HomeMy WebLinkAbout014-1063-30-000St. Croix County Planning and Zoning
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Detail Sanitary Information Q )4 — 1663_ Jd -00D get, 3v Page / of l
Computer #:
014-1063-30-000 Sub/Plat: 40 acres Section:
30
Parcel #:
30.31.15.475 Lot: TNIRNG:
T31N R15W
Municipality:
Forest, Town of CSM: 1141/4:
SW 1/4 SW 1/4
Owner:
Kuhn, Orville 2614 Highway 64 Emerald, WI 54013
State Permit:
106079 Issued: 04/19/1988 POWTS Dispersal: Mound
Permit: Replacement
County Permit:
0 Installed: 04/2911988 POWTS Detail: NA
Bedrooms: 5 WI Fund: yes
POWTS Pretreatment: NA
Notes
Issuer/Inspector As Built Plumber Other Requirements
Additional Notes Money Owed
Tom Nelson Yes Myers, Lyle
pumped: 5/16/98 - This system was connected to $0.00
Tom Nelson ,:,.:-! t. MN Yes
a 2 BR mobile home & 3 BR house on the
property - 1450 gal. septic to 1000 gal. dose tank
to 9' x 70' mound. WI fund award $2750.
Permit is filed with more recent POWTs in 2004-
son built another house and installed a separate
mound to NW of 1988 POWTS. The mobile home
was disconnected from the 1988 mound.
Owner:
Kuhn, Bruce 2614 Highway 64 Emerald, WI 54013
State Permit:
420570 Issued: 11/20/2002 POWTS Dispersal: Mound less than 24" suitable s
Permit: New
County Permit:
0 Installed: 06/05/2003 POWTS Detail: NA
Bedrooms: 3 WI Fund:
POWTS Pretreatment: NA
Notes
Issuer/Inspector As Built Plumber Other Requirements
Additional Notes Money Owed
Pam Quinn >4/l/00 - Not Required Myers, Lyle
1/27103 - Wieser 1000/650 combo tank installed, $0.00
Pam Quinn S+,pr.d .';ff. Yes
with Zabel filter. Temporary use as holding tank
until mound can go in this spring. Owner -signed
& notarized temp. holding tank pumping contract
agreement to be submitted to zoning office.
Pump w/ alarms, etc. to be installed after mound
system this spring 2003. This is 2nd house and
POWTs on property (farm)
Maintenance
Scheduled Pump Date Pumped ld Notification 2nd Notification 3rd Notification
6/5/2006 8/28/2006
a/28/2009
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INF0'2MAAON (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)).
Kuhn, Bruce
CST BM Elev: Insp, ,I�AEle 0 sQo• a
TANK INFORMATION
City Village X Township
Forest Townshi
LP
TYPE
MANUFACTURER
CAPACITY
Septic
/p U 0
Dosing
/' - y"
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO
P!L
WELL
BL G.
Vent to Air Intake
ROAD
Septic
1
lco
M S
el
Dosing
Aeration
Holding
PUMPISIPHON INFORMATION
Manufacturer
L,�}' P '••]�
Demand
GPM
Model Number
�^,
TDH
Lit
FrictL n s
r
Systel� Head
I
TDH Ft
1.1
to-S
QD•lei
Forcemain
Le t i
Dial /,
Dist. to Well
SOIL ABSORPTION SYSTEM
L Na7 CA-
ELEVATION DATA
County
5t. Croix
Sanitary Permit No.
420570 0
State Plan ID No:
Parcel Tax No.
014-1063-30-000
STATION
BS
HI
FS
ELEV.
Benchmark
� a�
a•io
/6�•1
p0
Bldg. Sewer
SUHt Inlet
/I 39
. 0 6
SUHt Outlet
Dt Inlet
Of Bottom
Header an.
-76
1775
Dist e
' of P
-7- col
Bot. System
3
I7 a�
Final Grade
St Cover
a-v"��
'
s l
R s• 3
DIMENSNCHIONS
DIMENSIONS
Width
Len
No. Of Trek gs /
/ ULCeG
PIT DIMENSIONS
No. Of Pits
Inside Dia
Liquid Depth
SETBACK
INFORMATION
SYSTEM TO
IPILWAIBLDG
IWELL
LAKE/STREAM
I-Qj.Kr
CH ER OR
u
Manufacturer.
7 System o
ma r^i l
��J
, _ !
-l1 rJ�
,
Model Number:
DISTRj5IjION SYSTEM
Header anifol
h
Length Dia
Distr.bulion U
Pipe(s) /L
Length__L Dia Spacing
x Hole S e
/D
x Hole Sp`acJi
Vent to Air take
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over
Depth Over
xx Depth of
xx Seeded/Sodded
xx Mulched
Bed/Trench Center
8edlrrench Edges
ITopsof
1: , Yes h; No
Iq Yes FW No
COMMENTS: (include code discrepencies, persons present, etc.) Inspections #1: f 199/ G Inspection #2:—5 O
Location: 2612 State Hwy 64 Emerald, WI 54013 (SILV 114 SW 114 30 T31114 15W) Np Cdt ' Parcel No: 30.31.15.475
1.) All BM Description
2.)Bldg sewer length = �fl�� wt� Sidth� Nf�iMvld rft}tt-kI(-.4 jo kAld
- amount of cover
3.) Contour
--- ----- ----- -
Plan revision Required? ]Yes No
SBD-6110 (R.3/97}
Use other side for additional information.
Date Insepclors Signatu Can. No.'
r- - - - -- - - - - —-
Sonitary Permit Application
Safety &Buildings Division
In accord with Comm 83.21, Wis. Adm. Code
201 W. Washington Ave.
Visconsin I See reverse side for instructions for comptt:tutg this application
PO Box 7302
Perscnal information you provide may be used For secondary purposes
Department br commerce
Madison, WI 53707.7302
v
[Pri acy Law, s. 15.04(I)(m)I 3 '16 'J l
(Submit completed form to county if not
—O �
state owned.)
Attach complete plans (to the county copy only) or the systen:, un paper not less than 8-1/
x 1 l inches in size.
lAantY�—r F n� I States P rinit S�vNumber Check if -rev"'! ion to previous application
1 �-/C.IJ
an D.IfJum
/ �s
I. Ap lication Information - Please Print all Information
Location:
Properly We �,....Property
Location
SSnt
l/45C(JlA, S T3 ,N, R or) W
Pe s Address -' t �,�• t_
t Number Block Nurpbtr�
C-/
tty, State I Zip Code
�
Ph e Nuinbef
1__ - -- -- ^
'ub Aiv �o Name or M Number
!1
lams ! rt YL
�)
/ v
(
�i
IL Type of Building: (check one) 7 ✓
3
O City
X 1 or 2 Family Dwelling - No. of Bedrooms :
❑ Village
El Publir/Commerciall escribe use):_
'1r wn of y
9
❑ State -Owned T 'Pe'
Neturest7— (D
d y Zi- v L� = 21 O r` or— /. %J5' /S��To mo A-_s
Parcel s) C3 -
IIf. Type of ermit: (Check only one box on line A. Check box on line B if applicable) -
A)
New 2. 0 Replacement 3. 0 Replacement of 4. 5. 6. 0 Addition to
System System 'rank Only Existing System
B)
❑ A Sanitary Permit was previously issued
_
ermit um e
ate Issued
IV. Type of POWT System: (Check all that apply)
�,(�
0 Non -pressurized In -ground CJ..Mound :3 Sand Filter ❑ Constructed Wetland
❑ Pressurized In -ground ank ❑ Single Pass ❑ Drip Line
❑ At -grade i7 Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V. DispersaLTreatment Area Information:
1. sign ow gp
spers .Area
DispersalArea
4. Soi Applicalion
. Percolation Rate d
. System Elevation
. Ftnai Grade
s
Required
Proposed
��
(e ( alg.fdavisq. ft.)
j'V
(*tinJ(pch) Z
S/ `
9
Elevation
5 0
os'
V1L Tank
Capacity in
Total k of
anufacmml Prefab
Site
Steel
Fiber-
Plastic
Information
Gallons
Gallons Tanks
Con-
Con-
glass
crate
srructed
New
Existing
Tanks
Tanks
;
�l
I
U
1n�0
a
❑
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS show , the attached plans.
PI s ante nnt) um s i &lure ( stamp P Piifi o,
Business . one um
Z1 J / g /
�r V
Plumpees Address(street, City, .rate, e)
� r—
V
IX. County/Departmeot Use Only
13 Disapproved
Saunititry Permit Fee Inc udes Growidwakr
ate ssuc
ssumg A nt i tun stamps
Approved
Q Owner Given Initial Adverse
Surcharge Fee) �/
# 3 Z Z21, i
2 D
Determination
d
X. Conditions of Approval /Reasons for Disapproval:
z
SBD-6398 (R. 07100)
JGv
rp
"2-2
�G.GiT� C
A) R
r
� [� _ St' Ll2oi�c •
Owe
\ 1 6w-�WWSGt�B
�-/•� dry,
e-c1%
�i42 C LPL
r-
Npisconsin
Department of Commerce
November 12, 2002
CUST ID No.224617
LYLE 1 MYERS
NORTHLAND PLUMBING INC
E1556 ST RD 64
BOYCEVILLE WI 54725
.4TTN: POUTShispecror
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
Safety and Buildings
401 PILOT CT STE C
WAUKESHA WI 53188-2439
TDD 0: (6t18) 264-8777
www. comme rce. state.wi.ustsb
www.wisconsin.gov
Scott McCallum, Governor
Philip Edw. Albert, Secretary
(41,x
CONDITIONAL APPROVAL ''"TGU� / 6
PLAN APPROVAL EXPIRES: I VI2/2004 Identification Numbers
Transaction ID No. 807034
SITE: Site ID No. 653197
Bruce Kuhn Please refer to both identification numbe
64 Hwy above, in all correspondence with the ages
Town of Forest
St Croix County
SWIA, SWl/4, S30, T31N, RI5W
FOR:
Description: Mound, 3 Bedroom
Object Type: POWT System Regulated Object ID No.: 880565
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 101.0100), 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:
This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound
Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10691-P (N.01/01) and the "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.01/01).
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. In addition, the owner
must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound
component manual. A copy of this information must be given to the owner upon completion of the project.
ti` aintenancP ; r m,ation must be given to the owner of the tank exohinin� r1 . nP�indi 1 going of the filter is_
required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions.
A Sanitary Permit must be obtained from the county where this project is located in acc rd
requirements of Sec. 145.135 and 145.19, Wis. Stais.9iO
Inspection of the private sewage system installation is required. Arrangements for tion �de with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Is
Eyr
rip p�er
A copy of the approved plans, specifications and this letter shall be on -site during constructtl , and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
L.YLE J NINE RS
Page i 11 A -' 0:
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.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation or maintenance of the POWTS.
Sincerely,
Julia A Lewis -Osborne
POWTS Reviewer 2 , Integrated Services
(262)548-8638, Fax: (262) 548-8614
jlewis@commerce.state.wi.us
cc: Leroy G Jansky , Wastewater Specialist, (715) 726-2544
Fee Required $
175.00
Fee Received $
175.00
Balance Due $
0.00
WiSMART code:
7633
Mound System Cover Page pg Id 6
WIENER iumBETE
Project Name: BRUCE AND TAMMY KUHN MOUND
Owners Name Bruce and Tammy Kuhn
Owners Address 2614 State Hwy 64
Emerald, W. 54012
Legal Description �WFvj %, ! Sw 'w% Sec 30 T 31 N R 15 w •
Township Forest
County Saint Croix _— W
Subdivision n/a
Lot# n1a
ParcelID# pending
Table of Contents
pg-
1 Cover page
2 Mound Sizing Calculations
3 Pressure Distribution Layout and Dynamics
4 Dose Tank
5 Management and Contingency Plan
6 Plot Map
total # of pages: 6
Designer Name: ,(,,, �a- -' .
MP/License #: /p a u f� Gil
Date: 10/24/02
Ph.
r
Signature:e,
Mound System Design Methods Used �G
per"Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01)D1) �\
per" Pressure Distribution Component manual for Private Onsile Wastewater Treatment Systems" (Version 2.0) SBD-10706P (N 01101) C� CJ,
3bAdvisement N12486
71
F
Mound System
Pepe 2 of a
Mound Sizing Calculations
Project Name:
BRUCE AND TAMMY KUHN MOUND
Site Conditions _ _
Design of Entire Fill
Project Type: 1 or 2 Family
Dwelling
Cell depth at upslope edge (D):
21.0 in.
% Slope:
3 %
Cell depth at downslope edge (E):
23.2 in.
# of Bedrooms:
3
Distribution cell depth (F):
9.5 in.
Depth to limiting factor:
15 in.
Cover thickness over edge (G):
6 in.
Absorbtion rate of fill material:
1 gal/ft2/day
Cover thickness over center (H):
12 in.
Absorbtion rate of in -situ soil:
gal/ft2/day
End slope width (K):
10.9 ft.
Effluent quality
FD.5
•
Fill length (L):
96.8 ft.
Max BOD effluent value:
220 mg/1
Upslope width (J):
8.4 ft.
Max TSS effluent value:
150 mg/I
Downslope width (Toe) (1):
10.7 ft.
Fill Width (W):
25.1 ft.
Design of the Distribution Cell
Basal Area
System Design Flow.
450.0 gal/day
Basal area required:
900 ft2
Distribution cell width (A):
6.00 ft
Basal area available:
1253 ft2
Distribution cell length (8):
75.0 ft
Area of Distribution Cell:
450.0 ft2
Observation Pipes
Contour Elevation of Mound:
95.30 ft 5.1S
Location from end of cell (Z):
12.5 ft
System Elevation of Mound:
97.05 ft
Final Grade of Mound:
98.84 ft
Mound Plan View
Final Grade
Synthetic Fabric
Distribution Cell
System Elevation
Cover Material '
Fill Material
Tilled Area/Fill Material
L
Mound Cross Section
Li who
Invert
�— Slope
�Forcemain
Notes:
Fill material to consist of ASTM C33 Sand
Distribution cell aggregate to comply with Comm 84.30(6)(1)
synthetic Fabric covering on cell per Comm 84.30(6)(g)
Distribution Cell to have minimum 6" aggregate below lateral and 2" above.
IrK
in Pipe
Tilled Area
Contour
Mound System Papa 3 or e
Pressure Distribution Calculations
Project Name: BRUCE AND TAMMY KUHN MOUND
Lateral Layout Lateral/Manifold Design
Lateral elevation: 97.6 ft Lateral diameter: t' v In.
Rows of Laterals: 2 Lateral spacing (S): 1 3 ft
Manifold type: Center . Lateral to cell edge: 1.5 ft
Orifice diameter: o.125 . In. ` Lateral discharge rate: 7.83 pm
# of Laterals: 4 System discharge rate: 31.31 gpm
Distal Pressure: 5 ft Manifold diameter: v n.
Lateral Length: 37 ft Manifold length: 3 ft
Orifice Spacing/Distribution Forcemain Friction Loss
Office spacing (X): 24.00 Forcemain length: F 60 ft t" �0
Orifices per lateral: 19 Forcemain diameter. 2 . In.
Avg. ftz/Orifice: ` 5.92 ft' Friction loss in forcemain: 1.269 ft
Lateral Side View
Manifold
Lateral Lateral
x x x x x x xt x 7r x 7r x x x
2 2
Lateral engt Lateral Length
Lateral Plan View
Lateral Length Turn -up w/ball valve or cleanout plug
0
o T
0
0
Orifices on bottom of
lateral equally spaced PVC laterals and Forcemain to comply with
specifications per Comm 84.30(2)(e)
Forcemain connection via tee or cross to manifold at any point
Clean Out Detail Observation Pipes
Cleary -out plug
Final Grade or ball valve
Watertight cap
or plug
Lawn
Sprinkler
Box
lot
Note: Closet Colar
6" Minimum nray be used in
Long Sweep 90 place of VG" bar
or two3/8" Bnr
Lateral
Mound System
Page eaa
Septic, Pump and Dose Tank
Project: BRUCE AND TAMMY KUHN MOUND
Tank Information
Dosage Volume
Pump tank manufacturer:
_Wieser Co_n_ Crete
Forcemain drains back to tank? @)Yes 0 No
Pump tank size/model:
rwi000/650-MR
Lateral void volume:
15.6 gal
Pump tank gaUinch:
17
Dosage to absorbtion Cell:
78.2 gal
Actual Pump Tank Volume:
646 gal
Forcemain volume:
10.5 gal
Tank bottom elevation (inside):
86
ft
Total dosage:
88.7 gal
Septic tank size/model:
i Wt000/650-MR
Pump and Filter
Pump Manufacturer: Little Giant
Pump Model: 9EH
Effluent Filter: Zabel A100
Note: Access opening of sufficient size to be provided to allow
removal of filter. Opening to terminate at or above grade.
Total Dynamic Head
Are laterals highest point?
if not, enter highest elevation: 0 ft
System head (distal x 1.3) 6.50 ft�q
Vertical Lift ("D" to lateral) 10.55 ft-
Friction Z J
Friction loss in forcemain: 1.26 ft
Pressure loss from filter.
Total dynamic head (TDH): 18.3 ft
Pump Tank Diagram
Dose Tank Levels
cking Cover
In.
Gal
4 Inch Label
MinimuFinished
A Reserve
18.8
319.3
Grade
B Pump off to Alarm
2.0
34.0
C Total Dosage
5.2
88.7
OutletMern
Outlet
Locationect per Comm
T11
D Effluent depth for pump
12.0
204.0
211 and
EC 300
Total Capacity:
p y'
38.0
646.0
i4
FLOW- LITERS/HOUR
:61
Pump must be capable of:
and head pressure of:
31.3 GPM
18.4 Feet
Little Giant FLOW- GALLONS/MINUTE
9EH PUMP PERFORMANCE CURVE
115V a0HZ
10
0
Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6
Owner's Responsibility: �fq Zo 5 � d
The component owner is responsible for the operation and maintenance of the component. The county,
department or POWTS service contractor may make periodic inspections of the components, checking for
surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary
maintenance reports to the appropriate jurisdiction and/or the department.
Septic Tank:
Septic tank(s) are to be inspected routinely and maintained by department approved individuals when
necessary in accordance with their approvals. The use of chemical/biological "treatments" is not required or
recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety
and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids
from passing the septic during removal. No more than 113 of the usable tank volume may be occupied by
sludge/scum. 3 year inspection: If tank has greater than 113 volume sludge, tank contents must be emptied
and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the
inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping
should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be
watertight and of good repair.
Pump/Dose Tank
If an effluent filler has been installed in the pump/dose tank, it must be removed & cleaned as
necessary, with provisions to keep solids from passing to the mound component during removal.
The pump, float switches and alarms must be inspected at least every three years for proper
operation. Pump/dose tank should be routinely inspected to be watertight and of good repair.
Mound and Lateral System
The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches
or more water level is detected in the observation pipes, the owner must be notified of possible
problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees
and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the
component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could
compress the component and reduce it's absorbtion capabilities and/or possibly Cause it to freeze in winter
conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points
at each end of the component to remove scum that may dog orifices.
Performance Monitoring:
Performance monitoring must be done at least once every three years following the installation or at the time
of a problem, complaint, or failure.
Contingency Plan:
If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become
defective, the defective tank or component must be replaced immediately to ensure that the system can
operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface,
the component must be repaired or replaced in it's current location by either. extending basal toe to provide
added absorbtion area; or by removing the clogged bacterial mal,aggregate cell, and distribution piping within
the mound and replacing said components in order to return system to proper working order as required.
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1420
Wwonsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm a5, Wis. Adm. Code Gustum Septic Service
Attach compete site plan on paper not less than 8'% x 11 Inches in size. Plan must County
include, but not limited to vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dhnemsions nortni arrow, and bradon and distance to nearest road Pal / -- —
Please todrit all lrrformatlon. — p Ing
R Date
Peraond inrama6on you provide mar to wad fa satondav Wrpwea (Privacy Law, s. 15.04I1i (m)l• /
Property Owner Property Location
Kuhn, Bruce & Tamm Govt. Lot n/a SWIM SW 1M S 30 T 31 N R 15 V
Property Owner's Mailing Address Lots Block s I Subd. Now or CSMs
2614 State Hwy 64 Ma n/a Pending
City State Zip Code Phone Number I City J Village ✓ Town Nearest Road
Emerald WI 54012 7 2341 Forest State Hwy 64
jQ New Construction Use: 16 R6sider*al / Number of bedrooms 3 Code derived design low rate 450 GPD
Replacement J; Public or oompieroW - Describe:
Parent material IOesa /I .
r L' ,T Flood pain elevation, if applicable We
General comments
and recommendations: Recomr�e-rr-Q�moutid systein'silopq 95.3' contpur. Part of proposed 5 acre parcel,
❑ems Boring ONINi;OFF
7
I✓!ti Pt , srrfacedev. ICfiJ Depth to limiting factor 18 In. Soo Appiretion Rah
1
0-8
10yr3/2
none
sit
2msbk
mvfr
as
2f,1m
0.5
0.8
2
6-12
7.5yr3/4
none
—ail
2msbk
mfr
aw
1f
0.5
0.8
3
12-16
7.5yr4/4
none
gr. sit
2msbk
mfr
ow
0.5
0.8
4
18-
7.5yr4/6
c2 5 7/2
gr. act
2msbk
Milli
0.4
0.6
Boring s J Boring _
0 Pit Ground Surface elev.. 94.1 R Depth to limiting factor 18 in. cwl e,,,rwi„� awl
Horlmn
Depth
In.
Dominant Color
Munsell
Radox Description
011. Sz Cont. color
Texture
Scucture
Gr. Sz. Sh.
Consistence I Boundary Roots
'E 1
1
0-10
10yr3/2
none
sit 2msbk
mvfr
as
2f,1m
0.5
0.8
2
10-15
1Oyr3/4
none
sit
2msbk
mfr
C1rr
1f
0.5
0.8
3
15-18
7.5yr4/4
none
gr. sit
2msbk
mfr
cw
0.5
0.8
4
1 &
7.5yr4/6
7 SYOyr7l2
9r. act
2msbk
mfi
-
-
0.4
0.6
• Effluent s1 - BODS> 30 < 220 mg1l. and TSS >30 < 150 mg/L
• Effluent 02 = BOD < 30 mg/L and TSS < 30 moll.
CST Name (Please Print pnature
ST NUrrdW
Tom Gustum
227618
Address Gustum Septic Service
Date Evaluation Conducted Telephone Number
N 13450 937th St., New Auburn. WI 5.4757
6/13101 715$58-1344
Property Owner Kuhn, Brute & Tammy Parcel ID # Ong _ _ Page 2 of 3
3] goring # J Boring ication
16 Pit Ground Surface elev. 95.8 It Depth to Omiting factor 15 n. S>l Appl Rate
Hgimn
i DWM
in.
Dominant Color Radox Description
Munsell a. 82. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roo6
I
GPDr
•Eff#1 •Eff#2
1
07
10Y1312
none
ail
2msbk
mvrr
as
3f,1m
0.5
0.8
2
7-16
10yr513
none
ail
2msbk
mfr
aw
tm,leo
0.6
0.8
3
15
10yr4/4
7 5�05yr87l2
ail
2msbk
mfr
cw
1 m
0.5
0.8
4
24-36
7.5ymro
7/2
c2 7.515/9
gr. scl
2msbk
mfi
.4
0.6
❑ Boring # _j Boring —
Pit Ground Surface elev. fit Depth to limiting factor un, Soil Application Rate
Hor¢on
Depth
in.
Dominant Color
Munsell
Redox Description
Ou. St. Cant Color
Texture
Stntcane Consislence Boundary
Gr. Sz. a.
Roots
GPDN
•Eff#1 'EfW2
❑ Bing # J Boring
_J Pit Ground Surface elev. fL Depth to limiting (actor in. Sal Application Rats
HAw
Depth
111.
Dominant Color
Munsell
RedoxDescription
Gu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Rants
•Eff#1 •Eff#2
• Effluent #1 = 8006> 30 < 220 mg& and TSS >30 < 150 mg& • Effluent 82 = 60135 < 30 fnpll and TSS < 30 nVIL
The Deparnent 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.
Property Owner Kuhn, Bruce & Tammy _. Parcel ID # perldirlg _ Page 2 of 3
L. ]Ong # I Boring_
d Pit Ground Surface elev.. 95.8 fl Depth to uniting factor 15 in. � pppicirdm Rate
Horan
NO
in.
Dorninenl Color
Munsell
Redox Dasaiption
Gu- Sz. Cont. Color
Textura
Structure
Gr. St Sh.
Cons etarm
8eu4ary
Roca
'EfFAt1WON
'Eff#2
1
0-7
1Oyr312
none
sit
2rnsbk
mvfr
as
3f,1m 0.5
0.8
2
7-15
10yr5/3
none
sit
2msbk
mfr
cw
1m,1co 0.5
0.8
3
15.24
10yr414
c2-3p IOyr7l2
7.5yr5/8
sit
2msbk
mfr
cw
1m
0.5
0.8
4
24-36
7.5yr4/6
c2-3d 10yr7/2
7.5 A
gr. sG
2msbk
rMi
0.4
0.8
❑ Boring # J Boring -
J Pit Ground Surface elev. it. Depth to limiting factor jn. -Sol ApploalmRate
Hortm
Depth
in.
Dornlnant Color
Munsell
Pedox Description
Ou. Sz. Cont. Color
Trxdtxe
Strudum
Gr Sz. Sh.
Consistence
Boundary
Roots
Gpnr
•E1111/1 'EfUf2
i
Boring # J Boring
_J Pit Ground Surface elev fL Depth to limiting factor in. Sejl AWR:Nhm Rale
Horizon
Depth
In.
Dominant Odor
Munses
RedoxDesa"m
a. Sz. Cart. Color
Texture Structure : Conslaimice
I Gr, Sz Sh.
Boundary
RDotsts
'EflJrtrww
�ffY2
Effluent #1 = BOD? 30 < 220 mg& and TSS >30 < 150 mg& ' Effluent 02 a BODsc 30 mok and TSS 4j.30 rng&
The Department of Cortanerce is an equal opportunity service provider and employer. If you nod assistance to access services or
need tnatenai in an altemate format. please contact the deriartreem at 608-266-3151 orTTY 608-264-8777.
C
94.1' Contour
I
95.3' Contour
I cj�
95.6' Contour-
B 1 -.`
95.3'
B 3 1.
95 8'
Proposea
Double - wide
--- — --._J LEsEND
■ = SOIL BORINGS WITH BACKHOE
- --�\ B M 1 = REV. 100.0' -Very top of LP tank- also HRP
BM2 = ELEV. 45.9' -Bottom of siding
\ ✓ �— — SCALE = 1" 40'
BM2
BM1 I
V
Part o1 proposed 5 arces
— ' I septum Tammy Kuhn Plot Plan
septic 2614 Hwy 64
Emerald, W
-- Tam of Forek
------ --"---------- ------------------- ----------- SWY" of SWf. of See 3a T31NRlSW
Slate Hwy "64"
— ---- ------ — -- AlP g 3 of 3
o"n
4 1 3 7 T— 1
Owner/Buyer
Mailing Addri
Property Address
City/State
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
l / 7_ 5
(Verification required from Planning Department for new
Parcel Identification Number �*9 / 4— /6 & �! —3 0
LEGAL DESCRIPTION
Property Location r/.,1S Q) r/., Sec. , TjLN-RLS
�_W, Town of Z4e��
Subdivision
Lot #
Certified Survey Map # Volume Page #
Warranty Deed # en Volume �(� Z Page # 6/ 3 g
Spec house ❑ yes 9 no
Lot lines identifiable ❑ yes ❑ no
nrz
SYSTEM MAINTENANCE
Improper use and maintenanceof 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.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
masterplumber, 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.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
Nl Il d 5/ OZ
SIGNATURE Of APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
IGNATURE OF APPLICANT DATE
ssssss Any information that is this -represented may result in the sanitary permit being revoked by the Zoning Department. «««sss
•' Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
1992P 638
STATE BAR OF WISCONSIN FORM I - 2000
Oocumelc Rcmber QUIT CLAIM DEED
This Deed, made between Orville L. Kuhn and May E. Kuhn, husband
and-w,fe as survivorship marital property
Grant;, an Bruce A. Kuht; amn J. d —sad wife, holding
as survivorship in r a property
Grantee
Grantor quit claims to Grantee the following described real estate in
St. Croix County, State of Wisconsin (if more
space is needed, please attach addendum):
Southwest Quarter of the Southwest Fractional Quarter (SW 114 of SW Fri. 1/4)
of Section Thirty (10), Township Thirty-one North (TIIN), Range Fifteen West
(RI SW).
Reserving, however, to Grantors, and to the survivor of them, a life carrier in
Grantor's residence, garage and yard, together with access thereto, located on
the above -described premises.
6921 96
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., MI
RECEIVED FOR RECORD
09-30-2002 9:43 AM
U111 PAIN OEFD
EfDIPT it A
REG FEE: 11.00
TRANS FEE:
COPY FEE:
CENT COPY FEE:
PAGES: I
Area
Thomas A. McCormack
(020 10th Avenue
PO Box 2120
Baldwin, Wl 54002
This Is -_ homestead property.
ln) liaasoa)
Together with all appurtenant rights, title and interests.
v� L.
Dated this rX _ day of OG%D7,40"" , 2002_ J �
• Orville L. Kuhn
e �J1d _IA../.
.MAYE. Kohn -
AUTHENTICATION
Signature(s)
authenticated this _ _ — day of
ACKNOWLEDGMENT
STATE OF WISCONSIN )
St. Croix County )
^^
Pet natty came before me this _ d 6 _ day of
S•' _ , 200i _ the above named
-- ---- -----
Orville L. Kuhn and may E. Kohn, husband aad wife, holding as
.. ... _..
survivorship marital Property _
TITLE: MEMBER STATE BAR OF WISCONSIN
111'nut,
to me known to 0e the perssgqn(Q w ci<e led the foregoing
authorized by § 706.06, W:s. Stats)
instrument and ackn h:JgEdlh sins
I _ fir.,
THIS INSTRUMENT WAS DRAFTED BY
Thomas A. McCormack
. --
f
—
Notary Public, Stole of WIS I; Sf�i Gf r•
T-- `_fit., �—
Baldwin, WI 54001
._ .-.
a
bly Commiss,dn is pcpnan/b(jl&yef, siptbifcpualion data:
(S,gnnures may be authenocaud or acknowledged Both are not necessary 1
7
• Namem orpersom waning in my eapacay mush be hyped or pnntt0 brim their signature.
STATE BAR OF W ISCONSIN
QtIITCLAIM DEED FORM Pro. I-2000 INFO -PRO 19001655-2021 ..Wpmru
Shar Croes
Subject: Bruce Kuhn I Hwy 6316411PM
Location: Forest
Start: Mon /2003 :OO PM�
End: 1/27/2003 2:00 PM
Recurrence: , (none)
30.31.15.475_Gv�fX�
I
ppppppp - -
HOLDING TANK SERVICING CONTRACT
AP i` t-0J v = `
ST. GRO'X
Plannjo-'-1 .
r B 0 7 2003
Z- / — 03 It nct ic+an��u ri'°�ovat shall be
or This contract is made between the approval date app
Holding Tank Owner(s) Name(s) and Pumper's Name
Brae Q K kyn I go�
We acknoyAed a the installation of (a) holding tank(s) on the following property: (Provide legal descriptions:)
G1`t 10(o3-- �)-oOO Sw 'ly CV5bi 7a SeT1-n tpo.
1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the
pumping agreement required in Comm 83.52(1)(c)l. Wis. Adm. Code and the approved Holding Tank
Component Manual. This agreement will also be filed with the St. Croix County Zoning Department.
2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper
to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner
agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the
pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the
holding tank(s) as mutually agreed upon by the owner and pumper.
3. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to
the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further
agrees to include the following in the semiannual report:
a. The name and address of the person responsible for servicing the holding tank;
b. The name of the owner of the holding tank;
c. The location of the property on which the holding tank is installed;
d. The sanitary permit number issued for the holding tank;
e. The dates on which the holding tank was serviced;
f. The volume in gallons of the contents pumped from the holding tank for each servicing;
g. The disposal sites to which the contents from the holding tank were delivered.
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a
change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a
new service contract with local governmental unit and the County named above within ten (10) business
days from the date of change to this service contract. 0
L-;r
)wner(s) Name(s) (Print) Owner's Signature(s)
Bit- u c ¢ iJuh n -Baut
Name (Print)
Cis -e/%us
mper's Registration Number
Ss9
sworn to me on this date:
!, rf-o r e. OtG ;
iblic Signature
eet,, /-/,u/w&h
Commission