Loading...
HomeMy WebLinkAboutSAN-2020-241 042-1077-90-500l?l I -. l CG'+ S — /- t Industry Services Division County �/ 1 f St.Cmix 4 ! V dodo -d vl 0 $ _ q Q P S �uL p v 2�Za 1400 E Washington Ave lj.O. Box 71$2 Sanitary Permit Number (to be filled in by Co.) Madison, WI 07-7162 - - !x County - Sanitary Permit Applicliatio Q steie Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the approp to , ntal unit is required prior to obtaining a sanitary permit Note: Application forms for state owned POWTS are submti�lt to the Department of Safety and Professional Services. Personal information you provide may be d for secondary act Address (if different than mailing address) ' troJ 8 purposes in accordance with the Privacy Law, s. 15.04 I m Stats. 70' Avenue 1. Application Information - Please Print All Information Property Owner's Name 0)Parcel # Jesse Xiong r I 042-1077-90-500 (a z 3 Property Owner's Mailing Address e M Property Location 7993 Drake BayX 10 Govt. Lot SE 'A, SW 'A, Section 28 City, State 7_ip ode Phone Number Woodbury, MN 55125 IjALcle one) T29N R18Eor 11. Type of Building (check all that apply) Lot # Subdivision Name ®I or 2 Family Dwelling - Number of Bms_ S 5 Block # I ElPublic/Commercial - Describe Use / ❑ City of ❑ State Owned - Describe Use ❑ Village of CSM Number&C! (G� 3z6 V.2 9,® Town of Warren 111. T e o Per 't: Check onlyone box on line A. Complete line B if applicable) A. New S ❑ Replacement System ❑ Treatment/l lol ding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. ape of POWTS System/Component/Device: Check all that apply) Non -Pressurize and ❑ Pressurized in -Ground ❑ At -Grade ❑ Mound a 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) , V. Dis ersaUTreatment Area Information: X I I D Design flow (gpd) Design Soil Applicatibit Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 750 Rate(gpdstl 1071 1100 94.80', 95.20' 0.7 V1. Tank Info Capacity in Gallons LA pot C Total #of Canufacturer O V New Tanks Existing Tanks Gallons Units I SO o U in rn U. J A. Septic or Holding Tank 1645 1645 1 Wieser El El 13 Dosing Chamber I I❑ Val. Res onsibili Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI s azure MP/MPRS Number Business Phone Number John Schmitt 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 586 Valley View Trail, Somerset, WI 54025 VII1. Count /De artment Use only ❑ Approved ❑ Disapproved Permit Fee Date Issued Issuing Agent Signature Owner Given Reason for Denial S IX. Conditions of Approval/Reasons for Disapproval YSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must rvi ed / maintained as per management plan provided by plumber. as per applicable: Code/61` 1fi4WRERP" plans for the system and submit to the County only an paper not lean thso 8 to x 11 inches in size SBD-6398 (1103/14) CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Xiong 5 Bedroom Septic System Owners Name: Jesse Xiong Owner's Address 7993 Drake Bay Woodbury, MN 55125 Legal Description: SW1/4, SE1/4, S28, T29N, R18W Township Warren County: St. Croix Subdivision Name: NA Lot Number: 5 Block Number Parcel I.D. Number 042-1077-90-500 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 Septic Tank Specifications Page 4 Effluent Filter Information Page S System Sizing & Cross Section Page 6 EZ Flow Information Page 7 Management and contingency plan Page 8 Septic Tank Maintenance Agreement Page 9 Warranty Deed Page 10 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 7/27/2020 Phone Number: 715-760-0486 Signature: In -Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) Page 1 SYSTEM PLOT PLAN Xiong 5 Bedroom Septic System Project Address. 7091 Avenue BMt Symbol: - BM Elevation: 10000' BM Description. Top of 2" PVC pipe. BM2 Symbol: j�j BM Elevation: 99.76' BM Description Top of 2" PVC pipe Slope Gradient of Tested Area: (5%) Well Symbol (if applicable) Notes: See Plat Map for complete map Design Flow: 750 GPD Attach design flow calculations for commercial plans. Pipe Materials / ASTM Standard Tables 384.30-3 8 304.30.5 4" SCH 40 PVC pipe ASTM- D2865 3034 4" PVC pipe ASTM-03034 Mean��- East Twin Lakes N Scale: 1" = 60' MAI T1- 3'X110' EZ Flow Trench El.= 95.20' — — _ _ _ T2- 3'X 110' EZ Flow Trench El.= 94.80' / BM1 // — — — — / \ // ■ T2 B3 T1 97' 103' BM2 / / / Proposed WLP1645-MR C J / / / / I / / / / / 99' � Proposed 5 Bedroom / House / / / / Proposed well / / / / / \ Garage / \ 105' / / / / Driveway / / / To W. 146" 4" CAST -A -SEAL 4" CAST -A -SEAL co VIP � J 1 FILTER OR F BAFFLE TOP VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS OU TILE T a PAD WLP1645—MR TANK SPECIFICATIONS DIMENSIONS: D a 0 o ai WALL: 3" w V) BOTTOM: SEPTIC 3" it a 0 a COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54 1/2" O.D. LENGTH: 146" O.D. a WIDTH: 84" O.D. BELOW INLET: 43" O.D. LIQUID LEVEL: 38" W WEIGHT: 14,000 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL a o GASKET, CAST -A -SEAL BOOT OR EQUAL o INLET AND OUTLET BAFFLE AND FILTER: m o WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) a J LIQUID CAPACITY. 43.32 GAL/INLu 0 0 o HOLDING TANK: �... OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,733 GALLONS 1� LOADING DESIGN: 8' 0" UNSATURATED SOILLn C o ca 00 I a ,n � CV r� W 0 TANK CAN BE USED AS: M SEPTIC/ HOLDING/ PUMP OR SIPHON i O W o0 COVER: MIX DESIGN #8 (NO FIBER) D TANK: MIX DESIGN #10 (STRUCTURAL FIBER) n CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE J Q � Z LO Q �* :m c� U � DRAWINGS SUBMITTED W V) FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 / PRODUCTS NEEDED BY: /OF 1 Mx- Inc. lnnovv Lcns in P, east. Drainage Zabel' & Wastewater Products A NASM Ot PoYOil hL PL-525 Effluent Filter PL-525 Filter The 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 PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Feattires: • 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. 06" Filtration Slots Alarm Switch 10,000 GPD" (Optional) Accepts 1" PVC Extension Handle 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housingto the 4" or 6" outlet t If Accepts a" & oupipe. SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & 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. IT-525 Iklaintenancc: The PL-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. 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 PL-525 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. Rated for 10,01M GPD 525 Linear Ft. of 1/16" Filtration Slots Certified to NSF/ANSI Standard 46 Gas Deflector Automatic Shut -Off Ball OUWrrur timartl'd1 rN Alarm Extend & I rik" Polylok, Zabel & Best filters accept Easily installs the SmartFilter® switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 4 IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) MRION • • I Geotextile Cover 12• min. trench depth (typical) Highest Trench System Elevations = 95.2' ft. 94.8' ft; min. 12' (typical) TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Septic Tank(s) Manufacturer Wieser Septic Tank(s) Volume(s): 1645 gal gal gal gal Effluent Filter Manufacturer. Polylok Effluent Filter Model #: 525 Lowest Trench (as applicable) ft; ft; TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.) PLAN VIEW 4" 0 observation pipe shall be installed at )unction between two units. (No Scale) Perforated Lateral Observation Pipe (typical) (typical) -- ------------�i`--------- r- r ====_= =--_= =_ — -------------- g= 110 ft (rylica►) u INSTALL PER TRENCH: M t" 11 10-ft bundles @ 50 ff EISA/unit = 550 ft2 + 0 5-ft bundles @ 25 ft2 EISA/unit = ft2 10 ft (typical) Provide minimum 3 ft separation between trenches. OBSERVATION PIPE DETAIL (No Scale) ft Screw -Type or Slip Cap (loose) 4*0 PVC Pipe Top of pipe to terminate _ at or above finished grade (4) 114--112" X 6" Slots 90 apart Anchoring Devx:e ,_.. A = 3.0 ft (typical) �- EZ1203H Bundle (typical) (mfd by Infiltrator systems, Inc.) Install pursuant to manufacturers instructions. = Proposed EISA per trench = 550 ft2 Required Infiltration Area = 1071 ft2 x 2 trenches = Proposed Total EISA = 1100 ft2 RESET...., Finished Grade (mulched & seeded) Topsoil Cover (rnn. 1 rool) Infillration Surface Distribution Method: branched manifold Installation Instructions for EZflox Systems in Wisconsin Wisconsin Department of Commerce, Safety and Buildings Division, has reviewed the specifications and/or plans for this product and determined it to be in compliance with chapters Comm 82 through 84, Wisconsin Admin. Code, and Chapters 145 and 160, Wisconsin Statutes. All sites must meet the Site & Soil Conditions & Locations & Isolation distances as noted in local regulations. The approved products are 1203H (3-12" bundles with pipe in center bundle in 5' or 10' lengths) and 1203HP (3-12" bundles with pipe in each bundle in 5' or 10' lengths. A single pipe bundle contains a four inch perforated pipe sur- rounded by EPS aggregate and is held together with poly- ehtylene netting. A single aggregate bundle contains aggregate only and is held together with polyethylene netting. Materials and Equipment Needed • EZflow Bundles • EZflow Geotextile Fabric • EZflow Internal Pipe Couplers • Pipe for Header and Inlet • Backhoe/Excavator Installation Instructions The instructions for installation of EZflow products are given below. This product must be installed in accordance with state rules defined in chapters Comm 82 through 84, Wisconsin Ad- ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design manual. 1. After the local health department has determined sizing, configuration, and layout for the EZflow systems, stake or mark with paint the location of trenches and lines. Be careful to set correct tank, invert pipe, header line or dis- tribution box and trench bottom elevations before instal- lation of pipe bundles. 2. Remove plastic EZflow shipping bags prior to placing bundles in the trench(es), Remove any plastic bags in the trench before system is covered. 3. This product must have geotextile fabric that meets re- quirements of s. Comm 84,30 (6) (g), Wis. Adm, Code, installed directly on top of the product and extending down along the sides of the product to a point at least six inches from the bottom of product. 4. When installed in a trench, the trench should be dug to a width of 36 inches. This not only saves labor in excava- tion, but also provides better load -bearing capacity after backfilling is complete. 4*EZfl,,yrM FILTRATOR 5. The Absorption area (SF) necessary for a given site shall be sized based on maximum daily sewage flow (GPD) and the Permeability for the site. If certain criteria is met, the EISA sizing can be used in Wisconsin, resulting in a 40% smaller drainfield. 6. Place EZflow bundle(s) in the EZflow configuration ap- proved by system design permit specified for the particu- lar site. The top or center -most bundles containing pipe are joined end to end with an internal pipe coupler. Any additional aggregate only bundles that may be required, should be butted against the other aggregate -only bun- dles and do not require any type of connection, 7. The top of each GEO cylinder contains a filter fabric pre - manufactured in between the netting and aggregate. The fabric is inserted to prevent soil intrusion. The installer shall make sure the the GEO is positioned upward and is in contact with the fabric contained in the adjacent cylin- der before backfilling. 8. The EZflow Drainfield Systems should be installed in a level trench in all directions (both across and along the trench bottom) and should follow the contour of the ground surface elevation (uniform depth), with all continuous adjoining 10-foot cylindrical bundles placed end to end, with central bundle distribution pipe interconnected, without any dams, stepdowns or other water stops. 9. The trench top shall be graded such that water will not pond. Backfill should be seeded or sodded immediately after completion to reduce erosion. 10. EZflow EPS bundles are flexible and can fit in curved trenches as may be necessary to avoid trees, boulders, or other obstacles. : 1 1. EPS aggregate is lighter than water, therefore, it might be expected that natural buoyancy forces would tend to cause EZflow assemblies to float out of ground when ponding occurs. Field experience has shown, however, that this is not a problem when systems have a minimum of 6" of soil cover as recommended by manufacturer. 1203H-GEO Geotextile r Material Page 6 PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. 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. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 750 gpd; BOD5 <— 220 mgL"; TSS 5 150 mgL"; FOG 5 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) c neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Schmitt & Sons Excavating, Inc. Phone: 715-760-0486 Local government unit: St. Croix County Community Developement Phone: 715-386-4680 Local government unit address: 1101 Carmichael Road, Hudson ZIP: 54016 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Page 7 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Jesse Xiong Mailing Address 7993 Drake Bay, Woodbury, MN, 55125 Property Address I I TO 70th Ave (Verification required from Planning & Zoning Department for new construction.) City/State Roberts, WI 54203 Parcel Identification Number 042-1 077-90-500 LEGAL DESCRIPTION Property Location SW '/. , SE '/, , Sec. 28 , T 29 N R 18 W, Town of Warren Subdivision Plat: Lot # 5 Certified Survey Map # _29-6576 Do, : J0- Z(, Volume , Page # 6S Warranty Deed # 109 y(o (before 2007)Volume , Page # Spec house OyesElno Lot lines identifiable Oyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 5 SIGNATURE OF APPLICANT(S) 7 / 26 ,'20 DATE -- ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Page 8 50 R from Meander Line West Line of Govi Lot 45 XIONG RESIDENCE 701h Ave er q.� HUD54N, WI 1 mm der East Line of Gov't Lot a5 am Hr* rom East kre ARCHITECTURAL DRAWINGS �n IESSE XIONG no*1TRHS _ XIONG RESIDENCE $TAT( M am MRS "!!t!q n _ COVER SHEET MA LOW Isom _ i .1M3 I�vA.JW IW.F.90 I9W.lrYN� YY �M M _ ❑lam �. r'I - ,N �• , 8� " lI- � 8�. I i ,M YiLL10w M0u0 b 9NOM M 'MOM \. IiW11A! Mi19�w -'-- t♦1w�1M1�/ gNm m3f y •!hr f-ref .!V •M .l! I-lY I•!!f i r. t I t. ' 1 t Ji I t i ( Y Anp.e G N ll r / t t • __ _. wIARYmuDfl -rwr�emovn rplremcileslau _._.- _ _L01VE1t LEVEL DETALL _ ,ee�ils°P�� __ , I , I I 1 , ' I n.'�'evuallile' nna.i�r�alw JESSE )GONG M Nuala" PAR VA IWA DAIS DRAM IV PIA C4W=h` U Z A4 FOUNDATION PLAN A200A k l . An •o+v w� + LOWER LEVEL rn r .e+w+r�.eri.rea• GENERAL FOUNDATION NOTES ro.unrA.'. romww w:wnouA�"sa rowAsiowwr:tom+ac..A•o . Auw.w.v<+�w.ucmo.wm•ca.a.�mrn...o nvn avoae°�.ia .I�cwn�wu'wrr�w �' rm.roru - R• wrt.Mr.tu �Ao.w�o+mrs .w.rw wAans rro.o.m:.wsrrwwu � BRACED WALL LINE PANEL DETAILS 8M w&, DOUAI.E AELT4 to wA nE+wrt wAuB BtAVVRTMIO wE "1". MOOF. A G ,u EA4E-TGAKD E HOOK I" GOWMAlp1 SMATHED BRAM WA" .a sTwGTFwu •AJAt MEATItMD T-�—. ExTEH+ED rawDBH NEE m .m ...-._ _:. MorE 411OW4A lEVEC WMDOW6 BFi AI Tt +S•M HFAciH+ CIAM )ESSE )GONG WpACT OFSCIV )(IONG RESIDENCE cm H+OSOA STATF WI ss-A mTFs Ce9Cs+u1 MR wv" �a AA w�o�cre �rso�i DBAFMBT MA CMEL]EOh )A dr4g Tit. III LOWER LFVF(_ � A200B i t t IAWI Level GENERAL NOTES —. JESSEXIONG %LONG RESIDENCE cm NUDWN curt we i i SWE DW ES i j tr� •ra ON nPtvl.w•.avr : t��11O0"F—_. tart'.av1' LVLKADDS r rEwotn i r r r #7 DPA&W W. NA BRACED WALL LINE PANEL DETAILS ._ cHk'= to rurEn wua oweLc rrccr.rut w WALL rfrDttr wnu� su+roRrwo rrnoa. roo•. au �xrn0 tsvF-rD-rr-m ooc � iw f,[YiTX11Ig6Lr 3lEAl1ED rMCED WALL6 40 STPt1CTt/41 PA1Fi S„FATIl16 ,� :_= Ong'—L�i— - cvTcrun "rER rrtEs , MAIN LEVEL • rim LEWLwM(T33 SFT ST — NFAD 11tiCM* A201 t t ,Ariz 11Ylz � _ .t � I _ GENERAL FRAMING NOTES cuDa n.n Ja J-- -1 4� 1_ay-ern» o�� Lawn w.e "wuT t+a. .w,rw. «o.• JESSE )(TONG _ s Ir-,IT AW jS-. ]Y Sr _. _ra W. Y-o tT �ry1i1SLT t W' 'c I.r E—Inyy6z _.— ..'+.'- Ic >9•_0_fl E "Vt za C.ru N' G onfiuA 6 '- ra nr —_�ufz+n ra car -r-w ��J I,umtE. • 'zoW �r-tl rw• Ait>?51-z__w r z-z t2 a.d ert m Ia..wasv+u D.. DMLMULC E T4— AMMr ) t D`MK tOWE Ti t,T Y-rFr' MyMMw AWMIIf LnWE __ T-1IT DRNAf liMO LONE IOWE t•.p,1• r!lf'__�� i "1 ht)tAE LOW IOW E )Ei� LONE_"__ r ri tLtf zip ra aA' ANrErX: � P LOWE -t fe ilf FMa. .MMrM6 E WwE = tw.s.�e,niwi+rowwp.«mca.oet=a..�,.n C'O1•rtaC.,PMYo�+cTn �MrmeWl.r l t.F ,hMs u,lrsor,w mr,ax Mr)wrar•tRs ��w a uwrorwo[ w �e t'iO1ER DESCRRID4 rouwva tnrtac..uotr mwam,aur — )(ICING RESIDENCE _ tM� �W�Ruam �.a�acnru.in rnrG. /- - -' _ -, I � _ _ _ _ _.._ _ _ - _ _ � -, � utaw.M.oro ctc..s tMtx•Mn.rwatMrarwat Mph ' r i - _ _ _ _ _ _ _ _ - ., eac utvn row w.weJ Mrc a bi al a1 I I t al �I ,atz —2 r- ------------- rtru tatz L t a L I Mbtz � ROOF DETAIL V,-,• 1 I + PORTAL FRAME BRACE CONSTRUCTION �rwr �fT, 4, ,w.tmai w..rz t TYP. WALL SECTION 2 i cm _ MtDspM Scary tp ME DAM DMNM W. NA C+KRDR )A D.r" ROOF PLAN, TYPICAL WALL SECTIONS AND L RAMRJG DETAILS . A fill State Bar of Wisconsin Forth 7-2003 TRUSTEE'S DEED Document Number Document Name THIS DEED, made between Keith F. Solimar and Karen W. Solimar and successors as Trustee of the Keith F. Solimar and Karen W. Solimar Revocable Living Trust dated June 14, 2016 ("Grantor," whether one or more), and Jesse Xiong ("Grantee," whether one or more). Gmntor conveys to Grantee, without warranty, the following 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 Legal Description 1084612 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 07/15/2019 12:41 PM EXEMPT#: REC FEE 30.00 TRANS FEE 390.00 PAGES: 2 "'The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address 042-1077-90-500 Parcel Identification Number (PIN) Dated J uyyll 0� SEAL ) " ) eith F. Solimar (SEAL AUTHENTICATION Signature(s) authenticated on ,� ° NOTARY PUBLIC a� My Commission Expires Jan. 3a2021 a TITLE: MEMBER STATE BAR OF WISCONSM (If not, authorized by W is. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Stacy Lashinski, #1 t 14119 2677 Bunker Lake Blvd, Andover, MN 55304 W. Solimar ACKNOWLEDGMENT E.Jan t1 t1t so+, -a STATE OF V4899FIRN ) ss. Ramsey COUNTY ) SEAL) Personally came before me on OLA JU L1_� the above -named Keith F. Solimar and Karen W. Solimar, Trustees to me known to be the person(s) who executed the foregoing instrum t and ac n wl9dged th sa •C.L.33 77 ti _ Notary Pubi;!c, State of s M N My Commission (is-pacaaaaew) (expires: (Signatures may be Authenticated or acknowledged. Both Are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. r RRU , $�Rf Inc 0 2003 STATE BAR OF WISCONSIN FORM NO, 7-2003 4810 to ea'r"i��c'�►`y #100 Vpi�e ¢ear Lake MN 55110 OL.roix County 13841*;-PW of 2 PaEe 9 Legal Description Lot Five (5) of Certified Survey Map recorded in Volume 29 of Certified Survey Maps on page 6576 as Document No. 1073264, located in Government Lot Five (5) of Section Twenty-eight (28), Township Twenty- nine (29) North, Range Eighteen (18) West, Town of Warren, St. Croix County, Wisconsin St. Croix County 1084612 Page 2 of 2 i _B ' Depamen rtt of ISOIL. VALUATION REPORT s Safety and ; ' P � Y a 4' 7 �i �h accordance with Comm 85, Wis. Adm. Code s Professional Services Attach complete site plan on paper not less than 8V x 11 incites in size Plan must County include, but not limited to: vertical and h6rizontal-referencepbint (BM #, direction and, 6ST=a01g aoS t11948 Page 1 of 4 Schmitt Soil Testing, Inc. St. Croix percent slope, scale or dimensions, north arrow, and locatior) ptid di9tillipce tip nIt road. Parcel I.D. Part of 042-1077-90-025 Please print all information. U /--------- -------- - f"' Rev71� Date f Tonal information you provide may be used for secondary purposes (privacy Law, s. 15.04 (1) (m))./Z Propery Owner Property Location 49 Solimar, Keith 8 Karen Govt. Lot W1/4,5`E1/4, S28, T29N, R18W Property Cnnrner's Ma)Img Address Lot # Block Al, Sutxf. Name or CSM# 1144 70th Ave. 5 CSM Pending Approval City state Zip Coda Phone Number -- -- - ----_.___— — 1 1 City j Village ) Town Nearest Road Roberts I WI 1 54023 1 612-802-4400 Warren I 70Th Ave -� New Construction Use: 1 ) Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD [_ fReplacement Public or commercial - Describe: --... __.__.. --- - _ — Parent material Outwash Plain (Plainfield loamy sand) Flood plain elevation, if applicableY ry JO(f t. General comments Area is suitable for a conventional system with a 0.7 gpd/sqh rate. Possible system elevation for Area 1 is 95.2' High trench, 94.8' and recommendations: Low trench. Slope of area is 5%. Boring Boring # F--1�, j Pit Ground surface elev. _ 9$.70 g. Depth to limiting factor _ 92+ __in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots _ GPD_/R' •Eff#1 •Eff#2 1 ------------ 0-12 10yr3/3 none sl 2mgr mvfr as 2f,3vf 0.6 1.0 2 3 12-20 20-31 10yr4/4 7.5yr5/6 none none sl 2msbk 2msbk Osg mvfr mfr ml gw 2f,2vf 0.6 1.0 sl gw cs 2vf ------ 0.6 0.7 1.0 1.6 4 31-58 10yr5/6 none grs 5 58-92 10yr5/6 none cbs Osg ml ---- ------ 0.7 1.6 Boring # i i Boring i i Pit Ground surface elev. 98.70 ft. Depth to limiting factor 86+ in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/0' _ •Eff#1 •Eff#2 1 2 3 0-7 7-13 13-86 10yr3/3 7.5yr4/6 none gist 2mgr mvfr mvfr ml as gw 2f,3vf 20vf 0.6 0.6 1.0 none gris icsbk Osg 1.0 10yr6/4 none grs --- ------ 0.7 1.6 Effluent #1 = BOOS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS< 30 mg/L and TSS < M mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 8/16/2018 715-760-1978 SBD•8310(H OWN) Property Owner Solimar, Keith & Karen Parcel ID # Part of: 042-1077-90-025 Page 2 4 3 Boring # Boring of Pit Ground surface elev. . 97.30 ft Depth to limiting factor 86+ -- Horizon Depth p Dominant Color Redox Description Texture - - Structure Consistence Bourdary in Soil Application Rate" Roots GPD/ft= in Munsell Qu. Sz. Cont. Color Gr. SZ. Sh -Ettn1 •EtfuZ 1 0-12 10yr3/3 none grsl 2fgr mvfr as 2f,2vf 0.6 1.0 2 12-25 10yr4/4 none SI 2msbk mfr glv 2f,2vf 0.6 1.0 3 13-86 10yr6/4 none grs Osg nil ---- ------ 0.7 1.6 7 Boring # Boring Pit Ground surface elev. H Depth to Itmrtin(3 factnr Horizon Depth in. Dominant Color Munsell Redox Description Texture Ou. Sz, Cont. Color Structure Gr Sz. Sh. Consistence Boundary aon rpplication Rate Roots GPD/Ptt 'EffolI 'Erf*2 Boring Boring # Pit Ground surface elev ft Depth to limiting factor ,n , Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD,Nt' in Munsell Qu Sz Cont Color Gr Sz Sh E Ntt FNtt2 ' Effluent #1 = BOD,,> 30 < 220 mgiL and TSS >30 <_150 mg1 ' Effluent 42 = BOO, < 30 mg,L and TSS ,-30 mg/L The 1)ellartmetit Ut L lvIT1TT1efCe Is an equal opportuniv, scr% lee prod idcr and .n1t it a. it Vu nl'Cd ;t<siS{altee its aCCcci sen ICt> Or need material in an alternate t„rmai. rlea7�e etvturt the drrartmeni al O lX-266-115l or l I h htt8-261 $'' ,W).' A Schmitt Sal Testing, In, Page 3 of 4 "ndueted by: CouductM For: chmitt &Sons Excavating, Inc,. Name: KaA& Karen Solimar [ackhoe omes J. Schmitt, CST 227429 Address: 144 70th Ave. 6 Valley View Trail City, State,, Zip: Roberts, WI54023 merset,Wl 54025 one. 715-M-1978 �" PID: Part of• 047,1077-90-025 Lot No.: 5 CSM Pending Approval � f Legal Description: SWIM SEl/4 S28 T29N R18W ■ Pit Township, County: Warren, St. Croix County Anch Mark 1 El.100.00Top of 2" PVC, Pipe ench Mark 2 El. 99.76' Top of 2" PVC Pipe lopes 5% Scale 1"= 50' Yrleawol� LIME OTE: For full view of Lot on Page 4 of 4 i 36� 1 . , I I pR�.cqO-(q CERTIFIED SURVEY MAP LOCATED IN GOVERNMENT LOT 5 OF SE nON 28, T29N, R 18W, TOWN OF WARREN. ST. CROIX COUNTY, WISCONSIN. NOTE+ THESE LOTS CONTAIN AREAS THAT ARE SUBJECT TO THE &a1ELAND OVERLAY DISTRICT. ADDITIONAL I SCALE_ IN FEET RESTRtMIONS APPLY. CONTACT THE COMMUNITY DEVELO►MENT OFFICE FOR MORE INFORMATION. I p�2. I, _ EAST 7M LJ ` \ II'4Q. -crP 4M9 ��2' 3 Zol8 , k' 5�41'02- MI'AMpER fill 29' w 0. i I 1 4 1 I i w I I I I . i 4 1 g O in 3 LOT 5 LOT 4 FT. 54(12 (1z.5.5 ACQ. 6 AC.) 624,713 SQ FT. INS- R/W TO WATER'S (14.34 AC,) ED" INCL. R/W TO WATER'S EDGE 1 ®: 1 N9: 1 I 0 I I I SOUTH LINE OF 1 I 60'V'T LOT 4 569'Db ww N89'y6'80 T -614 �BT� -� + S)'4 CORNER, SECTION 18 - - - - - 1 �� (V STEEL SURVEY MARK M� NAIL FOUND) / V " 81✓.17' 4 Z LoiENO ej SECTION CORNER (AS NOTED) ! 1.3" OUTSIDE DIAMETER IRON PIPE FOUND ■ 0.75" IRON REBAR FOUND O 1.36 X 24" IRON PIPE WEIGH" t" LBS. / LINEAR FOOT SET -+I - FENCE (R) PREVIOUSLY RECORDED 1.-• INFORMATION 407.36' 1° �---- 407.81' --�-----NOM,WE SE CORNER SECTION 18 (r SVM SURVEY MARK eENVE NAIL FOUND) LAN[) W. wwq t SULIriIUNS JOSEPH GRANBERG KEITH do KAREN SOLIMAR DRAFTED BY: JWC 1428 134TM AVENUE 1144 70TH AVENUE JOB NO. 100-549 SHEET NEW RICHMOND. 1U 54017 ROBERTS. VA 54023 DATE: 06/13/18 1 OF 2 N &,t yo_(_ COMPIED SURVEY MAP LOCATED IN GOVERNMENT LOT S OF SECTION 28, T29N, R I BW, TOWN OF WARREN, ST. C=X COUNTY, WISCONSIN. NOMs THESE LOTS CONTAIN AREAS THAT ARE SUBJECT TO THE SHMMANO OVERLAY DISTRICT. ADDITIONAL RESTRICTMOS APPLY. CONTACT THE COMMUNITY DEVELOPAWNT OFFICE FOR MORE INFORMATION. EMT TWW LME I I is I � I LOT 4 j 624,713 31Z FT. ' 1 (14.34 AC.) INCL. R/W TO WATS ED" I 1 I • I I I I I I SOUTH LINE OF I I GOV'T LOT S SB9'Di•ww NB9'Sb'S0"Ei — — 407�1_ _ _ — — -614_BBTy — • 55/4 CORNER, SECTION I8 (r STEEL SURVEY MARK NAIL FOUND) %... TFR's f �V,�'I(/s 3 in in .• 3 LOT 5 " .. 547,159 SQ. FT. (12.56 AC.) INCL. R/W TO WATER'S EDGE M S A On US 8 815.17' g 407.36' SCALE IN FEET ol 1w 200• I" 7m. N I .WIL. t.EiEND (rj 5€cTiol+t CORNER (AS NOTED) • 1.3" OUTSIDE DIAMETER IRON PIPE FOUND ■ 0.71r IRON REBAR FOUND O 1.38 X 24" IRON PIPE WEIGHING L68 LBS. / LINEAR FOOT SET - FENCE (R) PREVIOUSLY RECORDED -• INFORMATION ---_)------.Bi' —-{,-----NB4b65d'E 1661.02' ... I SE CORNER, SECTION 16 YTED.I,API®5 i (r S NET► SURVEY MA" O1'N AVENUE La 1 ANU JOSEPH GRANBERC KEITH do KAREN SOLB,IAR DRAFTED BY: JWG S tiUL1TTiUN 1 1428 134TH AVENUE 1144 70TH AVENUE JOB NO. 100-549 SHEET dl l i*40V NEW R011 ND, VA 54017 ROBERTS. WI "023 DATE: 08/13/18 1 OF 2 Page 10 L j CERTIFIED SURVEY MAP OCATED IN GOVERNMENT LOT 5 OF SECTION 28, T29N, R18W, \,�rN f3F WARREN, ST. CROIX COUNTY, WISCONSIN- 00N/S� * i NJ r .t G NB G -2295 NEW RICH MOND wI l4yO.•S UR`1 �A0� I I I f I - I �nI w I = I Gam• j z Q � O I � I I a I I d I g I I k I r;) 1 2-0127 1073264 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/24/2018 03:38 PM CERTIFIED SURVEY MAP VOLUME: 29 PAGE:6576 REC FEE: 30.00 PAGES: 2 VOTE: THE ORDINARY HIGH WATER MARK AS DETERMINED BY THE D.N.R. I5 966.65'. BECAUSE THE 966.65' CONTOUR I5 BELOW THE WATER SURFACE, THE SETBACK IS NOT SHOWN HEREON. PRIOR TO ANY CONSTRUCTION OR EXCAVATION, THE LOCATION OF THE 75' SETBACK MUST BE DETERMINED. �3a s64,16 k�A �Q. EAST TM/ON LAKE 2f�ly J4g�� 45?3C�c1, 96j�AUGI <//yr�4\ o iNAVb3 Z018 O'p rn L8BJ I Z n 5j�5e'S0" MEANn T 398.74• LOT 4 624,463 SQ, FT- +- (14.34 AC. +-) INCL. R/W TO WATER'5 EDGE 600,992 SQ. FT. (13.80 AC.) INCL. R/W TO MEANDER LINE 587,556 SQ. FT. (13.49 AC.) EXCL. R/W TO MEANDER LINE ao ao m M ;n in 0 0 � v O,In N NOTE: BECAUSE THE DRIVEWAY FOR THE LOT TO THE WEST OF LOT 4 IS LIMITED FOR ACCESS LOCATION, THE DRIVEWAY FOR LOT 4 MUST BE AT LEAST 200' EAST OF THE LOT 5 � I 547,171 5� +- (12.56 AC. +-) INCL. R/W TO WATER'S EDGE 531,726 SQ. FT. (12.21 AC.) INCL. R/W TO MEANDER LINE 518,276 SQ. FT. + (11.90 AC.) EXCL. v R/W TO MEANDER LINE 3 1.1,510 in 0 g 0 N O. O, LO � .N.. SCALE IN FEET 0' 100' 200' 1" = 200' X ~ O w o� owe 1.-53>- o � N m �0 0 29' m0 0 NOTE: DISTANCES SHOWN FROM MEANDER LINE ARE TO THE WATER'S ED&E. ®: ;2: NOTE: THESE LOTS Q ; CONTAIN AREAS THAT ARE SUBJECT TO THE ©; SHORELANDOVERLAY DISTRICT. ADDITIONAL RESTRICTIONS APPLY. CONTACT THE Q COMMUNITY d DEVELOPMENT OFFICE g FOR MORE + INFORMATION. M W 8 LEGEND 'f SECTION CORNER (AS NOTED) IV 1.3" OUTSIDE DIAMETER IRON PIPE FOUND n 0.75" IRON REBAR FOUND I WEST LINE OF LOT 4. PROPOSED " F- O 1.38 X 24" IRON PIPE 66 SOUTH LINE OF DRIVEWAY - �I ul WEIGHING 1.68 LBS. / GOV'T LOT 5 _ LOCATION FOR I w LINEAR FOOT SET (SE'.SEC. 28) ; LOT 5 ; FENCE IF) PREVIOUSLY RECORDED g � 589'56' 50"W g 815.17' g - INFORMATION I 15 N89"56'50" 1 _ m 407,81' m D "' 407.36' _ - - 0 407.81' -, 407.82' _ �N89`56'50"E 58956'50"W 815.63' 1330.51 ; -. 5i,4 CORNER, SECTION 28 --- 2661.02--- �—— — UH�o LQ��p LQM��'� — — — —I I SE CORNER, SECTION 28 (1" STEEL SURVEY MARK - - I (I" STEEL SURVEY MARK NAIL FOUND) 70TH AVENUE I NAIL FOUND) AsAsLAND SURVEYOR: PREPARED FOR: SOLUTIONSJOSEPH GRANBERG KEITH & KAREN SOLIMAR DRAFTED BY: JWG SOLUTIONS W1 I1428 134TH AVENUE 1144 70TH AVENUE JOB NO. 100-549 SHEET NEW RICHMOND, WI 54017 ROBERTS, WI 54023 DATE: 08/13/18 1 OF 2 St. Croix County 1073264 Page 1 of 2 �vI - 6 5 7