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032-2023-80-100
Wisconsin Department ofComrrierce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: I 563817 0 GENERAL INFORMATION (ATTACH TO PERM~ 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: Chladek, Amos & Shanae Somerset, Town of 032-2023-80-100 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town/Range/Map No: /06 M GsT op 06.30.19.562F-10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S S Septic j 17 M5, Benchmark f S 7 / o00 /05.5.7 /dim Dosing Q Ara O,1wtO D i 3 (0 AIt~M 9 ratien t'~ 0 91. 5 Bldg. 80 I ~a ~Ir- Sz5 A6.5 y~. 95 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 7 i I/ , I 'n / Dt Bottom Dosing 1 le Header/Man. ITO IM Y7 Dist. Pipe Holding of Bot. System l0•3 fig, Z ~ PUMP/SIPHON INFORMATION Final Grade G 140 ' 71 Manufacturer Demand c7 e GPM St Cc~{er O~ 96 Model Number f~ C• q. IGO TDH Lilll Friction Loss System Head S TDH t Forcemain I Length Dist. to Well 3d Z ! SOIL ABSORPTION SYSTEM Z v i -7,'l 7 7, It Z 7, `S 71 lie 91, ~ BED/TRENCH Width Length / No. Of-Irenchefi PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of stem: f CHAMBER OR d .Z / -27 A4 UNIT I9 L Model Number: DISTRIBUTION SYSTEM ~j Header/Manifold Distribution 1(4t) x Hole Size x Hole Spacing Ve/rpto Air Intake Pipe(s) Length_ Dia Z Length Dia l' 6 Spacing /(p Z. 53 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/S dded xx ulched Bedlrrench Center Bed/Trench Edges Topsoil (p I ca Yes Fn Nc Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Ir / Inspection #2: Location: 1725 38TH Street SOMERSET, WI 54025 (NE 1/4 SE 114 6 T30N R1 9W) NA Lot 1 G+~'•~' Parcel No: 06.30.19.562F-10 1.) Alt BM Description 2.) Bldg sewer length = W ts 0*_ - amount of cover = 4 ~'\f ~6 T1- 1 'C IV?,e~ Q r~ dt Plan revision Required? Fm~ Yes No l Use other side for additional information. Date SBD-6710 (R.3/97) Insepcto Signatur Cert. No. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 1725 38th Street, Somerset, wl 54025 located at: NE 1/4, SE '/a, Section 6 ,Town 30 N, Range 19 W, Town of Somerst , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service July 12, 2013 Did flow back occur from absorption system? Yes No X (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: 1000 Construction: Prefab Concrete X Steel Other Manufacturer (if known): unknown Age of Tank (if known): unknown Permit number (if known) John Schmii x'- ( (Li nsed Plumber Signature) (Print Name) MPRS 223760 (Title) (License Number) MP/MPRS -7 & (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 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 38344-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 14.00 Site Slope 98.10 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 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 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 ftz/orifice 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 10.86 Vertical Lift (ft) 67.32 5x Void Volume (gal) 4.48 Friction Loss (ft) 90.16 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 39.32 System Demand (gpm) 18.58 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 x 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gaVin (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) PolyLok Commercial Filter Manufacturer 17.00 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Manufacturer Project: Chladek 3 Bedroom Mound Page 2 of 7 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical P S •=Tum-upWballvalveor I4X-~IExl2I 23I Laterals & forcemain Sch 40 PVC cleanoutplug per SPS Tape 384.30-6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 18.58 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ~ SPS 316.300 WAC 4 in. min. Disconnect _ Tank component is properly vented F- Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 650.00 Gallons Volume 17.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.03 340.54 B 2.00 34.00 C Pump off elevation (ft) C 5.30 90.16 88.91 D 10.90 185.30 D Total 38.24 650.00 D♦ ose tank elevation (ft) 3" Bedding un er tank. 88.00 Alarm Manuafacturer Septronics Note: Switches Alarm Model Number TM-1 containing mercury may not be used in Pump Manufacturer Zoeller this system. Pump Model Number 152 Pump Must Deliver 39.32 gpm at 18.58 ft TDH Project: Chladek 3 Bedroom Mound Page 4 of 7 w-Wo wm ~u 99t i3_9Zc-008 OLOZ 'Ndf 33SLAM d\ OSL4S anOd-1SOd 3130 OLOZ AaVnNVr 3130 IM ')008 N3OIVP1 OL AMH Sn 9LL£M z n38 ldflNtlW OI1d3S w O :anOd-3ad .0-.I=.k /t 3131'w -INDS 3Y'IS -A8 NMVaO 8"-OS9/ooo wr M U W J Z W Z W O N W~ Q WO O Q FY w w O > Q U) w 0~ U) m F= CL ~ m O J WW W U wO J NO ~ O Z Q U Z w Z: o E. o I- w Ix in Q m 4h< ZZ > Z W Z ~ C C cc W O y~ ix O 0-M Ll 0- G O W Q OJ QWW-~ J` Q O> U mU U m in m z> Q O Q (L O mN JWW 00 O ZW WZ o w O V O FW- a z O _ J I LL. p (1) N p = > fn o ~ z o a a ~ fn~ Q U') 0 CO LL_ -\O d,* MO N~ mW0 CCq p z~ Q U n _ C-=_O r_ WQa W~Q N~ O= La W 0 V ~Z a .-An ~ O ;nW~ aoz Jm ?N~ a ~a win o~ ~aW OZa U W W X: W C) 0pW NU CA ..OD:ef-~ ..30= UY Ow Q F: V) p Y o~G~zozp°nQ0 (f) a 0:10 CL a Z 0 z z a Ld QOOaW WO Z z3MUm=~$m~ o o U N Oa U p Z Z zi J i5 J Q W I Q H F- U) W p (aj z = N « d d > O m 12 M Z O_ W Ld ~ W 0 =a=' W Sd0 .0-0 do N I ~ to 10 5; m W (X ~ «s~ W ui U_ N L~ I a' a ~m O I N5 I N 94 N£ r a Sd0 N4 U ~N .Z4 do ° o W U M lL W z z a N£4 ~ W 0038 Q «~8 SV NHS Y z f- - County Safety and Buildings Division cC of .157 X F p ' 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) p 1~1 Madison, WI 53707-R 2 91 law fate Transaction Number San' ermit Application JUN 2 7 3 In accordance with 8 Wis. Adm. Code, submission of this form to the appropriate goveaer I Z To is required prior to obtaining a sanitary permit. Note: Application forms for state-owned PO&fS are submitted Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be uQtcondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. OUN S y E 1. Application Information - Please Print All Information Prope Owner's Name Parcel # AZo N aY i 041- 4,017 c 037Z- - ZDZ3 Property Owner's Mailing Address Property Location 1 S / Z r! 0 ` j Govt. Lot t0 J I Z S 7 TK e I IC-.d hone Number ,5,E y., Section City, State P Sew .S J%' , (/I~ t 7 rcle one T~N; R / ~ Eo II. Type of Building (check all that apply) 2 Lot # K1 or 2 Family Dwelling - Number of Bedrooms ✓ Subdivision Name Block # ❑ Public/Commercial - Describe Use ❑ City of CSM Number El Village of ❑ State Owned -Describe Use c 41 D / o o3 x Town of J ~Yzs T III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A, ❑ New System Kx Replacement System Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previo a i1 Num and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New d Before Expiration Owner N. Type of POWTS System/Component/Device: Check all that a 1 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade g Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ' ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsaVfreatment Area Information: Dispersal Area Propo Of) System Elevation ✓ Desr Flow (gpd) Design Soil Applica Von Rate( sf) Dispersal Area Rets l( 75o / 7 Z s0 7~l Z VI. Tank Info Capacity in Total Manufacturer , Gallons Gallons U Lv K e g Y p a anks Existing Tanks i O L o New T s7i S a U in m rn w C7 a Septic or Holding Tank oO ./COO LwO 2 ' 71)-6S E W 1 my Dosing Chamber 75-0 7S'P ) w) 6-54 VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' r t MP/MPRS Number Business Phone Number TW40 15CW1 223760 71, -7oC 0-aY Plumber's Address (Street, City, State, Zip Code) 616 .450/ 4 Coun epartment Use Only Permit Fee Date Issued I/m g Age t Signatu e Approved ❑ Disapproved ❑ Owner Given Reason for Denial J p~, C JailiwaYlAXPORal/Reasons for Disapproval l/YX C3~71J ag( taptic tank, effluent filter and dISpereal cell must be s ice /.maintained as par management plan provided by plumber. /1 (7f All setback requirements must be maintained Q As per applicable code/ordinances- Attach to complete plans for the system and submit4o a County only on paper no ess than 8 to a 11 inches in rtD~ SBD-6398 .11/11) uJ44, 441" 9EPART ~yr DIVISION OF INDUSTRY SERVICES o~yti2 , ° 3824 N CREEKSIDE LA ° `P HOLMEN WI 54636 3 S Contact Through Relay P www.dsps.wi.gov/sb/ S `cw www.wisconsin.gov ~O sSION Scott Walker, Governor Dave Ross, Secretary May 28, 2013 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/28/2015 SITE: Identification Numbers Amos & Shanae Chladek Transaction ID No. 2247314 1725 38TH St Site ID No. 790967 Town of Somerset Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NE1/4, SE1/4, S6, T30N, R19W FOR: Description: Three Bedroom Mound System / 14% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1429026 Maintenance required; Replacement system; 450 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, 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 CoND/ 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. De p APP The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code T OF requirements. an/1'slo - E$S10~ No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, OF INpV stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders spo • A sanitary permit must be obtained from the county where this project is located in accordance with t741seftcoo e requirements of Sec. 145.135 and 145.19, Wis. Stats. • 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. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or / soil compaction is prohibited in this area. V. The existing POWTS shall be abandoned per SPS 383.33, Wis. Adm. Code. • A copy of the ap rp oved 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. I JOHN F SCHMITT Page 2 5/28/2013 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 . This Amount Will Be Invoiced. Gerard 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 e Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered nd. essed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed t~ = by SM Chapters 360-366. III MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Chladek 3 Bedroom Mound RECEIVED MAY 15 2013 Owners Name: Amos & Shanae Chladek Owner's Address 1725 38th Street INDUSTRY SERVICES Somerset, WI 54025 Legal Description: NE1/4, SE1/4, S6, T30N, R19W Township Somerset County: St. Croix Subdivision Name: CSM Volume 04, Page 1003 Lot Number: 1 Block Number Parcel I.D. Number 032-t8QZ-80-100 OVE0 FQ Plan Transaction No. L cryAN0 Page 1 Index and title )TRys~~CFS Page 2 Data entry Page 3 Mound drawings V1% Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan QFj~ Page 7 Septic tank specifications Page 8 Effluent filter information Page 9 Dose tank specifications Page 10 & 11 Pump specifications and curve Page 12 Plot plan Page 13 Septic tank maintenance agreement Page 14 Existing Septic Tank Certification Page 15 Warranty deed Page 16 CSM Page 17 - 20 Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 5/13/2013 Phone Number: 715-760-0486 Signature: l~Lc Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 20 Mound and Pressure Distribution Component Design Desian VV4rksi,eet Site Information (F or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 38344-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 14.00 Site Slope 98.10 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) E 0.60 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 57 00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enr er'v or N ~C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 fe/orifice l 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) Erg}er Y or N 3.25 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 10.86 Vertical Lift (ft) 67.32 5x Void Volume (gal) 4.48 Friction Loss (ft) 90.16 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 39.32 System Demand (gpm) 18.58 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice 0.75 1.25 1.00 1.50 x 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator,'oovona!; Treatment Tank Information Total Tank Capacity (gal) E---- 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) ° PolyL ko° Commercials Filter Manufacturer 20.28 Dose Tank Volume (gal/in) t 525 Filter Model Number Weiser v u Manufacturer i Project: Chladek 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views t F.......... . 1/10 B J Observation Pipe j O Q A W 1, t B I L Mound Component Dimensions A 6.00 ft E 24.08 in H [Aft ft K 10.14 ft B 75.00 ft F 9.50 in z L 95.27 ft D 14.00 in G 0.50 ft J ft W 28.25 ft 450.00 (ft) Dispersal Cell Area 1729.53 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.06 (ft) ► ; r,._ / x ♦ H Dispersal Cell 99.77 (ft) Lateral 99.27 (ft)-► - a Invert Dispersal Cell E D 3 Elevation 4 98.10 (ft) Contour Elevation 14.0 % Site Slope Geotextile Fabric Cover Shading Key m I - Dispersal Cell See lateral details on ❑ ya Topsoil Cap c ° 1.5 ft Page 4 for number, size, Subsoil Cap c d and spacing of laterals. ©0 ASTM C33 Sand ~ 2 H 0 ---1110 7T f F Laterals are equally ® Tilled Layer c 0.5 ft Typical Lateral spaced from the 05 0 Aggregate IV c g I distribution cell's centerline in the - A distribution cell (AxB). Project: Chladek 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram Force mai n connection via tee or cross to maniifold at any point. Laterals are identical I? S •=Turn-up,m'ballvalve or cleanoutplug 1¢X---+1+x12 x2 Laterals &orCemainSC740PVC per SPS Table 384.30-6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ftz/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 18.58 ft Forcemain Velocity 4.02 fttsec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 750.00 Gallons Volume 20.28 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.64 398.23 C B 2.00 40.56 P♦ ump off _elevation (ft) C 4.45 90.16 ~ 88.91 D 10.90. 221.05 D Total 36.98 750.00 D♦ ose tank elevation (ft) 3" Bedding un er tank. 88.00 Alarm Manuafacturer I Sep lon ctr s M ` cTe Sw fines Alarm Model Number !TM-1 u _ eta r r g merc.ilr y a,,, no` ne used Pump Manufacturer iZoeller `nls svste. Pump Model Number i 152 Pump Must Deliver 39.32 gpm at 18.58 ft T D H Project: Chladek 3 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phoned 715-760-0486 POWTS Regulator's Name p _St. Croix County Zoning 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 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequencv Septic and Pump Tank Inspect and/or service once eve 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 ponding and seepage once every 3 years Other i Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Lon Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Chladek 3 Bedroom Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] 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 SPS 383.33, 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. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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 if 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 1/3 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. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System 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 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/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 cell shall 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. Contingency Plan If the septic tank or any of its components become 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) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails 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. Pretreatment Units The information and schedule of mananagement and maintenance for 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 INSTALLATION INSTRUCTIONS ADMW at P IM. PL-525/PL-625 FILTER INSTALLATION INSTRUCTIONS 4,~~wlkik kh'i kl& Center filter with opening O w= a:O s e e Additional pipe or Polybk Extend & Lok° Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS B Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back if necessary. into the the housing making sure DO NOT USE PLUMBING WHEN FILTER IS ~REMOVED (B) Pull the filter out of the housing. the filter is properly alighed (C) Hose off the filter over the septic tank. and completely inserted. USEIKIIINMOLANES Make sure all solids fall back into the (B) Replace septic tank cover Yt 1 CLEA I NG FILTER septic tank. Page 8 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer twos Awla ~5*1-l vAt CHZ40 K Mailing Address Property Address S~`Fl (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number 103-L-201-3-80-16) ~R04E47 t2SWr LEGAL DESCRIPTION Property Location NE '/a , .fA'- '/4 , Sec. 6 , T30 N R f 9 W, Town of _5 r_>M e t r Subdivision Plat: , Lot # Certifiedd Survey Map # , Volume , Page # /00 3 ~vWar mfi - Deed # I 2q Z~ d h' (before 2007)Volume I Page # 3 d Spec house Li yes yr no Lot lines identifiable Kyes ❑ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 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 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 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 o /Z$113 SIGN 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. 09/07) D Z X rn m 61" 86" z c n 42" 1- 21 r O rri FUP 41-j z 4" CAS m 0 O > x D 0 3" 36" 4" i D o L7 UP 38" n x r-D c> r O 4" CAS ;u / N V I m o g ~ - m D O ;O D ° ° 39" m o*Oz n Kb> -4 m >1 0 OmD to 1,10 m Q 0 Xm C-) X D Z 0 m 0 --j o -a C a0 D z S r Z Z D ;E z J6 ma z X 0 caic0 n ova G)~Z rAm~m myo o>`-" Z n0 XX 'pZ 0 rN 0 8 -i > ~00 (nn0 =COr-O G) ==r~ ~rz U)D rm0 `m $ D r-qz 'K Z C: n moo mcai>c -Ia* ~O~ KNN 3:- 4 X zZ mn = Z >0 --U)12 Fl nDm :1r~* *1°soyr-ON~=m\ v n o D ° D Z 00 a m N D cn -i in I -J o[7'. rQ N M O s Z O Z m O n O v NRmi~ j m rW~° O n n_ ZA O L.J < z ° v x G)~ sC W rn0~ Dr N0sns a000 G)w O (4 z \ G7 I s r v m z W 0 ~0 ---1 Z o 0 m-mim ~m 0 ;0;0 o D co m m mm z Cm c N OOm nD D O 0m > S. m< o m x Z D -0 Z O a~ z a D r -1 (4 - 0 D ;u Z4 ;a -4 a~' O D r vo r O av 0 O O r- ~D z p r -4 M o z m ?t r- O C O O (A D rNn m i S m co z °~D ° z o ;v 0 A -4 0 of m r o c z F c rrs 0ro z 0 > v Z m Zn Z ~ r m m DRAWN BY. SME SCALE: 1 4"=1'-0" PRE-POUR: _ ,NLP1000-MR MIENERCINCIETE ° ~ SEPTIC MANUAL Rm _a `Z W3716 US HWY 10 MAIDEN ROCK, Wi 54750 DATE: JANUARY 2010 DATE:. POST-POUR: ° REVISED JAN. 2010 800-325-8456 FlLE: rMWO-Mt Page 7 D Z X In m D c 61" 84" 0 ~ 42" v Z r p nN.mi m o ;u UP 41" / m 4" CAS / ~s P \ ° 3" 37 4" -n 0 F D UP 39" -n ; 71 f- O D n 4" CAS m ;u rN^ D v I \ / m C +O ~ C N O ;v "O O O 4~ m 0 40" c ;v a m ° <0 0 z y D r I m W 1 0mD I r* n m :10:;u p r rn O X n D Z O m n _ N z0 z z O p r Z z v Jo r- r- m o X X o o c -mi m ;utN X~ m Z z -;K O coo 0 O`Z D ;Z omc mDO00D~ C° vx W °rtn m m~D DO ~CNjv (nv =50m 5ZAA Z ~y NM M D N -irk 0 ~Zc ~U) 4r-~m ~rO-~ N~ z OZ O_ c r 0 = N_ -I mZ mp ~7C ZZ 0 M S Z OD q 0Dm - 5: Tlv °W~ D -t r- v D O Fn "0 D' ' D a~RN r v D v v z D N N N 1.--4 Lpr:::I ~ N rr, v n z o l D A m -v Q O m 0D -i N m = O a m ~ N p r N NmD I D CD 4" 0 - m \I D< z co ~ O N co Z \ 00 cn cl D r N s s~ Ov r m m -i Q1 0 O Z C O O 1m*1 m r'1 NOD co O r;D A U1 D m z m Z C *1 C in rn a D m rn 0 O W ~ O m< o a F-1 O m f*f O D ° O 1: Z rD- -4 W~ n a 0 ;u ;v Z ;v 0 Z Dzk v 0D O =D -n a o Z4 M r i* m D OZ \p0 D O r W Z 0 a r- --40: r- -q 3 Om ~v~ rri ;u c: D u 0 o mr Z -I 0 z r 0 1..a Z c o a m z ;a r N Z ;a r m rn DRAWN BY: SME SCALE; 1/4'=V-0' PRE-POUR: \ = WLP750-MR WIENER C®~C~ETE ° -m+ SEPTIC MANUAL REV. \ Z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2010 DATE:. POST-POUR: 0 P REVISED JAN. 2010 800-325-8456 FlLE: 105D-1R Page 9 SECTION: 2.20.047 `QU.4L/TY PUMPS SNCE ~~~i7 /FM1919 0110 persedes Product information presented . 1108 ZWO O Su here reflects conditions time PUMof publication. Consult factory regarding discrepancies or inconsistencies. MAIL 70: P.O. BOX 16347 • Louisville, KY 40256-0347 Visit our web site: SHIP TO: 3649 Carte Run Road • Lorasville, KY 40211-1961 WWw.20@Il@I.COIIt (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 COMPARE THESE FEATURES • Durable cast iron construction 151/1521153 EFFLUENT SERIES • Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix /deMification see News & Wews irJID52) • Corrosion resistant powder coated epoxy finish • Stainless steel lifting handle Assembled with stainless steel bolts 'DOSE=MATE" FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) • Non-clogging engineered thermoplastic vortex AND ENHANCED FLOW STEP SYSTEMS impeller design • Model 151 -113 HP passes Y2" spherical solids NW11 EFFLUENT c:.r • Model 152 -.4 HP passes 1/4" spherical solids SUBMERSIBLE • Model 153 -1/2 HP passes 3/a" spherical solids 2" NPT DISCHARGE • Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected ca ® Model N152IN153 • Carbon/Ceramic seals High Head c Us Effluent • Upper sleeve bearing and lower ball bearing running TeuWd to UL SWUd UL778 and CerWW to CSA in bath of oil StmWmdCSA221No 108 • 20 ft. UL Listed power cord with molded 3-wire plug • 1'/2" NPT vertical discharge MODELS AVAILABLE • BN and BE standard models include a 20 ft. variable N151/N152/N153 & E151IE152IE153 nonautomatic level float switch BN151/BN152BN153 & BE151/BE152/BE153 packaged with Piggyback Variable Level Float Switch • Operates at temperatures to 130°F (54°C) in effluent 113_4 & 1/2 HP, 1Ph 115V or 230V applications • All models include a I W x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOYOM" C rQ Model BN152/BN153 High Head MAIL TO. P. O. BOX 16347 Effluent Louisvi8e, KY 40256-0347 SNIP 70: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731.1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of... Z ~ D riwlrI' /azmpf IFINCE /1999 0 Copyright 2010 Zoeller Co. All fights reserved. Page 10 TOTAL DYNAMIC HEADIFLOW g w PUMP PERFORMANCE CURVE PER MINUTE MODEL 151/1521153 EFFLUENT AND DEWATERING so 14 45- 153 MODEL 151 152 153 - 40- 12 Feet Meters Gal. Lders G L G7L L' 291 35- 5 1.5 50 189 69 261 261 77 291 o 10 152 to 3.0 45 170 61 231 70 265 v 30 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 8 t5t 25 7.6 16 61 34 128 42 159 25 .4 30 9.1 - - 23 87 33 125 0 20 ` 6 35 10.7 - - - - 22 85 40 12.2 - - - 11 42 4 15 Shut-# f Head: 30 d. (9.1m) 38 R. (11.6m) 44 8. (13.4m) t0 014508B 2 5 Model 151 Models 152 / 153 0 10 20 30 40 50 60 70 80 90 100 _ 6752 -7 GALLONS 6752 t 1TER5 0 40 80 120 160 200 240 280 320 360 3 375 ~ A` 718 4 $IB 1 FLOW PER MINUTE 014508A 3718 37/8 CONSULT FACTORY FOR SPECIAL APPLICATIONS ® j 3;5 ® 3718 • Timed dosing panels available i j~ • Electrical alternators, for duplex systems, are available and 1 1?NPr supplied with an alarm j j • Variable level control switches are available for controlling _ single phase systems i • Double piggyback variable level float switches are available - I for variable level long and short cycle controls - j • Sealed Qwik-Box available for outdoor installations - See 111,116 j 12718 FM1420 j • Over 130°F (54°C) special quotation required 415116 151/1521153 Series i SK2444 SK2064 15111521153 MODELS CotNr01 Selectan F VOKS-Ph Mode Ants x Duplex 115 1 Non 6.0 1 2 or 3 115 1 Auto 6.0 Id11ded 2 or 3 230 1 Non 32 1 2 or 3 230 1 Auto 32 Included 2 a 3 11E8Sy assembly" 115 7 Non 8.5 1 2 a 3 (plmtp 8 disdtarp pipe 115 1 Auto 8.5 Included 2 or 3 not htduded.) E152 230 1 Non 4.3 1 --For 3 9E152 230 1 Auto 4.3 Included 2 or 3 53 115 1 Non 10.5 1 --Tor 3 115 1 Auto 70.5 Included 2 or 3 BN153 E153 3 230 1 Nat 53 1 2 or 3 BE753 230 1 Auto 5.3 Included 2 a 3 SELECTION GUIDE OPTIONAL PUMP STAND P/N 10-2421 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential clogging by debris float switch. Refer to FM0477. Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1 W or 2" PVC piping o CAUTION Attaches securely to pump All installation of controls, protection devices and wiring should be done by a qualified Accommodates sump, dewatering and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE: Make sure OM is free from obstructiom most recent National Electrical Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. Page 11 PLOT PLAN N Project Name: Chladek 3 Bedroom Mound Legal Description: NE114, SE114, S6,T30N, R19W P.I.D: 032-20232073-80-100 Subdivision Name: CSM Volume 04, Page 1003 Lot 2 Township: SOMERSET Parcel Size: 2.46 Acres SCALE: 11° = 40' County: ST. CROIX Contour Line Elevation: 98.10' Cell Dimensions: W X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 99.27' Mound Dimensions: 32.45' X 96' 2 inch Sch 40 -ASTM D1785 Slope: 140u 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: Fq'oj~4 Top of 2" PVC pi e BM2 ElevationTo of 2" PVC pipe ■ Backhoe Pits: PRIVAi C 8(-C _SS DBr►1 z /00 sLdaE f GARAC,4a fj% s WELL 83 ar2+~~nt +'JCLI~ t - W r=1>t.` i ODC rt A J / +Hc G ALcCn? 5.'r eor~r~un ~ L/N~~ f BZ r~LNy N0u5t u` ~v / Po L c fT •5 L J 7 Sf; C- A L, t o Al -1 s~s~ cJt►~+w+3r:~' y8 ~ ti Aj ~ L Cor1k'NCa~ ~ R, ~C. r J y V 7 V Page 12 12Y4i a~ * #1712 Department of SOIL EVALUATION REPORT Page 1 of 4 in accordance with Comm 85, Wis. Adm. Code Schmitt Soil Testing, Inc. 3 Safety and s - Professional Services County St. Croix Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must 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. 32-2023-80-100 7 / Please print all information. eviewe Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). riC~l/I''f / Property Location Property Owner Govt. Lot NE1/4, SE1/4, S6, T30N, R19W Chladek, Amos & Shanae Nam Property Owner's Mailing Address Lot # Block # CSubd. SM Vol a or CS M# 1725 38th St. 1 411003 City State Zip Code Phone Number City E] Village Z, Town Nearest Road 38Th St. WI 54025 715-247-3597 Somerset Somerset 450 GIRD 3 Code derived design flow rate ❑ New Construction Use: ;TC Residential / Number of bedrooms ❑ Replacement ❑ Public or commercial - Describe: Parent material Glacial Drift (Santiago Series) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 99.27' based off a contour line established at 98.10'. Slope of area is and recommendations: 14%. Depth to limiting factor is 22". Boring a Boring # Pit Ground surface elev. 98.78 ft. Depth to limiting factor 23 in. Soil Application Rate Roots GPDIft' Horizon Depth Dominant Color Redox Description Texture Structure Gr. Sz. Sh. Consisten Boundary "E 1 •Eff#2 in. Munsell Qu. Sz. Cont. Color 1 0-7 10yr3/3 none sl 2fsbk mfrf cs 2m,2vf 0.6 1.0 none grscl 2msbk mfr gw 2vf 0.4 0.6 2 7-17 7.5yr4/4 sicl 2msbk mfr gw ivf 0.4 0.6 3 17-23 7.5yr4/4 none m2d 10yr6/6 grfsl imsbk mfr gw ivf 0.2 0.6 4 23-39 7.5yr4/6 10yr6/2 Om 0.2 0.5 10yr5/4 c2d~ vfsl 5 39-64 Boring # Boring E,-] Pit Ground surface elev. 98.40 ft. Depth to limiting factor 22 in. Soil Application Rate Z GPD/ft Horizon Depth Dominant Color Redox Description Texture Structure Gr. Sz. Sh. Consisten Boundary Roots 'Eff#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color 1 0-8 10yr3/3 none sil 2mgr mvfr as 2m,2f 0.6 0.8- fsl 2fsbk mfr gw 1m,2f 0.4 0.8 2 8-15 10yr4/4 none st imsbk mfr gw ivf 0.4 0.7 3 15-22 7.5yr4/4 none c2d 10yr6/6 scI imsbk mfr - 0.2 0.3 4 22-60 7.5yr4/4 10yr6/2 • Effluent #2 = BODS <_30 mg/L and TSS <_30 mg/L " Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L mber CST Name (Please Print) Signature: CST CST Nu 4u 227429 Thomas J. Schmitt Date valuation Conducted Telephone Number Address Schmitt Soil Testing, Inc. 5/8/2013 715-760-1978 1595 72nd Street New Richmond, WI 54017 san asso(x07/00) Property Owner Chladek, Amos & Shanae Parcel ID # 032-2023-80-100 Page 2 of 4 ❑ Boring F3Boring # Z Pit Ground surface elev. 95.0 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/3 none sil 2mgr mvfr as 2m,2f 0.6 0.8 2f 0.6 1.0 2 11-17 7.5yr4/4 none sl 2msbk mfr gw 2m, 3 17-25 7.5yr4/4 none scl 2msbk mfr gw 2vf 0.4 0.6 4 25-62 7.5yr4/4 m2d 10yr6/8 vfsl Om mfr 0.2 0.5 10yr6/1 ❑ Boring F-1 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/fts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring F-1 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS - 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Schmitt Soll Testing, Inc. SBD-8330 (R.07/00) Page 3 of 4 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Amos & Shanae Chladek Thomas J. Schmitt, CST 227429 Address: 1.725 38th St. 1595 72nd St. City, State, Zip: Somerset, W154025 New Richmond, WI 54017 Phone: 715-7 0-1978 PID: Part of: 032-2023-80-100 signatur _ Lot No.: 1 cue - Legal Description: NE1/4 SE1/4 S6 T30N R19W Backhoe Pit Township, County: Somerset, St. Croix County Bench Mark 1 El. 100.00' Top of PVC pipe. Bench Mark 2 El. 100.03' Top of 1" steel lot comer pipe Slope= 14% Contour Line El. 98.10' Contour Line Length 85' 1"=40' Pj?(VR7-e 6679.5 Bm2 PSI C7t9RA6L ~SLoP off low ell .001 CONT04IL ~ Ba_ 70 Pty 1~ous o0 Ilk d 657 ` X77` ---A4 Sa urN 4 ~I i ~ ~ ~ . _ , ~ ~ ~ _ . ' - _ ~ - ~ \ 1 ~ i l ~ ' ' I ~ i , 1`.) ~ 1 1 i i 3Y` fp . . ~K -i va tY+. f J -APT n..:. y.. : - y. Y. w. E lF i t aT .v~~ i' • a i is9~a 13 I P KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX GO., NI STATE BAR OF WISCONSIN FORM 3 - 2000 RECEIVED FOR RECORD QUIT CLAIM DEED 11/0912005 09:15AN Document Number QUIT CLAIK DEED THIS DEED, Made between Amos T. Chladek and Shanae L. Chladek EXEMPT $ 8M fka Shanae L. Demers, Husband and Wife Grantor, and Amos T. Chladek REC FEE : 13.00 and Shanae L. Chladek, Husband and Wife Grantee. TRANS FEE: COPY FEE: Grantor quit claims to Grantee the following described real estate in PAGES . 2 Barron County, State of Wisconsin. j SEE ATTACHED LEGAL DESCRIPTION. I Recording Area Together with all appurtenant rights, title and interests. Name and Return Address P('1 Ori 0.t Nations Title Agency of Minnesota, Inc. it+ ~J 6465 Wayzata Blvd # 950 I St. Louis Park, MN 55426 05MNI 1195 032-2023-80-100 Parcel Identification Number (PIN) This is homestead property. (is) (is not) r Dated this day o 6c1 =20 ' I Amos T. Chla Shanae L. Chladek I I I ' I AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) j Signature(s) authenticated this day of$64~ 200 County ) ss. ) Personally came before me this ( day of the above named Amos T. Chladek and Shanae L. TITLE: MEMBER STATE BAR OF WISCONSIN Chladek, Husband and Wife, to me known to be the person who (If not, authorized by § 706.06, Wis. Stats.) exec d the foregoing i strument and ackno aged same. i j THIS INSTRUMENT WAS DRAFTED BY Notary Public, tare of Wisconsin Phone: 952-545-2808 Jenny Wick Nations Title Agency of Minnesota, Inc. ommission is permanent. (If not state expiration date: X 6465 Wayzata Blvd # 950 St. Louis Park, MN 55426 then BRYAN LAWRENCE KRINKIE (Signatures may be e authenticated or acknowledged. Both are not necessary.) - - NoUry Public - - - 'Names of persons signing in any capacity must be typed or printed below their signature. State of Wisconsin QUIT CLAIM DEED STATE BAR OF WISCONSIN FURNIN o. 3 - 2000 2.5 P 039 LEGAL DESCRIPTION Part of NE 1/4 of SE 1/4 of Section 6, Township 30 North, Range 19 West, St. Croix County, Wisconsin, described as follows: Lot 1 of Certified Survey Map filed October 16, 1980 in Vol. "4", Page 1003, Doc. No. 367092. EXCEPT All that land of the owner(s) in The NE 1/4 of the SE 1/4 of Section 6, T20N, R19W, being part of Lot 1 of that Certified Survey Map recorded in Volume 4, Page 1003, Document Number 367092 at the St. Croix County Register of Deeds office, lying easterly and westerly of, within 40 feet at right angles to the following described reference line; Commencing at the NE corner of said Section 6; thence S 02 degrees 21' 23" W, along the East line of the NE 1/4 of said section, 35.04 feet to the southerly line of the Wisconsin Central Ltd. Railroad (southerly line being 141 feet distant southerly from the centerline of the existing railroad); thence N88 degrees 5559W, along said southerly line 1133.35 feet to the centerline of the town road (38th Street) and the beginning of said reference line; thence S24 degrees 37'40" W, along said centerline, 893.60 feet to the point of curvature of a 764.49 foot radius curve, concave easterly, whose central angle measures 39 degrees 25' 56", whose chord bears S04 degrees 54' 42" W and measures 515.82 feet; thence southerly, along the arc of said curve and said centerline, 526.14 feet to the point of tangency; thence S14 degrees 48' 16"E, along said centerline, 241.78 feet to the point of curvature of a 2292.01 foot radius curve, concave westerly, whose central angle measures 17 degrees 48'52", whose chord bears S05 degrees 53'50"E, and measures 709.77 feet; thence southerly, along the arc of said curve and said centerline, 712.63 feet to the point of tangency; thence S03 degrees 00' 36"W, along said centerline, 2181.17 feet to the end of said reference line, St. Croix County, Wisconsin. Send tax statements to Amos T. Chladek and Shanae L. Chladek fka Shanae L. Demers 1725 38th Street Somerset, Wisconsin 54025 Our File Number: 05MN11195 FORM NO. 985-A O Zl NC.NIIMrCspM~ FILED 367092 co OCT o cotaftL N seebw of See& r w cram 0ap-17. 4, Wm OMM, s V CER T/F/ED SUR V_F Y MAP CERTIFIED SURVEY I, Bradley J. Canaday, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Richard Durand,. owner of said land, I have surveyed, divided, and mapped said par- cel of land, that this plat correctly represents all exterior bound- aries and the subdivision of the land surveyed; and that this land is located in the NE4 of the SE4 of Section em, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin, to-wit: Commencing at the Ek corner of said section; thence S89059*14t$W along the E-W quarter section line 1332.402 to the centerline of an existing town road; thence SO011f2511E along the centerline 805.70, to the point of beginning; thence continuing SO°1122512E along the centerline 2.4.2.00•; thence N89059*14t2E 450.402; thence NO0112251"W 242.001; thence S89°59214ttW 450.402 to the point of beginning. Said parcel contains 2.502 acres of land and is subject to an existing town road right-of-way over the Westerly 332 thereof and also subject to roadway easement over the northerly 332 thereof. APPROVED lcl-15 1980 ST. C1t01x COtJ atY -5-9,14 E 1/4 CORNER CO*AP2ENENS1Ve P^MS S 89 "W 1332. 40 SECT/ON 6, T30N, A?ID 20WNG FO iTFE ~ .9 /9{N. *-)"IRON PIPE FOUND , I W I O -I "x 24"° IRON PIPE WEI.GN/NG 1.13 LBS./LINEAL FT. SET C\J M r X/ST/NG--ROADWAY-EASEMENT M w (40 S89 059,14 "w 450. 40 M r g 330'1 ' ni 0i LOT / o°N N 2.5024CRES TO E'S p 3 in~ 2. 003 ACRES TO R. 0. W.'S N ir) N c I (NOTE-: EX/STING HOUSE ON THIS LOT) O " ~ t~ ~9 ~'flo Z 3 3,3' o0 417.40' N89°59'/4 "E 450.40' I Bradley J. Canaday J ,r~~~„ Wis. R.L.S. 4 s ;1462- s`AI BRADLEYJ. / A - CACdAUAY 1462 SCALE /"=/00' RIVER FALLS Dated this '7th day of December, 1. 7% wls_ O 50 100 200 Revised this 2nd day of October, 19 ;P."No s z., Vol. 4 Page 1003 = 78 -l38