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004-1003-60-200
~,,~~C G(1) ~- ;onsin Department of Commerce PRIVATE SEWAGE SYSTEM ay and @~ding 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 Carlber ,Scott Cad Townshi CST BM Elev: Insp. BM Elev: BM Description: l b~ , d l00 • o ~~ ~ b~ttvvv~ peen s~-~~- ~c~ TANK 1NFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY Septic sing Aeration Holding TANK SETBACK INFORMATION ~ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic //~ ' f I ,- ~ p~ (~ ~ ~~ / Dosing I j I r, ~ ( ~ ~ Aeration Holding PUMP/SIPHON INFORMATION \ Manufacturer Demand GPM Model Number ~ ~ /1, ~/ TDH L' ~ Jr Y Friction Lo System Head TDH Ft Forcemain Length / Dla. i! Dist. to Well > ~bD SOIL ABSORPTION SYSTEM St. Croix Permit No: 430398 U an ID No: ax No: 004-1003-60-200 02.28.15.226 STATION BS HI FS ELEV. Benchm rk S BI er 9• /, ~~ SUHt Inlet ..~ St/Ht Outlet ~- Dt Inlet .~ ~--~' Dt Bottom ~~ Header/Man. /U.U~ Dist. Pipe oo. IUD vS Bot. System 3, 3 Final Grade ~ l~ St Cover S ~ 3.3~ . a„~. /a~.6o BED/TRENCH Width Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid h DIMENSIONS (~ / Ts. SETBACK SYSTEM TO P/L LDG WELL LAKE/BYRE ACHING Manufactu INFORMATION C AMBER OR Type Of System: ~ ! ~ 7 ~~ / UNIT odel Number: DISTRIBUTION SYSTEM Header/Manifold ~ 1 ~. / Distributi Pipe(s) ~ / o~n ~ x Hole Size ~ 1/ ~/ ' x Hole Spacing ~ i Vent to Air Intake _ Len th Dia ( j Len th Dia ( S acin j ~ g -L J--- g p g D SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sqd ed xx Mulched Bed/trench Center (1 Bed/Trench Edges ~ l1 Topsoil ~/ es No Yes _~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / ~~/ (J f~C. Inspection #2: / / Location: 587 310th Street W~~i((lson, WI 54027 (NW 1/4 NW 1/4 2 T28N R15W) NA Lot 2 ~~~~ tV U Parcel No: 02.28.15.228 1.) Alt BM Description ='~~ ~°r' ~'U,~ah~n , ~ ~ ~~ `G~ (~/ ~ ~Q~ v 2.) Bldg sewer length = `gi v1,,, I\ _~~~,, ~ ~ Z~ //„n~~~J - amount of cover = ~ ' f b ~ J Y-~+' W0.S -to tX tr~r ~ `-`~"r0 `~~ ~ ~ ~ ~ .e 1. `~ ' D Plan erosion Required . ;~ J Yes No ~ l Use other side for additional informs ~ / l _ __i_~! SBD-6710 (R.3/97) Date In ctor's Signature Cert. No. /~ Safety and Buildings Division 201 W Washin ton Ave P O B 7082 County ` ~/ ~l ,n, ~ . g ., . . ox ~ Q ~s~ons~n Madison, WI 53707 - 7082 S' Department of Commerce ~ J ~'"~ ~~(~~ 5~ Sanitary Permit Application ~°i°" Permit Number ~ % ~,., ,w ~ In accord witb Comm 83.21, Wis. Adm. Code, personal information ~~ ^ Check if Revision ~3 0~~~ tma be used for seco es Pri La , I. Application Information -Please Print All Information Stan Plan I.D. Number i Property Owner's Name ~ ~ ~ CJ~ 2 Parcel umber y 1 . L~l~~, ~0 - ~v3~(oa -moo Property Owner's Mailing Address- ~ ZONING, 0 proP~Y Location oa~ ~l._.// G` Qio ~ !4 !4; S T .fCJ N, R S City. State Zip Code Phone Number ~ Number Block Number Subdivision Name ' /~~ M Number ~~ Y ~SD33 ~~1-3043 a0 o ~W /• Type of Btnl (heck all that apply.) n ~ t% • ^ ~9' I or 2 Family -Number of Bedrooms ^ ~i~ge ^ Pub[ic/Commercial -Describe Use ^ State Owred To ~ ~ ~ L /'~ ~ /f G, p Negrect Road I _ III. Type of Permit: (Check onl one boz on line A. Ntunbe ' y ring is for internal use.) (Compl ete line B, U applicable.) A. 1 New stem 2 ^ Replacement System 30 Replacement of Tank Onl 6^ Addition to Exis ' S stem ty For Coun use B' ^Ceeck if Sanitary Permit Previously Issued Permit Number ~~ y~„~ IV. Type of POWT System: (Check all apply. Numbering is for internal trse.) 44 ^ Non -Pressurized In-Grand 21 Mottnd ~ 2 y ~r~0 jam/ 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In~',round 41 ^ Holding Tank 48 ^ Single Pass Sl ^ Drip Line 45 ^ At-Grade 46 ^Aerobic Treatment Unit 49 ^ Recirculating 3Q ^Other V. Dis rsaUTreatmetat Area Informat ion: ;~ Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Pec to System Elevation- Final Glade Required Proposed / Rate(Gals./Days/Sq.Ft.) (Min./Inch) /j'~ bn /Q~• SL ~ Elevation ~ VI. Tank Info Capacity m Total Number ufacuuer Prefab Site ,Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank i I Dosing t~amber v N i ~c 1 ~ VII. Responsibility S went- I, the un ed, ponsib' ' for ' ' n of the POWTS shown on the attached plans. Pi is Name (Print - Signs /MP umber Business Phone Number c~ . ~ ~ - ~-s83 Plumber's Address <Street, City, Stn ,Zip ) VIII. Cotmt /De artment Use Approved ^ Disapproved Owtter Given Initial Adverse Sanitary Permit Fee Fincludes Gramdwater ~ D ~ ~ ~~ sung Ag St ) Determinatiun Surcharge Fee) ~'i 3 ~~ - 7~~ 3 U IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: p ~~~ ~~ _,, ,,, Septic tank, effluent filter and ~ Q ylti l'k ~ U 3 • ~ ~22~~~i ~ ~Q`'/- ~ U ~ ~ / t /S ~ ~/` dispersal cell must all be serviced /maintained ~ ~ ~Q , E"~ '/ er management plan provided by plumber. ` ~ ` . n ~n ~( as p ined t i - -~ ~ ~ o n a ~ O'o m cXXX ~ ~- ~ {ti , 7 N setback requirements must be ma ~ .,~•,..,ti „ ..., a nr ~ ~: +~^.as._ ~.._ -C?Y~-, ~~ c1D llci aNN~~~,a~~c...~u~- ~.+•-----~r~--~ e~y~w ~•••~ ...w,...y uu~y/ wr me system on paper not teas wan tc1R x 11 inches in siu - SBD-6398 (R. OS/O1) { ~ ~ 1 • ' ' ~ ~ i r [ i~~~~..y.~ 1~~~ 3 i ~ J i i _l_.._..-..i i .,...__._.t ~ , ~ E ._. _ ! i I I ;_ __ .~. ...., _.; "```GGGGG~LL~~~ r. .. ,: ...~.... ...:... .. ; i -- - ~ , ' , r ~~r~ Q ~ ~ ~ I ~ i ~ i w ~ ' ~ E . 1 i I i ~ ~ i ~ ~ i ~ ~ i i ~ ~ ~ ~ i ~ i . , - - --- ~ _ i ~ , f } a .. ... ..~ s f i I ~ i ., ~ f f ~ ! j i i ~~ g ~ ~~ ~ ~, ~ ~ -scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 22, 2003 CUST ID No.220728 CLARENCE L GLOTFELTY ENVIRO-TECH SYSTEMS & SERVICE N4955 SUNNY HILL RD WEYERHAEUSER WI 54895 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/22/2005 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Scott Carlberg 310TH St Town of Cady St Croix County . NW1/4, NW1/4, S2, T28N, R15W FOR: Object Type: POW~T_Sv~ stem Regulated Object ID No.: 920874 MOUND /DWELLING 600 GPD ~_ Identification Numbers Transaction ID No. 91859_8 Site ID No. 665081 Please referto'both identification numbers, above, in all corres ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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. A11 permits CoT2~~2 required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ~,~ ~v~ Tn rantin this a royal the Division of Safe & Buildin s reserves the ri ht to re uire Chan es or additions should EPA Nl g g PP h' g g q g D conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review DtVIS~O 0~ AFB' shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address SEE CORR on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Robert Kanter POWTS Plan Reviewer ,Integrated Services (608)261-7735 ,Monday-friday 8:OOAM - 4:45PM rkanter@commerce. state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~~~° , ~: ;~= ~~~_ Designer Signature Date MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project ~~~~ Owner Address .~ pp ~'~/i'N~~C~ ~~~ l~I A~`~ _,~,7~u~ r-q ~~rµ',' ~,~, k ,",Y~~:~;.~ ~ LL ~. Legal Description .'~ f~ i !?8~~ i ~A ~~ -~~ ~~~ ~~ ~~~ /~f ~~~- ~~ I ~C` 1 ~ iti (= > l ~% Township t' County _ ~'°`~~ l,~C"1%1 ~X Subdivision Name ~_ Lot No. .`~` Parcel ID Number f ta?~n.Ct, ;y~.Q T Plan Transaction Number Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump specifications Page 6 Site plan Page 7 Turn-up detail Page 8 Management plan Page 9 License Number 220728 Phone No. 715) 868-5831 :~ ,~~. ,/.T.S. of=t~lty OF COMPa§ERCE TYA D BU iNGS SPONDENCE ~'~ v-'l,C'V~~ u~ 4 c~ iJ1• ~ d t J ;per - ~Sr3i~-- fc~7~'~. ~~N~„~i 'l~ ~f~ ~ .~ ~ ~._ ,~~ ~ ~- ~ ~tV ~ c~rr'~~i~ ~~~'~ Page 1 of 9 MOUND SYSTEM DESIGN Complete red boxes as necessary. Residential or commercial? ~(r or c) 750 gpd maximum design flow. Slope Design flow rate gpd Depth to limiting factor in In situ soil infiltration rate ,~ gpolft` v Contour line elevation ft Use standard fill depths? ~ - OR Design depth? (L.~L/'~~f',"~~ n~ Place X in box to use standard depths (24 and A+q inclusive) OR specify design fill depth f'7 p r~j'CrQ~ Center or end manifold Orifice density D O • Lateral spacing v (c w e) Orifice diameter aZ in O. t25, 0.156, o. 188, 0.219, 0.25, ~ (~ ft Use 0 lateral spacing for trenches. ~ 0.281, or 0.313 inch Dory. Number of laterals Forcemain length ~ ft SYSTEM SOLUTIONS Design flow rate Absorption cell Application rate & area ~,0 gpd/~ Linear loading rate (LLR) Design width (A) Cell length (B) Depth of cell (F) Sand filter Upslope fill depth (D) Downslope fill depth (E) Basal area required (gpd/infiltration rate) Supporting components Topsoil depth Subsoil depth at center Subsoil depth at cell wall End slope toe length (K) Up slope toe length (J) Down slope toe length (1) Total mound length (L) Total mound width (W) Project: l~i~,f"~ ~~'c~ ~©(,t]TS Transaction Number: Estimated orifice space p ft Nol a final calculation. Pump tank elevation ft Outside bottom of lank. Forcemain diameter in 1.5, 2, 3 or 4 loch only. ~:~ Actual LD. DIAMETER CONVERSIONS 3.0 in 9.0 in 3.0 in ft o ft ft 8asa1 adjustment made. ~, ft ft 1/8 = 0.125 1/4 = 0.250 5/32 = 0.156 9/32 = 0.281 ~~gpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 ft~ gpd/ft ft (~~ ft $ in in in ftz . Pag~ of 9 .33t 3 ~ 4 ~' . `. .Y_• , ~: '~€° µr ~r+ g ~; ~... MOUND PLAN VIEW ~~ '~ t/6 8 I~al i.;~f t ~ l:•:•:•:•:•:•:•:•:• :~~ w M ~ B ~l ,~, ooservation pipes (typical) // i A = ft q ; 6 = `~~' ~ ft J = ~- ~ ft I = ft K K = '. {t 1/66 •~~ ~# ~-~/ I' , typ. obs. pipe (anchored securely) I =down slope dimension =absorption cell (Ax8) - J = up slope dimension ~ =plowed area l! ~ `^~'~ ~, K =end slope dimension s° MOUND CROSS SECTION ~1 lateral topsoil ~ H subsoil cap E - '-fi't' ~~ ~~ft F - ~. in invert ~ ~- •----- ---_ --- ~ - elev. ~ :~:~:~:~:~:~:~:~:~:~: ~ G - 6.0 in T .. ASTMC33 ~ ~ H = 12.0 in SyS. ~~L4'n ~ ~ `y elev. ~~~~~ft contour _. ... .._..:~.:......_ ~ J~O. -~~. _. _... slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F =absorption cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across AxB media. The cell H~= subsoil + topsoil depth at cell center media is covered with geotextiie fabric. Project: ~~;~,5 I I.~e•i"~f' ~~1~ ! 5 Transaction Number: 1 Page?jofq -- z__~. __ _ "'`c . PRESSURE DISTRlBUTiON CALCiJLAT10NS Dispersal cell ~ Width (A) (~~ ~ - Length (B) _ ~ ft Ft , -} Lateral specifications I )~/ Number laterals r V Orifice/lateral !~ ~ Lateral length (P) holes / ft v ~ oaf i'CG 5- = Orifice diameter 1 in Lat. dis. rate gPm , y~ fP'" /Q r~,~ Sys. dis. rate gpm Orifice spacing (X) in Lateral diameter Pipe diameter Design oDlions Design choice Designer must "X" one choice from the options provided. ' (Manifold diameter drab '7C" one choice from the options provided. 1 in x 1 1/4 in x 1 1/2 in x x 2 in x 3 in X ripe diameter Design aotians Design ehniee 1 in x 1 1/4 in x 1 112 in x 2 in x 3 in x 4 in x Place X in red box of chosen diameter. Place X in red box of chosen diameter _pistribution system_contains: 4 Lateral(s) .......__....... _.,,.. _ .. . LATERAL DIAGRAM -CENTER CONNECTION Place correct lateral diagram by clicf<ing in one of the drawings at right and dragging the diagram into this area. Force main connection via tee or cross to manifold at ang point. laterals are idendoal "I" ~E p S .~L O ~ Turn-up mtf ball valve or IE X-> IExl2 ~ x/2 ~I Laterals 8 force main of PVC Soh +0 ol•anoutplup per COMM Table 8+.~0.5 Holes drilled on the bottom of the lateral ai Lateral length (P) Lateral spacing (S) Orifice spacing (X) Manifold length Orifce diameter Lateral diameter Forcemain diameter a in ft in in in Project: - ~ , Transaction Number: Paget' ~f 9 4" PYG VENT PIPE 12" MIN. AE30V1: GR~.~E: t; ~' .-O' FROM DOOR , WI ND041 01: FRESH AIR INTAKE FINISHED GRADE y ~: ~- --_ 1Q" IN . . INLET I WATER TIGHT--~- ~~ 4"Plas{~'c ~-13~r-r-!_L Z~1t3L=L A PIPE ~ FT-l_ut;nlT ~ ~ILi~IZ. e . ~ ~~ ll c l•1F,ATHER PR00: JUPJCI'IOJJ BOX APPItOVEU ~~ WITH CONDUIT MANHOLE COVF W/ PADLdCK 1 \ rWARNING LABt 7I I r i- ---- I I ~~ M z N. 0 ., ~ =1~1, u~ , ~~ I ' GAS- ; ~' ' TIGI.IT ~ ~, SEAL ~ ~ ALM ' ~-; O N . . .t__. ;::~ Fo~ !1f boa v~ =u APPROVED PIk JOINTS W/p/a,; PIPE 3' ONTO SOLID SOIL _~~~ RISER EXI 1'LItMI'i'TCD ON I F TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS s~r~G/ ~osE TANK MANUFACTURER: , TANK SIZES: SEPTIC f ,~s~ GnL. DOSE ~ GAL. CONCRETE PAD --- ~y1~ N , ~1N SQL C~x(.ogzx~j~~xy - ~'o? Qom' !•~IIMRFR DOSES PE". DAY : ,;,~ ~.. fti . ~. I)OS :, VOI,UM : INCL.UUING f~ ~~ _ ~~`° x,«~ rFLOWBACK: r1-~4=GAL. ~Q ~ ~IiO ALARM MANUFACTURER: ~ ~,~-,rL, CAPACITII::S: A = ~~.~NCHES - ~~~~-~~-GAL MODEL NUMBER : o SWITCH TYPE: 1 ~ ,.~ I B = 2 INCHES = '` GAL z PUMP MANUFACTURER: ~~~~~Q~ ~ 1~`c`~n C = ~,jINCHES = ~ ' GAL MODEL NUMBER SWITCH TYPE: '`~tA~b,~o~- D = ~ INCHES = GAL REQUIRED DISCHARGE RAPE .;: , GPJ1 PUMP G ALAR1~1 WIRING AS PER ILHR 16.23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE .~j FEET + M ~~M®UM NETWORK SUPPLY PRE S Rr ~~5- rFEET + ,~,~~`~` rEET FORCEMAIN X r~~~ .F'T/100 FT. FRICTION FACTOR • . _^-~~~EET f TOTAL DYNAMIC HEAD = _~~ FEET w , INTERNAL DIMENSIONS OF PUMP TANK: LENGTH '.' ! ,t IJIDTI-1 ~(./~ DIRfif£~Z-.- LIQUID DEPTH ~~ `f SIGNED: I_.ICENSE NUMBER: 1/88 DATE: ~~e~6y i ~ ~ ~ HEAD CAPACITY CUI s I . MODELS 137/139 e 20 Y 1s 4 137,139 0 10_ 2 S- 0 -)- U.S. CATIONS I 10 20 30 40 SO 60 70 LITERS BO 160 240 0 TLOW PER MINUTE MODELS 137/139 FI. Meters Gal. Ltrs. 5 1.52 93 352 10 3.05 79 299 15 .4.57 li4 242 20 6.10 36 136 25 7.62 8 30 30 9.14 -- .. Lock Valve: 2li fl. I 90 100 1110 320 400 OOaaZt CONSULT FACTORY FOR SPECIALAPPLICATIONS • Three phase pumps are available i~ 200/208V, 230V or 41i0V. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarm switches. • Combination starters are available for 3 phase pumps. • Control alarm systems are available for 1 phase pumps. 81W77 • Variable level control switches are available for controlling single and three phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Over 130°F. (54°C.) special quotation required. • Refer to FM0806 for 200° F. applications. c tA7 Sorinc _ d7 the 1'10 Ce.lne _ [1 the Sln le Seal Control Se leetlon Ustln Model Yolts•Ph Mode A s Slm lax Du lax CSA UL M137l139 115 1 Auto 10.7 1 or 18 B - Y Y N137/139 115 1 Nan 10.7 2or287 3a586 Y Y ' BNt37 115 1 Auto 10.7 Y Y Dt37l139 230 1 Auto 5.B 1 or 13 8 Y Y E1371139 230 1 Non 5.8 2or287 3x586 Y Y ' N137fl39 200.208 1 Auto 8.2 188 Y N ' 1137/139 200.208 1 Nat 8.2 2 8 7 3 or 5 8 8 Y N ' J137/139 200.208 3 Nan 2.6 2 8 4 384 or 586 Y Y ' F131/139 230 3 Non 2.8 2 8 4 384 w 588 Y Y ' G 137 460 3 Non 1.4 2 8 4 384 or 586 N N ' G 139 460 3 Nan 1.4 2 8 4 384 or 588 N N ' No molded plug "Single piggyback switch included. Pumps must be operated k1 upright position. Three phase units require a contrd switch to operate an external magnetic or rwmWnaUan starter. For Inlormalbn on addllonal Zoeller products refer to catalog on Comdnation starlar, FM0514; Piggyback Venable Level Fbet Swllchea, FM0177: EleclncalAllemalor, FM0488; Mechank:al Altema- tor, FM0495; Alann Package, FM0732; and Sump/Sewage Basins, FM0487. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no extenlal conUol required. 2. Single piggyback variable level Ibat switch or double piggyback variable level float switch. Refer to FM0447. 3. Mechanical alternator M•Pak 10-0072 or 10.0075. Refer to FM0495 4. Combination Starter. Refer to FM0514. ' 5. See FM0712 for correct model of Electrical Alternator E•Pak. 6. Variable level control switch 10-0225 used as a conUol activator, specify duplex (3) or (4) float system. 7. Four(4)hole)-Pak,junctionbox,lorwatertighttx,nnecllonforhardwkrtdsNnplex operation,10-0002. 8. Two (2) hole J-Pak, for Watertight hardwired Pconrlectlon or splice,l0.0003. CAUTION All installation or controls, protection devices and wiring should be done by a quaflfled Ilcensed electrlelan. All electrkal and safety codes should be followed Including the most recant National ElecUlc Code (NEC) end the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ~7 ..., ~ MALI T0: P.O. AOX 16347 ~ LouisMle, KY 40256.0347 ZOs a~/ /~~ Marwlacfurersol.. L L SHIPTO: 3649Cane Run Road Lovr:hn6, try 4ozr arss- ; jam,,,-P„~,,~ S~cE /9.99r PUMP !O. (502) 778.2731.1(800) 928•PUMP FAX (502)774-3824 4 13/16 _ -j ~e ~~, I 1/2' - 11 1/2 NPT ,_ ,.~.~., , ........a__....~___ .._.~___.__ _ ___.a____. ~ _..~...... ! E ,/ ~ \ i i ; .. _..r .... _ . ... _... i ;~ .. .y..... ....Y ... ....i... t ; ~~ 1 i~_ i ' ~` i ~ \ i.. ~ r f i I ~"~i.._...._~~ i ~.i..-_ i I i t i _._.. ~ ~tr i I i ~ ~ +i i I i ~ t Nl~~ I _x ~ 1~~ ~ I ,.......__.. Clarence Glotfelty . F.nviro-Tech Systems & Sen+ices N49SS Sunny Dill Road , Weyerhaeuser, WI 54895 #3 ~-/. .~ v ~ i ~ ~ 1 i 1 i i i i i ! ~ i i i ~ ..........j_.........i............t„..........~....___~............:..........y........................i...._......j........~:._~.._i-.........._.__i-~-..T~_ ~ i i i ~ / ~ ~ i ~...... ham... ~ ~~. ~~ ~...... .___ .i ' ' ,q.(~~~ fi~ ; . o~net's ~ ~ r C i , e'er (,`( ~ t'l' S ci ~'l ~..~ - .~ ti Typical Turn-up Cross Section Detail Finished Grade > > > > > > > > > > > > > a > s e <'< c < < < < t < < < t < < < < < < < < < < < < < < <>c t < < > > > ) > > > > > •`> > Y i > > >,> < < < t < < < < < < t < < t t < < <, <<<<<<t<<<<<<<<<< >>>>>>>>>>>>>>>>>> <<<<<<<<<<<<<<<<< >>>>>>>>>>>>>>>>> <><,<><><<<t<<<<<<<<< >>>> > <; <; <~. Soil Material ; <; ~; <<<<<.<<<<.<<<<<<- Threaded >>>>>>>>>>>>>>>>> <<<<<<<<<<<<<<<<< >>>>>>>>>>>>>>>> <<<<<<<<<<<<<<<<< Cleanout >>>>>>>>>>>>>>>> < < < < < < < < < R < < < < < < >,>>>>>>>>>>>>>> Plug <<<<<<<<<<<<<<<< > > > > > > > > > a > > > > > >>>>>>>>>>>>>>> <<<<<<<<<<<<<<< > > > > , > a > > > , > > > > <<<<<<<<<<<<<< > > > > s > > > > > > > > > < < < < e < < t c e e e < < > a > a > > > > > a > > > e < < < < < < < t < < < < >.> > > > > a > > > > > > f: e < < < < < c c < < < t < < t < < < < < < > > > > r > >~a > > > > > > > > > > >~>;>~>; 6" Diameter <>;>~>;>;>` ;<;t,<;< Lawn Sprinkler <~<~<,<,<> ~> <> <> < Valve Box <>:> <> <> < t<<<<<<< ~<~<<~<<<<<<< > > > > > > > > > > > > > > > > > > > > t t t < < < < < < < < t < < < < < < < < < t < < t < < l t < < t < < < < < <<<< <<<<<<<<<<<<<< >> >>>>>>>>>>>>>> < <<<<<<<<<<<<<<< <<<<<<<<<t<<<<<< <<<<<<<<<<<<<<<<< >>>>> > >:><><><>: Soil Material >~> > r > >~ > > c e<<< c<<<< c< c c c c t > r > > > > > > > > > > a > > > e s < < < e < c < e < < < < < < > r > > > > > > > > > > > a > > < < < c < < < < < c < < < < < > > > > > a > > > s > > > > > < e < < < < < < < s < e e < < . > > > s t > > > > >.> > s •' a <><><>t><><>c><><>< : Long Sweep 90 < <, <> <> <> <> < <<<<< ><a<> > • or Two 45 Bends to Vertical Distribution Lateral P~~ ~ a ~9 Mound System Management Plan .~ ~L~O'3Cf,~ Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents 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 least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridye should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuous{y. Intermittent filler alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pumn Tair;c The pump (dosing) tank shall be inspected at least 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 arm Pressure Distribution Svstem 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 maintenance) on the mound is not recommended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the rnourrd be heavily mulched for frost protection. Tlie pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to the initial test when tl+e system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution witf+in the dispersal cell. Observation pipes within the dispersal Celt shah be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintence and maintenance reporting. No one should ever entef a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tang. Continc rncv Ptan 1f the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective Ure defective component shall be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your countq zoning or health inspector. p~p~ ~.~9 - ~ ~ ~ ~; `~ ~ ~~ ~ .~. e ; z ~~ .~ ~t. ~~ C ~~ ~ ~~ .~ ~;~- r ~~ ~~ ~ ~ ~ ~ ~ - 4 _r ~ / ~ ~_ X7'1 '~~ ~~ ~.. > ~. ~ ~ ._ `.. , ~~ { ~ 1 ~r :ry L- ~ ~ F G. ~' ~e.,_ ~', ~ 1 ~ , _ ~ ~~ ~ n iT r~ ,,,, '~... tom. ~ o ,~~J •Ni ac ~ ~-- ~~w ~ ~ ~ ~ ~, '~ ~ ~`- ~ ~~ b ~ ~ ~~ '~ 0 a ti z r ~~ m ~ 8~ y ~~ u ~ '~ c° r` - r-- / 'f- ~~~ ~VV~ ~ ~ %~ (} 7 33SSS3.. ~ b- ~ Z ~ ~. `. ~: ~. r ~. ~~~ ~~ ~~ ~~ 1 !I.' ~ ~~~ f I1.~ ~.~. ~ r~~ ~rrrrr \ .- • ~. ~~ .~ ~ ~ ~ ~' r ~, . ~ h ,~ . - flRIG11~AL ` 1653 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l of 3__ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing County Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 15 A. Pending Please pri ~^l~ ~ '~~~ Rev' ed By _ Date Personal information you provide may used for§F3CCmtldrq ptTrpbs`~sjrrrrvacy Law, s 15.04 (1) (m)). ~ ~~ Property Owner Property Location French, Bruce ~ ~' LGOZ Govt. Lot NW 1/4 NW 1/4 S 2 T 28 N R I5 W Property Owner's Mailing Addre~ Lot # Block # Subd. Name or CS # 30_2_6 60th Ave. ~ ' "' Qrj 9 City State idtltTib~' ~ City ~ Village Town Nearest Road Wilson ~ WI 54027 715-772-3334 Cady 310Th St. / New Construction Use: V' Residential I Number of bedrooms 3 Code derived design flow rate ~ 450 _GPD __ Replacement Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA _ General comments and recommendations: install 4' x 112.5' rock cell mound on 98.8 contour as upslope edge of rock w/ 1.6' sand fill for 3 br (assumed-not staked) ~ ~ ~ ~/~~ ~ W r X 1 Q~ ~~~~ ~~ ~ , ^ Boring # --. Boring > Pi 9 27 / t Ground Surface elev. 7.5 ft. Depth to limiting factor in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence undary Roots GPD/ft' ` ` in. j Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 Eff#2 1 ' 0-6 ~ --- 10YR 3/3 - sit 2 f sbk mvfr gs ~ 1 f/m ~ 5 $ 2 6-14 -T ---- ~ 10YR 3/3 - sit 2 m sbk mvfr cs 1 m ~~' ~ t .5 8 --_-- ti 14-16 3 10YR 3/4 - sl 1 m sbk mvfr cs 1f ~ .4 6 4 ~ 16-27 I 10YR 5/4 - Ifs 0 sg ml cs 1f 5 ', 9 27_37 ~ 5 10YR 5/4 f2d 7.5YR 4/6 Ifs 0 sg ~ ml ~ - j 1f i 5 9 T _ redoximorphic features grade to cap i n horizon 5 Boring # - Boring Pit Ground Surface elev. 98.8 ft. Depth to limiting factor __ 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oundary Roots '! GPD/ft' in. ~ Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. __ `Eff#1 `Eff#2 1 ' 0-6 j 10YR 3/3 - sit 2 f sbk mvfr gs 1f/m ~ .5 8 2 6-13 10YR 3/3 - sit 2 m sbk mvfr ~ cs ~ 1f ~ 5 8 _-- - - - -- , i - _3 ~,; 13-22 I 10YR 4/4 - _ -- - sit 2 m sbk j ~ mvfr I cs ~ 1f i 5 8 ' 4 ~ 22-32 i 10YR 4/4 ~aOYR 6/2/6 sl 1 m sbk mvfr , - ~-- I 4 ' 6 _ T ---}- _ _ r - - -- --- --- --- - _. --T--~------- . j - ----- --- ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 50 mg/L `Effluent #2 = BODS < 30 mg/L and TSS _< 30 mgr CST Name (Please Print) Signature „o~ CST Number Henry F. Grote __ r ~ ~-\C 222774 Address Certified Soil Testing a e va on Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 10/14/2002 715-233-0398 Y ~ y~ Property Owner French, Bruce Parcel ID # 15 A. CSM Pending Page 2 of3 _ Boring # ---' Boring /< Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-5 10YR 3/3 - sil 2 f sbk mvfr gs 1 f/m 5 8 - -- 2 I 5-11 10YR 3/3 - sil 2 m sbk mvfr cs 1f .5 8 3 ! 11-17 10YR 414 - sl 1 m sbk mvfr cs 1f i 4 ~ 6 --- -- 4 17-21 10YR 4/4 f2d 7.5YR 5!6 sl 1 m sbk mvfr cs 1f ~ .4 6 5f ~ 21-41 10YR 5/6 c2d 10YR 6/2 scl 0 m mfr - - - 0 0 --- -- ___ -- i i ~ ' . ~ ~ B-1 to B-3 indicate a mound w/ 1.6' sand fill possible this area ^ Boring # _ i Boring _---- / Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth i Dominant Color in. I Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Consistence ' Boundary ' Roots '__ ~PQlffs=___ . Gr. Sz. Sh. ~; 'Eff#1 'Eff#2 I --- _ - -- i i - - I --- I ~ i - ---_-- - ~ ', I ~- - - - I I ~- -- I i I; ^ Boring # ~.w Boring /.' Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color in. Munsell Redox Description I Qu. Sz. Cont. Color I Texture Structure , Gr. Sz. Sh. Consistence ~, Boundary ! Roots ' ~CPD '___ _ __ ', ~ 'Eff#1 'Eff#2 ~, - - - -- --- i - I ---__ I I I - I, ~ ~ ; - ---- ` .._ __ __ I ~ I - ~i -----7--___ - Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS ~ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-3;30 (R 07/00) Certified Soil Testing ,- ~_ n 3 c~ ~ ~~ -~ ~ D r~ ~''~ c~ S ~ ~- ~ i - -- ~ .~ ~ J rJ ~ 0 I i 9 ~ l_ 3 S /J/'~~ ~i ~~ 0 ~, s 0) J f Y V ~! S r ~'\ d ~ ~~ ~ ~ ~ ~ ~ °~ C~„~ ~% ~~ ~ X~~ y ~u~~ ° ~ g ~ ~ N e li~ /^ N+ 'n f'+' S N J ~~ h J J ~~ ~ ~1 v ~V k^ Do ~ I ~-b 0 ri ~ ~ ~ 6 ~ 90 u 6 I ~ s /' ~: ~ ~ ~ ~\ D ~~ _ ~ ~ S ~ t .c '.~ ~ ~ ~ /`./ r ~ ~~~ ~ ~ x= D ~~~/{J ~~ V~ n ~~ 3 ~' ~ ~ ~° ~ ..., J .~ S ~ ~ ~ f I~ J l \ ~ \,. ~\ ~ ~~\ ~~~ d m _>- ia.=~': ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT' AND OWNERSHIP CER'T'IFICATION FORM Owaer/~ayer- ~~ 59 ~1~ 5g~ Mailing Address property Address ~ -~ (Verification required from Planning Department for new City/State ~ I Parcel Identification Number ~ `f ' ~ ~ J ~ ~~ ~~ LEGAL DESCRIPTION ~ 22~ /., Sec. ©~ . T,.~ N R~ Properly Location ~, -'/<, /,~. ` W, Town of .~ Lot # °~` Subdivision C~ <. Certified Survey Map #~~~ 1 ~ ~ , Volume ~ Page # Warranty Deed # 3~ ~ ~ ~ , Volume °2 3'~~ ,Page # ~ ~~ . Spec house ^ yes ~ no Lot lines identifiable~j yes ^ no SYSTEM MAINTENANCE Imo,.- r;er -s.`e 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. Ri nat you psi into tie .:~'s:~m 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 mast~rplumber, journeymanplumber, restrictedplumbcr or a licensedpumper venfymg that (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 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of 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 of the three year expiration date. ~..~~ ~i.~~t.~1 SIGNATURE OF APPLI ANT - l a6/ -O•J' DATE OWNER CERTIFICATION y g ( ) the owner(s) of I (we) certify that all statements on this foam are true to the best of m (our) knowled e. I we am (are) the property descnbed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF PLICANT lo,~' DATE ssss«« Any information that is nus-represented may result in the sanitary permit being revoked by the Zoning Departm ss Include with tills application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made is the warranty deed STATE 1 t~~~CO~f~~'~INFO1tN1 1 - 1999 Document Number I WARRANTY DEED This Deed, made between Bruce A. French and Ruth A. French. husband and wife Grantor, and Scott E. Carlbere and Linette G. Carlberg, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St-Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): Part of Fractional NW t/of NW 1/of Section 2, Township 28 North, Range 15 West, St. Croix County, Wisconsin described as follows: t 2 of Certified Survey Map filed December 5, 2002 in Vol. 16. nape 4419, Doc. No. 700977. 736296 KATHLEEN H. MIALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORD 08/19/2003 11:30AIS WARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 131.70 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address Together with all appurtenant rights, title and interests. 004-1003-60-200 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, res rictions and rights-of--way of record, if any. Dated this ~ day of AutTttst , 2003 -* .. ra A~ s~'~nsin Signature(s) State 0 authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson. WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) * Bruce A. French ~- 2~.~.~ * Ruth A. French ACKNOWLEDGMENT STATE OF ~ ) ss. _ ~"~ County ) Personally came before me this t~~~~y of August , 2003 the above named Bruce A. French and Ruth A. French, husband and wife to me known to be the person(s) who executed the foregoing strument and a ledged the same. Notary Publi ,State of My Commission is permanent. (If not, state expiration date: t~~ ~ •) * Names of persons signing in any capacity must be typed or printed below their signature, Informarion Professionals Co., Fond du Lac, wl STATE BAR OF WISCONSIN 800-655-2021 WARRANTY DEED FORM No. 1 -1999 700977 HLEEN H. MALSH SISTER OF DEEDS ST. CROIX CO., YI RECEIVED FOR RECORD 12/05/2002 09:20AN EXEIPT ~ REC FEE: 13.00 TRANS FEE: COPY FEE: 3.00 CERT COPY FEE: PAGES: 2 I z-~.~- "$~ Sa~~y~o ~ARHE FRACTIONAL Ti/4 OF~SECTION 2. ~~~ ti ~~ L~:°. AssuMED ro BEAR soo~o7'S3"E. ~`~ ~DN ~ ~~ ~~~~~~~ uNPIATTE~ LANDS ~6~'~ ~~ ,.,~ ~v~~m ~ OWNED BY OTHERS ~~ ~--~ ~~ ~ j FRACTIONAL NWi%4 ~" -~~~~ ~~ ~I~~~_ 500°07'53"E - ., -S0~6T53„~13,~3-,~6' - 1323.26'' - - 666.93' 33.00' 256.52' ~ 400.00' w I g •---.....500° 07'53 1323.45' _ ° ~" I .._.~._._._.._....... 100' SETBA -.. LIf•E FROM IGHT-OF-WAY._...- .. 4~~~ ~ I ~ ~ ~ g ~ ~~~~ I ~ ~ ~ ~ ® ~ n~io n~n~~ooo~ ~ I ya ~~7 ~ ~ Sj,~~ D mNN2 ~ ml ~1 O (~O 07 ppf~ ~I ~~{I~ U1p m QI ~ m ~ ~=I~ f H ~1 ~$~`~ ~ Z ~. m 6~6~ 1'- ~ N w~ ~yoooo7s3•w aao.oo• ~~I o-i rl"I My ~ m ~ I ~~. y~,.. ~ ~ L7y 'L'i ~ ~ to ~~ S D myna °IV of ~a~SQ~ 9~'" ® ~ ~I,)~z~A pr+ m -1~Z~ ~ f. ml ~N~~+ ~^~ N m H S ~Z V ~~o~ ~I m ~ ~D~s ~ ~/ ~~ C '' II ~ o~ T $~Nn Zyl o l ~. ~. ~ N X~ /V ~ys~ C~ ~ 2 II ~ ... nOT H~~y Z ~ r" ( EAST L of THE FRACTIONAL Z= ~ ~a ~ -~ ~ I NWS/4 OF HE NWf/4 {rn o ~ ~ ~' I 651.86' 679.12' H ~~ o~ m N00°03 w 5330.98' m z na ,,, y ~ I I ~'- o 5c" ~ ~n~ mz ~ = I I UNPLATIED LANDS ~~ ~ z~ ~n4" m 0 OWPE~ BY PLATTERS V^~ ~ ~ ~ ...,~ T ~~ ~ o N ~ Z a~ ~ ~~ ti c f n ~ '! ~ o ~ a ~~a ~a byao ~~ ~ ?` m ~ ~~'m m~ m ~'i I~ ~~ * w w ° ~ ~ ~ HO1 m~ O ~x .~ a .~~ ~ Q ~ ~ N ~r07~ ~ -+ ~ a r,.f N -+ .~ o ~n ~ ~ .. y =m 2'. p O a= ~tn ~ "" p rm ~ w X m ,~ x= o ~ ~~ iTf ~ zo ~ ~ a no f~ K~ J'~rti m o o r~ b ~ ` ~ ~~ O ~ Z m = ~ ~ ~ -I rn° O ~N D ~ ~ K ;V i< G IiOG _ o r~i 5y~ v s d ~ ~°» ~~ ~ SHEET f OF 2 THIS ]TLSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG Yo1.16 Page 4419 flRIG9N~1L `D ~~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accnrrianra with r:nmm RF iA/ic Arun Cnrie 1653 Page I of 5 Certified Soil Testing County Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D , percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . CSM's Pending ~g-dZ ,3 FO /(p0 Please print all information. eviewe By Date Personal information you provide may be use for sec Law, s. 15.04 (1) (m)). ~_ ~~~~ ~~ ~" ~~ lv~vri.-~- ^~ 01~ dJ Property Owner Pr perty Location French, Bruce G .Lot 1/4 NW 1/4 S 2 T 28 N R 15 W Property Owner's Mailing Address ~ „ l ~ '~ 200 Block # Subd. Name or CSM# f 3026 60th Ave. ~ ~'IDGj'j~ ~/ ~Co ~? ff City State Z' Co P1~dt~k~N.L~4t=JIVTy ~ City j Village Town Nearest Road Wilson ~ WI ZOP ~ PJ , , .__ _ ,_ 4 Cady 3~ o ~ 3 ~~; y. Sa New Construction Use: yl Residential / Number of bedrooms Code derived design flow rate GPD Replacement j Public or commercial -Describe: Parent material loess over till _ _______ __ ___ _ _ Flood plain elevation, if applicable NA General comments and recommendations: Preliminary Soils Only for Platting -Mound Systems Po - ssible °~ d~~ ~ ~ ~o~ ~~ad~-- ~1~ ~~.~..~. ~ -~~°.a-~~. - w- a . ^ Boring # ~' Boring 27 ~ /? Pit G rf d S l roun u ace e v. ft, Depth to limiting factor • Soil Application Rate Horizon ~ Depth Dominant Color Redox Description exture Structure Consistence Boundary Roots GP DIft' I in. Munsell Qu. Sz. Cont. Cotor Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-6 10YR 3/3 - sil 2 f sbk mvfr gs 1f/m .5 .8 2 i, 6-14 i - - i , 10YR 3/3 ~-- - sil 2 m sbk mvfr cs 1 m .5 .8 3 ; 14-16 a -; ~ 10YR 3/4 -- - sl 1 m sbk mvfr cs 1f .4 .6 , 4 116-27 10YR 5/4 - Ifs 0 sg ml cs 1f .5 .9 5 ~~ 27-37 10YR 5/4 f2d 7.5YR 4/6 Ifs 0 sg ml - 1f .5 .9 _~ redoximorphic features grade to cap in horizon 5 Boring # Boring _ ~'~ / /' Pit Ground Surface el v. ft. „ Depth to limiting factor 22 in. Soil Application Rate Horizon i Depth ~, Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. ' Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0-6 !, 10YR 3/3 I - i sil 2 f sbk mvfr gs 1f/m ' .5 ~ .8 2 6-13 10YR 3/3 - sil 2 m sbk mvfr cs 1f .5 .8 3 113-22 10YR 4/4 - sil 2 m sbk mvfr cs 1f .5 ~ .8 4 ': 22-32 -~-- 10YR 4/4 r-- t2d 7.SYR 4/6 l OYR 6/2 sl 1 m sbk mvfr - - .4 .6 ---~- i Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mgL CST Name (Please Print) Sig at re: CST Number Henry F. Grote r 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 10/14/2002 715-233-0398 .2~ ~a Property Owner French, Bruce Parcel ID # CSM'S Pending Page 2 of 5 t~~ v ~~ 3 Boring # Boring lam. r/' Pit Ground Surface el v. ft. % Depth to limiting factor 17 ~in. Soil Application Rate Horizon Depth Dominant Color Redox Descriptio re Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-5 10YR 3/3 - sil 2 f sbk mvfr gs 1f/m .5 .8 2 5-11 10YR 3/3 - sil 2 m sbk mvfr cs 1f .5 .8 3 11-17 10YR 4/4 - sl 1 m sbk mvfr cs 1f .4 .6 4 17-21 10YR 4/4 f2d 7.5YR 5/6 sl 1 m sbk mvfr cs 1f .4 ~ .6 5 21-41 I 10YR 5/6 c2d 10YR 6/2 scl 0 m mfr - - 0 0 B-1 to B-3 indicate a mound w/ 1.6' sand fill possible this area t~ Boring # Boring ~ pit ~ Ground Surface elev. ~ ~ ~ ' ~ ft• Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 ! 0-4 10YR 3/3 ! - sil 2 f sbk mvfr cs 1f/m .5 I, .8 2 '~ 4-15 ; 10YR 3/3 - sil 2 m sbk mvfr cs 1f .5 .8 3 ~' 15-23 ~ 10YR 4/4 - sl 1 m sbk mvfr cs 1f .4 ~, .6 4 ~ 23-43 ~ 10YR 4/4 f2d 7.5YR 5/8,5/3 sl 1 m sbk mvfr - 1f .4 .6 I - ~ ~i rj Boring ~~ Boring # /i Pit Ground Surface elev. C • L~ ft. Depth to limiting factor 44 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 j 0-6 10YR 3/3 i - sil 2 f sbk mvfr cs 1f/m .5 .8 2 ~~, 6-12 ~ 10YR 3/3 I - sil ~ 2 m sbk mvfr cs 1f , .5 ~~ .8 3 ~~~ 12-20 ~ 10YR 4/4 - sl 1 m sbk mvfr gs 1f .4 .6 4 '~, 20-34 7.5YR 4/4 - sl 1 f-m sbk mvfr cs 1 m .4 ~ .6 5 ~! 34-44 ~ 10YR 6/4 - fs 0 sg ml cs - ~ .5 ~, .9 6 44-50 I 10YR 6/4 i ~ fad 7.5YR 4/6 fs 0 sg - ml - ~ - ~ .5 ! .9 ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-315 I or TTY 608-264-8777. Certified Soil Testing ~~ Property Owner French, Bruce Parcel ID # CSM's Pend Page 3 of 5 6 Boring # - -' Boring ~ ~_~~) -~ / Pit Ground Surface elev. ~ ~ ~ ft• Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-6 10YR 3/3 - sil 2 f sbk mvfr cs 1f/m .5 .8 2 6-14 10YR 3/3 - sit 2 m sbk mvfr cs 1f .5 .8 3 14-25 ~ 10YR 4/4 - sl 1 m sbk mvfr cs 1 m .4 .6 4 25-40 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 m .4 .6 5 i 40-44 7.5YR 4/4 f2d 7.5YR 5/8,5/3 sl 1 m sbk mvfr - - .4 I .6 + I I l i B-4 to B-& indicate a mound possible w/ 1.1' sand fill Boring # --i Boring Pit Ground Surface elev. ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ~ 0-4 ~~ 10YR 3/2 _ sii 2 m gr mvfr cs 1f/m .5 ~ .8 2 I 4-10 10YR 3/3 - sil 2 f sbk mvfr cs 1 m .5 .8 3 'i 10-16 ! 10YR 4/4 - sl 1 m sbk mvfr gs 1 m .4 ! .6 4 ~ 16-24 ! 10YR 5/4 ; _- ! _ - - Ifs 0 sg ml cs 1 m .5 i .9 5 ~ 24-40 !~ 10YR 5/~ -- f2d 7.5YR 4/6 Ifs 0 sg ml - - .5 ~ .9 ± - '~ ~ i ~ i Boring # =Boring /I Pit Ground Surface elev. ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ~ 0-5 10YR 3/2 _ si! 2 m gr mvfr gs 1f/m .5 .8 I 2 I _5-11 ~ 10YR 3/3 - sil 2 f sbk mvfr cs 1 m .5 ! .8 3 ~ 11-23 I 10YR 4/4 ~ _ --- -- sl 1 m sbk mvfr cw ~ 1m .4 ~ .6 4 23-32 10YR 5/4 ~ _ Ifs 0 sg ml cs 1 m I. .5 ~ .9 5 ~, 32-49 ~ 10YR 5/4 ~ f2d 7.5YR 4/6 i ~ Ifs ~ 0 sg ml - - ~ .5 ~~~ .9 z ! ~ --~-F I i I ' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate forma[, please contact the department at 608-266-3 I51 or TTY 608-264-8777. SBD-8330 (R.07I00) Certified Soil Testing Property Owner French, Bruce parcel ID # CSM's Pending Page 4 of 5 Boring # ~'' Boring ft. Depth to limiting factor 24 in. /~ Pit Ground Surface elev. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-6 10YR 3/2 - sil 2 m gr mvfr gs 1f/m .5 .8 2 6-12 I 10YR 3/3 - sil 2 f sbk mvfr cs 1 m .5 .8 3 12-19 i 10YR 4/4 - sl 1 m sbk mvfr cw 1 m .4 .6 4 19-24 10YR 5/4 - Ifs 0 sg ml cs 1 m .5 .9 5 ~ 24-44 ~ 10YR 5/4 f2d 7.5YR 4/6 Ifs 0 sg ml - - .5 .9 --L B-7 to B-9 indicate a possible mound w/ 1.0' sand fill ^ Boring # -- Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Boil Application Rate th Dominant Color Redox Description De Horizon Texture Structure Consistence Boundary Roots P i p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I i i I i i j I ~ j ~ ~ ~ ^ Boring # Boring i Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate th Dominant Color Redox Description Horizon De Texture Structure Consistence Boundary Roots ' p in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EfF#2 ~ I ~~ i ~~ i - -- - ~ -- -- j I i i ~ 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 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Additional Notes Money Owed Emily Lund established contour shot without $0.00 plumber present; 99.24' was recorded. However, the installation was based on 98.8' and min. fill was to be 1.6' = 100.4' system elevation. That is the elevation achieved at final inspection by Jennifer Emmerich, but due to contour elevation 99.24', it appears the sand fill was only 1.16'. Maintenance Scheduled Pump Date Pumoed 1st Notification 2nd Notification 3rd Notification 10/1412006 (,~ G~~~