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008-1053-50-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ' Safety end Buildjry Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Cowles, M ren Eau Galle Townshi CST BM Elev: I (7D O Insp. BM Elev: BM Description: ' ~ . (?O . O (~C-(-~ Wl. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~sE'2 ~~ Dosing ~ ~ ~ ~ tr~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r ~ r Dosing ~ $~ I ? ~vip ~ " ~ ~ t r~8 r ..~„ Aeration Holding P P/SIPHON INFORMATION Manufacturer J~ / ModelModel Number vvt ~ ~ ~o TDH Lift Friction Loss Sy h o.~'6 ,~S Forcemain Length ~ Dia. / "` Sf~ .Z. , SOIL ABSORPTION SYSTEM il'R'~Ilwf Width I Length DIMENSIONS ~ 13G ~ INFORMATION ~ISTRI6UTI~N SYSTEM Icau 1 vn ~~ i i . zS~- ~S• to well No. Of Tr1enchle_s - n _ lc~O~c~ L BLDG WELL r ' ~ISo~ ~ ~' ' /3i ~L«~- p/L ELEVATION DATA county: St. Croix Sanitary Permit No: 395116 0 State Plan ID No: 9~8 Parcel Tax No: 008-1053-50-100 STATION BS HI FS ELEV. Benchmark •gT lei ~( (oo .a Alt. BM ~Il.pr Bldg. Sewer ~a~ ,• Z ~~ 9~; (.~•~' I SUHt Inlet ~2. O t SUHt Outlet , ~,~ ~, r Dtlnlet ~: / q 2.31 Dt Bottom (~•~ gg 201 Header/Man. ~ $` ~. ~ Dist. Pipe ; ~~ • ~ / Bot. System .$~, • sz •2 Final Grade NIA St Cover W~~ ( ~z. `+~~ lug{. ~ , a ,,r~ Dia. --[ CHAMBER UNIT r.~ r~-s~ -r..,~. HeaderlManifold ~ I! ~ Distribution ~ ~~ pipe(s) A 1 ~ ~ ~i ' b x Hole Size 1 ~ ~ ~j 1 ~ x ole Spacing ~~ 7~ Vent to Air Intake .-----~ Dia Length ' At~a Length -[ Q Dia Spacing I p Still .COVER Y Drn~~nre Cvefomc Anly YY Mnnnrt Ar Ot-rir9dP_ SVStEfl'IS OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil ~ Yes ~] No [~ Yes n No C~MM~NTS: (Inclu a cq~~dis repencies, persons present, etc.) Inspection #11~->~/ ~ /~ Location: 2125 County Road N R~berts, WI 54023 (NE 1/4 NW 1/418 T2 N R16W) NA Lot 4 1.) Alt BM Description =~i•r ~ ~ ~ ~• S~ ~j(I ~ 2.) Bldg sewer length = ~ /l 111 // - amount of cover = ~ ~~ 3. Cont~~ou~j~= ~Q ~ ~ ; ~ `t~ F-.~.+ell~.oQ,Q w ."u. ~.C ~"' It '+- °utr ---~( ~~~ PII(an revision equlred? ~a~l Yes ~No /~' ~ I (~. Use other side for additional information. ~.,F p•' ~Z •~~~'ti Date Insepctor's Signature SBD-6710 (R.3/97) Inspection,,#~~/ ~~ Parcel o: 18.2 .16.266C l.Cll. IVV. Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 C~tY //^^~~ ~ ~• V ~© T ~ ~scons~n Madison, WI 53707 - 7162 ddress Sit Department of Commerce ~ Sanitary Permit Application sam 3~s I I to • In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision ~ Q.: ma be used for seco ses Privac Law, s15. 1 m I. Application Information -Please Print All Information ~ , t~ Plan I.D. Number ~ ~08~/ ~ ' ~ ~.~ ~ ~ G ~o~ Property Owner's Name •~j ~F ..._ P ,r 8~`~`G s 3 - ~l - ~ 00 Property Owner's M • • ddress ~ . ~/~ „ ' •, B ~`? rty LocB.• a ' 7 .~' ~ 'k ~. Si: S ! B Tom $ N. R l ` City, State Zip Code Phone ~ !{^ ' r~ ~ Block Number < ~ ~t L~~~ ~,/ (~ bdi~tiSion, ame CSM Number / L ~ •-- I/ G / ~ - V / II, 'I~gfe of Building (check all that aPP1Y) as P.r .~ • ~ iry S~"'~0 ®l or 2 Family Dwelling -Number of Bedrooms ^Vi1)age Describe Use o~~p ~~~ ^ Public/Commeroi ~ ^ State Owned ~ 9 • ZS nn Nearest Road 1211 av~DC ~' a ct ~c/~ `~ fl `~ = I • o ~ ( 1ZQ ~ C ~ . . ~. Mo~ . K ~ III. Type of P 't: (Check only one box on line (numbering scheme for internal use). Complete line B if a livable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For Coutriy use ~ ~ Y ~ ~ ~ ~O ' °~ S stem Tank Onl Eris ' sum Permit Number Date Issued B. ^ Check if Sanitary Permit Previously Issued l:V. Type of Permit: (Check all that apply) bering scheme is for internal use) i~ ~ R- _i ~ 44 ^ Pressurized In-Ground 21 Mound 47 ^ Sand Filter SO ^ Constructed Wetland 22 Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Trratmem Unit 49 ^ Recirculating 30 ^ Other V. D' ersal/Treatment Area Informati Design Flow (gpd) Dispersal Area on: Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) ~~' ~~S Elevation ~~~ ~ ~~ X02 S to ~.o~ VI. Tan![ Info Capacity in Gallons .Total Gallons Number of Tanks Manufacturer Prefab Concrete Site Constructed Steel Fiber Glass Plastic New Existing Tanks Tanks _ Septic or iiolding Tank lj-- _ `a pQ ~ p ~ Dosing Chamber ~BSJ© ~ ~ r VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. ?lumber's Name (Pr int1) Plumber's Signature MP/IviPRS Number Busi~ss Phone Number // r Plumber's Address (Street, City, State, Zip Code) ''III. Count /De artment Use Onl ~~' Permit Fee (includes Groundwater Date Issued Issu• Agent Signature (No Stamps) proved ^ Disapproved Surcharge Fee) ^ Owner Given Initial Adverse ~ 5 ~ ~ ~ f 32 . Determination ,~ of Approval/Reasons for Disapproval -~4 Plea. ~~~f loc, y\ns}•lE•e(ww( vw~~ c~~~.dt~ -fb~c:~i' yrtrw... V r •a ~ ~ ` S G s -{,,Qsz_ ~-o•~~q '{.Q.~`t~ ~ o cs,~t~-{-a.~.~C. a/r~~a ~vQL~BKS ~'""~? ~ -c - . w~utiw~-tx~nar •/~ Pty., Attach complete phw (to the Canty ally) fa' the systan at paper not less then 81/Z x 11 inches is size ,tt. OS/O1) ~ Y ME40 Series 4/10 H P Effluent and Drain Water Pumps Performance Curve Myt'21's' MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 ' ' 12 35 30 I W tL Z 25 . . O W 20 ~ J ~~• ~~ F- '~" 1) • ~'• Fes- 4 ~,p `` -ff I 0 5 Z O 0 O 10 20 30 4 50 60 70 80 90 100 CAPACIT GALLONS PER MINUTE ,' 0 N W 8 E Z ~, 6 4 F- O H w I F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 ~ ~~ K3326 7/91 ME40 SERI ES 4/10 HP Effluent and Drain Water Pumps PLUG ' Replaces sw[tch assembly for manual operation. P P v DIDII~NSIONS Q N (V v ..~N.. ~~... $ (~~ I INN~ O a P ,~, WAS, SLEEVfi '/a" spherical solids. 1 ~a" HEA1z1NGS NPT discharge. Entxuyos smocth operaflon and extend pump life. K3319 5/92 Printed in U.S.A. ^~~~~® F. E. Myers, A Pentair Company 1 1101 Myers Parkway Ashland, Ohio 44805-1923 419/289-1144 FAX: 419/289-6658, TIX: 98-7443 i ~s° n~Pr (38.Imm) Discharge A POWER rt< FLOAT COiitDS 9uick~oruied, watertight fittings are interchange- ~~ ~ ply ~~/ .!~ I3M~Z j3M~~ 33 -f~-~ 'D~ ~~~~~`~~ ~' \~~ P ~~~©~~ ~~ ~~~ ~\o~SyS`~~ ._.y g v ~Z ~ ~ - - ~ - ___ _ .yea' a ~ ~S ' . Q/ ~--- ~ ~ -, 2~p i.d 9~p -___ ~_ o .- -_ ~3 I 4 ~ ~~' ro ' ~To r.9 `" ~~ F Rorns~7 _ p ~ ^~ 9~~; 3~oy ' 29 -- - - - - ~~~iP~f s • _ ~•9c ~~e, P ~ T s - - ~- f~ Sa -_ P/c i a-~ ~. ~ile crfS T S, T-- 7r 6 ~~ ~ ~~i~~ v ~oc,~ ~~S CORRECTION NEEDED SEE CORRESPONDENCE -- ~- `~.~'~,LHT & ASSOCIATES CO. 655 O Neil Road • Hudson, WI 54016 R , o e9 esfgnars o/ Englneering Systems ' 715-386-8185 Mq y 2 3 ZOO 1 Prlvale Sewage Consultants SAFETY ~ BLDGS. DIV PROJECT INDEX P 1 a n I . D . ~ _~ L1~ ~ ~~____ _.---.------ Date /~/1tY ~ ~ v~fl (!wner /~'~ ~/RF,tI IoW ~~S _.-- ._ _~.. 'Phone 7/.S • ~ ~ Q - ~ D gQ . Address 1,3.3 ~ __. ~~ ~~`' ~U-e /~D/3~'TS ~/S = -s YO 2 Z .::: Legal Description ~7-- ~t y CS.~, ~jN ©~~ ~Os3 . ~S -- • N~~ NGV ~ Sic. ~~, T~ ~ N, ~ l ~ Lv Town of ~, County .S% ~~O~' ~ C.S.T. _~/Q~ ~~_(3_'~",e~i ~ Z2oLS~ Installer ~{Evi2J~ /f/.PG~Yii/f~c- Local Authority/ Supervision - ST ~itorx ClY Zoc~l~(r-- ~:Q-1C~ . PROJECT DESCRIPTION ~t/,c~- Gov S7~u~-~o „~ , ~- ~°~,aos~ 3 -- y /~ ~~~ S~i~Sov~¢ll S~TGI,p~T~?~ 2Q ". ~ ~~G~T/ov~4 y ~ i ~at,N~ Sys: w;~ ,~ ,, S~~v ~,.1~ /,s ~ ,, ~° ~os~~ . P.O.V4'.T.S. nl?dltl0l`2Q-jjy 4`\!,\,,,~uunn~nuu~jf~~i,,,~~ . /~P Rp ... S~oNs --., V _ ~ ~............• I ' ~~ DEPA ENT D ~~° ''~iT l'J, s DIVISI AF AN B ILDI GS = ` r,~i ;"3fkf"` _~' `'`f` u f;:,. t =~ SEE GORRESPO ENCE % {j ''•••......... . ;;- CORRECTION NEEDED ~°'~~~~~~Sn ~G~~,;,,,, ~~~°''~~~` SEE CORRESPONDENCE g.l PLOT PLAN VIEWS Pg. SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE DETAILS INSPECTION PIPES & FABRIC/TOP FILL DETAILS) Pg.3 PIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL CLEAN OliTTS ) .~ I~ ~~S~~~QUllO~ 1~i ~ pE ~~./o~,T- CEr~TR~~.. Pta~,cE MAi~ ~~ Fr. of r- ~ \~-~~ ~ ,. ro~A~ V~ t ~ V a Ivs-~ ~. ~, Z GA15 . I-Iol~ D~aHET,~R CE~TRhL M~~,~c.~~.p ~~ ~- ~c~~cE MAiN ~~ 3/~ iNC q ~S r ~ -_ 2 INc NHS 2 i u~N~s /.S SEA ~~U~PSE SIDE `F4P ~~'M ilvAL c /o a E T~4 r L PER Fc~R hTE d P~ QE' ~-- ~- • R~Mov~- hli ~R;~~ (3uRR5 ! ~ \ y ll_. ~~ ~ o~ 6 ~ ~~ P yZ Fr R `'~° F r ---____ x 3~ ---.____._ ilu c NES y /~ --- --_ IucH~s ~RR~'~R~E 'Pi 5T^N c~ To r~L ~o/U,y~-- °~ ~~a~K ~.7 . J~' ^ ~.5 . I .I 1 zuvERr E L~V~17ro~ o~ LAtErQn15 ~'~- ~ s . ,~G .~ M ~ (' n~'~G'~~ .• ~ (~ ~4 L C~D ~~. ~S P o~~ ~ ; c~ ~ ~~~ ~ . L. ~;v~Sff~~ ~oUtiD 9~P.4D~- ~~ ~ ~~ I/i ~~/ ~~~~ s~iP~,v,~~ o,~~rE,v TLZc ~ / ~Zi ~- C'L,E S S yO p S~E~ ~av~,~ ~ 0 2 ~~~ y~~ e ~E-r~v s~~~~ ~-o r~i~E~~~~ ~~i~i~- ~~~~r,E~ ~'/o G'~1~ r~ ~~ ~G,U o'r~ • PUMP CHAMBER CROSS SECTIOIJ AA1D SPECIFICATIO^)S p/} E g of 6 y ___. _ ___ __ _ JUG V E IJT CAP I P I p E i iE' ~ ,~/iP /.v ri} .f'~ VE~JT PIPE WEATHER PROOF APPROVED. LOCKING ~ JUNCTIOAI BOX MANHOLE COVER ~~Q•O 12"MIU. .. w/[vA~,uioC~ iA/~E~ ~----- ~/'~1Pr ~~E t/~1T/ON GRADE ~ ( I 4" MIIJ. ~~ I l `_ _ ~. 18"MIN. . ~ COIJDUIT __________ S O ~ ~ ---------- ~l£U1fr Gov ~~~ ~ 11~ ILILET PROVIDE I __ ___ )"'""""'" - AIRTIGHT SEAL I III ~ /~ r O ~ ! ------ I II ~~_ P,PPROVED JOINT A NyIvVK I I ( APPltoveD JOINTS IJ~ PIPE I ~n~ !VM I III W~ PIPE EXTENDIIJG 3' 30'~ ~ I II ALARM EXTENDING 3' JI.ITO SOLib SOIL, IJ ~ O ~ I I I OWTO SOLID SOIL sC ~ , 9o poG ~ ~ ~' ,~ 3.3 ~ I I s~ . ¢v Puc Q3 ELEV. FT. ( ~ PUMP --~ oFF Z/SE' 3 e,Q D I• ~~ `` ~o~PE' sip k ,~EDOIti~ l~ ~ l~v~lfi0~l j~~,;vG-: RISER EXIT PERMITTED OIJLy IF TAIJK MANUFACTURER HAS SUCH APPROVAL -~( SEPTIC E S P E G I F I~CAT i ON S DOSE /,~~~~ ~~~t~ , TANKS MAIJUFACTURER: ~W-y~ `p. LIUMBE ~DOF DOSES: ~ PER DAy TAWK SIZE: - l~ GALLOIJS DOSE VOLUME /p ALARM MANUFACTURER:. LEU~lI, r4/A',PM IIUCLUDING BAGKFLOW: ~2a/ GALLONS MODEL 1JUMBER: D'L~/' ~ • CAPACITIES: A= ~~ IAICNES OR i~ GALLONS ~ SWITCH TYPE: _~ ~l~/I_~ g = Z~INCHES OR 'sue GAILOAIS PUMP MAAIUFACTURER: Me~~ S K~-- C = '' ° INCHES OR ~'Z~ GALLONS A,~ ~--- MODEL NUMBER: _ ''"` ~ eya ~^/. D= !~' Z INCHES OR S ~~ GALLOAIS SWITCH TYPE: ~~5~~~~~ !~!O/Q ~ NOTE: PUMP AUD ALARM ARE TO BE ~ ~. MINIMUM DISCHARGE RATE -/ ~ GPM INSTALLED ON SEPARLATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTIOIJ PIPE..~•~~ FEET fiA~F S~1£G'S -I- MINIMUM NETWORK SUPPLY P~R,E~SS~URTE~, 3.25 FEET EAGln„ ~ O~"- ~~ P-~ ~ -I- ~~ FEET OF FORCE MAIN X ~L!=F/oo FLFRICTIO-J FACTOR..~'~ FEET ~-/~~r f S Z 5 = TOTAL Dy1JAMIC HEAD = ~ ~~~ FEET `C ~~~~• !~ !~ v IAITERAIAL DIMENSIONS OF TANK: LEtiIGTH Io f 'WIDTH - ~~ ~~ ~ • ~ LIQUID DEPTH OWNER'S PAGE 6 REVERSE SIDE MAINTAINCE OF SEPTIC SYSTEM _._..__ ~ ,._ POWTS (landowner) is reponsible for maintenance of this system. Regular proper operation and servicing is necessary for the safe healthycoperationoof.this system. The owner is required b maintenance/inspection reports tocthe controllinall necessary g,authorities. SPECIFIC CONTACT AGENTS * Governmental authority/ inspectors: ~~ C~O~X C~~ * Licensed installer maintenance ~~ ~ responsible for providing an operation/ "Users manual: ~~ ~ll-2 .* Licensed service / inspection agent other than insta ller: * Electrician, for um p p, electric controls, wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENTS 1• Winter traffic (sleddin area shall not be g' shove ring, etc.) across the the cell, freezingpurmthees, or frost can/will penetrate into winter.(a vacaction pri Ystem. Discontinuos use in the lead to freeze ups, p. resulting in no water use) can also 2. 3. 9. 5. Water conservation needs to be exercised! Or system can be hydrolically overloaded and destro ed. designed for a maximum wastewater flow offs system was `p0D gals. daily. POWTS are not designed to accomodate wastes a disposal unit, or any other unnatural sources of wastebage Any introduction of such waste materials will overload and destroy this system. If a power outage occurs in a temporar or a pump fails, it may result cell Y overload of effluent being pumped into the . which may adversely impact the cell (leakage). It is recommended that a licensed allowing the um pumper empty the dosing tank, Consult p p to return to dosing the correct amounts. your installer immediately for advice. Neglect of the vegetative cover erosion preventive (the cells insulation & traffic also can destro lead to failure. Compaction or heavy REGULARLY WATER THE VEGETATIONSOVERmA SYS'TEM~ECESSARY TO the system beneath IS NOT suff;..;~..,. _ Effluent in cYr~~a ,-._.-- - ,~ ' ' Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code 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 shalt be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retainsolids 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 fhe 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. Pumd 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 GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this instaAation. 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)J 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 br 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. ' Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. '. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. 'I~R CiP~S S S~ cT/O.v o~ ~pvuv ~t T.~~/s Fill material (ASTM1 G33, fine aggregate) r Observation pipe Cover material 1 I 6" ruin. ~----Slope Water tight cap ~1 4" min. dia. ~_ Top of leaching Repair couplings chambers ,,.r Slot ''~ 6" min. 4" min.. Infiltrative surface Water Closet Collar Bar(3/tl" min. dia.) i Figure 8 -Observation Pipes ~~ - ~~ .3a CG) ~~~ c~,~~ ~1 SE ~~ ~ ~9~°/'~or,~ z~ ~ d ~~ Ir S~N~ ~r G ~' Z ~~~ ~ ~yp~;~ ~~~~'~ c _ _ _ _ _ _ _ _ -( ~- ,~-,~ov~ 0~ f ~~ '' ~' '' ~ - O ~~ c ~ Ce ~~ ~li~U~ o>e G ~~~ ~ C C` `~• 1 ~ss.~~S,~T~ S~t~D ~~// X1.9-r~.~°.~/s ~~~~e. " ~ r G /~-Tz'c7~Pif L ' Distribution cell L Force main Figure 6. Cross-section of a Mound System w~, z ofi 5 • Cf~o55 ~SEcT~d~V o~ I~vu~D -~ w. rt-+ f3eD , Uui FARM ToE t-i'~ E Oen eF ~ " 1'0 1 a.' Ag9~ee5^TE' s ys rEM • E 1 Ev~t YioN 99 zs . • • -. ~~ - *~.. `/ uN i FORM 2 % SIo~E ~-oR~E Al h• ~, ~ 1 ~v~roa vu osrR f3~ J~ ~ .S / ~ Fr. -- ELEVl4r~o-J 5 -- E, ~ /~ Fr. - INVERT' of ~~' ~ ~~ IAT~r~~•Is ~ x'9.75 ~ ~2 FT. G 5 Fr /( "~ I .. -r-o P o F R o ~k / d O- o (o N /o FT.~/~" ~ ~ T°P °F ~ a- IATSRA~s ~ ~'~1 Tai STRi(3uT~o~,,~ G, rN~ckaFSS PIP~NG- °F T° P s o i L Gv~ TE\~h/.U~ c/0 /s '1 ~ RRR-T-O--- ~ M6D. • 1 ~~', sANv . . • .. ~ e . . ~/// p I O W S ~ T o p S o ~• L. /// //// PLAN VIEI~V v~ Mou~D - wart{ T3Ep c~N~~~ L ~vRcE M~Ri~ 1, ------ a ~ .- ----- I i o---------~--------- o _~~ ~• ________~_~___ ___i! 1 -,~ ~ 6`° W Y ti~ ~ PVc ~AppEp 0135E R V~?'1 e ~ f3Et7 of /Z,'~ To 1 ~ " i A g9tREyhTE ~ ~ F r• ~ ~ ~O F r k _ ~~___ F r ~" ~ F r ~ ~° Fr `r i~ - Fr W .3/ Fr :I isconsin Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary June 06, 2001 CUST ID No.226375 ROBERT W ULBRICHT 655 O'NEIL RD HUDSON WI 54016 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/06/2003 Transaction ID No. 649084 SITE: Site ID No. 630567 MYREN COWLES -RESIDENCE Please refer to both identification numbers, TOWN OF EAU GALLE, ST CROIX COUNTY above, in all correspondence with the agency. NE1/4, NWI/4, S18, T28N, R16W, LOT: 4, CTH N FOR: DESCRIPTION: NEW MOUND SYSTEM / 600 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 794883 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 1, the system plot plan must show two-foot contours or other appropriate contour interval within the system area as specified in the approved mound system component manual. 2. The soil test plot plan does not show all of the lot lines or provide the parcel size as specified in s. Comm 85.40(3)(a)4., Wis. Adm. Code. 3. On page 1, all of the -ot lines or the parcel size was not shown as specified in the approved mound system component manual. This approval assumes that the actual lot line locations will not impact any part of the onsite sewage system and that the entire system is located on the same parcel as the residence it serves. A copy of the approved plans, specifications and this Letter shalt 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. ROBERT W ULBRICHT Sincerely, ~~~ . ~ C, a, TE AGEL VIEWER II INTEGRATED SERVICES POWTS PLAN RE , (608)266-2889 , M - F, 0700 - 1530 HRS PEPAGEL@COMMERCE.STATE. WLUS cc: MYREN COWLES Page 2 6/6/01 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code:-7633 Wisconsin.Department of Industry. SOIL AND SITE EVALUATION R E P O R T Fat~6r Ind Human Relations ` Il'ntici[fntff.S'afaNBBuiI[Lmc .~.~ ~~ ~~r... w~~ ~_~_ Page \ of 3 , ~ ~ ~^ .., l.. y, ...... . oZd' ~ ~t. Q/LO~.lk/ ~ COUNTY Pla include but lan on paper not le than 81/2 x 11 incty in size lete site Attach com , . p p not limited to vertical and horizontal reference point (BM), direction and ~o of sbpe, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. DO ~ -) l~ S 3 - 4 S APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REV B D TE ~ ~ PROPERTY OWNER: PROPERTY LOCATION N ti tZ, ot= Nw r~~ ~2.1~~~' Ev ~lz-SIGN Qe1r`~-tCfi-- - 1/4 - ~ 1/4,S l $ T z$ ,N,R L6 E ( W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 38S ~LBti~w~/ 63 y - PR-t~PUSLp ~. S~f CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE ®fOWN NEAREST ROAD ~~D--.f--v ~ S~1.o0Z. (ZlS) 68~1~ uoby ~~v G+~-t.~~, cTit ~ tv° ~ New Construction Use (~Q Residential / Number of bedrooms y [)Addition to existing building [ ]Replacement [ ] Public or commeraal describe Code derived daily flow 6 0o gpd Recommended design loading rate ~_bed, gpd/ft2 - trench, gpd/ft2 Absorption area required Soo bed, ft2 SOO trench, ft2 Maximum design k>'ading rate ° 5 bed, gpd/ft2 ~ 6 trench, gpolft2 Recommended infiltration surface elevation(s) q q. - Z S ft (as referred to site plan benchmark) Additional design /site considerations Y"- W ~ wl ~'x ~J ~ B'L'D . >~tti f r~ uwt t i. " 0 t= S R-xrj F- ~~ Parent material S~ ~..'ty ov~2 G thC.E.tH., Tz ~t_ Rood plain elevafwn, if applicable N R ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U =unsuitable fors stem ^ s ®U ~ S ^ U ^ S CCU ^ S ®U ^ S l~lU ^ S ~ U SOIL DESCRIPTION REPORT ~~ . ~- C~~ I,2~70 Boring # Ground elev. q~•s ft. Depth ro Gmi6ng factor 3 0"- H ri Depth Dominant Color ~~ Texture Structure ~~~~ ~~, Roots GPD/ft zon o in. Munsell Qu. Sz. Cont Cobr Gr. Sz. Sh. Bed rer><ft o-tb ~O"I.R- 3l z - Si.1 Z`Fsbk m~-- ~w . S . L Z ~b-3o ~oti-Z,1(, - s, l z ~sbk r>7~h e~ ~ , s •l 3 ~y to~tRvlto ~~•s~ci.slsa sil lasbk ~~-~ CS ,i .~ ~i X16-S$ .~. S`~~ .~~y ,, S ~ ow, w1't~. - . ~, I •tf Remarks: Boring # Z Ground elev. 9$•oft Depth to fimifing factZa$ ,, o..~z ti~~~z a) z - s i 1 2`Fsbk wl ~'I~ c S ~ , S • b Z lZ Z8 ~ o`t 2 zt Z - si ~ Zwt S bk in ~I- ~ ~,~, ~ • S • ~ 3 Z.$-Sb 1~"lR X16 t0!-1tZ6~3 S-.~ ~w~ N'l'Fi eS - NP .2 ~: / * 4~ ~ ~. ~ ~ ,;~„ ST GR h Remarks: Name:-Please Print Arthur gerer Soil Testin ZONINGCIFF~= ~ v Phone: .- ~Z L. We erer 715-425- 65_= & Design Service-P.O. Box 74 River Fa11s,WI ;- Date: ~ CST Numtrer: ~~~ g9~-1~-4 1 -Z7-Q1~ 220254 ~~i S ;; i S'` ;T ~, PROPERTY OWNER ~V~ZS c~N SOIL DESCRIPTION REPORT PARCEL LD. # DD ~- l 0 S 3- q S Boring # 3 Ground elev. ~8_-s ft. Depth to limiting fa?tqr D~ Boring # Ground elev. ft. Depth to limiting factor Boring # Ground elev. Depth to limiting factor Boring # Ground elev. Depth to limiting factor Page~~-of J 3' Horizon Depth in Dominant Color Munsell Mottles Qu Sz C l t C Texture Structure G Consistence Baxidary Roots GPD/ft . . . on or . o r. Sz. Sh. Bed rends 0-11 1 OH.~ 31Z - St ~ Z`~S yk m `F1~ e S ~ ~ S -b Z 1\ Z1 ti~`-tCZ ~(. - St1 Zm 5bk w-.'~4- CS - , S ~ ~ 3 Z~ 3S ~.s `~~ ~y - 1S 1 asblz ~U`~~ CS ~ .1 ,~ y 3~.bo ~ o ~ R y~ 6 - S o s ~ wt 1 - • -Z ; • ~3 ~_ i r o., .~... w 1 V fV -I~ ~ S~ O B W - i . i MUUIV~ 1:J S ~X -1ST C 1S 2 Ow-Wt p~, ~Z 3 @ D2wl owf Remarks: Remarks: .s Remarks: onn noonin nr ~~~. ~~' ~~ PLOT PLAN SCALE 1"= yQ ' Page 3 of 3 ~ 0.3 -n i 't'o v s~+ b 3 a~~z7 r~~~ A~ ~ _, v ~~ ~ qao ~ zs- its nT eq ~ ` aU ~ 11'-2~ "za,~~ ~ s ~ ~ ~: ~ . ~1i'`1 0~ ~ 8 6 • ZS , ~ ~ 3Z, ~ 3 , ~ ,, ~A ~, ~' ~~'Zs~ 9 g, 3Z, \~ s- 3 lam. g8 S 1 ~1.- ~v.~Op.p' pN SPih.F z' ~u~ cStwu>vD trv q ~D1t~_ ~p~ Pp ST, w/~~-y} ~@_ - ~t-t~• goo-o' orb, `t-op c7F 3.Z' TKI,I. ~t f=Ew~ _ PC1s.7- _w/~.ern.{ 1-Z~ ~~ (715 ) 42.5-n~~s I~I00576 CST Signature Date Signed Telephone No. CST # Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number 9 S Number of Bedrooms Design Flow -Peak (gpd) o~v Estimated Flow -Average (gpd) ~ Septic Tank Capacity (gal) ?.~o Soil Absorption Component Size (ftZ) o Z Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) -Z,dp o Z Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septi and outlet filter shall be assessed at least once every 3 years by inspection. Th utlet filte shall be cleaned as necessary to ensure oper operation. The filter cartridge sho not be~removed unless provisions are made to re n the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be pertormed to maintain less than maximum scum and sludge accumulation in the 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance wifh OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding fank may contain lethal gases, and rescue of a person from the interior of the fank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 ' Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. P ~~ ~ ®~~ ~,,~ f4-~--~~ 0"'~0~ ..~?.~ .,a-- Ana-~/' ~ ~~ r ~~~ 3 ,, ` ~ Standard Erosion Control Plan fnr 1 R~ 7 T~'~mily TlcvPllintt (''nnctnrMinn CitPC 3/~l Applicant: 7~~ ~7~~' 33 ~ Daytime telephone number Hwy ~s Landowner. Name ~Nry /~~~~ ~; ~ ~~ address, city, zip O a~ ~ 7~ address, city, zip code ~yo~3 Location of the building site (complete as appropriate): ~~~ quarter of Section 1 g • Town ,~~ N., Range ~~ Daytime telephone number a Lot ~ Block ~~~ Street address Instructions: 1. Complete this plan by filling in requested information, marking (./j appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILI~R 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW -Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Managernen[ Handbook are available through State of Wisconsin Document Sales, 608/166-3358. Erosion Control jor Home Builders (GW0001) can be ordered through Cooperative Extension Publications, 608/262-334b. 4. Submit this plan at the time of building permit application. (7ioclc (~ aPProPriate bases below, and complete the site diagram with necessary information: ~e ~~ ~~e CPm~ °`s 0 Site Chataderistics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ^ ^ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. ^ Location of storm sewer inlets. The gradient and direction of slopes before grading operations. The dient and direction of slopes after final grading operations. gm lion of existing and proposed buildings and paved areas. ^ Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ~^ Location of temporary soil storage piles. - Note: Although not specifically required 6y Code, it is recommended that soil storage piles be placed behind a sediment fence or more than 2S feet from any downslope road or drainageway. Location of gravel access drive(s). Note: Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway SO feet or to the house foundation (which / ever is less). (g ^ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will prevent eroded soil from Ieaving the site. ^ 1~ Location of sediment barriers around on-site storm sewer inlets. ^ ~ Location of diversions. Note: Although not specifically required by Code, it is recommended that concentrated flow (drainageways) be diverted (re-directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10,000 sq. fl. should also be diverted around disturbed areas. ^ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement ojadditional sediment fences, diversions, and re-vegetation by sodding or by seeding with use of erosion control mats. ^ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in-channel fabric or straw bale barriers, erosion control mats, staked soci, , and rock rip-rap. When used; a given in-channel barrier should not receive drainage from more than two acres ojunpaved area, or one acre of paved area. In-channel practices should not be installed in perennial streams ^ Location of other planned practices not already noted. -Site Dia~ram- Note: Any base map of useabl scale~an be substituted for this sheet. c'~,,,I,N'~ - ~</, X 'y P. 3~' Site Diagram Legend _ _ _ PROPERTY SILT LINE _ °~~- FENCE _ _ EXISTING ~ STRAW ' DRAINAGE ~"'~~ BALES _~~ ~ TEMPORARY F*r GRAVEL DIVERSION ''' FINISHED TREE -' DRAINAGE PRESERVATKNd LIMITS OF STOCKPILED - - - GRADING TOPSOIL VEGETATION tO SPECIFICATION AREA Please indicate north direction by completing the arrow. -1V- I 3~ Scale: 1 in°c-h = .S~ /feet ~e~~" ~~ ~--- - - ~ 7 /'~ Indicate management strategy by chocidng (.~ the appropriate bone c~ ~bo~ ~~~ o`~ Management Strateeies ^ Temporary stabilisation of disturbed areas. Note: AI[hough not specifically required by Code, it is recommended that disturbed areas and soil piles left inactive jor extended periods ojtime be stabilized b~e(between April 1st and September ISth), or / by other cover, such as rasping or mulching. ~ ,o.,aQ.~ ,c~.eJv ~J Permanent stabilisation of site re-ve elation or other means as soon as possible. by g ^ Use of downspout and/or sump pump outlet extensions. Note: Although not specifually required by Code, & is recommended that~low from downspouts and sump pump outlets be routed to stable areas such as established sod or pavement ' ^ ~ ~PP~ sediment during dewatering operations. Note: Although not specifically required by Code, it is recommended that sediment-laden discharge water from pumping operations be ponded behind a sediment barrier until most of the sediment settles ouG Proper disposal of building material waste so that pollatants and debris are not carried off~ite. Maintenance of erosion o~ntrol practices. Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the bamer's height. . Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). All sediment that moves ofd site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off-site due to storm events will be cleaned up before the end of the next workday. • Gravel access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. rtifv that I understand ~theconstruction site erosion cents of the Wisconsin Uniform control planas approved by ? ~ - ~.~( A publication of the University of Wisconsin-Extension, Ron Stress, UWEX Water Quality Education Specialist (12%92). This publication may be freely duplicated Additional copies are available through the UWF.X Environmental Resources Ctn[er, 216 Ag Nall, 1450 Linden Drive, Madison, WI, 53706 6081262-3652 EROSION CONTROL FOR HOME BUILDERS Erosion Is a Costly Problem Eroding construction sites aze a leading cause of water quality problems in Wisconsin. For every acre under con- struction, about a dump truck and a half of soil washes into a nearby lake or stream. Problemscaused bythis sedi- ment include: Localtaxes--Cleaning up sediment in streets, sewers and ditches adds extra costs to local government budgets. Dredging-The expense of dredging sediment from lakes, hazbors and navigation channels is a heavy burden for taxpayers. Lower property values-Neighboring property values are damaged when a lake or stream fills with sediment. Shallow azeas encourage weed growth and create boat- ing hazards. Poor fishing-Muddy water drives away fish like north- ern pike that rely on sight to feed. As it settles, sediment smothers gravel beds where fish like smalhnouth bass find food and lay their eggs. Nuisance growth of weeds and algae-Sediment carries fer- tilizers that fuel algae and weed growth. Preventing Erosion Is Easy Erosion control is important even for home sites of an acre or less. The materials needed aze easy to find and relatively inexpensive-straw bales or silt fence, stakes, gravel, plastic tubes, and grass seed. Putting these materials to use is a straightforward pro- cess. Only a few controls aze needed on most sites: • Preserving existing trees and grass where possible to pre- vent erosion; • Silt fence or straw bales to trap sediment on the down- slope sides of the lot; Soil piles located away from any roads or waterways; • Gravel drive used by all vehicles to limit tracking of mud onto streets; Aeanup of sediment carried off-site by vehicles or storms; • Downspout extenders to prevent erosion from roof runoff; and • Revegetating the site as soon as possible. By controlling erosion, home builders keep our streets and waterways clean. Erosion Con For Hoi STRAW BALE or SILT FENCE • Put up before any other work is done. • Install on downslope sides of site parallel to contour of land. • Extend ends upslope enough to allow water to pond behind fence. • Bury 8 inches of fabric in trench (see back page). • Stake (2 stakes per bale). • Leave no gaps. Stuff straw between bales or overlap sec- tions of silt fence. • Inspect and repair once a week and after every %z inch rain. Remove sediment if deposits reach half the fence height. Replace bales after 3 months. • Maintain until a lawn is established. SOIL PILES • Locate away from any downslope street, driveway, stream, lake, wetland, ditch or drainageway. • Temporary seed such as annual rye or winter wheat is recommended for topsoil piles. GRAVEL DRIVE • Install a single access drive using 2 to 3 inch aggregate. • Lay stone 6 inches deep and at least 7 feet wide from the foundation to the street (or 50 feet if less). • Use to prevent tracking mud onto the road by a!1 vehicles • Maintain throughout construction. ~; ~ SEDIMENT CLEANUP • By the end of each work day, sweep or scrape up soil tracked onto the road. ' • By the end of the next work day after a storm, clean up .the soil washed off-site. SEWER INLET PROTECTION • Protect on-site sewer inlets with straw bales, silt fences or equivalent measures (see back page). • Inspect, repair and remove sediment deposits after every storm.- ~ . DOWNSPOUT EXTENDERS • Not required, but highly recommended. Install as soon as gutters and .downspouts aze completed to prevent erosion. from,roof runoff. _ Route: waterfo ,a _ grassed .or paved'. azea. :Y', -- • Mantain until a lawn is established. ~ . x .~+h~ ~ .: ~ _ ~ ` ~ ~ tit yrr . , i ~e~,, '~s~.i r~ ~ r s:•:- ... SAMPLE EROSION 1 \ CONTROL PLAN I \ ~ FOR 1 OR 2 ®\ i ~ FAMILY ~ DWELLINGS i ` i ~ I \ \ ~ O r ~ ~ \ ® TD ~ i~ - ~ - AREA TO BE TOPSOILED, ~ ` SEEOEO AND MULCHED _ BY 01KNER AT THE HOUSE COMPLETION OF I GARAGE CONSTRUCTION ITO TC \\ \` ~'r TD ~ i ~ ~ ` "~ ;~ .. _ ~ Tc R/W uNE ~ _ ~.. ' V ^ . . . ^ ,t.~ . ;., SOIL TYPE: SILTY CLAY STREET NAME SLOPE:3% .ol practices e Sites EROSION CONTROL PLAN LEGEND _ _ _ PROPERTY UNE N I EXISTING _ _ ~.- DRAINAGE -- TOPSOIL _~ ~ TEMPORARY DIVERSION DRAINAGE FINISHED - SWALE ~~ DRAINAGE _ _ LIMITS OF GRADING . . . slLr FENCE ~t• sTRAw BALEs ;~ GRAVEL CONSTRUCTION VEGETATION ~'- ENTRANCE/DCIT ®SPECIFICATION AREA TREE PRESERVATION STOCKPILED SOIL SCALE: 1" = 40` PROJECT LOCATION: EXISTING CURB PROPERTY OWNER: ,_ ANO GUTTER ANTIGPATEO STARTING GATE: CONTRACTOR: ANTICIPATED COMPLETION DATE: • PREPARED BY: DATE: PRESERVING EXISTING VEGETATION • Wherever possible, preserve existing trees, shrubs, and other vegetation. • To prevent root damage, do not grade, place soil piles, or park vehicles near trees marked for preservation. • Place plastic mesh or snow fence barriers around trees to protect the area below their branches. REVEGETATION Seed, sod or mulch bare soil as soon as possible. SEEDING AND MULCHING • Spread 4 to 6 inches of topsoil. • Fertilize and lime if needed according to soil test (or apply 10 lb./1000 sq. ft. of 10-10-10 fertilizer). • Seed with an appropriate mix for the site (see table). • Rake lightly to cover seed with % "of soil. Roll lightly. • Mulch with. straw (70-90 lb. or one bale per 1000 sq. ft.). • Anchor mulch by punching into the soil, watering or by using netting or other measures on steep slopes. • Water gently every day or two to keep soil moist. Less watering is needed once grass is 2 inches tall. SODDING- . • Spread 4 to 6 inches of topsoil. • Fertilize •and lime if needed according to soil test (or apply 10 lb. / 1000 sq. ft. of 10-10-10 fertilizer). • Lightly water the soil. • Lay sod. Tamp or roll lightly. • On slopes, lay sod starting at the bottom and work toward the top, overlapping like shingles on a roof. Peg each piece down in several places. • Initial watering should wet soil 6 inches deep (or until water stands 1 inch deep in astraight-sided container). Then water lightly every day or two to keep soil moist _ but not saturated for 2 weeks. If construction is completed after September 15, final .~ seeding or sodding may be delayed. Temporary seed (such :.1; as rye or winter wheat) may be planted until October 15. ~ Mulch or matting may be applied after.October 15, if . r weather permits. Straw bale or silt fences must bemain- tamed until final seeding or sodding is completed in spring ,Y ' (by June 1). =~~~ ~: w~ ~~~ 1~ ~~~. r K~ '.: + Cautions Consider public safety when using inlet barriers. These barriers create ponding and mud deposits on streets. Frequent maintenance is essential. Alter every storm, remove sediment deposits and repair • barriers. Repairs maybe needed several times a day during major storms. Curb Inlet Block & Gravel Barrier Note: Allows overflow to prevent excess ponding. 1. Place concrete blocks on their sides around inlet. 2. Put a 2" x 4" wood stud through outer holes of side blocks to support front row of blocks. 3. Put wire mesh with half inch openings on outside of blocks. Cover mesh with filter fabric extending fabric 12 inches onto pavement. 4. Pile 1 to 3 inch washed gravel on fabric to top of blocks. Figure 6-Curb Inlet Block and Gravel Barrier ~~ in~t _. o - ~.. = _ -.. Wire mesh s:: -=• - - ~..._. b finer labric Corzxete block Gravel finer Runoff water with ~ Filtered water sediment . , ~,•• ~- ~~ ~ .~ °~ • ~: ' ,~ sediment ~ : .- ' R' wze mesh 2• z 4" Curb inlet 6 finer fabric r"rOOd ~~ Drop Inlet Block & Gravel Barrier Note: Allows oven7ow only when water reaches top of blocks. Adjust height to prevent traffic hazards or damage to structures. 1. Place concrete blocks on their sides around inlet. Adjust height of barrier by stacking rows of various sizes of block. 2. Put wire mesh with half inch openings on outside of blocks. Cover mesh with filter fabric extending fabric 12 inches onto pavement. 3. Pile 1 to 3 inch washed gravel on fabric to top of blocks. Figure 7-Drop Inlet Block and Gravel Barrier was mesh Concrete block ~ finer fabric ~_-~ --! ~- -~=~ Gravel fitter ~- --...~ Rrmoff wire mesh ~ finer fabric water with over t=rltered water sedment ~s. a. 0 .~ _ 1~ ~~ txop inlet Sediment with grate Drop Inlet Filter Fabric Barrier Note: Allows overflow only when water reaches top of frame. Adjust height to prevent traffic hazards or damage to structures. 1. Build a frame of 2" x 4" wood around inlet. Drive stakes into ground at least 12 inches. 2. Dig an 8 inch deep trench outside frame. 3. Attach wire mesh to frame extending mesh 2 inches into trench. 4. Attach filter fabric to frame extending fabric at least 8 inches into trench. Overlap joint to next stake. 5. Backfill and compact soil in trench. Figure 8-Drop Inlet Filter Fabric Barrier ~2' x 4• wood name '- 24• maximum 1 ~~~~~ -k_ r . - l t t 12' minimum ~~ ~ 1~ LI•_ Wire mesh d filter fabric -- •/ ~overWp ends • ` J oi~abric C S between ~- o a to a o o~ a --- 2 stakes ~- --~- a ~:,:. Straw Bale Fences Figure 1-Cross Section of Straw Bale Installation Staked and Entrenched Straw Bale Binding Wire compacted Soil to or Twine I I Prevent Piping I Filtered I Sediment Laden I~ I II II Runon 1 I aunon 11 t I . l I ' ' VIII I lllill - -- t Source: Michigan Soil Erosion and Sedmentation Control Guldebooly 1975. Silt Fences Figure 3-Cross Sections of Trenches for Sitt Fences Rner Fabric ~ I I V-tiench~ I~l~~~cl~ UIl Filter Fabric QI ~ I ~" "~.. ~ 1 r l llll~l~gl cur<a"•h, 1- "' Source: North Carolina Erosion and Sediment Control Planning and Design Manual, 1988. Figure 2-How to Install a Straw Bale Fence 1. Excavate a 4" deep trench. -r„i ~r %.~ -' v -i Irk= ~, ~i ~ low'"' ~i~i~ ~~ 1 Male Width 3. Anchor bales using two steel re- bars or 2" x 2" wood stakes per bale. Drive stakes into the ground at least 8". .~.Y~fI. '--~ .R~ 1 .:-;~ • 1 "~- '. . 1 ,I 1 , i 1 • ~~ ~~~ - I ~ -^~~ ~ " / Figure 4-How to Install a Silt Fence 1. Excavate a 4" x 4" trench along the contour. //~ __ ~i~~j - _ ., ''/_J~'~~ tiil~ / Flow's l'` 4" 2. Place bales in trench with bind- ings around sides away from the ground. Leave no gaps between bales. ~ 1 • ~/~ i 4 l i. h ~~~;ni '..~- ~ 4 ~--~ ~` //~., / ~ ~ ~ i~~ ~! ~// A~ ~. /1- 4. Baclfiill and compact the excavated soil. ~q ~~ I ~/. ~~ r i ~ / ' ' /~~j . '' i.G 1 2. Stake the silt fence on downslope side of trench. Extend 8" of fabric into the trench. Gravel Entrance 1. Install as soon as possible after start of grading. 2. Use 2 to 3 inch aggregate stone. 3. Drive must be at least 7 feet wide and 50 feet long or the distance to the foundation, whichever is less. 4. Replace as needed to maintain 6 inch depth. Figure 5-How to Install a Gravel Entrance %D Hard surface road 6" minimum depth 50' or distance to foundation aT,`~ ')Y' 4. Backfill and compact the excavated soil. 3. When joints are necessary, over- lapends forthedistance between two stakes. ST CROIX COUNTY SERTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~ag1lBuyer v Mailing Address ~ 3 ~ 7 , © ~„ ~ -~~-E- Property Address aia5 ~ ~„ (Verification required from Planning Department for new City/State ~/~~Sh~`~"~'~ ~ ~~ Parcel Identification Number ~ $ ~~~-~~ r~ LEGAL DESCRIPTION properly Location ~ '/., ~ '/4, Sec, ~~, T ~ ~ N-R~W, Town of e~ u-- _~ Subdivision Lot # __ ~' ___. Certified Survey Map # ~~~ ~_ ~ ,Volume , .Page # 3 7 3 -~ Warranty Deed # ~ '~~~~ yp ,Volume / ev ©~ ,Page # S~ . Spec house ^ yes 1~'no Lot lines identifiable dyes ^ no SYSTEM MA.IlVTENANCE Improper use and maintenanceof 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterphunber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on site wastewaterdisposal system is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, 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 Zoning Office within 30 da f the three y xp' tion date. ~ ~~ SI TURE OF APPLICANT DATE OWNER CERTIFICATION 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 th rty described v , y virtu f a warranty deed recorded in Register of Deeds Office. / /~ GNA OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed J o i~O~E 3g4 STATE BAR OF W ISCONSIN FORM 2 - 1998 WARRANTY DEED This Deed, made between Randy Everson, by Thomas A. McCormack, his attorney-in-fact Grantor, and Myren R Cowles and Kareo J. Cowles, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croia County, State of Wisconsin: 64US40 KATHLEEN H. WALSH kEGISTEk DF DEED5 ST. CFOIX CO., WI kECEI4ED FOR RECORD 03°13-2001 9:30 All WARRANTY DEED EY.EMDT if CERT CDPY FEE: CDF".' FEE: 7kANSFER FEE: 92.10 kECDkDTNG FEE: 10.00 PAGES: 1 Name and Return Address Part of the North Half of theFraclional Northwest Quarter (N 1/2 of Frcl. NW I/4) and in the Northwest Quarter of the Northeast Quarter (NW 1/4 of IdE 1J4), ~ 6'YY~ u all in Section Eighteen (18), Township Twenry~ight (28) North, Range Sixteen ~C (76) West, Town of Eau Gape, St. Croix County, Wisconsin, more particularly l~lc (.~ vra-v described as Lot Four (4) of Certified Survey Map filed September 28, 1999, in ~ Volume 13 of Certified Survey Maps, Page 3733, Document No. 611123, office 008-1053-50-100 ~ of the Register of Deeds for St. Croix County, Wisconsin. _ Parcel tdentification Number (F1Nj This ~ rat homestead properly. Subject to terrns and cotxii[ions of Farmland Preservation Agreement with State (YSc) (is not) of Wisconsin dated November 20, 1982, and recorded December 6, 1982, in Volume 656 of Records, Page 197, as Document No. 381480. This conveyance is made in good faith by said Attorney-in-Fact pursuant to the telTns of that certain Durable Power of Attorney dated December 4, 2000, and recorded in the office of the Register of Deeds for St. Croix County, W isconsin, on 3 ' 13 , 2001, in Volume l~ of Records, a< Page ~, as Document No. !a'{ 033Q whereby said attorney-in-fact was granted the power to transfer the above described premises regardless of the principal's subsequent physical or mental disability, incapacity or iriwmpetertcy. Said attorney-in-fact has no actual knowledge of the termination of this power because of revocation by the principal or by the terms of the document, the principal's death, disability, or incapacity. Exceptions to warranties: Easements and restrictions of record. Dated this ~s~ daY of ~nI` /1G~ , AUTHENTICATION Signature(s) authenticated this `_ day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 (Signatures may be authenticated or acknowledged. Both are not tlecessary. ) 2001 Randy Ev ~-- ~ . ~~ homas A. McCormack, attorney-in-fa t ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County. ) 1 Personally came before me this 1-1~ day of ~~G'' ~ , 2_001 _ the above named Randy Everson, by Thomas A. McCormack, his__ attorney-in-fact ~'-....' to me known to be the person who ex~cYlc$d ~ rep,, in ent er kl ,o db~d .th s ate' • c ~ ~' ~~ :~~ S ,,y.• Notary Pub~of Wisc~stn y ~' ~' My Commission is pennanen n ~ a • xptra one -te +Names of persons signing in any capacity should be typed or printed below their signatures STATL BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 1996 INFORMATION PAOFEti510NA L5 COMPANY FOND DI.I LAC, wl BVO-e5s-2u21 s~~~~ ~\ ~~ ^ , ~~1 ... v . . ~` ~ILE'D 9 ~ ~ 0~ SE~1, ~r~ R CERT 1 F I ED SURVEY MAP LOCATED 1 N THE NORTH I /2 OF THE FRACTIONAL NW 1 /4 AND 1 N THE NW I /4 OF THE NE 1 /4, ALL 1 N SECTION 18, T. 28N. , R. 16W. , TOWN OF EAU GAL L E, ST. CR01 X COUNTY, W 1 SCONS 1 N :n .. .. UNPL ATTED LANDS ~Z ~~ ~ /~ ........................ . _ _ WEST LINE OF THE NW 1 i4 _ _ ~ _~ 7 c NOO° 1 T' 49" W _ 2640. T5' . 63" --'4'^ - - - - - - - . U. S. H. o_ N00° 15' OT" W 4 11. TO' 379. 46'- H I GHWAY g 32.24y SETBACK LINE w m~ om~ - - cnv .........~a~w.......... ~ ow roaaO ~ A ~~~ ~ N Nyyn y ^~! cam a ~ °k~m 100' ~ :~~:~ O 2 ~1C~ ~g~ ~ ~~ ~ A 385.37' ~26.40'-~ SOO° 28' 28" E N00° 28' 28" W 386.39' w O • - 'C ro ~ y ~2 .~ y _ :a ~ ~'` r ~ : -~ m ~- A m :O o, z " Z : t- o ~ ° :n 8 $ '° w y m ., :y ~ w a,. o APPROVED ~'~` H fir. cROi couNnr Plam~p Zoning a~ Parks Can c~ SEP 2 81999 o~ If not recorded within 30 days of approval date approval shall be null and void O ~ ~ IV w _w .~ nN (N nA~ r pt~+~q~ O H n -~ ~ '^ ~ ~ 1U ~~~y ~~~ N00° 28' 28" W 392.08' W w- N y yy~ O o~prn W ~1 ~ y 411. 7T' 411. 7T' :2~. 38~' ~ I w = co w I c~ ~`or ~; alc ~ o~ 4 rr. TT' 1 19.69 V o w v ~' - °~ ~n ro w 'I 0 U~ ti ~~ O 13.99' NOO° 28' 28" W 41 1. 7T' 397. 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