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HomeMy WebLinkAbout016-1039-50-100~ o ~r ~ a 0. w r. b O N O • O N .~ N~ *~ ~v 0 •~ [~ V Lr" O L .~ ~' cv C~ A ~ z ~ ~ i' z 0 ao ~ Z I, c (7 o Z d' ._ ~ avi Z ~ ~ f" ~ i ~ ~' M '~ ~ I z~>°' m a ~ o N fJl J U O o c' 0 3 I N ~ ~ 0 i M 'o C 7 LL 3 `~ a~ z c 0 ~ a a m aNi .~ N V N f0 tq N ~ Z Z M ~ ~ d ~ N L ~ L j N " d o o a` ~ H ~ ~ °3 O O O c a a a °o °o N N N ~ O O v 'o N m :°. N N N C o ~- 3 rn m o ° c c o °~ C7 I', } °v o #k ~. " E a; ~ a I ! y a > ~ .U , ~ a , C C L 'C ~ ~ C C 3 U 0. ~ 'i ' O fn U ~ °o I p °~ I ~ I ~ I I I i I I I ~ I Z O ._ .a Q I I I I I o I ~ I ~' o I ~ z N I E a ~ M I .~ ~ ~ s O ~ ~ 4"-_- I z° I -C N I T ~ ~ ~ ~ ~ ~ N > >, w ° I d ~ _ N ~ ~ z y I I 7- I ~ o I .7 N I .? :} j m ~ ~ ci; ~ Q Z `-~~ ~ I o ~ ~ ~, ~ I a o o i E C ~ 'p N N N C ~ ~ C ~ 3 ~- > ~ ~ ~ ~ ~ I ~s ~ ~ ~ c Nz°a min I I I I I Parcel #: 018-1039-50-100 oa/2si2oos 07:53 AM PAGE 1 OF 1 Alt. Parcel #: 18.30.15.288A 016 -TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -YANG, KER KER YANG C -LEE, KAY KAY LEE 2735 160TH AVE GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ` 2735 160TH AVE SC 2198 GLENWOOD CITY SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 22.000 Plat: 4398-CSM 16-4398 016-02 SEC 18 T30N R15W PT NE NW BEING CSM BlocklCondo Bldg: LOT 0 1 16/4398 LOT 1 22.000AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-30N-15W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 02/09!2005 787045 2746/196 QC 02/09/2005 787044 2746/181 JD 11/27/2002 700328 2064/150 WD 10/11 /2002 693727 16/4398 CSM more... ~nn4 c~ innnn n ov Bill #: Fair Market Value: Assessed with: -~~v .,,..._..... -~ _ ~ Use Value Assessment Valuations: Last Changed: 10/18/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 25,000 121,000 146,000 NO AGRICULTURAL G4 20.000 3,800 0 3,800 NO Totals for 2008: General Property 22.000 28,800 121,000 149,800 Woodland 0.000 0 0 Totals for 2007: General Property 22.000 28,800 121,000 149,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/09/2007 Batch #: 07-12 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 a J j ~ L' 1 1: I U ~*.,. ! . r d: Ai.' JAN ~ 3 ~~ l1F+~ ;y CERTIFIED SURD MAP LOCATED IN THE NE1/4 OF THE NW1/4 OP SECTION 18, T30N, Rt aW, TOWN OF ~1LENWOOD, ST. CRODC COUNTY, WISCONSIN. /.-~~. 693727 7 6 PAGE 4398 KATHLEEN H. 1tALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 10-11-2002 10:00 A CER?IFIED SURVEY MAP REC FEE : 13.00 LEGEND OWNERS ~ COPY FEE: 3.00 N PA +F~ r 2 A ALUMINUM COUNTY SECTION KER YANG & CHUE THAO w ~ v CORNER MONUMENT FOUND THAI THOR & NENG YANG SURVEYOR 1" X 18` IRON PIPE SET WEIGHING ~ EDWIN C FLANUM ~'i 1.13 LBS. PER LINEAR FOOT NHIA DOUA YANG & PA LEE NORTHLAND SURVEYING, INC. U ~ ~ ~•••~~~••~•••~•~••• 100' ROADWAY SETBACK PREPARED FOR: 856A HWY "65` / P.O BOX 14 ROBERTS, WI 54023 ,'~~,, ~ ~ X SECTION CORNER COMPUTED FROM OWNERS AGENT m WITNESS MONUMENTS OF RECORD FRANK STONE `¢ = p 647 FIRST STREET F~ p ~ • SOIL TEST CLAYTON, WI 54004 dOw ~ ~ ~ -3E-~E- FENCELINE ~ ~ MG~G°?~44~D_~ly]D~__O~~1C~D...° ~7 04~1GG°3 160TH AVENUE N90°00'00"E 14' 1 6 _ N1/4 CORNER NORTH LINE OF THE NW1/4 SECTION 18 . ---_ ------ -N90°00'00"E 1319.92' ~--- ~--- j- -1-----__ ..~.r.,- ---- -.--~- ...,....----- ~ $ 722.60' N90°00'00"E 1319.95' $ p 597.35' C7¢ wa p~ ~ ~ APPR01l ~' ~,. `~ ~~ `~ ~ ~.. .... .. , U ~ ...............................................~,...~O1X.'CE~1tJ.~.y.. ~ ....,..........,.,,.........,....,~..... .... ..........,..,.,,........ O ........................................................ uwi Planning Zonino anr+ p~a• , ~ , .,. _, p `~ I' ~ • • a o ~;. ~~ ' w O C T 1 1 2002 ~,~ ~. ~; C or ~ ~ If not recoroeo wli~u+ ..~ ~~µ: z ~ approval date approval shah ~:~ p w null and ~ro~~ O ~o ~ 00 ~ ~ ~ LOT ~ LOT 2 ~ , ~ ~ 18.22 ACRES INC. R/W 22,00 ACRES INC. R/W (N `~' 958,320 SQ. FT. 793,494 SO. FT. Qo ~ W 21.45 ACRES EXC. RNV n 17.76 ACRES EXC. R/W ~ ~ +~ 934,474 SO. FT. ~ `~ 773,782 SO. FT. + ~ ; .- ~ M ` ~ °~ `~ ~ ~'` MOUND ~ z °F.y~~~~`~ SYSTEM ®WELL ~~~~ ```\~ EXISTING Z p~ `,,\ HOUSE a ~. o ` a ~, ~ ~,., a ~~. EXISTING BUILDINGS `~~~ FOR STORAGE .~ i ~ `~ + ' ~~ Q FENCELINE IS 5.0 +/- b 15.0' +/- 1 WETLAND `~' SOUTH OF LOT CORNER ;' 722.60' `~ ; 598.45' I I I I I- - - -^~ ` ^,,l ... ~ `y ~~G~1 z O N z ,nsin Department of Commerce PRIVATE SEWAGE SYSTEM ;ty and Bui~tang Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 Yan , Ker Glenwood Townshi ;ST BM Elev: Insp. BM Elev: BM Descriptipon~ D 00 / ' ~"~ ` ~"l reuly ulrnollAnTlnul 1 F ATI N DATA TYPE MANUFACTURER CAPACITY Septic ` ...<.~Q~t~ ~' ~~ Dosing ~, ~S~ Aeration Holding TANK SETBACK INFORMATION TANK TO ~ P/L W~ BLDG. Vent to Air Intake ROAD Septic N p 1 L Q 1 0 ~~~ 1 ~ {St~ Dosing I lA~'''h, lA Aeration Holding _._--- ICI IMP/SIPHnN INFORMATION Manufacturer ~ ~}~/?' Demand GPM Model Number ~ ~~ ~ ~ . t7 TDH Lift .~2 Friction L s~ System He~ TD 1 Forcemain Len th ) Di ~~~ Dist. to~eJ„ y CAII AQC/IQOTIn AI CVCTFM County: $t. CI'DiX Sanitary Permit No: 405039 0 State Plan ID No: Parcel Tax No: 016-1039 0-000 STATION BS HI FS ELEV. Benchmar~o~ p~i~ ~ ~ O -6 ~~ .BM s G Of, Bldg. Se r / r 3 gl` 1 ~ `.~l ~ Cl . Q SUHt Inlet 7 ' / G' SUHt Outlet ~ ~ Dt Inlet f ~~ Dt Bottom W'-~ . 22 ~ ~ 6 1 Head r/Man. ` n 7 / I Dist. Pipe ~ ~' a q " / G l ~ Bot. System s,t: c, S•~ ~g~ 3 ~ Final Gfade ~~~ • ~. ~d~'~ St Cover a .s , 6~ . _,j,~.~ ~ ~ ~YL,~ u w 1. ~ ~~ ~ 1 . ~ ~ BED/TRENCH Width ~ Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ - ~ ( ~,(~ . SETBACK SY TEM TO P/L BLDG WELL LAKE/STREAM ACHI CHA OR Manufacturer: INFORMATION Type Of System: t ~~, ~~ /^~ /~ f / T Model Number: 7~I~ ~ r !~ ~, I IIICTCIQ11TInN CVCTGM /~ L 1 L~COii /'~ nC Header/Manifold g r ~ Len th ~ Dia Distributi n ~t / PiPgs) ,s~(r~ •~ ~ ~ Len th Dia Spacing x Hole Size ' rt x Hole Spacing 2~,1{~ 7 Vent Air I~ake~ bb ~ s Cnll CnVFR .. o-~~~..-~ C..c.1e...~ nn1.. v Mnnntl (lr' Dld~l'AtlP. SVSIBRIS UI11V Over Depth Over -~ xx Depth of il xx Seeded/Sodded xx Mulched ed rench CenteYl ~ ~ ~- Bed/Trench Edges Topso ,;r;l Yes L£ No ti ,`i Yes ~ ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~1f~J U_= ~~-,,,)Inspection #2:__~/ C ~ N ~ Location: 2735 760th Avenue Glenwood City, WI 54013 (NE 1l4 NW 1/4 18 T30N R15W) A Lot ~ ~ (aY•()'~' Parcel No: 18.30.15.285 Sr. C~v~r ~..c1 ~ h-e-c~-, 1.) Alt BM Description = j ~~ t , - ,n~~~ 5~~~,/ s`~~~~J~ rn~~ ~ ~.1-I,~'~ia-. 2.) Bldg sewer length = ~b 1 r G~t/.•l C , - amount of cover = ~ ~ / 3. Contour - - -,----~--r--,, // __ - q 1 Yes No ._ - -- - -------- ~j~ ~''j~ Plan revision Re cared . i ' ~ l _~ ~ ~ G~~~~~`r " ~ ~a Use other side for additional information. _ _ _ - -- Date Insepctor's S nature Cert. No. SBD-6710 (R.3/97) s1A1 fi!'~ @1'Illl ~() !l'4i 1 + iz; rirct±rc+. ~rit}~ Comm fi3.2 t. uric. ,adm. 'o e ' Z ~ 3 S ~ ~a~ciy x suttuurga uivrsiun ~~~ t/C, 1 W~7ashington Ave. 7302 ~'O B - ~~scon~-n i See rererse sicL:: thr ,nstntctiuns fur campletina this lication . ox Wt 53707-7302 ison Personal inforn,,tiiln you provide may he used for secondary ores Department of Commerce ` , sled form to County if no! (Yrivacp Law, s t S.O~t 1 }(m)1 _ Zt: -D 1 ©/ / ~Y JC ~ stag owned.) Attach cam fete fans (to the county eo v onl )for the system, on a er not less than 8-!/2 x i 1 inches in size. County ~ ~V State Sanitary Pennit.Number ^ ~~ k iftvision to previous application Stat~Pi I. D N ~ ~ I. A lication Information -Please Print all Information Location: Property O er Name cati on Pr operty L o '.^^ -- ,, ~- /~'~J ~ ~~ pp - ( S /C/C l/4N UX/4, S T3 CAN R or W Property Owner's Maiiin Address Lot Number Black Nurnber 1 .'~ ~ ~ City,State Zip Code Phone Number Subdivision Name or CSM Number L J t ~- IIType of wilding: (check one) _ ~~ (i D rk Oi f $ ~ t '~ ~~ ^ City ^ Village , y, we ` ,Str , e~lrooms:~ ng.- v. o -...:APR .. lC ib O P bli i l d :~' ,~ u c ommerc a escr e use}: ( , 1 lf E ) Strt -owned Q it. t G III ~1~ of Permit::. (Ct~ecl~ only one box on line A: he 6~A~dit®~gfyappii able) Nearest d ZONING OFF ~ ~ /~ A) t. jR~New System 2. D Replacement CE 3: O Rep aver Adijition to Parref 7axNumtre€(s? 1~;©. / ;; z~~ _ S stem.. Tank On1 Existin S stem ~ / L -- 3 - vo ~% . :: ' ~~ I Per-nit Niunber ? u.. ~ ~ ~ . Data sued r ~'~~ ~~~' ~,:,.~oxs„ . ~i i1 Sanit Petrrait was reviously issued h.I1i.~Type~f iPQ1~M~.;S,ystem:..(Check.all that applyl ,r.. . . ~. ,...,, ,. ~ipq~pt)t~6zet9 riritt~ll~tl . _ ~ -. ~ ~ tyrnid ~x b J ^ Sand Ftlter t? Cttnnstructed Weiland _.. ,.._. l 0 .~..W_.. .._ ~ .~... .. ._... ....... ._.. .. . . _ a'I'ressut4zed lt~ground ^ Holding Tank O Single Pass G1 ~.tna: D At-grade D Aerobic Treatment Unit O Re<:irculatin~ ^ Other ,:~ , e V Dis ersal/Treatmenf Area Information: _ / ; I ~ ~ X33 ,13csign Flow (gpd) 2 DispersalAtea 3. Dispersal Area 14. Soil Application 5. Percolation Rate 6. System Elevation 7 Fittal Grade . ___ a Requirci! ~~ s"e0 .._ -~_. Kate C~i,l~Yl,~41~~_. ,~ ~irt.~iich) _ 3 .. ,~.~ . ~~ ~~;.~ .f ;- -_., _..._..-.... ~~ ~ ~ ~ ~ ~ ~ ~ r l ~'nnk _p~~' .,... a to eta ~o • anti acturer` Prc3'a ire:,, ~ tee tbeti ttstic Iatfotmafion- _ ~iallo s . GalSons Tanks ~ .Con- ~ Con-°=4: , glass ,._ 1Ve~,,, ,.l~xisting crcte ~srririwted, ,; Tanks Tanks ,. /~yJ'~ L A x ~ ' :.. k , .. `_ n _ ~` , _ y ~ ~fSi y ~ .. . ~ i ~.... .1 t 5 , - ~ J- spa~a-bility Sta ement e t V~.[$ n ii {,~ rya (~ ~, - r' M . :l?litmlicr's t~(mhd.~rir~)' :PdYtubcet's ~igmatytre (uo tataps): P PRS No Business Phone,Ntunber . , ,. , . ,. . ,. Ptu , s Address ( tenet, Cr ,State, Zip c) , ~" r' .r- ., ~ '.. .,. _ f... '~ ~ottifCyll~pa€idt~r~ ~!"9e Orly .... _... _ ~. ~ . ~ - _ - _,., 1 {,. ~ O ~i _ rdvbd ~Pl~ Sanitary Permit Fee. (lrtClutk3 Graartdwattr ; t)nr~lssutd 1& "pgratt Sigma atulr~) [~, Approved ~ D Owder Given Intt~al Adverse Surcharge Fee ~ Z.~ tX.'Cbnditiohs°of;i4p~roval /Rt,as+ahs for Dlss-pprova! ~ "` ~ ( "~,. . , 1. The septic system s.sized for a ~ bdrm (equivalent to l0 individuals) residence. A violation'of the state adrriii§trative codes would'be created if any modifications ace made to the structure that increase the # of bdrms/design wastewater flow. ' .. .. ,.,, 2. Effluent filter to be mainCained per manufachuer's recommendations. ~ ~~ -- -- i t SBI?-6398 (lt: 4,140) i ......._. ..:._.. __.._.` ___ ._.. t _. _ ~~ N m //~~ y. t.~ 1~ ~ 3k v? ~~ ~~' ~ v ~ a r j+\ ••~' ~~ c v `~ ~.~.,. `~ . t~ ~-- ,,~ ~ ~~ c~ (~ ~\ ~~ ~ ~ ` ~~ ~4 ~. "~, :-~, ~~ ~~ ~~a ti~ ~-, x ~ ~~ ~~~ C:J u -~} a ~~~ ~~ }~ v! ~ ~ ~ ~ -~ A ~,a~ v~ < `^ O ,~ C~^ .-~~ ''' a ,~ ~ C~ / 1 ~V 1 N ~ '~ ! ~- ~ ~ ~ '~ ~ ~ ~ ~ .J ~ t ~_~ ~ ~ ~ ~ ` ~~ ~ ~ ~ I~ ~ ' ~ ~. b ~. C~' y t; r- ~ .~1 ~ -~ ~ ~~ ~ Uy ~ ~~ ~ ~ o- ~ ~ ~ ,~ ~ 1- ~ `~ ~ s ~ ~ ~„ I y y tv I ` N ~ i ~ ~ ~ Q ~ a ~ ~ T ~ ~ ;~= ~ ~ ~: ~, p -~ C~1 ~ ~ ~ ~I , o ~ . ~~~ ~. ~. a~ ~:~~ ~ '~ 1 I Y ~~ ~J i ~ ~ ~scons~n Department of Commerce Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 264-8777 www. commerce. state.wi. us/s b www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary March 22, 2002 CUST ID No.224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 ST RD 64 BOYCEVILLE WI 54725 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/22/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Ker Yang 60TH Ave Town of Glenwood, 54012 St Croix County NE1/4, NW1/4, S18, T30N, R15W FOR: Object Type: POWT System Regulated Object ID No.: 833563 Description: 750 gpd design wastewater flow mound system. Ydentification Numbers Transaction ID No. 719404 Site ID No. 642306 .Please refer to'both identification: numbers, above, in all correspondence with the agency. 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 defi~ied in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10691-P (N O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N O1/O1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. ~ A • Maintenance information must be given to the owner of the tank explaining that pe~io o~cling~f_t~ filter is required. Access to the filter for cleaning must be provided per Comm 84 p duct a~~~ctio ~~ ,Q w.-. • A Sanitary Permit must be obtained from the county where this project is loca~ted~ accort~r~with the `~ 'iR requirements of Sec. 145.135 and 145.19, Wis. Stats. r, O~~,p • Inspection of the private sewage system installation is required.'Arrarigements for insply"ction shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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 I LYLE) MYERS Page 2 3/22/02 required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, struch~re, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Thomas J Perkins POWTS Plan Reviewer ,Integrated Services (262)521-5064 , 7:30-4:00 tperkins@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Mound System Cover Page pg 1 0( 6 . ~tiirYrriri~orrri~rti~rrryrrwr.. Project Name: Ker Yang Mound Owner's Name Ker Yang Owners Address Apt.#2 727 N. Ave Mpls. Mn. 55411 Legal Description NE ~ %4, Nw ~ %. Sec 18 T 30 N, R 15 w ~ Township Glenwood RECEIVE® County saintCroix ~ MAR 2 0 2002 Subdivision N/A SAFETY & BLDGS. DIV. Lot# N/A ParcellD# 016-1039-20-000/18.30.15.28E Table of Contents pg• 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 Designer Name: Lyle J. Myers ...'~~ MP/License #: I.D.# 224617 ~j~,~s Date: 3/12J02 ~~~ 9~O 7'LJ Signature: ~ , , ~ _ -- ~ ~li,Oc~,~ Mound System Design Methods Used Qi'O~ iycs per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) ~~~ per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10706-P (N 01/01) N12486 220th St, Boyceville, WI 54725 Ph:715-643-6068 email: Mound System Mound Sizing Calculations Project Name: Ker Yang Mound Site Conditions _ PfOjeCt Type: i or 2 Fatuity Dwelling °~ Slope: # of Bedrooms: Depth to limiting factor: Absorbtion rate of fill material Absorbtion rate of in-situ soil: Effluent quality Max BOD effluent value: Max TSS effluent value: l z~lln. 1 gal/ft2/day 0.5 gal/ftz/day Eff# 1 • 220 mgll 150 mg/I Design of Entire Fill Cell depth at upslope edge (D): Cell depth at downslope edge (E): Distribution cell depth (F): Cover thickness over edge (G): Cover thickness over center (H): End slope width (K): Fill length (L): Upslope width (J): Downslope width (Toe) (I}: Fill Width (W): Pape 2 or 6 13.0 in. 15.7 in. 9.5 in. 6 in. 12 in. 9.0 ft. 118.0 ft. 6,6 ft. 8.6 ft. 22.7 ft. Design of the Distribution Cell Basal Area System Design Flow: 750.0 gal/day Basal area required: 1500 ft2 Distribution cell width (A): 7.50 ft .~ Basal area available: 1610 ft2 Distribution cell length (B): 100.0 ft Area of Distribution Cell: 750.0 ft2 Observation Pipes Contour Elevation of Mound: 97.11 ft ~ Location from end of cell (Z): 16.67 ft System Elevation of Mound: 98.19 ft Final Grade of Mound: 99.99 ft Mound Plan View ~ ~c~bservation Pipes Z~-I ~ K--~ ; Qss'trib~tian ~etk B k-K I Tilled ArealFill Material L Final Grade Synthetic Fabric Distribution Cell System Elevation "`~ Mound Cross Section H n m 4 d senratian Pipe ^-~ r ~ F 1 3 ~ ~ Lateral ~ Cover Material E Filt Material 'I Invert u Slope ~Forcemain Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(8) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. Cvntour ed Aree FROM NORTHLAND PLUMBING,• INC. FAX N0. 715-643-2520 Mound System pie 3 or 0 pressure Distribution Cal~ulatians Project Name: Ker Yang Mound Lateral Layout Lateral/Manifold besign LatErel elevation: 98.7 ft Lateral diameter: 1't?~ In. Rnws of Laterals: a ~ Lateral spacing (S): 3 Manifold type: II center 1 ~ lateral to call edge: 0.75 ft ..~... Orifice diameter, o.its ~ In. ~~$ L,ate~~al discharge rate: 7.83 gpm 6 System discharge rate: 46.96 gpm # of Laterals: Manifold diameter. L I ~ I ln. '~ Distal Pressure: 5 ft / / Lateral Length: 49.5 ft Manifold length: S ft Orifice Spacing/Distribution Forcemain Friction Loss prifice spacing (X): 32.11 Inches ~orcemain length: R Orifices per lateral: ~ 9 i^arcemain diameter: 2 '~ !n. Avg. ft~/Orifice: 6.58 ft2 Friction less in forcemain: 3.109 ft I_~~ Lateral Side View `~ ' ~ Manifold _~ ~nr~i Lateral Plan View - Lateral Length -~ TUirrup w~aU valve or cleanout plug =~ ..~. Orifices nn bottom al I-'''VC laterak and forcemain to comply with lateral equally sp3oed spec:irications per Comm 8~F•30tZue) Forcemain connection via tee of crass to rnen~old at any paint Clean Out Detail Cleerrout plug wade ~-or bnA valve Observation Pipes Mar. 22 2002 11:57AM P2 Long Sweep 90 or two q5's-ti, • _ Mound S stem y Septic, Pump and Dose Tank Project: Ker Yang Mound Tank Information Pump tank manufacturer: Wieser Concrete Pump tank size/model; WLP1585/950 Pump tank gal/inch: 25 Actual Pump Tank Volume: 950 gal Tank bottom elevation (inside): 86 ft Septic tank size/model: wLPS5s5/9so Pump and Filter Pump Manufacturer: Little Giant Pump Model: 9EH Effluent Filter: Zabel A100 Note: Access opening of suf>5cient size to be provided to allow removal of inter. Opening to terminate at or above grade. Page 4 of 6 Dosage Volume Forcemain drains back to tank? (i Yes O No Lateral void volume: 31.4 gal Dosage to absorbtion Cell: 150.0 gal Forcemain volume: 12.2 gal Total dosage: 162.2 ga! Total Dynamic Head Are laterals highest point? y if not, enter highest elevation: 0 ft System head (distal x 1.3) 6.50 ft Vertical Lift ("D" to lateral) 12.03 ft X0.3 Friction Toss in forcemain: 3.11 ft Pressure loss from filter: L ~1ft Total dynamic head (TDH): ~j~. f¢ Pump Tank Diagram Dose Tank levels Watertight Locking Cover ~ In. Gat j With Warning Label 4 Inch Finished A Reserve 21.5 537.8 Minimum Grade B Pump off to Alarm 2.0 50.0 Alternate C Total Dosage 6.5 162.2 Qutlet Location Elect. per Comm D Effluent depth for pump 8.0 200.0 r 16.28 and ~. NEC 300 Total Capacity: 38.0 950.0 Weep Hole p' or Anti- Siphon 9 Device C D 3 i : ~- ~2 a Pump must be capable of: 47.0 GPM ~' and head pressure of: 21.7 Feet 1D 7.3 ~j 5 ~ x 2.s 0 FLAW- LITERS/HdUR Little Giant FLOW- GALLONS/MINUTE 9EH PUMP PERF^RMANCE CURVE Ilse eur+z ., `~ ~... ~`"` ~. ~~ ~. (~, '\ ~. -c~ `~' ~. ~~~ M' ~\ i ~ cs ~` ~ ~ S Cq' w ,I U..,.~ d ~~ t5 k 1 `~ ~(7 ~ V V N ~ ®e `I `~1 ~' ~~ ,ti `® l CW ~ ~~ ~~ .~ ~ r+~ V 1 ~~~* ~~ ~~~ r. r~ ~` ~, R N ~ ~i V? ~ G'a 'w "' ' ~3 ~ ~ ~ ~ rs C~~ U~ ;~ p `~` ~(1 '1 tt~~ ~~ ~J `1 1 ~ ~~ n ~ ~ ~. .~ ~ ~ ~ ~ ~ ~ ~ N ~j i~ ~~ ~~ ~ ~~ ~, ~, ~~ ~, ~~ ~~, ,..( -.~ h Mound System Management Plan pursuarrs to Comm s3.b4 w. a, c. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical/biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent fitter has been installed in the pumpldose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and literal System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. lateral distribution pipes should 6e flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Pertormance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surtace, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. „ ~. .!i ` Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings -. in accordance with Comm 85, . ydrrf~^ ~Cdde `• ty r~ 1.. ~un C ~ ' Attach complete site plan on paper not less than 81 /2 x 11 inches i si e~. ~an m st include, but not limited to: vertical and horizontal reference point ( coon a~ , Pg~ LD. ~/6 - /b-39- o~ ~ - ~ ao percent slope, scale or dimensions, north arrow; and location an ~ nce tcRi~d. ~ 3©~ /,S'; ~2 P/ease print all information. Revi wed by Date Personal information you provide may be used for secondary purposes P~ y La~~ ~r~.0~ ('q!(m~(JO I ~_ Z Property Owner Pr tion 3 ,.;1 /4 N~f l /4 S >8 T 3Q N R ~3 ~) W Property Owners Mailing Ad ess t # Blo~#~ S~bd. Name or CSMIf P DL `v ve ~ ~ _ City State Zip Code Phone Number I y ^ village Ql Town Nearest Road ~ M p L ~ iMN ~~.5"y// i (6/,~ )3'~.s=/79Y I G~e~y woa c~ i /6o Tai f~U~ New Construction Use: ~ Residential / Number of bedrooms ~ _ Code derived design flow rate D O GPD ^ Replacement ^ Pu¢lic or comm~,ecr-cial/- D/ascribe: ,I Parent material ~~ /E C / ~ ~ / /L- L- Flood Plain elevation ffapplicable /V ff ft• General comments and recommendations: 0 G1 ~t/o~ S~s'fG /~'1 G! ~~ o e v, 9'~/- 7 / Boring Boring # ® Pit Ground surface elev. i l ft. Depth to limiting factor In• Soil lication Rate h t C l i D Redox Descri tion Texture Structure Consistence Boundary Roots GP D/ff Horizon .Dept in. nan or om o Munsell p Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 / - o - o .~ S A 6 M~ .S ~ ..5' - 8~ ~-- ~ !o Sc ~- ,6 ~ - ~ S v ~ , 6 s e~ ors Boring # ~ Boring p © Pit Ground surface elev. 0 i Q~ ft. Depth to limiting factor ~ ~ in• Soil lication Rate H D th inant C lor D tion Redox Descri Texture Structure Consistence Boundary Roots GPD/ff orizon ep in. om o Munsell p Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 eA~ , " Effluent #1 = I3UU5 > 3U < LN mg/L an0 I JJ >3V < l5U mg/L unuci n ac - uv.+s _ .......y,,. ~,... ~ .. _ - • • •a•- CST Name (Please Print) gnature CST Number ~ SM / ~ ~~~ ~J ~~tiz~~ ~2 ~ 2 3 Address Date Evaluation Conducted Telephone Number ~ ~ / 70 ~~e/Y GrJ oa ~ ~ 7~ Lv l ~D ~ ~ ~ D ~ ~/~'= ~~^L .~~''' ~G/ D ~ ~ R. Property Owner ~e R ~~~ Parcel ID # ~~O ~ `d3/ ''o~ Q " a4~ Page ~ of ~_ 3 ^ Boring Boring # [~ pit .Ground surface elev. 92, ~8~ ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ ~ a-i© i~ - s~ ~ ~ ~ s ~r- .~ .~~ ~, . o- - 6 - ~ S v~ , ~ , ~ S e s ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil lication Rate th D t Color i D tion Redox Descri Texture Structure Consistence Boundary Roots GP D/f1? Horizon ep in. nan om Munsell p Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 =GODS > 30 < 220 mg/Land 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) ~ ~ _- - - w•- j~ -- r' - -- --- J - - _ - _ - - I ~ _ - __ _ _ - _ - o ~ ~ 3 ~L- ~ q - ° I -- ~ r-- ~ - - _ _ -- - , -- -- -- _i ~ 1 i a I ~ - -- --- - --- ~ - -- - -- -- - -- -- - ~ --_ - - - - - _ I 1 ~ ~ - ~-~ J ~ --- -- -- ~ _ .__ --- ___ ' --- ` I ` - ~ 8 ~ ~ - -- ~-- -_ L__ ~ -__ _--- I - --- -- - -- __ _ - -- ----, -- -- -- _ - __ - _- -- - -- -- -- - ___ - - - - - -1 - - - -- - --~ --- -- --- -- -- ~ ~ 0- ~ --: ~o ~ o ~ ~ ,~ -_ - _ I --- -- --- - - - s ~ ~ ~~ O ~ 1 u ~ - O ~- -- - - ----- - - - _,_ - - - ~ _ __ _ ~ _ J 1~ __-- -- - - -- I- --- - ~ -- - _ --- L-_ -- ~ 1 ^ ~ ; 1 ~ __ _ _ ____ _ __ _ __ _. ~ I ~ -- ---- ~ -- ~_ __-- -- _- -- i ~ ---- - /' --- -- -- - ~ - -- .~. __ I _ - - -- ~ _ __ _ _. -- i ; I- i -~ - -- - - -_ -~ -- t- ---- ~" I-- ~ - ,_ - v - - - - - - -- ~ - -- -- - - - --- ' :~_ - ! I -- - -- - - I i ~ /I ~ F~ ~ -- ~ -~ ~ -_ ~ - - ._ - - { -- ~ . ~ - - ' - ~~ - -- -- ~ - - - i--- i + _ - o - o -- ~" o A - N e - -_ - --- -- ~ -- - - --- •\ ~-- D ~- ~ - ~ `~ a ~ - ~~ ~ ~ ~ ' _- --- ~ ~ _- ~ _ ~ - --- ; ~ -- ---1- -- - g ~. r sT cROix couNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~~1.~ i ~L) Mailing Address ~"" ~ Property Address (Verification required from Planning Department for new ~1 CitylState ~t~/~z ~ u ~ 1 . Pazcel Identification Number Ci1/G -- /f~_~ ~ -~Z~~ ~-~~''J LEGAL DESCRIPTION ~ ..._-~ Property Location ~f %., ~j -% %., Sec. ~~, T;6~~ N-R~W, Town of ~ ~- x~~-l~r~. Subdivision ~,~ ,Lot # Certified Survey Map # `~ ,Volume ..Page # Warranty Deed # ~~ ~ ~ ~.~~~ ,Volume ~ c~ Page # Spec house ^ yes ~' no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on-site wastewaterdisposalsyctem is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office wit~n 30 days of the three year expiration date. SIG A OF APPLICANT 4 ~ ~ ~ o~Z DATE OWNER CERTIFICATION I (we) certify that all statements on this form arc 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. ;,, ~~. SIGI~f ~OF APPLICANT ~/~3i~Z DATE ****** ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I""'" ~° ~ '"~ t ~~~ vai.1576P~cE 496 STATE BAR OF WISCONSIN FORM I - 1998 636975 WARRANTY DEED t)ocument Number KA7HLEl=H M. WRLSH kEGISTER OF DEEDS This Deed, made between Delmar J L 5T. CkOIX CO.r WI . oosens and Marlene Loosens, husband and wife, -- --------- - - - - - - RECEIVED FOR RECORD - - - - - - - -- - - - 01-1B-P001 9:30 AM Grantor, and~er Ysn and Ch a Thao~huaband and wife Thai Thor and WARRANTY DEED EXEMPT p Neng Ysn husband and wife, hia Ddua yang and Pa Lee husband d CERT COPY FEE: an wife, conveyed as survivorship marital property between husband and wife CDPY FEE: and as tenants in common between aB others Grantees, - --- ------' TRANSFER FEE: 180.00 kEWRDIHG FEE: 10 00 ------ ----- Grantee. . PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County State of , Wisconsin (The "Property^): - - Name and Return Address N W 1/4 of NE 114 EXCEPT West I rod thereof and NE ]/4 of NW I/4 of James H. Knave Section IS-30-15. Attorney at Law P.O. Box 304 Glenwood City, WI 54013-0304 Z v ~ ~~ 016-1039-50.000 Parcel (denn@canon Number (PIN) This 1S -homestead property. Z ~~ ~ (is) (is not) ~q, ~e 5 Together with all appurtenant rights, title and interests. Grantor warrants that the title -o the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and encumbrances of record. Dated this _- ~ / day of December =~ ----- ~1 ,.~-d ~~vQ + Delmar J. Goosen~~~~~ -- -- ~t1-G c?-d~a .n ~ Js ~ _ * Marlene Loosens AUTHENTICATION Signature(s) Delmar J. Loosens and Marlene Loosens - - - - - e icated Ibis 2 e ben 2000 * Ja es H. Knave _ MEMBER STATE BAR OF WISCONSIN ([f not, _ authorized by § 706.06, Wis. Stats.) 'I'H1S INS'I'Rl1MEN~l' WAS DItAF'1'tD BY James H, Knave, Attorney at l,aw Glenwood City, W 154013-0304 ' - - - (Signaturos may he authenticated or acknowledged. Both are not necessary.) 2000 ACKNOWLEDGMENT STATE OF WISCONS(N ) ss. -. _ _ County. ) Personally came before me this -day of ___ the above named to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. * Notary Public, Stete of Wisconsin - - My Commission is pet7nanenl. (If not, slate expiration date: ~O 'Names of pers<ms signing in any capacity should be typed or printed below their signatures WARMNTY a[aD STATx aA9OF WIaCOnSaY PORM Ne. I . 19Pa INFORMATIrMt DROFF_CSIgNAL3 f.OMPANY F(INn D[I i.AC'. Wf 80(1-R51.1f131 ~G/"' '~ R~ V~ 1 2 O 11 ~ .~ v ~ ~ ~ Q 0 Q Q 3 ^1 ' V O ~ ~~ .~ `~ z~7( ~~ ~rX ~~~` ~ ~~ ~' ~~ ~~ G~ ~~ ~,~ -~, ~J ~~ ~~ ~ ~~--- G, w.~~ ~ ~c~i ' ?~~ yJ ~~ ~ `/ ~,~ -1 ~ ~i ~n '~~/ , ~~~ ~ ~, ,~ ~~ 7 -.1 ~~ `I~ ~~ 1~ 3 a v_ ~ ~ ~_ `''~ _~ W 0 ~r ~~ Zd WdBT :0Z z00Z Sz 'add OZSr-~t'9-StiL 'ON Xtid 'aNI `~JNIHWIl1d QNd1Hla0N W0~ld