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008-1066-50-100
7 ~ !D A !D 'p A~ ~k ~ 1 M ~ ~ N N C O W O N W O `t; ~• d ~ ~ n w ~ ~ ~ ~ i„ri A ~ N N ~ • 7 fD ~ T "'S ` \ ~- ~ C ~ ~ ~ 1 O ~ ~ ~ fD 3 ~ ~ W ~ o K ~ ~ m w w ~ ~ o o ~ o O D D C N ~' o. N ~ ~ ~ ~ y W ~' N ~ d O ~ .+ ° I O o w D I m ~ o w °> m ° ~ l~ m o o N p c .. ~+ 0 3 ; ~ ~+ Z 000- v I ~: cn ~ ~ ~ ~ ~ ~ ~ i o ~ D l ry,~ VR d ~ ~ ~ 3 m W N ~ .. a .. Z N o D D o c w O c I o• s ~ a N • ~ ~ A ~ ;L1 N O c 3 w m o I n ~ m ° ~ A Z n I - . v, m ~ ~ .. I w ~ A m i ~ I _ ° ~ w ~ o _. .. I W ~ CZC N W G ~ a ~ c 3 ~ Z a ~ 3" °' ~ ~ w Z ~ I f W I ~ Q I I p~ ~ : ~ I j ~ o 4 C ) O 7 ~ O d N N 7 I a 4 y I o ~ A N ~,C Q ~ ~ C ~ ~0 ~ O N O O N ~ W ~ ~ A ~ ~ aro ~ O ~ H o ~ a i ~* vwaoollslll oepaltmelnt a Comnleroe sal~pr and euWinDs oivisbn ri GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) PNSOnd intOm~adon y'~ P~o~ ~Y tae used for seoondeuY Pml lP~ ~. x15.04 (txm)]. ,~ .: '' c~.~ Permit Holder's Name: rty Wage Town ot: Insp. BM E v.: 8M ~ptao: ~ ~' gw,f, ~ dp.Or . (7~ a~' TANK INFORMATION E _EVATION DA? TYPE MANUFACTURER CAPACITY Septic ~ ~p basing .~ Aeration Holding - TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. Aii~Mtake ROAD Septic , lep I a 9 ~ 0' ,_._ NA ~~ >] t3D I !op ~ ? t~ r > ~co ' NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand Model Number ~ (3} GPM TOH Lift'Ij•~ FrictiorL •~ ~) S em~•,SO TOH Ft Forcemain Length 3S 1 Dia. Z h Gist.7o Well ~ ! sp / 4.1111 AR~ARDTIAIU GV4;T~M f11~7•QIRI ITIAf~I ~Y~TFM l i 1 ax A~.lo~ STATION BS HI f5 ELEV. Benchmark ~~~.~o I btu . a Cd 123.18 r ~5 0 r , . 8 r Bldg. Sewer LA . I p ~ St / Ht Inlet A ,~~1 I ~ s. St/HtOutletCA '~.•~j$ S.2o~ ~t Inlet p )• ~p ~ Ot Bottom ~ • °~D $ . Qpr Header /Man. . ~(o o . Dist. Pipe '~ `~~^ e2.i.~ Bot.System o p2,8r Final Grade ~~ (.~ `, 2s r ~.r 3-~ 03.3 S ~ h 6 TRENEH Width ~ Le h 1 No.Of PIT No.Of Pits Inside Oia. id Dept SYSTEM TO P / L 6LOG WELL LAKE / STR LEACHING M durer. SETBACK CHAMB INFORMATION ype System: , ~ I tJD ~ (~ ~ D I Sb r d IT Mo Num er: He r / Mani Distribution Pipe ~ x Ho e S ~ze le~pacing x H Vent To Air Intake l N ~ ~h •O Uia 2 f! Length-0 Oia °~ Spacing 3.O + ~ l/~ I ~ ~~r pepth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center rent ges Topsoil ^ Yes Q ^ Yes Q No COMMENTS: (Include code discrepancies. persons present, etc.) ~ ~ I ~ _„ SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Systems Only 1 Location: 2512 Inspection #1: ~/oZ/ al Inspection #2: ~-f--~-~ 25TH Avenue, Woodville, WI 54028 (NW 1/4 NW 1/4 23 T28N R16W) - 23281 41 B -Lot :~ CEO ~ S;Qe.. ~~~ ~w~.~ c~,a~ ~ w r (( Ims` e~.~ 1.) Alt BM Description = ~.~ d~ S ~ ~ ~. -~ I(Z,u ~ ~~ C~ ~~ 2.) Bldg sewer length = 32.0' ~~ ~ -- oe (~ -amount of cover = l8" +-s-~ ~'• ~ • ~tlil~mrequi~ed? ^ Yes ~No S 2 U[se then side for ad~iti I ' formati $ 03 O ~ ` 3a~~( ~'~ •4$~ CSC G-IT ~•1 Date Ins~ector'sSi9rwture CM 1`l0 - ~ ,Et~S+ow~.to' ~£ 2'17 ZS i4~,(G- ~~ yc~ .--Stwt Tt '"'v 1° S'o Safety & Buildings Division ~y~lo 7 Sanita Permit A 11Cat10n r'Y PP 201 W. Washington Ave.. PO B 3 _ _ ox 7 02 isc~ins~n In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707-7302 Department of Commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(I)(m)] state owned Attach com lete lans to the coun co onl for the s stem, on a er not less than 8-I/2 x 11 inches in size. County ., ~ ' State ani P it Number ^ Check if revision to previous application State Plan I. D. umber ~ ~ 1 • - 19 ~~ 3 5 tD I. A Iication Information -Please Print all Information Location: Property O wner Name Property Location L ~O 9!/1' L ~ Q I1'1Q ., (,~ 1/4 /4, S TGCJ >N, W Property Owner's Mailing Ad ress Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number i sy s ( > s- 03 cs~ d~ ~ / II T}^pe of $uilding: (check one) , as ~ s ~ ~ ^ City ~ Inrusn a.ts. 1 or 2 Family Dwelling - No. of Bedrooms: ~ ^ village B?own of , ^ Public/Commercial (describe use): ,/_ ~ ^ State-owned u.ee Q.G~-~ III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Roa ~~ de. A) I . U3"New System 2. ^ Replacement 3. ^ Replacement of 4.. ^ Addition to Parcel Tax Number(s) S stem TankOnl Existin S stem pQg- OFG-S - G?~ $) ^ A Sanita Permit was reviousl issued Permit Number Date Issued a 8 , to 3 IV. Type of POWT System: (Check all that apply) '-~~ ^Non-pressurized In-ground L~J'~Iound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grad 1 ~_ t n n ~ Aerobic Treat 5 t Un't ^ Recir ling ^ Other: t L , ~ ~ ~ ~ ~ ~ ~ " " x • o• I bl1,y~ A.Q 0 ( V Dis a aUTreatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation `~s~ yS0 yS0 ~ o.S a ~'- ~o% 83' /03.33 " VI Tank Capacit in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ VII Responsibility Statement [, the undersi ed, assume res onsibilit f r installation o e POWTS shown on the attached lans. Plumber's Name (print) Plum is Signature ( s ps): MP/MPRS No. Business Phone Number e ~~.n a`-G 223 y~~' (7/s (v 8 -226 Plumber's Address (St ,City, State, Zip C e) ~~t~ c..~.~; t o ra fir, ctrl t1 r 1 /•e t. 5 ~ 028 VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued [ss ~ng Agent Signature (No stamps) Approved ^ Owner Given Initial Adverse Surch e Fee) ~ 32S 2( 28o I ( ~ Determination .~ (1i p,~r . o, X. ConditiRns of A proval /R ohs for Disapproval: W ~. ~' ~~w. ~~ - ~ .r~t"~e~IJCtzd/ d.S ~.. ( ,.OV~Q `~° 1M s~^^~- , Z~ , nn ne ~~ n , 7r ¢~~0~-~ ~~f` ~ wt,a,M7E~o.t`~eac RK~ ~. a~c. cam- Gee~4'~5 ' ~ S . ~ ~ .~t- ~~ t S .~ ~ ~ ~~- ~ S,p~-tL .E.r,,,,l~. C Q.t_aM00~- / y1AUA~12d~- cid ~.o~- IM.e't^x'Tn-c~IQ.~_S I`2,t.6~•-tn~lQ.~aSF'~Yvl~'., ~~~ ~U96~ ~~,-lrJ = ~-oti1E" C'~ ~wonsin Department of Commerce "~~~ ND SITE EVALUATION Page .-1_-_ of 3 . Division of Safety, and Buildings ~i ac~h Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. St . Croix Parcell.D.# 008-1066-60-000 APPLICANT INFORMATION - PI It i ati n ea o Personal information you provide may be used f se urpose .ri~~ w, s. 15.04 (1) (m)). ^. . - - - - - iew~ By Date l Property Owner ~ R [ ~'~ ~ E~E~V ~ ~ Property Location 16 W 2 Horstman, RobertlLynette ' ` L ~. -- , 8 N,R ovl, Lot NW 1/4 NW I/4 S 23 T Property Owner's Mailing Address __ ~1~~ f ~ Z~Qa of # Block # 5ubd. Name or CSM# i F 0 , E 5785 $OOth Ave. rom 4 10 Acre CSM Pend ng City ' Stat .~i Code e~ f ~ ' ' City n~ Vill e ®Town Nearest Road 25Th A a Menomonie WI S 751 7 - -~~03 ~ ve. Eau G le ~ ~ ~ t~ ooms 3 ^Addition to existing building ~~ New Construction Use: Replacement ~_ I Pub rc scribe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpolft2 •6 trench, gpolft2 Absor tion area required 900 bed, ft2 750 trench, ft2 Maximun•~ design loading rate •5 bed, gpd/ftz •6 trench, gpolftZ Recommended infiltration surface elevations} 102.0 ft (as referred to site plan benchmar Additional design 1 site eonsiderations'nstal[ 5' x 75' rock bed mound on 101.0 as upslope edge of rock w/ 1' sand fill Parent material loess over till Flood lain elevation, if a licable NA ft S=Suitable for system i Conventional I Mound In-Ground Pressure AT-Grade I System in Fill Holding Tank U=Unsuitable for system ~ O ®U I ~ S^ U O S ®U ^ S ®U I ~ S~ U __ S o u Q~uJ Depth Dominant Color Mottles Horizon ~ I Structure Consisten Texture i GPDIftZ Boundary ~ Roots --- Boring# Munseil Qu. Sz. Cont. Color in. Gr. Sz. Sh. Bed Trencn '~ ~ 1 0-6 ]OYR 3/3 i - sl 2 f sbk i ds ! cs ~ 2flm ~~ .5 .6 , S _- ---- r---- -- -- -- -~-~ ~ 2 6-19 ~ l OYR 4/4 - sl 3 m sbk dsh cs 1 f .5 .6 ~ S Grountl , 3 19-26 +- ----1-- -----I---+-- -----^ - --- -- _ _ -) lOYR 4/4 ~ - ~ sl ~ 1 m sbk ~ mfr ! cs if ~~ .4 .5 ,'f 101_.0 ft 4 26-39 ' l OYR 5/4 i 7.5YR 5/3 sl 0 m ~ mfi - - .3 .4 ~- De th to P limitin , --~ ---- ~ --------- ~ ----{- --- ~ -+--- --~ ---- - - ~_ -- , ~ I factor i ' i I 2 j i I i I j __ _ ! Remarks: --------- ------------ __._ 2 Ground elev 101,0_ft- Depth to limiting factor 28" 4~ 1 0-9 ~ IOYR 3/3 '~ - sl ~ 2 f sbk ~ ds i cs 1 f%m a t .5 .6 _-_ ___~ 2 ~ 9-23 ~ _ lOYR 4/4 - sI - -_-___ 3 m sbk I dsh I cs lm .5 .6 -- --! ---- 3 'j 23-28t lOYR 4/4 - - sl -I- --- 1 m sbk mfr ~ cs 1 f - ---- .4 - _ .5 _ _ " ~! ' c~d 7.3YR aT ~ 4 28-44 l OYR 5/4 7.SYR 5/3 ~ sl 0 m mfi ~ - - .3 .4 -- -------- -----F -_--- ---- _ -- -- - ~ --- ---- i - -r- - ----- -I --- - ---- --T- ' - _ i _ .. ___ 1--- ----------- i i ' Remarks: SST Name (Please Print) Signature: Telephone No. Henry F. Grote ,. 715-665-2681 _- Certified SoilTestin-----------__------_----- -- ------- -------------- ----- - 4ddress g D to CST Number Ref # P.O. Box 57, Knapp, WI 54749 814/1998 222774 1130 .j •S .~ r-- f RdPERTY OWNER: Horstman, RoberUl.ynette SOIL DESCRIPTION REPORT ~ Page ? - PARCEL LD.# 008-1066-60-000 Certified Soi Depth Dominant Color Mottles Structure GPD/1 Horizon ' in. I Munsell Qu. Sz. Cont. Color ' Texture ~ Gr. Sz. Sh, onsistence Boundary ~' Roots ----- -- - Bed Trench 3 1 , 0-6 ~ l OYR 3/3 - ~sl 2 f sbk ! ds cs 2flm .5 .6 • ~ --I---------- - T------ - - .. 2 6-16 ~; l OYR 4l4 I - j sl j 3 m sbk i dsh ~ cs ~ 1 f .5 .6 ~ 5 _. - -- ------- ~--- --- --I-------~------ --~---- -- -~----~-- - Ground - - - ---- - y - ~ sl_ ' 1 m sbk ! ds cs 1 f ------------ .4 .5 •`{ elev -- 3 ~ 16-24 7 SYR 4/4 `-- - ----- _--- - - -,--------- -,'----------- -- -- -- - _ . _ _ 99.2. ft 4 24-30 7.SYR 4/4 - ; sl 1 m sbk mfr cs 1 f .4 .5 • `~ -' -r---------- - -~------ T - -_ _ - _- _ _ _ _ , - - _- - __- __ -- -- ---- -- --~-- c2d-T.SYR416"--~-----' Depth to 5 30-43 lOYR 5J4 ~ 7.SYR 5/3 ~ sl ! 0 m ~ mfi - ~ .3 •,4 .- limiting _ - - -- -~ ~-- ~--- --- _ ._ factor ~- ~~~ I ~ ~ ~ J 30' - - - ----- r- - --~ ~ ~ I --r---- --- - -- ~ I ~ Ground elev Depth to Ilmiting factor Ground e{ev Depth to limiting factor Remarks: ~, ~, - -r- -- ----__ _ . -_ i ---- ---- _- a -------- ------ ------I---------~-- - - _-_---t-_ -~---------- -t----- ------- - ---- - j ~ i j __ - -:.-_ _ _ - - ~- --I-- -- r - - _ - ~_ Remarks: Ground elev Depth to limiting factor •• l1 ` l ~ . ~,~p~~lv+G1- ~ Q.~ !.. 1 1~Y3~-~.ay-~1o7 1 1a.h C9C9~'\ubb•leo~c~ov ~.3.z~s,~b,34i. ~ C" 9 r hq k~ C~ q 4 ~ ~~~ ~.. v.: ~. r ,~..~ br+,1 oo.p~ S. ~ ~ ~ a.,•, .. ' ~~ ~.~ ~ e- ~ ~ ~'; ~~~ C M b 1 ~ ~ ~~ ~ it,q. ~~ / ` j ~Q r<,b,.o, T zd ~ .~ °1TUt L t L } }~ i ~s' .~I. ~I~LL~ T ~, q I 1 ~~c'x~X`'~O~ S~~sQ S~r4..a~\ tT0.0~ 1IUU\\( ~ O ~ . V Ne `g3vio ~~~ ~~1~ a~..~.. /~" 1 ,,,,, ~ a ~~ . 3 ens L~...~i-v1.: Qe~~ntcd v4t~1 ~n 3'~tspr.~-~,ee of sZyz"a6o~c 5~ E/ur. = /oi. ~o~ e-,1~ /~far~'(.• Grade a.t ba ~~ o F sec C ~ . i ~ ~~ • • o~~6'tre ~ ~ •~~ 83 ~ ~ ~ \~\ ^ d~ ~ ~\ ~ \ \ \ ~? \ ~~, ^ So; / Ol~r'VQ~'o.~ ~~ E • Eleva~o~ Ro6~4 ~,~'^effe ~t.ra.,,o~op. ~wnu>,S.Zj Eaa6s//e 23.8. /G.3~.t A ~c~/e • / •' S~0' ProPos2~ rrtou.n~la~ 2~.a'z ~3./(o~r,vj •5-'~/X 7S~/o'61x~p~/L'o~ ~eLL. Two~z" ~~~cL45 G.L 7T.~~Q4(~ Wic.h~~ a0 /'If•~e pf~2r7i nCjS .S~Q2Gt.~a-~i.Zft.. ~ ro posc.c( 7Sp~°''~ ` Pum~o c1- ` ~n ~!: 5/ ".4 s.T ~t ,3a,~ y o~ sue. yo P. d. C. e+S~/k e.~~ /-ne. /ProposetJ /, l,Cb~Q, .s.T wt~ in Ste. GL,ed a~L oc4'f /e'E P~opoJed Prod 3 bedreaw, r~s,'clcHu ~~o~y ""3~c. sro P./.e. --~ b u ~ /d~ .~ Scwei' ,I I l i i1~2rSevpGf7 d~ ~ i 4 ~0~8 . ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/SB Scott McCallum, Governor Brenda J. Blanchard, Secretary March 14, 2001 CUST ID No.223475 t JOE STANG 506 WII,LOW DR WOODVILLE WI 54028 A777V: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/14/2003 Identification Numbers Transaction ID No. 619773 Site ID No. 626974 SITE• Please refer to both identification numbers, SITE ID: 626974, ROBERT & LYNETTE HORSTMAN above, in all corres ndence with the a enc . ST CROIX COUNTY, TOWN OF EAU GALLE; 2512 25TH AVE NW 1/4, NW 1/4, S23, T28N, R16W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 783064 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for SepticTank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazazd, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section. VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. JOE STANG Page 2 3/14/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~2'~z~ /j~~GG%~ ~ X~ CHARLES L BRATZ POWTS REVIEWER II ,INTEGRATED SERVICES 7:45 - 4:30 MONDAY -FRIDAY ' CBRATZ@COMMERCE.STATE.WLUS DATE RECEIVED 03/01/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 code: 7633 r RECEfVEf~ Project Owner Address MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET MARX 1 2a0~ SAFETY & BLDGS DI's. Robert 8 Lynette Horstman 3 bedroom n~idential mound Robert ~ Lynette Horstman E. 5785 800th Ave. Menomonie, WI 54751 Legal Description NW1/4NW1/4, Sec. 23, T.28N., R.16W. Township Eau Galle County St. Croix Subdivision Name CSM Vol. 13, Pg. 3641 Lot No. 1 Parcel ID Number ID# 28.16.23.341 B, Comp. #008-1066-50-100 Plan Transaction Number L'OOIIQ~- ~PROVE~ DEPART11E11T OF COIW~Rt~ 11610110!° 8 ND ILOtpGf ~ ~' „r, SEE CORRESPO ENCE Index and title sheet Mound calculations Mound drawings Pres. dist. talcs. and laterals TDH and pump tank drawing Pump specifications Site plan Tum-up detail Management plan Soil evaluation report Designer Jce an _ Signature G-Z Date ~.G6. 2 /. / q ~ r Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 License Number Phone No. ~~~11\ ~ ~rGtf'~'1~ ~l'~ SS ~l ~~~ ~~ is~f~l CN 1 I L'vl ~~~ :YI~~ C r?N~'lT ~~~(nY7brr'i ~ ~ i.. f i 2z3y7S 715-684-5166 Page 1 of 10 MOUND SYSTEM DESIGN Complete red boxes as necessary. Residential or commercial? 0(r or c) 750 gpd maximum design flow. Slope 12 Design flow rate 450 gpd Depth to limiting factor 26 in In situ soil infiltration rate 0.5 gpd/ft` Contour line elevation 101.0 ft Use standard fill depths? x OR Design depth? ~~in Place X in box to use standard depths (24 and A+4 inclusive) OR specify design fill depth. Orifice density 5.92 Orifices per ft` Lateral spacing 3.00 ft Use 0 lateral spacing for trenches. Estimated orifice space 1.95 ft Not a final calculation. Number of laterals Pump tank elevation 95 ft Outside bottom of tank. Forcemain length 30.0 ft Forcemain diameter B 2.0 in 1.s, 2, 3 or 4 inch only. 2.067 in Actual I.D. Center or end manifold ~(c or e> Orifice diameter 0.125 in o.1zs, o.1ss, o.1sa, 0.219, o.zs, 0.281, or 0.313 inch only. SYSTEM SOLUTIONS Design flow rate Absorption cell Application rate & area Linear loading rate (LLR) Design width (A) Cell length (B) Depth of cell (F) Sand filter Upslope fill depth (D) Downslope fill depth (E) DIAMETER CONVERSIONS 1 /8 = 0.125 1/4 = 0.250 5/32 = 0.156 9/32 = 0.281 450 gpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 1.0 sib 450.0 ft` 6.00 gpd/ft 6.00 ft 75.0 ft 10.0 in Basal area required (gpd/infiltration rate) Supporting components Topsoil depth Subsoil depth at center Subsoil depth at cell wall End slope toe length (K) Up slope toe length (J) Down slope toe length (I) Total mound length (L) Total mound width (W) Project: Horstman 3bedroom mound Transaction Number: 10.0 in 18.6 in 900.0 ft2 3.0 in 9.0 in 3.0 in 9.08 ft 5.30 ft 14.70 ft 93.16 ft 26.00 ft Page 2 of 10 MOUND PLAN VIEW 26 ft I W observation Pipes (typical) A = 6.00 ft B = 75.0 ft K = 9.08 ft 1 /66 = 12.50 ft I =down slope dimension =absorption cell (AxB) J = up slope dimension p =plowed area (LxW) K =end slope dimension MOUND CROSS SECTION ^` subsoil cap lateral topsoil ~ H invert 102.33 ft ____ elev. -- ------ : :::::::::::::::::::: ~F T ASTM C33 y Sand Fill y sys. 101.83 ft ~ elev. 101.00 ft contour 12%-~ slope D = upslope fill depth plowed layer typ. obs. pipe (anchored securely) s° D = 10.0 in E = 18.6 in F = 10.0 in G = 6.0 in H = 12.0 in E = dOWnSlOpe fill depth Note: Absorption cell media will consist F =absorption cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across AxB media. The cell H =subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes• - Project: Horstman 3bedroom mound Transaction Number: Page 3 of 10 93.16 ft L- ., PRESSURE DISTRIBUTION CALCULATIONS Dispersal cell Width (A) 6 ft Length (B) 75.0 ft Lateral specifications Number laterals 2 Orifice/lateral 38 holes Lateral length (P) 74.00 ft Orifice diameter 0.125 in Lat. dis. rate 15.65 gpm Sys. dis. rate 31.30 gpm Orifice spacing (X) 24 in Lateral diameter Pipe diameter Design options Design choice Designer must '~C" one choice from the options provided. Manifold diameter crab "X" one choice from the options provided. 1 in 1 1/4 in X 1 1/2 in x 2 in X X 3 in X Pins r9iame?4r?r Design options Desion choice 1 in 1 1/4 in x 1 1/2 in x 2 in x X 3 in x 4 in x Place X in red box of chosen diameter. Place X in red box of chosen liameter Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM -END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. atera s centere overt e A & tmension ~ =Turn-up m'ball valve or cleanoutplug ~ P All laterals are identical IF ~{-~I Holes drilled on the bottom of the lateral S equally spaced ~ Force main connection via tee or cross to maniFold at any point. Laterals & force main of PVC sch 40 (per COMM Table 81.30-5) Lateral length (P) 74.00 ft Lateral spacing (S) 3.00 ft Orifice spacing (X) 24 in Manifold length 3.00 ft Orifice diameter 0.125 in Lateral diameter 2.00 in Forcemain diameter 2.00 in Project: Horstman 3bedroom mound Transaction Number: Page 4 of 10 TDH and Pump Tank Drawing Total Dynamic Head Operational head 6.50 ft Vertical lift 6.03 ft Friction loss 0.50 ft .'7"~ Total dynamic head 13.03 ft t; ; ,3__~ a . Dose Volume Dose is > 5 times lateral volume Lateral void volume 25.8 gal ~ y , /.2 y Minimum dose 129.0 gal / .~ c . c . j Drain back 5.2 gal ~~. ~j Dose volume 134.2 gal / .2 .~ , s- y , 1,~ ____,_.__~___ grade levels Are laterals the highest point in the system? Yes "X" here. L~ If no, what is the highest elevation downstream of pump? ~~ Forcemain drain back to tank? ("><' one) x Yes No Typical Pump Chamber Layout In combination with state approved treatment tank. approved manhoe cover with weather proof n , ~ warning label and locking device junction box 4" vent pipe electric as per NEC 300 and Comm 16.28 WAC wall of pump chamber or combination tank A alarm on pump on B pump 96.3 ft C off elev. D 3 " of bedding under tank Tank manufacturer Wieser Concrete Pump tank capacity 20.28 gal/in Pump tank volume 760 gal Pump manufacturer Zoeller Pump model number 137 Alarm manufacturer Levelarm Alarm model number DLV Project: Horstman 3bedroom mound Transaction Number: disconnect ~- c 0 .N c a~ E D A B C D grade levels alternate ` outlet ~ location 18" min. ~' approved ~ outlet joint Provide 1/4" weep hde or anti- siphon device as necessary Grade levels - pump tank manhole = 4" minimum above finished grade - vent = 12" minimum above finished grade 95.0 ft Pump tank elevation at bottom of tank Inches Gallons 16.9 341.8 2 40.6 6.6 134.2 12 243.4 Page 5 of 10 i to w ~ ~ ~ 14 42 13 40 13 ' 12 38 12 36 11 34 110 32 105 100 30 95 28 90 26 85 165, 24 80 4165 75 0 22 ~ 70 ~ 20 a 65 z ro 18 60 163, 4163 HEAD/CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 165/4185 should not be subjected to less than 30 feet TDIi. ~~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE s>-ss --- ----- SERIES q _ N 3131 __f1 U74)9 11WINa 161N1{1 1{LN{1 1{SH RS 11Lt113 IW111{ IW1111 119111fl 191 Fl. M. G+1. lhs. Cal. Lks. C+i. L{s Gd. LYf GU. Lb+ Gd. Ltr+ CN. lh G+I. L4t GU. lln. G+I. lhs. GU. lha. GU. L6s. G+I. l.RS. GU. lM S LSI 1{.S {2 tl f0{ I1 117 rt 217 97 732 N lS{ 10{ let t1 171 ~~{t t)1 ~ SI 2I0 133 SII ISf 317 /S 111 ,o !aa us w :7 11 N u9 {1 271 r9 loo _90 ldt loo )rl _{I u1 _ et !)f s1 z2o to wo Isl art +s tre u Lsr 1.1 is n r _IS u 1 u u n {o r w -~ --- sl tte lu r lu 9 u v IO {.10 2.S f 7 11 ZS S3 7{ U{ /) !i{. 12 710 S1 127 t0 221 fl 210 1)/ S1S Ib Sm /S 111 Is u: _ 1 le {) :u reiro sr as st :n s1 u1 w us ,u sal a v° )° Lu _ s) !el ss !ei ss !e{ _ sl ue _ 9a 3~° sl ue _ ltl u1 ur u) a n° '° lt.l° _ to n1 u rre K m ss ie{ rs iu a no los 71) 11{ als a vl so IS 24 __ _ tl {0 7) us sl ul sl to se !21 to xl loo m es tr{ t0 1{21 13 ft Il 111 l{ 17{ SI 220 71 tN IS 72 IS 170 Io xse to lu to u s: »r sl nl ro ru a rre 191 to x.l{ 11 ss a ne :e tw st to{ a u{ f0 ilA7 - ]1 1!1 7 1 71 110 IS 11/ 1°° 70.11 le {I It 79 +0 tir ILO 72.ao _ _ ) x e m to sr~ uo >dsl to n uo 79.{1 - _ _ _ _ to 3t L«e vd..: tt.e' Ir »2s• Ir x• t{• s{• w• Ir _ n' _ _ ns __ fr _ ur ur 18 41 J a 0 55 ~' 1 6 50 14 45 12 40 140, 35 414 10 30 8 137, 25 139 6 20 15 /~ S.S T. `J. ~ 89, X4189 188,\ 4188 1 B 5, 4185 2 5 43 48 53,55 57,59 98 161, 0 4161 U.S. GALLONS 10 20 30 40 50 70 80 90 100 110 120 130 140 150 160 LITERS 80 160 40 320 400 480 560 640 0 FLOW PER MINUTE x099 r1 y ~~ ,>, s P ~ ~fe Note: For Head Capacity on Mode12, industrial column-explosion prooof pump, see FM0219. 6 0-~' 8 ~' C~..~. ~ Qe~ PoinFc.c~ rla;) .n 3r~5/Jtnt/~°2 o~ \ ~a/. o _ _ ' 'Contocoi ' - 31 ~ ~v \\ f ~oPo~Se.~ rr(ou.nela•~ 2~.O~X ct'-~ /(o ~W~ of 52yz"a6o~e ~~~. E/tom- _ /ol. ~o~ e tJ, ar'>~• Grade a-t lxt~~ o F ~eeC ~ • ~ I j~{.~sc~rt~c! Elev` _ /00.x. / ~ ~~ • ~ o~ 6't~e \ \ ^ ~ ~ ~ 8''' ~ \ S' X 7S r~ x~~o~'o~ ce C~ • Two (,z,) ~ •, \~\ ~q~ \ /a~er'a-~Sa.~ 7f~.0'¢ac.~ w,'t~`'ori~'c.e \~, i ~ 1 3o O~x a3 tel. yo/%C• fv>'ae Ata%n S/~ dtd ` ro poscd 750 Pum~o CJ-a+n y '"r1 S.T ~+f. 30,E y o~ sue. S/o .~' Propose.c~ /,Cd'v~ .S.T. ~~e~ Proposed ~ c.11-. --~- o Proposed 3 btdrwr~, res~dLtiu -~ b u ~ klrnq Sewer' ,I I i,.~zo * ~ ~ ,~s'~~4~.~e. .` -E---loco~~~ '--~' ~ n~2/'Sel~/~i--~ df ~ ys~,4ve. ~,zsD°`~. ~ I 4 ,0; E • `C'~e ~/Q fi'o r7 Qo6~4 Lyn c Efe ~t~-,o.., p.•ap. .~3.~8. i6.3~2 A 5cA/e~ /='yD~ (~. ~0{8 Access Box Threaded Plug Lateral ~ Manifold \\~ Orifice`,`` s ~f/ Lateral turn-up detail Pg. 8 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10572-P (R.6/99). All local andlor state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks aze no longer used as POWTS components. Septic or pump tank manholes risers, access risers, and covers should be inspected for water tightness : and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. `Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or ' component. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank aze not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required. 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 two 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 Trees or shrubs should not be planted directly on the mound. Plantings may be made azound the mound's perimeter. The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the mound and will promote frost penetration during cold weather months. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine 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. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. 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 become 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. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector. Pg. 9 Of 10 t ~ ~`,;sconsin Department of Commerce ~/1R'~;~ND SITE EVALUATION Page ~ of 3 u ` Division of Safdty and Buildings L IFi-a cor w h Comm 83.05, Wis. Adm. Code Certified Soil Teitin_ Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St . Croix __ percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. parcel I.D.# APPLICANT INFORMATION - Plea /6l ation. 008-1066-60-000 Personal information you provide may be used f urpose ~~ w, s.15.oa (t) (m)). Reviewed By Date Property Owner ~ R Property Location Horstman, Robert/Lynette ' `E~E~v~o ~, ovt. Lot NW 1/4 NW 1/4 S 23 T 28 N,R t6 W Property Owner's Mailing Address __ of # Block # Subd. Name or CSM# E 5785 800th Ave. ~~~ f ~ 2~QQ 10 Acre CSM Pending From 40 City Stat ~ Code r City n~] Village ®Town Nearest Road Menomonie WI +' S~75 ] 7 - -t~~03 ~ Hsu Galle ~ 25Th Ave. t~ New Construction Use: '!~ 'rde #i l~l~ f rooms 3 ^Addition to existing building Replacement ____ Pub ~c~,frt rc scribe Code Derived daily flow 450 gpd ~ Recommended design loading rate •5 bed, gpd/ft' .6 trench, gpolft~ Absor lion area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate •5 bed, gpolft2 •6 trench, gpd/ft~ Recommended infiltration surface elevation(s) 102.0 ft (as referred to site plan benchmar Additional design /site Considerations Install 5' x 75' rock bed mound on 101.0 as upslope edge of rock w/ 1' sand fill Parent material loess over till Flood lain elevation, if a licable N A ft S=Suitable for system Conventional ~ Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ ~ U i ~ S^ U ^ S~ U ^ S ®U j ,~ S x U _- S ~: u Boring# 1 Ground elev ~o~ on Depth to limiting faClOf 26' 2 Depth ~ Horizon I in. ~ Dominant Color Munsell ~ Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistenc Boundary ~ Roots GPD/ft2 ------ -- - Bed Trench 1 0-6 lOYR 3/3 j - sl 2 fsbk cs ', ~ ds 2flm .~ 6 r r ~- ~ -~- 6- ] 9 2 - - ---- ---+- l OYR 4/4 -- sl ~ 3 m sbk dsh ~ cs '~ -j--- ------ 1 f --- -- -- .5 .6 --- _ _ _ 3 19-26 ~ l OYR 4/4 ~ - ~ sl ! 1 m sbk ~ mfr cs 1 f 4 ~ --- ---- - - 1 --- ----- --~-- I c~3~'13YR 41b-- r- -- --- - - --- ----'------ ..-.. .------ -- _ I 4 26-39 lOYR 5/4 7.SYR 5/3 sl i I 0 m mfi - - .3 .4 I ~ - i I , ---~--------- -- -. -- - - -- _ _ _ _ I +---- --- I -- r I Remarks: ----------- -------- - ------------- - 1 0-9 ', IOYR 3/3 ~ - ~ sl 2 f sbk i ds cs I fim .~ 6 l OYR 4/4 ~ - sl 3 m sbk I dsh I cs 1 m .5 .6 2 9-23 ; sl 1 m sbk mi fr I cs ] f .4 ~ ---- 3 ---23-28 j l OYR 4/4 - T --- - - _ - - 4------ 28-44 :.----- ---+--- ------,---------- - -- l OYR 5/4 ~7.3YR~7b- i ----- i j 7.SYR 5/3 ~ s! ~ - 0 m ! mfi 3 a . _ - ------- - _ -_ _- - -- -..- --- - --r --- - - - Ground elev 101.0 n Depth to limiting factor 28' i i ; 'i i i I Remarks: - -_ _-- ~- -------------------...--- ~ST Name (Please Print) Signature: - Telephone No. Henry F. Grote _ 715-665-2681 Certified Soil fies~in - --------.- - --- --------_ _ --- - - -------------------- ------- _ 4ddress g Dato CST Number Ref # P.O. Box 57, Knapp, WI 54749 8/14/1998 222774 1130 ~ ' t"f~OPERTY OWNER: Horstman, R_obert/Lynette PARCEL I.D.# ~ 008-1066-60-000 3 Ground elev 99.2 ft Depth,ro limiting ,factor 30' Ground elev Depth ro limiting factor Ground elev Depth to limiting factor Ground elev Depth to limiting factor Remarks: SOIL DESCRIPTION REPORT Page __? of ~'Y Certified Soil Tesiirig Horizon Depth in. i Dominant Color Munsell Mottles ~ Texture Qu. Sz. Cont. Color Structure onsistence Gr. Sz. Sh. 1 ~ Boundary Roots - G - ---- Bed PDIft= -- - -- Trench 1 0 6 l OYR 3/3 - ~ sl ~ 2 f sbk ds ~ cs ~ 2fl m .5 .6 2 6-16 l 0YR 4/4 ~ - sl 3 m sbk ~ dsh cs t f 5 6 -_ 3 16-24 7.SYR 4/4 - ~ sl 1 m sbk ! ds cs _--- I f 4 j 4 24-30 7.SYR 4/4 - I sl -` -- - _._-- 1 m sbk , mfr cs ~ -- 1 f .. .4 _ .5 . 5 __ _._ _ 30-43 ._ _....---- .--- lOYR 5/4 .._._i ..-c2d~7.5YR 476--, ~ 7.SYR 5/3 ~ ------- sl ---i ----- _ _~ --------- ---- - - - - 0 m mfi ~ - --- _ __ - 3 4 - _: _ . --------- --- ---- ---- 1 - ----~ --- _ ___ 1 I r I ' I - - _ _. ... t------- fi----- -----_ _ . -. - - - ---- - - - I ~ 1' i i 1 ..y____- _y.___--_-.__ -Y--_ .-_-..~-._----- --.~___ -_-. _•__-. ---_._-. . II ~ I ~ ~ Remarks: - ---~ ---T- ----- - - -~---- ~ '~ ,'1 i --- - ---~----------T----- --~-- ---~------- --~------ -_...-- ------ _ _-.. -- - i i rtemarxs: t ~ •o b n~v ~ G1' 1, 2TT c... 1"~ ~ Y' ~ •.,. w y - ~~ ~ o ~ ~~ ~ A. ~. (s (9 ~3` - \ ~ b to • le o ~ c9 0 ~ '1M ~3•z~s,~~.,3aL ~ C 9r N~.., . N~ -tl -z~z • ~e •.~ Fq k~ ~..qa) ~ f ~ ~ "~ ~ ~0. 1 CI U1. ~o> ~A •~ ~~i V ~~ / '2 c ~Q ~•t` r~~ b~.o, Ids' ~ L o 4.0 .~ °l'~'U~ Z t i ~ 14 S~~ Si..4..a~\ t?'o.0~ ® Z. ~!' ~~ ~ Qo\ G.vC- Cry. ~ a~ `~ o•~ \ ~ M ~„ t/J O p w/~ ,l Z ~ 2 ~ 0.0 v~~ y/y~,~ ~-'c 'V\~~/V10 ~.~~ V L r Q~/ ~^V art: ` C./~ W I < Ne 3. ~ ~ +la.., ~ u.)C (~ 11 ~-/ti ~ 7 ~ `Ad' ; 40 0, c.k 1: 1C T viq v 1~4{~`~~C ~~~ 1 1 ~-".~ ~s ~1' ~ ~ 3 a ~ ~ ST cROTX COUN'T'Y SEPTIC TANK A~IAINTBNANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM C-wne er Mailin Address ~ S 7B S lXJD ~~d~ , ~~ ~''''~; ~ _ ~"~~• SY?S~ g Property Address Cit~lState {L`erification reQuired Elena Planning Department for new construction) 1~-, Z~ . ~ 6. Z3.3 y//~- Parcel Identification Number l~S- /Olo4 - S"O - /Ge7 - ~,EGAI.. DESCRIPTION Property Location ~ 'f<, ~ `/•, Sec. ?-~3 , T 2.8 N-R / ~ ~t~t, Town of ~~~~ Subdivision ~ ~ I.ot # ~_- Certified Survey Map # ~ ~ 2 73 9 .Volume ~ 3 .Page # .3 <o / Warranty Deed # ~ ~ 5 ~ S ~ .Volume g , Spec house ^ yes [~.to Lot lines identifiable i~'yes ^ na ,SYSTEM MAIN'T'ENANCE Improper use and mainteaavice of your septic system could res~ltvn its prevzaturc :aiturz to handle wastes. Proper maintenance consists of pcvnping out the septic tank every tluee years or sooner, if ncededby a licensed pumper. ~trhat you. put into the system can a.€fbv-t the function 8f the septic tsal: as a tTeatmen~t siege in t1~c v~aste dispnsa! s~~steut. The proporty owner egrets to submit to St. Croat Zoning Department a ct~catiou form, signed by the owner and by a mastorptamber, jcxuntyman plurabcr, restnctcdptutnber or a licenstdpumper verifying that (f) fhe an-site nrasbewaterdisposal system is in proper operating condition andlar (2J a8er inspection and pumping (iF necessary?,the septic tank is less than 113 full of sludge. Itwt, the undersigned have read the abavt requirements sad agree to maintain the private storage disposal system with the standards set forth, herein, as set by the }3epartnunt of Commerce and she I?epartmtnt of natural Resources, State o£ Wisconsin. Ccctifreation stating that your septic s}~stem has been maintained must be completed and returned to tlic St. Croix County Zoning Dff ce within 34 days of the three year expiration datr.. L ~-~ ~ ~-- DATE IGNAIVRE aF APPLICANT OWNER CERTIFICATION our xi:owted c I wr} ari (are} the owner(s) of I {we) certify that alt statements an this form art rue to t,'te best of my ( ~ ' g "• (`' the prope dcjsc~ribtd a ve, by virtue of a warranty' died recorded in Register of Deeds Office. /~ .. -- - 2 1 lA ~~ '' ~ DATE SIGNATURE CF APPLICANT kss**« *«*««* pay infam~atian that is this-represtnt~ed may resort ire tlrc sanitar}' permit being revoked by the Zoning Department. *« Include iFith this npglieatian: $ ~tampef the~rntrfi~ ~~ ~~ lftr ~fae~ Ii trna~ in the .vsrzanty doed o~~~ ~ . Document Number ~ ~ ~o~ 1436PAGE 84 ~ w~ STATE BAR OF WISCONSI 1-1 8 W EED This Deed, made between Garland D: Fregine and Sharon K. Fregine, husband and wife, Grantor, and Robert D. Horstman and Lynette J. Horstman, husband and wife as survivorship marital property, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin ('The "Property"): Pmrt of the Northwest Quarter (NW'/.) of the Northwest Quarter (NW'/.) and Part of the Northeast Quarter (NE'/.) of the Northwest Quarter (NW'/.) of Section Twenty-three (23), Township Twenty-eight (28) North, Range Sixteen (16) West, St. Croix County, Wisconsin, described as follows: Lot One (1) of Certified Survey Map filed May 6, 1999, in Vol. 13, Page 1, Doc. o. 602739. TOGETHER WITH a 66 foot wide access easement as described in Easement in Vol. 1419, Page 289, Doc. No. 601424. V ~ ` n i *Garland D Fregine (i~v~2C ~ Va *Sharon K. Fregine 008-1066-90;008-1066-60 Parcel Identification Number CPIM Thia is not homestead propeRy. SUBJECT TO the covenants, conditions and restrictions of a Farmland Preservation Agreement dated December 6, 1988, and recorded December 19, 1988, in Vol. 829, Page 525, Doc. No. 443916. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and roadways of record. Dated this 1-l day of J~r~E , 1999. AUTHENTICATION Signature(s) authenticated this _ day of , / vc-~ ~ f,,, ,t ~ ~ , . 605457 ~~`~ KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 06-~2-1999 10:00 AM WARRANTY DEED EXEMPT li CERT COPY FEE: COPY FEE: TRANSFER FEE: X5.00 RECORDING FEE: 10.00 PAGES: 1 Recording Area Robert D. & Lynette J. Horstmao E5785 SOOth Avenue M~omonie, WI 54751 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ~~~_ County ) Personally came before me this ,~_ day of ~J~ ~ 1999, the above named Garland D. FregiIIe and S n Fregine, husband and wife, to me known to W ' ~ V~ vQ.~1`.`'~/v~. , ..... ~.,. (,~ YO~Mt/ .<f,~ N v w ~ v W W or v ~~ d ~ '' `~ ~ 008- 1066 ~ a ~ ~.4~~,!~ _....~ ' _i~v s FILED ~~ , o~~ _- ~a~~ - ~ MAY 6 - 0 1999 ~ ,H.ww.st~ /~ G/ C~~~/~(o~f/ -fit//~ co~ , . 642'739 w '~ ~, t a • CER T 1 F I ED SURVEY MAP LOCATED IN THE NW li4 OF THE NW li4 AND IN THE NE li4 OF THE NW li4 OF SECTION 2 , ,, T28N, R16W, TOWN OF EAU GALLE, ST.CROIX COUNTY, WISCONSIN. (PORTION OF EASEMEN~HOWN ! S AL80 ! ": TiiE SW I : 4 OF THE NW I ~Y )• PREPARED FOR: I GARLAND AND SHARON FREGINE I ~ I MDSE; BEARINGS ARE REFERENCED • ~0 THE ~ ,t~N,P4ATT~P...~ ANAL EAST-WEST QUARTER 150 50 SECT /ON L / NE. f ST. CR01 X COUNTY COORDINATE SYSTE,M). ~© N90° 00' 00" E 43 1. 19' I I I LEGEND :c ! O " SET I' X 24"' IRON PIPE ;~ ' ~ . WEIGHING I.I3LBS PER LINEAR FOOT. :~ ~ 3 ' :o ~ :2 ~ ~ L 0T I ~`~ l ;~ ~' 10.00 ACRES ~ ~ / ~ I : ! 435, 50T S0. FT.) ~ ¢ i ~ O ~ ; 3 '~ 0 1"'200' /Q ~ ~ ~'~ ~ ~ Q O 4: Q'i ~ ~ 0 100 200 400 / ~ ` y ~~ ~/ / `O~ / ;~ © ss ab' ~~ l J / ¢ OpM~ , 3D' Q /~ % j / 4S3 3 ~~°l 1 / O' _• .v ~ ~ v~~~ / yp'~A.TT~Q ~ ~ ~.4 $ a ~~ ~ ,~/, A, gyps ~ ~~. /,C~/ ~O / EXISTING 66' WIDE INGRESS n /a ! ~. ~ ~ AND EGRESS EASEA£NT VOLUhE /Y/9 PAGE .287 W+seon'sin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 _-- Certified Soil Testing Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must County inGude, but not limited to: vertical and horizontal reference point (BM), diredion and d t d l Dunn -- roa . ocation and distance to neares percent slope, scale or dimemsions, north arrow, an Parcell.D.# APPLICANT INFORMATION - Please rint all information 008-1066-60-000 p . ~ Pe al in lion ' e may be u for purposes (Privacy Law, s. 15.04 (1) (m)). Date I t,f Re Property Owner Property Location Horstrnan, RobertlLynette Govt. Lot NW 1/4 NW 1/4 S 23 T 28 N,R 16 W Property ~vner's Mailing Address Lot # Block # Subd. Name or CSM# E 5785 800th Ave. 10 Acre CSM Pending From 40 City State Zi Code PhoneNumber 5 ^ City ~ Village ®Town Nearest Road 25Th Ave p 'Ea G 751 715-235-6603 Menomonie WI . e I u a ®Residential / Number of bedrooms 3 ^Addition to existing buihaing New Construction Use: ^ Replacement ^ Public or commeraal describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpolfN •6 trench, gpolft2 Absorption area required 900 bed, ~ 750 trench, ft= Maximum design loading rate •5 bed, gpolft' •6 trench, gpolft~ Recommended infiltration surface elevation(s) 102.0 ft (as referred to site plan benchmar Additional design /site considerations install S' x 75' rock bed mound on 101.0 as upslope edge of rock w/ 1' sand fill Parent material loess over till Flood lain elevation, if a livable NA ft S=Suitable for system Conventional Mound In-Ground P-essure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ ®U ~ S ^ U ^ S ®U ^ S ®U ^ S ~ U ^ S ~ U avn. v~wrttr r wry R~rvr~ ~ Boring# 1 ~~, Ground elev 101.0 ft Depth to limiting factor 26' .~~ Ground elev 101.0 ft Depth to limiting factor 28" Horizon Depth in. Dominant Color Munsell Mottles Ctu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consisten Boundary Roots GPDIft2 - ~ -- ---- Trench 1 0-6 IOYR 3/3 - sl 2 f sbk ds cs 2flm ' .5 .6 2 6-19 l OYR 4/4 - sl 3 m sbk dsh cs 1 f .5 .6 3 19-26 l OYR 4/4 - sl 1 m sbk mfr cs ~ 1 f .4 .5 4 26-39 lOYR 5/4 c 7.51'R S/3 sl 0 m mfi - - ~ .3 .4 Remarks: 1 2 0-9 9-23 l OYR 3/3 lOYR 414 - - sl sl 2 f sbk - -~ 3 m sbk ds t--- dsh cs y ' .5 -f-- -- ~ ~,c5 ' `lrit ` ~ % + .6 - -- ._ __ .6 3 23-28 I OYR 4%4 - sl 1 m sbk mfr ~' cs ~ ,,1~ ~ 4'-~ .5 4 - -- 28-44 lOYR 5/4 c d7:3YR 476 7 SYR S/3 ---- sl -----_ 1 __-- 0 m ~ -_ _ c> mfi '' r ~ ~ - `~ i ; ; ~_ _ __ ~L 3 --- - r .4 . P ~ ~ ~- j. ` r'~ X ~ -- -- ------ - --- . ,IOUN~~~ %~~, ' ;'~ Remarks: \' i I `7 ' Y CST Name (Please Print) Signature: Telephone No. Henry F. Grote ~ 715-665-2681 Address ertr to a est-ng Dato CST Number Ref # P.O. Box 57, Knapp, WI~54749 8/14/1998 222774 1130 PROPERTY OWNER: Horstr.an, Robert/Lynette SOIL DESCRIPTION REPORT PARCEL LD # oos-~ x;66-60-000 3 Ground elev 99.2 ft Depth to limiting factor 30' Remarks: I ~ Page__~_ of` 3 Certified Soil Testing ._ De th Horizon . P m. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Bounda ry GPDIft' - -- -----. _ . Roots ~ Bed Trench 1 0-i5 lOYR 3!3 - sl 2 f sbk ds cs 2f1 m .5 -.6 2 6-16 10YR4/4 - sl 3 m sbk dsh cs if .5 .6 3 16-24 7.SYR 4/4 - sl 1 m sbk ds cs 1 f .4 .5 4 24-30 7.SYR4/4 - sl 1 m sbk mfr cs if .4 .5 5 30-43 lOYR 5/4 c ~.SYR 5/3 sl 0 m mfi - - .3 .4 - ~- -- Ground elev Depth to limiting factor Ground elev Depth to limiting factor I -- --- --- Remarks: -__- __._ Ground elev ,-,, r- -- -- - -- IimiGng factor • ~ , ~..~eba~v~GL- ~ Q~ c.. -~e~.s~•,,.wy- 1" ~o~ ~~`a~. me9'~-~r~l.le-l.o-oo~ ~.3,~~,-L,34z. 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