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HomeMy WebLinkAbout002-1016-30-000St. Croix County Planning and Zoning Detail 5anitarf~ Information Wednesday, October 24, 200? at .5:11:09 P,YI Page 7 of Computer #: 002-1016-30-000 Sub/Plat: 40 acres Section: 8 Parcel #: 08.29.16.106 Lot: TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: 114 1/4: SW 1/4 NE 1/4 Owner: Veenendall, Doug 2255 1 07th Avenue Baldwin, WI 54002 State Permit: 395284 Issued: 09/14/2001 POWTS Dispersal: Mound less than 24" suitable s Permit: Replacement County Permit: 0 Installed: 07/02/2003 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Issuer inspector As Built Plumber Kevin Grabau >4/1100 -Not Required McDonell, Mike Kevin Grabau SiG =:-' Yes Scheduled Pump Date Pumped 7/2/2006 10/312006 10/3/2009 Other Requirements Additional Notes lvloney Owed signed off 2004 - 1000/600 combo tank to 5' x 90' $0.00 mound. Existing house to be razed -installed 3 BR system for 4 BR house, so recorded affidavit of occupancy on deed S't. Croiix County Zoning Wednesday, January 14, 2004 at 11:04:34 AM Detail Sanitary Information Page 1 of I Computer #: 002-1016-30-000 Sub/Plat: NA Section: 8 Parcel #: 08.29.16.106 Lot: NA TN/RNG: T29N R16W Municipality: Baldwin Township CSM: 1/41/4: SW 1/4 NE 1/4 Owner: Veenendall, Doug 2255 107th Avenue Baldwin, WI 54002 State Permit: 395284 Issued: 09/14/2001 POWTS Dispersal: Mound Permit: Replacement County Permit: Installed: 10/18/2002 POWTS Detail: Mound Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Kevin Grabau >4/1/00 -Not Required McDonell, Mike inspection form completed and signed In Kevin's Office $0.00 Signed Off: No Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/18/2005 _ ___ _ j t t• t _. ~ Wisconsin Dep:~rtment of Commerce PRIVATE SEWAGE SYSTEM Safety and wilding 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: City Village X Township Veenendall, Dou Baldwin Townshi CST BM Elev: ~ Insp. BM Elev: ~ BM Description: GI ~ ~~' 9~~ ~~' c sr Alf ~ a~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic w ~,s -~l~ Dosing ' 1~7 ~y ~~ Aeration Holding TANK S~BACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic .... Dosing u ~~ ~~ " Z Z ~ Aeration Holding PUMP/SIPHON INFORMATION S f I~ ~~~~1 INFORMATION Type Of System: 1 ~ uh ~,D ~ 3 5 2 2 ~ DISTRIBUTI ELEVATION DATA county: St. Croix Sanitary Permit No: 395284 S to Plan ID No: ~' ble~ ~' ~ ~' - I ww.s. ~ ~. # P I Tax No: 002-1016-30-000 STATION BS HI FS ELEV. Benchmark~~t'-B~ 2~ ~ 10~. ~ u' fi~, Alt. BM ~ ~~` ~ 3 r Q~ -~1 ` Bldg. Sewer ~•~ ~ ~~qf'p 2. SUHt Inlet ~ ~ `~ ~ gs. q~ t SUHt Outlet Dt Inlet Dt Bottom ea er ~~/ 1 ~, D) ~ .~ S2 . ~5 t Dist. Pipe ,~l ~' . ~ 3 ~ ~-g~ r 0 Bot. System S,• 30 ~ • s . ' 3 ~3.f, Final Grade ,~ St Cover G,,,,.~,~- a3 4 . o ~{• . @~w~(G~ 3.~d3 X02- `t8 ~'~ CHAMBER Dia. Header/Manifol~ ~ ~ Distribution f ~- ~Y 2 ~~ x Hole Size y x Hole Spacin2g / Vent to Air Intake Len th Dia ` Dia .~ Spacing ' Len th SOIL COVER x Pressure Svstems Unly xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No MENTS: (Includ a discrepencies, persons present, etc.) Inspection #1 ~ ~ / (S ,~L Inspection #2:V 6 ~ ~- "~(] ~z R -'I co (~ fI-ui~ Location: 2255 1~ Av~Baldwin, WI 54002 (SW 1/4 NE 1/4 8 T29N R16W) NA Lot A ~ Parcel N ): 08.29.1 1.) Alt BM Description = g (A ~1A~~ ~"`~ L""`~(`"r'~~ ~ ~r^'^`~ • ~°"~~~ ? r 2.) Bldg sewer length = - I~'~ (J I.9 3 - 2.o~f -~ - amount of cover = f 7 Z`!4 ~ ~C Plan revi on Required? Yes ] No ~. O / ~" _ ~ ~j Us they side for additio~tal ytforma 'on. __ ~~~ a~, 's i "~ o•- ~~ Date (~- ~ ~. s Insepctor's Signature Cert. No. S91L ABSORPTION SYSTEM ~~~~. ~ /~6' X8`9 ~, . ~ t .l. ~ ~- . l Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. PO Box 7302 f See reverse side for inshuctions for completing this application Madison, Wl 53707-7302 ll iSCOns oepertment of Commerce Personal information you provide may be used for secondary purposes s. 15.04(l)(m)j [Privacy Law (Submit completed form to county if not , state owned. Attach tom lete Tans to the coon co onl for the stem, on a er not less than 8-l/2 x l 1 inches in size. Ranh, State Sanitary Pe it Number ^ Check if revision to provious application State Plan . D. Number . ~/ V/ ~ A lication Information -Please Print all Information ~ E ~ ~ [ Location: . Pro Owner Name/~ ~ ,, _/ ~~\,~. ~ °~ y'Cr, //~~~Q I'l2I'~ CLQ ~~ ~~ ~Sf rl ~ ~ Property Location p /4 ~l/4, S D T ,N, W .- , JCL property ens Mailing Address '~ .. '~-~ Ut Lot Number Block Number ^ J S ~~ ~ , Zip Code hone , r „_ City, State Subdivision Name or CSM Number ~,/ II. Type of Building: (check one) ~?`~ ' .~~~ ~ ~ f B d ' '~ ^ City ^ Village , ' rooms : e ~ _ ~ tYC or 2 Family Dwelling - No. o ~ wn of p o! ,~ ^ public/Commercial (describe use):_ ~~ (,~; ~K~ ^ State-0wned Nearest Road r ~ t,,,D a _ Za1 '~ 2,p r _ Q P lax be _ ~' 9/G. / b III. T e of Permit: Check o one box on line A. Check box on line B if a licable 5 6. ^ Addition to p) I. ^ New 2. Replacement 3. ^ Replacement of 4. . Existin S stem S stem S stem Tank Onl Permit Number Date Issued B) ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply 1 ~ ~ ^ Sand Filter ^ Constructed Wetland ^ Non-pressurized In-ground ound ^ Sin le Pass C] Pressurized In-ground ^ Holding Tank g ^ Drip Line ^ Aerobic Treatment Unit ^ Recirculatin d ^ A ^ Other: e t- V. Dis ersal/Treatment Area Information: Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 1 6. System Elevation Elev on cede . Required Proposed Rate (GalsJday/sq. ft.) (NlinJinch) ~~ 9S~z' Q l~~ " ~s0 ~{SO LSD o.Sd . VII. Tank Capacity in Total # of Manufacturer Prefab Con- Site Steel Fiber Plastic Con- g Information Gallons Gallons Tanks Crete strutted New Existing Tanks Tanks GY ^ ^ ^ ^ [ 'n~~ / CDO ~ Lei C S~ CAac ~~v1 1 ~ , fiY ^ ^ ^ ^ VIII. Responsibility Statement assume res nsibili for installation of the POWTS shown on the attached lens. fire undersi ed I Business Pl~vre Number , , Plumber's Name (print) P ber's Sign cure (~ tamps): Mp/MPRS No. Plum ~s Address (Street, City, State, Zip Code) ~~ 2~ ~ ~~~ ~~/~ ~~• ss<~~~ io~o ~ , IX. County/Department Use Only Date Issued Is i Agent Si fur o stamps) ^ Disapproved Sanitary Pemvt Fee (Includes Groundwater F ~ ~ ~, ~ D 'Approved ^ Owner Given Initial Adverse Surchajge ~" Determination X. Conditions of Approval /Reasons r Disapproval: /. /~ lutT~ C~l,~-'W bo T~.o~" ` rblq,~N~ ---- ~- ~Et.~Jt~-~ d~C.GO'~'~' w~RM~~~s' s`~`~" ~------- ~ er ~eo.~ ,M.c-y co,u.~ t~ S~S~.-~ bera,~_ w I c~-as, ~~ loa~r- ~~ 'o ~ ~' a ~ ~1 ~L ~ c o~ v • t S e nc.h -'ylo.rfC ~ ~P o F ~e%o~O~e ~ ssume~l a /e ~%' = /ce. ~: /0 7 /ode . ~ 8 ~ / 320 ~ t rl.~-t~ ,o~op ~ w/ S~X90~d~s,o¢rSa/ee//. I~urC`(~ 11 ~ ~ I /Q L~IrO-CS 4E Iy1,X •{y .~~W/~8 i. ~ ~ 11 o~~"F, ~s SPaee-al a.t z . 53 ' i i ~ Q~ I, i8z. r ~ i I ~ y~ ~~ Y- ~ l ~oP i ,~ i ~~ ~ a v~ ~ ~ ~~ Ex~~~~ o~ Q ~ ~f srdtNc~ fo be t4 ~cd i ~ q~ ~ ~ a3. ~ 143 ~ ~ ,J ~., _~ K~ g~ ~J~ePos~d d ~ ~ ~~ ~a~o-~e ~ pia posed > r ~ 3 6a.d~cbwt °~ a ~~ !'t5~dence ~ ~ ~ v ~ ~• ° ~' v. ~ ~ Q 8 ~ > ~ ~ \ Q y ~ ~ , .C v a~3 s~ ~ ~, ~° a : ~-~ ~ ~ '° ~ ~ ~~ ~ a~ 6~1 ^ ^ ~;l e~a~ic~-has-, ~~ -~E- EX/~5'fr-n ~j ~enCF/.'n E • Ele da ~Qn ~j- ~ /t; / ~- f/O ,~ou~ t Chri s ~'.+e(~.ecne,~cb SwnUE, Sec. S~ Tn, o{,~/d S-~ .C~ i,C Co., ~ 1, 3~n u~Jl Q~~D/'d,Y, ,ZSO ~ S o~ ~/i e a 5 f O.l Sy S fcm /OCCc 6'or~ . BS • ~~ 8 ~~' ~ ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KfNNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com me rce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary August 07, 2001 COST ID No.225036 MICHAEL P MC DONELL 340 PAULSON LAKE LANE OSCEOLA WI 54020 A7TN.• POWTS Inspector ZONING OFFICE ` ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/07/2003 Identificati s Transaction ID .664797 SITE: Site ID No. 63393 = '` DOUG & CHRISTINE VEENENDALL Please refer to both identification numbers, 107TH AV above, in all corres ondence with the a enc . TOWN OF BALDWIN ST CROIX COUNTY SW I/4, NE1/4, S8, T29N, R16W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 805425 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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.OI/Ot) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) [n 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. [n addition, the owner must insure that the operation, maintenance and monitoring duties as described in section V[II of the Mound manual, and 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 changes made to this plan on 8/07/01 by this reviewer were acknowledged and approved by the system designer. • The component appears to be located closer to the lot line than what is permitted by W isc.Adm.Code Comm 83.43(8)(1). The county is to verify setback parameters at time of construction. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction,. excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The upper edge of the cell is to follow the 93.82 foot contour. The orientation of the cell is to follow parallel to the surface grade contours on sloping sites. This is stated in Table 2 of the mound manual, and Comm 83.44(6)(a)2. MICHAEL P MC DONELL Page 2 8/7/01 • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • 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 forthe component(s) utilized in the POWTS. • Comm 83.52(2) A POWTS that is not maintained in accordance with the 8pproved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • 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. • 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 construetion/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 th'-s letterhead. Sincerely, ~~~ ~~ ~~~~ Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: DOUGLAS VEENENDALL MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Doug 8~ Christine Veenendall 3 bedroom residential mound Owner's Name: Doug 8~ Christine Veenendall Owner's Address: 2255 107th Avenue Baldwin, Wi 54002 Legal Description: SW1/aNE1/4, Sec. 8, T.29N., R.16W. °ECEIVED Township: Baldwin ,1111 2 7 2001 S~AFE~Y & BLDGS D1V. County: St. Croix Subdivision Name: na Lot Number: Parcel I.D. Number: Plan Transaction No.: na 002-1016-30-000 Block Number: na - Page 1 ~l~Q~j Page 2 APPRaVED Page 4 p~~~ Page 5 Page 6 _~~ Page 7 SEE CORRESPOND E Page 8 Page 9 Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Site Plan Soil Evaluation Report Designer: Mike McDonell License Number: 225036 Date: 07/25/01 Phone Number: 715-386-8692 Signature: C~~.,~~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD&10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01 /01) Page 1 of 9 i *: ,~ v ~a } ..e:'v' i vas= ~u,; ~q~:: ~.~w.+wow.-......:~.~,<.-.ww((._.;;.«a.~. ,,,a,.,.-..y3-.~~ nyy.;;r++~~...y»~*.~~~,~ ,*rw++wR Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a _ 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of <= 3g inches. 450.00 Design Flow (gpd) 4.00 Site Slope (%) 93.82 Contour Line Elevation (ft) 12.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distributio n Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftZ) ~ 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest mt _ _ in the distribution ~_ ~ Pressure Disribution Information network? Enter Y or N (c or e) (~ - c~ Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation ft _ - 4 Number of Laterals of the hi hest int. r 9 po L--------- - 0.125 Orifice Diameter (in) (e.g. 0.25) _ 2.50 Estimated Orifice Spacing (ft) = 6.25 ftZ/orifice 2.00 Forcemain Diameter (in) _ 140.00 Forcemain Length (ft) Does the Forcemain drain back? ~ Y 85.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 10.32 Vertical Lift (ft) 2.66 Friction Loss (ft) 19.48 Total Dynamic Head (ft) 22.84 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 104.08 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.00 Se tic Tank Capacity (gal) Wieser Conc. com~ Manufacturer Dose Tank Information _ 600.00 Dose Tank Capacity (gal) r 11.82 Dose Tank Volume (gal/in) Wieser Concrete ~ Manufacturer Manifold Diameter Selection in. dia. o tions _ choice 1.25 x _ 1.50 x ~ x - -_ 2.00 3.00 __ _~ Gallons/Inch Calculator (optional) 602.82 Total Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) 11.82 gal/in (enter result in cell 649) Effluent Filter Information Zabel i Filter Manufacturer A100 ~ Filter Model Number Project: Doug & Christine Veenendall 3 bedroom residential mound Page 2 of 9 Mound Plan View .- 1 /1 1 ~ B : • Observation Pipe ~ ~ ~ . .` ' •~ L Mound Component Dimensions A 5.00 ft E 26.40 i n B 90.00 ft F 9.50 in D 24.00 in G 0.50 ft 450.00 (ftZ) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate -r -f _I -1 H 1.OOft K 11.68ft z 11.90ft L 113.35ft J 8.82 ft W 25.72 ft 1521.31 (ft2) Basal Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.61 (ft) -I H ~`'`'' ft) Lateral I F .. ; ::: ~ ~~~~rsai Ce11 96.32 Dispe 95.82 (ft)-- - ~ : ~ Invert Dispersal Cel I 3[1; ~ ~ ' ' ' ~ t Elevation E ~ ~ D ~ : ~: _ '. ,' ,' ~ ~ i.• j.~ i.~ i. .i,.-;. '; `; ';. `;. _`_+`_'_;"_; '; _'_',"'_;v•,.`__,'"`; ~; `_;_,.~_-i.~-i 'i. ,. `.+._"_7. '' `+~ +~ .+. '+, A .%„ '. ~'. a. Vii.. 4 `; -:'~-_~, ~ ~`-: _,':. is is i., J., i., 1,~1. i; { .i _ i _~i._J._ i.:i~. _1: ~ ~ ~~ ~i ~~ ~ ~{ { ~~ ~ ~ ~ ~ ~ { ,~ ~1 l._L . _ _. ~ _ .. .. ..., J.. .'. ~'. .. i, 1, i_ J, 1, 1. 1. 4 ~ i i i. i. '. '. { J. !. /. J. ~. .. l ,~1. i i . "1 "'' _''..'. ~ _. • _.. ~_L,.' _, `" ~! `.~ .. ~ . •.: :. .. . ` ~' ~ ~ 93.82 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key '~ $ ~- Dispersal Celi See lateral details on 10 Topsoil Cap ~ ~ 1.5 ft Page 4 for number, © ~~~~~ Subsoil Cap ~ ~ ..5~.;::;(~.; ~ size, and spacing of ASTM C33 Sand ~ ~ ~ ~ •' '• ~f ••~ ~'• ~'• ~'°'•' ~ • •• F laterals. Laterals are 0.5 ft ~' Typical Lateral ~`i:"`,~"`i Tilled Layer ~ ~ '•'''• equally spaced from Q5 ~~ Aggregate v c ~ • ~~5, ;• ~ the distribution cell's ~-- A ----~ centerline in the distribution cell (AxB). Project: Doug 8 Christine Veenendall 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force mai n connection via tee or cross to manifold at any point. Laterafs are identical ~f P ~ s •= Turn-up w4bal l valve or ~ X-~~Fxr2 x12 jl Laterals & force main of P1+C Sch 40 c4®anoutplu9 pet COMM Table 84.30.5 f-toles drilled on the bottom of the lateral. Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate (Total Dynamic Head 4 Orifice Diameter 0.125 in 1.50 in Orifice Spacing (X) 2.53 ft 44.28 ft Orifices per Lateral 18 2.50 ft Orifice Density 6.25 ftz/orifice 7.41 gpm Manifold Length 2.50 ft 29.66 gpm Manifold Diameter 1.50 in 19.48 ft Forcemain Velocity 3.03 ft/sec Dose lank Information Lock;ng cov8r witn wam;ng label and locking device and sealed watertight X~ `~ ;iL~l as per NEC 300 and -- Comm 16.28 WAC ~ 4 in. min. Dis _~_ Wieser Conc. combo. Ca ci 600.00 Volume 11.82 Dimension Inches Ilons A ^ar 28.76 x-95 B 2.0 23.64 C ~j 94:57 D 1 141.84 Total s l 600.00 ~ Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 86.00 D~elevation (ft) 85.00 Alarm Alarm Pump Manufacturer Zoeller ~ Pump Model Number #137 __~ Pump Must Deliver 29.66 gpm at 19.48 ft TDH Project: Doug & Christine Veenendall 3 bedroom residential mound Page 4 of 9 L .~ Y Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson, POWTS_ INSP.#4819 Phone 715-248-3271 POWTS Regulator's Name St. Croix Coun _Zonin - Phone 715-386-4680 ystem Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins and/or service once eve 3 ears Should ins and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears In for nding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. ~2. DisjSersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished • .............. ................ Grade 6-8" Diameter Lawn ~ Threaded Cleanout Sprinkler Valve Box _ Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Doug & Christine Veenendall 3 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component marrua~s [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01!81)) and bcal or state rotes pertaining to system maintenance and maintenance reporting. No one should ether enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abarxlonment shall be in accordance with Comm 83.33, Wes. Adm. Code when the tanks are no longer used as POWTS corrrponents. Septic or pump tank manhde risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service anti assessment shall be sealed watertight upon the corrrpletion of service. Any opening deemed unsound, defective, a subect to failure must be replaced. Exposed across openings greater than 8-inches in diameter shall be secured by ~ effective kxdcing device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The Corrtents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at I~st once by inspection. The filter hall be cleaned as notes to ensure proper operation. The filter~gA should not be removed.unless provisions are made to retain in the tank that may skxrgh off the filter vvFren from its enclosure. If the t er is equ~pe vin arr alarm, the finer shall be serviced if the alarm is activated continuously. Intermittent f~ter alarms may indic~e surge fk~vs or an impending continuous alarm. The septic tank shall have its contents rerraveci when the volume of sludge and scum in the tank exceeds 1l3 the liquid vdume of the tank. If the conterns d the tank are not rernowed ~ the time of a triennia! assessment, maintenance personnel shall advise the owner of when the next service needs to tie performed to maintain less than ma~dmum scum and sludge accumulation in the tank. The adddion of bidogical or chemical additives to enhance septic tank perfom~ance is gerx3rally not required. However, if such products are used they shall be approved for septic tank use by the Department of Corturxerce. Pump Tank The pump (dosing) tank shall be inspected at I~st once every 3 years. All switches, alarms, and pumps shall be tested to verify Proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure DisMbrrtion System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative rr>aintenance) on the mound is not recorrunended since sdl compaction may hinder aeration of the infiltrffiive surface within the mound and snow compaction in the winter will promote frost penetration. Cok1 weather installations (October-FebnJany) dictate that the mound be heavily muk;hed as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODs, 150 ng/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS,10 mglL FOG, and 104 cfu1100 ml.. for highly treated effluent. influent flaw may not excxred maa6mum design fkrw specified in the permit for this installation. The pressure distribution system is provided with a flushing pant at the end of each lateral, and it is recommended that each lateral be flushed of accumulated sdids at least once ~+Y 18 monttu. When a pressure test is performed ft should be compared to the initial test when the system was installed to determine ff orifice clogging loos occurred and ff orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contins~ncy Plan If the septic tank or any of its components became defective the tank or component shall be repaired or replaced to keep the system in proper operating condition., tf the dosing tank. Pump, pump controls, alarm or related wiring becortres defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. ff the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, lt will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media. and related piping, and replacing said componens as deemed necessary to txing the system into proper operating condition. See Page ~{of this plan for the name and telephone rnur~ber of your kx~l POWTS regulator and service provider. 5 Project: Doug & Christine Veenendall 3 bedroom residential mound Page 6 of 9 In W ~ lL 14 ~2 1 3 4G 130- 38 12 12 36 - 191 it 34 110 32 105 100 3n 95- 2 a --1- 90- ZE 85 1 65, 2~ 80 -4165 75- 22 70 2C _ 65 t E 60- 1 63, 4163 55- ' 16- SU Ta- 45 40- < 135 J C. -~- 30 8 7 25 139 HEAD/CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDtI. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE s7ss SERIES 11 N _ Sr~S) 11 _lIi~119 _1WI1110 1f 111161 16]11111 165N 165 I/Y/ISS _16d~116 16L~111 1191/111 If' ri. M. G+I. lln, G.I, lAn, G+I. lkt G+I, llt G+I. ltrt G+I. ltrt C+I, ltf G+I. Un. GII. lln. G+I. lln. GII. lln. _ GII. ltn. G+1. LrtM. _ __ G+I lh f 1.11 1 1.1 {I 11 10{ 17 117 17 277 f) 372 1/ 716 101 101 N 711 N 211- --' ~SI 270 ISS SJI iSS 311 /S 111 10 7A0 5 17 74 i7 I7 N 129 1t 2J1 79 700 SO .711 ~ 100 )71 01 111 _tl 771 -_- -fl Z2/ IU k/ 1fl p1 13 171 If 1. 1.)~_ 13 It I 15 1 ~1 11 t/ f1 00 7 10 771_ _ _SI 710 t+1 U7 uS~9 1f ir0 7a t.lo 7 s ) 1 u 7s )) 7/ us n u1 e7 na sf ul so 717 se n/ n/ s1s +w sw a In 15 7,02 S ]O U }ll 71 100 f1 111 Sf 721 __ SI T1A t21 /{I I)1 SOJ +S t70 10 f.u _ s7 la1 1s }/1 ss 7e1 sl I:e fo .ue sl ue t71 ul v7 ul 1s Ira +0 1211 -- ]a to /1 1r/ // m u 7e1 1s 7e1 sl no los n7 u+ +n +s In so Is1+ - ___ 1f /o ]] t7s s1 fft se 7s) _ sa 721 fa HI loo 7n ~s I7o w Iln _ - -- ss st u fly ]s ns si rte r~ of 1 s 77 ! _ ~s na_ 10 71.71 _ _ _ _ _ _ _ ]0 111 IO 71 f7 191 SI If) _ r0 105 ~ +f 1)1 10 NSI _.__ __ _ N S7 -__-` IS 170 tl 101 - S1 2a I _ _- +S 170 >0 llA7 _ `_ 17 ~ 171 _ 7 t _ 17 Ito ~ +f 111 100 30.U - __.____ __.___ II 01 __. ___._ 11 79 __.-_.._ +0 1{1 110 12.00 _ __ - -_ _ - -__ _. __~- _- ~ T t 30 ]0 I1/ 110 J031 -- - -__ -- ___ __ - - - ______ _ ._ _ ~ __ _ 10 71 170 Jf.61 - __._._-_ __-_ _._. ---1 ___. _._ ___. ____ -- _-_ _-_ --- -___. - ___ - -- _._. - _-.~... 10 H locfv+lve. il.+' 71' 1115' 71' 70' +e' S1' 6b' - IT ----- l7' - - IIS' ---- 91' ----J Itr I ----- tJT I \I I I I I I I i ~ ~ ~ ~ _ 186; 4181 189, *4189 188,\ 4188 185, 4185 I 1 5 __ _ ~ - 110 ~.~ ' ~n 43 48 53,55 161--- - -- y,{pe 57,59 98 4161 s cn~. ~ ores 1'0 20 0 4o so 60 7o ao ~ 90 , oo ~ ~ i o 1 zo X130 140 ~1 so 160___! IT~R~ 80 160 240 320 400 480 560 640 0 ~9, (p (P F OW PER MINUTE UOa971 Note: For He~d C:a~c1Ey on oriel 112, indust~al colurTTn-explosion prooof pump, see FM0219. ~ 7 of 9 .` ~~ ~ to ~ .. ~ = ~ °~ ~ ,~ ~ ~, ~i ~ ~ Q ~, _~ ~, 01 c enc. T o F ~e/ lwne~- ,~: P e,° Q ~ / 3,.2~ / ~ I'.rrt~ ~ie0 . ~'n~ • --~ P~opoSed~Kou.nda~~,2S,7,Z~x//3,35 11 ~ w/ S~X9D•d~speis~+-/ce//. Fou-~C'~ -~ ~ /at«a.CS4~lys XSIf/.z8'w/%8„ ~ i v'~ o~~'F,"ces SPace~l a.t' .2.53: i~ Q~ > ~ ~l 93 8z r ~ I Y~ ~o l ~ ± ~lo_ PL .~j ~ t y7 ~ 'y / 1 I ''I ~r! f •~ll 1 i; ~~ ~ Ex~s~~~ a ~ to 5,'dc,~c e a3. a ~ ~o be r4~~.d _ ~ ^- l32 v~ ~ ,~,~ ~at~e ~tc posted d. r' r ,,~a ( ~; pro posed _ ~ 3 b edrebw( a a ~ ~e5~denee ~ ~ ~ ~ v ~ ~. 4~ 8~ > ~ ~' ~ ~~ ~~ ~,~ a ~ 3 ~ ~ ~~ ~ ~ O ~b a ~ a.~ v ~ ~~ ~ ~~ ~~ o '~ ~ ,s ~ a ~y ^ /~^'` ~oGe- : W e ~~ ~o C~C2 [~ i h 6u-tn q,~~/~-~, .ZSD ~ S o c~ ~~F east o.!' 85 ^ -~ EX/~5~'~~ rF'nce/.'nQ ~ ~lQ dQ ~+'Or7 5a?/e.~ / = s~0 SwnE, Sec. S, Tn. o{~.fdwi~ St .Ct~ i,r Ca., c.J r, -_~ ~ Ji~~ ~. Bo~9 1439 Wisconsin Depaftment of Commerce SOIL EVALUATION REPORT page 1- of _ 3_ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than S'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and hor¢ontal reference point (BM), direction and - - - _ _ - - percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I D. 002-1016-30 OOO,ID#8.29.16.106 Please print all informaSon. ------------- -- __ _--- --- _. _ _._ _ _ __. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.1M (1) (m)}. ~ property Owner Property Loc~ion Doug 8~_Christine Veenendall___ Govt. Lot SW 1/4 NE 1/4 S 8 T 29 N R lb W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2255 107th Ave. I Crry State Zip Code Phone Number `j City _J Vllage / Town Nearest Road Baldwin I WI 54002 i 715-684-3429 Baldwin i 107Th Avenue /J New Construction Use: ~ Residential /Number of bedrooms __ 3__ Code derived design flow rate 450 GPD _~ Reptac~,errfent ~ Public or cortxnercial -Describe: Parent material G18cial Till Flood plain elevation, if applicable __ _- _ _na_ .__- General comments and recommendations: Mound system elev. = 95.82' at 24" above 93.8 2' contour . a Boring # -j Boring in ~ 2~~ R N Pit Ground Surface elev. __ 93.00_,_. ft• __ -_ • Depth to limiting factor _- _ ate Sal Applicaton Dominant Color Redox Description Texture ~ Horizon ~ Depth ' Structure I Consistence Boundary Roots GPDIft°__ _ _.-__ , ~ I `Eff#1 *Eff#2 1 0-7 10yr3/2 none ~ sil 2fsbk ~ ds as 2f ~ 0.5 0.8 _ , __ - -_ -_ 2 ~ 7-12 10yr5/4 sil none ~ ' 2fsbk ~ ds ; as 2f 1 me 0.5 0 8 - -- ~ ---- -- t ~ - - + -- - -- - ---- --- ------ __-_ 3 12-16 10yr5/4 f2d 7 5yr5/8 ~ sft ---__ ------ 2msbk - _ _ _ _ _ ds aw 2fm,1c 0.5 - 0.8 _ -- -~ -- --- -- - -- --- - - ~_ sl f2f 7.5 r5/8 7.5yr4/6 4 16-36 I lmsbk - i 1 fm t m~ 0.4 0.6 h _ ----j --r --- --- -~--- - - .. - _ - --j - - __ - I - -_ - __- I-_ ~ _ __ I ~ -- ---- -- _ ---* _--- _ - --1- r -- -- - f _ ._ ---- _ _-- _...- _ - ~_ _.. r __-_ - ~II __. i._- -- ..; _ I - - i _ .. _. ~~ # J Boring 1/ PR Ground Surface elev. _ _92.53___ ft. pepth to limiting factor __. -~ 2~~__--- in. Sal Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary ; Roots ~___ _ GPDIft? __. ___ I *Eff#1 'Eff#2 1 0-6 I 10 r3/2 none ~ sl 2fsbk ds as ~ 2f I 0.5 ~ 0.9 -___--r ----- - - --- _- -- -- - - - -_ __ ~ _._ __ __ _ _ _ _-_._- - - ---i -- --- _ r---- -- - 2 ', - 6-12 ~ 10yr5/4 - ---T - -- - none -- ---- ----- _ - - sil -- ... 2msbk -- - -- ds _ - _, --- I as ~ 2fmc I 0.5 0.9 - - - ~ - _ __. _ _ _ 3 12 18 ~ 10yr5/4 f2d 7.5yr5/8 ~ sil 2msbk ds ~~, aw , 2fm,1 c 0.5 0.8 - 1 --- + - - -- - _ - --I- - _ ~ ; -- .- ._ 4 18 7.5 r4/6 33 Y m2d 5 5/8 & f2d IOyr6/2 ; sl - ~ 1 csbk mfr - - 0.4 ~ 0.6 . _ . - _ _ -_ - -- I r - ' _ _ _ .... , I _ i I I - ~ _ ~ --- .. I i - __ __ ._.. I _-. _ - _ . _ ~ ----- l - -_ ~ - _ ~ ` Effluent #1 = BOD ~ 30 < 220 mg/L and TSS > 0 < 150 mg/ u = BOD <30 mg/L and TSS <~30 mg/L CST Name (Please Print) Sign re: CST Number James K. Thompson S-- 3602 Address A.C.E. Shc & Site Evaluations ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54 7/19/01 715-248-7767 • ~ property Owner Dou4_& Christine Veenendall __ ___ p~~ Ip # - /_J Pft Ground Surface elev. __ _ 9487_. 002-_1016-30-0001_ID#8..29.16.106 _ _._. ft• Depth to limiting factor 24"_ in. Page _ 2_ _~ _ _ 3__, Soil Application Rate Horizon ; Depth ''~ Dominant Color Redox Description i Texture Structure Consistence ~ Boundary Roots ~ CPDIfL._.__.-_ - ' ~ ~ Eff#2 Eff#1 1 0-9 10yr3/2 none srl j 2fsbk ~ as ds i I 2f 0.5 ! 0.8 _ 2 9-16 y 10 r5/4 none ~ sl _ --- 2msbk __ ds as _ . _ ~- ---~- _ ~ 2fmc ~ .. _ 0.5 ,_.__ -. ~ 0.9 ~ - - 3 - 16-24 -- - - ~ 7.5yr4/6 --- _ - ___-- none ,___ _.. ------ - - ~ sl r --- ~ ~ 2msbk,. ~ - ds aw , _ _ _. ~ 2fm,1c -r - -- 0.5 ~, 0.9 4 24-42 7.5yr4/6 f2f 7.5yr5/8 _ sl t j I I 1 msbk - ~ mfr __-- ~ 1 fm ~ -- - - 0.4 0.6 _ _ _ ~ _ - I~ ~ _. _._ _! j -_ - _ _ l I ~ ~ __ I ~ -- J B~;ng D Boring # 1/ Pit Ground Surface elev. - 84.37 - __ _ ft. Depth to limiting factor 7" __._ _ __-_ in. ~ Applicaton Rate Horizon I Depth ', Dominant Color Redox Description Texture i Structure Consistence Boundary Roots _ _ GP~1fL._-- _ I !i I 'Eff#1 'Eff#2 1 ' 0-7 --- _ _ 10yr3/2 , _----none --- .---- ----- - - - - sil- - a-----2fsbk.-- { 1 _ .-_-as---~ -- as- - - 2f % ~- t- 0.5 0.8 - _ - 2 7-15 10yr5/4 f2d 7.5yr5/8 I sil l 1thinpl ds as j 2f,1mc ~; 0.2 0.3 3 15-28 10yr5/4 m2d 7.5yr5/8 ' sil msbk , 1 I ds I aw r 2fm,1c ~ 0.2 0.3 -- - -______ - - _ ._ _- --- _ .._ - _ .- 1 ___ t - _ r _ . _ .. _ 4 28-39 7.5yr4/6 f2f 7.5yr5i8 ' sl 1 msbk ~ mfr ~ - . I 1 fm 0.4 0.6 _ - ..i _.._____. _..-_.__..__ _. _____... _-_._-_. ___ -_.__.._ __...-.._ ___~ _.-___-__..- I -...._._.__._-__-___ _. -"t II __ __ _.._ 1 --. . I ii _ --. . i ____._ - I 1 ~ -. _. _ ....... _-.._-._ ~, ~~~ Ong # ~ BOrrng 7 0 th to limitin factor D ft 9" i i/ Pit Ground Surface elev. _ . 6 _ - 8 _ ep . __ g _ _______.__ n. Soil Application Rate p Haizon De th ~ Dominant Color ' Redox Descriptiat ~ Texture SUucture ~ ~, Consistence Boundary Roots _ GPD/f'L _... _--- , ~ 'Eff#1 'Eff#2 j 1 ', 0-9 10yr`3/2 none ~ sil ~' 2fsbk I ds ~ as ~ 2f 0.5 0.8 _. - + - 2 9-20 10yr5/4 f2d 7.5yr5/8 ~ sil 1thmpl ~ ds i as 2 f,1 m e ~ 0.2 0.3 . - -- ---- -- - - _- 1 1 --- - -- --_- - - -- 3 20-32 '~, 10yr5/4 f2d 7.Syr5/8 s0 1 msbk ~~ ds aw ', 2fm,1 c j 0.2 0.3 _ ___ - _- - --- _ - - - - ~ - --- - --- _ ~ - - -+ _ - - _ f _ _ _ _ __ - ~ _ . _ _ r _ 4 - 32-46 _ _ I _7.5 r4/6 Y . f2f 7.5 r5/8 Y - - --- ----- __, - s~ 1 msbk _ _ ~ - mfr, - '~ 1 fm ~ f-- 0.4 0.6 _. i __ ~ ~ I , _: - - - } _-_ _. ~ - -_ __ _._..... _ _ .. _ -- ~ - ___ i ~ - i M 1 t - __ 'Effluent #1 = BOD 5> 30 < 220 mglL and TSS >30 < 150 mg/l. • Effluent #2 = BODg <30 mg/L and TSS <~0 mg/L "the Department of Commerce: is sus equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department set 608-266-3 15 f or TTY 608-264-8777. '' o. ~" • __ nc. ~ ~: ~P c F ~e%!`one ~ sSamed elegy/: _ ~d0. ~; /0 7 ~v~e • ~ 0 • /, nc c~~~'• # / s~39 ^ ~,;1 edaG.co-£o~-~ p'~ o~ .. ~ a ,r ~- f ~ ~ ~4 ~ ` ~i = i~0 ~ 5~1t/c: / ~_ ~ ~ ~ ~ „i ~C W~ ~ 93 Bz ~o r ~tri 5 ~ ~e (~[cn¢nc~a </ ~~ ~y~ Sc•~i1 E, Sec. 8, Tn. o~'~z/c%„i.~ S ~I ; ~oPC. sf .cro rr. co., ~ r, d~ w~ ~ h~ 1 Ex' ~%'~ •~o be r4~~d ^ gZ ~ ~ 3 o q3. ___ ~r---------_--~ --- o C ; ~~; ~~-~ ,t.. G ~ ~ ; f ,~ pf~,~~x, ~, ~ G S Fo C~F?w l r^ES~~e~aCe 6y ^ ~a~ : ul e 1/ to cr~2 d i h b~-~n Q,~~pr~_ ,ZSD ~ S o (,~ ~/i east o.!' 575{•~m /oc.~6'o». 85 ^ ~ • 3 0~'3 Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ;,, ,,.,.,,,r,,,,~,.,~r,, r~„~, A~ w~ ,4rlm corn 1439 PaOe i of 3 AC.E. Sor18 Site Evaluatrons Attadr complete s8e ~ on paper not less tlran 8'/: x 11 inches in size. Plan must County St. Croix include, iwt not limited to: vertical and ha¢art~ reference pant (BM), direction and Parcel I D percent slope, scale a dimemsiars, noM arrow, and location and distance to nearest road. . . 002-101 ti-30-0OO,1D#8.29.16.106 Please print all lnfonnation. ~ D~ Personal information !"~ Provide maybe used ror secondary purposes (Privacy Law. s.15.Ob (~) (m)). 9 O Property Owner Property Location Doug 8 Christine Veenendall Govt La SW 1M NE 1!4 S 8 T 29 N R 16 W Property Owner's tiAsiling Address Lot # Block # Subd. Name or CStiA# 2255 107th Ave. City State Zp Code Phone Number ~ City _' ViNage Town 8aidwin ~ Wl 54002 715-684-3429 Baldwin ~ ~ .'~. `107Th Avenue ~~- /~ New Constreiction Use: ~ Residential / Number of bednoorfu - - - 3 Code derived ~ Replacement _~ Public a cammetaal -Describe: Parent material Glacial TiH Flood Gerreralcarnrrrents and recorrrnendations: Mound system elev. = 95.82' at 24" above 93.82' contour. ~ ra~ ~~~it*~7~450 •----GPD ~ LLG.r Y 1.1~ - na ''~}~" U { S7< '1`v ~~ # ~ Bonng i~ Pit Ground Surface elev. 93.OQ it. pepttr to limiting factor ~ i! •t f. -~ '~" ~.,..~ ~•-• Soil Appfir~an Rate Haizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots OP 'Eff#'I D/ft= *Eff#2 1 0-7 10yr3/2 none sil 2fsbk ds as 2f 0.5 0.8 2 7-12 10yr5/4 none sil 2fsbk ds as 2f,1mc 0.5 0.8 3 12-16 10yr5/4 f2d 7.5yr5B sil 2msbk ds aw 2fm,1c 0.5 0.8 4 16-36 7.5yr416 f2f 7.5yr5/8 sl 1msbk mfr - 1fm 0.4 0.6 Boring # -~ Bortrg t/ Pit Ground Surface elev. 92.53 ft. pepth to limfing factor ~ 2N i~• Sa'I AppNcafion Rate Horizon Depth Dominant Cola Redox Description Texture Stucture Consistence Boundary Rods GP D/it: *EtT#'1 *E 1 0-6 10yr3/2 none sl 2fsbk ds as 2f 0.5 0.9 2 6-12 10yr5/4 none sil 2msbk ds as 2fmc 0.5 0.9 3 12-18 10yr5/4 f2d 7.5yr5/8 sil 2msbk ds aw 2fm,1 G 0.5 0.8 4 18-33 7.5yr4/6 m2d 5 /8 & t2d t n si 1 csbk mfr - - 0.4 0.6 " Effluerrt #1 = 80D y> 30 <_ 220 mg/L arrd TSS > < 150 * = BOD <_30 mglL and TSS <~0 mg/L CST Name (Pl~se Print) Sig CST Number James K. Thompson ~Y- 3602 Address A.C.E. Sal & Site Evaluations tie Ev~uaation Corrduded Telephone Number 340 Paulson Lake lane, Osceda, WI 7/19!01 715-248-7761 4 p;npeaty Owner Doug S'; (3tristine Veenendall p~ tD # 002-1016-30-000, ID#8.29.16.106 Page 2 of 3 ~~ # ~ Barirg PR Ground Surface elev. 94.87 ft. Depth to limiting factor ~ in. ~ ~ Rate ri on H De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots z o p 'Etl'#1 'Eff#2 1 0-9 10yr3/2 none sil 2fsbk ds as 2f 0.5 0.8 2 9-16 10yr5/4 none sl 2msbk ds as 2fmc 0.5 0.9 3 16-24 7.5yr4/6 none sl 2msbk ds aw Zfm,1c 0.5 0.9 4 24-42 7.5yr416 f2f 7.5yr5/8 sl 1 msbk mfr - 1 fm 0.4 0.6 Pit Ground Surtace elev. 84.37 ft. Deptt- to limiting factor 7~ in. ~ ~ Rye ~9 # ~ ~~ Horizon Depth Domin~t Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2fsbk ds as 2f 0.5 0.8 2 7-15 10yr5/4 f2d 7.5yr5/8 sil 1 thin~l ds as 2f,1 me 0.2 0.3 3 15-28 10yr5/4 m2d 7.5yr5/8 sil 1 msbk ds aw 2fm,1 c 0.2 0.3 4 28-39 7.5yr4/6 Y2f 7.5yr5/8 sl 1 msbk mfr - 1 fm 0.4 0.6 o ~~# _~$orins ~ Pit Ground Surface elev. 80.76 ft. Depth to limiting factor 9" in. Sop Application Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Consistence Boundary Roots 'Eff#1 'Eff#,2 1 0-9 10yr3/2 none sil 2fsbk ds as Zf 0.5 0.8 2 9-20 10yr5/4 f2d 7.5 r5/8 sil 1thinpl ds as 2f,1mc 0.2 0.3 3 20-32 10yr5/4 f2d 7.5yr5/$ sit 1 msbk ds aw 2fm,1 c 0.2 0.3 4 32-46 7.5yr416 f2f7.5yr5/8 sl lmsbk mfr - 1fm 0.4 0.6 ' Effkiertt #1= BOD y~ 30 < 220 mg1L and TSS >30 < 150 mglL ' Effkrent #2 =BODE <_30 mgll. and 7SS <~0 rnglL The Department of Commerce is an equal opportunity service provider and empbyer. if you need assistance to access services or need material u: an alternate format, please contract the deparaner-t at 608-266-31 S 1 or TTY 608 264-8777. •-~ -, enc.. ~: ~P o ~' ~e1e~o~ione /O 7 ~ ssurric~d elect: _ /c~.~. ~d~e. ~- ~ 8- /3.20' ~ o h ~ q~,2s" .. ~ ,r ~" ,~ ~ N/f ~ ~ ~ ~°i -u ~+ .u v l ~C ~ 1u ~ / 1 ~ 93 Bz. ~oPG ~~ d~ w~ h ~~ o 1. Q 3 ~~~ re SrdcNCG ~o bye (4~ed ( ^ L v~ ~ ~_ t~ ,~ n~ ~, ~~_ _ _ __ _._r i ~ ('r'~~~~'- /o~a~,~-, ~~ -:{r~vrGSFO' ~^~S,~e~+ce ^ Pay/ c~e~: ~` /s/sY -~E-E.Y/~s'fr'r-~ {once/."ne I ~ ale da ~oY, / ~ ~C11/~: / ` f~0~ S w n E, Se ~ . 8, Tn . o,~' ~/dc.,v~ Sf .cam rr. Co., ~ r. ~o~ : l.U~ /o C.4.~~. d i l~ 6~n Q~~p~~, DSO ~ SoG4~,F east o,C Sy S t<<m ~DC..cc 4'oy~ , g5/ ^ ,/ ~. 3 0~'3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~` ~' ~LIiS'~i ne l/`e e~ren G'a (/ Mailing Address ZZSS t07 ~ /~(~e. ~.Ldw~'n~ c,J/. ~/G~Z Property Address ~•~»e (Verification required from Planning Department for new construction) City/State Pazcel Identification Number 6os -/a/G -3d -~Dy 8.29. /G, ion LEGAL DESCRIPTION Property Location .5 ~J '/., n ~ '/4, Sec. 8 , T 29 N-RAW, Town of ~~~W%~ Subdivision -~ ~ .Lot # ~~. Certified Survey Map # ~'l,4 , Volume -- ..Page # _ Warranty Deed # ~ ~~ ~ ~ ,Volume / ~t3 ,Page # Z ~ Z Spec house ^ yes C~-no Lot lines identifiable (`Yyes ^ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 Commerce 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 Zoning Office within 30 days the year a tion date. ~ ~/ ~-3/ d IGNA OF APPLICANT DATE OWNER CERTIFICATION 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 pr rty desc 'bed abo , by virtue o warranty deed recorded in Register of Deeds Office. / .3/ SIGNA OF APPLICANT DATE *~**** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 09/08/01 THU 0':23 FAQ 71S 388 X686 ST CRS CO ZONING, ~ oo>. ' 65646.5 _ ~o~ 1718PAGf 3~ i'•.N i i-ILEEN H. WALSH f:EGISTER OF DEEDS :ai. CFiOiX CO. ~ WI Document Number oowment DECEIVED FOR RECORD St (:~QIX GOtI>r1 ~1 ~ `~~ 4?-i3-2441 8:44 AM .,~ . ` ~ • R - AFFIDAVIT ECEIVED Occupancy Affrd EXE?9RT tl ' '"~ , CERT CORY FEE: ~ SEA ~ a pp~ U ( o, ZO01 _ CORY r'EE: 2.40 '-. TRANSFER FEE: ST C~Ix ~ DECORDIMG FEE: 11.40 Name - Owner) Typed or printed cAUNTV '•~ WAGES: 1 being duly sworn ,states, under oath, that: ~,~ zONM001=PICE fti.. . -` - 1. He/she is the owner/part owner of the following arcc faud~ 1 c~t~d,i' S' j Croix County, Wisconsin, recorded in Volume Page Z ~' cat Ntuntxr ~.DOO 5c. Croix County Register of Deeds Office: A parcel of land located in the'/. of a /j~~ of Sxtion ~ T~2 N R W ~ ~ ~ t~tr and Rotum Addreas r/ up e~ ~q,s 1J ,ty, e~`I ~ _ - ~(~ , Town Of , , 4,y/ /1 , St. Croix .ua f 07i/Q, County, Wisconsin, being duly described as follows (include lot no. and GJ~X~r~~vt ~ t SY~~ subdivision/G$M or detailed loge! description}: . ~Z -/o/G-3o-GY90 As owner o! the above described property, I acknowledge that the septit; system serving this residence is sized for a bedroom home, ar a design flow of .The design lbw is calculated by a suming 15Q gQd !or 2 indlvfduals per bedroom. There are current! ecupants living in this residence; ~ occupants are permitted based on the design flow. Therefore the sap ystem serving this residence is code compliant. However, I understand that >f there are Intentions t0 exceed the number of permitted occupants, the system will need to be modified to accomodate any increased wastewater flows and/or cpntsrninant bads. I also acknowledge trier I will make this information available to any future parties interested in purchasing this property. Dated this 4ay of w AUTHENTICATION Signature(s) euthenleeated thin day of /rtTLE: MEMlaER STATE BAR OF WISCONSIN (K not,Il e ~ oa by g ~oe.os, wl rata ~ THIS S DRAFTED 8Y (Signatures may be authentioetad ar acknowledged. Both are not necessary.) - O~_ ACKNOWLEDGMENT STATE OF 1NI$CONSIN ) 1~- St. rolx County. ) ~_ f Personally came before me this ~ day of Z a0 ( rho above namod~/Q.S U4¢.rtGrt a(Q. !~ inn know to be ~Q person(s) ! Md the ~ trumeht a adcnowtedge the ~o~~...•• .... ~j0 . .~ V ~ ~ ~ ' _. sr Does: Public, State of WI^corulrr" •. ~, rtptlsck~p la Qermanent. Itna~iKata sxDita~op QBta: ' "THIS PAGE IS PART OP T1tIS LEGAL DOCUMENT - DO NOT REMOVE" This lnrOn»stlprt must be Completed by suDmlfter. document Ntle. name 6 retwn~ddtess. and P!N (H requ-n:d). Other lnlbrrrrotion auofi as Hro granting clauses, lesgal description, etc. may [x pieced on this krst page of rho detument Or n~By ~q placed on edeYtlana/ pspos of the document, f11 'Use of thin cover page adds one page to ycUr document and .00 to the recortlNhtt ree. wrsconsln Stahr!es, 58.3? 7. ~ r This Deed, made between Dorothy Grotenhuis, Grantor, and Douglas W. Veenendall a. Christine L. Veenendall, husb2~d and wife, as joint tenants, Grantee. Witnesseth, That the said Grantor, for a vaiuable consideration of one dollar and other valuable cors~deration conveys to Grantee the fcllow:ng described real estate in St. Croix County, State of Wisconsin: ~J Es0001 1 KATNL~EN H. WALSH kEGISTEk OF DEEDS ST. CkOIX CO., WI RECETVED FQfi RECORD 03-2~-1999 9:30 Att YARRAItT t DEED EJ(EpT N CERT COPY FEE: COPT FEE: TRAkSFER FEE: !25.00 REC!'kDIM6 FEE: 10.00 Pai _S: ~ Recording Area Name and Return Aodress Bakke Norman, S C_ 900 Main Street PO Box 54 Baldwin, WI 54002 002-1016-30-000 002-1016-40-000 002-1017-60-OOG (Parcel Ident~cation Number) South Half of Northeast quarter (S'/: of NE 'h) and Northwest Quarter of Southeast quarter (NW'/. of SE'/.) aM in Section Eight (8), Township Twenty-nine (29) North, of Range Sixteen (16) West, St. Croix County, VI:'isconsin. This deed is given in satisfaction of a Land Contract dated January 10, 1979 received in the Register of Deeds for St Croix County in Volume 588, Page 201 as Document No. 354515. This is homestead property. Together wit; ~ all and singular hereditaments and appurtenances thereunto belonging; And Grantas warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility fights and reservations of record, and will warrant and defend the same Dated this ~%~ day of March, 1999. e~ rru~..~.~ . ~--- 'Dorothy Grot nhuis Center Connection Lateral Layout Daigram Force main connection Via tee or crass to manifold at ang point. ~ ~ •=Turn-upwlball valve or IEX~~E cleanoutplug Holes drilled on the bottom of the lateral. ~~ Number of Laterals 4 Lateral Diameter 1.50 in Lateral Length (P) 44.28 ft Lateral Spacing (S) 2.50 ft Lateral Flow Rate 7.41 gpm System Flow Rate 29.66 gpm Total Dynamic Head 19.64 ft Dose Tank Information Locking coves with warning label and locking device and sealed watertight Electrical as per NEC 300 and --- Comm 16.28 WAC ~ 4 in. min. Disconnect --ii-- ~_ ~~ Laterals & fame main aF PVC Soh 44 per COh+1M Table 84.30.5 Orifice Diameter 0.125 in Orifice Spacing (X) 2.53 ft Orifices per Lateral 18 Orifice Density 6.25 ft' Manifold Length 2.50 ft Manifold Diameter 1.50 in Forcemain Velocity 3.03 ftl Laterals are identical Tank component is properly vented Wieser Conc. combo. Ca aci 603.36 Volume 16.76 Manufacturer Gallons gal/inch ~- A B C D Dimension Inches Gallons A 18.36 _ 307.67 B 2.00 33.52 C 5.64 94.57 D 10.00 167.60 Total 36.00 603.36 tank. Alarm Manuafacturer LevelArm Alarm Model Number DLV ~~ Pump Manufacturer Zoeller Pump Model Number #137 Pump Must Deliver 29.66 gpm at 19.64 ft TDH Project: Doug 8~ Christine Veenendall 3 bedroom residential mound E- ARemate otrtlet location Forcemain diameter ~ 2 in. Weep hole oranti- siphon device P~off e~vaa+on (ft) 85.83 Dose tank elevation (ft) 85.00 Page 4 of 9 • Center Connection Lateral Layout Daigram Force main connection via tee or cross to man~oM at any point. I P -~ •=Turn-up.~ballvalve or I#~~I#s12~ cleancutplug Holes driAed on the bottom of the lateral. Laterals are identic al s ~~ Laterals & Force main of PVC Sch 40 per COMM Table 84.34-5 Number of Laterals 4 Lateral Diameter 1.50 in Lateral Length (P) 44.28 ft Lateral Spacing (S) 2.50 ft Lateral Flow Rate 7.41 gpm System Flow Rate 29.66 gpm Total Dynamic Head 19.64 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --~ Comm 16.28 WAC ~ 4 in. min. Dis~ect ---iii--- _____.__ Tank component is properly vented Wieser Conc. combo. Ca aci 603.36 Volume 16.76 Manufacturer Gallons gal/inch Dimensio Inches Gallons A 18.36 307.67 B 2.00 33.52 C 5.64 94.57 D 10.00 167.60 Total 36.00 603.36 A B C D 3" Bedding Project: Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoeller Pump Model Number #137 Pump Must Deliver 29.66 gpm at 19.64 ft TDH Doug & Christine Veenendall 3 bedroom residential mound E-- ABemate otrtlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device off elevation (ft) 85.83 ~ Dose tank elevation (ft) ~ 85.00 Page 4 of 9 150" ., ,. ,. ,. 1 , ~ 1 __ ,^~ . ~~. ,~ \ , ' ~, i !, , ~1 r ~ \ \\__/, . -- FILTER -- , .; OR BAFFLE I I i i J li /'1L~. I ~ T - 1 A~~ \/GAIT I OUTLET M ...,,,L~. ,, ~ - , ~L OPTIONAL MANHOLE ACCESS 4" VENT NLET N WLP1000/600-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. HEIGHT: 56" O.D. LENGTH: 150" O.D. WIDTH: 84" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36" WEIGHT: 14,795 LBS. INLET AND OUTLET: 4" BORE WITH STOP FOR QUIK-TITE, FERNCO GASKET, CAST-A-SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) L IQUID CAPACITY: 27.88 GAL/IN (SEPTIC) 16.76 GAL/IN (PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET CUSTOMIZED TANKS: TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE ~0~~~~ ~o~~~~~~ W3716 US HWY 10, MAIDEN ROCK, WI 54750 800-325-8456 MODEL WLP1000/600-MR SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON JANUARY, 2001 Fire w~Piooo soo-MR