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648462 008-1042-10-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Arcanio Garza City Village Township TOWN OF EAU GALLE CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATIO TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic sO i r� Dosing 2 3 f 13 3 �( I > 39D Ae n Hold PUMP/SIPHON INFORMATION SOIL ABSORPTION SYSTEM BED/TRDIMENSNCHIONS Width / Len r / No. Of T �� DIMENSIONS J /LGn. SETBACK SYSTEM TO P/L BLDG WELL INFORMATION Type Of System: , 3 D D , © D en4,w,n71' DISTRIBUTION SYSTEM ELEVATION DATA County: 648462 St. Croix Sanitary Permit No: 648462 State Plan ID No: Parcel Tax No: 008-1042-10-000 Section/Town/Range/Map No: 14.28.16.214C STATION BS HI FS ELEV. Benchmark / Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet 7,?0 Dt Bottom Header/Man. Dist. Pipe qjD 1 102.26 Bot. System 4,C� J Final Grade St Cover t � wiaM µA DIMENSIONS IA18=3111 7:01I►LTII Number: Header/Manifold Distribution I x Hole Size tl x Hole Spacing Vent to Air Intake Pipe(s) �zf 3 .O --L 1 D Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges 1xx Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 2559 CTY RD IN Inspection #1: 7$�Zoz, Inspection #2: &/6 0 z 3 olll-3 �!'1L3) �•(b ([�a•I6 =HT-) = Imb () 1.) Alt BM Description = S 2.) Bldg sewer length = - amount of cover = � emu � � �7 � � N� .►— � D _ /1 p �r n � NS�.� �(�,Li9 tX� . AL� Plan revisio Required? ❑ Yes ❑ No Use other side for additional information. Date Insepctor's Signature Cert. No. �� `�• [ W i �� Industry Services Division County 5 A-iV�Ul3' 648462 �_ \_� -- 4822 Madison Yards Way 5 C r0'. Sanitary Permit Number (to be filled in by Co.) $ � l Madison, WI 53705 P.O. Box >� kfy �/4 MAY 05 2023 707 Madison, WI 53707-7162 g q� it Application State Transaction Number In accordance with , ission of this form to the appropriate governmental unit p1!r�_s OD 9?1 Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note. Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 2559 CTY RD N Parcel # -vod I. Application Information - Please Print All Information Property Owner's Name M rce,V-\, 06 - JoLl2 - to Property Location Property Owner's Mailing Address 2--s-sl c 1` Govt. Lot no '/<, S e Section �__ City, State Zip Code �( Phone Number IN�CUO V t,�j s ®7- V <O 51 - 70-7 - /4, T N R _L4_ _E or Q. Type of Building (dheck all that apply) Lot # ►1 or 2 Family Dwelling - Number of Bedrooms 3 —�' Subdivision Name ^� ¢� 1 d4- Block# ❑ Public/Commercial - Describe Use � ❑ City of ❑ State Owned -Describe Use ❑ Village of CSM Number C n ��� Town of J III. Type of POWTS Permit: (Check either "New" or "Replacement' and other applicable on line A. Check one box on line B. Complete line C if applicable.) A. ElNew System Replacement System El Other Modification to Existing System (explain) [I Additional Pretreatment Unit (explain) B' ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound Z ❑ Individual Site Design ❑ Other Type (explain) (conventional) t ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued 1 Expiration 35322 D 10 IV. DispersaUTreatment Area and Tank Information: !i R= 20" . 47 , Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation Nso - y 1 I --S / 2Z 4- 101 - Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units �? D tv C o V New Tanks Existing Tanks �lt F o Septic or Holding Tank f;..: r, Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI rs Signature MP/MPRS Number Business Phone Number 0D OLKI rX b t C I C_ O 'L ? l.f -To 5 - Z K5 Plumber's Address (Street, City, State, Zip Code) j�:.3FoZ 550-)' 0_u1L �cm l :r S47 S7 VI. County/Department Use Only .Approved Elappr PermitFee Date Issued Issuing $ 1g1�23"- nAgent ,Signature mer G eason for Den' u�— l Condition�ol:�pprova I 31 � w;�l tv—ajav4 ,4 J SYSTEM OWNER: t - �- i. Septic tank, effluent filter and dispersal cell J4, �� l l fm� -ij�S t.t� losi�s vAc) � ' ^'� must be serviced 1 maintained as per w'cqi�\ 'PS PP_r►' :&1 management plan provided by plumber, 2. All setback requirements must be maintained as per applicable code 1 ordinances, Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I 1 inches in size SBD-6398 (R. 03/21) 648462 Designer: Ryan Bechel Certified Sal Tester. 1330832 Designer of Engineenng Systems: D 2263-7 COPY ELEVATIONS: House grade a 115.85 Holding tank grade z 114.75 Holding tank inlet z 112.50 Top of holding tank manhole cover = 115.83 50' €y 2023 Advanced y `t "Allpropertylinesnot , Benchmark SYSTEM NOTES Enwonrantai LLC ADVANCED drawn are > 100R from Soil Boring N n'u. r k gaFan.. ompedmed ian' All rights reserved � system' n. �!u&Nt 17)0 n�ec ( _ erng ri:e!ca acme fna grace me) ? `7 1C c wrodaa a w .a adera o� O I. , 1 _ l ic, 40 PVC f She/ter \ `• `, i 1 �z 5` 5� uglity .. Sheds : 3000ga1 __ l holding tank Hufrcult 1000 gal (abandon) . septic tank vvith I indicate; bonngs �} evaluated 9/18199 "95 - Z _ by James K. Thompson 344 4" sd1 40 / or 3034 PVC (deanouts every 100' at a minimum) COPY ling `u\ y /1 i 20' 2" sch 40 PVC 17 ^B3 6 13112 - 107.00 Top nail in fencepost (38" above grade) ' Huffcutt 600 Pump tank �g2' 8M1 = 100.00 Ar Top n8J in fenceposl (3" above glade) i .'84 J Trash /pile . r, tl e°�r�D neaa, w,youmpern,mr!am -'abo,e Mal gads dar'r �eTc "ed rtea-Dsy��'3TDh rY "e.me'n dl:aea<w _.a!>am rnn a, -c: end TDR eler ode'. corms ;me mew a.ew meta'namm�aed E'r?5 � 3) 857 c2J5' anaxdmcnamc (` r WI �10iB]' cydan etw:im m 1W W' cwear a'C-Mc:? —n!iD LWa.ik IW,ga devaiddg9ng a.m amea.vrc aree.edemmed.pogr caw. ao:ap' a :c dektn dew -N.i1'!ace.s.a,e to,I.n PMd ' c bn:�.a>E abadia, eroeIran mnpetlnn auna:a:vaam nae!o-cvann, l5•'a>,c' I.P.l�!meq ong' 7 col C f beeh.eM clmnauGvse adl,d neMak. �' agias� 30'specng ee: to b gamd 1a' hem and d ded 618' w U. �Dmwnd Ouse Aal uVng; pre dnT Ge6Tmd Staten-1, Thor system 1— Been d.eigrwe and .valuaeed it —do ns of Sttb. and I_ of wdes. The cog b.vbnerl area mat mtd. pabebd a dbhr6ane. ana/- ewae. and we oonpb-� NO yWiArNTy IS V" TFAT THIS SYSTEM ill coKnNLE M FL/IC" FCEE7MIElY. 91d— —M br crop" and d klad R.WI yw .yo—'. iiir!t Plop for n/.nn.tlm on pq— — and nentvma LUCAHON MA' (not t, i—) n 0 _... PRFPA RF.n FoR� _ Amerda Garr. SRe Add es.: 2559 CTy RD N Woodville, WI Stew PTD: 00&1042-10-000 9.00A— !-ePl' NW 1/4 SE 1/4 S14 28N R16W Town of Eau G.U. Scale: 1' - 50' Date-. 4,r1323 Wisconsin Department of Safety and Professional Services Divisi:,n of Industry Services 4822'.Madison Yards Way PO Box 7302 Madison, WI 53707 April 25, 2023 CUST ID NO.: 1330832 RYAN GARY BECHEL W11932 560TH AVE PRESCOTT, WI 54021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/25/2025 MUNICIPALITY: TOWN OF EAU GALLE ST. CROIX COUNTY SITE: ARCENIO GARZA 2559 CTY RD N WOODVILLE, WI 54028 NW 1/4 SE 1/4 S14 T28N R16W TOWN OF EAU GALLE FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 16 Inches Maintenance Required: Effluent Filter 6R18-266-2112 Web: http dsps N%i eov Email: d,m a xv i.cqnsm guy Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-042300591-C Application No.: DIS-042317637 Site ID No.: SIT-114740 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF IN=STRY SERVICES +�t VJ_ SEE CORRESPOND CE Mound Component Manual - Version 2.1 (May 2022-2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: A sanitary permit must be obtained from the county where this project is located per Sec.145.19, Wis. Stats. Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4-inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. A final inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 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 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 chapteAM4§?l0), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 ed Balance Due: Refund Expected: ted: $0.00 Katie Petzel Division of Industry Services Phone: 608-574-1189 Email: katie.petzelgwisconsin.gov 648462 w Property Owner/Client: Arcenio Garza PIN: 008-1042-10-000 Site Address: 2559 CTY RD N, Woodville, WI 54028 INDEX Pg. 2 SITE PLAN Pg, 3 SOIL DISPERSAL COMPONENT Pg. 4 EFFLUENT DISTRIBUTION LATERALS Pg. 5 SEPTIC TANK SPECIFICATIONS Pg. 6 DOSE TANK SPECIFICATIONS Pg. 7 DOSING AND PUMP SELECTION Pg, 8 FILTER MAINTENANCE Pg, 9 MANAGEMENT PLAN County: ST Croix Pg. 10 MANAGEMENT PLAN Pgs. 11-16 SOIL TEST Pgs, 17-18 TANK BUOYANCY SHEETS Pg. 19 MATERIALS ESTIMATE DESIGN PARAMETERS FLOW Wastewater Type: Residential Estimated Wastewater Flow: 300 gpd Design Flow: 450 gpd SOIL & SITE EVAL UA TION.- POWTS Type: Mound Limiting Condition Depth: 16" Maximum System Depth: Above Grade Contour Elevation: 100.00' Limiting Condition Elev: 98.67' Land Slope: 3% # Bedrooms (residential) : 3 # Occupants (per capita flow) Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 36" Soil Texture: SIL In -situ Soil Application Rate: 0.4 gpd/ft2 Dispersal Cell Loading Rate: 1.0 gpd/ft2 POWTS DESIGNED PURSUANT TO: D°"""° I/y APPROVED Mound Component Manual (Version 2.1) DEPT.OF SAFETRVIC PROFESSIONAL SERVICES DIVISION OF ISTRY SERVICES Pressure Distribution Component Manual (Version 2.1) Comments: ✓' Existing 2 bedroom home. System being increased to 3 bedroom capacity. No home business. No 1 SEE DDRRESPC sewage ejector/grinder pump. Existing 3,000 gallon holding tank to be abandoned per SPS 383.33. �N SIGNED: 4/17/2023 RYAN G. BECHEL D-2263-7 =_ PRESCOTT ADVANCED ENVIRONMENTAL LLC W11932 560TH AVE, PRESCOTT, WI 54021 (651) 327-0074 648462 Designer: Ryan Bethel Certified Sal Tester. 1330832 Designerof Englneenng Systems: D 2263-7 €y 2023 Advanced �/ "All property lines not , Benchmark SYSTEM NOTES Envrconrnfal LLC ADVANCES drawn care>100R hom Soil Boring N n'u. r,ak: All rights reserved system' �*'rl IDDO geoncrn .- onpeemeN ;" _ ern rislct a.'finel r- &otree N finer 11\ t ~ Lorne `7 1C� " co wroba aoY.aeeadelav Plc!(jc `�t1`gp PVC s She/ter -ez sheds 3000ga1 __ - j holding tank Huffcult 1000 gal (abandon) septic tank WRh I YOrrenm 8otube l t " indicate; bonngs �} evaluated 9/18199 _ by James K. Thompson 344 4" sd1 40 or 3034 PVC ELEVATIONS: L—j (desaouts every 100' at a rrr—m) House grade a 115.85 Holding tank grade z 114.75 Holding tank inlet z 112.50 Top of holding tank manhole cover = 115.83 ling `u\ y /1 t20' 2" sch 40 PVC i y ry ^B3 6 13192 - 107.00 Top nail in fencepost (38" above grade) ^I W 25' I 50' t o" Huffcutt 600 Pump tank B1 i i 1 1 B4 /pile . r, tl BM1 - 100.00 Top nail in fenceposl (3" above grade) e°�r�D neaa, w,yemmpern,mr!em sa bo M I q ae w T M r Il:aea<w _.a wm�. nil a,-..,,eenO TDR eter odes. corms :re rreta a.ew meta inmmnaetl E'C5"gn M 0.!P�BI eB7c2J an xd,cn-imc(i rWl .10te]' cydm etw:im m 1W W' cwear �•h^'MC:9 one dl iD LW 9wnps IW:� 1s gan6 vvai0 dggr'a #1a. mr eereovcr<. arm.ee rema+e n�cpng: caw. jv, dew -0.e'I Lnace.se a,er nail swim FrgK:'c bn:�.a>E abad� arse Iran mnpetlnn auna:a:vaam nae!o-cvann, l5•'a>,c� clmlmeq Digeib.b- ong' f col L � f bash. ndh cleenaGvse 2�. c sa durla aaecvan :e!ea rooe�e onm =10! D9 -' �^ tzh. a�OleaneMwk. �' ofias� 3 P specna ee: to b �emC 18' hom mtl d EM a IB' w saes �DmmO Ouse Aal seVnq; pre Onq C-M.d StateetenC Thor system lw Been deei;li and evduaEed it omord— efth Sttb. orW Isaol wdes. The s.I bevbmrd aeeo mat rendn peobebd frvn dbhr6anee ana/- —Poe:ion ewae. ma wr oonill NO WARRANTY IS V" 7FAT THIS SYSTEM ill coKnNLE M EL,117" WCUPUELY. 9fid— -M br prop" and d kled A, a yw ayeben'e Plop tur lolvvno n on prq— — and 'et — LOCATION MA' (not to cde) n 0 _... PRFPA RF.n FoR' _ Arcerdo Garza Site Add es.: 2559 CTY RD N Woodville, W1 54028 PTD: 008-1042-10-000 9.00A— !-ePl' NW 1/4 SE 1/4 S14 28N R16W Town of Eou G.U. Scale: 1' - 50' Date: 4,r1323 I. MOUND DISPERSAL AREA 648462 Obs. pipes /—r--A I A 6.0' B 75.0' D� 20.0" E 22.2" L F 9.5" G 6.0" H 12.0" 1 10.3' J 8.1' K 10.6' L 96.3' W 24.5' Observation Pipes (1/10th of B) 7.5' Dispersal Area Required: 1125 ft2 Absorption Width (A+I) 16.3' Dispersal Area Proposed: 1226 ft2 Dispersal Cell Media: 112" - 2-112" Aggregate Geotextile Fabric 103.46' _ I 102.29' Top & seed 101.67' - 2., Aggregate / . t— ASTM C- 33 SAND � 4 4 Plow 6" 8" deep (min.) 100.00, 3% prior to placing sand OBSERVATION PIPES Screw -type or slip -top cs 4" SCH 40 PVC pipe Top of pipe to terminate a or above finished grade 4" - �' x 6" slots spaced 90' apart Anchoring Device (Toilet flange) Finished Grade (mulched & seeded) Topsoil cover (1' minimum) fi Itrative surface Paae 3 En 0 1 1/2" DISTRIBUT/ON NETWORKSPECIF/CA TONS b4b4b2 MANIFOLD DETAIL 3.0' (Alternative manifold connection) 1 1/2" --------------------------------------------------- PIPE SELECTION Forcemain Diameter: 2" Header Diameter: 1 1/2" Lateral Diameter: 1 1/2" LATERAL DETAIL **All pressure piping to be Schedule 40 PVC unless otherwise specified Cleanout Detail / Sprinkler Box / Ball \ Valve Threaded Cap Sweep 90' 1 or (2) 4� 72.00' Y 5/32" 3.0' { (Alternative manifold connection) Number of Laterals = Orifices per Lateral = Orifice Density = Orifice Discharge Rate = 2 25 9.0 ft2/orifice 0.54 gpm Minimum Average Head = Lateral Discharge Rate = System Flow Rate = 3.5' 13.5 gpm 26.9 gpm Paae 4 SEPTIC TANK SPECIFIC A TONS 648462 • Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer; Insulate if greater > 30' long and < 42"from grade or if < 60" from grade under all high traffic/snow cleared areas (driveways etc.) • Building sewer. No 90's, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum Watertight control box with separate pump and alarm circuits 115.85' 115.00' /—Clean Out 113.00' 111.751 111.50, 4" SCH 40 Bld ewer 10 Effluent Filler +/— 20 1"-1.5" PVC Float Tree 107.50' —�� Q 0 -. ------------------------------------------------------------------------------------------------------------------------------------------------- Tank Manufacturer/Model: Huffcutt-1000 HD ------------------------------------------------------------------------------------------------------------------------------------------------- Filter Manufacturer/Model: Orenco - Blotube - 8" ------------------------------------------------------------------------------------------------------------------------------------------------- Panel Manufacturer/Model: ------------------------------------------------------------------------------------------------------------------------------------------------- 6 WARNING LADEL EMBEDDED INTO 'I CONCRETE COVER READS AS FOLLOWS- II aS — CAUTIONi C DO NOT ENTER WITHOUT PROPER VENTILATION U COULD CAUSE OEATH..DANGERCUIS GAS. d Z (TOP VIEW) 24' DIAMETER CONCRETE COVER (TYPICAL) SEE 'ACCESSORIES* FOR OTHER COVER OPTIU S ; R7iRR� B 01� f 1�IS NOTE- THIS DRAWING REPRESENTS A SEPTIC TANK. •��� LIFTING K" RarsltK SEE ACCESSORY 01; FOR OPENINGS LOCATED IN THE TOP Or A HOLDING TANK ♦ q^ Ci 4- Dix INL[7 GAL. PER [NCH . 2827 c •' L IOUID CAP. • 1.070 GAL. D[A ountT➢tA �Y NAK. LIOUlD CAP. • 1.II5 GAL. F c En `ii R'C ZY iAFrLEin • SECTION (TANK BASE, TOP. 4 COVER) IIS' w b p, cr CL a $ 2-2 Paae 5 DOSE TANK SPECIF/CA TONS 648462 • Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer, • Insulate if greater > 30' long and < 42"from grade or if < 60"from grade under all high traffic/snow cleared areas (driveways etc.) • If forcemain will have a 'J-Hook" assembly, drill a weep hole in the "hook" • Building sewer. No 90's, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum Watertight control box with 100.50' separate pump and alarm circuitsV. 115. 0' Quick Disconnect HEM Sleeve forcemain in 4" SCH �— 111.50' 9LT'- 440-a0 PVC pipe across tank excavation to prevent pipe 4" SCH 40 Bldg. Sewer settling 1 "-1 5" PVC Float Tree +/- 93.25' w----------(Pump Off) 92.Weep Hole 4" Pump Block ------------------------------------------------------------------------------------------------------------------------------------------------- Tank Manufacturer/Model: Huffcutt- 600 ------------------------------------------------------------------------------------------------------------------------------------------------- Filter-Manufacturer/Model: NotApplicable- ------------------------------------------------------------------------------------------------------------------------------------------------- Panel Manufacturer/Model: SJE Rhombus-- Tank-Alert-1 ---------------------------------------------------------------------------------------------------------------------------------------------- I� INLET I I T-I¢ ' WARNING LABEL ERHEDDED INTO al CDNCREIE COVER READS AS FOLLOWS- 3 CAU1I0ti. U DO NOT ENTER WITHOUT PROPER VENTILATION COULD CAUSE 11EA7HGAS. _DANGEROUS GAS. a Z (TOP VIEW) ------ - 29' DIAMETER CONCRETE COVER (TYPICAL) SEE 'ACCESSORIES* FOR OTHER COVER OPTIONS zq:VIA rc�stu M IA NOTE THIS DRAWING REPRESENTS A SEPTIC TANK. OtBR w�■ SEE ACCESSORY *It FOR OPENINGS LOCATED ®1l iBBBI' LIFTING HOOK IN THE TOP OF A HOLDING tAN(. W I,Nn & } 4' DIA. • a� 7B' WTtLT I I .•� rs%a 3,25 •• DIA. wLe* f 4 `" rIMESY D I A wn.r.T1 DIA 1IBMC GAL PER INCH - 1,52G L.IDUtD CAP. = 6AGAL �V wax Ltou[D CAP 671 GAL C.2 y (BELOW INLETI { i H � � ® fIUFFCUTT 1.1 �.� c TANK LABELS I 2' HIGH CONCRETE SECTION FORMED LETTERS (TANK BASE, TOP, 6 COVER) I ` � I I I I r I I I OUTLET SIDE ELEVATION I (TANK BASE, TOP, 4 COVER) V 3' 67• 3• r I - r -r 73' j I V � d --___________________— N11 n 3• 49• 3• a � ss• 1�1 PAFiIF SB 112• I •9• I I 1 FLOOR PLAN (TANK BASE) ` 1 Pane 8 DOSE SETTINGS & PUMP SELECTION 648462 PUMP PERFORMANCE REQUIREMENTS Elevation Head: 9.5' 100.50' Distribution Head: 4.55' Equipment Head Loss: 0.0' Forcemain Friction Loss: 0.3 ft ---------------------------- TOTAL DYNAMIC HEAD = 14.4 ft TDH 97.17' - MINIMUM FLOW RATE = 26.9 gpm a d- DOSE REQUIREMENTS Minimum Dose: 66.2 gallons 95.75' ---------- --- -- ---- Maximum Dose: 90.0 gallons 319.8 gals 21.0' A (RESERVE) Design Dose: 89.0 gallons 94.00' �Y45.8 gals ' 3" B (ALARM) Forcemain Feet: 20' 93.75' ----- - Forcemain 0: 2.0" 92.3ls g 6.0" . (DOSE) 93.25' ---------_--- --_- �C- Drainback: 3.3 gallons TOTAL DOSE = 92.3gallons 183.1gals ;• 1211 D (PUMP COVER) 1: Zoeller - 98 92.25' PUMP PERFORMAN E CURVE MODEL 98 10 ?p 30 40 Ju BO ;0 JU Zoeller -151 PERFORMANCEPUMP MODEL 15Y152/153 10 ?p 30 40 Ju BO ;0 JU Zoeller -151 PERFORMANCEPUMP MODEL 15Y152/153 11P►ES MENEM ®`E `,.■E ■'RIEN► aM�► �.ME"■ ►a M � ■romw' „■■■ EMEM■ IRME EMMINIM■■■■■ 80 90 100 Pane 7 2: 40.0 30.0 x A k H CF w 20.0 p� L5�1 r1 x 10.0 0.0 4 0 4 CHAMPION PUM PERFORMANCE 20 40 ; 60 80 Gallons per Minute CIO C&rV i t Product Warranty Date of Manufacture and Warranty Tag is on pump cord. 100 LIMITED WARRANTY. Champion Pump Company, Inc. warrants that products of our manufacture will be free of defects in material and workmanship under normal use and service for 3 years from the date of purchase. The date of purchase shall be determined by a dated sales receipt noting the model and serial number of the pump. The receipt must accompany the pump if the date of the pump returned is more than 3 years from the date code on the pump name plate. We will repair or replace, at our option, to the original purchaser any part or parts of our product found upon our examination to be defective. Be prepared to provide the model number, the date code and/or serial number and proof of the date installed when exercising this warranty. Nameplate tag (Required) is on the pump power cord. All transportation charges on products or parts submitted for repair or replacement must be paid by purchaser. This limited warranty does not cover products which have been damaged as a result of accident, abuse, misuse, neglect, improper installation, improper maintenance, been used in water containing sand, lime, cement, gravel or other abrasives, or failure to operate in accordance with Champion Pump Company, Inc. written instructions. UNDER NO CIRCUMSTANCES WILL WE BE RESPONSIBLE FOR ANY OTHER DIRECT OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LOST PROFITS, LOST INCOME, LABOR CHARGES, DELAYS IN PRODUCTION, IDLE PRODUCTION WHICH DAMAGES ARE CAUSED BY ANY DEFECTS IN MATERIAL AND/OR WORKMANSHIP AND/OR DAMAGE OR DELAYS IN SHIPMENT. THIS WARRANTY IS EXPRESSLY IN LIEU OF ANY OTHER EXPRESS OR IMPLIED WARRANTY, INCLUDING ANY WARRANTY OF MERCHANTABILTIY OR'FITNESS FOR A PARTICULAR PURPOSE. Some states do not allow limitation"s on how long an implied warranty lasts, or do not allow the exclusions or limiiatidn`3>:tif incidental or consequential damages, so the above limitations might not apply to you. Tl's limited warranty gives you legal rights, and you may also have other legal rights which vary from state to state. Orenco® S Y S T E M S Applications Orenco' 8-inch to 15-inch Biotube' Effluent Filters are designed to remove solids from effluent leaving commercial septic tanks. They can be used in new and existing tanks. General Orenco' 8-inch to 15-inch Biotube' Effluent Filters" are used to improve the quality of effluent exiting a commercial septic tank. The Biotube cartridge fits snugly in the vault and is removable for maintenance, the handle assembly snaps into the notches in the top of the vault, and the tee handle can be extended for easy removal of the cartridge. A "base inlet" model (see p. 2) is available for low -profile tanks. An optional slide rail system, available on larger models, simplifies installation and provides tank access for servicing. Li' l.flblAw V'ew 7 Maintenance Instructions To ensure the effluent filter is functioning properly, inspect it every year. Under normal conditions, your effluent filter will function for several years before cleaning is necessary. Clean the filter when it becomes clogged enough to restrict normal flows out of the septic tank. At a minimum, clean the filter whenever the tank is pumped. High-level alarms, which activate when the filter is clogged, are recommended to prevent backups. Be sure to dress properly when inspecting and cleaning the filter. Wear full-length pants and shirt, shoes, gloves, and goggles or glasses. Step 1 Remove the access lid to your septic tank by unscrewing the stainless steel lid bolts with the hex head wrench provided. If your lid is above ground, it will be easy to find. If it is buried below ground, find the marker that indicates its location. Step 2 Remove the filter cartridge by grasping the tee handle and lifting it out of its housing. Step 3 Spray the cartridge tubes with a hose to remove any material sticking to them. Ensure that the three orifices in the optional flow modulation plate inside the filter are clear of any debris, Make sure the rinse water runs back into the tank, but do not allow solids material to fall into the open filter housing. Step 4 Firmly place the cartridge back into the housing. Step 5 Some effluent filters come with an alarm that activates when the filter needs cleaning. If you have an alarm, check to make sure it is working by lifting the float with a stick. An audible horn should sound. The alarm panel is normally mounted on the side of the house or in the garage. Note: If your effluent filter doesn't have an alarm system and you would like one, call your local septic system installer. Step 6 Record the date that you inspected and/or cleaned your filter on the form that follows this page. If you checked the alarm or made any other observations about the tank or system, include that information under "Notes." Step 7 Attach the access lid by placing it on the riser, matching the holes in the lid with the holes in the riser. Insert each lid bolt through the lid and the hole in the riser and tighten with hex head wrench provided. Before leaving, pull up firmly on the lid to make sure it is secure. Orenco Systems", Inc., 814 Airway Ave., Suthertin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com MIN-FT-FT-1 Rev. 3.0 ° 04/17 Page 3 of 4 PanP 8 MANAGEMENT PLAN 648462 The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintenance activities necessary to ensure long-term system performance. Tasks that should be performed by the homeowner are identified. Professional management tasks shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. No Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use. MANAGEMENT FREQUENCY Design Parameters System Specifications Number of Bedrooms 3 Septic Tank Manufacturer Huffcutt Design Flow (gpd) 450 Septic Tank Capacity (gallons) 1044 Soil Loading Rate (gpd/ft2) 0.4 Effluent Filter Manufacturer Orenco Standard Effluent Quality Effluent 1 Effluent Filter Model Blotube - 8" Biological Oxygen Demand (BOD) 220 mg/1 Pump Tank Manufacturer Huffcutt Total Suspended Solids (TSS) 150 mg// Pump Tank Capacity (gallons) Fats, Oils, Greases (FOG) 30 mg// Pump Manufacturer Per Installer Treated Effluent Quality Pump Model Per Installer Biological Oxygen Demand (BOD) - mg// Dispersal Cell Type Mound Total Suspended Solids (TSS) - mg// Fats, Oils, Greases (FOG) - mg// Pretreatment Unit Description NA Max Effluent Particle Size (in) 1/8 Homeowner Management Tasks I Professional Management Tasks Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional if any alarm signals. Lint Filter - check for lint buildup and clean when necessary. if you do not have one, add one after washing machine. Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Effluent Screen - Check and clean per manufacturer recommendations. Liquid levels - Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (if applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank. Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. Septic system replacement area. Protectsecondarysystem site from traffic, compaction, etc. (if applicable) .................................................................................................................................................................................................................................................................................................................................................... POWTS REGULATOR., ST Crolx County Zon/ng Office ADDRESS: 1101 Carmichael RD, Suite 1200, Hudson, Wl 54016 PHONE, (715) 386- 4680 ...................................................................................................................................................................................................................................................................................................................................................... Pace 9 STAR T-UP& OPERATION 648462 For new construction: Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power outages: Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings shall be replaced immediately. The dispersal cell(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. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. CONT/NGENCYPLANS If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wisc. Admin. Code abandonment regulations. Requirements include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!/ SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Pane in 648462 POWTS TANK BUOYANCY WORKSHEET 1. Tank Specifications A. Tank Manufacturer: Huffcutt Tank Model: 1000 B. Outside Tank Dimensions and Specifications: Length: 96 in Width: 67 in Height: 55 in Diameter: in Length: 8.0 ft Width: 5.6 ft Height: 4.6 ft Radius of Tank: in 2. Outside Volume of Tank Rectangular Tank Circular Tank A. Area of Tank = Length (ft) X Width (ft) A. Area of Tank = nr2 (3.14 X (Radius of Tank )2) 8.0 ft X 5.6 ft = 44.7 ft2 3.14 X ft = ft2 B. Volume of Tank = Area of Tank (2.A) X Height (ft) B. Volume of Tank = Area of Tank X Height (ft) 44.7 ft X 4.6 ft = 204.7 ft3 ft2 X ft = ft3 3. Force of Tank Weight (FTw) Fsw we4 ,w Weight of Tank (provided by manufacturer) 9500 lbs/ft3 4. Force of Soil Weight Over Tank (FsW) O A. Depth of Cover Over Tank: 24 in 2.0 it Soil Type Weight of Soil (Ibs/ft3) B. Weight of Soil Per Cubic Foot: 100 lbs/ft' Sandy 120 Fgtwyrt lF,.) C. Volume of Soil Over Tank = Depth of Cover (ft) X Area of Tank (ft) Loamy 100 2.0 ft X 44.7 ft2 = 89.3 it, Clay 90 D. Weight of Soil Over Tank = Volume of Soil Over Tank X Weight of Soil Per Cubic Foot F.. + Fn. > 1.2 x Fe 89.3 ft X 100 lbs/ft' 8,933.3 lbs Note: Assumes saturation does not get over the lid of the tank MI F, F� = Wei =x Soght of htank Fe = Total tank volume x 62.4 Ibslft' s.351by aI 5.Buoyant Force (FB) Buoyant Force (FB) = Outside Volume of Tank X Weight of Water Per Cubic Foot (62.4 Ibs/ft) X 1.2 (20% Safety Factor) 204.7 X 62.4 lbs/ft3 X 1.2 = 15,329.6 lbs 6. Evaluation of Net Forces A. Downward Force = Force of Tank Weight (FTw) + Force of Soil Weight of Soil (FsW) 9500 lbs + 8933 lbs = 18,433.3 lbs B. Net Difference = Downward Force - Buoyant Force (Includes 20% Safety Factor) 18433 lbs - 15330 lbs = 3,103.7 lbs If the Net Difference is negative, countermeasures will need to be taken to prevent the tank from floating out of the ground. Comments/Recommended Solution: Keep a minimum of 2 feet of cover over pump tank to prevent floating. Deadmans/counterweights or other approved buoyancy countermeasures become necessary if less than 24" of soil cover is provided. Paae 17 POWTS TANK BUOYANCY WORKSHEET 648462 1. Tank Specifications A. Tank Manufacturer: Huffcutt Tank Model: 600 B. Outside Tank Dimensions and Specifications: Length: 78 in Width: 60 in Height: 67 in Diameter: in Length: 6.5 ft Width: 5.0 ft Height: 5.6 ft Radius of Tank: in 2. Outside Volume of Tank Rectangular Tank Circular Tank A. Area of Tank = Length (ft) X Width (ft) A. Area of Tank = rir` (3.14 X (Radius of Tank)" 6.5 ft X 5.0 ft = 32.5 ftz 3.14 X ft = ft- B. Volume of Tank = Area of Tank (2.A) X Height (ft) B. Volume of Tank = Area of Tank X Height (ft) 32.5 ft X 5.6 ft = 181.5 ft' ft2. X ft = ft- 3. Force of Tank Weight (FTW) FS.d .qn .. ) st O Weight of Tank (provided by manufacturer) 6600 lbs/ft' 4. Force of Soil Weight Over Tank (Fsw) A. Depth of Cover Over Tank: 36 in 3.0 ft Soil Type Weight of Soil (Ibs/ft3) B. Weight of Soil Per Cubic Foot: 100 lbs/ft3 Sandy 120 Funk -"hi IFS) C. Volume of Soil Over Tank = Depth of Cover (ft) X Area of Tank (ft2) Loamy 100 3.0 ft X 32.5 ftz = 97.5 ft3 Clay 90 D. Weight of Soil Over Tank = Volume of Soil Over Tank X Weight of Soil Per Cubic Foot FRS-y(Fs) Fsw + For > 1.2 x Fe 97.5 ft3 X 100 lbs/ft' 9,750.0 lbs Note: Assumes saturation does not get over the lid of the tank t Fsw=vswi x 80lbs1ft' Fw = Weight of tank Fe = Total tank volume x 62.4 Ibstft' (8.351bs/ al) S.Buoyant Force (FB) Buoyant Force (FB) = Outside Volume of Tank X Weight of Water Per Cubic Foot (62.4 lbs/ft') X 1.2 (20% Safety Factor) 181.5 X 62.4 lbs/ft' X 1.2 = 13,587.6 lbs 6. Evaluation of Net Forces A. Downward Force = Force of Tank Weight (FT,,,r) + Force of Soil Weight of Soil (Fsw) 6600 lbs + 9750 lbs = 16,350.0 lbs B. Net Difference = Downward Force - Buoyant Force (Includes 20% Safety Factor) 16350 lbs - 13588 lbs = 2,762.4 lbs If the Net Difference is negative, countermeasures will need to be taken to prevent the tank from floating out of the ground. Comments/Recommended Solution: Keep a minimum of 3 feet of cover over pump tank to prevent floating. Deadmans/counterweights or other approved buoyancy countermeasures become necessary if less than 30" of soil cover is provided. Pane 19 INSTALLER MA TERIAL ESTIMA TES 648462 THE FOLLOWING PARTIAL MA TERML LIST /S INTENDED FOR ROUGH BID PURPOSES ONLY. INSTALLER IS RESPONSIK E FOR A L L FINAL MATERM L CALCULATIONS. TALI K(S): Tank 1: Huffcutt -1000 HD Tank 2: Huffcutt - 600 Effluent Filter 1: Orenco - Biotube - 8" Effluent Filter 2: Not Applicable - PIPING: Diameter Building Sewer: t 460' 4" SCH 40 PVC Forcemain: t 20' 2" SCH 40 PVC Header: f 3' 11/2" SCH 40 PVC Laterals: t 144' 1 1/2" SCH 40 PVC IMPORTANT: Piping estimates are exact. A Material waste allowance has NOT been added. P MP . Minimum Flow Minimum Head Effluent Pump 1: 26.9 gpm 14.4 ft TDH Pump 1 Model: Zoeller - 98 Minimum Flow Minimum Head Effluent Pump 2: - - Pump 2 Model:1 Zoeller -151 SOIL TREATMENT AREA: LARD TONS Washed Rock: 17 yd8 24 TONS (Yz" - 2 Aggregate) 130 yds 182 TONS Paae 19 642462 ST. CKOU 'VOUNTY SANITARY SYSTEM File #: I Office Use Only OWNERSHIP/ADDRESS FORM Created212021 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 OWNER/BUYER INFORMATION car ZC"'_ Mailing Address 2 567 CT XCA 11 City/State/Zip (,aooaudk.S y 0 Zy' Phone Number (required) (,-S I - 7 o 7 - -2,Z 7...3 Email Address (required) (�_r C e JN� o 1 2r3 %"►1_S n Ccwn Parcel Identification Number CJU (� `/ Z - 0 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location nb '/4 , S C.. '/4 , Sec. )q , T YN R 16�W, Town ofZ- Subdivision Plat: lL* Lot # Certified Survey Map # Volume Page # Warranty Deed # I (j 7 U D i LA (before 2006)Volume , Page # Number of bedrooms 3 Spec house ❑ yes t5Cno Lot lines identifiable kyes ❑ no New Property Address V__"Z�� - (Sta Initials) OFFICE USE ONLY (Verification of new address required from Communioevelopment Department for new construction.) Fj/ g1�7-3 (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and o 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 cdd@sccwi.yov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax IBM .�isY.rr.►ir.C.L State Bar of Wisconsin Form 11-2003 LAND CONTRACT (TO BE USED FOR NON -CONSUMER ACT TRANSACTIONS) Document Number 11 Document Name CONTRACT, by and between Miguel S. Sanchez, a single person ("Vendor," whether one or more), and Arcenio Rodriquez Garza and Sanjuanita Soledad Garcia Salazar, husband and wife as survivorship* ("Purchaser," whether one or more).'marital property Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this Contract by Purchaser, the following real estate, together with the rents, profits, fixtures and other appurtenant interests ("Property"), in St. Croix County, State of Wisconsin: All that part of the West Half of the Northwest Quarter of the Southeast Quarter (W 112 of NW 1/4 of SE 114), Section 14, Township 28 North, Range 16 West, lying Southerly of the centerline of County Trunk Highway "N", Town of Eau Gallo, St. Croix County, Wisconsin. SUBJECT to C.T.H. "N" right of way. Purchaser agrees to purchase the Property and to pay to Vendor at a place from time to time determined the sum of $ 180,000.00 in the following manner: (a) $ 46,876.32 at the execution of this Contract; and 1�IIIII@IVlhlll@9P' 1070344 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI 08/27/2018 01:44 PM EXEMPT#: REC FEE 30.00 TRANS FEE 540.00 PAGES: 4 Recording Area Name and Return Address Leo A. Beskar Attorney at Law 219 N. Main Street River Falls, WI 54022 A T 008-1042-10-000 Parcel Identification Number (PIN) This is homestead property. (is) (is not) This is a purchase money mortgage. (is) (is not) (b) the balance of $ 133,123.68 , together with interest from the date hereof on the balance outstanding from time to time at the rate of 5 % per annum until paid in full as follows: Commencing on September 1, 2018, and on the 1st day of each and every month thereafter, monthly principal and interest payments in the amount $713.31 provided the entire outstanding balance shall be paid in full on or before August 1, 2023 ("Maturity Date"). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS: IF NO OPTION IS CHOSEN. OPTION A SHALL APPLY: 0 A. Any amount may be prepaid without premium or fee upon principal at any time. B. Any amount may be prepaid without premium or fee upon principal at any time after C. There may be no prepayment of principal without written permission of Vendor. State Bar Form I I -Page 1 St. Croix County 1070344 Page 1 of 4 648462 CHOOSE ONE OF THE FOLLOWING OPTIONS• IF NEITHER IS CHOSEN OPTION A SHALL APPLY: 0 A. Any prepayment shall be applied to principal in the inverse order of maturity and shall not delay the due dates or change the amount of the remaining payments until the unpaid balance of principal and interest is paid in full. ❑ B. In the event of any prepayment, this Contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as specified above; provided that monthly payments shall continue in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded from this Contract. Purchaser shall pay prior to delinquency all taxes and assessments levied on the Property at the time of the execution of this Contract and thereafter, and deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the amount of the full replacement value of the improvements on the Property. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of Vendor's interest, and evidence of such policies covering the Property shall be provided to Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided Vendor deems the restoration or repair to be economically feasible. ❑ Purchaser is required to pay Vendor amounts sufficient to pay reasonably anticipated taxes, assessments, and insurance premiums as part of Purchaser's regular payments [CHECK BOX AT LEFT IF APPLICABLE]. Purchaser shall not commit waste nor allow waste to be committed on the Property, keep the Property in good tenentable condition and repair, and free from liens superior to the lien of this Contract, and comply with all laws, ordinances and regulations affecting the Property. If a repair required of Purchaser relates to an insured casualty, Purchaser shall not be responsible for performing such repair if Vendor does not make available to Purchaser the insurance proceeds therefor. Vendor agrees that if the purchase price with interest is fully paid and all conditions fully performed as specified herein, Vendor will execute and deliver to Purchaser a Warranty Deed in fee simple of the Property, free and clear of all liens and encumbrances, except those created by the act or default of Purchaser, and: n/a CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NO OPTION IS CHOSEN, OPTION A SHALL APPLY: El A. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination, at the time of execution of this Contract. ❑ B. Purchaser states that the following exceptions set forth in the title evidence submitted to Purchaser for examination, at the time of execution of this Contract, are unsatisfactory to Purchaser: ❑ C. No title evidence was provided prior to execution of this Contract. State Bar Form I 1-Page 2 St. Croix County 1070344 Page 2 of 4 648462 CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NEITHER IS CHOSEN OPTION A SHALL APPLY: B A. Purchaser agrees to pay the cost of future title evidence. ❑ B. Vendor agrees to pay the cost of future title evidence. Purchaser shall be entitled to take possession of the Property on August 24, 2018 Time is of the essence as to all provisions hereunder. Purchaser agrees that in the event of a default in the payment of principal or interest which continues for a period of 15 days following the due date or a default in performance of any other obligation of Purchaser which continues for a period of 15 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), the entire outstanding balance under this contract shall become immediately due and payable at Vendor's option and without notice (which Purchaser hereby waives), and Vendor may singly, alternatively or in combination: (i) terminate this Contract and either recover the Property through strict foreclosure or have the Property sold by foreclosure sale; in either event, with a period of redemption, in the court's discretion, to be conditioned on full payment of the entire outstanding balance, with interest thereon from the date of default and other amounts due hereunder (failing which all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property); (ii) sue for specific performance of this Contract; (iii) sue for the unpaid purchase price or any portion thereof; (iv) declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; (v) have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits; or (vi) pursue any other remedy available in law or equity. An election of any of the foregoing remedies shall only be binding on Vendor if and when pursued in litigation. All costs and expenses including reasonable attorneys fees of Vendor incurred to pursue any remedy hereunder to the extent not prohibited by law and expenses of title evidence shall be paid by Purchaser and included in any judgment. The parties agree that Vendor shall have the options set forth in this paragraph available to exercise in Vendor's sole discretion. Following any default in payment, interest shall accrue at the rate of 5 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. Purchaser may not transfer, sell or convey any legal or equitable interest in the Property, including but not limited to a lease for a term greater than one year, without the prior written consent of Vendor unless the outstanding balance payable under this Contract is paid in full. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full at Vendor's option without notice. Vendor may mortgage the Property, including the continuation of any mortgage in force on the date of this Contract, provided Vendor shall make timely payment of all amounts due under any mortgage, and the total due under such mortgages shall not at any time exceed the then remaining principal balance under this Contract. If Vendor defaults under such mortgages and Purchaser is not in default hereunder, Purchaser may make payments directly to Vendor's mortgagee and such payments will be credited as payments hereunder. All terms of this Contract shall be binding upon and inure to the benefit of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. State Bar Form 11-Page 3 St. Croix County 1070344 Page 3 of 4 648462 Dated o VENDOR: * Miguel S. Sanchez PURCHASER: (SEAL) ,',-gy`V n (SEAL) * Arcenio Rodriquez Garza (SEAL) ,, n , <SQy6 a Sala 2 -ct+- (SEAL) * Sa Iuanita Soledad Garcia Salazar AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. 1 authenticated on Pierce COUNTY) Personally came before me on $ * the above -named Miguel S. Sanch' rtiand TITLE: MEMBER STATE BAR OF WISCONSIN, Arcenio Rodriquez Garza and a So 4i:cia t (If not, to me known to be the person(s ecuted' th4 0`ore'�oing authorized by Wis. Stat. 5 706.06) instrument and a nowlcdgcd the � lazar, hus�arlCi-and wit survivorsfitl r�arital ,, �,WA _l "�'i•�perty' 4 THIS INSTRUMENT DRAFTED BY: ; A� Leo A. Beskar, Attorney at Law, 219 N. Main Street, Notary Public, State of Wisconsin River Falls, WI 54022 -- - _ My commission (is permanent) (expires: 06/22/2022 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS 1S A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. LAND CONTRACT C2003 STATE BAR OF WISCONSIN FORM NO. 11-2003 *Type name below signatures. WisFornu www.wisforrns.com State Bar Form 1 1-Page 4 St. Croix County 1070344 Page 4 of 4 `All property lines not Benchmark SYSTEM NOTES drawn are >100ft from Septic Tank:648462 system' Soil Boring N -Existing system to be abandonedpef PS 38333 r ** indicates borings evaluated 9/18/99 by James K. Thompson IA u BM2 = 107.00 Top nail in fencepost (38" above grade) -e °5 k- **82 17' I 1 fS� t B2 BM1 = 100.00 Top nail in fencepost / (3" above grade) 1 0 i Trash pile CO 2 Pump I ank: Soil Treatment Area: -Recommend minimum 20' sand -lift POWTS mound on 100.00 contour with 0.4gpd!tL loading rate -Depth to restriction =16' (Redoximorphic features) -Contour=100.00' -Slope = 3% Distribution: -System will require pressure distribution Certified Statement: This system has been designed and evaluated in accordance with State and Local codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. NO WARRANTY IS MADE THAT THIS SYSTEM WILL CONTINUE TO FUNCTION INDEFINITELY. System must be properly maintained. Review your system's management plan for information on proper care and maintenance. LOCATION MAP (not to scale) m 0 10' IV SIT L CTY RD N PREPARED FOR: Arcenio Garza Site Address: 2559 CTY RD N Woodville, WI 54028 PID: 008-1042-10-000 9.00 Acres Legal: NW 1 /4 SE 1 /4 S14 T28N R16W Town of Eau Galle Scale: 1" = 50' Date: 4/13/23 Wisconsin Department of commerce SOIL AND SITE EVALUATION A Pageg4$4k_ 3. Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Conde t- A.C.E. Soil &site Evaluations Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must County include, but not limited to vertical and horizontal reference point (BM), direction and St. Croix,_ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. .. Parcell.D.# - 008-1042-10-000 APPLICANT INFORMATION - Please print all Information. Reviewed By Date - - Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Bill Kitchner Govt. Lot NW 1A SE 114 S 14 T 28 N,R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2616 Sandpiper Lane i - --- — - City State Zip Code PhoneNumber City Village Town Nearest Road Woodville W 1 54028 715-699-2657 Flau Valle County Highway "N" New Construction Use: �- ] Residential / Number of bedrooms 3 'Addition to existing building ] Replacement Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate 0 _bed, gpd/ft2 0 trench, gpd/ft' Absorption area required 0 bed, T 0 trench, ft' Maximum design loading rate 0 bed, gpd/ft= 0 trench, gpd/ft' Recommended infiltration surface elevation(s) None ft (as referred to site plan benchmark) Site does not contain area suitalbe for PO WI S as allowed by W 1. Admin. Code Chapter Comm. 83 due to limited Additional design (Site considerations Parent material loess over glacial tilt Flood plain elevation, if applicable NA ft S=Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U=Unsuitable for system i I S[- U i_ I S U ''J S I_- I Ll ] S I') U ! i S U U S 1.1 U enu nae�+oroTlnAl DfrDIr1RT Boring# 1 Ground elev 98.78' ft Depth to limiting factor 6' Ground elev 99.16, ft Depth to limiting factor 6' I Depth Dominant Color Mottles Horizon i in. Munsell Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistenc Boundary Roots GPDIft2 Bed Trench 1 0-6 1Oyr4/2 None , sit 2fcr mvfr cs 2f 0.5 0.6 2 6-12 1Oyr4/1 cIp7.5yr5/6 sil I thin pl mvfr ` cs If N.P. 0.3 3 12-28 1Oyr4/4 c2p7.5yr5/8 sit 2msbk mfr I cw - 0.5 0.6 4 28-41 1Oyr6/3 i 1 m3p7.5yr5/8 I sicl Om 1 mfi i - N.P. 0.2 - - - - Remarks: 1 0-6 IOyr4/2 None 2 6-15 I 10yr4/I cIp7.5yr5/6 3 I 15-25 1Oyr5/3 c2p7.5yr5/8 sit 2fcr mfr cs 2f 0.5 0.6 sit 2 thick pl dsh aw If i N.P. 0.3 sicl Om mfi - N.P. 0.2 i i Remarks: - CST Name (Please Print) Signal Telephone No. James k "rhompson 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 9/18/99 3602 1104 pR0PEkTY OWNM Bill Kitchnor SOIL DESCRIPTION REPORT MAnf-Cl I MA 3 Ground elev 90.1 V ft Depth to limiting factor F, I Ground elev 83.44'ft Depth to limiting factor 16' 5 Ground elev 91.571 Depth to limiting factor 6. 6 Ground elev tza I -d- p&984620f 3 - A-C-IF.- Soil & Site Evaluations Horizon Depth In. Dominant Color Mansell Mottles Qu.Sz.ConL Color Texture Sru"'J GrStructureGPD/W Sz. Sh. sistence Boundary Roots 1-8 �- eid -,rer Th 2 3 4 0-6 6-12 12-28 28-41 10yr4/2 1 Oyr4/1 1 Oyr4/4 1 Oyr6/3 None None c2p7.5yr5/8 m3p7.5yr5/8 sil sil SO sict 2fcr I thin pi 2msbk Om Mvrr mvfr m fr mfi CS CS ew 2f if - 0.5 0.6 N.P. 0.3 0.5 0.6 - N.P. 0.2 Remarks: 1 0-5 1 Oyr4/2 None sil 2fcr mvfr cs 2f 0.5 0.6 2 5-12 1 0yr4/I None sil I thin pl mvfr cs if N.P. 0.3 3 12-16 1 Oyr4/4 None sil 2msbk rn fr cw 0.5 0.6 N.P. 0.2 4 16-24 1 Oyr6/3 m3p7.5yr5/8 sicl Om M fi Remarks: 101.83 ft Depth to limiting factor 6- 1 2 3 4 0-6 6-10 10-20 20-28 1 Oyr4/2 1 Oyr4/2 1 Oyr4/4 1 Oyr6/3 None c I p5yr5/6 c2p7.5yr5/8 m3p7.5yr5/8 sil A sil sicl 2fcr 1 thin P1 2msbk 0M mvfr CS CS Cw 2f if 0.5 0.6 N.P. 0.3 0.5 0.6 N.P. 0.2 mvfr rn Ifir M fi KemarKS: 1 2 3 4 0-6 6-14 14-24 24-39 1 Oyr4/2 1 Oyr4/1 None c I p7.5yr5/6 c2p7.5yr5/8 m3p7.5yr5/8 sil--- sil sil sicl 2fcr I thin pI 2msbk mvfr mvfr mfr CS cs 2f 0.5 0.6 N.P. 0.3 If 1 Oyr4/4 Cw 0.5 0.6 1 Oyr6/3 0M M fi N.P. 0.2 KemarKs: c 0 1 O t G Caw f�'4 l nol I/ a rd gar•agC Se yes. ■ Bs Liwn4 hu;to/,1�i r;(d: .q SareleJ = 97.1s I 5� ,� oc ,, C,((. fre" drsc�es � ��de. ,w f ,coca -•an ! i�,�,. n /1 tJYy SEYy 5�e. ii! T. ZPH �. /6 c� � - Wisconsin Department of Safety and Professional Services 648462 Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Countv Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 008-1042-10-000 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes Priva Law, s. 15.04 1 m . Property Owner Property Location: Arcenio Garza Govt. Lot: NW % SE 'Y4 S 14 T 28 N R 16 W Property Address Lot # Block # Subd. Name or CSM# 2559 CTY RD N City State Zip Code Phone Number ❑ City ❑ Village M Town Nearest Road Woodville WI 54028 1 (651) 707-2273 1 1 1 Eau Galle CTY RD N ❑ New Construction Use: M Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD M Replacement ❑ Public or commercial — Describe: Parent material Loess over sandy and gravelly outwash (Pillot sil) Floodplain elevation if applicable zone -A ft General comments and recommendations: Recommend minimum 20" sand -lift POWTS mound on 100.00 contour with 0.4gpd/ft2 loading rate. LF = 16" (Redoximorphic features) F-1 Boring # ❑ Boring ❑■ Pit Ground surface elev. 100.00 ft. Depth to limiting factor 17in. SI nil Annliratinn Rata I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-11 1 OYR 3/2 - sil 2mgr mfr cs 2m-vf 0.6 0.8 2 11-17 10YR4/3 - sil 2mabk mfr gs 1m-vf 0.6 0.8 3 1 17-26 1 OYR 4/4 f1d 7.5YR 4/6 & 10YR 511 sl 1 msbk mfr-mfi gw 1f-vf 0.4 0.7 4 26-90 7.5YR 4/4 c2f 7.5YR 5/8 & 10YR 5/2 sl Om mfr-mfi - 0.2 0.6 'water observed in boring 4depth of 31" durin testing window 27 Boring # ❑ Boring Pit Ground surface elev. 99.00 ft. Depth to limiting factor 19 in. Snil Annfiratinn Ratp Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 "Eff#1 "Eff#2 1 0-10 10YR 3/2 - I-sil 1 msbk mfr cs 1 m-vf 0.4c 0.6 2 10-19 1OYR 413 - sil 2mabk mfr gs 1f-vf 0.6 0.8 3 1 19-28 1 OYR 4/4 f1f 10YR 5/8 & 10YR 6/2 1 2mabk mfr-mfi gw if-vf 0.6 0.8 4 28-45 7.5YR 4/4 c2d 7.5YR 4/6 & 7.5YR 5/2 sl 1 msbk-Om mfr-mfi - - 0.2 0.6 - Frmit-_nt ai = KE)i) > .it) s vyu mnn ann I tiff > :in G 9 htl mnn - 1-ttWont ffil = Mr )1) S :it) mn/l ann 1 titi S :il) mn/l CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC.) 1330832 Address Date Evaluation ffonducted Telephone Number W11932 560TH AVE, Prescott, WI 54021 04/13/23 (651) 327-0074 SbU-833U (HU4/lb) Pane 11 ❑3 Boring # ❑ Boring 648462 ❑■ Pit Ground surface elev. 100.00 ft. Depth to limiting factor 16 in. Soil Annliration Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe *Eff#1 *Eff#2 1 0-8 10YR 3/3 - sil 1 msbk mfr cs 2m-vf 0.4c 0.6 2 8-16 10YR 4/3 - SO 2mabk mfr-mfi gs 1 m-vf 0.6 0.8 3 16-26 7.5YR 4/4 12f 7.5YR 5/6 & 10YR 5/1 SI 1 msbk mvfr gw 1 f-vf 0.4 0.7 4 26-39 7.5YR 4/4 m2p 7.5YR 5/8 & 7.5YR 5/2 CI Om mfr-mfi - 0.0 0.0 "water obsery d in boring at epth of 37" during tE sting window 4 ] Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz *Eff#1 *Eff#2 5❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 <_ 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOD, > 30 <_ 220 mg/L and TSS > 305 150 mg/L Pane 19 TO BY, • ,A Designer: Ryan Bethel Certified Sal Tester: 1330832 Designer of Engineering Systems D 2263.7 ® 2023 Advanced Envronmantal LL C. All rghts reseded� I 1,1 21me1 ` e I 0 r - 1I ``Y 11 lL�•J sheluau \ `, kidding 0 ADVANCED DV t CED - 'All p- wer>100ft not �a Benchmark SYSTEM NOTES - - Y H I `� d-awn are >7001t from 5eppc T k system' � Soil Boring N .... A + + \ ` Paso .+. 7 _} +- \ A s ! Trk: + + 4 } i \ ` + , t- + VSO + + � A) t + 4 1 k t � \ ' + Y- ••indicates bonngs +- evaluated 9/18/99 by James K. Thompson ELEVATIONS: House grade = 115.85 Holding tank grade �z 114.75 Mr✓F' Holding tank inlet ;z: 112.50 Top of holding tank manhole cover = 115.83 :_ y 17 A SM2 = 107.00 •�, - Top nail in fencepost _ (38"above grade) ' I I lines 52 �V w R�. «041 Trash ;b% pile BM = 100,00 Top nail in fencepmt (3" above glade) ar<a�m�,e m���r,.mm' a�at Roxr> mwad ra IC000 —. rmm; a�Mt wsdng iek -0mU m rtl,anm =16' �Rem�mopxreatmal Craba = =00 17-3% DiWlbaaM: Cyaem,d egrr a gcar r ddnMmn OrNItl slain-1: TKO ",barn hs bean d—W d and-olualad In aeoardva With Sk" and Land arria rha d lr abn.t —anal rarrdn prdecbd from di t b— .W- CO.V-iian bdam ud rW .WW, b— NO WN3WIIY 6 MX TNT nn SM5 Will CONTINUE TO MfcnON emlN111Y. Awbn mar ba ProPsN mtnlaii—L RMuw your ryaewn'a mnogsrrrt plan far i/ormotion an propr toe and LOCATION IMP (rrvr b a ) RD N I PREPARED EOR. Aroerdo Gary Site Add 2559 LTV RD N WooMle, WI W28 PID: 000-11N2-10-WO 900A— Legaf. My 1/4 SE 1/4 S14 T28H R16W Town of Eau Gape Scale: I" — 50' DMr. 4/13/23 Page 13 wisconsin Department of Commerce SOIL AND SITE EVALUATION •-� Page l, _.. of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code }-� 6484.Q2 6t S A.C.E. Sonite Evaluations Attach complete site plan on paper not less than 81A x 11 inches in size. Plan must County include, twt not hatted to vertical and horizontal reference pant (13M), direction and _ _ _ St. Croix ---_--- _—_— percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# v 009-1042-10-M APPLICANT INFORMATION - Please print all Information. _. ------------------ - Personal Information you provide may be used for seeondsrY purposes (Privacy Law. S. 15.W (1) (m)). Reviewed By Date Property Owner Property Location - - - -- - Bill Kitchner GovL Lot NW 114 SE 1/4 S 14 T 28 N,R 16 W Property Owner's Mailing Address Lot # Block # di Subd. Name or CSM# 2616 SanI_,ane __ - - - -- -------- -- - - - - --- ----------- City State Zip Code PhoneNumber iT] City (_ J Village jown Nearest Road Woodville W1 54028 715-698-2657 Eau Gale County Highway "N" Ll New Construction Use: Z Residential I Number of bedrooms 3 UAddition to existing building l Replacement f _1 Public or commercial describe Code Derived daily flaw 450 gpd Recommended design loading rate 0 bed, gpW 0 trench, gPd/V Absorytion area required 0 bed, ft' 0 trench, ftz Maxirttum design boding rate 0 bed, gpolft= O trench,gPdM2 Recommended infiltration surface elevation(s) None ft (as referred to site plan benchmark) Additional design I site considerations Site does not contain area suitalbe for PO WTS as allowed by WI. Admin. Code Chapter Comm. 83 due to limited ma Parent material loess over glacial till Flood sin elevation, if lieabte NA ft S=Suitable for System Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U=Unsuitable for system Us N U Ll S NU U S V-1 U I� S V7 U LI s� U ❑ S F1 Ll ��.. raw ww�w•rI�u At�1AST Boring# l Ground elev 98.78' R Depth to limiting factor 6' 2 Ground elev 99.16' ft Depth to limiting factor 6- Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Cola Texture ��f a Gr. Sz. Sh. Cces+ Boundary Roots - -- 2 Bed Trench 1 2 3 4 0-6 6-12 12-28 28-41 10yr4/2 10yr4/1 l Oyr4/4 None clp7.5yr5/6 c2p7.5yr5/8 m3p7.5yr5/8 sill sit sit sicl 2fcr I thinpl 2msbk - Om mvfr mvfr -- mfr mfr cs cs -- cw - 2f if - - ; - 0.5 0.6 N.P. 0.3 0.5 0.6 N.P. 0.2 IOyr6/3 1 2 3 0-6 6-15 15-25 10yr4/2 10yr4/1 1 Oyr5/3 None cIp7.5yr5/6 c2p7.5yr5/8 sil sil sicl 2fcr 2 thick pl Om mfr dsh mfr cs aw - 2f 0.5 0.6 N.P. 0.3 I - N.P. 0.2 Remarks:-- CST Name (Please Print) Signa Telephone No. Tho James K. mpson 715-248-7767 _ Address A.C.E. Soil & Site Evaluations _ Date CST Number Ref# 340 Paulson Lake lane, Osceola, 54020 9/19/99 3602 1104 Paae 14 'pRopEkTy OWNM Bill Ki"na SOIL DESCRIPTION WPIDRT PARCF1Ing ?;o 3 Ground elev 90111 ft Depth to limiting factor 12' 4 Ground elev 83.441 Depth to limiting factor 16" Remarks: p6 l4 11 .162of 3 A r F. sniff & Site Evalustim -2WqM%--A-= Holi. --imen!L- D" In. Dominant Color Munsel Mo'Ws Qu. Sz. Cont. Color Texture 86u'm Gr. SL Sh. s1SWwj E - Boundary I Roots -ied -Trench 1 2 3 4 0-6 6-12 12-28 28-41 10yr4/2 1 OyT4/1 None None sit 2fcr I thin pi --------c-s mvfr -- mvfr -- - ----- cs 2f 0.5 0.6 0.3 0.5 0.6 N.P. 0.2 1 Oyr4/4 1 Oyr6/3 c2p7.5yr5/8 m3p7.5yr5/8 sil sicl 2msbk orn mfr Mfi cw KemarKs: 5 Ground elev 91.5T ft Depth to limiting factor 6! 6 Ground elev 101.83 ft Depth to limiting old" 1 0-5 1 Oyr4/2 None sit 2fcr mvfr cs 2f 0.5 0.6. 2 5-12 _.._------- 1 Oyr4/1 None A I thin pi mvfr cs if N.P. 0.3 3 12-16 1 Oyr4/4 None A 2msbk rn fr cw 0.5 0.6 sic] N.P. 0.2 4 16-24 1 Oyr6/3 m3p7.5yr5/8 orn M ri 1 2 3 4 0-6 6-10 10-20 20-29 1 Oyr4/2 1 Oyr412 1 Oyr4/4 10yr6/3 None c I p5yr5/6 c2p7.5yr5/8 rn3p7.5yr5/8 SO A sil sicl 2fcr I thin pl 2msbk 0M mvfr mvfr rn, fr Mfi ------------ cs cs cw 2f if 0.5 0.6 N.P. 0.3 0.5 0.6 N.P. 0.2 • Remarks: 1 2 3 4 0-6 6-14 14-24 24-39 1 Oyr4/2 1 Oyr4/1 1 Oyr4/4 1 Oyr6/3 None c1p7.5yr516 c2p7.5yr5/8 m3p7.5yr5/8 sil sil A Ski 2fcr I thin pi 2msbk 0M mvfr mvfr cs cs 2f 0.5 0.6 If N.P. 0.3 rn fr M rl cw 0.5 0.6 N.P. 0.2 Remarks: Page 15 donsin Department of Safety and Professional Services ivision of Industry Services 4'�23 SOIL EVALUATION REPORT G5 i In accordance with SPS 385. Wis. Adm. Code Countv Attach complete site p)p�W1iot I ss than 8 112 x 11 inches in size. Plan must include, ST Croix but rtetkmited to: VVI c -an orizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 008-1042-10-000 Please print all information. Revie ed by. 648462 20.2 (0'5" DH.Q Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m Property Owner L �* I� �� Property Location: Arcenio Garza Govt. Lot: NW Y4 SE Y4 S 14 T 28 N R 16 W Property Address W Lot # Block # Subd. Name or CSM# 2559 CTY RD N City State Zip Code Phone Number ❑ City ❑ Village ❑■ Town Nearest Road Woodville WI 54028 (651) 707-2273 Eau Galle CTY RD N ❑ New Construction Use: ❑■ Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD ❑■ Replacement ❑ Public or commercial - Describe: Parent material Loess over sandy and gravelly outwash (Pillot sil) Floodplain elevation if applicable zone -A ft. General comments and recommendations. Recommend minimum 20" sand -lift POWTS mound on 100.00 contour with 0.4g M2loading rate.^ LF = 16" (Redoximorphic features) 1❑ Boring # ❑ Boring ❑■ Pit Ground surface elev. 100.00 ft. Depth to limiting factor 17 in. Snil Annliratinn Ra}c Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-11 1OYR 3/2 sil 2mgr mfr cs 2m-vf 0.6 0.8 2 11-17 1 OYR 4/3 - sil 2mabk mfr gs 1 m-vf 0.6 0.8 3 1 17-26 1 OYR 414 f1d 7.5YR 4/6 & 10YR 5/1 sl 1 msbk mfr-mfi gw 1 f-Vf 0.4 0.7 4 26-90 7.5YR 4/4 c2f 7.5YR 5/� /2 sl Om mfr-mfi - 0.2 0.6 'water observed in boring depth of 31" Burin testing window Boring # ❑ Boring 2❑ 0 Pit Ground surface elev. 99.00 ft. Depth to limiting factor 19 Cnil Annlir`atinn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-10 1 OYR 3/2 I-sil 1 msbk mfr cs 1 m-vf 0.4c 0.6 2 10-19 1OYR 4/3 - sil 2mabk mfr gs 1f-vf 0.6 0.8 3 19-28 1 OYR 4/4 f1f 10YR 5/8 & 10YR 6/2 1 2mabk mfr-mfi gw 1f-vf 0.6 0.8 4 28-45 7.5YR 4/4 c2d 7.5YR 4/6 & 7.5YR 512 sl 1 msbk-Om mfr-mfi 0.2 0.6 inr�.}t�sacuu�zu��.rum.asil�rr.��x�a�curi�.vr..rr��J::IR3:1i:Ui7_I�1 =�I��::T:�1iiT.'�Li�C����..T. A CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC.)&�� gd� 1330832 Address Date Evaluation ffonducted Telephone Number W11932 560TH AVE, Prescott, WI 54021 04/13/23 (651) 327-0074 bbU-8JJU (HU4/15) ❑3 Boring # ❑ Boring ❑■ Pit Ground surface elev. 100.00 ft. 648462 Depth to limiting facto, 16 _ in. Cnil Annli—firm Rofc Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 10YR 3/3 - sil 1 msbk mfr cs 2m-vf 0.4c 0.6 2 8-16 10YR 4/3 - sil 2mabk mfr-mfi gs 1 m-vf 0.6 0.8 3 16-26 7.5YR 4/4 f2f 7.5YR 5/8 & 10YR 511 sl 1 msbk mvfr gw 1 f-vf 0.4 0.7 4 26-39 7.5YR 4/4 m2p 7.5YR 5/8 & 7.5YR 5/2 cl Om mfr-mfi - 0.0 0.0 `water obsery d in boring at repth of 37" during t sting window 4❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Coil Annli—finn R.fc Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Cnil A—N—finn R.fc Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L Designer: Ryan Bechel Certified Soil Tester: 1330832 Designer of Engineering Systems: D 2263-7 J a n ELEVATIONS: House grade z 115.85 Holding tank grade z 114.75 Holding tank inlet z 112.50 Top of holding tank manhole cover = 115.83 25' 0' 50' © 2023 Advanced Environmental LLC. 648462 Lj / All rights reserved. � •0 zUe, X"\ H, ED\y L'J utility PICh%C �� �� 3000gal sheds Shelter �\ �\ holding tank X _4 L s ae rJ... _. l-- �v PPS-�v�E k �_ =*e1 Fern [in �5r_ coo tk I 648462 NO .. • 2. 2 9 Sri cn-1 RA. Tr / 353-22 0 1. -..L c-rTD _ 2 Z-fi PLUMBERtEru. OB�P..L�LIC.# 6`l012/ TOWN OF Eau. GRLLE ,► 111 AND/OR , -BL•s 1 SBD-06499 (R11/20) CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. %s1�3 WIT