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HomeMy WebLinkAbout032-2132-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 561096 0 GENERAL INFORMATION 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: Schmit, Wayne V. & Charlotte Somerset, Town of 032-2132-20-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 114'%1 e-ST 01.30.19.1171 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. C Septic ~ / J* ~ Benchmark . 0 1 'Q.1 Alt. BM Ft a F ~a Z•~ //(o •S Aeration Bldg. Sewer ' ,L. Holding St/Ht Inlet !r Z TANK SETBACK INFORMATION St/Ht Outlet S• ~j , ~C TANK TO P/L WELL BLDG. Vent oAi Intake ROAD DtInlet C t3 Septic -77- 27 g# Dt Bottom Dosing Header/Man. II LL 10' l~L • •7 Aeration Dist. Pipe Z 7a Z ~ ? iaj Holding Bot. System e. Z / 9' . 1 /-/I/. PUMP/SIPHON INFORMATION Final Grade //07.19 Manufacturer Demand St Cov r 3.7 b /s~ , GPM /17 A Model Number TDH Lift Friction Loss System TDH Ft Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Z5 S1 1 _ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type f System: / CHAMBER OR ,t~•I jL 2' ` , / , A- UNIT Model Numbe~~ a,_jL i- y0!✓s DISTRIBUTION SYSTEM /3+_134-/1y= 39 Header/Manifold Distribution x Hole Size x Hole Spacing IV~ to Air Intake 5 004-30 l ~o Pi e s Length Dia Length Dia \ Spacing O e., SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of Seeded/ 7$%-Olz 1xx ulched Bed/Trench Center Y,:5, Bed/Trench Edges ` Topsoil 7 No s Q No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 866 174th Ave New Richmond, WI 54017 (NE 1/4 SE 1/4 1 T30N R19W) Rocky Ridge Estates Lot 3 Parcel No: 01.30.19.1171 1.) Alt BM Description = r ~J``- ~x~P.~ipr (j/~•,, l~ J~'•' 2.) Bldg sewer length = Zi - amount of cover = ZZ 8w r I4 AL f ~ a er a J Plan revision Required? FOR Yes -5~No ID 1 2 I / / Use other side for additional information. Date Insepctor's nature Cert. No. SBD-671 0 (R.3/97) 1 7 ~LV 7 g Safety and Buildings Division .c f~ I x gl :a' 201 W. Washington Ave., P.O. Box 7162 Stu,itary Permit Number (to be filled in by Co) - ' Madison, W1 53707--7162 ~Ojp~1pN~t _ ~tQ O / J Sanitar e 1t ppl.TCatIOT1 State Transaction umber - In accordance with SPS 383121(2), C ission of this form to the is required appropriate goverrune„ta1 unit prior to obtain ing a s r ication fbrrns fur state-owne a S re submitted to " - - the Department of Safety and s ervies. Per information you provide may r e;.oatda,y Pralect Address (il'different d,an mailutg address)-_ -purposes in accordance with the acy r 1 (m), Slats. - .►w~-.~-r5'Q - _ A _I;Application Information Please Print All Tn ' mat` Property Owner's Narne - l9 ~7 S _ _ cv c Mail' ress PropertyOwuer'sMail' Address Tt:R~~-----------__ _ _ .~~~.r~(~-~~_ COU Property Location Govt. Lot ('ity. State Zi Code - p ~ Phone Number Section 2 ucle on - 11. Type of .Building (check all that apply) - Lot T ( - N; R 1--) r W or 2 Famil Dwellin - - - - - - y g- Number ofBedrooymsy_ _ Subdivision Name v/~. Bloc1; -7 . Public/Commercitd - Describe Use , _~a SQ„~. City of '67 _ _ - - C) State Owned -Describe Use CSM Number n 1~ - - _ 2, l7 Village of . __.J__~+rT w /3 4--lugs .111. Type of Permit: (Check only one box online A. Complete lint; B if applicable) System ❑ Replacement System 'Treutrnent/Holdutg Tank Replacement Onll L~ Other Modification to Existing system (explain) rmit Renewal Permit Revision change of Plumber Ltst Previous Permit Number and ued eore Expiration Owne, ~ ~ ~ 11'81. Type of PU'WTS Systern/Component/Device. (Check all that apply on-Pressurized In-Ground CJ Pressurized 7n-Ground L1 At-Grade LI Mound 24 in. of suitably, soil ❑ Mound < 24 in. of suitable soil ]Holding Tank ❑ Other Dispersal Component ex lain Pretreatment Device ( P - (explain).-_ - K. T)is ep rsal/Tr'eat ent Area Information- I)esi Plow d Design S - ggn Fl ~(gp) gn pplicabon R (gpdsf) Dispersal Area Required (s1) - --F)rspeae:al Area Proposed (s S 5.7E. levatior - / V1. 'l'ank Info Capacity in Total it of Manufacturer - - ~ ~<F _ Gallons Gallons Units U New Tanks ~-);xis-ling Tanks W ~ ~ i, ~,1 f ` n. U rA y ri1 V ~ a., Septic or Holding Tank _ - - _ _ 50siug Chamber _ esponsibility Statement- 1, the undersigned, assume r usibility for installation ol'fhe po Nyi '['S shown on the attached plans. Plumber's Name (1'ratl) Plumber's r - MY/MFRS Nwnber Business F'hone Number Plumber's Address (Street, City, State, Ztp Codc YD VII Count /De rartment Use Only w -17 Approved prove Pe lit Fee Date Issued lssuirrg tit Sig»atu Lner Gi eason for 1) ial T7t4. Condi1jlr0WfiM*Wld' Reasons for Disapproval - 1. Septic tank, effiwnt filter and dispersal cell•must all be services / matntatned as per management plan provided by plumber. 2. A8 "rggt*ements mint be rniW&%." , 1'i. psr apps lS1e t»dte / ordltwioss. 1~Tfir M y c5_~- t ~c5s 1e~! / Attach to complete plans for the system and subw_ it to the .panty only oil puper nut Icss than 8 1/2 s It inches in Niue r SBD-5398 (R. 11/11) PLOT PLAN PROJECT Wavne Schmit ADDRESS 866 174th Ave New Richmond Wi 54017 NW 1/4 SE 1/4S 1 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/6/13 BEDROOM 2 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 800gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 791 # of chambers 39 66 BENCHMARK V.R.P. Topof 1" pipe at lot corner ASSUME ELEVATION 100' Filter BEAR Filter ❑BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 110.2/110.7/111.2 5' below grade 250' Property Line B. All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Well is to meet all 114' setbacks required by WDNR 116' (t,\ 134' Vent "J B-1 04 j -i-- 1 ~ 45' >6„ Quick4 Standard 2l r 1 Leaching Chamber 0.~ '7 of Cover with 20.0 ft2 of Area ;27' 5.6ft 2/pair of end caps Long 12" 40' 7' 34 Grade at System Elevation ~ " Area of poor soils B-7 B-2 10' Scale is 1" = 40' unless otherwise 57' 7% lope noted ' B-3 25' Please note: additional soil boring done 118' to verify soil conditions. The soil conditions were very similiar as indicated on soil test, except depth Pro 2 Bedroom below grade needed to be extended House to install system at a lower depth due to thicker clay horizon 607' Property Line 174th Ave ' Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 6/6/13 Owner:Wayne Schmit Location: NW1/4 SE1/4 S1 T30 N,R19W 866 174th Ave Somerset System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Soil test (additional oring) Signature License number 46900 PLOT PLAN PROJECT Wavne Schmit ADDRESS 866 174th Ave New Richmond Wi 54017 NW 1/4 SE 1/4S 1 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/6/13 BEDROOM 2 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 800gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 791 # of chambers 39 BENCHMARK V.R.P. Topof 1" pipe at lot corner ASSUME ELEVATION 100' Filter BEAR Filter ❑BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 110.2/110.7/111.2 5' below qrade 250' Property Line B• All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Well is to meet all 114' setbacks required by y 116' WDNR r_ 134' Vent "J B-1 t+ 1 45' Quick4 Standard Leaching Chamber 17 with 20.0 ft2 of Area J C~. 27' 5.6ft^2/pair of end caps 2" 40' 7' AE t System Elevation 3 4" Grade a Area of poor soils B-7 B-2 ' Scale is 1" = 40' 10, unless otherwise 57' 7% lope noted ' WjF B-3 25' Please note: additional soil boring done 118' to verify soil conditions. The soil conditions were very similiar as indicated on soil test, except depth Pro 2 Bedroom below grade needed to be extended House to install system at a lower depth due to thicker clay horizon 607' Property Line 174th Ave Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 117' Vent A91 Grade Vent 4' 4„ 4' X30/34 Septic Tank 4' Long 1 91 5' Long 1 3 4" Grade at System Elevation 3 Grade at System Elevation Spacing 5' 3-3' X 54' Cells Observation tubeNent Same on other end To be located on end of Cells A B System elevations: C A-1 11.2 B 110.7 13 chambers per cell C-110.2 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE ACPREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address / 7G1 - _ (Verification required from. Planning & Zoning Departnte,nt for new construction.) City/State Parcel Identification Nurriber D 3d- -02 / 3 oil - 020 _ anro LEGAL DESCRIPTION Property Location,&,- , '/4 Sec. T a N Ij W, Town of So_M Pf 5 _ Subdivision ~v Z~_ _ - - Lot # _ Certitfed Survey Map # - _ , Volame Page # Warranty Deed # Voit trne Page Spec house yes Lot line.; dentifiable yes no SYSTEM H&Ll ffE NANCE 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, ii 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 wastes disposal system. Owner maintenance responsibilities are specified in §Comm. $3.52(1) and in Chapter 12 St. Croix County Sanitary Ordinance. The property owner algees to submit to St. Croix County f larm.ing & Zoning Department a certification fonri, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licewed pumper verifying that (1) the on-site wastewater disposal systc;m is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 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. I/we certify that :all statements on this form are true to the best of my/our kiowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty de recorded in Register of Deeds Office. Number of bedrooms cl~_ SIGN.ATLIRE ~-JIa APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being r,,voked by the Planning & Zoning; Department. Include with this apphcal:ion a recorded warranty deed from the Register of Deeds office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_ of "FILE: INFORMATION_ SYSTEM SPECIFICATIONS Owner Septic nk Capacity ❑ NA Permit # - - - --_-^_gal Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS -Effluent Filter Manufacti.irer _ ❑ NA Number of Bedrooms ❑ NA Effluent filter Model p NA -Number of Public Facility Units A Pump Tank Capacity i- NA Estimated flow (average) Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) c j al/da Pump Manufacturer - NA Soil Application Rate --_gal/da !flz Pump Model NA Standard Influent/Effluent ,Quality Monthly average` Pretreatment Unit NA Fats, Oil & Grease: (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen I:)emand (BODs) s220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <150 mg/L ❑ Disinfe+;tion ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Gell(s) - - i ❑ NA Biochemical Oxygen Demand (BODs) 530 m9/L (gravity) ❑ In-Ground (pressurized) I n-Ground Total Suspended Solids (TSS) <30 mg/L ❑ NA ❑ At-Grace ❑ Mound Fecal Coliform (cleome:tric mean) s10a cfu/100m1 ❑ Dr' rp-hire_ ❑ Other: i Maximum Effluent Particle Size i in dia. ❑ NA Other: 0 NA Other: - NA Other: 0 NA *Values typical for domestic wastewater and septic tank effluent. Other: - - -----0 NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve 0 month's) ry (Maximum 3 years) ❑ NA ears Pump out contents of tank(s) When combined sludge and scum equals one-third ( ) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: - months) (Maximum 3 years) ❑ NA _ years; - Clean effluent filter At least once every: --Z months s) INA A- - - 1 / A;Jyear(s: Inspect pump, pump controls & alarm At least once every: ❑ month's) A - - ❑ year(s Flush laterals and pressure test At least once every: ❑ month's) ❑ year(s~❑ month(s) At least once every: ❑ year(s) MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cricks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on he ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check 'or any ponding of effluent on the ground surface. Fhe ponding of effluent on the ground surface may indicate a failing condition and requires tha immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of the tank shall be rernoved by a Septage Servicing Operator and disposed of in accordant, with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of s12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of an,, service event. Page of START UP AND OPEIIAT113N "For new construction, prior to use of the POWTS' check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatmert process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pimp tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the t1ackup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank, Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps:; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails arid/or is permanently taken out of service the following step: shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to'tank<; and pits shall be disconnected and the abandoned pipe openings seale:l. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another, inert solid material. CONTINGENCY PLAN If the POINTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; A suitable replacement area has been evaluated and may be utilized for th a location of a replacement soil absorption system. T e replacement area should be protected from disturbance and compac.ion and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure c protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time ❑ A suitable replacement area is not available due to setback and/or soil lirrritations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POINTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is avail, ible a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following romoval of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effet,t at that time. <<WARNIli SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR, INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. D(:cATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER _ POWTS MAINTAINER Name- Name r-5 C Y -sue /C - Phone Phone `r-- SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY A-UU"'HORITY Name Name ` -T,;fd /I /J Q eCZ Phone 'I. L lC/ 0 Phone - This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (3) & (3), Wiscmisin Administrative Code. "ILT ER CAP.TRIDGE INSTRUCTIONS 1"Stetrmbon s'r•cw i ory rit the mber caes.rata thm iced at thr otftli , Centered urrdar the et cestt pir►e+ to etrsur'e it, is wrariing. If not, than tither insef•t tnearu pliid into life tank through the uutlet or eoiuasot wefd (Vifrn) additional pipe Onto the uuttut pipe- 5 FP 2 What the Case is still dry fitted oti the outlet pipe rrr of alb-inch pipe needed to braci:~ the filtsY to ~ ensure tise ler+gtl~ the tank rznd wail it ' aptiorral i upvkemtauta utilFt ft the ! skle suµwurt. If side support rnalhod. is not utilized, pramr3d to step four. g•rVt..y Fur instailatiotrs tft(ilalwiy the WAllunol rlaupplenaefttol side support. solvent weld the % inch fiipe auto the Mttr Camia, If side support hiethnd is feet utiliuad, proese, to step four. cartridgw into the case, perm filtel case 4l!i down tuntlt thalter locks ItiCu the r bottoh•r oil gyp.":~¢ the casts. If a VRS switch is utlli:Zed= insect into tiro filter and luck by turning r , Clockwise BO', ! maintenance 1. The eftfuerit niter mhuuld be tlaaned every time the *4ptic tank is serviceed. 2. opeh this outlet access apatiing to Inspect the tank ,ttld ftitLI; m. 15ump the septic tank conoplotely, rrmaking stAra to ratritwe the sludgu Ibyo on the butfaorrr of the bm tte and n»t just rile scum ar,d vefiftutint. ,u 4_ once the eolusht Ievei has bean towered balow thu invert of the } outlet pipe, ffrerily Full e/p orm the fifter handle to disiudge this cirrWdgge kani fim case. r S. Slide the rartridc„{e up acid ma: of the case ts►r cleanifig. o. tr a Vits switch Cannactatl to i'tin nhirrrl is 1►rRtiflrft, tine sww►tt:h sh'autd he removed by turnthq counterclockwise AD° and deatfed Y with water only, ,y. While holding the cartridge c i its side (large flat surface f tchrg "s iu;riya, ~ti down) over the accass, upuahig, Ames oh'the valtrklue with wirtue Ay , only, anakhig sure ali saptatte. material is rklsad bank into ti►e Lunk_ ` a. if VRs switch Is utilized, replm4 by lpsardho into filter attic turning dockwise 01r, 9. 1►rsert tho Ifltar cartridyle bark ihO the all", Pre "itig daWr►• Until a • v.. , the filter locks: into the bottom at the case. 11I.Rapiace and secure the i "ati:i t►)roairrg on the tank. e:+a=••=n:.~•c"''!=°"r;;nri:it;iroSr4i •1.-a;°i,s.7itirWt'(.1~:.Yaitd6t `1"'. ' ..1. :fir'.... _ NY1, W'r+e'wb'a'Ia1usite.cltfni ~"~~r ~ ~+'l`~~► (653"4583) _fAST-ri•EST r'4 LINE ' E9j+4~' o 9ss.o6 --------------S 89.52'09" E 2109.04'_.._, -250.00'- 3 250.00' - 25QQ4: t-71.2' 4A &100-e i Nil ~ e~~ ~ ' tit 589 3$' 2, E I + Q I 7935' ~ „ x `Sr.~"~\ co i ~H.W.L~>! set Nd8521 136. f z N ' I DRNNACE it f+ SEAi4NT - ~ ? ~n LOT 3 ~H. w. E. ~ 547.1 ! LOT 5 n n rn 17-T.9,65 SO. FT. r o hsas` - ' = N 99 ACRES 144, 350. 50. FT. r; ' 7y ` pa. , m 3 31 ACRES E" t 9 *MW F: f C, =97~ 4 N 768.9 MIN. F.F.E.=968.9 spy . 5,1.'0' S893 G4 48.56' ! M b co 5887.6.31'E s ai 87^83' sir 2 e, tar 4 f4 f42 f IL DR qG~ sa 78-z3' 2,'>r 159,168 SO. FT. EI,S~r r 7a- 3.65 ACRES H.w.E,- sga s , MIN_ f. F• E. =951.1 g",~ ° ^ N Or is i rYT. ik L.• E l l•y-79 ~ Jd`. `a ~ i O3 CRANACE I0124' 8- EASEMENT • n S89'36'21'E Er H.'M.z.~964 E pRP~E. Ai f E E a ~~5E =9@] 8 ^~~i!"{^ -fir • - ~ ` ' 'J, ~y,~,.~ ~ ~ ` ,,,,ti ~ - 5 )g' J 1 6.31 'ps . ~ ~ 4 ~ ~ p jig 7 Rep r I CENTRAL TANGENTw ► . F dG A IN , BEARINGS OUT i5 E i b'2 % QC S 7 6'31'05" E pa 87'Ct 55" E+. i I lglllllillli~l I OCUMENT ~illl~lllil I D NO. STATE BAR OF WISCONSIN FORM 3_1982 QUIT CLAIM DEED $ 1 5 5 0 2 9 Tx: 4126431 978619 Blaine M. Schmit, a married person quit claims to Wayne V. Schmit and BETH PABST Charlotte M. Schmit, husband and wife the following described real estate in REGISTER OF DEEDS St. Croix County, State of Wisconsin: ST. CROIX CO., WI Lot 3, Rocky Ridge Estates, Town of Somerset, St. Croix County, Wisconsin. 05/15/2013 11:56 AM EXEMPT#: NA REC FEE: 30.00 TRANS FEE: 67.20 / PAGES: 1 RETURN TO Wayne V. Schmit P.O. Box 133 New Richmond,, Wt 54017 Tax Parcel No: 032-2132-20-000 This. is not homestead property. Dated this -day of May, 2013. Z(SEAL) (SEAL) * Blaine M. Schmit (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN authenticated this day of , 20_ ss. COUNTY.OF ST. CROIX }}}111 * to TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this~day of May, 2013, the above (If not, named Blaine M. Schmit, a married person to me known to be the person(s) who executed the foregoing instrument and acknowledge authorized by § 706.06, Wis. Slats.) the same. THIS INSTRUMENT WAS DRAFTED BY Robert L. Loberg/ Loberg Law Office * h V S C0. jChmH-ACC Notary Public G1O1V- County, Wis. •,w•""" My Conunission is permanent. s p 'f (Signatures may be authenticated or acknowledged. Both are If not, state expiration date: Z ;s~'e not necessary.) *Nantes of persons signing in any capacity should be typed or printed below their signatures. F) l,v \ y ~ ~ t.G+ - • as QUIT CLAIM DEED FORM NO. 3-1982 1 of 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code -1. ' Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County c, include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. o 3g' l 7 D - Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner c° Property Location 641J Govt. Lot 1 /4 , /4 S T jo N R E( W Property Owner's Mc-6#fg Address -o-t# Block # Subd. Name or CS _ 3 S W66 17 City to Zip `Code Phone Number ❑ City ❑ Village wn 496arest Road S7 ( ) ~b r~ d ~ /7 Construction Use. Residential / Number of bedrooms :Z Code derived design flow rate 2 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments A 1 '4p r-i n~ 5-13CCec. ..~K and recommendations: -7,1111 System Type e -r-,\ JL Y6A t L-"11111 System Elevation ~ 0, Boring # ❑ Boring v pit Ground surface elev. S Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color qqGr. Sz. Sh. 'Eff#1 'Eff#2 0-9 10,J01 -YA, 3 16-f7 ; C q 7- 1/0 .1 lo, S, t ,2 c tl t Boring # ❑ Boring ~Ov F-1 El Pit Ground surface elev. ft. De th to leting factor in. P Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOO > 30 < 220 mg/L and TSS >30 < 1 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 715-246-4516 I Property Owner _ Parcel ID # Page of ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 E Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring E Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODs < 30 mg/I- 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. SB0.8330 (8.6/00) J Yo + ib- i I f ~ I J I A I ~ 'ii I 1 f ` - SZ ~ b $ ~ O I I -cat =~1 0 a~ 5 'r" 7r v w ug f C t ~Zc I f I h a. 0: 0 i w f 1 ot£ - Ot£t 4 I 9.tL 'f _ llKK { t f ~ I ' .Lt ,l OL.S t f act f i ~ rI i k i G t E ~ I I i I t I I, E $.ZL - - - - - sat I .sz 5 Wisconsin Department of Commerce - C -SITE EVALUATION 3 t Division of Safety and Buildings 1 Page of Bureau of Intelrated services i . Gc\r.'derft6 with S. J~H, R 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 1(2x11 incN~Sfftre =plan must County / t include, but not limited to: vertical and horizonta f@ference point (BM) direction and Sf C / / X, percent slope, scale or dimensions, north arrow, andj'locat fl O'hd Oisonce to nearest road. Parcel LD. # a. , ,J APPLICANT INFORMATION - Please riht al fo~tf#ion. Reviewed by Date Personal information you provide may be u for seconds :purpos r vac9EaEX'k 15,H4 (1) (fin)). /fig AF Pro erty Owner ryt ` , - ; Property Location 44 Js~ll e~ 6 i" Govt. Lot 1/45,- 1/4,S T30 N,R 9 E (or) e Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# UP ~Sfti St 3 I'IA- Rock R,° e 'L~S'-'~Iater City State Zip Code Phone Number El Village Town Nearest Road El Cit!y l w ?,'cti u.,AtV1 yo/ (71$-) Z q6 -S'37f om e'-s~e:>L gJ New Construction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow vote gpd Recommended design loading r e 7 d, gpd/ft2 trench, gpd/ft2 Absorption area required sl DO bed, ft2 ,?60/ trench, ft2 Maximum design loading r to ` d, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as r erred to a plan benc mark) Additional design/site considerations Parent material C14c 11 ;2'. 27 a /r D /he _ J-.-e,, S41 ZOe. . Flood plain elevation, if applicable 1414 ft S = Suitable for system Conventional ound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ~Iz ❑ U NI: S ❑ U ©S ❑ U ®S ❑ U ❑ S ® U U 11 I ylt CRIPTION REPORT Boring # Horizon Depth Do inant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 ll,YXn _7X 2 A/A S'4 msb/c AA, C zm , y ;,S Ground 3 1d,-9/ rR % 141A 52 10C gglev. I~ i,,0 ft. Depth to limiting f ctor Remarks: Boring # /o /0 M SL I171sbok ~ r C!ti v'► 2 /o-/7 /0)-9 l SL 1 ~ 5- 6* mo- r C a, )m . ~ , .S 3 17 7y 7s) A 1114- .BLS rfs,G, '\^-0- Ground I v. ~ Depth to limiting f ctor Mn. Remarks: CST pri me (Please Print) Signatur Telephone No. an ✓ ?afi a 71F zy73Z0~? Address p .SoMe Date CST Numb r T r PROPERTY OWNER 1,,,401L DESCRIPTION REPORT ~ t ~ ~ ~ Page~ 6f PARCEL I.D.# 032 200 - 16 i c Borin # Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 b lay 3j~ I msb& Ao Pe C 4L-- n► . S Ground 3 - 141,4 L ~ 11 s~ . 7 "r elev. 89, 8 ff. Depth to limiting factor / qo in. I Remarks: Boring # . Ints'61t moo- C a., 13 LJ~ lm56h /hvPr C / OY r :3 13 Y2 7,5-Y)% /M s6 k ~ Fr ~ ~ 1 rF . ~ o ~ Ground 71 y ZOk t2f' SYR s/2 SL ©mM elev. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # -y /wY~ 3/-Z *4 ~L IMS6't u~'r CLv /n . S S ~/-I6 IUYi(' ! /Y/Al SC- /t'r Cw /m P/- Ground 67 OMM M / Depth to limiting factor q00 in. Remarks: Boring # J~ 7 jU~Jp ~y X L ~.t6k r C 64- /M , y 3" Z-3z .7.50' %6' ,4 S~ ~.~s~k J i~r C w lv~ 0 S Z- Y C3 I' f L m mfr P ;NP Ground 116.8ft. /~J -3 Depth to limiting factor J;(-in. Remarks: SBD-8330 (R. 07/96) &elj-SOIL DESCRIPTION REPORT PROPERTl[ UWNcii Page ~ of PARCEL I.O.# ~O G - 2006 - 16 a Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 3 1 6 Jo; R 3,1z. L 1 ms6& A ore Cu., rn. `L S ~I 2 -l0 V 4 ,4 L bnskt hl JI'r C w /M 11 Ground 3 - ~d 73- f'RVil L w ~~fs bk /'h `r • il~8ft: Depth to limiting factor Remarks: Boring # t Dt' z 5Z- MS,d/c MvCC w 2 07 , y 5 L /r,sah /hv Pr u, l r~ oY 3' 2 8-13 Di IJIA 3 l.- YZ 7sYR % 141 /m s1 Al' rh r I Y~ , y o ~ Ground Y2 y :2SyR t2f' SY /2 SL 0%1') A'1 ly►r elev. Depth to limiting nr in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Y /0f7? 3/z *4 SL /rhs6k mar Cw Z/n Y-14 101IR $i /1//+ 54 /1"s6k 614- Cw , _jA Ground & V sY 2,S K .2t 5~~6 Depth to limiting fact Min. ~ in. Remarks: Boring # ' 6-// 10hR 3~2 AV14 54 1m.r,6k Amoe C4u 2/n ~S- 11-2 101"IQ L fbk C G", 3- /3~ Z-32 7 S1~P / 141,4 1AS-;4.j- pWr, C w lug o ,./S Ground 7 2` O Y C ! 71, X /04 I I a.a ft• , Depth to limiting 44 1/ factor a a2l-'n• Remarks: SBD-8330 (R. 07/96) k I 1 , , ' i , I i r~ 18 G~►Hta/'k / l (8 ~d/`f/j ~o~'-Ccbrne L. A00.~ IC f, . 7 f - _ 3 3 i c e j'~pS ~1~Oii5~ Hof Co/)+d3• i _ IF re f t ( i r I ~ r ; I r\ Qi v I / 1 ° ' ~f ~a f ~S I i _ 1 1-17 I it ~ i (1 I ! fi t~ + i , -f Ij ' I I ; tf fL+ I { f I I `t ' 1 1 ~ f ~ ~ ~ , I t i f ` I f € i € t ~ I I~ j I , I I I ~ i t ¢ i 1 4 t I i , ` ~ 1 t 1