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002-1012-60-200
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: Burton, Rodne ~ Ann City Village X Township Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFOR~ION TANK TO P/L W BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATIO Manufacturer Model Number TDH Lift Friction Loss Forcemain Length Dia. SOIL ABSORPTION SYSTEM BEDlrRENCH Width Leng1 DIMENSIONS SETBACK SYSTEM TO INFORMATION Type Of System: DISTRIBUTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 399598 0 State Plan ID No: Parcel Tax No: 002-1012-60-200 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header an. ist. Pi e t. ystem Fi I Grade tC r Pits Depth CHAMBER OR UNIT Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade SVStems OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1160 220th St Baldwin, WI 54002 (SE 1/4 NE 1/4 6 T29N R16W) NA Lot 3 Parcel No: 06.29.16.840 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = 3.) Contour = Plan revision Required? ^ Yes ^ No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) reLe 3P~ s/zs/a/ P~ -~q~D~ Safety and Buildings Division ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 ' ~ ~S~~a~S,~ Madison, WI 53707 - 7162 Site Address ~_'pp Department of Commerce o 2 2 CJ"~ S~ Sanitary Permit Application mber Sanitary Pe/~rmit Nu m 3 -( ~~( In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision tna be used for second oses Privac Law, s15.04 1)(m) I. Application Information -Please Print All Information State Pl I.D. Number ~- ~~ P'~(3L Prop Owner's Name ~j y.,g Parcel Number p~L -~6/L - (n0 -zoo z4: Property Owner's Mailing Address P roperty Location ( r nn /~ City, State Zip Code Phone Number Lot Number Block Number ~lu~son ~z ~ ~4 ~~ ~ ~~ ~ Subdivision Name CSM Number y ~ ~ o~ , CS nti 3 ~ II. Type of Building (check all that apply) ,~ cr r ''A ,~~ ~ / ~L ~1~~ Q ` - ~ ^Ci ty 4 ~ or 2 Faatily Dwelling -Number of Bedrooms ~ ~ Village T,- ^ Public/Commercial -Describe Use a4 ~~~ 5 t t ,,,_. ,, _ , ' Township ^ State Owned S7 L'RC11i( Barest oad III. Type of Permit: (Check only one box on line A (number .dc*lteme o e use): omplete line B if applicable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of `mod tYddition to P County use S stem Tank Onl Exis ' ., stertl__,-= ' B • ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21~Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Utrit 49 ^ Recirculating 30 ^ Other V. Dis ersal/Treatment Area Information: (' ,~ - S (, " S Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gal./D s/Sq.Ft.) (Min./Inch) Elevation ~I U ~ ys0 ~ /~'s% yfp ~ ~ys~ ~r. o~.~ .3I 9 ~ o . VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank _ 1 / Dosing Chamber ~ ~ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signatu MP/MFRS Number Business Phone Number ~ D l - -ll Plumber 's Address ( Bet, C Zi Code) ity , tat e S j ~ / ~ ' {~ ` ~ ~J ~ V Vim. VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ^ Owner Given Initial Adverse . ~ ? Z S ~ Determination . J Q (( Z IX. Conditions of ApprovaUReasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. Original State plans (trans #660569) are void because the soil borings were not accurately located. New State plans (trans #684326) were submitted once the boring locations were confirmed. ~` wttacn compte[e puns tto the t.:ounty oWy) Car the system on paper not less than 81/2 x 11 inches io size -rlt~ ~l~ck fwas1 avtp.;~,.c//y '~/.,• pe.~trsay~ ~v6, ~~- ~ ~Q~N Our "'f ~Itde vv~ ~Y(C~ ryt ct ~Ysotd,' County ° G(~qp~ SBD-6398 (R. OS/Ol) ~' ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 30, 2001 CUST ID No.22S094 MICHAEL P ROGERS N4S63 320TH ST MENOMONIE WI S47S 1 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/30/2003 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SP[A 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Calvin Burton 220TH St- Town of Baldwin St Croix County SE1/4, NEI/4, S6, T29N, R16W Lot: 3, FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object [D No.: 817330 Identification Numbers Transaction [D No. 684326 Site ID No. 637825 Please refer to both identification numbers, above, in all comes ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section V[II of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 2S feet from any POWTS tank, and a minimum of SO feet from the absorption area. • Limited activities are allowed in the area IS feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. MICHAEL P ROGERS Page 2 (0/30/01 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). [n addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. _ In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ///'J ~~~ ~~ Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer I[ ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi. us WiSMART code: 7633 cc: Calvin Burton Calvin Burton -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 3, CSM 14/3794 SE 1/4, NE 1/4, Sec. 6, T 29 N, R 16 W Town: Baldwin County: St. Croix Date: Owner: Address: Plumber: Signature: License # Attachments: October 17, 2001 Calvin Burton 363 Ruthie Lane Hudson, WI 54016 Cond~tlonally APPROVED ~f ~~oF cowtMEacE :Cl~~ti, ..,Z page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management SEE CORRESPONDENCE Mike Rogers r MP 225094 6748-Plan Approval Application SBD-8330 S+~ ~ ° (001 RE~~~~ o~T Fa Y page 1 of 8 y'1 ' Design Criteria ~ t~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 1 SOmg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~ • 3 t gallons/sq. ft. per day Depth to estimated high ground water '• `~"" in. Depth to bedrock ~ Ste' in. Cross slope at system S Force main length ~t°3 ft. of Z in. ~'~''~ ft of in Manifold/header length Drain-back ~ °~' 1 Lateral Length , @ ~ "`~•'~ Lateral elevation 9 `~'~~ Lateral hole size S7; Z in. @ 3~•s z" 3 '8 holes/lateral 3 g Lateral volume t ~' $S~ Total lateral discharge rate ~`''~ t Network pressure compensation losses t ~ `'S Elevation difference 1.~i•z~~ ~,p\~ttla'~ Friction loss 10' ~ Total dynamic head BO'S Pump/sipi~on 3~ gpm @ ~ Manufacturer 1~ ~°'""`' ~`~ Dose volume ~ ~ ~ Lift/sipi~on tank W ~ A'R" ~ ~'"'° ' t'`"' ~ w~''O ,, Septic tank ~. Effluent filter ~ wL '~ ~~ ~ Measurement pump on and off ~ l,`~"~ Height alarm from tank bottom ~4'~'S~ Reserve capacity 3 ~°. 3 specs.calcs.res gallons ft. of z in. ft. @ bottom of lateral in. ( z.9 ~ ft.) Spacing holes total gallons i gallons/minute @ 3•~ ft. head ft. ft. ft. @ Z- ~ gallons/minute ft. ft. of head Model # s ti ~~ sb gallons ~'~' gallons t ~"'° gallons tn. tn. gallons Page 2 of g .~ a s ,i S ~ ~ li ~,. I P~ ~- 3 ~ 9 _l~ ~ V 9 ~J T ~ ' f~ .h ~ 9 J 3 d 0 ~~ i O f j c~ S ,~ d v~ 4 r t~ ~ ~ o e ,. ~ r 1 r ~ ~ s 1 0 / _' .~ ~ ~"- -. n .~, ~^! r ~4 ~n d y d ~ ~ J a ~ t 1 c ~ ~ ~~ 1 ~ _N ~ d d i _J r T~ ~~ g 0 Q ~, d 3 ~~~ ~ o '~ ~~ T ~~ o~ t t N f t ~~ `" ; o ~ g, '~ ce ~ ~ ' J ~~ ~ ~ ~ .~ ~ 8 ~ ~~ ''" '' ~o ~' I1 ~ __ .... __ ._ ~ f/~ V ~ ~~a ~~ 1 ~f ~ ~~ P~ ~ 3 "' co J ~ 3 J ~ f ~ ~ ~g f 3 ~ Q ~1' V ~.J /. O ~ e s ~„ ~ J~ ~~ ~~d ,~ ~ •r ~ ~ \ N i • ~ i `-/ ~ •- ,~ ~ 9 s { r p~ .. z a ,~ J ? M `~ ~;p a~~~ d f ,,,, d .~ a ~' f g~ ~ __~~ a N, ~ ~"~- s y ~ J '~ i ~ ~ ;~ ~~ ~ ~~ ;~- 0 ~~~ N `n M .. J Da W - t i ~ fi p .,! r ~ .. .. 3 1 ~ oe. K ~ ~S e~ a r. .~~ ~,~~ bs1o.., Z~, ZS~ `~S ~ ' ~ " ~ ~. ~ ~ t9 ~tib' &..o 7 c•....r .. s ove .. e. Jv~ 9 a. i ~ a." ~ .3 . ,, ~e,v, 1 ,~ (o ~o a~;1 k a. o ~ 1 ~tiTM \ 1 w,.SL ~ b s..~co:1 1 «~ ~ ~°~ °`~ Q.. ~" Ava.~ ,G~g.S/ 0 X4.0 N o~~~, . ~ o~~ x..51 ~o„ _ o.s~ 3' ~r ~-- ~ ~ t' 1.~ ~ v ; ~..,,~,. z.~- ,,, c~,, ~_ 4~~' ~- 19.0' ~. 9 ' ~ .8' ~ 8. $' E- ~, z.s' \~o,t' p ; ~'~ ~ p v ~ c...~ ..~ o ~o, s c.~, v .~ ~: o -. .,.....\` L ~~. 4~ oTT o ~., o ~ ~. ~ c.~ ~a ~, ~~ l 1t }over •••... r Z.RI~' I Z.gt,' I Z.91.' 2.9b' f ~ ,~g.S i Q. wq O~~C T~-C~~*~`~~~ ~p111~ ~ ~:•ti w\K,JM~~~ 1 J • TL 1~ 01 K o y ' ,.'t' w. co..,. ~ Q-r ~ 01 , o w. i : •. t ~ ; 5.~ t " o~ v~-~ Z.9 6 1 , ~~ ~Q~~ ~~~~ ~ (~ ~~ C~ s o~ ~ ~~ _ .• ,w -LOCKt-JG~GOV14R "-"~ cvi,~N Luc .c ABED . aweK c~~co~.-~cT--~ ~C 1~, '.'.--j PIPE 3 ~p NpISTua6ED Sc»~ 24`' I.n. trw-~ua,F /A~i T ~owacvt.R A \ SI(ET .'~1~IT'J L. Pt/'6 p rwECTICKS C Clete. ~0,2~ D ~ ~~ > Qom" ~FLE; 2N 11 F o Ct c~ ~`~. a ti w WEATHERPROOF ~,nNCT10N &x~c ri•w~o „ H U:L Lb;za' AC ~~~ ON - n 1, IO•,~"~J 9 Oc•R Pw~' ~„ l GO~/CRFrc T b~oGK • ~~~.. ~' jJ/i~%7i~'I .~ ~ a~ ao vEti-T~ ~J ~ 4~ q' P~ s ...~, 40 3' o~ o V+cD~.ZUaa ~ couKo SEPTIC E _ SPEGIFI~CATIO-JS oosc ~ ~9 ~~~~ S ~ ¢ THW~.S MA-JUFAGTURCR: IJUMC ER OF OOSCS: PEk DAy TAIJK SIZC: lutlt~-~s~'° CaALLOAJS •.DOSC VOLUME \ ~ g (,AIIONS ALARM M/WUFACTUfLCR' S `~ ~~~ ti~r,~ IIJCLUDIIJG OAGKFLOW: P1O0CL UUY.~CR: • ~ ° 1 1~' ``~ CAPACITIES A= Z.L•2~~ IIJCHCS OK 30'3 WLLOuS , 4-• wpb ZS.V ~ Z SWITCH TyPL: B c IWC-+ES DR Gallvl;S PUMP MAAJUFACTURCR: - ~ `~'O """' `z r L' a ~l~•~iUC NES OH `~~•0 (All OliS MODEL -JUMDCR: SH-~ s-n D~ INCHES GR ~Oi92 GA1L0~j ~WITCN TdPf; ~~"`Y "' __ IJOTE: PUMP AIJ!) ALARM ARC TO 9C MI-JIMUM OISCMAtRGt RATE 2_0'~ G-M INSTALLED 01J SEPARATC clkc~~~~ ~.q Z~' VCRTICAt, DIifCRCIJCf OCTWC[-! PUMP Of- AUO OISTRI~UTIOAJ PIPE.. FCCT + Mi-JIMUM IJCTWORK SUPPIy PRfCLURC ~ ~', FCC7}~•"S + ~'~°~ FEET OF FORCC MAIA! X ,'~ ~ F/oo rxFRICTIOU (ACTOR. ~_ FEET ~ ~ ~ ~l -- TOTAL C)y-JAMIG HCAp ~ '~ FE.ET \~ r ~~ 11JTERAIAI. DIMEIJ6101JG Of TA1JK; LE-Jb7N ~ ~ ;WIDTH ~LIQU10 pCPTH --1 l ` ' ,. Pum lMofor Urit Subenatdde Moesnl Models ' SO M 1 MY AM3 F14 NS Actea111( Models AI A2 . Hor>,~owr I 2 I fdl toad A s I S.0 7.6/).1 _ 3.1/].l l.b 1.2 Mot« ! Co d!or $lvrl 18 i R.P.M. 1450 pf~o„ ; e 3 e Vohege IIS 168.270 208.230 ~b0 S)S Meuwei Me/el (100 M2 143 M4 M6 aufemoNc Meecls AZ Herse war I Fulllwd,lm s u.-,rr.i e.e/s.1 2.1 1,9 Merw ! Co edter Srert 3 9 RFM NSO ' Phost I 0 ~ 0 Yoll_ o~~_ ?Ob-250 205-230 460 575 f Nero ~ 00 ie erorure 140 f MaY Flull fell) . I~ NUAA Oesi n ~r tnsulcrbn l 1 Uefs g ~ DiscMr t Sire 2" NPT Sld. Soilds Nondb 3 4' Unit Wei hl S8 bs, (SO} 6516s. 1100) For•er Cotd I'SV, 14/3, SJTW•4 230V, lo, 10j3 STWA; 3a 10/4, S11M•A, Au cwar 20' rla. Kirb so' aor, Materials of Construction r--- Runde Stoidess Steel lob i<os- Ngn dl T OHlettru OII ~~ Mvior nvusieS <oa Iroe I Fortp Casing .{I ~ Cost Iroe Sreft I Sheaess Steel ~ MerFaaxol Shaft Seel ( ' j Sedloces:Crrboe!Cerottlc Seel tbd~: Brass Sprieg; Sreleless Sleel eelews: bulee-N krpelor fn]ineeret Thevmepiestir Upper Branng ~ Single Ro« Idl Btasieg lower &oring I Single Row Idl Issorieg I V lohem Pleb Polyesfee Cooled Strel fps erkrs Seoidess Sled legs En;ineered Tl+rsseplestic c.iTKr, ;~~ S~ ~~~' ..•r~..i Y 6w ~" Performance Data i 14 80 .. i i 18 to by SH F101? ~ y~ ~ t I ° ~ 12 40 SH F50 ,~o ~ ~ ~ I I 6 ~ ~ ~ - I I ~~ 0 p . Capecityt1.S. G,P M, ~ uta:/S~«,d o _. 10 40 .._._...._. _..... 1 b0 4 80 1 b 00 i lord Herod (fret) 16 15 ! 35 45 55 65 75 94 I (n) 4.4 1.6 '~ IOJ 13.1 16.ii 14.8 11,5 2) I/2 HP (US GPMI .. 63 Si a1 .. 3S 1E -.. - ._ __. .. n 1 HP (U5 GPM) -- • S7 81 74 65 SO 32 ~•• 0 II/:) ' - _ 5.5 5.1 4.1 4.1 3.2 2,0 G Dimensional Data Pump Characteristics 1 All d;rnen4ionss in ~^cnsrs. 2. Camponerrn d~ma.~assx~s may vary +~• 1r8 ,nch. 3. NUt IUr COnStNC'i0n purposos 1X11est csn:hryo a Dimran6ione Etrxi weights are apC~Oxnn~to. 5. W4 rf;C~rvsr thy •iphl to •nKke revisions to our products 3^d cno;r &p©crflc: IlonC wilhpu; 'wlioy 6. f lout ywilch !,pulrmn!:r mc~fe~a Only) „ : ,;e" ,.~," •, i ~, ,.,.,~~ ' It n .r: ~ ~cuuai~ - ~~ ~, u w .. •a " ' ~ ?,b= ' A.Y.'. ~ ~......, i ~ ' SN~FS4 SHEF 100 • (~ HYDROMATIC m 1840 Baney Road Ashland, Ohio 44805 ~; ~ Tel; (419) 289-3842 Jy.. ,. % 4~ ,,y ~~,~. ~~ \~. ~o~ ~ .. , ~~,., R , System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-1 132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required ifthe combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. I f the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within I S' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. I I . Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 To: Mike Rogers From: Jon Sonnentag Fax: (715) 235-0867 Pages: 9 Phone: (715) 235-1132 Date: 08/01/2001 Re: Sanitary Permits CC: ^ Urgent ^ For Review ^ Please Comment D Please Reply ^ Please Recycle Mike Sorry to drag these on, I appreciate your cooperation and patience. Here is the status of the permits. Calvin Burton: I spoke with Byron Bird and over the Pie he was adamant that you shc. j~;t fr3Now the F>orizontal measurements and place a flag where ever that takes you and it` shadd turn out like he has iE drawn up. If it still doesn't make sense you can give him a call, but he stated that he is extremely busy. He and I will try to review it again the next time hey iS in the office. ~ 1 c~rr straw-~'n my con~tsion maytae we can come up v~ won. a,yway, I am sending you a copy of both soil rr3pol~. that I have on file. Please have someone complete a quick site visit to re-Gieclc h~;dr'~ing.: tfyo4'3ti~ find discrepancies from his drawing to actual fold condlticros, please document the errors you believe present. I don't mean more work for you, but your drawing is still not exactly accurate and you have the trenches going throug c borings. Your drawing shows the system running through borings 3, 4, and 5 (which would have at ft. drop from one end to the other) - instea through1, 3, and 5. I'm sending you a copy evious plot plan an that I started. If you look at my plan, what I'm saying should make se et me know if I am looking at this wrong -it's possible, it's been a long day. Feel fr a time a my drawing to complete your plot plan if needed - I believe that I hav i as accurately as possi Adam's soil test. This will clear things up and sa a confusion when you go out to the site plan o install it within ~~`~ ~ / hanks. ~~,~ /o~ ~/ LO~b ty`e S S~` ~~ l ~~ ~ , r~ ~ ~scons-n ~artment of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary July 13, CUST ID MICHAEL P ROG ' N4563 320TH ST MENOMONIE WI 54 ATfN.• POW~SInspector c.vivu~ ~~caa.u sT c x eouNTY sPIA 110 ARMICHAEL RD SON WI 54016 CONDITIONAL APPRO PLAN APPROVAL EXPI :07/13/2003 SITE: \ CALVIN BURTON 220TH ST TOWN OF BALDWIN ST CROIX COUNTY SE1/4, NE1/4, S6, T29N, R16W Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Identification Numbers Transaction ID No. 660569 Site ID No. 632665 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: DESCRIPTION: FOUR BEDROOM M SYSTEM OBJECT TYPE: POWT SYSTEM GUL TED OBJECT ID NO.: 801397 The submittal described above has bee eviewed for ormance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submi as been COND ONALLY APPROVED. The following conditions shall be n~t during construction installation and prior to occupancy or use: • This system is to be cons cted and located in accordance the enclosed approved plans and with the "Mound Component M ual for Private Onsite Wastewater S ems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Dis ution Component Manual for Private O ite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P .O1/O1). • In the event this s 1 absorption system or any of its component parts functions so as to create a health hazard, the prop owner must follow the contingency plan as describe the approved plans. In additioq the owner must ' e that the operation, maintenance and monitoring duties a escribed in section VIII of the mound man ,and section VI of the pressure distribution component manu a complied with. A copy of this letter inclu g instructions and information relating to proper use and mainten ce of the system must be given to the o rand each subsequent owner upon completion of the project. • The w~ must be a minimum of 25 feet from any POWTS tank, and a minimum of 5 eet from the absorption area. activities are allowed in the area 15 down slope of the component area. Soil comp'll~tioq excavatioq r traffic and other similar activities that impact the treatment and dispersal are prohi ted. ibution laterals are to terminate inside an access box or capped pipe. This stabilized access box or capped is to be brought up to finished grade with the laterals terminating within six inches of the cap. MICHAEL P ROGERS Page 2 7/13/01 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submtttyd at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(2) A POWTS that is not maintained in accordance with the app ved management plan or as required under s. mm 83.54(4) shall be considered a human health hazaz • Comm 83.52(3) The tivities relating to evaluation and monitoring hanical POWTS components after the initial installation of the OWTS in accordance with an approved gement plan shall be conducted by a person who holds a registr 'on issued by the department as a regi red POWTS maintainer. • A Sanitary Permit must be obta ed from the county where roject is located in accordance with the requirements of Sec. 145.135 and 5.19, Wis. Stats. • Inspection of the private sewage syste tallarion is r uired. Arrangements for inspection shall be made with the designated county official in accordan with the ovisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and tlu er shall be on-site during construction and open to inspection by authorized representatives of the Dep t, which may include local inspectors. All permits required by the state or the local municipality steal a ob ed prior to commencement of construction/installation/operation. In granting this approval the Division of Safe & Buildings res es the right to require changes or additions should conditions arise making them necessary for de compliance. Asp state stats 101.12(2), nothing in this review shall relieve the designer of the responsib' for designing a safe bu ing, structure, or component. Inquiries concerning this on this letterhead. maybe made to me at the number listed below, or at the address Sincerely, ~~,>~~ Chazles L Bratz POWTS Plan reviewer (608) 789-7893, Mon.- integrated Services 7:45 AM to 4:30 PM us REQUIItED $ 175.00 RECEIVED $ 175.00 ANCE DUE $ 0.00 ~T code: 7633 cc: CALVIN BT/RTON i Calvin Burton -Mound Transaction # Construction Materials and Techniques All mat 'als must comply with Comm 84 and be installed in acct specifications. struction methods must comply with the following Mound, SBD-10691-P (01 /01) ressure Distribution, SBD-10706-P (0 O1) Location: t 3, Mock CSM S /4, NE 1/4, Sec. 6, T 29 , R 16 W To • Baldwin Coun St. Croix Date: June 29, 2 Owner: Calvin Burton Address: 362 Ruthie L Hudson, WI 4016 Plumber: Mike Ro rs Signature: License # M 225094 Attachments: 748-Plan Approval Application SBD-8330 page 1: cover 2: design trite a & calculations 3: plot plan 4: system c ss section 5: plan vie ,lateral detail 6: pump exit detail 7: pump urve 8: syste management manufacturer's Manuals: c ~~ ~. ~.°~ ~; ~Oii~tlonal~y '~~ APPROVED ®~ car, o~F CO_ 8EE CORRE8P $,t ~ ~u~F d:d M~ M~C~ page 1 of 8 ~~- ,X,,,~,„~,,..,,..M..,,, .. . y~ Design Criteria `~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L `~ Bedrooms x'~QO gal/bedroom/day x 1.5 ~ `~"~ gallons/day hydrau}~'c load ae g Lateral elevation ~ ~Iculations _ gallons/sq. ft. p c _ in. _ in. ft. Z in. Manifold/header length 3 . of ~ in. Drain-back //((-- ~'~• ~ gallons L t ral len th T @ ~'' ° ft of l ~~~• in Design Ca In situ designed loading rat ©,3 ~ Depth to estimated high groan water '• Z ~' Depth to bedrock ~ bo Cross slope at system 5'Si Force main length ZSZ ~ ~11o in. @ Lateral hole size ~ 3 holes/lateral ~ Z Lateral volume ~ 2 • ~ Total lateral discharge rate 34 ~3z Network pressure compensation losses °'~'~~ Elevation difference ~ ~'~"~ Friction loss ~'~~ Total dynamic head ~-q •~ ~ - Pump/si~hbn ~~" gpm ~ 3 S Manufacturer ` ~ w-~ Dose volume ~ ~ b Lift/siphon tank ~'`~' ' '~" ~ Z~•ro '~'~'n ' ~ ~»~ Septic tank ~ ~ F Effluent filter ~` ~ Ca ~ 1 ~ Measurement pum on and off ~' ~ Height alarm fro tank bottom ~ b• ~ Reserve capacit S -q-+ specs.calcs.res ft. @ bottom of lateral in. ( ~' • ~ ft.) Spacing holes total ~eallons g ons/minute @ Z•~ ft. head ft. ft. ~ ft. @ ~ gallons/minute ft. ft. of head Model # S K -s--~ gallons ~-~~ gallons ,z~'° gallons in. in. gallons Page Z of ~ ~~ y ,: t., S ~~ i N b ~L~~ . ~.,i;.» ~ , d Z o C~.p ~~w S -- ~ - ~ 1; H C 1 QO.O ~ 0.1 O.v o .n I „ '~ /~. l zq~.,~ ~ ~ • ~¢ 3 egg ~b gL-KL -~:2q_~Lw ~~. 2-zz }~-4 ~ 4 ~ a . ~ 1c S ...ato. `'lly 3 / `~jY~Clr~~'t /..aE.o~ r ec.1c k.+:~ "~~ ~s~e ~ -a~ ;~. ,. e ,~ ~,; ... ~_:-....,r.C.. ._. ~ ~ .. 3 1~ ~ a.,,, . ~ ~.~ p~ew~ Av Lr_ N o~~; , ~ e~1~ x..:51 ~ x,14,. ~.~~~.~a~~a _~ _ : ' :/ ., .. _ l (~ a vt ~~t (a~' 9s~owf Zu M oe.~ ~a ~.d~ C~~ o_(o opt ~..~w.Q c...\v. `~ "f 3 O1 \ ~ (o~~ ~o~pt~~1 1 ` ~ b" s~bco:1 3 ~o" o.s~3 ~~~' ~ 4- o~ ~~ 1 \ ~. \ S-. o °~~ t r"'~~ o • 0.~ c T ~ ~ ~ ~ ~ ~ o.~ ,l ~ / / ~ ~~ ~- ~ ~- , ~; 30N3aNOdS3~~00 33S 1. ~~ ~ ~ ~~ ~ . °'cz ~ ,S'~'1 ,a'~j~l ~S'a1 ~~i7'11 ~~ . ~~ t.'bZ ~ ~ ~s•~ 'o.q is~ -~ (E- ,~.1-~~ r S- -~ -- jhy'^ ~..M.uwWMw.~. ~ _... __._ .. .~•'.... '----'-4 ..~ - .. ._ .• e ~`~cll ,~~T~1L. Y~ w ~-.---~ 6,. ~ C1a,,,. „` ~ g , o . 9.. 4« p~,~ . , ~ Peon 3, ,np NolgTua8E0 ~SDIL. 24u I.D. ~ M4Ku01F i~rc.t r ~~acvt~ A -SKET ~~IT'J _~ ~FLE .L DIIL - 4 /'~ ~f~W ECT101ib ~~ ~"'~ ~ w~.c1L S; ~ E 1,e., . : ,~ ~ .. ~ ~.~5~ ~..~. _ ~~•~ ..v, .~~.~~..... rr. ..............~... .. .. .n.r..~( Z 11 '`oQ`1L ~: h1niw wE~TNERPaaoF ~ n JUNCTIQN J I,,• ernc Iz' -~~..~i. ~~ ~, 4 a- a "YEtJT w ~~ r~"wrsP N G.L c~s~~ 4~'' F'txlP ~o~~~ BcoCK o ~ T- Lg„ nv` sit, qo 3' o•Ro ~iT~b GROUKo SEPTIC t SPEGIFI~GATIOA.IS oosc ~ ~~~ ~ ~ TA-JKS MA-JUFACTURCR: (JUM6ER O DOSCS: PER OAa TAWK SIZC; ~z~ ~~~ GJ~LL0IJS ` DOSC VOLU E ~O~ ALARh1 MMIUFACT~Ji~CR: Ste' F~aa.i~~p IAlCLU01WCa 6 GKFLOW: (~A~~ONS P'10DCU WUMDfR 1 ° ~ ~``' C1-PACITIES: A = 3~~9 IIJCNES OR S^l4'' 2- Wt.L0u5 SWITCH TyYC: ~ ~`~'`" "~~D g c Z i-JCHES OR ZZ.Z GALLOuS 1 ( ~ PUMP MAIJUFAGTURCR ` ~° """• ^``- C,. '~ iUGHfS OR \ o b G~L~OUS MODEL -JUMDC S 1-~ L~1'= S"jD Oa ~' INCHES OR 4~•~ GA~LOUS SWIYCN TyPf ~O~""~ ~"'~'~ MOTE: PUMP A1JD ALARM ARC TO pL M11JIM1UP'~ DIS MARCiC RATC ~~~~ G//•~ INSTALLED 0-.1 SEP^RAT C CIRCUITS VORTICAL DIFFC0.CI.JCC 0 TWCCU PUKP Oi- A1,10 OISTRIDUT101J PIPE.. \~'~S/ FECT 1 + MI-,11MUM -JETWORK SUPPLY PRELtURE ~'~ FLCT ~ O.~-~ 1.SS -+~ 2.rg FT,,// ~ 35~ i'CET OF FORC[ MAIW X ___/pp FtFRICT101J F/-CTOR. ~~'~~ FEET ~ -_-~ ~~-y = TOTAL Dyt`JAMIC HEAD = ~~'~g FEET I-JTERAJAI. DIME1J6101JC OF TA1JK: LE~.IbTH `Z~ ~"1j . --- 1 ;WIDTH ~ 9 ;LIquID DEPT H I~ ca ~- ~ 6 - u F ~ -LOCKING~COVfiR "~ CvAn'n~,w~ ~ ~BE~C . QLICK DNGO~+~lLT--, 3~.q" Al4iW 'Zj~'~ T ON ,N vca: ~., t I Pump Characteristics Pu /Motor Unit Subnudblo Maeuol Models SO M1 M2 M3 Md H5 AetawNC Modals AI d2 Norse +ra: 1 2 Pdl Lead ~ s 15.0 ].b/).I 3.7 /3J b 1.2 Motes T Ca d!or S1arl 3 R.P.M. 3430 Pfiese ' 8 J 8 Yohe a 115 248.2J0 _ 248.230 460 5 Merwal Mold (100 M2 MlJ M4 MS ' AatemoNr M.dds A2 - - i Ner~ se~ew-r 1 tulllwdAm s n.-,frt.l a.a/s.a 2.6 1.9 Metro T Co edter Sort 3 0 RPM 3110 Pkte 1 0 3 d Yolt r ?DB-?30 ?Oa•?30 460 575 xer,: bo Te txnrsre 14D' F Max FIuN IHe . NEMA Oesi n l t Insularbn Class B Disdser a Site 2" NPT ZItL SaBds Nadb 3/4' Urwr W ' ht S8 tbs. (SO) 65Ibc. (IOD) Faroe( Cord I' SY, 14/3, SJTW•4 230Y, fst, 16j3 STWA; 3a Ib/1, STW-Jl, AU cords 20' std. wlrk 30' apt. Materials of Construction Mande Sraidess Steel lubricoting Oil Oielaeri< 011 Moles xausieg Corr Iroe Popp Coslrtq Cmf Iroe 51~srfr Slaidns Steel Ne+halsisal Shafr Seal Seal loses: Carboe!Ceronslr Seal body; Brass SpNeg: Sraldess Steel Betewt Buea-N Impotor EnglnNrrtl TFermopM rt Upper Bwrirg Single Row Ldl eg Iowa Bearing Sin}!e Row Bdl B ieg I totrom Pkle Poiyesler Caatr Steel Fas:tasers Swidest SI legs En;ineared Thv pksik ~ ~~ f ,~.~ Performance Data 30, 100 i Z4 8p ! i -- ~ i .. ._I. I ~ ,,, 18 ~ g0 i I ._... SN ~ X30 - _ . ~ 1 ~ ° ~ ;~ 1 ' 0 Stiff s ~ 4 o ~, `- ~ ...... f I __ _... I I I ~ 1 j , i I Q .. Q I Capably-U.S. G,P.M, G 0 40 80 80 100 I ulry:rs~ond --~ o -~... __.........._. i 4 e lotd H lest) Ib ?S 33 45 55 b5 T5 90 1 1,8 10.1 i3.1 .. 16.d 14.8 ??.S ~ ~ ?7 I/2 HP (US GP .. ._ 63 53 I, 41 35 IE - - _ y..- -- 1 HP (U5 GP ~ 81 81 14 65 50 )Y 0 I /s} 3.5 5.1 4.T 4.1 3.2 _ _ ?.0 ~ 0 i Dimedsional D 1, II drrnansions in inches. Component dimF,asiors rrtIIy ti•a +h 1r8 inch. Not for construction purposos unt cstnifit3tl 4. Dimen&lons Etnd weights are appro ato. 5. WG r~sraNa Iht, right to !nerke revisic. our prerducts and thou spoc~flcatlona wllnpu; •lUliCt} . f. ant f ae B. T-htll ywilch ssutnm~tic mgdelb Only) „w I-~, ~v,r-~....... ,. ~fm ]• Y1 ~ •r _.~.... f.a,e Il I ua.rsr~n:ere• I f~+1 FCL,JI>tU I u~~,n ',+ •~ Su ~iC- .tie r i ~~~~ i 1 `........ I I SNEiF50 -.. n.e;a ~~, r .; nrr II ;:R :,;';~:.. ~ I I -~ I I ?w~~. ~ I •° ~ I 1 I SFIEF 100 < ~ .J m 1$40 Bane Road `°~"' a HYDROMATIC y ~~ r i~~.. ~ti Ashland, Ohio 44505 M- Tel: (418) 289-3042 ~"~~'~~ ~~`~ o~ ~~ System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-1132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the vel of contaminants in that volume. The lower the volume of water and the Lowe he level of contaminants, the better and longer the syst will function. Typical system components include a septic tank or co artment to settle out solids and contain greases and oils, a ~ er on the outlet of the septic tank to retain small particles of the sa e density as water, a pump tank or compartment to allow a dose to a accumulated, a pump and controls, and finally some type of it adsorption cell to recycle the water in a manner to protect ground wa quality and public health. 1 . If the septic tank is installed prior to eet-rock and/or painting, pump the septic tank efore normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenev and wherever possible. 3. Repair even small water leaks as soon as ssible. 4. Never pour grease or oil down any drain or ool. 5. Garbage disposals are not recommended; if yo must have one, use it spar' gly. 6. No paper products other than tissue should go i the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry th ghout the we 1. The septic tank must be inspected every three years by a pr rly licensed person. 2. I f necessary, the septic tank must be pumped to remove soli scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the botto of the pu tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be e by the homeow to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licen d plumber should be ified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment co onents other than those mentio d here, maintenance requirements will accompany their specifications. 6. The pumping components for this syste nclude an alarm which must be installe nd remain on a separate circuit from the pump. If the alarm is activated, minimize capacity to accumulate some nec two days should pass before any 7. Avoid compaction such as vehicle 8. Avoid disturbing the system itself 9. Particularly avoid winter traffic 10. Surface drainage must be divert 1 1. Warning: Do not enter septic u oxygen. water se and notify a licensed plumber for servic soon as possible. The system allows reserve essa flow until normal service can be restored; this fume is minimal, and no more than one or ne ssary repairs can be made. ffic within 15' down-slope of the adsorption system. uch that might encourage erosion or disturb the required s d: ch as sliding or snowmobiling which might compact snow an around the system; avoid landscape changes which might send s mp or other treatment tanks; death may result because they may of the system. d to increased frost depth. ice run-off into the system area. fain lethal gases or insufficient Contingency Plan Wastewater monitori g of volume and quality is not a normal requirement for low effluent strengths ems; such monitoring may become necessary if prob ems develop. Any necessary monitoring shall be done in accord with the require ents of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Addition testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department of Commerce P~.~.~.i SOIL A ~ ALUATION ~ ~'"~ I ~~ ~~, SFc~w~<<i~^g5 ~ ~iv~sion•of safety and Bwldmgs Bureau of Integrated Services in aCCOrd }_ . Attach complete site plan on paper not less than 8 1/2 x 11 i c~ include, but not limited to: vertical and horizontal reference: percent slope, scale or dimensions, north arrow, and locati na ~-~ ~y~"APPLICANT INFORMATION -Please print all i Personal information you provide may be used for secondary purposes Property Owner Mailing Address State Zip Code r ,( l ~ 1 ~, age of 1tf~R .Op,, Wis. Adm. Code p GS hA r P~oFbb~ 5 % f~~ ,,~ { n size. rRt;1r'~~}~' ,'~~-,' ~ County (BM) direction ai~ +; .. !J~ ~J^r~ I~ di to~e~rest road. ;~; ,Parcel LD. # A~ ,~r X199 ,~:_.; Date ~~ 'hone Number ~ov ~~1/4~'G 1/4,S ~ T~~,N,R ~`' E Lot # Block# Subd. Name or CSM# /o,~ 3 CSC / y/~ ~ ; ^ City ^ Village ,~ Town Nearest Road New Construction Use: -Residential /Number of bedrooms ~,~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow _!5~ gpd _ Recommended design loading rate r".~7 bed, gpd/fit 6 trench, gpd/ft2 Absorption area required ~_bed, ft2 7J•• trench, ft2 Maximum design loading rate < ~ bed, gpd/fit • (i trench, gpd/ft2 Recommended infiltration surface elevation(s) 7~ ft (as referred to site plan benchmark) Additional design/site considerations Parent material ~ l~-Gf ~ ~-~ !rJ r; ~ Flood plain elevation, if applicable /~+~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ^ S ~ U ~ S ^ U ~ S ,. U ^ S .,®U ^ S ~ U ^ S f ~' U SOIL DESCRIPTION REPORT Boring # Ground ele . %~~ Depth to limiting fac o~ (Jl in. Boring # Ground ~I v., ft. Depth to limiting fa for ~in. Remarks: ;ST Nam (Please Print) / Signature Telephone No. ~U r 71s~~'~S' 76/`' 4ddress Date CST Number Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench t . o- ~ .~.~' ~ G-f .r-~ ~ f /~ G ~ /oiY ~ 17i .~7l/~ f,~ Remarks: -.t ~ ~adc ,~ .~ :s S ,S ,~ ,5 ;~ PROPERTY OWNER ~~~~'! /~t~G SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # Ground I ~~ff. Depth to limiting factor /~nin. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. u t a ~ Page of - ~ , Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ~ Trench l e ~ o <~, ~-~- Remarks: h~~ Co~P .~ .s ,. .y Remarks: Horizon Depth Dominant Color Mottles T t Structure Consist n e B d Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. e c oun ary Bed ,Trench Remarks: Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) /~ SOIL DESCRIPTION REPORT . lxROPERTY OWNER `~~ ~dG ~~. PARCEL I;D.# Boring # Ground I ~ft: Depth to limiting factor /~n in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. r • M Page oY_ Horizon Depth Dominant Color Mottles T t Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color ure ex Gr. Sz. Sh. ry Bed .Trench l e ~ o ~ ~--~.- ~- g ~ S~•. ~ r~ /" ~.~ ~G o, ,~ ~..-~- ., G~ ~~ ,a--~G ~ ~,~ Y/ y/ ~~ y ,.+2 Remarks: Remarks: Horizon Depth Dominant Color Mottles Structure C i B d R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ons stence oun ary oo s Bed ,Trench Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting Remarks: factor ~ 'n' Remarks: SBD-8330 (R. 07/96) ~~ ~ `i ~ ~ y ~ Soil Test Plot Plan Pro.j~rt Name ~~~,~~,~ ~~ ~c~ Byron Bird Jr. Address /~ //~O G~~-~'`~S ~'"`. ~/u~~w ~~ fit/, S~o~-z CS o~02 ~ S'~ ~ Lot --- Subdivision -- Date ~~1 /4~1 /4S~T~~ N/R~~ W-~- Township ~~fc~w,h I3oring O Well PL Property Line County ~ ~ - ~j~ G^orx BM or• VRP Assume Elevation 100 ft.' jfi~~,/~fn~//~~ ~ ~ o~ ~~~ ff~ System Elevation ~~ *HRP Sam/ ~~n ~o,~~~ -~ a~°~ ~~~ a g~ s~ b~ g3 ~ ~~ ~ P G~ d of ~~~®r ~ ago ~ ~ ~ ~~ l~ , o ~° ~ q~ ~ Z~ Pr°~ /, ~ C k~a' 1~0 ~l. r ~Ir o ~'" .,- Scale 1/4" = 10 Ft. 1~Vlien Dimensions aren't stated ~~~e~~~ ~o~ ~ b~. ~G 0?/1~'I2001 20:44 1?155435038 BURTON PAGE 01 a-. f Rph ~ ROGERS PLLIM81 NG FAX Np, ?15 235 ~~ 3u 1, i ~ 2@D 1 1 L :SEAM P2 s~r ~w~zo r~ couM~I~ ~p;PTIC TAIVx~ ~trrrP_NANCE Ac3RFE1r4E?,1°r ~.>Jn C7V-TNEI?SHIP CER.TiFi.C~1'1'I©N F0it1v1 ~.~wzierlBuyer ,,,Q,1„~ Mailir-g Ad~~ress F'rvporty' Address r+ ~~ tR ~.~ (Ytaificstion rtquirad Crum PiBtutirtg De}ss;ritr;ertt for ttew Coaslru: ., GitylSrlaie ~~,,,~~+~~J'i'n ~+/ ~ Portal Icl~ntittcation N'utrb~r QQ~-~U/o~ -~OC~',~~C~ L~1~ bESCF~~T1~1~ Property Location ~~, ~/.~ ,~ t/., StC. ~ T~~N~R /~ ~, Tawas of ~ ~ C.i ~ c~.- Sttbdivi~ion ~o~~~ .Let # _~. ~ ~.~ Y X11 Certified 9urr~y Map # , Valume ~ ~_..__ ,,~,_,,,.. Pale # ~. VNarranty 17tcd # ~ _ __ _, Vplu:ne pate 5peC houao Q yss ~ t3.4 Lot lines id.entiizablt ~E yes ~ nC Impraperttar sad maiutaaante ot'yeux assptic cycterl; ~oaid 7aault ~ its prentatwe failure to t~tsdtb w~astrc. Proper matnieaaa,ea consisa of ptl~tiajpg twt the scptie fault tvexy three years car socnet. !t nsedcd by a Iieen9~ pumpear. What yfln poi into tl-e sy9unt :-an aPt'oet zl-t fiuxliuu uC tlit tbpiit: t8rylt iki ~e tretitinca~ slags in the waste disposal systarst. 'rhe prOpar;y owlaer amts to submit W 5t. Croix T~eipf; Deparp~nant a ccrliFtcation ferrnx 9igaad by tlLe owne+e xad by r mittpr pI'urtzbet, ~eusnc~aa plumber, taBkiCted pl umber yr w iic cnscd pu rttpet' re~iryizg tl~at ('! j tb r can-site >wnstewatardisyosai spclern is 3n Proper aprrattng aondidoa atsdfor (2) attar iaapeatiaa and p:im~siag (if aoceasary), rite se{sr~c. ta:~i ig Less tZsae tF3 ltttl of trudge. 1,+v+e~ tlse u1:Qetttl(~t7aiS bYVt read me above telquh'emants and mprte to ~.aEQt~ilri ihE t>TtvRte gervage disposal systeax wltb tblS ttttedprl:r toe# forth! hrreia, ssi ae1 by the Dnpartmea: df Coa>srutcc and t5c 17cpartmt:al' c~i"+n:ural Iresoutocs, 3tato of Wiadp0ailp, GSrtiRcatiap lt.Sdt7g that your sp~le eystair: hsa bocII tstslIItnlned must be cnupiat~xd and rrtUtr4sd tt, tttt St. Croix Cctualy Zb>wipg Ut'ltct! w[ttve $p day's et t5~ !brat you exp+ra n date. ilk o~ SIONA C3P apPLICAN!' U'V~''!V"i~'Ii CFRTTRIt:ATI01V~ I (we) cartiPy that all stst,srneats era tlyis .farm ere tzu~ tc+ t.~te bdgt of my tour) k,raWledge. 1 ('Wr) am tarn) the o~rnser(s) of rho prop darar~abod about, y vitrttrt of s watrsaty 2rcd rc;ordod is I;.egigter of Laoeecis Oi~tica. >.4 d SIQ?IlA OF A,L'pI.ICtir1T D 'TE •"'•• r4xay infosination lba: is aria-rapreSCCCdd u:gy result in the. aunitn~r ptsntdt being ravokcd by rho Zoning t>opartmeat. ••"«"' •• 1ttslgde with this applieatieq; a tttAtripvd warranty dot~d I`s'arti the [register of Dcr~ds oflic~c r copy of the oertit~ed r:ttrvt:y nrsri it ttferatae is made La Elsa wmt'r'afity decd 11/12/2@@1 @@: 44 17156435@38 13URT~1 PAt~ 01 FROhI ROCS'" pLl.N~1BIhIG FA?C N0. 715 235 x957 Mov. 12 001 10:40AM P2 BSI=I'"f1C' `l~A1sf~ h~f:~f1~1'I'!?"1AIVC.`F3 Af~h.Zi::P~i~Fit~l`l" ~r~7 c~~'t~r~r.~~t~j.tl~ <'~-~,rrrrrcnz•~i>nr rur~i /y _ ~ o r1 UtivtYZr,/}3uyer 1~~1;ailin~ A~i~lrass ~ ~11-~ ~,l'_~1 / 0 )~ .~..,._ Z ~f ~ ~~ !'tuF~ezy Address _ _ '~ ~ lYcriCtvg4loq sequl~cci tram i'lsonln~.l7r~ai;iner<t Cor r1oW c:onstr~tetlon) ~ `, t%' • .--- ~~styr3c~t~ ~'~rCG! f4'Ie•nti~c:~lian 2~fumber 1 r ~ ~.... <..~ ,, i.~,.,,C ~~fiS~t2Y):'7'rnN ~. sp~p~~r ,~~rs ~~~~ //~~ ~ ~. l~r~~~~erry Location ~/., '/,, Sec, ~^., '1.~L..Z:F-~t~', Town. s~f ,~ ~.`~`6 Subditi~isian _._._..~ 1~~t ~- (;t:riified $tirvcy 111ap # tiGl._L~~~ ~, Volume __T, ~'ao~: !'~~~rrnaxy need 'aM _„~.~- -- n ! ~ ,.,~, Vnl~un~ _ . P,a~4 # Spx lsp~tsc C7 yrs ~ ssa Lc~t lime idenliFal~te`~,7 'yes t;.~ no S~~sTi~as ~'~~~NAZVC~ lrnprapHruse sp;i rtyuitsit:nataccafyour septic sysferri r.uttld resulf ii? ~ssprzmahsrc failure to handle wastes, PropCrsbAiilrCn:sn'r can.asti Of ptstapia~ otit {hc septic tank a\'rry tiu~rs years or saorr:•, iC aee~iedLy a lict.~tsed purl ,;pr. What y0L put Isfto the cyst,-,u caa at~ect thz tunctiaa ai it~o 9Cptic tsitl as a treamzeat sr.,i'E in tt+e \i'flste disposal systcrn., 'rhC. propOtr}' 4W'tldP purees to submit to St. Cr~i:a O~tIA~; DCparYrnetst a etrtificatian form, si(z-4d by sls~c nvraar anti l•:y tad9s4r p'lutater, jom*neyrnsn t+l-usYla:t, restri4lC~i t~lirn~ber nr z I icrrued raurntSerWCrl,°yint; that (1) tuc n~;-sits waslewMSetQisposal syst~:3„ i3 iti praprx operatir$ couditian pndlos tit) Gnt•r i~l~Qet:tian snd ~,um;iU7g of ueccsstiry), the sonric t;i~']cii 1:arSlutn 3/3 fu11 of sltt;tL~-, U+A'a, Ilse uadzrsignecl b9vR read tlsa atwvc tequuenuots ant. aZr~e ra [ftair-teltr uc y,rivatc scwu,e disposal sgstcr+awitb the sr~dar~.i~s set Portlt, hrsait3, as Set ~y Sue Drgartma,t of C~~n~nxrce and t1:e 1'}eparttac~tl aFtvgtuial P.csua.roe+.; Srric of WlscoRSiti Cerrifie~itic~~: staiin6 tt~s yogs 5cpric systani has beset maintained ~uuat tsr rpn'q,leted anQ returned to the St. t: r~?t (~opnty Zoning OffiCC v,''sll±~!.t 1U da~31e thrrr yr.ar catpintiori dsto, ~ ~ ! ,a '~TCNA'T'CTkE GF A4P 1.IG.! N'C pA~rLi 4l~„7..t `~~ ~~ii~~~iti~\ 1TTT~Ll t (we) certify titan all statr.mevts au t13is turn-. me rate t4 n~c Geac nr my lour) knowlcdZts. Y (wa) am {ara} tlic n\vne~(L) ~~ tt: ~supes[y dzscrib d flt;uv y Virtue of a 1\'rsraRty dce~,i r~~cardcd i~o Ref~~i~ter at Deeds L~lti,r,. ,~ ~ i~ 3I~NA7'K) QF A~'~'I~1C~'s~lT DA'T'E •••••• An}~ isif+}rrnettaa lt:rts !s m3a-represeutt d may rrsu3t iii tltc sat'~ilary itC.rst~it being tevaktrl by tb® Zoaing Depw:'AUent..'.... `• 1Aelttde wish thl3 rly~NlCStloa, a StititlNtd vrasl-saty d<+ad from the k~egisccr of Deeds offca W aopy of iftt oettiticd suz-t~cy map if sefcrc1ac i3 ntada ul t4tc warranty decd ~,~ , ~.~l~~Par,~ c~,~g STATE BAR OF WISCONSIN FORM 2 • 1999 Document Number WARRANTY DEED 'T'his Deed, made between Allen L. Mock and Ann M. Mock, husband and wife, Grantor, and Rodney G. Burton, a married person, __ Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 3, Certified Survey Map recorded in Volume 14, page 3794, Document No. 617321 located in part of the SEIl4 of the NEl/4 of Section 6, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin. 629594 Y,ATNLEEN H. WRLSH kEGISTER OF DEEDS ST. CkOIX CO., WI RECEIVED FOR RECORD 03-14-2000 2:30 PM WARRANTY DEED EXEMPT N CERT COPY FEE: CDPY FEE: TRRNSFER FEE: 141.00 RECORDING FEE: 10.00 PAGES: i r~ Recording Area Name and Rettfrn~~sSd Realty Title 400 South 2nd Street ~ Suite #115 Hudson, WI 54016 Parcel Identification Number (PIN) This is not homestead progeny. QE) (is not) vp 2-1012-60-000 _ Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this _~. day of August , 2000 • AIL. Mock -- l,:,r,~- m ~r.~L. + Ann M. Mock AUTHENTICATION Signature(s) r EBECCAJ.PNANEUF authenticated this y of NOTARY PUQLIC__, STATE OF WISCONSIN ^ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ___ authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS ORAF"fGD DY Attorney Krishna Ogland __ __ ____ Hudson, WI 500]6 - ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. SL Croix County ) Personally came before me this ~_ day of _August _2000 the above named Allen L. Mock and Ann M. Mock, husband and wife, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Puhlic, State of Wiscon My Commission is pennaneftt_ (Signatures may be authenticated or acknowledged. Both are not necessary.) _ • Names aC persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATEI3AROFWISCONS(N FORM No. 2 - 19')9 expiration dale: ~~.} IMamation Professionals Company, FoM 0u LaG, wl eoo sss-sox f CERTIFIED SURVEY MAP i m `SECT°o"Ee LOCATED IN PART ^F THE SE1/4 OF THE NE1/4 OF SECTION 6, ~~~ T29N, R16W, TOWN OF BALDWIN, ST. CR^IX COUNTY, WISCONSIN, UNPLATTED LANDS UWNED BY OTHERS NORTH LINE OF THE SEl/4 OF THE NE1/4 :o ~`~ `" N C ~ ,~ , a 0 Z 0 Y v W J W a i i m 0 W a 0 z E N Vl x a.6'+/- N89'40'09"E 1325,87' ~ ;C 51.03 1292.83' 7LO - - - - - I `N ~ Z ~~ N T 1 o 33.04' ;r + 4.674 ACRES ]NC. R/W o oRrvewg4___~o NN l I I ~ ;D 2D3,619 SD. FT. 0 0 ~ 0 1 I `--1 0 4.478 ACRES EXC. R/W I\• °. I$ i~ z O W ~ ~, ~1 N N --I r ~ N N 0 o o ~ _ N ~! L! > Q N~ ~$ 3i _ f'1 ~ Z~ ~ ~ Z Q` ~ s ~ ~ .~ a CC • • 195,039 S0. FT. ~ 33.04' IN Id N89'40'09"E 784.07' • ~ s16.03' 235.00 y 751.03' I~ 1~ L^T ~ FIELD DRIVE ~; ~ ~(~ I,Z N ~ I~ ~~ DWNER ALLEN MOCK N44153 JACOBSON ROAD assEO, wt sa7se LEGEND ALUMINUM COUNTY SECTIUN CORNER MQNUMENT FOUND ~ I' IRON P[PE FOUND 0 1' X 24' IRON PIPE WEIGHING 1,13 LBS. PER LINEAR F007 SET 4.674 ACRES INC. R/W • olo ~ {L~ ~'"-- 100' ROADWAY SETBACK LINE 203,619 SQ. F T. °o I 4.478 ACRES EXC. R/W • ; ^~ 195,039 SQ. FT. • 516.03' 751.03' _y S89'40'09"W 784.07' LIST 3 25.6s1 ACRES INC. R/V 1,117,367 S0. FT. 25.174 ACRES EXC. R/W 1,096,596 S0. FT. i~ 1297.08' 1~~~~~~ ,~ S89'40'09"V 133Fl,12' UNPLATTED LANDS OWNED BY OTHERS ~ T 0 `~ I 0 m ' N t °~ 1 ~I. I I OP IYEWAY_ _i '1 I j~ m STEEL SURVEY MARKER FOUND 1YYrrrrr ~` • EXISTING SOIL BORINGS ~, iz ~vDi ~~~-x-x-- EXISTING FENCELINE ~r -1 a ~ ~~~ NOTE: Field drive to be relocated i~ to~tion ~ ST.lXi00(fX)UNTY I ' ~ Planning 2anYg and Perks Committee N I ~>,~ JAN 2 ~ 2~8 . ~ ~ ~ N H not rooordsd within 30 days of +pwo~ ~ shau be I SCALE [N FEET 1' = 200' 1200 0 200 400 I ~N 03'0 17o.a2' I EI/4 CORNER l~'~SECTION 6 Z o_ 2~ U ~ W W A N N i C quo ~`~ I ~~o 'r W W y ~ ~ I of Z ~ I -i 4 W W '~ w i to ~ ~r~ O I ~ ~ d IV w~° • a p Q i I ww r WI u?~ `D ?~ ~'~H IZ O a Vl a ~Id w a (n W W ~O Y IO F+ ~£ ~ I Z jv d p -< `a `~ /~ m n CC1. a O