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HomeMy WebLinkAbout008-1076-40-000rtmentotcommerce PRIVATE SEWAGE SYSTEM .g Division INSPECTION REPORT AL IN~ORMi4TION (ATTACH TO PERMIT) ,nformation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. , Holder's Name: City Village X Township r2asmussen, Jerald Eau Galle. Town of CST BM EIS TANK INFORMATION TYPE MANUFACTURER ~~,e1S i CAPACITY Septic ~'~ Dosing ,.~~ ~ , Aeration Z~l~,,l~,. i~- d ~ ., of Ing TANK SETBACK INFORMATION en o Ir n a e eptlc i 7 ~ r ~ ~~ ya' yd' ~... osmg i ~ s~ ~,~ ~~ ~~~ ~ -~ era Ion o mg PUMP/SIPHON INFORMATION . ~ anu ac urer eman ` ~~ GPM b ~ o e um er ~b . 3~ i ~.Co ric ion oss .~~ ys em ea •S l~•zg or emain eng ~ ia. ~1 ~ f'~ /~ JVIL AtSJVKY I IVIV JTJ I tlVl ELEVATION DATA County: St. Croix Sanitary Permit No: 488159 0 State Plan ID No: Parcel Tax No: 008-1076-40-000 Section/Town/Range/Map No: 26.28.16.397 STATION BS HI FS ELEV. Benchmark /l•~.~ ~1Z ~~:5 Alt. BM Bldg. Sewer :71~ ~~ -~~ ~' d$ r ~~j t/ t I n et 15.E 9'7 -o t ut et ~ ~ ne 0 om ~.ss 93.y5 ea er an. is . ipe Z . 4• /1f 2 . d~j o. ysem 3.i5 3.Z5 /al •L ina ra e ~, ~ X03 , os' over G~.+•~-~~~ 3..95 l~~`l5 I-•~ ~~ ~`~ ~f" 1P , it.~ Iz-.~ j, ~ 11 ~ DIMENSIONS / i lQ ~~~ n e U '~- "~- -~ INFORM/~TION CHAMBER OR "~ 1 ~ ~ UNIT V' 6a J ~~ ~~ ' /~ ~~ ~ UI.7 I KIdU 1 IVIV J T.7 1 CIYI Np(1!{,~_ Len th Dia g ~ , t I / Z'i Len th 7 ~ Dia S acin Pip 9 s) , Z ~ , ~ ,, P 9~ 5/3 ~ / r ~ b / I G4~:,C SVIL (:UVtK x Pressure Systems Only xx Mound Or At-Gratle Systems Vnly Bed/Trench Center / ~ 5 ~ BedlTrench Edges ~ Topsoil ~ ~ Yes No es No GUMMEN 15: (Include code discrepencies, persons present, etc.) Inspection #1: ! 'o / " `o ~~ pecrion ~~: i ~_ Gtr ~ •sc,!_ Location: 146 County Road B Woodville, WI 54028 (NE 1/4 SE 1/4 26 T28N R16W) 40 acres Lot ~IdW arcel No: 26.28.16.397 1.) Alt BM Description = ~` ~ ~`'" ~ ~ ~'~' ~~`'O`'"'r"~ ~ ~ ~ ~~ ~ ~~ 2.) Bldg sewer length = l1©~ ~) a'-') ~~- - amount of cover = ~ 1 7 ~~ - - -_ Plan revision Required? ;~ Yes ~ No T Use other side for additional information. ~ ~ ' ' ~ J Date I SBD-6710 (R.3/97) ). ~~'~~' 7~ ''. ~ Cert` No. i ._~ ~~~r~vE® ~~~~. ~ Drv,~ S ~' ( V 7082 2 t w Win ~ ' U ~ ~ J~~~~~ ~ is by Co.) Story Permit Ntttnba (W be f De artment of Commerce ~~) 26l Sanitary Permit Application s"t"d Z 5 7 ~v ~ asood tnfarmation you provide In ruxord with Comm 8321 Wis Adm Cade , . , p . rosy be resod Yar seeaodary purposes Privacy Law, s15.t19(1)(m) addrtxs) hm nw'ling f~ tfamt r Project Address ( nn 2 L ~ I. Applintioa Information - Pttw.se Print All Information / ~ ~~ G.~X`- K V UUU Property Owners Name ~ lst-tF- Block 8 Paroel it Jed ~c~ ~ A M Se.v~ 008- io7(o- yo - m ~ Property Owner's Mailing Address Ply ~°n o s~ Cr ~ A,1 ,~l }~. N~s ~'/~ satin a t~ City. State` , ' t /~ I S~t,\ W t4~~ ~ `V Zip Code - ~~0 ~ Phone Number T~N~ R~`E e~) ~Cf 1 ' (check aII that a e otBtdldin T II ) I v g yp . PP Y o ~ a~ (]~ 6u~o M; `_ Oa. (SM Number subdivision Name 1 or 2 Family Dwening - Namber of Bedrooms ~ l - Desrn'be U e a blidC ^ P s arnaeat a u C 7 ! ~ ~* ^~t3! ^~8e~o~P W Zd N ~AI~ G l p ie X ^ State Owned -Desaebe Use d~ l.~ _ III. T ype of Permit: (C6celc only ewe boz on Gne A. Complete Cme B dapplinWe> - A' ~ New System ^ Raplaoemeat System ^ TtmmmUHoldia8 Tank Rep>soemeat Only ^ t~1ha Modi6catioa To 8 System B. ^ P tams' Ratearal ^ Patnit Revision ^ Change of ^ Permit Trtmsfa to New List Previous Permit Ntanber and Date issued Before Fxpiratiaa Plumber Owner ~ IV T of Powrs em: Cl,trli an that a i ~ tti '~ ^ Non -Ptrssuri>rcd In-Cuound Mourd > 24 in. of airable soil ^ Mormd <24 in. ofsaitabte sm7 ^ Ar-Grade ^ Single Pass Sand ~Iter ^ Constnrclod Welland ^ Peasurvld In-Grotmd ^ HokTmg Tank ^ Peat Flier ^ Aerobic Treatment Unit ^ ltetircularing Fih/er ~/` ~ ^ ~ ~ J4. ' S "Moths I-~iher ^ I.eacL"mg Cbamba ^ Drip Lace ^ Caavd-irss Pipe ^ OtLa• (explain) ~ 7 h' 'rT~ V. reatment Area Infot~astion- Design Floc' (gpd) Dtsign Soil Application !tale(gpds!) Disposal Arn Raryired Proposed (st) Disposal A r~`+' System FJerad/~'o~n ''7 i ~ VI. Tnak Info Capacity m Total Nmnbc Manufaetrmer Prefab Site Stoe1 Fiber Plastic Gallows Gallons ofUoits Cotttxde Constructed Glass ~~1n1 Tida Tanks Septic a Holding Tads I V dt7 ` V V O I ~ L s~ Z Aerobic Trmmrm Unit ~ U v (~~ (ooO VII. Rtspottsibility Statement- I, the andasigoed, .n~~.. rrspotrdbBity for installation of tlse POWTS sbowa oo the attat:6ed plans. Plumber's Nunc (Print) -3 I Phmt MP/MPRS Nemeber Business Phone Number ~, ~, ~ ~ ~: S C ~ P ao ~ ~ 5 - c~~a- 8 y Plumber's Address (Sired, City, State, Zip Code) ~`~j ~ Z ~ ~ - rj IC' c3 ~ VIII. Coda t Ust Onl APP'o~ esappro Sa*tiruY Permit Fee crnciudes Cuomedwater SttrehargeFee, ~ 55~ • °d Date Issued Sl3 ato issuing Signatrtre Reason for Denial I7C. Conditions of Approval/Rt'4sons for Disapproval ~ ~ ~ ~~r ,~... ~~.~- svstto ovv~R: 3~ Plot ) • ~ ~~ ~. ,.. . ~ ~t ~ ~~ ~~r~~~" 1 ~ ~" ~ ~ ~ g l~c ~ 1. g i.J '6 .c- d - b beservtces / maintained O ll etl a m dispersa as per management plan provided by plumber. , ~ ~ Go ~ . tf- i 'l r ~ o> 2. AN tteWack rayttirtlmer-ts must be mainUined 5a t ~ Sam ~ ~"- /~ as par applicable tide !ordinances. AtUe6 eomptefe plans (to rbe County only) for the system on Per nor teas ttun arri z r i esun ea ate= ~ ^~~ ~ /~~ t ~` -- ~. 4-~o ac,..c, e~~a~G e x;~}`"~ D~~ JQ~ ~.:. ~~I ~ N iU Q~,y,~ l ~ COY-2~~. ~ \ t12.o 4i•~ ~ .Q.o,., w~ ~o M..~,,, ~, ~ o~ o ~~ ~ ' ~~~ S~ 4-~ ~d.~~. ~~, ~ ~` ~6` N oc,.1c... t Q.~Q~ gyp. ~ a~ nnr •-lS - ~,.. ~ s `~ o yue_ }-off ~ o ..4 ~ ~ , o c.,~,+,,,,~U ~~~o-~~`` .~ Q~ -~ ~ i ~ !d 20~ 30~ '~,B,r~r1 ~ /oo-o o~ -1~ „ti~~jDr'to c~~ B ~ pie e~ ~Q~ ,r. tlzA b ~, ~" Ste,, ; ~~, ~~+, ~ o ~ b3 : ~ . gyp. ~ a~ an, ~,~5 - w s `` o Y+~ 1~~-S~-z~-~~-1(9w `-~ ~..",`l~ b 0..ch. L ,~J e^~ c ~G ~ ~`~~`M``` _ N iU Q~,1~.~ w~~~ ~~ I ~ ~.,.~.; m~ 1'pZ,o ~~~~ S~~ l ~ ~ ~" Poc S ~. 4-~ ~ a-~e. M^'-`~ h ~ u,}o - ~ cs-O ~~~~ ~~ i ~ i ~ C !b 20~ 30~ 5cal~ 1~.3V` 106 ~ ~,g,,~, _,o~.o ~ ~_o '~ ~°S~ 5~ y~¢ ~ o ~ -°1 b ~~SD~ ~ ~ ~~~~ i r ~.c.._ ~; ?~g° a 4~• ~. f 4 -t _~ \ ~~ e e.. ,. _ .~ ... .. - ' - .. J ~. a ~~ ~~. .-~.sM' commerce.wi.gov ^ ^ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce . wi. g ov/s b/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary April 07, 2006 CUST ID No. 220684 CHRIS M BAUER BAUER PLUMBING AND SEPTIC SYSTEM INC N6483 DORWIN MILL RD DURAND WI 54736 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/07/2008 SITE: Sackett Construction County Hwy B Town of Eau Galle ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1257960 Site ID No. 711283 Please refer to both identification numbers, St Croix County .above, in all comes ondence with the a enc , NE1/4, SW1/4, S26, T28N, R16W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1069814 Maintenance required; 450 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use:, • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for. inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which mawinclude local ins ecy tors. P.O.~"~'.T S. cat~~~t~~~~azry P OBE CHRIS M BARER Owner Responsibilities: Page 2 41'7/2006 • 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. • Comm 83.52(1)(a) -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.$2(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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j eny. swim@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Sackett Construction -Mound Construction Materials and Techniques ~~~~i Fjy~ s~oo6 ~~~~0/ ~~s All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: NE '/a, SW '/a, Sec. 26, T 28 N, R 16 W Town: Eau Galle County: St. Croix Date: March 29, 2006 Owner: Sackett Construction Address: S. 2111 Pine Road Fall Creek, WI 54742 Plumber: Chris Bauer Signature: License: MP 220684 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management UcruPtlMENI Oi~ COPr~hllkKl.E DIViS~ON of SAFETY AND BUILDINGS page 1 of 8 +'t;~ r SEE CORR PONDENCE Design Criteria ~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold header length Drain-back Lateral length ~ ~ Lateral elevation Lateral hole size s~3 Z- in. i 1 ~ hnlee/lateral Design Cali O,~ ?, 2.~ ~ 4~ l o,~ D 3.0 3.l'2.. ~-2. o ~OL,Z ~-$ ~ o ~g ;ulations gallons/sq. ft. per day in. in. aj~ v... w v ft. of Z in. 2 , r ~ ft. of ~~~ 4- in. ~ ~ ~ ~ gallons ft. of `~l 4- in. ft. @ bottom of lateral in. ( 4"' o ft.) Spacing hnlee total Lateral volume `~' Z` ~ gallons Total lateral discharge rate 2o'S Z- gallons/minute @ ~ ~ ~ ft. head Network pressure compensation losses ~ ~ ° s~ ft. Elevation difference 4'~' ft. Friction loss ~ ~~ ~ ft. @ ~'1 gallons/minute Total dynamic head G -4' ~ ft. Pump/sip~on ~`~ gpm @ 1 ~ - ft. of head Manufacturer ~~ ~~ ~ ~~ Model # S ~ ~~ ~ Dose volume ~~• ~ gallons Lift/siphon tank ~ ~ -~ ~ ~ ~ - ~ ~~ ~ `'`'O gallons Septic tank ~~ ~~ `' ~ e~ gallons Effluent filter ~~- ~-« ~"% O~~~o F `~ °g zz -14 ~ ~ Measurement pump on and off ~' ° in. Height alarm from tank bottom , ~' ~ in. Reserve capacity 33s~ Z gallons specs.calcs.res Page ~ of 8 ~ , . ,~ •~ ~:v ~s J i ~ (~ 1r OC.k ~ f..d~ ~1 \ a. 1rt ~~t `~~ pslow u ~~ (` / Z ~~~ f `. ~~~ , :~ 1 n ' eXw, l u-o ~ 1 tyar, ~o ~ o,p a a ~, ~ ~ 1 y \ 1 ,~ ~, ~- ~ .,4 , ~ ~ t.1 I ~ ~.~ h b i~bco:1 ` i.~~ z ~~ ° `.. ~~w o.v ~~ ~ t9-o, 0 10-~ O ~^`~'Y ~•~~~ 3.S ~ ~ ~ ~ ---~-- ~ , 0 9 ,1 ~~ ~, 3 25~2~. ~c . ,,,,, „ ~ . - . ~' .. ~ . :ii $.. ~`` .; r 1- l a h V i a ~.., l~~ 2` -al - -~ O `~5 ' 3-0~ ~~ _~ S. ~ ' ~- 1~,~i-~ ~~ p1 ~-~~ O~ 10.0 ~Cb•o' _ D ~. 4~ ?V~ twn ~ O~ law`v -~~•. ~..a~`1. - ~".~ ~' ~ o•+. ~ t.~~ `O y[ O ~4-Q.; `VTt•M~\V~ ~tY~1~~TC.2,t7~ t40~ O.~j ~ i. ~~R.~ ~~ r ~ `I (~\ \ `h~`N~ 1 L~-C 1wV1 ~I PTO `LT{1.v ~\1' / • ~~ r ~`~4 Pvc s~, 40 \ a`~ .~....~ 1 ~ ~ ° t ' SIS+? ~'1 O` C~ O r 1 0.~ RJr ~G 2IIr~~ ~~" ~ 0 1 t O ~.- ~ :.. ~ ~ _ A. O+~ 1 `~ ~ ~ > a~ ~ w / p' ~,p~ I I ~}-~p~ I ~ O~ l 1 /1~- Z(~ o ~ /~ ~~ \ ,( QVC. Strh `t'o o~~t ~w'~~ `-. (~ \' ~ ~L g ;: _,. ,. . +- r. ~ 1. 'Xi ~ ~Q.'~•.;I :~!, II ~. LOCKING~COV6R --1 Cvo~N ~,uc ~t ~BE~ . QV-CK G-~GO~.1tCT-~ ~ b -~' Grade, elev. ` .. ~ 4 --~ ~, 4° PVC sch ~ ~ 40, 3' onto _ solid ground \\ 2MMIu4LF .... S' ~~ r maw a.wc.o A ~a sx.ET 3~brrr~ ~_ gAF F ~ E (ALL G t /t p 1 (~ .ev. ~IOS~ c~N C7 N~~~,o ~= ~'- c~ X22,-14 r3A D u I~ 1 i i 2n ~ ~~i i .L Q L ra.RM .r- pN S ~ ~~ OcF 9" 2 ii Font ~"1 n ~ w WEATNERPRO~F ('~ .niNcT~ch 1 ~~ I H ~~~ ~ ; '~~4" PVC sch 40 ~ vent ~ I ~-- ~~ ~_== ~nHOCF //~ / 4" PVC sch 40, 3' onto solid ground 3~" P wyP cam, FL i ~ ~ l l ~ I `b~~F,-~ ~S•S~ scPr~c ~ _SPEGIFI~CATIOf.15 ,b•~fo ~~'~ ocsc ~ , ~~ 7~uK5 MAUUF~CTURCR: (JUMDCR OF DOS[5: S~ ~ per day T \ o~v - is ^-JK SIZC . _ ~ GI~LLOU 5 .OOSC 7 ~ VOLUME ~3 ~ ALAFr1 /"lA-JUFACTUi~CR; S `\ ~ l'K-~Y~ IIJCLU OIAJC, 6ACKFLO~./: ~ gallons /~OCCC -dU1kpCR' ~ \ ~ I \~ ``~ CAPAC ITIES A. 2a~o IUCHcS CR ~35~'Z. ~,~~„`~ wpb SwITCN TyP[; gallons 33 SZ allons Z' . g g c IuCNES oa PUMP r,~,uuFACYURCR: ° """'- C o S'~o -ucWES OR ~3.g gallons MODEL -JUMDCR: S ~~ ~ ~ ~ _ ,. 0 ~ ~ INC MES oa l SO, gc~ allons SWITCH T!lPC; ~~""~v w g -JOTE: PUMP AWD AI.AR~~ ARE TO OE MI-Jlh'IUr'1 DISCM/~Rf~ RATC ~O'I" G-M INSTh~UEO Ou SEPAaA1~E circuits ~ VCRTICA~ DIFF[IIChlCf DCTWCCU PUP'~P OF/ AUO OIJTRIDUTIOU PIPE„ ~ FECT + "•"uIMUM uETWORK SUPPL.y PRCitURE ~ '~ 1 ~~ . ~ , + lg CET OF FORCC MAItJ X l_°\~~oItFRICT101J FACTOR.. _ FCCT ~ ~~`~_ FECT ~ 2~ p~ ~ _ TOTAL Dy1,JAMIC HfAp ~ t ___;_~ FEET . , ., IlJTER-,1^L DIME1,1b10AJL 0/ TAIJK: LE-JVTN I~ ;WIDTH 3 ~ ,, ~~ ,LIQUID DC P'r M PA~.C 6 ~ 4 ~ ~x . ~ . .. Purnc Characteristics -we Me1K Ualt Sedhnetslile Antettmtir IKedel~ SNEI~OAI 1lonpewer .SO MI load Ae~ i.O Rlota SIaW fats (4 ) R.-Jll. 1 f5O -haee 6 I YeN lls NKfY bO Sorppentwe 14O'F Ata`inrt NENIA Deeyat A Molotioe C1es A Dicclar She I-I /Z' N-T (Jtwa1 Sollds Netr~inq 3/4~ (19rw) Wllt Wolg~t ~0 Its. hover Cord IR/~, SJ'fW, ~4' sod. Materials of~Conslruction Neelle SMYiess Stall Ertbric t1A Die~etrk of Rbetor Ne+ra Cost kw Cne Caet M MerAaicd Shaft Sod Snl tads: Csrioa/toradc Sod Hirt Aooiized Steel S~ Stata{sss Stal wss Iwn~N r E G:1 kw Siww fewer Rear MN Alter (1tt1o ~ Eatlpoaori l~ttaetlrtilk Festeun Steieless Stoei Performonce Data 1 T• ~ ~ ~ to e t t~ li a ' o „ ~, ~~ e ' i t t 0'M fU,s.l 44 =i ~~ Z3 1 ~ 0 Dim~nsienal Dale 1. ~ IY~ndn b le.~a ~ rw~rl ~.. z ~~ ,~.Y : In ink l IW 4 anaunhn pAew ~, ~.+~+ ~t:.,,.~..~.. ~, !, 6n/OH brJlm a1u~aYr t. w nwm e» r~M a nh „boa. t.., pima sd+Aw pdimwro.iba~ nrnn !{. `. „~ ra cxn e'•y~ s; ~ Ir~j° N1rDRCMATICw i 840 8rrky Rwd ;tidtlenl, dto MIaS Ie1:/19.1t4•t019 hx; 419.191.101) Wrb Site: rmr.anMrPunprom SllfS CNFKIS IN A!l NWOR CITIES ANO COUNTRIES item u: W-t19.B350 t20e 6M p 1999 Hydronooic' Purnp~, Arhlorx~, Cho I.I! R~gl - Yow A~haraed lord Caunbvror - ~r. . Z. a ~_" , ~ ~ ~" , ~ ~ '_~ ~ 1 4 ~ i ..._ _._- T,..~_.. . i .•. .. .... _ .. _. I ~... _.. 1 .~ yr System Management Mariagemerit of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. [f problems develop with the adsorption system or any other system components, the installing plumber, Chris Bauer, 715-672-8224, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a fitter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 0. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department of Commerce ~ SOIL EVALUATION REPORT n:..:..:,,...,f Cnfnfv ~nr1 Rnilliinnc /A\ Page /of ~' - - - - ~ ~rdance wit u County & rC Q s Attach complete site plan on paper not I s 8 1/ x 1 inche rn sr n m inGude, but not limited to: vertical and hon e~ int (BM)• direction and parcel I.D. N~ ~7 (~ ' "' b - /b c~,tone~r~F,t<coad. scale or dimensions, north a a I n and d]s,( percent slope / t Q / (.t/ ~ , M/H~ VV U LL ~~aa ate D Please print all info Revi ed by Personal information you provide may be.used for secondary Dur ses (Pa~p~,~i~~~l ~))• x l~ / ~ u Property Owner ~ ~ ~JGJ1/4 S 2~ ~~ Lot ~ ~ 1!4 T 2 pN R W Govt ,> ~ _ ~^ Q . Property Own~rs Ma_ilir~q Addr~ ~ Y ~ ~_ Lot # Bock # Subd. Name or CSM# L p'~ I~ ~rra~. City ate Zip Code Phone Number ~~~ 6~8-~s3 ~ ~ ~ 1 ~~ ~- 5"y7z~ ;s ( ~ City ^ Village Town Nearest Road ~Q r'. a.l ~..e_ C ~ C~ D o . ,. I c j 'New Construction User} Residential /Number of bedrooms Code derived design flow rate ~~~ GPD - ~. Replacement - Publci or.commeraal -Describe: V1 pplipble ~ T t' ft• a \ 1 ~~ 55 Flood Plain elevation if ~ - Parent material fi-L ~, ~ C , / General comments f B C D rYrh 1'~'Z :Q. ~ O 115' a.'"`~~~ 1 ` vwe, ~ v..~ j ~. ~1 ~ ~r~`'~ / J /~~^~0.,.~2. - UU i ons: and recommendat le ~.~~. ~~ ~<< ~~ 1o~~s~~ v~.s~.~.~~•~-14 ~Q~- S~L- ~~ a ~ iPr•~s - u U Boring ,/ Boring # 0.S ~. pit Ground surface elev. ~~ ft. Depth to limiting factor ~~ in• Soil lication Rate i ti R D Texture Structure Consistence Boundary Roots GP D/}F Horizon Depth in Dominant Color Munsell on escr p edox Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EfT#2 . Z .3 ~ 9 ~y~ -yam (D~iny 3- ~Y~~~Y oyn y 6-s c2~~n- 100-.~. 5 i 5 ~=-•„s5 o2v-,..o ~ ~~'~ y+.~.~- rte- ~ S t,J ~~~- S - p.G ©~~ b-z ost~ p~~f p--6 ~' ~, ~r~g~t /~ ~,) Orin ~ o •~- rm~ D,2 a-5 ~1 _ n Boring ~~ Y ~~ ~LJ vv y ~ pit Ground surface elev. ~ ~'y ft. Depth to limiting factor - ~n~ Soil lication Rate th D minant Color D Redox Description Texture Structure Consistence Boundary Roots GPD/fF Horizon ep in. o Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 ~ ~2Z 36 la /l ~ ~ `GIL c 2~'IS`~L 5 ~ ~,~ ,,-,~bl~ a,S ~ ~ c r~~'~ G~~-^ S - a~6 G_( 0~3 4 8 3 lDY'I'L. ~ ~7~ '~ 5 / ~~b ~ {'nor ,~ '~ d' y a,~ • Emuent sti = csw ~ su ~ ttv mgru anu i a~ '.w _ iw ~~y,~ ~.,......., ..~ ...._ _ __ ...~- -..- . -- _ -- _ .z CST Name (Please ~~( .H@IC~ ~ Signs re, - ~ ~ ! )-e~ ~~ ~'.~ ~Q Date E ation Conducted Telephone Number R Address W gg03 Herrtlpc{c Rd. Mon _ ~`~~ ~ 3 z ~ ~ ,~~. (7151832~r»r~ >i Property Owner V~ yi` IQ '~-r/~Qh ~ ~, ~ >? 1/l fr ~,. >. r Parcel ID # Page 2 of 2 3 Boring # ~ Boring ~ pit Ground surface elev. ~~ ~ •~ ft. Depth to IiQtiting~factor ~ in. Soil liptan Rate n H i De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/R' or zo p in. Munsell Qu. $z. Cortt. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ o-~ /vy2~/z .tJO~:c s 1 ~'~ss~ r~~'~ 3 0, a -~ Z g->r7 oy2 s 1 ~~-,~tss~ ~,,.-~,~ ~ 6- o x=33 o ray >s` ~' ~lfsf>2 ~~~ s ~,,. ~. 5 o-z d•~ ~ 33- /o Y-t / ~ c 2~ 9 ~~,~.1~ ~~'s-L~ ~ ,n~...G'; `~ o • 5- ~ v Boring ~ ~/ Boring # IDD~S pit Ground surface elev. ft. Depth to limiting factor ~ in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'E1f#2 d-((~ ~a~ y 1'~S ar.1~ 5~ 2srsS ~.,,,.~~ G ,3~1- a-6~ /o Z p- g 0~ /Z y 5 ~ ~=r.r, s V++~. ~- 2 ~- Q- 0. U ~ ~ ya Jo~rtis~•5" t^_ z-F~~~~. / s_t~s ~ 4~ ~„~,,,.~' ~ - ~ `-- o-s- ~ c~ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil ligtion Rate n H ri De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftT zo o p in, tdunsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 ~ 'Eff#2 ' Efluent #1 =GODS > 30 < 220 mg/l. and TSS >30 < 150 mg/L 'Effluent #2 = BOD, < 30 mg/l. and TSS < 30 mgll 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. seas}~o rr<.o-noo~ .~ . ~~:' Property fJwner Vf vi~'Q ~~Qh ~ ~, r ~l Parcel ID # ~,' ~ "` Page 2 of 2 Boring # ^~ Boring (~ O •r~- ~;~j ~'te .Ai` • .2 / Pit Ground surface elev. ft. Depth to iigtiting factor ~_ in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tF in. Munsell Qu. $z. Cortt. Color Gr. Sz. Sh. 'Eff#1 'EfF#2 x=33 OYiC.y tS` S,.' ~~~ ~'~/ 5 ,~..~ 5 D-Z D•6 Boring ~- Boring # pit Ground surface elev. ` 0O~ fl. Depth to limiting hador ~ in. Sal 'cation Rate Horizon Depth Dominant Color Redox Descripton Texture Structure Consistence Boundary Roots GP Dlflr in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E}f#1 'Eff#2 0-(C1 ~ b~ y ~ a rz~. 5~ 2srs~ ,~,,,., ~•- G 3~- a,6~ ~ o 3 ) 8 ~ l/ L ~~-..1i1, .~tWh ~ T 'r a [/ ~`l7 ^.. r~ y~1 ~/ ( '7 ^ Bonng Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Solt 'cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #t =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =BODY < 30 rtx,I/l. and TSS _< 30 rrtg/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. SBP8JJ0 f0..07i0pf ....... e x ~~}~~ ~ ~~ 0 ~J~ ~I ~ ~ ~-`~ ~z~.- ~ ~~~s~ 6 9 ~- ~8s3 ~ ~,~~""` w tuQl+la.c~ ~~ ~,,,,,, , ~o~ ~~ds~ s~ vviu Heidt Soil Testing Service W 3503 Hemlock Rd. Mondovi, wi 54755-$145 (715) $32-0020 i t~ n 0- ~ ~~'~'~~ ~-~r:, 19, 2oa~- (~V ~~ ~~ 1~ ,,,~.ee ~ a..~f oyp~arQ~T co ~~ s~ s-e. f!~~ ~y U ,,,y~ : /o~-o ~_o 4~ ~~-~5ar~o ~~~ ~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address /a $ U .Sri ,' '7~~ vin ~,~ ~f~l ~ f/~21~y' llll~(, ~SDS~~ Property Address (Verification squired from Planning & Zoning Department for new conswction.) City/State lr~i~~/ jJ~ /_ /~~~ j ~/, ya~Pazcel Identification Number LEGAL DESCRIPTION 3 ~ ~ Property Location ~~~i , ~~ t/a ,Sec. ~(~, T ~~N R~~W, Town of ~~ w ~~ ~~ Subdivision ,Lot # Certified Survey Map # ,Volume ,Page # Warranty Deed # `2,°l ?) ~~ ~ ,Volume D ,Page # Spec house yes Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Vwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~_ •' ,C SIGNATURE OF APPLICANT(S) ~.~~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.08/05) 8 1 6288 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between Darlene Lien. ("Grantor," whether one or more), and Jerald K. Rasmussen and Nancv A. Rasmussen. husband & wife ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): The North one-half of the Southeast Quarter (Nl/2 of SEl/4), Section Twenty-six (26), Township Twenty-eight North (28N), Range Sixteen West (16W), St. Croix County, Wisconsin. except: The East 55 feet of the NE 1/4 of the SE 1/4 of Section 26, Township 28 North, Range 16 West. also except: The East 80 feet of the North 325 feet of the NE 1/4 of the SE 1/4 of Section 26, Township 28 North, Range 16 West. (being the land conveyed to Eau Galle Township for road purposes filed in Vot. 548, page 327.) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated January 6, 2006 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIR CO., MI RECEIVED FOR RECORD 01/12/2006 11:25A?f HARRAHTY DEED EXEIPT i REC FEE: 11.00 TRANS FEE: 1170.00 COPY FEE: CC FEE: PAGES: i Recording Area Name and Return Address 1°O /fax ,7.0 6• 11 oos-IO~6-ao-ooo: oos-IO~~-so-ooo Parcel Identification Number (PIN) This is homestead property. (is) (is not) (SEAL) ~ GfiL('n_..,_„t~•t.e,,. (SEAL) * *Darlene Lien (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF /'~ rl/n.e.C o f~ ) ss. ,, s. I, , .,r.~ f avi, COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stet. § 706.06) THIS INSTRUMENT DRAFTED BY: Attorney Kristine Ogland Hudson. WI 54016 Personally came before me on January 6, 2006 the above-named Darlene Lien, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. ~~-~ 2il' ~/a' * Notary Public, State of My Commission (is permanent) (expires: (Signatures may be autbentlcated or acknowledged. Botb are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 Type name below signatures. INFO-PROTM legal Fom~s 800-655-2021 www.infoprotomns.com OAVID NI. NEWBERD Notary PubNC - tit;nnesota l:yC:--':'raE^pir95 31.2010 Parcel #: 008-1076-40-000 05/03/2006 09:11 AM PAGE 1 OF 1 Alt. Parcel #: 26.28.16.397 008 -TOWN OF EAU GALLE Current ~ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-owner O -LIEN, ORVILLE &DARLENE ORVILLE &DARLENE LIEN 146 CTY RD B WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 146 CTY RD B SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 26 T28N R16W 40A NE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 9(1f1R CI IMMARV Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/04/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.500 2,700 0 2,700 NO UNDEVELOPED G5 1.500 100 0 100 NO AGRICULTURAL FOREST G5M 2.000 800 0 800 NO OTHER G7 3.000 7,200 61,200 68,400 NO Totals for 2006: General Property 40.000 10,800 61,200 72,000 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 10,800 61,200 72,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00