b ---------------------- I I 1 b e a. FOUNDATION LM PLAN yr , r-o- �VERING HOMES latac�lwown..�. sJJtrr. r.J.l..xnJno+n w[ wn +Je J.JJp01 w�marlols� ji. MAW* - *s1 c E04W"I"IS a1M�DF wwPa Jnr'AM rtarba s71wrnms M.. No ■ AWS W" d COr O woo u war f AObDUO a DW—FSSSIMMIMWtIlO{rt %wTrrwca"swr a oEvow S waff", Uf I GATE I DESCMTION POWERS Enter address here FOUNDATION POWERS 2/6 i 1,N2 SQ fT - 7 ue�Iras►IEo II uON VAIN UM FLAN v.' . I' r OEVERING HOMES N1.rno.a.n wssrr copm*9"are n avamr w.e a uc- Fast /ura wrr..or R n- uieras wr.netnoaw snunvsss urwor � wswrtn d rVt[o ire �wrf.Cr � it00II� o use a nn i-eis1M 1n1nr�Ir r�aY wlrriN tatlWr 4 El.� �afff. LLL DATE I DESCMTION I POWERS Enter address here MAIN LEVEL 1*0 SQ" F"SwD 3/6 as SQ." MAIN LEVEL WALL MAaNi MACV*-. BBACD* SUFFLIEO BWL-1 10'4' L7'-C' BLW-2 10'4' Is--0' BWL-A !'-Cr 16'4' BWL-0 !'-P 16'-V LOWER LEVEL WALL MACITK MAcL SUHLIED BWL-1 WA WA BWL-i W-W 16'-0- BWL-A IA'{• 16'-<r BWl-B M'�• 6'-O' FOIMDATION SL*VUED MAIN LEVEL WALL MAC" 3116' s F -0' LOCATION OF MACM WALL PANED A�t1,.H6 GM&l 12 6' MAX.OISTAWC F60M END OF SIOE 21'.O- MAX. DISCTANCE BETWEEN PANRS ® • 4'-7 BRACEO WALL PANEL UN t� ! EX1*KW01EAM [wE+ws w-[aar,[ .ur EEuiL mE..�<16. I �ouQoo s�B e FOLMARON LEVEL WALL N ACI N6 7M' [ V-0- (O—rvING HOMES O[r[E�MO [Ow[AUC 110 • E[.l I[laTE. ni[ Eq.0 anwNk-w UJAN. JV1wA .ew ea w16an Trsuam aer�orsso. COrftU&14T NOTICE COTrIMT PA T4J10w1Awpm IJowo FI Ol18PE0W"& Nt T[!JF KA.4i[r [[C! N M- u8B ►o AMc A16R1QVL iTM/CTY6iJ. ,µrNpT N A1410MC&COPMn —w]foff momw Y mVf 1.,— EB-CEEsm MT."" Pse6s w61TTN ce sow m ofv®r s. w DATE DES04UTION POWERS Enter address here DETAILS POWERS. A.~ 4/V FDOtAa D"AR Ur = r -a rV rr ��V •eV $T QETAU 1/r c 1' Ar 1 OEVERING HOMES acvwwe eornreo•xi su nr.n. r sao eawa.ars w� - artn snr Raoaa rt f.eo +• a aANvr.D&Uowssow COPYRIGHT NOUCE [Te]ww roe rs�r eurnss ] s vw�o n olvAn•s w.es. ut. n•sr n.••s r.. wr i r� veie �Q wv •Yefrlo••• srtwxrues s •u.v uor of As9wro a cow,, o anv •ar r wevm d u!e In e5-eFSUN M1r"w? Pbm coue.r ae asvgas mo ss. u[ DATE tESQRMON POWERS Enter address here DETAILS CONT.. 5/6 vr= rw m-f-.rc) rw.ar.a rru flyrro■ .tn0 r oe .r Ad rsi.. r As. ).reR � nOri ti .Oii. p1 i v TYP. WALL SFCnoN 1/r f 1A' rYIA rare. nnr. ufe � rem rro- rw b rr-rrerre - � S n r wr rr relr ■ Nr MaI eAUA fiewe..)..nr so)n ror.,r worp. sre.-u.fo GARAGE PARTY WALL SECTION I/r)1'w rr. r ..oA r M1Cl1.MM)• eiK siw.).srp r n.t. erne W ALKOVT WALL SECTION I/r. a I' r RING HOMES' �n¢coM i°�rtiiiw. iui SflAiL Mi -NF .Ark,>♦anA refrrlaro- tAR W)1 >-Nl00rf QMIf1y+Pi9ef lt0� 00re1WT Fob MY yA wv.SSIA 0Y ftp ar'fimr t.aec S u[ M!f Aual>ui).o't Y Y- V1®iE• YM AOpiTIOMAt rTA1Cl1Oti. ANi.lpt Y ASSIAf�O a cO1W. Atp AUY MOI Y AIW VIiO Q V!D IM AIM Y-Y7mMf MR1NE1li q0� worrr i comom m oplivoi.No 1."t DATE DE50*1TION POWERS Enter address here SECTIONS �.ri.r. rowERs Au"w 6/6 �+ V2'. r_o- State Bar of Wisconsin Foram 1-2003 WARRANTY DEED Document Number 11 Dnerinlcnl Namc THIS DEED, made between 64 Land Company, LLC, a Minnesota limited liability company ("Grantor," whether one or more), and Gregory Powers and Laurie Powers, husband and wife, as survivorship marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the fallowing described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): See attached Exhibit A 1157460 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 08/15/2022 12:31 PM EXEMPT#: REC FEE 30.00 TRANS FEE 285.00 PAGES: 2 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Nanle and Return Address Land I site, Inc 2200 Wcst County Road C. Suile 2205 Roscvllle MN 55113 L I File No 663622 032 2003-30-1001111_ I'arccl Idcnnlication Nwnbcr (PIN) 1 hls is not homestead propcllc, (Is) (is Ilnt) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, Restrictions and Covenants of record, if any. Dated P - dp,?- * Signature(s) authenticated on AUTHENTICATION I-ILE: MEMBER STATE 13AR OF WISCONSIN (If not, authorized by Wis. Slat, ys 706.06) THIS INSTRUMENT DRAFTED BY: S Mountain, Attornev at Law 64 nd C7/a_L.0 (SEAL) I (SEAL) * Carson Sc sk , Sole Member (SEAL) ACKNOWLEDC'MENT STATE OF Minnesota ) SS Washineton COUN I Y ) Personally came before me onJ�/2'(/� the above -named Carson Schlkkv. Sole Member for 64 Land Comnanv. LLC, a Minnesota limited liability to me known to be the person(s) who executed the fiorego6w instrument and acknowledged the same. P&z UU4I'li,6eI /-L ---- Notary Public, State of Minnesota My Commission (is permanent) (expires (Signal res nta.% he Anlhewiealed or acktlotl iedged, Mail Are nut nrrr,.Art.) NOTE. I Ills IS 1 SI %ND %RD FORNI..%NN NIODIIW N 1 IONS 10 1Ills I ORNI Sit()( I.D Ill ( 1 1. NRIA IDt.N I Ihll.D. %% 1RR NN I ) DI. LD 1 2S 0 s I N1 F. I3 %it 01. NN IS( o,%SIN 1.0101 N11. 1-200.3 I t pc n;unt ItOm% St. Croix County 1157460 Page 1 of 2 LT File No. 663622 EXHIBIT A Lot 3 of Certified Survey Map recorded in Volume 32 of Certified Survey Maps, page 7135 in the office of the Register of Deeds for St. Croix County as Document No. 1155605, located in the Northwest Quarter of the Northeast Quarter of Section 1, Township 30 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin. St. Croix County 1157460 Page 2 of 2 'tA k. Dept, of SA*j and Prolasional Ssrvioft SOIL EVALUATION REPORT Pape _ I of 3 Division of $olely and Buidhpra in amnunm wph SPS 3M, V& Adm. Code - cou*N 3t Croix Attach Ca Viela aft plan on paper not sass iwn S 112 x 11 inches In alma. Piss must inckAe. iuilt not lit bd ta: vat" and horismW refer rm point (9AI7) dkedJon and PMod I.a 6oto 032-2003-30-100 pwwt of*, scale w dWwiien& nohh arrow, erd iocatbn and Manes 10 mars road. Pke" Print a (nrfortrwiftm ReAwerd by Date Peraonal h0a nwtbn yowl pmiA• poy be uaad for 0ecwWwy purpown (Prk" Law, r. 15.04 (1) irn11' Pmp" Uvrror PrvpWy Location f�••��f • 64 Land Company, UC C*yA Lot ITV 1/4 N1314 S 01 T 30N R 19E (OF) w Prrw, Ay rUmmr.1a.16r. AeAfs.a tut Bieck if I MA None or CSw 10922 Stonebid,ge Tr. 03 1 na Proposed CSM • own Nesreat Road Stillwater MN 555082 1 aft Ave. do St. M 64 13 Now Consh4ton lima RMidmiiM / Nurnbsr of bedrow Cads derived dieapn Now rate GPD Replioeirient 1 Public or mmrrra dW -. Describe: PaWR maww -said Outwaah Food Ptak, aWAdicn If avokabis .._ k "� onrerrerNt Soil Evahaiin completed far subdivision review purposes. Addtiaoal roil evaluation may be requimd prior to and wanwhim, !►?n� POWn design and installation. ,Site suitable for mound dispersal cell Design loading rate -! 0.4 gpd/sq. ft P apowd infiltt` d" surface elevation—102.2.51 at 6" above 101.75' ounkmr. aeawv El SM" a 0 Plt Gourd and ew day. 101.67 & Depth b VmbV %ctor 39" in. FdAenfiatian Rats Harixnrr . ' Depth in. Deft" cow t1AU"d PA6M 0e8vip w OIL ax . Cont. Cofer Taxarre Struclvrs Q. Sz Sh. ry Root l 0.9 I OYit3/3 ROM si 2fgr MY& aw 2vf f 0.6 1.0 2 SLI S 4 0YR4/4 NONE lvih 609 all l vf,f 0.4 0.6 3 15-39 1OYEL4/4 mom 1wifoos 069 ml aw lvf 0.5 1.0 4 39..bg 1WYR4/4 12f7.5Yi+M lfalslooa 089 p°1 aw lvf 0.5 1.0 nbwsrod flow oisesved at 39" 2 ❑ 0cft 33 �� Pit G=r d sumacs day. ! 01.54 ft. Depth tc krt §M§ fataor kr Sea Annaahen R.M Horizon Depth in. Oornirrnt Cokx 1Aur04 Radon Dararip w Gu. Sz. Cora Color Tixtum 9kuc um Gr. Sz. Sh. Wftmm BwndarY R00% GPOAt ' f W2 1 0-8 10YR3/3 woo al 2 mvfr cs 2vf f 0.6 1.0 2 8-17 10 4!4 NONE l94A Oeg ml aw I f 0.5 1.0 g ' 17-33 . I OYA514 NONE r Ong ml ow - 0.7 1.6 4 33-76 7.5YR4/3 mid 5"4l4 lvf&Wg icsbk ml - - 0A 0.6 satorirlad flow oireved • E4kien101 -(Em 2,30 �5 220 thgk and TW 80 .:5 I Wprg& gpWOWN2 _< 30 VWL ar10 -lab c au ffVL CST Name (Piesrrs:PlMtq GSTNarbsr .tam= K Tho�� — 30021 tddrsaa • Dab CordUded TobPhOM MardW 340 Paulm Ldw L we; Osoeota, ARIL SM20 April 27, 2022 (715) 248-7767 SBD4330 (R1 to 1 UBoring # Page 2 of 3 ❑ Bo" �t�t QJ Pit Ground surface dev. �g•"`rt. Depth to imting factor 4B lm / elev. �'"`R Solt I Awkstion Rate I Horizon Depth In. Dominant Color Munsell Redox Description au. Az. Coral. Color Texture Structure Gr. Sn. Sh. Consistence Boundary Roots GPI' 'EMI •EMr2 1 10 YR 314 SL 2 FGR mvfr CS 2VF,FM .6 1.0 2 9-15 10 YR314 LFS 0 SG ML CS 1VF,FM .5 1.0 3 15-37 10 YR 414 0 SG ML CS .5 1.0 4 37-46 10 YR 4/4 LVFS 0 SG ML CW - .4 .6 5 10 YR 4/4 F2F 7.5YR5/8 FS 0 SG ML .5 1.0 [47 swifv # ❑ Bwkrg r� RR�� opt Graind surace ebv. 1L Depth to kn&V factor 31 k► /slew. 96. n. Soll Moticabon Rate Horizon Depth Dort►trwnt Color In. Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Carnislence Boundary I Roots GPD/Ft' •Eff/1 •EW2 A 0-9 10 YR 312 SL 2 M BK MVFR CW 2VF .6 1.0 B 9-20 5 yr 513 SL 2 M CPR CW 1 VF .6 1 C 20-31 7UVRT4 S 0 M SG ML GB .7 1.6 C1 31-37 7•6 4/3 7.5 YR 4/4 F1D S 0 MSG ML GB - .7 1.6 C2 7.5 YR 3/2 SL 0 MSG - A 11.0 Borkng # ❑ Borkng Ptt Ground surface else. 9$ - Depth to lira ft actor 41 h / elev. 94.71r. SON Application Rate Horizon Depth In. Dominant Color Munag Redox Description tau. AL Cont. Color Texture Structure Gr. Sr. Sh. CarsMenos Boundary Roots GPD" 'Efr#1 'EMM2 A 0-5 10 YR 312 2 M BK ML CW 1VF .6 1.0 C 5-12 7.5YR4/3 OM SG MFR CB -"' •7 C1 1 12-18 10 YR 6/4 p M SG ML CB .7 1.6 C2 18-37 10 YR 5/4 S 0 M SG ML CW .7 1.6 C3 3743 7.5YR 3l2 S 0 MSG MFR .7 1.6 Efkmnt #1 - BOD > 30 S 220 moll. and TSS > 30 5150 mg/L PITS 4 AND 5 where done on Nov 8th 2022 loll tester Paul Koehler Mp 225410. 321 Wisconsin drive New Richmond wi 715-246-2660 paul®countrysideph. coat use pit 2. done by Jim Thompson altxV with pit 4 and 5 • Effluent $2 w Boo. S 30 mg<L and TSS S 30 mglL Site has been purchsed by Greg Powers. 4w- we 03 10 10 X0 40 ol Ae jam GERTI FI E® SURVEY MAP LOCATED IN THE NW1/4 OF THE NE7/4 OF SECTION 1, T30N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. LEGEND 0 ST. CROIX COUNTY SECTION CORNER POSITIONED FROM COUNTY COORDINATES. POSITION VERIFIED WITH MONUMENT AS NOTED OR TIES OF RECORD 0 3/4" X 18" IRON REBAR SET WEIGHING 1.50 LBS. PER LINEAR FOOT 1 5/16" IRON PIPE FOUND ■ 314" IRON REBAR FOUND PROPOSED DRIVEWAY LOCATION (FINAL LOCATION DETERMINED BY TOWN OF SOMERSET) WETLAND (SEE WETLAND NOTE) STATE TRUNK HIG1-1WAY '64- NI/4 COR. SEC. I yy�RANIYDEED DOC.. M673183 N1Q-19'2. S89°17'02"E $ I LOT 1 5.68 ACRES $ W Q+ 247,553 SQ. FT. AN MADE pR, POND N89'17'02"W 727.94' 272.09' 288.55' (B) EXISTING ACCESS DRIVE E3 N18.45'48"E 104.42' 294.13' 266.42' S57154140"E 52.38' VARIABLE S89'17'02"E 560.55' (A) ®I WIDTH m y�. N8!-17'02"W 555.14' ti v ^I ti 7.49 175.00' v 1 4I sz.65' Soz.49' y� 115!5605 BETH PABST REGISTER OF DEEDS ST. -CROIX CO., WI RECEIVED FOR RECORD 07/06/2022 04:00 PM CERTIFIED SURVEY MAP VOLUME:32 PAGE: 7135 REC FEE: 30.00 PAGES: 2 BEARINGS ARE REFERENCED TO THE NORTH - SOUTH 1/4 LINE, SECTION 1, BEARING NOD'09'04"E. (ST. CROIX COUNTY COORDINATE SYSTEM). THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO: 22-14 DWG: CSM DRAFTED:3/31/2022 FIELD:3/0912022 "This map contains areas that are subject to the Shoreland Overlay Zonlnq District. Additional restrictions apply. Contact the Community Development Department for further information." CENTERLINE EAST BOUND LANE 1�121.70, —180th A FNUC �- HOUSE r--4 S89'1T02"E 370.15 Ilittt"�'t»t (F) a GARAGE b v w LOT 2 �•� LOT 4 ti~ ;� Sig 8.35 ACRES 363,694 SQ. FT. y I $ �' vl I v = m 282.57' 606.S3' # _ --229.10 77 4 ' N89^69'39'W BBO.Ofl' % T `a' m Q' �' (R-589'04'12'W) 20' WIDE UTILITYcli m , H EASEMENT FOR UTILITY 3 �„ �1418I zr' "' vi II I ACCESS TO LOT 2 cSI"�I LOT 1 -C.S.M. m -33' Y- 4 _I?. 1.Q3-T _D9C. N369360 e e pmU 33, �— - _ �I>I8I SOUTH LINE OF THE NW�4=NE1/4 — — — — 7 z N89.59'39"W 236.76' I I (R-SB9^04.12-W ) UI I d� a 1 � J �� LOT f C.S.M. V. Ste. 745_2DpC. x395560 WETLAND NOTE- PREVIOUSLY RECORDED DATA APPROXIMATE WETLAND LOCATION A - (SB6'03'26"E) PER WISCONSIN DNR SURFACE WATER _ B = (N20'3TOI"E) DATA VIEWER MAP, IF CONSTRUCTING NEAR A MAPPED WETLAND, A WETLAND ci'I f Z C �+ (NO2'29'30"E) REQUIRED. D = (N67'48'34"'E) DELINEATION MAY BE � 1m4 pl�1Uo1 E _ (NB1'1034'"E) F - (S87'25'48'"E) SCALE IN FEET 1" - 250' SIM COR. SEC. 1 0 250 500 SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, INC. P.O. BOX 152 AMERY, WI 54001 PREPARED FOR: CARSON SCHIFSKY 10922 STONEBRIDGE TRAIL N. STILLWATER, MN SS082 zl LOT 3 AREA �I 3.19 ACRES INC. R/W 1-18,992 SQ. FT. 3.03 ACRES EXC. R/W 131,855 SQ. FT. LOT 4 AREA 3.63 ACRES INC. R/W 158,240 SQ. FT. 3.17 ACRES EXC. R/W 138,089 SQ. FT. -- — —L- — IZI I SHEET 1 OF 2 SHEETS 3,9- -1 i35 St. Croix County 1155605 Page 1 of 2 G ST-�2Z ' _ �s 4 Q T Ilk 3 Wis. Dept of Sa Division of Safety a SOIL EVALUATION REP nd Buildings t Page 1 of �'� M MAY .Q 2 20natxor4nce with SPS 385, Wis. Adm. Code J County St. Croix mi�� Attach complete site plan on paper not less than 0 1/2 x 11 inches in size. Plan must Jh include, but not mited tg l a d-ha*ontal ference point (BM), direction and Parcel I.D. from 032-2003-30-100 percent slope, ,Ind location and distance to nearest road. Please print all ►nforrnat/on. Reylpmed y Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Property Owner Property Location 64 Land Company. LLC Govt Lot NW 1/4 NE1/4 S 01T 30N R 19E (o Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 10922 Stonebidge Tr. 03 na Fri -e—w. l'@911 City State Zip Code Phone Number Dity village own Nearest Road Stillwater I MN 1 55082 1 ( ) Somerset ,180th Ave. & St. Rd. 64 E)New Construction UseEj Residential ! Number of bedrooms TBD Code derived design flow rate TAD GPD 11 Replacement Public or commercial - Describe Parent material Glacial Outwash Mood Plain elevation if applicable ft. General comments ' 4 Soil Evaluation completed for subdivision review purposes. Additional soil evaluation may be required prior to and recommendations: POINTS design and installation. Site suitable for mound dispersal cell. Design loading rate = 0.4 gp&sq. ft. Proposed infiltrative surface elevation = 102.25' at 6" above 101.75' contour. F1 Boring # Boring 39„ El pit Ground surface etev. 101.67 ft. Depth to limiting factor in. Snfi Annliratinn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz, Cont Color Texture Structure Gr, Sz. Sh. nsistence Boundary Roots GPD/it 7 ff#1 ' ff#2 1 0-9 10YR3/3 NONE sl 2fgr mvfr aw 2vf,f 0.6 1.0 2 9-15 10YR4/4 NONE Ivfs Osg ml ai Ivf,f 0.4 0.6 3 15-39 10YR4/4 NONF Ifs/s/cos Osg ml aw lvf 0.5 1.0 4 39-69 1 OYR4/4 f2f 7.5YR5'8 Ifs/s/cos Osg ml aw l of 0.5 1.0 saturated flow observed at 39" 2 Boring # ❑ Boring 101.59 33" El Pit Ground surface elev. ft Depth to limiting factor in. Snil Annlirafinn Rato Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. nsistence Boundary Roots GPD/ft ' ff#1 ' if#2 1 0-8 10YR3/3 NONE sl 2fgr mvfr cs 2vf,f 0.6 1.0 2 8-17 1 OYR4/4 NONE ls/lfs Osg ml ate' 1 vf,f 0.5 1.0 3 17-33 1OYR5/4 NONE s Osg ml cw _ 0.7 1.6 4 33-76 7.5YR4/3 mId5YR4i4 lvfs/Ws Icsbk ml - - 0A 0.6 saturated flow obsm.:d��J� Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS 30 < 150 #2 = B(3D < 30 mcj& and TSS < 30 mg `L CST Name (Please Print) nature CST Number James K. Thompson 30021 Address Date EvaluAtion Conducted Telephone Number 340 Paulsen Lake Lane, Osceola, W1 54020 April 27, 2022 (715) 248-7767 5� SEID-8330 (R11 11) Property Owner 64 Land Company, LLC MBoring . Boring 99.66 ■ Ground surface elev. Parcel ID# from 032-2003-30-100 ft. Depth to limiting factor 46 , in. 2 3 Page of CM Arwtl"finn Rnta Horizon Depth in. Dominant Color MunseN Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots 11 GPD/ft f181 fI#2 l 0-9 10YR3/4 NONE sl 2fgr mvfr cs 2vf,fm 0.6 1.0 2 9-15 10YR3/4 NONE lfs 0SR ml cs Ivf,fm 0.5 1.0 3 15-37 I OYR4/4 NONE: IS Osg ml cs I of 0.5 1.0 4 3746 1OYR4/4 NONE Ivfs Osg ml cw - 0.4 0.6 5 46-69 I OYR4/4 f2f 7.5YR5/8 fs Osg ml - 0.5 1.0 saturated flow at 46" F-1 Bonng #ng 9 Pit Ground surface elev. R Depth to limiting factor in. Sni{ ArrJiratinn Rain Qu. Sz. Cont. Color BoringBoring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Aoolication Rate ffiw�� Qu. Sz. Cont. Color WKFWT�MMW Effluent #1 = BOO s > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD s < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TfY through Relay. 59D4$130Teat (R 1 I d I ) SZ. 3B' fB� gtrt.� ' Lot�c�ja-ap..sta,f'c. r �r /o91z-.5&t.6e;Jc j&7r/. � n .C�t.o3 of'A/•o/astd'GSnt' �,,.r �v^ v o �p Ito, d ol. Az / 67 43 / / J / / ILOT c G 6. 3W,3 eoEsf�jF'i • EJc�! � /03• Ts S;Iyvs °nf r r J\ 4f ('�� zt d m a► �F.L �o''� h -Yij/ �. 1cV, S r f-,47 C)cr/ 'p£-'rovt- 7COQj N-4 1 W 9 1 "Is -lid 49l d MAY 022022 I St. Croix County CERTIFIE RVEY MAP LOCATED IN THE FRACTIONAL NW114 OF THE NE1/4 OF SECTION 1, T30N, R19W, TOWN OF SONr ERSET, 97. CROIX COUNTY, WISCONSIN. LEGEND 0 ST. CROIX COUNTY SECTION CORNER POSITIONED FROM COUNTY COORDINATES. POSITION VERIFIED WITH MONUMENT AS NOTED OR 7IE5 OF RECORD 0 3/4" X 18' IRON REBAR SET WEIGHING 1.50 LBS. PER LINEAR FOOT 1 5/16- IRON PIPE FOUND IN 3/4' IRON REM FOUND r( PROPOSED DRIVEWAY LOCATION (FINAL LOCATION DETERMINED BY TOWN OF SOMERSET) 0 SOIL BORING C.B.A. AREAS (E(CLUDING SEPTIC) } LOT 1 - 3.2 ACRES LOT 2 - 4.8 ACRES LOT 3 - 1.81 ACRES LOT 4 - 1.21 Acres 30% SLOPES 25% SLOPES >12% SLOPES BEARINGS ARE REFERENCED TO THE NORTH - SOUTH 1/4 LINE, SECTION 1, BEARING N00"D9'04'E. (ST, CROD(COUNTY COORDINATE SYSTEM). THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO: 22-14 DWG: CSM DRAFTED:3131/2022 FIELD:3/D9/2022 'This map Contains areas that are subject to the Shoreland Overlay Zoning District. Additional restrictions apply. Contact the Community Development Department for further Infomratlon." N 1/4 COR SEC. I LTA T_ F IdLUNK HIGHWAY "64' - W i o IL rr z i �I N16.46'46'E 104.42'- 387'54'46'E 52 36' iof(" z 01 el °I S89"IT027 370.15�_ ` J SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, INC. P.O. BOX 152 AMERY, WI 54001 PREPARED FOR: CARSON SCHIFSKY 10922 STONEBRIDGE TRAIL N. STILLWATER. MN 55082 LOT 3 AREA 3.19 ACRES INC. R/W 138,992 SQ. Fr. 3.03 ACRES EXC. R/W 131,855 SQ. FT. LOT 4 AREA 3.63 ACRES INC. R/W 158,240 SQ. FT. tXISTING DRIVEWAY 3.11 ACRES EXC. RJW ` — — J I— LOT i - C. S.M. n 38,D89 SQ. FT. s II xl I: —SOUTH LINE OF THE NW—/1 4_NEl/4 - - N6NMM2,W 236.76' 1-0-1 LOT I-C.s.M vI V. 5 P. 14W DOC. /39_r5N WIg I — — — nl9i is -Imp SCALE IN FEET 1" = 250' I 114 COR. SEC. 1 0 `� 500 SHEET 1 OF 2 SHEETS t 15r-. C90 IkOUNrY No. 645499 STATSAN[1A1�Y PERMIT dt l�9S nT. Ir. L PREVIOU_�eN0. , OWNER�"ER.S PLUMBER SEC01 -,T 31 N, AND/OR LOT I S PERMIT EXPIRES BLOCK SUBDIVISION Alf; CHAPTER 145 5 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit Is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. D ISSUING OFFICER - DATE'/I L,3 D2Sr UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)