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HomeMy WebLinkAbout012-1056-80-000Wisconsin DepaRment 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 Zillmann, Loren Erin Prairie, Town of CST BM Elev: / 7~ Insp. BM Elev: BM Descpription: ~1 (~ ~ V ~~ `"~ / ~ ~~~ CS/GifiJ~ TANK INFORMATION ~ U ELEVATION D/fTA TYPE MANUFACTURER ~ /~ CAPACITY Septic , (,J ~ ems--- ~ /ac)c) Dosing CO+~.~Ob 0+~`~y ~ ~.x-.., ~J ~ ~- Holding TANK SETBACK INFORMATION TANK TO ~P/ WELL BLDG. Vent to Air Intake ROAD Septic 7 S Q 9C~ Z ~ / 33 ~ ._ Dosing G 7 ~J~ / ~ a / Z,~ t 3 Aeration ~.._._.._,.. _ .__.._._ ,_ Holding _-^ __, rumrf~lrrturv Irvruruvl~-I turv Manufacturer ~_ Demand ~v~ ~~ GPM Model Number ~~ Z `/ i ~' TDH Li~~14t FrictionLosG System~e~s ~ T Z~I ~~t Forcemain Len~t~~~ • Dia.Z ~ ~ Dist. to well ~~ ~ SOIL ABSORPTION SYSTEM County: St. Cr01,~C Sanitary Permit No: 499282 0 State Plan ID No: Parcel Tax No: 012-1056-80-000 Section/Town/Range/Map Nn: 26.30.17.39726 STATION BS HI FS ELEV. Benchmark (o . o /Qi6.~ /~~ ~ a Alt. BM ' ~y ,~ -~+ ,7 b , ~~ ~~ Bldg. Sewer /`d •7 4~. 1 St/Ht Inlet G ~(•~ 8$ • SUHt Outlet ~ Dt Inlet ~ ~ Dt Bottom $' ~, 7 Header/Man. ~, bs ~a ~ is Dist. Pipe ~.bs /D `f • ~s Bot. System y, l5 /a 3 .65 Final Grade bS ~~s .1S St Cove v J6' •.r q, /~. -~' BED/TRENCH DIMENSIONS Width ~ C Le gth / ~ No. Of Trenc es ~ PIT DIMENSIONS e No. Of Pits ~- Inside Dia. ~ Liquid Depth J , Co3 D U Ve .._ •.., ~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: ~ Type O System: 57 ~ J 7Z/ ~/~ /~--~ UNIT Model Number: ~. D J ~+- DISTRIBUTION SYSTEM ~- !„~ Header/Manifold ~ Length Zf ~Z Dia ~'s Distribution i ~ t Pipe(s) c Length ~~ •`~ Dia ~' `J Spacing Z ~ ~'L x Hole Size ~ S ~ r x Hole Spacing ~ Vent to Air`ntake '~J `~3 G.t~.~- SOIL COVER Y Proccnra Svstemc only YY Mnund r']r At-Grade SVStems OnIV I ~. _..we w Depth Over / Depth Over xx Depth of xx Seeded/Sod ded/ xx Mulched Bed/Trench Center / !~ ~ Bed/Trench Edges ~ Topsoil ~ ~~-., ~ X Yes ~) No ~es ' No 11~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~S~ Inspection #2:__ /. / Location: 1973 140th Ave a Baldwin, WI 54002 (NW 1/4 NE 1/4 26 T30N R17W) mete & ounds Lot Parcel No: 26.30.17.39726 ~~~ Ca~~ ~~~ S~S ~ a~~o~-- rte. 1.) Alt BM Description = ~~~~,( 2.) Bldg sewer length = Yp ~ ~,- ~x`Sa-; „q ~~~~~ S~ t•l i f s'/ -amount of cover = > 5 / J t,~ -~D ~~ ~~1~~~4~1[..~~,(/~ b~ ~ ~ 3, Use othesl~ide for additional in Yes No ~ ~~ - ~ -- _ !"~• ~ ~ - p formation. v '/ Date Insepctor's ture Cert. No. SBD-6710 (R.3/97) i CommPrrCe.wti.gov Safety and Buildings Division 201 W W '7162 hi A P O B County / ~ 2v ~ ~ s co n s~ n . as ve., ox ngton . . Madison r t (to be fil b ~ Pam' N Co ) > ~~~~~ ' G~ V G ~ ~ ~ y . ~ Sanitary Permit Applicati n 2007 JAN 1 9 sta T saction Number In aceordance with s. Comm. 83.2t(2), Wis. Adm. Code, submission of this form t the appropriate governmental ~ S L ~ ~ unit is required prior to obtaining a sanitary permit. Note: Application forms or state-owne Proj Address (if different than mailing address) d submined to the Department of Commerce. Personal infomntion you provide may 6eTu~ ses in accordance with the Privac law, s. 15.04(1 m , Stats_ 1. A lication Information -Please Print All Information ~~' Property Owna's Name Parcel # /~ L Property Owner's Mailing Address Property Location l q ~ 3 ~ ~ ~ ~ ~'~ ~ ~ 31 ~-- a- ~ . Goy. Lot City, State Zip Code Phone Number n- r / yam ~ L' y,, motion 2 r iw J3%?~ 1 C;%~ , h ~/ S Lrvo 'Z 7/5 -~d Ll -3v~ T `~ // IV R 1 c~E~t~ II. Type of Building (check alt that apply) Lot # , _,~ ~ . j~ror2 Family.DwellinQ - N~~mh~ of Bedrm SulxGvision Name __ - Bl k # oc ^ Public/Commercial -Describe Use ^ City of ^ State Owned -Describe Use CSM Number ^ Village of ~Townof LIZr~h D"!~/~1~~ r/h tiL Type of Permit: (Check on li .Complete line B if applicable) a ^ New System Replacement System TreatmenUHoldingTarik Replacement Only ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New List Previous Pernrit Number and Date Issued Before Expiration Owna _ / 0~ IY. T e of POWTS S stem/Com nent/Device: Check all that a 1 / ^ Non-Pressurized In-Ground ^ Pressurized in-Ground ^ At-Grade ^ Mound > 24 in. ofsuitable soil ~ Mound < 24 in. of suitable soil /O / ^ Holding Tank ^ Other Dispersal Corr~ement (explain) ^ Pretreatment Device (explain) Y. Dis ersal/CreatmentAyea Information: Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area Requi (sf) Dispersal Area Pro (sf) System Elevation v3 "3 ~ u ~, ~, ~ y ~ Z~ t~1~~ j , s Vl. Tank Info 'ty in allons Total Gallons # of Units Manufa h b ~ ~ U .~ New Tanks Existing Tanks G~ ~ ~u Y- ° ~ a U ~ rn ~ ~ .~ ~ 'w C7 ~ n. Septic or HoMmg Tank J b 6 t' Lr/ , L f c: ~ Dosing Chambar ~ C U J t ~ VII. Responsibility Statement- [, the undersigned, a ume respons lily for insWlation ofthe POWTS shown on the attached plans. Plumber's Name (Print) Plum 's Signa PRS Nttmba _ Business Phone Number Fy-5 /! ' 7 =L ~G ~- 513 h ~ ~~ 3 ~%~ s r i S Plumber's Address (Street, City, tare, Zip Code) 1 ~ r~.. ~ ~G3 ~U~~~. `(fie ~, s-Yo2~ VILI. un /De artment Use Onl pproved ^ Disapproved Permit Fee Date Issued suing Agent S' e ~ ` ^ Owrter Given Reason for Denial ~ 1 ~9 0 7 G IJC. C~gld~iti,Qpls Nf~laproval/Ressons for Disapproval ~ G f _ ,L . ~ ~ S_ (_ ,,,~.r ~~ J~ C T ~ - `~!P~ ` 1 e tic tank, effluent filter and _`- ~~ r dispersal'cefirYia~'t-a11 be serviced /maintained ~ (,wc.Nk ~'~o ~ as per management plan provided by plumber. ~ 3 ~~ ~ . 3~ • ' '~ 2. All setback re uirements must be maintained ~ aS per applicable Ctb1~19f1E1t1ES~d~~ for the system and sdbmit to the Co ty only oa paper aat less typ ra n r cries ro su:e ~~~~ SBD-6398 (R. 01l0'n Valid thty 01/09 ~ mQ'jyt sue, r~'~Rli ~ . ~ ~ ~_ ~ ~ ?~"' ~ ~UL `~~ ~v ~~ i 87 ~ io tzi~-~ dryrdtll ~~ - - ~' ~~ ' ~ 5a-~ada,~ua~-ii~~ • ~~ "eltdre~r-cr, ~' !e ~. . ~ai.r ct~G: 29x tea . k'--~ r.Jictf /p~y~aefg; ~G. 2G T. 3QIL~Q.~?c..t, aS 1 ~~ ~ bn-~~~,~ ~ ~ 6d t y t Ej(IE i ~ i -~ /GrG Z~• ~n 3 Qss,cLoacG ~ GX ~yN i ` ~ ~ ~ . i /o0.O(~ ~ ~ f ~ ~~ L70\1 6Yh OT j q( ! 1 ~ V i ~w~ ~ ~ , , ~ ' ~ it I ' ~ t e t ~4 r~~o.(cd . ' " ~ , ~ 1 I ~ ~ - ~ r t W~~'Ser •. • ~ ~ • 1 boo/b,fid ; 33i ~ ~ I f 1 1 N ~ ~ i i ' ~r'Gt, ~ ~2G~ D1~~- .. ..K y/~" B~EC. C,,o„ dal ; t , ~8 - ~ ' i 1 ~i , ,~ ~ ~ l t ,~d ~'~ ~ ~e~3 :e o , 0 ~q, ~ e. 8 0 ~'~j ~ ~ 1 t ~ s ~ ~ t ` f i ~ ~ ~ ~ < < ~ ti ~~ ~ 8t ~ i e w 0 a ~' 1- A ,/,.P~ GLQ,¢ap /GLI~ ~ti (~~ ~ 7<zZ /n~,C'~ commerce.wi.gov ^ ~sconsin 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 Mary P. Burke, Secretary January 08, 2007 CUST ID No. 223475 JOE STANG STANG PLUMBING & ELECTRIC PO BOX 263 WOODVILLE WI 54028 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/08/2009 SITE: Loren Zillmann 1973 140th Avenue Town of Erin Prairie St Croix County NW1/4, NE1/4, S26, T30N, R17W ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1356917 Site ID No. 721673 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Three Bedroom Mound System /Replacement construction ..Object Type: POWTS Component Manual Regulated Object ID No.: 1113922 Maintenance required; 450 GPD Flow rate; 10 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, sBD-lo~o6-P (N.ol/old "Ihe submttal 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 l Ol .01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state ~mless licensed to do so by the Department per s.145.06, stars. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this projectis located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stars. • 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. Stars. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. ~~ The existing POWTS shall be abandoned per Comm 83.33, Wis. Adm. Code. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved fans 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. P.O.W.T.S. Carzc,litio~7all,~ ~~ .IOE S"FANG Page 2 1/8/2007 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. [n 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. [nquiries coriceming this correspondence may be made to me at the telephone number listed below, or at~the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~~'~~~ Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j erry. swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ~ MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN ~~ Residential Application ~O OQ1 s INDEX AND TITLE PAGE ~~ ~~ ~P ~`~°~Project Name: `~ Owner's Name: ~~ Zillmann Replacement Mound Loren Zillmann Owner's Address: 1973 140th Ave. Baldwin, Wisc. 54002 Legal Description: NW1/4, NE1/4, S26, T30N, R17W Township: Erin Praire County: St. Croix Subdivision Name: Lot Number: Block Number. Parcel I.D. Number: 012-1056-80-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Evaluation Report Designer: Jce Stang License Number. 223475 Date: 01/03/ 7 Phone Number. (715) 684-5166 Signature: G`'~ Desgned Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Neiworks for ST-SAS (01/81) uci'AfiTMEW! OF CCbtJ~t.4titCE Version 4.01 (R. 09/04) i~'~s~QP~OF SAFELY ANU 8U1 Rl)INGS page 1 of 9 (; -~ SEE CORR PONDENCE Mound and Pressure Distribution Component Design Design Worksheet p~ I~~ Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal colifomt of <= 36 inches. 5.63 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 8.34 ft2/orifice Does the forcemain drain back? Y Enter Y or N 17.94 Forcemain Drainback (gal) 72.04 5x Void Volume (gal) 89.99 Minimum Dose Volume (gal) 29.08 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 650.00 Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) Wieser Manufacturer 17.11 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 17.00 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Manufacturer Project: Zillmann Replacement Mound Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 4.50 Site Slope (%) 101.36 Contour Line Elevation (ft) ~ 10.00 Depth to limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftZ) '~ Distribution Cell Information 80.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) a Center or End Manifold 2.82 Lateral Spacing (ft) 2 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 110.00 Forcemain Length (ft) 86.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 17.28 Vertical Lift (ft) 2.01 Friction Loss (ft) ~ 23.84 Total Dynamic Head (ft) 3v ~ Page 2 of 9 Mound Plan View Mound Component Dimensions A 5.63 ft E 29.04 in H 1.00 ft K 12.26 ft B 80.00 ft F 9.50 in z 12.87 ft L 104.51 ft D 26.00 in G 0.50 ft J 9.14 ft W 27.64 ft 450.40 (ft2) Dispersal Cell Area 1480.23 (ft2) Basal Area Available 5.63 (gpd/ft) Linear Loading Rate 8.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area 1- 1 .. ... •: 1/10 B • 'Observation Pipe 'Q' ... .. ..... .. . .~~ g~ ~ ~. -~ -+ _1 _1 L I Finished Grade 105.32 (ft) ~I H ::::::;::; .......... - - - - 104.03 F .::::: Dispersal Cell (ft) Latera :~~~ 103.53 (ft) --- - • . • Invert Dispersal Cell : 3[~` ~ ~ ~ : ; t Elevation E : D : ~: J J J ., J, 3 A -. H J J J J J J J J J J ] J 1 J J J J J J J J~J J J ,.~ .. ' + } .. J ! .J:^ x J !._ Y ` J~ Y 1 ! J A J~ ) i J J t J _ - i, J ~,, ~ '~ J a _ _. .. __ -_ - ._ _ _ _ 101.36 (ft) Contour Elevation 4.5 % Site Slope Geotextile Fabric Cover Shading Key m a ~- Dispersal Cell See lateral details on Q Topsoil Cap c a 1.5 ft - ~ ~ Page 4 for number, size, © ~"~~ Subsoil Cap ~ ~ µ~ b ," ~ and spacing of laterals. ©0 ASTM C33 Sand ~ Z ~ ' ; F Laterals are equally ® J J ~`~` Tilled Layer ~ ~ 0.5 ft Typical ~aterai spaced from the ^5 ~ Aggregate v c ~ .. ~ ~ distribution cell's centerline in the ~- A --* distribution cell (Ax6). Project: Zillmann Replacement Mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered oMer tMw ~ P All laterals are identical If X~I Holes drilled on the bottom of the lateral equally spaced Foree main connection via tee or cross to manifold ~ any point. Laterals & Force main of PVC Sch 40 tper COMM Table 84.30-5] Number of Laterals 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 78.52 ft Orifices per Lateral Lateral Spacing (S) 2.82 ft Orifice Density Lateral Flow Rate 14.54 gpm Manifold Length System Flow Rate 29.08 gpm Manifold Diameter Total Dynamic Head 23.84 ft Forcemain Velocity • =Turn-up v~ ba 11 valves or ¢Iea n out plu g 56 in 02 ft 8.34 2.82 1.50 ff/sec Dose Tank Information Electrical as per NEC 300 and -- ~~(LLL,,, ' Comm 16.28 WAC I 1 Disconnect II ~ Locking cover with warning label and locking device and sealed watertight 4 in. min. Tank component is properly vented Wieser Ca aci 650.00 Volume 17.00 Manufacturer Gallons gal/inch A B C D Dimension Inches Gallons A 21.94 373.01 B 2.00 34.00 C 5.29 89.99 D 9.00 153.00 Total 38.24 650.00 tank. 3" Alarm Manuafacturer SJE-Rhombus Controls Alarm Model Number Tank Alert 1 Pump Manufacturer Goulds Pump Model Number 3871 EP05 T Pump Must Deliver 29.08 gpm at 23.84 ft TDH Project: Ziflmann Replacement Mound E- ARemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 86.75 Dose tank elevation (ft) ~- 86.00 Page 4 of 9 Mound System Maintenance and Oueration Saecifications Service Provider's Name ~- Joe Stang Phone 1-715-684-5166 POWTS Regulator's Name ~ St. Croix County Zoning Phone 1-715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450.4 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test monthl Laterals should be flushed and ressure tested eve 1.5 ears Ins for pondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up f)etail Finished ...~,......... ............... Grade ~~ 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution ..... Lateral ~ _ _ -- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Zillmann Replacement Mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code natal This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective kx~king device to prevent accidental or unauthorized entry into a tank or component Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet finer shall be assessed at least once every 3 years by inspection. The outlet finer shall be leaned as necessary to ensure proper operation. The finer cartridge should not be removed unless provisions are made to retain solids in the tank that may sough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced iF the alarm is activated coMinuousy. intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the tirrre of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be perfomtied to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemipl additives to enhance septic tank performance ~ generaly not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switcthes, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution SvaLem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and muk~red as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound ~ not recommended since soil compaction may hinder aeration of the infiltratnre surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heaviy muk~ed as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BODs~ ~ m9/L TSS, 10 mg/L FOG, and 104 du/100 mL for highly treated effluent. Influent tk~r may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is reoorrttrrended that each lateral be flushed of akx:rrmulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice leaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent pooling. Porrding levels shall be reported to the owner, and any levels above 6 ind~es considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contirmencv Plan If the septic tank or any of its components become defective the tank or k~mponeM shall be repaired or replaced to keep the system in Proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a kromponent of the same or equal performance. If the mound component fail to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present kx:ation by inkxeasing basal area if toe leakage occurs or by removing biologically cogged absorption and dispersal media, and related piping, and replacing said kxxnponeMs as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Zillmann Replacement Mound Page 6 of 9 iea etsv~~tessa:alaa~ ~~t .~ -~~oea~. ~elt~ee~apb3t tilt '• • ~i-+n ~ ~ e~ t~ntlArn~r. ~4MNra~iMnlieaM awiMls tne~.~e~lledn^ta~ d~ ant ~' • Med+anratc~i~o~s.' ~~ n. • 7es@e~ec ta+i~ aogaaapus ~f~~ ~~ ~ ~, ~ rDrl ~a3.Sy ~ f~ ~~i~~ t(~++711U~q ~~ Ww~VV _..... pp == • ~~je i/.7 ~~ f16Y, 8D l1~ f95D ~~ a~ ~~ , ~~ ~oBtif513$Jt~ltt~ ~ .~ tslarx~d~ ~. ~ ~H7itn*M~iM~rno- . ~ . ~ wnasion aan~oe. and dur~b~r. -rwwc~~ Isllrwnr~8wr~edagr aibdalaa~aleraa~nt f • +f ~ .... ~.~ ~ ._ ~ F + ~ ~~ ~ _. ~ 4 .rte sir € y~ ' . ~..~ 0 r Y~C Upp~rand 1o~wr a~ 4CSA iaa~ ~.rs eadi~"F'or'~C j a^~wrR~s~ws~n•e. ._ ~-I- ... _. a~ .. .i « .. ~. .~. .. .3 1i • ~_.~_ a~ . o g Goulds ~~~„~ P0. ~ ~ ~ o -P q G P ~ ____-~ nn'~ _. ' `-'_ f s i ~ - ..~- ~_~`~~'7 s~f,..,k d7 ~~-~ ter, y~~r~~ E3 ~, Qslio~ "~.i~ . 91~sn ~awr~ akOJtd . W F ~+g cr 1 bOO~bllb F,- ~/ :Sal ~d4luaf~-i~E • ~~ ~elt.ja~rcr~ . /sf/. ~°",~ ~~ ~ ca/t: ~'_ alp' #. Q ~cyC' ,a0~r/ atc--~Xi'.~" jcJcN R~n~f~; ~. sG,T.3~'J~R~Q./7r.~1, SS 7. ~'f..i'in Piw:r: t~ SE- 4bx(~ tJ "r ~6d_ i '~ t ' ~ i_ ~ -~ /05G 2~ ~ t ~. ~yCV. i a ~ ~ ~ ~ Ba11-e -+~ a ~ t - ~ ~_ - t W ~ i .ac •~ b~ a. ~ ~ + _- ~ ~ ~ f t Q ,~ ~ ~ ti ~ ~ t ~ . ~~ ~ ~ L ~ Qa ! w ! j ~ ~ ~ i. i ~ ~' ~ ~~~ ~ i ~ ` f '~l4ai sue' SI/7' ~o J~ 1~.4.irt = ToP of ._~~r~•~ tka. coy.. ~r~ EifGd: ° ~~j~ { 1 i 1 i t~ ~3~ s~` ,~ t~G~ t v ,s . o- ~ ~ 1 s 1 .1 f i t 1 i i Z ~a~ e 8 0 -~ S ~~ ~ ~~ .~ ' ~ ~ 1 1 1 ~ ~ ~ i 1 /~/•,~ t 1 ~ t i t t 1 i ~ ~ 8f ~ i e w 0 3 1. A ./..mod Wisconsin Department of Commerce --.---AIL EVALUATION REPORT Division of Safety and Buildings in acconiance with Comm 85, Wis. Adm. Code 2011 Page 1 of 4 A.C.E. Soil i~ Site Evaluations Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County St i C indude, but not limited to: vertical and horizontal reference point (BM) direction and . ro x , percent slope, scale ordimemsions, north arrow, and krcation and distance to nearest road. Parcel I.D. Please rint all i f ti 012-1056-80-000 p n orma on. ' Personal irdormation you Provide maybe used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Rev Date q ~ / / Property owner RECEIVED Property Location Robert E. & Barbara Zillma Govt, Lot NW 1/4 NE 1/4 g 26 T 30 N R 17 W Property Owner's Mailing Add 19 s DEC 0 5 2006 Lot # Block # Subd. Name or CSM# 73140th Avenue City B ld i fate S ip CCCoRRdoeiX ~o~~~ber ~ City J Village ~/j town Nearest Road a w n ~ WI 002 (715) 684-3 00 Erin Prairie 1973 140Th Ave. ~~~ J New Construction Use: l~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD f~ Replacement J Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound with 26" of sand fill placed on 101.36' contour. System elevation to be = 103.53'. Existing system elev. = 87.00' -. IJee~ls G, ~,~. o,~s~ ~ Boring # J Boring ~f Pit Ground Surface elev. 101.$2 ft. Depth to limiting factor 10~~ in. ~ p~~ppn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bourxiary Roots 1ft' in. Mansell Qu. Sz. CoM. Color Gr. Sz. Sh. *Eff#1 *EfF#2 1 0-4 10y2/2 none sit 2fsbk mvfr as 2fmc 0.6 0.8 2 4-10 10yr4/4 none sit 1thin~l/2fsbk mvfr cs 2fm,1c 0.4 0.6 3 10-18 10yr5/4 f2f 7.5yr5/8 sit 2fsbk mvfr gw 2fm,1c 0.6 0.8 4 18-36 10yr5/4 m2d 7.5yr5/8 sit 1msbk mvfr cw 1fm 0.4 0.6 5 36-57 7,5yr4/6 map 7.5yr5/8 fsl Om dsh - - 0.2 0.5 structure rs weak, thin, platy in place, parting to 2fsbk when disturbed. Plowing to >10" will destroy platy structure and should resuk in greater infiltration rate (0.6/0.8 gpd) than that expressed for horizon. Boring # ....~ Boring / #~ Pit Ground Surface elev. 99.93 ft. Depth to limiting factor 18" / in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Shudure Consistence Boundary Roots P DIR~ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10yr2/2 none sit 2fsbk mvfr as 2fmc 0.6 0.8 2 4-10 10yr4/4 none sit 2fsbk mvfr a 2fmc 0.6 0.8 3 10-18 10yr5/4 none sit 2fsbk mvfr gw 2fm,1c 0.6 0.8 4 18-27 10yr5/4 m2d7.5yr5/8 sit lmsbk mvfr cw 1fm 0.4 0.6 5 27-40 7.5yr4l6 map 7.5yr5/8 fsl Om mfr gw 1 vf,f 0.2 0.5 6 40-52 7.5yr4/6 mad 7.5yr5/8 Ifs Om mfr - - 0.5 1.0 * Effluent #1 = BODS> 30 < 220 mg/ and TSS >30 150 mg/L * ftluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa re: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, O la, WI 54020 11/3/2006 715-248-7767 Property Owner Robert E. & Barbara Zillman Parcel ID # 012-1056-80-000 Page 2 of 4 Boring # :-:~ Boring Pit Ground Surface elev. 100.34 ft. Depth to limiting factor 20~~ in. Sod 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 1 0-6 10yr2/2 none sil 2fsbk mvfr as 2fmc 0.6 0.8 2 6-20 10yr5/4 none sit 2fsbk mvfr cs 2fmc 0.6 0.8 3 20-28 10yr5/4 f2d 7.5yr5/8 sil Zfsbk mvfr gw 1fmc 0.6 0.8 4 28-46 7.5yr4l6 m2d 7.5yr5/8 sl 1 csbk mvfr - 1 fm 0.4 0.7 Boring # Boring Pit Ground Surface elev. 101.87 ft. Depth to limiting factor 18" ~ 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 1 0-4 10yr2/2 none sil 2fsbk mvfr as 2fmc 0.6 0.8 2 4-12 10yr4/4 none sil 2fsbk mvfr cs 2fmc 0.6 0.8 3 12-18 10yr514 none sil 2fsbk mvfr gw 2fm,1c 0.6 0.8 4 18-26 10yr5/4 f2d 7.5yr5/8 sil 9msbk mvfr cw 1fm 0.4 0.6 5 26-54 7.5yr4/6 m2d 7.5yr5/8 sl Om mfr - 1f 0.2 0.6 Boring # Boring Pit Ground Surface elev. 100.85 ft. Depth to limiting factor 24" in. Sod Application Rate Horizon Depth Dominant Odor Redox Description Texture Structure Consistence Boundary Roots in, Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr2/2 none sil 2fsbk mvfr as 2fmc 0.6 0.8 2 6-13 1Oyr5/4 none sil 2fsbk mvfr cs 2fmc 0.6 0.8 3 13-24 7.5yr4/6 none sl 2fsbk mvfr gw lfmc 0.6 1.0 4 24-33 7.5yr4/4 m2d 7.5yr5/8 sl 1 csbk mvfr - 1 fm 0.4 0.7 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/Land 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) A.C.E. Shc & Site Evaluatans Property Owner Robert E. & Barbara Zillman Parcel ID # 012-1056-80-000 Page 3 of 4 ~Xb ~x~ Boring # --~ Boring Pit Ground Surface elev. 96.06 ft. Depth to limiting factor 15" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Stnlcture Consistence Boundary Roots in. Muns~l Qu. Sz. Com. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-8 1Oyr3/2 none sit 2fsbk mvfr as 2fmc 0.6 0.8 2 8-15 10yr4/4 none sit 2fsbk mvfr cs 2fmc 0.6 0.8 3 15-32 10yr5/4 map 7.5yr5/8 sit 2fsbk mvfr gw 2fm 0.6 0.$ 4 32-43 7,5yr4/4 m2d 7.5yr5/8 fst 1 csbk mfr cw 1 fm 0.2 0.6 5 43-56 7.5yr4/4 f2d 7.5yr5/8 fsl Om mfr gw 1vf,f 0.2 0.5 6 56-81 7.5yr4/4 m2d 7.5yr5/8 fsi Om mfr - - 0.2 0.5 Boring # Boring fI Pit Ground Surface elev. 93.00' ft. Depth to limiting factor ~4" in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stnlcture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-4 10yr2/1 none sit 2fsbk mvfr as 2fm,1 c 0.6 0.8 2 412 10yr4/4 f1d 5yr5/8 sit 1thinpU2fsbk mvfr cs 2fm,1c 0.6 0,8 3 12-31 10yr4/4 m2p 7.5yr5/8 sit 2fsbk mvfr gw 2fm 0.6 0.8 4 31-48 7.5yr4/6 m2d 7.5yr5/8 sl Om dsh cw 1vf,f 0.2 0.6 5 48-73 10yr7/4 m2d 7.5yr5/$ fs Om ds - 1vf,f 0.0 0.0 Site unsuitable for standard POWTS installation. H#5 consists of sandstone residuim, grading to bedrock at 58". a Boring # ~ Boring Pit Ground Surface elev. 96.12 ft. Depth to limiting factor 6" in. ~ APplic~ion 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 1 0-4 10yr2/1 none sit 2fsbk mvfr as 2fm,1 c 0.6 0.8 2 4-6 10yr4/4 f1 d 5yr5/8 sit 1 thinpU2fsbk mvfr cs 2fm,1 c 0.6 0.8 3 6-25 10yr4/4 m2p 7.5yr5/8 sit 2fsbk mvfr gw 2fm 0.6 0.8 4 25-55 7.5yr4l4 m2d 7.5yr5l8 sl Om dsh cw 1 vf,f 0.2 0.6 5 55-63 7.5yr4/4 m2d 7.5yr5/8 sct Om ds - - 0.0 0.0 Site unsukable for standard POWTS installation. H#5 consists of sandstone residuim, grading to bedrock at 58". * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent ff2 =GODS <_30 mg/L and TSS <30 mglL The Deparhnent 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) A.C.E. 5011 & SICD Evdluatbns ~~~`,~ SC~~iG L4+~/~4' 87 ~~ h ~jc,'s6i~ olryrs~el~ 88 ~ E,r~"SEinnqq 3 be~lf~rn..-, deGK ~ 'eeSido,~c2 i Ji ~ ~ ~ 97so ~a wn cJwd ed y/7' /~ l~. 6.,y/ ToP y "9ra f. sue. s/o - e/ec. Co+-+dw~. ~/ed: = 99, iq , ~~D ^ Sa/ado/ua~o~P,-E EjtIS~n9 2~E~R~id~ '9z ±~.~ u V ,Po6si~ F ~ ~ba~a ,~,//.nay /o~oi cK--BXiStin Wen i~wyya~Yy, Sec. sG T. 30/l.,~P./7c.>; c,eS T. ~ E.~in /~i•a7~: e, S 6 • Ga;x ~~ cJ/ ~~r , 1 1 > ; ~ 1 i r 1 ~ i ' ~ 1 ' ' 1 ~ ~ ~ I ~ ~ 1 ~ + i ~ ~ v 1 1 ~ I I ~ 1 ~ I I I ~ ' 1 j ~' 6~ ~ T ~ 1 1 ~ ~ i 1 1 1 a 1 W ~ I I I 1 1 I ~ 1 ' 1 1 I , ~' ~ I I 1 1 1 i 1 1 1 1 1 ~ i 1 ~ 1 - I S s~~~E2 1 ~ 1 1 1 i 1 1 I i ~ ~ r ~ 1 I ~ ~ ~ 1 1 ~ ~ 1 1 1 ~i i ~ 1 1 82 ~ 1 /a/. ayJ' 11 1 1 ,, ,~ ~ ~ `, ~O ~ ~ ~ 81 ;o ~ ~ o ~ o ~ ~ ~~ c, 0 N 0 0 1 p, s/of _ ~~ '" 2011 wsconsin Department of Comriterce SOIL EVALUATION R@PORT Page t of 4 Divisfan of Safety and Buildings ~~, aa.ern~A9nro ,.a-+, r~~....., R5 ~~ oel.n r!edn A,C.E. SAII ~ SIIe EValuat+Ons Attach oxnplete site plan on paper not less u-an SY: x 11 incites in size. Plan must County St. CroiX ' include, but not iiirnRed to: verfiaal and horizortfal rplerence poYa (BM), direction and p Parcel I parent slope, S~ dr dimert>sions, rrortlt snow, ar~d location and drsfanca to neantst road. , . 012-1056-80-000 Pleaso print all information. R sewed data Personal irrlarrnalion yw t ~ es uses for seea+day purposes (Priva•~ Lar, s.1S01(1) fmJ), .- I ~ /J v Property Own®r properly Location Robett E. & Barbara Zillrrlan Govt Lot NW 11K Np 1/4 S 26 T 30 N R 17 W Property Ownsts Mailing Address l.ot tt Blook ri Sufod. Name or CSMtr 1973 140th Avenue _ Gilt' Seale zip Code Phone Number ~ Clly J Village tJ/ Town Nearest r2oad Baldwin 1IV1 54002 (715) 684-3900 Erin Prairie 1973 140Th Ave. J New Construction Use; ~ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPp ~ ReplBcerrient ~ Public or commercial -Describe: Paren! material Glacial TIII Flood plain elevation, if applicable na General comments v~ and recommendations; Site suitable for mound wi 26" of nd fit l placid on 101,36' contour. System elevation to be = 103.53'. Existing system elev, ~ 87. ^ Boring ~ J 8o(rng / P 1 U" t h Ground Surface elev. 101.$2 R, DepM to limiting faoAl in, Sal Application Rasa Horizon Depth Dommarrt Color Radox f~acription Test4n9 Stnxiure Corsisterw9 f3ow+d8ry Roofs in. Murtsei Du, Sz, Cont. Color Gr. Sz, Sh. 'EffAt1 'E 1 0~ 10y2/Z none ail 2fsbk mvfr a5 2fmc 0.6 0.8 2 4-10 10yr4/4 none ail lthinpll2fsbk mvfr cs 2im,1c 0,4 0.6 3 10-18 10yr5/4 f2f 7.5yt s!S ail zfsbk mvfr , gw 2fm,1 c 0.B 0,8 4 18-36 1Oyr5/4 ttt2d 7.5yr5/8 ail lmsbk mvfr cw 1fm 0.4 0.6 5 1 36-57 7.5yr4/6 map 7.5yr5/$ fsl Om dsh - - 0.2 0.5 i ~ ~_ _ ~Fi#2 structure; thin, platy in p ace, parting to 2fsb wen fsturbe .Plowing > wi destNy platy sire urea shoe result in greater _ inflltfation fate (0.6ro.8 gp4) Man that espressed for horixOn, Effluent #Z = f3005i 30 <_ 220 mg/ and T5S a3o 150 rrlg/L ttfuent tr2 = BOp < 30 m9/L and SS. ~ 30 mglL CS7 Name (Please Print) Signa re; C3 Number James K. Thompson 360 Address A.C. Q, Soil 3 Site Evaluations Oate Evaluation Contlueted Telephone Number 3a0 Paulson Lake Lane, O , WI 5402Q 11/3/2006 715-248-7767 r G + BOring ~ ~ ~Oring L„~ r/ Ph Gtund Surtaco etev, 99.93 R. pepM to limiting faeter 18~~ in, Sol Appliratlen Rate . Horrzen Depth Dorrunarr! Cobr Redo; Description Te:lure SUUr~ure Cansister~ Boundary Roofs AN in. Munsetl Qu, 5z. Corti. Color Gr. SZ. Sh, tfi12 ~ 0~ 10yr2/2 none ail 2fsbk mvfr as 2fmc 0.6 0.8 2 410 10yra/a none ail ~ 2fsbk mvfr Y cs 2fmc 0.8 0.8 3 10-18 10yr5/4 nc+ne ail 2fsbk mvfr gw 2tm,1c .6 ~ 0.8 a 18-27 10yr5/a m2d 7.5yr5/8 ail 1 msbk mvfr cw 1 fm 0.4 0.6 5 27.40 7.5yr4/6 map 7.5yrS/8 fsl Om mfr gw 1vf,f ~ 0.2 0.5 6 40-52 7,5yr4/13 mad 7,5yr5/8 Ifs Om mfr - - I 0.5 i.0 Tod =QI 17>; : T T 99-8Z- T T Property Owner Robert E. & 6arbara Zillman parcel ID # 012-1056-8Q-~Q00 _ _ _ Page 2 of 4 Boring f! ~ boring ~ Pit' Ground Surfdob Elev, 100.34 R. Depth b limiting factor 2p" in. ~ appliostion Rate Horizon Depth Dominant Col Redox Oes~ption Tettur~e SUUcture Consistence Boundary I Reob . Sr. Cont. Cobr • tar, Sa. Sti. 'C~ff#1 'Eff#2 in. Mansell ~ qu 1 0-5 10yf2J2 _ _ stone si) 2fsbk mutt as 2fmc 0.6 0.8 2 B-20 10yr5/~4 none sit 2fsbk mutt cs 2fmt; 0,6 0.8 3 20-28 10yr5l4 f2d '7,5yr5/8 si( Zfsbk mutt gw lfmc 0.6 ~ 0.8 4 288 7.5yr4/G mzd 7.5yr5/8 sl 1 csbk mutt - 1 fm 0.4 0.7 I Boring # ~ Boring d Ph 6rnund Surrae~ elev. _ 101.87 _ tt. Qepdti to limiting factor 18" • in. ~ q~~ ~ Hori'rnn DeW+ Dommanl RedoY DesGiplbn TexGpp Slruclura Cansiatenee. Boundary Roots in. Munsek Qu. St. Cont. Color Gr. Sz Sh. 1 -Eff#2 1 0~4 10yr1JZ none sit 2fsbk mutt as 2fmc 0.6 0.8 2 412 10yr4/4 none sit 2fsbk mutt ~ 2fmc 0.6 0.8 3 12-18 10yr5/4 none sit 2fsbk mutt gw 2fm,1c 0.6 0.8 4 18-26 10yr5/4 t2d 7.5yr5/S sit 1 msbk mvfr cw 1 fm 0.4 0.6 5 ,26-54 7.5yr4/6 m2d 7,5yr5/8 sl Om mfr - tf 0.2 0.8 a Bering ii ~ Boring 1/ Pit Ground Surface elev... 100.85 fl. Depth to limidng (actor 24" in, ~ ~ Hor¢on Depth Dominant Color Redox DescApflon 7~ture Shuctu,a Cor~sislenae Boundary Reds , ~ in. Munrall pu. Sz. ConL Odor Gr. 6~. 5h, -Ef~2 1 0-6 10y(1l2 none sit 2fsbk mvfr as 2fmc 0.6 0.8 2 5.13 10yr5/4 none sit 2fsbk mvfT CS 2fmc 0.6 0.8 3 13-2a 7.5yr4/6 none sl 2fsbk mvir gw lfmc 0.B 1.0 a ~ 24-33 7.5yr4/4 m2d 7,5yr5/8 sl lcsbk mvfr - 1fm O.a 0.7 Effluent f11 = 8Od5> 3q < 220 mg/t, and TSS ail) < 150 mg/L 'Effluent #2 =GODS _30 mg/L and TSS < 30 mg/I- The Departmatt of Commerce is an equal opportunity service provider and employes. If you need assistance to access services or need trtaterial in sn alternate format. please contact the department at 608-266=3151 of TIY 608-264-8777, sao.s~~ rR,m~om - Z8d =Q I ti>; : T T 96-SZ- T i PropeRy pwner Robert E. >~ Barbara 7litman _ _ __ parcel ID #~ 012-1056-80-000 Page 3 of 4 ~~~ ~k~ tiering ~ ~ boring . ,L~ Pif Ground Sur/ace elev. 96.06 tt. Depth to limiting fader 15„ In, ,d qp~,n ~ Hor¢on l~epol Domirrdnt Color Redox Desaiplion Texture Sdnctura nslstertca Boundary Roofs in. Muteell QU_ SL Cont. Odor Gr. Sz. Sh. 1 "Efftr2 1 0-8 10yr312 none sil Zfsbk mvfr ss 2fine 0.6 0.8 2 8-15 10yra/4 note sil 2fsbk mvfr cs 2fmc O.f3 0.8 3 15-32 10yr5/4 map 7.5yr5/8 Sil 2fsbk mvfr gw 2fm 0.6 0.8 4 32-43 y.5yr4/4 m2d 7.5yr5/8 fsl lcsbk mfr cw ifm 0.2 0.6 5 x3-56 7.5yr4/4 f2d 7.5yr518 fsl Om mfr gw 1 vf,f 0.2 0.5 6 56-81 7.5yr4/4 m2d 7.5yr5/8 fsl Om mfr - - 0.2 0.5 I ~ 1 9ertng ~ ~ boring ~~ ~ Pit Ground Surfaor: elev. 9300' fl, Depth to limiting factor <4" in. gd q~ Rafe Horizor- Depth Dominant Cola Redox Deseriptlon Texttse Sfmdure CoralOenea Boundary Rents In. Mansell Qu. 5L Cont. Color Gr. Sr. Sh. 1 .E 1 0-~ 10yt?J1 none sil 2isbk mvfr as Zfm,1c 0.6 0.8 2 412 10yr4/4 f1d 5yr5/8 sil lthinpl/2fsbk mvfr ~ 2fm,1c 0.6 0.8 3 12-31 10yr4/4 rip 7,5yr5/8 sil 2isbk mvfr gw 2fm 0.6 0.8 a 318 7.5yr4/8 m2d 7.5yr5/8 sl Om dsh cMr 1vF,f 0.2 0.6 5 48-73 10yr7/4 m2d 7.5yr5/8 fs Om ds - 1vf,f 0.0 0.0 Site unsuitable for standard POWTS in:taltatlon, t-le5 wnsists of sandstone residuim, grading to bedrock at 58", ~.T.3 Boring Jt ~ Bortin9 d Pil Ground Surfaoa elev. 96.12 fl. DepN to limiting factor 6" In. Sor n Rete fiarizen Depth OomineM Color Redox DemGiption . Teshxe F,lnxuse Car~et+ce How+dary ' Roofs in Mansell Gu, Sa. Cont. Color Gr. Sk St1. 'Efflll •Eff~2 1 0-4 1Oyr2/1 none sil 2fsbk mvfr as 2fm,1e 0.6 0.8 2 46 t Oyr4/4 ~ 5yr518 sil 1 thlnpl2fsbk mvfr cs 2fm,1 c 0.6 0.$ 3 6-25 10yr4/4 m2p 7.5yr5J8 sil 2fsbk ; mvfr gw 2fm 0.6 0.8 4 25-55 7.5yr4i4 m2d 7•.5yr5/8 sl Om dsh rw 1vf,f O.z 0.6 5 55.63 7.5yr4/4 m2d 7.5yr5/8 sci Om ds - - 0.0 0.0 Site unsuitable for slandaM Pp1nRS instigation. H#5 canstsas of sandstone residuim, grading to begrodt at 58". " Effuenl di = BODs> 30 ~ 220 mg/~ and TSS X30 < 150 mg/L ` Effluent t1R2 ~ BODb < 30 mg/L and TS5 c.30 mg/L the DeparOmegt of Cumrnerce is an oqut-1 opportunity sefviec provider and employer. If you faced assistance to access serviecs or need material ;n an altierttare format, pltest confect the deparRtttent ai 608-266.3151 or TTY 608-264-87~~, CRIfYi lA At fHMf1\ f;0d =QI SE: TT 98-SZ-TT ^ ~xo E:,"s~i~g olr,~rs~el( y "yraJ.:sQ.l. s6o i ~.Vs~.,, ele/QE:oo /eE/:N~ ~9~ f~~ Q ~e~ ~j~l~ ;l~r~n~l~/, sec. 2c, T3o~,Q i~~, P L/, st b~Z - /as'6 - 8o-eaac I , ~ i ~ /a/_ T ,~ ~. ~ ~ ~ ~ i ~ ~ i ~ I ~ ~ ~ ~ ~ ~ ~ ~,~ 6yI 'aw Z ~ ~ ~ a i , - ~ ~ i i ~ i ~ ~ b1 ~ ~ ~ ~ ~ I ~ i ' ~ i ~ /~/ ~~ ~- ~ ~ ~ ~ ~ ~\Bf ;~ ~~-l`P ~- ti9d =QI SB:TT 99-8Z-TT a ga.r4aL a,r- ~~~E.~~~e~n / ~_' . ~ ~f/3Ei ~ ~~~ det,Y Q'si dace i '`"-J Parcel #: 012-1056-80-000 o1/1si2oo~ 01:30 PM PAGE 1 OF 1 Alt. Parcel #: 26.30.17.397-26 012 -TOWN OF ERIN PRAIRIE Current ;X1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner ROBERT E & BARBARA ZILLMANN O -ZILLMANN, ROBERT E & BARBARA 1973 140TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description * 1973 140TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.001 Plat: N/A-NOT AVAILABLE SEC 26 T30N R17W IN NW NEE 417 FT OF N Block/Condo Bldg: 418 FT Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill #: Fair Market Value: ,~asPCSad w.+h• 156113 Valuations: Description Class RESIDENTIAL G1 MFL BEFORE '05 CLOSED W8 Totals for 2006: General Property Woodland Totals for 2005: General Property Woodland Acres 1.000 3.000 234,900 Last Changed: 11/07/2005 Land Improve Total State Reason 15,000 214,900 229,900 NO 9,600 0 9,600 NO 1.000 15,000 214,900 229,900 3.000 9,600 9,600 1.000 15,000 214,900 229,900 3.000 9,600 9,600 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 113 Specials: User Special Code Category Amount Total Special Assessments Special Charges Delinquent Charges 0.00 0.00 0.00 01119/2007 01:34'PM ' Parcel #: 012-1056-9~-~~~ PAGE 1 OF 1 Alt. Parcel #: 26.30.17.397-2C 012 -TOWN OF ERIN PRAIRIE ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: ROBERT E & BARBARA ZILLMANN 1973 140TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: SEC 26 T30N R17W IN NW NEE 580 FT OF N 903 FT OF NW NEEXCE417FTOFN418FT Owner(s): O =Current Owner, C =Current t;auwner O -ZILLMANN, ROBERT E & BARBARA Property Address(es): ' =Primary 8.022 I Piat: N/A-NOT AVAILAIiLt Block/Condo Bldg: Notes: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-17W Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 156114 0 Valuations: Description Class Acres Land MFL BEFORE '05 CLOSED W8 8.022 25,600 Totals for 2006: General Property 0.000 0 Woodland 8.022 25,600 Totals for 2005: General Property 0.000 0 Woodland 8.022 25,600 Lottery Credit: Claim Count: 0 Certification Date: Specials: User Special Code Special Assessments Total 0.00 Last Changed: 11/07/2005 Improve Total State Reason 0 25,600 NO 0 0 25,600 0 25,600 Batch #: Category Amount Special Charges Delinquent Charges 0.00 0.00 ST. CROIR COUNTY SEPTIC TANK MAINTENANCE AGR~EMEIV'T AND OWNERSHIP CERTIFICATION FORM Ovvn~rBu~ L ~ ~ ~ ~, 2 ~ ~_~ l ~ ~-h ~ ~ Mailing Address ~ ~ ~ 3 1 ~~ ~ ~ /~U~= 13~ ~~w , ~ ~ ~, s ~J~~~ G ~, Property Aachess S`^ .~- ~ ~ / J (ver~ttion req»ired from Phmning 8t zoamg Departme~ for new cans6rudion.) City/State %~`'~- l e ~.• ~ ' ~t 41, ~ Pazcel Identification Number G l ~ 1 ~ ~ G - ~'G ~ ~~ ~ ~~ LEGAL DESCRIPTION Property Location ~i l~ %a , ~~ ~ %a ,Sec. °~ ~ , T 3 y N R / 7 W, Town of ~ ? - K ~~~ ' 7 ~ - _ Subdivisien- - - - - ----- -_,_ __-- tot #- --- - - Certified Sarvey Map # Volume ,Page # warranty Deed # 1 ~ '~ ~ .3 ~'`O ' `~ volume d' `7 P # ~~ /6 9. ~--~ aSe • Spec ~Se yes ( no J Lot Hoes iaentifiabk yea no ~/ ~~ SYSTEM INIAINTENANCE AND OWNER C~it'~TCATIQN lneproper use and of your septic s3-stem ~ result in its prem~tme fawn to handle wastes. Proper ce consists of paa~ig8 out Bee septic funk every three years or sooney if needed, by a ficensad What P~ y~ Par imo the system can at~ect the fimction of fhe septic tank as a t stage in the waste disposal system Owrea nsponsibBities are specified in Comm. 83.52(1) and is C3taptea 12 - St. Croix County Y Ordinaaece. The paoperty owner agrees to submit m St. Croix County Plamtiag ~ Zoning Depa~ent a ceatifica~tioa form, signed by the owner and by a nmster phunber, jotnrneyatatt Plumber, restricted ph~et or a licensed prnmper varifying~that (i) the ~-site wastewater disposal system is in proper g condition and/or (2) a8er iaspec~on and pumping (if neoessary~ flee septic talc is kss than 1i3 fall of shtdge. Uwe, the undersigned have read the above requ and agree m the Private sewage disposal system wiBt the standards set fioath, herein, as set by the Dcgarteneat of Commerce and the DePartme~ of Natural Rte, State of Wisesin. Certi~ation stating that ymn' septa system has bean mai~sined most be completed and to Bte St. Croix Comity Planning 8t ZomnB D within 30 days of the Btrce year lion date. Uwe certiij+ that all stateme~s on this four are true to the best of mylom looowledge. Uwe am/an Bee owner(s) of the gibed above, by virtue of a waua~y deed recmdod in Register of Dads Office. J i~~ DATE *:*.~ny informatiion that is misrepresented may nstelt in the sanitary P~ being rtwoloed by ate Planning 8t Zoning Dtpataoa~tt. a"' Inchide with Brie apPfication a recorded vvarraaty deed from the Register of Deeds Office and a cwpy of the cx~rtified survey map if refcrenoe is made is the warranty deed. (~• STATE BAR OF WISCONSIN FORM 2- 2000 Document Number { WARRANTY DEED THIS DEED, made between Robert E. Zilhnann and Barbara F. Zillmann, husband and wife, Grantor, and Loren L. Zilhnann and Terry L. Zillmann, husband and wife, as Survivorship Marital Property, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: E 580 feet of N 903 feet of NW '/4 of NE '/4 of Section 26-30-17. ~~ 84 1 623 `I KATHLEEIi H. MALSH REGISTER OF DEEDS ST. GROIX GO.. MI RECEIVED FOR RECORD 01 /02/20fd7 I0: 30AI1 MARRAHTY DEED EXEMWT # REC FEE: 11.00 TRAI(S FEE: 840.08 COPY FEE: CC FEE: PAGES: i Recordin¢ Area Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any Dated this 21st day of November, 2006. __ * Robert E. Zilhnann * AUTHENTICATION Signature(s) eC\ ~COwr S1~ authenticated this 21st day of November, \~ IS ~tatP ~# * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) TNIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Attorney at Law PO Box 2120 Baldwin, WI 54002 12-1056-80-000 012-1056-90-000 Parcel Identification Numb This is not homestead property. a * Barbara F. Zilhnann ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this November 21, 2006 the above named Robert E. Zilhrtann and Barbara F. Zillmann, husband and wife to me known to be the person(s) who executed the~fohegoing instrument and acknowledged the same. *Cheri Brown _ - Peterson, Fram & Ber Notary Public, State of Wisconsin groan -Steven H. Bruns My commission is permanent. (If not, state expiration date: 50 East Ftfth Street, St. Paul, MN 55101 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) •Names of persons signing in any capacity must be typed or printed below their signature 1 of 1 WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000