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010-1061-80-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Divisicll INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township McNamara, Tina erald Townshi .ST BM Elev: Insp. BM Elev: BM Description: 'ANK INFORMATION ELEVATI N D TA TYPE MANUFACTURER CAPACITY Septic /~~ Dosing ~.1 -_ ~ ~ ~ ~ Aeration ~ ` r' Holding TANK SETBACK INFORMATION TANK TO P/L WEL • BLDG. Vent to Air Int ke ROAD Septic > ~ / ~ ~ r L i~'' _ Dosing \ ,/ (~. / ~~y.r- Aeration Holdi PUMP/SIPHON INFORMATION ~~~/' 1 Manufacturer errand GPM Model Number /S Z- 3~f TDH Lift Friction Liss System Head TDH Ft F cem ' Len~~,~ Di~~~ Dist.j ~eJl,.,~ ~ SAIL ABSORPTION SYSTEM -- // "G • S fLc~.,,;t BEDITRENCH Width Length ~.. No. Of Trenches DIMENSIONS ~/2 .S ~ ~. p Q Q SETBACK SYSTEM TO P/ BLDG WE INFORMATION Type Of System: ~ ~ ` ~0/ DISTRIBUTIO/N/~//ISYSTEM County: .St. Cr01X Sanitary Permit No: 463077 0 State Plan ID No: Parcel Tax No: 010-1061-80-100 Section/Town/Range/Map No: 26.30.16..3 STATION ~ ~ ~ HI ~ FS / EJ..~V.~ QL~ Ben hmark Alt. BM ~,_. f BidaT. Sewer ~ G 3~ 3 a ~ Ga,~' ! Z . 3 st/Ht I~~t , s c~ 5~ ~ ~~. ~ g/. Z SUHt Outlet ~~ - Dt Inlet ~' ~.----~ Dt Bottom /S ~ ~ - L! Header/~Ma~ /' / C11 ~L -f /~ ~ ~ ~9 •~ ,e„ Dist. Pipe ~ ~`1 ~~yy cY.~ ~+ /~~~ /'' Bot. System ~• / -~~1{ ok ,~o ~~~~ [~ Fi de / ~~' St Cover ~ 3 1;~--t~ ~s-'~ a G.r • (o . f ~ ~ b ~~ 4'-'l - /(it~~- LAKE/STREAM L ACHING CH R OR i~ UNI "TC~ 'w~-n / Cdr_~¢zo vj-~- Header/Manifold ~ istribution / x Hole Size Spacing Vent to Air Intak i ,,- ~oK- N Pipe(s) /~ 2'S H /~ S 1 ~"'~~ S Length ~ Dia Z Length Dia ~ Spacing '-r1 ~ ~~ 2• ~37 SOIL COVER ` x Pressure Systems Only xx Mound Or At-Grade Systems Only ~s Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes N COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ~~ /~ Q Inspection #2: ,~~ ~ / Location: 1391 250th St. Emerald, WI 54013 (NW 1/4 NW 1/4 26 T30N R16W) NA Lot 1 ~ (1 ~ _ _ Parcel No: 26.30. 6; 1.) Alt BM Description =! ~~ G~((h 2.) Bldg sewer length = ~ ~ ~ ~.2.GtJ/1 WCt'">' l~to"} ~.GiJ CrwM.~'QU!~- o~i.. -amount of cover - ~ k- ~ s"D ~ `)~• y ~ =' ~Ct~ Plan revision Required? i..>~ Yes L~7 No I ~ ~ Use other side for additional information. I ~°~- ~ . ~_ ~!__ _~ ~~~~ a~~',~"=~~~~(/I/~~_ _r-~_ _ ~ _ Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ~ S ,t /1~ ~ ~I I ~a~ ~ (J~ /_ r ~ I tY~+ ,~ S6u.~-ti God- l Iy,r~ Q,,,t (~ I _ - -- - -- - -- - ~ r t~ ~~~ 7 A A ', ~ ~ '' ~ I .. Z o ~ Z v, o O A ~ II W N n N Z 0 ~ O ~ ' G 1 ', a 3 N N ~ o, ~ ~ cn Z D a -~ I co D ~' a N ( I ~ W O o I O `O ? ~ ~ ~ N m I ~ a °o ~ i I ~, ~ a O O ~ O N ~ {c ~ S N ~ ~ ~ j ~ ~ a ~ ~ O O w !, ~. d ~ d 'O ~ N i ~ d ' M 3 ~I C OD ~ I ° ° ~ y y a ~ ~ ~ ' ~ ° a ~ ° '"'?~ ~ ~ m m ° ~~ m `~ ~I N d ° a~ c c ~ ~~ ° ~ 8° ~~ ~ ~ uj N C ~ ~ N N ~ ., -., c ~o~ a ~ ~ O ? O ~ y CD N ~ a W m ~ ° °' ~ m '` 3 °- ~ fd Z N ~ W S Q ~ O ~ ~ ~ p1 ~. 7 d ~ (D y . Q d = Z ~ N ~ ~ N ~ ~ N `~ . Z C o ~ D 3` . ° ~ D~ q y i am ~ m 3 o ~ ~ < ~ N ~ ~ y ~° aQ fD CD ~ ~ ~ ~ . ~ ro m ~ . ~ , ~~ ~~ _~ cn =• O ~ ° G t~ <A n ~ S O ~ °- ~ ~ fD a o ~ ~ ~ m a° °~ " a ~ ~ I ~ I m ~ ~ 0 F O ~ 3~~ d ~ c ~ O ~p ~. ~ ~ ~ ~ ~ -.~ ,~ # ~ 0 moo ~ ~. m o P ~ Q ~ ~ ~ ~ ~O1 S~\ O ~ !~ ~~ a 0 3 ~ a ~. ~ ~y,~ °: `i ~l o D rn I ~ I ~ W N I i ~j-~~ p Z A ~+ ~ et `A ~Z ~ O O z ~ ~ ~ ~ i i A b I' 4 a O ~ A a b ~° i d0 ;~+ ~ o ~°, y~ ~ ~.. y ~ t Safety and Buildin rvlsron ~ ~i ~Y ~ ~ s Uf 201 W. WashLlgton Av ., P. .= oz 162~~, a ~ i ! ~ m ` ,~~0~~~~ Madison, Wl 5 707 - (608) 2 3151 ~ ~ ~ _ ritary Permit Number (to be filled in by Co.) . L~~ 3 O De artment of Commerce ` . Sanitary Fermit Applica on . ~~ ~:~ `° r .. ~ Planl.D.Number~~j pei~sastal ' '~ 4 provrde Adm. Code Wis >n accord with Comm 83 21 `~~ ~ ~ 97~ , . . , maybe used for secondary pmposea Pnvacy Law, sl 1 ~~) . ^. 'f/ , C fl ~; Address (lf drffenent than Irlallmg address) / ~ ~ / ~ ~~ ~ T 1. Application lntormation - Plesae Print All Information (~~;c ` _ _ ~ Property Owner's N f .,~ ,,. '~ ~ 3 Parcel # Bock # ~/ N E ~~ Property Owner's Mailing Address y l.oeetion i City, tale Zip Code Phase Number Q ~~~{{ ~~ N't 1(141 W Z ~ ~ .l. ~ N R /G(cE 1e °~e, ) ~ °~' l ) (check aU that a of Bnlldin T ll ~ y pp g /ype 1 ~,. I(dTor 2 Family Dwelling - Number of Bodtnoms 1'1U ~ ~~r~/~ ~-o - Subdivision Name Number ~~a r,~~ l ib U lidC i D ^ se - escr e ommerc a Pub ^ State Owned -Describe Use ~ Z • S ~ ~ ~ .5~~ l ^City_^Village e~ownship of K,/` lll. Type of Permit: (Check only one oz on A. Compl e e applicable) A" New System ^ Replaoeuyent System ^ TmatmmtlHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New list Previous Permit Number Bard Date Lssued Before Expinrtion Plumber Owner 1V. of POWTS stem: Check all that a 1 ^ Non -Pressurized hrGround ^ Mowd ? 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-(3rado ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized Infimotmd ^ Holding Tank eat Filter Aerobic Treatment Unit ^ Recir+crrlating Sand Fiher ^ Recincula ' S 'c Mafia Filter ^ Chamber' ^ line ^ Gta -less Pi ^ Other ( lain) V. Dla rsal/lkeatment Area Information: Desi Flow (gpd) Design Soi! Applicati Rate(gpdsf) Dispersal Area Required (sf) ispersal Area Props (sfj System Elevation ~~ i q ~ ~ ~ 50 ~ ~o ~~ ,~ {7 i~o. ~6 p Vl. Tank Info Capacity in Total Number ufacna~er Prefab C Site d tr t C Steel Fber Glass Plastic Gallons C,allons of Units oncrete e ons uc Ncw 13xieting Tadu Tsdca septie .lt DQ9 "` ~ Aerobic Tecataa:nt Unit ,`~ ~ ,.. Doaing Chamber O ~. ~ Vll. Respomibili Statement- I, the ands ed, sss nsibility for instsJbfion of the POWT3 shown on the athched plans. PI 's Name (Print) PI 's Si MP/MPRS Number Business Phone Number t, ~~L l3q~f 4~ L Zls~ 2.3s'~ Z.~ Plumber's Address (Street, City, State, Zi ~ S"~o o~ ilv~ ~str,~r.,~-~ ~~, c.J ~ J ~~ r7 Vlll, nn / De rtment Uae Approved ^ Disapproved S~Pecmjt Fce (' lodes Groundwater S Fee ~Q ~ Da ]ss ~ Z ~~ uing ~~~Si~gnature s) sL ~ ~ ^ Owner Given Reason for Denial / ' / G '~`~C 1X. ConditIona of ApprovaUReasons for Disapproval s (iyt, - ~ ~-~ . (~ n ~ ~.s~s STE11 1 Septic tank, effluent filter and rt~.l~'~~i ~2QM'hC,t /-- + dispersal cell must elf be serviced /maintained ~~~~~~~.` ~~~y ~ vy,~~ua~2.d. lumber d b id y p e . D ~~~~~~ ~ as per management plan prov 2. All setback requirements must be maintained Lf eS-~- ~l~ f,.¢.w~ /t.2 as per applicable code/ordinances. ~s~~,~ ,~,~~2G~1 Y~~%4~(,4'f.~ '~ ~lc~'7-S l1~' Athee eompkte pleas (ts tee Courty nary) for tee u. paper not til/2 : l1 !oc t. size , SBD-6398 (R. 01/03) ~l~. f'(~~?~(-f~GU /~~Z~ ~~~G~Q-~0~` ~S P'ann`n~' c,,,..,..: _ ~ ~ ~ O -- l D(~ ~ - gD -~ ~ 00 VOL ~ 6 PAGE 4372 "r g~ SEP 1 2 2002 ~... ~ C~. ~ `~ X86 ~ ~ ~ O REGISTER OF DEEDS 3 ~ ~~ 7 a ST. CROIX CO. , NI ~ nays ~~ n t sna a RECEIVED FOR RECORD appyo~~~~~~MENT DRAFTED BY KEVIN REED JOB NO. 6032-01 DATE: 02/20/02 Holt en 09-12-2002 2:45 P21 W m CERTIFIED SURVEY MAP r ~ ~ A ~~~b~~ ~ o Q~b~O REC FEE:. 13.00 m COPY FEE. 3.00 ~ - - o p = --- - ---- ----------- i a Z ~ ~aar~ a~~rr~dan m ~ ~ ~ ~ ~aar~ a~~r~daw V Q •D ------------------ i Z~ w .~~ais HioSZ ~ ~ ~SO'L09Z M~ES~9Zo00N~~„~ ,gg•ggg M„E9.9Ze~ON c~ ~~ ` ~ ~ mA p N ~ p~ Q 38~ R- ff `~ 1~q ~$'o ,o i 31 ~ ^ ~~°" ~~ v w '~ ~~m imp z ~Qo ~ j ~ `` ~~,~ ` ~ o ~~3` ~~ ~,~`~ ~ ~ `~ v ``~ m m ~`~ `O W ~ ~ ~ ~ ~ ;~ ~ $ Z ~° 8~ ~~ ~o Z O °o ~ 3 0 n _m Z m O ~ o s ~. W i~/~NW 3H1 d0 3N1'1133M W ~~~ ~00'13~ AAwE9~9Z Oini / _ E. TT ~ ~ ~ ` ~~~~v ..~..... ....~..~... F 1 ~~ F F F p3 F z ~ O F: F w 1 u GD a ~ ~ E' .O E, •~~ ~ ~' .fin ~ N~ ~aQ~ ~,~~ // m~Q ~NQ~W Z I" A ~~ 3°~ ~~o Na~~~~ ~ l j m m D~~ O s~ ~ F F ~` F = F ' F ~ ., sAoo ~~s ~ o 0~~~ ` , ~~j~~~ _ g~98 `.~ ~ ~, ~~oo. ~~ ~Q. ~ ~. a °~~~a~ F .ES u V m ~. O • N m O zD~ m O -- g ~n ~: C~~ 1 wro O r. ^m Y/ °c~ ~ ~ $ ~~ A ~- Z m ~_~ nO Z' _ Z Z Q ~ O 70ome ~(;~ ~O ~'o~ ~ m z G ~ m u~ = D p ~o ~ r .D O ~~D D ~ Z~ Z E I E c I ~r ~~`'~ w 9 '~I lO t~ t~ ~~ ~ ~~ . , t0 . , ,~ ' t~ rl~ ;~ t~ ,I /(+~;I ~ o'" a ?n n boa ~~ n ~_ ~z~ w ~' O~~ m ~ ~ m z~ - oo~ ~~~ ,i 3~~ ~~ mrn~ T~~~ t i i sa -°~V~ • '11 n o~ ~• rn m i A ~ O~ ~ ~z ~, ~~ t z ~E pC,liLE: 1"= y~ ~ BM 1 ELEVATION I[~O .O BM 1 DESCRIPTION~p o ~ L " ~j~ c t,.11 L•a.fl~ BM 2 ELEVATION 99. G BM 2 DESCRIPTION ~P e- ~ ~; D e ~..J/l a SYSTEM ELEVATION /00.90 ALTERNATE ELEVATION iU 114 CONTOUR ELEVATION 9~ ~ ill' i J ~ G.;(~ ~~ s~4 v ~k~\1 ~ ~ 1~~~. I ~, ~ v~ - 4' f <<2.r'rn~~c.al~ T ~,4. ~ ~ M ~~~~, ,. ~i 7~ i' ~- ~_~-~~' ~ ~~ ZeT ~. = -- __, R ) r PAGE~OF 8 x ~ -t- i ec, Z6 i ~I i I ~• ~L. :~ ~ ,,~~- ~ C -_ _ a ~ •: \p . ~UtJf'".SiD~a~'~-~'~- l ~o.~ ~ ,,,,. ,,: ~ ~°' SOH ~) S W ~1s'~O O~ vev~ ~ ; o .~ pCw ~~s.~ l ~ ~; e ~~ .o~ o~ ~-3~0 ~o tiles 4- ~;1 commerce.wi.gov ^ ^ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 21, 2004 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/21/2006 SITE: Tina Marie J McNamara 250TH St Town of Emerald St Croix County NW1/4, NW1/4, S26, T30N, R16W Lot: 1, Subdivision: Waldroff FOR: Description: Three Bedroom Mound System Object Type: POWTS Individual Site Desig Maintenance required; 450 GPD Flow rate; System: Mound; Biofilter ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers ! Transaction ID No. 1060395 Site ID No. 689713 Please refer to both identification numbers, above, in all corres ondence with the a~enc . n Regulated Object ID No.: 981134 8 in Soil minimum depth to limiting factor from original grade; 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. Cpn(,~lh~ 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:. DEF RTMENTO' OF E General Approval Requirements: SEE CORRES • This system is to be constructed and located in accordance with the enclosed approved Individual Site Design plans, the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). ~• The plan has an approved Soil Saturation Determination (Transaction I.D. # 1026910) associated with this design. All of the conditions of that approval for the construction and landscaping shall be upheld. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. TODD L SINZ Page 2 9/21/2004 • 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. Stat • 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 may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the' designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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, " J Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing Fee Required $ 300.00 Fee Received $ 300.00 Balance Due $ 0.00 WiSMART code: 7633 .s .~ i ; vi ~~ i~~< r r r J-. h'1 ~ ~Vo. n-r~~ v-e~ Ba~i~e€€ -Mound Construction Materials and Techniques RF~F~v~o `sAF~Cn, Fp 14 2p~q ~e~D~soiu. 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: Lot 1, Waldroff CSM NW '/a, NW '/a, Sec. 26, T 30 N, R 16 W Town: Emerald County: St. Croix Date: September 16, 2004 Owner: -HRdre~f€ i ;:~~ lti~c~r; ~ T. ~"1~ %Ve~-,~~r~~ Address: ~ G~' 'L.~Nfy 1~~,~~~ ~" , ,fit' J\'iC~vt?c.~d~ 'vL'.T 5 yO~ Plumber: Todd Sinz Signature: License: Mp 139462 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Interpretive Determination report & approval letter Page 1: 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 page 1 of 8 ~~~ly -~~uE~c~ n inns 'ONDENC,~ `~ ,, Design Criteria ~'~S Residential Wastewater Contaminant Load: 30 mg/I., < 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 Bedrooms x 100 gal/bedroom/day x 1.5 ~n gallons/day hydraulic load Design Calculations In situ designed loading rate ~~-'~ gallons/sq. ft. per day ~,'~,¢a~S/Lo~cd~.,; Depth to estimated high ground water ~~ ~ in. "ems" ~~d~ ~' Depth to bedrock ~ ~ ~ in. Cross slope at system 3''O Force main length ~ ~ ~ ft. of Z in. Manifold/header length "~`~'~ ft. of - in. Drain-back Z9,3 ~ gallons Lateral length 1- @ ~ ° ~ ~~ ft. of ~ in. Lateral elevation t ~t • ~• ft. @ bottom of lateral _ Lateral hole size ~ 3Z in. @ 3 S~~Z-~ in. ( 2•~3~ ft.) Spacing 3 g holes/lateral ~ g holes total Lateral volume t~'-~"t`~ gallons Total lateral discharge rate zQ~i Z gallons/minute @ ~' ~ ft. head Network pressure compensation losses t ~ °~~ ft. Elevation difference j'L,. y ~ ~ ~ ft. Friction loss ~ S`Zi ' t ~ ~ ~-- ft. @ ~'~ gallons/minute Total dynamic head ~~?r ft. Pump/soon 3 4' gpm @ ZS ft. of head Manufacturer ~ ° e_~,~ °^~ Model # ~ 5 Z Dose volume ~ t~l ~ Z- gallons Lift/s~hon tank ~-~ ~~~~-w~ ~ ~ - ~~~ ~`'° gallons Septic tank ~' ~~ t ~"~ gallons Effluent filter ~r~~ F~C' ~ Qz..Z- t4'3 t-l Measurement pump on anal off g' ° in. Height alarm from tank bottom t q ' ~ in. Reserve capacity Z4'Z ~ gallons specs.calcs.res Page Z of ~S .. ~:~; , ~~ ~, ~v :. ,: ~~.; .. _~ , D J E w d-i Ro F E: I"= `~D BM 1 ELEVATION fCXJ •O BM 1 DESCRIPTION 'bp a •~ Z " Dv~ D.~o c c~Jl~q~ BM 2 ELEVATION q9, (~ BM 2 DESCRIPTION ~P o~ Z" p~~o~~e SYSTEM ELEVATION /00.90 ALTERNATE ELEVATION i(1 ~ -Q- CONTOUR ELEVATION 9~. yl~ ~}, ~ , L . N ~) ~~ 4,~- t~.o'~ S ~ e~ C..LQ . 1 r ~ d c..~.~: e.. ~I- N ~ ,_ _~ `"`i rl ~ .,,.~,~,,, 0.~ ~~ spa O ~ u .~_ ~~ ~9 ~ ,~S ~ ~ `C T \ ~~ ~~~~ ~C _ z~~ ~ _ - - ~ ~ ~ __ _ - _ -- __- ~~- ~ ~__ ~ e - I $MZ ',p B yv, t \, ~ 0 9 , 4-) i ~ ~ `o ~ ~ PAGE~OF ~ x ~ r{- - '~ l ec. Z6 ~ i i ~ ~ L l-~ ~~-~ ~w~ ~ .j.,,.,,i~ l ~vo -b,r•~ ~- d ~_ l ti1C~~ 2,`~ puc ccQn ~'C7 i ,~,~ ~, ~ ~ a Q s ~~ .~~..o s~ o~ ~.-s~o Oro ~w ~- S; ~ S,~ S` o~ ,~ , F~ f 4 I' 4 _..__ 11 .1 ~n„i, ion, ~ ~w. ~~,~~' I n1t3~ dt`o , ~~sovt ~w~w~ c.•...,.`~ ``, 3 ~ \ ~ b" s..~co:1 e ~~--- o .. 3~,-~~ ____ .. ~o~~ i e ...~. !~ ~q~ ~ ~~ ~~ .~_ .~ q 14-~,~' 12, dr __~~ ~, ~.o' 3;' I ~ L.o erg, - -~ ~~ ~~ 2 1~vL 1.,~ 4~ ~..~~.-Q. (' Z" 1'~c sa, 4v ~'orCf,.. ~a,%. r. , T~.v~ y ~ ..~ .~-~~~wa. LX c. a. ¢ ~ i~ Kw\ n0~ /JZ Kol /-t o". 1 s.r Q~K c.13..v. ~YQM bbl ~ ~ti. I:wt J~ ~J ,~¢' 0. N-4 ~2.q;~5 J ~ ~~ ~ ~~ 3.s ~ i., ~ s o~ ~ _ _. r. •• 4 ~ ~~ . i ~~ a" ~ti~ ,~~ 4m PIP6 3~ no NoIsTuR6~D SOIL iMC.s r cW-~ov~. o-as1.4 T T/~ot w<-s ~•Ll p1P~ G.a NM1tc1o1w cue.,. ~ 3, ~E~F~ -WCKING GOVER --~ LvA~N iN~ Z ABED . avlcK o~ac.o.,y~cT--~ 24 `' I .'D , t~a~,ua~ > •4~ T~ A ~_ ~FLE a O~~ `moo F~' ~'f'Lt- l4`'3 X11 C ~ \ ~ Q/v , h O w ~ 1, a. T D 11 rc~ ?3,0" AIAjW z„ ON ~, o., ~~ 9„ /~ MAIN WEATNERPRC~JF n ,TZINCT~ON ~~wL.c N (~:L 4z° PurlP I Go~/CRFrc bcoGK ~_' ,~i,~rr,;,~ P v~ k:. ~ ~~ 4 0 ~~th~ J ~ e' _- _ _ _ ~~ ~ . °` G s~~ 3' ono so~,~ ~Rou+.o SEPTIC t SPECIFI'CATIOfJ 0o s E ~ 1 S ~ $ ~, - •- ~ w T~~I..S MA-IUFACTURCR: S' IJUM6ER OF OOSCS: PEK C~~ T^-JK SIZC; ~ ~b - ~~ GALl01J$ •.005f VOLUME ALA0./'1 /~l/JJUiACTURGR; S `~ ~7~ `K-~'~` II~ICLUOIAJG 6ACKFCOW: ~ ~~' Z C,~~~Or~S /"100CL -JUK+bCR: • `O I ~~• ``~ CAPACITIES: A= 2~'O IIJCHCS Ok ~~~'~ SWITCH TyPL; ~ ~"~`"" "'`b GJ._~0~: 2g•Y Z _ Zzoe.l ~,. {'UMP MAAJUFACTURCR: IucHts oa 8= cA..~... e~~0 MO 1~ 2 C a iUCnES OR 11~'Z' ;,~~_~~: pEL -JUMDCK; - ct . J 13 4 1 ~WITC N TbPC: ~MQ.V w.v ~,. . D^ INCHES ca ~,,..~..- 2o~~ M J IJOTE: PUMP AWC) ALARM ARC TJ 8C I- IMUM DISCM11RCsF RATC O G-M INSTAllEO O-J SEP~R~rt clate•~TS VCRTICAI. DIfFERCIJCf OfTWCCU PUP'1P OF/ AUO OIJTRIDUT 1 ,~ 1 0 J PIPE,. FECT + r"'~i-JIMUM uETWOitK SUPPUy PRftSU1lE ~~~ FECTy"~~0~ + ~ ~ ~ FEET OF FORCC MAIAJ X ~'~ ~ F~ FRICTIO-1 ~ ~ ~ ~ ~ ~~~Z' FACT _ loo/[ OR. FEET ~ v-. TOTAL. Dy1.JAh11C NEAP = Z~-,Z,~ FEET •• \ ~Q 11 IIJTER-JAL DIME1,1610A1t 0/ TA1JK~ L.EI.IGTH _` ~~ ,. 2 ~2' ;WIDTH ;UIgUID DCPTH t'au~ 6 ~ a g --~ 0 a w x v z r 0 a 0 3 27 FLOW PER MINUTE O CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • ElecUical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik-Box available for'outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 152N53 Series _ 1521153 MODELS r-- Control Selection Model ', Volts-Ph Mode Am Sim lex Du lex N 152 115 1 ~ - Non 8.5 1 2 or 3 BN 1 2_ _ t 15 t Auto 8.5 Included 2 or 3 E t 52 t 230 t Non 4.3 t 2 or 3 BE t 52 ! 230 t Auto 4.3 Included 2 or 3 rN 153 ' 115 1 Non 10.5 1 2 or 3 B 53 5 Au 0 5 TOTAL DYNAMIC HEAd/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. , Liters Gal. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 265 15 4.6 53 201 61 231 20 6.1 44 t67 52 197 --~ 25 7.6 34 129 42 ~ 159 ~I, 30 9.1 23 87 33 ~ t 25 35 10.7 -- -- I 22 ' 85 40 12.2 -- -- ! t 1 I 42 Lock Volve: 38.0 Fl. (1':.6mi14a.0 Ft. ('~34r1)' _~ iz Ii~s I i sKZOSs Nt tt _ t to t . Included zor3 SELECTION GUIDE E153 230 t Nan 5.3 1 2 or 3 t. Sin lei back variable level float switch or double i back variable level float BEt 53 : 230 1 Auto 5.3 Included 2 or 3 g p 9gy p 99Y switch. Refer to FM0477. A CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. All installation of controls, protection devices and wiring should be dons by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed includlny the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). Or (4) float System. A - O ~ ~--r RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Z '? Louisville, KY 40258-0347 ~ ~ . ,~'/ ~ ~~ J ~~ SHI ~TO.il1e6KY 40211961 ad Manulacrurers ol. . (502) 778-2731 ~ 1(800) 928-PUMP QUaL/rr P~,Nas .i/,vcE /9~y http://www.zoeller.com P~MP ~O FAX (502) 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. U14°V° :~ ""'~~' 0 80 160 240 320 '' System Management Management 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. If problems develop with the adsorption system or any other system components, the installing plumber, TL Sinz, 715-235-2644 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 filter 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. 10. 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. If possible, the upslope toe of the mound system should 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; fmal 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 83.54 (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 T L SjNZ.,,Ej.df~B~~VG_ INC sx cRO~ coitrrrx SEPTIC 'Y'ANK M.AIl ~NANCB A4R~MSI~1'f OWNERSFIIP CERTIFTCA'T'YQN FbRM ~~ S - ~~ a O~erB~Yct .T w ~ 5 ~o~~ ~ Mailitt~ Ad ~~~~ dres9 ~ d ~' t a ~~~ Property d s ania~ ~pepartr~aut for peer coas~ueriaa) y _ parcci Identification Number _C'~L--.~=4V X003 tl., Sec. 2L,, ~'~2.N'~-W' Town of ~:r Ptopert~' l.,ocatian ~''~ Y., Lot # _~ Subdivision page # ~- t^etrtitied S+arveY tYiap ~ ~ © Vo;~sma ' G Vatume ~?~ _-~ P2ge # ~,1~-, P,~arxaaty Deed # Spec house es no I.,at lines idetltifi~ble .~1 Y~ ©no S'Y ' l ~' cr maintcr~~ ~pptisusaxaIItrtalatenanetiofyoursoptictySteoaco+uldresalt;ntteprotna~lailttrotol>aIIdl~iYo ~ ~otheYystam out the scp~ t~ ovary ~e years or sooaCi, if ncededby s li,aeosad t?~P voasists of ptaapitsg csa aCect the Rutetion of e6e aapde task as s rr,oatxneat wage in rite waste di~spos>zl ~~' b the ewacr and by a a cecdS,catioa forte, sigaad y The pmpartY otvaCr a~rGes to anbcait to St. Croix Zoning De~~, t~-t(t}thaoztaiie~~vvstardisposal system masoprglumber,i~~Ya'~Piualbot.ies!~ittedplixtAbetiocaliecasedPYG~~ he tank is lessthalli/3failofaludge. is in proper optra~$ cot;didaa and/or (2) otter tnspectioa aad p~psa8 (~ necesaar7r). <!~ +aP sal system arith the standards j/we, the nadacsiyaad have Bead t~ above raquicements end agree to maiatsan sire pLiYa{4 seivt-ga OHi~ within 30 viNataral REStlttrGGao Scare of Wisc4nsln~. t,erttflc~eioa set forib, bote:t4 as set by the Dcpattasteut of Gambaesee aad the Dep~strz-cat eo the St mix County Zooiag atatiag that your septic ayatem has beta maiataincd must be aampltted and rcturQod days of the dzCae 'Car ptration date. 04 / ! OY IGNA ~ 4F LICANT ~~R ~'R,~ CA'1"x~N lade 1 we am (arc) the °°'a°~CS) of i (we) certify that all egtements oa ibis farm arc taut to the best of trey (cur) 1.xow B ' ~ ) ~ prvp4KY daacribed above, by virtue of a warra~ary deed recorded is Register of Ateds Off~Ge. - DATE SIt31dA` OF i.ICAN~" .~.... !-ay infarmivtioa that is mis-represented may resu?t is the sanitary peizpii beiAg revnkvd by the 7.oain~ pap~en~ ...... ++ idctude rYlth this applic:ttida: a statzspod atartanty deed tiom the Ragistar of Daetls off'iea a copy of the cerrif-cd sut'rey map if r~en~e ~ poadc in the warrttatY deed 48%2404 FRI 14:30 F3'i 715 386 4687 REGISTER OF DEERS ' ST}~'I'E BAR OF W1SCOi~'SiN FORM - 1999 D~umetu Number ~~~ DEED '1gd5 Deed, trade befwtxtt ~ ])avid J V~ 1d1~4(~ end Julie A. 'Waidroft, h~ and and wtte _ Grantor, 2nd ~ -e J. am Gr2ntcc. Grantor, for a valuable consideration, conveys and waXratr<ts to Grantee tht following described real estate in St.~Croix County, State of Wisccrosut (if more space is needed, please attach tuddendutnj: That part of N'VV'/.1Vw ~l. Sec. Z6.-T3oN R~6W describes as Po-lows: Lot 1 oY Certified Sorvcy Map recorded irz Yo[_ 16 of Certified Survey Maps, pegs 437 as Doc. No. 690113. St. Croix county, ~Vfsconstn. Recordilo$ Area 77~33fa ~I~.B QF ADS SC. CI~IIt CO. , MZ <2EC1~'I V$D FbR RECi?RD 88l8~/2884 89:38A![ IrANR~~7~I ~ EEfl R'EC FfiE: ,IZ.BA ?BANS FfiE: 85.58 COP1f F'Sfi: CC F£15: PAGES: ] C~joo2 & LE' ~ Hudson,lM ~4p~6 ~ ~ I~~~ mit*ti16]89-300 t?arctsl5dcnti~atibn Irumbt:T (P11V) This is rat homestead praperty (is} (is nut) Exceptlans to warranties: Eas~nents, restrictions and t~igirts-~ way of record, if a„y. Dazed this ~~ day of Jul, . Z~ - . ~._,,.., ,.._. _._ _ - s Dsvid 3. Waldrotf ~. « _ _. -._,.._ --.-.--~.~- .._.._....-- r aloe A. WaldXO#t^ r.~~~-.- -- - AI.jTHENTICATION Sigttantre{s) Davld J. Waldr+oif and Julie A. Waldroff, ,._ htislttind and wife _-~~ ~~ - _ authenticated this ~' day of _ u~l __-,..._ ~. , ~~ ._ * ~ O~ .., - TtTLE: MEMaER. 5't'ATL BAR CF W6SCQNSW LTf tmt, atitltoriz~ by $ 7Qi6.t36. Wis. Stats.) • AiaitStS THIS INSTRUMENT WAS D)IAFCED TfY Attorney I~isti>,a. Ogland _. _ - Hutiso+a, Wi 54A]6 _ ,,,_^ _~ (Sigaatwes rttstY be >zts>bet~ed or aGktpwledged. Both ate not ntscssdry.) ACISNQWLEUGMENT ss. ._. _ .- ^-- County ) Qcrsnss2tty came before me this .. day of - -_-- __ . r ~ _.._ -._ ._...._ ., - . - .- the above named to me Icttown t-i be Ilse person(s) Who esttxuttd the fortyoing it+stn-mt:nt and atknawledgt~ [he save. Notary Public, State of - ---_- - -. _ - -- _- Dfly Cotrtm4ssitsts is permanent. (tf nbt, state expiration date: .) of pprsbns +fs`Simsg in typal or pritttcd txlaw dtcir slgaature. S7'ATB I3AR OF 4~TiBCON8t1N wARBaN'r1i HEED ~ ttORM Ne, ~ -19~ any capacity tpmst tx 1Lt'ifftri8tlo5 P~resstoaats Go., Mono au t.~. wr Bt1D655-2oZ 1 Pam Quinn From: Jansky, Leroy [Ijansky@commerce.state.wi.us] Sent: Friday, September 17, 2004 2:13 PM To: Pam Quinn Subject: Nelson ID Off of work this p.m. Won't be back in till Tuesday a.m. Will be setting up things at the soil pit at Farm Tech Days in Bloomer on Monday. Todd S. should get the CST out to the site to re-establish the BM if possible. It is not a good idea for the county to do that work. You guys can verify things, but let the plumber and CST establish the elevations, and you can agree or disagree with them. Leroy c ~ Sa~~ l~~ `~t~ u~_ 1 09/17/2004 12:13 FAX 7152352592 T L SINZ PLUMBING INC I~J005 ' THOMAS C NGLSON Page 2 8/l0/04 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 elate slats 101.12(2), nothing in this review shall relieve the designer of the responsibility fvr designing a safe building, structure, or component Inquiries concerning this correspondence may be made to me at the telephone number•listed below, or at the address on this letterhead. Sincerely, Fee Required $ 100.00 Tee Received S 100.00 Balance Due $ 0.00 ~~ eroy G. 1'a ky, Waste ter Spe al' t ~ _ t,,,,,,,,,,,, Integrated Services Bureau (715)726-2544 Voice iiansky(c~commercestate_wi.u5 cc: Leroy G Jansky, Wastewater Specialist, (71.5) 726-2.544 09/17/2004 12:19 FA% 7152952592 T L SINZ PLUMBING INC 01006 4 Sect. 2~ NW'1 l4, N~'1 / , , ~"~0 N-1'I ~'V~1 Loo 7 David Walslfoff Z Q t h S t r e e t lot and ~ s~ ez B3 11' wide divasior IZ 1 slope for the p i~f diyei~lin~ surfac 6626 oo(oS ~3m~ 5 r~ 1 NQ~ Mound s~ ado spp~oxin~at~Y slope •'IS' b _ ~ ~~~~ des n/~ ~ U `~ v r' - ~~ r - .. _~~~ ~sf the ~'1" = 30a ~ . ~oatodr 1,%ne elld trains porthwest into the ~o~ rvsd ditch. Thomas Nelsen 2273e7 ~ ~r ~ s.. »' .._ ~ s. _ - w~ /• _. - ..95 97.50 7~ tlait ditch bo~ttorn 09/17/2004 12:12 FA% 7152352592 T L SINZ PLtiMBING INC C~J002 . NECE~~E~ ~~ ~ ~. <<r ~ ~ ~~ ~ .~UL 2 7 [uu~ ~ r., ~~ ~~ ~ ~ ~ - SAFETY ~ Introduction: ~ 6LD~~- ~~V. On Jtrrre 2l, 2004, Thomas 1+~Tclson, CSTM, Environmental By Deign visited the properly owned by David Walfioff located in the N W 1/4, NW t/4, Section2 6,1'30N-16W, town of Emerald so as to obtain supportive information, verifying a soils report that had been conducted by Adam Shoemaker ort August 6, 2001. This supportive information, even though it varied from the original soil testers, did support the site for an A+0 mound system through an interpretive determina[ion as designated by the Wisconsin Department OF Commerce's Administrative Code, COMM 85. 1V.lethodology: 13aclchoe pits were provided for fow borings, 1 through 4 by the original soil tester, with interpretations of the sites suitability being conducted using soil rcdoximorphic features, soil texture, soil structure, and soil color pursuant to the guidelines under Chapter COMM 85 of the Wisconsin Administrative Code and using the USDA MRCS soil descriptive system.. A single hand dug boring that I performed on the sire revealed the following infomnr .-~ 1te1d' rings 2 and 4 of the .original soil testers report and can be Ldeat'tfi'ed Cyn ~y~~ (~06~ agbor~5 ~ ~'~~1~~D 0-$ 10yr4/3, sit, 2msbk,mfr, cs, 2f; .6-.8 ~ DEPARTMENT OF COMMERCE 8-12 10yr4/3, scl, t2d7.Syr~/6, mfr, cs, If, _4-_6 UIV tON OF SAFETY AN ILDtNGS 12-17 7.Syr4/3, scl, c3d7.5yr5/6 and 6/3, mfr, .4-.6 Even though my soils evaluation differed slightly, it does r~ea(the comp ity ~~~ supports the fins( proposal_ Dtuing this fiield investigatiotr I observed the landscapes morphological features, vegetating .and hyd>~ology for the purpose of this Interpretive Determinatioxa as deftrted in COMM 85.60(2) of the Wisconsin Administrative Eode. Upon wmpletion of the col(ecdon and review of the fiield data, which included the accurate measurement of the site featured locations; sire plans, and the system design, this interpretive report has been developed for review_ The intent is io demonstrate that a xuinimum of 6 inches of rursaturated soil exists on this sits and the iaflueneing factors era this site would alloy the compliant installation for the propose of a mound system serving a residential ~rrsc on this property as allowed render COMM 85.30(2xb) of the Wiseartsitl Administrative Code. Local hydrology: The local hydrology of this site is influenced by the average of 30 inches of precipitation received, the soil properties, and localized geomorphology. The seasonal issues such as frozen ground and warm tcmpcratures also influence the site. 17utirig .the winter nnontbs when the ground is frozen, there would be an accumulation of snow with any melting action running off the site on the surface of the ground. Spring rains would produce additional surface runoff until the ground has thawed. Upon thawing, the pettneability of the soils would be moderately slow due to the silty soil texttu~ and tlrc location of the site, with it's limited upslope watershed runoff, would be minimal. Suztuner tetnperatturs and plant Srowih would provide removal of soil moisture through evaporation sod cvapotrtrospiration. Local Geomorphology, Soil Disturbance, and Local Topoglraphy Tire geologc interpr~etation.of this area directly related to the glacial geology .of the Eastern St. Croix Moraine, a g~ouod moraine that was formed by the accumulation beneath the glacier and resulted Ln a 09/17/2004 12:12 FAX 7152352592 T L composition of stony, reddish-brown glacial drift. Post glacial windblown silts formed loess deposits that overlays this till, Delow is the Cambrian bedmck Prairie Du Chien formatioe, a dolitimized limestone formation. Soil forming activities have resulted in what is known as the Northern Till Uplands soils resulting irr dark silty soils. The site has bevy clopped in tlae past and itts position on the landscape is toward the top .of as upland hill. This hillside bas a 3 percent slopes and was probably formed as the advancing ice scoured the landscape, re~cated, depositing the fill material, forming the rounded knobs of the Hillside. )n most recent geologic history, the ~d w~ build toward the west of this property, limiting the amount of additional sur~'ace rtutoff on this site. Soil Series and MappYng Units The St Croix County Soil Survey has mapped this area as 1?nB or F'reeon silt loarq which consists of moderately wEll drained soils orr low ridges and foot slopes of ground rnoraines. These soils as described by the Soil Survey, are ireprescnted by a surface layer that is approximately 8 inches of very dark grayish brown silt loattt and a subsoil consisting of silts and .clays. The subsoil is saturated with water for long periods of the year. Redoximorphic features are absent in the upper 7 to 9 inches .oP the soil profile, indicating a weII-oxidizccl condition end flee of soil saturation. The ~redox features increase in ~intetrsity and frequeecy with depth, suggestinl; longer periods of saturation the deeper you go. Also represented in the soil borings were plant roofs at depths of S" to 1?". ~at8 The soils evaluation report and system design have been included with this report. t A .copy of the USDA Soil Survey map that providts the soil-mapping unit described above. - A USGS Topographic Map, revealing the geomorphology of the site. - POWT site plan, representing the best location and layout of the system that best treatn and distributes the systems discharge water. GQYernment Reports Leroy Jansky, Wisconsin Department of Commerce Wastewater Specialist, has visited the site and found ao reason trot to support the site's soils and lanelsc:ape position, beuag suitable for an A+0 mound septic system with a >stinimum of 6 inches of unsaturated soils Additional Information Unitciue to the site ~ 003 Root activity was observed at l 1 inches in boring 1, 9 inches in boring 2, and 8 inches in boring 3, and 12 inches in boring 4. It is recognized that three biological activities are normally not apparent in zones that are saturated for long periods of time. 09/17/2004 12:12 FA% 7152952592 T L SINZ PLUMBING Re,~omtul-~ndations The recomm~dadon for the site would be for floc site to be chisel plowed to a depth of at least 12 itaches so as to aid infiltration. From the upside slope of the system area, 30 inches of ASTIvI G33 sand lift should ~bc placed on this plowed area. 'T'his provides the 36 inches of necessary vertical separation to provide the necessary tnatrrtcrtt of pathogenic organisms, The recommended mound design uses a linear leading rate of 4,0 gpd/ft and an in-site soil application gate of .0.3gPd/1~, 'T'his will be accomplished by designing the absorption area to be Long and narrow and extended the do~yn slope toe area to a 5:1 dimeasiort, e~FectipCly increas~pg the basal area and eliminating the ghanc;es of toe seepage. Additionally, the slope on the upper toe edge of the n4ound ~uyill be coinstracted so as to bg a slope with a 3:1 side slope at each end and a G;1 side slope for the 1 dimension at s point L/~ so as to help divert surface water from thg upper slope. Finally the design regpires that a water diversion ditch bg inis'tallcd above tine mound so as to also aid in the diversion of surface waters from the upslope area This should be installed with s 5:1 slope, a width of eleven feet, and oriented so t~!at it traverses the Cprtt4la slightly, draining the run off water north and down slope o~the monad area. Conclusions 1 believe that this site will accommodate the proposed private onsite waste water system for the following seasons: Y The described soils in this location support t!?s mapprcl description, which represents in its description as silts and clays. the soil series description al.~ does represents saasensl biBh ~' tables from 3 to 5 feet ar-d i feel a more accurate repcgs~?don would be ? to 9 inches as eyideet by the redox ead gleyed Colors at that depth. Similarities between the described series eatd these findings represent an increased contrast and abundance of the ?edox .mlots in the subsoil the deeper you go in the profiles, suggesting increased saturation for longer periods at greater depths. ~ The biological activity in the soil as represented by the roots suggests that the soil ha,4 not been saturated in the moll recet?t history of the soils. These activities cannot survive in saturated conditions. A design with a long and narrow system representing a linear loading rate of 4.U gallons per day per foot and an is-site soil application rate of .0.2gpd/fi t_ This configuration represents the best distnbtition oFthe wastewater, spreading it over a longer area. With the increased height of the mound, there is the assurance that there wiU be 3 feet of filtration between the bottom of the system and the zone of saturation. Also built into the plan is the increased dimension of the upslope of the mound, providing a 6:1 slope at the L721ocalion, and the addition of a drainage ditch above the mound. These last two additional features will rninirtaize surface runoff'onto t}ae mound area from higher elevations behind the system. The total design assures that the requirements of Comm_ 83.41 of the Wisconsin ,Administrative Code are being met so as to properly filter the wastewater and to assure that there is no surface discharlt, with discharge going below grade. D The mound septic design arttd managemept plan protnides proper treatment of wastewater ark axpected system longevity, Aiccotdiragly, the plan submittal addresses the methods and design for treatment attd dispersal of the yastewater below the surface .as adriressed by the code regttiremenrs_ 09/17/2004 12:13 FAX 7152352592 The finsri authority [ur this sae's approval rests with the appropriate rcg~latory a~neics: the Wisconsin Department of Commerce and the St. Croix County Zoning afTlcials. T .~ J 19 200a '~'homab Nelson 1)ste [~ooa 09/17/2004 12:13 FAX 7152352592 T L SINZ PLUMBING INC 1 i ~ ,r -- < .. , .r .~ ~i -' ; 1 • _.I :~...:~,..id i7+ I • ~ \~ '-1 M hid _ I ~. r -~ . ~ ']~M'. I i ~ • ., ~ .~, ~ ~ ~~ ~y I; ~ i 1 ~. ~.~-~:. Y ..~.7 . 1. ~. _ c_ ~., .~ e t: .~ -' .. ~ • .' _. f~joo7 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF EMERALD COMPUTER NUMBER 010-1061-80-100 Parcel Number 26.30.16.386A-10 OWNER NAME: First DAVID J & JULIE A Last WALDROFF PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1391 250TH ST SECTION 2 WN 30N RANGE 16 /4160 NW'/440 NW Line Description Line Description- TOTAL ACREAGE 7.688 PLAT CSM 16/4372 010/02 LOT01 BLK 01 SEC 26 T30N R16W PT NW NW 15 02 BEING CSM 16/4372 LOT 1 16 03 7.688AC 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF EMERALD COMPUTER NUMBER 010-1061-80-050 Parcel Number 26.30.16.386A OWNER NAME: First DAVID J & JULIE A Last WALDROFF PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 26 TOWN 30N RANGE 16W'/4160 NW'/440 NW Line Description Line Description TOTAL ACREAGE 31.310 PLAT LOT BLK 01 SEC 26 T30N R16W 40A NW NW 15 02 FKA 010-1061-80 (386) EXC PT 16 03 TO CSM 16/4372 17 04 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit • ~ ,N cogsir. Departmenyof Commerce SOIL EVALUATION REPORT Page ~ of . ~ i;visiorr,f~Safety and Buildings t * ~ m ac:wiuanc:e wnn ~.ornrn oa, vvis. ream. wu~ County ~~ C Attach complete site plan on paper not less than 8 1!2 x 11 inches in size Plan must r ) . include, but not limited to: vertical and horizontal reference point (BM), direction and ' Parcel I.D. /^ ~ ~~ /O d ~(J '' l ~ ~ ~ tance to nearest road. percent slope, scale or dimensions, north arrow, and lv Please print all ' 7 -. Revi Date Personal information you provide may be used fo ary pur ose~rivacy w s: 15.04 (1) (m)). / ,( /~ 1,~~ / , (/ Property Owner 0 erty Location ~ -7 ~ 3 f// ~ ~ O ~ 1 I ~r ' Lot N~ 1/4 A1t~J 1/4 S Zoo T ~ N R 1 (q E (or)~ Property Owner's Mailing Address z0~' Block # Subd. Name or CSM# ~ G~d /~'3 ST 3 ~ ~ 3 ~'Y ~ ~ , e,r oil 0 City State Zip Code ~ n City ^ Village [~ Town Nearest Road c.J o _~4 vv~ r« d ~v''~ ~ s~, l j~ New Construction Use: ®Residential / Number o Code derived design flow rate ~SLD GPD ^ Replacement ^ Public or co/mmercial -Describe: Parent material ~ _~ _ d`~ ~~ Flood Plain elevation if applicable ti~ ft. General comments SyS~e-~'~ 'e ~'tV . I Ug. ~~ ~-~.~ (!k - Si-~ J~-4 and recommendations: ~ ~_ .e ~ t V . 9 l/YI ~OY~'~ b~~ Nd~ K~~ Boring u~'`'7y Boring # q~, q0 ® Pit Ground surface elev. ft. Depth to limiting factor ~_ in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft'- in. Munsell Gtu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 ~ C~-g I ~ r~13 - Sid Z mo~bk ~ ~~ c S I v~ ~ 5 ~ ~ ~- ~ I 1 U r ~i 13 I F S. y Co S• 2n-~o.b~k rn~r c s I v~ , 5 ~$ 3 II-I~ I y~~ ' _P~.S r 5 ~ ScI 3csbK ~-,~~, -- - ~ .C.~ Boring # ~ Boring 0 pit Ground ;;.Irface elev. 0 ft. Depth to limiting factor ~ in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 °--1/ ICS ,~y 3 FIF 1.5 r y y S', I.. 2r~bk m ~ c~ - .~ .3 ~I-I~ I C2P-1.5~~-~ll~ SCI 3Co,bl~ ~~ ~ - . ~ . Co 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L CST Name (Please Print) Signature /-~c~t~~,~~; `~~h~~i~~'~ker- Address c , C' EfFluent #2 = BODS : 30 mg/L and TSS < 30 mg/L CST Number .. LF~ .3 ~C~'! Date Evaluation Conducte ~ Telephone Number ~..~ ._ C~0 C 5 L`1 -~I~~) Property Owner 1~ V a ~ C~ 1'~f t Parcel ID # ~,. • .. rr t . •7 2• Page Z of 3 ® Boring # ~ Boring © Pit Ground surface elev. 9 0 ft. Depth to limiting factor ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ~ o- IO ~~-1~3 - S;I Zmabk m~~ ~S I ~ - `~ •~ Z -IZ )(~ ~ I CIF 1.5 ~ r ~~~I S~~ ~ 2 bK mfr c S - • 5 3 12- ~ I ~-ilk 2 ~.5~ ylt~ Sc-~ 3cci`bk~ m~; - - : ~ Boring # ^ Boring ® Pit Ground surface elev. 9~. yd ft. Depth to limiting factor ~i in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I c~- ~ -~ 3 - . I 2 ~, k ~~- ~s - ~~ 5 .8 Z- ~-12 ~(~ r313 F F -1.5 yl~ i l 2rr~b1~ m~~ c Iv . 5 $ 3 12-I~ 10 5 y P 1.5 5 ~ icl ~mS ~ m~~ - - , y . ~ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 * EfFluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * EfFluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) 1,,' . Property Owner l/ V (~ ~ C) I`~i'T Parcel ID # Paae `- of .-, Boring # ^ Boring t ~ 1 ®pit Ground surface elev. `~ O ft. Depth to limiting factor ~n• Soil (ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftZ in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Ef(#2 ~ o- ~O yJ3 - S.1 Zmabk m~~ ~S I ~ - `~ •~ 2 -12 ~~ ~ ( ~1 F 1.5 ~ r ~ I~-I S~~ I 2 bK ,~-~~r c S - - 5 . ~ i2- (~ I cll~+ 2 ~.5 till S~1 3c~bl~ ~m~} - - '~Z-l - ~ a Boring # ^ Boring ® Pit Ground surface elev. 9~ yd ft. Depth to limiting factor ~ in• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ ~-1 ~~ 3 - i I Z -~: k F~ e_s I ~~ 5 .8 2 ~-12 ~~ r313 F F 1.5 ~Ily i t 2r~-~b1~ mF~ c I .5 .$ 12-I~ ID 5 y P 1.5 5 Sicl 3mS k rr~~ _ - . y . (, Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil lication 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 #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBU-8330 (R.07/00) .. ~ •. ~ .. PAGE ~ OF~ NAME D~4J ~ W -~-~-~ RO FF LOT# LEGAT DESCRIPTION N+•~ ~ ,Uw i4 ,S z ~ T 30 ,N R,__/ ~ E(or)~ scALE: I°= y0 ~ ,~ CONTOUR ELEVATION q~ • N~ 1-}~ ,,.f . ~ . I ~~ c~ J N M ~$,~ ~' \ I B Z $- L ~r~ \ ~ \ $ 3 tii` Bm 1 t,,s~.-f--~r .,_ „_ ~: ~~ ~~ NI ~ ~~ .~ B "~ . ~ `~~., ~ - -~ G ~U r O t So SO r-~- m,av nrA to pit ve.n ~- +Q~t,~ ~,.ra.-4 a r' fro ~^ ~ v N r ; n5 ~ ~'~ ~o ~{~-L v P to Pt Q ~~. VNIOu,tid S Y ~ ~ e DATE ~ - r2 - O / Department of Commerce INSPECTION REPORT Plumber Name and Date of Inspection: August 2, 2001 Project Name: Waldroff Use: New Residential Legal Description: NW, NW, 26, 30, 16W Site Number: Subdivision: Municipality: Town of Emerald County: St. Croix Plan Transaction Number: Sanitary Permit Number: Wastewater Flow: 450 gpd Persons Present: Owner, A. Schumaker Certified Soil Tester Na Adam Schumake 2113 80th Street Somerset W 15~ (715) 247-4008 SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www. commerce.state.wi. us Scott McCallum, Governor ;1'B'~dnst~rd, Secretary ;7', Owner Name and Address: Dave Waldroff 398 River Rd Hudson WI 54016 (715) 549-6601 1~ r ..~ n ,,.,, n _ ~. d, ~d Adsi~@~~~1 T ~~~ ~~ J~ ~! ..~ ,; An onsite verification of soil conditions was conducted at this site pursuant to district policy and at the request of the certified soil tester. The proposed system for this site is a mound system where there is less than 4 inches of unsaturated soil below the A horizon. Previously, the county indicated that the area may be subject to flooding which raised concern for proper system operation. Several hand dug soil borings were reviewed within the area the CST tested and their morphology indicates that the site is unsuitable for a mound system installation having at least 6 inches of unsaturated soil. Redoximorphic features were within the "A" horizon and at less than 6 inches from the surface. Comm 85.30(2)(b), Wis. Adm. Code, requires a CST to estimate the level of seasonal soil saturation at the ground surface unless a report is filed pursuant to Comm 85.60, Wis. Adm. Code. An area south and west of that originally tested was reviewed and found to hold potential for a mound system installation. Atypical soil pedon for this new area could be described as: 00-08" 10YR 3/3 sil, 2m-csck, mfr, cs. 08-18" 7.5YR 4/3 scl, 2msbk, mfr w/fad 7.5YR 5/6 and 6/3 redox concentrations and depletions. ,~ Instead of installin it saturation observation pipes and directly observing groundwater levels during a normal spring season, an interpretative determination may be completed as per Comm 85.60(2), Wis. Adm. Code. A properly completed and thorough report to explain the presence and absence of redoximorphic features under the conditions at the site may negate the need for actual water level observation. Should the mound proposal go forth, my recommendations for this site include a design that utilizes a minimum of 30 inches (18 inches with highly pretreated treated wastewater) of sand fill and maintains a linear loading rate of less than 5 gpd/ft or less. The dispersal cell length should be 90-100 feet long along the contour. The recommended basal soil application rate is 0.3 gpd/ft^2 even though Comm Table 83.43-2 indicates a 0.5 gpd/ft^2 rate may be used. The landscape position of the site, good soil structure, and- dark brown A-horizon colors all appear to support good aeration within the first 6-8 inches of the profile and thus unsaturated conditions likely prevail. I would not expect saturated conditions to exist for more that 7 consecutive days during years with normal amounts of precipitation August 02, 2001 Waldroff Onsite Report Page 2 of 2 An up slope surface water diversion to redirect surface water away from the mound should be considered in the mound design. If a mound design along with an interpretative determination is chosen, two submittals are required. One submittal is for review of the soil and site data ($100) and the other is for a mound designed outside of the mound component manual ($300). If there are any questions regarding this report, please contact me. er G. J .sky stewat r Specialist Ljansky@commerce.state.wi.us E- ail 715826-2549 Fax 715/726-2544 Voice cc: County ^ Plumber ~ CST ^ Owner ^ Other 05/22/2003 14:46 ROBERTULBRICHT 17157723442 I~LBRiC~HT $c ASSOCIATES CO. 016 Aeg. Designees o- Engineering Syshima I>rhaf9 Sewage C;onaul(anta -------y ~~~a ) ~. ~~~ aT~RP. ~ETEe ~ QC~(-~-teL--fl - - .9-r Ulbricht & Associates Private Sewage Consultants 2$12 10th Av VIII 54767 Spring Vailey, (91 -_._--r-~ N ' /~,Qi~ ~ /U .~ f ~~-~~~ PAGE 01 ~ a~~, ~~~ /~' I~y' /1 C~^ Nlftvi s M~-S~~ GJ 1~.~ S~ ~~ ~~ ~ ~~ sf ° ~~ng• in e®id; ne8 wlu, eorrsn as, we• wdm. cede ~ S-~ .. ~ Attach cvmp141R sib plan or, pepsr net less then 8 1/2 x 11 Inch h sls~e. Plan must Include. Dul a dl~~ ~ M baeUePi~ and distdneaMnstfo~. Panes{ I.Q pervnl steps. Reviewed Dy Date Please print all irrR -mtatlon. Parion.l InlornM11Fif1 Y~~ v~ n~ ~ yea for ss~ 1.d /mss (P~aiell lat. L 1s.a (1) (f1h)). Prvperyr Owner - properdr loastion - ~~ ~ ~/d ~~ 114 S S T N R 1 b E ~er~ P~oaeriy Ownafti Mairng Address Lo! d Block a ~d !Mama ar t b g~ Zfp C40e o 1e umber C1ly vtll~pe [~7own N•~ras!(ioad D I ~I YM ~ S'~. __ Cade dorimrad desldn flat rnb ~ ~1.St? GPD (~ New Cw~etNatw+ Use: ~ Reeiden~al / Numb u or bsdrnorns O Repleoomvnt ~ PubGe or coq'rnerz it - Oseorba: ~ ParQnc meuuiel _ -- _ ~~ 1 Flood Plain aleveion K appf~we .~„T;/L/l~- I,, l Generataommanbc gY~Crr~ ~ ~<V . !Oo• C t( ~-~ l~'~V wl~~~i~ sne remmrnerrdelians: a ,.i ~.1~ v . 4$~~ ~ ~- _ .. . ~ ~ P: n ~ ~ ~-r ^` _ - Z2~Q y~ 3 ~ ~~ 05!2212003 14:46 17157723442 05/19/2003 10:05 7152469821 . AopeRY Owner ~~A (d ~t'~ Parcel ID # ROBERTULBRICHT TOWN COUNTRY REALTY PAGE 03 PAGE 03 Papa ~ of L7 aarkt~ s 3 Hotiyt4lt Depth in. Z -~ 2 ®Pit OrouAd eudae~ elan s,~ ~e Q - R Depth Iv fimi6n9 1n~ Danitlart Cob Redotr C ~cription Tyttlre SOvc~s>: Consistertoe t3ourtnh~l Rttoi MuneeH Qu. 6s. t;onl Color Gr. Sz Sh. ~ I F F .~ ~ y ly S ~ I ~ bK ~n~ ~ ~; ~- •~ ~ ~ Hon ~ '~IfIQ . ~. . Bow ~ o ~°~ ~ . . Pit ~oundsUAaoeelel . 9~.9'~ fl. ~P~ ~ ~~~D ~ ,--r-.~ ~. ~ >IaDGon Rate Horizon Depth Dpmirtphe Colo Reetox C ~oripGat Tetrlute Slrutxure Conalsfenoe Bottndstry boob GPO/lt? in. Murts611 Qu. Bz 1:onl. Color Gr. 5z. Stl. -~ '~Z ~ o- ~~ -- i I 2 k ~ : ~r t ~-~ . 5 .8 2 ~-IZ ip r ~ I ' I Z k r I .8 t'1t 6nwnd stJAeOe sle~ .,,,~,,,~,r,-,R t7eplh b ItrnHlrtg t~dnr,,,,,__ in_ Soil fication Rao ~°"~ ~ ~ ~~ Horizon Depth Dorrtittant Cob RAdbX 0 ~aiptbn TextutQ 6Ruontre Conslslene= Batrttlary Raets G in. Nunseu (ltl. Att (Ant Cdor Gr. 3z Slt. Te1~1 'EffJr2 • t ~~ ~ ~: ? ~ ~. ~ Pttg/~ +dA~ i I W ~JY ~ ~ ~ ~~. ~~.nt ~ ~ DWG ~ .~ ~ ~1y1 L ~M T~7.~ K r~ r~~ l`he Department v~Cornlmerce is an equal of portnnlp- ®arvlce proulder anti employer_ If you need as6'lstanee to access services or need rttafcrlal In an alternate fors tat. please ootttact the depaetmsnt u 60>f•2t36-31 S I or 7-T'Y 608-x.64-777. 58trf770 (R.07r,9) NA1~tF PA~~E Wes.-QRQ_~F ]LO'r~s i/ /. 7a ara SCALE:1"= yd r DM L F~EV~A.'TION rr,0.0 BM 1 DESCRIPZ~ON L'' AMC. o.~n~ _t~ll~~h Bbt 2 ~EVriTYON 9`~!s [ HM Z DFSCRYt',L'ION ~-P o ~ ,~.` ~ ; ~: [a SYSIBM ELEVATION ~O.9C ~ ALTE3LNA'I~ L~T.EvATION__,~ j,L 4 CONTOUR ELEVATION g ~ . r!G ~ _ r ?~ ~ ,{- -- ~ c Z6 .; f. `--f~~ Wisconsin Department of Commerce SOIL AND SITE EVALUATION D~sion of Safety anyB~;:bings _, Page ~ of y in accordance with Com is: A . CodG4%`~lv ~Z ~B"ur~~uyjof~lntegf~atb.i Services rye/~~ Alta h co plate site plan on paper not less t 8 1/2 x 11 inches in size. , an~must County ' include, but not limited to: vertical and horizontal reference point (BM), di 'nand ~ t~ ~' ~ percent slope, scale or dimensions, north arrow, and location and distangre to nearest road parcel LD. #; APPLICANT INFORMATION -Please print all informatibn. ;,., R iewedi?y Date Personal information you provide may be used for secondary purposes (Privacy Law;~s. 15.04 (1) (m)): ` -` ,~ ~ Property Owner Propert~L`iSL~tl6h°`~'~- ~' ~~~ Q~ ' .Govt. Lot ~~ 1l4~ ,;v 1/4,S Zb T ~~~ ,N,R ? ~, E (or)© Property Owner's Mailing Address Lot'`frr• _, Block`# °' d. Name or CSM# City State Zip Code Phone Number ^ City ^ Village ® Town Barest Road New Construction Use: Residential / Number of bedrooms 3 " ~ Addition to existiny building Replacement ~ Public or commercial -Describe: Code derived daily flow ~i C1U gpd Recommended design loading rate > .5 bed, gpd/ft2~trench, gpd/ft2 Absorption area required %2GObed, ft2 l~x~a trench, ft 2 Maximum design loading rate i~ bed, gpd/ft~ ~ ~2trench, g /ft2 Recommended infiltration surface elevation(s) y ~l, ~ ~ ft (as referred to site pl benchmark) ~~ Q Additional design/site considerations - . ~ ~ Parent material ~'/ ~ Flood plain elevation, if applicable ft 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 # Ground elev. ~~Cit. Depth to limiting factor L~? in. Boring # Ground elev. (9, G~ ft. Depth to limiting factor _~in. SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure i C t B d R ts GPD/fit in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ence ons s oun ary oo Bed ,Trench 1 o ~ ~ / _,~er b w~' f' C S' ~ ~ ~ ~ Z - -16 Io~r - ~ r r~~ ~'-' -- ,~ , 6 ~., d ry C2 5i ,` ~ ,5,,~ Remarks: i /~ icy ~ ~ -- ~' ( / ~' r~ ~ ;, 6 Z r~- t6 - zx ~,b ~-~~^ ~ S - ~ ;e r - eZ 7,~ y f' ~y~e ~~',' - ~5~~,~ Remarks: ;ST Name (Please Print) ignature Telephone No. 4~c dress Date CST Number ~~ PROPERTY OWNER ~JG ~Of'r~.~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # Ground elev. 9. tt. Depth to limiting factor L .' in. Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench Z ,_ ~ - S,- ,' c~ -Z ~~ ,-y v ~ ~ - ss~,-~ ,- 2~a ' C ~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench Remarks: Ground elev. ft. Depth to L~ limiting factor in. Remarks: SBD-8330 (R.9/98) ___. ~~ _- -- ---- __ _ - - NAME Q ~ ~ F /~ LOT # ' e ~"v>. SCALE 1"= U~ BM1 ELEV. Ucz, o DESCRIPTION- Screw .' ^ (o " c e Id.F BM2 ELEV . ioo: o DESCRIP`I'fiON~-Sc rc~ t"r` ~'! r• ~tclxr~ ~r~ e SYSTEM ELEV .. ~}' ~l~ v ALT. ELEV. r CONTOUR ELEV. 9G,9d i i t 0 ~` ^ ra K~~' ~~rce a ^C.' n per/( t/ K7 >S ~ ]v~ ~(~ yi ~~~_ ~ ~ ~ ~ qo v~ ~`~c g Z ~ 2 ~G 1 J" sj I c~ 57v al M yam. CROiX COUNTY , r..i~s r.. _.. M 7M.:rn. owr~ g~ SEP 1 2 2002 3 . _.... ,~~.:~~ ~~ oars ,; n~ rn CERTIFIED SURVEY MAP Z ----------- ----- ---- REC FEE: 13.00 r ~ -1 A ~~~~IL~OO ~ a Q~~~OO COPY FEE: 3.00 i D z ~ ~3a(~C7~ a~]~C7 ~l~l[~W ~ o v ~ ~ - ~Qa~ a~J~Cl~d~nJGO :~ z m~ 133~I1S H105Z ~ ~SO'L09Z M•ES~9Zo00N ~ ~ n n ~ _ ,58 865 I1A~~E9~9Zo00N _ v>' 09-12-2002 2:45 PH O ~~ ~ ~A A Z~ ~ oZ Q ......3 1 v~ .Z •O~ ~~ ~ ~~Q ~O ~mm i 's~ 3~~ ~' ~$ zm g~ ~~ 0 z o ~\Q ~,6 N~ \ m ~ \ oo \GJ ~T D to \\~\ ~ v \ ~\ O tf r \ \ ~ j `~ n m Z m r O Z m T o ~ c Z O i O N O O i i Q ~ ~ 3 ~~ FJ 610--10~/- 8~-D~ 901 13 Q ~ D ,_ 1p~ l + VOL ~ 6 PAGE 4372 g0 " ADO ~8(, ~ .r ~ D KATHLEEN H. MALSH ~ C~ ~ ~~ REGISTER OF DEEDS ~l3 7 0~ ST. CROIX CO. , MI DRAFTED BY KEVIN REED JOB NO. 6032-01 DATE: 02/20/02 ~ RECEIVED FOR RECORD 's ~ _ sa, ~ ~. ® O ~ \ 3 NCO Zo~o~ ~ Or j g (~~ ~aiU' 1 w~ Or~ ~ 8 ~~ ~ Q=.~ Z ~ 31 -~ ~ '0 ~ ..j = o- ~ O ~ r "off ~ ~~ ~ O~ m ~ 1~D ink Z ~~ f m { m ~ ~ "~ o~~ ~ ~~ m m~ m nD o D ~ C~ ~~ -I~ ~ X ~ z r Z ~ O m O ~ BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE NW1/4 OF SECTION 26, ASSUMED TO BEAR S87°27'56'E ti/LMN 3Hl d0 3N1'I .133M °i Z r ~ZZ'91<sE a /1ti~E~i~9Z ~N ~ 9 - E' F F E- ~~ ~ ~ 03 ~ F F F z ~ a F: F u "~ ~• ODD ~ W V ~N ~~Z r D~~D~~ '~ F ~ N ~ N F F ~ F F ~ F = ~' ~ ~ F ., sgoo ~~s SSO ~?~, ` o~~~s ~ . ~'~ _~ gds ~ `\oO~~O ~• ^~• ~ \ ~ 0~ \~ ~~O ~ ~ ~ ~~ .\\~ f~~~ZC Nis` O ~oc~n~~ ?~D111 ~m• ~~ ~Op~ ~~~~~ ~oo rn m~r~i ~ rn ~^ Voi.16 Page 4372 .EE .EE F m N V N F m ~~ W F F V V Oa zm o~ r m A , s ~r ~ ~ •~' N N m ~? u m A ~ ~p ~ A {Vs, N ZZ ~ Wm I~ I~ I~ I~o I I~ ;~ I I> ID I ~~ ;~ I ~O'~ I I~ j ~ I~ I ~~;~ t~0 I'^pO~n^' ~~ I vV oNo o~ Zn ~~ -'m ~v 'z~ O'~ Z~~ ~~~ '11'11 -1 ~_~ ~ mm~ _ ~~~ v~ D ~ ~Vf ;,, ~~~ ~~~ ®m~ ~~ R~ Z~ `T ~Na ~n~