Loading...
HomeMy WebLinkAbout008-2015-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 563870 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: Pollitt, Jack & Jennifer Eau Galle, Town of 008-2015-09-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /00 /00 6M , \ I 19.28.16.585 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. .'wf Septic Benchmark e A. /zoo S- 8 /d F Dosing G ~ -P ` g~ Alt. BMr Z 1d6 / / Bldg. Sewer 7,9 7 /40 Holding B~of-v St/Ht Inlet , Z TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to it Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. 7,7 Aeration Dist. Pipe 4-0 /d1 •z Holding Bot. System -7251 1.61, CIV PUMP/SIPHON INFORMATION Final Grade 5.5 /(03 Manufacturer Demand St Cover Z / GPM Model Number 11c r ~6a TDH Li Friction Loss System Head St T Z , 3 Forcemain Len9*5 Dia.Z if Dist. to Well Nl~ ✓ SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. O rench PIT DIMENSIONS No. Of Pits Inside Dia. Liq id Depth DIMENSIONS Q/ - SETBACK SYSTEM TO v~ P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type ystem: CHAMBER OR J Z 5 /tJ , UNIT Model Number: DISTRIBUTION SYSTEM /`T Header/Manifold Distribution Ix Hole Size / x Hole Spacing V o Air Inta Pipe(s) L t Length T7i Dia 1 Length L7 Dia /0u Spacing ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only '1 0. Depth Over Depth Over xx Depth o xx Seeded/Sodded u ched Bed/Trench Center Bed/Trench Edges \ Topsoil s No No CA: I COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /b /I Inspection #2: / / Location: 2123 21st Ave B! iy~, WI 54002 (SJ~ W 1/4 19 T28N R16W) Star View Acres Lot 9 J"ja~Parcel No: 19.28.16.585 BM 4~ 1.) Alt Description 4D d' O 2.) Bldg g sewer length - amount of cover = w - Plan revision Required? Yes v No Use other side for additional information. O .J 5~4~ ~ SBD-6710 (R.3/97) Date Insepctor's nature Cert. No. SITE PLAN SW,SW,19,28N/R16W Eau Galle township St. Croix county LEGEND BN4: t 00.0' top of spad : of oran«c painted stake *located B-1 & B-2 by indentations and marker flags, reestablish BM ( e elevations agree w/soil test ?BM: ~ 05.0 tap of base _ 1: of tnaiisforrier at orange spot r¢ X pits No Comm 83 problems L - 2\2~ Scale 1" - 40' except where indicated 0 Z` Vie' System Elev. 101.58' on contour 100.0' ti V i Part of 2.12A.C. /°2 •a l2/ IC, posed kon LP Lot 9 of Star View Acres II NO RIO ti Gin y~rr. r. project: POLLITT page 10 of 10 County Wisconsin Safety and Buildings Division St. Croix 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Department Safety and Madison, WI 53707 - 7162 66a 3g 70 Professional Services State Plan I.D. Number State Sanitary Permit Application Trans id (if different than mailing address ~t In accord with SPS 383.21 (2) Wis. Adm. Code submission of this form to the appropriate governmental ddress unit is required prior to obtaining a sanitary permit. Note application forms for state-owned POW,e submitted to the Department of Safety and Professional Services. Personal information you 19, 0 maybe used for secondary purposes in accordance with the Privacy Law, s 15.04 1)(m), S Q f3 2125 L Q V l.~ 1. Application Information - ase Print All ation Property Owner's Name CJ~ n l # 15 • d - ~ ~r Mr. Jack Pollitt QpS-- c Property Owner's Mailing Address Property Location Sg S `M~ 2123 21St Ave. VIP SW Lot SW Section 19 ~ City, State Zip Code Phone Number Baldwin, WI 754002 715/688-6207 T 28 N/ R 16w ~J II. Type of Building (check all that apply) 9 Subdivision Name Acres II Star View X 1 or 2 Family Dwelling - Number of Bedrooms Four Block # City Public/Commercial - Describe Use Qk aA ~CJLC Village of /cr, CSM Number X Town of Eau Galle State Owned - Describe Use / or III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. X New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System e Issued List Previous Permit Number and Dai Issued B. El Permit Renewal ❑ Permit Revision _ Change of El Permit Transfer to New Before Expiration Plumber Owner -L I 1A I IV. Type of POWTS S stem: Check all that apply) GA G _ Non -Pressurized In-Ground Pressurized In-Ground _ At-Grade _ Mound ?24 in of suitable soil X Mound <24in of suitable soil Holding Tank Other Dispersal Component (explain) -Pretreatment Device (explain) y V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application e(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation / 600 0.4 1500.Osq.ft. 1935.Osq.ft. 101.58' ✓ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing / Tanks Tanks l v~ or Holding 1200 1200 1 Weiser Concrete X Tank t5aft Chamber 800 800 combo X F VII. Responsibility statement- I, the undersigned, 50-ac respo ' ' ty for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb s Si ature MP/MPRS Number Business Phone Number Kent Hoke P224199 715/962-4155 Plumber's Address (Street, City, State, Z Co ) 200 Bremer Ave., Suite D, Colfax, Wl 54730 VII Coun epartment Use Only Permit Fee Date Issued Issuing ent Signature Approved ❑ Disapproved l ❑ ~wne Ren Reason o $ 62, l Z/ J3 . 60 IX. Conditions of Approval/Reasons for Disapproval 1 ; i'n Jr~~ tJ e 4 SYSTEM .01AINEk 3/ e.Xec- - f t 1, 5ept16tank,effluentlllterand t Pe`~`•'~dispersal cell must all be ser0ces / mahtt0bW 1 as per management plan provided by plus dw. I l ~ 6.~ A- 2. ANselbackrequifetnents.nu*,benlaintiWd y /v Pc,(d-' a~ S~6J-er..f. as per applic 006 ror~i wwii. ~('ct Ca S e vvt 1. Attach complete plans (to the County only) for the system on paper of less than 81/2 ill inches in size nRr E`T DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA \ 7 HOLMEN WI 54636 0 Contact Through Relay 3 : S F S www.dsps.wi.gov/sb/ www.wisconsin.gov 4 ~OssrScott Walker, Governor Dave Ross, Secretary August 01, 2013 CUST ID No. 224580 ATTN.• POWTS Inspector LORETTA LARRABEE ZONING OFFICE L AN L PERC TESTING ST CROIX COUNTY SPIA N2089 CTY RD Y 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/01/2015 Identification Numbers Transaction ED No. 2280588 SITE: Site ED No. 793555 Jack Pollitt Please refer to both identification numbers, 2123 21 ST Ave above, in all correspondence with the'agency. Town of Eau Galle St Croix County SW1/4, SWIA, S19, T28N, R16W Lot: 9, Subdivision: Star View Acres II FOR: Description: Mound / Four Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1440748 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, CONl)IT101 stats. AppR The following conditions shall be met during construction or installation and prior to occupancy or use: D SA Reminders FESSIO141 ION OF *01 • This system is to be constructed and located in accordance with the enclosed approved plans and with theft1VS component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS 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. Stat LORETTA LARRABEE Page 2 8/1/2013 , • SPS 383.22(7) A cop, of f the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • SPS 383.52 Responsibilities. 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). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 Fee Received $ 250.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov r ct: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 1 Kent Hoke, H&h Plumbing LLC (Plans Mailed To) ~ LORETTA LARRABEE Page 2 8/1/2013 • SPS 383 22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • SPS 383.52 Responsibilities. 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). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 Fee Received $ 250.00 / Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@,Adsconsin.gov ct: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm ` s Kept Hoke, H&h Plumbing LLC (Plans Mailed To) Private On-Site Wastewater Treatment System (POWTS) Mound and Pressure Distribution Component Design Index and Title Sheet RECEIVED Project Name: POLLITT JUL 18 2013 Owner: Jack Pollitt INDUSTRY SERVICES Location: 2123 21St Ave. Lot 9 Star View Acres #2 Legal Description: SW,SW,19,28,N/R16W Township/County: Eau Galle township, St. Croix county Contents: Page 1: index and title Page 2: general information & lateral diagram Page 3: mound drawings Page 4: dose tank Page 5: pump information Page 6: tank detail Page 7: filter detail Page 8: management plan Page 9: contingency plan Page 10: site plan " Attachment: soil test to state plan Designer's name and license no.: Loretta Larrabee license# 1872-007 address: N2089 Cty Rd. Y J%%1111111 Menomonie, WI 54751 ~4ALLY phone: 715/664-8184 'S, G0• ~i~ VED cell: 715/505-1628 FETY AND e-mail: lanl erctestin wwt.net • p % 4L SERVICES JSTRY SERVICES Designer's Signature: r ~yz a,~a~ fggjQlt~►~~~~~ I the undersigned submitted these plans under my authority Np~y Mound component manual for POWTS Version 2.0 SDB-10691-P (N.01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) page 1 of 10 • lob rG`i Wild y j8e.r, 'ry ~ tf! 4w;-.; N~', • ~ ~ ~~Z qk GENERAL INFORMATION Proposing 600gal DWF center fed system w/4 laterals 10.0% slope system area dispersal cell design loading rate 1.0 0.4 soil application rate linear rate 6.98 17" limiting soil factor orifice sq/ft. 8.75 1200/800 Wieser tank with Orenco 14-B filter effluent quality #1 LATERAL LAYOUT DIAGRAM (not to scale) Center Fed System Number of laterals 4 orifice dia. 5/32 in. (0.156') Lateral dia. 1 '/2" orifice spacing (X) 30in. (2.5') Lateral length (P) 41.25ft. orifice spacing X/2 15in. (1.25') Lateral spacing (S) 3.5ft. orifices per lateral 17 Manifold dia. 1 '/z in. lateral discharge rate 9.18gpm Force main dia. 2.0 in. total system rate 36.72gpm * * * see page 9 of 10 Mis. Construction for turn-up detail Valve box \ JPresslug finish grade P X X/2 1 1/ " S 3.5' (42" 1.71.7 5' (21» Last orifice next to fitting 1.75' (21") Orifices located on bottom of lateral Force main 2" dia. project: POLLITT page 2 of 10 PLAN VIEW OF MOUND (not to scale) A= 7.0' D= 1.58' (19") J= 7.0' required bed 600sq.ft. B= 86.0' E= 2.28' (27 3/8") I= 15.5' proposed bed 602sq.ft. F= 0.83' K= 11.5' required basel area 1500.Osq.ft. G 0.50' W_ 29.5 proposed basel area 1935.0 sq.ft. H= 1.00' L= 109.0' observation pipe @ 17ft. Observation pipe 17' W O p 29.5' Fq a B 86' I 1 1 5' 15.5' L-109' Mound Cross Section View (not to scale) Finished grade elev. 103.38' Lateral invert elev. 102.08' 2 Dispersal cell elev. 101.58 dispersal cell $2 " Of- lateral O - - 3 - Aggregate bed 6" - - E D - - - tilled layer tilled layer contour 10% site slope elev. 100.0' Numeral Key 1 topsoil cap 2 subsoil cap 1.5ft. 3 ASTM C33 sand 4in. dia. observation pipe 4 synthetic cover over cell with 1 /4in slot 5 aggregate I Closet flangee P~ O.Sft. project: POLLITT page 3 of 10 t . Do T~nl~ a ca 5ross Section 4 ,Approved Locking Manhole Cover Approved Cap, With Warning Label Attached Weatherproof Approved _ Warning Label Junction Box Vent Cap 1oaK. le` 12" Minimum Final Grade--,,, 4" Minimum Quick 18" Minimum Disconnect i 1/4" Weep Hole Baffle Approved Joint w/ 411 s~40 Pt e A Extending 3' Alarm ~ Onto Solid Soil B Approved Joint On 6; wA4.0,4001?e- C Extending 3' _ L.w. oCr ~v . c12 Onto Solid Soil Off 6' D Conc. Block 3" of Bedding Under Tank-/ a~ ec - F 1 2.0 .0 go,.►S Note: Pump and Alarm Are On Separate Circuits M boi~1 1e e1c Tank Manufacturer: W ii e-Se R CanQ2e ~c 82~t2 c°St° ' i Z6 ~2" ~a~ s Tank Si ze-Septi c/Pump : ► 2 oo / s coo :.P al ons Alarm Manufacturer: ~Htre i Model Number: M :►s i Capacities: A t binches or op 3 Gallons Switch Type: mach ctr\ ie.. 1 + B 2, inches or~tLGal1ons _Gallons Pump Manufacturer: 'L%k ~ \e Cy, ; a eA + C r inches orAA- LAD D --i nches or ,Gallons Model Number: + 1.1 - GPM - Minimum Discharge ate: 39 Total.....= - 3 b inches or soo Gallons Vertical Difference Between Pump Off and Distribution Pipe:4.58 Feet rw~ 22.24 Minimum Required Supply Pressure:..... 'a 1 ±0 Feet of Force Main x'33©Friction Factor/100 Feet: + 1 qa_ eet -2-Inch Diameter Force Main Total Dynamic Head:...=1&45 Feet project: POLLITT page 4 of 10 Effluent Pum , I • ~0 9EH SERIES 4/10 HP a Perforrinanc Applications 1 e Curve is Dewatering, grater transfer, effluent and wastewater removal Capacity - Liters per Minute Features 0 100 200 300 • 4/10 HP shaded pole motor with • Upper sintered sleeve bearings; overload protection lower ball bearings 10 is Designed for continuous duty • Multiple switch options for 30 9 • High head model automatic operation 25 8 ` • Epoxy coated cast iron housing • UL / CSA listed U- 7 and cover .6 20 is High impact ABS base s s • Carbon/ceramic shaft seal 15 5 t 10 3 5 2 Capacity: 70 GPM ® 5' Electrical: 11 5v, 601-tz V i; 1 (265 LPM @ 1.5 m) 230v, 60Hz 0 ' t o Shut Off: 32' (9.8 m) Operation: Automatic or Manual 0 10 20 30 40 50 60 70 80 Liquid Temperature: 140°F (60°C) Solids Handling: 3/4" (19 mm) Discharge: 1-1/2" FNPT (38 mm) Capacity -Gallons per Minute Impeller. Closed vane polycarbonate Volute: ABS Model Item # Model Volts Cord Switch Type On Level Off Level 509350 9EH-CIA-RFS 115 - Piggyback Mechanical Float W -14" _ 2'-6- 6 23 cm-35.6 cm 5cm-15.2 cm 509360 9EH-CIA-RFS 230 6 m-- Piggyback Mechanical Float 9 -14" 2'-6- 23 cm-35.6 cm 5cm-15:2cm 509331 9EH-CIA-VDS 115 - Piggyback Vertical Diaphragm _ 14"- 16' 4--6- 6m - 35.6cm-40.6cm 10.2 cm-15.2 cm 509330 9EH-CIM 115 20' - Manual 6M - - 509340 9EH-CIM 230 6 ' - Manual Features Cast iron I i cover Upper siMared sleeve bearing Oil-filled \ motor housing 4 Cast iron housing w/protective Motor designed epoxycorrocoating to for maximum \ resist sion performance J Lower 1-1/2'FNPT \ \i baN bearing (36 mm) r % Carbon & ceramic face seal Engineered i"f•l~•~. high-impact s Glass-filled • A85 base II t 'p thermoplastic allows 3/4" high-efficiency (19 mm) solids Volutelmpeller 2-vane impeller For more informalan call 1.8G0.701.7E94 seal for maximum Stainless steel efficiency wear ring 11C uF to A "A a?a. 1 . t - • Dewatering, water transfer. effluent and wastewater removal Capacity - Liters per Minute r 0 100 200 300 • 4110 HP shaded pale motor :A/ith • Upper sintered sleeve bearings; 35 I overload protection lower ball bearings • Designed for continuafs duty • Multiple switch options for 30 9 • High head model automatic operation 25 8 d • Epoxy coated cast iron housing UL 1 CSA listed U- 7 and cover Z 20 6 G • High impact ABS base m • Carbon/ceramic shaft seal s 15 5 T N7 d m 4 0 10 I \I 13 f°- 2 Capacity: 70 GPM @ 5' Electrical: 11 5v, 6OHz 5 1 (265 LPM @ 1.5 m) 230v, 60Hz 0 0 Shut Off: 32' (9.8 m) Operation: Automatic or Manual 0 10 20 30 40 50 60 70 80 Liquid Temperature:140OF (60'C) Solids Handling: 3./4" (19 mm) Discharge: 112" FNPT (38 mm) Capacity - Gallons per Minute Impeller. Closed vane polycarbonate Volute: ABS _ : i Item # Model Volts Cord S,altch Type On Level Off Level I 9" -14" - - 2 6 509350 9EH CIA-RFS 115 - 20 Piggyback Mechanical Float om 23 cm-35.6 cm 5cm 15.2 cm • 201 I ' 9" _ 14" 2„ _ 6.. 509360 9EH-CIA-RFS 230 - Piggyback Mechanical Float - . 6m 23 cm-35.6 cm 5cm-15.2om I 509331 913H-CIA-VDS 115 ---8 m--- PiggybackVeriical Diaphragm 14"- 16" 4" - 6" 35.6 cm-40.6 cm 10.2 cm-15.2 cm 509330 9 H-CIM 115 - -6-- Manual - - 509340 9EH-CIM 230 - - Manual 20' Manual Features Gast iron Upper sintered cover I ~sleeve bearing Oil-filled C~ \ , motor housing Cast iron housing w/protective Motor designed _ epoxy coating to for maximum resist corrosion performance ~ Lower r C~ 1-1t2' FNPT~. w ball bearing (36 mm) Carbon & rr ceramic _ '14- ' face seal Engineered Il 1,~ highampact ~ix Glass-filled Afl5 base it, tl III I~ IH' thermoplastic allows 3/4" Ngh effidenry (19 mm) solids Volutehmpeller 2-vane impeller For more int:xmsilor call 1.8GG.701.7@34 seal for maximum Stainless steel efficiency wear ring Zf> o-. S oJ~! L 0 53" 41.. 96" z II / 1 3" . I I I Ar'ps L I B- 44" D r a i mmm • 0 r O I I 1 A G I I I C rrl I I -a D z A u IA 39" D ? m O C n z c m C ~ a .4 ZN z T v y r r Z Z v --t N z z o a r r s D O D C m m m n D -1 a -4 -4 z Z O Zt/a 0 m z Z X O C7 ONZ D;'Z ~Crr~i0Z~zO ODD m.. to m v rtl) a >0 2p0~ Oxx~ ~r, g O o )n C r lct z { U) g ~ l~ 0 a) 0% rn w -0 mm W >JO n rrn x Z D r~* m p--(A rn > Go -IV, I m r- r' r ~ O rm*I v o O n ' M46 p-n DD _ = O d D o z C z c YD rnDm mp oo v D N z-i r*1o D 2rZr>8 r- - wo 0 22 GD !A r- O (A ;o D- ,Ov OM N in Z ;o 'o (A r j~ 20 ° C ~ m O-4 rn C z N rn = O Irn to -0 D n p O_ m r rrn m n Z m r c m c z 0 ;o % 0 K z m Z m r H m WLP1200 800-MR SCALE:) 4' _ )REV NQ DATE: ° m MHER ccncBETE DRa' BY:SWf SEPTIC MANUAL 2 W3716 US HWY10. YAIDEN ROdc. YA 54750 DATE: JANUARY 2008 REV.. JAN. 2008 800- 325- 8456 FlI.E: WI-PI200 800-NR Ter-,', e -r-jrl o~rrz i -p`g e L. 19 t o EFFLUENTFiLTERS _q Biotub&~' Effluent Filters Sizin Ftt 4. SmN(; Bimum Emum FpTm These charts show the relationship between Biotube filter size (diameter), design flow, and mean time between cleanings. The larger the filter and the smaller the flow, the longer you can go between cleanings. For example, a typical three-year cleaning frequency would require an 8-in. filter for up to 2,500 gpd, a 12-in. filter for up to 5,000 gpd, and a 15-in. filter for up to 8,500 gpd. Assumes a properly sized watertight tank and residential strength waste. See Orenco document NDA-FI--fT-1 for more information. 1250 Residential Applications 9ooo Commercial Applications FT0822-14B; 8000 FT1554736 ^ 1000 FTB1824 FT1254 36 Q FT0444-36 0.70 FT0854-36 % FT0436728 m 6000 3 750 FTJ0418 3 0 -r-- FTi-0418 _0 5000 LL 625 U. _ = 4000 "IM 500 ♦ "0) N W 3000 Q 375 %b%% ) 250 2000 1500 125 - 1000 500 0 0 3 4 5 6 7 8 9 10 11 12 3 4 5 6 7 8 9 10 11 12 Mean Time Between Cleanings Mean Time Between Cleanings (years) (years) EFFLUENTFiLTERS Residential BiotubeO Effluent Filters (FT) r FT Series Base Inlet Model s., NOMENCLATURE -4- Fi'0~22-14B~ T options: A = float bracket FSO = overflow plate Base inlet model Cartridge height: 14" standard FT-Series Base Inlet Housing height: 22" standard Effluent Fiter Filter diameter (inches) 08 = 8" Blank = 1/8" filtration P = 1116" filtration tow Biotube effluent filter series 7;)b'4 --iLILS AX: 541-459-2884 EvFLULNT FiLTERS - PAGE 39- . . EFFLUENT FiLTERS Sizing BiotubeO Effluent Filters I'mu E 4. SIZING B10TUBE EmumT FIt:rms These charts show the relationship between Biotube fitter size (diameter), design flmfr, and mean time between cleanings. The larger the filter and the smaller the flow, the longer you can go between cleanings. For example, a typical three-year cleaning frequency would require an 8-in. filter for up to 2,500 gpd, a 12-in. filter for up to 5,000 gpd, and a 15-in. filter for up to 8,500 gpd. Assumes a properly sized watertight tank and residential strength waste. See Orenco document NRA-FT-FT-1 for more information. 1250 Residential Applications 9000 Commercial Applications FT0822-14B 8000 HIT 54-36 1000 FTB1824 FT1254 36' FT0444 36 7000 FT0854-36 FT0436-28 6000 750 FTJ0418 3 0 FTi-0418 _0 5000 LL 625 ~S U. C 4000 0) 500 ♦ r~? •N ~ tU 375 3000 250 2000 1500 125 1000 500 0 _ 0. 3 4 5 6 7 8 9 10 11 12 3 4 5 6 7 8 9 10 11 12 Mean Time Between Cleanings Mean Time Between Cleanings (years) (years) Residential BidtubeO Effluent Filters (FT) FT Series Base Inlet Model NOMENCLATURE FT0111122-1460 I options: A = float bracket FSO = overflow plate Base inlet model Cartridge height: 14" standard FT-Senes Base Inlet Housing height: 22" standard Effluent Rter Filtcr diameter (inches) 08 = 8" Blank = 1B" filtration P = U16" filtration Biotube effluent filter series cA pm,", r)cq to • Mound System Management Plan Pursuant to DSPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with DSPS 382-384 Wis. Adm. Code. and shall maintain in accordance with the component manuals 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 DSPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes 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" 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 slip off the filer when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personal shall advise the owner of when the next service needs to be done to maintain less than maximum scum and sludge accumulation in the tank. 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 maybe 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 compaction may hinder aeration of the surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations dictate that the mound be heavily mulched as protection from freezing. 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 at least once every 18months. When a pressure test is performed is should be compared to the initial test when the system was installed to determine if orifice clogging has occurred, if clogging has occurred orifice cleaning is required to maintain equal distribution within the 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" considered impending failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or components shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank or its components become defective the defective components(s) shall be immediately repaired or replaced with a component of same or equal performance. If the mound fails to accept wastewater or discharges wastewater to the ground surface, it will be repaired or replaced. Increasing basal area if toe leakage or by removing biologically clogged absorption and dispersal media and related piping and replacing components as deemed necessary to bring the system into proper operating condition. See page 9 of this plan for the name and telephone number of your local POWTS regulator and service provider. project: POLLITT page 8 of 10 Mound Svstem Maintenance and Operation Specifications Service Provider's Name: H & H Plumbing LLC Phone: 715/962-4155 POWTS Regulator's Name: St. Croix County Zoning Phone: 715/3864680 System Flow and Load Parameters Design Flow - Peak 600gpd Maximum Influent Particles Size 1/8in Estimated Flow - Average 400gpd Maximum BOD5 220mg/L Septic tank Capacity 1200gals Maximum TSS 150mg/L Soil absorption component Size 602bed Maximum FOG 30mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100mL I Service Frequency Septic and Pump Tank --------Inspect and/or service once every 3 years Effluent Filter-------------------Should inspect and clean at least once every 3 years Pump and Controls ------------Test once every 3 years Alarm----------------------------Should test monthly Pressure System --------------Laterals should be flushed and pressure tested every 1.5 years Mound ------------------------Inspect for ponding and seepage once every 3 years Other----------------------------Initially filter should be checked yearly to determine service schedule Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table DSPS 384.30-1, have a watertight cap and are secured as shown in the mound component manual. 2. Dispersal cell aggregate conforms to DSPS 384.30 (6)(1), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in DSPS 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 6. Lateral Turn-uy to finish at grade or above, enclosed in a 6-8" diameter lawn sprinkler valve box or similar product. (lateral turn-up consists of a long sweep 90 or two 45degree bends same diameter as lateral) 7. Lateral Turn-up on end of distribution laterals after the last orifice. project: POLLITT page 9 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name: H & H Plumbing LLC Phone: 715/962-4155 POWTS Regulator's Name: St. Croix County Zoning Phone: 715/386-4680 Svstem Flow and Load Parameters Design Flow - Peak 600gpd Maximum Influent Particles Size 1 /8in Estimated Flow - Average 400gpd Maximum BOD5 220mg/L Septic tank Capacity 1200gals Maximum TSS 150mg/L Soil absorption component Size 602bed Maximum FOG 30mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 efu/I00mL Service Frequency Septic and Pump Tank --------Inspect and/or service once every 3 years Effluent Filter-----------------Should inspect and clean at least once every 3 years Pump and Controls ------------Test once every 3 years Alarm----------------------------Should test monthly Pressure System --------------Laterals should be flushed and pressure tested every 1.5 years Mound --------Inspect for ponding and seepage once every 3 years Other----------------------------Initially filter should be checked yearly to determine service schedule Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table DSPS 384.30-1, have a watertight cap and are secured as shown in the mound component manual. 2. Dispersal cell aggregate conforms to DSPS 384.30 (6)(1), Wis. Adm. Code. j. All gravity and pressure piping materials conform to the requirements in DSPS 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 6. Lateral Turn-pp to finish at grade or above, enclosed in a 6-8" diameter lawn sprinkler valve box or similar product. (lateral turn-up consists of a long sweep 90 or two 45degree bends same diameter as lateral) 7. Lateral Turn-up on end of distribution laterals after the last orifice. project: POLLITT page 9 of 10 SITE PLAN SW,SW,19,28N/R16W Eau Galle township St. Croix county LEGEND 113M: 100.0' top of spade of orange painted stake *located B-1 & B-2 by indentations and marker flags, reestablish BM elevations agree w/soil test 213M: 105-0' top of base of transformer at orange spot X pits C1o No Comm 83 problems Scale 1" - 40' except where indicated Z'. 0 wv' System Elev. 101.58' L B V 3 on contour 100.0' e cYQ.c.•~ b~~k -fit -1-a~~G Part of 2.12A.C.°~ aro ^SP ~a~~ Lot 9 of Star View Acres II ! o , ` e w .naa~ T `rt I& 4 s, ASTrn Ztg65 Nortf 6t IN, wade-vim b ~.eZ ~\Q ~ project: POLLITT page 10 of 10 auk a J N= ;1 BYOIIY~1Yilrbwr-~®~. E A W~YEnsD 4 tl Taw B a 4 8 r 8 6 o r 1 4 r r 00 ~ ` i r 04 a ca e ~ m tl B q 9 4 4 tl 4 w ~wtl 8 A tl ® O a P r a Aue-07-2013 10:42 AM St. Croix County Plan/Zoning 715-386-4686 l11 ST. CROIX COUNTY SSMC TANK MA Trj NANCE AGREF.t.MNT AM Oo NFaSFU CMtT MCATION FORM ownernhow r1t r ------i Mailing Address Pnopraty Addrw z ZI n 571COZ 7EM (Vorfticadft ro*w from PlemdnE Zoalag r 1~.) City/State tQr Pe rcal ldwdfi ation Number 7- LEGAL DESCRtMON . Prop" Locedou 3G, 1 , St T . . N K W, Town of Subdivision Flat: O )e !Lot # Certified Survey Map # , Volume . Page wariralt f Vasa # 133 / 6 / ~ 2007)Voltu = _ Q, Spec Mnee CQyes~6n Lot ltinas idaatt3l d l jres Q no S'YS"IkM MAD't NAN Y, AND d ~ R1~1r~CAI1ON amt matutauuuacc after c al!s~ cp~3 rsu~t is its ~c ~hs~ m a Proper rmak tmasse a consists of psmap rw out the septic tank amy dwa yam or simst, if nwod, by a lloetsead p znw, Whet you W into tineWMem an Aga dse> taffiaseptictookesa' twomot smeinso esift siy Am flw%ftnudist retspevasihMes are spsdW in;CDwrn. 032(1) gad in Maptor 12 - St, Orim C aey'Sw*o y Ot rca. The pxOpsRy owner agrees to submit to St. Croix Cmity F3emrfirs$ !2 Lanntg uepeutrnre►t a Cortifics*m form, sivwd by the owner surd by it nmsvtro plumber, jownayman plumber, restrioW plumber or a licensed pumpsr vsdfyit% War (I) tFte on-site Wow divosul is in pn> M aperai" +wndItlon mdk r (Z) after b"pecdon sod puffing C¢ n0=UrAft seV* bask frs lea eao 1A fnii ofrawfeea ~ b~esvai~ ~~psicto~s~eprr~e'a_~I~s stenda * vet forkh, herein, as net by the lhpwtm=t of Commmcrce and die De"ent trf N*zd Resources, Sian of Wisconsin. Cestl GUWn staff that your SW& JrYAM has beers maintained moat be camplc#td and ret uoad to the St. Caws Cc M P:anrring !ts Zoning Dop m voithin 30 days of the three you expkatiau data Ywc, ce p that all stets wts on this torus are true w the best ofrmy/4ur bodge. Itwc aWus the owncKs) of The property de=fbed Above, by virtue of a vmnanty deal recorded in Register of Z) o& Offiee. Number of becirgams - 1: 5 ~lx: ; ..1-./l3 SIGNATURE OF APPLICANI`{S) DATE '+*AtsY *ftmsdm that is. rnny stntsA In e s Was y: poom t.txe*&wvokg ,by di : Phmis&;,At ~tnia , 0* 0 Include with this spplication a mwrde4 warramty deed from the Rugistar afl7er65 Office and a dopy of the rw0fied swvey nmpr if reterenca is nsada in the wunM deed. CUV. 8 0 3 3 9 8 8 State Bar of Wisconsin Form 2-2003 Tx:4024553 WARRANTY DEED 939677 BETH PABST Document Number Document Name REGISTER OF DEEDS 11 ST. CROIX CO., WI THIS DEED, made between First National Bank of River Falls, a national 08/03/2011 12:29 PM EXEMPT#• NA banking corporation REC FEE: 30.00 ("Grantor," whether one or more), and Jack T Polli and Jennifer R. Pollitt TRANS FEE: 45.90 PAGES: 1 husband and wife as survivorship marital property whether one or snore). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ("Property") (if more Name and Return Address space is needed, please attach addendum): k -T, t SEnM~rlr R• %kk;At LOT NINE (9), STAR VIEW ACRES 11, TOWN OF EAU GALLS. j lO WeVA&I& L4he: Ba~a~;~, w~ s~ooz 008-2015-09-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, and rights of way of record, if any. Dated 7Lcqci ~ First National Bank of River Falls (SEAL) ~~yu'_9_ (SEAL) * *BY: Connie Ruppert, Vice Pre de t (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signaturq(rs STATE OF ~ I ) !rr > I-1 COUNTY) ss. t~rme Personally came before me on 724 the above-named Connie Ruppert, Vice President Tip) E: 1v1EMj3~j TATE BAR OF WISCONSIN ..(I.~~~l RS(~ me known to be the person(s) who executed the foregoing "i abt>,~' d by Wis. Stat. § 706.06 CHARLENE A. A ) trume d acknowledged tls same. 1:1 Notary Public THIS INSTRUMENT DRAFTED BY: State of Wisconsi * Maxfield E. Neuhaus - Attorney at Law Notary Public, State of 1 I I( River Falls, WI 54022-0138 My commission (is pawAsna (expires:- ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 2-2003 *Type name below signatures. INFO-PRO "'w Jnfoprofom,s.oom 1 of 1 ` THE COUNTY PLAT OF: STAR VIEW ACRES 11 S&N LAND SURVEYING INC. DOUGLAS J. RMuM 2920 urm1wLOSSrnEar ~j k2; ATED IN PART OF THE SW1/4 OF THE SE1/4, AND IN PART OF THE FRACTIONAL SW1/4 S (yy o u" 1 ECTION 19, T28N, R11 6W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN. xuDSON,wIa4D1s v0 PREPARED FOR: XZ Fa KTIMBRES AND - LOCATION SKETCH EXCAVATINQ IND. UTILITY EASEMENTS AIB.A=K 141 NW 9W N6682W'tr'W 017.10 FALLS, WI "024 RIVER NO POLE OR BURIED CNAFA ARE TO BE VLaCEDBUDH THE INSTALLATIONN'OUIU OISiUAe P1A'&JRrEY I STAhE, OAOBSTpUCTNS10N ALONOANYIOT UNE OA ! = PllYONE IIB NOU ON ~DC,IDN29eE,~yBTAME BY ,1, N MACF t I = CENT" LINE a RMATE THE ~E~UBUC UfILI1M81NY1Np THE NONITO BErtvE I OF CROK r I ~~3 I ! Aa Z LEA-END I D TABLE • DRAINAGE t~W[N ® mm N MNIOi am NAL Sam WMOL j 'It" MMINNTT'V'pp~ m MOM 11/4. ova= EKN 1ME,0 raw !!1 IT AvasTtt a6a• " E S w 0-4v w„ m am m p" SECTION 19, T28N, R1SW 2M MINNOW AMJr LSL./»OA I Z 17 &VWWV rAOY % +J • IOS•}r~a'llryi,IL~R[NRBNiEI1pRS~I 1I/R {ON A AwLn" JEEWrq% ! ' S. EE V ° NM i1Mp 166 F01116BM IOOf ~M Iq AINRIKOyRNF B~ sNLL NIfRW 1[.Kt •[I N I s IiBw 1.NML 1EI ~YfM RR Bqq pxL6q SRn~KBI Fpp i I 6a90•YT r lr uwm 1MEBRwr w IBFMCIL RLAnifly BAF rMEANT N1W emn aaunr pfa»1BV wIa R6s I ? LOT 13 MOM if6AaawAa sw 1.-. / g>K+"•NiaElav wl~r6lfra""mwz~alNl% om / 1124 en sm - SINE, mk's MrANae / LOA . VALO - WAMNAMM fA MW IIIOFOM OI,11[ °URVK DATA TABLE (ALL a AM N MM 0" MEN. a." Orb OrW Aw 1~PR SwR~ I j 6E,IE,E, FBIi M.W LN I"& A,1r,1 =.n rMU TrMI N TSFrI ON E F •5: KSL. SIRE INI vain •641101 am 4mw kimw.n Ni no NM6rN'S MN7L'a►B Ipp} OApSp W0 MAO mmrS1RIarV 116M a"" NOWOr/ NNf7lMt fl OBMI LOA -MIp~~rE,0B 01 » 8100 OFN~MMMYw 7LS7 7W401 NRIIOYr MVrMI yy MAM To 1KIS1 iLLw F1BL » am tlMer wln.rr T6AF 74AB MMdrW 6MO1•ar I ,11 \ » SMO MMM SIFr/r1 MAO Obi nw4n MMIIArI FFardR, IS MM OrOr6T [1MOREMI MAO OOA IW44' Mt [OMf74rt 11470 E ` ~ M O Mam".M ~ N1r~'R W s MAW Kq~ w 7r~ M 1gA0 ,14[MM NIMM71ri f71AW UL45 NE11M4m NWIB" XDA *WmLn i IR/Ntt ' samm q r NO as ~ NR Im.ULU a ~ Mgwonft awr ~~vwrffwv l'M[ NY~M/ 6IIN SINN ODW U'U'Q® ~G1GO~g ®Wpd~ ~7 LOT 14 gjla~Rq 1RPIO L774 ACRES 57, "'f T~W7~1.1 i p NB6'07µ'W4'W 607.0W'M b is ~p e .2'1J"a J2q•2J, ` S6RT07'W \ LNi . tN7s - TABLE • DRAINAGE Opmow ' 9 / EASEMENT'U'~ fill W W NEL -A~mf \ 1 x I 1- ar44rr RUMP LOT 15 LOT 78 ow "W" mar riW' a21o Aao I M MM ~ I w &vwwv r 144M LOT 17 W lw .071" Mfr N \ •{a TABLE. DRAINAGE 01r AWw1A'r rWR.M' q8 RASaMRNT Y' ISO I I anomm /ALf AVOFWT /iY iIl OF ~Ww j I N! A7 ORK SM! 6~ "rr A Mm" AYWr I I fw Al7wW'► nAar ` TA WMg1WT AWED W7 wa,1w•r low 18 (ll! AT/wFY I1iA `~~p. JQZ f' •ry•'•. 1 ME ANNIMP11" Raw II g I I. 4W MAg"IFT INIMS` mi. ` , ^ 4W AarWWT AW r1 .OOti Oy 12N1T a NE:IA' 1~ ~ NN ."n A N6W'WW'tr'W i = I Nr a,1aMI4ET AMA' ~ ? 0 - ~ _ gWd PUBLIC STREET _ _ - - -tip - • N6W2V-lS- EDMI YM0 . p I~ o 177.98' Sig MM 7 t»L JT SB6'SB'12'R W6S.00' ,1JLWr F LOT 12 115,143 2162 ft F .cA~1./ ~ o q C NI,110 JONI \ xm .111440 vm ISM. tRRR~ \ 1I~ / Ip IW,1 I +LOT 11\\ Li a+TS ' 1CRES I LE4YJ71 1L t"T" / / d ao"~ . t xi iwrt' W 41F P I 12~[,Wy, r,. - 6~~4_YP$ LOT 10 [pBlto~t NAR10 1 . w 383•3 2. ,14 w R ~(S S[N11WI N us / / 10►of 101 Ig TABLI.ORAIMA0L - MEN 1R 11OL4 § Iq K"RMRNT M h'R M AMWOA'r A,1Ad N7 wAN'rT M7ai' I \1---- Ip M ASFNYIV AI/l m iTOM i.•' 6004 B 6.S>.091. Ob rm it SO M = 1M J[DiwT AAM 1 I M®6, 9E, Pcol_ 4@® 1. ~ I~a ~ ,iWEN' w w A raw I I I I 64R 9 j 1 I I w M7MWV #XW Nr JMSIEMt At1r I wTWw saw MY ANEW" as i I y MA smaraw A7M' MN MWWWT Aiw ~-,I I I 1 ~~4QQ 1 N, ,1 ATFW>/1F YN ISE AaMSTAT xS' I I I W avwwv ANY w AWwWT AW 1 Im I I OPIE, I • MI AMOOOMV WAWr IO ,1OMYJwT ASAP A°w"'' ur E,M ANl1OT wi AIFW AV ML/' I I NJ w MBWRET AW BE am lase„xA - _ _ m *ORVWT ~ ~ T m'i I _ W14B, 6~4 9 (~.B,qq. 011 20TH AVENUE -..i- --•--.L~ ~ J• MOO 6, S, 992 6~426.ffi.[R. 0-"p MrTR 6®446,Lx 1 -T- --Ek6L» ~1A -'~~..r,~,~ .sue _M(474e _@_~_t189ffi M_06. _~v ~98p I I I /r• _ I WOAL[IN FEET t ! ~ E wtM I M MOMMN SWIM 1n MILW KM AE, NL NNKO SAIM n/10101 SHEET 1 OF 2 SHEETS FA^ auw WTI ESK STAR VIEW ACRES II r~ w wIQ~~. OIa®.404 CHRIS KUSILEK =^~MU79 ~Rkme CAM 11/2/04 TW Tt-11-IN 10 116 -411-011" TOWN OF EAU OAUF" ST. CROIX COUNTY, WISCONSIN " B"E eo2l-W2 "B"" 5031-02 FINAL PLAT luth•Consultiag/enodates SO lend Surveying A»MNSOR IM-01 i,Max poO. eA NAM DATO Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings i' at:cordan I. m. Code County Attach complete site plan on paper not I s that( must include, but not limited to: vertical and h Abe (~M), dire ion and Parcel I.D. ~j percent slope, scale or dimensions, north arrow, and oca I nearest road. d ' Please print all information. R Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). a. I 0L" Property Owner Property Location k o1 Govt. Lot 1/4_~ (A f1/4 S C( T z N R E (or)~ Property Owner's Mailing Address Lot # Block # Subd. Name or CSW I L4 C I cW S-ai v o-f w Acm-s Cfly State Zip Code Phone Number ❑ ity ❑ Village (Z Town Nearest Road LL-1-r211/5 ~~OZZI ( ) v P New Construction Use: IR Residential / Number of bedrooms 3 -q Code derived design flow rate y- GPD ❑ Replacement ^ l ❑ Public or commercial - Describe: Parent material f Flood Plain elevation if applicable and ecommendations: 5 y5 4 H% - (-e' tJ ~P CI ST f'i2~ us o n-~ ~r 2 (Z U >I CY~• O !{~t~ of ~1YN, © Boring # E] Boring O Pit Ground surface elev. 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 d - lo'r 3/ Sr `l m. Wt f rr • F~ Boring # Boring I 1 1~4 Pit Ground surface elev. - ft. Depth to limiting factor f 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 Z C S- , FS AA Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg& • Effluent #2 = BOD < 30 _ _ mgA and TSS < 30 rrxllL CST Prh7t) CST Number S O Address Date Evaluation Conducted Telephone Number Zi Cs 411 Property Owner Y j e Ltd-- Parcel ID # Page of Boring # ❑ Boring N 5a pit Ground surface elev. Sd ft. Depth to limiting factor ( in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 z1- a ,s' L t>~ l.. F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 = BODO > 30 < 220 mglL and TSS >30 < 150 mgA- ' Effluent #2 = BOD5 < 30 mg& and TSS < 30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-UM OL6=) Property Owner j U i~! LIC- Parcel ID # Page Z of Ll~ Boring # ❑ Boring ¢a pit Ground surface elev. sd ft. Depth to limiting factor in. Sail 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 J Z- , S~ L / 8r r r v Boring # ❑ Boring F-1 ❑ 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 Effluent #1 = BOD5 > 30 < 220 mg/- and TSS >30 < 150 mgA- • Effluent #2 = BODE < 30 mg& 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. SBD4330 (86/00) Adam Schumaker CST - Lic. # 253309 ' 2113 80th St. ph. # 715-760-0279 N LM 13 Somerset, WI 54025 s Chris Kusllek Lot # q Plat of Star View Acres 11 wr,s wr,e ~~~7 FRACTIONAL SW 1/4 OF SECTION 19, T28N, R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN.' LM 12 ® SOIL BORING Lar„ 'aora Coeur L;nt = loo, o nor, SCALE IN FEET GOMM r ~ PZ ~l ~ G r r, O 6 Z 1170 ~ a- 49 ACRES R WATER I N .1... RES) 1156. EMENT .BE O0 11600 S86° 2"E 49 65,