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018-2001-06-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building 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}). ermit Holder's Name: City Village X Township 3er er, And & Am Hammond, Town of ST BM Elev: Insp. EI v: 8M Description: -1 ~ ~ ~s ~ i3 ~- ~- ~ h~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~,~"~' ~. Jr~ Dosing ~ .~S-~ Aeration w Gtw Holding ~n ~ 3 ~ ELEVATION DATA county: St. Croix Sanitary Permit No: 479294 0 State Plan ID No: Parcel Tax No: 018-2001-06-000 Section/Town/Range/Map No: 14.29.17.870 STATION BS S"• HI 0 2.7 FS LEV ] • Benchmark . (Q r /0~~~ 9~' Alt. BM Bldg. Sewer ----- a. v~ y~. ~ Ht Inlet --- y0, ~ d ~(~3 l t Outlet - ~-- ~-, Dt Inlet ---r"` Dt Bot, tom ~'EJ ~ d p•3 • p 0 ~J Header/ an. , h /• ,5 2 _ c3 Da Dist. ~~ ~ 2.v rda. -za Bot. System ~t/ J^-+- 2• (~ ~(~d y Final Grade /~- ~ ~ `~~ /C7 Sty. , , 6.c~ ~.3 ~ ~.b r ~.~ ~-6 qg.y~~ hd c ~• TANK SETBACK IN RM TON Iw~l~t,~.~.tL~l ~ TANK TO P/ W~ G. 0 Vent to Air Intake ROAD Septic ' ~ i ~/ ~ ~~ / Dosin ~ .~-~ Aeration Holding PUMP/SIPHON INFORMATION B~ Manufacturer Demand GPM Model Number ' ~ t ~/ •4v TDH Lift Friction L System ~ ad' TDH • ~Ft Forcemain v Len t Dia. h Dist. to Well Z SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ V SETBACK SYSTEM TO P/L BLDG WELL LAK AM LEAC G R OR Manufacturer: INFORMATION Type tem: / ~! ,~~ ~~~ IT Model Number: nIGTO1Q11T1/lw1 CVCTCM RI T (%/UL~ .Y... ./n _ i O /.~ P~dI.C~~ Heave /Manifol ~ ,` / ~ ~ Distribution " b Pipe(s) ~ Z ~ x Hole Size x Hole Spacing Z ( y Ven Air Intake Length Dia • __ Length Dia f -.~ Spacing_ i enu r~nvGQ ., e.. ,, c.,~se ~ n..~.. Depth Over U"1 jJ?i~~• Depth Over Bed/Trench Center j /~,,,~ ~ Bed/Trench Edges Topsoil _~ Yes ~] No j- ~~ Yes =; No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: ©a7• uPJ~_S Inspection #2:~~/ Location: 950 193rd Street Hammond, WI 540/15 (SE 1i4 NW 1/4 14 T29N R17W) Foe s Ridge Estates Lo` t b Parcel No114.29.17.870 1.) Alt BM Description = S'T~ C,d ~Z-' ~l 2.) Bldg sewer length = ~ 5 t -amount of cover = ~ ~~ ~~~~ O I - - ----- -- - ---- -._ . _ - ------ _ -- ----- - - I- --,-J~-; Plan revision Re wired? I. '.; Yes ~ ;,, No ~ ~!~',', J ~ ~ S ~~~ C71 Use other side for additional information. ~ ~ ~~ °~ _~ '~~ ~ ~' l_ _ - - ~ Date Insepctor's Si nature Cert. No. SBD-6710 (R.3/97) xx Mound Or At-Grade Systems Only :ya~LtX v - xx Depth of xx Seeded/Sodded xx u ched Safety and Buildings Division County ` ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 ST. CROIX ~scons~n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)266-3151 ~ Z q Sanitary Permit Application State Plan LD. Number 1107257 In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(lXm) Project Address (if different than mailing address) I. Application Information -Please Print All 'o ~' 9~~ / 93 ~~ RF~f'~~~l~4' Property Owner's Name Parcel # Lot # Block # ANDY BERGER & AMY BERGER ~ #6 ~-- Property Owner's Mailing Address Property Location 1265 NORTON STREET #3 S"r. CRQIX COUNT SE '~ NW '/. Section 14 City, State a ~ , HAMMOND, WI 612-791-4947 T 29 N• R ,~ ! oirclfone) II. Type of Building (check all that apply) ~ ~ / ~r 4 6 ~ C.5 5 u bdi N CSM N S i i b d 1 or 2 Family Dwelling - Number of Bedrooms u v on ame um er s ^Public/Commercial-Describe Use FOREST RIDGE E: ^StateOwned-Describe Use Od ~ ~ ity QVillage^I'ownshipof HAMMOND U III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ~ -. Z~ /~ -- A. ,, [~ New System ~-~_ ^ Replacement System [] Treatment/Holding Tank Replacement Only I] Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Lssued Before Expiration Plumber Owner IV. T e of POWTS 5 stem: Check all that a I ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ~ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ RecireulaGng Synthetic Media Filter ^ Leaching Chamber ^ Drip Line Q Gravel-less Pipe ^ Other (explain) .~ V. Dis ersal/T'reatnlent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation ` /ZLY~ /~ ~•`~ /~D,o VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Tanks Existing Tanks a r 7 Septic or Holding Tank 1250 1250 1 WIESER CONCRETE X Aerobic Treatment Unit Dosing Chamber 750 750 1 WIESER CONCRETE X f VII. Responsibility Statement- I, the undersigned, assume responsibility Tor installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum 's Signature MP/MPRS Number Busiuess Phone Number BENNIE HELGESON 92 715/772-3278 Plumber's Address (Street, City, State, Ztp de) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. un /De artmellt Use Onl Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu' Agent Si at (No S ps) Surcharge Fee) ~ ZS J ~ ~ ~5 7 v „ason for Denial - IX. Conditions of ApprovaVReasons for Disapproval ` o~ e, fie 3 C ~, ~!~ s~- 1 /~ ' "` .. ~ - ~~ O~IMER: ,. 8epdc tifMc, lffNrent tNtet' and ~ ,~ /~ ~~'-~,~"' ,,, , J ~ QQ,~vw~ ~- ,~ . . diapsrsat ceN must all be services /maintained r ' • 88 per management plan provided by plumber. Z Aq setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) Tor the system on paper not less than 81/2 x 11 inches in size 7d SBD-6398 (R. 01103) commerce.wi.gov ~" ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sbl www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary February 09, 2005 CUST [D No.220292 BENNIE W HELGESON HELGESON EXCAVATING W 1229 770TH AVE SPRING VALLEY WI 54767 AT TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SP[A 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/09/2007 SITE: Andy Berger 193RD Street Town of Hammond, St Croix County SE1/4, NW1/4, 514, T29N, R17W Lot: 6, Subdivision: Forest Ridge Estates Identification Numbers Transaction ID No. 1107257 Site ID No. 694690 Please refer to both identification numbers, above, in all cones ondence with the a enc . FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1003714 Maintenance required; 600 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual, SBD-10572-P (R.6/99 Pressure Distribution Component Manual, SBD-10573-P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes COj and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in ~y ~~ 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, E TN OF stats. The following conditions shall be met during construction or installation and prior to occupancy or use: $EE COI • 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 Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (8.6/99). • Per manual cited above, limited activities are allowed in the area I S 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 private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat INDEX SHEET PROPERTY OWNER: ANDY BERGER 1265 NORTON STREET #3 HAMMOND, WI 54017 PROJECT NAME: ANDY BERGER PROJECT LOCATION: SE 1/4, NW 1/4, S 14, T 29 N, R 17 W MUNICIPALITY: TOWN OF HAMMOND COUNTY: ST CROIX 9F~~i ~,qF FFB ~ ~~~ Fjy~ 8~~os e~,~~o/ Nis DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: W 1250/750-MR Tank Specifications Page 6: Pump Specifications 10 ~ndjy ~ ~ Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 ' ~ OF COI~IyEy~ Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 CE _ ~,1NG3 SPONDENCE Name: Bennie Helgeson Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Signed Date: February 4, 2005 -t l o-t~ Pl ~~,. _ ~ o F 8 ~~ I _ ~ o~ ~ ~. M, q , ~./ ~ores~ ~ t c~. -e., 7'0 ~f '' --- ~--- ~ -- ~o ~~ qtr` ~ i ~~ ~ /43 r~. 69 ~ 83 I ,~j~r~e,-f' c ~~ j ~Sd~ 7~5"~ ~a~. qy,Y ~J ~~ ~~~~~ ° o ~-- i~~ i ~ ~~ puc.- ~.1-l , t C c~ . o c~ ~ro~ G ro` ~ PUC. ~~ p -~ ~~c Elev 95/, O bV.1 Q _ _.._ \ / G~.~q . ~_---- _ _ _----_~___-~ _--- ~, V J ~~J/,,~,,p7~ / J i ~' i ~~ Sc~l-~ ~~~_ ~(~~ 1 lot Pl ~,,. ~e r ~ ~ r r nn ~ ~ ,yl Ot ~ j ___r D S ~_ o r~ ~l v~' ~I P.-~ ° F ~ ~ I ~~l3 r~ 6~ ~ ~3`j~ree~ S ~ r ~ ¢- ~O n - --I 1` -. G . ,,. ~ ~/ ~ ~ '~ b ~ ~L ~~,~I ° ~~ ,..}-~,~ Z, o ~- ~~~ Top ©~ ~ ~~ rD~~~ ~~~e _ ~ nn ~_-_ Pro`oaSc dC p f~ v - _ ~ --- - _ ---- __- ,; i c~~2 ~ 1` ~`-' / r Synthetic Covering AS7'M C 3 3 Medium Sand -~ _ Topsoil _) ~ ~- 3 /D % Slope C~~.b.Of 2+- 2'2 Aggregate - Cross Section Of A Mound Signed: license Number: Date: -- L ----- Page ~ ~`~ Distribution Pipe ~/ev . /y /. 9 -- _ G 0 ~ ~ . Cc~r~-~-o r E lei , 9 8, `( Force Main Plowed From Pump Layer D 1 ~ 7 Ft. E x.67 Ft. F . S_? Ft. ~ ~ 5^ Ft . A /~ Ft. H /, CU Ft . g ~ Ft. K~~Ft. I. 8.3.9y Ft. ~ . ~~ Ft . T /7. ~yFt. w .3y,i Ft. Observation Pipe ~ B K r. ,__~ _ _.._ _- _-- -- .,._._._._ ._._ --_- _- -- - - - ~ A ~ ~ ---_~------------~---------------------- ~ w ~, g -~._._ _ - _j____,_______.. -----___- ~ ~Oistribution E `a_l- O f i- 2 %~ pipe Aggregate I /~3y. ~/ ~ ~~ Observation Pipe ~5~' '~~ Plan View Of Mound .~ r' ~ ~ ~ep~.o.r-r ~<< CS `-~'F,, r~~~ ~- `E,'ClN Ou-~ ~ IF~ PI,. Pe~loiolnn 1'IL. Unloll ~ , ~ /, End VI~.+ i `-----.! Discribucir?_Pe Layou~ Signed: License Number: Dare: ~ 30~ Holes Located on Bottom are Equally Spaced F.~ rte` ~~~.+I r R '~ .~ I . 7~ l~ X ~~ Ir Y a! ~ Hole Diameter _,~., Ynch Lateral " ~ Ynch (es) Manifold ~~ Inches ~~ ~_ Inches torte Main i,~}VE~~ ~I~e~. ioc~, s7 ~~~es ~e r ~+~ r~~ r= 3 y j o7~c./ ~o%s = / 0 a j11J '.p~~ Page -c Of ~~ SEP IC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS v" {~I~VENT PIPE 12" MIN. ABOVE GRADE E ~IEATHERPROOF >_ 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK E WARNING LABEL ... ~.,_-,__- 4 " MIN . 2y" 18" IN. ~ s. D. ~~ u ~$ MIM• INLET ~' 1' WATER TIGHT SEALS GAS- , '~ TIGHT ~ ~ V PPROVED FILTER ~ ~ SEAL ~ g JOIItTS uITH 7A$t:l. _ ~ ; ALM APPROYEO PIPE F;.~-PROVED P : PE 3' ~ ~ (a x I(~ B - - ~ ~ ON 3 i ONTO ~ ~ SOLID SOIL OttTO SOLID C ' ~ SOIL PUMP OFF ELEV . 87i D FT . -#- OFF D 3" APPROVED_BEDDING-UNDER TANK CONCRETE PAD SPECIFICATIONS ~,ta l r a.l ~ T~ Lat. m~ SEPTIC / DOSE T,~.NK MANUFACTURER: ~~I .~C Y' T~;NK SIZES: SEPTIC L~~O GAL. _- DOSE _~ GAL. A ~.~RM MANUFACTURER: S,~ 'lec~~-o •MODEL NUMBER: SWITCH TYPE: _Nle~l~i~~ ~Ic,u-~ PU *1P MANUFACTURER : t c r MODEL NUMBER: / SWITCH TYPE: -,,~~c.-•c~~_ o~-r R;:~UIRED DISCHARGE RATE 1 ~~` GPM V ~ TICAL DIFFERENCE BETWEEN + rtINIMUM NETWORK SUPPLY PR ~D FEET FORCEMAIN X ~~~' . IN': ~'RNAL DIMENSIONS •OF PUMP ~3~~. DOSE VOLUME INC LUDING l c~. S~ L~(,~ ,FLOWBACK: ~I_ 9 s~ GAL. CAPACITIES: A = 'o`~~ INCHES =~ GAL• B = 2 INCHES = ~~L•. C = 7 INCHES = ~~~~ gY GAL. D = ~ 3 INCHES = -~' S~L• PUMP E ALARM WIRING AS PER ILHR 16.23 WAC PUMP OFF AND DISTRIBUTION PIPE . SSURE ~,~ FT/100~FT.•FRICTION FACTOR . TOTAL DYNAMIC HEAD = TANK: LENGTH WIDTH /~ FEET l~O'~ ,~-,5- FEET ~,~,g`' FEET -~ • ~~~ J:~.~• ~J~J-FEET DIAMETER LIQUID 6E1~'I'A-~_ /~. i~ G. P ~- - ,%Q~~ See . %~ ~ ~~<< .. S~ ~•~ SIGNED: LICENSE NUMBER: DATE: U 0 z J W a w ~ Z ~ o J Q ~o ~a N Y a~ Q ao °~ ~~ a (~ ~ m as a ~ z z ~ o O ~ WO aV JJ N ,,^^ YJ p w as U O N m oN JON "" ~ ~W/ o a ;,~i~ v s ~wcn ~~ ~(//~~ N a o U' O f- J1~ ~' Q m (/7 Q N~ i` ~~//~~ YJ VI I \= N lA: WWI F-c$ U F""Zf" N ~: i0 •- cD Jam.- i co ~; i co ao z w J W JNN ~ Z Y . N~..~~.2 .. Jt- ~pw ~pw _ U N Q zwo~Z~ZO~~~ ~?' a o~a oN0 ~ a ° ww-w oaoo 3 ~ zvc~ z .. ~ U ~ mw N3mc~~=w a a Z z J °_ a ~ J O O a Z Z J „yH w 5~ aw O -' 1- t E „9y a (~ ~ '~ ~ U ~~~ a ~~~ NO O~0° aL]s o ~ ~cia ~Fcn ~~M 0 ~ W U N ~ ~ F X7 0 ~ N ~ ~ O 'nu^un' J H I ~ .. ~ ~o J ly,~ 3 u W . S~ o~ ~ ~ la 1: 1( ~~ f W I V_ a z 0 0 r U.S. LITERS ~ ~ w '~ HEAD CAPACITY MODELS °140/4Y40" ~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING Ft. Meters Gol. Ltrs. 5 1.52 91 }44 45 10 3.05 84 318 15 4.57 76 28B 40 4140 140 20 6.to 69 zs) , 25 7,62 59 223 35 30 9.u 49 IBS 35 10.67 3B 1{{ 30 40 12.19 21 79 19 25 a5 13.72 5 lock Vo ly: 4 6' 2 15 ,o 5 ALLONS 10 20 30 40 50 60 70 80 90 100 110 G I Bt3 tUU L9V JGV ~~~ 0 FLOW PER MINUTE 010900 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical altemators, for duplex systems, are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Sealed tOwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. • Refer to FM0806 for 200° F. applications. 140 Series - 53 lbs. 4140 Series - 73 lbs. 14014140"' MODELS Control Selection Model Model Vohs-Ph Mode Am 51m ex Du lex N140 N4140 115 1 Nan 15.0 1 a 18 5 2 or 3 8 4 Et40 E4140 230 1 Non 7.5 1 or 18 5 2 or 3 8 4 BN140 BN4140 115 1 Non 15.5 1 or 1 8 5 2 or 3 8 4 BE140 BE4140 230 1 Non 7.5 1 or 1 8 5 2 or 3 8 4 16 SELECTION GUIDE SKt52M I I/2 NPT SK1524B 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. Mechanical alternator M-Pak 10-0072 or 10-0075. 3. See FM0712 for correct model of Electrical Alternator E-Pak. 4. Variable level conUol switch 10-0225 used as a control acflvator, specify duplex (3) or (4) float system. A CAUTION All installation of controls, protec0on devices and wiring should be done by a Qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Heehh Act (ASFIA~. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 111347 Louisville, KY 402560347 ~ ol, , L• O ~ SMIP T0: 3649 Cane Run Road e Louisville, KY 40211.1961 Quaurr p S,vcE /939" ® (502) 718.2131.1(800) 928-PUMP herP://www.soellercom PUMP !O, FAX (502) 714.3624 (.~ o ~-bT .. • • 3 )/B t 1/2 - II 1/2 NPT ® Copyright 2001 Zoeller Co. All rights reserved. c ' cu c I~ICnoMeTIr1N POWTS OWNER'S MANUAL & MANAGEMENT PLAN 1\.L .... v ..r~..v owner APvllY BEkG~R _- Permit # UG.71V1~ rr~..r....r. r.... 4 DNA Number of Bedrooms Number of Public Facility Units ~ NA Estimated flow (average) 4UU al/da Design flow (peak), (Estimated x 1.51 6UU allday Soil Application Rate U.5 allday/ft~ Standard Influent/Effluent Quality Monthly average " Fats, Oil & Grease IFOG) 530 mg/L Biochemical Oxygen Demand (GODS) _<220 my/L $l NA Total Suspended Solids ITSS) 5150 my/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODS) 530 mg/t. Total Suspended Solids ITSS) S30 mglL X:l NA Fecal Coliform (geometric mean) S10° cfu/t00m1 Maximum Effluent Particle Size Ye in die. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Inspect condition of tank(s- Pump out contents of tank(s) Inspect dispersal ce(lls) Clean effluent filter Inspect pump, pump controls & alarm Flush latera{s and pressure test Other: SYSTEM SPECIFICATIONS Page ,L of b Septic Tank Capacity 1L5U ~ DNA Septic Tank Manufacturer WILSER CONCKETE DNA Effluent Filter Manufacturer zA$$J, DNA Effluent Filter Mode{A-lUU 12" X 'LU" DNA Pump Tank Capacity 75U al DNA Pump Tank Manufacturer WI)i;SETt CUNCkETI; DNA Pump Manufacturer ZOELL>JK PUr1.P CO -DNA Pump Model 14U DNA Pretreatment Unit [ANA ^ Sand/Gravel Fitter O Peat Filter O Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Dispersal Ce(lls) DNA ^ In-Ground (gravity) ^ In-Ground (pressurized) ~ Mound ^ At-Grade ^ Drip-Line ^ Other: Other: O NA Other: DNA Other: DNA Service Frequency ^ month(s) (Maximum 3 yeas) DNA At least once every: 2 [~ ear(s) When combined sludge and scum equals one-third (Y,i of tank volume DNA ^ month(s) (Maximum 3 years) DNA At least once every: 2 D earls) C~k month(s) DNA At least once every: 13 ^ ear(s) D month(s) DNA At least once every: 13 ^ ear(s) ^ month(s) O NA At least once every: 3 ~ year(s) O month(s) DNA At least once every: ^ year(s) _ D NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifjcatlon~ Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tani inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or (asks measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfadon The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any p of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y31 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 11:: Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatmer; units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4I0 ~ , O~iN1;R: ANDY BEKGEK Pape ~,{;~ of . System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks~may fill above normal highwater levels. When power Is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result <n the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Nlalntainer;tp assist in manually operating the pump controls to restore normal levets within the pump tank ~'" Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park oval, or otherwise disturb or vompac* the area within 15 feet down slope of any mound or at-grade so11 absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the i~fe of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental tlo8s; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbiddes; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDON~lVIENT ' When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, tNsconstn'Adminlstratlve Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shaii~ be removed and properly disposed of by a Septage Servtt.ing Operator: • After pumping, all tanks and pits shall be excavated and removed or the(r covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, t0 provide a code compliant replacement system: ' ~ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compadlon,and should r10t be infringed upon by required setbacks from existing arld proposed structure, lot (lees and wells. FaUure to protect the replacement area will result In the need for a new soil and site evaluation t0 establish a ssuitable replacement area. Replacement systems must comply with the rules In effect at that Ume. ~ A suitable replacement area is not available due to setback and/or soil IimItations. Batting advances in POWTS technology aholding tank maybe Installed as a last resort to replace the felled POWfS. D The site has not been evaluated to identify a suitable replacement area. Upon (allure of the PO1M'S a soU and : ,, site evaluation must be performed to locate a suitable replacement area. if not@placement afea IS available a holding tank may be installed as a last resort to replace the failed POWTS. I~1 Mound and at~rade soil absorption systems may be reconstructed in place following removal of the biomat 8t the infiltrative surface. Reconstructions of such systems must comply with the rules In effect at that time. :<WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY C1RC,UMSTAr1CES. DEATH MAY„ RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLJE aDDITIONAL COMMENTS .. ;'OWTS INSTALLER POWTS MAINTAINER Name JUFINSUN SANITATIO~f ~•~ `~ Name IiELG];SUN EXCAVATION INC ~ ~ .. Phone 715/77'1-32713 .Phone 715/273-5088 ' sEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORYAUTHORI't~Y ' ' Name JUJiNSON SANITATION Agency ST. CKUIX COUNTY ZONING ,, ~. Phone 715/273-508$_ Phone 715/386-4680 Tnis document was drafted by the staffs o! the Green Lake, Nlarqualta and Waushara County Zoning and Santtatlon SyandQa. Thli d000titerltr1190ti ;ne minimum requirements of ch. Comm 83.22(2)(b)(1)(d)8(~ and 83.54(1), (2) & (3), Wisconsin AdminlStretJve Cod6. USe Of this documentdoes rtOt wisac>nshr Deprt of Comrrreroe SOIL EVALUATION REPORT Dlviaion of Safely errd &af~rrgs ~ aCcordanoa wittl Comm ss, wry. atm. code Attedt cxxrrplete ails plmr on paper rrd leas tiara 81R x 11 rcrotres ~ size. Parr irrcMrlte, but nOt limited to: vertical and horizpttai r+efererroe P~ (~?, parcel I.[ percent slope, scale or drrrerraiorrs, north a loraltiorr and diatarrce Please print a~` ~ ~g~` ~` ~~~ Personal intortnatlon you provide may bs used for pwposea (~~Y t.aw, s• (m)). •• A l ~ 3 ~ ~ its ST. CROIX . 018 - 2001 - 06 -000 Date Property Owner i 1 ~a . ~ ~ . ; properly Location . ANDY BERGS ~ ~" : ~ ~ `` - Ld - SE tl4 I~TW 1l4 S 14 T 29 N R 17 ~ ~W property Owner's tug Address ~ i~ ~ , --r # frock ~ 3ubd. Name ar CSNI~ 3639 Vincent Avenue~l,' ~' ~ `~ r ~ ;~- r, ~ 6 - Forest Ridge Estates Cily Stele ~ Code Number ,, `. ~ ViNege own Near+t:st Road Mpls., MN 55412 1 6121 791 - 4947 193rd Street Q New Construcaion tlae~ Residari~t / Nrxrlber of becNooms 4 Code derided desi~r liodv rala GPD f2eplacemeM ~ Pubic ar oommeraal - Desrn"be: Parer material tilUoutwash Food Pldn elevation if appicable ~,T ".r- ft- Garretai 0° Mound System - 1.67 ft. sand fill -- 0.5 loading rdLe end nxxd~endations: New area tested dote to lot limas not established at tame of initial test (Property Address: 950193rd Street) a a Pit Grocuxt arrrface dev. 96.60 ft Depth bo lirrdtirrg ta«or >27 ~. ~ Rate ~ Horizon Depth Dominant Redox Description Texture S1nx;Urre Carrsisterroe Bourxtary Roots GP DIIP in. MrxtigeN (Al. Sz Conl Odor' Gr Sz. Sh. 'C-tfi'i "~ 1 0-4 10YR2l2 - ail 3fsbk mvfr ai 3vf-co 0.6 1.0 2 410 10YR2~ - s0 2f-msbk mfr aw 2~-ce 0.6 1.0 3 10-21 10YR3/3 - sl 2f-mabk mvfr cs 2vf-co 0.6 1.0 4 21-27 10YR3/b - loos Os ml - 2vf-co 0.7 1.6 (Horizon 4 ~ s~ sr•) 96.30 ~ 16 n a i~9 ~ ~ b~rr l ~ g ev. Q p Ground surface e Soil Ra Horixgn Depth Dom'srarK Redox Description Texture Strtrdrne Conroe Bourrdmy Roots GPDJIP in. M Qu. Sz Cont. Cobr Gr. Sz Sh. "'E7>it1 'C~ I ~ 1 0-3 10YR2/2 - ail 3fgr mvfr ai 3vf-co 0.6 1.0 2 3-9 -- ail 2fsbk ds ~ 3vf-co 0.6 1.0 y, ( 3 9-16 10YR4/3 - sl 2fabk ds aw ~~ 0.6 2.0 `i 4 16-20 10yR4/3 fzd 1oYRa/6 sail Ifabk ~ - 2vf-co 0.4 0.6 (Horizons 3 ~ 4 have some ~. a~ many si cts.) * Etfluer>< #1 = BOD > 30 _< 220 mgll and TSS >30 _< 150 mg1L ' Etirrerrt to =130D < 30 mgll. and TSS <_ 30 mglL CST Name (Ple~e Print) CST Number' M Jo Hollister 224832 q Dale Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 08 - 02 - 04 (715) 426 -1775 .~ Property ~~~, Andy Owner Paroel ID * 018 - 2001- 06 -000 ~ 2 ~ 3 ~,~ ~ 9 99.40 30 ~ f 0 Pit Ground surlaoa elev. ft DeP~ to ~9 aaar Sod R Horizon Depth Dominant Redox Desaip6orr Texhx~e Struclwe Correieterroe Botxrdary Roots GP DAF A in. Murrsell Qu. Sz Cont. Color Gr Sz. Sh. 'Eff~'1 'EfF~ f[~"~, 1 0-3 10YR2/2 1 3fgr ds si 3vf-oo 0.6 1.0 2 3-11 _ 1 2f-msbk ds aw 2vf-co 0.6 1.0 3 11-22 10YR3/3 - sl 2f-mabk ds ~ 2vf-cw 0.6 1.0 4 22-30 10YR3/6 - Icon Os8 dl - lvf-m 0.7 1.6 Pit Ground ~ce elev. ft. Depth to 9 factor in. Sod Rate a~ Horizon Depth Dondr~rt Redaoc Description Texture Corrsistenoe Bormtlary Roots GPD/I~ in. MrxrseN Qu. Sz. Cont. Color Gr. Sz. Sh. 'Et~'1 ~___ Pit Ground surface elev. ft. Depth to drnidrrg factor in. a~ ~S~ Aee~c~tiev- Ra~e~ E ~'1 =130D6 > 30 _< 220 mgA. and TSS >30 < 150 nglL ' E-IA1~ent #~ = BODs < 30 mgA.. and TSS _< 30 mglL The Departmem of Commence 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 de~artrnent at 608-266-3151 or TTY 608-264-8777. ssas3sarae [Rmron> .j ~ ., ..- . ;.- ~:t-.N.~ x .~ Ate. ` ~. 1N T2~W~ Rt't~.J per, 3 of 3 // ~ / ~p-r b € ~~~ -PvcPu~- N ~ts~ too.Qo C~pUlNo9q'.~' --. - - _ 2~ Corrou~ t.~:s~s ,~ .. ~~ ~ I _ •" , y i I ' ~ j J ~ ~- • ~ i . - .- ~ ~ _ e ~ , ... + ~ .,, ....~,. ~ r _..~.- _ ~ . ~ ~ 1 . # ,~ / ,- . ~ _ ..~ ~ ~~ 1 / :- ~ .~ JJ I 1 ~ ~ ` / ~I J ~ ~ ~ ~ I / ~ /! / I ~ I / ' I I I ' I ~ / I . I ' I .! ' _ ~r . ~ ~ _ , . 31 ; S '. ~ ' ,~ ~ ~ / ` ~ ~ 1 S~ .' f ,/ ~, . -" - j ,• ~j~ / ~ _- ~_ ~ ~ ,. \- - ,- -~ -~, - J _ ~ - _ ~' ~ ~~ ~~ ST LROI~ COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~ 1~-~ '' Property Address ~ ~ ~"" (Verification required from Platuiing Department for new construction) City/State Parcel Identif cation Number Erg -z~l - b~ --~ LEGAL DESCRIPTION Pro erty Location 5~ y4, NW '/,, Sec. rte, TAN-R ~? W, Town of ~A~~dn d P Subdivision ~rP st ~ tda~ ~S~-t~ ,Lot # ~ 1 Certified Survey Map # Volume ,Page # ~~arranty Deed # 1 `~ 7 X75 ,Volume a ~' ~ I ,Page # U ~~L_• Spec house O yes ~7 no Lot lilies identifiable ~ yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenanee consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What You put into tho 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal 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. Uwc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the stendaids set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. CertlSCatioII stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 36 days of the three ye expiration c ate. tie ~ ~_ - OS SIGNA F PLICA DATE OWNER CERTIFICATION I (we} certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owaec(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~ p5 SIGNAT F PPL;I NT 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 U. ~~ 6 I P. 098' STATE BA)F ~ISCONS~IN ~OR1~2919l19 Document Number I WARRANTY'DEEI~ This Deed, made between E. W. Homes. Inc.. a Wisconsin Corporation Grantor, and Amv Jeanne Berger a single Derson Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 6, Forest Ridge Estates. St. Croix County, Wisconsin. STATE OF 018-1030-40-000 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 this ~ ~ ~ day of November , 2003 E. Ho s, Inc. * BY: * Mar B. Sylla, esident AUTHENTICATION Sigttature(s) E. ~~'. domes, inc., a P,'iscansin Corporatio:: by Mark B. Sylla, Its President authenticated this ~ d ay of November , 2003 * Krishna Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Krishna Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT ss. County ) ?4.775 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED F'OR RECORD 11/24/2003 10:30AK MARRAHTY DEED EXEMGT # REG FEE: 11.00 TRAHS FEE: 180.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name an~ I IIVH OCat AND ATT©FiNEY AT LAW P.O. EOX 359 HUDSON, WI 54016 Personally came before me this _ ____ day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of My Commission is permanent. (If not, state expiration date: * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800-655-2021 WARRANTY DEED FORM No. 2 - 1999 Parcel #: 018-2001-06-000 Alt. Parcel #: 14.29.17.870 018 -TOWN OF HAMMOND Current ' X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner "BERGER, AMY JEANNE AMY JEANNE BERGER 1265 NORTON ST APT 3 HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description * 950 193RD ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.180 Plat: 1961-FOREST RIDGE EST 1/30 018/03 SEC 14 T29N R17W PT NW NW FOREST RIDGE Block/Condo Bldg: LOT 06 ESTATES LOT 6 4 C ( .180A ) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 14-29N-17W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 11 /24/2003 747275 2461 /098 W D 01/14/2003 705829 9146 PLAT 7n(1~ CI IMMARV Bill #: Fair Market Value: Assessed with: - - - - - ------- -- - - 0 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.180 48,800 0 48,800 NO Totals for 2005: General Property 4.180 48,800 0 48,800 Woodland 0.000 0 0 Totals for 2004: General Property 4.180 48,800 0 48,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 07/OSI2005 11:46 AM PAGE 1 OF 1 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 April 25, 2005 ~~~~~ ~~..,~., Ms. Mary Jo Hollister, CST #224832 Hollister's Soil Testing W9875 690"' Ave. River Falls, WI 54022 ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPT. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4684 Re: Revisions for Soil Evaluation Reports -Forest Ridge Estates, Hammond Twp. Dear Ms. Hollister: On April 21~ I performed on-site verifications of data reported for lots 27, 28, 29 and 30 to determine the cause of discrepancies between the engineer's preliminary plat elevations and those on the soil reports. There was an error in your method for calculating the benchmark elevations in relation to mean sea level contours, which resulted in the contours not matching the elevations described for soil borings and test pits. While on the site, I walked all four lots and found that some of the distances between test pits and hand borings did not match measurements represented the scale used for their associated plot plans. In order for mound systems to be designed, corrections need to be made. To summarize my findings: 1. All lots whose reports used mean sea level elevations need to be revised so that the benchmarks are based on an assumed 100.0 ft elevation. This will require using your field notes and, starting with every BM #1, add the back-sight rod reading to 100'to give a new height of instrument. Then re-calculate (subtract from HI) all the foresight rod readings to obtain test pit and/or boring elevations related to the BM #1 and draw up new plot pl to correspond with the new contours. Lots reported using mean sea level were i, 2, 3, 4 6, , 10, 17, 21, 24, 26, 27, 28, and 29. 2. Do not exclude any previously reported test pits. They must be included in revised evaluations and shown on the plot plans. This will help avoid confusion when locations for mound contours are being established. The distances between test pits within tested areas need to be updated from the original 2002 plot plans. 3. Original signed and dated revised reports must be submitted to our office so that they can be attached to the previous submittals to track changes made. 4. I evaluated a hand boring on lot 28 that was next to a test pit that had been marked with a lathe labeled " 29A" (from the original lot numbering). It was approx. 95' southwest of the corner benchmarks and 20 ft. west of the test pit you now show as "A". The original site was an excavated pit, not a hand boring, as evidenced by backfill. Regardless, both test pits were ~,"~ Hollister -Page 2 described as having redox features within 3 inches of the A-horizon. I found mottling in the sample I examined just below the A-horizon boundary, so am requiring that any mound design be restricted to the northerly test pits B, C, and E. 5. Based on the soil evaluation for lot 28, all four lots fronting on Cty. Rd. E appear to have serious limitations for POWTS installation other than the tested areas already documented. This means that a_y damage to existing tested areas may eliminate the possibility of POWTS installation, unless an A+0" mound design is approved by the Dept. of Commerce after the requisite on-site evaluation by Leroy Jansky. I will send a copy of this letter to the current owner of the lot to forewarn him of this situation. Would you please re-establish the marking tape to indicate the locations of these areas, since you are more familiar with the terrain? Sanitary permits cannot be issued for the lots referenced above until the soil reports in question have been corrected and/or completed. If you have any questions regarding the above requested changes and/or additions to the soil reports, please feet free to contact me at the Zoning office number and schedule a meeting to discuss the soil data for Forest Ridge Estates. Sin ~ c Pamela Quinn, CST 665054 Zoning Specialist Cc: Mark Sylla, Developer Kernon Bast, Edina Realty Leroy Jansky, Dept. of Commerce POWTS Wastewater Specialist Subdivision file -.. ,. ~otctrsT Rte ~s-r~+-r~s ~ ~~ ~ per, j o~ ``~ S ~ ~,~x1-P+~cPI H ~ .IZr /Fp~o G14Atl.NC Tz~1A~ RI'1vJ 8M#2- SPIt..e T~ _ _ _ . Z' Ca~'iOUK 1, Nti. `~ ' ~~ t~1.• GROU.N>7 CSPI KEG _ _ _ Z E 1IRp 7-~ ~ ~ ~____ _~_rrg9.57 ~~ ~ . ~~ i 142{07\\ ~ f313 ' ~ ~ ~. ~ • ~~ ~ n ~ ~~ /d~ ~ ~ E it4'a•3~ 1 ~~C . ~~ ~~ - ;~ - ' ~ ,~ ~ I . , ~ 1. , ~ ,~ s-~-Q-~-r ' ~ -+ ;' I ~ ~ ~ ~ W ,-+ • ~ 1 ~ , ,' 1 ~ 131 , S.F. , ~ , ~ ;~ ~ i , .18 ~ A c . ~, ., , ,- ~ ~~ ~~~ ,~ , ` ~ ,' 1 I ,~/ ~ ~~ ,~ _ , , ~ - ~ / ~ 7i ,- _ ~ , ~~ ~ ~ ~ _ ~ '~. / - ~ / ^~ ' RECEiVEp HOLLISTER'S SOIL TESTING Mary Jo Hollister W9875 G90~h Avenue River Falls, WI 54022 (715)426-1775 MAR U 4 200 ST. C~ROIX. COi;~~~1 z.., UNIh~~ OFFICE March 2, 2004 St. Croix County Zoning Pam Quinn, Zoning Specialist 1101 Carmichael Road Hudson, WI 54016-7710 RE: Soil Evaluation Reports for Forest Ridge Estates, Town of Hammond Dear Ms. Quinn, After our meeting on February 13th and further review of the reports that were submitted here are the findings and facts: l .) Lots 4, 5, 6~nd 28 will need to be extended to allow for the 0.2 loading rate for longer mound systems. We have agreed to do this with hand borings that will be completed as soon as possible. The position of the driveway for Lot 30 can be worked around. A licensed plumber has reviewed and stated that lots 1 1, 13, 14, 17 and 18 have enough area fora system. 2.) As per our discussion, driveway locations were not an issue at the time the tests were completed as it was requested by the County to complete these tests before approval. These will have to be addressed at the time the driveways are located. ALL mound areas were staked and taped as requested previously. 3.) Elevations were corrected on lots 7, 10, 16, and 18 and have been resubmitted. For many years now, my reports have had the accurate readings for BM #2 based on information4rom your office. Now I will report them a different way. Anew report for lot 15 was submitted on 11-25-03 due to location of lot line. The elevations for lots 20 8.21 are not the same due to different reading locations of the boring (I.e. upslope vs. downslope side) due to site clearance. 4.) The notations for the Structures were corrected in the office. The "L" for "large" structure instead of "CO" has been reported on my reports for years. Thank you for clarifying that for me. If you have any further questions or comments, please call. Thank you for your time and attention to this matter. Page 2 -Forest Ridge Estates Sincerely, ~~CUG Mary Jo Hollister CST #224832 Cc: Mark Sylla, property owner Leroy Jansky, State of Wisconsin Wastewater Specialist 13 August 2004 HOLLISTER'S SOIL TESTING Mary Jo Hollister W9875 690`h Avenue River Falls, WI 54022 (715) 426 - 1775 FAX: (715) 426 - 4827 ~rz ~~ ~.. i ,, t ._ , . ~.~~ -I'~_ Pam Quinn St. Croix County Zoning ~ -~ ~ , ~~ ,---° Hi. Mere's the new tested area for Lot 6 -jForest Ridge Estates. Better soils were in that area we were looking at. Also, s><,wanted to let._~cau-knov~ that I did extend the areas on Lots 4 & 5 that day with the backhoe. I will not be sending in those reports as the new owner is turning me in for trespassing!!!! Any questions, tail. Sincerely, Mary Jo ~~ ~ 1c~'v '~J ~r., ~ ~~ ~; ~~, LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-2001-06-000 Parcel Number 14.29.17.870 OWNER NAME: First AMY JEANNE Last BERGER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 950 193RD ST SECTION 14 TOWN 29N RANGE 17W '/<160 NW '/40 NW Line Description Line Description TOTAL ACREAGE 4.180 PLAT FOREST RIDGE EST 1/30 018/03 LOT06 BLK 01 SEC 14 T29N R17W PT NW NW 15 02 FOREST RIDGE ESTATES LOT 6 16 03 (4.180AC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit • vNeoorreln pepartrnent of Commerce SOIL EVALUATION REPORT P e _,.~_. of ~, n. J,JI~~. ,,,~,,,,,,, ~. ~..~„ _ ~ „_.__.~_ in sctgdanrw with Comm 85, tMs. Adm. Code ~~ ST.~1X --- Atlerl~ complete slle plan on Paper not lace then tl 1!2 x t 1 k-eTtse In alie. Plan must Include. but not Writed m: vertlni snd horizontd reference point (9Mj, dfreQion end scale or dlmenslons, rrorth crow. end Ioertton snd dbtanw to naeraet road. t eb e ~ Psroel t.0. ~ PEN O 1~ 6 p , percen A/eas• print a!! lntorm+tUon. Paraenal IntorrtwlYOn you provlda>"sy ea uNd ro- ~awn0~ry PurOo~a~ tPdvaaY Law, ~. 1e.d~ t-) V^t)~ ere < Dats /v]' l~ ~~ PropeRyloutbn ~N M S {., L f~ property Ownara Malgrq Addross v,} , U 1 U 151 b~1 ST~ fete P ~ ~ FAt.1S I yo~z IS ..4ff~OZ 1 ~oW..tAI~ Sle 1!d (~ W 114 5+ y 7~ N L.ol p 81odc M 3ubd. Warrre a C9fvtN 0 ES 1 LXcb E City [) VlNepe Town Nearest n c.T. R ~~ 'F~'r!+! AT~.S aed ~ New Conetrudlan Use: (~Restdsntlaf 1 Number of bodrooms ____~__.~ Code derived dest9n flow refs _.~Ct ,____~ GPO [] Reptetement ^ Putalk or cort+merdal - Desorbe: - .-- .--, --- parent metedal _=y~1~.~21dZf~...1°~..5 ~ Flood Pfeh alewllon If eppNot>le _!~1 ~ A • - d. ~ot+e: M 'SUS 51~NO ~1LL_ ~ $ 0.2 t..oA©1-J!o Rta"~ f~,~.G~o )o~ ~j ~'!~t-r r~ d ~ry e 11 e Lii ~ `'~1'L c .~~ LlnQa Lo ^ t3alnp ~~ ~ ^ P!t Cin7undsurfau elev. 11. Depth to timitlnp fetter ~-----.;-- ~+. Rds t~orrZOn Depth f.)ominant Cdor Redoz D+scrlptlon Texture 9trudure Conslatence 8outrelery RooU P In. MunseN C]u, 6z Cont. Color Qr. Sz 8h. '6ffMt 'Etfl12 5E~ ~s ~ ao -~~ w ~o ~ -._ 1 eorsno sr U Borinp ^ Ptt Cirotmd surface sHv. ,_... R• Oepth ro Ilmitinp radar _ _._.~....- kt. tiertzon Depth t)ominant Cofar Radox Deeerlptlon Tezturs SWCtun Cortslstsnce Boundary Roofs in. MuneeN Cau. Bz. Cont. Cda Car. Ss. Sh. Soil tatia+ Rate GPDlt! •ERNt '~~ ' EAluent K1 • BOO > 30 ~ 220 mdl. and TSS >30 ^ 150 rr+Gti CST Name (Pieces Pr4it) 8lpnat~ o N ~ s ~. Add-ess ! _fh _ .T cun~ o i ' EtRuarit t!2 ^ t3t>D _< 30 mplL snd 7 22 flab EvaiWtlor+Carduded 7e nZ~()7-D7 ('}1 _ JO mpll ~~ Number ~ y2~e~177S W111 1.7 ~-r~ llv..~ tV v r arv - - - ~ - Ra=ws~o : oR-+~-o2 } I i ~~ b~,q v Pro-p.-r--~Y Owner L •~~..s._ty~ ..~ I -s _ I ~ ^ B~nO Page . ~ of ~,,.. ~~ ~~ r ~__ ~ Plt Ground curtaae ebv. ~ ,.,,_ n. Depth to itmtsing factor _~~ in izonn De th dor Redox Deaatptlon Texture Structure Conelslsncs 8 Dora H RMe GPOIrt or p In. Hansel Qu. Sz. Cont. Color Gr. Sz. Sh. 'i:ffNt 'Efht2 ! t~- a ~ L Z f as ~vE- o o, Z ~ ~ 1 l s I Gs ~f - 0.5 0, ,~ , 3 ~ -- sb x -- t -f ry Z ~ S P {~1.. ^ ~ Psroal ID # „may! ~fl1N(~ ~.._ Ilgq.3~ ~.~ (j.OTC.~ ~ Pll Ground surface elev. __. +_~ ft. Oepth to Nmtllnq lector . -~_ tn. liorizon Oepth Domtrtenl Cdor Redox Dascriptlon 7exturt Structuro Consletence 9our+dary Roars In. Munsell t]u, Sz. Cont. Color Gr. Sz. Sh. 5oA tlon Rate OPDIIr 'EKMt 'EBN2 I 0-5 roy~z/2 ..._ L L g as -cp t?,5 a 2 04 =2 ~- 0.5 0 3 l~-!b "'-" 511 2 - a C.S Z - O.S - z ~-" st ! . rn zv~t o s o ~ ws ~-v ao~r~ x ^ Boring !! f~i~1'S~ ~~~ ! e~rz 1 ~ Plt Ground surface elev. _,,-,!,__~ K. Oepth to Ilmlting factor ~+O m. Cn111 Aer,lkltlon Fitt! 1 D i D Cd tl R t l d D Texture Structure Cortslstencs Boundary Rods G Horizon epth in. am nent or Munsell ox ss x p on + Qu. Sz Corn. Color Gr. Sz. Sh. 'ERtJt 'Ef~T ~ io z -- S1 i r s -cD o, 5 o.Y t _1 1f mfr ab o.5 O.Y ~'.LO VK5 b r ~, , S 0. 2. ~n-Z7 -- M ~ 1 -t+t , 0 • Effluent R+t • 90D, - 30 < 210 rrp2 end TSS >9t1 < t50 n1gIL ' E111usnt M2 • app, ~ 30 mgll. and TSS : 30 r-tpll The tJepartmcnt of Cornmcrce is an equal opportunity acrvice provider ertd cmptoycr. If you need aasiatanee to access servicce or need material in an alternate format, please contact the department at 608.266.3131 or ?TY 608.264-8777. A{A•Ir10 tR.lAO) t ~~- b) 3 Property CMmer ,,,~~ 5~1 ~..~~ _,,,_ Parcel tD p ~ PENOI W_~~..__. Page .~„_ of ~_ P-15 Bonr,~,r ^ Boring ..... l(,g2'O~- __ (jz7i ~~ ~ Ptl Ground surtaos elev. _"__..__ t1 Depth to tlmiting lector _ 2~ in. Solt llcatMn Rate Horizon Depth 1n. Dominant Color MunaeR RedoK Oeautptton Qu. St. Cont. Color Texture Structure Gr. 5z. Sh. Conslalence Boundary Roots GPGIfP 'Eff~t 'Etut2 1 p s - StI ZmsbK r+nJ~r 0. ,5 0• Z- t o YR`~ --- 511 1 r1,sb1< i S 2- 4, 2 0 "5 3 -22 ~IrC4 G -- Cf f - Z. ,3 y z~ z4 vR ~ ~' xi d h ~ -- , a ,o S a ~.~ .,_~__ .. ^ Boring U (i.dY {.3 ®Pit Ground surface elev. _,,._,,.r,~, ri, Depth Io 1imiUng Fedor _ , =_..~ in. Solt katlon Raie Horizon Dapth tn, DaNnant Color Munsep Redox Oesatptton Qu. Sz. Cont. Color Textvra Structure Gr. Sx. Sh. Consistence Boundary Roots GPOAP 'Etttit 'Efrft2 o " y olz~~ [~ &'rt"~ ~,„ i'7 Boring a ~ Plt Grounq surface elev. _ ~ __ _, ft. Depth to tlmWng fador = in. tt„a~ Soil ketion Rata Horizon Dephr+ pornlnant Color Redox Gescrtption Texture StrirCture Conststanea Boundary Roots POIR m MunsaU Gu. 5z. Cont. Goior Gr. Sz. Sh. 'El1`tii 'HttAt2 oto yr ~- a ~y rio Ito EfMrent e 1 x BODE ~ 90 < 220 mg/6 and 7SS >30 < 150 mpA ' EMuent M2 a 80t)r S 90 mgtt. end TSS ! 30 mgl~ 'fhe Ueps+rtment oCCommerce is an aquas opportunity service provider and employer. If you need aaxistance to aceesc services or need rnateria! in an alternate format, picasc contact the dcpanment at G08.26G-)1St or 7'T'Y 60$•264-8777. rru•i!w rx.wcr • v Nlea ~: '7' ~oK~'S'T RI a'GoG E.S'f~~c S `// ~ / ~,~0~~{ F ~ x ff g PM~1-P~cP~po .(Z' ,q.dov8 G~wsc M SEA . i y F6~t Post' rzy,~~ RI'1vJ $M#2- f,PtKe (+~ T~~ - -- - - - ?~ Ca.TtouK t~ r~ti.? tt~ v~~;EtZ; q~-~q.o2 ,' ~ ' ; (~ ~-G.R~tfs-Q~ C5P1 KEG \ ' ~ 119257 ~ ~ ` ~ ~ SuKF~tC ' ~I ®8 ' ^~~' ~ gbRlNlo QIO Na't ~ ~ I _ _~..._ 1 ~ ~ _ ~ _ .._.- I ~ _ ll /! -1--- i ~ ~° ~~ $~s 1, ~ qx o~ ~~ ~ ~i ~~ ~ I s s i ~ ~ i s i ~~ ' i ' ~ ~ ~ l~ q (~ r ~' ~ r ' ~ ~ 114y•3~~~ ~ i rJ" ` ! r { ~ ' ~~ i $~ ~ / ~. ,~ ~,,~ . ~;~ ~ I ,~ • ,, ; N" ,' ' ~ Q~ ~ rr ' J• I 1r ~; ,' _ ~^ I / 131 - ~ i - / ,18 ~ A c . ', ~~ ,, „~ , •% ~' ~ ~, ~. ; ' ~ ',~ -' - ~ ~ ~,. ,- ~ ~ _ '~ ~' MNtsaortaln oepertrne++t of commerce SOIL EVA~.UATION REPORT i M aecadend wtln Comm A5. W1e, Adm. Code c«•nr ST, ~t X Als.rl~ comptab elte plan on paper not Nee trvn 8 1/? x 1 1 lnchu M else. Plan mvsl Inchrde. but not Wr+lled b: vertlul end hoAzontd nlerenw pc1rA (9M), rDraQion end Prd I.D. ~ PEN ~ Ud 6 end location end dletenpe to ruera•t road. north arrow dln+endorU l , . e or percent dope. sca o.1a Aleas. print all lntormatlori. a. c p l a«•onsl ato~m.uo• rW o~„w. n~.y er ...a 1a . •eene•ry pw0o••, (vrN.ey l•w. •. 1 a.a (~ 1 till" Properlyloutbn Pto0~Owrbr - 1 sF SE t!d 1\) t>J iN S ~ y T ~ N L >DaQ R ~ ~ ~Rt!'w ~ ,r pnlpeAy Ownsre MalArq Addrete . . Lot p Block p Subd. Narr» or CSMN E5 t 06~ E ittiT~ i,,,f, ~p~v~stonl sT. t p City ^ VINeQe Town Nearest oed ra e p d ~ FANS I yozz t5 -4~lOZ a e,T. ~ Now eorutrud}on U.e: ~ Rastdsntlel l Nurnbar o(bodroon+e ___.~,., Code derNed dselQn pow rate _...~i -------- ~ p aed.osmw+t p Pudk or oomenrdd - aeadbe: ( ~~ nr~'r'ul. h ~ F-t FtooO Plah elevation It appNot>w N. A . _ _ ~• parent metsttel ._._-_-.---..---_ .. ,r.._.. .. _' ~ ~ ~ S1~f1p trt>r` reoommerxlatlons: ~ 34 end 0.2 t-oAO1Nta RA's. f~ ~-2-G~ ~'~' ~ 11~(-r r~ . (n~ ~ u _. ~ ~ .~ LrnQa o D Boring I T. ,'" ':: "~Y Q Ba~+O N l.J Pit a1~ eurtau elev. n. Depth to llmltlrlp lector _ h• - Rats Horizon Depth pomrnant Color Redox D+satptlon Texture Structure Co-rdstence t5ourldary Roots P •EftM1 'E1b12 In. Munsstl C]u. SL Cont. Color Car. Sz Sh. SEE ES 3 13U IA~(o W ~ D Pi( Grama ~t~t.~ elev. n. o.ah to lu,dtinp"t.eeor _ _ ~. L~J 9~ x u ~~w Horizon Depth porNnant 6otar fiedax CccsrlplSon Texture Stvctun Conaietsnca Boundary Roots in. Muroel t]u. 9z. Cont. Color Gr. Sz. Sh. ~ Batton Ret. GPWIf 'ERtlt 'tcfaf2 • EMktenl kt • BOO > 30 ^ T20 mp+l end TSS >30 ~ 150 moll (,$'T Mlle ~PleeM Pf41Q 81QMtttra o H ~ s ~- ~~ _ ii. .~• rr .n~.~ l ' Etltuent K? ~ 8Cm , ~ ~ end T ZT: Dab Evalwtton Condr+ded AZ _r1-~~l<77 ~ ~~ = ~0 mdl MJmber Ntrtr+b•r 1 , l t C 1 ~'I Z~/~~~7V W9875 t-yv Avg, ur r va w~. ..~,..~~ - - - - REv~sEO : ~a-~~-oz.. \~ b \ ~ Il^ ~CsJJflIN(~ _..._ Pape . ~ of Prop.rty Ownsr L..i~--~,~t=i~.~ .._ vetoer ID 9f 1 T~1GI ~~~ ['X' _._ r_.......w ..,.~..,..~v ~"' M Oaoth la Ilmlling factor _.~'S,.r ~n „~~ pie •~w . ... t T cture Str Corubtenos B Dora Gla ORr Horizon Depth tn. da blurveT Redox Ossoripdon tau. Sz. Cont. Color ex ure u Gr. Sz. 5h. ~~/ ~~ 1 Z n- o z Q j '" L 11 z f S I ta.,s G5 3v~ If - o 0.5 o, 0. 3 ~ _ 3 2 ~ S 1~ ^ Borinp j18A.3~ Q-~'S 8~~ l ('R .... r..~~~~,/c ^.,A^re atov. n. Oaoth to Hmtting lector . - ~o ln• ~nttcitlon RNe1 1...~J V I~taizon .... v~ ~ Oep-h In. a .., porr+tnant Cd Munsalt Radox Oastxlptlon Ou. Sz. Cont. Color Texture Stricture Gr. Sz. Sh. Conslalera Boundary Roots QF 'ErtM1 OA! 'ErtN2 ( 0-5 roy~=IL ~-- L s ai -co O.S a 2 Dy :~2 ~" 0.5 0 ~ (~-Ib '- SII 2 - ~ t.5 Z ~ O.S .21e '' Stl .m 2v - oS -L ~ 3 4 51 C1 s t -'- 4.Z v,3 Osi WS 6 hV O ~~ ^ ~ 11 E5`? •S`~ ~ f -1`1~ BO~'~ ~ b7- ~„ Ground surface elev. __~__~ R. Oapth to Ilmhlnp (aaor ~ w-• ~~ ~'~ Horizon Depth in. Daminant Odor Mur~etl Rsdox Oescrlptbn Qu. Sz Cont. Coca Texture Stnx:ttue Gr. Sz. Sh. Cortslstance Boundary Roots G •Ertgt ~~ S p L SII f s -cD 0.5 O.Y L - y -,. " 11 mfr ab o.5 0,~ ~ D y` .... •t Z ~ o~S .4 y •y0 V 5 6 '.' C,I ~ S p, L 'S Zo-L7 0 ..~ !v1 ~ _M .0 EHlwrt Mt • BODE > 30: 220 r-plt. and TSS >JO ~ 150 mall. , Ef~wnt M2 •800: 90 mg1L and TSS _ 30 mprl. Ttre t?epartmcnt oCCommeree is an equal opportunity tcrvicc provider and employer. liyou need assiatantt to access setvieea or need matcrisl in an alternate format, ploaae contact the dcpartmt:nt at 608•IftS•3131 or 7'I'Y 608.11-8977• sro•rf>ot^.w~r t iJoT b PrvpertYOwna RISK 5~~_-- ~~((3_ Paroel ID A - PENOiN~_~_ Pape .$_ a~_ P-t5 e°nnQar U eorino _ i~qZ.O~- 2~ (jdti ~~ ~ Psl Ground curtace elev. --_-••-- M Depth to Ilmiting fstta _,._~'n. ~~~ R~t• Horizon Depth Domksanl Cdor RsdoK Deeuiptton Tealure Stn,cture Consistence t3aundary Roola GPOR! In. Munsek Qu. Sz. Coal. Cda Gr. Sz Sh. 'Etri-1 'Edict { Q a -- Std ZM9bK MJtt' ,S 0• L- IoYR~ --- sr,l 1rnsb1< i S 2 - 0, O"S 3 -2Z !O ~lrCtf G --' C~ ! ,~___ lJ -M . Z 3 ~ Z2 z4 vR ~ '' xl 1 h ~ .0 ,0 ~ o ~~ ^ 8orinq T~ ~t•07 {., ®Plt Ground surface elev. _,.,_,~._, ri. Deplh to IlmitlnQ factor _ . =,_.,~ ln. Horizon Depth Oornlnant Color Redox Oesatptlon Texture Stn,cture Conslslsnee Boundary Rook In. Munsek Qu. 5z. Cool. Color Gr. Sz, Sh. Shc kalion Rasa GPO/K 'ERpt 'ErtNY o "y oR1~ o ~~ ~-17 BO"nQ a ~ PII Ground aurtacs f1ev. _ '.___ h. Depth to umltin9 factor '-'' in. ~t.,pt(~ Shc tbn Rats Nonzon Depth Domlrwnt Cdar Redox Description Taxluro SUvclwa Consistanw Boundary Rools ~ .n Munsalf t]u. Sz. Cont. Color Gr. Si. Sh. 'ERr~i ~~ atD s+s-a ,~ t1o ~~ ' ElNuent a t a dOD~ > ]0 c 2Y0 mpR, and TSS >90 ~ 150 mpfl ' E>rusnl tYt • 800r ~ 90 mgrL and TSS . 30 mil 'flu Uepartmcnt oCCommcrce is an equal oppartunuy service provider and cmployor. If you need as:ristancc to access setwices or neeJ material in an alternate turmst, plcosc eonlict the department at G08.26G•S I S I or TTY 608.264-8777. ~~ , , ~ . ,~ aaualx tt.war ~o~sT R~ aroc Fs7~~ s ~ ~~ ~ ~ ~' ~ o~ ~ (.,pT' b (fig t3,ly,ts,f(.~t7 ~t$ x € ~ ~ g 8A1lsl -PdCP-P~D - H •IZ~ q,~VB G~u.po /1~c • ~c . i ti f%a~cz Pb~t' fz~ia, P.~'1W 8M#Z- 6PIKe f~ T~'~ -- - - - . 2~ Ca~outc t~NE`.~ i ,. ~c..G,rtou,+o C.sv~wE> r ~ .' ` ~ ~ 4 ~ ~ ~ ® SuKF~CE 1192.57 ' ~ ®8 + . 6aR.lrato c~~Q NC'Z i L1 tq _ ... _ ~ ®.8^~• ~ •~ pitSS • No sit ' _ ~ ~ _ •_ r 1 . ..~ ~ _~_J. - I 11 I ....^T Ir \I __ ~~ ~. _ ~...__ -r-^- ~ 1~ \ --3 ' ' \ i V .. ' ~ 1', ~.• ~~ I - a~ J - ~ , ,- ~, ,f ;,, ,. ,,' ,, ,, ,~ . cy,• r .' ~ P~ r ~ -~ ~ - . - ~ ~~ . n/, ' ~ ~ ~ ~ R7 131 .S.F. ~ ~ , ~ J ~_~ ~ ~ ~Ac , , - ,~ ~ , i .18 . ~ ~ ' ~ ~ j t ~ ~ ~ ~ "/ ~ / . ." ~ F - .' / .~ /J /~ "`, ~ - .~.\,: -