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030-2153-18-000
County: St. Croix .sin Department of Commerce PRIVATE SEWAGE SYSTEM ,iety and Building Division INSPECTION REPORT Sanitary Permit No: 552389 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Parcel Tax No: Permit Holder's Name: City Village X Township 030-2153-18-000 Beasley , Anthon & Am St. Jose h, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 20.30.19.3088 TANK INFORMATION ELEVATION DATA 3 ~d~1~3 ~d0 TYPE MANUFACTURER L CAPACITY STATION BS ~ ::Hl: S ELEV.. • I1r .7 , Septic e ~Sgs FA chmark (.J 5 `6 g >es, Dosing 9,56 BM 3 . `f(P / a a . 8 S La o ~ A)6 6or Aafatkm Bldg. Sewer 9."k 0 b Holding St/Ht Inlet ZZ "K 1 z 7i St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/Lt~ WELL BLDG. Vpt to Air I kf 3(p D Dt Inlet 4-01 Septic / Dt Bottom T:5 7 - r o Dosing 3 ~ 0 P I 12 Aeration Head /Ma ~ ,2 3 i~ Dist. P* e Kid'- J(/y "23 / Holding Bot. System Z t/ (,,91,6-11 to 0, Final Grade PUMPISIPHON INFORMATION Manufacturer / Demand St Cover GPM G q Model Number r a o TDH Lift Friction Loss System Head TDH Ft _ Forcemain Length Dia. ► Dist. to Well 3 I /Z2> SOIL ABSORPTION SYSTEM S- BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of its Inside DLa. Liquid Depth DIMENSIONS °I 1 D 5o ! u P/L BLDG WELL LA /STREAM RING Manufacturer. ~ MOMM u% SETBACK SYSTEM TO INFORMATION Type Of 'System: \ p UNIT Model Number: DISTRIBUTION SYSTEM Head anifold Distrib uti Hole SPacin vent to Air Intake D ~53ira / x Hole Size 11 Pipe(s) k.L Length MDia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only M ched De th Over Depth Over xx Depth of xx Seeded/Sodded ~ I Yes ~ No Yes ® No P Bedrrrench Edges Topsoil BedlTrench Center I J COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 7- / I Z spection #2: Pa el No: 2 9.3 Location: 457 147th Ave~oulton, WI 54082 (SW 1/4 NE 1/4 20 T30N R19W) Pioneer Ridge Lot 18 1.) Alt BM Description 2.) Bldg sewer length L llP -amount of cover 1 ` V5r K~ - 7 ' C !/l 2,770 ~ ~ W A~;~D fW( QUA S~D D Plan revision Required? FE Yes No 11 Cert. No. Use other side for additional information. ro Date _ Insepct s Signat SBD-6710 (R.3197) ST CROIX COUNTY &A IL PLANNING & ZONING July 13, 2012 File#: LU87545 Anthony and Amy Beasley 446 Highland View Houlton, WI 54082 Re: Land Use Permit for filling & grading <10,000 sq. ft. within 300' of Code Administra navigable water OHWM 715-386-4680 Parcel #20.30.19.3088, 457 147th Ave., Town of St. Joseph Land Information & Dear Mr. & Mrs. Beasley: Planning 715-386-4674 This letter confirms zoning approval according to plans submitted on July 3, 2012 for the following activities that require a land use permit: Real Prope 715-3 677 To fill and grade <10,000 sq. ft. within 300 ft. of the Ordinary High Water Mark Re cling (OHWM) of an unnamed navigable waterway in the Shoreland District pursuant to 5-386-4675 Section17.29.(2)(c) of the St. Croix County Zoning Ordinance. According to the plans you submitted, the proposed filling and grading will be necessary to construct a principal structure with attached garage, a mound Private On-site Wastewater Treatment System (POWTS), and a driveway access from the subdivision road. The land disturbance will be on slopes <12% and will exceed the 2,000 sq. ft. allowable without a land use permit. Staff finds that the proposed activities meet the St. Croix County Zoning Ordinance and Shoreland District based on the following findings: 1. The property is located on lot 18 of Pioneer Ridge Subdivision at 457 147th Ave., is zoned Ag/Residential, and is located in the Shoreland District of the navigable waterways as shown on the recorded plat; 2. The proposed construction will result in 7000 sq. ft. of land disturbance within 300' of the water's OHWM, but construction is outside of the 75' setback and will meet required side and rear yard setbacks from property lines; 3. The proposed house is intended for use as the principal structure on the property and may not exceed the maximum height allowed in Section 17.13.(3) of the ordinance; 4. The applicant's plan includes an erosion control and storm water management plan featuring two infiltration areas to assimilate runoff from approximately 4300 sq. ft. of impervious surfaces. With conditions to install appropriate sediment control measures e.g. silt fence or sediment "logs" below the construction area in a vegetated buffer, to maintain erosion control measures until self-sustaining permanent vegetation is established on all disturbed areas, to prohibit the use of Sr. CRO1X COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD, HUDSON, W/ 54016 715-386,4686 FAX PZ9CO. SAINT-CROIX. W1. US W W W. C O. SAI NT-C R OIX. W I. US p ou i izer to es a is an maintain a awn, to imp em form water Fn1nayemeMr' p n, and record a maintenance and monitoring agreement against the property for the runoff i iltration device(s), negative impacts to water quality of the pond will be minimized; 5. A nd POWTS will provide wastewater treatment for the proposed dwelling; 6. Th of St. Joseph building inspector will review the submitted plans and land use permit prior to iss of a building permit for the town; 7. Stev Ison, Land & Water Conservation Dept., reviewed the land use permit application and com ted that: A 35-foot vegetative buffer must be maintained along the OHWM, no use of phos rous fertilizer unless it is needed, and the Operation & Maintenance agreement be recor ; 8. The W' onsin Department of Natural Resources Shoreland Specialist, Mike Wenholz, was sent the ap ' ation for review on July 6th. The DNR typically is satisfied with these projects as long as the s for stormwater and erosion control are implemented and compliance is verified by county staff; If constructed as proposed, this project will meet the spirit and intent of the Recreational Residential Shoreland District. With conditions for installation of erosion prevention, sediment control, and long- term stormwater management devices, it will not degrade the water quality or scenic value of the wetland, nor will it negatively affect the public health, safety and welfare of County residents. and use permit approval is for filling and grading <10,000 sq. ft. within 300' of the OHWM, as indicated in th ns submitted, and as provided in the conditions below: 1. P r to commencing construction, the applicants and/or their agent shall obtain any other permits r ired, including but not limited to a building permit from the Town of St. Joseph; 2. for to commencing construction, the applicants and/or their agent shall contact the Zoning ministrator and schedule an on-site meeting to review construction schedule and verify tallation of erosion and sediment control measures as indicated in the approved plans. 3. iment and erosion control measures must be maintained until all disturbed areas are fully ilized. No phosphorous fertilizers shall be used on the disturbed areas of the site, unless a soil tes onfirms that phosphorous is needed to establish permanent vegetative cover and must be limit to areas that do not drain directly into surface waters. 4. The ed principal structure shall not exceed the maximum roof height allowed in 17.13(3), will rem utside the 75' setback from the OHWM, and will meet the side yard setbacks required in 17. )(c); 5. Th tormwater management plan must be implemented as part of the project with runoff infiltration es (rain garden or equal capacity) installed according to approved plans. The applicant shall ecord an affidavit on the deed to the property that provides for long-term operation and aintenance of the approved infiltration device(s). 6. hin 30 days of substantially completing the proposed house construction, the applicant shall mit to the Zoning Administrator certification from the contractor(s) that the construction has been ST. CRO/X COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, WI 54016 715386,4686 FAX PZ@CO. SAINT-CROIX. W1. US W W W. CO.SAI NT-C ROIX. W I. U S r d om lance wi a approve plans. Photos o comp e e s uctures must be submitted upon completion. 7. 1 activities approved as part of this land use permit shall commence within one year from the date o roval and be substantially completed within two years, after which time the permit expires. Prio xpiration, the applicant may request extensions of up to six months from the Zoning Ad ator. The total time granted for extensions shall not exceed one year. This app does not allow for any additional construction, grading, filling, or clearing of vegetation and the limits of this request. Any remaining site work above and beyond what is identified a art of this land use permit application shall be subject to the review and approval of the Zoning ministrator. It is your respo sibility to ensure compliance with any other local, state, or federal rules or regulations that apply to this operty. Your information will remain on file in the St. Croix County Planning and Zoning Departme as a matter of public record b. Plea feel free to contact me with any questions or concerns. ncere , la Quinn Zon1 i pecialist as Zoning Administrator Enc: L Use Permit #LU87520-mks S I mwater Mgt. Plan Affidavit form Cc: wn of St. Joseph Building Inspector eve Olson, St. Croix County Land and Water Conservation Department ke Wenholz, Wisconsin Department of Natural Resources ST. CRO1X COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, W/ 54016 715-386,4686 FAx PZ@CO.SAINT-CROIX.W1.US WWW.CO.SAINT-CROIX.WI.US .01 XR +eNr County Safety and Buildings Division 5~ D Z >L 8 'SP A~ 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S U LMadison, WI 53707-7162 State Transaction Number ~ta Permit Application ,y o LA 6~C2 In accordance with SPS 383.21(2`)` dm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary pe V(. ote: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servles. Personal information you provide may be used for secondary 4 S ? ) q 7 u H , purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. 1. Application Information - Please Print All Information Property Owner's Name Parcel # r AnrrH a tJ iq 1A A51. , a;# ~ o W I Property Owner's Mailing Address t Property Location 4 to HX & H C h9 N0 Govt. Lot City, State Zip Code Phone Number , , Ho uL,Ta a Calm 6-4 d 8 Q2 to la - to 8S -7 14 3 Sw /d E section X20 (circle one T 3c~ N; R E oCW; II. Type of Building (check all that apply) Iq:f Lot # 16 1 or 2 Family Dwel - lmttrerafi~edree Subdivision Name P P~ IQGl~ G✓/- C~ lock # ❑ Public/Commerce Use /4 y 11 City of 14 ❑ State Owned - Describe Use CSM Number ❑ Village of 4 Town of 5 III. Type o it: (Check only one box on line A. Complete line B if applicable) A. New S stem El Re lacement S stem El Treatment/Holdin Tank Re lacement Onl El Other Modification to Existing System y stem Y g p Y (explain) List Previous Permit Number and Date Issued B• Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that a ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade 9 Mound > 24 in. of suitable soi ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) retreatment a ice (explain) S/ L^ -IV KZ /,9 V. Dispersal/Treatment Area Information: Design Flow (gpd) Designit Apple cbio ,C dsf) ~Dispersal Area Required (sf)Sy Dispersal a Pro osed (s System Elevation Q~ • d 9 13 L P-1 19 a4ta.44 A ft-t." I-00, Li it 0trr VI. Tank Info Capacity in Total # of Manufacturer Y Gallons Gallons Units o ~ New Tanks Existing Tanks { o i55 2 y ~D It71 aU va wE5 a Septic or Holding Tank ! ~ ~ ~ ! ' ~ ' Dosing Chamber p 5 0 - w -0 i t( r Q. r' ' n VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Numbe7171 usiness Phone Number l c~ 5=7g4":~3aZ G`~r~ZTE q, hI CI~VLt~I--~= tC~h,~ ~o 1 -7 Plumber's Address (Street, City, State, Zip Code) VIII. oun epartment Use Only pproved ❑ Disapproved PermitFee 0o Date ssued suing Agent ignatu ` ❑ Owner Given Reason for Denial IX.009oval/Reasons for Disapproval ~(WIV: 3 S ~ ~c~~~t;2~/Y<h Lt ~Gf 1 Septic tank, effluent filter and Zoov - y99 % ° ~Q~inG{!G~r~csL~ dispersal cell must all be serviced / maintained t~ ~U LU ~'7 Sys° as per management plan provided by plumber. , So 2. All setback requirements must be maintained bq_44p't t~ G~yt d~ ft~ j• as per applicable as for the system a ubmit to~th~e/County y on paper not less than 8 1/2 x 11 inches, in size , SBD-6398 (R 11/11) 1 ~tiptir~T~~F~ro Safety and Buildings 3824 N CREEKSIDE LA l D ~7 HOLMEN WI 54636 3 S K Contact Through Relay www.dsps.wi.gov/sb/ P $w/ www.wisconsin.gov - z A~n'ssroNAtis~` Scott Walker, Governor Dave Ross, Secretary May 14, 2012 CUST ID No. 227710 ATTN. POWTSInspector WALTER F NECHVILLE ZONING OFFICE NECHVILLE EXCAVATING INC ST CROIX COUNTY SPIA 967 STATE ROAD 65 1101 CARMICHAEL RD ROBERTS WI 54023-8510 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/14/2014 Identification Numbers Transaction ID No. 2085240 SITE: Site ID No. 779491 Anthony & Amy Beasley Please refer to both identification numbers, 457 147TH Ave above, in all correspondence with the agency. Town of Saint Joseph St Croix County SW1/4, NEIA, S20, T30N, R19W Lot: 18, Subdivision: Pioneer Ridge FOR: Description: Mound / Five Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1372356 Maintenance required; 750 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distri ution Component Manual - Version 2.0, SBD-10706-P (N.01101); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. e owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the con du component manuals listed above. APP • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. SEE C • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat WALTER F NECHVILLE Page 2 5/14/2012 • Comm 83 22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 C ~ -X, Balance Due $ 0.00 t, Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:4,5 am - 4:30 pm Monday -Friday charles.bratz@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be " modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the a=, relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a'1300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. I t, MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE MAY 0 9 2012 Project Name: Beasley 5 Bedroom Mound RUILDINGS Owners Name: Anthony & Amy Beasley Owner's Address 446 Highland View Houlton, WI 54082 Legal Description: SW1/4, NE1/4, S20, T30N, R19W Township St. Joseph County: St. Croix Subdivision Name: Pioneer Ridge Lot Number: 18 Block Number Parcel I.D. Number 030-2153-18-000 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic & Dose tank specifications Page 8 & 9 Effluent filter information Page 10 & 11 Pump specifications and curve Page 12 Plot plan Page 13 Septic tank maintenance agreement Page 14 Warranty deed Page 15 CSM Page 16 - 18 Soil evaluation report Designer: Walter Nechville License Number: 227710 onally Date: 4/29/2012 Phone Number: 715-749-3322 , VIED r Signature: Designed Pursuant to the _ \J 2.0 Component Manual Version 2.0 SBD-10705-P (N. 01/01) and both S3~ _r t7 9 n SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and l~ Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) y--now. Version 6.0 (R. 04/08) Page 1 of 18 „ Mound and Pressure Distribution Component Design Design Worksheet Site Information tR or t.; R Residential or Commercial Design Note: Sand fill (D) calculations assume a 005 00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of 36 inches. 750.00 Design Flow (gpd) 9.00 Site Slope 991" 1 Contour Line Elevation (ft) 26.00; Depth to Limiting Factor (in) 0.60j In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 1 01 7r~ .50± Dispersal Cell Length Along Contour (ft) = 6.98 Cell Width (ft) 0 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Eater Y or N C jr E; C' Center or End Manifold 3.49 Lateral Spacing (ft) If N above, enter the elevation (ft) 4i Number of Laterals of the highest point. 2 Orifice Diameter (in) 2.001 Estimated Orifice Spacing (ft) = 6.95 ft2/orifice 2.00 Forcemain Diameter (in) 120.001 Forcemain Length (ft) Does the forcemain drain back? Y 83.391 Pump Tank Elevation (ft) Erder or N 61 50 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 16.69 Vertical Lift (ft) 97.26 5x Void Volume (gal) 4.82 Friction Loss (ft) 116.83 Minimum Dose Volume (gal) 0.00: In-line Filter Loss (ft) 44.49 System Demand (gpm) 28.01 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. o tions choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 x i 2.00 x x 1.50 x ? x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optiana~) Treatment Tank Information Total Tank Capacity (gal) 1585 0 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser ;Manufacturer C - gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information Y 950.00; Dose Tank Capacity (gal) PolyLok Commercial Filter Manufacturer 052 Dose Tank Volume (gal/in) 6 Filter Model Number Weiser - I Manufacturer Project: Beasley 5 Bedroom Mound Page 2 Mound Plan and Cross Section Views 1/10B J Observation Pipe ; ; . K : - j T 5 A W - B 3 z • L Mound Component Dimensions ft A 6.98 ft E 17.54 in H Elft ft K [Aft B 107.50 ft F 9.50 in z ft L ft D 10.00 in G 0.50 ft J W 750.35 (fe) Dispersal Cell Area 1966.66 (ft) Basal Area Available 6.98 (gpd/ft) Linear Loading Rate 10.75 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.28 (ft) ♦ H e*4'10 I F e 100.98 Dispersal cell (ft) Lateral 100.48 (ft)-► - Invert Dispersal Cll Elevation E D 3 99.65 (ft) Contour Elevation 9.0 % Site Slope Geotextile Fabric Cover Shading Key e.- Dispersal Cell See lateral details on 10 _ Topsoil Cap 1.5 ft Page 4 for number, size, pacing of laterals. Subsoil Cap T and s Laterals are ASTM C33 Sand F equally ® Tilled Layer C 0.5 ft Typical Lateral spaced from the c distribution cell's Aggregate centerline in the -A- ~ distribution cell (AxB). Project: Beasley 5 Bedroom Mound Page ~j Center Connection Lateral Layout Diagram Force main connection via tee or cross to manfold at ang point. Laterals are identical I P S Turn-up wtbal l we" or IF X--+I+xl2 X12 Laterals & force main of PVC Sch 40 clesnoutplug per COMM Table 84.30.5 Hales drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.00 ft Lateral Length (P) 53.00 ft Orifices per Lateral 27 Lateral Spacing (S) 3.49 ft Orifice Density 6.95 fe/orifice Lateral Flow Rate 11.12 gpm Manifold Length 3.49 ft System Flow Rate 44.49 gpm Manifold Diameter 2.00 in Total Dynamic Head 28.01 ft Forcemain Velocity 4.54 fttsec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and *0 Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 950.00 Gallons Volume 25.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.43 510.67 C B 2.00 50.00 P♦ ump off elevation (ft) C 4.67 116.83 84.30 D 10.90 272.50 D Total 38.00 950.00 Dose tank elevation (ft) 3" Bedding un er tank. 83.39 Alarm Manuafacturer SJE Rhombus Alarm Model Number Tank Alert AB Pump Manufacturer Zoeller Pump Model Number 140 Pump Must Deliver 44.49 gpm at 28.01 ft TDH Project: Beasley 5 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name Phoned t POWTS Regulator's Name I St. Croix County Zoning Phoney 715-386-4680 System Flow and Load Parameters Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750.35 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Other! Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral "y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Beasley 5 Bedroom Mound Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, 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: PAfIP t^i z 53j" AS 1014" 0 43" READ m m w ~ D z c a 0 ;a o UP 42" I ( t P 4" CAS ° O D N m 3" 44" 6" a I 00 m m 38" ~ r- x rn ° m r*m x v > OD w V I < l rrI n I N UP 40" N 0 V 4" CPLG D c a m [1:, UP 40" m z 4" CAS i I \ 4 p; p 41" z c D0 D O cni z a ,r-p Z Z p c m m m -I ~ v O N D 0 n p*Z sZ__Dp0mm >oo D _u 02OZAA ;up px (n :=J ao rn m0p D°SSp~ O==;Or,fz. cb mm ~0 m D 0 xznc ~mzFri'.~w ~ cnz a0 ~ ul C Z ~ Nzm I 0-4 rO~~..0W (n D ON z \ m D' ~ D~OZf7m) I w~i N s v v D N p N~ mN A~.. \ I W P 01 o A m v ~ V v t0 = n D O P~ to m D tDo ~pW000 (A 0) m 00 D O z w N O Z (J)'-% O (n w ' 0 V (1) p_n r W O s s s p - cn v° v z N rD-O z N Dr- mDm 0 °O 0000 v m~ H 0 r m \0 D r\_ _ r- Z r- m p n (7 (O m Z Z CD 4 Z z 0 0 w o > > of .T.~ v aov c o -n ;u --r I O Q n ''0 D c m `r m ~ c o r-4 O 0 O 3 v~ w D Z m V1 m o m O 0 o) Z 0 m m \ DSME m SCALE. 114"=l'-O" PRE-POUR: = WLP1585/950 NIENER C®~CRETE ° SEPTIC MANUAL REV. \ z W3716 US HWY 10 MAIDEN ROCK, NA 54750 RY 2010 DATE . POST-POUR: ° REVISED JAN. 2010 800-325-8456 5o 0-7 POO INSTALLATION INSTRUCTIONS Zah-l' ofP*,a.. PL-525/PL-625 FILTER PL-525/PL-625 FEATURES & BENEFITS Features & Benefits: r, • Rated for 10,000 GPD . PL-525 = 525 Linear Feet of 1/18" Filtration PL-625 = 625 Linear Feet of 1/32" Filtration do ii PL-525 PL-625 • Accepts 4" and 6" SCHD. 40 pipe The PL-5251625 Effluent Filter should operate efficiently a Built in Gas Deflector for several years under normal conditions before requiring cleaning. It is recommended that the filter be "Automatic Shut-Off Ball when Filter is Removed cleaned every time the tank is pumped or at least every • Alarm Accessibility three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the • Accepts PVC Extension Handle filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. RECOMMENDED PRODUCTS Polylok PVC Filter Extension Handle . .93 Risers & Riser Covers Extend & LokTM Riser Safety Screens Filter Alarm Panel and Polylok risers bring your Polylok Extend & LokTM' Polylok safety screens SmartFilterT" Control septic tank cover to grade. is a simple, easy to use prevent tragic accidents Switch This allows locating and solution that can extend from happening by children Polylok filter alarm panels servicing your filter easier the inlet or outlet pipe and and pets falling into open and switchs provid a visual and time saving by elimi- make filter and/or baffle septic tank entrances. and audible notification of nating digging to find tank installation a snap. impending filter and tank entrance. Fits 3" and 4" pipe. servicing. For a full list of Polylok products please visit our web site at: www.polylok.com Parma R t 3, INSTALLATION INSTRUCTIONS abel' ' Z A d k~ PL-525/PL-625 FILTER INSTALLATION INSTRUCTIONS Center fitter with opening tt J IL = Additional pipe or Polylok F_xtend & (oICTM Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is property aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back if necessary. into the the housing making sure DO NOT USE PLUMBING 9 WHEN FILTER IS REMOVED (B) Pull the filter out of the housing. the filter is properly alighed (C) Hose off the filter over the septic tank and completely inserted. l11 Make sure all solids fall back into the (B) Replace septic tank cover F LTM septic tank. Paae 9 u p _ SECTION: 2.20.045 Q/.4L/TY/aUMP6 ~/iNCE 11fL9c7 1211 Supersedes Product information presented % 0710 of pug s ter;, PUM==97arlde' or MAIL TO. P.O. BOX 16347 • LouLsvee, KY 40256-0347 visit our web site. SHIP TO., 3649 Cane Run Road • Lmtvi8e, KY 40211-1961 www.zoeller com (502) 778-2731.1(800) 9284)UMP • FAX (502) 774-3624 COMPARE THESE FEATURES 14014140 & 14514145 Cast Iron Series • Durable Cast Iron construction • Model 140 features a Non-Clogging engineered (For Pump Prefix Identification see News & Views 0052) thermoplastic vortex impeller design and passes Y27 spherical solids "FLOW=MATE" • Model 145 features an engineered thermoplastic single vane impeller design and passes 3/." spherical solids FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) • Motor- 60 Hz, 3450 RPM, oil-filled, hermetically AND ENHANCED FLOW STEP SYSTEMS sealed, automatic reset, thermal overload protected • Available in both single or double shaft seal designs EFFLUENT • Carbon/Ceramic mechanical shaft seals OR DEWATERING PUMPS • Assembled with Stainless Steel bolts SUBMERSIBLE ,,..a. • Stainless Steel lifting handle 1'/2' NPT DISCHARGE • Upper sleeve and lower ball bearing running in bath of oil • 20 It UL Listed Neoprene cord with molded plug cap ' and ground wire Model BN140 Model 140 • 1'/:" NPT vertical discharge and BN145 and 145 • BN and BE models include a variable level float Single Seal Single Seal switch and 1'/z X T PVC adapter fitting Pumps Pumps • Operates at temperatures to 130OF (54*C) in effluent or dewatering applications • Corrosion resistant powder coated epoxy finish Note: The sizing of effluent systems normally requires variable level float(s) controls and property sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. C US Model 4140 Te.ftd b u SlsWrd UL778 and 4145 and CeY°°d to CSA Double Seal Stmwdc'" WAN Pumps P /",447 IO_ POWDER COATED MAIL TO: PO. BOX 16347 T011iM " _ Louisvi8e KY 40256-0347 SHIP To., 3649 Cane Run Road Lotdsv*, KY 40211-1961 (502) 778-2731 • i (800) 928-PUW MODELS AVAILABLE FAX (502) 774-3624 , Automatic (Models BN & BE) • Nonautomatic Manufacturers of... • 1 HP, 1Ph 115V or 230V (14014140) • % HP,1 Ph 115V (145/4145) `O QL/.4L/TY PUMP6 ~,7/NL'E ® Copyright 2011 Zoeller Co. All rights reserved. Page 10 r 2 PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW MODEL 1404140/14514145 PER MINUTE s EFFLUENTAND DEWATERING 3718 6546 zz m MODEL 140/4140 145/4145 458 ZO 66 Jan Feet Meters Gal. Liters Gal. Liters } +e 60 5 1.5 86 326 61 232 0 329/32 10 3.0 80 303 60 228 + I 15 4.6 73 276 56 213 i6 m 20 6.1 66 250 53 201 14 25 7.6 59 223 49 186 urz 1111 a 30 9.1 49 185 45 171 a 40 122 28 106 35 133 to 50 152 - - 26 99 o 60 18.3 - - 16 61 < +o o ~ Shut-0(t Head: 50 ft(152m) 74 ft.(22.6m) a s i i 6 ID 1213(32 5 15W90 4- 2- o 4532 I SK1524A 5 i 1.rv t401 H46 N40 0 f0 20 30 40 60 60 10 80 90 GALUXS 1 111ER5 0 80 160 2N1 a21 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 3719 65'16 • Electrical alternators, for duplex systems, are available and supplied with an alarm. s a • Mechanical alternators, for duplex systems, are available with or without alarms. t • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. 3 29l?2 • Variable level control switches are available for controlling single phase systems. I • Double piggyback variable level float switches are available for variable level long cycle controls. + • Sealed Qwik-Box available for outdoor installations. See FM1420. • Refer to FMO806 for applications above 130*F (54°C). L ,,rz +11 14014140 & 14514145 MODELS - SINGLE PHASE Control Selection Model Model Volts Mode Amps Simplex Duplex N140 N4140 115 Non 12 1 or2 3 E140 E4140 230 Non 6 1or2 3 BN140 BN4140 115 Auto 12 - 1611 BE140 BE4140 230 Auto 6 * - N145 N4145 115 Non 13 1 or2 3 1/9 ~74 E145 E4145 230 Non 6 1 or 2 3 SK'52413 BN145 BN4145 115 Auto 13 BE145 BE4145 230 Auto 6 F -I - SELECTION GUIDE *Single piggyback switch included. 1. For automatic use single piggyback variable level float switch or double OPTIONAL PUMP STAND P/N 10-2421 piggyback variable level float switch. Refer Reduces potential dogging by debris. to FM0477. • Replaces rocks or bricks under the pump. 2. See FM1228 for correct model of simplex Made of durable, noncorrosive ABS. "Easy assembly" control panel. (pump & discharge pipe Raises pump 2' off bottom of basin. not induded.) 3. See FM0712 for correct model of duplex Provides the ability to raise intake by adding sections of 1 %2' or 2' PVC piping, control panel. Attaches securely to pump, o cAU nar Accommodates sump, dewatering and Ailinstalia,Io^dtcontrols, protection devices and wiringshoulcl effluent applications. be done by a qualified licensed electrician. Alt electricai and NOTE' Make sure float is free from obstruction, safe" codes should be followed including the most -ecem National Electric 'ode (NECI and the 0--cupationai Sa'ets ane'r'ealt* Act (OSHA . RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2011 Zoeller Co. All rights reserved. Pane 1'1 PLOT PLAN N Project Name: BEASLEY 5 BEDROOM MOUND Legal Description: SW114,NE114, S20,T30N,R19W P.I.D. 038-2153-18-000 Subdivision Name: PIONEER RIDGE Lot #:140 Township: ST. JOSEPH Parcel Sae: 3.44 Acres SCALE: 1" = 40' County: ST. CROIX (see map on back) Contour Line Elevation: 99.65' System Elevation: 004 inch Sch 40 -ASTM D2665 Slope: 9% 2 inch Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC i 1.5inch Sch 40 -ASTM D178 131012 Elevation: 100.35' To of 2" PVC-pipe ■ Backhoe Pits: NOTE: 5 inches of sand have been added to the mound to compensate for the roughness of the site CAUTION: Vehicular traffic, excavation and soil compaction are prohibited at least 15 feet downslope of mound t qID CoN°rouR LINE 1 ~ `~~~N Psi; \ ♦ ~ r 1f- ♦ \ 49- G ♦ 9% SLOP6 L PP` 6~oSGD M Del, y 5Lm NO 9 0 .SCH yo F0 CI: MAjIN 00 OR\J ~P 5v7'.IP. . i/J1 PO Y40t, &Z5 _ $ L 'rte - ® pR©PGS~+~ \ WeLL- y ORAWAGr EASEMENT c ~ Rage 12 no& looo av LOT 22 LOT 16 RAMS • . Cll.- ND SAC f , Ile 'j, LBO / EA.SX7vf I . ~ at+ CLW:- 912.4 LOT _ \ e LOT 17 LOT ZO `~NEffE oN ro 1,~1 ~o t107.~ <LAc `ores. ,a \ LOl LOT 16 ` -'~ot.~'•:.. EA F 10, LOT 18 LBO • ano ON. l AR.UIIGIG~' ~ ' fA.SaCV7 9V' TOO or t• wa+ &O NW ft so" LOT 6 BM Ettv. au. . ! Z p . a~.0 ante Lao TlLia"' All w -P :M'41'OS'S~ -vm 1/4 um LOST a C.8-.M. W VOL. v pG. MW 40 so SHEET 3 OF 4 SrCETS ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address q5_7 q -7 T-J' / A-I.Q c- (Verification required from Planning & Zoning Department for new construction.) City/State 5 Parcel Identification Number ~2a " 3D - / 4 3a 8 $ 21573 18 -00 LEGAL DESCRIPTION Property Location 1/a , Sec. a , T,;4 N R / W, Town of f- P N Subdivision Plat: gyn.. R -t : o s- , Lot Certified Survey Map # /Ir'l~• , Volume , Page # Warranty Deed # C7S9 (before 2007)Volume 0/ G Page # Spec house ❑ yes V no Lot lines identifiable ❑ yes &no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § m 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this 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 warranty deed recorded in Register of Deeds Office. Number of bedrooms OF ICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 7" ~11Z PUP"=FOR. COUNTY PLAT OF: PIONEER RIDGE cro EDT}Aw w uc ,7%EDNERON ASweuE iu. LLC THE NEi/4 OF THE NE1/4, NW1/4 OF THE NE1/4, SEi/4 OF THE CRAM. 0 1 2 SOS (812) NEIA AND THE SWi /4 OF THE NEi/4 OF SECTION 20, T30N! R19W M or vns , PREPARED BY: TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. SAN LAM SLRtLEYHO 2920 OLOE 97RUT MASON. M 54018 , SUYE 101 (115) 588-2007 LOT 26 PREPARED BY: AVTM OONRB.7g~9/A MATES LOT 27 2920 So- 101 (718) 581-5277 LOT 28 f \ • ~ ~ LOT 29 vium LOT 20 LEOEND aft i}ftw p rOLllr ALB/AM OaM1T 2 LOT 26 1 ) ¢c11o" oo]ABe uaA]A.LtrT ` \ a o ~ rouxo ,-,/s• atvoE on.._ _ gip! '1.1a. ig \ ~ ` ~'*str L ,-1 r awe= s _ b dJ McTn..w~p,_ AvEN11E- _ Q Lana w61 aAR uOaMr ns § \ \ LE y._.at. / _ ~-149200 ua ru urA11 roar ono r - - ]n r anaM aAUna s. \ n ~L ~tq~ r = l : ---'-'--M--------- o I.1 Lm Mal ni I I19a rDl IAEM mot roar . ~ .13 rOwD P lvlaM av w.ur \ i 1 aALCtu Ma rML r srurwr •o• tu` I : s ar ,m OMLar uA""La ~ w: se°'eie° ~ytic l rag9 All "AL y I yI LOT 1 tn_ >s• aAlnr 381aA« ra0rr ' ) 'O~ I \ I I ' , ( sees ` ~ - - O.u"Aa} wDlDlrg 1 § rlsxNra u• it LOT 24 2 me' MYw'' eJ Av d LOT 12 KiLA"O pp % is AAIt- KMAM 1x04 e[TLA710 (-3 j r i _ Ile _ so • e~.TSS.i ce,DSe"Anal 9r w as a/tr/oq ~ : .rte ~ ~ ` ~ ~ A~ Ea ■1 cl~ 1 I I it ` ¢ib; "Ae.o•ae real WATT" DA-"o" ° LOT 14 1 I ,r: I.eo.o.e.e oem °°ONOwwor a OOar Da1MnON, Z v p 1 - t- mao n aeeoer Vic, gq LOT 22 I T ' {I , aI • uo _ a I _ II ISM K ~ ~ PT ~ wr V I ~ tt . LOT 2t ntvAno"s A}L eavmlata 1~^` w,0 1,\ i LOT 15 Lr LOT t0 o1OA,u a"ah"i.ee.A"}"rar" LQTKAI ~ ; I L L L DRAHIADE • w:1LAlq L. L ORAMAGE EASEMENT I tr ; °u'nasL) I,. M r, J. ; 1 Y Yr EAEEMENT TABLE 'D' / k i Iwa . W0.0 "r 1 / OaKC11ar O's> 1 W - II•.0 \ /PA teb1' De5> Ct ]RS CWT ...tf• 1 _ .i ,raJ- aroa-nez msr cr z na>e' 1 .'C: ~ _.IS 1 sM•]e']ot sM. . ~ xarze3PZ ,J,Jr ,,wt ,f'' v ti ~ t ~ w,~_rsc n'Ja2 ltp' C -a-Y fOtla' ?I/ e''aXwP/7 T' (AS[KHI Y' ¢ Wo- w x»ar7rr sr.sr a s!,>o:vz ee a> t rPT,'s T t( >s ~ °'r. ~ 'JY2 T e8a 1 r 1> M 000'31'33T .J,J' I r~~~.• _ ,-.-AIR.- 1'~'', i r Pe Jo I- xJr0J7~T el 11 SR%]>1MY OA 1t0JJ' / I:A•. i' 1 D0. eMS.I ro W_"T aam• cro xeere•MT e>rr' PTr i' 'rx'~-; { n M>x7dt ra.r orr xroro'SfT l~ n' 1 ' 'r! s I i LOT 9 Pro snv'.n aax• orr xnazTJT r~aa. li r'~•.. _ \ ~ „I rr sx7a'vY .0000• cri sa.ve>aT ,rJ le• Grp I 1 Il~~ srwar7rz 0JOe• LOT /6 PIJ ssam7•t r.!x' o J ew'Mia we' si,,r LOT 22 I r PiI N>TJ•nrt JS>1' ll x«:r'M',r 1722 ` I r kb Il / ~l Pn xm>anrr all xs1 Va7sro czar - PIM1 rwR "3Y rN Ole SN:rsTIT raga' 70• MNV3 r / y, / / 0!CSlOat JO d' a0' r0 r1OM°IIMT Q NM[ . e]a3 o,e xX3a'CwY ar.]C O:O Fol'4'1ieMT NBD' a~.~{'0"~'•, all-9[~SAC ~ Ua - °xi]~M !I 300'31',19 Ill r3' art xn>aat nsr N' I 4r",E~yQS' t. .~~/r y'aew•ee. ~-;f^L` P1O SaJ>DXY Isaea' 019 J>Ja}m'W lr fl 'V'IW. wa surnaT ear orr sananrv rea er' \ Y.......... \ / / rASrewr `t~.1+' r r ova s~l7o7tt ra r fl, ;(Qpe, i x11 m• >n wsa.rsaT ]ssr 1 X I +'p $ W ors sJl>o'.rt ^r•.ss' i ~ I •OfL Tl~l y Pall wea3aT .,ee' ox sev:ra7>-° xu \ _ _ wd ~ L 4N_ r Pas ~:n7sx rJlO• pr1 sxx77r JfeJ' M{T - PI~' p Px sPe 7_,1IWT r>aa' ars xee:re•Jet rlaes' I '6111 + ~A1 `y0•rf~ '''b'rat 50032 ~rtev. ~J. P1l a•a: ova /wexlar rrou ~ ~ LOT S P>e wa>]ra1T sear aJO Aas•JeaaT -r s. l _ L ' Ph xraxr3aT rasr Wr /we:le"Ja rJn~ 14 ' L P.lo xmnsnrr sasr ox JooJrae 7 LOT 17 P,II su-IevY JJM au m7a1tu7 rea..r' ' 7,-. ¢y L Px sr3n'a-a .r oJ• Jm711wT rnrr '1 7'• P1J stJ7s'aa+r oru l.a.,... - ~r• PJa warm} T. utJ' LOT AREA TMIi n~ Aaem7 w e n - f M M Aalm 1 I. _ FJf %1: JTNT 9NN LOT :lM33 SOa} i LOT 2O t 1~t1 LOT } wu WN Ad. art,n f / yy LOT] 13eg3 1001 I weR rro l Er I`n ie / J 2F Lot s ,}Dell aaw °"w D"MAGE Lor: ,33.s EASEMENT 'WO' WT > 130M I- It ,mow ~y~ TAB" Lora iz>n am] I s ( 'ArT~JO EHpk a soosraY n>wp,~ L~Or ~0 13ar°D1ees aiMWOO 1 - - - r t 1 \ a' lnn'.w~r1 - LOT 7 N a8r or x*<wa>ar earP• Lm It uoen ].oM Iw B LOT 18 g~. uo ra °o ~7 W fr LOr ]0006 aOD1 J+•'MT SL. L0I LJ 1]D71} \ i s oil 0] SL^rJIT LOT I• 1001." &oMSOa ■E}}Oi nr wwavr st r 1 LOT 18 o> x w'aeT el?+' Lor ,a 13o7M 3.000 I r.uvrx. •n' Wt Ir. ,1001, 1a0 111[ .Mao °y al a~A j( xra•JSx71 sae>' a .ue-.a'!e'..an wr ,laM >.am lao-erzo I ,l %'.~6 a~~ w.s7ie~* °T u, LOI H ,ate." a••o ~4 w w .l.Ae' Lm r ,]tIM ale wr ]o is>oro arse SCALE N FEET P•J AJ0tY3T .aJ LOT at aMe \ Sr `A"~ ~ Ora 547arwt yl- LOT t} '300}7 &M 0rJ %Ta'•aT Mar Wt 2a 1]HM~t7 aa101°OO ` : t0u 0 100 are J.a])'aaY „T 0J' I 011 La171Y]T roll 11730 3004 T - _ ~i,~ Ore weave Y>t .u -aT b 130000 a],> a> - N L M 'Wn' .a:YT s !T LOT OYAM a C11V x'Y. SVl1 1X.00 LM IMMt AIMIl le.2KN1 'x" n on xaea7nJ-e n.!a' Lor r ,eat." ars ai/a m". ,w a r Ma. raa I `U. LOT 6 ova wrr.v s!-r :Jae' LOT M ,>eMt woes ~n m a na>. aso r "aT -Mae LW 339 1 ,37100 116, uo . esa0 Lar st t],.ee aan ts>szr sB0'a]'M•M 2NE.7E'-- Lau "I Lat tOTm ,a,•3} M.7 OP11NA6E - y L:Y7 2 C.S.M. 151 Wy- 7P t'.. !:Mo CASEMENT Lm 17 1aM7a 3rs - _ TABLE 'W L07 r 1700 al]t /a C"TOeaw 0.y1 La r 131M 1010 >;nrz I%~ • Lm ao ,3,a> 3001 aa'e LOT •1 1.W 101° eJ w.•1a•;lJY lN.N' LOT 1Y 1 M1,•01 aq] sraSTJ>1 111)1' LM N ,sal all! arY ar aJ' W N 'mm a0a ua w+P93VY raa a. LOT U 1]}00• a , Wu 0. } m tby a}: Ott Page 15 MS PMMM 0 ORAfim W W"M IW1E rM IM. Mee-01 MR: 0/00/2M7 ft S . 10/te/2007 SHEET 3 OF 4 SYEETS . SOIL EVALUATION REPORT / F 2, / D) OC 6 #1444 •sC~nSI n in accordance with Comm 85, Wis. Adm. Code ~ Schmitt Soil Testing, Inc. Department of Commerce Page 1 of 3 Division of Safety and Buildings County St. Croix Attach complete site plan on paper not less than 8% x 11 inche size Ian must include, but not limited t vertical and horizontal reference int ( i n and 6 21453-- 18 0()() 56 percent slope, scale or dimensions, north arrow, and location d dista t crest road. Parcel I.D. 03 By Date P/ease Rev' -11 h:1omatinn- Fdr ~aC'E L (P~ Personal information you provide may used ' 15.04 1) (m))• i Property ocation 20, T30N, R19W Property Owner Govt. Lot SW1/ , NE1AS Golden Harvest Capital, LLC DEC 13 2006 Lot # Block # Subd. Name or CSM# Property Owner's Mailing Address 18 Pioneer Ridge 14906 Blakeney Road ST. CROIX COUNTY Nearest Road St Code Phone Number City ❑ Village M Town City E MN 55347 (612)202-3234 St.Joseph 50Th St. Eden Prairie 450 GPD 3 Code derived design flow rate New Construction Use: Residential / Number of bedrooms W Replacement ❑ Public or commercial - Describe: Flood plain elevation, if applicable a N' Parent material Glacial till General comments x and recommendations: Area is suitable for a mound system. System elevation is 100.50', based off contour line established at 12 99.65'. Slope is 9%. ❑ Ground surface elev. 100.35 fl. Depth to limiting factor 26 /in. Soil Application Rate X 1 Boring # Boring 30 Horizon Depth Dominant Color Redox Description Texture Structure Gr. Sz. Sh. Consistenc Boundary Roots 'Eff#1 •Etf#2 in. Munsell Qu. Sz. Cont. Color 2fsbk mvfr gw 2f,2vf .6 1.0 )0 1 0-15 10yr413 none sl mfr CIN 2vf .6 1.0 2 15-26 10yr3/2 none sl 2msbk 9w lvf 4c ~ .5y )01 3 26-36 10yr6/3 f1f f 7 7.5yr66/6 sil lmsbk mfr 10W c2d 1 e sil 2msbk mfr gw .6 .8 *1 4 36-46 10yr4/4 i I m3d 5yr6/8 sicl imsbk mfr 2 3 10C 5 46-70 10yr5/3 5yr6/2 xx 105 40 04 05 D Pit Ground surface elev. 100.25 ft. Depth to limiting factor 27 in. Soil Application ~fion Rate 45 El Boring # U Boring i06 Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots Gr. Sz. Sh. `Eff#1 *Eff#2 116 in. Munsell Qu. Sz. Cont. Color 00 1 0-11 10yr3/3 none Si 2fsbk mvfr cs 2f,2vf .6 1.0 2 sl 2fsbk mvfr gw 2vf 6 1.0 13 2 11-21 10yr4/3 none 17 49 3 21-27 10yr4/6 SO 2msbk mfr gw lvf 6 8 none 46 mld 7.5yr6/6 sit 3msbk mfr gw '6 .8 62 4 271}7 10yr4/4 7.5yr6/2 .3 52 5 47-68 10yr6/3 map 7 5.5yr6/2 sict lmsbk mfr .2 81 22 74 47 71 ` Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD5 <_30 mg/L and TSS <_30 mg/L 18 ~ CST Number 58 CST Name (Please Print) Signature:_-~~~ 227429 10 Thomas J. Schmitt Date Evaluation Conducted Telephone Number 27 Address Schmitt Soil Testing, Inc. 8/3/2006 715-247-2941 1595 72nd Street New Richmond, W1 54017 SBD-8330 (R 07/00) 17 D8 11 8 0 6 1 4 5 3 Tx:4044637 STATE BAR OF WISCONSIN FORM 1 - 2000 958731 Document Number WARRANTY DEED BETH PABST REGISTER OF DEEDS THIS DEED, made between Citywide Development Inc, a Minnesota ST. CROIX CO., WI Corporation, Grantor, and Anthony E Beasley and Amy N Beasley, husband andCkft a2/2012 2:42 PM as survivorship marital* , Grantee. *property EXEMPT#: NA Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 30.00 described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 118.50 "Property"): PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: -T,ri.E RF<04pvjC SERVICES 7q WEbT£R„y Av¢- N Z,• PAC, c, ^ a Together with all appurtenant rights, title and interests. 030-2153-18-000 Parcel Identification Number (PIN) This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Dated this ST day of June, 0 Citywide D el men nc * A.P. ociscak, President * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA ) WASHINGTON COUNTY. ) ss. authenticated this day of June, 2012 Personally came before me this ~ day of 7 Z / the above named A.P. Kociscak , * the President of Citywide Development Inc, a Minnesota TITLE: MEMBER STATE BAR OF WISCONSIN Corporation, to me known to be the person(s) who executed the (If not, foregoing instrument d acknowledged the same. authorized by § 706.06, Wis. Stats.) G " THIS INSTRUMENT WAS DRAFTED BY *Kayla Stanius Notary Public, State of Minnesota Larry S. Mountain Attorney at Law M cc " ' won is perms"Tq ot, stat expiration date: 0~ t Notary Public ) (Signatures may be authenticated or acknowledged. Both are not necessary.) Vi My Commission Expires *Names of persons signing in any capacity must be typed or printed below their signature . January 31, 2014 1 of 2 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 i EX=IT A Lot 18, Plat of Pioneer Ridge in the Town of St. Joseph, St. Croix County WI ,I 1 i 2of2 1 - D ~ o ci) -O o M P MOONS 0 Z Z m NOW'., r+ :r MENEM , o _ N o o O CD f-IL ° O y c M 0) L n~ N y Z M =r oo 0 ~ CD cD M - ° CD cn . O CL CA n 3 4 0 y o Q Mo M PENNON 2. `D mmmml o " W CD cn a 0 c M • D =r - r. 0. .o M ~ tol o' can . fMqL r Jz: SOMME POIL , CD O. MIL - V • O oftl%mb 1 ST CROIX COUNTY PLANNING ZONING July 13, 2012 File#: LU87545 Anthony and Amy Beasley 446 Highland View Houlton, WI 54082 Re: Land Use Permit for filling & grading <10,000 sq. ft. within 300' of Code Administra navigable water OHWM 715-386-4680 Parcel #20.30.19.3088, 457 147th Ave., Town of St. Joseph Land Information & Dear Mr. & Mrs. Beasley: Planning 715-386-4674 This letter confirms zoning approval according to plans submitted on July 3, 2012 for the following activities that require a land use permit: Real Prope 116 715-3 677 To fill and grade <10,000 sq. ft. within 300 ft. of the Ordinary High Water Mark Rec Iding (OHWM) of an unnamed navigable waterway in the Shoreland District pursuant to 5-386-4675 Section17.29.(2)(c) of the St. Croix County Zoning Ordinance. k. According to the plans you submitted, the proposed filling and grading will be necessary to construct a principal structure with attached garage, a mound Private On-site Wastewater Treatment System (POWTS), and a driveway access from the subdivision road. The land disturbance will be on slopes <12% and will exceed the 2,000 sq. ft. allowable without a land use permit. Staff finds that the proposed activities meet the St. Croix County Zoning Ordinance and Shoreland District based on the following findings: # 1. The property is located on lot 18 of Pioneer Ridge Subdivision at 457 147' Ave., is zoned Ag/Residential, and is located in the Shoreland District of the navigable waterways as shown on the recorded plat; 2. The proposed construction will result in 7000 sq. ft. of land disturbance within 300' of the water's OHWM, but construction is outside of the 75' setback and will meet required side and rear yard setbacks from property lines; 3. The proposed house is intended for use as the principal structure on the property and may not exceed the maximum height allowed in Section 17.13.(3) of the ordinance; 4. The applicant's plan includes an erosion control and storm water management plan featuring two infiltration areas to assimilate runoff from approximately 4300 sq. ft. of impervious surfaces. With conditions to install appropriate sediment ~Y control measures e.g. silt fence or sediment "logs" below the construction area in a vegetated buffer, to maintain erosion control measures until self-sustaining permanent vegetation is established on all disturbed areas, to prohibit the use of ST. CRO/X COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD, HUDSON, W! 54016 71 X386-4686 FAx RZ@CO. SAINT-CRO/X. W1. US W W W. CO.SAI NT-C R OIX. W I. U S p ous i izer o es a is an main ain a awn, o impl`emenrt e p n, and record a maintenance and monitoring agreement against the property for the runoff i iltration device(s), negative impacts to water quality of the pond will be minimized; 5. A nd POWTS will provide wastewater treatment for the proposed dwelling; 6. Th of St. Joseph building inspector will review the submitted plans and land use permit prior to issu of a building permit for the town; 7. Stev Ison, Land & Water Conservation Dept., reviewed the land use permit application and com ted that: A 35-foot vegetative buffer must be maintained along the OHWM, no use of phosp rous fertilizer unless it is needed, and the Operation & Maintenance agreement be recor ; 8. The W' onsin Department of Natural Resources Shoreland Specialist, Mike Wenholz, was sent the ap ation for review on July 6t'. The DNR typically is satisfied with these projects as long as the ns for stormwater and erosion control are implemented and compliance is verified by county staff; If constructed as proposed, this project will meet the spirit and intent of the Recreational Residential Shoreland District. With conditions for installation of erosion prevention, sediment control, and long- term stormwater management devices, it will not degrade the water quality or scenic value of the wetland, nor will it negatively affect the public health, safety and welfare of County residents. T and use permit approval is for filling and grading <10,000 sq. ft. within 300' of the OHWM, as indicated in th ns submitted, and as provided in the conditions below: 1. P r to commencing construction, the applicants and/or their agent shall obtain any other permits re . ired, including but not limited to a building permit from the Town of St. Joseph; 2. for to commencing construction, the applicants and/or their agent shall contact the Zoning ministrator and schedule an on-site meeting to review construction schedule and verify tallation of erosion and sediment control measures as indicated in the approved plans. 3. diment and erosion control measures must be maintained until all disturbed areas are fully ilized. No phosphorous fertilizers shall be used on the disturbed areas of the site, unless a soil tes onfirms that phosphorous is needed to establish permanent vegetative cover and must be limit ; to areas that do not drain directly into surface waters. 4. The ed principal structure shall not exceed the maximum roof height allowed in 17.13(3), will rem utside the 75' setback from the OHWM, and will meet the side yard setbacks required in 17. )(c); 5. Th tormwater management plan must be implemented as part of the project with runoff infiltration es (rain garden or equal capacity) installed according to approved plans. The applicant shall ecord an affidavit on the deed to the property that provides for long-term operation and aintenance of the approved infiltration device(s). 6. hin 30 days of substantially completing the proposed house construction, the applicant shall mit to the Zoning Administrator certification from the contractor(s) that the construction has been ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, W/ 54016 7153864686 FAx PZPCO. SAINT-CROIX. WI. US W W W. CO. SAI NT-C R OIX. W I. U S d om lance wi the approve pans. o os o comp e e s uctures must be submitted upon completion. 7. All activities approved as part of this land use permit shall commence within one year from the date o roval and be substantially completed within two years, after which time the permit expires. Prio xpiration, the applicant may request extensions of up to six months from the Zoning Ad ator. The total time granted for extensions shall not exceed one year. This app does not allow for any additional construction, grading, filling, or clearing of vegetation and the limits of this request. Any remaining site work above and beyond what is identified a art of this land use permit application shall be subject to the review and approval of the Zoning ministrator. It is your respo sibility to ensure compliance with any other local, state, or federal rules or regulations that apply to this operty. Your information will remain on file in the St. Croix County Planning and Zoning Departme as a matter of public record b. Plea feel free to contact me with any questions or concerns. la Quinn Zonin pecialist as Zoning Administrator Eric: L Use Permit #LU87545 S mwater Mgt. Plan Affidavit form cc: wn of St. Joseph Building Inspector eve Olson, St. Croix County Land and Water Conservation Department ke Wenholz, Wisconsin Department of Natural Resources ST. CRO/X COUNTY GOVERNMENT CENTER 1 101 CARMlCHAEL ROAD, HUDSON, W/ 54016 7153864686 FAx PZ@CO. SAINT-CRO/X. W/. US W W W. C O. SAI NT-C R OI X. W I. U S