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008-1031-90-025
St. Croix County Planning and Zoning fT'ednesday, March 28, 2007 at 4:54:16 PM Detail Sanitary Information Page 1 oji Computer #: 008-1031-90-025 Sub/Plat: metes & bounds Section: 11 Parcel #: 11.28.16.165A Lot: TN/RNG: T28N R16W Municipality: Eau Galle, Town of CSM: 1/4 114: NE 1/4 SE 1/4 Owner: Jacobson, Walter 442 County Road B Woodville, WI 54028 State Permit: 395210 Issued: 08/20/2001 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 10/01/2001 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Rod Eslinger >4/1/00 -Not Required Aaby, Steven 40 acres minus CSM 18/4753 lots 1, 2, 3 $0.00 Jon Sonnentag Signed Off: Yes Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/1/2004 6/20/2004 04/01/2005 6/20/2007 Parcel #: 008-1031-90-025 o3i2si2oo7 04:53 PM PAGE 1 OF 1 Alt. Parcel #: 11.28.16.165A 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 05/25/2004 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - JACOBSON, WALTER R & DORENE WALTER R & DORENE JACOBSON 442 CTY RD B WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description ' 442 CTY RD B SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 11 T28N R16W 40A NE SE EXC CSM Block/Condo Bldg: 18-4753 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-28N-16W NE SE Notes: Parcel History: Date Doc # Vol/Page Type 10/01 /2001 657836 1728/403 EZ-U 07/23/1997 885/113 07/23/1997 831 /12 07/23/1997 424/140 ~nn7 c~ iMMeRV Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class RESIDENTIAL G1 AGRICULTURAL G4 AGRICULTURAL FOREST G5M Totals for 2007: General Property Woodland Totals for 2006: General Property Woodland Last Changed: 08/04/2005 Acres Land Improve Total State Reason 3.000 24,500 212,100 236,600 NO 4.000 300 0 300 NO 9.715 7,000 0 7,000 NO 16.715 31,800 212,100 243,900 0.000 0 0 16.715 31,800 212,100 243,900 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~~ ~ -i of v~f,3consin Department of commerce SOIL EVALUATION REPORT Page ~ of `division of Safety and Buildings •• in accordance with Comm 85, Wis.. Adm. Code ._ .. ~~ _~. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must _ ~ ~~ ~ C~LI inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C~8 - l0 3 I _ q p ~~ Please print all information. Re ' we Date Personal information you provide may be used for. secondary purposes (Privacy Law, s. 15.04 (1) (m)). _ ~ 3 Property Owner Property Location ~C L.~~1Z -~ 'R'~~ Sp ~ C,ovt-get- (V ~ 1/4 S E 1/4 S t ~ T Z ~ N R 1 ~j E (o W Property Owner's Mailing Address , ~ ~ ~ 1 r~u~~ ~" t Block # - Subd. Name or CS # i~ ~7 ~ City State Zip Code Phone Number 1-vbo~v~t_~~ ~/I S~U~ t~ls) 6~1~'_Z63o ity ^ Village ®Town Neare Road ~U Gfl-~.L~ C:`t~' Q`, ® New Construction Use: ® Residential / Number of bedrooms ~_ Code derived design flow rate '~ 0 ~` ` , ~'~, GPD ^ Replacement ^ Public or commeraal -Describe: Parent material G L.Y~'rC1 }~- L pU~"1.J ih 3 }~ Flood Plain elevation if appligble ~ . ~:• _ ~ .ft, General comments and recommendations: 'N1() V ti~ Lv / 9 ~ ~ (~ 1 ` ~ \ S~ZI BUS ~ Cll.. ~ ',; wi t ti l~v~ 6 't D}- s ~ Ft L..r_ , U%9-~~ . ~ ~ ~Y~' r ~' "', cv e~'~~ R. ~ZNV 9. q _ 3 G `~` I Boring # ^ Boring _, -! ®Pit Ground surface elev. ~~• Q fL Depth to limiting factor 3 ~ in. k • ` ~~~ '°- 6Application Rate ' Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GPDfft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ 4- ~ lo~l tZ 3 L z . ~ _' ~ s i I '2_. s b k wt's ~-S ~ ~ • S - 6 Z q -3 0 ~o`~~t S 1 ~ - ~` 1 es bk rn v~Fv, es - - ~ . ~ ~ ~o~SD to~rz~16" ~1.-F ~.S ~r R-s~~ ~ ~ I o~ rn "v-C->,• - . 3 •~ s ~~ r 33 " ^ Boring # ^ Boring ® pit Ground surface elev. ~ ~ •9' fL Depth to limiting factor 3 ~ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 •Eff#2 1 o q ~o`t tz31 z - s t 1 Z`~sb k -~v+-`Pt, ~S l~ . S : ~, °I - 3 1 1 bK YZ ~l 1 - S 1 ~ d1z wt V'Q1- e-S - . -1 1. Z 3 ~i-~, Z o`trZs16 c1~ ~.S ~f,rZ sL~ o~ w1 v `~i- ~ - + ~ - 6 S ~~~ ~T 33 ~ 'Effluen t #1 = BOD. > 30 < 220 mglL and TSS >30 < 1 50 ma/L ' Effluent #2 = BOD _ < 30 me/L and TSS c 3n mn/L CST Name (Please Print) Signatu CST Number . Arthur L.` tJegerer ~,!'~-i~ d l-10~- R 220254 Address W e g e r e r Soil Testing & Design S e r V ]. C e Date Evaluatlon Conducted Telephone Number 421 ;<~T. )'-lain St. River Falls, tJI 54022 S -11-01 715-425-0165 T ,l ,~ ~. Property Owner '~ ~~~~ SOIJ Boring # ^ Boring ® Pit Ground surface elev. ~q- S ft. Depth to Iimitina fartnr 3 ~ ~.. Page ` Z of 3 Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft' n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0 -t2 Lo~trZ 3 l -z. ~- sZ ~ Z`F~bk. mkt- ~ 1~ , s . g Z tz_3 I t.oy rZ Y~ b - ~, g 1 esbtz m v~Ft- c S - . ~ 1. Z 3 l-~lS lU `BIZ Std CL~ ~.S`it.Z51g `Fs C~-~+ ht V`Pt- -- . `j 6 S /~ G ~' ~ Boring # ^ Boring ~C Pit Ground surface elev. ~4 - 9 tt_ np~rr, -~ it..,~ec ............. ~ Z Horizon Depth In Dominant Color M Redox Description Texture ' Structure Consistence Boundary Roots Soil Application Rate GPD/ftz . unsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Etf#2 ~ 0-tZ. tOy tz .~1 ~ s~ 1 Z`{la bh. vet. es 1 ~ • S , 8 ; Z t-Z-3 Z LOy li yj6 1S ~,CS~ m U`~1-- C S - •'~ ~. Z 3 3Z-~ loY2 51 L cl~~.s~~. s113 `~s ~~ m v~- - • U . ~ S ~f~G Er ~. ~~ ~i ^ Boring # ^ Boring S ®Pit Ground surface elev. 1 ~b • d ft, Depth to Iimitina factor 3R tn_ ' Horizon Depth i Dominant Color M Redox Description Texture Structure Consistence Boundary Roots Soil lication Rate GPD/ft' n. p-1 Z. unsell 1 ~ytz_ 3 L 2 , Qu. Sz. Cont. Color ~ ~ ~ s i 1 Gr. Sz. Sh. Z`Fs 6)-z Yv1'~h ~S l`F •Eff#1 . S •Eff#2 . ~ Z ~z-38 ~.s y 12.3. - s tesb>z m U'~- eS. .. , `T 1.2 3 ~-4S ~o~ttzs~b c~~. ~-s~trz s!$ s o~, mv~F>• . ~ . 6 s ,7- s " • Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-31 S 1 or TTY 608-264-8777. SBD-8330 (86/00) .+~- ~ /~o 8~y~tt-Z ,_ \~g.y\ Pale 3 of 3 ! !b ~dV ~9 s 'c" \ S\ a 83 . 4g - ° ~~ ~ a~ ~ ~ ~ 9,,~' cgs ~ ~ ~_ ~, \ g ! _9__ ~r'1~l -..~_1v0.0_' Cam.---9L-..""i_h'L.C;_ 31.x." T~t~. PvC PIPS _.-.~!_L-~Tl~~..--- --._ CST Signature PLOT PLAN Scale 1' _ ~D' S.- (~~0, 715-425-0165 220254 Date Telephone IIo. CST Ido. ~J ~~ 2 ~ J 3 £g ~ ~ ~ N ~ ~. a~ <JI .t of-toy-~ Job PJO. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety end Building Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPf7V8CY Law, s.15.04 (1)(m)l. Permit Holder's Name: City Village x Township Jacobson, Walter Eau Galle Townshi CST BM Elev: Insp. BM Elev: BM Description: 9U-Z-U . Zo lr TANK INFORMATION ' " ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic I- ' "ViC ~~ Z d Dosing 'on Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~/~ / ~ , /~~ ~ I ~~ Dosing ~ ( O ~ ~ tI A~ / v . ? U / Aeration Holdi uu~nm~nu~u 1\ICA~^lAT1A\I E' ~ Manufacturer ~l Model Number / yQ TDH Lift Friction Loss S~ ~y.3~ la-vy r z rr Dist. to Well ~/ J So. /(~ -i Ft c°unty: St. Croix Sanitary Permit No: 395210 State Plan ID No: Parcel Tax No: 008-1031-90-904- UGC STATION BS HI FS ELEV. Benchmark .3 (~ ~/ 5' ~ _ z. a Alt. BM Cf Bldg. Sewer ~~y f ~z-~ 9a. t Inlet 1~0 . 3 Dt Inle Dt Bottom J ~ S ~ -~ 3 ~ Z Header/Man. 3 -2G /o .-s~~ Dist. Pipe 3.2 9 3. 0/, ~s o Bot. System y, p ~ /oU . z Fi al Grade St Cover /, / ~3 << y. , ~ oo:z y- 9s ~ . SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trei DIMENSIONS j / /' ~J SETBACK SYSTEM TO .1 P/L B/L[ INFORMATION Type Of System: ~3S ~ DISTR16L1TION SYSTEM r,,,, h~x~ S PIT ED1M NSION; WELLWELL LAKFJSTRJ EAR / Y MBER OR ~ UNIT Model Header/Manifold Distribution q x Hole Size x Hole Spacing Vent to Air Intake i Z u Length 3 Dia Pipe(s) / l i( 3~ Length Dia ! / Spacing ~ // Z i SOIL COVER x PrassurP Svstemc Anly YY Meund Dr At-Grade SVStemS OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~] No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: i / /~ Inspection #2:1~/~[~_1{O~ Location: 442 County (Road B Woodville, WI(r~54028/(NE 1/4 SE 1/411 T28N R16W) NA Lot A / ~.( /~ Parcel No: 11.28.16.163 1.) Alt BM Descripfion =~5~ u~ G'PC+Vt ~ pf71<` `mod) N• k.• (,r,G/,~ GtV 7 ~/'~ / 2.) Bldg sewer length = d O / -~. S y/ 5~~ ~Q S a ds~i'li ~ 4µo• P~l~y~~~/ - amount of cov~erl= (~ ~ S)<~C~ y j~~ ~(.,C, j ~ 6 a CvP~y~.~c.~ 3.) Contour = y,~ `l•~ ~ N- ~ ~/'~• U~ = l0(~. S~ow~aar ~,,~a5 rb -a svyK~ S ohs ~a~ t~, Plan revision Required? ®Yes YE' No ~ ~.----- Use other side for additional information. ~ ~ ~ Date Insepctor's Si nature Cert. No. SBD-6710 (R.3/97) • ~ ~ Permit ~i ~c~o~`~'~ - ~ Puw;,t ~ SaYU p~ ~ 3gs2-!~ In acebrd with Comm 83.21, Wis. Adm. code. persoml informavon yon ^ Check if Revision ' tna be used for Pri Law s15. 1 m I. Application Information -Please Print All Information Snx Plan I.D. Number Qd Parcel Number / . 6 Property Owner's Name ~"~ ~, / /~ p~ / Property OwOat's/Mailing Addteu ~~ ~/ CG d ~ / ~ ~ R • S / T ~~N, R Cv E Zip Code Phone Number Lot Number Brock Number City. Stain Sltbdivisian Name t~M Number II. Type of Building (check all that apply) '`'"`' ~ ~. ~1 or 2 Family Dwelling -Number of Bedrooms ^Vill~ge ^ pnylic/Commercial -Describe Use ,,,,mo~tt ~ ~i' u `T (T~~/c ^ Staee Owned ~ ~~C~yj ~.Sy G N Road ~ , ), line B if applicable) III. Type of Permit: (Check ody one box on line A (mnnberin8 ',• 1 ~ New 2 ^ Replacerttem System 3 ^ Replacement of 6 ^ ~ i-- } F. , '~ use Tear Dace Luued Permit Number B. ^ Check if Sanitary Permit Previously Issued rv. Type of Permit: (Check all that appiy)(rmmbeiing scheme is for internal tee) 44 ^ Non -Pressut'ized 1n-Ground 21~ Moued 47 ^ Sand Fdoer 50 ^ Constntcoed Wetland 22 ^ Peesstuiud In-Ground 41 ^ Holdin6 Tsdc 48 ^ Single pass Sl ^ Drip Line 45 ^ At-Gade 46 ^ Aerobic'heamrent Uaic 49 ^ Rec' 30 ^ Otfxr ~• V. D' Area Information: ~ D ~ Percolation Aax System Elevation Fwal Grade Design Fiow (gpd) Dtspersai Area D,spetsal Arm Sod 0° Elevation RuN~ Proposed Raee(Gals./Days/S9.R) (Mm./Inch) ~~5~ ~sz~ ~S o ~, ~3 • ~ °~ ~ y Cad ~ ~ VI. Tani[ Info Capacity in .Total Number Marrttacmrer Prefab Six Steel Fiber Plastic Galkms Gallons of Tanks Concrete Coomoued Glass Tads Tanks ~G / S t "' Co,- G!^c Septic or Holding Tack ~Q --- C / S ~ r G a •° C hr %< o /~' ° Nv o Dosica cnatteer ~D 0 (~ ~~ ~ NG a /}'G / U ~. ~ Statement I, the . a::r>me ~P4 for o[ the POWTS shaven on the attached plans. Phttnber's Name (Print) Plumti2r`s Signanrre MP/1~-Nlmmber Business Phone Number S ~ ~ic~7 ~a ~. ~ 3 ~ s~'~ ~ S'-~PB~ ~Sd T Plumbe s Address (Street, Ci , Stax, Zip Code) _ G Z ~/9 ~.5~0~~~0-, S~ C.t~mo o~ ,~/Y w`S S f` /De artment Use Onl Dax Issued Iswing Agent Sigoaatre (No Stamps) Sanitary Pt~it Pee rmclodes Grutmdwaxr Approved ^ Disapproved ~~~ ~) ^ Owner Given Initial Adverse . 3 Z S "° ~tZo~d ~ t oil IS. Conditions of Apr p nrovaUReasons for Disapproval p~~a ~ L (, ~ ~ ~ S7, c, , ~ S~, ~ ~~~~'lj - ~ o ~ ~ PfoJtir2 ~tmei rx~mpkte t~ (tome t.mat7 add) tar tie t~,tem e. paP~ .ot iw tiro. stn s u lnehn to size SBD-6398 (R. 05!01) r ~ ~~ u ~ ~ iscons~n ---~~---~;~,~ r ~~ , ~ ,~ A Department of Commerce `, ~ -~-- July 24, 2001 ~~ y .1 `~~~1 CUST ID No.691727 ,..~~, ~S~ G ARTHUR L WEGERER ~"~ ~ ~~ ,'~ 421 N MAIN ST `,~ ;, ,<~ .. ~_. PO BOX 74 \ ,y i`1 ~ ~a ~ RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/24/2003 SITE; WALTER JACOBSON CTH B TOWN OF EAU GALLS ST CROIX COUNTY NE1/4, SE1/4, S11, T28N, R16W FOR: Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary ='y j4 T7N: POWTS Inspector r~.r~/ ZONING OFFICE 6 ~ ~-~ ST CROIX COUNTY SPIA ..~° 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 662600 l__-_~ Site ID No. 633284 Please refer to both identification numbers, above, in all corres ondence with the a enc . DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 803375 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must foilow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner ol'the tank explaining that periodic cleaning of the filter is required Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. ,4, ARTHUR L WEGERER Page 2 7/24/01 • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. , • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~ ~ ~~~~ Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce.state. wi.us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: WALTER JACOBSON ~• H TITLE SHEET MOUND SYSTEM A ~ BEDROOM RESIDENCE Page 1 of ~ This plan has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573=P CCZ. blgq~ CR. 6lRg~ LOCATED IN THE n1E 1 /4 OF THE .S E 1 /4 OF SECTION ti 1 , T Z8 N, R 16 6d, TOWi1 OF ~~~ C~fc-l.L~ , S'T`~ ~.~Z.Uy( COUNTY, WISCONSIId. INDEX PAGE 1 of 7 fiITLE SHEET PAGE 2 Of 7 SYSTEM riANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUISIPING CHAl1BER CROSS SECTION PAGE 7 of 7 PUMP PERFORI4ANCE CURVE PREPARED FOR ~J'~t-T~ . S'~~Q S O-N ------------ - Lt °! 1 _ c-o~w~r~[ B ~ _ _ ------ -- PREPARED BY WEGERER SQ I L. TEST S N G AND . . DESIGN SERV = CE P.O. Box 74 421 IZ.rlain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 . Cona~h'onalty APPRaVED ~~~ Of ~FTEYAMD~uu.ou~Gs RECEIVED nit 1 6 2001 ~' .• w ~~ ~~ ~RTNJQ ~ H'E~~FRER i a6tS P ~ suswoRTH. :.....K ''P/ 7_ ~3-01 SAFETY & BLDGS DIIt=_ ,roB No. o ~ _ ~ 6a . ' Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code - Septic T?nk - The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 alamt 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, Safety and Buildings Division. 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P {R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole users, 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. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component 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 th the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage ocxurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system sho a directed tot The County Zoning -Office at ~ LSD 3 ~6 ~ X680 ~ ~' = L°.,(?_Q~X The system installer at ~ ~ S- The tank manufacturer at 8 0~, 3 Z $-~'3 S 6 (,V l e'3e12 The effluent filter manufacturer at ~Q _ Z2.1_5~42 Zp~3 The pump manufacturer at - - PLOT PLAN Scale 1 "= SO' Pale 3 of ~ .- ,- ti - J 2 3 B~S~Y~ C~1 S ,P ~roa~1 E - `S ' o F - ~ ~• GPrt: 4"~vc ~ ~ 1- ~c SO ~ '~ ~ Sv6G~~ o~ ~ s o w~.~ ~~ ~ 2 to e.~a~ .~~ L.. ~,Z.-v~,..Pr~ t~~ `° ~ y ~ ~ U ~ ~. ~, '~ - g9s \c, ~~ ~9~ ~ r \` \, ~ 'Nth' C~P~" ~ g~. \~ o OR ~lS'NVZ.B ~3`. ti° . s~,3- v s Cont'N.~_ 0-. 9-Q .q N1 lob.4' BM~-i-- ~:_~70~D'Gov:--~3"-~.(.+31~(`~_Dtp_:_?V_C. PtPE :~vl-z. ~:~ __-- 9M11' Z = -_t2_-SAO ~Z_' ~r _ G ~ - _ _ _ _ _ - - _ _-__ . ~ NOTES • ,. .. -- - l. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z, required). - 3. Septic tank to be 1?~o I~f00 gallon capacity manufactured by ~~~1Z e1Jr~1 c~ -.v / ~-lno Z~B~. ~.v ~T' F~c-T~s2 4. $ench marks- s~ 'F~'$ove ~~. Divert surface water around system to prevent ponding at the uphill side. ,,, ~ ~ Paae J Of 7 .~ - Approved Synthetic Covering _ AST~1 C33 Distribution Fipe _ Medium. Sond Topsoil =" ~~H _ ""t „ ~ _J ~ ,-- F Elev. ~ QQ,~ 3 E '~ ~ • i ~~ / ` ;~ b 1 % Slope . Distribution Cell of Force Main Plowed ' 2" to 2 Z" Aggregate From Pump Layer CROSS SECTION OF A MOUND SYSTEM p o •SQ. Ft. E o56 Ft. " F o,8 Ft. G o,5 Ft. • A b Ft. f;' 1.0 Ft. Linear Loading ~. Rate= ~,o GPD/LN FT B ZS Ft. Design Loading Rate=o-~f3GPD/SQ FT j _~ Ft. ~ 6 Ft. • K~_Ft. '~-1-terrra~t~ Position ~ 8 q Ft. OT • Force-Main W Zo Ft. ~ ~ ~ i • ~} ~~ -Observation Pipe • - - 8 I _-~-°-- K c}-~ --------- -_----- - -_- -_- _ --, ~ Boc~ss A ~,i6 8 ° _ ~Oistribution ~--Cell of ' " ~ " •~ to 2~ Pipe- ~`~ aggregate Observo tion • Pipe • (Aachbr securely) PLAN VIE~T OF A MOUND SYSTEt4 ~u ~ , ` , Distribution Pipe Lagout p~~e S of 7 Place the holes at the bottom of the distribution pipes " at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Iong turn or 4~ ° fitting to a point within six "" inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or • threaded plug. Provide access from final Bade for the valve; threaded eap or threaded plus. T`•t P 1 Ct'~ L Z,ZOS S _S'~TC.~1y ty FvC " ~ ~ Fvc avc. Lateral-, ~ Mangold ~ Laterl x x z xlZ x!1 x x z x :Lateral Len°ih - _ Lateral Length - P ~LF'rN V \~ __ o- -~~ P ~ ~ c- -- P 37 Ft. 5 3 Ft. X Z ~ Inchps ~C.c~s soX - -o ---0 " Noie Diameter 3l~6 Inch ~ ~--~ Lateral ~~InchEes) Manifold ~• Inches Force Main " 2 Inches _~. # of holes/pipe l q - . Invert Elevation of.Laterals~o0.9 Ft. 1~ x-~.66.1Z- s~x~; So. t6 GPw~ . 4_ ~_... - -• ''~~ .- . _. ~ - Combination Sept~.c~:Tank and • PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE ,b . OF ~ 1N 3P ~10U PIPE w/}?ttLTlstt>- Grp ' FINis~ - ~~oE IS'1'IIN. • IAILET Approved joint w/ PVC pipe .._ f - WEATHER PROOf • - -VEIJ7 CAP - JUlJCTIOIJ 90X . ti C.I. VEIJT PIPC ~ APPROVED LOCKIFJG ~ 1Q' FROM OOOR. MAfJHOLE COVER wi'M '+~/~A100W OR FRESH 1 wP-aIJIUG Lt~gs`L.. A.~IUTAKE -1 .. sFF co~R~sPO~nE~cE i ~, ., ~ . coraDulT .I ~-- V ~`L: \~`~ PROVIDE i AIRTIGHT SEAL I I I iI I i I I I I 1 i PUKP ~ "'~ ZP18EL T-lth~t / -- A 'A , ~~ 0 - 6 C CLC1l. Bq.-GDFL --~- 0 COUCRETE Y~ Milvl- ~. IB'MIU. II ~I II II ~ALIIRM t V Approved joint w/ PVC pipe OlJ OFt- 1 - ~ RISER EXIT PERMITTED OIJLy IF TA-JK MAIJUFACTURI`R HAS SUG1i APPROVAL 3"AAPRtitp ~BFOOIN4 SEPTIC f ~ SPECIFICATtOt~lS DOSE TA1.IK 1~L~ ~O~C M1-~JUFACTURCR: ~ I 3 63 / ~ Za O J B O T JUMBEA OF DOSES: . PER DAB ` A1 K :,IZC : - Q GALLOAIS DOSE VOLUME r ALARIh MAUUFACTURGR: s •S FL- S~'LS`TZ)'~S IAICLU011JG 6ALKTLOW: ~ l b~` 8 GALLOh1S MODEL -.IUMBER: 10 1 ~~ CAPACITIES: A= ~ b IIJCHCS OR 3~4 ` 6 GALLO (,, SWITCH T~PC: _ ~~~R-'7 NS 8=_~11JCHE5'OR L'l~' ZG~-LL01~15 PUMP MAIJUFAGTURCR: _ Z~~-LIZ C = S IUCtiES OR , b~' $ GALLOUS MODEL 1JUMBER: 14O - •~° O= ~Z IAICHES OR Zy'~'2GALLON SWITCH TYPE: ~1ZCl/'R'Y S WOTE: PUMP AUD ALA0.M AR TO bC ~f 8 MINIMUM DISCHARGE -RATE SO• L(? CpK tNSTALLEO 0~1 SEPARATC .CIRCUITS VERTICAL DIFFEREIJCF DETWCEU PUMP OFF AiJO..DI5TR18UTI0iJ PIPE.. 1_ ~ ~90 FEET + KII~IIMUM kIETWORK SUPPLY PRESSURE . ; .. ... ~ , 3-~`' FEET C~skl-3~ • ZS~ FEET OF FORCE MAIN X S`0'Z, F~oF~FRICTIOU FuTOR_.~2'SS FEET TOTAL Oy1JAMIC HEAD = ' Z'~'~~ FEET As per manufacturer Zy, (~Q gal/in. Liquid depth 3$ `l Y t ," , a w x U Q O J 4 N 0 U.S. LVTERS W ~ ~ HEAD CAPACITY CURVE MODELS "140/4140" TOTAI,DYNAMICHEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING Ft. Meters G°L- ~ Ltrs. ~ 45 5 1.52 91 3u 10 ].OS Ba I ]te 40 15 I a,57 76 2BB ~ 140,4140 20 s.to - fie I 2s7 35 25 7.62 59 ~ 223 I I 30 9Ja a9 I 7B5 30 ]5 10.67 I 3B I to Z~` r ?Q 40 12.19 I 21 I 79 25 a5 UJ2 5 ( t9 20 LOCk Vc rve: I n6 • 75 I 'f 10 I I 5 ALLONS i 10 20 t 1 30 40 50 60 6 i G 70 60 90 t00 710 e0 160 240 320 a00 FLOW PER MINUTE 010940 ~~ ~ l~r 1/2 NPT CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical altemators, for duplex systems, are available and supplied with an alarm. • Mechanical altemators, for duplex systems, are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Sealed Owik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. • Refer to FM0806 for 200° F. applications. 140 Series - 53 lbs. 4140 Series - 73 lbs. 140/4140"' MODELS Control Selection Model Model Volts-Ph Mode Amps Simplex Duplex N140 N4140 115 1 Nan 15.0 1 or 1$ 5 2 or 3 $ 4 E140 E4140 230 1 Nan 7.5 1 or 1 $ 5 2 or 3 $ 4 t3W140 BN4140 115 1 Nan 15.0 1 or 1$ 5 2 or 3 & 4 BE140 BE4140 230 1 Non 7.5 1 or 1 $ 5 2 or 3 $ 4 ~' Double set P~4s Bre awadabk v+dl1 optiotlal moature sensors. Seal Fad irl6catorrgM available n NEMA 1 or NEMA 4X canuol panels. SELECTION GUIDE 1/2 NPT SK1624A SK7524e 1. Single piggyback variable level float swttch or double piggyback variable level float switch. Refer to FM0447. 2. Mechanical attemator M-Pak 10-0072 or 10-0075. 3. See FM0712 for correct model of Electrical Attemator E-Pak. 4. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 5. Four (4) hole J-Pak, junction box, for water tight connection orwired-in simplex or 2 pump operation,10-0002. CAUTION All installation of controls, protection devices and wiring should be done by a qualffied licensed electrician. Ail electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ,~ Mai ro: P.o. eox 1&?47 ~ j Louavr7le,KY 40256-0347 Manulaclurersol.. ~o ~ ~;,L~,- ; ,~~ SHIPTO:3649CaneRunRoad ® Louisville, KY 40211-1961 Q~raurrP~rvB S.vcE /9~9~ PUMP !O. (`~) 778.2731.1(800) 928-PUMP FAX(502)774~624 G"~-~/ Wiscdnsin Department of Commerce SOIL EVALUATION REPORT Page ~ of ~'~Division `of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ~~ _~. ..~ ~.~ I Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~~ ~ CC~•U V( include, but not limited to: vertical and horizontal reference point (BM), direction and Parcei I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~g - ~~ 3 ~ _~~ Please print all information. Reviewed by Date Personal infom~ation you provide may be used for. secondary purposes (Privacy Law, s. 15.04 (1) (m)). h ~~ f ~ ~jo~p ~ Property Owner Property Location 1 ~~`"T~Z ~ ~"~~S'OIV - N~ 1/4SE1lA S ~I T Z$' N R 1~p E(o W Property Owner's Mailing Address , i 1~j1.1/v~-~( ~~r Lot # ~ Block # - Subd. Name or CSM# -~ City State Zip Code Phone Number 1-VboDV~~L~ h~l S~IU (~lS) 6~$-z63~ ^ City ^ Village ®Town Nearest Road ~~PrU GP~-~.L~ ~~.~'.,_C-3`' ® New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate `y`~d-: ' GPD ^ Replacement ^ Public or commercial -Describe: "~.' `~ , _ Parent material _ G LY~C.1.1l-l. Oy1"+~J'R S }) Flood Plain elevation it applicable ,~ • (~&c~~'•`s'~%.l.-) .•- ftA~ General comments ~ ~~`" and recommendations: ~~V~-~ ~ / r -'"1 l~vl wtU 6 ~ ~ S' ~LS`C1ZI.BUT201v C~SI,L , _-~ ~}}, ~ ~~~?~~~ G~ ~p,~ ~~ i ~..~. ~g$ C)~ S ~ ~ ^iU ~ LL- .. :S~ S~ TY C0~`CgVIZ tZ-~V • ~i9..gl ~oFF~E >> Boring # ^ Boring o / ;; < _ r' 1 i ~ ®~ pit Ground surface elev. ~~ • ~ ft. Depth to limiting factor 3 ~ in. •-~ Appliption Rate Horizon Depth Dominant CoIQr Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ O-9' ti0"ltZ3LZ. • S! I Z Sbk ~-'~-~h ~-S ~~ • S -6 z °!-3o t,o~~ S1b - ~ ~.esb~ ~v~F~, ~s - -~1 .t, ,3 ~uSO LO'-t(Z~f~ ~-~ Z•S~2S~~ ~gs~ ~~ rn'v~- - • 3 •`f S ~E 33 ~ Boring # ^ Boring nn © Pit Ground surface elev. Z ~ -q ft. Depth to limiting factor 3 ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'Eff#2 o q ~.p`-t ~z31 Z - s Z 1 ~ Z`Fsb1-c -~.~-- GS L~' , S . ~, z q-3 I Loin y1 - S 1csb~. >~v~P~- ~g - .~ ~,z 3 31-~, l o~rzsl6 c1bt. ~.S ~,~ sL~ o~ m v ~ - ~ ~! - 6 S ~~~ A'I' 33 q cnwesni ~ r = ovus ~ su ~ LLU mg/L ana i ss >30 _< 150 mg/L ' Effluent fit = GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) . _ S• re CST Number ., -.. Arthur L.' tJegerer d l-LO~-A. 220254 Address t~ e g e r e r Soil Testing & Design • S e r v i C e Date Evaluation Conducted Telephone Number 421 ~d. I~iain St. River Falls, [•7I 54022 S _ l-?- O) 715-G•25-0165 ` ~, . >~ Property Owner '~ I~~~ S(~~ Parcel ID # ~ U ~' - ~ ~ 31 -~ D Boring # ^ Boring ® Pit Ground surface elev. olc~- S ft. DBOth to limitinn fantnr 3 ~ ~., Page ,' , 2. of Horizon Depth i Dominant Color ~ Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/fl2 n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 ~ -~2 l~`1.tL 31 ~ st ~ Z`~~b1z h2~~ c ~~ S 8 Z ~Z-3 ~ I.o~-(fZ 4~1 b g 1 esb--c m vim- c.S - • ~ t. Z 3 1-~l S to `11Z S16 C L~ ~.s ~ ~z.s l ~ `~ U-~-, rn V`Pl- - . ~( .6 S i°rG ~ y Boring # ^ Boring Pit Ground surface elev. ~4. 9 ff ne..tti 4.. IimiR.... ~....~.._ ~ -7 Horizon Depth in Dominant Color M ll Redox Description Texture ' Structure Consistence Boundary Roots So11 Application Rate GPD/ft2 . unse Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0- iZ t0`1 tZ .31 z S1 1 Z`41'a bh, v,,,, ~s ~ 1 ~ , s . 8 z Lz_3 Z ~o~t tz.. y16 is 1,c.s 1~ vn. u-F-t-- e s - ~ .-~ ~. z. 3 3z_S$~ 10`12 SIL C1r~'~S~1VZ-S113 `~S C~k, Y» V`~'- - . U . ~ ~~G ~ ~- ~ v ^ Boring # ^ Boring S ®pit Ground surface elev. i ~ V • n ft. Depth to limitinn factor 3 R In Horizon Depth In Dominant Color M ll Redox Description .Texture Structure Consistence Boundary Roots Soil Application Rate GPD/it2 . unse Qu. Sz. Cont. Color Gr. Sz. Sh. ~` •Eff#1 'Eff#2 o-t Z 1o~iZ ~ ti . 1 ~ si 1 - z`Fsbl-~ vvi.`~1- , ~S L~ . , S _ • ~ Z ~z 38 ` ' ~.s ~ R.31 '- .g Lr_sb~ mU'{i- - es. - : ~ ~ t_ Z 3 ~ 4$ to~2slb ctn. ~-sari' sus ~ oti, mv~. - ~ . 6 S flr $ N • Effluent #1 =BODE > 30•< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access~services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. i S~BD-8330 (R6/00) PLOT PLAi1 Scale 1' = ~~' ono .- ~ , 20' ~~ lb / -.. ~ \ '~0 NOT COM11~Pf-t..T 0~2 ~ .S ,.~ ~\ ~a~ ' _ 83 • 99 , \ ~ ~~ \ ~Si • 8Z \ . ~. ggs x ~ Poss~3l~ FIJTVfu: wto~- D\~'\ ~!`~ • ~ ~ ~1 ` ~ \q 9 $~'1_~T- 1.l>Q 4rt~~$-i`_~~~-~~"=Dl-f~--PVC._PIP.~__wlL -- --. _..__K_ .._..~._ ._4. ,.__.. _ .______._~. c3-~~3~~-°1.9.~[~ _ LL _~-M~ LI~_ K t i 4 - _f. '____~._-__ ~____--_- _c~.~l.~ CST Signature S_lq_0 ~ 715-425-0165 Date Telephone Ilo. Page 3 of 3 ,J ~y Z ~ 3 ~~ ~N~, N 0 ~. Oi .~ 220254 O 1-1.0~ -~ ' CST Igo. Job PJO. Property Owner ~~~ Ste) Parcel iD # 4() ~ - t ~ 3~ -~ D Boring # ^ Boring ® Pit Ground surtace elev. ~q- S ft. Depth to Umitins~ factor 3 ~ in Page Z of Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I O -12 lp`lrz 31 `' st ~ Z'F~bk. -~-i'-F-- c 1~ ~ S • S Z 1'2.-3~ ~~`2124/~6 lg 1esbk mv`Ft-. CS - •~ t. Z 3 1~1.S L~ `1lZ Sld CL~ -~.SY~zsl~ `Fs p-„ m V`P~- - .~( .6 Boring # ^ Boring Pit Ground surtace elev. ~4 - 9 f<_ r)anth fn limifinn f~nf..r 3 Z ~_ Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 l 0-~Z t0`1 cz..~1Z ~ st 1 Z`~~ bh. ri, CS ~ 1 ~ . S . 8 Z 1'Z-3 2 I.p~( I'L y1 b 15 1,es1~ vn U-Pt-- ~ S - ~ .~ ~. Z 3 3~-~ 1~`l2 sIL CIr~~S~t~t..S18 `~ c~h, lm v~- - , y .1~ ^ Boring # ^ Boring S ®Pit Ground surtace elev. ~ b ~ • C1 ft, Depth to limiting factor 3 R in- Horizon Depth i Dominant Color Redox Description .Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 o-~ Z lo~rz_. ~ ti . ~ si 1 ~b)z vvi`~-- cS L`F , , S . ~ Z ~z 38 ~.s ~ 12.3 - 1s t~sb-~ mU~- eg - , ~ t_ 2 3 ~` 4S toy ~ s16 C ~ ~. ~ . s ~i Q. s !8 s O~, ~n v ~ . ~ . ~ ~ s si ' 'Effluent #1 = 80Da > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (86/00) • ~ ~ PLOT PLAPT `- Scale 1' _ ~D' . ~. ~o 0 ~i9.9 . g Own o~ -~~z_ , t_ ~. goo ~~- ~O ~ ~ ~ ~! ~_ b • ~. ~~. .... //~S' \ gQ. ~9` \~~ ~ ~0 N0~' C~-`11~ R-t-T o12 .S . _ ~ O - ~\ \~ ~Qi _ 83 • a~ ~ .5,. SZ \ \ x ~ . ~ poss X31, ~ Fv'ty~ wt o~~\',> ~`\ ~(` • • ~ ~~ ~9 $-~~T~ .~-lb"S~ 4rC~~~~" L~~,-~~"_~i:R_PUC^.PIPF~~v/-L . J. . ~~~c,d. s . ~ _ - -~~ ~~ 715 425-0165 Page 3 of 3 ,J ~y Z ~ 3 ~~ ~N~ , N ' D ~' I~ • cST Signature Date Telephone ITo. ~. Safety and Buildings •" ~ 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 ~ ~ TDD #: (608) 264-8777 ~seonsin www•commerce.state.wi.us/sb _ www.wisconsin.gov Department of Commerce ,~ ~ ~;~ i ~ i tom, ~' .thy Scott McCallum, Governor // ~- r ~ Brenda J. Blanchard, Secretary f ~+. ^ ' July 24, 2001 '` ` ~~ • L': CUST ID No.691727 ~~q~ .{1 ~'~ ~ r~^~ ATTN: POWTS Inspector ARTHUR L WEGERER ~ ~ ~. ~~etG ..~' . ~`7 ZONING OFFICE 421 N MAIN ST ~~ ' ~..,, ~ ~'~'~"~ ST CROIX COUNTY SPIA PO BOX 74 ., tiJ1l _~ ._1`~ ~ r~ " 1101 CARMICHAEL RD RIVER FALLS WI 54022 ~ { HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/24/2003 SITE: WALTER JACOBSON CTH B TOWN OF EAU GALLE ST CROIX COUNTY NE1/4, SEI/4, S11, T28N, R16W Identification Numbers Transaction ID No. 662600 Site ID No. 633284 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 803375 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (8.6/99). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • access to the filter for cleaning must be provided per Cormu 84 product approval conditions. Maintenance information nnust be given to the ow7ner of the tank exp~aiuing that periodic cleaning of the filter is required Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. ~, ~, .. ARTHUR L WEGERER Page 2 7/24/01 • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 14S.13S and 145.19, Wis. Slats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. A copy of the approved plans, specifications and this lettec shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement cf construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state slats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce. state. wi.us cc: WALTER JACOBSON FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ~• J1~L~ tlli A~Zl ~tl. 1/JLA Ua~aw.y .«.-•- 1"11.1L ©WNERSHII' CEgTIFICATIOl~i FC?RM C~w~ner/Buyer Mailing Address ~ ~~ C~ ~~ _ ~ -- Property Address a- {verification required from Plannittg Department far new ~~~~ 99 // ll f.J • S Parcel Identification Number ~~ ~ ` 10~~ ~.ity, State c~f/~UQ'v /l~r I.,EGAL DESCRiPTi+C)1` / ' ~r~ ~ % `i+, ~N-R~.~. Town of ~u__~ Property Location ~ , ~ Se:c. ~, T Lot # _______ .~ Su{~divisian _ •-- ,Volume '~ -, Page # Certified Survey Miap ;~ ~ 8'~,_, Page #~ ~ 3 -- ~V~rranty Deed #` r' , ~Iolturte .___ Spec l~ousc ^ yes ~ no Lot lines identifiable ^ yes ^ tta SYSTEM NIAYN'TENA.hCE Improperuse andmaintananceoeve ~threec sears or soolaere iftnedcdby a i ens d p,~,t CaIId"i 3a you p~puctrsmthe s~ast 1~~ consists of ptLnaing out the septic taui< ry y Drat s)•stetr. ctw affect the function of the septic tsnk as a treatment stage in the waste disp s to submit to St. Croat Zoning DeparOntent n ccrtificatiat: fornt, signed by the owner and by a 'rlte property awn~r agree crverifyingtliat;:}iheon-sitc:wastewatcrdisposalsysier,~ utasterplunber, jcxz±ncymasiptumber, restrictedplumt~er or a licensed otung is in proper operatwg condition and/or (~) after inspection and pttatgin; (if neet°sa-Y},the set?:ic tsnk is less thin lf3 full of slud~~. ee to xsiutain the private sewage disposal system 'with the standarcL ,~ I,'wc, the undersigned ltavt. read the above requirements sat! agr Ofiicc within = ~,ct fortL, herein, as set by thr. Departzztent of Commerce b d o ~ 1?e ~d and rcoturn d~ the St1Croi.SCaunty~: onivP in. catlo_ ~:4xiing that year septic s}~stem itas been tnauttained must mP Sys of die three year e;cgiradon datr.. ~ 8 r O' ~.:. , DATE SIGNA I APPJ,TCANT p'VVNER CERTIFICATIUItit I (a-e} certify that all statement= or. this fors_~a~ea c rded in Regist'r cf Decd~f O~ie~ the property described above, b}~ virttc of a warranty ~~ PLiCANT l i ~~ ,: ; arz (atcl the o~:'ncri.s! ~! i i 6 DATE SFGI~lA An information that is lair-rrprescptrd may result in lac sanitar}• ncra~it bct~tg revo[:cd by the Zoning pcnartment. sttrss y ~: ~~ '° Ineiude t`ith this ttppt'scatio>2: a soon of fire ccrti£z~ survey ap f~re;erci:~ ris mridei~nc tli~ ,vscat.ty deed ,~ PY #~~m~~ II • • ' nOCUME~~T No. WARRANTY DEfD it iHlS SPACE RESERVED FOR RECORDING DATA • ~ STATE BAR OF WISCONSIN FORM 2 -1982 !! i 4C1~:1 `IG~ 'rr: ~~r jo~cE~~ ,~ REGISTER'S OFF(Ct __ , - _- ST. CROIX CO., WI ----------P.irkko-.L-.---J-ohn.sQ.n.,. ._. _ a_s.l.ngl_e._per~.Qn.. '~ Rec'd for Record - ---------- --------------------------------------- ' ~~•i' 3 11990 .. - --- -------------- ------- ------------------------ - - - ---- -------•- - ---- -- --------------'-------- ----- Wa lter R conveys and warrants to --.__ .-----------__. .. '' --- ------•----- --•--•---- - ------------------•--- Jacobson and_- _ -__-.._-._-. ~' . at 11:15 A M F.. ^w e V - -- _.. -_.---.Dorene--I_._--Jacobson,_ - - -. . -- --husband,.--and wife,-.-_---_--- ' ~.. RegisterofDeeds"~' hol-ding-_ as--_ma-vital--- ---------------------------------------------------------- property-._-----_ -._ -------------------------------------------------- j ~~ _ __________________________________________________________ the following described real estate in _.__ ____________________ ____ ____________ ____ __ !i _. ___ i, _.___~_t_._._CX.Q1~C.__.._____.._.County, i~-- - - State of Wisconsin: Tax Parcel No_ ______________________________ South Half of Southeast Quarter of Northwest Quarter (SZ of SE4 of NW4); South Half of Northeast Quarter (SZ of NE4) except the North (N) Thirty (30) rods of the East (E) Thirty-two (32) rods thereof; Northeast Quarter of Southeast Quarter (NE4 of SE4); All in Section Eleven (11), Township Twenty-Eight North (T28N), Range ~, Sixteen West (R16W). ~~~~~T'~~~ 0 ,~d .~..~ This _______.is___not__._. x(~ (is not) Exception to warranties Pcv,..c.Q~, ~ ~1b5 [~ 5~L /~ ss ~,~-- ~~- 'l1 43~ l ~~ ~ ;,~~ ~~S ~ ~~ ~~o~.j c~ ~-f-l-v,'~- ~ 2. '-~ homestead property. Easements and restrictions of record ~' 6'`~ Dated this ------ ----------------------•------------------ day of ----~_~JITC~~-- -- ---- ---- --------------- --------, 19_.90.. • , ,6p ~'7 ----------------------------------------------------(SEAL) ~~.~.. ~ --- --------- --------------- - - ------(SEAL) ;: * __-Pirkko-~.---Johnson---------------------- ------------------------------------------------------------------ - -----(SEAL)- -- - --- --- -------(SEAL) ------------------------------------------------------------------ AUTHENTICATION Signature(s) -------------------------------------------------- authenticated this ________day of___________________________ 19______ -------------------------------------------------------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN (If not- ------------------------------------------------------------ authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY i~ ---~hgm~s__A.__McCormack------------------------------- `~~ -__-Baldwin,___WI___54002 (Signatures may be authenticated or acknowledged. Both are not necessary.) ~~ ACHNOWLEDGMENT STATE OF WISCONSIN ss. St. CrO1X __County. / ~ ersonally came before me this _~Q___._____day of _~~~~~=-------------------------- 1990--- the above named Pirkko L. Johnson i - ~i to me known to be the person __________ _ w xecute~th~~ foregoin instrument and acknowled e~ame. ~ ; T„ 1 ;: , • ,~ _, M ~ Q ~~ * Tl~OMe ~ Ih__• J-"GGa7rZmb,~,~- ~ ~,• - tl,~ a~~ f Notary Public ___ - St _--__Croix - ~'~~T~-t , ~~, I My Commission is permanent. (If not, stafe" @xprra`tion r 1 i''; ,. ~i date- ----------------------------------•---------------------~ 19----•---•) ~I persona signing in any capacity should be typed or printed below their signatures. -Ctrv ~1FF'~ Sm A'fF RAIi f1F RT?S(`^T7~T~.;