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HomeMy WebLinkAbout004-1068-90-310o Wisconsin Department of Commerce ,PRIVATE SEWAGE SYSTEM Safety and Building Divis{dn '' ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information yoW provide maY be used for secAndary purposes [Privacy Law, s.15.04 (1)(mp. Permit Holder's Name: City Village X Township Fr e, Kathr n Cad Townshi CST BM Elev: Insp. BM Elev: BM Description: ~ ~ . ~ af o ~~ r ,~,,, ~ ~. ~ may, .- ~ ~,J o.~1 ~ Y-- TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic j,,~..~~ ~s.~...- /60 ~ 5 v L~ Dosing __._ . _ ---~~'~"`-' ~~_ Aeration ~~~ ~ ~~ Holding ~--- ~„ ~.. -lv~ _ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ \~~ , ~c> r ~ 3~ y Dosing ~ GU t N v r 7 ~r(~ '~ c~ ~j' ~.. Aeration Holding PUMP/SIPHON INFORMATION Manufacturer <~ Demand ~ ~~ C~5 GPM Model Number f= ~U -~ -~ G ~ ~--- TDH Lift Friction Loss System Head TDH Ft ~ . SS 1-l . ~ l ~ - ~ ~ 3 - ~>; Forcemain Length Dia. , , Dist, to Well ~ ~>J tlcrt , .-. SOIL ABSORPTION SYSTEM ELEVATION DATA County: $t. CroiX Sanitary Permit No: 463079 0 State Plan ID No: Parcel Tax No: Section/Town/Range/Map No: S t 29.28.15. STATION BS HI FS ELEV. Benchmark Alt. BM v_~ Bldg. Sewer rl•Z St/Ht Inlet r~ Q S 0.4~ SUHt Outlet Dt Inlet ~.. DtBottom ~S• ~ ~7 33 Header/Man. Z-~° ~~~, Z~ Dist. Pipe r Z -1~ /vo. ~ `~ Bot. System 3.3 ~ cj• G 3 Final Grade \ over .-r. ~/.2S ~~ _ `~, ~~>,~~~,-r y.33 g8.l~v ~-- , , BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Dia_. Liquid Depth DIMENSIONS ~.r / r ~ / ~~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING..,,,, Manufacturer: INFORMATION CHAMBER OR Type Of System: .- V c UNIT Model Num ___._ _ DISTRIBUTION SYSTEM Header/Manifold Distribution ~0 ~` x Hole Size x Hole Spacing Vent to Air Intake < < Length -v Dia Pipe(s) ! Length -~~ ~ Dia ' L Spacing ~ / l ~ ~ I i~ ~-~ SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Only Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Led/Trench Center ~ Bed/Trench Edges Topsoil (~ Yes [~ No ~ Yes ~I No i __ L~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I i / Il. / GH Q 1 vw v K'- Location: XXX 20th Avenue Wilson, WI 54027 (NW 1/4 NW 1/4 29 T28N R15W) NA Lot 1 c..o~~~o wr ~"~ 1.) Alt BM Description = i c>-v~ Gy ~~ w-•~o~-'~ , ~^~ N' I''`-~ c `~ ^~''` ~ ~ ~id~~`-'~~¢ 2.) Bldg sewer length = ~ 3 $~~ Y - amount of cover = y ~ •ISion Required? ~~ I Yes No side for additional informat on. .3/97) Inspection#2:~~ /~~ /~ Parcel No: 29.28.15. U,~G Date Insepctor's Signature Cert. No. - Safety and Buildings Division County I ~ e " % ' i 201 W. Washington Ave., P.O. Box 7162 , l O ~ ~~~S/ ~ /j Madison, Wl 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) t / w7 (608) 266-3151 ,~ I~ ~ ~, c~ artment of Commerce De Sanitary Permit Application State Plan LD. Number ,~ In accord with Cornm 83.21, Wis. Adm. Code, personal ' ~~ S'~S/ r ~ S • (p` tray be used for secondary purposes Ptivacy la , s15.0~Yat}+C ~~ / C ~ t th Matt ss) , ren Project Addre tffe CC L~.r G 1l G ~ ry '~` `O ~ r 1. Application information -Please Print All Information ~~'1Cii/l ~~~UQ. Pr Owner's Name Parcel # t # ~ I /-- s ~ . c~olx couN ~ ~,~ I'~~-y,d; ~ o3~t- -o7,Z-!,o - operty Own 's Mailing Ad s CONING OFFICE Pr°P~Y L.oc on Pri.v ~ ? / ' ll ~. J03 1~t1. ~W ~ t'2(~1 y. /11.J'/, Section ~ j City, State Zip Code Phone Number , _ , ~ tFlrri t~Gi7~ t;JJ. SY 78'0 (9IS) 771- yy/e ,_S c.trole one) ' T .Z8 N; R/J 'FEW I 11. Type of Building (check all that apply) - dMS au ~ . N bdi i i N S ~,/ L71 or 2 Farnily Dwelling - Number of Bedrooms 3 arne v s on u i ~ ^ ~~~~9t~/„ I <J' I~ JP t,~~ t F~ PubliclCotnnrercial -Describe Use ~ ^ State Owned -Describe Use ^City_^ Village ~'f ownship of ~~ V j --T- 111. Type of Permit: (Check only one boz on line A. Complete line B if applicable) A. New System ^ Replacement System ^ Trratment/Holding Tank Replacement Only ^ Otlter Modification to lxisting System 8. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date issued i Before Expiration Plumber Owner r IV. T ~ of POWTS S stem: Check all that a 1 O -~ ^ Non -Pressurized In-Ground outrd > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass S.utd Filter ~~ Constructed Wetland ^ Pressurized In-Grotmd ^ Holding Tank ^ Peat Filter ^ Aerobic Treatmextt Unit ^ Recirculating Sand F titer ^ Recuculating Synthetic Media Filter ^ Leaching Chamber ^ Ihip ~ne ^ Cnavel-less Pipe ^ er ex ) __ V. Dis rsaVTreatment Area Information: °~ i2 Design Flow (gpd) ign Soil Application Rate(gpdsf) is Area Required (sf) ispersal Area Proposed (sf) ~tem F,levation y~Sa .~. i a F sit c-33 Aso s ..~. ~r so s . ~. 99. ~o' Vl. Tan Info apacity in Total Number Manufacturer Prefa Site Steel Fiber plastic ' Gallons Gallons of Ututs Concrete Constructed Glass Ncw Existing Tanks Tanks ' Septic o~•ilaMettg-Petit - (,~' J /~ [,e.)i [ e/ L.!/IZ C!'e a '/ 1 Aerobic Ttcatmcnt Unit - 11 Dosing Chamber .C ~05f~ ~OJ~O //~~ ~~ ~~ // n L.GY1'l0! ~l+v) 5. / r ~. ~~ _ VLI. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. __ Plumber's Name (Print) Pltun s 5ignat MPS Number Business Phone Number -~ Plumber's Address (S ,City, State, Zi e) f~. >3~ ~ G 3 t~ co-cf ~Ji J/Q ~/ SS~~ ~i ~ VI1L Coun iDe artment Use Onl _ ~ Approved ^ Disapproved Sanitary Permit Fee includes Groundwater Surchar e Fee) Date Issued tssuin Agent Signature (No Stamps) g ^ Owner Given Reason for Denial ~ ~ ` • i ~ I r~fl ~ IX. Conditions of ApprovaUReasons for Disapproval ~\ ©r,. ~ ~~ ( ~~ SYSTEM OWNER: ~`~-{- " -{-t~4~ ~ (C~~~j'~S 1 ~ ` Septic tank, effluent fitter and ~l I I ~ t~ f~ _ n j dispersal cell must alt be serviced /maintained ~J cS~ y"tpu,,,bL Ce„~,t as per management plan provided by plumber. ~ ~~ ~ ~~~'"A'~~~ ,~ 2. All setback requirements must be maintained ~J es per applicable code/ordinances. Attach eompktc plans (to the County only) for the system on paper not Icas rhea Bll2 x 11 inches is size ~\ SBD-6398 (R. 01/03) k9iD 4.?~ '~S '':;ys ~'o.l~y. a~ ~ n ,~ 7a'= ~ ~ .. ~o3E. Eev;: .83 F'c,t+ce. Qesf_, ,;~tsu:•~ I. I I ylv.0'Con~c/ ~ ~ CV` / /00. C~ ' Ji. ~ ~' ' a. ~ ~; ~ ~ ~$ ~J ~ A~~~'°' ~ < i~ r~: ~ ~ .- 98.0' ~ ~- v ~~y~ ~ v`/ ~r ,- _-.= i ~~ ~~~~ / i~fcc/aL4d ~drrdrt'ri~a~, as - P~.~- Cv~M. 8z. ~o(u~~¢3. P~opo saw/ ~ fesar' G' ~, c.~cf e P/'oposed n'(ounda~ 1J90x/30.s7' ~Lf+%ct~7~Gso-~-1RG.r,br~a~.U7 uyf~;r~/.Z.s'dls~i~^sa/et//. ~ir..~~y) SePb~~.rK/Pu.in~or-fi~+-~G~~ o d,'s~i-;`u~;oti /af.~ra~s 4~ /fir"xssy~, "~/~`6'~l ~F-~aiD eFF/ur.,t ''`~/ ~8"o~if'•Ces S~¢cea/RE z.s$,~ ~!/~tra~ S.T. owtlcf. ProPo Se.C/ Wall /0% $p ~ Con~"o//In 9 ~~e sai/ g~a,~u~ian /0i{ • Exi3 f+~y ~ ro~,~cLt e 1 eu~ ~- EXis,Ei'U~q r~uict/,hc 5 c.alZ: '=rf9~ ,Pei: # /B3z ~-~~-~~. i r, 9~.~' c~ctra~k.~ ~ i i ~pPpSF..~ ~ b.tdreU~~ r s~dz~:.L Campy ~~ f ~. ~ ~ r~ ~~ commerce.wi.gov isconsin Department of Commerce August 25, 2004 CUST ID No.223475 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.govlsb! www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary A7TN: POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY 5PIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08/25/2006 Transaction ID No. 1054551 Site ID No. 682844 SITE: Please refer to both identification numbers, Kathryn Frye above, in all corres ondence with the a enc . 20TH Ave Town of Cady St Croix County NW 114, NW1l4, S29, T28N, R15W Lot: 1, FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 955965 Revision; Maintenance required; 450 GPD Flow rate; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/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 x.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the O /O1 " ~OIZI 1 ) SBD-10691-P (N. "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0 and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/01). EF RTME • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. OF ~ Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. SEE COR • 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 • 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. ~~~ ~~ ~ 9, ~ 0014 5~a ON NtG C~FF,G~ MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Kathryn Frye 3 bedroom residential mound -Revision Owner's Name: Harold Frye Family Trust Owner's Address: 181 Co. Hwy. NN Spring Valley, WI 54767 Pct. Add.: Pending Legal Description: NW1/4NW1/4, Sec. 29, T.28N., R.15W. Township: Cady County: St. Croix Subdivision Name: Pending CSM Lot Number: 1 Block Number: Na Parcel I.D. Number: Pending from 034-1072-60-000 Plan Transaction No.: 995005 ~..~ Page 1 Index and title ~ Page 2 Data entry W ; ~ Page 3 Mound drawings ~ ° IO Page 4 Lateral and dose tank W o ~ Page 5 System maintenance specifications ~ ~ °~ Page 6 Management and contingency plan W ~ Page 7 Pump curve and specifications ~ cL Page 8 Site Plan W Page 9 Soil Evaluation Report 1LL ~/] Designer: Joe Stang License Number: Date: 08/17/04 , ' Phone Number: Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01!81) ' tiQ~r~,lly 223475 ®~® 715-684-5166 OF COMMER E ~~ NGS ESPONDENCE Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of <= 3g inches. 450.00 Design Flow (gpd) 12.00 Site Slope (%) 98.60 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distributio n Cell Information 112.50 Dispersal Cell Length Along Contour (ft) = 4.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2} Are the laterals the highest oint 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) = 5.11 ft2/orifice 2.00 Forcemain Diameter (in) l~ ~_~~ _.. . Sv ~(. ! 3 150.00 Forcemain Length (ft) Does the forcemain drain back? Y 90.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 9.10 Vertical Lift (ft) 4.13 Friction Loss (ft) 19.73 Total Dynamic Head (ft) 24.47 Forcemain Drainback (gal) 70.69 5x Void Volume (gal) 95.16 Minimum Dose Volume (gal) 36.25 System Demand (gpm} Manifold Diameter Selection in. dia. o tions choice 1.25 x x 1.50 x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 646.00 Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) 17.00 Total Working Liquid Depth (in) Wieser Concrete. Manufacturer 38.00 gal/in (enter result in cell 649) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x x 1.50 x 2.00 x 3.00 x Dose Tank Information Effluent Filter Information 646.00 Dose Tank Capacity (gal) Zabel Fitter Manufacturer 17.00 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Concrete Manufacturer Project: Kathryn Frye 3 bedroom residential mound -Revision Page 2 of 9 Mound Plan View 1 1/10 B ~ ~ ~ ~observation Pipe ~~ .~T~' :,~~~;,~arr • • ° •;•;• .1~1 .gr --- ~F' -T _} _~ -+ _~ L - -~ Mound Component Dimensions A 4.00 ft B 112.50 ft D 12.00 in E 17.76 in F 9.25 in G 0.50 ft H 1.00 ft K 9.03 ft z 12.89 ft L 130.57 ft J 5.01 ft W 21.90 ft 450.00 (ft2) Dispersal Ce11 Area 4.00 (gpd/ft) Linear Loading Rate 1900.63 (ft2) Basal Area Available 11.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.37 (ft) F 99.60 (ft)--• -- Dispersal Cell :Q: Elevation r,~rfrrr 2 ,,,f~~~.f. / { } / {{ ~////}{}{f. ....................... . . . . . Dispersal CeU - 100.10 (ft} Lateral Invert E: :D ~;: t .. . • ..... . .• ... . .. .. ... 12.0 % Site Slope Shading Key 10 Topsoil Cap © ~~{~• Subsoil Cap © [~ ASTM C33 Sand [~ .,. { ~. Tilled Layer []5 ::}'sj: Aggregate a c 1.5 ft w o ~a ~ ~ i'_ 0.5 ft v ~ 0 ~ ~ ~....:rtietiY; ~;®e es ~al F _ ~ ° -~ 60 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Kathryn Frye 3 bedroom residential mound -Revision Page 3 of 9 ~----- A ~GOULDS PUMPS Submersible Effluent Pump 3871 EP04 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: s/4" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 11/2" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: •EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 155fl RPM, built in overload with automatic reset. •EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 S1TOW with three prong grounding plug. Optional 20 foot length, 16/3 S1TW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. METERS FEET 10 9 3( s z° °a ~ =1R7~ ~$ z s 0 1° Q 4 0 ~ 3 1( zr 0 ^EP05 Impeller: Thermoplas- ticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Povver Cable: Severe duty 'rated oil and water resistant. ^ Bearings: Upper and IowEr heavy duty ball bearing construction. AGENCY LISTING SA' Canadian Standards Association Goulds Pumps is ISO 9001 Registered. - r--- ~- ~ ' _...~ _ -_ , --0 --- I I-__ _- '~ z I ' +- - - ~--- --_ __ ~ --- - - j - ~ - - .-- --- -- --- - - ~ -- -_ - , - -- - --- ~ - _ r i 1 i t-n..- 1 1 t i.. _. ~.. i ._ _ ,...._.._ .-. .. f_._-. . - -...,_-_. ~ _.. ....... .......... _.-.. II 1 _. _- _ ... - - i ~- - --- -- L.- -- ~ ---- -I _~ i _ _ _ - EPOS _ _ __..___.~._~ __._~ _.f _.... __. _~ _ _ _ i _ . I. i ~--SGPM ___ __.._ 5 F~ - --T- I -.. ~ i - - _ _. 1 _.. _._. _ .. -.__ - i ...EP05 . . _. _ _ _ ___; _ .__ _. r - - ___I _ _ 00 10 ZO 30 ~iG 50 GPM 36.ZSfl ..a.n'r. rrl.'nl~,un ~4.o.0~i. ra.~t !'~y'ol. 0 2 4 6 8 10 12 m'/I~ CAPACITY Goulds Pumps `- 2002 Goulds Pumps Effective September, 2002 83871 1TT indu tries j~~ . 70'9 ' /F ~x~~'11Q. i ~~VV ./ d .. ., ~ ~tw d ~ _. . ~, may. a~ n n ~ ~ ~E. B ~-. ~ T ~a~cw~d~,., n ~. En/CY:- / •B3 rC.i~C~PD3~. ~:SSU:n~_../ 6.G "Can'(ad ~ .' i' i .~ .- / ~I ~~ ; /~~;~5 ,- ,: ~~ _ ~_ ~~ - - ,-~_ ,yam ~~~~ ~~ ' .~ ~' ~ _ _~ i ~~ ' __- ~ '~~ z"3~.~0~/.e.~'orcemk;.-,lobe i~ inscc./a+btd Iai,du-drt're~..~a~, as ~ P~opo sQ.e/ e,J reset- '~.~., erct~e ~ Pro o sed ~ ~- P l cra/GSO - ~ R Cow bra ~.c•-~ P A'(ounda~ 2J.9Dx/30.67' S~,oE,<4s.,~tC//ou.np~~i~Ge~' o 4y~v;r~i,~.s'dis~*~a/c~//. F-~(y) „~~6..1.¢/ooeFF/u~.,f d i 3'f3'i bu s~ioh /a Etta /s at l~ X SS, y7' c~Ct ra~L'- "~/ ~8 ~Or'i{'Ces S~cadt~ .2,Sg,~ ~I/6traE S.T. Ota~/tf. ~ Proposed wQ-(( IG/.$p~ i~ i Can'(Yp/(ih / ~ made ~ 1 SOU ~~ ~ 5oi/ Q,la,~uc.~i?rn /Oi{ • ~Xi3 ~'~y ~ ra.~~c e l ec~ ,~ / ~v.G ~opos~ ~. -~ b.ZdreO~• ~ ~ ~~ (~. a ~'r commerce.wi.gov ^ ^ isconsin Department of Commerce SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street INSPECTION REPORT cnippewa l=oos, wl 5a72s unuui enmmerco at~fe wi uc/eh RECEI Date of Inspection: July 15, 2003 Project Name:. Harold Frye Family Trust Use: Residential, New 3 Bedroom Home Legal Description: NW, NW, 29, 28, 15W Parcel Number: 034-1072-60-000 Subdivision: Proposed CSM Municipality: Town of Cady County: St. Croix PIan,Transaction Number: NA Sanitary Permit Number: NA Wastewater Flow: 450 gpd Persons Present: J. Thompson Plumber Name and Addr s: Unknown SEP 2 2004 ST. CROIX COUNTY ZONINGOFFICE Certified Soil Tester Name and Address: James K. Thompson, CST 30021 340 Paulson Lake Ln Osceola WI 54020 Owner Name and Address: Harold Frye Family Trust 181 Cty Hwy NN Spring Valley WI 54767 This onsite was conducted to verify soil conditions as acceptable for a mound system using A+4 or better soil conditions. Atypical soil profile could be described as follows: CST B-1 (upper pit) 00-08" 10YR 3/3 sil, 2f-msbk, dsh, cw. 08-15" 10YR 4/3 sil, 2msbk, dsh, cw, w/common 10YR 7/2 silt coatings on ped surfaces. 15-18" 101'R 4/3 cost, 2msbk, dsh, cw w/ common 7.5YR 3/4 clay coatings on ped surfaces. 18-24" 7.5YR 4/6 Icos, Osg, dsh (in place). CST B-2 (west pit) Similar to CST B-1, except the silt cap extends to 24", and there is no Icos sand immediately below the silt cap. No redox features were observed to 24 inches depth. Soii conditions appear to be suitable for a standard mound system. Recommend a long and narrow design using a linear loading rate of 5.0 gpd/ft or less. If there are any questions regarding this report, please contact me. oy G. nsky, W tewater ecialist cc: ®County ^ Plumber Ljansky ommerc .state.wi. E-mail ®CST ^ Owner 715/726-2544 Voice 715/726-2549 Fax ^ Other Wiscorfsin Department of Commerce Division of Safety and Buildings 1832 SOIL EVALUATION REPORT Page 1 of 3 in nrw,rrr~nre wi+F~ r:nmm R~ Wis brim C:ru1P. A.C.E. Soil & Site Evaluations County Attach com lete site Ian on r not less than 8% x 11 inches in size. Plan must P P Pape St. Croix include, but not limited to: vertical and horizontal reference poini (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 034-1072-60-000 Please print all information. a evved ~y Date Personal information you provide may be used for serwndary purposes (Privacy Law, s. 15.04 (1) (m?). ~~-, ~ Property Owner Property Location Harold Frye Family Trust Govt. Lot NW 1M NW 1 !4 S 29 T 28 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 181 Co. Hwy. NN Proposed CSM City State Zip Code Phone Number ~ City ~ Village ~ Town Nearest Road Spring Valley ~ WI 54767 Cady 20Th Ave. ~ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate Replacement _._j Public or commercial -Describe: Parent material Glacial TiN Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 99.60' at 12" above 98.60' contour. 450 GPD na Boring # Boring Pit Ground Surtace elev. 99.40 ft . ~4$° in. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-8 10yt3/3 none sil 1 msbk dsh as 2fm 0.4 0.6 2 8-14 10yr5/4 none sil 2msbk dsh cva 2fm 0.5 0.8 3 14-17 10yr4/4 none sl 1msbk dsh cw 1fm 0.4 0.7 4 17-48 7.5yr5l8 none icos 1msbk ds - 1fm 0.5 0.8 H#4 contains a high clay content with bridging evident between sand grains. Loading rates adjusted to reflect reduced permiability of horizon. Boring # ~ Boring Pit Ground Surtace elev. 96.14 ft. 32" in. Soil lication Rate Depth to limiting factor App Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIfl' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-8 10yr3/3 none sil 1 csbk dsh as 2fm 0.4 0.6 2 8-32 10yr4/4 none sil 2msbk ds gw 2fm 0.5 0.8 3 32-46 10yr5/4 f2d 7.5yr5l8 sil 1 csbk ds - 1fm 0.4 0.6 1 parts to 2msbk when disturbed. " Effluent #1 = BOD y-> 30 <_ 220 mg/L and SS >30 < 150 g/L " fluent #2 = BOD <30 mg/L and TSS <~0 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson =---- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceol 154020 7/15/2004 715-248-7767 ,~ Property Owner .Harald Frye Family Trust Parcel ID # 034-1072-60-000 Page 2 of 3 Boring # --~ Boring ~~~..~~~JJJ V'j Pit Ground Surface elev. 97.38 ft. Depth to limting factor >39" 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 0-7 10yr3/3 none sil 1 msbk dsh as 2fm 0.4 0.6 2 7-14 10yr4/6 none Icos 2msbk dsh cw 2fm 0.5 0.8 3 14-39 7.5yr5/8 none Icos 1msbk dsh cw 1fm 0.4 0.7 H#4 contains a high clay content with bridging evident between sand grains. H#4 contains 114" -1 /7' discontinuous, irregular bands of 10yr4/41cos at 12" - 16" intervals. Loading rates adjusted to reflect reduced permeability of horizon. ^ Boring # :..~ Boring ,_f Pit Ground Surface elev. ft. Depth to limting factor 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 ^ Boring # J Boring Pit Ground Surface elev. ft. Depth to limiting factor 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 "Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS a 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. ~~A-v~. . X70 ~~ ~ 1E. $.rr. ~7'ePa~'cJeod~- ~. ~ ~n, ~os~. Eer~:~ ~~ 6 0,~~ FcncePds~'-. Assu,~-~cJ ~~ ~ / g3 ~~ ,- ~ 11 l r i ~ r i ~ ' _ ~ ~ `~ ' '' ,~5~ ~ ~~ -' ~ ~~ ~ ~ ~- i ~ ~- ~ 5y ~., ~, ,- Ca. ~Y. ~~ n n q ~~'D0 tlar~ r i /0/. gp' it Ca.nh-o~lt~ % ~~pcsec~ ~~ 9~°de- ~ -~ b.edroo,n ~~ 5 idzwcx • E~r.3z`'~q ~rdolt e1ed; Seale: `:.~l9' ,Pe-~:'~ 1 Biz f9. 3 Qt"v #~ ' `' VYrscArrsin Department of Commerce D'nrision of Safetyand &fikiings tl ~~ ~~,, SOIL EVALUATION REPORT ... ~........~~....s .,,:K. r....,.,, at ~nr~ e.~... r.,,~ro 1781 Page 1 of 3 A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'~ x 11 irx~res in size. Plan must C~~y St Croix indude, but not limited to: vertical and horizontal reference pant (BM), direction and percent slope, sale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. o3a-1 o72-so-ooo Please print all fnliormatron. Personal information ynu provide may be used far secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner t+ Harlold Frye Family Trust ~~ ~~~°~'~~~ Property Location Govt. Lot NW 1/4 NW1/4 S 29 T 21i N R IS W Property Owners Mailing Address 181 Co. Hwy. NN ~ Lot # Block # Subd. Name ~ CSM# Proposed CSM City Spring Valley ~ to Zip Code Phone Number WI S~AP~k) XCOUNTY City ~ j village ~ Town N~rest Road Cady 20Th Ave. New Construction Use: ~ Residential /Number of bedrooms _ 3 Code derived des~n flow rate 450 GPD Replacement ::~ Public or commercial -Describe: Parent material Glacial Till Fkxxl plain elevation, if applicable nor General commerrts and recommendations: Install mound system at elev. 100.75' at 21" above 99.00' contour. a Boring # Boring Pit Ground Surface elev. 97.85 ft. Depth to limiting factor -~-i~• Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Descriptor Qu. Sz. Cont. Cabr Texture Sirrcture Gr. Sz. Sh. Consisience Boundary Roots GP •Eff#1 D/ft= •Eff#2 1 0-8 10yr32 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-23 10yri>'~ none sil 2fsbk mvfr cw 2f,1m 0.6 0.8 3 23-36 10yr514 f2d 7.5yr5/8 sil 2msbk mvfr cw 1f of 0.6 0.8 4 36-47 10yr5/4 m2f 7.5yr5/8 sil 1 msbk mvfr gw - 0.4 0.6 5 47-60 10yr5/4 fad 7.5yr5/8 sict 1 csbk mfr - - 0.2 0.3 .~ ~' Effluent #t ~ BOD 5a 30 <_ 220 mglL a TSS >30 < 1 ueM #2 = BO < 30 mg/L and TSS <~0 mglL 6 ~, I D f CST Name (Pl~se Print) Signature- CST Number James K. Thompson ~`~ 3602 Address A.C.E. Soil 8 Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceo 154020 4/132004 715-248-7767 Boring # Boring lid Pit Ground Surtace elev. 99.40 ft. pepth to limiting factor ~ 5p in. Sal Application Rate Horizon Depth in. Dominant Cdor Munsell Redox Description Qu. Sz. Cont. Color Texture Stricture Gr. Sz. Sh. Consistence Boundary Roots GP 'Eff#1 D/ftZ •Eff#2 1 0-8 10yr312 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-12 10yr3/2 none sil 1thinpl mvfr cw 2f,1m 0.4 0.6 3 12-15 10yr5/4 none sil 2fsbk mvfr Lwv 1fm 0.6 0.8 4 15-30 10yr5/4 m2d7.5yr5/8 sil 1msbk mvfr gw 1vf,f 0.4 0.6 5 30-48 10yr5/4 fad 7.5yr5/8 sil 1 msbk mvfr - - 0.4 0.6 ..cam ~ ~, r a,y O1M1er Harlold Frye Family Trust ;` Parcel ID # 034-1072-60-000 Page 2 of 3 ~~ # :r.~ Boring 1~ Pit Ground Surface elev. 96.16 tt. Depth to limiting factor 23" in. Soil,gpplication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bourxiary Roofs `Eff#1 `Eff#2 1 0-8 10yr32 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-10 10yr32 none sil R 1th` mvfr as 2f,1m 0.4 0.6 3 10-13 10yr5/4 none sil 1thinpl mvfr as 1fm 0.4 0.6 4 13-23 10yr5/4 none sil 2fsbk mfr cvv 1vf,f 0.6 0.8 5 23-43 10yr5/4 f2f 7.5yr5/8 sil 2fsbk mfr gw - 0.6 0.8 6 43-55 10yr5/4 f2f 7.5yr5/8 sil 1 csbk mfr - 0.4 0.6 ~ n f ~ ~v r~r ~,~ BOnng r ~~ # ~.xr Pit Gramd Surface elev. ft. Depth to liming factor in. Sor7 Application Rate Horizon Depth in. Dominant Cobr Munsell Redox Description Qu. Sz. Cont. Cobr Texture Structure Gr. Sz. Sh. Consistence Boundary Roots *Eff#1 *Eff#2 Boring Boring # fl. Depth to limiting factor in. pit Ground Surface elev. Sal Applicatiar Rate i ti R d D ture T Structure Consistence Boundary Roots Horizon Depth in. Dominant Color Munsell p on escr e ox Qu. Sz. Cont. Color ex Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 = BOD ~ 30 < 220 mgll and TSS >30 < 150 mglL * Effluent #2 = BODS <30 mglL and TSS <30 mg/L The Departrnent 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. ' ~ ~ ' ~~ ~/~ • /oca.EcclP~~P. S~l'e ,~ GKlS~i ng lade Q~¢~' ~,ZO`~Ave. oo' ~, ~L~.V Wn O ~/zed r4-~~ ` t,.~r~ ~ ~~_ ~~ S ~. b.M.: rt a, J ~ ~ is . 9G.o[orEo~,F EIN+t~~e. Ele~`~icYJ.a? ,~ o' ~.. 98,0' `~`~ ,` ~~ B3 ~~~ ~. ~ ~ ~ ^ ~" o~ I / ~ ` ~ ` ~ ` f 4 ` ~?Sid ¢y?Ct i ~ 'she ~~ ~~. ` 9B~q, ~ \ .~ ~ \ ,'per ` 9 \ ~w gl ~~ ~ ~ ~ 98.91 .` ~\ `. ~ssu,nc.,c e ieµ Y ~~o.cn; 3 0~:3 R3~ ModeFrame ~ r Current Tool: ~ Measure Area Active Layer: ~ None Page ~ ~., ~~ -- ~~29~0~ -`~' S ~~ T~ ~ ~ Vw~ ~. ~n,~ ~? ~~ ~ }~i ~- Z ~2. ~ ,~-~~~ cro a-rxw-e r '~ , °`~ C . vb ~..,,,~ ~~.ae.~ `` `'J ^Q ~~ ~ http:f/stcrxdmzlwebsitelpasystem/PRO/ModeFrame.htm 6123/2004 •. Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in acmrclanrp with Cnmm ~5 Wic Adm Code 1781 Page 1 of 3 A.C.E. Soil & Site Evaluations Attach com to site non ple pla paper not less than 8'/ x 11 inches in size. Plan must County St. CfOD( include, but not limited to: vertical and horizontal reference point (BM}, direction and Parcel I D percent slope, scale or dimemsions, north arcow, and location and distance to nearest road. . . 034-1072-60-000 Please print all intermatton. Reviewed By Date Personal irdormadon you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Properly Owner ,~^ ~~~~ Property Location Harlold Frye Family Trust ~~~ Govt. Lot NW 1/4 NW1 /4 S 29 T 2ti N R IS W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 181 Co. Hwy. NN ~ Proposed CSM City fate Zip Code Phone Number J City ~ Vllage Town Nearest Road Spring Valley ~ WI ~6'1!'J ~ ~.JUi`; i ' Cady 20Th Ave. New Construction Use: ~ Residential !Number of bedrooms 3 Code derived design flow rate j Replacemen# ~ Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 100.75' at 21" above 99.00' contour. 450 GPD na Boring # J Boring Il Pit Ground Surface elev. 97.85 ft . Depth to limiting factor ~_ in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-23 10yr5/4 none sil 2fsbk mvfr cw 2f,1m 0.6 0.8 3 23-36 10yr5/4 f2d7.5yr5/8 sil 2msbk mvfr cw 1fvf 0.6 0.8 4 36-47 10yr5/4 m2f 7.5yr5/8 sil 1 msbk mvfr gw - 0.4 0.6 5 47-60 10yr5l4 fad 7.5yr5/8 sicl 1 csbk mfr - - 0.2 0.3 a a Boring # ~ Boring 1~ Pit Ground Surface elev. 99.40 ft. Depth to limiting factor 15~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlfl2 in. Munsell Ciu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-12 10yr3/z none sil 1thinpl mvfr cw 2f,1m 0.4 0.6 3 12-15 10yr5/4 none sil 2fsbk mvfr ctnr 1fm 0.6 0.8 4 15-30 10yr5/4 m2d 7.5yr5/8 sil 1 msbk mvfr gw 1vf,f 0.4 0.6 5 30-48 10yr5/4 fad 7.5yr5/8 sil 1 msbk mvfr - - 0.4 0.6 * Effluent #1 = BOD ~ 30 <_ 220 mglL and TSS >30 < 1 m cent #2 = BOD < 30 mg/L and TSS <30 mg/L CST Name (Please Print} Signature• CST Number James K. Thompson ~"'- 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number sdn Paulstnn 1 aka 1 ana ncrpn r saran 4/132004 715-248-7767 ' Prpperty Owner Harlold Frye Family Trust Parcel ID # 034-1072-60-000 Page 2 of 3 Boring # -,;f Boring i~' PR Ground Surface elev. 96.16 ft. Depth to liming factor 23" in. Soil Appliptron 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 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-10 10yt3/2 none sil 'It.~ mvfr as 2f,1m 0.4 0.6 3 10-13 10yr5/4 none sil 1thinpl mutt as 1fm 0.4 0.6 4 13-23 10yr5/4 none sil 2fsbk mfr cw 1vf,f 0.6 0.8 5 23-43 10yr5/4 f2f 7.5yr5/8 sil 2fsbk mfr gw - 0.6 0.8 6 43-55 10yr5/4 f2f 7.5yr5/8 sil 1 csbk mfr - 0.4 0.6 ^ Boring # Boring J Pit Ground Surface env. ft. Depth to limiting factor 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 Bonng # J Boring Pit Ground Surface elev. ft. Depth to liming factor in. Sal Appliption 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 'Effluent #1 = BOD ~ 30 < 720 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. • ~ ~ ex~~s~,'hJ ~~ade ~le~` -~E- QXiS~inq ~r~e~/2e ~,zo `Ave . ~. ~ .~ 8 a ~ ~ 96.0' Elan ~r~ e. Elegy` . ~ct~.u7 co.,f~,i ,~ o' ~~ '~ 98,0' ` • ~ ~ ~ B3 ~ ~~ '.~ ^. i ~ ~~ ~~ ~~~~7y, /OCG C~c-,? Or i ~~ ~ ~ • ~s~ 5 low ~`('p/JOS4.` ~~ bc~~m ~ ~4/G~2. ~ ~ ~. g~/ ~ ` ~• ` ` ~e5ro'ev,CL i ^ ~ ~ ~~ ~5~~ ~\ ~\ ~ ~~ ~ ~~~ /ODA'-~2 ~` 9B~ ~\\ , ~ ~ P~ ~ ~ 98.97 .~ ~ `\ ~' ~ Cierr~l, maY.1: T p a /o-E ~ mac. /I ssumZ..c~ e eµ ~ ~~o.a9; (.~ 3 oF~3 " Safety and Buildings Div' ion P hi A Co[mt ~, '~ ~ ~ ~ ~ ` ve., . o 201 W. Was ngton /X _ I~~ ~c ~~ Madison, WI 53707 - 7 Sanitary Pemut Number (to be Tilled in b~ Co.) ~ ~ (608) 266-3151 De artment erce Co Sanitary Permit Applic Wis. Adtn. Code, personal info In accord with Cornm 83.21 j_~7~''~~''°°°~~-~-~-°-~w~ ation yb1~ ~o4iC1M- ~~~ ~~ - S~~ Plan `D. N~ml>er , maybe used for secondary purposes Privacy law, sl .04(1)(m) oject Address (il'different titan ing address) j a ~ 1. Application information -Please Print All Information !r ~'+ Pr y Owner's Name ~; <vIn t U ~';~! reel # '1~ e n Property Own 's Mailing dress Property l.ocati l0 ~ ~ . ~/. ~ ~ ~, eJ,i. section 2~ City, State er Zip Cade Phone Numb , , _ `~~ W/ p J/~(~ ~ ~~s 39-- T~`~7 le one) T N; Kew Il. Ty of Building (check all that apply) py ~w,,; -i 1 ~ bdivision Name C5M Numb~~t~ i ~ 3 1 or 2 Family Dwelling - Nttnrber of Bedrooms ~ 3 ^ Pub ommereial -Describe Use ~..~ ttip n C ~ - ~~ ~~/__~ l..J ^ State Own Describe Use tur - - r1A n I , ^City_^Village ®`(ownship oC_ ~d.~ / ill. Type of Perm Check only one box on lin A. Com e e B if applicable) `~' lew System Replacement System ^ TreatmendHolding Tank Replac t Only ^ Other Modification to Existin ystem i B. ^ Permit Renewal ^ P 'Revision ^ Change of ^ Permi fer to New Ltst Previous Permit N er and to issued Before Expiration Plumber Owner i 1V. T of POWT'S S stem: Check a at a 1 ^ Non -Pressurized !n-Ground ^ Mound >_ 24 f suitable soil M 24 in. of s bl de ^ Si Smtd Filter ~~ Constructed Wetland ^ Pressurized ln-Ground ing Tank ^ Pe filter ^ Ae ent Unit atul Filter ^ Recirculating Synthetic Media Filter ^ Leaching Cha Drip ^ Gravel-less Pi ^ er (explai - III V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dis Area Required (sf) Disp (sf) Sy ____ tion LSD .~+ l>~CJ ds O ~~~_. __ S ______ _~ Vl. Tan Info Capacity ' Total Numb ufacturer b tte Steel Fiber Plastic 1 Gallons Gallons of U Crete utructe Glass Ncw Existing Tanks Tanks Septic or Holding Tank ,~ ~ , , )/PS~~ ~ (/~~ ~„/ Aerobic Ttcatmcnt Unit DosingChambcr _ ~ /1am6~.3,t-Qn SST ~~ Vll. Responsibility Statement- 1, the unders' ed, asstune s nsibility for installation of the YO shown on the attached plans. Plumber's Name (Print) Plttm s Signature % MPfIv4PR:4 Number Business Phony Number oe ~-s-~ ~ - --- 7~ 3 ~7S 7/s~ ~'s~ s~l ~ G '' ___ _ Pl s Address (S City, State, Zi e) VI1L Coun /De artment Use __ _ ^ Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuhtg tt Signature (No Stamps) 1 Surcharge Fee) ^ Owner Giv Reason for Denial -----~ iX. Conditions of Approv easons for Disapproval r- Attacb compkteplans (to the Couoty only) for the system on paper not kss they 81/2 x t 1 inches in size SBD-6398 (R. 01/03) ' commerce.wi.gov isconsin Department of Commerce May O5, 2004 CUST ID No.223475 JOE STANG STANG PLUMBING & ELECTRIC PO BOX 263 WOODVILLE WI 54028 `CONDITIONAL APPROVAL 1~i,AN APPROVAL EXPIRES: 05/05/2006 SITE: 20TH Av Town of Ca St Croix Coun NW1/4, NW114, S T28N, RISW Lot: 1, FOR: Description: Three Bedroom ound `, Object Type: POWTS Compon M. Maintenance required; 450 GPD System: Mound Component Manual - SSWMP Publication 9.6 Design of Biofilter ATTN: PO Saf and Buildings 4003 N KI Y COULEE RD LA CRO E WI 54601-1831 D #: (608) 264-8777 mmerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary ZONING F1Cl; ST CRO COUNTY SPIA 1101 ~RMICHAEL RD Ili 1 N WI 54016 Identification Numbers Transaction ID No. 995005 Site ID No. 682844 Please refer to both identification numbers, above, in all comes ondence with the a enc . Regulated Object I 15 in Soil minimum n 2.0, SBD-10691-P Distribution Networks `~ g factor from origina ade; .AS (01/81) ~~ The submittal described above has be reviewed for con ante with applicable Wisconsin Adr~r$ and Wisconsin Statutes. The submi 1 has been CONDITIO LY APPROVED. The owner, as f chapter ]0].01(10), Wisconsin Sta tes, is responsible for complia with all code req ' s• No person may engage in or wor at plumbing in the state unless license do so by the artment y stats. The following conditions sha e met during construction or installation and prior occupancy or use General Approval • This system is to be Mound Compone]~ and the SSWMP PG ~ Cond~tia s.145.06, ~~\ pE AR7ME(YT OF K t3F FTivl SEE COFZHES ed and located in accordance with the enclosed approved p and with the for Private Onsite Wastewater Systems VERSION 2.0" SBD- 91-P (N.Ol/O1) ,_, ,,..:::_,.-_ .~- - ~ ~' 9.6 Design of Pressure Distribution Networks for ST_SAS (01/8 • The mound area must be deep chisel plowed to help break up the platy soil structure that was reported at the site. The county may, at their discretion, request verification of the plowing prior to continuation of system construction. • 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. • 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 ~~~-. ~~ ~Qo°~ ®,~• ~ ~~ ~Q~ Q4~ $`WOIOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN ~~ Residential Application ~G INDEX AND TITLE PAGE SQ' ~r Project Name: Kathryn Frye 3 bedroom residential mound C+wner's Name: Harold Frye Family Trust C+wner's Address: 181 Co. Hwy. NN Spring Valley, WI 54767 Pcl. Add.: Pending Legal Description: NW1/4NW1/4, Sec. 29, T.28N., R.15W. Township: Cady County: St. Croix Subdivision Name: Pending CSM Lot Number: 1 Block Number: Na Parcel I.D. Number: Pending from 034-1072-60-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank .~,~, jay Page 5 System maintenance specifications p ~; ~ Page 6 Management and contingency plan , Page 7 Pump curve and specifications con~MERC~ Page 8 Site Plan AND CINGS Page 9 Soil Evaluation Report 'ONUENC Designer: Joe Stang License Number: Date: 04/28 04 Phone Number: Signature: ~. ~~lOY?ltltjJ 223475 . ~#~ 715-684-5166 '~FCOMA3ERCB ;,~c SPONc?EN Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) Version 3.0 (03!01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Infor mation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 8.00 Site Slope (%) 99.00 Contour Line Elevation (ft) 15.00 Depth to Limiting Factor (in) 0.40, In-situ Soil Application Rafe (gpd/ft2} Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal CeN Design Loading Rate (gpd/ft2) 1 influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) c Center or End Manifold 2.25 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.25 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 125.00 Forcemain Length (ft) 87.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 13.25 Vertical Lift (ft) 3.44 Friction Loss (ft) 23.19 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x 1.25. x x 1.50 x 2.00 x 3.00 x Treatment Tank Information 1000.00 Se tic Tank Capacity (gal) Wieser Concrete. Manufacturer Dose Tank Information 646.00 Dose Tank Capacity (gal) 17.00 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 4.50 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 5.11 ft2/orifice Does the forcemain drain back? ~~ Enter Y or N 20.39 Forcemain Drainback (gal) 62.74 5x Void Volume (gal) 83.13 Minimum Dose Volume (gal) 36.25 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x x 1.50 x 2.00 3.00 Gallons/Inch Calculator (optional} 646.00 Total Tank Capacity (gal) 17.00 Total Working Liquid Depth (in) 38.00 gal/in (enter result in cell B49) Effluent Filter Information Zabel Filter Manufacturer A100 Filter Modei Number Project: Kathryn Frye 3 bedroom residential mound Page 2 of 9 Mound Plan View 1- 1, - --- - ... ..............:.................. 1 /10 B ~ ~ Observation Pipe ' ~ ' K O ---.J-~-------------B ------.........~F... I L Mound Component Dimensions -. -+ _1 _l H 1.00ft K 11.10ft I 13.35 ft L 122.21 ft J 7.31 ft W 25.15 ft 1784.54 (ftz) Basal Area Available 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.52 (ft) - .:.ll %f;;: G ~ H 1 -.. .llllllllf 2 IIJI/llr,:, .rllflfl I ll I Iflff\- I F ; ; :: '°~~~~~~ - 101.25 (ft) La era Dispersal~Cell .. .•;:: .~ 100.75 (ft)-- -- ..:::::; `;~.,,. Invert I . `~ ~;'; Dispersal Cell ~~: ~ ~ ~' ~ ~ ~ Elevation E. ~ D ~ ; ~; ~ ,_, • .• d _ ~ '`~ _ ~~ _ ~ +~ .y" ~ ~ " ~ " ` ~ ~ 99.00 (ft) Contour Elevation 8.0 % Site Slope Shading Key Topsoil Cap © 11111. Subsoil Cap ©~ ASTM C33 Sand a ~ -<` Tilled Layer 05 Aggregate A 4.50 ft E 25.32 in B 100.00 ft F 9.25 in D 21.00 in G 0.50 ft 450.00 (ft2) Dispersal Cell Area 4.50 (gpd/ft) Linear Loading Rate ~ a c ~ o 1.5 ft 0 ~ ~ 0.5 ft Dispersal Cell a o ~o Typical Lateral ~ A j~ Geotextile Fabric Cover `/ See lateral details on Page 4 for number, size, and spacing of F laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: Kathryn Frye 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Project: Force main connection via tee or cross to manifold at any point. I P •= Turn-up wlball valve or IF ~{--~IEsrz i sr2~}I cleanoutplug Holes drilled on the bottom of the lateral. Laterals are identic al s ~k. Laterals & force main of PVC Sch 40 per CI]N1M Table 84.30-5 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 Orifice Diameter 1.25 in Orifice Spacing (~ 49.24 ft Orifices per Lateral 2.25 ft Orifice Density 9.06 gpm Manifold Length 36.25 gpm Manifold Diameter 23.19 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -~ Comm 16.28 WAC _ Tank component is properly vented Wieser Concrete. Ca acit 646.00 Volume 17.00 Manufacturer ~_ Gallons gal/inch A Dimension Inches Gallons A 18.47 313.92 B 2.00 34.00 C 5.53 94.08 D 12.00 204.00 Total 38.00 646.00 B C D Disconnect y- 3" Bedding under tank. Alarm Manuafacuurer LevelArm Alarm Model Number DLV _ __~ Pump Manufacturer Goulds r~ Pump Model Number EP05 ~~ Pump Must Deliver 36.25 gpm at 23.19 ft TDH Kathryn Frye 3 bedroom residential mound 0.125 in 2.29 ft 22 5.11 ft2/orifice 2.25 ft 1.25 in Locking cover with warning label and locking device and sealed watertight 4 in. min. ~ Attemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P• ump off elevation (ft) 88.00 LDose tank elevation (ft) 87.00 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Stan Pg lumbing 8~ Electric Phone 715-684-5166 POWTS Regulator's Name St. Croix Co. Zoning Dept. Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak Estimated Flow -Average Septic Tank Capacity Soil Absorption Component Size Type of Wastewater 450 gpd Maximum Influent Particle Size 300 gpd Maximum BODS 1000 gal Maximum TSS 450 ft2 Maximum. FOG Domestic Maximum Fecal Coliform 1/8 in 220 mg/L 150 mg/L 30 mg/L >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once every 3 years Should ins ect and clean at least once eve 3 ears Test once every 3 ears Should test month) Laterals should be flushed and pressure tested eve 1.5 ears Inspect for onding and seepa a once eve 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 accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished .••~•,.......• ............... Grade \ 6-8" Diameter Lawn ~/` Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Kathryn Frye 3 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter 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 br unaukhorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stets. 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 fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the finer when removed from its enclosure. If the fixer is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter 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 pertormed 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 be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operetion. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance} on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations {October-February} dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 2'10 mg/L BODS, 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and lt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is pertormed tt should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If 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 the defective component(s) shall be immediately repaired or replaced 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, lt vriN be repaired or replaced in its' present location by increasing basal area if tce leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components 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 regulator and service provider. Project: Kathryn Frye 3 bedroom residential mound Page 6 of 9 ' • "~ yi:~,.~ _ ,~- Pump Specifications ''~ H P Up to ~0 GPNI Discharge size 1'/~" NPT Solids.'~a~ maximum Motor Siligle phase: 115V Materials of Construction 3rass;ti~ermoplastic . Features and Benefits ,~ •Top JUCt10il 6~II1llflateS ~Illpe`ler dogging. , ' • ~ C'rf~i~IGn r?SlStall[ U~~Sti UCGLfI. ~ r' • . ~ ~ ncurlte~l s<^ritch. ' ....H. FEE: NlOUEL DVPU3 ;~_._ _: G _ ., ,, i5 2U _„ 30 SS .1V U.S.CFM ' - ~ ~ ~+ o a ,orn'n~ CAPACITY ~,-~I~E~,~ ~tF~ 1 ~~ Iti901)EL:3871 y U I O ¢ ~ •>U U ;I .S. i i 5 `z t °U Z J Y IU O ,I J f_Pw~ ,' U~ UU i0 _ 2U 3U a0 Su _, ,.,. Pump Specifications Features and Benefits "~~ ~tnd '!:~ HP • EPO=t irnl)~Iler- se;ru-open _!eslgn Up to GO GPNI with pulcip out v~trl~~ to ul~o~ect V~iX1111U!Il fIe1C! t0 J~~ illeC'111111C~t! SB~iI. ~ DlsCflarl'e 5l~e ~'/' IVP! ' E~'~)`i illlpellel - ~'l~ USrU :i;_;!I i SOl1CIS~ ~~,, 111`iXtI7111111 fof tn1plG'~!eri peftUrlllallCi. Motor •RilggeCl glass-IIIIeCi theini~;pl~llr~ 111 Ill OtofS featllfd I)~l) F~lslrlg a~IC~ I)ilSlt CICSiC Ii ~)I ~1:;5 !)8arlllg COIIStfUCl1011 SLi!)erfol StfeRgiil Cill(, CUIIJSIf;II Shigie phase: 115'x, resistance. MaterlalS Of Coll$tr(ICtlo(T •1,1~t ifoll IiUiiof !loilSin' IU; G<!st iron eflieient Treat transt~l. ,!~ _ ;~t~:. TheII11U)J~aSUC allC' dUr;lUiiih/ ~~ '~t~lll'!t'.5~ ~tt'CI "v~!I(J`_~~I~I Ir~i~,t~ll t ~II~:.:,~:'',: t~iNllc~S 5!t'el Sil~ir:. •r1''J~i11aL'le iU! lUtLIIY<<ili;; :iii!; ili;i!li!al ~jJcr~iiiJll •C.~il~, IISteC! IIiUC!ei'~; i+.~,i!~~~;i ~!(: .'OC~c'1_ 2.rc t'~.i'~Vi~;l fL~( ~h!~~1£ ! S , ~ f I. , „ _ 1C; C~~ t'1;1.IGJ) I )G , B~rLU~ ~,,7;I ~ : ~ Sly t'i Lr., cJ TrU'P. P~ . ~d~ 9 .t3. ~9' ~~. ~. r 3 '~l ,~, Lxi3~Th~ ~radt d/s~! / ~ 7t R'~+iyn ~^` Q ~i'~IR ~alr, Sf.C.re~7rQy,cu ~, ~ M~ a~~ Pn posed we t1 Prepoa~d ~ so.ra't 3 G tdrocw~ ~^cs~ds~ca N .x0~.~4~e proposed u~trsrr CaY+cnvEt w~L P /A~/4 ~MQ Cep `inwEln7 ~"s~c.~opr.c, 8 l+ui ld,e~ ~wtr N Aid. ~1M.: rla;1^in /s • ~l~r- ~r~ t. Elsa' : /~~ .~~ ~x,~ . ~ ~~ Z "sc1~, do ~ ~' ` ~ ~~~ ~ B~ V ~ ~ ` ~~-.e'-~ `~ ~„ a ~'~ ~'~ r'~, .o jjpSett n'-ou nd n{. ,2,5. ,tt y /],~ ~ ~ ~ , ~ „ + ~ ~ .., ``~ k.V ~S'X /d0 O'd:s~sa / Cril. Foc~r(~ ~ ~ . • 'crib cu ~ /erferic/daf /%~ x'f'"9ZS/ c.Y~b ~~ ~ S~oactd ~~ 4.~9' ~~~ ~ v ~~ ~~~ '~~. GUS dtd1G1~ FN~ri~: ~P e~ ~o~f S~ ~C._ _ ~/"_ _ .~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ....J~....n ~•rifV, !`nmm AS 1A/ie Grim Rnria 1781 Page 1 --°f --> - A.C.E. Soil & 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 Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 034-1072-60-000 _ _ ___ ___. Pease print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ Property Owner Property Location Harlold Frye Family Trust Govt. lot NW 1/4 NW 1/4 g 29 T 28 N R 15 VN_ Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 181 Co. Hwy. NN Proposed CSM_______ City State Zip Code Phone Number _J City `J ~Ilage /j Town Nearest Road Sprang Valley ~ WI 54767 Cady 20Th Ave. New Construction Use: y_f~ Residential /Number of bedrooms 3 Code derived design flow rate ! Replacement _~ Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 100.75' at 21" above 99.00' contour. 450 ___ __ GPD _ __-- na _ __ ^ Boring # _a Boring 1/' Pit Ground Surface elev. 97.85 ft . Depth to limiting factor 23° in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GP 'Eff#1 D/ft~ 'Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 8-23 10yr5/4 none sil 2fsbk mvfr cw 2f,1m 0.6 0.8 3 23-36 10yr5/4 f2d7.5yr5/8 sil 2msbk mvfr cw lfvf 0.6 ! 0.8 4 36-47 10yr5/4 m2f 7.5yr5/8 sil 1 msbk mvfr gw - 0.4 ; -} 0.6 ----- 5 47-60 10yr5/4 fad 7.5yr5/8 sicl 1 csbk mfr - - 0.2 t ~ 0.3 -- Boring # ~ Boring Pit Ground Surface elev. 99.40 ft. Depth to limiting factor 15" in. Soil Application Rate H i th D l r i t C D Redox Descri tion Texture Structure Consistence Boundary Roots GP D/fl' or zon ep in. om nan o o Munsell p Qu Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm 0.6 ~ 0.8 2 8-12 10yr32 none sil 1thinpl mvfr cw 2f,1m 0.4 ~, 0.6 3 12-15 10yr5/4 none sil 2fsbk mvfr cw 1fm 0.6 0.8 4 15-30 10yr5/4 m2d7.5yr5/8 sil 1msbk mvfr gw 1vf,f 0.4 - I 0.6 fi----- 5 30-48 10yr5/4 fad 7.5yr5/8 sil 1 msbk mvfr - - 0.4 ----~ ~ 0.6 --- -- - i ' Effluent #1 = BOD ~ 30 <_ 220 mg/L and TSS >30 < 15 mg! ,J~fluent #2 = BOD < 30 mglL and TSS < 30 mg/L CST Name (Please Print) Signature CST Number James K. Thompson ~~"` 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceo 154020 4/132004 715-248-7767 Property Owner Harlold Frye Family Trust Parcel ID # 034-1072-60-000 Boring Page 2 of ___3__ I $ I Bonng # - 96.16 ft. De th to limitin factor 23" in. /i Pit Ground Surtace elev. p g Soil Application Rate ~ Horizon th De Dominant Color Redox Descri tion Texture Structure Consistence Boundary Roots _~PD/ft' -._.. p in. Munsell p Du. Sz. Cont. Color Gr. Sz. Sh. __ ~'Eff#1 'Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm ~ 0.6 0.8 2 8-10 10yr3/2 none sil 1thinpl mvfr as 2f,1m 0.4 0.6 3 ~ 4 10-13 13-23 10yr5/4 10yr5/4 none none sil sil 1thinpl 2fsbk mvfr mfr as cw 1fm ~ - 1vf,f t 0.4 fi---- 0.6 ~ 0.6 0.8 5 23-43 10yr5/4 f2f 7.Syr5/8 sil 2fsbk mfr gw - 0.6 0.8 6 43-55 10yr5/4 f2f 7.5yr5/8 sil 1 csbk mfr - 0.4 0.6 -- Boring # -~ Boring 111 (Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Du. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots P ' _ 'Eff#1 'Eff#2 r i ^Bonng # _1 Boring _J Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh 'Eft#1 'Eff#2 'Effluent #1 = BOD 5> 30 < 220 mglL 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. • •. Red. ~ ~ ~~/ • /o ca.f~ccl ~~sP. 5f~r'e ~ C.X/SEi nq ~/'ade ?lei' -~f--QXiS"Ein9U ~ey~CQ~riF ~ I SCa/e. / ~= 4d I ~d _ oo' 0 0 8 97. o' ~~ 98,0' '~ ~~ g3 ~ ~ ~~~ ~. ,~ F/'p~OSt ~ ~~ ['~:'i-rr~ ~ ~u YCiR~ epp~,~ ~ ~ ~ ~ 07.G~ ~ ~ l~2 ~ ICS Q y' , Z. 1 ~ • ~~ ~ ~ ~ ~ ~ ~~e~ ~ /ODA ~4._ ' ~ ~~ ~~` ~8~~~ ~` ~ ~ ~ \~ ~ a ,` ~. ~' deh~k wta--~: Top a~' /o-E Sfa mac. Assu.ne.,d e ~µ ~ ~~o.~': ~ 3 0~..3 `pJ • lp~ 1 ~(O • 7 THE "T" KANCH ~-{' ' ~ ~~ ~ ~~ I ~crl n~ac I . ~ Bi1~T 6Y QiYHiS I -- - -... ,,. ~ ~ ~ sb d' PATp DOOR i ~"V ~~ • FLAT ~N(3 t 1 "I" RANCH 2022 SQ. FrT. (OUTSIDE FLOOR U 2589P 100 ~ ~ ' STATE BAR OF WISCONSIN FOR1~13 - 2000 Document Number QUIT CLAIM DEED This Deed, made between Harold L. Frye and Cheryl A. Frye, his wife Grantor, and ~ICathrvn L. Frye and Anthony T. Binkowsk~ as joint tenants and not as tenants-in-common Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please atta addendum): Part of the Northwest Quarter of the rthwest Quarter (NW 1/4 of NW 1/4) of Recording Section Twenty-nine (29), Township T -eight (28) North, Range Fifteen (15) Name and West, Town of Cady, St. Croix County, Wr nsin, more particularly described as follows: Thoma 764818 KATHLEEN H. wALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 06/04/2004 10:15AM QUIT CLAIM DEED EXQP'f # 8 REC FEE: 11.00 TRAIiS FEE COPY FEE: GC FEE: PAGES: 1 ~ PO B 2120 Lot One 1 f Certified Survey Map filed May 27, , in Volume 18 of Certified Ba in WI 54002 Survey Maps, at Page 4761. as Document No. 764108, rce of the Register of Deeds for St. Croix County, Wisconsin. 004-1068-90 k Parcel Identification Number (PIN) This is not homestead property. 4~~ (is not) Together with all appurtenant rights, title and interests. Dated this ~~ r-z~ day of ~yv~{~ * * AUTHENTICATION Signature(s) 2004 * Ha rye * Cheryl A. ve authenticated this day of STATE OF WISCONSIN ss. 5t.. Croix County ) Personally came before me this 3 day of 2004 the above named Harold L. Frye and Cheryl A. Frye .~-~ * T[TLE: MEMBER STATE BAR OF WISCONSIN "` ~' ~' to me known to be the persons ho ' ec th6 ~ ~~,~• '•., ; (If not. instrument an n wledge e s e: d~ ~ ~~~~ ~ ';J 't authorized by ~ 706.06, Wis. Stats.) ~ . ..; Q. ~ ~ ~:... a THIS INSTRUMENT WAS DRAFTED BY * ~ + •`~~ U K ~ t ru Gc0 ', ~''y -' I ;:; Thomas A, McCormack Notary Public, State of WISCONSIN. ; ~`t~`~•'J '. Baldwin, WI 54002 My Commission is permanent. (If not, s ~ nation dafu: ` (Signatures may be authenticated or acknowledged. Both are not necessary.) ~;_ .+ .) • Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF W ISCONSIN QUIT CLAIM DEED FORM No. 3 - 2000 INFO-PRO (800)655-2021 www.infoproforms.com c~ ~. . 't CERTIFIED S UR V E Y LOCATED IN THE NW 1/4 OF THE NW 1/4 OF R15W, TOWN OF CADY, ST, CROIX CO 0 Z PREPA_R_ED ~~R~ NDTE,• BEARINGS ARE HAROLD YE REFERENCED TD THE NORTH O LINE DF THE NW 1/4. , . (ASSUMED BEARING). W CORNER DF ECTION 24 (FOUND BERNTSEN SURVEI~IAIL) N 89°42'39'E 989, 94' UNPL A T TED ANDS 764 1 ~8 4761 18 PAGE _ KAT REGISTER OF DEEDS ST. CROI X CO. , W I RECEIVED FOR RECORD 05/27/2009 11:25Ari CERTIFIED SURVEY ?!AP - -~0~- -- ~P,Y~ FEE : 3. 00 ~J5 2 SECTION 29, T28N, Y, WISCONSIN, N 1 /~J COR, CF SECTION 29 CFC]UND 3/4' REBAR) -~ NORTH INE OF THE NW 1/4 -• -~ - - - 2 9.88' ~ , ~' N 89°4 '39'E 330,00' S89 42' i~ ,,-- .2 .. •H.. •A, VE,. 0 131994' 0 ~ - - - 4 2'3 9'E 330.00' L 1 ~ Z 0 2.50 ACR o c„ `~ z A l os, 90o sa. F r. ~. ~ .~. ........ ....2.25 AC. ~XC, f?iw s8,olo sa. Fr. ~ v ~ -': a ~ o HIGHWAY SETB ACK LINE o ~ ~; ti• ~ ¢. w APPROVED o O ST. CR04X COUNTY O • 0 Planning Zoning and Parks Committee O 0 MAY 2 7 200Q~ `~ If not recorded within 30 days of F"E~ICE approval date approval shall be d void FALLS 5' WEST OF FEN( E~ null an ~ S 89°42'39'W 330.00' EAST LINE DF THE NW 1 /A UNPLATTED LANDS ~~,,,~ THE PARCEL SHDVN DN THIS MAP IS SUBJECT TD STATE, COUNTY AND TDVNSHIP LA VS, RULES AND REGULATIONS C1.E. VETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ETCJ. CONTACT THE t ST.CROIX COUNTY ZONING OFFICE AND THE APPROPRIATE TDVN BOARD FOR ADVICE. ~\5~..---...``sl~ s I I I Document No. i 2665P 295 7 7 5 6 2 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 09/29/2004 10:00AM AGREEMEHT EXElPT i REC FSE: 13.00 TRAJiS FEE: COPY FEfi CC FEE PAGES: 2 Return to: Thomas A. McCormack PO Box 2120 Baldwin, WI 54002 004-1068-90 Parcel Numbers SUPPLEMENTARY AGREEMENT THIS SUPPLEMENTARY AGREEMENT made this ~i~~day of -~7`grnhrv~ 2004, by an between Harold L. Frye and Cheryl A. Frye, husband and wife (hereinafter GRANTOR, whether one or more), and Kathryn L. Frye and Anthony T. Binkowski, as joint tenants and not as tenants-in-common (hereinafter GRANTEE, whether one or more). RECITALS A. The parties have executed and recorded an Agreement dated June 3, 2004, and recorded June 8, 2004, in Volume 2591, Page 212, as Document No. 765223. B. The parties wish to modify the legal description of the property which is the subject of said agreement. AGREEMENT NOW THEREFORE, in consideration of the promises to be performed, and in consideration of love and affection and other good and valuable consideration, the parties agree as follows: 1. The parties agree that the description of the property which is subject to the above agreement shall be as follows: Part of the Northwest Quarter of the Northwest Quarter (NW %t of NW ~x) of Section Twenty-nine (29), Township Twenty-eight (28) North, Range Fifteen (15) West, Town of Cady, St. Croix County, Wisconsin, more particularly described as follows: Lot One (1) of Certified Survey Map filed September 21, 2004, in Volume 19 of Certified Survey Maps, at Page 4836, as Document No. 774946, office of the Register of Deeds for St. Croix County, Wisconsin. Harold L. Frye 3 Cheryl A. Frye Kathryn L. Frye ~ ony T .' Binkowski ' ~3 U zsss~ z y STATE BAR OF WISCONSM FORM 3 - 2000 Document Number QUIT CLAIM DEED This Deed, made between Harold L. Frye and Cheryl A. Frye, his wife Gratttor, and Kathryn L. Frye and Anthony T. Binkowski, as joint tenants and not as tenants-in-common Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendtun): Part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Twenty-nine (29), Township Twenty-eight (28) North, Range Fifteen (15) West, Town of Cady, St. Croix County, Wisconsin, more particularly described as follows: Lot One (l) of Certified Survey Map filed June 27, 2004, in Volume 19 of Certified Survey Maps, st Page 4836, as Document No. 774946, office of the Register of Deeds for St. Croix County, Wisconsin. This deed is given solely to correct the description in that certain Quit Claim Deed between the parties dated June 3, 2004, and recorded June 4, 2004, in Volume 2589, Page 100, as Document No. 764818. Together with all appurtenant rights, title and interests. Dated this ~ 7 '~-- day of S rrn~e.~7 i (J ~ /1 , 2004 AUTHENTICATION Signsture(s) Iiarold L. Frye and Cheryl A. Frye authenticated this ~ C' ~`- ~ of .~p~,4-i~- , 2004 77561 ~3 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECHIVED FOR RECORD 09/29/2004 10:00Atf QUIT CLAIM DEED Eflt7~iP't ~ 3 R£C FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Addres Thomas A. McCormack PO Bo:2120 Baldwin WI 54002 x 004-1068-90 Parcel Identification Number (PIN) This is not homestead property. (~ (is not) ' H d L. Frye # Cheryl .Frye ACKNOWLEDGMENT STATE OF WISCONSIN _ ) _ ) ss. County ) Personally came before me this day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY + Thomas A. McCormack _ ~_ ~~ _ Notary Public, State of WISCONSIN _ Baldwin, WI54002 ~^ _ ___..___ `~__ _____ ___ _!_____ ______ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary. ) * Names of persons signing in any capacity must be typed or printed below their signature. Qi)IT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3 -2000 INFO-PRO (800)855.2021 www.inioprororrna.com 11' - ~° ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O/W~ NERSHIP CERTIFICATION FOrRM OwnerBuyer ~~7~~~.L, /-~~~ - ~Vl~~~'~~/YnI -' ~ t Mailing Address ~ ~ 5 Property AddresS'o #'2 g~ ~ ~ L (Verification required from Planning Department for new construction.) City/States, ~c~~w , td~ . ~,g"l Parcel Identification Number LEGAL DESCRIPTION Property Location N W '/< , ~U W '/4 ,Sec. ~~, T ~N R~~W, Certified Survey Map # ~~-F-r~ u.. -~, /~~00 ' ~~ Town of SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County 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 dispos<~! system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than li3 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 Department within 30 days of the three year expiration date. ~p IGNA OF APPLI T DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the prope described ab ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIG A RE OF APPLICANT DATE ****** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ****** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Spec house ^ yes ~o Lot lines identifiable~es 0 no x' 77+946 VOL1c~ _ pAGE 4836 REGISTER OF DEEDS RECEIVED FOR~~ECORD 09/21/200! 11s30AM CERTIFIfiD SURVEY 1lAP RHC FEES i3_~a CERTIFIED SURVEY MAID Z LOCATED IN THE NW 1/4 OF THE NW 1/4 QF SECTION 29, T28N, R15W, TpWN OF CADY, ST. CR~IX COUNTY, WISCONSIN. PREPARED FORT HAROLD FRYE KATHRYN FRYE NOTE BEARINGS ARE REFERENCED TO THE EAST LINE OF THE NW 1/4 CASSUMED~. Ivv cURnAER a~ UNPLATTED LANDS SECTION 29, .................................... N 1/4 COR. QF CFOClND BERNTSEN SECTIQN 29, SURVEY MAIL) NORTH LINE DF THE NW 1/4 CFOIlND 3/4' RED 2639.88 181.34' w N 89.42'43'E 325.09' 2133.45' w w OTH AVE.. w o .~'' .......................... o a ti ~ ~ °- HIGHWAY SETBACK LINE ~ - D ~ ~~ .......................L.--l~T ----,~...............~...."' b ~ ~ 2.00 ACRES ~ r i b ~ .q 87,121 SQ. FT. ~ ~ ; ~ a ~ 1.75 AC. EXC. R/W o~ : a ~~, v 76,418 SQ. FT. v ; b to ~ ~ : tii s x9.42'39-w UNPLAT TED LANDS LEGEND O = SET 1' Q.D. X 18" IRON PIPE WEIGHING 1.13E BS PER LINEAR FL7OT. THE PROPERTY OWNER THAT IS TO AQUIRE THIS LOT AQUIRED THE ORIGINAL PROPERTY DESCRIBED IN THE CERTIFIED SURVEY MAP VOLUME 18, PAGE 4761. AND IS EXCHANGING FOR THIS CERTIFIED SURVEY MAP. THE PREVIOUS CERTIFIED SURVEY MAP IS QUIT-CLAIMED TO THE ORIGINAL OWNER IN DOCUMENT # "7 ? ~f -T B 3 NO NEW LOTS ARE CREATED BY THIS INSTRUMENT. ALL CONDITIONS, RESTRICTIONS, NOTES, ETC. LISTED DN THE PREVIOUS CERTIFIED SURVEY MAP ARE APPLICABLE UNLESS OTHERWISE INDICATED. 1 ' = 100' 0 50 100 200 SHEET 1 DF 2 P004031 THIS INSTRUMENT DRAFTED BY JIM WEBER :-~-• ~'~ ~,SGONBj~ ~ ~MVYEBER ~ ~q~WILLE1f, rill ~~a' sua~~`i ~ ia"~:.~ v~_. JAMES M. WEBER S-1804 LANDMAR SURVEYING INC. DATED ~-Z-~-~~ ~~. Vol 19 Page 4836 ~~ CER TIFlIED SUR ~/E Y M~4P L QCA TED IN THE NW 1 /4 QF THE NW 1 /4 OF SECTION 29, T28N, R15W, TQWN QF CADY, ST. CRQIX CQUNTY, WISCONSIN. DESCRIPTION A parcel of land located in the NW %+ of the NW '/. of Section 29 T28N, R15W, Town of Cady, St.Croix County, Wisconsin, more fully described as follows: Commencing at the NW '/+ corner of said Section 29: Thence N89°42'39"E along the North Line of the NW 1/4, 18134' to the POINT OF BEGINNING: Thence continuing N89°4239"E along said line 325.09'; Thence S00° 14'14"E 267.99'; Thence S89°42'39"W 325.09 ; Thence N00° 14'14"W 267.99 ; to the point of beginning. Contains 2.00 acres (87,121 sq. ft.) subject to 20th Ave. right-of--way as shown. Also subject to any and all additional easements, rights-of--ways or conveyances of record. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the Town of Cady and St. Croix County Subdivision Ordinances and under the direction of Harold Frye, owner, I have surveyed and mapped the above described parcel of land and that this map is a correct representation of the boundary thereof. Dated this Z`l~ day of Pcy~v's''C , 2004. James M. Weber 5-1804 LandMARK Surveying,lnc. ~s..• `SGOks~ ,, 801 W. Partridge Avenue .~ ~{- Elmwood, WI 54740 JAMES M. 715-639-5243 ~ WEBER ~ ti1a0~ t tIMIMQ~YALLEY, ~ ,~. . `~~~~ - NOTE: The parcel shown on this map is subject to State, County and Township lawss:ules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any lot, contact the St.Croix County Zoning office and the Town of Cady for advice. APPRpVED ON ~^ ~~ ~ r BY ~,j C/' .~[ ~"--LG~"~~'l ,ZONING DEPARTMENT. Vol 19 Page 4836 2004031 THIS INSTRUMENT DRAFTED BY JIM WEBER SHEET 2 DF 2