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HomeMy WebLinkAbout012-1017-50-300Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Steel, Dave Erin Prairie, Town of CST BM Elev: Insp. BM Elev: BM Description: - 6m ~ r~o c TANK INFORMATION n, TYPE MANUFACTURER ~ I CAPACITY Septic / , , ~ W 18 5t~.r- F'B'I {..e... Z / D~ ~i~f i~0 ~ O ~ 5Z Aeration Holding TANK SETBACK INFORMATION TANK TO P/ WELL SBL Vent tp Air I ake ROAD Septic ~~-~ ' 93 ~ 75 ~5' Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head Ft Forcemai Length Dia. st. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 514937 0 State Plan ID No: Parcel Tax No: 012-1017-50-300 Section/Town/Range/Map No: 06.30.17.87A30 STATION BS HI FS ELEV. Benchmark ' O /D /~ Alt. BM t.JeQSL 1 • L~ / az , s Bldg. Sewer St/Ht Inlet /O+ ~$ 43 3Z SUHt Outlet /d.7 ~ r / Dt Inlet ~ \ Dt Bottom ~_ Header/Man. ,~/ ~~ ~f0. 3 Dist. Pipe I $ . b ~j D ' a,i Bot. System 1~l, 7 8 9 . z Fi{~al Grade .~- (~a-w~.,e,a,~•. ttc~. Y .93 st Cover~;t~ ~ 7, ~ q(, . 3 BED/TRENCH Width ~ Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (G~ v~ ~ /~~ G~ ~ i '~~- ~_ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer:,. ^ ~-I~.~~r ~ I" fem Type Of System: r Q ~' C 5y ~7 ~ ~ 7 ~ CA ~ J G,] UNIT . Model Number: h ~ ~ ~ 4 ~ ( - ~ ~ _ dr, il,~ ~J ~1 / • c DISTRIBUTION SYSTEM Header/Manifold I // Distribution Pipe(s) ` ~ ` x Hole Size ~,~ x Hole Spacing ~` Vent to Air Intake ~t~ O+~ Length /z Dia Spacing \ Length Dia ~'~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv `^ ~' Depth Over 7 ~ Bed/Trench Center Depth Over Bed/Trench Edges \ xx Depth of Topsoil ~ xx Seeded/Sodded xx Mulched N ~ 1, Yes ~ No o ~~ ~s Q COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /. Location: 1502 Cty Rd GG New Richmond, WI 54017 (SW 1/4 SW 1/4 6 T30N R17W) NA Lot 4 PaLrcel No: 06.30.17.87A30 / Z~'~s5 1.) Alt BM Description = ~ 2.) Bldg sewer length = ~~ ~w~~ I~ (~ ~ 1 ~- q.~ ~~~~ - amount of cover = y 1 W F c.~l ~"d 1'~ tt,Z ii' 6^ nn Plan revision Required? 0 Yes ~No ~ v ~• ~, ~ / _ ~ C i ! I 1P J i Use other side for additional information. ~ ~ ~ ~ L _ _ _ J ~~ -~_~ Date Insepctor' ignatur Cert. No. SBD-6710 (R.3/97) , O/~, Safety and Buildings Div' ion ~/ County ~ ~ 201 W. Washington Ave., P.O. x 7 2 ~~/ ~ ~~ (' ~scons~n Madison, WI 53707 - 716 Sanitary Permit Number (to be filled in by Co:) Department of Commerce (608) 266-3151 / l1 Sanitary Permit Application State Plan I.D. Numbec In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~~ may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than m ' indtyss)r I. Application Information -Please Print Inf mation Property Owner's Name ,4~-~I~~c . ~~.~.~ ~ Property Owner's Mailing Address 1 ~ ~ ~ 15 o~-G~ Sf- r..~ t~~f~ L L L~UU Pazc ST. CROIX COUNT Pro ZONING OFFICE ,r,~ /5aZ ~ /0~7~o-3e~ ~ rw- # X11 Lot # ~' Block # J, , ~ - Location / '/a, sw ya, Section ~'D City, State Zip Code Phone Number t , ~1 G ~ ^~ ~~ ~ ' "1 ~. d -t9 ~ ~ ,3~ (circle one) N; R~ZE or~ II. Type of Building (check all that apply) t3t~ ~ ~c1 ~11n ~, Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms J ~.~ 4 ~~ Public/Commeroial -Describe Use State Owned -Describe Use / City_ Village Township of ''1 ~ !Y III. Type of mit: (Check only one box on line A. Complete line B if applica le) A' New System Replacement System Treatment/I-Iolding Tank Replacement Only Other Modification to Existing System B• Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T stem: (Check all that a 1 ) Non -Pressurized In-Ground ~ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil At-Grade Single Pass Sand Filter vc etiand Pressurized In-Grou Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Recirculating Synthetic Media Filter Leaching Chamber Drip Line Gravel-less Pipe Other (ex lain) V. Dis ersal/Treatment Area Info Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) ~s al Area Proposed (s System Elevation ~~d f ~ (P ~Z ,~ ~6 d d.~ std of ~. 3 0~~- «~ Q ~z VI. Tank Info Capacity in Total Number Manufacture Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank / /O p0 ~ / f •' {~ 5-Q !"' j/' VII. Responsibility Statement- I, the undersigned, a Some res ility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum S' MP/MPRS Number Business Phone Number rn; re_ ~a ~~s aas~9 y ~is~3~ ~/.~a Plumber's Address (S t, City, State, p ,~~~'S 7 Z- ~ ~- w~ ~~ 7 VIII. Coon /De artment Use O y roved sapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing A ignature o ps) Surchazge Fee) ~ ~ Sa ~ ~ 7 z3 d O en Reason Wenial 1X. Conditions of ApprovaUReasons for Disapproval ~ ~ , SYSTEM OWNER: ~ ~ O° ~°i-` °~ ~~i o~ '~ ~ ~o'E'- 1. Sllptic tank, efflUtsnt finer and ~ yl~~ O~ ~° ,auQ, ~ ~4, .dispersal cell must all be services /maintained ~( as per management plan provided by plumber. / ~ ~ ~ II~OtC~i~ 2. A~saeffiackraciukementsrnust,bealaiMaiited %~) ~ i~JS~ FO~to,1, t5 ~ f Attach complete plans (to the County only) for the sys m on paper not less than 81/2 x inches in size ~_ _ ,~_ SBD-6398 (R. 01/03) STEEL'S SOIL SERVICE 3 of 3 David J. Steel David Steel 1699 150th St. CST-POWTSM SW1/4,SW1/4,S6,T30N,R17W New Richmond, WI 54017 Lic. #248956 Town of Erin Prairie, St Croix Co. Direct 715-760-0347 Parcel 4 CSM Fax 71.5-246-0318 Legend N zI ~ ~;~ ~~ S. ~~_ a~ ~,Q cz~ ~~~5 ~ ~w ~~ 1"=40' I ~ = Benchmark F,le. 1.00.00 ft Top of 3/4" PVC pipe • _ Alt Benchmark El 99.50 ft { ,~ Top of 3/4" PVC pipe -Tj~ ~ =Borings ~ Boring Elevations B1 = 96.30 ft ~ ,~G,~~ B2 = 96.30 ft _ _ . 3 = 93.00 ft - _ ~-~ . ol-P /,~Jc'is~`~ ~°.T~K ~l ~ra PoSer,P ~hi~ ~r ~ E ~Ci ~-~~ '~ ~~ J~ c;~~~--` ,7~s°~~' ~~ .,,- y-, f° ~~-~- ~~ ~~, ~~ ~ ~ ~~ ~ ~-~ ~~~ ~~~y~- ~:-_~ ., I~CORY STEEL'S SOIL SERVICE 3 of 3 David J. Steel David Steel 1699 150th St. CST-POWTSM SWl/4,SW1/4,S6,T30N,R17W New Richmond, WI 54017 Lic. #248956 Town of Erin Prairie, St Croix Co. Direct 715-760-0347 Parcel 4 CSM Fax 715-246-0318 Legend N I"=40' • =Benchmark F,le. 1.00.00 ft Top of 3/4" PVC; pzpe • =Alt Benchmark EI 99.50 ft ~ Top of 3/4" PVC pipe '~ ~ =Borings ~ ~~" ~~ ~~~;~`~ Boring Elevations ~,~--! B 1 = 96.30 ft o~~~ ___ __ - - - B2 = 96.30 ft B3 = 93.00 ft ;~ ,3 F- __ -- ~~, ,~-. - --- a~~o~P a /Q cc ~+~..,~ •~- ~,2c ~° ~~p~i5~',- T~K ~~ ~~5~ ray-` ~~ ~_ ~ ~ra ~~Sec~ , H~~ ~ ~ ~~, ~ ; ~~~ .~ -~ :~ r ,~ kr ~-----~_________._____ -~ ~_ t ~~ ~; ~~ -- _ , __ _ ; ~~~~ Department of Commerce Division of Safety and Buildings ~~ < 3a~' ~ D~wm SOIL EVALUATION REPORT ~jl/rn~ J~~ #z1o2 in accord with Comm 85, Wis. Adm. Code ge 1 of 3 ~~ Steel's Soil Service County Attach complete site plan on paper not less than 8'/2 x 11 sin size. n m include but not limited to: vertical d h i l f t i di St. Croix , an or zon re erence po a n , rec percent slope, scale or dimensions, north arrow, and location and dis to nearest road. Parcel I.D. .~ ' n in p - _ Please pr p~ ~ R d D t V G e e a e Personal information you provide may b used f ondary purposes (Privac Law, s. 15.04 (1) (m)). ~ Property Owner , Q Property Location I ~ ~oO Steel, David ~UN U Govt. Lot na SW1/4, SW1/4, S6, T30N, R17W ~~7 Property Owner's Mailing Address CROIX COUNTY ST 1699 150 h Lot # Block # Subd. Name r CSM# ~ . t st 4 NA w Csm , City State um er ] Y 9 ',r~ Town eare t Road Cit ' Villa e !L New Richmond WI 54017 715-760-0347 _ Erin Prairie Cty Rd GG [__ !New Construction Use: I ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ public orcommercial -Describe: na Parent material outwash Flood plain elevation, if applicable 983 ft. General comments Conventional system, system elevation 93.30ft. Trenches spaced and depth to code 3.OOft below grade. and recommendations: Boring 1 Boring# '-- ~': Pit Ground surface elev. 96.30 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y "Eff#1 *Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr cs if 0.6 0.8 2 9-15 10yr4/4 none scl 2msbk mfr cs na .4 .6 3 15-48 7.5yr4/4 none Is osg ml cs na .7 1.6 4 48-75 7.5yr4/4 none cos osg ml cs na .7 1.6 5 75-100 7.5yr4/6 none ms osg ml na na .7 1.6 ,3 ,~ I! ~; Boring 2 Boring # 'Pit Ground surface elev. 6.30 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mfr cs if .6 .8 2 10-17 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 17-100 7.5yr4/4 none cos osg ml na na .7 1.6 I ~3 ,~ ~ 3~ `Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L "Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) -'"'" Si nature: CST Number David J. Steel ~ • ~ 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 6/9/2008 715-760-0347 SBD-8330 (R.07/00) ~~ 36~ K Property Owner Steel, David Parcel ID # Pending Page 2 of 3 Boring 9 ~' Borin # ~ Pit Ground surface elev. ~~~ ~~ ft. Depth to limiting factor ~~ in. ~ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr cs 1f .6 .8 2 9-19 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 19-72 7.5yr4/4 none Is osg mvfr cs na .7 1.6 4 72-100 7.5yr4/4 none cos osg ml na na .7 1.6 Boring Boring # ,Pit Ground surface elev. ft. Depth to limiting factor in. ~_ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2 Boring Boring # -Pit Ground surface elev. ft. Depth to limiting factor in. _ ~ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 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) St2El'S Soil SCNiC@ STEEL'S SOIL SERVICE David J. Steel CST-POWTSM Lic. #248956 David Steel SW 1 /4,SW 1/4,S6,T30N,R17W Town of Erin Prairie, St Croix Co Parcel 4 CSM _~__- Le 3of3 1699 150th St. New Richmond, WI 54017 Direct 715-760-0347 Fax 715-246-0318 gend N 1"=40' • =Benchmark Ele. 100.00 ft Top of 3/4" PVC pipe • =Alt Benchmark El 99.50 ft Top of 3/4" PVC pipe ~ =Borings Boring Elevations B1 = 96.30 ft _ _----- - B2 = 96.30 ft B3 = 93.00 ft ~~ '_ ~ _ ~" ~~ ~~ ~ ~,1 J9~ $2 ~'S~ S/~- C~~~~ ,~- i~-~~ 377, 7v ~~ C~-y R~( G~- -_ ~us~~~~ ~r'r~ i \ MAP OF SURVEY PREPARED FOR ~ DAVID STEEL 1699150TH STREET ~ ~ ~ \ \ LOCATED IN PART OF THE FRACTIONAL NEw RICHMOND, @ sao17 ~ ~ \ \ SW1 /4 OF THE SW1 /4 OF SECTION 6, T30N, ~~ \ R77W, TOWN OF ERIN PRAIRIE, ST. CROIX ~S~ \ COUNTY, WISCONSIN. SURVEYOR S \ \ EDWIN C FLANUM NORTHLAND SURVEYING INC \ 1? 8'~ \ \ \ 8 St' , . P O BOX 152 \ 3~. ~ ~ \ . . AMERY, WI 54001 \ \ \ \ \ \ ~ \ THE PURPOSE OF THIS SURVEY IS TO \ \ \ IDENTIFY THE FLOODPLAIN ELEVATION \ \ \ AND THE AREA OF THE PARCEL ABOVE \~ ~ N \ THE FLOODPLAIN ELEVATION. N ~ a \ ~ \ \ \ \ ~W. \ ` LEGEND ~N \ \~O N ~ ~ \~ \ ~ \ ~ 1" O.D. IRON PIPE FOUND i ~2 \wN \ \ \ ® LATH SET 100 YEAR FLOOD ELEVATION OF 983 ~ Om ~ @ . \ Y \ Y ow 9 \~(Q 2 ~ ` \ X 982.8 SPOT ELEVATION \ \ \ \ z ? m\ \ ~'\ \~ \ \~ \ LL o \ \ I z \ \ \ ~~ \ I \ z ~ 1 \ \ ~ e o] U 1 \ 1 1 1 1 IIN \ 1 1 IW 1 1 1 PARCEL 4 ~ ~ 1 1 1 1 1 8,95 ACRES TO MEANDER LINE N 1 I i Im APPROXIMATELY 10.1 ACRES 1(~ 1 1 0 TO WATER'S EDGE ~ 1 I 1 ~ 1 ~ I ~ ~ ~ I N I 1 \ 1 ~~ \ 1 ~ N O 1 \ ~~ ~ 981 5 X X 982.8 ~\ \ ~ SI ~ \ . 3 Pj10%96 o '~ \ \r, ,~' \ ~ \ ~ Z X 981.0 OQ EVEV rF~O / -®~ '~ ~ \ ~ ~ \ ~ ~~~ \ \ L ~, ~ 1 \ \ \ \ / 1 \ \ x saa 1 1 1 X 986.1 X 986.1 X 987.0 1 1 983.0 4.2 ACRES ABOVE THE FLOOD ELEVATION 984.0 X 983.0 X 984.6 x sas.a s83.o ~y F~FFOT\ 2F qT/pN RONp X 992.6 X 993.9 BB3 ~ >^ X 995.0 ~~~~~7Q TOA i„ i O' F~F~gT ~~~R W ~ Q ~ Iv`?>,~ ~pN : 9~pi F SCALE IN FEET 1" = 100' ~~ ~~\'~ O' 9jo F ~ ~ ~i" ~ ~ 7 00 0 7 00 N~ ~ \~ til ~ '~ ~ ~~ I \ ~ T THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO.OB-36 DATE 5-6-08 ' Parcel #: 012-1017-50-300 06/24/2008 02:45 PM PAGE10F1 Alt. Parcel #: 06.30.17.87A-30 012 -TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/30/2004 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -STEEL, DAVE DAVE STEEL 1699 150TH ST NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1508 CTY RD GG SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 8.954 Plat: N/A-NOT AVAILABLE SEC 06 T30N R17W PT SW SW FRL COMM SW Block/Condo Bldg: ' W 535.32FT ON W LN COR SEC 6; TH N 00 TO NLY ROW OF CTY RD GG & POB; TH CONT N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 00' W 1210.OOFT ALNG W LN TO MEANDER LN 06-30N-17W SW SW OF WILLOW RIVER; TH S 53' E 128.36FT; TH S 27' E 324.84FT; TH S 14' E 356.96FT; more... Notes: ,~/J /~jA „ ~f (-G~~~~~ Parcel History: Date Doc # Vol/Page Type 06/10/2008 876481 LC 09/03/2004 773426 2649/390 TD 08/19/2004 772074 2640/416 TD 07/30/2004 770285 18/4801 CSM more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/22/2008 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 8.954 2,000 0 2,000 NO 00 Totals for 2008: General Property 8.954 2,000 0 2,000 Woodland 0.000 0 0 Totals for 2007: General Property 8.954 1,900 0 1,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 \~ MAP OF SURVEY PREPARED FOR DAVID STEEL 1699150TH STREET ~ ~ ~ \\ LOCATED IN PART OF THE FRACTIONAL NEw RICHMOND, w soon ~ ~ \ \ SW1 /4 OF THE SW1 /4 OF SECTION 6, T30N, ~ \ R17W, TOWN OF ERIN PRAIRIE, ST. CROIX COUNTY, WISCONSIN. SS? \ SURVEYOR S \ \ EDWIN C FLANUM NORTHLAND RV \ f? e'er \ \ \ 8 ST' EYIN SU P O BOX 152 G, INC. \ ,3 . \ s ` ~ . . AMERY, WI 5x001 \ . \ \ \ \ \ \ \ THE PURPOSE OF THIS SURVEY IS TO \ \ \ \ IDENTIFY THE FLOODPLAIN ELEVATION \ \ \ AND THE AREA OF THE PARCEL AE30VE \ ~ \ THE FLOODPLAIN ELEVATION. N N~ \ \i \ ~ \ LEGEND r, \ ` \ ~N \ \`~ in ~ z \~ \ \ \ ~ 'I"O. D. IRON PIPE FOUND m F w ~ ~ q2Q \wN ~ \ \ ® LATH SET (r'v 100 YEAR FLOOD ELEVATION OF 983. F \ 1T \~ ~ 61 zz 9 \ I \ G \~(p \ G X 982.8 SPO7 ELEVATION Zm \Q' ~ \~ \ \ ~/'\ \~ \ wo \ \ ~ ¢z \ \ \ a ~ ~ \ ~ z ~ 1 \ 1 w~ 1 1 ~ a1 U 1 ` 1 I IN 1 IW 1 1 1 1 P4RCEL 4 ~ w 1 1 1 `N 8.95 ACRES TO MEANDER LINE 1 1 Im APPROXIMATELY 10.1 ACRES 1(r1 1 1 TO WATERS EDGE ~ 1 O 1 I ~ 1 {~ ' 1 ~ ~ N 1 I \ > 2 1 1~ \ ~ 1 lV O \ \ \~ ~ x saz a V \ \ 9fit5 X \ Sto~ \ O \\r~~8 \~ \~ NT~O 983~ Z ~\ ~ ~V ~ X981.0 VOpO ~ ,Q' Y2)j ~ a ~S% ` i ( \ ~ \ 1 \ ~~/ 1 \\ \\ 1 X 988. I 1 X 386.1 X 988.1 X 987 0 1 1 983.0 42 ACRES ABOVE THE ROOD ELEVATION sax o x ~ 983.0 X 98nb (Q X 986.4 38J-0 N W M 3 T Op <F~q TiON RONp OF / /p X 992.6 X 993.9 .. 9 E ~ 6g32 r T A ''A v! X 995 0 5 \ ` ~ 2~ O TOpo W I O F!F~ F,, ~ Q~ ~3~~ AT~oNR9NpiaF SCALE IN FEET 1" = 100' W ~,h ~~ ~'°" 9~'° o t ~ ~s~%~ ~ ,oo o ,oo NI \ \~ ZII ~ ~~ A Oj T I I \ THIS INSTRUMENT DRAFTED BV MICHAEL ERICKSON JOB NO. 08-J8 DATE 5-6-OB Chamber SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Soil Absorption Systems David Steel Owner's Name DY or N Highly Pretreated Effluent 3 ft Suitable Soil Below System , 12 in Chamber/Unit Height2 8 ft Maximum Bury Depth s 450 gpd Estimated Daily Peak Flow 0.70 gpd/ft1 In-situ Wastewater Infiltration Rate 93.30 ft Proposed SAS Elevation 7/22/2008 Review Date Ezflow EZ1203HP & EZ102H I ~ 642.86 ft1 Chamber/Unit Area 50.00 EISA ft2 /Unit 13 # of Chambers/Units 26.50 Bottom Area ft1 /Unit Soil Surface Acceptable Finished Grade EL a (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 95.30 102.30 1 96.30 100 90.97 95.30 Yes 2 96.30 100 90.97 95.30 Yes 3 93.00 100 87.67 92.00 No Fill required 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is equivalent to top of aggregate. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Version 4.0 (04/03) Private On-Site Wastewater Treatment System (POWYS) Indez & Title Sheet Owner: ~;d.u~ S~w~ Project Name and System Type: Lm,d rl Location: Street Address Legal Description Township/County Contents: Page 1: Sanita~ Permit Application Page 2: Plot Plan Page 3: Soil Test Page 5: Septic Tank Maintenance Agreement Page 6: Warrant Page 7: FOWTS Owner's Manual Management Plan Page Sc POWYS Owner's Manual Management Plan Page 9: POWYS Qwner's Manual Management Plan Page 10: Certified Survey Map Page 11: Copy of House Plans Attachments: Plumber/Designer: Mike Rogers Signed: ~~...._----- Credential Number: 225094 Date: i2 Q^ POWTS OWNER'S MANUAL MANAGEMENT PLAN l)L`QT/~1V ~rr~nr ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soo Absorption Tienches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -10570-P (8.6/99) "At Grade Component Manual Using Pressure Distn'bution" O SBD --10567 P (8.6199) "In GrouadAbsorption Component Manual" SBD -10705-=P (N.Ol/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" d-SBD -10656.-~" (N.6/99) "Split Bed Recirculating Sand Filter System Component ManuaN' p SBD -1ft593~ (R~'99)~`~vtomnd~Component Manual" p SBD -10691 P (N.Ol/01) "Mound Component Manual" Version 2.0 ^ SBD -14553-P (8.6/99) "Single Pass Sand Filter Component Manual" E7 SBD -14657-P (8,.6!99) "Drip-line Bffluent Disposal Component Manual" p SBD -14573-P (R 6/99) "Pressnre I)istn'but2on Component Manual" ^ SBD -10706-P (NOI/01) "pressure Distribution Component Manual" Version 2.0 Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units rr,~aurtx~vtuvc:ts MONITORING SCHEDU LE Service Event Service 13requeney Inspect condttion of tank(s) At least once every ^ months year(s) (Maximum 3 yrs ) Pum out contents of s P ~() . ~ combm s udge and scum eq one-third (1/3) of tank vohune Inspect cell s) !cane nt It At Least once every ^ mon year(s) (Maximum 3 yrs.). :ce . er Inspect pum , controls & alarm At-least.onceevery At leash once every' [~mon s ^ months .year(s) years ^ NA Fh~sh aterals an -pressure test At east once every ^ months ^ q s) A Valves At least once every Q months ^ y s) Other: At least once every D months '.^ year(s) NA Page of System startup shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the. operatic and maintenance of the POWTS and submission of required reports: The quantity and quality of the wastewater stream wiil affect the performance and longevity of your POW'TS. The installation of water-saving appliances and fixtu~ along with pnampt repair of leaks reduces the wastewater volume. Also the brine or waste.=from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic sh~ength wastewater, however the disposal of'food based greases and oils, vegetablelfruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paperthat should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicaks such as petroleum products, paint, disinfectants, pesticides, antibiotic, solvents, etc., should not be flushed into the system. as they can seriously damage. your POWTS and contaminate your drinking water supply Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. FII~E INFORMATION f?wner ,~ S ,~~ Permit DESIGN PARAMETERS- C:I Mound, At-Grade, In-Ground'Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than. 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Thepressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be'fhished at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure chat equal distribution of efluent is occurring to promote the longevity of the system. R1;I"ORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83..33, Wisconsin Administrative Code. - All piping to tanks anti pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - Afterpumping, all tanks and pits shall be eicavated and removed or their covers. removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant rep cent system: C~ 'Thsuitable replacement area has been-evaluated and may be utilized for the location of a replacement soil absorption system. e replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from. existing and proposed structure, lot Imes and wells. Failure to protect the replacement area will result in the needfor a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement azea will result in the .need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect. at that time. ^ A suitable replacement area is not availabledue to setback and/or soil limitations. Barring advances in POWTS technology a holding tank maybe installed as a last resort to replace the failed POWTS. © The site:has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation mustbe performedto locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a-last resort to replace the failed POWTS. Mound and at-grade. oil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» ~ . SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC,-PUMP OR OTHER TREATMENT TANK UNDER ANY CIItCUMSTANCES. DEATH MAY RESULT. RE.SCIJE OF A PERSON FROM THE IINTERIOR OF A TANK MAY BE DIFFICULT OR IIVIPOSSIBLE. ADDITIONAL COMMENTS PUWTS STALL POWTS MAINTAINER Name.. y ~ K Name Phone / Phone SEPTAGE S YICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency 5 Phone Phone. IK:\WPDATA1EH~i'OWTS OWNER'S MAIVUAL.doc Page ~ of ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ,O.QWNER~~SH-IP CERTIFICATION FORM Owner/Buyer ~~ u ~ '~` ~° ' ~~~ Mailing Address ~ ~ ~ ~ ~/~~~ S ~ Property Address ~`~ (Verification required f om Planning & Zoning Department for new construction.) n ' p /~ /" City/State i l~J 11, ~j l~ c7~ cfi ~~ Parcel Identification Number Q ~ '~ ` ~ d ~ ~ ~ ~d " 3Q a LEGAL DESCRIPTION Property Location > ~ t/a , S w'/a ,Sec. ~_, T ~_N R~~V,}Town of ~~ ~ ~/`C(i l ~ e. Subdivision __ /I ~- Certified Survey Map # Lot #~` .. Volume ,Page # Warranty Deed # g ~ ~ 7 d ~ ;Volume ,Page # Spec house yes no Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you. put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~- :. .. SIG TURE OF APPLICANT(S) ~i~~~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) Document Number State Bar of Wisconsin Form 11-2003 LAND CONTRACT (TO BE USED FOR NON-CONSUMER ACT TRANSACTIONS) Document Name CONTRACT, by and between Shannon M. Mattison, ("Vendor," whether one or more), and Dave Steel, ("Purchaser," whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this Contract by Purchaser, the following real estate, together with the rents, profits, fixtures and other appurtenant interests ("Property"), in St. Croix County, State of Wisconsin: Part of the SW 1/4 SW 1/4 of Sec. 6-T30N-R17W, described as follows: Commencing at the southwest corner of Section 6; thence N00°W 535.32 feet on said west line to the Northerly right-of--way of County Road CrG and the point of beginning; thence continuing N00° W 1210 feet along said west line to the meander line of Willow River; thence S53°E128.36 feet; thence S27°E 324.84 feet; thence S 14°E 356.96 feet; thence S44°E 178.20 feet; thence S 11 °W 539.26 feet to the Northerly right-of--way of County Road GG; thence N65 °W 377.70 feet along said Northerly right of way to the point of beginning. ~iiiNNiiu~iiiii iiiii ii ... ' '876481 -. . ~~,THL~~t~ P. UTALSN I~7EGI(3~[TjrL}~~,S~P DPE~S LANC SG~(~R~CT ~tEYPi ~ RED ~Ec: i~,~~G PAGES: Recording Area N e and Return Address ~`Ue~..- ~~~ c~jrr2.~(c ~~ ~ ~~17 012-1017-50-300 Parcel Identification Number (PIN) This IS nOt homestead property. (is) (is not) This IS a purchase money mortgage. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at place vendor directs the sum of $40,000.00 in the following manner: (a) $0.00 at the execution of this Contract; and (b) the balance of $40,000.00, together with interest from the date hereof on the balance outstanding from time to tithe at the rate of 4 % per annum until paid in full as follows: Commencing June 1, 2008 and on the ls` day of each and every month thereafter, monthly payments of principal and interest in the amount of $600.00, provided the entire outstanding balance shall be paid in full on or before September 1, 2014 ("Maturity Date"). Payments shall be applied first to interest on tlae unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS- IF NO OPTION IS CHOSEN. OPTION A SHALL APPLY: ~ A. Any a-nount may be prepaid without premium or fee upon principal at any time. ^ B. Any amount may be prepaid without premium or fee upon principal at any time after . ^ C. There may be no prepayment of principal without written permission of Vendor. State Bar Form 1 1-Page I O 2003 STATE BAR OF WISCONSIN W1/4 CORNER -~~yya~ ESTABLISHED FROM ST. CROIX A/~~~ ®C ~ ~ ~~~ SECTION 6 ~ "I' COUNN COORDINATE. ~~! r ~ ~ ° LOCATED IN PART OF THE FRACTIONAL W I SW1/4 OF THE SWi/4 OF SECTION 6, T30N, gJ~ R17W, TOWN OF ERIN PRAIRIE, ST. CROIX ~, COUNTY, WISCONSIN. PREPARED FOR S `s2~ `~ `` DAVID STEEL 1699 150TH STREET j S8• ~ .~~e Q_~ NEW RICHMOND, WI 54017 ~~~5~ SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, INC. P.O. BOX 152 AMERY, WI 54001 ,11111111/,, ~`~5~0lVg~N,,, ,, {T f' ~` EDWIN O. 1 a i FLANUM _ I S-2487 j _ AMERY, ~'•... WISCONSIN;O~/, / / '~ ~ 3UR`I~ `~ ~ ll,l,l „, ~ o ~~r° ~' _I w~ ~~ o o~ W QQ Z Z wp LL Q ~ U W az ~o ~ U Z_ ¢O m U r~ O O O r !y T tV O r m O to `~ ~a ~ ~ ~ ~ o ~ `~ ! ~~ `~ ~ ~~ ~` ~ ~ ~a, ~~ ~~ ~\wa Om9 ~` ~ G 2~ ~~` \~~ ~\ ~`~~ ~\ ` o ~~ ~~ ~ ~ ~ ~ ~ ~ \\ ~\ !, ~, 1, yrQ 1~ \~ ,w 'N ~m ,w ~~ ~ PARCEL 4 8.95 ACRES TO MEANDER LINE APPROXIMATELY 10.1 ACRES TO WATER'S EDGE X 981.01i/_ FVOpO mil' ~ ' ~~~~ X 886.1 m `O X 986.4 m M 4.2 ACRES ABOVE THE FLOOD ELEVATION q~~'groN Ro~ /pF x ss2.s 3 \2l ~~ 11 `~ Q1 962.6 981.5 X , g8g ~E.IP~1o _ '~,_ ~~~' `~ `,\ X 988.1 X 988.1 X 987.0 THE PURPOSE OF THIS SURVEY IS TO IDENTIFY THE FLOODPLAIN ELEVATION AND THE AREA OF THE PARCEL ABOVE THE FLOODPLAIN ELEVATION. LEGEND • 2" O.D. IRON PIPE FOUND ~ 1" O.D. IRON PIPE FOUND ® LATH SET @ 100 YEAR FLOOD ELEVATION OF 983. X 982.8 SPOT ELEVATION 0 314" X 18" STEEL REBAT SET, WEIGHING 1.50 LBS PER LINEAR FOOT. ,\ '~, j~~j~ ~`\`~O ~~ ~$ 0 N 1 964.0 X i \ X 984.6 \~~`C (p ~ 963.0 ~~ N ® Y/ S • s X 993.9 N ^i N ,- *. PROPOSED (~ -~ BUILDING ~,\ J 995.0 X \ ~ •Y s' ~ I ; ~- I °zl~ ~ 00~ Toa ~ ~'~/ F~~q /o~go S \ ~ Nplpe ~ ,, ~~ -,~ ` ' IrilNil SW CORNER 1 ~ ~ ~ ~ ~ \'~ ~ SECTION 6 ~ • ~ SCALE IN FEET 1" = 100' 100 O y00 ~ THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. OS-36 DATE 5-6-08 REVISED 6-10-OB