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Home My WebLink About004-1032-60-000Wisconsin Dep2rtment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)I. Permit Holder's Name: City Village X Township Timm, Todd W. Cad ,Town of CST BM Elev: Insp. BM Elev: BM Description: . .... ~ Y1 T ~~ ~-! k . TANK INFORMATION TYPE MANUFACTURER : ~- "` ~+~:+ CAPACITY Septic ~ ~~~ f - ;.`,~ ~ „ ~' ~' ~ ~... ~ r Dosing , t ,. , 5... ti ..Hh . ~x J ~,~+P. ,. 'M V i:~~. A^erdtt~ j~l F .~",.;d~ 'a !r° ~f+ /~J! ~ t k lL. .r 1 I Holding TANK SETBACK INFORMATION TANK TO ~ P/L. ~. ~^+~>„ WELL BLDG. Vent to Air Intake ROAD Septic /, ~ ~- '• ,, f Dosing _ _ ,~ ~ f Aeration Holding PUMP/SIPHON INFORMATION ~: . ~ `, ~l° Manufacturer ~ r `y : ~ ~~~ ~ ~ ~ Demand "' " _ :.~~ tia ~ ,_ - !. ;, GPM e1 Model Number TDH Lift Friction Los System Head TDH Ft , Forcemain Length ~ Dia. ~~ Dist. to Well SOIL ABSORPTION SYSTEM County: St. CroiX Sanitary Permit No: 506195 0 State Plan ID No: Parcel Tax No: 004-1032-60-000 Section/Town/Range/Map No: 14.28.15.218b ELEVATION DATA STATION BS HI FS V. ELE ~1 ^ Benchmark x.35 /og• /~ Alt. BM Bldg. Sewer ~. ~ • ~~ r / S . ~~ SUHt Inlet J ~~ !!r Z. SUHt Outlet 1• ~ /j/ G Dt Inlet ~9. 1~ ~, ~3, Dt Bottom ~ y~ ~ ~ ~ Header/Man. f !y~ (17~ t IGTL •~ Dist. Pipe <6•b3 lai, cxl Bot. System Final Grade ~ ~. Ga`' ! ~'. ~ t _, y .~!• ~.ov>~o.; r 6.35 / c >,t , BED/TRENCH Width ~ Length No. Of Trench s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS "" k:' ~ ~ • _ _ ' SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: I MA N CHAMBER OR ~`'- NFOR TIO Type O,f System: ,; ,' /Ca, ~ /','~,~ , ` /"~, ~:,~ _ UNIT Model Number: ,,,,,_ :t .:~ DISTRI6UTION SYSTEM ~~, _ .4 HeaderlManifold ,+ Distribution ~ ~; + x Hole Size ;, x Hole Spacing , t to Air Intake V Length ~~ Dia ~ ' °'' Pipe(s) r: r 1 Length `° ~~ Dia +l ' "' Spacing t ,ti i ~ ~ ;„;! ~ ,~~ .., SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center $ k,~, ~ Bed/Trench Edges ~ Topsoil , j,-,i,-. Yes ~ No ~ Yes Lnr~ No `"\ r,,~ C, fr COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: `f' / ~`~/ `~' ~ , ~ Inspection #2: / / A ~4.I. . lal A ~ ~ ~ +~'~ ~, y Location: 3~i2 315th Stre t Wilson, WI 54027 (S 1/2 NW 1/4 14 T28N R15W) metes & bounds Lot t Parcel No: 14.28.15.218b ,, / ~ .1.~;..-.._ ~._.c. , ~, .., > ' )Alt BM Description = __ t ~ ~,: ~rr++.; s.."" r'~ -~~''tC ``-=.a i ~ h, ; `Idg sewer length = G?" ,..~ y~'~.. ; • • { : ~ ~~ ~ ~ i. y+•-~,c„.~, !" I c ~t. , count of cover = ,! / ~ ~: ~ --- ---- -- r- - -- ~ --- -- - -- ~- -- .i~•--- uired Yes dditional information. ~__ ~ ~~ ~ _ ~~ ~~ - -- - Date ~ Insepctoc'~ Signatu Cert. No. ~ i c r ~~ 5/_'~ %_ /5 ~1 ~ O o g - - County ~~ ~ n0 / K ~ 201 W. Washington Ave., P.O. Box 7162 iseonsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled i y Co.) Department of Commerce (608) 266-3151 ~~ / / Sanitary Permit Applieatio~l State Plan I.~D'/. Numb(c~r ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide / ~ / may be used for secondary purposes Privacy Law, s 15.04(I)(m) Project Address (if different than mailing address) ~ ti t All I 1 A li I f ti Pl P i f ti ST ~ ~ ~ 3 ~ S ca ease n . pp on n orma on - r n orma on i Property Owner's Namc Parcel # t # oB ` /~ Property Owner's Mailing Address Property Location ~ ~~7 ~ D~~ Cm O w / 3r to C /V ' ~~ y, ~W~/. Section L City, State Zip e r ~ , / ~ // circle q~ ~ 3 IL Type of Building (check all that apply) ~ r~~- 3 ~ Subdivision Name CSM Numbcr ,~ l or 2 Family Dwelling -Number of Bedrooms ~y~ ~d/~~ ~ ~ 3 ^ Public/Commercial -Describe Use ^ State Owned -Describe Use ^City_^Village~l„Township of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' y ~ New S stem ^ Replacement System ^ Trratment/Holding Tank Replacement Only 3 ^ Other Modification [o Existing System .(Q B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Numbcr and Date Issue Before Expiration Plumber Owner / / IV. T e of POWTS S stem: Check all that a 1 ~ C=G' 7~tfL ~ D ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Linc ^ Gravel-less Pie ^ Other (explain) ~/ V. Dis ersallI'reatment Area Information: t. Design Flow (gpd) Des~tgn~oil Applicati Ratc(gpdsf) Dispersal Area Required sf) Dispersal Arca Proposed f) System Elevation VI. Tank Info Capacity in Total Number anufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~/ Aerobic Treatment Unit Dosing Chamber ~ ~ ( s f ~ VI1. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum 's Namc (Print) Plumber' ignaturc MP/MPR mbcr Business Phone Number .Jl,r IW--~- ZZ~or7Z ~t!S~ X72"3~~~ Plumber's ddress (S[reet, City, State, Zip rC-~odc~)~ ~ ~ p ~A ~ ~,,~^ ],~ , L~ ~7 VIII. C n /De artment Use Onl pproved ^ Disapproved Sanitary Permit Fec (includes GrouDdwater Surcharge Fec) ~ /_ ~~ ~. Date Issued ~j/ ~ / uing Age t Si tur o Stamps) ~ ^ Owner Given Reason for Denial ^ (~ ~~ / IX. Conditions of ApprovaUReasons for Disapproval ~ ~ ~~-~ `~~ 7i ~1.lJ ~~~ ~ ~2~ SYSTEM OWNER: ~ ~pJ,..Q ~` Gc/%~ ~ ~ r, t Septic tank, effluent filter and v ~ / ,-~' ~ G J~,~~ ~'~/ ~• dispersal cell must all be serviced / maintain ~ ~° 23 ~ d ~ b / ~ ~ ~~~`w` ' e l V ~ ~ as per management plan provided by plumber ~ ~~ / ~E~~~c.~-/Ib~ - ~ `' . / S~ . /`.' A -,, 2 c f 2. All setback requirements must be maintained ~- `'~`"'~ ` as per applicable code/ordinances. ~~ ~ r`!~Q~~ GY ?->~c.~--~D~_ -- - __- - Attac6complete plans (to the County only) fo the system on paper not less than 8lR s I I inches in size ~ ` SBD-6398 (R. 01/03) ~U~~~ ~~ s~/~~~ ~ 3 ~ l~~ S ~ ~ ~ Q a ~- ~~ ~ 6 /'~ - ~i 6_ _ - _ _.: _... __ _- . _._.. .__. _ -°' _ _ ; S `'' .n o -~ j ~ r P 0 P --~ Z ~. (/ u~ / __ \_ r~ r A S ^ ~ o ___ ._ :--- --_._. _~_._ _ __. ~~~ _=gig ~ r ~ o ~-: f~' ., J _ v ; F ~ q-~ _ f' °s ~-~ S ~ ~ s r S ~ ~ o ~ ,~-, ,t ~ ~- ~., ~ °s T, ~ s ~ ~ r c o d ~ p ~ s f- s ~' `- ~- \\\ -4 ir- ~ f G o ~' ~ ~' ~ ,~" ~j N ~ °S 9 ~ I ~ £ ~ ~' ~ * ~ ` ~ - --- S q-- ~ - ~~ A P r ~~ ~ JW 0 4-~ la' f r (~ r a -P G c G 1 G G G f .~ L~ r J - ____ r --- - -~ ___ _ c ~ ? ® ~ o r ~ `t+ S 4- ~ ___ ,_ _ - rri s D ~ -t-- ~ _ _ _ € ~ rv _,_ :~ t ~; ~ ~ ~ ~ '~ ~- ,, r _ _ _ . fir- N F ~ ~ ~ g Z r S E _. _ _ _ - ~ --- --- _ _ _._ ___ _~ ~ r ~ ~ ~ n` c ~ ~c S't. Croix County Planning and Zoning Monday, May 21, 2007 at 2:20:32 PM Detail Sanitary Information Page 1 of 1 Computer #: 004-1032-60-000 Sub/Plat: metes & bounds Section: 14 Parcel #: 14.28.15.218b Lot: TN/RNG: T28N R15W Municipality: Cady, Town of CSM: 1/4 1/4: S 1/2 NW 1/4 Owner: Timm, Todd W. 372 315th Street Wilson, WI 54027 State Permit: 506195 Issued: 05/21/2007 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Natr:s Issuer/Insaector As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn NA Timm, Roger this is a 2nd house on same 23 acres parcel sold $0.00 Not determined ~ F1~: No to Timm in 1987. There has been no legal separation of this acreage -parcel numbers different due to being SE & SW of NW 1/4 north of Hwy N. This parcel first transferred in 1981 via land contract between Sffh Sather and Roules vol. 634/p. 461 ~~~ ~ r• commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www, commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 14, 2007 CUST ID No. 226524 ROGER L TIMM TIMM EXCAVATING 3128 20TH AVE WILSON WI 54027 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/14/2009 SITE: Todd Timm 315' Street Town of Cady St Croix County SE1/4, NW1/4, 514, T28N, R15W FOR: ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 .Identification. Numbers Transaction 1D No. 1394468 Site 1CD No. 725176 Please referto both identification numbers, above, in all corres ondence with the a enc . Description: Mound /Three Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1130379 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P tN.01/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/O1); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, 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. Coil • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption ~~~ area. chs. NR 811 & 812c ' RTNt • A Sanitary Permit must. be obtained from the county where this project is located in accordance with the µ OE requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ SEE COI • Inspection of the POWTS 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. Stat ..:.,:_.. ~. ROGER L TIMM Page 2 5/14/2007 • Comm 83.22(71 A cop, o~pproved 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. Owner Responsibilities: • .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). • 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 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe rnade to me at the telephone number listed below, or at the address 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, /, ~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. Henry F Grote Todd Timm -Mound S'qF 4 3 Construction Materials and Techniques ~~(~~ All materials must com 1 with Comm 84 and be installed in accordance with manufacture~s~~~~ pY specifications. Construction methods must comply with the following Component Manuals: tilgy ,,.~ Pressure Distribution, SBD-10706-P (O1/O1) Mound, SBD-10691-P (01 /01) Location: SE '/a, NW '/4, Sec. 14, T 28 N, R 15 W Town: Cady County: St. Croix Date: Apri130, 2007 Owner: Todd & Linda Timm Address: 3110 CR N Wilson, WI 54027 Plumberer: Roger Timm Signature: License: 2265 4 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 ~~itit~ncrlly ~~ 1l ~® ANT OF COMMER E NFTEYA~IW fNGS .~tESPU~2~ENC Design Criteria ~~'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ° ~~~ gallons/sq. ft. per day Depth to estimated high ground water ~~ Zb in. Depth to bedrock > S ° in. Cross slope at system ~ ~~ % ~^^ ~ v Force main length ~1' ft. of ~ in. ~?~ ~l' Manifold/header length 4' ft. of ~`~ z in. o ~~ ~- Drain-back `~' S Z gallons Lateral length 2 @ S4 ~ o ft. of ~ ~ L in. Lateral elevation ~ °1,~ ft. @ bottom of lateral ~ Lateral hole size ~l b in. @ 3~, ° in. ( 3' ~ ft.) Spacing ~ ~ holes/lateral 3 ~ holes total Lateral volume 4 '`~; ~_ gallons Total lateral discharge rate ~~~ ° g _ allons/minute @ ~ ~ S~ ft. head Network pressure compensation losses ° '~~ ft. Elevation difference ~' ~ ft. Friction loss ~ ~~ i ft. @ ~ gallons/minute e _ Total dynamic cl"'_~ ` ---~ q.qS ~ ft Pump/si~on 4-~ gpm @ ~ ° ft. of head Manufactur ~ ~ ~-s ~ g ~- ~ Model # ~ ti' 0 4- Dose volume SYb.a b gallons Lift/si~on tank Vv z ~.~~ ~ ~ ~~ gallons Septic tank ` ~ `` llons ' ®'~ ga Effluent filter ~ ~ '~ -~ ~'O °ti~ d ~ s~ n w~~ ~-~~~~'/ Measurement pump on and off ~ ~ ~ in. Height alarm from tank bottom ~ ~~ ~ in. Reserve capacity 4~~ ~ gallons specs.calcs.res Page Z of ~ . ~, .. ~ ~ ~, ~ T ~ , J Z-~ ~ ~ ' t o ~i ~ ~' ~ ~~ ~~ 8~ ~J '~ ~' n`~~ ~ ~ __ ,_ 3 ~ ~ ~ s' ~ ~. 3 j~ o ~ ,f ~ ~ ~ ~ a ~~ ~ ~, _ o __ a _.._ I ___ ..~ ,' ~~, ~ _~ `~ I ~ ' ,~ i f ~ ~' ~~ ~ s o ~r Y +~ '~ _,,,y v ~ 3 ~~. L? So A ~~~1 ~ d o ~ ~ ~ ~ 1~ a `~, 3~ _ c~ J ~g __ _ _ - , `~ ~ ~ s ~ a ~' ~ N d (~ -~ ~' ~ ---~ ~ g _ _ _ __ __ _ __- -- . __ _ _ o J ~ ~ i J 9' . J '~ - v- - / i~ ~~~ ~ - o ~ S ~ ~ sS _ {__ ..___. __ _ v ~, ,~ ~ n ~J ~ 9 Y ~ -~ C 9 `n ~ ~ Z ~- ,~ 4 ~ / - o ~G 1 ~ d ~~ 9 _fl _ _ _ _ r---___ - ~ ~ _ v d. ~,-~-~,1 ~ fl a ~; ~ j ;.. _ . ;: -..: ~: ~. „ .,, ,:: ;, 3 1 ~ r oe.~ ~ ~ ` V~1It S~~ ~" 1p~,1 Ow Zvi $ ~ \ 1 ~ ~ !!jf ~ ~ 4N 1 ~ , ~ ~~:. p -, 4 :k~ , ~~.w,.. ~~ ~+i. n eX c.v, o ~. o ~ ye~ ~ 1 ~u-r~ \ b~~ ~oipa~;1 1 Z ~.p' ~~-}~ ~~~ M b s..~oco:1 .~"~ ~ ~ ~ o • Q", ~ 3 w 9 I O Av L~ ~ '~ ~ "~ n.. ~ ~ a ,,, ~ ~ ~~~ ~ ~~ g .~ ~_ ~~;, ~~,~ g~, o s'y~ T z.n, I ~'O~ 3o.g "~~" ~-~ ~ -~ ~ ~~~ }~ 11,.p~ 5~,~~ 1\,p~ ~~o h~ f1 (1 1~5' (' 1 V o~i; ~ 0.~ a+~C Tom' y`^~. w~.`~. ~_^ ~ `~'o wi Ql~.~ O i- ~-~C~ t.~ti: O. 4" ~-4~U•.~. S~vC o~eS~rv~~:oy ~,..n.`~~ i-o b.~~o... c~~ rock `o~ ~`~ ., LQ V L S 4`1 ~+O ~.+ a ..: ~e \ M ~ w T S2/„ ~~ i/ L ~ C- ~ \ ~ rr,, ` 1 / / ~, l`IZ' Pvc o.'r .r..~,` 1 -~- S~ ~ ,o ~~ ~- - `3.0~ I 3.~~ ( ~ ~ 3.0~ ~ 3.0~ 54,n' ~ ~ c ` G~. \ 1 ` ~ ~ ~~ 3/emu ~ p` c.~ o ... l ~~ A.a. QII..~ ~- ~0 0~ o .~ `; ., ti ~ n3 - A(~p\ ~~ 1 3 . c~ ~ ~ ~ a ~ ~ ~ ~ U ^ - _i ~ I I T 1.J ~ r t t VEtJT CAP ~ 'i~~C.I. VENT PIPE WEATHER PROOF APPROVED LOCKI~IG > JUAICTIOIJ BOX MAIJHOLE COVER - 25~ FROM DOOR, `?~ `^'~/ WARN~N WIIJDOW OR FRESH I LAQ~I.. AIR INTAKE GRADE ~ ~ Q~w, ~e•c,s I 4,. i - GOIJDUIT ~-~ "`Z-~ \\~~~ \ ~~ 11~ PROVIDE I =____ AIRTIGHT SEAL I I C I ~ / T ~ I L= ,~.~. s~o,.,.,~ 4~,3 rr~~, czesL7R.v~ zz.o„ I I I c ` _ t III APPROVED J~IUTS i'~! o w. "~ -~21~~ I III W/ PIP E I II ALARM EXTEUDIUG 3' ~' v-e~ ~ ~ ~ I ~„ ~ I o-~ro sol.lo soli i I 1s, 04` I I .. PUMP--1 --~ OFF a.`¢.v.~~ S~ Q ~ _l,~ -- .. - .r ~ DLOCK _ j__. ,_ _. .. ~ ~.1a.v. ~ ~ , ' ; .- ,. I ~o~, I ~, __.__ ~ , '~~ i ', ,, ~j ~, FJ' }• tS ~ I .i ~ . I, _. I '. i. ' I ~ i I ~ j i ~, ~ ! i ~ ~ i _< :~ GOULDS PUMPS Wastewater PERFORMANCE RATINGS COMPONENTS Total Head of water) (ft Gallons Per Minute . EP04 EP05 5 53 - 10 46 62 15 36 55 20 21 46 25 0 33 30 - 11 ~lok~~~ ~g~~ not l trc O Q w 2 V_ Q Z } O J ta- Q H No. Description 1 Impeller 2 Base 3 Pump Casing 4 Mechanical Seal 5 Ball Bearings 6 0-Rings 7 Power Cord 8 Oil Filled Motor g Motor Housing/ Stator Assembly 10 Motor Cover u. ~~ I~`~~~ 6 ~.` 9 --~-~r 5 A .' ._ ~~ ~ , /6 7 3 ~ O I I I I I 0 2 4 6 8 10 12 m3/h CAPACITY • System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. [f problems develop with the adsorption system or any other system components, the installing plumber, Roger Timm, 715-772-3214, or the St. Croix County Zoning Department, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows ofwater; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within I S' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a notmal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ' ~?~41GINAL~ ~~~~~ S EVALUATION REPORT Department of Commerce in a once with Comm 85, Wis. Adm. Code fliuisinn of SafRfv and Ruiltlinn #2546 Page 1 of 3 Certified Soil Testing, LLC County Attach complete site plan on page ches 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 dimensions, north arrow, and location and distance to nearest road . . 4-1032-60-000 /032-y F Date R ewed Personal information you pro a ma e ry purpo s (Privacy Law, s. 15.04 (1) (m)). ~ Property Owner AFR ~ 4 2007 Property Location R15W T28N Timm, Todd & Linda , Govt. Lot SE1/4, NW1/4, S14, Property Owner's Mailing dres Lot # Block # Subd. Name or CSM# 3110 CR N ST. CROIX COUNTY City tuber ^ City [] Village ®Town Nearest Road Wilson WI 54027 715-772-3157 Cady 315Th St. x New Construction Use: ®Residential /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 ft. General comments install 8' x 57' rock cell mound on 100.0 as upslope edge of rock wl 1/0' sand fill @ 0.4 gpd/sq ft basal and recommendations: loading '----' 1 ^ Boring Boring # ® Pit Ground surface elev. 100.0 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consist~n Boundary Roots GP D/ft2 in. Munsell , Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 1 0-8 10YR 3/3 - sil 2 f sbk mvfr cs if/m .6 .8 2 8-18 10YR 4/4 - sil 1 m sbk mvfr gs im .4 .6 3 18-22 7.5YR 4/4 - sl 1 m sbk mvfr gw 1m .7 4 22-26 lOYR 4/4 - sl 1 m sbk mvfr cs 1m .4 .7 5 26-36 10YR 5/4 c2d 7.5YR 4/6 scl 0 m mfr - - 0 0 .._.---~ H3 has some f gr ^ Boring # ^ Boring / Pit Ground surface elev. 100.0 ft. Depth to limiting factor > 50 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots. GPD/ft= in. Muns4!! Qu. Sz. Cont. Color Gr. Sr. Sh. 'Effifl 'Effilz 1 0-8 7.5YR 3/3 - sl 2 f sbk mvfr gs im .6 1.0 2 8-50 7.5YR 4/4 - sl 1 m sbk mvfr - lm .4 .7 H2 has some f gr 'Effluent #1 = BODS> 30 < 220 mg/L and T S >30 < 150 mg/L 'Effluent #2 = BODs < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) 'gn ture: -CST Number Henry F. Grote 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 4/19/2007 715-233-0398 SBD-8330 (R.07/00) ~~ Property Owner Tlmm, Todd & Linda Parcel ID # 004-1032-60-O1~tl Page 2 of 3 3 ]Boring Boring # ~ pit Ground surface elev. 98.0 ft. Depth to limiting. factor 31: in. Soil Application Rat Horizon Depth Dominant Color Redox D®scription Texture structure,,,,. _ Consistence ~ Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Colcr Gr. Sz. Sh. °"" " *Eff#1 *Eff#z 1 0-7 7.5YR 3/3 - sil 2 f sbk mvfr gs im .6 .8 2 7-12 7.5YR 3/3 - sl 1 f sbk mvfr cs im .4 .7 3 12-28 7.5YR 4/4 - s1 1 f sbk mvfr gs 1m .4 .7 4 28-38 7.5YR 4/4 - sl 1 f sbk mvfr as - .4 .7 5 38-44 lOYR 5/4 c2d 7.5YR 5/8,5/3 scl 0 m mfr - - 0 0 H1 is slightly gritty w/ s; H4 is near field capacity w/ side seeps @ & below 31" * 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-8i3a (RA7(0~) Certlfied Soil Testing, LLC o .~. `~7 r ' T ~ ~ .~ o ~~ .~, M ~ ~~` ~- ~ ~ ~ ~.I a ~ ,y ,,, ..~' s' 3 -~ ~ 1 a `1 ~ I a a f n ~y ~ ~~-r ,.. /~ ~ ~ ~ sQs '~ ~' ~ J - ' ~ c..b e ~- ~ ..~ s "-° ~, o ~ ~` o ~. ...~ ~ ~ .i ~° d ~ \ c ~ _ - ~ ~,__ j--__._ C-- L ~ \10 i( j 6 \ ~ S I 9 ..! ~ ~ ~ ~ _, ~' N (`, ^O \ ~ g ~\ C. ~J a ~I fl 3 ~ 1 o f _._ ___. _ ~ a _-- ~- D c ~V~ ~ s T a +, ii (~-`~ ~ j ~_ c ~ y \ S _. U _ _ _- - - __ ~/ ~ ~_ f $ __ G ~ _~ ,~ r Cf v ~1 ' ~ C ~ ° / v / ~, ~G 9 Z ~- d ~ `~G J}~ n ~~ ~' ~ ~ ~ ~ ~ 9 ~ fl _ _.._ .~ y s~' d' `~'~ j fl 0 0 \ g v 05/17/2007 15:55 17157x62201 r~ w i ~ o ,,~ ` i l+ w ~ ~' ~. Q ~" o ~ O ~ '~~ ~ N N ~ _ O O '' V, i 1:.1 a 1. ,. ~~~ ~; ~~ I wr ~: ~. ~: ! . 1 Q ~~ C~ ~~~~ T! ?~:a~µ.. +_a 4 I ~ I,~ r rti .y W t ,.a ~ "~ i .......~..~~ ;r ..................,. ~~~' . s.~ ~~ r.~., - vZ .., ~:;~ .",. °~ Q m CD f~ooi ~~: ~~~~ '~1.'M,,.'I~.a.~~ „1i. ~~ ,,~ IJ ~- ~ Q r. ~ ~.~ rs .~ ~ ~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM -~ OwnerBuyer i D I7S~ ~_1 ~ ; rr m Mailing Address Property Address ~~-~n.~d~ ~~ ~ ; S S1ld ~- 7 G~Il) ~~- ~ G CTi~/ /L/ new construction.) ~ City/State ~.9 i ~~'b ~ , Lc1 S Parcel Identification Number ~d ~ ~' ~b ~~ ~ IDU '` C~ ~,~~~ ~~ LEGAL DESCRIPTI N ~~ Property Location S ~ '/4 , Subdivision 3 ~ ~ .~/ 5 ~nzE~T (Verification required from Planning & Zoning / /V w 1 /Sb ~'1 S `r2 6~ ~'~ %y ~1~ '/4 ,Sec. f `~ , T Z9 N R / ~ W, /o ~ 13 ~~~ C~.e ~e~ Certified Survey Map # Lot # Volume ,Page # Warranty Deed # "Y~ ~ ~.j ~ ,Volume 7~ ~ ,Page # 3 ~~ Spec house yes no Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~ ~ ~ . ,~/ l~ / o .7' SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Town of (REV. 08/05) f~~~ ~i~ \` ~~ { ~~ ~ ~~~ Q9~ -- O~ ,~ DQ4UMENT NO. E 'k ~~~ ~.~- - - w~RltAN'TY DEEO TM~e sect R[IE11VSO /OA aeCOao~re pA7A ~} STATE BAS OF+W~ISCONBiN FORM 3-llMt ~' ~ .._ ~~ ~ ~JtA6E 4 REGISTERS OFFICE '' .JansiCb>~A..A..l~~.l~ffstiui_sASL.AidW:= M...Wil~llam®,.-huaband..and, '. if .!r1~~'4 ..!!#..~Qint..tenante, ........ ................................................... • conveys and warrants to ...'~Add,..WB}tri~ .Tli>~ .aAd .L~I1da..LB£..~~~... '~ ..>gta~and-.and..wife,..as..surYi+rorship--marital .properly,-........ ST. CROiX CO., W~ RK'd for Record IM>< 16th of Ju_ 1_w,+~/~Q 19 8:30 ~ ......... .........................................................-.......................... ~cTURN ro the following described real estate in St. Croix _•.-_,-County. State of Wisconsin: All that part of South Half of Northwest Quarter (S~ of Nib of Section Fourteen (14), Township Twenty-eight (28) North, of Raage Fifteen (15) ..-, West, lying Northerly of County Trunk Highway "N". s .1D e FEE This ._-.. 18 - ilOt-..--.-._-. homestead property. (~ (ia not) Tar Parcel Nd!D~~l ~~ ~.i',~" ZXX~ Z ~ ~~~ -~ .~ %s~ ~ ~~ I~~ ~~~ ~~~y ~~ -, ~. via Lam-~Cv-~-k-'~' Exception to warranties: Municipal and zoning ordinances and easements of record. Dated this .............13xh.....-----------------.... day ot ---......Ju1X... _.... ---- ---.......---• :....-...-......., 19..82 .. .....(SEAL) - --.....(SEAL) .... - --.r...~ -~ - - ----- -- ---- Williams . Jonathan D. ---..(SEAL) ~L~--~~L' ..~ .... ~. ...(SEAL) -------------•-- ----•-----------•----------- --- • ...Diane•.M..-Williams....- .....- -..._........ ADTHSNTICATION gisnatnre(a) .............•--........._........-----••-----------......._ anthentieated this ...--_-.day ot ........................... 19..._ TITLE: Ii[EYBES STATE BAS OF WISCONSIN (It not- ---------------- ----•-----•------•----•---•----.....------- sntborised by ~ 706.06. Wis. Stata.) TN18 INSTRUMENT WAi DRARTED BY ........_IdesxAl,d..D.__Dl~m~.,9~tty.•-----•-•-----.:...:y..::.. . ~: ..5.4092----•-------•--.-•'::_. .`~. `~ ~.- (Signatnrea may be antheaticated or ackn~rled~ ~otli:- are not necessary.) ~~ J~ 4 ~. ACHNOWLSD(iMSNT STATE OF WISCONSIN St. Croix -------------------------------County. i ~~ Personally came before me this _..13th....day of ...........July--------•-•-•----------. 19..a~._ the above named _-Jonathan D. _ Williams- and- Diane- M. _ Williams,, -- husband_.and_ wife„_ as-_ioint_ tenants,----_-- to me known to be the persons.--.-------- who ezecuted the foregoing instrument and acknowledge the same. ------•- - ----------------- n- ~ - '. * ...................•-- Harold•.D._-Olson.........-............... St. Croix ----.Count ;Af~ta-•• Public ..................................... y, Wls. _i1I3~ Commission is permanent. 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Et,v P/ERCE COUNTY fC'/-oix C'o~.r~ y t,1/is Parcel #: 004-1032-60-000 05/18/2007 11:26 AM PAGE 1 OF 1 Alt. Parcel #: 14.28.15.2186 004 -TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -TIMM, TODD WAYNE & LINDA LEE TO~_W E & LINDA LEE TIMM / 110 HWY N 3 WILSON WI 540 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.00 SEC 14 T28N R ALL THA A T OF SE N ~ /~i Plat: N/A-NOT AVAILABLE Block/Condo Bldg: LYING NLY O HWY N 634/461 ~ ~ ~ /)~~ ( ~~/`~ ~~f Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 14-28N-15W / j /~ ~ Note ~"//~ G~,~~,/~j/ Parcel History: ~t/ Date Doc # Vol/Page Type /~ ~ / 07/23/1997 785/315 07/23/1997 429 ~~~ ~'~ 2 1 07/23/1997 650/ Q ~~'~. 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 5~~~ ~. Use Value Assessment Valuations: Description Class AGRICULTURAL G4 Acres Land 13.000 1, 700 Last Changed: 04/09/2007 Improve Total State Reason 0 1,700 NO Totals for 2007: General Property 13.000 1,700 0 1,700 Woodland 0.000 0 0 Totals for 2006: General Property 13.000 1,600 0 1,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 004-1032-40-000 05/18/2007 11:24 AM PAGE 1 OF 1 Alt. Parcel #: 14.28.15.2178 004 -TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -TIMM, TODD WAYNE & LINDA LEE TODD WAYNE & LINDA LEE TIMM 3110 HWY N WILSON WI 54027 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 3110 HWY N SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 9.750 Plat: N/A-NOT AVAILABLE SEC 14 T28N R15W ALL THAT PART OF SW NW Block/Condo Bldg: LYING NLY OF HWY N Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 785/315 07/23/1997 764/429 07/23/1997 650/21 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/17/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 28,000 154,300 182,300 NO AGRICULTURAL G4 7.750 1,100 0 1,100 NO Totals for 2007: Gene ral Property 9.750 29,100 154,300 183,400 Woodland 0.000 0 0 Totals for 2006: Gene ral Property 9.750 29,100 154,300 183,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00