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012-1045-50-000
Sti Cron County Planning and Zonin Wednesday,Septernber28,2O05at1O:04:26AM Detail Sanitary Information Page 10/'1 Computer #: 012-1045-50.000 SublPlat: 40 acres Section: 20 Parcel #: 20.30.17.301A Lot: TNlRNG: T30N R17W Municipality: Edn Prairie, Town of CSM: 114114: NE 114 NE 114 Owner: Brockpahler, Stephen 1691 County Road G New Richmond, WI 54017 State Permit: 430347 Issued: 0911812003 POWTS Dispersal: Non-Pressudzed In-ground Permit: New County Permit: 0 Installed: 1010712003 POWTS Detail: Bio Diffuser (11") (PSA) Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Reouirements Additional Notes Monev Owed Pam Quinn >411100 -Required due Utgard, Brady Paid $50 on 4115104 -Check #11863 Kroll's. Paid $0.00 $10 on 9113105 with check #8079. Submitted Signed Off: Yes revised application for combo tank and pump chamber x-section with pump curve for Goulds EP05 Verified new house plans fora 3 bedroom sizing. Brady installed smaller system in same tested area using lower elevation at 63, but had to use a dose tank and pump plus 320 ft. of forcemain to get wastewater to system. Maintenance Scheduled Pump Date Pumoed 1st Notification 2nd Notification 3rd Notification 1 om2oos -------------------------------------------- Parcel #: 012-1045-50-000 09/28/2005 09:57 AM PAGE 1 OF 1 Alt. Parcel #: 20.30.17.301A 012 -TOWN OF ERIN PRAIRIE Current 'X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Use Value Assessment Valuations: Last Changed: 06/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 32.410 4,200 0 4,200 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 5.000 9,000 180,900 189,900 NO Tax Address: Owner(s): O =Current Owner, C =Current Co-owner STEPHEN M & CAROLYN E BROCKPAHLER O - BROCKPAHLER, STEPHEN M & CAROLYN E 1691 CTY RD G NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1691 CTY RD G SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 38.410 Plat: N/A-NOT AVAILABLE SEC 20 T30N R17W 38.13A NE NE EXC PARCEL Block/Condo Bldg: IN NE CORNER 266FTN&SX306FTE&W Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1170/479 PR 07/23/1997 594/493 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Totals for 2005: General Property 38.410 13,300 180,900 194,200 Woodland 0.000 0 0 Totals for 2004: General Property 38.410 13,300 180,900 194,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 208 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 012-1045-70-000 09/28/2005 09:58 AM PAGE 1 OF 1 Alt. Parcel #: 20.30.17.302 012 -TOWN OF ERIN PRAIRIE Current C1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current CaOwner O - BROCKPAHLER, STEPHEN M & CAROLYN E STEPHEN M & CAROLYN E BROCKPAHLER 1691 CTY RD G NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): • =Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 20 T30N R17W NW NE 40AC Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1170/479 PR 07/23/1997 594/493 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 39.000 4,600 0 4,600 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2005: General Property 40.000 4,700 0 4,700 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 4,700 0 4,700 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 Total 0.00 0.00 0.00 Safety and uildi~ ~® ` my ~ ~7, ~ ~ ` 201 W. Washin on Av 8.; :- ,~~~~~,~ Madison, 153707 - 7162 Sa itary Permit Number (to be filled in by Co.) (6 ' 266($1, ~ 30 3 Department of Commerce ,,l ~ / Sanitary Permit Applie 'o>~~ Ian LD. Number Ste P In accord with Comm 83.21, Wis. Adm. Code, personal info atio ~~ C NT ~ ili dd if iff h may be used for secondary purposes Privacy Law, sl ng a ress) erent t an ma roject Address ( d I. Application Information -Please Print All Information 50 ~ ~~1 / / ` Property O er's Nam Parcel # Lot # Block # 3 ~- Property Owne Mailing Address erty Location Prop t: r l Section /" ~ %. ~'/. City, State ~ Zip Co de r Phone Numbe , , U ,~T 6 j/ / C,/ ~ ~~,~ a7CO S(~/fO T~N, R~Eoe/~, j) L % e of Building (check all that apply) T Q . yp . 3 ,~ /7 C CSM Number Subdivision Name / ~1 or 2 Family Dwelling -Number of Bedrooms / ~ blic/Commercial -Describe Us ^ P u ,rte.. ^ State Owned -Describe Use I/ ' ~. ity_ ~~ To ship of III. Type of Permit: (Check only one box on line A. Complete line B ifapplicable) - o Q '4' New System ^ Re lacement S stem p y ^ Treatment/Holdin Tank Re lacement Onl g p Y ^ Otlter Modification to Existin S stem g Y B• ^ Permit Renewal ~ennit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner ~ 1 ~ ~t` ~/ v _ o ~ 7 IV. T e of POWTS S stem: Check all that a I Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s~ Dispersal Area Proposed (sf) Sy~tercl Elevat~n~ ~ ~ / sb - t ~~ . VI. Tank Info Capacity i Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic nr Holding Tank ~ --- ~QO~ / i .. /I~-~-^'~~ ~ Aerobic Treatment Unit Dosing Chamber O_~ ~ / VII. Responsibility Statement- I, the undersigned, assume responsibility for in Ilation of the POWTS s own on the atUtched plans. Plumbe Name (P int) Plum 's n ure _. PRS Number aG ~s Business Phone Number ~,s_ . ~d ~ ~ ~ Plum is Addr (Street, City, fate, Zip ) ~ ,v ~v_ ~~- ~Ya® VIII. Count /De artment Use Onl ^ Approved ^ Disapproved Sanitary Pennit Fee (includes Gr ndwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ^ O wner Given Reason for Denial n/ / iX. Co~cCt~C /~ oval~R~e~sons~~roval G(fQ~~~~~A~ ~-a ~~~ i t ~~~ ~~~ O yj(~.C/ ,,/~- ? / )~~ ~J ~G~ 7 2~ ..eG~.a~ ~~ ~~t`~~,d~.e.. ~ ~ ~ " (~u7~ S~~r 'k~"_ f~ZC , vv~. ~~- ~~~ ~ Cry, ~?.d la-, a~d '~-~~ ~h~~ , s ,S lei d aa~ t Attnlh complete plena (to the CQ~nty only) for the system on paper not less man aut x u ~ocnes m sru SBD-6398 (R. 01/03) ~ ~ ~ f ~ d ;~ , o ~ © ~ ~ ~ lj ~~ ~ ( ~( " ~, n v I O j d -. C v\ ~` ~ 1 ~. ~~ ~~ ~ c r ~~ ~~ ~~ ,~ ~ ~~~~ - _-••• ~.:~,o~K c_KOSS SECTION AND SPECIFICATIONS 4" CI VENT PZPE TS' FROH DOOR. 12" HTN. A80VE GRADC E WINDOW OR veATHER PROOF FRESH AIR INTAKE JUNCTION BOX WITH CONDUIT APPROVE FINISHED GRADE V^ CZ RISER HANHOLE W/ PADL 6" !lIN. WARNING -- AnOV E G AD E --~: -~ :s.- ~ ~~ „. 18" IN. _ 6" HAX. .... - A INLET '""' ~~ ~ ° ~~ ' ~ ~~ wATCR TIGHT SEALS ~ GAS- ' • y„ T TIGHTS CI PIPE BAFFLE ~ A SEAL ~ ~ 3' ONTO ~-' ~ • L,y SOLID -F ' ON SOIL C PUHP OFF ELLV . ~_,E•T. ,~ ~ 0 FFI D 3" APPROVED BEDDING UNDER TANK SEPTIC / DOSE SPECIFICATIONS !'AN1C !~lANUFACTUR ER : j~ ~ ,,_., - ... 'rnNK S2 ZrS ; SePTIC f'G~ GAL. DOSE c(a___p _ GA L . aURH ~: HANUFAC'~RER: Q ~ ~ ~~ NODEL NUNSER , , , , SWITCH TYPE: _ ~...,,.,4y; PUMP HANUFACTUR ER : (j-- xODFL NUMBER ~ SWITCH TYPE: t REQUIR ED DISCHARGE R ATE ~ GpH •~ APPR OY EO JOINTS ~ PIPE 3' SOLID SO •~ RISER PFRxITTr; IF TANK ~NUPACTI HAS APPRi CONCRETE PAD NUMBER DOSES PER DAY: 3 DOSE YOLUlsF INCLUDING • F LOiJBAC K : p_ ~ GAL . CAPAC ITZ ES : A : ~L31 NCHES = ~ 7 '°~'.~• ~ B = _>` INCHES = 3 , ~, C /1~g~INCHES = ~,~ D ~ INCHES = ~~( --~_ PUKP E ALARH WIRING AS PER ILHR 16.23 YGtTICAL DIFFEReNCE BETWEEN PUHP OFF AND DISTRIBUTION prp • MINIPfUH NETWORK SUPPLY PRFSSURE • ~a,D FEET FORCBiAIN X j, J~ FT/ 100 F e 'i-L=s-~£ET _~_ ~r FEET T.-FRICTION FACTOR . TOTAL DYNAMIC HFAp _ ' /~~ F£ET INTERNAL OIHENSiONS OF PUMP TANK: LFN -as'.~~F£eT GTH ; GIIOTH DiaMETER LIQUID DEPTH ~u r ~ IGNED: _- ' .i LZCFN3E NUMBER : j ~~/0 y, B n •w~w. ! ~GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '/<" maximum, • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastamers, • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: •EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. •EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 S1TW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- maticmodels include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic semi-open design with pump out vanes for mechanical seal protection. METERS FEET 10 9 3( 8 z~ o ~ Q w x v_ 6 2C a ~ s o is J 4 0 ~ 3 10 z 1 1' S 0 00 0 2003 Goulds Pumps f Effective July, 2003 63871 Submersible Effluent Pump ., EP04 & EP05 Series ^ EP05 Impeller; Thermoplas~ tic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water.resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SA, Canadian Standards Assodation ,_ File # LR38549 Goulds Pumps is ISO 9001 Registered. 6 8 10 12 m~/h CAPACITY Goulds Pumps ITT Industries o z a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division .INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Brock ahler, Ste hen Erin Prairie Townshi CST BM Elev: Insp. BM Elev: BM Descri n: /~, ~TJ~ ~ ~~ - o o- v ,~ TANK INFORMATION ]~Jrff(! ~/'h~'wt9,.Q.~''ro ~ K~ ELEVATION DATA TYPE MANUF TY Septic /O ~ Dosing Aeration 2 L~ ~ ~ __/ • r /„ ! L Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. V~Air Intake ROAD Septic /~ i l ~ ~~ ~ , ~,pi ''_ ~ "' Dosing ~ Y' I ~ ~ Aeration Holding PUMP/SIPHON INFORMATION ~~ ~ _ Manufacturer _._, / Demand Number TDH Lift ,~ Friction L j~ 3R Ford Lengt ~ Dia. /, SOIL ABSORPTION SYSTEM GPM Z`~ )H Ft ,~,/, 22 to County: St. CroiX Sanitary Permit No: 430347 0 State Plan ID No: Parcel Tax No: 012-1045-50-000 Section/Town/Range/Map No: 20.30.17.301 a STATION BS HI FS ELEV. Benchmark ~~- ~ ; /a/ i~o. v ST.G~v ,y Bldg ewer 7 ~O St/Ht Inlet ..~ / 31 7 Y!~ St/Ht Outlet i Dt I le~ ~-,~y~, ~I t Header/Man, q a 1 _`•~ ~ _~ ~ "cS Dist. Pip ,Z ~~- Bot. Syst :-w y ~ ~ 3 St over ~ / .(~ . b> ~i Z ~~ 101.2 l 2 _v ~. Z `~P• 3 t.~f BED/TRENCH Width / ~ Len 1 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ I ~ SETBACK SYSTEM TO P/L BLDG ELL LAKE/STREA LEACHING rer ~ . ar INFORMATION CHAMBER OR ~~ Cti/ Type Of System: 30/ C ~ l ~ UNIT Model Number: DI5TRI6UTIVN 5Y5TEM _ C{-(,r~~.. I ('-.w ( ~ '-- Head Manifold ~ d ~ Distribution v Pipe(s) , In ~ (,Q~J / ~ x Hole Size x Hole Spac' Length Dia Lengt Dia pacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv C Vent to Air Intake s. Depth Over f ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ] , (~ Bed/Trench Edges Topsoil r] Yes ~ No 0 Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/ Inspection #2: / / Location: 1691 County Road G New Richmond, W 54017 (NE 4 NE 1/4 20 T30N R17W) 40 acres Lot Parcel No: 20.30.17_301a 1.) Alt BM Description = ST'Ct1 vim/ -~ 2.) Bldg sewer length = Z'~ / C',v`,~ ~,2_ ~i~~~./ ~~~ ~/Qr~,t~ -amount of cover =~ 2 r ~~ ~,~~~~ ~-- ~ ~ b G~ 7 a-c~ .S ~ ~j bc- 1r"~"'^-• --rte --- -- . - ----- --- ~~- _ - --- ----,: Plan revision Required? J Yes ^ No /,y ~ p 0 ~ I G~~~~ Use other side for additio I in rmation. __.___ SBD-6710 (R.3/97) ^ Date Ipse ctor's Signat re Cert. No. V // ~/L.~~-. -.""'~ ~. ~~~ ~ ~~ ~, of ~. ~ ~~~'°.' ~~ -ti.-~p ms's . ~~ I ` Safety and Buildings Division County ~ ` - m 201 W. Washington Ave., P.O. Box 7082 ~seons~n Madison, WI 53707 - 7082 Sanitary Permit Number (to be fillod in by Co.) De artment of Commerce (608) 261546 ~ ~ Sanitary Permit A ~ ~ ~ ~ ~ lication " lan 1. • Number pp In accord with Comm 83.21, Wis. Adm. Cod e, personal information you prpvide { '~-~ may be used for secondary Purposes Privacy Law, s 15.04(1 xm) .; ; ,, ~ ~ Addr s (if different than mailing address) ~ i. Application Information -Please Print All Information 2 ~ /~~- Property Owner's me ~ _ P `"'1 # La t # Block # , Property er's Mailing Address / P ro per ty Loca t i on ^/ ~ / G 1 ~ F / ~ ~ ' ' ~ City, State Zi C d h ti Section L ` ~ti • p o e P one Number / ~! ~~ ' `s i (circle T ~ ~ ~ II. Type of Building (check all that apply) L~, f~2r e~ rf,A, ~ ; lil E o 1 of 2 Family Dwelling - Number of Bedrooms f tbdivision Name CSM Number ^ PublidCotrttnercial-Describe Use ^ State Owned -Describe Use ^City Vill~gej~To ip of ~ IIL T ype of Permit: (Check only one box on line A. Complete line B if applicable) p -_ Q ~' _ ~ G A' ll~l New S tem ys ^ Replacement System ^ TreatmenUHolding 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. of POWTS S 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 ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter thing Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) ~ a® Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) DispersajArea Pro osed (sf) System Elevatio ~ ~ ~- ~.o ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Ste Steel Fiber Pla •c Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~ /~sO Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for i Ration of the POWTS shown on the attached plans. Plumber's Natne (Print) Plum 's atu /MPRS Number Business Phone Number ~ aa~ .~ pis-~~ q Plu ber's Address (Street, City, State, ip Code) /' , ~s-'C-~ VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit F includes Groundwater Date Issued I su' Agent Signature Stamps) ^ Owner Given Reason for Denial Surcharge Fee) ~A ~ ,u f~.~.,.~ ' u GWJ t IX. Conditions of ApprovaUReasons for Disapproval 3~ SYSTEM OWNER: c~~ . 1 Septic tank, effluent fllt®r and ~ ~~S~Q S~ ~- ~'t!b dispersal cell must all b~ gerviced /maintained 0~- /~, - _ ` a S rp ~5 S~ as per management plan provided by plumbef. 1'~ ` b°u ?~ 2. All setback requirements must be maintained ~S w; (~ as per applicable code/ordinances. µ' n ~~ ~C Attach eompkte plans (to tke Coaaty oaly) to~he system saa ptR~ , • "^kss (haa 8I/2e t~ ~ tC~ r9'N CJr"~~- ~~ \ ~O IYt'J iv'a r SBD-6398 (R. 08/02) 1rwQR.SS Q~. ~ ~p~`tr~dw ~~ ~b~l ~-~~ s .~~~_~ ~ /~ a 0 `~STC-.~n ~ . ~ ~ ~bo,as' 7~~ ~ %~~p~ ~' = 0 a~~,,~-- {~ y ~"~ B~ ~~ ~ --~ ~, -!ba ~ ag ~~ 'ls}~ 9 ~ a5 0 lo~~ ~~~ i~~ ~~~ ~ ~. ~a ~~ ~~ ~~d ~~ ~. a.~ r ~a aa~3s ~P I~ a-~ ~~ ~ s ys~c--~ !. .~- ,. ~ 1~~ = /bc~ T~a~ a ~U,~- ~ y0 A ~ f~ a - Jbo,a 7~~ ~ / d~ I~~ N~ ~ f~ -l Da lag ia- ~a~a~r ~a~3s ~`P Wisconsin Department of Commerce Division of Safety and Buildings ~. a~. a 1y~ SOIL EVALUATION REPORT in ~cenrrhnrp wi4h r:nmm R5 Wis Arlm Cnde 1334 P /~'D Page 1 of 3 /"1 Steel Soil Service County -- Attach complete site plan on paper not less than 8%: x 11 inches in s¢e. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 012-1045-50-000 Please print all information. iewed By ate Personal information you provide may be used far secondary purposes (Privacy l.aw, s. 15.04 (1) (m)). • p~ ~ ~ 6 Property Owner Property Location Brockpahler, Stephen Govt. Lot na NE 1/4 NE 1 /4 S 20 T 30 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1691 Cty Rd G na na 40 Acres City State Zip Code Phone Number ~ City f Village ~ Town Nearest Road New Richmond ~ WI 54017 715-246-5696 Erin Prairie Cty Hwy G 1/ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate Replacement Public or commercial -Describe: Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable General comments and recommendations: System elevation 92.25tt, trenches spaced and depth to code 6.OOtt below grade. pw 450 r ~- GPD na ~Z ~- Boring # J Boring ~/J Pit Ground Surface elev. 98.25 ft. Depth to limiting factor 110 in. Soil Application 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 0-8 10yr3/4 none sil 2msbk mfr gw 1f .5 .8 2 8-49 7.5yr4/4 none scl 2msbk mfr gw 1vf .4 .6 3 49-58 7.5yr4/6 none sl/Is 2msbk mfr gw na .5 .9 4 58-110 7.5yr4/6 none Is/ms osg mvfr na na .7 1.2 u~ q2. Z~~ '~-2 QQ Boring # J Boring /~ Pit Ground Surface elev. 98.25 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Textun; Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff;l«2 1 0-8 10yr3/4 none sil 2msbk mfr gw 1f .5 .8 2 8-16 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 16-72 .5yr4/4 none scl 2msbk mfr gw na .4 .6 4 72- 0 tl /6 none Is osg mvfr na na .7 1.2 ~ -- ~ (fir-u>p~ '~ ~~ w d9o- ~ ~ ~. ~ Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/Land T55 < 30 mg/L CST Name (Please Print) Signature ~ CST Number David J. Steel ~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 7/10/2003 715-246-5085 3 /) ~5a LS r. Property owner Brockpahler, Stephen Parcel ID # 012-1045-50-000 Page 2 of 3 Boring # --~ Boring Pit Ground Surface elev. 96.35 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Colar Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/4 none sil 2msbk mfr gw 1f .5 .8 2 11-23 10yr4/4 none sicl 2msbk mfr gw 1f .4 .ti 3 23-44 7.5yr4/4 none scl 2msbk mfr gw na .4 .ti 44-110 7.5yr4/t3 non Is/ms osg ml na na .7 1.2 ti ~Z ~ Z ~,~ ` ~ f' g. ~ to D 3' ^ Boring # .-j Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ^ Boring # J Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mglL * 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM Stephen Brockpahler New Richmond,WI 54017 L1C. #248956 NE1/4,NE1/4,S20,T30N,R17W Bus.(715) 246-6200 Town of Erin Prairie, St.Croix Co. Fax (715) 246-9372 40 Acres Legend 1" = 40' • Benchmark Ele. 100.00Ft .--_ J ~ ~ ~ T of 1/2" PVC pipe =Alt Benchmark Ele. 100.25ft ~ ~ .~~ ~/' Top of 1/2"PVC pipe ~' ^ =Borings Boring Elevations ~-eP ~' ~ S ~~~ B 1 = 98.25Ft B2 = 98.25Ft B3 = 96.35ft B4 = OO.OOft 6S~ ~ ~~~ /~ff~ /`~ en C1 ~~ ~ ~~~ '~Zi q5~ ~~ -~ ~ ~~S ~~ 2 ~ cC /~ e tr~ Z ~~98.z~f~ cc., gS. ~s~,~ ~ ~,~.. ~% `~ /a o3 POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION Owner Permit # ~~ DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units ^ NA Estimated flow (average) Q© al/day Design flow (peak), (Estimated x 1.5) ~ ~ gal/da Soil Application Rate v gal/day/ftZ Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) <_220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) <_30 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform (geometric mean) <_104 cfu/100m1 Maximum Effluent Particle Size YB in dia. ^ NA Other: ^ NA *Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Page I of Z Septic Tank Capacity f aS0 al ^ NA Septic Tank Manufacturer ~ ^ NA Effluent Filter Manufacturer . ^ NA Effluent Filter Model ~ ^ NA Pump Tank Capacity al ^ NA Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model ~ ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Cellls) In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA iueiNrFnrear•_F cr_NFntii t= Service Event Service Frequency Inspect condition of tankls) At least once every: ^monthls) (Maximum 3 years) ~ earls) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third IY31 of tank volume ^ NA Inspect dispersal cellls) At least once every: ^monthls) (Maximum 3 years) (~ ~ year(s) ^ NA Clean effluent filter At least once every: ^monthls) . yearls) ^ NA Ins ect um ,pump controls & alarm P P P At least once eve ry~ monthls) ^yearls) ^ NA Flush laterals and pressure test At least once every: ~ ea~~s~ls) Y ^ NA Other: At least once every: ^monthls) ^yearls) ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cellls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for~the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and 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. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another 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 replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area 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 available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T alua ' g ~~ ~ 1?~ ~Gi21J~1~/ ~NS7RCl~T1.D~lank b e ai a fZD+~18 ^ Mound and at-grade soil 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 CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name Phone _ b < /S POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name ST. C l i:7V ~ ZD~l~CI Phone '~/s- 3~{(p- (p (~ This document was drafted in compliance with chapter Comm 83.221211b11111d)&If) and 83.54111, 12- & 13), Wisconsin Administrative Code. Name Phone ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM OwaerBuyer ~ 1 L ~ f~t'~ ~ l' 7~20L~f >~ ~ ~'-~ .K P ~-cf (~~ Mailing Address ~,,,,~. ~ ~ ~`-l ~ ~_r 1~ f~ ~..=~Cc(-:m~n9~ C~.`~3' S~{O!~ Property Address ~ ~ mL m ~ go ~ C (Verification required from Planning Department for new construction) - City/State ~ ~ K~C tt~~~- J ~arcel Identification Number ~ (~~ 5~ _5 _ a CEO . ~i ~) ~,EGAL DESCRIPTION Property Location ~'/., ~'/,, Sec. ~ . T 3 - W, Town of -~ ~H~ aC1 ~ ~~-' Lot # Subdivision `` ~ 1 o~u+t C~ p-~ ne -. Certified Survey Map # ~• `~ ~ ~t ~J ,Volume G7"'-1 ~ ag Warranty Deed # ~S 7 1 Lf .Volume ~ y Page # I / Spec house ^ yes ~no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper 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. The property owner agrees to submit to St. Croix 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 wastewaterdisposal 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. Cmix County Zoning Office within 30 da of year a ti date. ~ .a SI OF APP ANT DATE OWNER CERTIFICATION I (we) 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. / / SIt3N OF AP ANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed DOCUMENT NO. - ~ •t~• i r a.: ~J F.~ .l ' ~ ... ~ STATE BAR OF WISCONSIN -FORM 11 LAND CONTRACT-Individual and Corporate ~n~ ; ~, ~•~ •~ ~~ THIS SPACE RESERVED FOR RECORDING DATA • . • ~; CONTRACT. by and between Arnold J. Brocknahl Pr' a _ sinctlP man • ("Vendor". whether one or more) and Stephen M Broekt~ahler and . Carolyn E. BrOCk,pahler, h IGhar,d anc3 wi fa a~ ~ni nt tenants _ ("Purchaser", whether one oc more). Vendor sells and agrees to convey to Purchaser, upon t-:e prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in St Croix Cotrnty, State of Wisconsin: EXEMPT ~~GIST~RS OFFi~I+ ST. CRC~IX CD., W 15. R©c'd. for Record tfi+r 3~_ n day of M:,~,v__----.A.0. e~ ?g 11 at 8 s 30 A , bA, - Regir~r v'i'DMtii - RETURN TO Tax Key No. The North Half of the Northeast Quarter (N2 of NEB) of Section Twenty (20), Township Thirty (30) North, Range Seventeen (17) West, EXCEPT a parcel of land in the Northeast Quarter of the Northeast Quarter (NEa of NEa) more particularly described as follows: Commencing at the center. of CTH "G" in the Northeast corner of said Section Twenty (20); thence West 266 feet; thence South 306 feet; thence East 266 feet; thence North to Point of Beginning, subject to highways and easements of record. This contract is executed solely for the purpose of correcting the description on a previous Land contract between the above parties, dated April 20, 1979, and recorded with the St. Croix County Register of Deeds on April 25, 1979, in Volume 592, .page 603, as Document No. 356422. Tlie terms, conditions and allocation are reaffirmed. This 1 S homestead property. (is) (is not) Purchaser agrees to purchase the Property, and to pay to Vendor at h1S place of residence , the sum of $ 5 /, 000.00 in the following manner: $ none at the execution of this Contract, and the balance of $ 57, 000. OQ_ together with interest from date hereof on such portions as remain from time to time unpaid, at the rate of 6 per cent per annum, until paid in full, as follows: Semi-annual installments of not less than $3,365.85, beginning on the , 15th day of September, 1979, and each April 15th and September 15th, thereafter, provided the entire purchase money and interest shall be fully paid within twelve (12) years from the date hereof. Purchaser, unless exr_<ised by Vendor, agrees to pay monthly to Vendor payments sufficient reasonably to anticipate the payment of taxes, special assessments, fire and required insurance premiums. To the extent received by Vendor, Vendor ~Krees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, :assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless nthcrwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount m:~y be prepaid without premium or fee upon principal et any time after Closing 19 (OR) there may be no prepayment of principal without permission of Vendor.* In the event of any prepayment, this contract shall not be treated es in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchases is satisfied with the title es shown by the title evidence submitted to Purchaser for examination except: Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract. it shall be rets~ined by Vendor until the full purchase price is paid. Purchaser shall be entitle to take possession of the Property on Aprll 20 19 79 . F Cross Out One. (To Be Used in Non-Consumer Act Transactions) ~•n CONTRACT-Individual end Corporate-STATE BAR OF WISCONSIN, FORM NO. 11-1977 . .l, ~, ._VOl t• c t ~~~, ~! ~; ~ ~ Purchaser promises to pay when dLe all faxes and assessments levied on the Property or upon Vendor's interest ~ it '~ and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by Eire, extended '~~ coverage perils and suc}r other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of sfull insurable Value but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies coveo- f ing the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and ~ Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. '~ Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: _rionE Purchaser agrees that time is of the essence and in case of default in the payment of any principal or interest when '~ due, or in the petformpgce of any of the conditions, covenants, or promises of Purchaser, and such default shall continue for a period of Efl days, then Vendor may, at Vendor's option, declare the contract at an end, all rights of the Purchaser under this agreement cancelled, and the amounts paid by Purchaser hereunder forfeited, the same to remain l Vendor's property as rental of said premises and as liquidated damages for the failure completely to fulfill this agreement; ~~ and Vendor shall forthwith and without notice have the right of re-entry; or, at the option of Vendor and without notice to ij Purchaser, notice being hereby expressly waived, the whole amount of unpaid principal shall be deemed to have become due ~, and payable; in case such option shall be exercised, the unpaid principal and interest together with all sums which may be I,; or have been paid by Vendor as herein authorized with interest on such disbursements at the rate aforesaid shall be collect- ~ ible in a suit at law, or by foreclosure of this contract in the same manner as if the whole of unpaid principal had been due i~ at the time when any such default occurred, and the indebtedness shall embrace, with unpaid principal and interest, all the sums so disbursed with interest as aforesaid. Incase of legal proceedings to enforce any remedy hereunder, whether abated or not, all expenses, including reasonablC attorney's fees, shall be added to the principal, become due as incurred, and in ~~ case of judgment shall be included thererr.. ,; Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the (I appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the ~I Property, d,~ring the pendency of such action, and such rents, issues, and profits when so collected shall be held and ~j applied as the cow t shall direct. ~, All terms of this Contract shalt be binding upon and inure to the benefits of the heirs, legal representatives, successors ~! and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse'of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) ii it Dated this __.._ _ 3 th ___. day of ___ May__ ____. _ _ l9 79 ~! ~~ ~ ;~ ~' ;r l~C (SEAL) ,, .. . Arnold~~. Brockpah er * Carolyn E. Brockpahler (SEAL) • __~_t~phen_N1~~~kR~hler_ AUTHENTICATION Signatures authenticated this day of 1 ~nQ_ ' / •\- Wm. W. Ward TITLE: MEMBER STATE BAR OF WISCONSIN (16ct>ttxx D43t-}47dI~t941?~ x~11d4cRfx ~11tit~c ~D@3taY. J This instrument was drafted 5y Reinstra & Van DYk, S.C. Attorneys at Law ~Ve~L_~i~hmond~ Wi 5401? (Signatures ma~• be authenticated or acknowledged. Both ..re nut necessary.) The usr of witnesses is optional. ACKNOWLEDGMENT STATE OF WISCONSIN ss. County Personally came before me, this day of the above named to me known to be the person_Svho executed the fore- going instrument and acknowledged the same. Notary Public My Commission is permanent date: ___ County, Wis. (If not, state expiration 19 .) • Names of persons signing in any capacity should be typed or printed below their signatures.