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012-1047-30-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division County: St. Croix INSPECTION REPORT sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 552322 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. State Plan ID No: FBM rs Name: City Village X Township Parcel Tax No: Julius Acres LLC, aka Schottler : Insp. BM Elev: BM Descri ption: Erin Prairie, Town of 012-1047-30-000 ' Section/Town/Range/Map No: TANK INFORMATION S 21.30.17.317A TYPE ELEVATION DATA MANUFACTURER n CAPACITY STATION Hi Fs ELEV.aa Septic 3• 7$IG tst,~_ B Dosing 41 Benchmark -9,/-7 1- 7 /64S Alt. BM Bldg. Sewer ~ y 1 fD IT$ Z4 Holding St/Ht Inlet 14 S'°I, 3~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO n P,(L I WELL BLDG. Vent to Air Intake K d(~(„J ROAD Dt Inlet Septic 35 Dt Bottom Dosing ~ 39 / Header/Man. Aeration Dist. Pipe Holding ' 7 Bot. System 5.>s~ .17 PUMP/SIPHON INFORMATION Final Grade Manufacturer 3 TO /110. Z-6 C t L.4_ Demand St Cover Z Model Number GPM Fyn , 15 39.3 Con.- (~►z X17.9 TDH Lift Friction Loss em Head TDH Force main ' Length Dia i( Dist. to W II Z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenc s DIMENSIONS / h 75 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK t0 INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ype Of System: CHAMBER OR (c A ]A, UNIT Model Number: \ DISTRIBUTION SYSTEM a ~V Header/Manifold Distribution J# 1111 9 Dia Z PiPe(s) / x Hole Size _ x Hole Spacing Ve to Air Intake Len th Length ~O/ Dia -9 Z 51 2 Spacing ~O 7 SOIL OVER x Pressure Systems Only xx Mound Or At-Grade Systems Only / Depth Over ;D (De of of Bed/Trench Center / Lrj Bed/Trench Edges p Seeded/Sodded xx Mulched 1C Topsoil \ I c;k es No No COMMENTS: (Include code discrepencies, persons present, etc. ` Inspection #1: ✓ / ZL/ J Inspection #2: Location: 1498 CTY RD TT New Richmond, WI 54017 (NE 1/4 NE 1/4 21 T30N R17W) metes & bounds Lot Parcel No: 21.30.17.317A 1.) Alt BM Description = °11 4_- ~'DU>r,J~ 5ys C 2.) Bldg sewer length = S 111 rarsl P ~ - amount of cover wL L.J 7 Plan revision Required? 5s] Yes <Neo Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's i nature / Cert. No. 1 Safety and Buildings Division j CEO/ X 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 55239z, Se It p11cation State Transaction Number In accordance with SPS 3.21(2), Wis f this form to the appropriate goveiititre unit Z0611 7Z_ is required prior to obtai a nation forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Saf n-d Pr Personal information you provide may be used for secondarye CTV Oa 0 T purposes in accordance w aw, s. 15.04 1 m , Stats. L Application Inform -Please Print All Information C l,Lf 1 i C 14P10'1V 0 Property Owner's Name Parcel # N U_/us i c_/L 6:s 1.1.. C O Z-10`7-30-000 Property Owner's Mailing Address Property Location . 6 Lt' eN / e i GA, Govt. Lot 3)7 J\ City, State 7-, f } .L ~ Zip Code Phone Number y, 6'/., Section & l o_St V " :5L101? JT T N R y '4 ircle ore II. Type of Building (check all that apply) Lot # ! / 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ❑ Public/Commercial -Describe Use Block # K ❑ City of / CSM Number ❑ Village of ❑ State Owned -Describe Use k ® Town of L'/*JI J e,44 /E 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner -1 1 IV. Type of POWTS System/Component/Device: Check all that a o &A-0'.0 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ip Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) ` V. Dis rsaVl'rea cut Area Information: Design Flow (gpd) Design Soil Application gpds) Dispersal Area Required (s Dispersal Area Pr sf) System Elevation 5-Q 0-& 50 10Z 0 . "73 VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units U y Y New Tanks Existing Tanks / e pt 0 w N/ JO 52o. U W ti ai V. 5 p. Septic or Holding Tank 10490 00 C 1 t G e VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans Plumber's Name (Print) Plumber's i MP/MPRS Number Business Phone Number E)KA) :5C_t4W t IT 2Z37ly 0 71s -7k0-ny0l6 Plumber's Address (Street, City, State, Zip Code) Z J VIII. Coun /De rtment Use On Permit Fee Date Psued Issui gent Si Approved prove $ ~ ❑O iven / Reason for D ial IX. Condij' sons for Disa roval / S~I~TXAA EIVf I~ pp 3) 1 Septic tank, ifflubnt filter and L / i fl dispersal cell must all be services I maintained I'A as per management plan provided by;'pl6mber. 2. AA se.(back fequifoments must.bengintained Attach to complete plans for the system and sab®it to the County only on paper not leas than s in x I I inch" in size SBD-6398 (R. 11/11) PLOT PLAN 1498 County Road T ♦ BM1 Elevation =100.00' Top of 1" PVC pipe 0 BM2 Elevation = 98.13' Top of 2" PVC pipe ■ Backhoe pits N Slope=3% System Elevation = 98.75' Contour Line Elevation = 97.90' Legal Description: NE1/4, NE114, S21, T30N, R17W Township: Erin Prairie County: St. Croix 35.40 Acres NOTE: 1. Existing system to be abandoned as per SPS 383.33 2. Force main to be protected from frost under drive Scale: V= 40' Qf f- W i L - Qf 13 8EDket) Z ~ ' ~-sCut5r ~ C v r oc0© Cie QA R ti `u / 100 L M /~'N e h"t~ltcr r Q M 1 SARK e e s i B-3 r OtAZ e ~e e, ~(q..Ll!;,X qt.L Jt c►~;t~~2 L1~' COPY 0 Page 8 of 12 VAR T, P Safety and Buildings ~S~S' ron 3824 N CREEKSIDE LA 0 HOLMEN WI 54636 3 Q S Contact Through Relay P $ www.commerce.wi.gov/sb/ 9 www.wisconsin.gov ~OssroNSV Scott Walker, Governor Dave Ross, Secretary March 08, 2012 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAELRD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/08/2014 SITE: Identification Numbers Anthony Julius Acres LLC Transaction ID No. 2061172 1498 County Road T Site ID No. 777266 Town of Erin Prairie Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NE 1/4, NE 1/4, S21, T3 ON, R17W FOR: Description: Three Bedroom Mound System / 3% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1361971 Maintenance required; Replacement system; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01/01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced abcRaNI''~r' The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code corlditio requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.q6 , ~.r stats. "n C The following conditions shall be met during construction or installation and prior to occupancy or use: of Sam Key Item(s) • A sanitary permit must be obtained from the county where this project is located in accordance with the C;0 requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • There is no pump float switch specified. The 2009 Wisconsin Act 44 prohibits the installation of float switches or relays that contain mercury. Please specify a switch that satisfies this requirement prior to applying for a sanitary permit". • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. JOHN F SCHMUT Page 2 3/8/2012 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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. SPS 383.54(1). • A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety& Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the 'y. relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future r > ~r j reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. JOHN F SCHMITf Page 2 3/8/2012 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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. SPS 383.54(1). • A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & "y Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future s reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. nl i MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN J~ Residential Application INDEX AND TITLE PAGE Project Name: 1498 County Road T 3 Bedroom Mound Owner's Name: Anthony Julius Acres LLC Owner's Address: 668 Valley View Trail Somerset, WI 54025 Legal Description: NE1/4, NE1/4, S21, T30N, R17W Township: Erin Prairie County: St. Croix Subdivision Name: 35.40 Acre Parcel Lot Number: NA Block Number:, Parcel I.D. Number: 012-1047-30-000 VF 1 Plan Transaction No.: Page 1 Index and title AND Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications 1,-7,) E Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan Page 9 Effluent Filter Information Page 10 Septic Tank Maintenance Agreement Page 11 Deed Page 12 Soil Evaluation Report Designer: John Schmitt License Number: MPRS 223760 Date: 03/02/12 Phone Number: 715-760-0486 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 6.0 (R. 04/08) Pagel of 12 Mound and Pressure Distribution Component Design Design Worksheet Site Information - (R or C) I R Residential or Commercial Design Note: Table 83-44 Sand -3 fill in-s (D) itu soil treat calculations treatment for assume a fecal 300.00 Estimated Wastewater Flow (gpd) coliform of 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 3.00 Site Slope 97.90 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 6.00 Cell Width (ft) 75.00 Dispersal Cell Length Along Contour (ft) _ F 1.00 Dispersal Cell Design Loading Rate (gpd/fe) the highest point 1 Influent Wastewater Quality (1 or 2) Are the laterals Po in the distribution i Y l Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) ! 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 fe/orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? Y 84.00, Pump Tank Elevation (ft) Enter 'Y or N 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 14.33 Vertical Lift (ft) 67.32 5x Void Volume (gal) 3.20 Friction Loss (ft) 83.63 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 39.32 System Demand (gpm) 20.77 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tons choice 0.75 $ 1.25 1.00 1.50 x - 125 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator optionar, Treatment Tank Information r---' Total Tank Capacity (gal) 1 Septic Tank Capacity (gal)----, Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) PolyLok Commercial , Filter Manufacturer 16.76 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Manufacturer Project: 1498 County Road T 3 Bedroom Mound Page 2 of 12 Mound Plan and Cross Section Views t J 1/10 B Observation Pipe K A O W I . L Mound Component Dimensions A 6.00 ft E 12716in H 1.00 ft K 8.15 ft B 75.00 ft F 9.50 in 1 7.60 ft L 91.29 ft D 10.00 in G 0.50 ft J 5.85 ft W 19.45 ft (ft2) Basal Area Available 450.00 (ff) Dispersal Cell Area L~!NW 0 B Obs. Pipe Placement 6.00 (gpd/ft) Linear Loading Rate (ft) 1/1 Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.53 (ft) - H GI 99.23 (ft) Lateral F Dispersal cell I _ Invert 98.73 (ft) Dispersal Cell D Elevation 4 `97.90 (ft) Contour Elevation -y3.00-% Site Slope Geotextile Fabric Cover Shading Key m n. I Dispersal Cell See lateral details on 0 Topsoil Cap c C 1.5 ft 7777--7- Page 4 for number, size, Subsoil Ca o and spacing of laterals. 0 p Laterals are equally ASTM C33 Sand T i Lateral F spaced from the Tilled Layer 0.5 ft yP,ca distribution cell's 0 Aggregate o centerline in the A distribution cell (AxB). Project: 1498 County Road T 3 Bedroom Mound Page 3 of 12 Center Connection Lateral Layout Diagram Foes main connection via toe or aross to man*M at and poin. Laterals art 61 rip al -IF . I P S a=-- - J-L - 0 Tura-up rfball vulva or X--~Ilrx12 .121 L.Wals & fora main of PVC Sch 40 olaenoutplup per COh+ M Table 84.30-5 Moles dried on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 20.77 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Lockirv cover with wanting label and locking device and sealed watertight Electrical as per NEC 300 and -4101, - Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E- Alternate outlet location Foroemain diameter Weiser Manufacturer 2 in. Capacityl 600.00 Gallons _r Volume 16.76 gallinch A Weep hole or anti- Dimension Inches Gallons B s"on device A 17.91 300.16 C B 2.00 33.52 Pam" (8) C 4.99 83.63 -t 84.91 D 10.90 182.68 D Total 35.80 600.00 tank elevation (ft) 3" Bedding un r tank. Alarm Manuaaacturer Se tonics Alarm Model Number TM-1 Pump Manufacturer Zoeller Pump Model Number 153 Pump Must Deliver 39.32 gpm at 20.77 ft TDH Project 1498 County Road T 3 Bedroom Mound Page 4 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 71715-760-0486 ~ . 715 386 I I_--- 6-4 80 WTS Regulator's Name St. Croix -County Zoning Phone PO System Flow and Load Parameters Maximum Influent Particle Size 1/8 in Design Flow Peak 450 gpd Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Other; 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 Threaded Cleanout 6-8" Diameter Lawn plug or Ball Valve 00, Grade Sprinkler Valve Box Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: 1498 County Road T 3 Bedroom Mound Page 5 of 12 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), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706-P (N. 01/01)] 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 or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter 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 o the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall 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 operation. If an effluent filter 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 surface 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 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 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 it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine 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. Contingency 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, it will be repaired or replaced in its' present location by increasing basal area if toe 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 12 TOTAL DYNAMIC HEAD/FLOW PER MINUTE w PJ PUMP PERFORMANCE CURVE 50 MODEL 151/152/153 EFFLUENT AND DEWATERING 14 45 153 MODEL 151 152 153 - 40 12 Feet Meters Gal. Liters Gal. Liters Gal Liters 0 35 5 1.5 50 189 69 261 77 291 10 152 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 30- - I 6.1 29 110 167 52 17 ~ 9 20 a 8 151 . ,y 25 7.6 76 61 34 129 42 159 a a 6 30 9.1 - - 23 87 33 125 i 35 10.7 - - - - 22 85 11 42 t5 40 12.2 - - 4 M1 I Shutoff Head: 30 fl. (9.1m) 38 fl. (11.6m) 44 R. (13.4m) 10 0145088 2~_ Model 151 Models 152 / 153 10 20 30 40 50 60 70 80 90 100 GALLONS 67133 671!2 UTERS 0 40 80 120 160 200 240 '280320 350 3718 f+ <Sre 3718 45re FLOW PER MINUTE -rt --;-j I 014508A -1 3718 37re Y ~J 1 t 4 L j-14 C FCA O 9 R O i I 7Ja 3718 • Timed dosing panels available • Electrical alternators, for duplex systems, are available and I Irr NPr supplied w0 an alarm • Variable level control switches are available for controlling - t- 1 single phase systems • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 1111116 12115 FM1420 i Over 130°F (54°C) special quotation required T 41~ 6 sire Jik SeiIr SK2444 SK2064 15111521153 MODELS control Selection Model yoltsft Mode Amps Si ex Duplex 115 1 Auto 6.0 included 2 or 3 rBN1 115 1 Non 6.0 1 2 or 3 230 1 Non 3.2 1 Z or 3 230 1 Auto 3.2 included 2 or 3 "Easy assembly" 715 1 Non 8.5 1 2 or 3 115 1 Auto 8.5 Included 2 or 3 ~ 8 D not in rlckld~.) 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N753 115 1 Non 10.5 1 2 or 3 9N153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 53 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level ` l M -I ANC P'N 1, '24 2 float switch. Refer to FM0477. Reduces potential clogging by debris Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1 %2" or 2" PVC piping o cauna4 Attaches securely to pump vrt e5 a~a .11 Accommodates sump, dewatering and effluent applications gaiety vsuii- otloWlx r,clutSiriy NOTE: Make sure float is free from obstnixtion, an„ JcL- t r Ind n ,vil: For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved- Page 7 of 12 ~s " SECTION: 2.20.047 ,QL/QL/T~'PL/,yPB J/NCE I~~r7p FM1919 a 0110 Produa information presented ® Supersedes here reflects carditions at time 108 publication. consult factory f'LI~W fd regarding discrepancies or inconsistencies. MAIL 70. P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SNIP 70.• 3649 Cane Run Road • Louisville, KY 40211-1961 wwwzoeller com (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 ''MPARF t HFSF' ~ FATURE;"', Durable cast iron construction 151/1521153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For PuiW Prefix Identification see News & Views 0052) Corrosion resistant powder coated epoxy finish Stainless steel lifting handle "DOSE=MATE" Assembled with stainless steel bolts Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS Model 151 -1 /3 HP passes h" spherical solids VIV, EFFLUENT Model 152 -.4 HP passes 34" spherical solids SUBMERSIBLE Model 153 -1/2 HP passes 3/4" spherical solids I Y2" NPT DISCHARGE Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Carbon/Ceramic seals r Hea c C40 us Upper sleeve bearing and lower ball bearing running 7onmmuL suooarouv78 in bath of oil aW CaVied10 cSA swaard CSV2 2 No 108 20 ft. UL Listed power cord with molded 3-wire plug 1 th" NPT vertical discharge BN and BE standard models include a 20 ft. variable N151NI152/N13 if& E`151/E152/E153 nonautomatic )Operates evel float switch BN151/BN152/BN153 & BE151/BE152/BE153 at temperatures to 130°F (54°C) in effluent 1/3_4 & 1/2 P IPhh 115~Vor 230VLevel Float Switch applications All models include a 1 Y2" x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized - basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH" A'LI.MP"I BN152/3N15 MAIL TO. P.O. BOX 16347 -ifr1h near: Louisville, KY 40256-0347+,,e SHIP TO 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of... 71 711;, O 0WITV PaMP6 515'--E 9,7 © Copyright 2010 Zoeller Co. All rights reserved. 11 SECTION: 2.20.047 Q&WITY /gllMP9 ~iYCE /c7~J FMI919 0110 Prod~a informat[on presented ® L" Supersedes here reflects conditions at time " of publication. Consult factory 1108 regarding discrepancies or inconsistencies. MAIL TO. P. O. BOX 16347 • LouisvNe, KY 40256-0347 visit our web site: SHIP TO. 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller com (502) 778-2731.1(800) 928-PUMP • FAX (502) 774-3624 _)%rl R i HESE ' EATE.IRES Durable cast iron construction 151/152/153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identification see News & Views 0052) Corrosion resistant powder coated epoxy finish Stainless steel lifting handle " Assembled with stainless steel bolts ' ~ Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS Model 151 -1/3 HP passes 1/2" spherical solids VID EFFLUENT Model 152 -.4 HP passes 3/4" spherical solids SUBMERSIBLE Model 153 -1/2 HP passes 3/4" spherical solids 1%" NPT DISCHARGE Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Carbon/Ceramic seals o r4eae Upper sleeve bearing and lower ball bearing running SWndard uvula in bath of oil S.nandCWW CS" a"d CSa22.2 No. 108 20 ft. UL Listed power cord with molded 3-wire plug i 11/2" NPT vertical discharge FoRa IrJELS R1+Eili_.At-.t BN and BE standard models include a 20 ft. variable . N151/N152/N153 & E151/E152/EI53 nonautomatic level float switch BN151/BN152/BN153 & BE151/BE152/BE153 Operates at temperatures to 130* F (54 °C) in effluent 11/3 k4g~ 4112 HP, Phh 115V orr230Vlevel Float Switch applications All models include a 1 Y2" x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and property sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH" ktozl"119 gf., Modal BN152iaN5 MAIL TO: P. O. BOX 16347 High Head Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731.1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of. . . QL/QL/TY /-LIMPS /iNCE ~~3~ 0 Copyright 2010 Zoeller Co. All rights reserved. PLOT PLAN 1498 County Road T ♦ BM1 Elevation = 100.00' Top of 1" PVC pipe A BM2 Elevation = 98.13' Top of 2" PVC pipe N ■ Backhoe pits Slope=3% System Elevation = 98.75' Contour Line Elevation = 97.90' Legal Description: NE1/4, NE1/4, S21, T30N, R17W Township: Erin Prairie County: St. Croix 35.40 Acres NOTE: 1. Existing system to be abandoned as per SPS 383.33 2. Force main to be protected from frost under drive Scale: 1"= 40' 3 C- WirL~ ,jj c~ • 3 9tD~~c 1 141 ,u ~ ' I-f cis ~ 2 a v GAL"&; G TI PL BAR~J u ~ ~ _ J X30 L' ✓WAlt Ff1r2cp BM I ~ ►-~Nc SARt3 i i i B-3 1q.q! X 91:Lgt N1ou~%la Cnn:70U12 LtIdc t ~ Off``! Page 8 of 12 INSTALLATION INSTRUCTIONS r of fl**'* PL-525/PL-625 FILTER Center filter with opening 0116 a z .A LL = ® e Additional pipe or Polylok Extend & Lok'" Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. ANCE INSTRUCTIONS Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back if necessary. into the the housing making sure • • NOT USE PLUMBING the filter is properly alighed FILTER W"EN IS REMOVED (B) Pull the filter out of the housing. and completely inserted. (C) Hose off the fitter over the septic tank. (B) Replace septic tank cover Make sure all solids fall back into the RUGM- -W01" CLUM" 14LTEA septic tank. P~no Q of 17 INSTALLATION INSTRUCTIONS PL-525/PL-625 FILTER r Features & e-. ,Yt,r Rated for 10,000 GPD PL-525 = 525 Linear Feet of 1/18" Filtration PL-625 = 625 Linear Feet of 1/32" Filtration All PL-525 PL-625 *Accepts 4" and 6" SCHD. 40 pipe Built in Gas Deflector The PL-5251625 Effluent Filter should operate efficiently for several years under normal conditions before ,Automatic Shut-Off Ball when Filter is Removed requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped or at least every a Alarm Accessibility three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the *Accepts PVC Extension Handle filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. Polylok PVC Filter Extension Handle - r Risers & Riser Covers Extend 8 LokT" Riser Safety Screens Fitter Alarm Panel and SmartFilterT'" Control Polylok risers bring your Polylok Extend & LokTM Polylok safety screens Switch septic tank cover to grade. is a simple, easy to use prevent tragic accidents This allows locating and solution that can extend from happening by children Polylok filter alarm panels servicing your filter easier the inlet or outlet pipe and and pets falling into open and switchs provid a visual and time saving by elimi- make filter and/or baffle septic tank entrances. and audible notification of nating digging to find tank installation a snap. impending filter and tank entrance. Fits 3" and 4" pipe. servicing. For a full list of Polylok products please visit our web site at: www.polylok.com INSTALLATION INSTRUCTIONS FILTER Z~.; PL-525/PL-625 I x-625 FEATURES & BENEFITS r Features & Benefits • Rated for 10,000 GPD * PL-525 = 525 Linear Feet of 1/18" Filtration PL-625 625 Linear Feet of 1/32" Filtration PL-525 PL-625 *Accepts 4" and 6" SCHD. 40 pipe .Built in Gas Deflector The PL-525/625 Effluent Fitter should operate efficiently for several years under normal conditions before ,Automatic Shut-Off Bali when Fitter is Removed requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped or at least every *Alarm Accessibility three years. If the installed filter contains an optional PVC Extension Handle alarm, the owner will be notified by an alarm when the *Accepts filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. ? R D t„f t:... TS Polylok PVC Filter Extension Handle i µti ~2yLU~. r i# 1 1 i I Risers & Riser Covers Extend & LakT"' Riser Safety Screens Filter Alarm Panel and SmartFilterT"" Control Polylok risers bring your Polylok Extend & LokT"' Polylok safety screens Switch septic tank cover to grade. is a simple, easy to use prevent tragic accidents This allows locating and solution that can extend from happening by children Polylok filter alarm panels and switchs provid a visual servicing your filter easier the inlet or outlet pipe and and pets falling into open and audible notification of and time saving by elimi- make filter and/or baffle septic tank entrances. impending filter and tank nating digging to find tank installation a snap. servicing. entrance. Fits 3" and 4" pipe. For a full list of Polylok products please visit our web site at: www.polylok.com ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer T o .4L l A Cte e L C Mailing Address 6 I)A ILLC 11 V- e T 5c)M aT W1_ SY02 PropertyAddress / 9 8 ocl fu rY /~d /V E r.~J RiC NyvlO N 1j W r S t/O / 7 (Verification required from Planning Zoning Department for new construction.) City/State I Parcel Identification Number ~fCMN9~~ ' LEGAL DESCRIPTION Property Location Sec. Z T 3 (DN R) W, Town of A2.4 t A?_iE Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house a yes )C no Lot lines identifiable ❑ yes )e 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. I/we, 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 o his 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 arranty deed recorded in Register of Deeds Office. Numb o ed o0m x/(/202 tl I/ SI NATURE 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. (REV. 09/07) Illlll Illla I 8 0 2 6 0 0 6 Tx .4018613 State Bar of Wisconsin Form 2-2003 935324 WARRANTY DEED BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI ' Document Number Document Name 04/22/2011 2.29 PM EXEMPT#: N/A THIS DEED, made between Ruth J. Johnson, REC FEE: 30.00 TRANS FEE: 1263.00 ("Grantor," whether one or ore), PAGES: 2 and Anthony Julius Acres, LLC, a Wisconsin limited liability company, ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other interests, in St. Croix County, State of Wisconsin ("Property") (if more Recording Area space is needed, please attach addendum): Name and Return Address SEE THE ATTACHED ADDENDUM. Ronald L. Siler/ Van Dyk, Yliamson & Siler, S.C.~ 201 S. Krtewles Avenue 7 New Ris!'imond, WI 54017 012-100447-30-000 & 012-1047.80-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subject to all easements, restrictions and covenants of record. Datedy JAOA1 4 Zo JASWINDER K SIKKA Notary Public • ~o~v~iso'y1 ►~J (S AL) - Minnesota WiAl (SEAL) * Ruth J. Johnson, by Kaylene ayes, P A \U V( (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) ^ c, STATE OF V ) authenticated on i ) ss. COUNTY ) * Personally came before me on t U I TITLE: MEMBER STATE BAR OF WISCONSIN the above-named { q !4 ] i (If not, U~ authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the e. THIS INSTRUMENT DRAFTED BY: Ronald L. Siler of Van Dvk, Williamson & Siler, S.C. 201 S. Knowles Ave., New Richmond, WI 54017 Notary Public, State of fir- i vane.-3 0Ca - My Commission (is permanent) (expires: ~L`J ~k; f c j ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. 1 of 2 ADDENDUM The NE'/4 of the NE'/4 of Section 21, Township 30 North, Range 17 West, Town of Erin Prairie, St. Croix County, Wisconsin, EXCEPT the following parcels: 1. Part of the NEI/4 of the NE'/ of said Section 21, described as follows: Commencing 33 feet West and 82'/2 feet South of the Northeast corner of said NE'/4 of the NEV4 , this being the point of beginning; thence South 67 feet; thence West 142%2 feet; thence North 116'/2 feet; thence East 93 feet; thence S450 East 70 feet to the place of beginning. 2. Part of the NE'/4 of the NE'/4 of said Section 21, described as follows: Commencing 175'/2 feet West of the Northeast corner of said NE'/4 of the NE%, this being the point of beginning; thence South 185 feet; thence West 18 feet; thence South 260 feet; thence West 322 feet; thence North 445 feet to the North line of said Section 21; thence East on said North line 340 feet to the place of beginning. 3. Part of the, NE%4 of the NEl/4 of said Section 21, described as follows: Commencing 175'/2 feet West of the Northeast corner of said NE'/4 of the NEIA; thence South 185 feet; thence West 18 feet; thence South 260 feet; thence West 322 feet to the point of beginning; thence North 445 feet; thence West 50 feet; thence South 445 feet; thence East to the point of beginning. 4. Lands conveyed for highway purposes in Vol. 443 of Rec., pg. 296, as Doc No. 292714. ALSO, the SE'/ of the NE'/4 of Section 21, Township 30 North, Range 17 West, Town of Erin Prairie, St. Croix County, Wisconsin, EXCEPT lands conveyed for highway purposes in Vol. 509 of Rec., pg. 19, as Doc. No. 320954. Y 1 i 2 of 2 OL EVALUATION RA~Pj #1678 Department of Commerce tl`" 1= in a rdance with Comm 85, WisVFd~n Page 1 of 4 Division of Safety an(c),Bnrlg Schmitt Soil Testing, Inc. Attach complete site pla on paper not less than-'x 11 i es in size. Plan must County St. Croix include, but not limited to vertical and ho~I~izz,eanf t~Ofdrence mt (BM), direction and percent slope, scale or dir(fension 1t hFdrr6w, andJocatio and distance to nearest road. Parcel I.D. 012-1047-30-000 Pli>rase print alljnfbmw*,,,;~ n. - evie d Date Personal information you pmvid~may bg; fb~j, iwndary purposes (Privacy Law, s. 15.04 (1) (m)). 3 j! Property Owner Property Location Anthony Julius Acres, LLC Govt. Lot NE1/4, NE1/4, S21, T30N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 668 Valley View Trail NA 35.40 Acre Parcel City State Zip Code Phone Number 0 City ❑ Village M Town Nearest Road'/ S( 9 Somerset WI 54025 715-549-0090 Erin Prairie Cty Rd T ❑ New Construction Use: M Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Ll Public or commercial - Describe: Parent material Glacial Till (Jewett Silt Loam) Flood plain elevation, if applicable na ft. General comments and recommendations: Replace system area is suitable for a mound system. System elevation is 98.75' based off a contour line established at 97.90'.Slope of area is 3%. Depth to limiting factor 26" F1_1 M Boring # ❑ Boring Pit Ground surface elev. 98.06 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/3 none sil 2mgr mvfr as 2vf .6 .8 2 8-15 10yr5/3 none sil 2fsbk mfr gw 1vf .6 .8 3 15-27 10yr4/4 none scl 2msbk mfr gw 1vf .4 .6 4 27-40 7.5yr4/6 m2d 5yr6/6 sl Om mfr gw 2 6 5yr6/2 5 40-62 7.5yr4/4 m2d 5yr6/8 sl Om mfr 2 6 5yr6/1 Boring # Boring Pit Ground surface elev. 98.06 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/3 none sil 2mgr mvfr as 2vf .6 .8 2 1046 10yr5/3 none sil 2fsbk mfr gw ivf .6 .8 3 16-26 10yr4/6 none sicl 2msbk mfr gw ivf .4 .6 4 26-47 7.5yr4/6 m2d 5yr6/6 sl Om mfi gw 2 6 5yr6/2 5 47-64 7.5yr4/4 m2d 5yr6/6 sl Om mfi 2 6 5yr6/3 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS s30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 12/1/2011 715-247-2941 SBD-8330 (R.07/00) Property Owner Anthony Julius Acres, LLC Parcel ID # 012-1047-30-000 Page 2 of 4 M E Boring # ❑ Boring Pit Ground surface elev. 97.25 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 761 *Eff#2 1 0-13 10yr3/3 none sil 2mgr mvfr as 2vf .8 2 13-19 10yr5/3 none A 2fsbk mfr gw 1vf .8 3 19-26 10yr4/4 none sil 2msbk mfr cw 1vf .8 . 4 26-37 7.5yr4/4 c2d 5yr6/6 grsl lmsbk mfr gw .4 .7 5yr6/2 c2d 5yr6/6 rfsl Om mf cs .2 .5 5 37-58 7.5yr5/6 5 r6 3 9 /6 fsl Om mf .2 .5 6 58-69 5yr4/4 7mad.5yr6/2 r6/2 F4] Boring # Boring ~ Pit Ground surface elev. ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-13 10yr3/3 none sil 2mgr mfr as 2vf .6 .8 2 13-19 10yr4/4 none A 2fsbk mfr gw lvf .6 .8 3 19-29 7.5yr4/6 none sicl 2msbk mfr gw .4 .6 29-42 7.5yr5/6 c2d 7.5yr6/6 grlfs lcsbk mvfr a 5 1.0 4 7.5yr6/2 5 42-54 10yr6/8 map 5yr6/6 vfsl Om mgr .2 .5 7.5 r6/2 42"-54" is weathered sandstone. ❑ Boring # 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 GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 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-8330 (R.07/00) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Anthony Julius Acres, LLC Thomas J. Schmitt, CST 227429 Address: 668 Valley View Trail 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WI 54017 Phone: 715-760-197 Subdivision: NA 35.4 Acre Parcel Signatured Property Address: 1498 County Rd T is 1.2- / X26 Legal Description: NE1/4 NE1/4 S21 T30N R17W Backhoe Pit Township, County: Erin Prairie, St. Croix County A Bench Mark 1 El. 100.00' Top of 1" pvc pipe P.I.D 012-1047-30-000 A Bench Mark 2 El. 98.13' Top of 2" pvc pipe Slope= 3% Contour Line El. 97.90' Contour Line Length 75' 1"=40' e~ 4,/j JELL„ 40 LkS cl' -7- OAST TANE ,4 (A I ap Z31 p ~N Si 61 ~~7 a i - t ~ ~ ~ ~ r ~ E . i ~ i i ~ ~ i } r . ~ } ~ ~ I _ ~ ~ ! f ~ j Poole o Dim CA 0 m3 7 y 0 4 = C.A con 3 a~ d @ co oi0 Sri. 0 m ~ c y fD n S ~ c T-I ~rr~ `"1 ky`ti.+'`` x~t ti°kkt `'Y't f~ A•-t ^ "1'~'-' ~k' 4(..-F -I't ,,i°i,+,tf., "~r.r a' - S~~ r.7~~rx'R`kw. ~ r .r~ ''~r ~ f>4:• -.:v. i-r,l+>{ .~;x7~F yY r;*tt, ,sYttl 5 i-Y. I {;t F~! "~p~j A Y, •f 4 . Y4 A:. 1135`•: - - N N Parcel 012-1047-30-000 PAGE E 1 1 12/3012011 PM OF 1 Alt. Parcel 21.30.17.317A 012 -TOWN OF ERIN PRAIRIE Current 1K ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - ANTHONY JULIUS ACRES LLC ANTHONY JULIUS ACRES LLC 668 VALLEY VIEW TRL SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1498 CTY RD T SC 3962 SCH DIST NEW RICHMOND SP 1700 WITC Legal Description: Acres: 35.400 Plat: N/A-NOT AVAILABLE SEC 21 T30N R17W 35.4 AC NE NE EXC P317B Block/Condo Bldg: AND C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-30N-17W NE NE Notes: Parcel History: Doc # Vol/Page Type 4/2 894069 TI 04/22/2011 935324 WD 11/05/1984 397545 699/416 LC 09/04/1984 396022 695/492 WD more... 2011 SUMMARY Bill Fair Market Value: Assessed with: 156268 Use Value Assessment Valuations: Last Changed: 09/01/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 10,000 91,000 101,000 NO AGRICULTURAL G4 33.400 6,700 0 6,700 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2011: General Property 35.400 16,800 91,000 107,800 Woodland 0.000 0 0 Totals for 2010: General Property 35.400 16,800 91,000 107,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 128 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00