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HomeMy WebLinkAbout008-1098-95-000Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township N e en, Rand Eau Galle Townshi CST BM Elev: / Insp. BM Elev: ~ BM Description: I tsD. I o~ . ~ sr Qv~•~ ~" / TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~.~ s~ r~l~sa Dosing , ` n-~7 1 Aeratio Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ f -` L `~ r _~, Dosing t,~ ~c t [ ~ " ~'S Aeration Holding PUMP/SIPHON INFORMATION ELEVATION DATA county: St. Croix Sanitary Permit No: 408246 0 State Plan ID No: Parcel Tax No: 008-1098-95-000 STATION BS HI FS ELEV. Benchmark ~~~ ~~, !~ ~ ~ Alt. BM t/+t~ ~j: ~'. ~ Bldg. Sewer (v• 9~ ~ lo2.g6 StlHt Inlet ~ ~ .Q3 9~-93' SUHt Outlet Dt Inlet Dt Bottom IS-.~~g ~~•~,i Header/Man. g. s D ,O I. 3` ~ Dist. Pipe ~ $'3 .~ . I /n!• 33 Bot. System . ( V Fin Grade: rt St ver ~.9 el-RSA Width ~ Length No. Of ~wr~cfies IPIT DIMEN~I,iDNS No. Of Pits ~ Inside Dia. DIMENSIONS ~ ~ I (p n ,e _ _ o S SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC G acturer: INFORMATION CHAMBER Type Of System: > I ~ -. ~ ~ t ~ `' UNIT del Number. DISTRIBUTION SYSTEM V„~ , _ ~„~, ~ _(,~~ o~zpJ HeaderlManifold Distribution [ ~~ ~ x Hole Size x Hole Spacing Vent to Air Intake ~• ~ ~ ' Pipe(s) 1 ~ I/ 'Z 3~' ~ 2 ' ~ ll 2 ~' r~ Length Dia Length Dia Spacing SOIL COVER x~Pressure Svstems On[v xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es g To soil p ~] Yes ~ No ~ Yes ~ No 0 '~~' 9~pZ COMMENTS: Include code dis re encies, persons present, etc.) Inspection #1: •/ Inspection #2: `T~~ cation: 2514 Pierce- t. Croix Road Spring Valley, WI 54767 (SW 1/4 cSLW)1 4 5 8N R16W) Lo _~ Parcel No: 35.28.16.5318 1.) Alt BM Description = 5 T' Nto~~O~G ~°"~. T" ~ ~l~ ~~ 2.) Bldg sewer length = ,,. ~ ~ -amount of cover = 7 ~.Z~ y.-.~cOv~i• 1 3.)Contour= c~~•`~ r/sl°'ZD~ °~'~_ ld'4.~~°1 Plan revision Required? C !',~ Yes No~.~- j 6 ~ ' 1 Use other side for additional information. ~`~"" ~ I f ~ ~! _ _ __ __ _ SBD-67t0 (R.3/97) Date Insepctor's Signature Cert. No. SOIL ABSORPTION SYSTEM #~. 2_SI ~- P tdcc.E - ~` C.ao vc R.d . Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. `~sconsin See reverse side for instructions for completing this application PO Box 7302 Madison WI 53707-7302 Department of Commerce Personal information you provide may be used for secondary u oses p ~ [Privacy Law, s. 15.04(1)(m)] ' , (Submit completed form to county if not ~ Z- '7 Z fP D -L' s3 state owned.) Attach complete lans to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. Couns State e it Number ^ Check if revision to previous application um3 er LS N State PI an { ~ ~ ~ ,~ I. Application Information -Please Print all Information Location: Property Ow ner Name ion Property Loca / / Jj t 1/4S(,IJI/4, 5.~~ T~,N, R or) W Property Owner's Maili Address Lot Number Block umber O /~L9 ~~ -'- ST. CROIX COUNTY City, State /~ Zip Code Subdivision Name or CSM Number J r~// II. Type of Building: (check one) ~ ^ Ciry ^ Villa e 1 or 2 Family Dwelling - No. of Bedrooms : _ g l~ Town of ^ Public/Commercial (describe use):_ ~`'~ ~~G c'~ ^ State-Owned (D .9Q rest Road I t ~ ~ ~ //~ nA__• ln^' _^n ww ~ Z . O r /' • p (D ~ x ~ I ~ r Cl~LSC. ~\ E] Pa el ax I mber(s III. Ty a of Permit: (Check only one ox on line A. Check box on line B if applicable) A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) -~ . ^ Non-pressurized In-ground ~1Vlound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: ~. ~ito~ °~ - E H- V. Dispersal/Treatment Area Information: I. Design Flow (gpd) 2. Dispersal Area 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~ ~ ~©Z . J 1~ i 1©~ ~ VII. Tank Capacity in Total # of anufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed ~L`-7~T7 ~ Tanks Tanks ~ ^ ^ ^ ^ FO -c~i~ ~L. /~~) C7 ~(/ ~ ~ r' ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS show the attached plans. Pl ber's Name (print) Plumbe ' Signature (no stamps): PRS No. Business Phone Number -~ ~.O ~ ~ ~ ?I.S~7 3 z s~ Plu ber' s Address (Street, C ,State, Zi C e) r~ ~ / / ~~~ ~ Cc~ d~ C~f~GF ~ Z- S IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued suin Agent Signa (No stamps) Approved ^ Owner Given Initial Adverse Surcharge F ~ ~ Determination 32.5, '~ 2(p ~ 2..- X. Conditions of Approval/Reasons for Disap royal: t`GOS,, n....p,~ W,.~.a~- ~. ~Mtt~~n e.e ~- ~~oa~L ~nS~:~l.J~a~4~v1~~6 , ~( ~a~~ , -Cw` `~`P~ • ~_ SBD-6398 (R. 07/00) 25~ ~9.t~.• ioo,o ~5~ A~ ~ t 2`yo Slopsj ~R ah~.y ~ y ~g g~ M~+~hS'f1t~ = ~au ~ a f le., t ~r~~( a ~"o'?c+5et~ , i~uvs~.. t~ `` b~ i ~3. ~,, ..SCE-~'~ ~ =~1~ ~. \~- S~eFu aY~e~ -•2 ~~. ~~~ - y ~i.. ~9 t 3 ~v' I~-a p~.r~ y ~-ih~ a oc r v h ,a ~+ r ~ -scons~n Department of Commerce July O5, 2002 CUST ID No.224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 ST RD 64 BOYCEVILLE WI 54725 CONDITIONAL APPROVAL PLAN APPROVAL EXPIItES: 07/05/2004 SITE: Randy Nyeggen Pierce & St Croix Town of Eau Galle St Croix County SWl/4, SW1/4, S35, T28N, R16W FOR: Object Type: POWT System Regulated Object ID No.: 859928 Description: 450 gpd design wastewater flow mound system. Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 264-8777 www. commerce. state.wi. us/sb www.wisconsin.gov Identification Numbers Transaction ID No. 765863 Site 1D No. 647369 Please refer to both identification numbers,, above, in all correspondence'with the agency. 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10691-P (N O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N O1/O1). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual aze complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • 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 Seca 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 C~. . y !4 ~' Ca I~ .~ ... s~ ~;' L Scott McCallum, Governor Philip Edw. Albert, Secretary ZONING OFFICE ST CROIX COUNTY SPIA ~_ 1101 CARMICHAEL RD HUDSON WI 54016 " ~ [.YLE J MYERS Page 2 7/5/02 ` required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 ~ Fee Received $ 175.00 ,,t~/arr~ Balance Due $ 0.00 Thomas J Pe"rk~ins~ ' POWTS Plan Reviewer, Integrated Services WSMART code: 7633 (262)521-5064 , 7:30-4:00 tperkins@commercestate.wi.us ' cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 isconsin Department of Commerce Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 284-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary July O5, 2002 CUST ID No.224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 ST RD 64 BOYCEVILLE WI 54725 CONDITIONAL APPROVAL PLAN APPROVAL EXPIItES: 07/05/2004 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Randy Nyeggen Pierce & St Croix Town of Eau Galle St Croix County SW1/4, SW1/4, S35, T28N, R16W FOR: Object Type: POWT System Regulated Object ID No.: 859928 Description: 450 gpd design wastewater slow mound system. ,Identification' Numbers ,: Transaction ID No. 765863 Site ID No. 647369 Please refer to both identification numbers, above, in all correspondence with the agency. 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10691-P (N O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N O 1 /01). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. d • Maintenance information must be given to the owner of the tank explaining that pe~iod c ~i~er is required. Access to the filter for cleaning must be provided per Comm 84 pr duct ~q c~ ~~ • A Sanitary Permit must be obtained from the county where this project is loca ~ accordaam,~ ~Sv~the requirements of Sec. 145.135 and 145.19, Wis. Slats. C, ~ 0,~, • Inspection of the private sewage system installation is required. Arrangements for inspect~in shall be made with the designated county official in accordance with the provisions of Seca 145.20(2)(d); Wis. Slats. 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 LYLE J MYERS Page 2 7/5/02 required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 ~ Fee Received $ 175.00 ,,~/~~ Balance Due $ 0.00 ThomasC7J Pe"rkins~ POWTS Plan Reviewer ,Integrated Services WiSMART code='763 (262)521-5064 , 7:30-4:00 tperkins@commercestate.wi.us cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 3 Mound System Cover Page ~ 1 ~, 6 ~~ ~ CDnDRETE Project Name: RANDY NYEGGEN MOUND Owner's Name Randy Nyeggen Owners Address 705 N, Grove St. River Falls, Wi. 54022 Legal Description sw ~ %., sw ~ '/4 Sec 35 T 28 N, R 16 w Township Eau Galle le County Saint Croix ~ Subdivision N/A Lot# 2 Parcel I D# Table of Contents Pg• 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 Designer Name: Lyle J. Myers ~;~ MP/License #: I.D.# 224617 sdr,~,~ Date: 6121 !02 ~t,~ ,l, Ph. #: 7156432520 fi Signature: ,o vBGQ~~ ~'O ~~' Mound System Design Methods Used Fij, per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) CF per" Pressure DistribtRion Component manual for Private OnsBe Wastewater Treatment Systems" (Version 2.0)SBD-70706-P (N 01/D1) 9bAdviaement N12486220th St, Boyceville, WI 54725 Ph: 715-643068 email: Mound System a~2a s Mound Sizing Calculations Project Name: RANDY NYEGGEN MOUND Site Conditions Project Type: 1 or 2 Family Dwelling ~ Slope: 12 # of Bedrooms: 3 Depth to limiting factor: 24 in. Absorbtion rate of fill material: 1 gal/ft2/day Absorbtion rate of in-situ soil: 0.5 galfft2/day Effluent quality Eff#1 • Max BOD effluent value: 220 mg/I Max TSS effluent value: 150 mg/t Design of Entire Fill Cell depth at upslope edge (D): Cell depth at downslope edge (E): Distribution cell depth (F): Cover thickness over edge (G): Cover thickness over center (H): End slope width (K): Fill length (L): Upslope width (J): Downslope width (Toe) (I): Fill Width (W): 12.0 in. 20.7 in. 9.5 in. 6 in. 12 in. 9.5 ft. 94.0 ft. 5.1 ft. 14.2 ft. 25.3 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal/day Basal area required: 900 ft2 Distribution cell width (A): 6.00 ft Basal area available: 1515 ft2 Distribution cell length (B): 75.0 ft Area of Distribution Cell: 450.0 ft2 Observation Pipes Contour Elevation of Mound: 101.90 ft Location from end of cell (Z): 12.5 ft System Elevation of Mound: 102.90 ft Final Grade of Mound: 104.69 ft Mound Plan View ~ Dbselvation Pipes .1 ~ 2-=-I~ ~ K~ Distribution Cell B ILK I Tilled Area}Fill Material L Mound Cross Section Final Grade-- ~~.,~-= Synthetic Fabric- Distribution CeN S stem Elevation ~ ~°' ;,~ Y rs s ,~ Cover Material I Lateral Fill Material E Invert ~~Slope -~Obsen{~tion Pipe "~---~G a`b° I ,~F Iled Area ~Forcemain~'`System Contour Notes: Fib material to consist of AS7M C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(8) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. • Mound System Asa s~ Pressure Distribution Calculations Project Name: RANDY NYEGGEN MOUND Lateral Layout Lateral elevation: 103.4 ft Rows of Laterals: 3 ~ Manifold type: center ~ Orifice diameter: o.i2s • In. # of Laterals: 6 Distal Pressure: 5 ft Lateral Length: 37 ft Orifice Spacing/Distribution Or~ce spacing (X): 24.00 Inches Orifices per lateral: 1 g Avg. ft2/Orifice: 3.95 ft2 Lateral/Manifold Design Lateral diameter: 1'~ ~ In. Lateral spacing (S): C~ft Lateral to cell edge: 1 ft Lateral discharge rate: 7.83 gpm System discharge rate: 46.96 gpm Manifold diameter: 2 ~ In. Manifiold length: 4 ft Forcemain Friction Loss Forcemain length: 50 ft Forcemain diameter: 2 ~ In. Friction loss in forcemain: 2.221 ft Lateral Side View Lateral Plan View Lateral Length ~ ~ Turn•up wlball r+alve or cleanouk plug 1 Orifices on bottom of I I p~{0 {~erals and Forcemain to comply with lateral equally spaced ILjI specifications per Comm f34.30[2J[e] Forcemain connection r~ia tee or cross to manifold at any point Clean Out Detail Dean-out plug Grade J-or ball valve Observation Pipes d~/ater tight cap or plug Sprinkler Box Long Sweep 90 or two 45's-~ 6" Minimurim L° Note: Closet Collar may be used in place of 3Ir3" bar '--3/8"Bar . Mound System Tank Information Pump tank manufacturer: Wieser Concrete Pump tank size/model: wiooo/eso-MR Pump tank gaUinch: 17 Actual Pump Tank Volume: 646 gal Tank bottom elevation (inside): ~ 94 ft Septic tank size/model: wiooo/65o-MR -~ Septic, Pump and Dose Tank Project: RANDY NYEGGEN MOUND Page 4 of 8 Pump and Filter Pump Manufacturer: Little Giant Pump Model: 9EH Effluent Filter: Zabel A100 Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Dosage Volume Forcemain drains back to tank? Q Yes O No Lateral void volume: 23.5 gal Dosage to absorbtion Cell: 90.0 gal Forcemain volume: 8.7 gal Total dosage: 98.7 gal Total Dynamic Head Are laterals highest point? y if not, enter highest elevation: 0 ft System head (distal x 1.3} 6.50 ft Vertical Lift ("D" to lateral) 8.73 ft Friction loss in forcemain: 2,22 ft Pressure loss from filter. ~p ft Total dynamic head (TDH): 17.45 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal ~ Inch Whh Warning Label finished A Reserve 22.2 377.3 Minimum Grade B Pump off to Alarm 2.0 34.0 ARemateJ C Total Dosage 5.8 98.7 outlet Location Elect. per Comm D Effluent depth for pump 8.0 136.0 or ® i 16.28 and NEC 300 Total Capacity: 38.0 646.0 Weep Hole A orAnti- Siphon B Device FLT/- LITE /tiGUR C o iooo 2000 3000 D 30 ~(. 10 ~ O r ' L ~ ~.s ~ T W ~' 20 ` ~~ ~ a ~ 5 ~ a Pump must be capable of: 47. io M and head pressure of: 17.5 Feet as 0 0 0 20 40 60 6'0 Little Giant FLOW- GALLONS MINUTE 9EH PUMP PERFORMA CE CURVE iisv sgH ~~~ ~ e. ! ~ Mound System Management Plan pursuant to Comm 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction andlor the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemicaUbiological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. PumplDose Tank If an effluent filter has been installed in the pump/dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal, The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the Cleanout points at each end of the component to remove scum that may Gog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. ~ '~ ' ~ ~~~h~ ~y~~g~ s v .~" ~ro~~e..l b -~---- ~Jt7~1"w1ti. i ~ 1.~.RT r U S ~?., l i {~jL1~ ~ ' VO S 4~G 25' /' too.o i~~ A8 ~ t3 . ~~~~ ..S CA- `~ ~ 2°/a ~~ S~~ehA AYteA Slops ;, ~~ ~~ -~~. . .- ~`~ ;~1 ' ~i psi . C1C ~_ .X CS `' 7 ,d 13 ~b ~ ~r~ P~:~-~ y L iK~ ,t Wisconsin Departrnent of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page c6 in accoroance wrtn wmm es~, wis. f+am. wan County Plan must lete site er not less than 81/2 x 11 inches in size Attach com lan on a ~" ~~ ~ K . p p p p inducts. but not limited to: vertical and horizontal reference poirrt (BM), direction and Parcel I.D. _ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. I (~ -~ 7 -~ ~ Please print all Intrormadon. j 3/ S / {o R viewed by Date PersonN krrormation you Provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)i. Q Jy~~. .~Jt~^,-- PrcpeAyOwner ~ PropertyLocati'on / C~ ~ ~ T 1/4 S ~~ N R ~ 4 ( 6„ yL p , . j E ( W / ,/ Govt. Lot f c.~/ 1/ Property Owner's ' ng re ~" ~;~..~,~ s~ Lot # 2 eiodc # r-- Subd. Name or CSM# fate Zip Code Phone Nurnber `" ^ City ^ Yllage T Nearest Road ,~ (7~~ i ~.~.s -psi / ~ G ,~ ~ ~L.~~ 1` New Construction Us . esidential /Number of bedrooms Code derived design flow ^ Replacement ^ ublic or corn I -Describe: ,----- Parent Fl/cod Plain elevation if applical General ~~ C t°jl7c~r~~~ ! ~~ and recornmerrdaticns:~ ~ ~ / ~~N 1 ~ 2002 ZONING C~UN7Y ~„_ Or ~ GPD _ tt. o ~;~ ~ -~ Boring # ,~ Pit Ground surface elev. it. Depth 1p Grniting factor in. Sofl rcaAion Rate Floriaon Depth Dominant Redox Desaipton Texture Strucdxe Conuistence Boundary Roots GP DRF in. Mtrnseq Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eif#2 o- r z a ~- ~ - ~ cs ,~- -s . 2 -z ,- ~/ .---- ~, - , ~ # a ~~ ';~ pit Ground surface elev. tt. Depth to limiting fa~ in. Soil icsdion Rate Ftorizon Depth Dominant Redox Description Texture Stnrcture Consistence Boundary Raots GP D/fF in. Munse N Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ J' //'J 3 ~ G2 rr -- ~ 3 -S 02 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 1 • Effiuerrt #2 = BOD < 30 mglL and TSS < 30 mgrL Address a Evaluation Conducted Telephone Numtrer ors B /IZ,~ ~~ ~ i ~ 1 ~ ~i -- +~ - - zl~~ h ,. Parcel ID # Page of © ~~ # ^ ~ Ground surfaoe elev./~ ft. Depth to limiting tailor ~~ in. Soil ication Rye Fiorizort Dominant Color Redox Description Texture Stnxxure Consistence Boundary Roots GP D/fF in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •EffiY2 fir/ ~ r- 3 f 'r-'~.`--- ~,T ~- - U z 6 -~~~- ~ o~ y ~ ~ -- , -3 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to laniting factor in. Sofl ication Rate Horizon Depth Dominant Redox Description Texture Stnx~ure Consistence Boundary Roots GP D/fF in. Mansell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Etf#1 'Eff#2 ~~ # ^ Boring ^ Pit Ground surface elev. ft. Depth fo limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description- Texture Stnrcxure Consistence Boundary Roots GP D/fP in. Mansell Qu. Sz. Corrt. Color Gr. Sz. Sh. •Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 720 mgll and TSS >30 < 150 mglL ' E1flueM #2 =GODS < 30 mglL 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-f3J0(R600) ~y ~ ' ~ Soil Test Plot Plan Project Name Randy Nyeggen Shau Address 705 N. Grove St. River Falls Wi 54022 Lot 2 Subdivision ------- Date iTM #226900 6/15/02 S W 1/4 S W 1/4S 35 T 28 N/R16 W Township Eau Galle Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Tree System Elevation 101.9' *HRPSame as Benchmark Alt RM m r ~• •~ m n ~ ~~ ~• ST CROIX COUl"i'I"!,t SEPTIC TANK MAINTENANCE; ~~GREEMENT OwnerBuyer Mailing Addr+ Property Addy ..,.._.__...._ --z---- ------ - ---- o - . City/State Parcel Identification N~unber ;_~..~ ~~ 9~' -~ ~~'', ~ J LEGAL DESCRIPTION Property Location ~!~,., '/,, S I~ `/<, Sec. 35 , T~,_,N-R:.~ ~ .W, Town of ~ a. ~ ~ ems. ~ I e. Subdivision _,~,,,. Lot # ~ Certif ed Survey Map # _~Q O ~ q g~ .Volume .,_... ~~, ,Page # ~ ~ Warranty Deed # , ~~Fs l ~ ~- .Volume / 3~ „Paso # .:~~ Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper tn~aintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put iata the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the ownex and by a master plumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on site wastewaterdisp~~sal system is in proper operating condition and/or (2) aRer inspection and pumping (if necessary), the septic tank is less than If3 full of sludge. L'we, the undersigned have read the above requirements and agree to maintain. the private sewage disposal system with tb,e standards set forth, herein, as set by the Department of Commerce and the Departmeyt of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 3U days of the three year expiration date. l/Z lU~- SIGMA OF CANT DATE QWNER CERTIFIC.~.TION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (wc) am (are) the owner(s) of the roperty described above, by virtue of a warranty deed recorded in R.e:gi:~ter of Deeds Office. ~7-/ ~ ~~ SIGMA LICANT DATE rtnient. *~`***"` *~t+++ Any information that is mis-represented may result in the sanitary p+:rmit being revoked by the Zoning Depa •« Include with th[s application: a stamped warranty deed from the Register uzf Deeds office a copy of the certified survey trap if reference is made in the warranty deed AND OWNERSHIP CERTIFICA7~`IC~N FORM n. . ~ ~ ~. ~ ~I' ~ D 3 s F11,E ~ 2 ~- 0 5 / ~~ AUG 2 ~w9~ _ _ .- 8 ' o~ 3 w~ C y~„~co» ©~9~39 CERTIFIED SURVEY MAP LOCATED AND BEING THE SW li4 OF THE SW li4 OF SECTION 35, T28N, R16W. TOWN OF EAU GALLE, ST.CROIX COUNTY, WISCONSIN. PREPARED FOR: HARLAN FALDE NOTE: BEARINGS ARE REFERENCED TO THE W li4 CORNER OF SECTION SOUTH L/NE OF THE SW 35. (RA 1 L ROAD SPIKE FOUND / i4. (ST. CRO / X CO. COORD /MATE SYSTEM). FITTING TIES). 0 ° UNPL•ATTED LANDS ro 1- APPROX. 4' S. NORTH L 1 NE SW-SW ~ APPROX. 3' N. AND :~`D-~ OF E-W FiL ^' S87°40' 04"E /304.28' APPROX. 8' W. OF NW ~~'~ 127 .20' OLD FiL SW- W 33. 08' 6 /9. 06' NW-SW NE-SW ~ 33 33' 652. l4' 652. !4' SW-SW SE-SW ;~ I I = APPROX. 2' S. OF ~ I I E-W Fil AND APPROX. 14' W. OF END POST "1 I I Z LOT I o~ ~ ~ 19. 68 ACRES cn PETROLEUM L !NE :C o ~' 857, 201 SO. FT. ~ AS LOCATED. BLANKET p 'C 'Z C~i~l I N : 18. 22 ACRES EXC. R/ o EASEMENT RECORDED ~ 'Z :~ 793, 658 S0. FT. N IN VOL. 336 PG. 208 tN ~ :D ~ N` ~ ~ ~ ST. CROIX COUNTY co ~ ~ ~ p ~_ p p ~` N ~ REG 1 STER OF DEEDS ~ :~ ~ co :~ n, c~ o+ o ~ ;~ g 33 a- z -+ N LOT ~2 w i :o ~°°I Iw ~ ~ ;o ro ~ :o '" `N ~ COI ~ r BUILDING rn ;(n • o rn 858, 218 S0. FT. r : 'z 19. 23 ACRES EXC. RiW {'. 'z A ' 100'' ~ DRIVE 837, 775 SQ. FT. y '^ \ ~ ~ • SETBACK L /NE ....... w I ........................ ~ .......... ....... .... N87°26' 09'W ~ ~ "' o SE COR. -~ N .. ..1269.30' _` _I _ -.... _ .-,. _ _,_,_ _ _ r` !302.18: 651. 09' N87°31. 53"W /302. 18' 651. 09' ~` S87°3/' S3'E SW CORNER OF SECT ION 35. .. P /ERCE-ST. CRO /X ROAD ( AL UM/ N I UM MONUMENT • • ....... , f OUND ). ................. . . • S /i4 CORNER OF SECTION 33. (P. K. NA /L FOUND FITTING TIES). Ulf P.~.AT.T.~ P...1.AN.t?.S _. n~0!!6 /~Rw r-- - . ~.-, tiI~1lE 11;AR CAF ~~ISCI?NtiINf=:'Rh1 t l a~;~ +-~ "~~~ Y~~~.+ 1VAKR,1NlY bC•LD >ti ovru,.tEr~T Nr, ;~~ ~~~j~ G11 ~~71~ Harla^. Falde, a/k,' s Harlan :1. T~lIS Ol'C(l, utadzh~twc~•n _-.~_ -- - _ - - - Fafde and : ollycz Falde, _a/k/a r.rllti~e `1. Ealde, iutsb.}~d and wile ____ _ _ _.___ _ --___-- - Gra, _ - -- -- ,s it _ Randy 0 Nyzg~en_ a s ingLe ~er5i~n _ __. -- ...r.u.,.~- ,. ~L~11ileSSel~l, Ih.v rfte::nd C nn~,,r. h r r r.dtc'hlr r,nu+d,•r~o ~a___._ _-- _ the receipt of which is hereby 3cknv.~led~ed__ _ ,______ 5t. CCOi:{ +~acecs t ,Grantee the ' ,U~,++rnK desirlbed teal z~tate in -- _ ----- i~,nun~'. Sta!e „1 ~~'+srnnsut. The East One Half of the Southwest Une Quarter .~f the tiuuthwest One Quarter of Section 35, Township <H Vnrth. Kange 16 kESt. SEP :s ~ i~~~3 , /. ~~,.. P?~ '. .s'.1.. '~ :' ~ ~.._ .~toc~la'N .yt i~reJt `~ _~~~ Randy O. ~~y '~;gen 705 N. grove River Falls, W[ X402'_ 008-1098-95-000 F-P.~:-E~ '~Cf Nrlr li At•~N :.11, 1.1He,. Hollyce Falde, a/k/a Hvllyce `i. Falde, joins in this c~ wey.tnce *or the sole purpose of conve,ring to Grantee any interests that st~e may have in the afore described property pursuant to the Wisconsin Marital Pr~pert~-Act. TRANSE=c~ ~lnSao L5 nOt ftrntestead property FGE 1 h i s _ - (-t -- (tJ) Us notl i++~,zthzr with all and singular thz heredi!amznts m,~d appurtenances t:,erz'art,+he.~'n+;~. ~t,d Harlan Falde, aik/a Harlan A. Fslde ___- __--..- ~.+.,rrant< that the title is F,uod, utdclcaslble in (ec s!mple and Irez and rizar .,: Pnclnnhra_ .. ~ e<.rpt no etceptions aotd u,tl warrant and dr(rnd thz same. Dared thts ~ ....., ti - ~pSARY. r. ~~~ G ~ z ,t ~~:. P~,U l3 ~.~ .AtbT~-IENTICATION . ~,; , + authenrii ated this da}' o[ 11T1.[ MEt+I(;[R sTAf[ 6AR l?F WISCONSIN of not, authorized h}' 8706.06, Wis. Stats.) (scAL) 1 Q, TFIIS INSTRUMENT VAS DRAFTED BY Jorv R. Cavic . P.O. Box 400 Harlan Falde, a/__k/a Harlan A. Falde . Hollyce Falde, a/k/a Hollyce M. Falde ACKNOWLEDG~tENT State of Wisconsin, 55 _ S,~ "~ ~ Count}'. -_ Personally ;ame be..~re mt thts ~~i- day c[ ~.,~,,~-v, l9~_, the abr+~e tia:red Harlan Fa1tIe, a/'.c/a Harlan A. Fa.1de and Hollyce Falde, a/k/a Hollyice M. Falde, husband and wife to me known t~ be the }arson ~-wfio tsrcutr+l the (orrsuutg Instrument any xknouledbe the same. .~ .~ 1 .a !~' i Wisconsin partment of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Onrision of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Environmental By Desigr Attach complete site plan on paper not less than 8'r4 x 11 inches in size. Plan must County indude, but not limited to: vertical and horizontal reference oint (BM), direction and _ St. Ci0iX percent slope, scale ~ dimemsions, north arrow, a ~ groan r ' nce to nearest road. - Paroel I.D.# APPLICANT INFORMATION - PI ' 1 t all inf~e`m~ti Personal information you provide may be used for ry rivacy I.a~s/; s. • .04 {1) {m)). R ie By Date Property Owner ' `' -' ~~ •~ ~; P perry Location Fahlde Harlan c~ ;~ erl OwnetsMailin Address : Pro r ~, •<~~ • Go L .•~_ SW 1/4 SW 1!4 S 35 j ,2~ N,R 16 W I ~Subd NameorCSM# '- ~ "31od # ~# Y y g ? p . i _ ~ 1~, ~ fcl~ ~ ~, r, ~ ~,,, ~ ~ i v i~oi? fle ll.•''~ _ Fa City State ~fe ~ City ~'Villape ®Town Nearest Road Baldwin WI 5 ~"`~ Eau Gape County Lrne tt:,oad ® New Construction ®Resi / rib r ~ rooms 3 Addition to existing building Use: ^ Replacement ~ Public or commercial describe Code Derived dimly fbw 450 gpd Recommended design loading rate 1.2 mod, gpd~ 1.2 trench, gpd/tF Absorption area required 375 bed, f~ 375 trench, ft Maximum design loading rate 1.2 bed, gpd/fF 1.2 trench, gpd/IF Recommended infiltration surface elevation(s) 106 ft (as referred to siihe plan benchmar Additional design /site considerations Parent material looms Flood Ian elevation, if licabll= S=Suitable for System Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®U ®S ^ U ^ S ®U ^ S ®u ^ S ®U ^ S ® U Boring# 1 Ground elev 104.115 ft Depth to limiting factor 3(i 2 Ground elev 103.63 ft Depth to limiting factor ~~ i H Depth Dominant Color Mottles T t Structure Consisten Bounda Rood GPD/fis or zon in. Munsell Qu. Sz Copt Color ex ure Gr. Sz. Sh. ry lied ;Trench 1 0-11 10yr3/3 - sil 2msbk mfr cw 2f .5 .6 2 11-36 7.Syr4/6 - sl lmsbk mvfr cvv if .5 i .6 3 36-61 7.Syr4/6 c2d5yr5/8 sl lmsbk trtvfi - - .4 0 .5 Remarks: Rcm~rkc• 1 0-9 10yr313 - sil 2msbk mfr cw 2f .5 ' .6 2 9-36 7.Syr4/6 - sl lmsbk mvfr cw if .5 .~ ; .6 3 36-40 7.Syr4/6 c2d5yr5/8 sl lmsbk mv~ - - .4 ~ .5 ~ ,:ST Name (Please Print) Signature: Telephone No. Thomas C. Nelson ~ ~` ""' "'" ~ 715-246-2454 q~re~ Enviromnental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 11/10/98 227387 164 (G~ ~~~ PROPERTY ER: Fahtde, Harlan SOIL DESCRIPTION REPORT PARCEL I.D.# 3 Ground elev 100.54 f Depth to limiting factor 32 ~~ Page 2 of 3 F.nvironmentsl Rv i~ian H i Depth Dominant Color Mottles T t Structure nsistence Boundary Roots GPDffts or zon in. Munsell Qu. Sz. Cont Color ure ex Gr. Sz. Sh. Bed !Trench 1 0-10 10yr3/3 - sil 2msbk mfr cw 2f .5 .6 2 10-32 7. Syr4/6 - sl l msbk mvfr cw l f .5 ,,~ .6 3 32-36 7.Syr4/6 c2d5yr5/8 sl lmsbk - - fSw; .~ w Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor . , a . - 1432 120' STREET NEW RICHMOND, WISCONSIN (715) 246-2454 Harlan Fahlde Lot 1 SW "/4 SW %4, SECTION 35 T 28 N, R 16 W Eau Galle Township, St. Croix County, Wisconsin Page 3 LJUO~ IOt~ a~~ ~~~ --,. ., ~~ ~, ~~ `~ 3~ _. ..- 3 ~t ~~~ md~h~ S~ 0 ~ ~.. Iy ° g~ N SCALE 1" =40 BM 1. Top of nail in tree ELEV 100' BM 2. Base Of Sumac w/ Ribbon ELEV 104.81' ~ 5 0 0' ~~ ~ ~ ~~ ` Thomas C. Nelson ~ertiCed Soil Tester #227387