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014-1020-20-100
d \ _ ~ ~ ~ ov o ° m ~ _ '" ~i o - .~ o _ m ~ ~ 0 y '~^-~ -r~ O z Z ~ Z ~ ~ z ~ r rn ~ _ ~' m m m p --~ z ~ ~ v C o0 Z "~~ O G) rn m ~ _ z a ~ ~ ~ ~ T N C rn n O Z ~~ ^zm0 ~~n~ O ~r ~ W.~ =-~ I11 c O m v ~ y C v - c ~ o ~ ~ ~' o m Z I rn W r O n .~ r c 00 rn 0 z m o ~ ~ ~ ~ a ~~ ~ ~a~~,~m~~»~~ ~~ ~ ~~ ~o~ ~.~~~a ~~ a o; ~ ~.~~„~~~g~o~o m _ ~ ~_ ~~ ~ a~c~ ~ ~~3~ g r Wigg- _ o ~ w 'a~ m ~ ~*~i8 z ~~' a rtsp ~ ~ "° °~ ~y ~ ~~ N ~ ~ D 7 D -a m r D z #D ~~~ N~ ~m ~~ ~~ i+ n Q. x 0 z W s' 3 Z 0 M~ W 07 W'sconsin Department of Commerce PRIVATE SEWAGE SYSTEM ~ety and 3uilding 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 Larson, Daniel Forest, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~ - (lb ~~ 0~ ~ ~ _ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic r~ v Dosing 1 ~ tJ ~~SZ~ Aeration ,, / W Holding TANK SETBACK INFORMATION TANK TO P/~ W EL,II BLDG. Ve r Intake ROAD Septic (~~ N,, f zo ~( Dosing 1 Aeration Holding PUMP/SIPHON INFORMATION To ~i~ ~ .~ Manufacturer Demand GPM Model Number / /_ / CV TDH Lift o~ Fric'on L ~ System Head 3 ~ TDH Ft ~ g ~ - . ' Forcemain Lent f Dia N Dist. to Tell ~ SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengtt DIMENSIONS ~ / SETBACK SYSTEM TO INFORMATION _ DISTRI1ak1.TION SYSTEM No. Of Trenches P/L B DG WELL moo' 9s' >~ ~r ELEVATION DATA County: St. Croix S®nitary Permit No: 514869 0 State Plan ID No: Parcel Tax No: 014-1020-20-100 Section/Town/Range/Map No: 09.31.15.130A STATION BS HI FS ELEV. Benchmark ro ~ 7 ~ ov.o Alt. BM ~ i/e i i vvv`~- ~S / ~O7N ~~~• Bldg. Sewer ~c ~ 7-~~ 9G~ SS SUHt Inlet SUHt Outlet ~' Dt Inlet ~ Dt Bottom /Z, (pS ~/ 2 . 0 Heade Wit. p ~~~-() Dist. Pipe ~.~ ,`J/ a /v~ d, 6 Bot. System Final rade St Cover i ~ kid ''0_ as'- .3 2. ~S /0 2. ,~ 6-'7 PIT DIMEN LAKE/STREAM Header/ nifold U Distribution x ole Si e x Hole Spacing ln Vent to Air ta ~ /' Z~ S ~ ' h Di i L I _ ~ ~ Y/ 3 ~ „ y / ~0 / , / Length Dia engt pac ng a SOIL COVER x Pressure Systems Only xY M unr~Or At-Grade Systems Only ~wr~- v~ J Depth Over Depth Over xx Depth of ~ / t/ xx Seeded/Sodd d xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~s~es ~ No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /1~/ ~ ~ Inspection #2: '/ ~ / ~ ~ j u0``dd . /~,/~i~ Location: 2851 230th Ave Clear Lake, WI 54005 (NW 1/4 NE 1/4 9 T31N R15W) NA Lot 1 ~"` Parcel N 9. 1.15.T30A 1.) Alt BM Description = ~~ (f~ Gl.~~ (,~tQ~/ ~~ ~ ~ ~'~ ~ ~~~ 7 -~'a 2.) Bldg sewer length = - amount of cover = v~f~1 -T - _ - -_ - _ . _ _- - - -,ryJl~ Use otherlside for additional information. No I ~ II Du ---- --_ _ _ _ --- ± - 1~ I ~---~~(~ ~J__1 L __-_ SBD-6710 (R.3/97) Date Insepctor's n ure Cert. No. I Inside Dia. [Liquid Depth =ACH Manufacturer: ER OR ~U/NIT ,/ ~ ~M~od~e~l Number: ~ Safety and Buildings Division 201 W W hi A County ~~O l ~' ~ ~ " . as ngton ve., P.O. Box 7162 ~s~Qn~ ~,n Madison, WI 537Q7 - 7162 Sanitary Permit Number {to be filled in by Co.) Qe err#ment of Commerce 08)266-3151 5'~ 1~( g~ Sanitary Permit Applieatio state Plan LD.N'n "berz . ` f.,.~ In accord with Comm 83.21, Wis. Adm. code, personal info you ~ . / / ''r may be used for secondary purposes Privacy Law, s15. Project Address (if different than mailing address). I A li i I f i ~ ~ ~ I ~' Q ~ ~ ~ ~ . pp cat on n ormat on -Please Print Alt Informer RE C E Property Owner's Name 7~/tl l,~RSflN APR 0 3 2007 Parcel # Lot # Bl # N 0-~ loza •~-o•loa Property Owner's Mailing Address ~ ~ ~ ~ . S 5 ~ ~~C ~ ST. CROIXCOUN~F`t' Property Location /~ , ~ N ~ J "- y Y s ti City, State /~ ~j~~ ', q / W ~ ~D ~ v Zip Code umber ~ ~ / , ., 4 ec on /`. '~ ~l / Kl I. ~yD~ ~ T3( N IS (cE i W gr II. Type of Banding (check all that apply) -~-~ ' b s b - CSM N ~ l~1 or Z Family Dwelling - Number of Bedrooms ~ 1 ~ k ca ~ um er a Q ~J ~~ ~ ~~ ~ ' ~ . ~(// ^ PubliclCommercial -Describe Use $~Id sn, d~- ~.. D t~'L2. / ^ State Owned -Describe Use ~ ' ) ~ ~ ~-..~ ^City ^Village ~To ~ of III. T ype of Permit: (Check only one boa on line A. Complete line B if applicable) A' New S stem y ^ R lacenrent ep System ^ Treetmettt/Hotding Tank Repiaceanent Only ^ Other Modification to F.rdstutg System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer m New List Previous Permit Number and Date Issued Before Expiration ~ Plumber . Owner ~ ~ 1V. T of POWTS S stem: Check all that a b J ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soilMound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Pmt Filter ^ Aerobic Treatment Unit ^ Recireuia ' g Sand Fiber ^ a Recirculatin Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ~!j a t' .t • Z 7 2 . Z ' V. Dis ersaVfreatment Area Information: Design Flow (gpd} / Desi ~So'r~Appli Rate(gpdsf) v Dispersr~ R i~ fj Dispersal Area Propos Syst~ ~ ' own s ! / yap , 7 yS 15 ~S g , ~ / VI. Taak Info Capacity in Total Number Manufacturer Prefab site Sheet F'bex Plastic Gallons Gallons of Units Conetete Constructed Glass Tanks Talks g P ~ ~('" ~ ~ ~ t' [JL~ ~ ~~, septic or IioklingTank 0 0~ t5 tY~ ~ Aerobic Tmatnuat Unit / C.i °osiag chamber ~ D ~ D VII. Responsibility Statement- I, the undersigned, sasut~ trspoasibitity for installation of the POWYS shower on the attached pbtn4. Plumb's Name ~Prirtt) Plrnnber's Signatrrre R•7~~ R~~G~7` ~/IKPRS Number ~z~3 ~S Business Phone Number ~i+st~~a •3 ~'~/ Plumber's Address (Street, City, State, Zip Code} zgt' z /o ~ f I'U;Q . S ,4~ i~ (>' l7~ lI ~ /. s ~ 7 ~ _ VIII. Coun / De artment Use On Approved rp ~ Sanitary Permit Fee (includes Groundwater D lssuin t Signer o S Surctrerge Fee} ~ ~ O~ 5 q ~C / O er Given R for Denial I7C. Conditions of Approval/Reasons far Disapproval 3~ Ca ~~ ~-i o,N3 '~ ~"- 5 d' ~e e. srsTElut own~eR: "1 r 1. septic. tent[,. elflueM tiger ttmd ci,~ p... ~ ,i. e ~.c..'C- c.~ ~ ~ 5 G ('~..v Q-- dispersal cetl must all be services ! maintaUted ~ ~ S~ . as per manag~nent plan provided by plumber. ~Q.. ~ ~ f~ v' I e All setback re urretnents must be maintained 2 q . ems d / di a 1i e 2 .- as Per co e or n nces. 1 w t wttacn eempxte pram (to tae tiowty onty) Tor pee system ~ paper mt ten rom atrz z t t incdn to size zl~-- ~s~ it S // SBD-639$ (R. 01/03} ~~ 4. s Ae 1~~ ~,, 0 the Soil --- cc. 2 3 0 ~- ~ l~- LoT ~/ O= o sT's /3~t's ~ = ce.u ~ot,~ LiAlrQ S • _ ~3~¢CKloe Pi Ts ScAL2. ~ / a y0 a ~ ~ieoM ~o gfl Cy ~ I s ~E ~ P~ v p~~ ~~// O~ 9 k~ ,~ ~~~ ~ d~ post a ~~v~°o ~V, ~ \ ~~ ~ ~ /~~ ~s 2 ' ~ s ~~ ~~~~ O ~/~ % Q_ ~J~"~ ' ~~k • o f33 /~ 3d~~ , ~r Sgn ~ ,i ~~ i ~ ~ ~ ~ ~,~ i ~ t ~ %; ~ ~ ~ ~. ~. ~ ~ `. yqe ~,4` ` ~, t 4~ 15 ft. below the downslape rption System must remain ~ w w i ESQ g O T~4 / O~D'a ~ Aso i Zo ~,. p,P~ts ~' r s, T • ' ~• P•c ~s~ ~,,, /yo' ~}G of PvC F~Rc~ M.4i,~I __~ ~ shbwa s t/•~rc~ of the ` , v_ ~/ _~""' ~ ~ ~ ` Fi:v.4L svd'F~4c~ ~i~/ ~ t~.tr~° /Pvv• oF7~ J7 ~~ `fGG~~ ~ ~°M 7`U ~! d: v ~`x r` w.~ r~rZ -_~ ~p rlt of rNvuu, A /, . '~ ~Z, ^- u,u i Fo RM ``e o qy, o o 9g o 1 Spu ~, Go?' L , ~ ~6~ csr C~]C~ P'Y ~ - ~~ ~ a ~ (~ .~ yS,So~ ~, CL Z 3 0 ~- ~ U..L Lot ~/ o = c s T 's l3~+'s d r Coa ~fat,~ ~N-e S • = ~3~C/e~ Pi TS ` V w _~_ 3 s o\~/ \~. i ~i AP ~ t~~ i .~ the Soil J boa ~~Qgfl. ~~ ~~ 0 T ~h~t gRnDE ~~'+ ~ ~ cF ~ osT pope p ~~ ~~ ~~~~ o ~ ~ ~ ~a Pt f3 ~5~~~ p ~ yp Q ~~~~~o 2s ' ~` ~ p^ O~ /i NE w w i ESQ co . /oR~,~t s T i Q_ "`~ qpH g o T~4Ntt ,.,,~ j / O~ ~ S. T. i 1 ~~ , d3 ~ ` C~So ~ . P. C - ~~ \ 590 ~ /, ~ ~ ~/ ~ ~ ~ /~~ ~ ~ii~i4 L S v.P F~4 tE ~ `~~ ~i wit-r~z° IPvv • o F7~ 8 • •~ ~~,- ~ ~' `F GG~ ~ ~3 X72 M To ~ ~ ~ i~ ~~ diV~`7rT tt»4~~!'Z yq " -~ ~pti~ltaF •M vbu, 15 tt. below the downslape rptian System must remain i ~ ., _ / ~~ f ~ ` , -- ~. 4 ~ ~h,. z~ = sff~ ~ M o up p ~ RM of the ` , , ~ iistur o , a 9y,o o . 9~0 Spu d7n. Lo r L 36~ CST" (3M #Z = ~ o~ oE' =.t? hr S cv GoT,co~ti-P~,.._ 9S.So~ r commerce.wi.gov ^ ^ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 08, 2007 OUST ID No. 226375 ROBERT W ULBRICHT ULBRICHT & ASSOCIATES CO 2812 10TH AVE SPRING VALLEY WI 54767 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/08/2009 SITE: Dan Larson -Dwelling 230TH Ave Town of Forest, 54012 St Croix County NW1/4, NE1/4, S9, T31N, R15W Lot: 1, CSM: 739879, V.17, P.4610 Identification Numbers Transaction ID No. 1375412 Site ID No. 723029 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Mound Object Type: POWTS Component Manual Regulated Object ID No.: 1120969 Maintenance required; 450 GPD Flow rate; 9 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-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located'in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • On pages 3 and 4, the following adjustment was made to the distribution network design to promote equal wastewater distribution as specified in the approved pressure distribution component manual: Y = 42 inches / ~ Number of orifices per pipe = 19 Distribution pipe discharge rate = 1 5gpm / Network discharge rate - 8 Orifice density = 6.0 ft2/orifice / A copy of the approved plans, specifications and this letter shall be on-site during construction and inspection by authorized representatives of the Department, which may include local inspectors. A required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. P.O. Condi 0 EN" OIVI ~SAf ROBERT W ULBRICHT Page 2 3/8/2007. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe 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 et~r Pagel Private Sewage Plan Re (608)266-2889 , M - F, pete.pagel@wisconsin. gov ;r ,Integrated Services - 1500 Hrs Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. l1LBRIGMT' & I~SSC)CIATES ~Cl. ' 281210th Ave. • Spring Valley, WI 54767 ~ ~ a ~^~ 715-772-3442 ~~ swipe c-z ~~: ~'~.~ PROJECT INDEX ~~ ~ .E 20~~ ~;,~r( ~ i Plan I.D. # --;°,I3€~~~ ~'~~~~G/n. I~-- 07 Owner JAN Z A RSO a -Phone ~S l • Yya ' ~~i ~ Address 55 D ~i4sT" ~v ~ S7r if/~ly ~iChMO,vv t.~ l5 . S yo/ 7 Legal Description ~ oT~% ~~~~ vol. ~ 7, ~9, . Y(o/O ~/o•o ~~.eS } tiw ~y N ~ yy sic . 9, ~- ~,,v, R ~ s w Town of ~'ol2E5T• County ST• CRo~~ ~ C.S.T. ~tEN[zY Gri?oTLt ~' Z2~z'7?y . _.... Installer R. ?,ILf~Rt`c1a.1`- _ M ~s~zzG3~s Local Authority/ Supervision ST; cRo~ ~. couNT }~ Zo~r NG- ~E ~ T". PROJECT DESCRIPTION P Q b~ ps~17 NEw M 0 U 1J ~ •S y~~ M • N~~,v C D,u .ST/PV c T/'o~v ~d /2 ,q- p/ropos~r~ 3 ,~~o,~°~y. /~,~,~. ~5T/M~TE[~ /J~lG ~ ~ESiG-~ ~/oW y/rp ~'~. ~--1 7"ti F So% L TD'S T /41(PE~- < j p-N ~ ~. ~ ° Sri ~-1 uJ.¢S fF- /~P~POI.~p ~~'o~Li Leo}/ J.~ ~S ~y ~ lc~~s . ~ ~• !,~ • T. S. S p ~ G.`.9/0: s r f°~ ~.v ~,ur,~P~~r.~vE- ~~Ti`72r~ t;uhT~4N ~ lc~i 5 , P~~~ ~~L'~ oUi4 L ~ ~7S~pZ ~MARc(~ z3- 2 voy> J ~N~~os~• ~ : sT~-ram- ~~P~ov~ ~o p y . Pi~hs ~ sue- ~'~~~s~ silt d~ SpECi~L MoU~p S ys?~~., CD~DiTI 0~~ L. f3~P 201J ~4 L ~~(~Ul~rf ~~T S .~ jo TS 1~jy .oF "' R ot~E~r ?-t~t3 ~.~ -~ tiT- Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 MARS ~ ~Z43~ S ~''~~- I' •~ 7 Pg.l PLOT PLAN VIEWS t ~Pg. 2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE "? L, DETAILS INSPECTION PIPES & FABRIC/TOP FILL DETAILS) ,, ,~.,~~Pg. PIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL .,., ~ CLEAN OTJTS ) Pg.4 DOSING CHAMBER CROSS SECTION & SPECS. `~ `~~ 5 PUMP PERFORMANCE SPECS (REVERSE SIDE SHOWS PUMP DETAILS) ~ .~R g . .~g.6.OPERATI0N, MAINTENANCE REQUIREMENTS (REVERSE SIDE SHOWS ~~;-; SITE ~ SPECIFIC PROJECT DETAILED INFORMATION,UNIQUE TO "~ ~~ LOCALE AND GOVERNMENTAL UNIT AREA) ? 8.. 7..F C.t? The attached plans and specifications are based on the following... approved manuals: "Mound Component Manual For Private Onsite Wastewater Treatment Systems " (Version 2.0 SBD-10691-P(N.Ol/O1)~ and "Pressure Distribution Component Manual For Private Onsite Wastewater Treatment Systems" (version2.0) SBD-10'/06-P(NOl/O1). t 2N1~~X s ~-~~ _ ~t= U~t2s~ ~ t Dom' 1`1 a u~uy S yST~ M t /J 5TH 1 1 ~41~i o,,.~ S ~~c~ .4 L (2~a v i ~~ ~ ~p~p % l"ro~uS r,,2~, w i5 . sTytr~ ~ L ~},~,~ ~p~~av~ L Nr~ . 97 S~ o z (~,~r~. Z3 -,oy~ !. ~ r Gait-s 1' ~7 " C z. zS "~ °~ ~PPR av~o s-4~vv ~;,cr z , r3~1-s,9-~ so; c. ~/PL~'~~rro,~ /~,g-rte sti~rt ~ , 30 ~p~/ ~ Z ,q-Nt~ ~ L, ,~~~ Lo.4-o;,uG-- /~i9-r~- y0 ~p ~ ~ ~'o 0 7- . 3. -S~T~'" .S/{.4`/ /jam C,9',t?~~vl~~ GLr:J~-L ~/pc~~r~ To A ~~pr. ~ F l ~ " i~M~r~%~-r~y P~:or ~t-o s~`tvv p1~~.`c~~Z-- ~. ~i~v,9-L L/I.VDS~~9-Piiu(,- zcpslop~ of /`9 6(~.uV SLIA/~ ~/p01~/Q~c- l CoIQ., /~~/ sv/~~4C~ u> ~-7~e s ~j r>,(~i¢iv /~iPol.ZVd 7~ iy a U~~ .5 , T~%s li„/~ 4~ p~ovro~o ray Doti s r~v~rro,v ~p s /op.,~ 7~ ~ovc~v y ~ /~v~ 02 ~.~~ ~~ ,, Utbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring t,>alley, V11154767 _, 3•. CRO55 ~ SEGT~C» of Mo~uD -~ ~v~ rrt ~3eD Oev ~F ~" ro . •Di 5TRit,3uT~o,V 1 i+ Ay$@c3~TE Cs , rl+~•ck,s Fs s P~ P ~'~ G- • o~ Y°P s o t L ur/ TE~~.U.{~ s ~/s rEM C~p'S. ~ Elttil4T'~o~7 Uu i FOR N~ To £ ~~ ~ ~~ ~ ~ 25 ~ t-r ~ E ~ ~ SAD • /I/ ~~~' ~/// PIewSD TopSo~ ~-- . i o ~oe~TaoR 5 % S1oPE FoR"cE uu F RM N/N ~ E t ~V11Ttoa t»u OER C3ED /o a • v 2.25 a FT- C~~ 15 - ' .~ . 3 ~~ - g ~ . ~o~. EL.EVJ4T ~i t ~ E, ~• ~ ' Fr. Z INVERT of y IAT~Rh(S ~da.~s ~ . g0 FT. q.(~') b T~°P ~ F R ~~~ ld3• 5 G ~{ l2. ~. p Fr. FT• • .1- `r°p °F ! y ~ATERA ~5 J Qa•~~ i'L~ N Vi EW vF M©u~D -- c~s~ r ff T3E D ~` C ~'~rRA~j ~oRcE M~liN ~! `~ ° FT• a ij~ F r K ~~ Fr 1. /f~- Fr- ~ = FT T ~~ Fr ., 3 ~ Fr i ~.. w ~• s •- ~~ r~.rr~~ r ~ ... .mow ~ ~ ~ ~i , ~r K ~ c f . c. w r ~ °` _o ~ b! " -~ i o . ~ ~ ~ t3El~ of ~~," ~ PuG ~Appep TO li" Aq~ {ZE7r~'yT'~ ~ (3SE R Vh't't o,~t p t p E s /OCi}T~~.tJS : ~ a FT. FRAM Fi~l.G. ~~NL~ PERMti,a EST M /kR KERS ~?n~S 6 ~ G/EA.v d ~ REG2viRED r3A5AL hRE/E ~^~'~y WhSfE'Ftow ' r3A-sit ~pp~,c.~ r~o,~ sdt ~ ~a-~: rr~a~~nE , apt-rte . • 3 0 ~. pa~f~•~ • ~i~r~s s ~~~~t~~ ~~ ~~~ ~ ~~~ Observation pipe Distribtrtitrn cell 6" s.. Cover material Fit material (AStld G33, fine aggregate) 4--Tiled area ,~---Slope Fortes main Figure 6. Cross-section of a Mound System Watertight cap 6° 4° min. dia. ~ } ~ Tap Stot 6' min. t inftlkative surface Water Closet Goliar Figure 8 -Observation Pipes ~~~ ~ s uk ,r,~v~ ~, ~~~ ~f ~ i t ~~~~~~1~ ~`"~~ dia couplings ~1~~N sy~-N ~~ ~ .!' f A,C p~~111'lii ~t ~- '' ~ .~... Q a- " ~ ~~'~ ~~'"~`°- t° ~~ , r G/¢T~°~ file ~ar~ ~~-- --y~~ ~. ~ 15T~'i RUTiDr~l 1~i~E L~4~/oU~ ~'FrJTR~4~.. FnRcE MAiN l ~d t=r e~ \ ~ \ '~ ~ Pvc _ToTA~ unto ValvhE N Dtt: ~~~METE`R L~hZER/!L z3 "E~TRhI ~ -~"~ NII~~~~~t~t~ Z tN c ~ ~s - ~c~RcE JyAi~t ~~ - ~'~ 3 ~1F ~ -, ~o%~ ~F ~Ttva,E'K /y 3 y ~Zs .. Z., I t~ L t~ E S . of ~01~5~(~i pE SEE ~~~~SE' Stf~E .Fp~ 17Eiy4i L PER FaR I4TE D Pi QE HotES Svc^TEC o,J (3oTTo,u~ E . ~ aV~ilY RE'titovF hif DR;~~ f3uRt25 ~ ~ ` y ZIUVERT E I.EVi1TtC o >= L ATE ton i 5 /~Z.7s . spncE v . ~I STRi C3UTION ~t~Ct'lAf~ (rE RATE ~oR ~qch ~grERq t.. PsR o--~ CD G~~ / ~,;~~ ~~~~r~aN NFE co~,~~spo~, ~Ea ToTA~ 17i5TRjQ l5~Hf4RC~E~ ATE ~~~CF ~C~ ~ JUST WO(? K S ~ GA~~Mr~. ~ ~•~' Nlt'Ni MvM ~~ 5CQ Fr z • d Fr 3~ Y' ~D~T{~ l L o ~= LfFTERft L C/O ~/PFS L ~-Tr~~4L~ . ~;viSff~ ~Io,vvD 9iP~1~~ _______~ L.l~vv S~iPiv,~~ ~~ l~~flU~ ~~ /30~ ~rE•v TLS' Gv i~f ~4«Ss 1rO ° sGv~~ 0 2 --~ ~av~,~ ~~1 yy_ ~E,v ~.~ .SGl,~a~ '~D ~H~~~f ~l~ ~~•~i~ ~91~~/~TE,~ -~ ~ ~~~ ~ ~U~ ~~~i v,~ ~~~ ~~ ~ 5~~ q ~~ ~~' `~ ~i SEPTIC TANK ~'PUMP_CHAMBER CROSS SECTION AND SPECIFICATIONS _ ~ '' ~~~~1' 4'~ VENT PIPE 12" MIN. ABOVE GRADE ~ D, ? LO' FROM DOOR, WINDOW OR O FRESH ~$, INTAKE qg~ - . ~l ._~ 5.0 ~ INLET q3•~ ~~ ~ ScD.4o P~ P~ P~ 3•~ SOLID SOIL ~~~~~~~/ ~~~ ~ . '~~~~o. q lt~ ~ ~~ "Z`~ T ~ ~ MoflCL Z1~ ELI ~ ~-[OD !WEATHER PROOF JUNCTION BOX -WITHNDUIT '' , . ,, 1' GAS- ~ ' f TIGHT + `. A . • t SEAL ~ ~ ~~ ; ~ LM B ~ ~ ' ON ~3``~3 + --~- i ~ , OFF (D 1 PUMP OFF ELEV . FT1. - ~Q,7 ~~ 1 t7~ 3" APPROVED BEDDING UNDER TANK ~~- APPROVED HAN80LE CO W/ PADLOCK -WARNING i~ "MIN. ~~ APPROVED JOINTS W! PIPE 3' 0~ SOLID SOII ~~ RISER 1 PERMITTID IF TANK MANUFACRUI HAS APPR~ CONCRETE PAD Sj. ~1 SPECIFICATIONS .' DOSE ~~ ~~~~ .S~ SEPTIC ~ p/~p~d~c7's mac TANK MANUFACTURER: NUMBER DOSES PER DAY: ~qo~ ) TANK SIZES: SEPTIC /OO0 GAL. DOSE VOLUME INCLUDING %~ ~ • Rp.F~•L~ DOSE ~~ GAL. Zy ;~ '~'LOWBACK: ~ . L ALARM MANUFACTURER : ~~ j1~~ ~0 • CAPACITIES : • A =. ~4 • ~ INCHES = 3~ MODEL NUMBER: ^V• L _ ~4~ ' SWITCH TYPE: ~=j~~-- ~~~o ~,C~ - 2 INCHES = 3?- ~ PUMP 'MANUFACTURER: ~DE[I~ G~~Q~ O`~~ C = 7 ~ INCHES = - ~l ~. Q ~~ MODEL NUMBER : (p ~ yZ~Q R ~j SWITCH TYPE: ~ O~~S D = ~~' S INCHES = Z~3 RE IRED DI HARGE RATE GP PUMP ~ ALARM WIRING AS PER ILHR 16.23 VERTICA AND DISTRIBUTION PIPE ~a' ~ FEET .,~- + MINIMUM NETWORK SUPPLY PRESSURE s 2 ..FEET + I~fQ_ FEET FORCEMAIN X ~~~ FT~100 FT. FRICTION FACTOR ._. ~_~, FEET TOTAL DYNAMIC HEAD - Z 3, ~~ FEET N ~ DI ETAM ER INTERNAL DIMENSIONS OF PUMP TANK: LENGTH yC~ WIDTH O / / ~f ii ~. _ LIQUID DEPTH v / THIS POVV'T SYSTEM SHALL ~C .,5'~ECS INCORPORATE PER COMM. ~ ~•~~ ~. ~ O f ?~~Q• 83.44.(2)c A PROPER ~ FILTER MODEL # Z, O~j/~L - I (p • ~ S Ci - - s ~4'/ 4 d --~( SEPTIC TANR-, per Comm.83.44 (2) (c) shall be equipped With an outlet attached approved fitter device Tank shall have an approved above s ground locking. manhole cover for regular everp 12 months or Tess) inspection b servicing by a 7 i ~Anaadd ~Prv$ AP rmm~c+r _ ` r ~ ~ ~ 6-T ~ - P~ ~ ~ - 1 • ,5~ ~~ ~ SEPTIC TANK ~~-"PUMP_CHAMBER CROSS-SECTION AND SPECIFICATIONS ~ ~ ++ VE GRADE 1: !WEATHER PROOF ~~ ~ ~ 4 CI VENT PIPE 12 MIN. ABO ~~ ~ „ >_ l4' FROM DOOR, WINDOW OR ~ THTCONDUIT ~ ' MANHOLEDCO O FRESH INTAKE W/ PADLOCK _ q%~, ~ WARNING LA ~r ~ ~ "' -~--~~..-4" MIN . ~~ S .D ~:~, - ~ INLET - • ~ ', q3•~ ~----j . _ - GAS- ~ ~ ~ -- .`~ ivy : , r1 - __ ~ ~ ~ TIGHT i ~ s~ g~~ Z1~. _ _ A . • i SEAL ~ ~ APPROV ID ~. 40 F i 1.'CE~ - --i--- B ~ ; ~ ' LM JOINTS W! PIPE 3' OZ 1 P~ = P~K Q ~ Mapco ~ ~{-~oD ~ 3.3 ~ ON soLID soli 3 ~, soLID ~ c ~ SOIL PUMP OFF ELEV . FT. -~- I OFF ~~ RtSER j g ~ ~ '~ - ~, i D PERMITTID K TA • J j~~ J t ~ IF N MANUFACTUI `aS ~ ____ ' ` .~( Q HAS APPRO{ ~0 ~~~i ~ 3" APPROVED BEDDING UNDER TANK ~ O • CONCRETE PAD 9 SPECIFICATIONS ~ /• ~ _ ~Jl ~S4~Z Cp~tlC,1y~~2.. SEPTIC / DOSE T.,S ~~G TANK MANUFACTURER : ~~~~ NUMRFR DpSES PER DAY ~q o ) TANK SIZES: SEPTIC /DOO GAL. DOSE VOLUME ~INOLUDING DOSE (n !7 GAL. /Zy ;~ ~~'LOWBACK: ~~ ( ~ ~ _ GAL- •~ ~ow P ~ ` . ,~,/ _ 1 -Sod ALARM MANUFACTURER: hG`U~ /~/~K ~0 • CAPACITIES:.•A -- 8•~ INCHES - ,~, , MODEL NUMBER : • L B = 2 INCHES = 3? SWITCH TYPE: ~ DOE//~ C = 7 ~ INCHES = " ~l " MANUFACTURER; PUMP MODEL NUMBER : 1(p~ Yz.._.H•P 5 ~ 12~ ~ D = INCHES = _ SWITCH TYPE: ~i 6-by I3i9'~l~ ~l~~7..._ __ REQUIRED DISCHARGE RATE 5~J GPM PUMP ~ ALARM WIRING AS PER ILHR- 16.23 ~~'~ VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ia. o FEET ~ FEET + MINIMUM NETWORK SUPPLY PRESSURE -FEET FORCEMAIN X ~.~~ FT/100 FT. FRICTION FACTOR + /~Q ~~,~ FEET _ ~ / TOTAL DYNAMIC HEAD ~= ~~ ~ ~ ~ ~ Z3'~FEET ~y C AMETE D ~ ; WIDTH INTERNAL DIMENSIONS OF PUMP TANK: LENGTH 7 R I ; ~i ~. _ LIQUID DEPTH ~ ~~ THIS POWT SYSTEM SHALL INCORPORATE PER COMM. g3,44(2)c A PROPER FILTER MODEL # Z DPI/~ i¢ -/ O d f~~~ ~ ~ D N p jc ,S~Ecs l~•~Sf s -~( SEPTIC TANR; per Contm.83.44 (2) (c) shall be equipped with an outlet attached approved filter device Tank shall have an approved above t ground Locking manhole cover fvr regular every 12 months or less) inspection S servicing by a 1 i r•anrsdd sxr~rvi r•o t~nmt~pr _ , ~~-~ ~~~ C HEAD/ CAPACITY CURVE SEWAGE and DEWATER/NG 113 Y ~ 11a 32 103 ,~ 2e ~ ~ EFFLUENT 24 ~° and a 78 DEWATER/NG = ~ 70 U_ 20 ~ } to O Q 16 2 MooEL s sa, as, - s7, sa 0 ~ GALLONS /0 20 ~ 40 50 80 70 80 80 100 110 21 LITERS 0 80 100 210 320 100 76 ffi FLOW PER MINUT! 70 ~ I ~ I 18 80_ MODEL 2t~ Z q _V I. 11 ~ MODEL ~ ,, 204 i ~ 12 ~- ~ ~ MODEL ~ j i 283 10 ~ MODEL -~- t ~ MODEL • ZO 382 16 '' 10 "MODEL ' _ OELLE/'P O. 2 8 207, 1e! ~ - !w o ~ ~ 3280 0Id MMir-s L~q oALLONa to 2d ao Io' so eo 7o w I oo •ao I11o 120 i30 110 ~iso 180 / 0 180 1tlo /P.'O. Box !8.447 f i ~ ~ r 1T' T ~ ~~ I ~ LOWftl~17 KMfI/tCky 402li3 t LITERi 0 00 180 210 310 loo 180 sso~810 720 (602) 778 279! ' FLOW PER MINUTE ~ "161 -X16,3*" u165~'~ "1 ~- X188"- "189'" Se-11@S (%a HP) (~ HP) (t tiP) (1 HIS) ~1''7/a HPJ (2 HP) • Automatic or Non-Automatic. • Y7 H.P.,115V, 230V, 200-208V,1 Ph. or 3 Ph.. 460V, 3 Ph. ~~~ • 1 H.P., 1'/2 H.P., 2 H.P., 230V, 200-208V, 1 Ph. or 3 ....., Ph., 460V, 3 Ph. sc lzzs • passes ~/<" solids (sphere;. • i l/2" NPT discharge standard. • Fioat operated, submersible (NEMA 6j mech- anical switch. • Automatic reset thermal overload protection, 1 Ph. only. KatE6 lat la I{S 7aa W 7N Gai L r Gal Lpa Gu Ltn dtl lpa MI LNa MI lp4 5 , 51 ,O6 a0t 6, 23t 6, 23t N 777 t0 305 ,00 1>6 5f 2Jt 6t 2], aM1 777 ,5 n i) 9, xa u0 22) 60 22) M 777 20 6 f0 82 3,0 ~9 22J 60 21) Bt 777 ,1~}}? -_ ~ -.7) It6 59 22" a5 777 ]0 9 is 6s zas 55 za6 se z2o Bo Sao an 777 a0 +2 ,9 a6 ,)a a6 t)2 55 206 ]6 263 89 JT a7 71~ i0 t5 2a 2i BO ]] ,25 5, t9, SB 219 )] 2)0 1I 747 59 tB 29 ,i i) al. ~6, 36 t>6 5) 1tfi 67 7k7 'v r ]a 3o n +o JB 3: ta0 5) 2i6 80 2a 30 a 5J t3 a9 'd) I)F 9o z) a] 36 Lu ,00 ]04B 9, N L«. vai.e sc fie Br n 63 n0 • Durable cast iron construction. Canadian Standard. U~ listed ~ Aaaoc. Approval Non-Automattc • 2" or 3" flange available. .puuma Mods! Pictured • 20 ft. UL listed neo rene cord and lu P P g• NOTE: No UL listing for 200-208V/i Ph. pampa. Mercury /lost swhchas are available /o- non-auromaNa modah. i6'1 rA rAT 1 / itA I~R ~ ~ ~ ~•~w ^ ~ • w Mound System Management Plan ~ ~ O .tom Pursuant to Comm 83.54 Wis. Adm. Code, ~ , ' Septic Tank The septic Rank shalt be maintained by an individual certified to service septic tanks under s. 281.48. Scats. The contents of the septic tank shah be disposed of in accordance with NR 1.13, Wis. Adm. Code. The operating c~ndrtbn of the septic tank and outlet filter shaft be assessed at least once every 3 years by inspection. The outlet filter shall tie cleaned as necessary b' ensure proper operatbn. The filter cartridge should not be removed unless provisions are made b retairr'sofids in the tank that may slough off the titter when removed from its encbsure. if the filter is equipped widr an alarm, the fitter shag be serviced if the alarm is activated continuously. intermittent filter alarms may indicate surge flows or an impending continuous almm. The septic lank shalt have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquM vohxne of the tank. If the contents of the tank are not removed at the time of a triennial assessment. maintenance personnel shad advise the owner of when the next service needs to be performed b maintain less th~r maximum scum and slue acctxrrulation b the tank. The addition of bioiogical~or chemical addiU,es to enhance"septic tank peifornance is generedy not required. However. if such products are used. they shag be approved for septic tank ttse by the t)epartment of Commerce, Safety and Buik~rrgs Division. - Puma Tank The pump {dosing) tank shalt be inspected at feast once every 3 years. Ali switches, alarms, and pumps shall be tested b verify proper operatbn. If an effluent filter is installed within tits tank it shall be inspected and serviced as necessary. Mound and Pressure OlstribuNon Svstem No trees w shrubs should be planted on the mound. Plantings may be made mound the mound's perimeter. and dre mound shall be seeded and mulched as necessary b prevent erosion and to provide some protection from frost penetretkm. Traffic {otfier than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeretbn of the infiltrative surface within the mound and snow compaction in the winter wifi promote frost penetrptbn. Cold weather installations (October-February) dilate that the mound be heavily mulched for frost protectbn. ' , lnfiuent quality into the mound system may not exceed 220 mgil BOD5,150 mglL TSS, and 30 mg/L FOG. Influent lbw may not exceed maximum design~tlow specified in the permit for this installation. - The~pressure distribution system is provided with a flushing point at the end of each Nateral, and it ~ recommended that each lateral be flushed of accumulated solids at least once everyl8 months. When a pressure test ~ performed it should be compared to the initial test when the'system was installed to determine if orifice dogging he's occurred and if critics deanirrg k . required to maintain squat distrbution within the dispersal cell. . Observation pipes. within the dispersal cell shaft be checked for effluent ponding. Ponding levels -shall be reported b the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent mordbi~. General ~ . This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shah majntained in accordance;with its' component manual [SBD-10572=P {R. ti198)] and local or stale rules pertaining to system maintenaru~`and maintenance reporting. . No one should ever enter a septic or pump tank since dangerous gases maybe present that could cause death. Sepik: arrd pump tank abandonment shah be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no krriger used as POWTS components.. '' Sepik; br pump tank manhole risers, access users and wvers should be inspected for water tightness and soundness. Access ,openings used for service and assessment shah be sealed watert~ht upon the completion of service. Arty opening deemed unsound, defective, or subject b tailors must be replaced. Exposed access openings,greaterlhan 8-inches~in diameter shah be secured by an effective locking devk:e to-prevent'accidental or unauthorized entry into a tank or component. Continasncv Alan U ttie septic tank or any of its components t~ecome defective the tank or componenE shall be repaired or replaced b keep the system in proper operating k:ondi8on. it the dosing tank, pump, pump controls, alarm orrelated.wiring.bscomes defective the defective component shag lie immediately repaired or replaced wHh a component of the same or e~cral performance. If the mound component faits to accept wastewater or begins to discharge wastewater to the ground surface, it w~ be repaired or replaced fn its' present bcation by increasing basal area if toe lea a okxurs or and dispersal media, and related ~ ~ ~ ~ operating cornfitbn. ~~• and replacing said component's as deemed necessary to bring die systmn inb proper Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. OWNER's MAINTAINCE~OF~SEPTI.C SYSTEM - . •: , POWTS (landowner} is reponsible for proper operation and maintenance of this system. Regular periodic inspections and servicing ~s necessary for the safe healthy operation of;this ' systeae. The owner is required by code to submit all necessary maintenance/inspection reports to. the controlling ,authorities.. SPECIFIC CONTACT AGENTS $T• C2OJ 1C G~-y *. Governmental authority/ inspectors: ZO.v i 1l~(r- ~-~y- - . ~~s• 380• ~1~80 * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: • ZZCQ3't S ~* Licensed serv~rce / inspection-agent other than installer: TiPi -- ~T / S,q.~v: r~,9-Tio.v pl~i~r/~r'N !r ~ • ~ . ~~,~ /~l~/~~rg-rv 3 ~ (~ ~ -fir ~ o * Electrician,-for pump, electric controls, wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENTS 1. Winter traffic(sledding, shove9ring, etc.j across the area shall not be permitted, or frost can/will penetrate into the cell, freezing up the system. Discontinuos use in the . winter. (a vacact.ion.trip, resulting `in no water-use) can also lead to freeze ups. 2. Water conservation needs to be exercised?'Or system can be hydrolically overloaded and desL-royed. This svs~em was designed for a maximum wastewater flow of g'S O gals. daily. 3. POWTS are not designed to aecomodate wastes from a garbage;-: disposal unit, or any other unnatural sources of waste. Any introduction of such waste 'materials will overload=-and destroy this system. 9. If a power outage-occurs, or a pump fails, it may result in a temporary overload of effluent being pumped into the cell, which may adversely impact the cell (leak~'ge). It is recommended that a licensed pumper empty the dosing tank, allowing the pump to return to dosing the correct amounts. Consult your installer i~emediately for advice. 5• Neglect of the vegetative~~"cover erosion {the cells insulation ~ preventive) can lead to failure. Compaction or heavy traffic also can destroy t he system. It IS NECESSARY TO REGULARLY WATER THE VEGETATION OVER A SYSTEM?? Effluent in the,,,~ystem beneath IS NOT sufficient alone t0 maintain a '1 ~covsr. fs. Periodic inspections by the owner, or his agent~a, is necessary. Inspection pipes and into the system; on the moun3 basaitareave been incorporated inspection pipesj, cleanout terminals on thefpressurized laterals, at each tip - for flushing and cleaning the laterals out; The filter system in-the tanks (via a locked above ground cover/manhole). Only a licensed properly qualified person should be performing this work which involves health ~ severe safety risks. Evidence of effluent pondfng in the system's treatment cell ,shall also be regularly inspected. ~~~C~~.~~.ra~?~D -- . ~U.~-1~j r,~,vi~.S %~~,~c ~'. e ' Wisconsin Department of Commerce SOIL EVALUATION REPORT 4 Divisio~'~ of Sefety and Buildings in accnrrianca with Cnmm R5 Wie Arlm Cnrla ~f ~X{~/~ ~' 1811 Page I of 3 Certified Soil Testing ' ` County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: verti direction and percent slope, scale or dimem ons, no~ rr~'v~ ~I d distance to nearest road. Parcel I.D. M Pending Pleas print all information. ' Rev wed By Date Personal information you provid may be ~QdJgr~sec~pnd~y pOr~t (Privacy Law, s. 15.04 (1) (m)). IIVV'IHHff~S 11 LUt1`t ®!/ ~'" Property Owner Property Location Seidling, Bernard ST. CROIX COUNTY Govt. Lot NW 1/4 NE 1 /4 S 9 T 31 N R 15 W Property Owner's Mailing Addre Zfl'vtN~61=f~~- Lot # Block # Subd. Name or CSM# Box 3006 _ ____ _ ___ _ _ 1 10 A. CSM Pending City State Zip Code Phone Number ~ City Village y, Town Nearest Road Eau Claire ~ WI 54702 800-386-7969 Forest ~ 230Th Ave. / New Construction Use: y Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD !, Replacement Public or commercial -Describe: Parent material loess o ~ ~i~-_ _ -_---- Flood in e levatioq, if applicable NA ~ ~ ~ _- ~ C-' '!'~'~' ~~~ _ n ~~ General comments ~ 'Q'~~ c.-G+iYC and recommendations: install 4' x 150 rock cell mound on 100.0 contour as upslope edge of rock w/ 2.2 sand fill w/ state/county approval for interpretive site determination Boring # Boring / Pit Ground Surface elev. 99.1 ft. Depth to limiting factor -__ ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Mu Du. Sz. Cont. Color G 'Eff#1 'Eff#2 1 0-5 , 7.5YR 312 sil i 2 m gr mvfr gs 1f/m ' .8 .5 i ~ I _ _ -_ - _ -- - ------- _ _ - 2 I 5-10 I, 7.5YR 3/2 - i sit 2 f sbk ~ mvfr ~ cs 1m ~ .5 ' .8 ------ ----- -! - ~ -- I _ ~ 3 10-20 '~ 10YR 4/3 f1 d 7.5YR 4/6 sit it 2 f-m sbk mvfr ~ cs 1 m ~ .5 .8 i I----------- _ _ - -- ~} -- t 4 20 40 '~ 5YR 4/4 f2p 7.5YR 4/6,5/3 sl ~ 0 m ~ mfr ! - - .3 .5 ' -- r- - I ~ I -- -.__._._ __ t - -- __ - -- --------~- 1 -- lacks A+ 4": resum troe limit is 0' horiz - p p on 3 sbk occasionally ~_ ~ i parts to 2 m I; redoximor hic features be come c2d b elo 16' h d ' d l p p w ; p 9 erc e roun wa e observed @ 40" fro m side seep; near field capacity below 30" -- Boring # Boring /; Pit Ground Surface elev. 100.0 ft. Depth to limiting factor . 0 in. Soil Application Rate Horizon i Depth ' Domira.^.t Color ' Redox Descrip5cn Texture Structure Consistence ~ Boundary ~ Roots ~ GPDrfr ! in. Munsell Qu. Sz. Cont. Color I Sz. ! ! `Eff#1 'Eff#2 ~ 1 0-4 i 7.5YR 3/2 - sit 'I 2 m gr mvfr gs ~ if/m .5 .8 2 4-11 7.5YR 3/2 - sit ' 2 f sbk ~ mvfr cs 1f .5 .8 - --- - _ ,- _ ~ 3 ---- 11 16 '' 10YR 5/3 f1f 7.5YR 4/6 - - - _ - - _-~ i sll ! 2_m sbk mvfr ~ _ ,- ----- - -- cs ~ 1f .5 .8 ~ 4 16 19 10YR 5/3 c1 p 7 5YR 4 6 ~ ~ 2 m sbk ~ mvfr SI I i - ---- 1 m .5 ~ .8 cw i --_ __ __.._. -_.__.. _...._ _. ___ _ ___-+ - _.f._-_- _-_+ I ~ t ~ -T-- 5 19-41 5YR 4/4 sl 0 m ~ mfr ~ - ! - I 3 5 -{ - - _ _ ____-~ ---- -- ! --...__ I - lacks - - ---- - A+4": e pti e li t is 0" h zo 5 i c , " ' pr sum v mi ; or n s near field apacity below 32 and occasional) is sufficient) c nch to texture as scl; y y horizon 3 oc casionally parts to 2 m pl ` tmuent ~~ = tiUUS> 30 < 220 mg/L and TSS > 0 < 150 m /L * Efflu nt # = BODS < 30 m /L TSS _< 30 mgr CST Name (Please Print) Sign to e: CST Number Henry F. Grote ~ 222774 ---- Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 7/11/2003 715-233-0398 . ~ , Property Owner Seidling, Bernard __ _ ___ _ Parcel ID # CSM Pending _____ Page 2 _~of 3 _ ' -~ Boring # -Boring - - - ~, Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 0 in. Soil Application Rae Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell j Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-7 7.5YR 3/2 - - sit 2 m gr I mvfr gs 1f/m .5 .8 2 7-9 ! 7.5YR 3/2 ' - sit 2 f sbk mvfr cs 1f ! - - -- ----- --~ 5 ~ 8 3 9-10 7.5YR 3/2 f1f 7.5YR 4/6 ~sil 2 f sbk mvfr ~, cs 1f .5 i .8 - - ~ I ------ ~- ___ _.. ---- -~- --- I rt- 4 110-14 ! 10YR 4/3 f1f 7.5YR 4/6 ~ sit ~ 2 m sbk ! mvfr ~ cs i 1f .5 !~ .8 --~----- -- _ _ . _ _._. --- -----~-- - --~ --- - - _ _ -------- - ~--1- i I'?d 7 SYR ~/3 ' I ' I 5 14-34 ~ 5YR 4/4 I•I 17.SYR 4/6 ! sl ~, 0 m mfr - ! - .3 5 --- - --- -- ~ - -_ _----- ___-- -r----- -~--------~--~-- ------ --- - - - _ -. --- -- __~- ___ i i lacks A+4": presumptive limit is 0"; horizon 5 is generally c rich and almost textures as scl (non-code loading could be 0.2/0.3 gpd/sq ft) ~ 4 ]Boring # Boring L_J /' Pit .Ground Surface elev. _ NA _ ft. Depth to limiting factor 0 in. - - -- Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture I Structure Consistence Boundary i Roots GPD/ft' t in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i `Eff#1 `Eff#2 1 0-3 i 7.5YR 3/2 _ ~ sit ! 2 m gr mvfr I cs 1f/m ~ .5 .8 ! --- _ __- --- -~ __... -- - --- - ---~.--~ I 2 13-11 I 7.5YR 3/2 stl 1 ------- ~ -__ - - --- ---- j 2 f sbk ~ mvfr cs 1f ~ .5 .8 -- ~ 3 11-15 7.5YR 4/4 c2d 7.5YR 4/6 stet 1 m sbk ~ 1m ~ ' .3 _ ~ -- -__- . _ --_ _ ___ _- ~------ -----' ----mvfr ~ cs ~ i 2 _ - ~ I 4 115-30 5YR 4/4 f2d 7.5YR 4/6 sl 0 m mfr ! -, - 3 .5 ----~- - -~-- - - --- - -_ -- - - -~---- -- - ~- --- --~ it - ; i ~ ~, I ---- - - _ , --_ ---------~--- --~-- i - - r j I --I --- - ----- ~--- ~----- - -- ~ --1---- I lacks A+4": presumptive limit is 0"; horizon 2 has reticulated, fine decayed rootslorganic matter (7.5YR 5/8); sicl B horizon makes this area less desireable that B-1 to B-3 area n Boring # 'Boring _ .. ., _ . ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 =GODS < 30 mg1L and TSS < 30 mg/L The Deparunent 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. stirs-silo to o~ioot Certified Soil Testing ~ ~. ~-o` ~~ r~R1CINAL Wisconsin Department of Commerce Division'of Safety and Buildings 1811 SOIL EVALUATION REPORT Page I of 3 in accordance with Comm 85. Wis. Ali. Co~4e Certified Soil Testing ` ~ ` County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must ~~D Croix St include but not limited to: vertical and horizontal reference oint (BM di ti d . , p ), rec on an percentslope, scale or dimemsions, north arrow, and location and distance to nearest ro Parcel I.D. - ~...~~. , . CSM Pending Please print a1-1 information. --~--- r Reviewed By Date Personal information you provide may be use for secondary purposes (PrivacytaW, s. 15.3 (1) (m)). s Property Owner Pr perty Location Seidling, Bernard g - c''_i;. ~ G .Lot NW 1/4 NE 1 /4 S 9 T 31 N R I S W Property Owner's Mailing Address L Block # _ Subd. Name or CSM# Box 3006 ~ 1 10 A. CSM Pen~iwg 1~ ~~ j) City State Zip Code Phone Ntm'rber --,- ity _~ Village ~ Town Nearest Road Eau Claire ~ WI 54702 800-386-7969 Forest 230Th Ave. -- New Construction Use: /' Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4' x 150' rock cell mound on 100.0 contour as upslope edge of rock w/ 2.5' sand fill w/ state/county approval for interpretive site determination ^ Boring # .._ Boring /', Pit Ground Surface elev. 99.1 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr._Sz~S1t. _ 'Eff#1 `Eff#2 1 ' 0-5 7.5YR 3/2 - sil 2 m gr mvfr gs 1f/m .5 ~ 8 2 -- - -- 5-10 7.5YR 3/2 - sil 2 f sbk mvfr cs 1 m .5 .8 3 -- ~ 10-20 + 10YR 4/3 f1 d 7.5YR 4/6 sil 2 f-m sbk mvfr cs 1 m .5 ~ - 8 4 --- ~~ 20-40 5YR 4/4 f2p 7.5YR 4/6,5/3 sl 0 m mfr - - .3 .5 - j i I -~--_- lacks A+4": presumptive limit is 0"horizon 3 sbk occasionally parts to 2 m pl; redoximorphic features become c2d below 16"; perched ground Ovate observed @ 40" from side seep; near field capacity below 30" ^ Boring # .,~ Boring ff~' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Cominant Color Redox Gescription Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. __ 'Eff#1 `Eff#2 1 I 0-4 7.5YR 3/2 - sil 2 m gr mvfr gs 1f/m ~ .5 8 2 I 4-11 7.5YR 3/ - sil 2 f sbk mvfr cs i 1f ---- .5 ! .8 3 11-16 10YR 5/3 f1f 7.5YR 4/6 sil 2 m sbk mvfr cs 1f .5 j .8 4 ~ 16-19 1 OYR 5/3 c1 p 7.5YR 4.6 sil 2 m sbk mvfr cw 1 m .5 ~ .8 5 19-41 ! 5YR 4/4 - sl 0 m mfr - - .3 5 ~ i __ __ I lacks A+4": presumptive limit is 0"; horizon 5 is near field capacity below 32" and occasionally is sufficiently c rich to texture as scl; horizon 3 occasionally parts to 2 m pl CIIIUCIII $ I = 6VU5 ~ au < «u mgiu ana i ss so < i 50 mg/L ' ffluent #2 = BODS < 30 mglL and TSS _< 30 mgr CST Name (Please Print) Sig at re: CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 7/11/2003 715-233-0398 Property Owner Seidling, Bernard Parcel ID # t~M Pending Page 2 of 3 ' Boring # ....) Boring " ' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor p in. Soil Applicati?n,Rate Hori on De th Dominant Color Redox Description ' -Texture Structure Consistence Boundary Roots '_ z p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 i 0-7 7.5YR 3/2 - sil 2 m gr mvfr gs 1f/m .5 .8 2 7-9 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f .5 .8 3 9-10 7.5YR 3/2 fif 7.5YR 4/6 sil 2 f sbk mvfr cs 1f .5 .8 4 ' 10-14 10YR 4/3 f1f 7.5YR 4/6 sil 2 m sbk mvfr cs 1f .5 ~ .8 5 14-34 5YR 4/4 f2d 7.SYR 5/3 flf 7.SYR 4/6 sl 0 m mfr - - .3 .5 lacks A+4": presumptive limit is 0"; horizon 5 is generally c rich and almost textures as scl (non-code loading could be 0.2/0.3 gpd/sq ft) ^ Boring # ~~ Boring Pit Ground Surface elev. NA ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ' 'Eff#1 'Eff#2 1 0-3 7.5YR 3/2 - sil 2 m gr mvfr cs 1f/m .5 .8 2 ~ 3-11 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f .5 .8 3 ~, 11-15 7.5YR 4/4 c2d 7.5YR 4/6 sicl 1 m sbk mvfr cs 1m .2 ' .3 4 15-30 5YR 4/4 f2d 7.5YR 4/6 sl 0 m mfr - - .3 5 I lacks A+4": presumptive limit is 0"; horizon 2 has reticulated, fine decayed roots/organic matter (7.5YR 5/8); sicl B horizon makes this area less desireable that B-1 to B-3 area Boring # ~ Boring ~J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' i p in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i - i I i I II `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-8310 (R.07/00) Certified Soil Testing `1 E t - isconsin Department of Commerce INSPECTION REPORT SAFETY AND BUILDINGS DNISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www.commerce.state.wi.us/sb (715) 726-2544 Date of Inspection: July 25, 2003 ~ I Project Name: Seidling Use: New Residential Legal Description: NW, NE, 09, 31, 15 ~S~/'~ Site Number: / Subdivision: Lot 1 Pending CSM .o _,. _,. ". Municipality: Town of Forest ~ _ ____ -s ~~ ~; County: St. Croix Plan Transaction Number: NA ~;;~" <~ 'i~~? r Sanitary Permit Number: NA ~. Wastewater Flow: 450 gpd ~_ - ..~..._.. ~,~_, __,.~: ~. Persons Present: H. Grote, K. Grabau Name and Address: Bernard Seidling PO Box 3006 Eau Claire, WI 54702-3006 (800) 386-7969 An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and subsoil: In-situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such as percent and direction of slope, landscape position, land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. A typical soil profile could be described as follows: T-1 00-06" 10YR 3/3 sil, 2mgr, mfr, cw. 06-11" 10YR 3/3 sil, 2msbk parting to 2mpl, mfr, cw. 11-13" 10YR 4/4 sil, 2mpl, mfr, aw w/f2f 10YR 4/6 rmfs. 13-17" 10YR 4/4 sil, 2msbk, mfr,w/common 10YR 6/4 silt coats on peds and f2d 7.SYR 5/6 8~ 5/3 rmfs. Recommendations for this site include the possible use of a mound system designed to overcome limitations of a high level of seasonal soil saturation and slow permeability present in the subsoil. A soil saturation determination pursuant to Comm 85.60 must be completed by a CST and approved by the department to certify that this site has at least 6 inches of soil free of saturated conditions for seven or more consecutive days. Should a mound design be pursued for use at this site, the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated should not exceed 0.3 gpd/ft (even if the platy structure is plowed to realign it to blocky structure). At least 25 inches of sand lift must be used when applying septic tank effluent to the distribution cell. The longest portion of the mound must be orientated along the contour. The mound shall be constructed to divert surface water around the up slope mound toe as much as possible. If there are any questions regarding this report, please contact me. Leroy G. nsky, W tewater ecialist Ljansky@commerc .state.wi. E-mail 715/726-2544 Voice 715/726-2549 Fax cc: ®County ^ Plumber ®CST ^ Owner ^ Other Plumber Name and Address: NA i>/~~~o Certified Soil Tester Name and Address: Henry F. Grote, CST 222774 E4366 353`d Ave Menomonie, WI 54751 i ..~ ~- 7 ~~~~ k -,- r ~ a ~ s ~' T ~ ~ 4 ~ o ~ f- ~ J Y d d ~ ~ j d s ~~ 9 ~ d > ~j ~^ ~ ~, 2 .C J s ~2 ~ 'L 3i 21 nns l~ .~h O 1~ O~ c/' o~ ,. xxf dl ~I ~ J '~..:,. -N ~~ l1 0 ~) _a P U v ~ ~ / ~ ~ .~ 4 ~ Do d' 3 M s r"`^ .~ Q ' 11 .d- ' ~ d 1 J 9 /'N 3 ~J ~ ,. ~ ~- ~ o -g '~ w m,,2~ i~ r ~ Q ~ ~~ :~ . ~ ,- ~~ ~~ ~ ~ ~ a a d ~ ~ ~ ~ ~ ~ ~ ~ iJ M ~ a t ~ o ~~ ~ ~ ~ i .~ -9 O r+ ~~~ ~ ~ °~ D ~ ~ ~ ~ J / n ~ f `,/1 ~~^ ~ ~ ~ , ~ ~ D l> ~~ / /~ ~ ~ ~ ~\ ~ + / vb \ •V ,,n v' u~ i ~t ~~ o '~r1 c° \ , ~ ~f i-r ~- ~ rr 3 ,. /'y / Y ~~ ~ c„ .. ~~~ m m >rn= _ ... Va, ass vs»>; .~ f~ +,~ .~ ~ y 1` ~n ~- ~~ ,x ~~ T ~ .~ ~ ~ ~ s -4- -/" r 0 ~ ~ ~+ ~- ~ a J (- °~ J d ~ ~ ~ j ~~r ~_ ~ Cif 9 ~ dd77 ~~ ~^ 0~ ~ ~ ~ J ~ ~.~,Z~ 3 `1 9 ~ 'L Z s -~" O ,. !~. ~'1 /~ ~^^ 'J Cf ..: ~ "' J - - ,~ ~I v. 4 r+i _a s~. ~° ~ r- M ~ ' . j u` r+ a s rq"~ .d" ~ ~. 11 ~- ~ r J 9 ~./~v ~~ ~ d ~ ~ ~ '~ p M ~~, ~? ~ n 9 ~ i Y ~ `~,~ -~ ~ ; ~ d sa~~ - 9 d ~ ~ _% ~ ,n 7 d ~° (~ r~~ / o ., D ~ 3 s ~ / ~ ~f n / ~ ~/~ i ~ O ~ , D i ~~. J ~~ ~ ~ c n ~ j; 1 ~ ~ 1 sn I c \ ~-!d ~ v ~~~ ~ ~` ~ v f , ~ c \ , ~t ~ ,~~ ~'~ ~I fir'. 3 ,. J c„ ,. .~ ~_~ a m~ dN $~- 4 :, ?_x- . ~~,-_ ~ { ~i i'r' >~»~r .~ ~ J d ~ ~i mss, .-- ~ .~--- a°. u ~ 739679 AY ! ~ VOL ~ 7 PAGE 4614 t ~ ., _ KAT r R~EriI~ OF DEM ENDS ^-- . S' CROtX K CO. MI _ S''t?»~ COU~rTY RECEIVED FOR ~F•CORD _._.., cVORw~FCQRD 09/12/2003 01:00t'M CERTIFIED SURVEY IIAP r rtn_ __ CER T 1 F 1 ED SURVEY MAP PA~~FEE2 LOCATED / N THE NW 1 /4 OF THE NE I /4 OF SECTION 9, T3 ! N, R 13W, TOWN OF FOREST, STi. CRO I X COUNTY, W I SCONS / N. REFERENCED I TOSTHEENORTH PREPARED FOR L !NE OF THE NE r~4. FOUR STAR PROPERT !ES r sr. CROlX COUNTY COORDINATE SYSTEM). UNP~.ATT~'D„LANDS N !i4 CORNER OF SECT ION 9. (FOUND 7i8' NORTH LINE OF THE NE / i4 9E (~WND ~UMINUM RE-BAR ). 7 /~ CAPPED MbNUAENT ). r _w~~YQT3H.: QO.Y~.~ :4 ; ~ - - - ,- - ~ ~ _w~ _.... Sa9•+S' 3!' W ' N88°39' S4'E 537,91' rro r N88°39' S4'E 537.91'w ,~ (623' 1 ''~' ' I V g Os 'Vi 1 HIGHWAY SET A K ro LINE ~ s.....~~.............. .. ................~..................... ' H :C ~ I g ~: LOT / ~- 8 ;b I . ~; • ~ ~ LOT 2 "~ rn m I N ' ~ 10. 00 ACRES N 10. 00 ACRES ~ .n ~~ ~ o ~ i a x'435, 696 S0. FT. ~ ~ 433, 696 S0. FT. `~ ~ m q '~ 8.:47 AC. EXC. R/W :~ ~ 9. 8T AC. EXC. R/W w Ri ;p -° '' I r''l~, AND EASEA~NT ~ 421, 26 ! S0, FT. ~ :~„ ;~ '„ .ass, 14s so. F r. ' °° APPROVED ' °' 2 ~ Z ; 1 m :O ~ ~ I , r; ~ ST. CROIX COUNTY '' ~ ~ I m Z; 0 Plannlno Zonfno and Porky Committee O 'y M N . t v ~: ~' ~ r38' :WIDE INGRESS SEP 12 2003 b ~ ~ I AND ;EGRESS EASEMENT ,r. ' f I(not recorded within 30 days of ~ ' :a ; 6'I 100' ; approval date approval shall lie -i w ~ I null end void --ii ~^~ :" ~ I N88.45' S2"E 537. 90' ~~ 88.OQ' 388.00' 103.90 537.90' ~D ~ 434. 00' S88'43' SP`W 841. 80' :z ' ~, ~ x ~ ~ ~ y N ; ro+ ~ LoT 3 N o~ ~ , ~ 0 5. OQ ACRES m ~" 2 ! 7, 878 S0, FT. ni m$ ;~ 4.81 AC. EXC. ro rr ~ ~ EX l ST l NG EASEMENT ~" y ~ °i' 209, 578 S0. FT, °- 2 ' _ ~ i .LE.GEdQ 0 SET 1 ' D. D. X I8' 1 RON PIPE WEIGHING -.13LBS PER LrNEAR FOOT. UNPLATTED LANDS. ~5~ N g ~ S88.29' S6'W 434.00' ` SW-NE _ w '~ S 1 /4 CORNER OF ~ +~- SECT ION 9. (FOUND u P' l RON PIPE ). UNP4,,A,T f~P.. L ANQ$ ,TAMES M. WEBER &1x04 aPRIfiO VALLEY, 1M !"•200' ...~ JAMES A~ ti£BER S- f BW CANOMARK SURVEYING 0 100 200 400 SHEET 1 OF 2 DATED 5-~-~3 Y003025 THIS f NSTRUMENT DRAFTED 8Y JIM WEBER ~avrs~j`a- C]Ib _~ ~ Vot.17 Page 4610 W ~1: ~'39B'79 CER T t F t ED SURVEY ARi4P pAG~~EE2 6 ! OCATED I N THE Nllr / ~4 ~' THE NE I i4 CF SECT / QN 9. 73 ! N, R / 3W, TDIIIM OF FORE9T, ST. CROIX COUNTY, IYI'.jCdVS 1N. dfQ,7E: BEARlNBS ARE PREPARED FdR: REFERENCED TO THE NORTH L fNE of TfJE NE f~4• F011R STAR PROPERT l ES ( ST. CRO 1 X COUNTY COQ/tD/HATE SY8TEN/). . UNP~.ATTEQ_,1~AA(Q4 N fi4 CORNER OF SECT lON 9. (FOUND Ti8' NORTH 1 INE Of= TFfE NE 1 ~4 RE-BAR ). ._... __ ~~213~?T.l~i_.A.V~.. - - - - - - - -- .~ ay =i :r :r ~~ r ` ~~ o~ a~ ~i $ $~ a z s ro VOL 77 PAGE 4670 R'~E.'CEIV~BDIxFpg ('tECpRD 09/1Z/2N3 81:NP1! CERTIFIED SURVEY MAP N IVE CORNER OF SEC1 9. (FOf)ND ALLN/fNC CAPPED MCMfUAENT). 43• ~- ~ ~N88.39' 34"E 337.9/ ro ~. N68.38' 34"E 537. 91'x"- ~! ~ ~ ! HtBHti'AY 8ETBACK N L fNE rn 1 ................................ ..._............................................!Q _' d• l <. 'g ~~ LOT ! ~ ~, OT 2 ! ~ ~ ~ f O. 00 ACRES ~ 1 O. 00 ACRES ~ ~ 'r ~ 438, 696 30. FT. m ~ to •435, 696 SQ. FT. cr w ~ t ~: 8. 4T AC. EXC. R/W~' ~ 8- 67 AC. EXC. RAW ' 4P 1, P3 / SO. FT. or ~ Jr"f~. JlND EASEA~ENT ~ ni '_ ~ ~ '.169, ! 49 SO. FT. ~ APPROVED ~ ~ ~,,, ST. CROIX COUNTY ~ Ptnarsa Zor+ino and Parks CammNtee IO°r :`r: -' ~ SEP 1 ~ 2003 „y-- dd' : Ml E fN[iRESS 1 AND:E ESS EASEAENT ~ N not raoacded vvNhtn 30 data ~ ~' i • = approval rises approval shah bs m~N and void 1 1 N88.43' 3Y' E S 66. OC}' 03: SO 337. 90' 3ae• 4d' 3=' W 64 J . as LOT 3 '~ 3.00 ACRES 2 / 7, 878 S©, FT. rn 4. 8 / AC. EXC. EX f ST i NG EASEl1ENT • c 209, 5TB SO. FT. _ S 1~4 CORNER OF SECT 1 ON 9. C F011ND P' 1 RQN P / PE ). . !!NPR A F T ~R .. ~ A! ~!4.S $ ~~ ro :a ir.. m :a O .y O t f.Yf"~.11/~ O " SET !' O. p. X /8" fRON P1Pf IYE 1 CsH / NQ I . ! 3L BS PER L f NEAR FOOT. 1INPlATTED LANDS. JAMES M. WEBER b1d0~ >k'IW~DMIIL,LE 11M) /. "'P~. JAfiE3 M, ttEBER S-fd04 LANDAgRK StfRVEY/NQ O foo Poo 40o SHEET 1 OF P DATED S-~S-o3 L'OQ30@3 TH 1 S JNSTR!!AE'NT DRAFTED 8Y J f N IYEBER ~- Go -b ~y Vo1.77 Page 4670 Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Va11ey, WI 54767 fON S ~/~~/ ~~RN~4 R D SEJ DLi N . ST. CROIX COl SEPTIC TANK MAINTENAr AND OWNERSHIP CERTIFIC ~S~ ,~ra~`~es AGT~EEMENT FORM OwnerBuyer ~pC N L /~ l~S ~ -J (o S ~ . ~ ~l Z ~ ~ 2. Mailing Address SS C7 ~~ S ~ ~ ~' ~ i~~ ~i GLi~ovv~f1 ~ ,S YOB 7 Pro a Address O2 ~ s ~ 3 v p rtY erification required fro ~ nning ~ Zoning Deparanent for new construction.) City/State .Parcel Identification Number o ly • '/O ~,O • 2 0 • -fo0 LEGAL DESCRIPTION Property Location NW'/a , ~~ '/a ,Sec. ~ , T, 3 ~ N R ~ S W, Town of Subdivision - ,Lot # ~ Certified Survey Map # 0 / ~ ,Volume l ~ ,Page # ~~ ~ ~ ~. ~'~- ~ b 33~ l ~ ,Volume - , age Spec house yes no Lot •lines iderltifiabl yes 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 I2 - 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 fiill 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. Uwe 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 SIGNATURE OF APPLICANT(S) / °2~' ~ 7 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. (xEV. os/os~ -~U~N Tv Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 ~/s~ ~ 7 a' 3~ yZ State Bar of Wisconsin Form 3-2003 QUIT CLAIM DEED Document Number ~ Doctmtent Name THIS DEED, made betwelRf-~ M LARSOS~,Grantor," whether one or more), and DANIEL C CARSON, ("GRANTEE WHETHER -0NE OR MORE). Grantor quit cliams to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, inS3" CROiI%' County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): PART OF NW 1/4 OF THE NE 1/4 OF SECTION 9, TOWNSHIP 31 NORTH, RANGE 15 WEST, ST. CROI% COUNTY, WISCONSIN. LOT 1 OF CERTIFIED SURVEY MAP FILED SEPT. 12, 2003 IN VOL 17, PAGE 4610, DOC NO 739879'. i~i~fi ~iifi ~~~ii iiii~ ~i~ii i~iii ~~~i iiii~i iii iii 8G9062 ' KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 02/19/2008 11:OOAM QUIT CLAIM DEED EXEMPT A 8N REC FEE: 11.00 PAGES: 1 Recording Area Name and Return Addross WESTCONSIN CREDIT UNION $O BO% 269 NEW RICHMOND WZ 54017 Thu IS NOT homestoad property. (is) (is not) Dated Signature(s) -- ~ , DANIEL C CARSON AUTHENTICATION ACKNOWLEDGEMENT authenticated on W TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. 706.06) THIS INSTRUMENT DRAFTED BY: WESTCONSIN CREDIT UNION PATRICIA A ROHOW STATE OF WISCONSIN COUNTY ss. Personally came before me on /-~' a~ the above-named 1j2a~,., a,,,,~iaan;r 1 `~°~o ma know to ba the person(s) who executed~}?~c foregoing m~/ent and saknowledged the same. Notary Public, State of Wisconsin My commission (is permanent) (expires: ,~~ - ~ ~ '~ I~ ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS LS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED Copyright 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 Form software by: Automated Real Estate Services, Inc. - 800.330.1295 File: 7-1125W 1 oft `\tt\1111111/1/~~', yam-."' -'c ., -.~pTAq ' _ i * * ~ , •lk ~i,~F~OfiI tyy~tSG ~~~~ --~- 1 of 3 Land Contract DESCRIPTION: Lot 1, CSM recorded in Vo1.17 page 4610 as Document # 739879, being located in NW'/ of NE'/., 9-31N-15W, Town of Forest. Tag Parcel # part of: 014-1020-20-100 833047 KATHLEEIi H. MALSN REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 88/25/2886 12:15PM LAND CONTRACT EXEMPT ~ REC FEE: 15.08 ?RAIiS FEE: 98.88 COPY FEE: CC FEE: PAGES: 3 Return to: Four Star Properties, Inc. P.O. Box 13017 Hayward, WI 54843 ~s t~ LAND CONTRACT This Land Contract is effective on 6/8/04, by and between Four Star Properties, Inc. ("Vendor"), and Daniel C. Larson and Dawn M. Larson ("Purchaser", whether one or more). Vendor sells and agr~S to convey to Purchaser, upon the prompt and full performance of this contract by Purchaser, the following pro q r~_,ther with the rents, profits, fixtures and other appurtenant interests (if any) (all called the "Property' ), in the oE-~±VisQonsiq: r,.,:;e , Lot 1, CSM recorded in Vol. 17 page 4610 as Document # 73'.b$~9~~bei ~ecated in NW '/. of NE '/+, 9-31N- 15W, Town of Forest. ~ `'" t? This is not the sellers homestead Purchaser agrees to purchase the Property and pay to Vendor at Boz 3006 Et<u Claire. WI 54702 (715-839-7969) the sum of $ 30,00.00 in the following manner. (a) $ 3,000.00 at the execution of this contract, and (b) the balance of $ 27,000.00, together with interest from the date hereof on the balance outstanding from time to time at the rate of 12.99 percent per annum, as follows: $ 300.00 on 7/1/04 and the same amount on the Ist day of each month thereafter for the next 339 months or until fully paid. In addition to the above payment, Buyer shall escrow 1/12 the Vendor's anticipated real estate tax with each monthly payment of principal and interest. Vendor currently anticipates the monthly real estate tax to be $ 10.00 per month, which may be adjusted from time to time based upon anticipated increases. Following any default in payment, interest shall accrue at the rate of 19.99 per cent normal amortization (actuarial) on the entire amount of the contract (which shall include, without limitation, delinquent interest and late fees until such time as the contract is brought current). The date payment is received in Vendor's office controls and is the date paid- Purchaser agrees to pay a $ 10.00 late penalty for each day the payment is received on or after the 3rd day of the month. Purchaser, unless excused by Vendor in writing, agrees to pay monthly to Vendor amounts the Vendor anticipates sufficient to pay annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees 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 Vendors account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified, then to late fees, and then to principal. Any amount may be prepaid without premium of fee upon principal at any time. in the event of any prepayment, this contract shall not be treated as in default with respect to payments 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 cominued in the event of credit of any proceeds of insurance of condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title evidence submitted to Purchaser for examination. Purchaser agrees to pay the cost of future title evidence. Purchaser shall be entitled to take possession of the Property on date this contract is executed. Purchaser promises [o pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor without demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the minimum sum of the unpaid balance due under this contract. Purchaser shall pay the insurance premium 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 covering 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 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 alt conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, after receiving said sums, execute and deliver to the Purchaser, a quit claim deed of the Property free and clear of liens or encumbrances of the seller, except any liens or encumbrances created by the act or default of Purchaser, and except adverse possession, prescriptive easements, encroachments, easements, restrictions, right of ways, and roadways of records. Ii the property includes improvements. the improvements are sold Strictiv "AS IS" "WHERE IS". The Vendor has not lived on the property sod is not aware of the condition of the premises beine sold under this contract. The Purchaser shall pay the transfer fees and all real estate taxes, which are payable in the year this corrtract is executed and subsequem years. This lot is subject to a four (4) rod easement located on the west portion of this parcel for the benefit of Lot # 3, being located to the south of this lo[ for the purpose of access, egress, and utility. 2pf3 ._ , '-. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest following the specified due date or (b) in the event of a default in performance of any other obligation of Pwchaser which continues for a period of 10 days following written notice thereof by Vendor (delivered personally, by certified mail, or first class regular mail); then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without written notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (I) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and revover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect as a result of such default and other amoums due hereunder (in which event all amounts paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser fails to redcem); or (II) Vendor may sue for specific performance of this Contract to compel immediate and full payment on the entire outstanding balance, with interest thereon at the rate in effect on the date of default aad other amounts due hereunder, in which event the property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (lII) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (IV) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet title action if the equitable interest of Purchaser is insignificant; and (V) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (I), (II), or (IV) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment to a receiver of the Property, including homestead interest, to collect tbe rents, issues, and profits when so collected shall be held and applied, as the Court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor may waive any default without waiving other subsequent or prior defauh of Purchase. Al! terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. This property is subject to recorded covenants and restrictions of record. WITNESS WH I2EOF, the Parties have signed and seated these presents of even date hereof ~-~- Daniel C. Larson-Purchaser ~ Dawn M. Larson-Purchaser our Star Properties, Inc., by Bernard Seidling, Pres. State of Wisconsin County of Eau Claire Personally came before me the above named persons of even date executed the forgoing instrument. -r' v Public for the State of Wi Hein My commission expires on _ ~ ~~~~('iO(~ t~~~aj~~i~~i,~~. ~ ~''al_~..».__ h Drafted by Michael A. Jacobson-Atty at Law ~~ ~2~ 3.of3 /SC~~ Department of Co Date of Inspection: ~ Project Name: Seidling Use: New Resident~l Legal Description: (\ Site Number: Subdivision: ~20 RECEIVED ~/~T 3 1 20031NS merce ST CROIX COUNTY -~ NW, NE, 9, 31, 15W Municipality: own of Emerald County: St. Croix _ Plan Transaction Number: Sanitary Permit Number: Wastewater Flow: 450 gpd Persons Present: H. Grote, K. Grabau SAFETY AND BUILDINGS DNISION Integrated Services Bureau 13 East Spruce Street 'ECTION REPORT Chippewa Falls, wl 54726 www.commerce.state.wi. us (715)726-2544 Plumber Name and Address: Unknown Certified Soil Tester Name and Address: Henry F. Grote, CST 222774 E4366 353`d Ave Menomonie WI 54751 Owner Name and Address; Bernard Seidling PO Box 3006 Eau Claire WI 54702 An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and subsoil. In-situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such as percent and direction of slope, landscape position; land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. The verification of soil conditions is in substantial agreement with the soil profile descriptions as presented by the CST on his Soil Evaluation Report dated 10/18/2003. Recommendations for this site include the possible use of a mound system designed to overcome limitations of a high level of seasonal soil saturation and moderate permeability present in the subsoil. A soil saturation determination pursuant to Comm 85.60 could be completed by a CST and reviewed by the department to certify that this site has at least 6 inches of soil free of saturated conditions for seven or more consecutive days. Should a mound design be pursued for use at this site, the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated should not exceed 0.3 gpd/ftZ. The longest dimension of the mound must be orientated along the contour. At least 25 inches of sand lift must be used when applying septic tank effluent to the distribution cell. The mound shall be constructed to prevent ponding of surface water behind the concave portion of the mound structure. If there are any questions regarding this report, please contact me. L oy G. Ja ky, Wast ter Spe ' ist 715/726-2544 Voice /726-25 ax cc: ~:ounty ^ Plumber ,g( CST ^ Owner ^ Other