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006-1072-40-000
rWisconsin'DepartmentofCommerce PRIVATE SEWAGE SYSTEM `Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Na , Ga J & Alice C Ion, Town of CST BM Elev: Insp. BM Elev: b BM Description: ~ ~ B o rn 1 ~.~. ce~. a TANK INFORMATION ` ~, TYPE MANUFACTURER CAPACITY Septic ~ , +'~-y f Dosing >< _ I .~ t -. Aeration ) ~. , r f , . l Holding ) TANK SETBACK INFORMATION TANK TO t P/L WELL BLDG. Vent to Air Intake ROAD ~~~~~ Septic ~ r `J::% to ~-1 - ' J `~~ *~ - %>> ~ ; .. , Dosing ~ ,y t", ~ _ ,,; Aeration Holding _. PUMPISIPHON INFORMATION ~; Manufacturer ~ ~`~ ,, Demand i`';^•._','L;.~1~ .. GPM Model Number ~ L..~ x. TDH Lift _,r..) Friction Lost~s ,.._ t System Head, TDH 4., L~ ~ ..~ 1° ~, ~ '~, ~ 7 Forcemain Le t ~ Dia. j r Dist. to Well , SOIL ABSORPTION SYSTEM , County: St. Croix Sanitary Permit No: 514986 0 State Plan 1D No: Parcel Tax No: 006-1072-40-000 SectionlTown/Range/Map No: 32.31.16.493A ELEVATION DATA STATION BS HI p• 3 f :..` ~. FS ELEV. r:~i V Benchmark 3.35 /03. /d~ AI~BM r ~/y 7 ~~• Bldg. Sew r ~• ~~- r.~ SUHt Inlet St/Ht Outlet a1~.1. ~~/. G..~ Dtlnlet /G. ~ `~~ , `F ~ Dt Bottom ~ ~ ~ ~ 9C: • ~S 1 Header/Man. 2.75 /al. S~ Dist. Pipe Z.`7tp /GI• ~ 1 Bot. System Final Grade St Cover ~, ~ ~ „~ ~ ~ ,.p„ ,r. . ~~ S.b 94.35 ~~ go~,.J. 9. b y y. s s BEDITRENCH Width ~ Length No. Of Trenche PIT DIMENSIONS No. Of Pits Inside~a Liquid Ddptll, DIMENSIONS ~?~, •" ~ ; ~x r: ~ ~ ~ ~ a ,`" ~ + ` < SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ INFORMATION CHAMBER OR "~ Type Of System: ( !'1 ' ' + 1 ~ ' r`1- ., r UNIT Model Number: ~. 1 a.~ ~.. DISTRIBUTION SYSTEM ~€'. ~ f:L__,.~ <';_. f, Header/Manifold ~,~ ~ Distribution ~ / f f ~• ? . f r Pipe(s) x Hole Size ~ ` I ~ . x Hole Spacing f V~to Air Intake ~ . / , y, L ~ ` ( °i j / i~ `"' ~ ~ ~ ( Length «... Dia - Length ~ ~. ~ Dia Spacing t; . ~ SOIL COVER x Prwssura Svstame Only xx Mound Or At-Grade Systems Only Depth Over ~ - /T h C Depth Over d/T h Ed + B xx Depth of T il E ~ xx Seeded/Sodded xx Mulched enter j ;.~ Bed renc renc ges ,, e opso ` , - . ~.~ Yes ~ No ;; Yes ~ No ! R a ,Sa G~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~ ~ / D C~ Inspection #2: / / Location: 1868 215th StrlQ~gt New Richmond, WI 54017 (SE 1/4 NW 1/4 32 T31N }216W) NA Lot ~ ~ ~ , ~[Parc I No: 32.31.16.493A 1.) Alt BM Description = ` 1. ~~.,...;=` (..{. ~;~•~ ~.."..._. i..°:-.r.~. ~Q. r~.. t:; ~ ~bt..S /1.J1~'_~•O1'I (~I a ~ 6 k. J 2.) Bldg sewer length = •-~-~,ft~ # ~, ~ }~,~~ ,, „d -amount of cover = i~ ~ / G~ ~ '"~' Plan revision Required? ~ Yes ~No ~ "~ ~l yy ' ~ ~, .~ j Use other side for additional information. ~~ ~ L ~- ~ _+`~'~.~------~ ~ ~ --_ ~ i~ ~ ~ ,, SBD-6710 (R.3/97) 1Date ? Insepctor's ~gnatur ~ ~ Cert o. ~ e~.r~. Safety and Buildings Divisi County ` ~ ~ 20] W. Washington Ave., P.O. Bo IG2 S' _ /" >'scons~n Madison, WI 53707 - 2 Sanitary Permit Number (to b filled in by Co ) Department of Commerce (608) 2GG-3151 C I ~/ Sanitary Permit A lication to an l.D Number pp In accord with Comm 8321, Wis. Adm. Code, personal information you provide ~ ~/(, 7 may be used for secondary purposes Privacy Law, s15.04(I x~n) t Address (if different than mailing address) I. Application Information-PleasePrintAilInformation + vW ~ ~/~ w Property Oti~ier's Name / ~ .~ 'jo L Parcel {<vt-ll-- gh~-i{-- SEP Property O ier's Mailing d ess gT CRO{X COU rope Location ~~ . 3 ~ ~yjtO~l~ N{NG OFFIC f ~ fir City State ~ i ~• ~~ ~~ section 3 ~ ' , Z p Code Phone Number (circle one) S' ~ N ~ ~ I T I f B ildi h k ; R_~ E o . ype o u ttg (c ec atl that apply) t~ik ~ f~ , C , / 11a't or 2 Family Dwelling -Number of Bedrooms ~ ubdivision Name CSM Number ^ Public/Commerciai -Describe Use _~ .~- ^ State Owned -Describe Use ^Ciry_^Village ~l ownship of ~ (~j ~j~ yt --7~~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ^ Replacement System ^ TreaunendHolding Tank Replacement Only ^ Other Modification to Existing System B. Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S stem: Check all that a 1 ~ t ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Pea[ Filter ^ Aerobic Treatment Unit ^ Recirculatin Sand Filter ^ // Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ~ l V. Dis ersal/Treatment Area Information: a~,ea„ ~ Design Flow (gpd) Design Soil Application e(gpdsf) Dispersal Area Required (st) Dispersal Area Propos (s~ System Elevation ~ ~ ~ ~p ~.e / - ~/ . 2. Goo ~0 3 0~ ~ ~ ..._ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units ~ Concrete Constructed Giass New Existing / _ /~ ~~ 4/ !~L/~ Tanks Taiilcs Septic or Holding Tank ~ - Aerobic Troatment Unit Dosing Chamlxr OD ov / Gt/ie ~ t/ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Plumber's Address (Str t, City, St te, Zip Code) VIII. Coun /De a ment Use Onl ,Approved Disapprov Sanitary Permit Fee (includes Groundwater Date sued Issuing ent Signa re o St en Reaso I?enial Surcharge Fee) / /V~ ~ ~i (0(~(J IX. Conditions of ApprovaUReasons for Disapproval ~~ vD~l~' f+~,dK~ . ^ ~~ S S E W i Y T NER: ~~ ~ M O 1. Septic tank, effluent frtter and q,~Q,, ; ,~, ~„c~- w/ ~ ~~ ~'-'; di l [ spersa ceB must all be services /maintained as per management plan provided by'plumber. ~ ~ ~ ~ n r ~ ^~ ~ ~" 2 All selbacktequirements must be msintaitled //y e Y ~ ~~ A ~t.. oGiwp »{f pi~l',PP cod! / OfdY1a11Ce. /^~ _ p~,1~ i dG~ Oir ~~ ~ . ~.- t gpc3d ~1. ~~ ..•.......,..q,.c.c pw~ fro me i.ounty onty) for the syat on paper not toss than 812 z 11 in-chess in stu ~~ ~~ rd/tt3i ~~ SBD-6398 (R. 01 /03) p ~~ S ---- ~C1~1 ~S ~ P ,,,,~~( ~ N J 3 ~~~ ~~ ~ ~~ so eo a„rma sue. {fray i faeh = !0 tk -Site Plan For: Donald Nagy Part of the SEl/4 - NWI/4 Sec. 32 T31N-R16W Town of Cylon - S~ Croix County `g~? ~ BMI Page 2 of8 2 30 Acre Parcel ~ Weeb Carua+ege 1160 Gallon Septlc Tmrk Proposed SSofaoe water dfvercvion ditc~i 1 foot deep wttlt w/a Potylok PL-S2s 1'lilta~ p ~ ~ Sch. ~ Fosiae lfaih S:1 aide clops: appraur. Il J!. wide. 600 G~PD \ \ y ~s «, Proposed 4 Bedroom H ~~ Pnapoaad Weekr Conra+eae 800 Gal. walkout Baaarrart 4" BkEq. Sewer Dose Tam I $ +~ ~8% ~B ~z T Proposed 4.s'z 134'Mwa~d Cell . IOO.DO wllli a S Elerntior- oj101.30' ~ s ~ 295 Note: A(aa~hobt weUarid Katakne setbacks per Coaun 83.43(8)(1) #1 ~, BM BM;Top Coadidt Ekv. =100 00' 98.00' #Z HM BM =Tap CaadidtEkv =9990' B#1=99.15' B#2 = 98 3s' 21sth sc B#3 =98.40' B#4 =9840' ao ao o~ sod. {~ i iaelt = !0 tt Site Plan For: Donald Nagy Part of the SE1/4 - NWl/4 See. 32 T31N-R16W Town of Cylon - St. Croix County ` , BMA Page 2 of8 2 301lwe Parcel ~ Weeb Concrete 1160 GaAon Septic Tank Propo~d Siofrux w~ diversion ditdi 1 font deiep widt w/a Polylok PL-31S Filter P 1' Sck ,~ Force Main S:1 aide slopta appra~c Il fk wide 600 GPD \ \ y ~s «, Proposed 4 Bedroan H r~ Caua~e 800 G+ri Walkout Batewent ~ 4° Bldg. Sewer Dose Tank 1 s x 896 ~ a •z Proposed 4.5'x 134'Mowrd C,dl 100.00 wltb a Syatent Elevation of 101.30' , e sa 1 % Note:.1[ainta~ne x~ell and w~lineaetbacbper Comm 83.43(8)(1) #1 HM BM -Top Cond~dt Elev =100.00' 98.00' #2 BM BM = Typ Cond~dt Elev. =99.90' B#1=99.15' B#1= 98.35' 21sth Sc B#3 =98.40' B#4 =98.40' ~' commerce.wi.gov ^ ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 23, 2006 CUST ID No. 221180 DAVID B FOGERTY FOGERTY PLUMBING & PERK TESTING INC 2473 ROLLING GREEN RD SPOONER WI 54801 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1.101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/23/2008 SITE: Donald Nagy 215TH Street Town of Cylon St Croix County SE1/4, NW1/4, 532, T31N, R16W FOR: Identification Numbers Transaction ID No. 1335830 Site ID No. 719699 .Please refer to both identification numbers, above, in all corres ondence with the a encv. Description: Mound /Four Bedroom / w/SSD Object Type: POWTS Component Manual Regulated Object ID No.: 1103561 Maintenance required; 600 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade; 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 s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • This plan has an approved Soil Saturation and Determination (Transaction LD. # 1317107) associated with the ~ ('(~; t/hl•~I design. All of the condition for the construction of this system shall be upheld. ~_.~-., ~= ~ ~~I • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. ,a,~ ~ ~~' Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and GF,~Rt?T~tEN7 N 0 SAFTE dispersal are prohibited. ~? d • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption SEE CORRE; 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. DAVID B EOGERTY Page 2 10/23/2006 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83 22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code:-7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Index and Title Sheet project Name: Nagy Interpretive Determination Mound Property Owner: Donald Nagy Address: 1851 Hwy 63 New Richmond WI 54017 Legal Description: SE l /4 of the NW 1 /4 Section 32 T31N-R16W Township: Cylon County: St. Croix Subdivision Name: NA Comp.#/Parcel lD: 006-1072-40-000 CONTENTS Page: 1 Tndex and Title Sheet Page: 2 Plot Plan Page: 3 Plan View Cross Section Page: 4 Distribution Pipe Layout Page: 5 Dose Tank Cross Section Page: 6 Pump Performance Curve Page: 7 Flood Plain Map Page: 8 Management and Contingency Plan Lot Page 1 of 8 Attachments: Soil Saturation Determination (Trans ID# 1317107) ,Soil and Site Evaluation Report and Wastewater Specialists Onsite Report. Mound Component Manual Used =SBD-10691-P (N.01 /01) Pressure Distribution Component Manual Used =SBD-10706-P (N.O1lO1) Plumber Dave o erty Signature: 'r/` Date: 10-11-06 MPRS# 221180 Phone # (715) 468-7000 ~~~~I~y r~~~ ~Y ,.~a car,~~eF~c~ ~~~.,/' BlWGS ~PONUENC •• ~ Page 3 of 8 . ~ ~ Mound Plan View .... ' ..~ . ~ ~~ ... ...... ........ T .~~. .. . ~: •' A L Mound component Dimensions A 5 E 10" H K ' B ~ F 4.3.1 Approx. L n ~ 6:1 q~ . 4' D " G 6 rJ~ ,.. ~~ n 1.1 a (R aq.) Diapered Cell Area (R') Banal Ana Available (gpd/R) L'mear Loading Rate (it)1/10 H Oba. Pipe Plan Mound Cross Section View Aggregate Dispersal Area Finished Grade 103. 9' - {ft) I F ~ _ • .. Dis areal Cell , : ~ . Dispersal ~ ~ .. .. .~ ~ ~ . ~ .. • Coll Elevation 2 % Site Slope Detail of Typical Dispersal Cell Shading Key ® Topsoil Cap Subsoil Cap .~-~.~••~•.~~••. ASTM C33 Sand Tilled Layer ® ~-88mSa~ ..}~ G _I H .: ~l: .... Lateral ® {ft) Contour Elevation ;xtile Fabric Cover Page 4 of 8 Center Connection Lateral Layout Diagram Alternate force main location. T P P ~' S Latetala and Force Main of PVC Scb. 40 per Ca~mm Table 84.30-5 ~Tuma~p wn~u ~+at~nee ~ clean ~- X --~w2 ~-~- X ~ Holes equally spaced on ~ pl„g bottom of lateral Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 1.5 65.1T 2.00 10.25 41.00 26.39 Orfice Diameter in. Orifice Spacing (J~ $, Orifices per Lateral ft, Orifice Density gpm Manifold Length gPm Manifold Diameter Forcemain Diameter ft• and Length .125 or 1/8" 2.66 25 6.00 2.00 2 2"/ 192' Lateral Turn-up Detail Finished C3~rade 6" to 8" diameter Lawn Sprinkler Box Distribution Lateral Threaded Cleanout Plug or Ball Valve Loag Sweep 90 or Two 45° Bends Same Diameter as Lateral in. ft. Pg. 5 of 8 DoseTank Component Cross Section Approved Manhole covers with warning Labels and hocking Device / 4" Min. Above Final Grade 4" Sch. 40 Vent > or = to 12" Above Final Grade Weather Proof Junction Box Electric per NEC 300 tit COMM. 16.28 WAC ., ~ Alternate Outlet Location w/Approved 4" Sleeve Inlet Force Main Diem. = 2 " Hole or Anti Siphon Device Note: Pump switch and alarm to be wired to separate circuits. A C B ~ ~ pump Off Elev. 90.00' Tank M&. Weeks Concrete 800 gal. I _ D Dose Tank Elev. 89.20 i .: '~ , ~',, - Vertical Difference Between Pump Off and Distribution Pipe = 12.00' - 5 `, Minimum Regiured Supply Pressure ...................................... - ~,_ 192' FT. of Force Main x 4.11 Friction Faetor/100FT.... = 7.89 ,~ ~ = 26.39' Total Dynannic Head .................... Number of Doses ... = 5 Per Day Gal. Per Day/ #of Doses = 120 Gal. Volume of Backflow = 31.30 Gal. Total Dose Volume ................................................................... =151.30 Gal. pip Task ~p~i~, 805.18 Gallons Dimensions Inches Gallons Pump Tank Volume 21.76 GaUlnch p 18.40 400.38 B 2 43.52 pip ~, Goulds C 6.95 151.30 Pwmp Model 3885 WBOSH D 9.65 209.98 Minimum Discharge Rate = 41.00 GPM ~~ ~., S.J. Electra Total= 37 805.18 Alarm Model 101-01H Bed Tank per COMM. 83.45(5) (xg) Anchor Tank as necessary to negate buoyant forces per COMM. 83.43 8 o.,~~~ Page 6 of 8 GOUICIS Submersible Effluent Pump C~: 3885 pppUCAT10N5 Specifically designed for the • Overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel. • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase: •'/, and'/z HP -16/3 SJTO with 115 V or 230 V three prong plug. •'/~-1'/: HP -1413 STO with bare leads, Three •'/z-1'/z HP -14/4 STO with bare k:ads. On CSA listed models - 20 foot length S1TW and STW are standard. smooth operation. Silicon bronze impeller available as an olxion. ^ Casing: Cast iron volute type for maximum efficiency. 2• NPT discharge adaptable for slide rail systems. ^ Medtanical Seal: SILICON CARBIDE VS. SILICON CARBIDE seal'Ing faces. Stainless steel metal parts, BUNA-N elastomers. ^ Shaft: Corrosion-resistant stainless steel Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation, ^ Motor. Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. ^ Designed for Continuous Operation: Pump ratings are within the mote marx~facU.lrer's recommended working limits, can be operated continuously without damage. ^ Bearings: Upper and bwer heavy duty ball bearing conswction. ^ Power Cable: Severe duty rated, oil~and vva0er resistant. Epoxy seal on motor end provides secondary moisture . barrier in case of outer jacket damage and to prevent otl wicking. ^ 0-ring: Assures positive sealing against corltamrnants and oil leakage. fo{lowing uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPEmmgppFlCAYIONS ~Sol'Ids handling capabilities: z/." maximum. • Discharge size: Z" NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide-rotary seatlsilicon carbide-stationary seat, 300 series stainless steel metal parts, 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 Single phase: • '/a HP,115 V, 200 V, 230 V, 60 Hz, 1750 RPM;'!z HP, 115 V, 60 Hz, 3500 RPM; '/z HP -1'h HP, 230 V, 60 Hz, 3500 RPM. • Built-in overload with automatic reset. • Class B insulation. Three phase: • Yz HP -1'/z HP 2001230/ 460 V, 60 Hz, 3500 RPM. • Class B insulation. a, 1995 Goulds Pumps. Inc. FEA111RES ^ krlpeller: Cast iron, semi- open, non-clog with pump-out vanes for mecf-anical seal protection. Balanced for METER9 FEET Irr 90 25I 80. WEIaH ' 70 AGENCY USiwGS Csssdlsn Strdrd+ Auseielian Fw./tx3~+e O UnderMSMers laboralorbs ~ nle/63318 en used sRl~ PwRP ® G10B8131480(FIN /23&19 miss n ern i~v;°~i1D FR iESTWG UEOR~TdUfS. M[. cgmMl°. Rcw YORK,71M5 ~ i SERIES: 3885 SIZE:'/' SOLIDS RPM: VARIOUS i i 50PM 5FT , 80 wEO . H ~ ~ .. . , _ .I o ao~ wEOIiH, ~ ; 10 30 ~zM ... ,~. i- '. 20' 5 .. , _ ~o - ' 0 00 10 20 30 40 50 80 70 80 90 100 110 120 130GPM 10 20 30 m~lh 0 CAPACRY Effectlve MaY.1998 83885 11 LI.C 3 Wf 54013 111.8 feet ~7 _ ~ /i j~~ ;, ~~~~. n: ~ ~,~ ~~ ~ ~> ;. i' fi 'ebar ,t 'roix County Grid Syster~ 3 'bar) .,t~~~j, `OVr ~ F~R~ wi ~<<0 ~w\~~R SCALE: 1" = 100' ~".:`~ 0' 140' 200' SL'd °o' a N a 6 ~,/ ~i j ~/ L6Q flow bwitding opening) h°use Unp(afi-ted Lands ELEVATION = 1428 FEET owned by others i! :~ ., ~ ~'QJ ~f~ ' l tS' J \\\ .~ ~~ ~~. ~~I ni(1 tests ' , ~~`~3LG~ ~ t / '~_~ /~, .,~-~ / ~ 9BZSSE9SiGi ~( ~1 ~~ `'>>,~~~ ~ r <\ `I U~1,l~n. /_,Q~ jr~~ J ~ \ f~N ~ ~-~ N UU\ IvJ ,(~ r u ~~ N~ °o ~ .~ ~~ ~\ ~, \ ~~~. Pae 7of 8 N -,- I~ I t,I1 f~ fD ~~ ~"' 1 1` ~ fi I 1~ 11 ~- ~,i `',', ~ I ~ _i ,\ _ , 91JIHWn~d 1~121390~ dEZ=ZT 90 GO ~~0 Page 8of 8 -1 of 3 Private Onsite Wastewater Treatment System Mound Management Plan Pursuant to Comm 83.54 Wis. Adm. Gode each Private Onsite Wastewater Treatment System (POWYS) Shall Include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for the system will be filed with the county zoning or health department. This management plan complies with Comm 83.54, Wis Adm. Code, and the Mound Component Manual for Private Onsite Wastewater Treatment Systems SBD-10691-P (N.01101) And the Pressure Distribution Manual SBD -10706-P (N O l /0l ) Table 1: System Design Specifications Sari Permit Number Number of Bedrooms 4 Design Flow (GPD) 600 Soil Abso tion Com onent Size (s . ft.) 603 Se tic Tank Ca acit Gal. 1250 rated for 604 d waste water flow Dose Chamber Ca acit Gal. 805.18 Lift Chamber Ca aci Gal. T e of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Se tic Tank Component Soil Abso tion Component Desi Flow-Peak (GPD) 604 600 Max. Influent Particle size NA 1/8 Inch Maximum BOD S (m 1) NA 220 Maximum TSS (m 1 NA 1S0 Maximum FOG NA 30 Table 3: Maintenance Schedule Se tic Tank Ins ect and/or service once eve 3 ears Outlet Filter Should ins ect once a ear and clean eve 3 ears Dose +Lift Chambers Ins ect once every 3 ears Soil absorption Component Inspect once eve 3 years Page 8of 8 -3 of 3 Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every 3 years. The inspection shall include recording levels of ponding, if any, in the observation pipes, and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In case of septic or dose tank component damage, measures shall be taken to repair or replace the tanks to they're original operating condition. Upon failure of the distribution cell component, the system shall be inspected to determine the cause of failure. Steps taken to repair or replace the dispersal cell may involve the removal of a bio-mat, which requires cleaning, or replacement of the distribution network as well as replacing the aggregate system and clogged portions of sand fill. Component Owners Contact List Dave Fo erty Plumber (715) 468-7000 St. Croix Co. Zonin 715 386-4680 Weeks Concrete Products New Richmond WI (715) 246-5285 Se tic Pum r Tri- Count Sanitation (715 386-0114 Page 8of 8 -2 of 3 Septic Tank An individual certified to service septic tanks under sec. 281.48, Stats, shall maintain the septic tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). 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 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 scum and sludge 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 an 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. Pump Chamber The pump chamber also requires monitoring once every three years or the time of problem, complaint or failure. Inspection should include checking the dose rate, volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, a licensed pumper should pump the pump chamber before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Septic tank and Pump chamber 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. An effective locking device to prevent accidental or unauthorized entry to the tank shall secure exposed access openings greater than 8-inches in diameter Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be accordance with Comm 83.33, Wis Adm. Code when the tank is no longer used as a POWTS component. . ~` ~ ~{r t ~ Nr Safety and Buildings n ~~: z ~n ' commerce.wi. OV ~ 13 E SPRUCE STREET g g9. ~ ,~J~ ~~ GHIPPEWA FALLS WI 547~~J ' ~~~ ~ 5,~;~ ^ -.~~~ ~,y• www.commerce.wi.gov/sb/ Department of Commerce '~~ www.wisconsin.gov Jim Doyle, Governor q ,,~~++C ` 'CC Mary P. Burke, Secretary 11~~.sE~ Y G® September O5, 2006 CUST ID No. 2273 87 o C ~ ~ 5 ~ ~ ~ F ATTN: POWTS Inspector THOMAS C NELSON ST. CROiX COUNTY' ZONING OFFICE ENVIRONMENTAL BY DESI ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/05/2008 Identification Numbers Transaction ID No. 1317107 SITE: Donald Nagy Site ID No. 717725 Lot 1 Please refer to both identification numbers, Town of Cylon, St Croix County above; in all cones ondence with the aQenc . SE 1/4, NW 1/4, S32, T31N, R16W FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1095128 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. Approval is hereby granted pursuant to s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation_based on an-interpretive-determination process: Approval-ofthe-interpretive-determination negatesthe requirement in s. Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the highest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. The estimated highest level of prolonged soil saturation approved under this determination is 6 inches below grade. At least 30 inches of sand lift on top of 6 inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. 3. The basal soil application rate for the mound shall be < 0.20 gpd/sf, and the linear loading rate <_ 4.5 gpd/ft. 4. Chisel plowing to a depth of 16 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. 5. Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. A 6:1 up slope toe ratio has been recommended at the L/2 location, and a 4:1 ratio recommended along the down slope toe. An upslope surface water diversion has also been recommended for this site and should be installed if is found to improve the surface water hydrology of the site. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 8. A copy of this approval. letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. THOMAS C NELSON Page 2 9/5/2006 If the Interpretive Determination Report was accompanied with a plan and an expiration date is shown on this letter, the expiration date only applies to the plans for the design, not to the decision on the Interpretive Determination Report. 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. If plan index sheets were submitted in lieu of additional full plansets, a copy.of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operaion. If this construction project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOI) shall be filed with the department 14 days prior to any earth disturbing activities. 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. Sincerely, ~ O" Leroy G. nsk PS Waste Y> a er Specialist Integrated Services Bureau (715) 726-2544 Voice (715)726-2549 Fax lj ansky@commerce.state.wi.us Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 WiS1v1ART code: 7633 131 '71 4 '7 Introduction: On August 29, 2003, Thomas Nelson, CSTM, Environmental By Design conducted a soil and site evaluation on property owned by Donald Nagy, located in the SEl/4, NW 1/4, Section 32, T31N-16W, town of CYLON, platted as I,~i _1 of Donald Naav subdivision, this purpose being to determine the highest level of seasonal soil saturation so that a POWTS might he installed. This investigation revealed that the soils were only good for an A+0 mound system through an interpretive determination as designated by the Wisconsin Department Of Commerce's Administrative Code, Comm 85. Methodology: Backhoe pits were provided for four borings, 1 through 4, with interpretations of the sites suitability being conducted by using soil redoximorphic features, soil texture, soil structure, soil color pursuant to the guidelines under Chapter Comm 85 of the Wisconsin Administrative Code and using the USDA-NRCS soil descriptive system. During this field investigation the landscapes morphological features, vegetation, and hydrology was determined for the purpose of this Interpretive Determination as defined in Comm 85.60(2) of the Wisconsin Administrative Code. Upon completion of the collected field data, which included the accurate measurement of the sites featured parameters, site plans, system design, and this interpretive report have been developed for review. The intent is to demonstrate that a minimum of 6 inches of unsaturated soil exists on this site and any influencing factors on this would allow the compliarrt installation of a mound system serving a residerrtial use for this property as allowed under Comm 83.44(3xb) of the Wisconsin Administrative Code. Local Hydrology: The local hydrology of this site is influenced by the average of 30 inches of precipitation received. The soil properties and localized topography both influence water movement on this property. Seasonal issues such as frozen ground and warm temperatures also have their influences during the winter months when the ground is frozen, there would be an accumulation of snow with any melting action running off the site on the surface of the ground. Spring rains would produce additional surface runoff until the ground has thawed. Upon thawing, the influence on groundwater levels would-be minima! due to the-location of the site with its limited upslope watershed. The 2 percent surface slope would also aid the slower permeability of the soils. Summer temperatures and plant growth would provide removal of soil moisture through evaporation and evapotranspvation. Local Geomorphology, Soil Disturbance, and Local Topography The geologic interpretation of this area directly related to the glacial geology of the Eastern St. Croix Moraine, a ground moraine that was formed by the accumulation beneath the glacier and resulted in a composition of stony, reddish-brown glacial drift. Post-glacial windblown silts formed loess deposits that overlays this till. Below is the Cambrian bedrock Prairie Du Chien formation, a dolitimized limestone formation. Soil forming activities have resulted in what is known as the Northern Till Uplands soils resulting in dark silty soils. The site was probably originally in crop production in previous years. However, at the time of this determination it was grass. This hillside has a 2 percent slopes and was probably formed as the advancing ice scoured the landscape, retreated, depositing the till material, forming the rounded knobs of the hillside. Soil Series and Mapping Units The St. Croix County Soil Survey has mapped this area as being of Antigo soil series, which consists of nearly level to steep, well drained soils on stream terraces and outwash plains. These soils formed mainly in silty sediment that is underlain by sand and gravel In a representative profile the surface layer is about 8 inches of dark grayish brown silt loam. The subsurface layer is brown silt loam and about 10 inches thick. The subsoil is about 15 inches thick. It is dark yellowish brown, friable, heavy silt loam in the upper part, dark yellowish brown, friable loam in the middle part, and dark brown very friable heavy sandy loam in the lower part. The substratum, to a depth of 60 inches, is the strong brown sand and gravel. Data - The soils evaluation report and system design have been included with this report. - A copy of the USDA Soil Survey map that provides the soil-mapping unit described above. - A USGS Topographic Map, revealing the topography of the site. - POWT site plan, representing the best location and layout of the system that best treats and distributes the systems dischazge water. Government Reports Leroy Jansky, Wisconsin Department of Commerce Wastewater Specialist, has visited this property. Additional Information Unique to the site During the evaluation there was the observation of biological activity in the form of worm burrows and roots. Worm activity was recognized at a depth of 21 inches in boring 1 and 2 and at a depth of 18 inches in boring three. Root activity was observed at 27 inches in boring 1, 26 inches in boring 2, 26 inches in boring 3, and 25 inches in boring 4. It is recognized that these biological activities aze normally not appazent in zones that are saturated for long periods of time. These factors further support the suggestion that this portion of the profile dries quickly after a precipitation event. Recommendations The recommendation for the site would be for the site to be chisel plowed to a depth of at least 16 inches so as to breakup the soil interface and reorient the platy structure in a -more vertical position, thus-aiding infiltration. From the upside slope of the system area, 30 inches of ASTM C-33 sand lift will be placed on the plowed area. This provides the 36 inches of vertical separation to provide the treatment of pathogenic organisms. The recommended mound design uses a linear loading rate of 4.5 gpd/ft and an in-situ soil application rate of 0.2gpd/ft2. This will be accomplished by designing the absorption area to be long and narrow and extended the down slope toe area to a 4:1 dimension, effectively increasing the basal area and eliminating the chances of toe seepage. Additionally, the slope on the upper tce edge of the mound will be constructed so as to be a slope with a 3:1 side slope at each end and a b: l side slope for the I dimension (upper slope) at a point L/2 (this being the location at half the distance of the total length of the mound) so as to help divert surface water from the upper slope (See included suggested mound detail plan). Finally the design requires that a water diversion ditch be installed above the mo~.uid so as to divert surface wafers G•otn the upslape area This should be installed with a 5:1 slope, a width of eleven feet, and oriented so that it traverses the contour slightly, draining the run off water north and down slope of the mound area. Conclusions It is my belief that the soils in the area of the proposed POWS will not be saturated above 6" for seven or more consecutive days for the following reasons: - The described soils in this location supports the mapped description, which represents in its description more sandy clay loams and silty clay in the substratum. The platy soils located in these borings are probably due to farming practices and can be over come by the deep chisel plowing so as to reorient the clay particles in a more vertical orientation. - The biological activity in the soil as represented by the roots and Earth Worm presence, suggest that the soil has not been saturated in the most recent history of the soils. These activities cannot survive in saturated conditions. - A design with a long and narrow system representing a linear loading rate of 4.5 gallons per day per foot and an in-site soil application rate of .0.2gpd/ftZt. This configuration represents the best distribution of the wastewater, spreading it over a longer area. With the increased height of the mound, there is the assurance that there will be 3 feet of filtration between the bottom of the system and the zone of saturation. Also built into the plan is the increased dimension of the upslope of the mound, providing a 6:1 slope at the L/2 location, and the addition of a drainage ditch above the mound. These last two additional features will minimize surface runoff onto the mound area from higher elevations behind the system. The total design assures that the requirements of Comm. 83.41 of the Wisconsin Administrative Code are being met so as to properly filter the wastewater and to assure that there is no surface discharge, with discharge going below grade. - The mound septic design and management plat. proti~ides prcper treatment cf wastewater and expected system longevity. Accordingly, the plan submittal addresses the methods and design for treatment and dispersal of the wastewater below the surface as addressed by the code requirements. - In each pit that was dug the prominence and size of ItNiFS increases with depth suggesting that the lower horizons are more saturated for a longer period of time. The third horizon in each pit while being saturated for a given period, are not as saturated as the horizons below. - The matric colors of the soil changes from 10yr3/3 to 10yr5/3 as you go lower in the soil profile for boring 4 suggesting more saturated conditions lower in the profile. The final authority for this site's approval rests with the appropriate regulatory agencies: the Wisconsin Department of Commerce and the St. Croix County Zoning officials. Thomas C Nel ~ Y _ ~'"`"" CST 227387 May 23 2006 131`~10~' P o.w rs. Cofiditionally ~'~R~~~D EPARTMENT OF COMMERCE DlVIS N OF SAFETY AND BUILDINGS SEE CO RESPO ENCE Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPO p~ 1 ~ 3 in acx~raance w~[n wmrn a~, rvrs. ~aam. was ~"tY St. Croix Attach complete site plan on paper not less than 8112 x 11 inches in size Plan must , . include, but not limited to: vertical and horizontal reference pant (BM), direction and /~ Parosl I.D. V ~ ~ ~ ~~• ~~~ ~~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please prlnt all i viewed Date l inf r tlon vide m be used f r se P o ~ ~ (~ { (~ nd pM}adbE ~Prb~~tdYI s 15 0 (1) (m)) / y ersona o ma u pro ay o , . ary . . Property Owner Prope Location Donald Nagy flCj o 5 2~fl ~~, of SE 1/4 NW 1/4 S 32 T 31 N R 16 a a Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 1851 Hwy 63 ST. CROIX COUN Y ~U _ City State Zip Code P ~Ullage ~ own Nearest Road New Richmond WI 54017 ( 7~ 5-246-2995 215th Street New Constnictron Use>~] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ Public or commeraal -Describe: Parent material Flood Plain elevation if applicable N,~ R General comments This site does not meet the A+4 requirements of the code and would require an interpretive determinarion and recommendations: worm borrows present to a depth of 21 inches Extreamly dry soil conditions due to lack of precipitation Good root development to a depth of 12 inches, with longer individual roots at 27 inches Q pit Ground surface elev. 99.15 ff. Depth to limitrng factor 10 in. ~~ # ~ ~~ Soil licatron Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color (3r. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/3 - sil 2fsbk dsh aw 2f .5 .8 2 6-10 10 4/3 - sil 2mp1 dsh ate, 2f .2 .3 3 10-19 10yr4/4 c2t7.syr4/6 sil 2mp1 dsh cw if .2 •3 4 19-27 7.Syr4/6 c2d5yr5/S & 6/4 scl Om mfi cw if .0 .0 5 27-36 7.Syr4/6 m2p5yr5/8 & 6/3 sicl 2mpl mfr - - .2 .3 2 Ong # (J Boring 98.35 11 pit Ground surface elev. ft. Depth to Ilmfflng factor in. Soil icatlorr Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/it? in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-9 10yr3/Z - sil 2fsbk dsh aw 2f .5 .8 2 9-11 1 3/2 - sil 2fp1 dsh aw 2f •2 .3 3 11-15 10yr4/4 c2f7.syr5/s sil 2mp1 dsh cw if •2 •3 4 15-27 10yr4/6 c3d5yr5/8 sil 2mp1 mfr cw 1 f .2 .3 5 27-32 10yr6/4 m2psyr5/8 sicl 2mp1 mfr - - •2 •3 * Effluent #1 = BOD > 30 < 220 mgll. and TSS >30 < 150 mg/L ` Effluent #2 = BOD _< 30 mg/L antl TSS < 3() rrigli_ CST Name (Please Print) Signature CST Number Thomas C Nelson "`~~ 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 8/29/03 715-246-2454 Property Owner Nagy Parcel ID # 2 3 Page of - 3 U Ong Bonng # ~ Pit Ground surface elev. 98.40 ft. Depth to limiting factor 10 in. Soil ~~ Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ffP• in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-5 10yr3/3 - sil 2fsbk dsh aw 2f .5 .8 2 5-10 1 3/3 - sil 2 1 dsh aw 2f .2 .3 _ ~ - Tb- I b I Oyr4/4 c2f5 416 sil 2mp1 dsh cw l f .2 •3 4 16-30 7.Syr4/6 c3d5yr5/8 & 6/3 sl Om mfi - - .3 .5 Boring # ~ BOOS 98.40 11 • pit Ground surtace elev. ff. Depth to Nmiting factor in. Soil icetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0.6 10yr3/3 - sil 2fsbk dsh aw 2f .5 .8 2 6-11 sil 2 1 dsh aw 2f .2 .3 3 11-18 1 4/4 c2d5 5/8 sil 2m 1 dsh cw if .2 •3 4 18-32 10yr5/3 m2p5yr5/8 sil 2mp1 mfr - - .2 •3 D Boring # ~ Boring Pit Ground surface elev. ff. Depth to limiting factor in. Soi{ Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DHF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 =BODE _< 30 mglL and TSS < 30 rrrgll 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-8330Test (807/00) _~ ~ AA. 100' 161' 98' • ~~~ ~Y T31 N, R 16VV, Town a~ Cylon NE lot corner B M2 ~ 200' 41' ~ szo' 64 81, Thomas Nelson ~- 227357 Scale 1" = 50' BM1 Top of conduit 100.00' BM2 Top of conduit !!.!0' B1 !l.15' B2 lS.35' B3 l5.40' B4 lS.40' _~ , i Donald Nagy SE1/4, NW1/4, Section32 T31N. R16W, Town of Cylon NE lot ao~n~ BM2 ~,~A 200' M al 37 sas' 11' wide diversion ditch with S:1 side slopes Purpose of diverting water from the back side of the mound. This ditch traverses the contour line and drains SE of the mound. A 71' -- A' B 17' Br 1' depth 1" ditch bottom TM~w~ss Nslssr ~- 227317 111' Sc~is 1" s ft' SiiA1 Tsp sf esr~rit 1!!.!r' ~M2 Ta* sf csririt !!.!~ P7 !!.1 f' i2 li.3f' t3 li.N' ®4 li.N' L J ~~~ .~ - -' ,~ ~ ~, 'i l t.~ ~~ _ ~ { ~ 1 7 y!' ~`y' S~1' `t '~ r r ~~`~ ~~_ r-,..; ,: , ; ~ ~. ~ ~, ,. SOUTH- rage courtesy of the U.S. Geological Survey ~~t~~~ ~- f~ I ~ 'v ~._ .~ -T s ~~ j ._• m i 100, 200, 300, yds l0~20~0 3- OT~ ~t;r t tt.; i.~ttt 1V1AllV~l~J/NANt;.L ACiKEi.MENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer __~~}~ Mailing Address /~S, Property Address ___.___~ ~ ~.5 (Verification required from Planning & Zoning Department for new construction.) City/State Pazcel Identification Number EN~~ !0 7~ - 80 - A©z LEGAE DESCRIPTION Property Location~_'/4 ~A/ %4 , Sec.,,~Z , T ~N R l~ , Town of ~c~ ~~i~ Subdivision Lot # Certified Survey Map # ,Volume ,Page # Warranty Deed # S ~ d 2 / ~ ,Volume DS Page # ~. Spec house yes Lot lines identifiable no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in ifs pzematm+e failm+e to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or soon, if needed, by a licensed pumper. What you put into the system can affect the function of the septic teak as a treatment stage in fire waste disposal system. Owner ~ooaintenance responsibilities are specified in §Comm. 83.52(1) and in t~apter 12 - St. Croix County Sanitary Ordinance. The property owner agrees fA submit to St Croix County Planning & Zoning Departme~ a certification forth, signed by the owner and by a master phmibres, journeyman phunber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating coition and/or (Z) after ihspeciion and pnmping (if necessary), the septic tank is less than 1!3 full of sludge. Uwe, the undersigned have read the above regwnemenix and agree M maintaia the paiva~e sewage disposal system with the standards set forth, hereiq as set by the Department of Comnmeroe and the Department of Natural Reso~aces, State of Wisconsin. Certification stating that }roar septic system has been maintained must be completed and returned m the St. Ctnix County Planning & Zoning Department within 30 days of tare three year expiration date. Uwe certify that all statements on this forn- are true to the best of my/our knowledge. Uwe amlare the owner(s) of the . property descnbed above, by virtue of a warranty deed recorded in Register of Deeds Office. -_`L- ANK FILTER ALARM NO ES ~~i~ / ®~ DATE ***Any in tion that is Y~isrepresented may result in the sanitar~t being revoked bathe Planning & Zoning Department. *** Include ~ 's 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. (xEV. o8los) C~OCIlMEI~iT No. STAT &: 13 FaR C!F '[91SCOiVSi1~1 FORKS 5-1992 =.+IS 5)..CE RESEA VEO -ow ,+sco,ro,.:c o.=- RERsONAL REPRE5EN7ATiVE'S DEED _ ~ ~.Q~~...~ ' Lyle G. Weeks, also known as Lyle Glen Weeks ' ................................._.___.-_..._.__. , as Personal Rcpi•esentative of the estate of for 11 valuable consideration convoys, without warranty, LO .............................. -Gerry-J,-_-IQagy__a~d_.Alice•-7.__Nasy~.•liuab~.n~1_-and_wife a1s .i;uKvi?~:tr_ hip- marital._Prgperty-----•- --------- --------- ---•--•-----.,..-------- - -- --•-- .._.- ° ....................°----....-- -- -.._ _..._._.._. Grantee, ..-•- •--••---- -•------~ Y, tlti+ follni~ing derseribed real estate in S~• Croix .._- Count &t~ta of Wisconsin (ttercinartor callsd the "Property^j ~o "s ~I 1~ { ST. CROlX CO., W! Recd br Record (~ ~ G 8 3993 3:50 • P. bis~tbtr of OoeOs f~ 'e ~i i~ ner:nuv Tu _! Tax Parcel 1~Io:..--^•-•.-_---•---.--_--•--- SOUth 62 rods Ot SOUthWest QtlartGr C,f NCtrtl-iv~•.,t QtxarlE'r (SW} Cif Nile}) cl]-`.C~ SOL1t11Ba3t uai L@r vi iv'Oi a.1Tw83'{= ntc~t ctt (S%.' iii L~~V'~ c~I1C'1 CI1~ t'~IOZ-Ltl !'1«1.I: U1: SOLl~.I'`WE'_St ~1.]£ir'CEr (x`l~ o;= SW~) lying Northerly of the ;~.alrc:acl T.i.gY:t at Way and '4ESter].y o3` t.hi.. 'lawn Road, as-i in Section Thirty-}wo (3?_) , TcsWnship Thirty-one (31) l~lctyth, Range Sixic--E:n (16) West, EXCEPT the following descril~ec9 par-ae1G: a. Part to iyl.e G. Weeny and C.~axol G. WeeJcs in Vol~rle "445" , pas}e 6. b. Part to Orwell Anderson and Frances Anderson in Voltune "497", page 205. ..~.r'~.. ~v +~..~.." :':.~-..~i:u `~ .ci)~ 1 i.~...~t~.-. S .~ l . tv c n vv t n ~ C:. S La.n~,a R_ry .,~ c--c.na is 1 Fi a~1 t11~ i~C J V 7 , Yayc JG G . d. Part to Gary a7. Nagy and Alice T . Nagy iai VoltAns "92?." , page_ 550 . ~. Certified Sur~:ey Map in Voll.mne "2", page 571. ~, . "~R,i~,.i ~ r DOG- ~v7~ - yo ~~°G gFE Personal Representative by this deed does convey to Grantco all of the estate earl interest in tltai Property which the Decedent had immediately prior to Decedent's death, atad all oP the estate and interest in the Property which the Fersot.ul Representative has since acquired. Duted this ..,..____Elth_.__.-••---•_---.....---•-_.------- day of Dea.embet .... 18..93._. ---------------------•-••--•-••--• •-----•----•-----•-•--•-----•--- (SEAL) Personal iteprcacniativc -• ~.~''.'.%~-.r.~_e---•~---•----•------------ (SEAL) « Lyle__G.__WeeY:s Feisonal Rcprmen=aNvr, A1rJTSENTICATION Signature ) •Lyle__G_i_•Weeks_:__a/k/a-lyle_________ --~l~n .- -e~s---------------•--------•--------------------•------------ aut ti ed th' t:h__day of__.I2~~~mbc:.X____.._, 29__ ~~ '._ cott__R _PJesdha~._.____.._.••------••------••-------------- TITL ER STATE BAR OF WISCOIYS[N (If not- --------------------------------------- - ------------------- authorized hl' § 700.06, Wis. Stets.) THIS INSTRUMENT WAS DRA FT£D SY -->~-eins.rxa....van..AXlr--ba_ 1[¢€cl!?am,-•-S:•c'---.....-_-- 201 South Knowles Avenue, Box 127 (Signnturc~ may be authenticated or acknowledged. Both arr. not neeasyary.) ACS~NO'C+VLEDt3MENT STATE OF WISCONSIN j 1(S as. Personally came before me this ________________day of --_-.•-----••.-..-•• ....................... 19__.__.__ the above named to me knows to be the person ........__.. who executed the foregoing instrument and acknowledge the same. 7unfo ~~ D„i.t:.. .... _liYal t~LY, •V 15. My Commission is pcrmancnl. t if not, estate expiration date: .. ... .. .. ........ 29.. .) - 9T.L Tt•: tiAR OY R'ISI~It NS*!N LV-ucnn~+n L.-onl Olant, r.- 1,~.. P&R3023AL RF.PRESEKTATLVS'3 DEED t+aR~i Ne- 3- i^d.2 ]i.i+~aa a.~~. Rl.. i ,~ ~ . _.,..,....._„g.,-.~,.......,. .«.«wr..«s.M,fMrn+~r.+n+*.~,r~s,re~r #~~ . a ,,.. .,-.;.,a,. z ,.r ~-~.,.. ~,,... . S .~ ~ S ~ ~ ~ ~ °~~ 9. Parcel #: 006-1072-40-000 Category Alt. Parcel #: 32.31.16.493A 006 -TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -NAGY, GARY J & ALICE I GARY J & ALICE I NAGY 1851 HWY 63 NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 30.000 Plat: N/A-NOT AVAILABLE SEC 32 T31N R16W 30A SE NW EXC CSM 2/571 BlocklCondo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-31 N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1054/87 PR 07/23/1997 755/260 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/07/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 14.000 7,100 0 7,100 NO AGRICULTURAL FOREST G5M 16.000 32,000 0 32,000 NO Totals for 2008: General Property 30.000 39,100 0 39,100 Woodland 0.000 0 0 Totals for 2007: General Property 30.000 39,100 0 39,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code 09/15/2008 09:02 AM PAGE 1 OF 1 Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00