HomeMy WebLinkAbout024-1049-06-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 561061 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
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 Parcel Tax No:
Sievers, Mark Pleasant Valley, Town of 024-1049-06-000
Section/Town/Range/Map No:
CST BM Elev: Insp. BM Elev: BM Description:
(Y~ 1 GS 1 21.28.17.308
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI
/ Z ~d3 Z S ELE~V
Septic y 3• , Benchmark J' d /o
I 'l
Dosing rr .wQ h~ Alt. BMC / ~f,3. 5
1rla J / T5 t KJ ~1t ~ CA • S
n ~d Bldg. Sewer , , &
Holding St/Ht Inlet 44' 1 -V 7
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO .P,/WELL BLDG. \Ant to Air I e OAD Dt Inlet
Septic 7 AA- Dt Bottom
Dosing 67 Header/Man. ; ~ ~ G
Aeration t Dist. Pipe 2 G
d4+E. dlb j" ~ ~ J
Holding Bot. System ~Z
d
Final Grade
PUMP/SIPHON INFORMATION 7 • 12
Manufacturer nn emand St Covr~jj~~••'~,
t d+~ GPM t ; I L A- J s.~~ / q. S `3
Model Number _n a~ 3b
P
TDH LFriction Loss System Held ' 7)b
/
~C
U01 I
Forcemain Length Z Dia. 1/ Dist. to well
SOIL ABSORPTION SYSTEM B
BEDITRENCH Width , Length / No. OJ~Trenc s PIT DIMENSIONS No. Of Pits Inside Dia._ Liquid Depth
DIMENSIONS )IL /NL
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type System: / 3 Z/ /A- /0~ UNIT Model Number:
M DISTRIBUTION SYSTEM a - /L& J-" 1hdXM,4„-
Header/Manifold Distribution 11L x Hole Size ( x Hole Spacing
Length Dia Length Dia Ve;F Air Intake
Prom(s) 4-S. Sv Spacing ifZ Z ~~JJ
SOIL COVER x Pressure Systems Only xx Mound Or At Grade Systems Only
Depth Over Depth Over jxx Depth of F -Seeded/ Nd:d xx ulched
Bed/Trench Center Bed/Trench Edges \ Topsoil Yes [3 No Yes [ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_-71 L/~3 Inspection #2:
Location: 276 Cty. Rd. T H ~oon_d, WI 54015 (NE 1/4 NE 1/4 21 T28N R17W) Pleasant Hills Lot 6 -1LPar I No: 21.28.17.308
: LS 1.) Alt BM Description = tiv~~ ~J~~
2.) Bldg sewer length = 16 av` ~f o C -J 0'
- amount of cover nn
Plan revision Required. ❑ Yes o
Zz - - 44
Use other side for additional informat n.
Date Insepctor' ignature Cert. No.
SBD-6710 (R.3/97)
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County ,
r`3^ Safety and Buildings Division S ~~Q
S 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be fiffed in by Co.)
p Madison, Wl 53707-7162
561061
Permit Application State Transaction Number
11111", g" 34~p
1
Z Z
In accordance with S 8 , Wis. Code, submission of this form to the appropriate governmental unit
is required prior to o a permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of S an fessional Servies. Personal information you provide may be used for secondary
in accordance with the Privacy Law, s. 15. 1 m , Stats.
S
L Application Information - Please Print All Information lih H'l t;q C/
Property Owner's Name Parcel Mot ,mss Q
Property Owner's Mailing Address lJ sT C ?O j3 Property Location
Govt Lot
City, State Zip Code Phone N pUN/y~1/. Section
,12e..6 N
r- it AMO. D T,N, R E
genz W.41
'U. Type of Building eck all that apply) Lot # `
L'1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name 1
Z Z r k 3 3 11/t `✓L S lN)5~p-
Block # w .e T
❑ PubliclCommercial - Describe Use ❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of
2 91 ^1 ? Mown of Al- e q? sa 'Y
III. Type of Permit: (Check only one boa on line A. Complete line B if applicable)
A ew System ❑ Replacement System 11 Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
and Date lssued
B. Renewal ❑ Permit Revision 11 Change of Plumber 11 Permit Transfer to New I ist Previous Permit Number
Before Expiration owner ~
IV. Type of POWTS S stem/Com nent/Device: Check all that a I
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ound ? 24 in_ of suitable soil ound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Device (explain) ~~6 r
V. Dispersal/Treatment Area Information:
Design Flow (gpd) Design Soil App/li~r Dispersal Area Required sf) Dispa'sal Area Proposed (st) System Elevation 9f /
t iC / o Vd 2 Sl) A
VL Tank Info capacity in Total of Manufacnrer
Gallons Gallons Units /011/ cq 6, y =
~ B U
New Tanks Existing Tanks I/L,
t7 a.
a U rn co P.
Septic or Holding Tank Q O 6
Dosing Chamber oa DD
VII. Responsibility Statement- 1, the undersigned, assume respo ' 'di fay-installation o the POWTS shown on the attached plans.
Plumber's Name (Print) PI MP/MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zjp Code)
-2 e~ 5z. - "0 Z--!§
nun /De rtment Use Only
roved ❑ Disapproved Permit Fee Date Issued Agent Si `
APP ❑ Owner Given Reason for Denial $ ✓ ,
IX 9XIlifiFfiAl roval/Reasons for Disapproval (J3
1. Septic tank, ent filter and Yr~ l/LU* --IV tij) ~~jr Sew
dispersal cell ul must be, serviced / maintained
as per management plan provided by plumber. 2 a f/ l~ G~ftf
/
2. All setback requirements must be maintained ~ ~ y54h.
as per applicable code/ordinances.
Attach to compleft plans for the system and submit to the County only on paper not less than 8 rrt 111 inches is size
SBD-6398 (R 11/1I)
` ptirsxT~1,, DIVISION OF INDUSTRY SERVICES
v,•' ~0 3824 N CREEKSIDE LA
y HOLMEN WI 54636
3 Contact Through Relay
www.dsps.wi.gov/sb/
j
www.wisconsin.gov
.oSIOIN Scott Walker, Governor
Dave Ross, Secretary
April 16, 2013
CUST ID No. 648443 ATTN.- POWTS Inspector
ZONING OFFICE
KEITH E KNUDTSON ST CROIX COUNTY SPIA
927 150TH ST 1101 CARMICHAEL RD
ROBERTS WI 54023 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 04/16/2015
SITE: Identification Numbers
Mark Sievers Transaction ID No. 2230221
CTH T Site ID No. 686796
Town of Pleasant Valley Please refer to both identification numbers,'
St Croix County above, in all correspondence with the agency.
NE 1/4, NE 1/4, S21, T2 8N, RI 7W
FOR:
Description: Three Bedroom Mound System / 4% slope
Object Type: POWTS Component Manual Regulated Object ID No.: 1422832
Maintenance required; 450 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade
System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution
Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), Effluent Filter
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 any component manual(s) referenced above.
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code
requirements. P'0'w~i
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, >Go N d l ,
stats. APP R
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders 15, S FE
• A sanitary permit must be obtained from the county where this project is located in accordance with the -tl
requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRE
• 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. Stats.
• 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 SPS 384 product approval conditions.
• All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant.
• A copy of the approved plans specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department which may include local inspectors.
KEITH E KNUDTSON Page 2 4/16/2013
Owner Responsibilities
0 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.
0 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. SPS 383.54(1).
0 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.
0 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.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 250.00
s
4This Amount Will Be Invoiced.
erard M Swim When You Receive That Invoice,
POWTS Plan Reviewer, Integrated Services Please Include a Copy With Your
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal.
jerry.swim@wisconsin.gov WiSMART code 7633
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly
Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with
"SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to
the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered
and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed
by SPS Chapters 360-366.
0,
MOUND AND PRESSURE, DISTRIBUTION COMPONENT, I 0?,,
Application
'i r
Residential INDEX AND TITLE PAGE
Project Name: Mark Sievers interpretive Determination Mound
Owner's Name. Mark Sievers
Owner's Address: 2355 Brook Ave.
Red Wing MN 55066
612-327-4527
Legal Description: NE114 - NE114 Sec. 21 T28N-R17W
Township: Pleasant Valley
County: St.Croix
Subdivision Name: CSM Vol. 10 Page 49 Doc# 785871
Lot Number. 6 Block Number:
Parcel I.D. Number:
Plan Transaction No.:
r. S.
Page 1 Index and title wally
Page 2 Data entry
Page 3 Mound drawings WED
Page 4 Lateral and dose tank
Page 5 System maintenance specifications AND BUILDINGS
Page 6 Management and contingency plan
Page 7 Pump curve and specifications PONDENCE
Page 8 Plot Plan
Papp County Clarificationof Lot Numbering
Attachment- interpretive Determination
Designer: Keith Knudtso License Number: MPRS# 648443
Date: 04/03/ % Phone Number: 651-470-1737
Signature:
Designed Pursuant to the
Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SRS (01/81) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)
Version 5.1 (R. 06106) Pagel of
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a
300.00 Estimated Wastewater Flow (gpd) Table 8344-3 in-,situ soil treatment for
1.50 Peaking Factor (e.g. 1.5 = 150%) fecal colfform of 36 inches.
450.00 Design Flow (gpd)
4.00 Site Slope
96.40 Contour Line Elevation (ft)
6.00 Depth to Limiting Factor (in)
0.20 In-situ Soil Application Rate (gpd/ft2)
Distribution Coll Information
112.50 Dispersal Cell Length Along Contour (ft) = 4.00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/ftz)
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network? Enter Y or N
(C or E) C Center or End Manifold
0.00 Lateral Spacing (ft) If N above, enter the elevation ft
2 Number of Laterals of the highest point.
0.156 Orifice Diameter (in)
2.00 Estimated Orifice Spacing (ft) = 8.04 ie/orifice
2.00 Forcemain Diameter (in)
100.00 Forcemain Length (ft) Does the forcemain drain back?
87.90 Pump Tank Elevation (ft) Enter Y or N
4.55 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal)
10.50 Vertical Lift (ft) 50.97 5x Void Volume (gal)
1.96 Friction Loss (ft) 67.28 Minimum Dose Volume (gal)
0.00 In-line Filter Loss (ft) 30.16 System Demand (gpm)
17.01 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25
1.00 1.50
1.25 2.00
1.50 x x 3.00
2.00 x
3.00 x
Gallonslinch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Wieser Concrete Manufacturer gal/in (enter result in cell 1349)
Dose Tank Information Effluent Filter Information
603.36 Dose Tank Capacity (gal) Poly-Lo k Filter Manufacturer
16.76 Dose Tank Volume (gal/in) PL-525 Filter Model Number
Wieser Concrete Manufacturer
Project: Marl Sievers Interpretive Determination Mound Page 2 of .
Page 3 A
Mound Plan View
`Obse' laan• Ai
pe J
A
W Bf
L --o
Mound component Dimensions Note: Slopes extended at a 4:1 ratio per
interpretive report.
A 4.00' E 31.92" H 1 K 17.5
B 112.50 F I L 1147.501
D 30" G 6" J 13.50' W 13 5.52'
450 (ft. sq.) Dispersal Cell Area 12477.2-1 (ft.,) Basal Area Available
4.0 (Bpd/ft) Linear Loading Rate 11,25 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 100.69'
Q Ft
G H
G
a(ft) I F Dis erDsal Cell 40' (ft)
® : • Lateral
Dispersal Invert
Cell
Elevation
96.401(ft) Contour Elevation
4.0 % Site Slope
Detail of
Typical Dispersal Cell Geotextile Fabric
Shading Key Cover
® Topsoil Cap See lateral details on Page 4 for
® Subsoil Cap number, size, and spacing of COMM ASTM C33 Sand F laterals. Laterals are equally
spaced from the distribution eral Tilled Layer yp' cell's centerline in the
® Aggregate distribution cell (AxB)
i
Center Connection Lateral Layout Diagram
P I
-QP
IE X'---> 1+,021 j -121+1 Lateraft & force main of PVC Soh 40
(per COMM Table 84.30.5)
Plates drW"onthebottom oftheWeral • s Tum-upwMethra"ordeanoutplug
equ& yr spaced
Number of Laterals 2 Orifice Diameter 0.156 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.02 ft
Lateral Length (P) . 55.55 ft Orifices per Lateral 28
Lateral Spacing (S) 0.00 ft Orifice Density 8.04 fe/orifice
Lateral Flow Rate 15.08 gpm Manifold Length 0.00 ft
System Flow Rate 30.16 gpm Manifold Diameter 0.00 in
Total Dynamic Head 17.01 ft Forcemain Velocity 3.08 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
Comm 16.28 WAC Disconnect 4 in. min,
Tank component is properly vented t~ Alternate outlet
location
Forcemain diameter
Wieser Concrete Manufacturer _ 2 in.
Ca aci 603.36 Gallons
Volume 16.76 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B siphon device
A 17.99 301.44
B 2.00 33.52 C Pump off elevation ft
C 4.01 67.28 88.90
D 12.00 201.12 D
Total 36.00 603.361 L Dose tank elevation ft
W Bedding under tank. 87.90
Alarm Manuafacturer S.J. Electro
Alarm Model Number Tank Alert
Pump Manufacturer Goulds
Pump Model Number EP05_
Pump Must Deliver 30.16 gpm at 17.01 f t T D H
Project: Marl Sievers Interpretive Determination Mound Page 4 of
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m DRAWN BY: SME SCALE: 1/4"=l'-O" PRE-POUR:
0- m M IESER conCRETE REV.
~ SEPTIC MANUAL DATE: JANUARY 2010 DATE:. POST-POUR:
\ Z W3716 US HWY 10 MAIDEN ROCK, WI 54750
P REVISED JAN. 2010 800-325-8456 FILE:W1P1000/600-11R
Mound, ystem Mlintenance and Operation Specifications
Service Provider's Name Powers Sanitation Phone 715-246-5738
POWTS Regulator's Name St. Croix County Zoning Office Phone 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 BOD5 220 mg/L
Septic Tank Capacity '1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 flz Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform ?10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Inspect and/or service once every 3 ears
Effluent Filter Should inspect and clean at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested eve 1.5 ears
Mound Inspect for ondin and see a once eve 3 ears
other
Miscellaneous Construction and Matefiaig ftndgrds
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 Tum-up Detail
Finished
Grade
-8" Diameter Lawn Threaded Cleanout
6
71
Sprinkler Valve Box Plug or Ball Valve
Distribution
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Marl Sievers Interpretive Determination Mound Page 5 of
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
Gene al
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals (SBD-10891-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N.
01101)] 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 locking
device to prevent accidental or unauthorized entry into a tank or component.
190c 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 filter shall be
assessed at least once every 3 years by inspection. ,
The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the
filter shall be serviced 9 the alarm is activated continuously. 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 113 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of
when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products
are used they shall be approved for septic tank use by the Department of Commerce.
years. All switches, alarms, and pumps shall be tested to verify proper
The pump (dosing) tank shall be inspected at least once every yrs
operation. If an effluent filter is installed Within the tank it shall be inspected and serviced as necessary.
Mound ago En gre DjBt WMn SiMM
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 mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for
vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the Infiltrative surface within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L. BOD5,150 mg/L TSS, and 30 mgA- FOG for septic tank effluent or 30
mg/L BOD5, 30 mg/L TSS, 10 mg/_ FOG, and 104 du/100 mL for highly treated effluent. Influent flow 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 recommended that each lateral be
flushed of accumulated 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 clogging has occurred and If orifice cleaning is required to maintain equal distribution
within the dispersal cell.
Observation pipes within the dispersal sell shalt be checked for effluent ponding. Ponding levels shall be reported to the owner, and any
levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Gontinnancv Plan
If the septic tank or any of its components became defective the tank or component 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) shalt be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component falls to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in Its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media, and related piping, and replacing said components 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.
Porn Units
The information and schedule of mananagement and maintenance ipr pretreatment devices such as aerobic treatment units or disinfection
units are attached as separate documents and are considered part of the overall management plan for this system.
Project. Page 6 ofQ
F'apl e 7 01' 9
ITT GOULDS PUMPS
Wastewater
PERFORMANCE RATINGS COMPONENTS
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25 0 33 6
6 0-Rings 9
30 - 11 7 Power Cord 5
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9 Stator Assembly 1
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page 9 of 9
Keith Stoner
From: keithknud@centurytel.net
Sent: Tuesday, March 26, 2013 8:56 AM
To: Keith Stoner
Subject: Fwd: Plat of Pleasant Hills Lots 5 & 6
Forwarded message from
Date: Mon, 25 Mar 2013 20:11:15 +0000
From: Pam Quinn
Reply-To: Pam Quinn
Subject: Plat of Pleasant Hills Lots 5 & 6
To: "keithknud. centurytel.net"
Hi Keith,
I reviewed the concept, preliminary, and final plans for this major subdivision, which consists of only two lots.
At the time Eli Gottfried performed the soil & site evaluation in June 2004, the property owners apparently
planned on being able to use a Certified Survey Map for this land division and his report was labeled for lots 1
& 2. However, in September 2004 the owners submitted a concept plat to our office and the lots had been re-
numbered to #5 & #6 due to adjacent lots 1 - 4 from an earlier CSM. The locations for the mounds have been
verified and soil test pits were included on the surveyor's final recorded plat. Please feel free to submit a copy
of this e-mail along with the mound design to eliminate any confusion for the state plan reviewer.
Pam Quinn, Land Use Specialist (POWTS)
St. Croix County Community Development Dept.
1101 Carmichael Road
Hudson, WI 54016
715-386-4680
pam. guinnkco.saint-craix. wi. us
End forwarded message
,
Safety and Buildings
4003 N KINNEY COULEE RD
commerceml.gov ORIGI1V, LACROSSE WI 54601-1831
X11 TDD (608) 264-8777
iwww.commercewisc nsin. ov
www.iscosing
of Commerce
Jim Doyle, Governor
Cory L. Nettles, Secretary
August 06, 2004
CUST ID No. 42258 ATTN: POWTS Inspector
ELI M GOTTFRIED
GOTTFRIED ENVIRONMENTAL' ZONING OFFICE
124 1/2 GRAHAM AVE ST CROIX COUNTY SPIA
PO BOX 1645 1101 CARMICHAEL RD
EAU CLAIRE WI 54702-1645 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/06/2006 Idenriication`Numbers
Transaction ID No. 1024998
SITE: Kurt & Elizabeth Christensen Site ID No. 686796
Town of Pleasant Valley, St Croix County Please refer to both identification'ziuuibers,
NE 1/4, NE 1/4, S21, T28N, R17W above, in all:corres ondence with the agency
FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 970328
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
1. Approval is hereby granted pursuant to Comm 85.60 (2), Wis. Adm. Code to estimate the depth to seasonal soil
saturation based on an interpretative determination. This approval and determination negates the requirement in
Com 85.30 (2) (b), Wis. Adm. Code to designate the ground surface as the highest level. of saturation when
redoximorphic features are less than 4 inches below the bottom of the A horizon.
2. At least 30 inches of sand lift on top of a 6 inches minimum of unsaturated in-situ soil for adequate treatment
and dispersal is required.
3. The basal soil application rate shall be 0.2 gpd/ft^2, and the linear loading rate 4.0 gpd/foot.
4. Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water
movement into the soil solum that has areas of platy structure and slow permeability.
5. Landscaping up slope of the mound shall be incorporated into the mound design to divert surface water drainage
around the mound system.
6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would
change of if saturated conditions were observed for seven consecutive days at depths less than 3 feet below the
infiltrative surface of the POWTS distribution component.
7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any
other parcels or portions of parcels.
8. A copy of this approval letter and attachments must accompany the mound system plans for this site.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. If plan index sheets
were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to
plans that correspond with the copy on file with the Department. All permits required by the state or the local
municipality shall be obtained prior to commencement of construction/installation/operation.
t
ELI M 007MRIED Page 2 8/6/04
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,. or at the address
on this letterhead.
Sincerely, Fee Required $ 100.00
Fee Received $ 100.00
Balance Due $ 0.00
Leroy tGnsky, Wastewate pecialist
Integrated Services Bureau
JiSZ'~cci'133;
(715)726-2544 Office
Ij ansky@commerce. state. wi.us
SAFETY AND BUILDINGS DIVISION
commerce.wl.gov Integrated Services Bureau
13 East Spruce Street
INSPECTION REPORT Chippewa Falls, . 54729
iscons~ n www commerc~711 e
5) 726-2544
Department of Commerce
Date of Inspection: July 29, 2004 Plumber Name and Address:
Project Name: Christensen Unknown
Use: Residential
Legal Description: NE, NE, 21, 28,17W
Site Number: Certified Soil Tester Name and Address:
Subdivision: Proposed CSM Lots 1 and 2 Eli Gottfreid, CST 221981
Municipality: Town of Pleasant Valley PO Box 1645
County: St.Croix Eau Claire WI 54702
Plan Transaction Number: 1024998 Owner Name and Address:
Sanitary Permit Number: Kurt and Elizabeth Christensen
877 Benoy Rd
Wastewater Flow: 450 gpd Hudson WI 54016
Persons Present: E. Gottfried
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/or 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 for the areas evaluated on these two lost may be described as follows:
00-06" 10YR 3/2 sil, 2mgr, dsh, cw.
06-09" 10YR 3/2 sil, 2mpl*, dsh, as.
09-14" 10YR 4/4 cl, 2m-csbk, mfr, cw w/ f2f-d 10YR 4/6, 5/6 & 5/3 rmfs.
14-17" 10YR 4/4 cl, 2msbk, mfr, w/c2d 10YR 5/6 & 6/3 rmfs.
* The platy soil structure was not present in all areas of the soil borings.
If a mound system is designed to overcome limitations of a high level of seasonal soil saturation and slow
permeability, the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated
should not exceed 0.2 gpd/ftz. Chisel plowing to a depth of 12 inches should reorient platy structure to allow a
higher soil application rate than prescribed for moderate platy silt loam. The additional basal area will partially
compensate for the gentle land slope and prevent wastewater leakage at the mound toe. At least 30 inches of
sand lift is recommended when applying septic tank effluent to the distribution cell of the mound to ensure proper
treatment. The longest portion of the mound must be orientated along the contour. The mound shall be
constructed to divert surface water around the mound structure as much as possible, In addition, an up slope
drainage ditch should be considered if it is determined that surface or subsurface hydrology is improved by
intercepting water and diverting it away from the mound site.
If there are any questions regarding this report, please contact me.
eroy G. nsky, Wa ewater S lalist
Ljansky@ ommerce.state.wi.us E-mail
715/726-2544 Voice 715/726-2549 Fax
cc: County ❑ Plumber ® CST ❑ Owner ❑ Other
GOTTFRIED ENVIRONMENTAL
124 Graham Ave,, Eau Claire, WI 54701; 715-833-1400 ^ G~ ~O FO
telephone: 715-833-1400; fax: 715-833-1381; email: elicstmQsbegIobal.net " , <POO
j
INTERPRETATIVE REPORT 04s
y. /
® P,W4 P.O W.T.S.
July 13, 2004 4 Conditionally
Proper owner: Kurt and Elizabeth Christensen APPROVED
Legal Description: NE NE 21 28 17W DEPARTMENT COMMERCE
DIV SON Of SAFETY TY AN 1LDING3 .
Pleasant Valley, St. Croix County
_CTE__EC4R_ESP0N (AN CE
INTRODUCTION
On 17 June 2004, a soil test and evaluation was conducted by this soil tester on the property
described above. The soil test was done in response to a request by the property owner,
Elizabeth Christensen, as part of the development of this parcel for residences. The proposed lots
noted in this report are part of a parcel of land originally encompassing approximately 40 acres.
It is the intention of the property owners, Kurt and Elizabeth Christensen, to subdivide this
portion of land into 2 parcels. Each parcel is intended to have I residence.
RATIONAL FOR THE INTERPRETIVE REPORT
High and low chroma features in the soil as compared with matrix soil colors are considered as
indicators of seasonal saturation in the State of Wisconsin. Department of Commerce Comm
81.01 (118) states:
"High groundwater" means zones of soil saturation which include perched water tables,
shallow regional groundwater tables or aquifers, or zones that are seasonally, periodically
or permanently saturated.
Comm 81.01 (119) further defines evidence of seasonal saturation in the soils:
"High groundwater elevation" means the higher of either the elevation to which the soil is
saturated when observed as a free water surface, or the elevation to which the soil has
been seasonally or periodically saturated as indicated by the highest elevation of
redoximorphic features in the soils.
At least 36 inches of soil separation is required between the bottom of the soil absorption.system
and the redoximorphic soil features in most types of soils (Table 83.44-3, Department of
Commerce). Where this does .not exist, an above ground SAS must be constructed (i.e. mound or
At-Grade).
The initial determination of this site has found the site to be unsuitable for mound type septic
systems (Soil Absorption System), as per WAC Comm 85.30(2)(a) and (b). This code section
l
mandates that:
1. Redoximorphic features be used as an indicator of seasonal saturation in the soils.
2. Redoximorphic features appearing at depths of within 4 inches of the bottom of the A
horizon shall be interpreted as seasonal saturation occurring at ground surface ("Unless
determined otherwise..., the highest elevation of seasonal soil saturation shall be the
ground surface where redoximorphic features are present within 4 inches of the bottom of
the A horizon.")
Although Comm 85.30(2)(b) mandates that redoximorphic features within 4 inches of the A
horizon be interpreted as seasonal saturation to ground surface, Comm 85.60(2)(a) allows for an
interpretive determination of the soil conditions and depth to seasonal saturation should this
condition exist. This section states in part:
"A written report by a certified soil tester evaluating and interpreting redoximorphic soil features
may be submitted to the department in lieu of high groundwater determination data. The
written report shall conclusively demonstrate that the existing soil morphological features or
color patterns are not indicative of current conditions of periodic soil saturation."
This is the basis for the current report.
GEOLOGICAL HISTORY
The following pre-Pleistocene history was gleaned from the following source: Havholm, K. G.
(1998) Pre-QuaternM Geological History of Western Wisconsin with an Emphasis on the
Cambrian Sandstones: Tri-State/University of Wisconsin System Geological Field Conference,
pages 3-14.
During the early Proterozoic Period (700 MA), large deposits of iron ore were laid down in the
region of Minnesota, Wisconsin, and Michigan. This deposition may have been the result of
weathering of continental areas or hydrothermal activity in volcanic areas. Chemical changes in
the oceans at this time resulted in oxidation of the iron and silicate minerals, resulting in the
formation of the silicate-rich iron deposit, taconite. Prior to 1109 MA, a trough formed through
western Wisconsin as a result of subsidence, which eventually filled with basalt. Glacial lobes
from the north scoured the iron- and basalt-rich areas imparting a red coloration to the tills. All
the pre-Cambrian terrain was eroded to form a low-lying area, which in turn was flooded during
the Paleozoic Period (approximately 350 MA), leaving behind marine and coastal plain
sediments. These pre-Cambrian sediments were rich in limestone (marine origin) and quartz.
During the late Wisconsinan glaciation (25,000 - 9,500 YA), the Superior and Chippewa lobes
deposited reddish-brown sandy till (Copper Falls Formation) as a result of scouring of Lake
Superior, pre-Cambrian sandstone and other iron-rich rocks. Approximately 14,000 YA, the Des
Moines lobe advanced into Wisconsin from the northwest, with debris from the Cretaceous shale
and carbonate rocks of eastern North Dakota and Southern Manitoba. This advance deposited
gray calcareous till of the'Trade River Formation. This advance also dammed the St. Croix River
to form Glacial Lake Grantsburg (Syverson, K. M. (1998) Glacial History of Western Wisconsin
in Tri-State/University of Wisconsin System Geological Field Conference, pages 15-28).
2
The subsurface formation in St. Croix County consists of the Prairie Du Chien Group (dolomite
and sandy dolomite). Depth to bedrock ranges from 0 - 15 meters (Brown, B.A. (1988)). This
formation is of Ordovician origin (Paleozoic era 425 mya). Dolomite appears to have been laid
during the early Ordovician period, while the sandstone was laid during the late part of the period
(Paull, R.K. and Paull, R.A. (1977)).
Glaciation of St. Croix County occurred many times during the history of the earth, although the
most recent glaciation, during the Pleistocene epoch (approximately 1 million to 10,000 years
before present), is the most apparent. There were several stages of glacial advance, the most
recent being the Wisconsinan stage. This was the result of the advance of the Superior Lobe and,
from this, the Chippewa Lobe (Martin, L. (1965). The Physical Geology of Wisconsin.
University of Wisconsin Press, Madison, Wisconsin).
St. Croix County appears to be part of the geographical province of the Western Upland. As
noted by Paull et al (Paull, R.K., R.A. Paull (1977) Geology of Wisconsin and Upper Michigan.
Kendall / Hunt Publishing Company, Dubuque, IA), "The Paleozoic rocks are the retreating
erosional edges of marine sediments that once extended across the Northern Highland..... Late
Cambrian seas washed over the Precambrian erosional surface to deposit more than 1,000 feet of
sandstone, with minor amounts of interbedded dolomite."
The St. Croix River has its origin in the Northern Highlands and its resistant Precambrian rock.
The loess deposits in St. Croix County appear to be the result of the westerly winds carrying fine
textured soils easterly to the eastern bluffs of the river and beyond. - - The soils observed on site suggest that the area has been influenced by glaciation. Soils appear
to
be loess (fine-textured, wind blown soil), underlain by the calcareous soils characteristic of the
Des Moines Lobe glacial till. Loess, present as soil of the Ap horizon, may be the result of the
influence of the wind-blown fines of the St Croix River floodplain.
DESCRIPTION OF THE SITE
The parcel of land under investigation lays in the NE %4 of the NE 1/4 of Section 21, T28N,
RI7W, Pleasant Valley, St. Croix County. All land lays south of 301h Avenue, immediately west
of County Trunk Highway T.
Lot 1 - immediately west of County Trunk Highway T
The proposed mound site is located approximately 50 feet south of an established farm road.
The slope on this site is 4% to the west. The mound is sited at the highest elevation on the site.
Immediately east of the upslope side of the mound is the fence line. Immediately east of this is
the road ditch associated with CTH T. Soils are composed of silt loam underlain by clay loam
and gravely clay loam. Soil survey maps for the area indicate that the taxonomic classification of
soils on site is Typic Glossoboralf (Freeon series). The soils are further described as having a
sandy loam parent material, although this was not observed on site. It is possible that this soil
tester did not dig deep enough to find the coarse material.
Lot 2 - 160 feet west of County Trunk Highway T
The site proposed for the mound septic system has similar soils to that in the vicinity of lot 1.
3
Again, soils in this area are described as being Typic Glassoboralfs (Freeon series). The original
intention of the property owners was to site the mound system for mound two north of the
existing farm road. However, soils in this area are unsuitable due to evidence of poor drainage.
The Ap horizon in this area is a highly organic l OYR 2/1 silt loam. These soils may be part of
the drainageway indicated on the soil series map and designated as Auburndale silt loam (AuA).
Auburndale silt loam is classified as a Typic Glossaqualfs.
LOCAL HYDROLOGY
As noted on the accompanying plot plans, the proposed dispersal sites have slopes of
approximately 4%. The land slopes from the east to the west. General surface flow appears to be
west towards the Kinnickinnic River system, located four miles west of the site, based on the
topographic map for the area. Local subsurface flow presumably also flows west towards the
river. Regional flow may be west towards the St. Croix River.
The topographic maps consulted for this report do not indicate any wetland areas in the
immediate vicinity of the proposed mound dispersal systems. No naturally occurring areas of
standing water were observed in the area of the proposed mound POWTS. There are, however,
areas of converging slopes north and west of the proposed mound sites. These are areas of
converging slopes that drain to the west and southwest.
SOIL MAPPING -OF THEAREA
Direct soil mapping of this area by this soil tester indicates that, taxonomically, this soil is an
Typic Glossoboralf. Typic Glossoboralfs have a boric temperature regime with elluvial and
illuvial horizons. The soils are moderately well drained. However, redoximorphic features
appear in the soils in the lower part of the Ap horizon. Soil series maps for this area confirm this
area as Typic Glossoboralf. The profile is described as being slightly acidic, suggesting that the
profile is aged. The aging may be due to a greater than average amount of water movement
through the soil. According to the St Croix County Soil Survey book, native vegetation for this
area was primarily white pine, red oak, and hard maple. According to the National Audubon
Society Field Guide to North American Trees (Eastern Region), (copyright 1998, Chanticleer
Press Inc., NY, NY), white pine grows in well-drained soils. Red Oak (also known as Scarlet
Oak and Black Oak), grows in upland ridges and slopes. Maple grows in upland moist soils. All
3 types of trees therefore, appear to grow in well-drained or moderately well-drained soils. In
relation to their tendency to grow in wetlands or histic soils, the 3 are classified as facultative
plants (red, silver maple), or non-wetland plants (white pine).
SIGNIFICANCE OF REPORTED SOIL CONDITIONS AND SURFACE
WATER FLOW
General surface water flow in the area may be primarily vertical for the first 7 inches
(approximately) as a result of the relatively permeable upper horizons. Permeability is
moderately slow in the subsoil and is most likely perching above the dense silty clay loam
subsoil layer.
Soil structure may have been impacted as a result of extensive cultivation of these sites, although
moderate structure is present in the Ap horizon. Alternatively, the plowing and tilling may have
4
loosened and aerated soils that may have otherwise been compacted as a result of farm machinery
traveling over the sites. The effects of compaction may be present in the Bt horizon.
Also present in the Ap horizon, and slightly into the subsoil, were worm channels, suggesting
that the upper horizon was aerated enough to support aerobic organisms. Roots and root
channels were also present in the 0 to 6" range of the soil profile.
i
Soil colors as noted by this soil tester were l OYR 3/2 from 0-8" (approximately) in the areas of
the proposed drainfields. This suggests that, at least in the Ap horizon, there is not an anoxic soil
regimen. The lack of redoximorphic features and the light (10YR 3/2) colors in the Ap horizon
in this layer suggests that the soils are not saturated for more than 7 consecutive days.
Structure in the Ap horizon was moderate for all the pits observed. The abrupt appearance of
redox features in the soil profile suggests that when dense soil conditions are encountered, water
remains for a significant period of time. High chroma redox features were encountered in the
subsoil starting at 10 to 13 inches. Although not reported on the soil report, low chroma regions
(areas of iron depletions) were also observed. No puddled or massive soils were observed in the
area of the proposed SAS's to a depth of 7 inches.
Close inspection of the Ap horizon did not indicate the presence of redoximorphic features. This
suggests that although there is not an A+4 situation, there is adequate depth in the A horizon
(ap.pri oximately 7 inches) to maintain a suitable distance between the bottom of the SAS and the
limiting factor and thus to allow for the placement of a mound SAS as per code.
MISTIC SOILS
Keys to Soil Taxonomy (1994) defines a histic epipedon as follows:
It consists of organic soil material if the soil has not been plowed. If the soil has been
plowed, the epipe don normally has a high content of organic matter... The histic epipedon either
has aquic conditions for some time in most years or has been artificially drained."
The Keys to Soil Taxonomy defines aquic conditions as: "those [soils] which currently
experience continuous or periodic saturation and reduction.... Saturation is characterized by zero
or positive pressure in the soil-water and can generally be determined by observing free water in
an unlined auger hole."
In neither auger holes nor shallow hand-dug pits was standing water observed in the epipedon. In
addition, soil colors in the epipedon were not those characteristical of organic soils (10YR 2/2).
Vepraskas (1996) points out 3 possible redoximorphic conditions:
1. Redox depletions around macropores and redox concentrations within the matrix;
2. Redox concentrations around macropores and redox depletions within the matrix;
3. Combination of the 2 conditions.
Each of the 3 conditions has a unique etiology. Condition 1 will occur, according to Vepraskas,
in situations where there is perching above a dense and slowly permeable layer. Such appears to
be the condition described on the site outlined in this report. However, redox depletions were
not observed in the macropores in the Ap horizon, in spite of the fact that the structure was
5
strong and the pores were therefore large.
CONCLUSIONS
No redoximorphic features were observed for at least 7 inches of the Ap horizon in any of the
pits evaluated. The soils in this upper 7 inches appeared to be well aerated with the presence of
roots and worm channels. Water movement therefore appears to take place in this upper layer.
There does not appear to be a condition of ponding for any significant period of time in this
upper layer. Redoximorphic concentrations appeared in the soils gradually, starting at
approximately 7 inches (faint) and increasing in intensity (prominent) at lower depths. The faint
redox concentrations may have been accompanied by redox depletions in the macropores
although this was not observed. Given the dark soil colors of the Ap horizon, if redox depletion
was present, it would have been visible. In the lower horizons, depletions may have been
masked by the more reduced matrix colors.
Slopes were approximately 4%, suggesting that water does move laterally away from the site.
PROPOSALS
This soil tester feels that mound systems on these sites would adequately provide effluent
treatment and dispersal as long as the follows design conditions are implemented:
1. The construction of the soil absorption system must be in the area designated on the plot
plans.
2. Areas lower in the landscape must not be used for soil absorption systems.
3. The distribution cell must be designed very long and narrow with a linear loading rate
less than 4.0 gpd/ft. This may limit the number of bedrooms and / or occupancy that can
be serviced on the site.
4. At least 2.50 feet of ASTM C-33 sand must be used under the laterals for proposed lots 1
and 2.'
5. Maximum hole spacing in laterals must be 30 inches.
6. Slopes around the mound must be 1:4 rather than the traditional 1:3 to increase the toe
absorption area.
7. The area upslope of the proposed SAS must be provided with a constructed waterway to
divert water around the mounds. The purpose of the waterway will be to prevent water
from being trapped in the mounds. However, the proximity of the road ditch to the siting
of the proposed mound on Lot 1 may preclude the need for a separate drainage ditch
upslope of this mound.
6
If you have any questions regarding this report, please feel free to contact me at the above
address and/or telephone number.
Sincerely,
Eli M. Gottfried
Registered Sanitarian (80806), CST (221981), Licensed Designer (1310)
7
REFERENCES
1. Brown, B.A. (1988) Bedrock Geology of Wisconsin, University of Wisconsin -
Extension, Madison Wisconsin.
2. Havholm, K. G. (1998) Pre-Quaternary Geological History of Western Wisconsin with an
Emphasis on the Cambrian Sandstones: Tri-State/University of Wisconsin System
Geological Field Conference, pages 3-14.
3. Martin, L. (1965). The Physical Geology of WisconUniversity of Wisconsin Press,
Madison, Wisconsin
4. Paull, R.K. and Paull, R.A. (1977) Geology of Wisconsin and Upper Michigan.
Kendall/Hunt Publishing Company, Dubuque, IA.
5. National Audubon Society Field Guide to North American Trees (Eastern Region):
(1998) Chanticleer Press Inc., NY, NY
6. Soil survey of St Croix County (1978). United States Dept of Agriculture Soil
-Cexs tiara Sp ice-and Research-Div-isian-of-theCollege.nf-A.griculJ=-aad- il'e
Sciences, University of Wisconsin.
7. Syverson, K. M. (1998) Glacial History of Western Wisconsin in Tri-State/University of
Wisconsin System Geological Field Conference, pages 15-28
8. Soil Survey Staff, U.S. Department of Agriculture (1994) Keys to Soil Taxonomy Sixth
Edition, United States Department of Agriculture, Soil Conservation Service. Pocahontas
Press Inc., Blacksburg, Virginia.
8
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page Of
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8'/s x I 1 inches in size. Plan must include, but County St. Croix
not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or
dimensions, north arrow, and location and distance to the nearest road. Parcel ID #
APPLICANT INFORMATION - Please print all information Reviewed By: Date:
Personal infunuation you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).
Property owner: Property location
Kurt and Elizabeth Christensen Gov't lot: NE 1/4 NE 1/4 S21 T28N, R17 E(or)❑W
Property owner's mailing address: Lot# Block# Subd.NameorCSM#
877 I3enoy Road 1,2 NA NA
City / State /Zip Code Phone number:
city Village Q
[To Q Nearest Road
Hudson / Wisconsin /54016 715-386-6340 Pleasant Valley CTH T
El New Construction Use Residential/Number of bedrooms Unknown Addition to existing building: NA
❑ Replacement ❑ Public or commercial - describe
Code Design Flow Rate: Unknown - must be appropriate size for the contour and soil restrictions
Parent Material: Glacial Till - ground moraine
General Comments and Recommendations: Soils are moderately well-drained glossoboralfs underlain by gravely clay loam. Redox features are the
result of perching above the dense gravely clay loam layer. A long narrow mound SAS is recommended for this site.
SOIL DESCRIPTION REPORT
Boring H horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate
in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT=
Pit I Eff#1 01#2
Ap 1 0-7 1 OYR 3/2 NA sil 2mgr mfr gw 2f 0.6 0.8
Ground Apt 7-11 10YR 3/2 fl d 7.5YR 5/8 sil 2msbk mfr aw if 0.6 0.8
Elev (ft.)
96.70 Btl 11-17 7.5YR 4/4 m2d 7.5YR 5/8 cl lfsbk mfr as if 0.2 0.3
Depth to Bt2 17-24 l OYR 5/4 m3p 7.5YR 5/8 el lmsbk vmfr as NA 0.2 0.3
limiting
factor- in.
0
Remarks: krotavina in Ap2 horizon saturated at 24".
3oring # Ap 0-8 10YR 3/2 NA sil 2mgr mfr
as 2f 0.6 0.8
Pit 2 Bt 8-16 1 OYR 4/4 fld 7.5YR 5/8 sic[ lmsbk mfr as NA 0.2 0.3
C 16-23 1 OYR 514 fld 7.5YR 5/8 grcl lmsbk mfr sw NA 0.2 0.3
Ground
Elev (ft.)
96.96
Depth to
limiting
factor- in.
0
CST Name: Eli M. Gottfried, Gottfried Environmental Signature: Tel. No. 715-833-1400
Address: 124-1/2 Graham Ave. Eau Claire, W1.54701 Date: 17 June 2004 CST# 221981
G~ i((s ORIGINAL
EC SO[L AND SITE LrYALUATIUN f
.a f
ww n 01151701wv •id in accof&= with Comm 115~ WK, Cac~
FEB 0 5 2013
yy
► ~ett,~1t~ta ~dtnr-kihn l.ouety Sxc.'ruix
moo ft (0: vsne pl on ~ 1V1 J:'daarl~n .sk,zre. scido at
tin,iue,w to avad *x amtst toad. Yanad d
wmv and ioodion and da:W,oC w
imcawiw,s, n,s!th
icoviewcd 10y: =
&PLACANTINIF KMATION - Please print an 1ftlarmefloa
agoxil aJotleelr'" ym pr wwo =W L vwd for--vdwy PaPx- 1ft"-• L"" • x. 1S Ogtl~le~)1-
.
'ropatly ovvncr: G t:iov'1 krC N 114 NE 1/4 SZi 'f 28 R17
Curt and ChrW~
! Lot WAW& it S, 4 NOW a
►roparty owner's rup addr"S• t p ~S- .C 1,2 NA
37713OWY R Warta Road
11W / Stara! zip Code city Village
Hudson / Wt= nsin /54016 715-386-6340 Pleasant. Valley
Uakrrowa Addition to c,cictingbailding NSA
0 New Cunstrud Usc 0 ResidcntiaVNumber ofbcdtoomR
❑ R~p1a n1 C3 Public or commercial - de=ibr,
to,lo resign !•lovr . Utdcnawn - must bo aPFmPrtatc size for the contour and suit rarariWm
I a"~Y ~y teaa. Red" features are the
p,arerrt Malarial: VI ia111,11- ground mofAinc ed gtonsoboratb eaderlala by
can=] Cotrtnt ntr' i ad ReeomInetndations: Snits We alsderately wei{.drafa
resfLL at perehisE ve the dense *rw1f* clay lofra layer. A left "crow monad SAS is wawnwaded fur this site.
SOIL. DESCRI!'T1AN REPC>•KT
.tructute C=a t Boundary Krwls Soil ApOnoloo Rate
Boring 4 ilnriao m ne* Leon IUMM ftwkm Mscrip " Tc,etare ii r. 55u SL ~
ia. 1+Ara t11 Cok,r Qu • EM 1 F.fFIIZ
pit 1
2f 0.6 0.8
Apt o-7 l OYR 312 NA sit 2111V mfr gw
Ground sit 20 sbk mfr aw 1 f 0.6 0.8
Plev (ft-) O
qpZ 171--! i17 • 7.ilOYKYR 3/2
4.1n4 tld m2d 7 7..S7.5" 518
6.70 5/8 d 1 fsbk mfr as 1 f 0.2 .a
9
Ott
ct imsbk vmfr as NA 02 03
L)q& to pt2 17-24 lOYK S/d map 7.SYR 5/8
• limiting
Naar- in-
0
Remarks: kratav n in Apt horinn saturated at 24". EO6
0.8
NA sit 2>it~ as
poring if Ap 0 - s 1 OYR sn
trnsbk mfr as NA 03
('tt 2 Bt 8-16 '10YR 4/4 f2d 7.5YR 5/8 sil mfr
C 1 l pr-abk mfr sw NA 01 03
t imuod 16-23 10YR 514 f1d7.5YR518 9r1r
Eity (a.)
96.96
M* to .
limiting
fworw
0
Tcl. So. 715-833-1400
t'lou ied bnvironmental Signature '>`a< ok,
t'~5l' Name: t'•ii . C,ottAir,d,
CST* 221981
Address: 124-112 Orabian Ave. Pau Claire. W1. 54701 Do= 17 Juno 2004
G 0 ~ 5tes5 ~ t~,
CAL
i
SOM DESCRIPTION KWORT
aWrnc7 Iatcnsa+ 1'arcc11I1#
taootc Soil Arn igtion Ride
1lo ,n pepilt Dominant Ks4oxrjwAnpt~on Texture suvdurc Cuasistoacc Doondwy Gl+Taltrt°
idrrrinR in. Mumei Coif' Qu. ~ Crud. COW t, Sx Sh.
t01! t {?t182
F'k 3
NA sil 2mshk Taff aw 2f 0.6 0.8
qp 0-9 lOYR 3/2
Ground Bt 9-23 7.5YR 4/4 fl d 7.5YR 518 sid 2nubk mfr aw if 0.6 0.8
Elav (IL) 1 f 0.2 0.3
95.x0 G 23-2-1 10YR 5/4 rm2d 7.5YR 5/3 grd 1 msbk mfi
1.O* to
limiting
ram in.
0
Rtanarks: 2m worm auntla in Ap'horizon.
17eptp Dominant Kedox description -texture Rrucwm Coes'i. Mamdwy Kw~ts Soil Appia~ Rsoo
Wring 8 Hi " Sz Si+.
1tL Munsdl Cale' QM Sz CtmL Cal" 11121 1?M
RI
Ap n - 8 JOYR 3/2 NA ~;1
Ground Bt 8-14 1CYR 4/4 nd 7-5YR5/8 siol
r{ev (ft.) C, 14-22 IOYR 314 m2d 7.41YR 5/8 grcl
N5.60
Lkpth to
limning
radon. hL
0
Remark-m hand nF
1 OYR 3/2 NA eti 2m9bk mrr SW' 2f 0.6 0.8
Haring 4 Ap 0.7.
Pit 4 Ap 7-11 1 OYR W nd 7.5YR 518 sit IWA mrr aw If 0.4 0.6
87.330 11-15 IOYR 4/4 l2r7.5YR 5/6 sicl 1rsbk mfr 9W it 0.2 U-3
B
Orouttd
t iL) 15-18 7.SYR 4/4 m2d 7.5YR 5/e gecl imp mfr NA NA 02 0.3
8
Depth to
limiting
War- in.
0
F--
Rwnmim
boring I A 1 0-7 1 OY14 32 NA $it 2nW mrr gw 2f 0.6 0.8
Pit 5 A 2 J'7-11 1 t1YR 3/2 Of 7.5YR 5/6 sit 2md* mrr aw 1 f 0.6 0-8
11-14 IOYR4/4 ui2f7.M516 S10 Inubk miF aw NA 02 03
Ground
pat„ (ft.) 14-22 I OYR 5/4 m2d 73YR 5.8 XM1 ttiM{vc
VAO
Lkepth luo
limiting
ratdar- in.
0 I tan
' DWndWy KODB :Tfllt Application Kide
DWq6Lh uuminwt Kedwt dmwrtption T tiwctu+c Coa~siswrcc bkmwE f
firing lutizo~+ F:11UI > fi#2
in. MwtscU t:ulor t)u. 5s Cont. Golur or. 87 Sh.
t3
Ap Q. $ $ 1dYR 312 NA
Bt 9-14 I OYR 4/4 fl d 7.3Y K SIB acct
round r
i`y t~ y C 14-23 idYR S/4 mad 1.SYR Sls t
x~.4Z
epth to
mitittg
actor- in.
t1
;ctnarks: hand burin
rot ; I15 301 bfb4; ul;1-17-u4 ;d:dvrM; rAUL leIles
y L,
ail HI
i
Cr
a
-Co
f
or,
road ditch - I _ -
OZ mi. to 30113 Ave.
o
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer Mark Sievers
Mailing Address 2355 Brook Ave. Red Wing Mn 55066
Property Address v
eriication required from Planning & Zoning Department for new construction.)
City/State ~c o d )Rarcel Identification Number 4a ~z9 "496 -1040
LEGAL DESCRIPTION
Property Location NE ,4 , NE 1/4 ,sec. 21 , T 28 N R 17 W, Town of Pleasant Valley
Subdivision Plat: Pleasant Hills Lot # 6
Certified Survey Map # 785871 'Volume 10 , Page # 49
Warranty Deed # I d 1 (before 2007)Volume , Page #
Spec house Dy sEno Lot lines identifiab a ❑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 §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, 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 Safety And Professional Services 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.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms 3
l2
SIGNATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
II 111111111111111811111! Ifl 111
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 8 1 3 5 2 5 8
WARRANTY DEED Tx :4109406
973984
THIS DEED, made between Michael R. Penny and Marcia E. Penny husband BETH PABST
OF DEEDS
and wife ("Grantor" whether one or more) conveys and warrants to Mark Sievers REGISTER STER F DEEDS
C4- S L vL LG, ylit ttiv~ ("Grantee", whether one or more), the following ST. CROIX CO., WI
described real estate in ST CROIX County, State of Wisconsin: 02/26/2013 11:14 AM
EXEMPT#: NA
Lot 6, Plat of Pleasant Hills in the Town of Pleasant Valley, St. Croix County, REC FEE: 30.00
Wisconsin. TRANS FEE: 57.00
PAGES: 1
RETURN TO
St. Croix County Abstract & Title Co. Inc.
219 S. Knowles Avenue
New Richmond, WI 54017
Tax Parcel No: 024-1049-06-000
This is not homestead property
Exception to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for the
distribution of utility and municipal services, recorded building and use restrictions and covenants, and further except 2013
real estate taxes.
Dated this day of February, 2013.
Michael R. Penny
Marcia E. Penny
AUTHENTICATION ACKNOWLEDGMENT
Signatures authenticated this day of STATE OF-'dv`IStl~
20~~ J
COUNTY OF ss.
3CG )
*
TITLE: MEMBER STATE BAR OF WISCONSIN
Personally came before me this day of February, 2013, the
(If not, above named Micheal R. Penny and Marcia E. Penny, husband
authorized by § 706.06, Wis. Stats.) and wife to me known to be the person(s) who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Robert L. Loberg / Loberg Law Office
Notary Public County, Wir'
1313422 / asc
My Commission is permanent-
(Signatures may be authenticated or acknowledged. Both are If not, state expiration d >w KATIS N D'ANGELO
not necessary.) ? V. Notary Public - State of Florida
e• My Comm. Expires Mar 15, 2015
1~(A 1NTY DEED of r.~~.•' Commission # EEPP401/Wo. t- 1003
COUNTY PLAT OF:
OWNER PLEASANT HILLS N LOCATION SKETCH
KUFT MIO ELIUBETH CHNISIENSEN
or BENOV DRW LOCATED IN PART OF THE NE 1/4 OF THE NE 1/4 OF SECTION 21, T28N, RI 7W. TOWN
HWSON, W1 le
OF PLEASANT VALLEY, ST. CROIX COUNTY, WISCONSIN; BEING OUTLOT 1 OF
SURVEYOR CERTIFIED SURVEY MAP RECORDED IN VOLUME 18, PAGE 4823 AND PART OF LOT 3'a rw,H NEw
E-NFIO W OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 18, PAGE 4822.
NO. SM 1
ROBE 0 5l/RVEYING. MIC.
ZZ
OOEMNT9. WI O WF,H
PHONE TISTE- P1T19
FM 71&7-1719 S xamANDNt
Aoc# 705 8'71
rnE'. _ REmr=,S OR9C , SEC. 21• T2SN, R77W
,N,N loTS SNOwx aN,HS YAR T ~m;sir YAV ST. CROIX Co. vnL
.wENCE Exi", eG wGwso .R u..awr.R~,emu a6,,y,
E»~ENE~EDD°UA"0~5w~o.5,lYES~FTNf ~GRY.Y m~
A950C lED ~0.ErrEi
vain, 1
E1~fEfONM ~ 1 d~4 a
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SUNVEYOR'S CENTIFlC111E - - n
EECIx111x1
Il.-.c ANWTREGSTFAEOwSCONSN UwO SU,NEYOR.~FA~'CEN,IFl'TW.TN R4 1 1~v ~c O
ONS DFOUP,m9ROF,NE VnSCgFa1STATU,M.ANDtxloFR
xE DxNCR~W OF NN,ANp F1lOBEMOE15,Fri5FN.pMlERe6lxEtNOpE2naEOCw
~SIM+EVEO.OmDE0Ax0 uwFFE0rt4RAMNUS TNTSp1FNT0O5ECRV
ERMSEM9 lRifNgi0.•xI,ExRM T„E NE / OFSUEWISONOFTEU103RN':YFO: NlD
TWl W Oi~6fCRO, x,, Tau M
l~rN OOF RECORD®Vµ MVOLWE xFME 1 Ax Fes: ERNG OFCFniIFF.o
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Sxsm EF m, NT x GSUDSOU,N UUEOF Wf;tamfEE TO YE'
PAGE xMx 8Aro OFFlDE. NENCE S/svxx58URYEY,ua. tNENCESODMmEFIOO SNDEA9, ifr'`~ / Ow RFNOWARIt
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STATE OF VAKXP N
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