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032-2049-30-000
. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567260 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Federer, Wayne D. &Virginia Gaynor Somerset, Town of 032-2049-30-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: /0- D /OD' 0 A/ / 14.30.19.679 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ge ►5 1/®s./S fDL 0 Septic f Benchmark p / y /00' O V 1/i,-.J� i�W J 07/ De 4 q T7 n Dosing r« / Alt. BM .y,I e� 2. 1 /3-- 1 Aeration b • 1 - s � V Bldg.Sewer 'ifia 171.‘17/C L1 Holding ) St/Ht Inlet g'70 9z Z l S�tl .Outlet C TANK SETBACK INFORMATION /3 ,(15, // . '( TANK TO BLDG. Vent to Air Intake ROAD Dt Inlet Septic EINIEMEMIESIMEM Df' om f Dosin g 7n/' Heade Man. Z rf r 5.sl, it,7. s-cj Aeration � ' MEZ Dist. Pipe ;. Holding MOWN. - Bp Svst-in/DV` 7 2 /o/ .q, 1 Final Grade PUMP/SIPHON INFORMATION C, Manufacturer /� �� �_ / Demand St Cover d%�'Z� - JC.- P./v GPM Q " `-" �� CA�V�.►' ?/, Model Number ` ,� n 7� / /� J ii. 2 \ TDH 'Lift ii 14401 Frictio .Loss 1 Syste Head ,. TDH Ft w Y l i ( ' 11 • Z/Z .-2. , DI'VI'141 I . ©1 4-q' o . P.c>i-f t,,., ricrai Len th t Dia. 0I Dist.to ell $ �'p Z ' 5 i-S1 r ii- - I i ei r7 _ k r 2- SOIL SORPTION SYSTEM BED/TRENCH Width Length ......// No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth iDIMENSIONS -�f S SETBACK SYSTEM TO // P/L ( BLDG WELL LAKE/STREAM CHIN Manufacturer: INFORMATION f I CHA OR T yp��Y�stem: / N Model Number: DIST SYSTEM L 1 2c ' .1,Kt j5> C%k� .4 'i/ Cr eiw , Head anifold Distribution r J .E. ) r x Hole Size x Hole Spacing Vent to Air Int r Z r r Pipe(s) e3; I ,Lj .�,t r '1 J rr .'7 2 .rte la 6 , t Length Dia Length Dia Spacing _ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ci Depth Over Depth Over xx Depth of xx Seed deW xx`[vlulched Bed/Trench Center Bed/Trench Edges Topsoil �/,�E Yes No C Yes E No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: I /y/?/291 J Inspection#2: 1 I / /V / g Location: 767 160th Ave.New Richmond,WI 54017(NW 1/4 NE 1/4 14 T3 N R19W) 40 acres Ldt Parcel No: 14.30.19.679 g7 j,,,,. 1.)Alt BM Description= 1' ' d_ ha J ' "�"1 �' 4d ' 2.)Bldg sewer length= ii / _ 11- --- amount of cover= `'11--co- +0,9 Atet,,, " ,,,,7r, /S6 Vj() . 3 3 Plan revision Required? Yes o /1 1 y, Use other side for additional information. I t1.______ SBD-6710(R.3/97) Date Insepctor's Sig Cert.No. uP- PLOT PLAN N Project Name: Federer 3 Bedroom Mound Legal Description: NW1/4,NE1/4,S13,T3ON,R18W P.I.D: 032-2049-30-000 Subdivision Name: NA Lot#: na Township: SOMERSET Parcel Size: 40 Acre,6 Acre SCALE: ^=50' County: ST.CROIX Contour Line Elevation: 101.25' Cell Dimensions: 6'X 75' *4 inch Sch 40-ASTM D2665 System Elevation 102.33' Mound Dimensions: 95.31'x 31.50' 2 inch Sch 40-ASTM D1785 Slope: 17% 11/2 Sch 40-ASTM D1785 A BM1 Elevation: 100.00' Top of 2"PVC pipe T' 0 BM2 Elevation: 96.22' Top of 2"PVC pipe IS Backhoe Pits: T o I- N. E ,,,......i........_.....„.....„................„.„-- i a. to w �,,v l-` i vL (7A 1,71 `.."-+..-' 7S` O- 1 L L t i� —Z t�6L`1 . 1-1I o�,P,t, IZn1c� 04. CBI P.C. ,,, e J N E.L J h Y \ \ �i 1/ d \ .\\\ ■ \ r - \?;1" ‘.. \ ` 17% SLOPE \ \10 \ \ \ v v `v \940 v \ \ \, 1414 - \ \ \ V) \ \ \ ' \ \ \ _ � ta t 4 `. \ \\ \ . P1-2C_ c.,4; \ ` \ cep MI . \t3ci WEtN Tu.''. A \ y 1")Aetl 1.S Jwti'�,� \ i,Z\ r3-Y' Ci /J,c pI \ \ \ \' \ CNLr0 CASCiNE'v) \ \ \� \ . AID Page 12 \ t� , . 6t J1/2013 86 � ( -- _ !.f¢^it County fr `v;` Safety and Buildings Division 5/. C 4©/ )c 1 ®$ I 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) w $ °!Madison,WI 53707-7162 State Transaction Number Sanitary Permit Application 2 Z- b'S 3 d In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appro.riate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owne. a 1 WTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide m: ''. sed for secondary purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. �� , �� $a4iLUA__ ,1� �/ I. Application Information-Please Print All Information !, 7 7 Property Owner's Name / $T y!�7 ./► Parcel 03 z-a p t/Q^.7(�-O 49 U,A�use WA'-/ C fL ter/e 0,� `�%� V n3z -z�ryy -zd-cpo2�(v&) Property Owner's Mailing Address ',-fir Property Loca ; (O -/ 1 _.s.447;Ja 7& 7 /& 07N ASE G Govt.L�jt E City,State Zip Code Phone Number IV it 1, 1 L/ 1 i ' ' � /<, Section�,',', N L W l C H �Lo f U -- 5 ��(� T 3 D N' R !�irctEoon�` H.Type of Building(check all that apply) Lot# 3 Subdivision Ngru S1 or 2 Family Dwelling-Number of Bedrooms //j\-- (•"I la. l Block# ❑Public/Commercial-Describe Use ❑City of CSM Number ❑Village of ❑State Owned-Describe Use tii Town of ✓0 01 E' -CC T III.Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑New System g.Replacement System ❑Treatment/Holding Tank Re p lacement Only Other Modification to Existing System(explain) B. ❑Permit Renewal ❑Permit Revision ❑Change of Plumber List Previous Permit Number and Date Issued�� ❑Permit Transfer to New p� �Q Before Expiration Owner , '�_ 1 —1 k , IV.T I. of POWTS S stem/Com,1 nent/Device: Check all that a s 11 (0 , 7 5 L. 41 // 441 E i l_/ 10A . ❑Non-Pressurized In-Ground ❑Pressurized In-Ground ❑ At-Grade ❑Mound>24 in.of suitable soil ig Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(exp am V.Dispersal/Treatment Area Information: mil`--OK Design Flow(pd) Design Soil Application Rate(gpdsf) 7 istty 1 Area Required pper 1 Area Proposed(sf) System Elevation L/50 00 (0//. o • j1( y5O of 0 /DZd.33 VI.Tank Info Capacity in Total #of anufacturer Gallons Gallons Units 5 U U New Tanks Existing Tanks ti o .r Y . n.., r) cn A C W 3 0. Septic or Holding Tank 10 0 0 1 Dct2 / U)r C S C k Dosing Chamber 750 7.50 / `.(//C c e t s VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber' .'t.4--,t% MP/MPRS Number Business Phone Number il9P-t� ScHP�ttU Z23 -260 7/3--76e2 -4Y6 Plumber's Address(Street,City,State,Zip Code) G/ ( /J& ;e'f 4 5rviciec67, 11! s%02s VIII.County/Department Use Only ❑Approved ❑Disapproved Permit Fee Date Issued Issuing Agent Signature $ ❑Owner Given Reason for Denial IX.Conditions of Approval/Reasons for Disapproval j d a . Q,„/„.i„, ,fir erriv- i C� SYSTEM OWNER: �� (�t � � � 1.Septic tank,effluent filter and (,yi nt-62,I.d of 14 a`l pi dispersal cell must be serviced/maintained !� ` e 32- 2-0 q9 ' Zo - i as per management plan provided by plumber. - 2.All setback requirements must be maintained �� / / iG�� G� SySi 74 ,''3' as per applicable 06C/triQllitEplans for the system sub it to a County o' o`, r not less than S 12 x 11 inches 1° 40� 7� � ( ��% 4,Gf�i 11' Q6/STl F�f� /1/lL/,� �A fl fer.SPS 33473.33 SBD-6 98 11/11) . 2,0054 r a a3o(Y f° 0+7 * 9QeARTnr DIVISION OF INDUSTRY SERVICES • 55 °A PO BOX 7162 MADISON WI 53707-7162 3 - VA Contact Through Relay www.dsps.wi.gov/sb/ � www.wisconsin.gov O ss►oNA' ' Scott Walker,Governor Dave Ross,Secretary October 28,2013 CUST ID No. 223760 ATTN:•POWTS Inspector ZONING OFFICE JOHN F SCHMITT ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/28/2015 Identification Numbers Transaction ID No.2326530 SITE: Site ID No. 797089 Wayne Federer Please refer to both identification numbers, 767 160TH Ave above,in all correspondence with the agency. Town of Somerset St Croix County NW1/4,NE1/4,S14,T3ON,R19W Subdivision:40ACRE Parcel FOR: Description:Three-bedroom Mound on Adjacent Property, 17%Slope Object Type:POWTS Component Manual Regulated Object ID No.: 1455942 Maintenance required; Replacement system; 450 GPD Flow rate; 23 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 CON A• The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed DEPT 0 and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. PROFESS The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code DIVISION OF 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, /: stats. The following conditions shall be met during construction or installation and prior to occupancy or use: SEE O' Reminders • Documentation shall remain with the approved plans that the maintenance requirements have been recorded with the deed for the property as a condition of sanitary permit application per SPS 383(2)(c)5,Wis.Adm. Code. • The existing POWTS shall be properly abandoned per SPS 383.33,Wis.Adm.Code. • The area within 15' down slope of the dispersal cell shall remain undisturbed.Vehicular traffic,excavation or soil compaction is prohibited in this area. • Building sewers shall be insulated beyond 30 feet per SPS 382.30(11)(c). 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. JOHN F SCHMITT Page 2 10/28/2013 • �. • 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. 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. 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. Sincerel , Fee Required$ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Sally Shum..1-r Please Include a Copy With Your E.I.T.,Eng'. eering Consultant,Integrated Services Payment Submittal. (608)264-7782,Monday-Friday 7:45 am-4:30 pm WiSMART code:7633 sally.shumaker @wisconsin.gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am to 4:30 pm 1 t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Federer 3 Bedroom Mound Owners Name: Wayne Federer RECEIVED Owner's Address 767 160th Ave OCT 1 8 2013 New Richmond, WI 54017 INDUSTRY SERVICES Legal Description: NW1/4, NE1/4, S14, T3ON, R19W Township Somerset County: St. Croix Subdivision Name: NA Lot Number: Block Number Parcel I.D. Number 032-2049-30-000 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank )ITIONALLY Page 5 System maintenance specifications Page 6 Management and contingency plan PROVED Page 7 Septic tank specifications = SAFETY AND Page 8 Effluent filter information ANAL SERVICES Page 9 Dose tank specifications ADUSTRY SERVICES Page 10& 11 Pump specifications and curve Page 12 Plot plan Page 13 Septic tank maintenance agreement Page 14& 15 Warranty deed Page 16 CSM/Map :RESPONDENCE Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 10/16/2013 Phone Number: 715-760-0486 Signature: r/�yl _ Designed Pursuant to the Mound Component Manual for POINTS 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 16 Mound and Pressure Distribution Component Design Desar `Nork:si.eet Site Information (R or C) RI Residential or Commercial Design Note: Sand fill(D)calculations assume a 300.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50: Peaking Factor(e.g. 1.5 = 150%) fecal coliform of<=36 inches. 450.00 Design Flow(gpd) 17.00 Site Slope(%) 101.25 Contour Line Elevation (ft) 23.00 Depth to Limiting Factor(in) 0.601 In-situ Soil Application Rate(gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour(ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft2) If Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? E Ater Y or N (0 or E) I CI Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. j 0.188' Orifice Diameter(in) 2.67 Estimated Orifice Spacing (ft) = 8.04 ft2/orifice 2.001 Forcemain Diameter(in) 150.00 Forcemain Length (ft) Does the forcemain drain back? Y 85.00 Pump Tank Elevation (ft) Enter ?" ,^r N 3.25 System Head (ft)x 1.3 24.47 Forcemain Drainback(gal) 16.93 Vertical Lift(ft) 67.38 5x Void Volume(gal) 4.22 Friction Loss(ft) 91.85 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 36.70 System Demand (gpm) 1 24.401 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options 1 choice in. dia. options 1 choice 0.75 , 1.25 x 1.00 1.50 x } 1.25 x : 2.00 x p.�✓ 1.50 x } x 3.00 , 2.00 x 3.00 x i Gallons/Inch Calculator i ccA:c,^8H? Treatment Tank Information Total Tank Capacity(gal) I: 1000.001 Septic Tank Capacity(gal) v Total Working Liquid Depth (in) i Wieser !Manufacturer 1 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00E Dose Tank Capacity(gal) I PolyLok Commercial i Filter Manufacturer 20.28 Dose Tank Volume (gal/in) 525 Filter Model Number jWeiser Manufacturer Project: Federer Page 2 Mound Plan and Cross Section Views • t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1/10 B ::::::::::::::::::: :::: : ::::: :P71.:.'-',. J . Observation Pipe ; .....3[ ; ; . •— K . . � A W I • L • Mound Component Dimensions 1 A 6.00ft E 25.24 in H 1.00 ft K 10.16 ft B 75.00 ft F 9.50 in I 20.79 ft L 95.31 ft D 13.00 in G 0.50 ft J 4.72 ft W 31.50 ft 450.00 (ft2) Dispersal Cell Area 2008.93 (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 104.13 (ft) -► H F Dispersal Cell ;fit. 102.83 (ft) Lateral 102.33 (ft)—* Invert Dispersal Cell e ... . . .. : . . . .:::::::. ......111. Elevation E D 3 • 101.25 (ft) Contour Elevation 17.0 % Site Slope Geotextile Fabric Cover Shading Key m Q. j — Dispersal Cell See lateral details on U : Topsoil Cap c 1.5 ft Page 4 for number,size, © [/'//'/"1 Subsoil Cap o 0 T and spacing of laterals. Q :: ASTM C33 Sand 7.7 / F Laterals are equally Tilled Layer d ai 0.5 ft Typical Lateral spaced from the © f` 1 Aggregate a c © I distribution cell's centerline in the — A distribution cell(AxB). Project: Federer Page 3 I Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical Mr I< P 0 • - •=Turn-up wiball valve or 14-x —*IExf2 I x1231 Laterals&forcemain Sch 40 PVC cleanoutplug 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) 2.72 ft Lateral Length(P) 36.72 ft Orifices per Lateral 14 Lateral Spacing (S) 3.00 ft Orifice Density 8.04 ft2/orifice Lateral Flow Rate 9.18 gpm Manifold Length 3.00 ft System Flow Rate 36.70 gpm Manifold Diameter 2.00 in Total Dynamic Head 24.40 ft Forcemain Velocity 3.75 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ——� 1-' SPS 316.300 WAC - 4 in.min. Disconnect • ____________ Tank component is properly vented 1-_-_ -_=.1 E <-- Alternate outlet location 1 1- Forcemain diameter Weiser Manufacturer :>> .— ti 2 in. Capacity 750.00 Gallons --f-- Volume 20.28 gal/inch A 1 Weep hole or anti- Dimension Inches Gallons B Ud siphon device A 19.55 396.54 C d B 2.00 40.56 d P�ump off elevation(ft) C 4.53 91.85 - I 1 1 85.911 D 10.90 221.05 D l Total 1 36.981 750.00 Dose tank elevation(ft) 3" Bedding un er tank. 4— 1 85.001 Alarm Manuafacturer i SJE Rhombus • Note. Switches Alarm Model Number IAB containing mercury may not be used V. Pump Manufacturer `Zoeller tuns system Pump Model Number 153 , Pump Must Deliver 1 36.701gpm at 1 24.401ft TDH Project: Federer Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name i John Schmitt Phone. 715-760-0486 R POWTS Regulator's Name ? St. Croix County Phone 715-760-0486 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 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! 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 \it 6-8" Diameter Lawn . —01... . : : ... . . . . . . . . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Federer 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 perfo ..-- •enerally not required. However, if such products are used they shall be approved for septic tank use by the Departm of Commerce. � .2 \ 4601:1465514+145 Sl6na 1 i-v c s 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 8005,30 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 -I D z x U) D x m > 61" 86" z c n 42" E r m 0 n . -+ 0 O Il'P1 m �� - ?�\2 4" CAS P1111 11: ? X f) D 1 m 3" 36" ( 4" I v D I r I I Wm m UP 38" m I IN N 1111011—V \`m C +.. llL" `�' C 53 -0 C r�s II _ C rn D CO v Mp 39" 1,rrl °°D Z° D D U) n W m D O m D 'n-4 m �230 i- X 1'1 n; I D Z C) m C D0 D M r S r .o x x Z D O C m m m m -1 v- 0 - m( -I m —1 �NJ X. 01 z r-X O 000 0 ogz (-> r1pmoZ mDCO¢ ODrO Z Cp vx �� vrU) (p �mD DD �Ap Xnv Sp047 ==rTl �I Z C cn rm E7 C)m g = cn r-i Z D m 0 0 (Ti D 0 -E •• -(0• O En C m - xi ; �D U) \ r �' 0 n C �i4C r- r .. N I- 2z G) _C `_ R`1 z �'_ �zr� I rnmrzrn� mvr^;; D 4n Z Om = �O D, m DDm Vrr'�1 s.ODxN 0rnN v a v I. vp D Z Dm N M-10) N I •• cn.. ..0 a� r1 s ^rn 0 -0 v D C m 0 v rT1 m EA -4(n ° p m ' v l o O m O c Q x �� Z N r*1 0 r • (n m D I D r G4 N• Q 0 0- Z o D < m 0o to EnZ \ g A ..0 (.1 (nv•ij Dr N s s p AOv w -11 Q r a m zA O 0 ° p Z 0 0 rm+t-mi(r*t m p P x,'O s 0— p 0o m 3 rn Z C?i c C co p p D D O p 73 -1 -c v m 73 F-4 -( 055 t5* O -D( co r n r D r 0 "a,m D -�Tt x m Z CD) xi,i Z A o" Z >11s D m (•,_.0 v -=-I /V O D ° O > °r :O spy v O 717 m M to z— c v 0 P �A 0 Z p O O D rn 0 0m o En • M> 0 0 0 w —I 0 `- z F 0 m co H Q Z 0 r Z1 v Z m z co .. M z m rrn -1 = WLP1000-MR WIESER CONCRETE■ m DRAWN BY: SME SCALE: 1/4"=1•-0" PRE-POUR: 0 -I SEPTIC MANUAL REV. -� ` Z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2010 DATE:. POST-POUR: ° REVISED JAN. 2010 800-325-8456 FILE: 1rl1f OWR Page 7 POLY OK INSTALLATION INSTRUCTIONS PL-525/PL-625 FILTER INSTALLATION INSTRUCTIONS Center filter ,, i i f t ' with opening • J2 a".0 Additional pipe or Polylok 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 I1 .1 1 .4 r5 it L,.1 r '5 rl 'R m. 1 T q� ■I— a II— ow • Step 1: Step 2: Step 3: _ovate 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 (B)Pull the filter out of the housing. the filter is properly alighed WHEN FILTER IS REMOVED and completely inserted. (C)Hose off the fitter-over the septic tank. USE RUBBER GLOVES Make sure all solids fall back into the (B)Replace septic tank cover WHEN CLEANING FILTER septic tank. Page 8 • D Z X U) > P1 m > c 61" 84" m > C) xi 42" 0 z r rn O ni. '4 m II 2 M1110 ”11 m 4" CAS \m 3" 37"p 4" r � D a7 m — UP 39" m°M . n /\ m N . r V m Iti• ■1 c o �I _ 0 0 -0 r > 40" �-4 0<o 0 Z ODD U N mWr I '� > O m D I ra0 r�l ��O rD- x75C7 x D z G) m c D0 D Z r- I r- Z 2 o z z� > O 0 r r o D-i — — o z �N RE m D > gx 0 COG) c7 p$D G14+D r+1prmc mDO-OiDN —I r-CO m px m vrtn 0 rn�-I ' �0D woo Spp°c�i ==5-iF9 D N_, m° 0 m * x N -if-- D m00 mD0 - *v -1r0�0 y) z OZ �N \ C rr- <D< ANC =��C fr*1Zm *1N X 3;N Z O 2 N f+1 •O D.. N 2� 1 r"I- O) i-p p°• 'P W- D -.i.. Z 0 0 <D< O m� D- M DD- cnrr�'•--i> &N `N 1=at v v D Li Z O Z D f*ifZ*1 -130 O WO mm -'IRNY ccOW4►mnmt D 0 a 0 N 0 (/) Z ■\ N f�f O C� 03 Npm Dr N-.4 I%) 00 o• I�l \I ---�i c o" m m r n cn •- m m z 2 0 CO -0 -4 Z rOr1V G7 mom mW PDo �21� O c < N p u) > D o p �l I m -< v m XI H -4 nm m A CO D 0 \ I Z r0 °W�(mj Z > -0 Z A � G) z 0 Cp O O =D 71 D O y rD- -10-1 870 P ONE D O r 2 0 M o r _I m asp 0 N W c) -I p Z r�* O� O O 0 3 M rn x o m N N �D P• 0 z - v O -1 O mr A) .,,� c7 Z 73 0 m U) H 0 c rM O n 0 > z m A3 N • M 2 m -I -.i \ -y N WLP750-MR OIIEEI1 coeceETE DRAWN BY: SME SCALE: 1/4"=1'-0" PRE-POUR: ° -I SEPTIC MANUAL REV. -' \ Z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2010 DATE:. POST-POUR: P REVISED JAN. 2010 800-325-8456 FILE: Ur750-w: Page 9 amz/TYPumas S#CE /g,y,5 �� SECTIO N: 2.20.047 FM1919 j' 0110 Product information presented Supersedes here reflects conditions at time ® 1108 of publication.Consult factory PMP l0_ regarding discrepancies or inconsistencies. MAIL TO:P.O.BOX 16347•Louisville,KY 40256-0347 visit our web site: SHIP TO:3649 Cane Run Road•Louisville,KY 40211-1961 www.zoeller corn (502)778-2731.1(800)928-PUMP•FAX(502)774-3624 COMPARE THESE FEATURES • Durable cast iron construction 151/152/153 EFFLUENT SERIES ' • Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identification see News& Views 0052) • Corrosion resistant powder coated epoxy finish • Stainless steel lifting handle ii" [)()S E - • Assembled with stainless steel bolts AT E " • Non clogging engineered thermoplastic vortex FOR SEPTIC TANK-LOW PRESSURE PIPE(LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS • Model 151 -1/3 HP passes'"spherical solids WWI EFFLUENT .., • Model 152-.4 HP passes 34"spherical solids f � SUBMERSIBLE '' ' • Model 153-1/2 HP passes "spherical solids VA" NPT DISCHARGE • Motor-60 Hz,3450 RPM,oil-filled, hermetically sealed,automatic reset thermal overload protected , • Carbon/Ceramic seals sA® Model N152/N153 High Head C US Effluent • Upper sleeve bearing and lower ball bearing running Tested to t1.Standard UL778 - in bath of oil and Certified tocSA Standard CSA22.2 No.108 • • 20 ft. UL Listed power cord with molded 3-wire plug • 11/2"NPT vertical discharge MODELS AVAILABLE • BN and BE standard models include a 20 ft.variable •N151/N152/N153&E151/E152/E153 nonautomatic level float switch -BN151/BN152/BN153&BE151/BE152/BE153 • Operates at temperatures to 130°F(54°C) effluent packaged with Piggyback Variable Level Float Switch( )in fflt .1/3,.4&1/2 HP,1 Ph 115V or 230V applications • All models include a 11/2"x 2"PVC adapter fitting Note:The sizing of effluent systems normally requires mo____.. variable level float(s)controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. • POWDER COATED TOUGH" PL/MP T17 Model BN152/BN153 MAIL TO:P.O.BOX 16347 High Head Louisville,KY 40256-0347 Effluent SHIP TO:3649 Cane Run Road Louisville,KY(8 40211-1961 92 -P (502)778-2731.1(800)928-PUMP FAX(502)774-3624 Manufacturers of.. . _Z . ,, Quo z/r r PU M s gi#CE /5,75 ©Copyright 2010 Zoeller Co.All rights reserved. Page 10 N PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW 2 PER MINUTE MODEL 151/152/153 50 _ _ EFFLUENT AND DEWATERING 14- 4 O - - - 12- 40 MODEL 151 152 153 Feet Meters Gal. titers Gal Liters Gal Liters ° 5 1.5 50 189 69 261 77 291 10- 152 hillhhh. 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 I. 8- 25 151 ` ,.■ 20 6.1 29 110 44 167 52 197 ,���` 25 7.6 16 61 34 129 42 159 te 6- 20 • �' 30 9.1 - - 23 87 33 125 15 := 1,.. 35 10.7 - - 22 85 q_ , , 40 12.2 - - - - 11 42 10 ■., � Shut-off Head. _ 30 ft.(9.1 m) 38 ft.(17.6m) 44 R.(13.4m) 2- , 0145088 5 0 - . Model 151 Models 152/153 10 20 30 40 50 60 70 80 90 100 GALLONS -- 67/32 -- 87/32--.-1 UTERS 0 40 80 120 160 200 240 280 320 360 1 37/8 ..-,--__._...-y--• 45/8 37/8_-_-4.-_-__._ -45/8 FLOW PER MINUTE CONSULT FACTORY FOR r "� ,� „�_ 37/8 SPECIAL APPLICATIONS o •_ •Timed dosing panels available 37B 3i t •Electrical alternators,for duplex systems,are available and 11/7 NPT supplied with an alarm •Variable level control switches are available for controlling single phase systems �a II _Al •Double piggyback variable level float switches are available I f t_- i i =t. -_ for variable level long and short cycle controls h -- •Sealed Qwik-Box available for outdoor installations-See 1111/16 1 1211/8 I_ FM1420 •Over 130°F(54°C)special quotation required (- �'� ��!� i f j �� ��1� 1h /'t mill __1$ _++�+6 i itiai i ._ iii 1011 i 53M -1117#717—`---1,_:,_ I :.m_ 151/152/153 Series !----------- j ii ---i-- t---- 1117 T,11"'--II SK2444 SK2064 151/152/153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 •/!; BN151 115 1 Auto 6.0 Included 2 or E151 230 1 Non ' 3.2 1 2 or 3 41144 6E151 230 1 Auto 3.2 Included 2 or 3 ` "Easy assembly" N152 115 1 Non 8.5 1 2 or 3 4 �.� (pump 8 discharge BN152 115 1 Auto 8.5 Included 2 or 3 4�f- E152 230 1 Non 4.3 1 2 or 3 e��r' :\I `. not included.) 13E152 230 1 Auto 4.3 Included 2 or 3 +�,t �i., N153 115 1 Non 10.5 1 2 or Wiro,z BN153 115 1 Auto 10.5 Included 2 or 3 -E153 230 1 Non 5.3 1 2 or 3 ` i') 8E153 230 1 Auto 5.3 Included 2 or 3 �Z SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level OPTIONAL PUMP STAND P/N 10 2421 9 p 99y p 99Y - 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 111" or 2"PVC piping IA CAUTION I 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 float is free from obstruction. 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: Federer 3 Bedroom Mound Legal Description: NW1/4,NE1/4,S13,T3ON,R18W P.I.D: 032-2049-30-000 Subdivision Name: NA Lot#: na Township: SOMERSET Parcel Size: 40 Acre,6 Acre SCALE:1"=50' County: ST.CROIX Contour Line Elevation: 101.25' Cell Dimensions: 6'X 75' *4 inch Sch 40-ASTM D2665 System Elevation 102.33' Mound Dimensions: 95.31'x 31.50' 2 inch Sch 40-ASTM D1785 Slope: 17% 11/2 Sch 40-ASTM D1785 A BM1 Elevation: 100.00' Top of 2"PVC pipe p A BM2 Elevation: 96.22' Top of 2"PVC pipe I'4 • Backhoe Pits: _ F r. E , Hi— ) 'IS" --l\/ > 1. a 4 Q 4a I 107 0 L4yL j4,7 v;/ Peck LOIN ' t' C.)---"\ck o S. 10 al V 2 2 J -I r.JJ GJ '_ 4- qi r�N0.0 - jL I d \ \144 ilt i ` 1 l7' 5LCOL- \ \ \ \ N \ \ \ • \ \ , 4'' \ \ \ ' \ \ ` \ B ` \it) \PARCEL LvA; �‘ \ \� 6MI \ \ \ \3ET I,:wtN U,)'' \ \ 6•1 O u'k1 IE r2 fil v v \ \.''.7, f/ ZED EA56/14E80) \ �'i/ D)c,--itive (9 g ` Page 12 s�' Roc. boil/ 2013 86 dr• ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Wayne Federer Mailing Address 767 160th Ave. Property Address Same (Verification required from Planning&Zoning Department for new construction.) New Richmond, WI Parcel Identification Number 032-2049-30-000 ( a ) City/State if U 33 2-z q '20-(Z (loan) LEGAL DESCRIPTION Property Location NW t/4, N E 1/4 , Sec. 14 , T 30 N R 19 W,Town of Somerset Subdivision Plat: Lb A .1- (d A 14liic, , Lot# Certified Survey Map# , Volume q , Page# / / Warranty Deed# 7 —I 2 (before 2007)Volume 7 O 3 , Page# , `� g Spec house❑yesElno Lot lines identifiable GI yesOno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS.383.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. I/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 ti' 10/15/13 IGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) Page 13 , . e�..► SPAIIII) *iscansin SOIL EVALUATION REPORT .- . , s. #1622 Department of Commerce in accordance with Comm 85,Wis.Adm.Code Page 1 of 6 Division of Safety and Buildings Schmitt Soil Testing,Inc. County Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must St.Croix include,but not limited to:vertical and horizontal reference point(BM),direction and percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. Za�R�Za- � 32-2049-30-000 Please print all information. Reviewed B Date /n Personal information you provide may be used for es(Privacy Law,s.15.04(1)(m)). i �(� ,. 1 //// / v 1 Property Owner Property Location Federer,Wayne r� F1ut� Govt.Lot NW1/4, NE1/4, S14,T3ON, R19W 140V Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# � / 1 767 160th Ave. , �r<0�x'tht4G QFFICE NA 40 Acre Parcel / City State� 61dt�ia&done Number [l City []Village [ Town Nearest Road I V i New Richmond 1 WI 1 54017 1 246-2746 Somerset I 160Th Ave. New Construction Use: [J Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD El Replacement ❑ Public or commercial-Describe: Parent material Pitted glacial drift Floo�dplplain elevation,if applicable NA ft. General comments /�j�p,� /'Z � "ed�G�t�if(it,n Q Q/h-L el.2iv and recommendations: area is su' ble for a mound system. System elevation is 102.34'based off contour line es ablished at 101.25'. lope of area is 17%. Depth to limiting factor is 23". El 1 Boring# Boring z Pit Ground surface elev. 96.73 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-8 10yr4/2 fill sl 2mgr mvfr cs 2f .6 1.0 2 8-21 7.5yr4/6 fill grsl 2fsbk mfr cs lm,1f .6 1.0 3 211 10yr3/2 none I imp! mfr cs 1m .4 .6 4 24-30 10yr4/4 cif 7.5yr6/6 7.5yr6/2 sil 2msbk mfr gw .6 .8 _ 5 30-49 7.5yr4/6 c17 5yr612 sicl 2msbk mfr gw .4 .6 6 49-76 10yr5/3 m2p 7.5yr6/6 10yr6/2 sicl imsbk mfr ---- .2 .3 2 Boring# El Boring El Pit Ground surface elev. 96.93 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none sl 2mgr mvfr cs 2m,2f .6 1.0 2 7-16 10yr4/6 none sl 2msbk mvfr gw if .6 1.0 3 16._ 10yr5/6 none Is Osg ml cs .7 1.6 4 34-43 7.5yr5/6 m2d 10yr6/8 10yr6/3 sl lmsbk mfr cs .4 .7 5 43-65 10yr5/3 m2d 7.5yr6/6 7.5yr6/2 sil lmsbk mfr ---- --- 4c .6 *Effluent#1 =BOD 5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOO5<30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature: CST Number Thomas J.Schmitt , 227429 Address Schmitt Soil Testing,Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond,WI 54017 11/2/2009 715-247-2941 SBD-5330(R.07/00) I Property Owner Federer,Wayne Parcel ID# 032-2049-30-000 Page 2 of 6 3 Boring# [I Boring E Pit Ground surface elev. 106.63 ft. Depth to limiting factor 105+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-4 10yr3/3 none sl 2mgr mvfr cs 2f,lvf .6 1.0 2 4-25 10yr5/6 none Is lcsbk mvfr gw 1vf .7 1.6 3 25-40 10yr4/6 none grlfs lcsbk mfr gw .5 1.0 4 40-57 10yr5/6 none gris lcsbk mfr gw .7 1.6 5 57-105 10yr5/6 none grlfs lcsbk mfr ---- ----- .5 1.0 ❑ Boring 4 Boring# IX pit Ground surface elev. 102.43 ft. Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-9 10yr3/3 none sl 2mgr mvfr cs 2m,2vf .6 1.0 2 9-26 10yr5/4 none gris Osg mfr gw 2f .7 1.6 3 26-40 10yr5/6 none grs Osg ml gw .7 1.6 4 40-62 10yr6/4 c2d 7.5yr6/8 Ifs lcsbk ml cs .5 1.0 7.5yr6/2 5 62-84 5yr4/4 c2d 7.5yr6/8 sicl lcsbk mfr ---- .2 .3 7.5yr6/3 5 Boring# Boring 11 Pit Ground surface elev. 105.93 ft. Depth to limiting factor 92+ in. Soil Application Rate Horizon Depth Dominant Color 1 Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-13 10yr3/3 none sl 2msbk mvfr cs 2f .6 1.0 2 13-23 7.5yr5/4 none grsl 2fsbk mfr gw if .6 1.0 3 23-30 10yr5/4 none gris lcsbk mfr gw if .7 1.7 4 30-92 10yr5/6 none grlfs lcsbk mvfr ---- .5 1.0 *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS<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. SBD-8330(R.07/00) Schmitt Soil Testing,Inc. Property Owner Federer,Wayne Parcel ID# 032-2049-30-000 Page 3 of 6 6 Boring# ❑ Boring H Pit Ground surface elev. 108.08 ft. Depth to limiting factor 92+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-7 10yr3/4 none sl 2mgr mvfr cs 2f,1vf .6 1.0 2 7-24 10yr4/4 none grsl 2fsbk mvfr gw 3f,1vf .6 1.0 3 24-42 7.5yr5/6 none gris lcsbk mvfr gw 1vf .7 1.6 4 42-53 7.5yr4/4 clf 106/6/6 grsl lmsbk mfr gw .4 .7 106/6/2 5 53-61 10yr5/6 c2d 8 106y/6/3 r6/3 Ifs lcsbk mvfr gw .5 1.0 6 61-69 7.5yr5/4 c2d yr612 106/6/2 grlfs lcsbk mfr gw .5 1.0 7 69-92 10yr5/4 none fs Osg ml ---- ----- 5 1.0 7 Boring# El Boring Z Pit Ground surface elev. 104.64 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-5 10yr3/4 none sI 2mgr mvfr cs 2f .6 1.0 2 10yr4/4 none scl 2fsbk mfr gw if .4 .6 3 23-68 10yr5/3 m2d 106 sicl lmsbk mfr --- .2 .3 106/6/2 2 8 Boring# ❑ Boring pit Ground surface elev. 104.88 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. "Eff#1 *Eff#2 / 1 0-7 10yr3/4 none sI 2mgr mvfr cs 2f .6 1.0 2 7-23 7.5yr5/6 none sl 2msbk mfr gw if .6 1.0 3 23-39 7.5yr5/4 c2d 106/6/6 106/6/2 sI 2msbk mfr gw ----- .6 1.0 4 39-75 10yr5/3 m2d 106/6/6 sl Om mfr --- .2 .6 106/6/2 *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD 5<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. SSD-8330(R.07/00) Schmitt Soil Testing,Inc. Property Owner Federer,Wayne Parcel ID# 032-2049-30-000 Page 4 of 6 9 ❑ Boring Boring# ❑ Pit Ground surface elev. 108.83 ft. Depth to limiting factor 35 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu.Sz. nt.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-9 10yr3/3 fill si 2mgr mfr cs 2vf .6 1.0 2 9-19 10yr4/4 fill sI 2msbk mfr gw 2f .6 1.0 3 19-35 7.5yr4/6 none grsl 2msbk mfr gw .6 1.0 4 35-50 5yr4/4 cif 10yr6/8 scl lmsbk mfr gw .2 .3 10yr6/2 5 50-62 5yr5/6 c2 7.5yr6/2yr6/2/8 grls lcsbk mvfr _ gw .7 1.6 6 62-84 5yr4/4 c2d 10 sI Om mfi ---- .2 .6 El 7.5yr6/6/6 2 10 Boring# Boring . ❑ Pit Ground surface elev. 97.44 ft. Depth to limiting factor 70+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-11 10yr3/3 none sl 2mgr mfr cs 2vf .6 1.0 2 11-19 10yr4/4 none grsl 2msbk mfr gw 2vf .6 1.0 3 19-44 10yr5/4 none grls lcsbk mfr gw .7 1.6 4 44-70 10yr5/6 none fs Osg ml ---- .5 1.0 0 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/ft2 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. SBD-8330(R.07/00) Schmitt Soil Testing,Inc. Page 5 of 6 Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Wayne Federer Thomas J. Schmitt, CST 227429 Address: 767 160th Ave. 1595 72nd St. City, State,Zip: New Richmond, WI 54017 New Richmond, WI. 54017 Phone: 715-247-2941 4 Subd.Name: NA 40 Acre Parcel Signature z�„-.-,s�� , ,/1t ,--4 P.I.D.: 032-2049-30-000 Date 1/ / / civ/ Legal Description: NW1/4 NE 1/4 S14 T3ON R19W 11 Backhoe pit Township, County: Somerset, St.Croix County A Bench Mark EL 100.00' Top of 2" pvc pipe A Alternate Bench Mark E1.96.22'Top of 2"pvc pipe Slope= 1'7% Contour Line EL 101.25' Contour Length 100' $1. k-I- Ave Scale 1"=40' / 60 pig is,"59 s5kr,',03 ..A,$)77-i,,A.,o \' .6-44 _________________s;rl I ____.___\ ■ v)I\\ . 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Itk,t 1014tto w ,*=1,t, 1,I'.,t 7..;.',*..‘',1 ':.'.-..-_i-i0ik'*1 7.4'0-1,7),,,,,,,7,--,‘,"„NT),.,f::'','s,,7,.,.•„.'=('''''l'k..,m- ,, lP' -c,4,,,',..•./,,r4,.3.. '.tv- . .1,,,,,, , ,.k. ' • .. t 4y d ” ... 4.7,1* ,.•,,'4''ti*tN,,4,t t-.,.',. ,'-'',.c'...'‘‘.4'.'' ,.w.i.,*„1_r 1 Ilit, '''.,:','„,.A4t,,:,2”, ;',"*,,''' '',$, •—• ' 4rAilt,'4 I I 41 1 !R.' :? AO', •.- ' nu i ii ii FililIl ii iiiiii iii 8192378 Tx:4159843 Document Number Document Tithe 988469 St. Croix County BETH PABST REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI RECEIVED FOR RECORD 11/01/2013 10:42 AM Wayne D.Federer and Virginia A.Gaynor EXEMPT#: Name— (Owner)Typed or printed REC FEE: 30.00 being duly sworn ,states,under oath,that: COPY FEE: 2.00 PAGES: 1 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County,Wisconsin,recorded in Volume 783 Page 148 Document • -Number 427342 St.Croix County Register of Deeds Office: Recording Area Name and Return Address A parcel of land located in the NW%of the NE V4 of Section 14 Wayne D.Federer&Virginia A.Gaynor T N.3 )N—R 19 W,Town of Somerset ,St Croix 767 160th Avenue County,Wisconsin,being duly described as follows(include lot no.and New Richmond,WI 54017 subdivision/CSM or detailed legal description): 032-2049-30-000 NW 1/4 of NE 1/4 of Section 14-30-19 Parcel Identification Number(PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a .i bedroom home,or a design flow of 493 gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently 2 occupants living in this residence; (o occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However,/ understand that if there are intentions to exceed the number of permitted occupants,the system will need to be modified to accomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this 1st dayof November , 2013 . ( ) a e .2r�nf * * ,. .9.Qi2^w' * 'yu q.j 4/ AUTHENTICATION ✓ ACKNOWLEDGMENT Signature(s) STATE OF.WISGGNSIW JVll'r1 -S c"f'� si_CrnIx-County. }we/LS h;r•y.�� authenticated this day of personalty came before me this 1. te-day of N Chhen't the above named- av -Q P.. t'-ec user &'- 1 *TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s)who executed the foregoing authorized by§706.06,Wis.Slats.} ^_ ent and acknowledge the same. n trs INSTRUMENT w . . =v ARA JOY HALVORSON y Notary Public , r� , ° ► ii°r , (/a Jcrl esota 0f��� 7 I�mission Expires Januar 31 iy4i; �' �. -tats of.l..._'_•.ie1 (-nil-e ,Sd+OL- ,.„,_. is _ f not.state expiration date: (Signatures may be authenticated or acknowledged. Both are not - y �_ ;'�rd► 07 ei necessary.) [� 'THIS PAGE IS PART OF THIS LEGAL DOCUMENT-Do NOT REMOVE" This information must be completed by subm(tter. document title,name&re„m1__address•and P(N►(if required). Other information such as the granting douses,leagal description,etc.may be placed on this rust page of the document or may be placed on additionl pages t document i Use of this cover page adds one page to your document end sa OO to the secordlrw fee. Wisconsin Statutes, DECLARATION OF SEPTIC SYSTEM II III ► I II AND DRAINFIELD EASEMENT 8 1 9 2 3 7 7 Tx;4159843 Document Number Document Title 988468 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD See Attached 11/01/2013 10:42 AM EXEMPT #: REC FEE: 30.00 COPY FEE: 7.00 PAGES: 6 Return to: Wayne D. Federer Virginia A. Gaynor 767 160th Avenue New Richmond,WI 54017 032-2049-20-000 032-2049-30-000 Parcel Identification Numbers(PIN) 1 of 6 J 1 _ - EXHIBIT B Utility Easement Area legal description The West 158 feet of the NE%of NE%of Section 14-30-19, located in Town of Somerset, St.Croix County,Wisconsin, EXCEPTING the North 230 feet and the South 578 feet of said parcel and said quarter-quarter section. (Said lands lie within the boundaries of Parcel 2,which is described in Exhibit A.) 6 of 6 • Parcel #: 032-2049-30-000 11/06/2013 03:48 PM PAGE 1 OF 1 Alt. Parcel#: 14.30.19.679 032-TOWN OF SOMERSET Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner O-FEDERER,WAYNE D, &V GAYNOR WAYNE D,&V GAYNOR FEDERER 767 160TH AVE NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *767 160TH AVE SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 14 T3ON R19W 40A NW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 14-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 10/21/2002 695046 0187240. EZ 07/23/1997 783/148 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 25,000 132,100 157,100 NO UNDEVELOPED G5 30.000 51,200 0 51,200 NO PRODUCTIVEFORSTLANDS G6 7.000 28,000 0 28,000 NO Totals for 2013: General Property 40.000 104,200 132,100 236,300 Woodland 0.000 0 0 Totals for 2012: General Property 40.000 104,200 132,100 236,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 032-2049-20-000 11/06/2013 03A8 PM PAGE 1 OF 1 Alt. Parcel#: 14.30.19.678B 032-TOWN OF SOMERSET Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner O-FEDERER,WAYNE D, &V GAYNOR WAYNE D, &V GAYNOR FEDERER 767 160TH AVE NEW RICHMOND WI 54017 Districts: SC= School SP=Special Property Address(es): *=Primary Type Dist# Description SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Legal Description: Acres: 6.000 Plat: N/A-NOT AVAILABLE SEC 14 T3ON R19W 6A W198'OF NE NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 14-30N-19W Notes: Parcel History: Date Doc# of/Page Type 07/23/1997 783/148 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 6.000 12,000 0 12,000 NO Totals for 2013: General Property 6.000 12,000 0 12,0000 Woodland 0.000 0 Totals for 2012: General Property 6.000 12,000 0 12,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 " MQGiJ t7�aNiQ ., STATE,Bkii OF WISCONSIN FORM d.<T 1982Yf -rF is sRAes REaRiLVCO roR_gico�LP y-n-`biti; .s I � T °t-1 3 _ RE IS ;; OAF#CE Z'�1]l3 L?eed, made batween _-. - ST CRQIX CO :WIS. _ i4 �QA TZ D ANP_ LIr 4 $-4 _S `_90KSTE:.€i# „- ' . � z sh•� z 4rt =fsa. ga h ir biis aIin =-- - _ -ileva RnR24t4= --", i17tdi i_si_ga e tl -_ - - Grantor F Qf -Jute ¢.D, 19 87 - -and YtA:LNF.. `I?r FZT}F.�,RE:Ar_ and :VIRGINI? A_ GAYitQ23. , ] f O / c ].8 Persons. l ®rif er — - - - Wifnessetb., That the said Grantor, for a valuable consideration__.___ " :� - - - -. •S ti ._..:.CY'rU�.:A'.._._ RET'Geaaf-TQ� _ - conveys to Grantee the following described real estate in - - County, State of.Wisconsin: - , _ - _-NWk cif-.Nth and West 198 feet of NE' of .;NE1_o-f_ Se:e=t l...on -14--3 0-19 . Taz -are a: ---.7_---------------7 ---_ , -.. – fa --e-----a�- = IS h� ^ c- This ---_ omestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And == - ran-tors ^-warrants thgt tl e--,title is: good;T:=indefeasible�<1in fee simple and free-and,clear of encumbrances except easement's, restrictions and rights-of-way of record, y an I � atnd vl?lll Warxant;azld,defend the sar-ie: Dated this :, .2 211d day of June , 19_$-? . ` ` _(SEAL) ->-1 - 6 _ -e- '!„__(SEAL)' -_,--,,,10_ _-John _R.. Stockstead ,,- Lisa P Stockstead (SEAL) - (SEAL) e -- UTSENTICATION ACSNOWLEDGMENT. Sig_ilature(s) STATE-.OF .WISCONSIN -.. sa. ._ -- --- y---- ---- - ------- = :St : Croix County. authenticated this day of , 19 _ Personally came before me his 22nd day of June 19.7 the above named *,. -°_ John R.-. .Stocksteact, .tsa P. TY'I`LV: 1/IBMBER STATE BAR OF WISCONSIN Stock stead- authorized:by § 706.06,Wis. Stats_) to me known to be the person __s, who executed the . - f oin instr(pxeenA arid eknowl d the same. _ THIS INSTRUMENT WAS CRAFTED BY 1�,� h \ 1 _ Kristina. Ogland Lundeen 5___A.Lic-e--_J_ e Lsc-hauer �,ppi�pp Notary Public Gt_,AU } i.EISCiRty, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is perrnanap& expiration are not necessary.) date: June 11, s 9 ) ----_=— State of_�'1EfgE70fi8► ,.: *Names of pers.-me signing in any capacity should be typed or printed below their .17.7. ,.. r"..•a _c • -.. WARRANTY DEED . STATE RAIL OF WISCONSIN lVisenn•in I,cvnl Illauk Co- In., FORM NA- I—1 oa> _