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038-1147-90-100
*45 Wisconsin Department of Commerce /NS~ _ ~iL~70N E SYSTEM County: 4 SYIVATES A St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 7,7,- GENERAL INFORMATION '7: (ATTACH TO PERMIT) State Plan ID No: 579032 - 4-Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Hal rimson, Sara & Kevin Star Prairie, Town of 038-1147-90-100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 17.31.18.633 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic WBenchmark ,~i dad Dosing ,mil S,1011FTW SrF-loa Alt. BM Aeration / Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/ Aeration ` Dist. Pipe l Holding 4 Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer ou / Demand St Cover GPM Model Number 6f1 oq TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil Yes FE No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 / ZZ / Inspection #2: Location: 2142 Shore Drive Somerset, WI 54025 (NE 1/4 SE 1/4 17 T31 N R1 8W) Wigwam Shores Blk C Lot 910 orcell ` No: 17.31. 33 1.) Alt BM Description ` ON 2.) Bldg sewer length r01 LP -amount of cover = IT WN y7' W ~Gf/Q IM 7R AA) l~ Plan revision Required? w Yes F No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ~r~ xrw~ EIVLLJ County A 41- In try ices Division St. Croix I r R, S shington Ave Sanitary Permit Number (to be filled in by Co.) y s P.O. Box 7162 S v 53707-7162 T. CROIX COUNTY IVICIUMV1 1, V71 Sanitary Permit Application State Transaction Nuler In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Ab+ is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) Same purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. I 1. Application InformatOSIR -Please Print All Information Z S~1D~L Property Owner's Name ' Parcel # Halgrimson, Kevin & Sara 038-1147-90-000 & 038-1147-90-100 Property Owner's Mailing Address Property Location e'~' G I ~ ` 2142 Shore Drive Govt. Lot City, State Zip Code Phone Number NE 1/4, SE 1/4, Section 17 Somerset, WI 540 (circle one) T31N R18Eor) II. Type of Building (check all that apply) ^ Lot # ® 1 or 2 Family Dwelling - Number of Bedrooms 9 & 10 Subdivision Name 1 r , Wigwam Shores ❑ Public/Commercial - Describe Use Block # C ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of "e, LA t ® Town of Star Prairie r III. Type of Permit: (Check nl one box on line A. Complete line B if applicable) b rte. A. ❑ New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ® Other Modification to Existing System (explain) B ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Nu er and Date Issued Before Expiration Plumber Owner 259438 IV. Type of POWTS S stem/Com onent/Device: (Check all that apply) ® Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ® Pretreatment Device (explain) White Knight V. Dis ersal/Treatme Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Requirpfl (sf) Dispersal Area Proposed ( System Elevation 450 Rate(gpdsf) 750 931 101.55 0.6 VI. Tank Info Capacity in Gallons Total # of a 0 ° Manufacturer o U 5 New Tanks Existing Tanks Gallons Units c 2 f ° i ` f ry, U ~ y ~ w C7 f% Septic or Holding Tank 0 1000 1000 1 Weser Concrete ' ® ❑ ❑ ❑ ❑ Dosing Chamber 0 500 500 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu e s nature MP/MPRS Number Business Phone Number John Schmitt 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150th Ave. Somerset, WI 54025 VIII. oun /De artment Use Only Approved 1 sa Permit Fee Dat Issue / C Issuin gent Signat re caner Given Reason r Denial $ SD 7 Z~ / J IX. Cond "Reasons for Disapproval SeptiGJSr*, eftlt entfilter end, dispersal cell must all be- ea lnaiCt~~l ' per management plan provl ed by plumber, 2. All setback feCIU00144ft M114IpwMaIntair4 t. as per ic-We 6idi l ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R03/14) i • Thom" Barka NASLA S17-731N-It28W bt"m of Star Prarle lot *9-Nipm 311p3~es N 1 "8401 ()IRS)ITE SEWAGE SYSTEM AM.= hop of adjoining xe11 N el. loot r W cle 1 4 C.: ! rwl Yr`.z + ~VirS 5 T 6V 6 ~ ,7` hlo-> " ooS o'P1/ t.F:°3.: E~ F •'+N RE 4 Z? DiVio-ji mr Or SEAH Y AND BUILDINGS ot3~-x 468 3 0~ ~'-x,st T vv SEE C4RRESP0N CE G Z, rte, fa G.? p'p D q . N L ~ i VP t' ~ Cu•r aria ~-c ~c y 1 &5 1 h N bK. /iS ----Two Zr+N 1 7 ~SL t' W/htr 0 t1 Z 4' rn rte' Tzs ry+ G r-~s or a " i V 895 A 31042 -LL ATU COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: ATU 2142 Shore Drive Owners Name: Kevin & Sara Halgrimson Owner's Address 2142 Shore Drive Somerset, WI 54025 Legal Description: NE1/4, SE1/4, S17, T31N, R18W Township Star Prairie County: St. Croix Subdivision Name: Wigwam Shores Lot Number: 9&10 Block Number C Parcel I.D. Number 038-1147-90-000 & 038-1147-90-100 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 ATU & Dose Tank Cross Section Page 4 ATU & Dose Tank Specifications Page 5 Effluent Filter Information Page 6 & 7 Pump Curve Page 8 & 9 Management & Maintenance Plan Page 10 & 11 ATU Service Contract Page 12 ATU Servicing Agreement Page 13 Septic Tank Maintenane Agreement Page 14 Existing Tank Certification Page 15 & 16 Deed Page 17 Plat Attachment # 1 Existing Mound Septic System Documents Attachment # 2 Mound 2012 Attachment # 3 White Knight Manual Attachment # 4 Soil Test Designer: John Schmitt Licnese Number: MPRS 223760 Date: 7/5/2015 Phone Number: 715-760-0486 Signature: a41 Page 1 Thom" Runs Ng"A S17-791N-NOW ton of Star Prarie lot #s wigwam sores N U►IE)ITEr SEWAGE VSTEM 1 "sI~Q E14.= ecp of adjoining Vail 9 el. loo' ji" ~ ; • I w is :a RELA T E ti 6 A/ JgO"r /o S O-.1/ 4 Z ? OF SF+FE7 11AidD iiU+LDftJGB P o► t~ 0-x 4,6 1 SEE CORRESPON GE s oy-, em-st ? VV/. G ZS DAT e P. LA t '''~Q I ti ~ ter ~ ~'c~. s•:~' • 143, oil / c~ ! /l,/t~, IVA 31 ;7y ZZI/W4,41 Z. rnrn' / ~aM.~orsa - `t ~t~i> pw 1 brT4 Gar a ELL, ,45 ° 3104 2 SEPTIC TANK DETAIL / TWO COMPARTMENT WITH PUMP Page_of on Owner's Name: Kevin & Sars Halgrimson Outlet Elevation ft ft Inlet Elevation t^j Finished Manholes w / locking devices and warning label t1 JI Grade E 23" Min 23" Min g Cr Pressure Filter ■rrrrrwrrrrsrrrr ■eirarrr~rr■.:.. srrrrrrr rrrrriiD • e ■ a • e z - 4" stable & B^ff1e Weep hole approved piping Baffle 4" stable & ,approved piping reserve (a) iciQllglu H6, alarm on separation-(b). pump on dose volume (c) - - - - - - - pump off dead (d) d' Bedding Under Tani. INTERNAL DIMENSIONS OF TANK Dimensions Inches Gallons Length See next page a 33 328 Width in b 2 20 Liquid Depth in c 6 60 d 10 100 NOTE: Pump and alarm are to be installed on Total 51 508 separate circuits. Tank Manufacturer Wieser Concrete Pump Manufacturer Zoeller Tank Model 1000/500 Pump Model 98 Tank Capacity 500 gal Alarm Manufacturer Unknown Tank Volume 9.94 gal / in Alarm Model Unknown Filter Manufacturer Sim/Tech Filter Model STF-100 DOSE VOLUME CALCULATIONS TOTAL DYNAMIC HEAD CALCULATIONS Design Flow (DWF) 450 gal / day Min Network Supply 2.5 + 0.5=3.00 ft Number of Doses 4 / day Passive Vertical Lift 12.39 ft (Header/D.Box elev. - Pump intake Max. Dose Volume 123 gal elev ) Drain Back 10 gal Friction Loss 1.57 ft Length x rcemain Factor)/100 Friction Design Dose Volume 133 gal - (For Loss (Fo Total Dynamic Head 16.96 Min Discharge Rate 38 gpm Plumber/Designer Signature: License Date: Page 3 a"-WWOVA `3ild 99ve-5Z2-008 OLOZ 'NV a3SIA321 0 OSLb9 IAA 8008 N301vw OL .IMH sn 9LL£M Z anOd-lsod 31v0 mot k8vnNYr 31v0 -lynNVVi 0I1d3S 0 n3a 3131311/3 M3531M = w LLJ :21nOd-38d „0-,l=„4 l :31v0S 3WS :1.9 NMV210 m-005/OOO LM J Z (n w O rY J O z H w Cr O W 55 W Q (n W ~ C-) ~o aCL °W j° Im w CC U WH J^ WO F- OZ CL J O ¢ m ° k z z z w 1--- LU wg p > F ~ w OJ Z ¢ O U mU Z w¢ o m o -J -J LL. 0 Q aop °O mw ~ww << Z wSZ O a o U m~ m z> a I LA- V) U) O l M ° O N j~ -m~ Q Q Q w (n cro ado O (n to = w Z O v o a CL cc LLJ I I M W 0) 0) Z a U a O ¢ a L(7 U II 4 p V) W O En ~U Na N-p~OF-J~ F- I a HNQ 00 Oa rw. W I\ Z Y LLJ ~v1~..~0,)~~!- ~Qi U ~i((nn z J ? N F vi2 ZO O O N J.. ~ZJ~ O(n OZx U O QJ \a wN O Di o~==~ 3°= ovY oow a w m cn °o °D Y °000aw,?owcy zz°a a z°NO o z Qua U w 0 o z Z3momm-i m =1 a~c~ a~" a to o Q w W W ° ~ Y ~Y ~ M J J ¢ IS p Z Z Or 0 z z OUP U LLJ ~ N H z wZ o „bS 2 W > 2 d w 0- a W \ P, 1 n U .25 do o l 5 ~5 5 w w C) ~w o~ F w nN J M O \1 Sb „-v W „99 do Z 0 ° w -=KV ~ ~ N J U Z_ U- ~S z 4038 .5 6 Sd ,J69 a y Z Q H S Lei. ' li &f : A "I PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS rt:1,rLTf1 1455 Lexamar Drive Toll Free 888-999-3290 Office 231-582-1020 Boyne City, M149712 Fax 231-582-7324 Email sales/ii'eag_simtech.com Web www.gag-simtech.com INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. **Always use caution when starting threads to avoid cross threading**. Plumb force main into the 2" sch 80 PVC union. "We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface**. For best performance, if a check valve is installed it should only be after the outlet of the filter. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 allen. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIM/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE EFFECTIVE September 13200513. 2005 Page 5 /pr~O SECTION: 2.20.035 `QUQL/TV ALImp6 31*cz- Iff,77 FMO973 Z 0312 Product information presented ® Supersedes here reflects conditions at time t!/ /A AQ f O 0310 of publication. Consult factory regarding discrepancies or VIS►t our web site: inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256.0347 SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www,zoeller com (502) 778-2731.1(800) 928-PUMP • FAX (502) 774-3624 COMPARE THESE FEATURES • Non-clogging engineered plastic vortex 98 Cast Iron Series impeller design • Corrosion resistant powder coated epoxy "FLOW-MATE" finish (FOR PUMP PREFIX IDENTIFICATION SEE NEWS & VIEWS 0052) • Durable cast construction. Cast switch FOR SEPTIC TANK case, motor, pump housing and base. No LOW PRESSURE PIPE (LPP) sheet metal parts to rust or corrode. AND ENHANCED FLOW STEP SYSTEMS • Castings -All cast iron class 25-30 25000# tensile strength EFFLUENT • Stainless steel screws, guard, handle, arm OR DEWATERING PUMP and seal assembly SUBMERSIBLE • Float operated submersible (NEMA 6) 1'/i' NPT DISCHARGE 2-pole mechanical switch • Motor - Permanent split capacitor, 60 Hz, 1725 RPM, oil-filled, hermetically sealed, UL co automatic reset thermal overload protection Tested to UL Standard UL778 • Bearings - Upper & lower oil fed cast iron and Cerdfied to CSA , Standard C71.2 No. 108 • Carbon and ceramic shaft seal • Entire unit pressure tested after assembly. • Watertight neoprene ring between MODELS AVAILABLE • Automatic or Nonautomatic motor and pump housing % HP, 1 Ph., 115V or 230V • Maximum temperature for effluent or Available with Piggyback dewatering 130°F - 54°C Variable Level Float Switch. • Passes'/ inch spherical solids • No screens to clog • Standard cord length 15 ft. (UL Listed) SSPVA ` • 1'/" NPT Discharge (1'/2' X 2" PVC Adapter MODEL 98 included with BN & BE Models) • On point - 9'/" • Off point - 3" • Major width - 10'/a" • Height - 12" POWDER SIMPLEX AND DUPLEX COATED SYSTEMS AVAILABLE T011116W PACKAGED SYSTEMS AVAILABLE Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized MODEL BN98 T .`-basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. © Copyright 2012 Zoeller Co. All rights reserved. Page 6 W TOTAL DYNAMIC HEAD/FLOW LL PUMP PERFORMANCE CURVE PER MINUTE MODEL 98 EFFLUENT AND DEWATERING 3718 6114 MODEL 98 45M 25 Feet Meters Gal. Liters 3716 0 5 1.5 72 273 20 6 10 3.0 61 231 15 4.6 45 170 4 15 20 7.1 25 95 0 4- Shut-off Head: 23 ft.(7.0m) ax„-,a wr FQ- 10 OD9971 0 2- 5- 0 i 121/16 10 20 30 40 50 60 70 80 GALLONS i LITERS 0 80 160 240 I 421132 FLOW PER MINUTE SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm and three phase systems • Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available for with or without alarm switches variable level long cycle controls • Refer to FM 1922 and FMO806 for temperatures above 130°F 98 Series Control Selection Model Volts-Ph Mode Amps Simplex Duplex M98 115 1 Auto 9.4 1 4 N98 115 1 Non 9.4 2 or 3 4 D98 230 1 Auto 4.7 1 4 "Easy assembly" E98 230 1 Non 4.7 2 or 3 4 (pump 8 discharge pipe not included.) SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. 3. See FM 1228 for correct model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM1663 fora OPTIONAL PUMP STAND P/N 10-2421 residential alternator system. • Reduces potential clogging by debris. For information on additional Zoeller products refer to catalog on Piggyback Variable Level Replaces rocks or bricks under the pump. Switches, FM0477; Electrical Altemator, FM0486; Mechanical Altemator, FM0495; Sump/ Made of durable, noncorrosive ABS. Sewage Basins, FM0487; Single Phase Simplex Pump Control, FM1596; Alarm Systems, Raises pump 2' off bottom of basin. FM0732. Provides the ability to raise intake by adding sections of I%" o CAUTION or 2" PVC piping. All installation of controls, protection devices and wiring should be done by a Attaches securely to pump. qualified licensed electrician. All electrical and safety codes should be followed Accommodates sump, dewatering and effluent applications. including the most recent National Electrical Code (NEC) and the Occupational NOTE: Make sure float is free from obstruction. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. iWL To: P.O. BOX 16347 LouisviA' Ky 40256-0347 Lp~ SHIP To. 3649 Cane Run Road Manufacturers of.. ~7a LOUISVli1e, KY 40211-1961 &A61rY PUMPS SINCE 19,7- www.zooller.com kL11&. (502) 778-2731.1 28-PUMP Q FAX (502) 7774.394-3624 © Copyright 2012 Zoeller Co. All rights reserved. Page 7 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_of FILE INFORMATION SYSTEM SPECIFICATIONS Owner: Kevin & Sara Halgrimson Tank Manufacturer: Wieser Concrete. NA Permit # iM Septic E Dose I_ Holding Volume: 1000 gal DESIGN PARAMETERS Tank Manufacturer: Wieser Concrete. NA Number of Bedrooms: 3 NA E Septic 77 Dose Holding Volume: 500 gal Number of Public Facility Units: 'NA Vertical Distance Tank Bottom (s) to Service Pad: ft Estimated (average) Flow: 300 gal/day Horizontal Distance Tank(s) to Serivice Pad: ft Design (peak) Flow = estimated x 1.5: 450 al/day Specific servicing mechanics must be provide if vertical is>15 feet or if In Situ Soil Application Rate: 0.6 gal/day/ft2 horizontal is > 150 feet. Specific instructions to be provided on back. Standard Domestic Influent/Effluent Monthly average Effluent Filter Manufacturer: SIM/TECH ) NA Fats, Oils & Grease (FOG) 530 mg/L Effluent Filter Model: STF-100 Biochemical Oxygen Demand (BOD5) 5220mg/L NA Pump Manufacturer: Zoeller NA Total Suspended Solids (TSS) 5150mg/L Pump Model: 98 High Strength Influent/Effluent Monthly average Petreatment Unit Fats, Oils & Grease (FOG) 530 mg/L Manufacturer: Biochemical Oxygen Demand (BOD5) 5220mg/L r%_1 NA Mechanical Aeration r Peat Filter NA Total Suspended Solids (TSS) 5150mg/L `i Disinfection Wetland Petreated Effluent Monthly average Sand/Gravel Filter I Other: Biochemical Oxygen Demand (BOD5) 530mg/L Soil Absorption System Total Suspended Solids (TSS) 530mg/L NA In-Ground (gravity) In-Ground (pressure) NA Fecal Conform (geometric mean) 5104cfu/100m1 t- At-Grade W Mound Maximum Effluent Particle Size: Ye in dia. N r Drip-Line Other: Other: Other: "r NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined with sludge and scum equals one-third ('/3) of tank volume Pump out contents of tank(s) When the high water alarm is activated month(s) Inspect condition of tank(s) At least once every: 1 year(s) (Maximum 3 years) NA month(s) Inspect dispersal cell(s) At least once every: 1 ' year(s) (Maximum 3 years) NA month(s) Clean effluent filter At least once every: 1 )-v year(s) NA month(s) Inspect pump, controls & alarm At least once every: 1 year(s) NA month(s) Flush laterals and pressure test At least once every: 1 % year(s) NA f month(s) Other: Maintain White Knight At least once eve : 1 I"✓ year(s) NA I- s) mmonth( 1Other: Add Bacteria At least once every: 1 W NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Insepector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspeciton of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicated a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumualtion of sludge and scum in any treatment tank equals one-third or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Admininistrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, petreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. Rev.2/05 Page 8 START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE. NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: POWTS INSTALLER POWTS MAINTAINER Name: John Schmitt Name: John Schmitt Phone: 715-760-0486 Phone: 715-760-0486 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name: Owners Choice Name: St. Croix County Zoning Phone: Phone: 715-386-4680 This document is intended to meet minimum requirements of Ch. Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. Page 9 Document Number Document Title Maintenance Contract for Septic System This Maintenance Contract for a Private On-Site Wastewater Treatment System (POWTS) is Between Kevin M, or Sara A. Halgrimson and John Schmitt. Recording Area Date of Contract: July 5, 2015 Name and Return Address: Location of POWTS: 2142 Shore Drive John Schmitt Somerset, WI 54025 616 150th Avenue Legal Description of Property: Somerset, WI, 54025 NEI/4, SEl/4, S17, T3 IN, RI 8W As Inducement to the County of St. Croix to Issue a State Sanitary Permit 038-11 i 100 for the Above Described Property, We, the Owners Agree to the Parcel Identifi cation Number Following: (P) 1. The Owner agrees to have the POWTS inspected and maintained by a qualified maintenance provider. 2. The owner agrees to provide access to the POWTS for the qualified maintenance provider in order to service and/or maintain any and all components of the POWTS. Accruing to the maintenance and monitoring schedule provided by the POWTS manufacturer (including White Knight, St. Croix County Zoning Department, and Wisconsin Department of Commerce. 3. Minimum performance monitoring will include: a. Type of use b. Age of System c. Type of Fill Material Used (If Applicable) d. Nuisance Factors, Such as Odors or Complaints e. Mechanical Malfunction Within the System. Including Problems with Valves, Mechanical or Plumbing Components f. Material Fatigue, Including Durability, Corrosion, or Integrity of Construction and Design. g. Neglect or Improper use of POWTS. Examples Include Exceeding the design rate, Poor Maintenance of vegetative cover, unapproved covers over the POWTS or inappropriate activity over the POWTS. h. Pump Malfunction. Examples Include Dosing Volume Problems, Pressurization Problems, Breakdown, Burnout, or Pump Cycling Problems. i. Ponding in Distribution Cell. Ponding Prior to Dosing is Evidence of a Developing Clogging Mat, or Reduced Infiltration Rates. j. Overflow or Seepage Problems. Often Apparent When Sewage Effluent has "Ponded" at Surface of Ground. 4. The Owner further agrees to pay the qualified maintenance provider for all charges incurred while inspecting, pumping, or otherwise servicing and/or maintaining the POWTS in such a manner as to prevent or abate any human health hazard caused by the POWTS. Contract Drafted by: John Schroeder Page 10 5. The Owner agrees that if required by the qualified maintenance provider, to have any components of the POWTS ` corrected by a Wisconsin Licensed Master Plumber that has knowledge regarding the installation and/or repair of the POWTS. 6. The Owner contract is binding for two ears from the date in which the final inspection is made for the fully installed POWTS. This date will be locate on t e nspection report filed with the St. Croix County Zoning Department. 7. The Owner agrees to contact the qualified maintenance provider to have the POWTS inspected and maintained annually (or at intervals required by the county or state governmental unit) after the initial two years. (Additional evaluations may be required if warranted by operational condition of POWTS.) 8. A qualified maintenance provider shall possess a POWTS maintainer credential from the WI Department of Commerce. 9. The qualified maintenance provider shall agree to submit an inspection report to the St. Croix County Zoning Department on an annual basis. (Or intervals required by the manufacturer, county or state government unit.) 10. Recordation/Acceptance Conditions. This agreement shall, upon execution, be recorded with the Register of Deeds for St. Croix County, Wl. By the recording of the easement, Grantee, or itself and its successors and assigns accepts and agrees to abide by all of the terms and conditions hereof Qualified Maintenance Providers Name: John Schmitt Lic. #223760 Qualified Maintenance Providers Signature: ---The Following Requires Notarization--- The Owner(s) Name: Owner(s) Signature: Q 9.,I),l '44L , 1-,- 6 ~ k-VZ-41< . t,~ &r2 -A /v^e-~ Personally came before me this, Ct~ day of ~lf t{ 204 , The above-named, Key: F(U11VI "01 To me known to be the person(s) who executed the forgoing instrument and has/have acknowledge the same. DANIEL SCOTT DUNHAM c NOTARY PUBLIC MINNESOTA MY COMMISSION EXPIRES 01131/20 Signature of Notary Public Notary Public, State of. Contract Drafted by: John Schroeder Page 11 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Kevin & Sara Halgrimson Mailing Address 2142 Shore Drive Property Address Same (Verification required from Planning & Zoning Department for new construction.) City/State Somerset, W1 V V 1 Parcel Identification Number 038-1147-90-000 & 038-1147-90-100 LEGAL DESCRIPTION Property Location NE ,/4 , SE '/4 , Sec. 17 , T 31 NR 18 W, Town of Star Prairie Subdivision Plat: Wigwam Shores , Lot # Certified Survey Map # G , Volume , Page # Warranty Deed # 869569 (before 2007)Volume , Page # Spec house Oyes[Dno Lot lines identifiable DyesOno 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 §SPS. 383.52(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 Safety And Professional Services 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. I/we certify that all statements on th' 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 w anty deed recorded in Register of Deeds Office. Number of bedrooms 3 G~. 07/05/15 A TS IGNA OF APPLIC 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. 04/12) Page 13 Exhibit "A" Lots 9 and 10, Block C, Wigwam: Shores, Star Prairie Township, St. Croix County, Wisconsin- Located within the Southeast 1/4, Section 17, Township 31 N, Range 18 W. Together with a nonoxclusive easement for ingress and egress over that part of the private road shown as TeePee Trail on the Plat of Wigwam Shores, more fully described as follows: Beginning at the North-South town road, lying Easterly of said Plat, thence Westerly on Brave Drive to Teepee Trail, thence Northerly along said Teepee Trail to an Easterly extension of the North line of said Lot 9, the point of termination of said easement. 2of2 Page 16 -p , ~ B687 w a 76-T 1 163.336 7 1 .o ro a e'ean-' ~ ~ t , l w row O `Z a.. d om 6 o t 40 108 N p N V S a v C ♦ ° y 1r1 = 7 I a1 Z 31 163. 46 ~V 00 O $ O O 42 ~ . 163-53 a ' w 9 p 72 .39 p p dt 10 h - - On 97 6.oo' t 163.63 p p I v 'f o • o e+ ,oh6 aq o m ' 9 N88° Z 'w 02 , ob0 3p 76 dye0 183.60 Y. • Y e5° fie C } C. va 0 12 1BT° 2 e 2• • oa o - 1 a ~ 38. 99c0e e0 /t c N t e 9. p 0• 930?7 i I +i I P.Atle a``` p 9 W w 3 a Q d, Beach N + 2 ; ~op0 73.2 0~ N 1 O Spa '.b T7e3e•W - o ♦ 1 1.17 23j Te• . 1j 19 ~ 3 tt W ae { t t' Steal eowarl 313' .~8 > p NiInvert used as am,- too Oewater mart-flow.flsr.9401' master level May 1.1931. 95.03• Point 'et bey;n,.n1 ; Low slsle.r 42 .90.81us of Maas 3?-60'irasf and 11 tQe~ 2 224.41' N rlb at 5 aor R as. fr. O 3! of ! 0 _ I*. too' Page t ' r SAFETY & BUILDINGS DIVISION 1340 E. Green Bay Street Suite 300 Shawano, WI 54166 E State of Wisconsin Department of Industry, Labor and Human Relations I December 1, 1996 HEIDI M FERGUSON 1340 EAST GREENBAY ST WI-WASTEWATER SPECIALIST SUITE 300 PO BOX 309 SHAWANO WI 54166 HORTONVILLE WI 54944-0309 WILSON PLUMBING 410 HWY 46 AMERY WI 54001 RE: PLAN S95-31602 FEE RECEIVED: 180.00 THOMPSON STEVEN NE,SE,17,31,18W TOWN OF STAR PRAIRIE COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - This approval does not include a review of the structural stability of this tank. Consequently, a condition of this approval is that this tank be designed to withstand the pressures to which it will be subjected. - The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. Also, the area within 25 feet of the mound's downslope toe must remain undisturbed by anything, including the force main. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall beobtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Heidi M. Ferguson (414) 779-4818 7:45 AM - 4:30 PM SBDA-5524-SHW 4R. 091941 NR%SEk S17-T31N-k18W tm m of Star Prarle lot #9-Niv mon ftres N q, 4TE SEWAGE S'Y'STEM 1"2401 BM-= top of adjoining well 0 el. 100' ~Cr~r, 4 d w ~ 7 ~ Pt 711 mow` ~ ~ t , 1 VIA t o i t 'lY ~~1 RE IONS 7Eti6loI S 07V f"'.?s►RY, U!.?., ;LD13GS ui ~q aF S4ETY AND 6 4Z7 m-vv y. P ot3 0--w 4 6 F SEE rOt~RESPON CE oM t-rt-s c ? vV 1. 3'y ~ zs DA T'e • y/fir` k ~ W 14Y' ~1 J s• ~ ~ • f~rc_F_ ~t- ' 10 177Y -1-2 Fi9i✓ 4~hv/4~ 1 t1 t~K fly ~'it : jn•~r%c»y!i ✓ At ~ _r N ,x _S. C:,L.L I Y. fi"Z~ 2 rtNl I:w Z- M I A) c; . bvT4 Ge T•s -31602 IS 91k t,v.•,, . F It IN•GIW11NU M11kSSi1RE fYSiLM~OOdyIwN t. %mauNo Sys IN is. Fwce maw a .2r, cr tiro' pamewa&r LOA. Total Day Flow • OIL MMtMM OllMT PAMI use s. ILiR 83.15 (3)(c) DISNAN • • Adtn. Code Od FAMIDE A OETAILED 11. grow Dp IMF' IL • LIST OF SIZING ON BANE. a,~ swom ""d 7. Depth to LimitMt f a • IL Vonkal LMI • 4 11. 3. Lam"Pe • ~~.~..•s f/dttlM LON• ` X o .rj.~i:i?i. 11. a. Oistana IMS Dose cttaalter is' L~ y4 TON 6 DisuiMribn $VON • ~••i~'•~ 1L PUMP Sdmdm s. Euvatioa DIr ft woa Nt"lw' dbdW N at WM M~ Mw•p ow obutlo Mo • a IL Mid OmIsk ZAC ~l tr 6. • AbwPtion Area SWoG W L m" ad C Area940kred• IL d x• o'I/ _ 7,Gam,. /v ied of Trench 1.00 T! • h 13. goer Vsk wa yx - - 4 fed w Tno b width lAl • 1s Tion void Valttwa N n6. Trench SPacbtt (C) • Dlwlloww Lim sl~ 7. Moats 1,16101; K 1011111V 1ra1awMaf VON1ar FYI Depth 101 s Oow M ~I 11N. • FIN Dop1M 0001101111141 1El • OL ' • bod or Too* 006 if) n IL w"1'""' ow • .1.7r~1~ pl. CAP am TOWN Depth 1W • N' 14. OWN CMwhW ...Q~.. MI. Cap and Two gait (M) • L vshm • t• ~ 1l 1. ~D N' 111, coNVENTNINAL PRIVATE IiEM1mu SVSTE11 Total Mori LeodM ILIA K 1. WONOW Laad.Ta d oo fbw • mmwmm. W! L kk w d 111111161% Ulm s. ILHR 83.15 (3) (c) a Yia. U~ culeam POW Aaamoudomommus *TAW upow widat 11I • LOT Of01" ON PLAIIE. 10 f"w • 9. It"llitlod soNic Tab cow" • PL power t111opa wid~a 1 • 1116 L hlaolalNa Rm • wmmww ob^ Toni MMawtd wullt till • . 618111113 1a twat A" s' ~A foirrtoTabla 3 is ch. Un 83 IMllttwo G 1► al S alt/ PKOVIOE A 09TAIL90 WT Of Natwal SAN . SIZING ON f LANs. Ro4sMM0 .i a1. tL smig"dAla saWACM • N. Nr • *L • ..........11. 11. 11 standard Tables CMlpler ILM 83 T • wL N• axe • usad, • JAUCOITAB 12. Fume Oiwww"Nolwalka Nwtlal~cdMlt s =-jar 11. IN•GROUNO f RESSUAE s1fSTEM s' r AGE Sir°STEM 1. ONIL M LION" Iowa k ~ . Later P • A~ r' 2. LaNUepe • tttY~Jltt. 3. hrcolaum am • Okt aata~ s. h•paod sywm ElwatMa • s> * a O• S. wastewalw Load. TOW flow, PL "M um s. Im 83 t3) lc) , w s~rsTt ^t~, Advt. Cots aM PKOVIOE A 09TAL90 fW M JIM ~1 < =a,f~ R LASSOt3S ~ LIST Of SIZWG OM1LANS• ;a ,'1 4 l~ D ~C7S ItM.hN septk Tai CapadlM • tit v. SEMTGF S 6. Afterrwn Area SWO 1. QP&ft • Maier "I"• ~ Z. drlattttlacgMOf: Swum Left* a System width • IL VI. M*ING TANK t. ow1butl" pipe 6111110 la. 1. cap"" • :I cr> Mob %in • . fL.Tw. 1. L MatlwlacaUa:.~ . mob Special! L L fah w = Labia! Lemo • 6. pump mubk . Lateral ciao • lo. s. ppuatitrt Ilaad• IL two Lalrrad sP.ciwt Its Ilmaa ti~ hats M *w m w M' f ww sm Costllo4otl Tank "&a Italls flw ~ L OWNIN UMM PIP Dla&M Moot . , 1-7 1 Maw For Pipe' ..~ILIaf MpNr 1.. CaNd!tt * s . y... Sirbso Z.: Mwltl.rawn: _ ' 'Ira laawtt aroail} 11. >L SMw► fho C~lal~ T+lnl~ palawMflal~ Olalotlel • ""'iZ"' 111. ' :S95r31602 _s~orrt,►u a,FO~u►Tw++con- us, MEN" StXw, • MArsh SAY' Ot r : sYntbetic cover. Di Wipe A$-,W,l33 G ~Isdivst- S . ' F Topsoil 1 D S !Oros gain P3+o+►ed Layer . { i Slope . ' eod of ljd- Z t' ~csgate • CC*" Section of a Mound system using Sed For The AbsorPtion Ax" no A no no no Signed: /_~P £ LORO ipt. License III: Date: / - Sr - M"" SEWAGE SYSTEM &wooer 5 L r.l L.:• ~ t A OEPA,^,7'. ALi;< < < t r a~' tt F + ,'<~:fti RELATIONS G +diSiui'I O~ SAFEiY AND OU10INGS alternate position of 4e Force Main SEE c L i Cb&Uv&tion pipe J 8 • ~ - MAin ' 1ROi'Q A of w2le hN asttibution Pips hggrsqats . servStion z3 ~P t I m "has 7 ' X1....1. . °f:. , :R o= IiDii11d Os1A9 a Hed for the 895,31 60 ~ a SF~ ~44fi~ r . 4 . ATIONS I ~ . 1 I 0 I i " c - S 1 .`TANK `6X6114 GA WIRE MESH FLENGTH: 1101, WALL: r;:y r w> F x. 93" ' BbTTOM.3'.', 1NlDTH: COVER: 51, 'BELOW'INLET: 57" HEIGHT: 73" ' MANHOLE: 24" I.D. INLET AND *OUTLET., BORE WITH STOP FOR TYSEAL OR FERNCO GASKET _ INLET AND OUTLET. BAFFLES: ' P.V.G. 'MEETSWI."D.IJ.H.R. AND MN. M.P.C.A. SPECIFICATIONS 'LIGIUID CAPACITY: 19.65 GAUINCH (SEPTIC) 1000 GAL. 9.94 GAUINCH ,(PUMP) 500 GAL. WEIGHT: 12,400; POUNDS 3µ j i f fit :a 4,ri}ft MODEL WCT-1500 MIENER ppppBETE 10001500 Combination Tank Rt. 2 (Hy 10) Malden Rock, W154750-(715)547.2311 JAN 19 1,94 81:45PM ABLE DISTRIBUTING CO 715 8488069 P.1/1. liEM/ APACITY CURVE EFFLUENT' and DEWATERING WARNiNQ: Model in wodid cot be 841ecm to left thwo s0 feet MH, wrap tai ~ta~ ~ 1~ f1 11 s• t ` , it • 34 11 :r tr 32 100 1iS I ZO es 24 75 1d6 22 70 ~ 65 155 18- 55 tai 16 14' 45 12 ire i 10 tea e 25 6- 4-- 161 t5 tea 10 >ie 2 s 1s t~ 7 r W, L ~ • U.S. 2NA_MS 16 ZO 30 501 - so 00 100 110 J20 ~~Q 140 140jiM e0 160 240 320 46o 400 Oao 640 f L Ml PER MMM ,0__.. n.....,atht nn Mndol 112. industrial column-explosion ptooot pump. no FM0212. JAN 19 '.94 Oio45PM ABLE DISTRIBUTING CD 715 8488269 P.1/1. ! HEafflouffy CURVE EFFLUENT and DEWATERING WMKMO: "I 110 000 Id be a►lected to lea the0 8o tat TDH, .r'r~► T.~► t1i~L111M1 wu p. Y s ~ 11 t 34 11 sr ~r ,~v sr ~ w INN iM 31 T-1 1 100 30 1i0 1a 00 26 24 7S 1S6 21 70 10 6S t~ XN X_ 1e SS 163 l ,a I 14' 12 180 M ~ i 1a 16Q e 2s 6 161 15 186 4 10 oa 2 s 13 1JQ so 350 ° 6o !0 1 110 1'►O U.S. GALLONS 10 20 30 30 400 660 • 640 YO 160 ~ Fl+m PER MINUTE u~+a;nr HeRd Capacity on Model 112, lednWal column-explosion prooat pump, see p010212. ONESlTE SEWAGE SYSTEM Worsted Pigs 061611 ..i'trsm", L3 • ~~sJrd Or" SMFE r r tii~D "'64 tiJGS RELATIONS led"/ PWIWG w GN PVC PIM a Ci~EaaC►~iC IIoMo Lowed of, Iet1qmp, - Ali L"My 6d . a w PVC fat;$ U* wq ' MMllold Pico • Oiq.il! than ltltu~etO Pg111thn Of Fwas Maw Pyo 1.4111 we MOW as *"I T4 gad coo WP OitU106tion P4m Layout R S - X _y. Inches Y_ Inches Signed: G 4, , Hole Diameter V'y Inch Lateral " Inches) License Number: Manifold M •Inch" { Date: Force Hain Inches # of holes/pipe, 6~ TAInvert Elevation of Laterals Ft. i 1~4yosljx) ] f 5 _ ic.7 G (Firt> r ~C_rt; cam; C' GG f F S : G %j9 A1= ;5,.°° 16 ,x. • . ; . SEPTIC TANK &'PUMP. CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHER PROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W1 PADLOCK S FINISHED GRADE 4" CI RISER WARNING LABEL 7 6" MIN. - ~...~.,,._4" MIN. ABOVE G ADE 18" IN. 611 M ~"ESY~?r: * s INLET r,~y r e w r` ;v e tsµ I 1 ;x I►©N GAS. i ' ,W~tCTEt yl Ss R~~ TIGHT + 11 gyp' 411 ~y A SEAL 1 Tr- ALM PROVED `LE INTS W/ CI CI PIPS-, T°'' ; (y F W B , PE 3 ONTO 3' O NTb~ OLID SOIL SOLID .r..P,,.; C SOIL FF OFF ELEV. - - OFF RISER EXI 8i Q F PERMITTED ON D IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: C•„!iestr.1 NUMBER DOSES PER DAY: • TANK SIZES: SEPTIC /ooc, GAL. DOSE VOLUME INCLUDING DOSE S GAL. FLOWBACK: GAL. ALARM MANUFACTURER: c~c• CAPACITIES: A = DD INCHES = 3-12. AL MODEL NUMBER: 2 INCHES = /GAL SWITCH TYPE: A`-t_r'c,~ ~'r ~c ray nr+'•~ B ` PUMP MANUFACTURER: ne CC C = /.2'!~INCHES = _Lj ~ GA MODEL NUMBER: D = INCHES = 4J r9 GA SWITCH TYPE: REQUIRED DISCHARGE RATE GPM PUMP ALARM WIRING AS PER ILHR 16.23 VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . /,3 _ FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . 2.5 FEET + FEET FORCEMAIN X:FT/100 FT. FRICTION FACTOR . FEET z, ,Z TOTAL DYNAMIC HEAD = Zr FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH ; DIAMETER LIQUID DEPTH S'o 9,54 f, t 1:4w. SIGNED: / f LICENSE NUMBER: ^oG241 DATE: /i 2y rr In n 895-31602 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 450.00 Design Flow (gpd) 6.00 Site Slope 100.55 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 47.00 Dispersal Cell Length Along Contour (ft) = 7.98 Cell Width (ft) 1.20 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point Check maximum dispersal cell loading rate in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 3.99 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.250 Orifice Diameter (in) 4.00 Estimated Orifice Spacing (ft) = 15.63 ftz/orifice Orifice density too high 2.00 Forcemain Diameter (in) 75.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.74 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 11.39 Vertical Lift (ft) 18.57 5x Void Volume (gal) 1.28 Friction Loss (ft) 30.80 Minimum Dose Volume (gal) 0.50 In-line Filter Loss (ft) 27.96 System Demand (gpm) 16.42 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x x 1.50 x Error 1.25 x 2.00 x 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity (gal) Sim/Tech Filter Manufacturer 9.84 Dose Tank Volume (gal/in) STF-100 Filter Model Number Wieser Concrete Manufacturer Project: Kalgrimson 3 Bedroom Mound Page 2 of 7 Mound Plan and Cross Section Views . . . . . . . . . . . . . Observation Pipe - + -7 T-7-1 FKK ) l5 t .5. A W B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I L Mound Component Dimensions ft A 7.98 ft E 17.75 in H i1ft ft K Aft B 47.00 ft F in z ft L ft D 12.00 in G ft J E W 375.06 (ft2) Dispersal Cell Area 844.28 (ft2) Basal Area Available 9.57 (gpd/ft) Linear Loading Rate 4.70 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.30 (ft) III MR!, H G I• I F 102.05 (ft) Lateral Dispersal Cell 101.55 (ft)-♦ - Invert Dispersal Cell] Elevation E Q 100.55 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key c. T Dispersal Cell See lateral details on 1❑ Topsoil Cap c a 1.5 ft Page 4 for number, size, Q © Subsoil Cap y '15 and spacing of laterals. Q 0 ASTM C33 Sand `6-a Z F Laterals are equally ® Tilled Layer 4) 0.5 ft ` Typical Lateral > spaced from the 0 distribution cell's ©Q Aggregate o centerline in the A distribution cell (AxB). Project: Kalgrimson 3 Bedroom Mound Page 3 of 7 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical IE P \ S Turn-up vdball valve or 'EX--~IExf2 I x/2+I Laterals &forcemain Sch 40 PVC cleanoutplug per SPS Table 384.30-6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.25 in Lateral Diameter 1.00 in Orifice Spacing (X) 4.14 ft Lateral Length (P) 22.77 ft Orifices per Lateral 6 Lateral Spacing (S) 3.99 ft Orifice Density 15.63 ft2/orifice Lateral Flow Rate 6.99 gpm Manifold Length 3.99 ft System Flow Rate 27.96 gpm Manifold Diameter 2.00 in Total Dynamic Head 16.42 ft Forcemain Velocity 2.86 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect y Tank component is properly vented F-- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacit 500.00 Gallons T Volume 9.84 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 34.68 341.28 B 2.00 19.68 C ` Pump off elevation (ft) C 3.13 30.80 90.66 D 11.00 108.24 D Total 50.81 500.00 Dose tank elevation (ft) 3" Bedding under tank. 89.741 Alarm Manuafacturer Note: Switches Alarm Model Number containing mercury may not be used in Pump Manufacturer Zoeller - this system. Pump Model Number 98 Pump Must Deliver 27.96 gpm at 16.42 ft T D H Project: Kalgrimson 3 Bedroom Mound Page 4 of 7 Mound System Maintenance and Operation Specifications 15-760-0486 Service Provider's Name John Schmitt Phone F715-760-0486d POWTS Regulator's Name St. Croix County Zoning Phone System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 375.06 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 monthly Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Ins ect for ondin and seepage once eve 3 ears Other Maintain WHITE KNIGHT Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution` ~ Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Kalgrimson 3 Bedroom Mound Page 5 of 7 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] 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 SPS 383.33, 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 filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be 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 BODS, 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. Continaency 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 7 w~sconginDeParanentoflndustry, SOIL AND SITE EVALUATION REPORT P L ID& and Human Relations PiYis.n of safety a auildings in accord with ILHR 83.05, Wis. Adm. Code r COUNTY t St . Croix n must include, bu Attach complete site plan on paper not less than 1Na not limited to vertical and horizontal reference pt ird lope, scale or PARCEL t.D. # dimensioned, north arrow, and location and distance to ne 038-1147-90 / (jU APPLICANT INFORMATION-PLEASg'PRINTA REVI D BY DA PROPERTY OWNER: OPERTY LOCATION .r OVT. LOT NE 1/4 SE 1/4,S 17 T 31 N,Rl$ X9 pE 3R734 OWNERS MAILING ADDRE ! OT # LB# SUED. NAME OR CSM # Brunet Ct. ~m~ 9 Wigwam Shores CITY STATE ZIP CODE PHONE NUMBER . ; OCITY (-]VILLAGE OWN NEAREST ROAD Vac~nais Hgts., NIl~T. 55127 161 429- 6' Star Prarie 100th. St. [2q New Construction Use ( Residential ! Number of bedrooms 2-3 [ J Addition to existing building j I Replacement [ ] Public or commercial describe Code derived daily flow 450gpd Recommended design loading rate • 5 bed, gp", .6 trench, gpd/lt2 Absorption area required 375 bed, ft2 375 M moh,112 Maximum design loading rate . 5 bed, gpd/ft2 •6 trench, gpdAt2 Qecommenda± infiltration surface elevation(s) 101.35 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of 100.35 ' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN I HOLDING TANK U= Unsuitable for stem ( OS ®U M O U OS O U O S ®U O S E3U OS CCU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consislence Bound3y Roots GPD/ft in. Munsell Chu. Sz. Cont. Color Gr. Sz. Sh. Bed me--n& - 10yr3/3 none sl 2m r mvfr 2f .5 .6 1 2 7-22 10yr4/4 none sl 2mgr mvfr gw if .5 .6 Ground 3 22-34 7.5yr4/4 none scl 2msbk mfr gw if .4 .5 100 9 ft 4 34-72 7.5yr4/4 f2f 7.5yr5/8 scl 2msbk mfi na na .4 :.5 Depth to limiting factor 34" Remarks: Boring # 1 0-9 10yr3/3 none sl 2mgr mvfr gw 2f .5 L6 =24,~ 2 9-30 10yr4/4 none sl 2mgr mfr gw if .5 .6 3 30-65 7.5yr4/4 none wet scl 2msbk mfr na na .4 .5 Ground 1ft Depth to limiting 30" Remarks: CST Name -Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th Ave., New Richmond, WI. 54017 Signature: Dab: CST Number: 7-27-95 cstm 02298 I Thamas Burke SOIL DESCRIPTION REPORT Pap .2 of3 \ Of \ t-1147-90 Izon Depth Dominant Color Mottles Texture Sere Consistence Bourdery Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITierrh 1 0-10 10 r3/3 none sl 2m r mvfr 2f .5 1.6 2 10-34 10yr4/4 none sl 2mgr my fr gw if .5 .6 ~w 3 34-40 7.5yr4/4 none sl 2msbk mfr gw na, .5 , .6 ft. 4 40-72 7.5yr4/4 c2p 7.5yr4/6 sl lfsbk mfr na na .4 .5 ,pth to ,fdng ftt~iQt~ 7-1 Remarks: Boring # Ground elev. ft. Depth to 6miling factor Remarks: Boring # S.p :10: NO {N Ground elev. ft. Depth to limiting facia Remarks: - Boring # Ground elev. ft. Depth to limiling factor j Remarks: seD-easo fR.0"2> i STEEL'S SOIL SERVICE Gary L. Steel Thomas Burke 1554 200th Ave. CSTM2298 NEkSEh S17-T31N-R18W New Richmond, WI 54017 MPRSW-3254 town of Star Prarie (715) 246-6200 lot #9-Wigwam Shores N 1"=40' HK.= top of adjoining well @ el. 100' w N / ll~+ vJ 3 T% 1- }~~cP GAry L. Steel 7-27-95 Q o ~ ° I ~•i ~ I, a~ I i 0 rY o rn o II o I N co LD N •r I ~ C I h ~ N I s N d cc E O_ t ) w p tl C rn c = I 0 W Z C C 3 C C p 1i c U a[ vi o 3 Omupid o Ea 0_ Y vOi2 y Q O I Z E ao W • O N p I z ~ E m I m ~ M w ~ a m I 0 Q Z _U d Z y O E Z co ~ I c co Q U 2 z z O w Z N Y 0I m N d N ~N O a 2 75 m O U ►i N O 04 L FL Lo 16 O O V7 N ` N O O v 3 i C G a -0 cp 76 N 2) ca N N N E y_ ;0 o , 4i w~J Ff 3 0~ •N yaaa z A d 0 CL E 'a o ai ~°n Lo NJt1 Z N r 4-- N p O .0 m y c n N m V U) ) Q (n co ~r O N U) V! O O 9 C o p a~ cpp E O 0 M~ N y u n. 0) l (D (D a c -a V O v 'm ~ o o m (D a c) , y U t ~ C C d C y N C N N O N E m L • O N j H N O z c O ~ C 3 as a ` a • a d 2 d w E c c '3 r/] O A J C a g N V Parcel 038-1147-90-100 08/15/2005 10:11 AM PAGE 1 OF 1 Alt. Parcel 17.31.18.633 038 - TOWN OF STAR PRAIRIE 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 - THOMPSON, STEVEN & MARLENE STEVEN & MARLENE THOMPSON 2142 SHORE DR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2142 SHORE DR SC 5432 SCH D OF SOMERSET SP 8050 SQUAW LAKE RHAB & MANAGE SP 1700 WITC Legal Description: Acres: 0.000 Plat: 2617-WIGWAM SHORES SEC 17 T31 N RI 8W LOT 10 BLK C PLAT OF Block/Condo Bldg: C LOT 10 WIGWAM SHORES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1148/317 WD 07/23/1997 1148/316 WD 07/23/1997 1135/364 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 50,200 171,600 221,800 NO I Totals for 2005: General Property 0.000 50,200 171,600 221,800 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 50,200 171,600 221,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 304 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1147-90-000 08/15/2005 10:11 AM PAGE 1 OF 1 Alt. Parcel 17.31.18.632 038 - TOWN OF STAR PRAIRIE 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 - THOMPSON, STEVEN & MARLENE STEVEN & MARLENE THOMPSON 2142 SHORE DR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 8050 SQUAW LAKE RHAB & MANAGE SP 1700 WITC Legal Description: Acres: 0.000 Plat: 2617-WIGWAM SHORES SEC 17 T31 N R1 8W LOT 9 BLK C PLAT OF Block/Condo Bldg: C LOT 09 WIGWAM SHORES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1148/317 WD 07/23/1997 1135/364 WD 07/23/1997 967/103 07/23/1997 888/434 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 23,000 5,000 28,000 NO Totals for 2005: General Property 0.000 23,000 5,000 28,000 . Woodland 0.000 0 0 Totals for 2004: General Property 0.000 23,000 5,000 28,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pag Lab6r and Human Relations DiYisr•n of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code c COUNTY St. Croix Attach complete site plan on paper not less than x 1B n h ize. Plan must include, but not limited to vertical and horizontal reference porffl~. of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to neayist roa 038-1147-90 OZ) ` REVI D BY DA APPLICANT INFO RMATION-PLEASg'PRINT A.LL 11MAT PROPERTY OWNER: ROPERTY LOCATION -I A oma OVT. LOT NE 1/4 SE 1/4,s 17 T 31 N R18 xLr~ l PROPERTY OWNERS MAIi_ING ADDRESS" . / OT # BLOCK 7#,19U13D. NAME OR CSM # 3734 Brunet Ct. 31 9 C Wigwam Shores CITY, STATE ZIP CODE PHONE NUMBER < ❑CITY ❑VILLAGE DOWN NEAREST ROAD Vadnais Hgts., MN. 55127 (612 429-93fl Star Prarie 100th. st. [ Iq New Construction Use [ Residential / Number of bedrooms 2-3 [ J Addition to existing building j J Replacement [ J Public or commercial describe Code derived daily flow 450gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpolft2 Absorption area required 375 bed, ft2 375 trench ft2 Maximum design loading rate • 5 bed, gpd/ft2 •6 trench, gpolft2 ?ecnmrnendo infiltration surface elevation(s) 101.35 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of 100.35 ' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ❑ S ®U M ❑ U ❑ S ® U ❑ S ®U ❑ S 13U ❑ S 13U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence I Botniary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trend 1 D-7 10yr3/3 none sl 2mgr mvfr 2f .5 .6 c~ 2 7-22 10yr4/4 none sl 2mgr mvfr gw if .5 .6 Ground 3 22-34 7.5yr4/4 none scl 2msbk mfr gw if .4 .5 elev. 100 9 4 34-72 7.5yr4/4 f2f 7.5yr5/8 scl 2msbk mfi na na .4 ;.5 ft. Depth to limiting factor 341, Remarks: Boring # 1 0-9 10yr3/3 none sl 2mgr mvfr gw 2f .5 .6 W .g n 2 2 9-30 10yr4/4 none sl 2mgr mfr gw if .5 .6 3 30-65 7.5yr4/4 none wet scl 2msbk mfr na na .4 .5 Ground 1 uu' 9ft. Depth to limiting factor 30" Remarks: CST Name _Please Print Gary L. Steel Phone' 715-246-6200 Address: 1554 200th Ave., New Richmond, WI. 54017 CST Signature: 7-27-95' cstm 02298 Number: L_ aK~ \Of3I Thomas Burke SOIL DESCRIPTION REPORT Page'? of3 \ s-1147-90 ,zon Depth Dominant Color Mottles Texture Structure Consistence Bourday Roots GPD/ft in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed iTrench F 1 0-10 10 r3/3 none sl 2m r mvfr 2f .5 I.6 2 10-34 10yr4/4 none sl 2mgr my fr gw if .5 ~.6 rah, 3 34-40 7.5yr4/4 none sl 2msbk mfr 9w na. .5 .6 It. 4 40-72 7.5yr4/4 c2p 7.5yr4/6 sl lfsbk mfr na na .4 .5 ,pth to ,niting faCtor~ Remarks: Boring # k y Ground elev. ft. Depth to limiting factor Remarks: Boring # t:$\i~\:\wWi: ii Ground elev. ft. Depth to limiting factor Remarks: Boring # I Ground elev. ft. Depth to limiting I L factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Thomas Burke 1554 200th Ave. CSTM2298 NE4SE4 S17-T31N-R18W New Richmond, WI 54017 MPRSW 3254 town of Star Prarie (715) 246-6200 1 lot #9-Wigwam Shores N 1"=40' BM.= top of adjoining well C el. 100' \ w V4 Y U v \r~ ~ ~ 0 z 3' ib' d *14 GAry L. Steel 7-27-95 m o cc 68' ~ --163. 3t ~ et i i- , 87 0 _ IG3. 36 7p " p yl N 0 x v O Z a o ri 0. 0 loa _ 1~3.4I N ~ '7 N a1 Z t ~ 31 163. 4g at Q~ 1 . ° 8 0 1 0 1 42 161.33 w "n 72 00 A 10 O . m on a) 6•CA' ! 97 163.63 0~ . Q a$ dotb 9r 00 a3ti, 3 '~-----76 - e N8 8° z 8' w 2 r . 0 4e 163.68 0 SO 0~ 0 9~ o a g5 0 .o ~y 6 12 T °'Z Qs.rw' O N s a' g9 ° t ~ ` ~ 149.20' 930 2 / ny Public nr o~a~cO Oo ~Nr 19 W z"' ' Z'op0 J'To Beach iV ? ? O 9 1 89.90' O0• I N o .1~ N 0773.20~~ SAO ' / 7re,3e•w 9 p0. , Z3~ O 1 1.17' 0 r8. N85019 o 6 Z ye° r~rr°se a it Steal culvert l2 lavtrt used as 8,N1,- Eli r. 100 "'it. HipR water marl- Elar. 94.01' Point of ba4~n:a9 ; Wolof level May 4.1950 95.03' 3760' Wiai and 1 01 Low wafer 92.60'olus or 01aut' 2224.41' North of SE corner Sec. IT. w- T. 31 N. - R. m N. lao i , 1 COMMENT FORM FOR FILE DATE: OWNER NAME: e V2 7 kov" I(J56 Y, PROJECT NAME: ADDRESS: COMPUTER WZ PARCEL ~ v bapt Ete, ~NR 6/ INFORMATION: 04..%] 4v4c X., - aLt " x, ,fee a-eel -dG~e bw ,ewt 5:ee II$"f U,uI I.J.LJ V/1J OJH outo UIVK flu it Swc of wocon--im APPLICATION FOR VARIANCE Department of Natural Rowurcet Chgna NR 812, Wis. Adm. Code Form 3300-210 Rev. 1-96 Completion of this form is voluntary. Information requested is used to determine if a variw= can be granted. ' Personally identifiable information on this form is not intended to be used for any other PWPM. Chapter NR 812, Wisconsin Administrative Code. establishes uniform statewide standards for the construction and maintenance of water supply systems. Section NR 812.43(1), Wis. Adm. Code states in part: "When strict compliance with the requirements of this chapter is not feasible a variance may be requested. " if you wish the Department to consider a variance, you must provide 811 of the following information Pull Name(s) of all property owners as listed on the property titles,,.,,' tf+~-- filing address: [LC, 1~. 2 SyO--x s' Phone where available during day: -7 ' - 33 !iS ca Well Driller, Pump Installer or Contractor. - Complete legal description of property where water supply is/will be located as It is described in the property title. ~l Y~. C. tv E S l7 -1?/. JSY C-) (Saco No.) (Lot & Block No.) (19-&cnon) l1/4-SwUon w Uaver Ment E..,) adwn & Icange No.) (city) rownwP) ~ Cant Y) Describe feature(s): What Chapter NR 812, Wis. Adm. Code, location or consawtion requirement(s) are you not able to comply with and for which you are requesting a variance, and why compliance with the requiretltents is not feasible. 1) D, rTt,., ✓ C C o o k d .:I; re e► T va io -~v._ G~ S Ta s. c-~ } rd 4./e. C l.-i p cam.. ~r~ ~A, 1- fie n r LC C J r i-r o o.. t./ -e , Too "t Oe.., e~ / J' 30 r c' L✓.G i 3, L Re it a.. Ass • f+ 5 -To •t v d- Le-"e ~ h O T ~ ~ GJ 1L -C lpk(, 7 r-• .'r t c T' ~i r w~ L C G~c T 4 7- C G -4~' T< s- C !i fry. If variance request is for an existing well, include well construction information, if available, or name of owner at time well was drilled and date of construction. (over) !-M/30/97 15: L3 '115 OJ`J bUlb L1141c nu WJ UUJ Attach any extra sheets or other information which may be useful in describing your situation including a SKETCH of the property or the water supply. Include the scale of the drawing and include distances to known sources of contamination. Attach a copy of a certified survey map if available. (NORTH) o' S4 -e- 7- -S haw Gv7`~uv 6~ 7w-' District DNR personnel may inspect this property to verify information. provided by the applicant and any approved comparable construction. You will be contacted by phone for an appointment or if more preliminary information is needed. NO CONSTRUCTION SHALL BEGIN UNTIL OWNER OR CONTRACTOR IS IN RECEIPT OF A WRITTEN VARIANCE APPROVAL DOCUMENT. WHETHER THIS APPLICATION IS APPROVED OR DENIED, OWNER WILL RECEIVE WRITTEN NOTIFICATION WITHIN 65 BUSINESS DAYS OF THIS APPLICATION, AS PROVIDED IN s_ NR 812.09, WIS. ADM. CODE. 7 - Z s--9 7 (Owner's Signature) (Date Si ed) Name and Address of Contractor if Known: MAIL THIS APPLICATION TO Department of Natural Resources Jkw.e s f3oeItc 4e, West Central R -g-o, ::;sGfC i 1300 W. Ciaire;nont AV-0nue P.O. BOX 4001 Eau Claire, Wl 547024001 wiscon~ in Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor,jod Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division Sanitary Permit No.: (ATTACH TO PERMIT) GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Lk I own of: State Pla THOMPSON, STEVEN X CST BM Elev. F Fns BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA / ,o.. may`. TYPE MANUFACTURER CAPACITY STATION BS HI FS EL V. Septic - Glw Benchmark G{j, fd Dosing Aeration Bldg. Sewer Holding St/ot Inlet TANK SETBACK INFORMATION St/ yK Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air lntake Septic NA Dt Bottom Dosing NA Header, Moro. Aeration Dist. Pipe Holding Bot. System PUMP / !~JEH11NFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM Width Length No. Of reaches PIT No. Of Pits Inside Dia iqui 6ep.1h BED/TRENCH DIM N 1 N DIMEN I N er: SYSTEM TO P/ L BLDG WELL LAK LEACHI SETBACK CH ER Moe Num er: INFORMATION Type0 n 'UNIT System: VIA.-C~ DISTRIBUTION SYSTEM x Hole Size x Hole Spacing Vent To Air Intake Ag w6er / Manifold Distribution Pipe(s) (t• Length Dia. Length 2.L Dia-ZL Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched n." Yes ❑ No ❑ Yes El No Bed /Trench Center Bed /Trench Edges Topsoil ❑ 2 COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Star P. rrairie.17.31.18W, NE, SE, Lots 9 & 10 Yes ❑ i_c~ 0 Plan revision requ d f ❑ Use other side for additional information. Date Inspector's Signatur Cert. No SBD-671 Q (R 05_/9n1~)(0- 1 `Q.. C .,2.~ D l~c to /Y1,~4~C I>" [.cl.: -k-" i ` ."~'1 ~,i.: t f ow.. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: J C'~G V l ADDITIONAL COMMENTS AND SKETCH ,mil J SANITARY PERMIT NUMBER: t _ i i s j t n 4 i k e _ r- d i F 7 i k : g e S i f ?91} t ~ 3 , i i t e n r : r k ~ ~ i ~ E n d i i Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System! 201 E. Washington Ave. AE! In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. G r ` Permit Number • See reverse side for instructions for completing this application State Sanitar Y Pe The information you provide may be used by other government agency programs Check if revision to previous application ❑ [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION _1i: / ®7-- Property Owner Name Property Location h A,j01/4 Zia, S J T , NR /.O/Elarr)(Sp Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BUILDING: (check one) E] State Owned !t Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms _ village own OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1❑ Apartment/ Condo Q 3-P r/D U 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ,New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of S. ❑ Repair of an ------System System Tank Only______________ Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21.0Nound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 2ZE] In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min_/inch) Elevation Feet ;3 , Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank jaad / 4., 'e t_✓w 5 2- ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber SZ0 ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum~b^er's Name: (Print) Plumber's Signature: (No Stamps) PR/SW No.: ~j Business Phone Number: Plumber's Address (Street, City, State, zip Code): //C7 S7 IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (includes Groundwater Date Issued Issuing Ag t Sig ature (No p Surcharge I'ee) Approved ❑ Owner Given Initial p/~ 0~?j Adverse Determination O /l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD•6398 (R. 05/14) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r. 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. I To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. fti VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX: County/ Department Use Only. X. County/ Department Use Only. i Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; t elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations "t and establishment of standards. e f K° - SAFETY & BUILDINGS DIVISION 1340 E. Green Bay Street Suite 300 Shawano, WI 54166 State of Wisconsin Department of Industry, Labor and Human Relations December 1, 1995 HEIDI M FERGUSON 1340 EAST GREENBAY ST WI-WASTEWATER SPECIALIST SUITE 300 PO BOX 309 SHAWANO WI 54166 HORTONVILLE WI 54944-0309 WILSON PLUMBING 410 HWY 46 AMERY WI 54001 RE: PLAN S95-31602 FEE RECEIVED: 180.00 THOMPSON STEVEN NE,SE,17,31,18W TOWN OF STAR PRAIRIE COUNTY OF ST CROIX MOUND SYSTEM I The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - This approval does not include a review of the structural stability of this tank. Consequently, a condition of this approval is that this tank be designed to withstand the pressures to which it will be subjected. - The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. Also, the area within 25 feet of the mound's downslope toe must remain undisturbed by anything, including the force main. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall beobtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Z&~ Heidi M. Ferguson (414) 779-4818 7:45 AM-- 4:30 PM SBDA-5524-SHW fR.09/94) L My E,~,• , , 4 u. 'a FaUa mais'. RE SYSTEMCadu11w0• ' 1. '.Mta'UNO SYS ll'M 1. Wastewater Loyd. Tow DAY Flow • mwmm Dodos Raw, ~ v pA.. • . Use s. ILiR 83.15 (3) (c) OI&NAyt • . 116 Adm. Cods and PROVIDE A DETAILED 11. Told Dvemk Ntad: LIST OF SIZING ON PLANS. 'p, -5, IL SYMN Had • ~.i IL 2. Depth to Limiting Ftelot • Verlkal LHI • 74-;-;'- 3. 11. Landslops ■ ; Frkwo u" • x GO 4. WWII" 1(0111 D" Chamber N TDII ■ II. Diuributioe SWINOt • yL IL PUMP StMttioot S. Elevation DUlttonct sestet ► wW diuk" at Mast 3~ pA 1pump and DwouWO Syelotsl • al -7 .IL IOW dYlti~k Med. 6.. Abswp*m Arta SWog: ►WIIF Mw AM111 j zOC Ll Area Required • * L up 1 " Bed or Trtncb LetttlA (B) • 7 L Dols VOWW. y~ 4 8 x, 01f = r Ga,r /u Bed or TromA Width 1Al • L iL 10 TMta VOW VobuM N Trench SpaNttg ICI • L ObUNPA oo LIP" • . 1 $16. 7. Mound height: DAY Wastotraw Vt,NIM Fill Depth (DI • ~'j 1~4 L 40o b346&9 . S f+i• Fill Depth DowesloPt (E) • Buldlow • 9, 7 Eal.' MMMtwO D" ~•i. • SOL Cap and TOWN Co IGI ~ I4. am Cbaa~"" .S a Cap and Topwfl a" (oil VeltM • . g. Mound Length:/01 . End $lept (K) • n' Iu. CONVENTIONAL PRIVATE SEWA{'iE SYSTEM Total Mound LtntM ILI • wwvwa~ h' 1. Wu*waw L*KT.W 9Av Flaw • pl. L 111011" WHIM ; use ILUR 83.15 (3) (c) , Vies. UpdW CWWAMO F*W Adm. CA^ ad PROVIDE DETAILED • Upsiope Width 11) • R' LIST OFOSING ON PLAN& • OowntMpt Co(WCtitO fasw IL 3. Regttltod Stplk Talt CNOW SOL Ootv1111opt wwtb 11) ■ _ !L L hrCela" RAM • DIII& Tow Mound WWw (WI • 4. A►torrlMo Ana SkMt: IL A" AWa: Arfer to Table Z in cb. I= 83 IMUuad" cap"* Of S- ~ alga PROVIDE A DETAILED LIST OF ' Nalwal Sell • o SIZING ON PLANS. Banat AWa 11,04161101111 • ' . ' •t' IL Roqultod Am ~ w IL MW Am AVAMW • f1• K• Leath • 1 it. 11 Standard Tables from Chow ILUR 83 widall • 16 are: used, indicate ?aib1W m IM un ut•btr For tM OiWibWitO Ntt>lOAt. UM Nta>wbtre tTISMA N TWncAq • • li. 1Z. ipady 11. IN-GROUND IRESSURE SYSTEM J. DbuN•INa Sywttls AGE STEM ~ 1. ONdt a LMOIIMt fatMM • N' • o 116 2. Ladedde" a Later 3. hrcotatlon Rate • 111111M' 6. Propottd Syma Eltwtka ~SYiltol s 1L S. Wastewater Load. TOW o,uy Flows SOL Uses. ILHA 83.15 L3) lc) , Y Advt. Cow &W rROV1oE A DETAILED RELATIONS SYST' M ,FtLI X r 4 T{Ot~S fW M`Aa`11A LIST OF SIZING 0101LANS. uG5 it Wit"So*To*Cwft• tale GF :~{~rcl Y F~ ~uI 6. Aitmos yt At" S,UV* V. 1 Cyaelty • I l ° / ~ e L ►o(colalbO Raw • 1111114111. Ana RoqukW • y. L 3. MA aorluWWt: Syean► Length • 1t. 0...r, Sy.ttnt wWtb • n' Vie owluG TANK 7. Distrlbutlon Pipe Sk&W- '~,J 1. Ily • M` hobs SW • 2. Matwlaclutoa Nols Spawn • A.1~ PYOtP McOtlhr:ltlttt' Lalttal Ltlw► • 11' 4. Pttttlp mum. l..te(rl Sl,o M' S. OM(80ft Nta/• IL Lalr(alllwtdtgt Ole I,iN.11tc~r Irtt11t aitlrwrM lu Nlpt We 4. tMw Rates YAI~ 7. Swty Sim Co11WInEt11 Ta11I1000 M Flt" A. awfutuo" Mpg ahbk rpt Raw n NYINM( u11MtMNM P4r .Lr IqM . _...VIL IIULWN4 ~AIIR...... 1 low ft( Pipe I. . C*M; * •1._ , MattiloW Si,Mlt: Z. M1Mwlaclwtt: '1 ype (o"" tx•tlblj ---5 A S"W Stet COttsMll bd To* now a fto Lee■ IL 41h Dlas>lttot • 'L M ' 5 9 5 3 6 02. °-1 -v" &L WFOWtM oN PLAM NIASEA S17-T31N-k18W taMm of Star Prarie lot #9-Wigwam ftres N ` SEWAGE SYSTEM BM- = top of adjoining well 0 el. 100' l~-L~w OYv~~ x 4 . , IONS STEtiLA/ PS o-,V D EPAR`N I" ,t,l~ t, U GNRE or, S; TY F,~'dD BUILDINGS i 4 z 13 r~~r 4 6 8 q- E taG;'I Sl+ M cF Z- 7- VVI. 3'l~zs D a T~ vy k ti6 tit z~~ ' ki 3 N r\ w C ~ o M vJ" / R /';r l / 774 cn' fl K~ ~''~,fir. C«.g~✓ j~~ _ ILI o ' {p' d r o ` ~L mot.. C1 b 0 sn. 04 ti N ST r.t tr ~ X• Ci'~ ~ c/v> ~r~~ ~~p - Owner U It m nl iz I v h~ pT s M \ fe~1 c 1 r~tr~ Gwa1 6,7-4 Go7s a a a 31602 Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe 33 • Sand H G Topsoil F i Force main plowed Lay" 6 t Slope Hed of ~lM~ZLJM , Aggregate Cross Section of a Mound System Using p Sed For The Absorption Area g_Ft. A Ft. G,... L...~.-Ft. B Ft. +t ~i '....lL_ Signed:_ L::- p~, License Ft. w Ft. Date: Uz 'r--'VVaAGE SYSTEM Own" Rr~ r i r L'PA II'31I; m RELATIONS ~1~v'i~ua U# S; r iY f;ia tL;~LDIuGS Alternate Position Of Force Main Observation Pipe • main Fotc A w of Distribution Pipe L Bed Aggregate. Observation F I Pips S i.3 r ' ' , Perwn!nt ^Marker 'plan Vi,wr of Ncku nsinq' a Bed !or the ~bsorpt . 9o5t 31602~' ' P494 1 CNN TE SEWAGE SYSTEM Perforated Pipe Detail ~l~ ; 4 RELATIONS JJ$ OF Sii~t P t' HivL ui;IL ",4 U $ )PorforeNd L ( ' i" Gee PVC Pla 6✓'i514i Il6. Notes L.oatod On Batt^ - e Am C"Nw ipeoed PVC Feree Mohr t PVC MoNfold Pipo • Altornoto Position Of pielrip dion Fora Main PMe Lost hole Should Be Nut To W Cop 9" Cop Distribution Pipe L~ o_ gout P Ft R S - X V p Inches'-. Y ly.-F Inches G ;Hole Diameter Inch Signed: - Lateral Inch(es) License Number: Manifold P ~i,, -Inches Date: Force Main Inches # of hot es/pipe 6 . Invert Elevation of Laterals-Ft. T4 or. ~~.w c. ni /A c l i Y-1 S [ 10/ 9L, 5, 7 6.10.4 __N4 SEPTIC TANK &*PUMP. CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE 6 JUNCTION HER PBOXF APPROVED 25' FROM DOOR, WINDOW O FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK & FINISHED GRADE 4" CI RLSER WARNING LABEL 7 6" MIN . _ ABOVE G ADE 4" MIN. 18 IN. 6" M CAE S-4 51' rT. s + INLET . t+IATE SEElLS 10 GAS- -T- TIGHT i A SEAL APPROVED 4++ " LE rT ALM JOINTS W/ CI O CI PIPE w14 B i PIPE 3' ONTO ON SOLID SOIL 31 ONT d ,Y-" b x ~ SOLID _ -,I FF ELEVr V. ~ RISER EXI SOIL C OFF ~ ~ ~ F D PERMITTED ON IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD ' SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: NUMBER DOSES PER DAY: C✓i.tr r a TANK SIZES: SEPTIC GAL. DOSE VOLUME INCLUDING DOSE S- GAL. FLOWBACK: 4=2;2:~ _ GAL. ALARM MANUFACTURER: ee _ CAPACITIES: A = -3] ~/z INCHES = 2 GAL -3 -1 MODEL NUMBER: 6)i_,tir' li 2 INCHES = /9, GAL SWITCH TYPE: rzjry B = c r~~r~n,cn,'s PUMP MANUFACTURER: oe t t /-2 INCHES = / GAL MODEL NUMBER : D = c INCHES = 314 GAL SWITCH TYPE: REQUIRED DISCHARGE RATE -j?' GPM PUMP ALARM WIRING AS PER ILHR 16.23 W VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . 2.5 FEET 4Zi FT/100 FT. FRICTION FACTOR . a.~ FEET + FEET FORCEMAIN X: TOTAL DYNAMIC HEAD = FEET , INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH ; DIAMETER LIQUID DEPTH S-01 919 4 f, t I ev. r SIGNED: z4~t-~ LICENSE NUMBER: 1yiPG~p~' DATE: Inn S95-31602 JAN 19 '94 01:45PM ABLE DISTRIBUTING CO 715 8486269 P.1/1. F HEAD/CAPACITY CURVE EFFLUENT- and DEWATEIRINIi wmKi o: "I in should not be gtblected to lea than so feet TDH. TWAL ~ ~ MIMM 0 R 1 •A i iR ~t ~ r s z N ~ u: u .N' 11 > 6qf~ % yam} ~ ti >7 is 1 1 it • 7r t1Y f+ v zr +r 31 100 30 05 28 00 26 65 24 75 186 p 12 70 v 20 65 tea 18 55 16 163 50 14 45 12 4 185 i Ja 0 3 169 6 25 6 161 15 16B 4 10 saa 2 5 4 13 139 ' x,59 a • U.S. GALLONS t0 20 30 7 80 00 100 Ito 120 1130 140 11,50 240 310 400 460 660 640 LITER 80 160 O F O W PER MINUTE antp- Fnr Hpad capacity on Model 112, Industrial column-explosion prooof pump, see F140210. JAN 19 '94 01:45PM ABLE DISTRIBUTING CO 715 8488269 P.1/1. HE (CAPACITY CURVE EFFLUENT' and DEWATEIRING wMKjNti: Mold in should not be ablectcd to ion than so teat TDH. OFLI UWA11irrim sus ~ a .r ..S 1 ,lit • 1'' fill, v 11 ~ k 17 N i+ t v. ft 1 W -11 11 ao <y s~ x t . a ~ ~ 11 s iT 7r ,/i• .r Ilr vrs: zr tr r IV W- IF 32 100 30 85 28 00 26 85 24 75 1B6 22 70 Q 20 65 165 %L AN 18 6 SS 183 16 5 14' 45 12 4 185 10- 199 3 8 ZS 6 20 161 15 188 4 10 oe 2 5 4 13 139 47- 758 ~ 0 U.S. GALLONS 10 20 30 7 80 a0 100 110 1 1 140 1150 160 LIT BO 180 240 3 0 400 480 560 640 FLOW PER MINUTE :h~ nn Mndol 112. Industrial column-explosion prooof pump, see FM0219. ~r r4V, ~a~, ,.t}~t r~~ s ?c Pt d ?»i ~ ♦ f fQ ~ f~* T~~:•, wit >,t'73~~` r s Pra;~,~~{Li+y~r»`,y{,~t'4? ~y~KbYT: t r vr~'z~ ' t F ~ I~ I .e ~~r ~sH t~~ra s'~aad~4h~ r r j,, ~ '}~Irn~~r hi2~ Y7Y~r S ~ ~ rf~A C•r. 3 t s ~ i I 1000, •i S~S }},,3 4 ~ TANK CATIONS CAPACITY. 1000/500 GALLON .00 r_ CONCRETE. STRENGTH: 5000 PSI REINFORCEMENT / COVER -#4REBAR TANK - 6x6110 GA. WIRE MESH \ DIMENSIONS WALL: 21/2" LENGTH: 1101, BOTTOM: 3" WIDTH: 93„ COVER: '5" BELOW INLET: 57" ' HEIGHT: 73" MANHOLE: 24" I.D. INLET AND OUTLET: 4" BORE WITH STOP FOR TYSEAL OR FERNCO GASKET A~ INLET AND OUTLET BAFFLES: P.V.C. *MEETS WI. D.I.I.H.R. AND MN. M.P.C.A. SPECIFICATIONS LIQUID CAPACITY: 19.65 GALIINCH (SEPTIC) 1000 GAL. 9.94 GAL/INCH (PUMP) 500 GAL. L w .a ~ 'I 4 r WEIGHT: 12,400 POUNDS - x602 MODEL WCT-1500 10001500 Combination Tank MIENER 1111RETE Rt. 2 (Hy 10) Maiden Rock, WI 54750•(715)647.2311 *ft d rY i'rryY ` 'w. t ~ . ►a,. c,,S i.4r'.G, !`I+i Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations C4sion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1 ches in size. Plan must include, but not limited to vertical and horizontal reference nd % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and, St 038-1147-90 ` REVIEWED BY DATE APPLICANT INFORMATION-PLEA RINT XJ;L FOR N PROPERTY OWNER: PROPERTY LOCATION i; Thomas Burke GOVT. LOT NE 1/4 SE 1/4,S 17 T 31 N,R 18 i~ (m) W ; "PROPERTY OWNERS MAILING ADDRE ,_~J LOT # BLOCK # SUED. NAME OR CSM # 22(5 St. Stephens St. r._ 10 C Wigwam Shores CITY, STATE ZIP CODE PHONE N, , ` ❑CITY ❑VILLAGE ,1'OWN NEAREST ROAD Roseville, M. 551,13 j 61 633-51 33 Star Prarie 100th. St. [ New Construction Use [x Residential / Nuimber'-dbedrboms 3 [ ] Addition to existing building (J Replacement (J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft2 .6 trench, gpdtft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2.5 _trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.00 ft (as referred to site plan benchmark) Additionai design / site considerations na Parent material stream terrace Flood plain elevation, if applicable na ft S _ Suitable for s CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for tem stem ❑ S fRU I NE S❑ U ❑ S ®U ❑ S A2U I ❑ S NO U ❑ S jaU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence IBotftday Roots Bed (Trend 1 1 0-9 10 r3 3 none sl 2m r mvfr aw 2f .5 .6 2 9-20 10yr4/3 none sl 2mgr mvfr 9w if .5 .6 Ground 3 0-29 7.5yr4/4 none scl 2msbk mfr 9w na .4 .5 elev. 100, ft. 4 29-55 7.5yr4/4 c ?1.5yr5/8 scl lfsbk mfr na na .2 1.3 Depth to limiting factor Remarks: Boring # mvfr 2f .5 .6 1 0-9 10 r3 3 none sl 2mar 2 2 9-27 10yr4/3 none sl 2mgr mvfr gw if .5 .6 3 7-37 7.5yr4/4 none sicl lfsbk mfr gw na .2 .3 Ground elev. 4 7-67 7.5yr4/6 f2f 5yr5/6 sicl 2msbk mfi Ina na .2 .3 100,4 ft. Depth to limiting factor 37" Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 200th. Ave., New, Richmond, WI. 54017 Signature: 7-1-94 Date: cstm02298 CST Number: PROPERTY OWNER Thomas Burke SOIL DESCRIPTION REPORT Page 2 00 _ l PARCEL I.D. # Boring # Horizon) Depth Dominant Color Mottles Texture I Structure Consistence ~Bourda y I Roots Bed DT/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. :`VW 1 0-9 10yr3/3 none sl 2mgr mvfr 9w 2f .5 .6 3 I's K,....... 2 9-27 10yr4/3 none sl 2mgr mfr gw if .5 .6 Ground 3 27-38 7.5yr4/4 none scl 2msbk mfr 9w na .5 .6 elev. f 2 f 99.25 ft. 4 38-60 7.5 r4/4 5yr5/6 scl lfsbk mfi na a .2 .3 Depth to limiting factor 3811 Remarks: Boring # KY Ground elev. ft. Depth to limiting factor 7-7 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. 1 ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PROPERTY OWNER Thomas Burke SOIL DESCRIPTION REPORT Page 2 of3 PARCEL I.D. I Boring # Horizon Depth (Dominant Color Mottles (Texture I Structure Consistence (Bou bay I Roots GPD/ft in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrerx~ 2.. 1 0-9 10yr3/3 none sl 2mgr mvfr gw 2f .5 ; .6 3 I r%N 2 9-27 10yr4/3 none sl 2mgr mfr gw if .5 .6 3 27-38 7.5yr4/4 none scl 2msbk mfr gw na .5 ~.6 Ground elev. f 2f 99 It. 4 38-60 7.5 r4/4 5yr5/6 sc1 lfsbk mfi na a .2 .3 Depth to limiting factor 381, i Remarks: Boring # I »ri Ground elev. ft. Depth to ln*ng factor Remarks: Boring # hiv {~K Ground elev. ft. Depth to limiting factor Remarks: Boring # N~i'{vVn\4 Ground elev. I ft. Depth to i limiting factor Remarks: non nnnn.n nrno y STEEL'S SOIL SERVICE Gary L. Steel Thomas Burke 1554 200th Ave. CSTM2298 NE4SE4 S17-T31N-R18W New Richmond, WI 54017 MPRSW 3254 town of Star Prarie (715) 246-6200 lot #10-block C-Wigwam Shores I N 1"=40' BM=top of SW lot stake at el.100' Z -71 S 1 Z~ 1 17o s- ro Gary L. Steel 7-1-94 r STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER S4g- vEN W mow, o s~~.. 64 ►4ci L'e--,,i C-_ l C ~o MAILING ADDRESS =7 sit o S ~/yam PROPERTY ADDRESS rte,C ~n o'er O ~Qw y~, 0.1 S Q (t a w y (location of septic system) Please obtain from the Planning Dept. CITY/STATE 1~ dl S~ ~(LA ~tks~ I.y~ PROPERTY LOCATION 1/4, S 1/4 Section ~ T__ &-N-R g W ' TOWN OF S-I- Phi ST. CROIX COUNTY, WI SUBDIVISION W\OAW\ S ruQ Qi u c~I< LOT NUMBER 9 1 CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Qthe undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. owner of property ompSor. w-►tid I'VIA-2c.ewt o kv ?-&a,~ S"~'EyErJ W. I~ ~G. ~t Location of property_j,-"- 1/4 1/4, Section TN-R~W Township 54na P► A-i k i.Q. Mailing address Q o . Box Y(oa Lim- .2/ yZm , Address of site /-,DT 4 S A t~ lv. S f,~ r. ~4r►e ci w Subdivision name w hart ocK C- Lot no. 9 E a Other homes on prope y? Yes_X__No Previous owner of property k"'« s Gia O( Total size of property 9(.0 CvCtitA Total size of parcel 9(e a'CA ± I Date parcel was created b~~r. J-97(- Are all corners and lot lines identifiable? --X-Yes No Is this property being developed for (spec house)? Yes A No Volume Ml f and Page Number 317 as recorded with the Register of Deeds. ; INCLUDE WITH THIS APPLICATION THE/FOLLOWING: / i c~k / III A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statemen on t orm are true to the best of my (our) knowledge that I we am are the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the Count egister of Deeds as Document No. !3 (o v ")8 and that we presently own the proposed site for the sewage disposal sy m or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. U (Z) no CU Signature of App icant Co-Ap icant Date of Signature Date of Signature 1 State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES West Central Region Headquarters Tommy G. Thompson, Governor 1300 W. Clairemont Avenue George E. Meyer, Secretary PO Box 4001 WISCONSIN Scott Humrickhouse n ctor Eau Claire, Wisconsin 54702-4001 DEPT. OF NATURAL RESOURCES , TELEPHONE 715-839-3700 FAX 715-839-6076/1605 r - TTY 715-839-2786 November 25, 1997 IN REPLY REFER TO: 3300 s cR~ r Steven W. and Marlene K. Thom son ~ tAc'o C p ~o. Private Well 2142 Shore Drive St. Croix County Somerset, WI 54768 SUBJECT: Request for Variance to Well Code Dear Mr. and Mrs. Thompson: The Department of Natural Resources, West Central Region, has reviewed your request for a variance to the requirements of Chapter NR 812, Wis. Adm. Code. The location of the property for which the variance was requested is 2142 Shore Drive, Block C, in the NE 1/4 of the NE 1/4 of Section 17, T31N, R18W, Town of Star Prairie, St. Croix County. The section of NR 812 for which a variance is requested is NR 812.08(4)(c)1 which requires that a well be located a minimum of fifty feet from a soil absorption unit. The after the fact application was made because a soil absorption unit was constructed within 50 feet of a private well located on the Newburg property at 2146 Shore Drive. Based on a site inspection by Water Supply Specialist Tim Hanson the toe of the soil absorption unit mound is located 30 feet upslope of the well on Newburg property at 2146 Shore Drive. According to Mr. Hanson's reportthere is sufficient area on your property to meet the 50 foot separation distance required by NR 812.08(4)(c)l. VARIANCE DENIED Your request for a variance to the above referenced section of NR 812 is hereby denied. By October 1, 1998 The non-conforming soil absorption system shall be removed and the toil absorption unit that replaces it shall be located a minimum of 50 feet from the well on the Newburg property at 2146 Shore Drive. I am providing a second copy of this variance denial letter to so that you can give a copy to the individual that installed the soil absorption unit. Quality Natural Resources Management Through Excellent Customer Service R-Y" bw Steven and Marlene Thompson - November 25, 1997 2 NOTICE OF APPEAL RIGHTS If you desire to challenge this decision, you should know that Wisconsin statutes and administrative rules establish time periods within which requests to review Department decisions must be filed. For judicial review of a decision pursuant to sections 227.52 and 227.53, Stats., you have 30 days after the decision is mailed or otherwise served by the Department, to file your petition with the appropriate circuit court and serve the petition on the Department. Such a petition for judicial review shall name the Department of Natural Resources as the respondent. To request a contested case hearing pursuant to section 227.42, Stats., you have 30 days after the decision is mailed, or otherwise served by the department, to serve a petition for hearing on the Secretary of the Department of Natural Resources. The filing of a request for a contested case hearing is not a prerequisite for judicial review and does not extend the 30 day period for filing a petition for judicial review. All hearing requests must be made in accordance with s. 2.05(2) Wis. Adm. Code, and must identify the grounds for the petition and the desired modification or change to the order or variance and include specific information demonstrating the following: 1. The substantial interest of the petitioner which is injured or threatened by injury by the Department action or inaction. 2. That there is no evidence of legislative intent that this interest is not to be protected. 3. That the injury to the petitioner is different in kind or degree from the injury to the general public caused by the Department action or inaction. 4. That there is a dispute of material fact. (You must specify the disputed facts.) Steven and Marlene Thompson - November 25, 1997 3 This notice is provided pursuant to section 227.48(2), Stats. Sincerely, V~ James E. Boettcher Hydrogeologist c: Larry Schaefer - WCR James Boettcher - WCR Tim Hanson - WCR Private Water Supply - DG/2 Leroy Jansky - Department of Commerce, 13 East Spruce Street, Chippewa Falls, WI 54729 Newburg - 2146 Shore Drive, Somerset, WI 54025 Zoning Department - St. Croix County Government Center, 1101 Carmichael Road, Hudson, WI 54016-7710 SAFETY & BUILDINGS DIVISION F 1340 E. Green Bay Street Suite 300 Shawano, W154166 State of Wisconsin Department of Industry, Labor and Human Relations November 22, 1995 1340 East Green Bay Street Heidi M. Ferguson Suite 300 Wastewater Specialist Shawano, WI 54166 PO BOX 309 Hortonville, WI 54944-0309 (414) 779-4818 7:45 AM - 4:30 PM WILSON PLIM RING 410 HWY 46 AMERY WI 54001 RE: PLAN S95-31602 FEE RECEIVED: 180.00 THOMPSON STEVEN NE,SE,17,31,18W TOWN OF STAR PRAIRIE COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. However, it cannot be processed until the following additional information is provided: - An onsite report signed by the county verifying the soil test report. The area used for the mound system exceeds the tested area. All I need is confirmation from the county the positioning and soils on said parcel are suitable for extending out past the tested area. Submittals to this office that require additional information will be held for 3 months. An appointment must be scheduled for the additional information that will be submitted for review. If the requested information is not received during the 3 month period, a determination will be made based on the information that is on file. Attached you will find a second copy of this letter. Please retain one copy of the letter and return the second copy with the materials we have requested. Unless otherwise noted, please return two (2) sets of the additional information that has been requested. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Since ely, Heidi M. Ferguson Wastewater Specialist (414) 779-4818 7:45 AM - 4:30 PM C G. S-r Cj.6 1 )C 2__Z>Vj AJb - C mo`''t- SBDA-5524-SHW (R. OWN) 10-19-1995 4:43PM FROM GARY L STELL 715+246+6200 m%mruln uepatmwnt at Inausuy. P. 1 Labor and Human Relaborn SOIL AND S l tI~ E V A L U AY I O N REPORT Page 1 of 3 Dlviswn of Safety a auildinp In accord With ILHR 83.05, Wis. Adm. Code LINTY Attach complete Bute plan on paper not less than B 112 it 11 inches in size. Plan roust include, but St. Croix not limited to vertical and horizontal reference Point (13K, direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. PARCEL I.D. N 0313--1197-90 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION fli:V1EWi:0 BY - OATE FP PERTY o etna~-eke v h PROPERTY LOCATION Tt- k. GOVT. LOT NE 114 SE v4 17 T 31 RTY O YVNERMAII_INt3 ADDRESSN.Rlg J$() W tL a~ti~ LOT t 8LO -r SUBD• NAME OR CSM # ~f . ` 6 V ~-t-- Wigwam Shores Va CITY, ~_Of)E PHONE NUMBER ~--yazr( 61~~t~n 4';;Nr~ ❑Ci'fY VII,tAG OWN NEA ST ROAD Star Prarie 100th. sir, 1 New CanstructIon Use 14 Residential ~ Number of bedrooms 2-3 t 1 Replacement 1 I Public or commercial destxibra 1 ) AddiOon to existing building Code derived daily Raw ~ 450 mod Recwin;endeQ design {oatlin rata • 5 2 .5 Absorption area rcrqulred 375 bed. n2 3'75 2 ~ ximtun g ----avd. 9th trdnch, gpoltt2 Reoomrnsnded Infiltration surface erovatgn(s) .10;~, 35 design loading rate . bed, 9~2_ • 6 trench, ~p~ ,.•ft (as referred to $ite plan benchmark) ACdiliOnal design I site considerations sysLdm el . based on contour 1 iria of 100.35 ' Parent material Lac 1 dri f L Flow plain ejovation, if appilmle na n $ = Suitwe ftN system cONVENTIOM114 MOUND IM D PRESSURE ~tS Dh U S TEM IN FILL U. UnstlltdDtrt for system I0 S (;11 U+ S U S 1 U ~ r Dlrxa T nc CCU ©S ® U SOIL DESCRIPTION REPOnT Boring +el Horizon Depth Dominant Color f An. Munsell ottles Texture Structure 'PI), Qli• Sz. Cant Color Gr. 5t. Sh, 'nnststen°e y Roots t 10yr3/3 nono 8t:d rer>a t3 s. 2 1 mvfr »«c;•H+~ 2 7-2 0}'r4/4 none 1 2m r ZP .5 S1 2mgr mvfr gw if .5 .6 Ground 3 22,34 7.5yr4/4 none - sCI 2msbk mfr gw 1g .4 . elev. 4 34-72 7.5yr4/4 f2 f 7.5 5 10p •g yc5/8 scl 2msbk mfi na na Depth to . 4 . S actor 34" i Remarks; flaring ly 1 0-9 10yr 3/3 none 2 2 9-30 1 _ S.1 2mgr trtvfr gw 2£ .5 `.6 0yr9/4 norler S1 2mgr Mrr 1w if .5 '.6 3 30-•55 7.5yr4/4 n012e wet Ground scl 2msbY, mfr na na .4 •5 DOM to Ifmttlrtq 30" y, C7 Remarks: fi Alamo;- Please Print , Cary L. Steel Phone: ~tldress: 715-246- 6200 1554 200th Ave.. New Richmond. WI. 54017 DarF r.CT N~ 4gr1r• 10-19 1995 4.44PM FROM GARY L STEC-L 71 S 1246+6200 F, 1 r"Lw&.nj. vttncn ~ bUlL Ul:bk; llj i IUH HLPIJH I Page ,PARCEL1D.x 038-1147-90 --~J Boring # Horizon DLAtt1 f Dominant Color MOWS + Structure in. I Munsall Vu. Sr, ~,,,t Color Texture I Cor>si5tence go~,y Roots 4 P D/}t Gr. Sz. Sh. 1 0-10 10 r3 3 Trendy none s1 2m r tnvfr :14 2 10-34 10yr4/4 none 2f .5 .6 sl 2mgr my fx gw if .5 ~ .G Ground 3 34-40 7. gyro/4 none S1 2Mbk mfr IV- 9w na, .5 ~ .6 98 8IV- ft, 4 40-72 7.5yr4/4 C2p 7.5yr4/6 s1 l fgbk mfr nn na .4 .5 Depth to kAng - - 3411 fZemarks: Boring # Ground elev. ~ , It. Deplh to - Wang factor Remarks; Boring # ' s;rt+~iwW:N! :.MwMwnwe,Y, Ground elev. h. Depm ro timitinQ factor Remarks: BotiAO?~l :.k' 'i•il:i«T Ground elev. it. Depm to Wong facia 1 Remarks; seas~~~•a.os~at i 95 09:09 ID:BANK OF SOMERSET FAX:1-715-247-5155 PAGE 3 10'19-1995 4:4SF'M FROM GARY L STEEL 715+246+6200 r STEEL'S SOIL SERVICE Gary L. Steel Thomas Burka C;STM2298 1554 200th Ave. MPRSW3254 town n NOw of S Star ar Pra Prarie New Richmond, W( 54017 1 lot #9-Wigwam Shores (715) 246-6200 N 1"u401 BM.= top of adjoining well A el. 100, S G l/ ~/~D7-►? S dv 1/ o> t3 Dom! 4 6 s o, ~.-n s L- T VV/' S G ZS 1 i aQ Ci ~ .o ~ C a~ a ~L h Gam'' 7-Z7 -91 S9 5 ° 3 1 0 0 2 • Thomas Buxke NhASW4 S17-T31N-Rlaw town of Star Prarie 10t #9-WigWM Shores N ` 1"ag01 BM- = top of adjoining well 0 el. loot ww 01NAA&7c 7,c-,v G 4'Z? r~,,vy. 6 g~33 ,P 0 ~ a 0-g 4 6 ~ oM ~xs L T VV I. 3'~ ~ zs D A r~ ~ k 1 y 5ti1 ' 43, ` iL t4crrti ti • _ ~ (Gwas baT< <oT.s o S95 -91602 r,, ~ s HOLDING TANK SERVICING CONTRACT Cbntr3ct Date be ` (:k 1949 This contract is made between the - - - - - - - - - - - - -p - - - - - - - - - - - - - - - - - - - - - Holding Tank Owner(s) Name(s) and I Pum er's Name S4NI W _r~%o „V.RSotn I Yy1.4 E K . i L4 We acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal description:) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality", which ha: signed the pumping agreement required in Ch. ILHR 83.18 (4) (b), Wis. Adm. Code and with the County of S"+. QAo 1'Y 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and tc enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pa\ the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18 (4) (b), Wis. t, +m. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agree: to include the following in the semiannual report: a. The name «nd address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4, 1 ':c-i ag, t, it `v : -c:rn.ain in effect until the owner or pumper !E- of..ia-.es :iris contract. in the event ut a change in this co,itract. the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) (0 er's Signature(s) I s4mvvw W Subscribed and sworn to before me on this date: I 4ZL4, - - Pumper's Name (Print) I Pumper's Signature r , Notary Public ®tf1sj,et ires: Pumper's Registration Number 0 omega PUB0 SBD-7574 (R. 09/88) This instrument was drafted by the St ~of oggonsip. ® ent of Industry, Labor and Human Relations t: W :ice= , . dn-lnDepartmentofIndustry, HOLDING TANK AGREEMENT Safety and Buildings Division ~-iy Fi r and Human Relations Bureau of Buildings and Water Systems Document No./ Plan Identification No. This agreement is made between the This space reserved for recording data governmental unit and holding tank Agreement Date owner(s) County or Local Governmental Unit Holding Tank Owner(s) S-MvevJ W l rlo vv. Q S o h (called Munici li below) rv~ tt"t~! & K 7-iLo "'"Q S., We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description) Return To or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage- Also, the property cannot now be served by a municipal sewer, or any c.her type of private sewage system as permitted under Ch. ILHR 83, Wis. Adm. Code, or Ch. 145, Stats. As an inducement to the County of S+ C^,0 I _ to issue a sanitary permit for the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. ILHR 83, Wis. Adm. Code relating to holding tanks. If the owner fails to have the holding tank properly serviced in response to orders issued by the municipality to prevent or abate a human health hazard as described in s. 254.59, Stats., the municipality may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s_ 66.60, Stats. 2. The owner agrees, pursuant to s. ILHR 83.18 (10), Wis. Adm. Code, to have installed in a new building or new structure a water meter approved by the County and State. The water meter shall be installed by a plumber authorized by the State to conduct such installations, with said installation complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase, installation, maintenance, and repair of the water meter, and agrees to allow the municipality to enter the above described property on a regular basis to read and/or inspect the water meter. 3. Owner agrees to pay all charges and cost incurred by the municipality for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The municipality shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner, except as provided by s. 146.20 (3) (d), Stats., agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to file a copy of the contractor the owner's registration with the municipality. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the municipality within ten (10) business days from the date of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch_ NR 113, Wis. Adm. Code, who shall submit to the municipality on a semiannual basis a report in accordance with s. ILHR 83.18 (4) (a) 2., Wis. Adm. Code, for the servicing of the holding tank. In the case of registration under s. 146.20 (3) (d), Stats., the owner shall submit the report to the municipality. The municipality may enter upon the property to investigate the condition of the holm,! tank •vhen pumping reports and meter readings may indicate Viat the held;-g *ank is not being properly maintained. 6. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private sewage systems certifies that the property is served by either a municipal sewer or a soil absorption system that complies with Ch_ ILHR 83, Wis. Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit the agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owner(s) Name(s) - Print No iz Owner(s) Signet re S W Subscribed and sworn to before me on this date: a CAA / E < _F~ 19 o ry Public Municipal Official Name - Print Muni "pa Offical Signet re e • TA F1 it W. My commis pires- 1,71 • Munici al Official Title Print • • -mil • P • d- -c Co. ® O The information you provide may be used by other government agency programs IPrivacy L ~V2tTV-11 SBD-6123 (R. 04/94) 1~~ • ~I - I State Bar of Wksconsi.l Form 2 - 1982 G~ i !I WARRANTY DEED DOCUMENT NO. 7 1 V1 s^yyv!! Eugene M. Burke and Thomas G. Burke as ~ ti_nants in cormon,' 9:30 A~.j conveys and warrants to _ Steven Thompson and- Marlene. Thomponz husband and wifeL ! /t7 THIS SPACE RESERVED FOR RECORDING DATA - NAME AND RETURN ADDRESS l EQUITY TITLE SERVICES the following described real estate in _ St. Croix _ 400 SOUTH SECOND STREET County, State of Wisconsin: HUDSON, WI W16 i (rarcel Identification Number) 1 Lots 9 and 10. Block C, Wigwam Shores, Star Prairie Township, according to the I~ recorded Plat thereof on file and of record at =he Register of Deeds in and for ` St. Croix County, Wisconsin. 1 t 1 1 Located within. the Southeast 1/4, Section 17. Taanship 31N, Range 18W. ii Togethtar with a nonexclusive easement for ingrca and egress ovar that part of the private road shown as Teepee Trail on the Plat of Wigwam Shores, more gully described as followsz beginning at the North-South town road, lying Easterly of said Plat, thence Westerly on Brave Drive tea Teepee Trail, thence Northerly i along said Teepee Trail to as Easterly extension of the North line of said Lot 9, the point of termination of said easement. T s~ER ~ i This is not homestead property. (is) (is not) Exception to warranties: 1 H ' Dattd this _ C day of - October 1995 I w- (SEAL) - t A. - (SEAL) i Eugene M. Burke Thouas G. Burke _ (SEAL) (SEAL) ~i AUTHENTICATION ACKNOWLEDGMENT A Signature(s) STATE OF WISCONSIN ss. County. authenticated this day of 19- Pltywsally came before me this day of Y Ck-rnber , 199-5-- the above named I 'Eugene M. Burke and Thomas G. Burks i I • _ n TITLE: MEMBER STATE BAR OF WISCONSIN - (If not, authorized by §706.06, Wis. Stats.) Diane Barr o tae I:mo~o to be the person s who executed the Notary Pub i Wisco %jffwg iasttument and acknowledge the same. ii THIS INSTRUMENT WAS DRAFTED BY State of ~ t - - Kristinal0gland W/~-~ r. L i Attorney at Law - ignatures may be authenticated or acknowledged. Both are not 1vrtnmL is on is pe A. n t. (If no , state a:pCai my Wye necessary) 19 'Names of perams signing in any capacity should he typed x ported Mo. thoir signalure 1 it WARRANTY DEED STAI E BAR OF 'A ISCO:4^ Wlsconsln Legal Blank ca- Inc FORM No. 2 - 141V 4tllsrtaukee. W-s FAX AMA ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016 (715) 386-+4680 DATE: 1 1- - q g TO: Fax Number: Name: OLY641A- FROM: Fax Number: 38866-,4686 Name: ~'kJ l / 1 d JC- Number of Pages Including Cover Sheet: IF COMPLETE- AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: C~ Y ~-a U TELEPHONE NUMBER: -1 y1v FAX ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WW 54016 (715) 386-4680 DATE: I/ - 3- q 9 TO: Fax Number: q5;'14 1,,4S;- - g Name: aas-, - 6.9, 4 , A FROM: Fax Number: 386-4686 D Name: QnXA Number of Pages Including Cover Sheet IF COMPLETE. AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME TELEPHONE NUMBER.- wijjconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor,svid 1-10man Relations S fefy and Buildings Division INSPECTION REPORT ST. CROIX ` GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑❑A~Town o : State Pla THOMPSON, STEVEN 7C CST BM Elev.: Insp. BM Elev.: JBM Description: Parce Tax No.: 00432 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS EL r Septic Benchmark ' Dosing A6 >1 g:t&n 6W a &L , 16. f . 3. le Aeration- Bldg. Sewer a ' Holding St / jWt Inlet S 9 , 58 TANK SETBACK INFORMATION St/ IiiK Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Airlntake Septic NA Dt Bottom P27¢" Dosing NA Header. Aeration Dist. Pipe a-2,1 Holding Bot. System 3 PUMP / gPHO 'INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift F Loss riction System TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of renches PIT No. Of Pits Inside Dia q h DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAK LEACHIe=` } SETBACK INFORMATION TypeO ILJL - CH ER Moe Number: System: > UNIT DISTRIBUTION SYSTEM / Mani old 1 Distribution Pipe(s) x Hoe Size x Hole Spacing Vent To Air Intake Length Dia. ~ Length .22~ Dia. ~ Spacing S~ D SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched a Qa~ Bed /Trench Center Bed /Trench Edges Topsoil Yes ❑ No ❑ Yes ❑ No a COMMENTS. (Include code discrepancies, persons present, etc.) LOCATION: Star Prairie.17.31.18W, NE, SE, Lots 9 & 10 &4~ a.-;6 tdl-d If tX4 Cy C6~41 c' Plan rev=requre ❑ Yes ❑ No Use other side for additional information. [T1 I r~ 5BD-6719(R 05/91)A ^ Date Inspedor'sSignatur'P "Cert. %Ry ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: J t . , i_ z v s E ~ F E . , • , i I f 8 i S x 4 S x • d € t € I i ~ ~ d. f ~ y i F • { 4 t i ALE 1 ST. CROIX COUNTY WISCONSIN k.~ ZONING OFFICE r r pit a I n n ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road _ Hudson, WI 54016-7710 - (715) 386-4680 November 6, 1998 Remington Law Office Attn: James T. Remington 126 South Knowles P.O. Box 177 New Richmond, WI 54017 RE: Steve Thompson Dear Mr. Remington: Today we received your letter requesting a copy of the file for Steve Thompson's septic system. Enclosed please find a copy of the file. Please let me know if I can be of any other assistance in this matter. You may contact me at the above number between the hours of 8:30 a.m. to 5:00 p.m. Monday through Friday. Sincerely, es K. Thompson Zoning Specialist Enclosures REMINGTON LAW OFFICES James T. Remington* Judith A. Remington 126 SOUTH KNOWLES, P.O.BOX 177, NEW RICHMOND, WISCONSIN 54017 ATTORNEYS-AT-LAW *Also Licensed in Minnesota Telephone: 715/246-3422 Facsimile: 715/246-2650 November 5, 1998 fJt ! t . r, Mr. Jim Thompson St. Croix County Zoning Office r>or~ St. Croix County Gov't Center ofi~ct 1101 Carmichael Road Hudson, WI 54016 RE: Steve Thompson 2142 Shore Drive Somerset, WI 54025 Dear Mr. Thompson: Please be advised that this office represents Steve Thompson with regard to a septic system that apparently needs to be moved. Please send me copies of your entire file, along with a bill for copying charges which I will promptly pay. There is some question regarding insurance coverage in this matter. Hence, the date the problem was discovered is an important fact. Please let me know when this problem was brought to your attention. Sincerely yours, REMINGTON LAW OFFICES James T. Remington JTR/sk cc: Steve Thompson