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HomeMy WebLinkAbout002-1083-80-000__ _ r'te'"'" " " r jea,~ Wisconsin.uepar(mentofC:~Smmerce PRIVATE SEWAGE SYSTEM Safety and Building [division ~1 INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Sandvi ,Tom Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: D ~ od w TAAII[ IIU C/1b 11AAT1AlU CI C\/ATIf•1t~1 r1ATA TYPE MANUFACTURER CAPACITY Septic / o Dosing Holding ,~ ~ANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7~~ ~ ~ , ~ ~ ~ 13 _ Dosing , >~4 / y l00 ~ lay ~ ' l o 0 Aeration Holding PUMP/SIPHON INFORMATION 5~'9 i\/ Manufacturer Demand GPM Model Number ~'~ l (~ 2.lC,~~ TDH Lift Friction Loss System Head r TDH 1Ft orcemain Length r Dia. Zu Dist. to Well > /t7 ' Zo u SOIL ABSORPTION SYSTEM tom- r-~a.ilt?'0 /~~~~ County: St. CrOIX Sanitary Permit No: 399487 to Plan ID No: ~' 3 s l rcel Tax No: 002-1083-80-000 STATION BS HI FS ELEV. Benchmark ~` Alt. BM Z• s ~Ir 3-Z5' Bldg. Sewer 3 0 . S t Inlet ~ (o,zS ~0~, 0 t Outlet • t; z 3 Dt Inlet DtBottom ~~\ J ~I~s ,~a, Header/Man. L4 2•`~~ r of. 3 Dist. Pipe /^ \ , c f V ~~ 13r Bot. System ~A g,a'~ 3.as D (. 2~ Final Grade St Cover BED/TRENCH Width [ Length ~ No. Of Tser+eheS- PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS "fr TJ ~J ~~ ~ 1 SETBACK SYSTEM TO P/L B L G WELL LAKE/STREAM LEAC Manufacturer: INFORMATION CHAMBER O R Type Of System: r _ UNiT Mode er: DISTRIBUTION SYSTEM (~~~P ~•a.~ • > Header/Manifold I 1 th ,C Di l "2'~ Distribution f ~~ / ~ Pipe(s) Z th 36'~ Di • Z~ S i ~~ L x Hole Size p I g x Hole Spacing S3 r 2 Vent to Air Intake --------~ f- a Leng a ng eng pac SOIL COVER x Pressure Systems Oniv xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil Yes ~ No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~~ Inspection #2:_~/ 2 /~ Location: 2305 Rose Lawn Woodville, WI 54028 (NW 1/4 NW 1/4 33 T29N R16W) NA~Lot N/Y ~~~` Parcel No: 33.29.16.4860 . ,~, ,~U ~. ~- 1.)Alt BM Description =`.y ~ S~~' ~ 1' - ~t 2.) Bldg sewer length = ±IS~ ~ 'Z-~~ p~-9~- r ~ ~^^~ / `~(~~` ~^"~"~ - amount~f cover = >/~" 3.) Contour = 3-3 (~ = /06.82 s `l•~ tlr,,`s~ St~S>~ Gv-a~. ~° eat Plan revisior~Regt~ired. ^ Yes No Use other side for additional information. SBD-6710 (R.3/97) Date . r /_ q Insepctor's Signature Cert. No. l.~ ~a+^~0 CPS G ~Z~s/D / ~L o ~ ~ t/1.r ~.. ,tom. ~ S `~S I ~ N/~- Safety and Buildings Division O. Box 7162 P ton Ave Washin 201 W C011°ty ST . CROIX . ., g . _ ` Madison, WI 53707 - 7162 ~n i Site Address scons 2305 ROSE LANE, WOODVILLE De artment of Commerce SanitarypermicNumber Sanitary Permit n 39 9 `~8 ~- In accord with Comm 83.21, Wis. Adm A~ :, nal infbrrhation ou provide ~ ^ ~~k if Revision ) f tna be used for second rivet w, s15: lication Information -Please Print o -' A I S~~ plan I.D. Numbe lt2 Id # 676399 . pp . rans . ' ~ "`"' Parcel Numberd s Name Property Owncr }' ~~~ ~ ~~ ~~o~ Ua Z.r• / Op?j'-~$d -6p Cs ; -.! TOM SANDVIG 3 Property Owner's Mailing Address ,~~ Property Location 2305 ROSE LANE '* 'r ~ NW 'k NW u• s 33 T 29 N R 16W 1~ on umber ~ Lot Number Block Number city, state •a ~ •r-~' N WOODVILLE WI ' ' 540 ~ 715/684-2075 Subdivision Name CSM Ntwber NSA II. Type oP Building (check all that apply) OCiry 1 or 2 Family Dwelling -Number of Bedrooms 2 ^Village ^ Public/Commercial -Describe Use ~owrtship BALDWIN C ~ ~ ~~ Nearest Road ^ State Owned ~ t ~ t _ . n ~ `` t.i _ ~ t t' ~ ROSE LANE III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A For County use 1 ^ New 2 ~, Replacement System 3 e ement of 6 ^ Addition to S stem T Existin S stem Date Issued Permit Number B. ^ Check if Sanitary Permit Previously Issued 7V. Type of Permit: (Check all that apply)(numbering scheme is for internal use) -~ -Q-- lU9 - 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 Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/'1~•eatment Area Information: Rate System Elevation Final Grade n Percol~o Design Flow (gpd) Disposal Area Dispersal Area Soil Applicad Y Elevation h ) Required Proposed Rate(Gals./Da s!S .Ft.) (Mitt. q 300 300 300 1. N/A 101.81 103.08 VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber Plastic Concrete Construcud Glass Gallons Gallons of Tanks New Ezistin8 Tanks Tanks Septic or Holding Tank 100 - 1000 1 WIESER CONCRETE X Dosing Chamber 75 750 1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume responsibWty for installation of the POWTS shown on the attached Plumber's Name (Print) Pl 's Signature MP/MPRS Number Busitteaa Photw Number BENNIE HELGESON 220292. 715 772-3278 Plumber's Address (Street, Ciry, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY WI 54767 VIII. Coun /De artment Use Onl Sanitary Petmit Fee (includes Groundwater Date Issued Issuing Agent Signature (No $tawpi) ~Apprtived ^ Disapproved Surcharge Fee) dp ^ Owner Given Initial Adverse . ~ 3Z ~• ~- ~ u Determination IX/C~ond~Iit7~ions oP A rovaUReasons fo Disapproval , „ ~ ~ _n ^ ' ~ ~ ~ S ~ ~ Wes ( ,~ ~.2JV~SL- T~/ ~ . ---~ ~4~C`~ w'~ S . . . Q.d _~/~. 1 Attach complete plena (to tLe Coont~ ody) for We a~stem on papa' not lea titan 81/2 tt ll !ache In dze :.Gr •:~#:: r SBD~6398 (R. 05!01) : • f ~30 - 5~r-e et ~~` P~~ S~ .~ ~/QOS~ l~h2 ~~: rp ~' ~a; 1 ma~s~(;r,~ , rM Comer. f(SSce.+~e,de 1¢~' = /G~. CU• f(GE. B.i+t ~ TP oF'Ca6/e fd. P~l:s~.. EIQ~r , iav.86., 61 ^ ~ _ ~~.,r' I l -3/0~0~ I P I I ~~ t_ .~i. a . ; ~i ~ o a P~oposcd ~tow~d a.~ /S.~/;rdR29' cv/S/ X 7S 'd; s ~5a-/ Ce/% Fo~.~r ('I~._ /ateia./sdt /ya°r3G.4A'~,yl~g o~i~ces S~Oactda.~E ,Z.S~ ©PfLn .4a "-~anc~ -ToM ~,,, d/, P~o~o. /? GJ n l,J~ S. 3 ~Tn . a+~ 330'± u~ ~'; ^ Soy % Q da lua~'vn /J, ~ Ele Ja~vn 330 ~'- -~' Clain/'A/1 7'~~CZ x3o ~l (~... ~. mot. ~ t~,t~ o ~' ~ , ca/e: / SG~+in~. EIcN. = iio.3o; made 6u.1d~~q SCwe~ _i~•yo, Es6. ele~:G{~Po~B.s =~o~sro' ~ well 3 /, a00 ~ S,T. EXiS~~ ~ •~ ou~le .2 6e~M ° r~s~dcNc ~_y •s.T.iX.3o3~ e /kLn~ line ta~nbcr d~wc)'t'. Abandon --- as ~""cede. Eke Q,~ ~ipu.v+~n GF•~r~/tJP~ QGL!'4Q.L ~~CS r /O,Z.,tO~ trees r, ~. Safety and Buildings ' 4003 N KINNEY COULEE RD ~ _ LACROSSE WI 54601-1831 ~ ~ - TDD #: (608) 264-8777 ~scons~n www.commercestate.wi.us/sb Department of Commerce ~.-- "' l~ tn, www.wisconsin.gov E ?~ l~ ~'" , Scott McCallum, Governor ~ ' Philip Edw. Albert, Acting Secretary ~ R \r' `~ `~"E a October O1, 2001 ~~~ 1 ~ ~~~1 ~ ~ ~ X d~ . ~ r CUST ID No.220292 y~ ~~(S"t A7TN: POWTS Inspector ~' c'L~''~ ZONING OFFICE BENNIE W HELGESON ~-,° ~-~ -~--` ; `~ ~ 6 ~? t ~""/ ST CROIX COUNTY SPIA W 1229 770TH AVE _r__ ~.-- 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 5406 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/01/2003 Identificati umbers Transaction ID 76399 SITE: Site ID No. 636 6 TOM SANDVIG Please refer to both identification numbers, 2305 ROSE LANE above, in all corres ondence with the a enc . TOWN OF BALDWTN ST CROIX COUNTY NW1/4, NW1/4, S33, T29N, R16W FOR: DESCRIPTION: TWO BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 812799 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 SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) 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 VIII of the Mound manual, and the pressure distribution component manual aze 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 25 feet from any PO WTS tank, and a minimum of 50 feel from the absorption area. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Ivlaintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Limited activities aze allowed in the area 15 feet down slope of the component azea. Soil compaction, excavation, vehiculaz traffic and other similar activities that impact the treatment and dispersal are prohibited. ' / •~ • BENN[E W HELGESON Page 2 10/1/Ol • 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 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. • 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 shalt 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 (01.12(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, ! .._.~=- Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce.state. w i. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: TOM SANDVIG ~ ~ ~scons~n Department of Commerce October O1, 2001 CUST ID No.220292 BENNIE W HELGESON W 1229 770TH AVE SPRING VALLEY WI 54767 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/01/2003 SITE: TOM SANDV[G 2305 ROSE LANE TOWN OF BALDWIN ST CRO[X COUNTY NW1/4, NWI/4, S33, T29N, R16W FOR: 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 A7TN.• POW7S Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 676399 Site ID No. 636346 Please refer to both identification numbers, above, in all cones ondence with the a enc . DESCRIPTION: TWO BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT [D NO.: 812799 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 VERS[ON 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01181) 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 VIII 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 well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • 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 • 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. • BENNIE W HELGESON Paget 10/1/0t • 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 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 b~°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 construction installation/operation. [n 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 slats 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, ~~~~~ ~,~ FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon: Fri. 7:45 AM to 4:30 PM cb ratz@commerce. state. wi. us WSMART code: 7633 cc: TOM SANDVIG .~ MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Tom Sandvig 2 bedroom residential mound Owner's Name: Tom Sandvig Owners Address: 2305 Rose Lane Woodville, WI 54027 Legal Description: NW1/4NW1/4, Sec. 33, T.29N., R.1ti1IV. Township: Baldwin County: St. Croix Subdivision Name: 002-1083-80-000 Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Lot Number: Block Number: Index and title Data entry Mound drawings Lateral and dose tank ~~ cCTv System maintenance specification"s'r 1 i Management and contingency plan Pump curve and specifications Site Plan Sal Evaluation Report RECEIVED SEP 14 2001 & BLDGS DIV. Designer: Ben Helgeson License Number: 220292 Date: 09/07!01 Phone Number: 715-772-3278__ Parcel I.D. Number: Plan Transaction No.: Signature: ~o,~i~ ,_ 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 (01181) Version 3.0 (03/01 /O1) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design 200.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 300.00 Design Flow (gpd) 5.50 Site Slope (%) 100.81 Contour Line Elevation (ft) 30.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ sal treatment for fecal ~~~ ~ <- 3g inches. Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 4.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftZ) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 2.00 Lateral Spacing (ft) If N above, enter the elevation (ft} 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 5.00 ftZ/orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 96.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.81 Vertical Lift (ft) 0.54 Friction Loss (ft) 11.85 Total Dynamic Head (ft) 6.52 Forcemain Drainback (gal) 46.75 5x Void Volume (gal) 53.27 Minimum Dose Volume (gal) 24.72 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selecti in. dia. o Lions choice in. dia. options Choi 0.75 1.25 x x 1.00 x 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/lnch Calculator (optional) Treatment Tank Information 750.38 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 20.28 gal/in (enter result in cell 649) Dose Tank Information Efflu nt Filter Information 750.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 20.28 Dose Tank Volume (gal~n) A100 Filter Model Number Wieser Concrete Manufacturer Project: Tom Sandvig 2 bedroom residential mound Page 2 of 9 Mound Plan View 1 • 1/y __~~ B ;. •Obsenration Pipe •0' K T~~ O. i. B - - -' Q :. i L Mound Component Dimensions A 4.00 ft E 8.64 in B 75.00 ft F 9.25 in D 6.00 in G 0.50 ft 300.00 (ftZ) Dispersal Cell Area 4.00 (gpd/ft) Linear Loading Rate H 1.OOft K 7.14ft 1 7.15 ft L 89.29 ft J 4.56 ft W 15.71 ft 836.45 (ftZ) Basal Area Available 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.08 (ft) --,. , .. ~~ ~ '". w~/l i'.'~~ G ~ N ~~i/Jltl//// Q //fI//f%E .~ ~+. .•.~. F v Disperses ceii ,t 101.81 (ft) Lateral 101.31 ft ---~ - . rr Invert O Dispersal Cell ~ ~ ~[~ : ~ ~ •' ~ ~ Elevation .,~''.• .~ ~` •• ~ •~ }® ~ , 100.81 (ft) Contour Elevation 5.5 % Site Slope Geotextile Fabric Cover Shading Key '~ a ~ Dispersal Cell See lateral details on 10 Topsoil Cap ~ ~ 1.5 ft '. ~ Page 4 for number, © ~~~~~ Subsoil Cap ~ ~ ~ -5~ Q ~ size, and spacing of ASTM C33 Sand ~ Z F laterals. Laterals are T cal Lateral Tilled Layer ~ ~ 0.5 ft mi ^. equally spaced from Aggregate v o ~ ~ 5 ~ the distribution cell's ~--- A -----~ centerline in the distribution cell (AxB). -T -+ _~ -1 Project: Tom Sandvig 2 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main c~nection via tee or cross to manifold at ang point. Laterals are identical I~ p ~ ~= Turn-up w~ball vahre or ~E X-~ IExi!2 xl2-~~ Laterals & force main of P1+C Sch 40 cleanoutptug perCOMN1Table84.30-5 Holes drilled on the bottom of the lateral. Number of Laterals 4 OFfice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 2.00 ft Orifice Density 5.00 fiz/orifice Lateral Flow Rate 6.18 gpm Manifold Length 2.00 ft System Flow Rate 24.72 gpm Manifold Diameter 1.25 in Total Dynamic Head , 11.85 ft Forcemain Velocity 2.52 ft/sec Dose Tank Information Lodtingcaverv~hwarning label and locking device and sealed watertight Electrical as per NEC 300 and --- - -- Comm 16.28 WAC ~ 4 in. min. Disconnect --ii-- Project: Tank component is Properly vented ~~~ ~-' Attemate outlet location Wieser Concrete Ca aci 750.00 Volume 20.28 Manufacturer Gallons gal/inch -r A B C D Forcemain diameter ~ 2 in. Dimension Inches Gallons A 19.96 404.78 B 2.00 40.56 C D Total 3.02 12.00 36.98 61.30 243.36 750.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV tank. Pump Manufacturer Goulds Pump Model Number 3871 EP04 Pump Must Deliver 24.72 gpm at 11.85 ft TDH Tom Sandvig 2 bedroom residential mound Weep hole or anti- siphon device Pum off elevation (ft) 97.00 ~e tank elevation (ft) 96.00 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson, POWTS INSP.#4819 Phone 715-248-7767 POWTS Regulator's Name St.Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 300 gpd Maximum Influent Particle Size 118 in Estimated Flow -Average 200 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 300 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Conform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound In 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 Inspect for ponding 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. Dispersal 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 acxomplished 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: Tom Sandvig 2 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall tie operated in accordance with Gorton 82-84 Wis. Adm. Code, and shall maintained in accordance with its' corrtportent manuals (SBa10691-P (N.01101) and SSWMP Publ'~ion 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic ~ pump tank since dangerous gases may be present that could cause death. Septic and pump tank ~axtdonment shall be in accordance with Cenm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS comportertts. Septic or pump tank manhole risers, access risers and covers shook! be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the cornpldion of servioe. Any opening deemed unsound, defective, a subject to failure must be replaced. Exposed access openings greater than 8-Inches in diameter shat) be secured by an effective locking device to preveitt accidental or unauthorized entry into a tank or corrtponent. Septlc Tank The septic tank shall be maintained by an individual certified to service septic tanks urxier s. 281.48, Stets. The contents of the septic tank shall tie disposed of in accordance with NR 113, Wis. Adm. Cale. The operating condition of the septic tank and outlet filter shall be assessed at I~st once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain sails in the tank that may slough off the filter when rerrtoved from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activ~ed continuously. Intermittent fitter alarms may indicate surge flows a an impending continuous alarm. The septic tank shall have its contents removed when the vdume of sludge and scum in the tank exceeds 113 the liquid vdurte of the tank. ff the contents of the tank are not removed at the time of a tr~rtnial assessment, maintenance personnel shall advise the owner of when the next service needs to be perfortted to maintain Less than maotimum scum and sludge accumulation in the tank. The addition of bidogical or chemical additives to enhance septic tank performance is generally not required. tiawever, if such products are used they shall be approved for septic tank use by the Departrtertt of Commerce. Puma Tank The pump (dosing) tank shall be lnspeled at least once every 3 years. All switches, alarrrts, and pumps shah be tested to verify proper operation. ff an effluent filter is installed within the tank tt shall be inspected and serviced as necessary. . Mound and Pressure Distribution System No trees a shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mu~hed as necessary to prevent erosion aux! to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is net racommertled since sat compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promde frost penetration. Cold weather installations (October-February) dictarte that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may net exceed 220 mglt. BODS, 150 mg/L TSS, and 30 mg/l. FOG for septic tank effluent or 30 mglL BODs, 30 mg/L TSS, 10 mglL FOG, and 10' cfu/100 mL for highly treated effluent. Influent flow may not exceed m~dmum design flow specified in the permit for this instatl~ion, The pressure distribution system is provided with a flushing point at the end of each Feral, and it is recommended that each lateral be flushed of accumul~ed sails at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine 'rf orifice dogging ttas occurred and ff orifice leaning 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 8 incites considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continctencv Plan tf the septic tank or arty of its components become defective the tank or component shall be rt3itaired a replaced to keep the system in proper operating condrton. tf the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired a replaced with a component of the same or equal performance. h the mound competent fails to acxept wastewater or begins to discharge wastewater to the ground surface, tt will be repaired or replaced in its' present loc~ion by increasing basal Brea if tae leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said corrtportents as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulade and service provider. Project: Tom Sandvig 2 bedroom residential mound Page 6 of 9 t Pump Specifications 7 i~ a Up to 40 GPM ~ Discharge size 1'/•" fVPT Solids 'a" maximum Motor Single phase: 115V Materials of Construction arasslthermoplastic Features and Benefits • ToU suction eliminates ~~>>Deiler clogging. • Corrosion resislan~ COIISIfUCf10fl. • Float actuated sv~ilch. M(IIRti fffl L1C~D~L 3c'' 9 70i I j U i - i ~ ~ _ as {-- ~ - ~__ -._ I ~ ' _,_ I ~ e zo - ~- - i --1- _ \ x 1 U $ i I '~. _ i ~ ,s~--- --- ~___.. - Z ~~ 8s Via. ~., ~,• ~ to - - _._,_ 1>~~ S -, .k to zo ~~ _ n s` ,^ ~ 1 ~ a 6 6__-__ _ I_-----.-~-~?.i.~ ~'AE ICAS ff El ------_.~ MODEL D V P03 I s I, 1 ~ ~~ ~. ~ 5 I O I S 70 25 JO 75 40 L $ CPM u 2 a 6 B iO nt~Au CAi'ACITY CAPACI~1 Pump Specifications Features anu liE~nEtils '/lo aura I/~ f~~P • ~~C~ in1!)Ci~l i 1 1 ;..'E.' t!F ~ _~ Up to 60 GPM will ~~;~~;~ ou' < ~~ .~ u~ f f~ Maximum head to 3? Inechanlcal ~~e f Discharge size 1'i~" NPl •EPO` ~nfpe I?f - cncl~e~; ~~~~~::! SOIICIS.'/<~~ maximum (Of u'1pr0 CPC !(r C I l~ln~ Molar •Rug~ieC1 9 a>> 'i.cc l Senn I ~ i_ All motors leawre uali casjng and ta.~ Ins ~~~~ p ~ ~_ bearing construction sups"tor st eng t arJ cor ~~ o~ Single phase: 115V resls~ance Materials of Constnfclion 'Cass Igor ~ cl !~ I cu ~ c _ Cast Iron etilCl?Ill 'le.i' 1'c "~ e i" l~!~'~. ~+nd cii rabil t;~ Thermoplastic Stainless steel •Corrosion r~esit~ it t~~.r~~adc,~ slain'ess steel ~~.,h •Ava!Lfl)le `cr ail Cnla!Ir ar~ manual o,x+fa~:r I All Models are designed /or continuous operation and lealure sla~~~less steel Iu~r~d(vara C9.7 ~;r q (/ S¢.Ct~irM ~o/'nP..r. flssuM(~de lei _ /CYO. Gtr. • f1 L~. B. ~t ~ T p o,~' Cable T. d~ ~o.col:sf~.. Eled,` . /60.86,' apen,¢~. and ,Z 30~ 5~re 2-~ :~ I 6: ~- 1 I ~ ~9. -s/~iaC I t o° 0°1 ^~ Q ~y' ^ ~~ l ¢ da ua ~ /~~ 1, aoo c~.Q, s.r. Ex.'sb cxx 1! ,~ ,¢ •/urS eFF/uc„f ~ ~ a ~ Ele da•~vr; 330''- ~- C~a;n/,•~/~ recce zao ALA.. B, r-t.: ~e o~F ~ Ca/e: /_ , S~dcn~. ~IeN = iio.3o; made buy 1d~~+q Scwe~' /09. yo, Es6. el~~ G~E.-6~p off' B, s. =/07, s~0.' ~ tries ©p~n ,4~_ la„d Piopos~to/irtac,~,~d a.~ /S.7/.r~9.29' w/~ z 7S "d; s ~+-Scc/ Ce/% fur- (9~ /ateia./sa.t /yK"X3G.to9'K,yye„o~~;~'ces S~Oattda.~ ,L. S,d 330' 7M ~.,, d~~ p~~. Awnc,.w S. 3 , Tn. off' Pro p0 c~..~ to •~'-•I~er4 occb(e z 6e~M o _ __, ~r s. r.~r. 3 03 ~ ~` \ e /tctn b line, `~\\ d TSO~,Q ~'i'sE1 scpE.~ ~a~K$ cam btr- ~l~ c~x~ ,.{ bando ~ a3 per Code. Ek/: Bees at 6o~Ev+h~o~F'dryc.~~ = ioz. z.o, P. 8of9 1460 Wisconsin Department of Commerce SOIL EVALUATION REPORT page I _ ~ 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Y -- - - - -- - - - _ - _ - - - percentslope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 002-1083-80-000, ID#33.29.16.4860 Please print al! information. --- --- ------------ - _ _ - -- - - _- -- .. _ -- Reviewed By Date Personal informatbn you provide may be used for secondary purposes (Privacy Law, s. 15.04 (i) (m)). property Owner Property Location Tom Sandvig _ __-_ Govt. Lot NW 1/4 NW 1/4 S 33 T 29 N R l6 W Property Cwvner's Mailing Address Lot # ~ Block # Subd. Name or CSM# 2305 Rose Lane City State Zip Code Phone Number 'City !Village / Town Nearest Road Baldwin I WI 54002 715-684-2075 Baldwin Rose Lane New Construction Use: /i Residential /Number of bedrooms _ 2 ____ Code derived design flow rate 300 GPD ~Replacernent ~ Public or commercial -Describe: Parent material Glacial drift ____- _-__ Flood plain elevation, if applicable _ _ _ -.- _ na _ General comments and recommendations : Mound system elev. = 101.31' at 6" above 1 00.81' contour. Boring # Boring 30° i -___- n. Pit Ground Surface elev. 100.97__ ft. Depth to limning factor ._ _ Soil Application Rate Horizon Depth ~ Dominant Color Redox Description i Texture Structure Consistence Boundary Roots ~,I ___-_. _GPD(ft° ____ `Eff#1 'Eff#2 1 0-16 10y13/3 ; none sil 2fsbk ds as ~ + 2f&m I~ 0.5 0.8 --- +-- 2 16-30 - ----Y-._ .---- 10 r4/4 ~ _ __---none - ___ __ gr.ls ~ _---____ _._ lmsbk __ _- l dl 1 _ _ , gw __ 1 ~ , _ 0.7 ~, , 1.2 _ _ -- i-- -- 3 30-88 --- ~_ - - -- Y----- 7.5 r5/6 ----- -- --- --- - ---- -- -- - _ _ ~- -- m2f7.5 ~ g ~ yr5/8 r.ls _- --- - ------~- - --- - - - --- ------ 1 msbk -- ----- -- -- - --------- -- dl ---- - ----- - - - - - -- -- gw --------- - - - - - - ~-- - - , - j ~ 0.7 - -- 1.2 _ _.._. 4 68-81 ' 10yr613 map 7.5yr518 ~ gr.is lmsbk di I - '~ 0.7 1.2 . - . - - - ------- ---- - -------- i I -..__. --------- -- _ _ - - . -- - - --- - ~ fi- - - - - - r_ _ __ _ _ ~ ~ - __ ~ ~ ~_ - - - 2, 3~ I14 consist of stratified layers of lmsbk Is ~ Osg s too nu merous to differentia te and conta in approx. 10 I . __ % gravel grid cobbles. Boring # ~ ~~ 36" i n. Soil Application Rate /: Pit Ground Surface elev. __ 101.02 _ ft. Depth to limiting factor _ __ ~- -- Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots ___ _. __ GPDIft' __ _.__ * i ~ Eff#2 i `Eff#1 1 0-14 10 r4/3 Y none sl 2fsbk ds as ~ 0.5 0.9 2 1 m i, ------ I _ f --- _-__- ---- __ _ _ -.- __ __ _-- c~-- ,__ __ -- - -. -- -- - - _ _ --- . y 2 14 29 10 r4/4 ~ none ~ I s dsh 2msbk ~ 2f 0.5 0.9 _ _ _. ~ _ ----y-------- 3 29-36 7.5 r5/6 _----- ------ - - + none I~ -- --._. r Is g ---__-_- - 'i - _----- - I 1 msbk s ___ --- gw __ --- 1-__ _ -_ - 0.7 1.2 __- ---- - ---------- - - - . }------------ .____ ___ _-- ---- -- - -- -- -- -- ~ - -- + - - - - ~ y ~ 4 36-74 ~ 10 r6/3 map 7.5yr5/8 ~ gr.ls 1 msbk , dl - ~ 0.7 1.2 -~ - t ~ --- _ _-- fi --- - ,- -- _. -___ - - ____ __ _ _. __ ----- ----~ -- _ --- _..- - } -- _ _ ~ _ - - - ! } ---- - I _ _ _ _ _- ; -consist of stratified l ayers of 1ms Osg -too num erous to differentiate and contain app rox 10 ; g rid cobbles. % ravel a - -- - - --- - - - - ' Effluent #1 = BOD S> 30 <_ 220 mg/L and TSS > 0 < 150 mg/L #2 =GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign ure: CST Number James K. Thompson ~ ~s--°- 3602 Address A.C.E. Sal 8 Site Evaluations ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceola, WI 540 8131 /01 715-248-7767 •,, propertypwner Tom_Sandvig --- Boring # Boring Pit -_ __.-_-._- ParcellD# - Ground Surface elev. _.._ 99..33_- 002 1083.80-000,_ID#--- ____-- _ - ft. Depth to limiting factor ------. 34" _- _ in Page - 2---of- 3 . Soil Application Rate Horizon i Depth Dominant Golor Redox Desaiplion Texture Structure Consistence ~ Boundary ! Roots ~_ _ - _ _GPDIft'_ _ . - 'Effx+`1 `Eff#2 1 0 20 ~ 10yr4/3 none } sl 2fsbk ds , as j 2f 0.5 0.9 2 20-26 10yr4/4 none ~~ sl 2msbk I dsh cw ! 1 f &fv 0.5 0.9 ~ 3 26 34 j 7.5yr5/6 none gels lmsbk ds gw 0.7 i 1.2 - - - - _.-_ __- -- - 4 34 71 'I 10yr6/3 map 7.5yr5/S gr Is - 1 msbk --- - -dl _, ~ , _ _ ~ - -- - _ -- - 0-7- : _ ? ? - 1 - i- i consist of stra4'rfied layers of lmsbk Is & Osg I s too num iff - dat erous to d event I I e and contain - -rox. 10% app j ravel and cobbles. 9 - - a ~~# Boring _ ___ Pit Ground Surface elev. _L~9.23 _ __ _ ft. Depth to limiting factor 33" in• Soil Application Rate Horizon ', Depth I Dominant Color Redox Description Texture 1 Structure Consistence i Boundary Roots ~ *E~1GPDlftE__ 1 ', 0-10 ' 10yr4/3 none sl I 2fsbk ds '~ as 2f + 0.5 0.9 - - - -- --_- - - -- -- - - --- ~ ---- --- ------- - _--+ - - - - - -i _ --- - -- - - - - - - - - - _ _ - - f _ -- - -- . 2 10-23 10yr4/4 none ~i sl '~ 2msbk dsh 1 gw I 1 f ~ 0.5 0.9 I - -- , -_ _-_ ___ -- -- - F _ _ - - - - 3 23-33 7.5 r5/6 none _---y - __~ -~ __.~ - g • r sl ~ _2msbk_._--- ~ _ -dsh - -_-cw-- ~ - -- --- I i 0.9 --0.5 _ ~ -- 4 ! 33-62 10yrE/3 I map 7.5yr5/8 gr.ls 1 msbk dl - . ~ - 0.7 1.2 _ '~ __ ~- I ---- -- i _._.-. ___ t.- ----~ ~ - - I ~___ f _ Boring evaluation completed fa Wisconsin Fund purposes. ^ Ong # Boring Pit Ground Surface elev. ft. Depth to limiting factor - ____ _ in. Soil Application Rate Depth ; Dominant Color Redox Description Horizon : Texture Structure Consistence Boundary Roots _ _ _ tzEDIfL _____ ` ; Eff#2 *Eff#1 -- - -__..-- ____ ~- ------ --__ -. - -- ~ - --t _ ...- ' _ _ _ _ I + -- --- i- ---_ _ ------- --- _ _. - - _ - __ -- - __ _ ____ ,---__ _.I____. r_ -- - __..__ __----_---- I __ ---}------ -1 .__.-- t-- T- ----....--------_.~ --------- ---- ~~ --------I---- I ------- -- -- ----i-- - - -._.-. _.. _._.._ _. i -------•--- -..-.-. I I ~, _..- --- -.._ i ce- 'Effluent #1 = BOD 5> 30 < 220 mg/L acrd TSS >30 < 150 mgJL • Effluent #2 = GODS <30 mg/L and TSS ~ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. [f you need assistance to access services or need material in an alternate format, abase contact the devarttnent at 608 266-31.51 or TTY 608-264-8777. `. .' •' [, n K : ~P Off' S~~ Canner. 11ssc~ apes ,q~, ~o„ d C~E. B.~t ~ 7~P ~ Cab/e T. d. 'c.~~E/e~ _ Gov. B6,' ~ .Z30~ 5fre et *, ~~ose ~ii rye cde lei' _ /CYO. ~: 61 /00, 7y ~, o• i :~ dj ` ~I ,~..:,~1 /~ e; .3/oac ~ I ~i ~I ~~ h ~ 1 iuc.7/' 0 o Q2 S ^ Soy / Q ~a ~un~'~ /~~ ~- Ele ~a~vn 334~~` ~_ ~ainl'AJ~ ~RCZ z3o mad c,/ buy 1Cd ~r+9 Scwe~ - /~+7. 7~~ ESQ. ~k~: G~'LDp O~ B, S x/07 f~ r d 1 ~ (~ a Ex.'s6~ ~ ~ a z 6 cof~ry+ ~ rtS~dcnc E?'i~fl Scp~~~anK~ as ~ Cede. Eke: ca.~ bo~o+h eaFd ~ y~~ q ar'4~L trces QP¢,/1 ~~_ ~anc~ rtcvncv~ S. 3 , Tn.o~ 3,30'-' 3af3 ,, Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT iw ~....nwo....n..riH, (^rw,m Rr, uric 4rim r:[YfP_ 1460 page 1 of 3 AC.E. Sad & Site Evaluatior~ ~~ Attach complete site plan on paper not less than 8Y: x 11 inches in sae. Dien must St Croix include, twt rrot finlited to: vertical and haaontal reference pant (BM), direclion and p~ I D percent slope, sccle a dimensions, oath arrow, and kx~fon ~d distance to nearest road. . . 002-1083-80-000, ID#33.29.16.486C Please print all /nfermaSon. R By p~ Personal ~fomtatlon you provide may be used for secorrlary purposes (Privacy Law, s. 15.04 (1) (m)). ~ Z ply O~rey Property Location Tom Sand ' Govt. Lot NW 1/4 NW 114 S 33 T 29 N R 16 W property Owner's filing Address Lot # BkxdC # Subd. Name or CSM# 2305 Rose Lane City State 7-tp Code Phone Number City vd ,, Nearest Road Baldwin ~ WI 54002 715-684-2075 i~' Rose Lane ~ .-~--- • / New Construction Use: / Residential /Number of bedrooms 2 .~O Replac~errrent Public or corrrrrrerr~al -Describe: Pau+snt materiel Glacial drift and recommendations: Mound system elev. = 101.31' at 6" above 100.81' ~ ' 1L` ~ flovvr~t~ f t LL~Ej ~ f pt~ia/elee~ation, ff appl'' ur. s~~w `.._ IONMrG QF-lelCS ~: ' f 3UU ciMu nor a ~~ # ~~ iV Pit C• j., _ i ,'~ •, . . ,, , in. Ground Surface elev. 100.97 ft. Depth to limfi Soil Appficalor- Rate Horizon Depth Danin~t Cola Redox Description Texture Structure Consistence Boun~ry Roots GP *Eff#1 DIftx •E 1 0-16 10yr3/3 none sil 2fsbk ds _ _ as 2f&m 0.5 0.8 2 16-30 10yr4/4 none gr.ls imsbk dl gw 1f 0.7 1.2 3 30-68 7.5yr5/8 m2f7.5yr5/8 gr.is imsbk dl gw - 0.7 1.2 4 68-81 10yr6/3 map 7.5yr5/8 gr.ls 1 msbk dl - - 0.7 1.2 3 4 consist s layers 1 rrrsbk is i3< Osg s too numerous to d' erentiabe arrd contain approx 10% gravy and Bonng Z Baring # / Pit Ground surface elev. 101.02 ft. pepth to limtring factor 36° k-• So8 Appfrcafion Rate Horizon Depth Dominant Cola Redox Descriptxm Texture Structure Consistence Boundary Roots ~E~GP D ~ 1 0-14 10yr4/3 none sl 2fsbk ds as 2f, 1m 0.5 0.9 2 14-29 10yr4/4 none sI 2msbk dsh cw 2f 0.5 0.9 3 29-36 7.Syr5/6 none gr.~ imsbk ds gw - 0.7 1.2 4 6-774 3 10yr6/3 map 7.5yr5/8 gr.ls 1 msbk dl - - 0.7 1.2 - FqR 3 4 consist straf layers of 1 ms Osg too numerous to and axrtaln approor. 1 gravel and cobbles. Effluerrt #1 = t30D ~ 30 <_ 220 mg/L and TSS > < 150 mg/L #2 = BODS <_30 mglt. and TSS <~0 mg/L CST Name (Please Print} Sig re: T Number James K. Thompson ~-'-- 3602 Address AC.E. Sal 8 Site Evaluations Evahratian Conducted Telephone Number 340 Pau~or- Lake Lane, Osceaa, WI 8/31 /01 715-248-7767 ply Owr~' Tom Sartdvig Par~oel IQ # _002-1083-80-000, ID# Pege 2 of 3 / Pit Ground Surface elev. 99.33__ ft. Depth to limiting factor 34" in. Sal pppucabon Rate ~~ # ~~ Horizon Depth Dominant Cola Redox Description Texture Strur~ure Consistence Boundary Rods `Eff#1 `Eff~ 1 0-20 10yr4/3 none st 2fsbk ds as 2f 0.5 0.9 2 20-26 10yr4/4 none sl 2msbk dsh cw 1f&fv 0.5 0.9 3 26-34 7.5yr5/6 none gr.ls 1 msbk ds gw - 0.7 1.2 4 34-71 10yt6/3 map 7.5yr5/8 gr.ls 1 msbk dl - - 0.7 1.2 H# 3 8 4 consist of stratified layers of lrnsbk Is ~ Osg s too numerous to diff~iafie and n approoc 10% gravel and cobbles. / Pit Ground Surface elev. /~ 2S ft. Depth to limiting factor 33" in. ~ gpplicetion Rye a ~~# ~~ Horizon Depth Dominant Cdcr Redox Description Texture Structure Consistence Boundary Roots "`Etf#1 "Eff#2 1 0-10 10yr4/3 none sl 2fsbk ds as 2f 0.5 0.9 2 10-23 10yr4/4 none sl 2msbk dsh gw 1 f 0.5 0.9 3 23-33 7.5yr5/6 none gr.sl 2msbk dsh cw - 0.5 0.9 4 33-62 10yr6/3 map 7.5yr5/8 gr.ls 1 msbk dl - - 0.7 1.2 Boring evaluation cxx-~leted for Wisconsin Fund purposes. Ptt Ground Surface elev. ft. Depth to limiting factor in. ~ application R~ ~~ # ~~ Ha¢on Depth DcrninaM Color Redox Description Texture Stnkture Consistence Boundary Roots *Eff#1 "Eff#2 * Effluent #1 = BOD 5> 30 < 220 mgll. and TSS >30 < 150 mgll. `Effluent #~ = BODS < 30 mglL and TSS <330 mgll. The 1)eparhnent of Commerce is an equal opportunity servicx pa+ovider and empbyer. If you need assistance to access services or need material ~ an akernate format, t>lease contact the depertrrnent at 6418 2b6-3151 or TTY 608-2G4-X777.. `~~ 6 '~" /~os~ ~a rye t ~ ,~ : oho o{' Se-aEi~y~ner. A sscc,ricde lei' = i~• ~`? r~ z3o~ ire ~~ :' E3~ T,o of dab/e T.d ate. E/e~/.'- _ ~~.~ / npen,4~. ~a~d *~ i ^~ Sao ~y' .~ ~~ ~i ~~ r ~r ~ 9~ r j ,~ e, .s/,,off c I di ~I ~I N~ j,~.~~• o ^ o a2 S N i ~~, s'o; ~~ .~ E/e da~vr~ -~- Chain/'n1~ {ice Z.3o ~o't#rM o~ ~ C4/e; /; = i/0.3o_ ~~ !d~ Scwe.- ~Es6~e/cs 4~-~po~'8.s =io~vo' ~ E2-,sE1 Scp~c~anK$ d~,,~~ r¢bando~ as par code. Ek/: at bo-EFc~, aF= yc•~~ ~~ ~~u pPe.n ~~_ ~acn c/ err 3 z d edian.~ a -_, .. Oar4~ ~M ~..,, dam, p~~. rtWnW~ S. 3~Tn.or~ {mac/o~i.~i n 5•G. Gro ix C'o.~ cJi. g-~( ~ o ca~.o++ • ~ l of ~~' n.,,, `t~.~-s ~'~~+"` u`' p-Q" °x'..,.r t~~s - 330'-' 3 of 3 ~~ SY' CRc~Ih COt~'itiT~' SLP7'IC TAIrX MAINT>rNANCE AGi2.irElv..ENT AND UWNERSFiic~ CERTIFICATIaI` FGKI~'; ;viailin~ Address •c_„!~..`.`..1~.... ~-~"=..-r,g ~~1~~~cii_++~L~'.. 1)~ `~1~~~7 +- :'-~,Ft~:'tV Address a, ~DS__~n ....._r.._~~ -~.-__.._......~ {V t:itiCatipn rC~u~r:d fru:i~ !'lanr.:ng Dcprrlc~ari;t f+,r na++' conswcii~r.) ~.'i1rJtate ~P~ar.~.4a~ ~ Pt ~l - f'~rcel Idrrrzl:iic9tion tiumb~t• ~~,-~o8'r - ~ ~- :aa iU ~: '1a ~.zq . t 6 , v S'v.~;:. t,6;OaL I7:Tr.~S~R~1~TION i'!•opt:rty ~ocaticra _~ '/., IV W f~, Sec. 3~r ~l' ~:~9 -N`R...1,~._~', To~l~n off' ~~r..• tiub.iivisic+n ~_ _ ~1~~. ,Lot # ~. Crrtifeti Survey 14Iap ~ _T___~ _ ~ , '~oiuine ~ ~, P~8~ 1'~~~trr3ut;y Dret1 ~>= ___,_ ti'S~ ~.o '') l __, Voltul':e _ .7~"' _, Page # .,.r~l '7 spec tt~t:s~ t7 yes 7~ n0 Lol li.ne~s identifiable ®~es O no yY'STMATNTENANCF ttnproprr usC and maintenaLCSOt"yv:u scpeic sys;cm could result ui :upr.r:xatwc:s:ure to handle wastes. proper mrinte~sa:.e ,:,,nsist~ oi' pumping out the septic tank curry thrc.c years or sooner, if needed by a licensed p~=~'-per What you put I,DtO the sy.RtEtTt _a^. atTc;t t3te fiut~tioa of tha septic tank as 3 t7Catmen! 3!A(tE iri trr wflste dispusl! eystem. '17~c propc[ty owner agrees to submit to 5t, l;toix Zon:a~ Ltepal~mntu a ccrtiEicatida form, signed by' the owner dad by a ~:i,;stai !'~Eurubcr, juu:ueyittan plttxz~bCr; itatnctedpiuulberor a lict•used pwrp~r vcnfyislgtkrat(!) the On•Sile R+85It:Wtitt;i't~3Sp0611 Sy;itLm ,s in Fri+prr ~~ptrst~ng caudition and/or (2) uftar inspection and pumpia~ {it nccessirz7), the ~eptie facile is Casa tbx~q 7~3 fut2 of slucf~e. t't~•r, cta~ undersigned bavc read the above requ~seAteuu and Ygtc~ to maintaui ttic priv;te ssw~aga dirpoasl system with tba tttia~aic's Rar f xckr, irrttiu. as sr..t by tlr~ T7cn.rtmcnt 4f CoTUmcrcC Gila the laCRa~titiCAt pt Nattuel AiBOttrC¢S, SIAGC OC WiSCOr1S1Il. ~Ctt~p,ti0tl ,ru,.,,y ti~~l yvWrSkl7G •l'4lcrn 6aa ~3t61ytia~ntain:~ rnar:t L~ i.•ti~ti5~ti1r.~ec{ ~n~ 1~~1,l~lfd th thp. ~;f (:!(1!X C.Ol1UtY ~.rV~IY ~~~E W~t~111 jd :'o}'s of L ee year ~ ati0a tt. ~ ~~~I ~~,~ R ~r>~T.,r, , Z (wC) Cerstfy' that x!1 Y ISCSI{Y JSI this taint arcJnvc ea u*r bass arras>~ E~+~) Imowladga, 1 (we) am (are) the ownerts) of !',,« r...,~rr~e,. !il~C.+b•_~! ab~vc, vir*ue~ ~F D 4.':IT'[~1r1r~ [lnar! Tncnr~_d :n Rcr£~s`(8t Cff TJCCII.- (~~Ce. ~.~~umrar~~~I a MMrm.. . .. - oocut~nersr HQ WARRANTY Ds:7ED TNI! !-A'[ RE9[RV[D -O# #ECORDINO DArA STATE BAR OF WISCONSIN FORM 2-1982 3t~5~91~ von 66'7 racE3~.7+ Lloyd W,. Dourn.ink and J.odnn, ..I)o.cit~nink~ hu~b<ind- end wife, as .joir>t, tenants convr~± :md w.,rrants to ~1'homas C.. Sand.v.iti .artd...Ki~i.thl-~r~n-_, M. 5and~i,~, .husband .and .wife_... _-....-------..-.-.-- the following described real estate in ..-.....St;,,.-Croix------------------County, State of W-isconsin: ttilGiSTERS OFFICE 5T. CRflIX CO., WIS. Ret'd. for Record this 28th day of June A,p, 19 83 ~t___8;30 A .M. ~rw « RETURN ~E FlRST NATIONAL BANK E'?X IG6 RIVER fALIS: WiSCaNSIN 54022 ~urt.h Half cif Wr>st. Half of Vort.hwest Quarter of '~urthwest. QuartE:r (N2 w2 Nw~ '+~W~) of Section 'Thirty-three !33), Township Twenty-nine Yor•t.h (T29N), Range Sixteen West (R16W), excepting the right of way of Chica~u, St.. Paul, Minneapolis and Omaha Railway Company, and excepting such part ~fc~r h i e~hw~ty purposes. Sf ~R 3 r~ This i' (is) ~~ ~~ F:xccption to «•arranties: homestead property. (laced chi; 24th day of _ June _ 19.$3 - . _.. _ ,. • gc.'. ~~ _ _ __...- ..._ .(SEAL) ~ C`G`tn,~~. __ISEAL) . Llo d W. Dour Wink, _.(SEAL) ~L (SEAL- ..Jo~Doornink AUTHENTICATION Signature(s) ---------- ---------------------- --------- --- authenticated this ._._._.-day of___________________________ 19._.._ TITLE: MEMBER STATE BAR OF WISCONSI~1 (If not- --------------•-- •-- -----------------..._..--------------- autfiorized by ~ 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack ---- - -H'i TYci~esi:,---ST:~eeE---`"--'•-- ----- - - ........_.D.a.ldw-i-n-~--.W.L.----S4D.Q2------------------------ (3ignatures may be authenticated or acknowledy;ed. Beth are not necessary.) ACHNOWLEDOi1sENT STATE OF WISCONSIN ` } ss. S t . Croix -County. )1)1)1 Personally came before me this .._~:~1#hl..__day of June - -----•--- + 19__-.~3 the above named 3 L1-oyd_W. Door_nink _and .Joann -Dgorr:ink,--husband and wifE~ as - ---------•--•-------•----Z------- -- -- ---~°- i nt---tenants.r-------- -----•--------•~----.::,r.. ....- .- •'•• - to me known the person _-..~-.: ~ n~8h~execuuted'ihe - foregoing irM.r ent • nd kno~ the e. ~, . • . ~ ~ ..+ _ , • i :q: O~~ ~ - -~ - Nota-p Public..... - SZ-~.. CT~iZ - ~ Y~ ~ ~Countc, Wis. My Commission is permanent. (If ncil~,,mfg}a,,e~p~ation :...r la 8,~ date: ._... _ _ ~• ,~ ~Namn~or penom •i[nin~C io any cE.oacity shou:d be tSD~ or printM b«tow th«ir si{tnatu rc:r. r~i-RRAN'rY DEED 3TgfE BAR OP RrtSCUttiS;N R'i.rronsin i.«RAI RlAnk t'n- In•• FORM rro. 2- t,aY ~{„wwr tr., lV it,. ® ~ ®1 l.LJ11. 1 1 t i NELSON'S svPER~ ~.v FOODS 980 Cedar Street • Baldwin, WI 54002 (715) 684-3307 YOUR COMPLETE SUPERMARKET Full Line of Groceries • Meat • Produce • Dairy ~ Frozen Food • In-Store Bakery • Deli & Eatery O ~ Fax Service • Money Orders STATE FARM RICHARD J. GRIFFIN Agent Hillcrest Professional Building INSURANCE Highway 63 &Hillcrest ~~ Baldwin, Wisconsin 54002 Office: (715) 684-3201 Residence: (715) 684-2568 STATE FARM INSURANCE COMPANIES Home Office: Bloomington, Illinois 7 / / ,~~ r+N.~'~. ~ ~ ~, //K//N/M^ f .1,~_ __ NOTICE OF VIOLATION September 25, 2001 TOM SANDVIG 2305 ROSE LANE WOODVILLE, WI 54028 RE: Failing septic system at 2305 Rose Lane Town of Baldwin - St. Croix County, WI Computer # 002-1083-80-000 Parcel # 33.29.16.4860 Dear Mr./Mrs. Sandvig: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category I). This violation was first noted on 09/25/2001. The violation noted is septic effluent discharging to zones of saturation. An on-site inspection on 09!25/2001 did reveal the septic effluent discharging to the zones of saturation. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 09/25/2001 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By November Ol, 2001, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and it's location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than June 1, 2002. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Si erely, Kevin G~ r~ab Zoning Technician cc: file