HomeMy WebLinkAbout008-1061-20-300 WW_/onsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
I INSPECTION REPORT Sanitary Permit No: 395193 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)].
Permit Holder's Name: City Village x Township Parcel Tax No:
Sword, Lisa Eau Galle Township 008 - 1061 -20 -300
CST BM Elev: Insp. BM Elev: BM Description:
f j 00
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic I 1 00 Benchmark
is ►/ S Z S 2 l
Dosing Alt. BM
"{ e "3S d L 75 7.
Aeration - - — Bldg. Sewer
Holding Ht Inlet 4
Ht Outlet A
/ INFORMATION TANK SETBACK N S- ?2 ,
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic y /vb / 0, Dt Bottom S "
Dosing Header /Man.
s f G.
Aeration _ _ -- - _" Dist. Pipe ' 10
/p
04 -/
Holding Bot. System 7 . 05 S J y
/
PUMP /SIPHON INFORMATION P 1i Final Grade �41
Manufacturer Demand St Cover
PA S GPM
Model Number 7 _ D / q 6 p
M TDH Lift Friction Loss System Head TDH (� Ft
4 1 3 - ZS` 3' -
Forcemain Length ia. Dist. to well
Z Z' y
SOIL ABSORPTION SYSTEM
BEDIT C Width Length No. Of Trenches / PIT DIMENSIONS No. Of Pits Inside Dia. Li uid Depth
DIME S C S / y (/ -,
SETBACK SYSTEM TO P/L BLDG I WOLL LAKE/STREAM LEAC nufacturer:
INFORMATION C ER OR
Type Of System: t! UNIT Model Number.
DISTRIBUTION SYSTEM
Header /Manifold Distribution / t/ x Hole Size x Hole Spacing Vent to Air Intake
Length Dia Lengt Dia Spacing ( / 3 /6 // - `/ �—
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
Yes [] No nN Yes FE No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:�J l O Inspection #2: 7
Location: 239 230th ue Baldwin, WI 54002 (NW 1/4 SW 1/4 21 T28N 16W) NA Lot 2 Parcel No: 21.28.16.314A30
1.) Alt BM Description = 1-o� 6 1 ,4 tjt
2.) Bldg sewer length = 2 4 Z 9 ote va(ve5 /•� 4f<C.r✓ / fU v4eo lvi �l
- amount of cover = 7y Gttl L[ 4 ave �es4�w P
3.) Contour = q. S5 QS. ';L �j, /0 2 �O� lam' reif fe- 2. f /
10 = Qy. $p
Plan revision Required? ❑ Yes In. No
Use other side for additional informati t 3
SBD -6710 (R.3197) -
Date 7 Insep or ' ature Cert. No.
Y_
r
y 3 c l a3a
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
NON'S See reverse side for instructions for completing this application PO Box 7302
Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department oft mmerce (Privacy Law, s. 15.04 (Submit completed form to county if not
state owned.
Attach complete plans to the county copy onl r s stem, on a not less than 8 -1/2 x 1 I inches in size.
Coun - State Sanitaermit Number k if revision to previous application State Plan 1. D. Number
I. Application Information - Please irint all In orma Location:
Property Owner Name Property Location ,,��o Ile L 1 S0. StJo Q�'� _ 14 Id 1 /4 1A, S V T�,N; W
Property Owner's Mailing Address Lot Number Block Number
ST GROiX
wis7 33oA Ave. -:' O"TY a
City, State Zip Code Subdivision Name or CSM Nu . r� g /
l l.U'Y1 �,t, , 1 �1 54 `i �e �\ ' 7 ► P y 7 _��,
y� t T
II. Type of Building: (check one) - !Y''
�K I or 2 Family Dwelling - No. of Bedrooms
• Public/Commercial_(describe use):_ o To of
• State -Owned Eau• Cade
Nearest Road R ao,* f� 34
e_ — A \ o c e-- Parcel Tax Numbers)
III. T ype of Permit: Check only one box on line A. Check box on line B if applicable) (o _ 20—
A) I. Wcw 2. ❑ Replacement 3. ❑ Replacement of 4. 5 . ¢� ❑ Addition to
System System Tank Only Z1. Z�. �(p • 3 /�,l 34sting System
B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) G 4. h� 1
• Non - pressurized In- ground �ivlound Aand Iter ❑ C�fistructed Wetland
• Pressurized In- ground '"D Holding Tank ❑ Single Pass ❑ Drip Line
• At-grade ❑ Aerobic Treatment Unit ❑ Recirculatin ❑ Other:
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System on 7. Final G
l O Required Proposed Rate (GalsJday /sq. ft.) (Min. /inch) Elevation
5 z/.�O �IS� /. D 3
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
& r o c, - ranK /Gao 1 (oo0 L k),e ' .ser ❑ ❑ ❑ ❑ _F_
- ra,%K 7f0 IS Gtr l Ser' ❑ a ❑ ❑
VIII. Responsibility Statement
I, the undersigned, assume res on ibility for installation of the POWTS shown on the attached plans.
Plumber's Name (print) bets no stamps): MPRtio. Business Phone Number
'Paul 0-.s. V as y s / 7/5 - y2 5 SSW
Plumber's Address (Street, City, State, Zip Code)
N gat o 9 4h cif- is Ws ' 5410 72.
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued IsD'gA�Zgent gn ature (No stamps)
X Approved ❑ Owner Given Initial Adverse Surcharge Fee) 0t7
Determination bl> 6 L4b
LConditi of Appr I /Rea ons for Disapproval:
of Ott us be A46t - kAel It r Ae jW'1A t,� >d � '-r5 5&c; A b7 alve5 &,&j( 5fhe" -� W 4a be doyl.4 w 6 rv SFn(e. pGVSd�hsl pvede ,
o agp iZ e
'�'hj Ai . c
Q �
- Ue U, V1 t"v Vvta wt 1/66 1 �,14 � � t3� ��iv►w
S
Safety and Buildings
4003 N KINNEY COULEE RD
LACROSSE WI 54601 -1831
TDD #: (608) 264 -8777
C � v M,�
N visconsin (�)�`� www•commerce.stsconsin.gov
www.wisconsin.gov
Department of Commerce solo Scott McCallum, Governor
Brenda J. Blanchard, Secretary
August 10, 2001
CUST ID No. 691727 ATTN.• POWTS Inspector
ARTHUR L WEGERER ZONING OFFICE
421 N MAIN ST ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/10/2003 Identification Numbers
Transaction ID No. 667959
SITE: LISA SWORD Site ID No. 629731
ST CROIX COUNTY TOWN OF EAU GALLE Please refer to both identification numbers,
NW 1/4, SW 1/4, S21, T28N, R16W above, in all correspondence with the agenc
LOT: 2, SUBDIVISION: PROPOSED CSM
FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM - REVISION
OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 792437
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:
• The county shall be present to verify that the correct distal head pressure (2.5 ft) is adjusted correctly by the
installer on each lateral set. The distal pressure shall be recorded on the county inspection report.
• The mound management Plan shall include an addendum relating to the procedure to t fh
presalse a ft,190 lr , the correct dist#presme to uuintam on each lateral alit, and the
the pressure be checked at least once every 3 -years to ensure equal distribution is occurring. It should also be
noted that a significant increase in pressure means orifice plugging might have occurred and that lateral flushing
and cleaning may be necessary.
• This approval is based in part on an interpretative soils determination reviewed under transaction number
667062, and said transaction may contain conditions of which the owner and maintainer should be made aware.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
t
r
ARTHUR L WEGERER Page 2 8/10/01
Sincerely, FEE REQUIRED $ 60.00
r, FEE RECEIVED $ 60.00
t /� � P BALANCE DUE $ 0.00
r� ' i Wastewater Spec ist
Y kY
Field Operations Bureau WiSMART code: 7633
(715)726 -2544 Voice
(715) 726 -2549 Fax
Ljansky@conunerce.state-wi.us
r
TITLE SHEET Page 1 of
MOUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
This plan has been prepared in accordance with the Mound Component`
Manual SBD- 10691 -P and the Pressure Distribution Manual SBD- 10706 -P
(N.01 101) (N.Ol /O1)-
LOCATED IN THE MW 1/4 OF THE SW 1/4 OF SECTION ' 2 ! ,T Z-$ N,R 1b W,
TOWN OF E =U 61PR1`�, gy--, CIRX\x COUNTY, WISCONSIN.
INDEX
PAGE 1 of 7 TITLE SHEET
PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW -CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUMPING CHAMBER CROSS SECTP.Co.W.T S.
PAGE 7 of 7 PUMP PERFORMANCE CURVE Conditionally
PREPARED FOR APPROVED
DEPARTMENT OF COMMERCE
DIVIS N OF SAFETY AND BUILDINGS
�e�e CoKiS z (j Cno�v
LZ L O S ' CO E ON NCE
WQ D S :ant _iA t S 01.6 - --
66'799
PREPARED BY RECEIVED
WEGEhER Si3 S L ,TEST 2 !VG AUS 1 20M
AND. SAFETY & BLDGS. DIV.
DES 2 Glht S)ER�J7 = CE
eea�o�N
P.O. Box 74 421 iJ.11ain St.
River Falls, WI 54022 �\S�;����5 ®�
Phone 715 425 - 0165. 4
Fax 715- 425 -6864 ti
Wnn�A
VJE�7 !
• FN_A
� 6f15 P
ELLSWOHT -. i
1S.
JOB NO.
Mound System Management Plan page Z of 7
Pursuant to Comm 83.54, Wis. Adm. Code
Sept c Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain .solids in the tank that
may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the 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, Safety and
Buildings Division.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October - February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial testwhen 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 ° (° Sin N arid local or state rules pertaining to system maintenance and maintenance
reporting. gp� -101 C tv p I /o l)
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.
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
operaf condition.
Questions about the operation or maintenance of this system should be directed to:
The County Zoning - Office at —) .. 3�'� _ l( 680 sr, onei L C
The system installer at 1��j — LL ZS — S$�� S 7l!l Q TR
The tank manufacturer at app 3IS _�t ) by ��5e"R
The effluent filter manufacturer at — ZZ.j S'IQZ ZfYi3�
The pump manufacturer - at - -- - 4t c l _�(
Management Plan Addendum_
Head pressure adjustment
Install a monometer or clear plastic tube to the turn -up at
one end of the lateral of each cell.
Provide clean water in the pump tank for the initial adjustment.
Turn on the pump and adjust the gate valves as needed to provide
2.5' of head at each lateral.
A County inspector must be present when the head pressure
adjustment is made.
The head :pressure =must be: the`- same'_foreach cell to provide
equal distribution of the effluent.and must be checked at least
once every 3 years to insure equal distribution is occurring.
If a significant increase in pressure is noted, orifice plugging
may have occurred and lateral flushing and cleaning may be
necessary.
VItLQe
►1� UN t L
2.S� VRLVE
I
PLOT PLAN
Page 3 of �
Scale 1 "= gyp' —
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NOTES:
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved. caps. ( Y_ required).
3. Septic tank to be Zb00 gallon capacity manufactured by Wtese caNQL3
_'wAob - T"- - W /1r -ft0 zfoa RLYM. `rfi�h �rp 8�� "7So 6f�c" w �3R
4. Bench marks S�,�-
5. Divert surface water around system to prevent ponding at the uphill side.
Page �, Of 7
Approved Synthetic Covering
ASTM C33
Medium. Sand Distribution Pipe
F Elev.a$ • 2
n
E j £ - o
.3
D
i
6 W Slope
Distribution Cell of Force Main Plowed
i" to 2 i ". Aggregate From Pump Layer
Undisturbed D Z -W Ft. BO_
Soil E Z-1 Ft. CF2.S
Cross- section of a mound system using
F o.
2 cells for the absorption area Ft.
G o. S Ft.
A �4_ Ft. H 1 O Ft.
B 5 7 Ft.
C Ft.
Linear Loading Rate =3 -qS GPD /LN FT I S Ft.
Design Loading Rate GPD /SQ FT J L
�O Fes.
0.2
� ) Up
P �''ct CT -( -
o .1 WwL ML K 14 Ft.
e L $S Ft.
W C,3 Ft.
L
i3— K
A — — — - -
bservotrio G P� VPYLV�s
C Z �D
' )
_ -
(Anch�o
r securely) �•_ _ - - -• -
— —
Force
- _ _ - -
W
- "— — — — — — -- =Main
Distribution Cell of 1 n 1 n
Pipe '4 to 2k
aggregate
- -- - --
Plan view of a mound system usi4ig
2 cells for the - absorption area
Distribution Pipe Layout Pa S of
Place the holes at the bottom of the distribution pipes
at equal spacing. ?remove all burrs from the pipe and holes.
Extend the end of each lateral up with the use of long turn or 45 ° fitting to a point within six
inches of the final grade. Terminate the ends of the late. -als with a valve,: threaded cap or
• threaded plug. Provide aces from final grade for the valve, threaded cap or threaded plus.
T`t P . \cT L C\ZZS _5 `i1V
PVC F�J� PVC
Lateral Manikid Lateral
x x x x xQ x2 x x x x
= Lateral Length — Lateral Length — P
Distribution Line
07 74X
P Ft Hole Diameter 3llb Inch -
S 1 Ft. Lateral " I �I`f . Inches)
X Z inches Manifold Z Inches
Force Main " Z Inches
of holes /pipe N_
Invert Elevation of Laterals Ft.
1y X0.66 - 3
PUMP CHAMBER CR055 SECTION ARID SPECIFICATIONS PAGE OF 7
VENT CAP
`I "C.Z VENT PIPC
WEATREK PROOF APPROVED LOCKING MANHOLE
10' FROM DOOR. JUIJCTIOIJ BOX COVER WITH WARNING LABEL
WINDOW OR FRESH IYMIU• I
AIR IIJTAKE I
GRADE I
I `I' MIIJ.
COWOUIT
11�
INLET PROVIDE I
AIRTIGHT SEAL
APPROVED JOIAIT A I I�! APPROVED.lOIIJTS
� I
. I 1 j ALARI+I
8 I I
I I
o w
c . 1
_ _CLE1iC 1'Z fT
PUMP —, "
OFF
0
t-- Zeo' COUCKETE BLOCK
RISER EXIT PERMI7rED O1JLy IF TAWK MAQUFACTURER HAS SUCH APPROVAL — I 3 lo";I G
BFOO I tdG
SPEC.IFI CATI OBIS
DOSE
TANK MAMUFACTURER: w �_It czm ( +,VtL NUMBER OF DOSES: S' PER OAy
TAWK 51ZI`: '1 SO GALLOWS DOSE VOLUME 1
ALARM MIWLIFACTt1RGR: 7- �� S� INCLUDIAIfa 5ACKFI.OW: 1 7-U-7 GALLONS
P10DCL NUMBER: 1�w V CAPACITIES: A= S ' U,ICHES OR 30 �j. 2 GALLOAIb
SWITCH TUPC: Z� 1� l .5= Z _IIJC)4ES OR L � �' (O GALLONS
PPump IAAMUFACTURER: �� S C- 6_IIJCHES OR��2��L' - 7 GALLOWS
MODEL NUMBER: 50 O 14 4 IMCHES OR Z$3' q - GALLOWS
SWITCH TYPE: B
AJOTE: PUMP AND ALA T Eci
MIN IMUM DISCHARGE RATE 36 - 9 b GPM INSTALLED OW SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEIJ PUMP OFF AIJO.DISTRIBUTIOU PIPE..�� �FEET
+ MILIIA'lUM . WETWORK SUPPLY PRESSURE . , .. 3 FEET C-Z l- 3
+ ?'3 FEET OF FORCE MAID! X 2- q' F T o FT.FRICTIOU FACTOR. 6 '� 1 .FEET
TOTAL DtIIJAM1C HEAD = FEET
As per:aanufacturer • ZOo 2-5 _ gal /in. Liquid depth 37
.. p Pr - 1 0 - 7
ME Series M
1/3 through 1 -1/2 HP
Effluent Pumps
Performance Curve
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350 400 450
I I
100
90 28
80 24 cl)
cc
70
LU
W M O 20 2
60 ?
Z �
Q so MFRS 16 LU
W
2 J
Q
40 �S. �.
O 12 O
30
B
20 MF3 ,3
!0
4
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 130
CAPACITY GALLONS PER MINUTE
MVM • 1101 Myers Parkway, Ashland, Ohio 44805 -1923
419/289 -1144 FAX 419/289 -6658 Telex 98 -7443
K3327 8/92 Printed in U.S.A.
Safety and Buildings
4003 N KINNEY COULEE RD
1\ LACROSSE WI 54601 -1831
TDD #: (608) 264 -8777
VA
sconsin www•commerc v A i
www.wisc sconsnsin. n.gov ov
Department of Commerce
Scott McCallum, Governor
Brenda J. Blanchard, Secretary
August 10, 2001
CUST ID No. 691727 ATTN.' POWTS Inspector
ARTHUR L WEGERER ZONING OFFICE
421 N MAIN ST ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: NA Identification Numbers
Transaction ID No. 667962
SITE: LISA SWORD Site ID No. 629731
TOWN OF EAU GALLS, ST CROIX COUNTY Please refer to both identification numbers,
NW 1/4, SW 1/4, S21, T28N, R16W above, in all correspondence with the agency.
LOT: 2, SUBDIVISION: PROPOSED CSM
FOR: OBJECT TYPE: SOIL SATURATION DETERMINATION REGULATED OBJECT ID NO.: 806418
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 apply:
• Approval is hereby granted pursuant to Comm 85.60(2), Wis. Adm. Code to estimate the depth to seasonal soil
saturation based on an interpretive determination. This approval and determination negates the requirement of
Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the highest level of saturation when
redoximorphic features are less than 4 inches below the bottom of the A horizon.
• Recommendations by department or county staff that must be considered during plan approval for this project
include using a linear loading rate of 4.5 gpd/ft or less and a basal soil application rate of 0.3 gpd/ft^2 to
improve hydraulic performance of the mound system and to utilize at least 30 inches of sand lift on top of 6
inches of unsaturated in -situ soil for adequate treatment.
• Landscaping upslope of the mound shall be made to divert surface water drainage around the up slope toe of the
mound structure.
• The approval shall remain valid unless the site or sites are altered in such a way that the depth to soil saturation
would change or if saturated conditions were observed for seven consecutive days at depths less than three feet
below the infiltrative surface of the POWTS distribution component
This approval in no way relinquishes the uses of color patterns to estimate the depth to high groundwater on any
other parcels or portions of parcels.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
ARTHUR L WEGERER Page 2 8/10/01
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, FEE REQUIRED $ 100.00
FEE RECEIVED $ 100.00
BALANCE DUE $ 0.00
Leroy G. Ja , Wastewater Speciali
Field Operations Bureau WiSMART code: 7633
(715) 26 -2544 Voice
(715) 726 -2549 Fax
Ljansky@conimerce.state.wi.us
INTERPRETIVE DETERMINATION
as per COMM 85.60(2) for
Lisa Sword
C/O Vieregge Construction
1210 Namekagon Loop
Hudson, WI 54016
Being Lot 2 of the CSM in Volume 14, Page 4020 and located in
the NW4 of the SW4 of Section 21,T28N,R16W, Town of Eau Galle,
St.Croix County, Wisconsin.
i
The site is located at the highest area of the lot with the
landscape sloping away from the site. It is not subject to
water movement from the adjacent land and is more than 100'
from the home location.
The soils are mapped as Amery Loam, 2% to 6% slope with the
parent material being glacial till.
The original soil evaluation found mottling to occur at depths
of 14 ", 16" and 17 ". An onsite investigation by Leroy Jansky
of the Department of Commerce and St.Croix County personnel
revealed
a few fine, ine, faint redox concentrations just below the
"A" horizon in a moderate granular soil to a depth of 16"
where a weak platy condition exists. I feel that the redox
concentrations are caused by the platy structure and are not
indicative of high groundwater.
The platy condition was likely caused by years of farming with
heavy equipment.
A mound system with 2 cells, each 4' wide by 57' long is
proposed with a LLR of 3.95 gpd /ln ft and a DLR of 0.28 gpd/ sq ft
for the upslope cell and 0.21 gpd /sq ft for the down.slope cell
with a minimum of 30" of sand fill under each cell which will
provide 36" separation above the redox concentrations noted.
I feel that the proposed system will function properly at this
site and will not present any type of health hazard or ground-
water contamination. The effluent will be highly treated due
to the 30" of sand fill proposed.
- $Ji 667962
Arthur L. Wegerer P.O.W.T.S•
CST No. 220254 C'�12ditiotially �
Designer No. D -915 -P RECEIVED
,A I` PROVED
AN DEPARTMENT OF COMME
Attachments: DIVISION OF SAFETY AND BUILDINGS SAFETY & BLDGS. DIV.
County soil survey map., E CO ESPON CE
USGS Topo map
08!08!01 WED 08:54 FAX 715 981 4686 ST CRX CO ZONING Q002
•
lop
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—S 1ot, •. .......
..�
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601 -1831
_ TDD #: (608) 264 -8777
commerce.state.wi.us/sb
visconsin f ' q . ?(�Q� 4 ' www.wisconsin.gov
Department of Commerce !,
p Scott McCallum, Governor
,.� Brenda J. Blanchard, Secretary
May 18, 2001
CUST ID No.691727 WTS Inspector
ARTHUR L WEGERER Z G OFFICE
421 N MAIN ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS W 4022 HUDSON WI 54016
CONDITIO APPROVAL
PLAN AP OVAL EXPIRES: 05/18/2003 Identification N ers
Trans tion ID No. 64JOT9
SITE: Site MYNo. 629731
S E ID: 629731, LISA SWORD P se refer to bo dentification numbers,
ST CROIX COUNTY, TOWN OF EAU GALLE; 230TH ST ove, in all co 29pondence with the agenc
NW 1/4, SW 1/4, S21, T28N, R1 6W
LOT: 2, SUBDIVISION: PROPOS CS
FOR:
DESCRIPTION: THREE BEDROO O SYST
OBJECT TYPE: POWT SY TEM kTED ID NO.: 437
The submittal described ab has e nce wi plicable Wisconsin Administrative Codes
and Wisconsin Statutes. T su tt s be ONALLY PROVED.
The following conditions slid t d tion or ins ation and prior to occupancy or use:
• This system is to be constructed and loc in accor ce with the enclosed approved plans and the
/info miation Component Manual for Septic T fflu t for Private Onsite Wastewater Systems" - 10572 -P
and the "Pressure Distribution Compon t Manual for Private Onsite Wastewater atment Systems"
573 -P (R.6/99).
ent this soil absorption system or y of its component parts malfunctions as to create a health
he property owner must follow a contingency plan as described in th proved plans. In addition, the
ust insure t the operation, intenance and monitoring duties as ribed in section VIII of the
anual, section VI of th ressure distribution component are complied with. A copy of this
mus a given to the o er upon completion of the project.
• A Sanitary P 't must be obta' d from the county where this prof is located in accordance with the
requirements of Sec. 145.135 145.19, Wis. Stats.
• Inspection of the private se ge system installation is required. Arrangements for inspection shall be made with
the designated county off al in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The well must be a um of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
area.
• 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.
ARTHUR L WEGERER Page 2 5/18/01
• Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the
initial installation of the POWTS in accordance with an approved management plan shall be conducted by a
person who holds a registration issued by the department as a registered POWTS maintainer.
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• 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.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 05/07/2001
FEE REQUIRED $ 175.00
FEE RECEIVED $ 175.00
Charles L Bratz BALANCE DUE $ 0.00
POWTS Plan reviewer II- Integrated Services
(608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM
7633
cbratz @commerce.state.wi.us W,,, tr ie,
• 4 Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
I sconsin www.
w ww.commerce.state.W.us/sb
wisconin.gov
Department of Commerce
0� Scott McCallum, Governor
Brenda J. Blanchard, Secretary
I
May 18, 2001
CUST ID No.691727 ATTN.• POWTS Inspector
ARTHUR L WE R ZONING OFFICE
421 N MAIN ST CROIX COUNTY S
PO BOX 7 O1 CARMICHAE
RIVER F LS WI 54022 SON WI 54
CO TIONAL APPROVAL
PL APPROVAL EXPIRES: 05/18/2003 Iden ' ation Numbers
ction o. 642119
TE: ite No 9731
SITE ID: 629731, LISA SWORD a er to both identification numbers,
ST CROIX COUNTY, TOWN OF EAU G ; 230 abov all correspondence with thetagenc
NW 1/4, SW 1/4, S21, T28N, R16W
LOT: 2, SUBDMSION: PROPOSED CSM
FOR:
DESCRIPTION: THREE BEDROOM MOUND SYSTE
OBJECT TYPE: POWT SYSTEM REGULATED OBJE NO.: 792437
The submittal described above has been revi ed for confo ce with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal ha een CONDITI ALLY APPROVED.
The following conditions shall be met g constructi or installation and prior to occupancy or use:
• This system is to be cons ted and locate ' accordance with the enclosed approved plans and with the
"Mound Component 1 for Septic T Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P
(R.6/99) and the "Pr Distribution mponent Manual for Private Onsite Wastewater Treatment Syste '
SBD- 10573 -P (R. ).
• In the event this soil absorption tem or any of its component parts malfunctions so as to create alth
hazard, the property owner follow the contingency plan as described in the approved pl addition, the
owner must insure that the o ation, maintenance and monitoring duties as described in on VIII of the
mound manual, and sectio of the pressure distribution component manual are co d with. A copy of this
information must be giv to the owner upon completion of the project.
• A Sanitary Permit m be obtained from the county where this project is to d in accordance with the
requirements of Se 45.135 and 145.19, Wis. Stats.
• Inspection of rivate sewage system installation is required. Arr ements for inspection shall be made with
the designate county official in accordance with the provisions ec. 145.20(2)(d), Wis. Stats.
• The well ust be a minimum of 25 feet from any POWTS , and a minimum of 50 feet from the absorption
area.
• Comm 83.52 Responsibilities. The owner of a P TS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accord 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.
ARTHUR L WEGERER Page 2 5/18/01
• Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the
initial installation of the POWTS in accordance with an approved management plan shall be conducted by a
person who holds a registration issued by the department as a registered POWTS maintainer.
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• 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.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 05/07/2001
FEE REQUIRED $ 175.00
FEE RECEIVED $ 175.00
Charles L Bratz BALANCE. DUE $ 0.00
POWTS Plan reviewer II- Integrated Services
(608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM
cbratz @commerce.state.wi.us WiSMA2fi#ie"
I�
TITLE SHEET Page of 7
MOUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
This plan has been prepared in accordance with the Mound Component
Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P
C tz. b / gq.� C R. b 1�9 �
LOCATED IN THE Q W 1 /4 OF THE SW 1/4 OF SECTION Z) , T Z N,R 16 W,
TOWN OF G �-t-C �T- C� zuU( COUNTY, WISCONSIN.
INDEX
PAGE 1 of 7 TITLE SHEET
PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW -CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION
PAGE 7 of 7 PUMP PERFORMANCE-CURVE
PREPARED FOR
V LESZ�'�G E CUw S��- 101v _____
- o N�o U0P RECEIVED
MAY - 7 2001
PREPARED BY & BLOGS DIV.
WECEF:"e.EFZ SO I i_ .TEST I tl*tC
AND .
DES = Ghi S�RV = CE
P.O. Box 74 421 N. I a i n St. �lf�iy90
River Falls, WI 54022
o
Phone 715 - 425 -0165 ® 441,
•.N•.M °•. 0 Y
Fax 715- 425 -6864 �- ',•• °' ' :��
AP.T ;'Ja L
� WEGEREq
D ^ii P
ELLSW0RTr. j
� Wls, j
pf
a I G r
an—
a�a
JOB NO. -83
Mound System Management Plan page Z of 7
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, Slats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in . the tank that
may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the 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, Safety and
Buildings Division.
_Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October - February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg /L 6005, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial test :when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual [SBD- 10572 -P (R. 6/99)] 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.
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 about the operation or maintenance of this system should be directed to:
The County Zoning - Office at 1 S —3 6- y O S T• e�w
The system installer at _ — ?lS — L4ZS- SS '4 q SYtsiA►kFiz
The\ tank manufacturer at Q , 32S_ ,agS6 L_ JEER
The effluent filter manufacturer at 57%-kI Z-A'L3 L
The pump manufacturer at
PLOT PLAN
Scale 1"=y401 'Page 3 of 7
'V1M*I
r, m•0.,°
t,J a o ov- et(,
X x
C
o L `Tm,s p� P
5
Z IO'Or- 4kPVO
N�
D �
r eL 1 U0 0' C"'j spivai . H3oulze (SP4 kAJh 1AJ e .SLDQ: OF - FOkM Le
3►�if -Z = _ {�t . 48 - d ��T' 8 3� c)F F-t alt _ at''n as Y S tc! J . Fos r _ - -- '
I _- �i� . L _Z o Q �-. P� _: t�3 T S � � t�� wa wl w ►� _ � tv�- :- :- -. -_ --
NOTES•
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved caps. ( Z required).
3. Septic tank to be _ Lb Dc gallon capacity manufactured b
W� X12 �veR Iwo /boo - }z W/ R -1500 Z
�- Gf�t VU (.M
4. Bench mark S• SLR "oLt
�. Divert surface water around system to prevent ponding at the uphill side.
Page
Approved Synthetic Covering
ASTH C33 Distribution Pipe
Medium Sand
Topsoil F a Elev. ctS. `�O
3
_J 1 E D.
e
. % Slope
Distribution Cell of Force Main Plowed
z" to 2- Aggregate From Pump Layer
D \ -9O Ft.
E z.1�j t.
CROSS SECTION OF A MOUND SYSTEM F o -`d Ft.
G 0.5 Ft.
A Ft. H 1.0 Ft.
Linear Loading Rate= Ol. O GPD /LN FT 6 SO Ft.
Design Loading Rate= c)-19 GPD/SQ FT I %y Ft.
1 9_ Ft.
K 1Z Ft.
W 3Z Ft.
L
' Observation Pipe
8 � K
Ao —�-- -- -$ - -- --- - - - - -- -------- - - - - -- --- - -- Ma
�6 - -- - - - - -- Force in
W4
Distribution :"
Pipe Cell of z
to 2
ag gregate
Observation Pipe
(Anchor securely)
- PLATT VIEW OF A MOUND SYSTEM
Distribution Pipe Layout Page of
Place the holes at the bottom of the distribution pipes
at equal spacing. Remove all burrs from the pipe and holes.
Extend the end of each lateral up with the use of long turn or 45° fitting to a point within six
inches of the final grade. Terminate the ends of the Iaterals with a valve cap or
. threaded plug. Provide access from final grade for the valve, threaded can or threaded plug.
. T`-[ T 1 cri L i21JS S s —'n4 N
puC pVC �vC
Lateral Manifold Lateral
X x x x x2 x2 I x
x x x
= Lateral length — Lateral Length —
Distribution Line
• P �� ` r�cC�s six
— —o
Mr�ut��
S
pvc sec: ��
o —_
P .�_ Ft. Hole Diameter M t b Inch
S 3 Ft, Lateral " i Inches)
X Z3 Inches Manifold Z• Inches
Force Main " Z Inches
I of holes /pipe 13
Invert Elevation of.Laterals q 6•y Ft.
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE 6 OF 7
VENT CAP
•i "C.T VENT PIPC
WEATHER PROOF p.PPROVED LOCKING MANHOLE
2 10' FROM DOOR. JUAICTIOIJ 80X COVER WITH WARNING LABEL
WINDOW OR FRESH 12'MILJ.
AIR UJTAKE I
GRADE I
le
CONDUIT ��—
IS MIN. '� - - - - - -- --
1 1�
IMLET PROVIDE J _ __—
'�"" AIRTIGHT SEAL I I I I V
f J I
APPROVED J OIIJ T A I' I APPROVED JOUJ
I
I I
e 17
A M
LAR
I
ON
LLE1C ��•l l FT. J
PUMP --_-. _-J
OFF
L D
��. (�.Qp COIJCKETE 6lOCK
i
RISER EXIT PERMITTED ONLY IF TA MAIJUFACTURRR HAS SUCH APPROVAL 3,•AV yED
IBEDD I ING
SPECIFICATIOMS
DOSE
ZANKS MANUFACTURER. DUMBER OF DOSES: S .OS PER DAU
TANK SIZE: SO GALLONS DOSE VOLUME 1
ALARM .AyUFACTURF.R: �• S'..I� S�$ `J - �yyg IIJCLUOINC, 6ALKFLOW: 12 -1; GALLONS
_ _
MODEL WUMBER: 1 KW CAPACITIES: A. l S WCHESOA 30 '�"Z GALLOUS -
SWITCH TUPE: r' Z INCHES OR � 1D G�LLOLIS
PUMP MAN UFALTURCR C= IIJCHES OR '1112 GALLONS
MODEL NUMBER: ►" 1E SO
D s INCHES OR Z 3 ' GALLOIJ
SWITCH TUPE: IJOTE: PUMP AIJD ALARM A R TO BE, O � y
MIIJIMUM DISCHARGE RATE SAS GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AUD_OISTRIBUTIOW PIPE.. „
t MINIMUM NETWORK SUPPLY PRESSURE. . . . . ,
� -FEET �Z• S x 1:�
+ Z�� FEET OF FORCE MAIN X F YnrrFRICTl0IJ FACTOR. J�'S� FEET
�
TOTAL CMAMIC. HEAD = fEET -�
As per - manufacturer • Z o, Z.b gal /in. Liquid depth 3 7 ”
•. PAGE � o>= �
ME Series
1/3 through 1 -1/2 HP
Effluent Pumps
Performance Curve
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350 400 450
i
i
100
90 26
80
cc
LU
.S
70
MF W
LU
� �Op 20
60 Z
Z —
0
w 50 MF js 16
_ J
40 M �.SO
12 O
0 30
20 MF33 S1 `�
10 1 4
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 130
CAPACITY GALLONS PER MINUTE
M"rV • 1101 Myers Parkway, Ashland, Ohio 44805 -1923
419/289 -1144 FAX 419/289 -6658 Telex 98 -7443
K3327 8/92 Printed in U.S.A.
wsc pnsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division'of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ST_ C ZOV
include, but not limited to: vertical and horizontal reference point (BM), direction and � ek AZ)1N G
Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information Rev' a by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
8 �
Property Owner Property Location
R�ty"Q�Z_ spff)�� Gevt -Lst MV—) 1/4 SW 1/4 S Z Z T Z8 N R/ 6 E (o W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
V�1 S`19 33p`r�} I Z i Pm0Pbs e\> e.S►y
City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road
PLuA (- WI I E Ln 6 1 (BLS ) 6Lf7 -306 ) GPri� Z3u `rt-} ST
New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 0 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material LL Flood Plain elevation if applicable ft.
General comments
and recommendations: MtpQV f S:> w f c3 xs0 r LSD �ZL�U�1 W Cl — "LL - . f )AJ • l0 4 9)= SAS FI LC.
6 A
F-11 Boring # ❑ Boring Pr' 1 6 `
® pit Ground surface elev. CIS -O ft. Depth to limiting factor 14 . in.
Soli Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 -,
1 0 - lo`Zbz j! - s � I z- z m`FH �, s 1� . - 9
Z � - � � � D � tL �L3 - s I I Z�'sb>� s h �S 1 u� • S • g
3 1.3Lf VA '-IA SLIP-31y L lcs ►� ��. . �
F TI Boring # ❑ Boring C � t �\ ;'• C G OvF� G
Z
®pit Ground surface elev. Q I - 3 ft. Depth to limiting factor 1-7 \ +n= _ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda , (/ R D/ftz
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. ° "' - Eff#1 'Eff#2
1 D -b 11)4 - sll z. s�►� m-`A- �S z� .s •�
Z . g -0 I tDLtIZV13 -- Si z�sb i� cs 1 u� •s -
3 1 37 - is wL `Ft� 6 L lin-sb
• Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si ature CST Number
Arthur L. Wegerer O IZ - 220254
Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number
421 N. Hain St. River Falls, W 54022 �- �Z -U O 715 -425 -0165
Property Owner )�, NnAID Parcel ID # Page Z of 3
E] Borin A I a
3 Boring # � 3 �
® Pit Ground surface elev. ft. Depth to limiting factor 1 6 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
1
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F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon 1 Depth Dominant Color Redox Description Texture I Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SBD -8330 (R6100)
PQw )J G
Property Owner _ � Parcel ID # Page 7— of 3
Boring # ❑ Boring A fi 4
F -21 g 9
® Pit Ground surface eiev, ft. Depth to limiting factor b In.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
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r Boring # ❑ Boring
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Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
i
i
F-1 Boring # ❑ Boring
❑ pit Ground surface elev. ft, Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
I
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777.
SBD4330 (X6/00)
` PLOT PLAPd Page 3 of 3
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CST Signature Date Telephone No. CST No. Job NO.
1101 Carmichael Road, Hudson, WI
(715) 386-4680
(715)386-4686 -fax St . Cr oix •
Z oning O ffice
Fax
To: O From:
Fax: Pages:
Phone: Date:
Re: CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
0 Comments:
z Z �•�
Rod Eslinger
From: Jansky, Leroy [Ijansky @commerce.state.wi,us)
Sent: Monday, July 09, 2001 5:42 PM
To: 'Eslinger, Rod'
Subject: Soils onsite
Please send or fax me a copy of Wegerer's soil test for the second lot we
looked at up slope of the Pendergrass lot. Also send information on the
current owner. Art wants a copy of my report (not a detailed one on this
lot) and I don't have the previously mentioned information. Thanks.
Leroy G.Jansky
DComm Safety and Buildings Division
13 East Spruce Street
Chippewa Falls, WI 54729
Ljansky @commerce.state.wi.us
(715) 726 -2549 Fax
(715) 828 -5902 Cell
(715) 726 -2544 Voice
i
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of
Div�zion of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Cade _
County
Arach complete site plari on paper not less than 8 1/2 x 11 inches in size. Plan must
induce, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. �� \t C•J
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. i� IVEO
i
Please print all information C b Reviewed , Datel --
.r
Personal information you provide may be , s. 15.04 (1) (m)). '
ST
Property Owner �� Property Location fyry
z �3�► S W b R b aor,
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Property Owners Mailing Address Lot # Block # Subd. Name or � C�
r.
City State Zip Code UE Phone Number City (:]Village ® Town ' Nearest Road
E� 2LM l wl I sU-161 I CI L9) 647 -306 > GPT-� Z
l—E � 3 0 `T"2-1- S 7,
a New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate L GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material ��Q I PCB 11�L Pr 4 _ j 1LL Flood Plain elevation if applicable
General comments
and recommendations: r gF SF,� FILL
Boring # ❑ Boring
® pit Ground surface elev. �i - O` ft Depth to limiting factor l 4 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Erl •Eff#2
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7 Boring # ❑ Boring
® pit Ground surface elev. q - 3 flL Depth to limiting factor � in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2
o —� 1p�(Z3lZ — StI Z�'Sb�t �'� 2S Z� • .B
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOO < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si ature CST Number
Arthur L. Wegerer avt 00 - °1Z -Z 220254
Address W e g e r e r Soil Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number
421 N. %lain St. River Falls, (7I 54022 715 -425 -0165
S
08/22/00 FRI 14;46 FAX 715 386 4686 ST CRX CO ZONING Z001
ST CROEK COUNTY
SEP'I IC TANK M ADMNANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer S,�j, rJ
Mailing Address / Q & � S� R Il/Gi' �� -��5� (i(� 5-7j62-2—
Property Address /47" � 2, 30 " �3+ a 3 g Z 1 : 6 s�
(Verification required from Planning Department for new coast ucUoU)
city/State J 1J W I w Ui I Parcel Identification Number QQ.A I Ue l - Z - /)(&
LEGAL DESC RIPTION
Property Location NtJ_ Y., ' /., s Z . T N - R I L W, Town of & r�ia.) I e
Subdivision �30 c)+ Lot # t�
Certified Survey Map # [O . Volume ^ L ) . Page # 2 �
Warranty Deed # �,p 75 1 , Volume _, Page #
Spa house O yes M no Lot lines identifiable M yes O no
SYSTEM M,ARDN' wCE
Improper use and maintenuce of your septic system could result in its premature White to bandit wastes. Proper maintenance
consist of pumping out the septic tank every three years or soe=, if needed by A licensed pumper. What you put ante the system
can affect the function of the septic tank as a treatment stage in the waste disposal ryatem.
The property owner agrm to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
msswplumber, joumeymanplumbes, muictedplumber or a Uc=Wtdpumpervarifying (1) the 00 -site wastewaterd"R""'t system
u in proper operating condition andlour (2) aRef inspection and pumping (if necessary), the septic tank is less thaw Ira full of sludge.
Uwe, the undersigned have read the above requircmeats and agree to maintain the private sewage disposal systato with the standards
sct forth, herein, as set by the Depattmad of Commerea and the DepaMent of Natural Resotur ", State Of Wbmusin- Certification
stating that your septic system has been matataiaed must be completed and returned to the SL Croix Certaty Zoning Office within 30
days of the three expiration date.
of
SIGNATURE OF APPLICANT DA'L'E
OWNER CERTIFICATION
1 (wr) certify that all statements on this form are true to the best of my (out) lmowledge. I (we) am (are) the owners) of
the property des above, by virtue of a warranty deed recorded in Register of Deeds Office.
! ! 1
SIGNATURE OF APPLICANT DATE
0. 0646 Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Dgwtsnent• 000
" Include with this application: a stamped warranty deed fi+om the Register of Deeds office
a copy of the certified survey map if tefar not is made in the warranty deed
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STATE BAR OF WISCONSrr, FORM I - 1999 637577
WARRANTY DEED KATHLEEN H. WALSH
Document Number REGISTER OF DEEDS
— 1� - ST. CROIX CO., WI
This Deed, made between Arthur H. Batho, a married RECEIVED FOR RECORD
person as individual property
01-29 -2001 10:00 AN
Grantor, WARRANTY DEED
and Lisa A. Sword EXEMPT I
CERT COPY FEE:
COPY FEE:
i TRANSFER FEE: 98.70
Grantee. RECORDING FEE: 10.00
Grantor, for a valuable consideration, conveys to Grantee the following PAGES: 1
described real estate in St. Croix County, State of
Wisconsin (the "Property") (if more space is needed, please attach addendum):
Lot 2 of Certified Survey Map recorded in Volume 14
on page 4020 as Document No. 636955, being a part of
the Northwest Quarter of the Southwest Quarter (NW [ Recording Area
of SWti) , Section 21, Township 28 North, Range 16 Name and Return Address
West, Town of Eau Gallo.
WESTCONSIN CREDIT UNION
PO BOX 308
RIVER FALLS WI 54022
008- 1061 -20 -0000
(part o£)
Parcel Identification Number (PIN)
Together with all appurtenant rights, title and interests. This is not homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Roadways, Easements, and Restrictions of Record
Dated this 24 day of January 2001
�e rn
* Arthur H. Batho
l i AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) ) ss.
St, Croix County. )
authenticated this day of Personally came before me this 24 day of
January 2001 the above named
r
Arthur H. Batho,
TITLE: MEMBER STATE BAR OF WISCONSIN a married Berson
(If not, to me known to be the person who executed
authorized by §706.06, Wis. Slats.) anya K. See§elfopeop instrum acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY Notary Publ'
Michael H. Forcki , Attorney State of W'SCOR Public, State of Wisconsin
Eau Claire, Wisconsin My Commission is pe anent. (If not, state expiration date:
(Signa(ures may be authenticated or acknowledged. Both are not necessary.) —
W.ARRAN'rY DEED ti`I'F 8AR O WISCONSIN
FORM No. 1 -1999
•Names of persons signing in any capacity must be typed or printed below their signature. -
PrOdu xi with Z.IPF.M ' by RE FormsN-L LLC 18025 Raw MO. R.W, Cliraon To —ship Micl gan 48038. (800) 383.9505
" .AUOrr".M.Chael H Fo cki 18,0 8ru"n Ave, Eau Claire W1 $47014627 Ph.. : (715) 1113J029 Fax: (713)135.4112 071163121UF
l '
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- - - -iQX - -! --- ---__--------__--------------------- ------------------------- - - - - -- -- --- ---------- ---
tOzx�
Wwo
WIMP olyff M? S,
�im.
Y s LO W located In the NW V4 of tht 1W 1/4 of Simon 11, T IS N, FILED 2
R ib W, Town of Eau Wile, St. UM tourq, Wiuomin. e JAN
WHLEM 1 > 2001 0. 3
ofb "Z"
Prepared for Arthur Who a a c r m c c` V �
EAST 114 COR. APPROVED
SECTION 21 ST. CROIX COUNTY
Planning Zonirv+ - „ ,atye g
v
JAN 1 7 2001 BEARINGS REFERENCED TO
— THE WEST LINE OF THE
SW 114 OF SECTION 21
q 90 reco19v wlu;K su oays of ASSUMED AS N 00 ° 00'00 "£
*ProvAl d"r91300val shall be
+n
i nk0lbbpold 11
LEGEND
• I ' -I O
CTI O
N
2 `�- X' ICY- •�_ -#"' 'if' �'. i
'f O
O "X24” IRON PIPE SET WEIGHING
13 LBS. /L /HEAL FOOT
• FOUND I" IRON PIPE
4/ I I 0 FOUNO COUNTY MONUMENT
/r,r.
r i v r_ /� CL ♦ SOIL BORING SITE
s
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-S00 °00'00° - -- 944.63' -
233.24'
334.97' 1
v)
I
207 7. 334 SO. F q 207,5J4 50. fT. '�;I
207,534 SO,Fr :
�. OR OR a e
OR I
r
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4.764 AC.
4.761 AC. Q /NCL. R/W r O O 4.764 AC.
INCL. R/W
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INCL. R/W " b O
Q L07' LOT' 3 a
d ro Lo r i" - 2
ko r.
b
/97,/4/ S0. FT 197, OR 76 -9 $0. Pr 3 196, OR $14 50. FT. N
OR 3 Im c
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66' b 4. AC. h ti 4. 540 AC. 4 4.511 AC.
N
EXCL. R/W a"' EXCL. R/W h fXCL. RI :1 - I
W b $ p • i N
O I 1 00' 2 N SETB ACK 0 LI o
a ♦ ♦ i ♦ m SW COR
WEST //4 O r ` - N004 00'00 "£ ♦
944. 53'� 2 SEC. 2/�
- _
COR. SEC. 2/ b h $,A '� _ i ♦ ♦ ' ♦ 332. 07'� ,Y, 1840.46'
I i �' /4. 88' t �e 3J 4, 89 '
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Vol.14 Page 4020