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HomeMy WebLinkAbout018-2001-07-000Wisconsin D~rtment of Commerce PRIVATE SEWAGE SYSTEM Safcwy 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)]. Permit Holder's Name: City Village X Township Bilderback, Nicholas Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~~~~ TANK INFORMATION loa b I~ I TYPE MANUFACTURER f ('~ n. S CAPACITY Septic , {~~,/' 7 ~ 2 s,~ Dosing C,DM a r / ~~ A ion ~e ~ ~~/~( SZ ~ - 7 / Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ S~ ryA il 3 v t I S Dosing ~ ~ N n ' 1 ~~ r ~~ r ~' Aeration Holding PUMP/SIPHON INFORMATION /~ Manufacturer / J ~~ S GPMand dv s Model Number ~~~~ ,~~ s,~ TDH Lift's 7~ Friction~Lo~s~? Systetn~ead 66 TDB,'+~ Ft Forcemain Length r Dia. r~ ~ ist. to Well D /A «'Y.3f 3 / SOIL ABSORPTION SYSTEM ~~ ELEVATION D TA 5-. Yd lDS.Sro STATION BS +b HI 16 FS ELEV. Benchmark fJ. ~2 'i 'O7 ~Z ~ ~ O,Qa Alt. BM •I c.~ 3 toss Bldg. Sewer ~ 4. 7 tl / ./J3 -I t~ '1 SUHt Inlet I D,Ob l q5. 7y St/Ht Outlet Dt Inlet Dt Bottom ~yl 2 6 91.,r-t~ Header/Man. 3, cob io Z . 3Z Dist. Pipe ~~ ldZ.3~{ Bot. System '~• 3f3 !a! • ~ Z Final Grade Z, ~ fo3.3 ~fe; 2.3f 1 ~ 3. o ~~ yi2 ~d0 GD BED/TRENCH DIMENSIONS Width ~ ~ Length ~ j~A No. Of J~nche /.L~ PIT DIMENSIONS ~_. No. Of Pit ~ Inside Dia. ~ Liquid Depth ~\ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer '~ INFORMATION CHA OR T e S tem: YP Ys OcJ TSO ~~ AA 11 J V ~ /~ /,[~- 'v'T UN T Model Number: DISTRIBUTION SYSTEM NeaderlManifold ~ tL~~ . J Z' S ` Distribution ~.' / Pipe(s) !' S S ~~ " Z2' ~ ' ~/ x Hole Size ~ ~ ( x Hole Spacing '7 z, ~ !~ Vent to Air Inta//ke Pv h /~ C ~~ M Dia Length Length Dia pacing ! SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only n~ ( Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded Urk xx ulched Bed/Trench Center ' r I Z Bed/Trench Edges \ Topsoil ` ~ Yes ~ No Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) ~ sp~ec'ti'on~#1: ~ ~ / 2~ / ~ Location: 944 193rd Street Hammond, WI 54015 (SE 1/4 NW 1/4 14 T28N R17W) F~ ofesjt.,,RidLgeLEstates Lot 7 1.) Alt BM Description = ~I I~ ~~~ ~~5 ~ 7 ~ 07"' ~ P ~~~ i i 2.) Bldg sewer length = 3b ` -amount of cover = ~ +~ Sr v ~~a~ l ~ ~°i~s o k County: St. CrDIX Sanitary Permit No: 514938 0 State Plan ID No: Parcel Tax No: 018-2001-07-000 SectionlTown/Range/Map No: 14.28.17.871 Inspection #2: ~ /~! /~ Parcel No: 14.28.17.871 v.~. ± Plan revision Required. ^ Yes ~o ~ ~j{ ~-'~ T I i ~y~jr/~i I~ 7 - - ---- - -_ _ - I -- - Use other side for additional information. L~ "Ili ~~~ ~~ _~ ~G" _ _ _~ ' i/~ r ~'' SBD-6710 (R.3/97) Date Insepctor's Si nature Cert. No. cpmtnervice.wi.gov Safety and Buildings Division County M ~ 201 W. Washington Ave., P.O. Box 71 2, _ ~ j ~~~ ~ j ~ Madison, 537 716 e filled in by Co.) Sanitary Permit Number (to b pelsartment of Cammeroe ~ ~ T g 3 C.~ Sanitary Permit Applicat State Transact io n Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental G Q ,,,5'~ p unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide ma secondary u ses in accordance with the Privac Law, s. 15.04(1)(m , Stat ~ ~~ ~, L A lication Inf rmation -Please Print A formats n Property Owner's Na e ' arcel 5 2008 p_ ~, Property Owner's ailing Ad ess ~ UNTY Property Location 1 (t ~S~! S1 ~ ST 3 CR~IX CO . . Govt. Lot City, State Zip Code ~ /,, /, Section ~ ~ ,ate p ~, p circle one Type of Building ( eck all that apply) ` pk I I . Lot # , . , ~ 1 ~ '7 Subdivision Name ~ LS] or 2 Family Dwelling -Number of Bedrooms / 4s,btw; old ~ Bloc r E-~- s ^ Public/Commercial -Describe Use ^ City of ^ State Owned -Describe Use ~ CSM Number ^ Village of 5 is /~ O~ mown of ~,~f/JY~iy~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ~lew System ~--. ^ Replacement System ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Petmit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner / IV. T e of POWTS S stemfCom onent/Device: Check all that a 1 v ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound > 24 in. of suitable soil (Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) ~ V. Dis ersallTreatmentArea Information: ~ Design Flow (gpd) f Design Soil Application RateJ~pdsf) Dispersal Area Required f~){~. Dispersal Area Propo (s ~ System Elevation , VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ~.' ~ ~ v v ,~ N T k ~ ew an s Existing Tanks ~ c „ ~ Y ~ ~ / G. S'~,5~ / a v v~ y v, w c7 a Septic eriadd+~-~+k 25+...~ ,~,~_ v Dosing Chamber ~.f~ V ll. Responsibility Statement- I, the undersigned, assume responsibility for installat n of the POWTS shown on the attached plans. Plurrl~gr's Name (Print) Plum ig MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zi Code) w V I II. Count /De art ent Use Onl ~ , / I~Approved rove ^,,F{ ~~app Perm it Fee Date sued Issuing nt Signa[ur /// ,,, ~~ ~~ ^ < j ~ $ ~ ~ ~~ )~CtietSi Reason for Denial tC~.~ + IX. Condit' easons for Disapproval } ~ t+~o~ ; r. ., /'? '~ dcJ~--- . 1. septic taniY,.eANiittt t~tar a1M dispersal ce8 must alt / (f~~ ~ ~ ~ ~ .. P ~,(~ ~'`~G P ~ii=. ..finK/~- as per management plan provided by plumber. 2 Ail ae'tbackrequiremertts trtust,be maintained r Attach tocomplete plans for the system and submit to the County only on paper not less than S tt2 x t I inches in size SBD-6398 (R. 01/07) Valid thru 01/09 ~ J• ~ Ol ~ DO d ~ ~ ^~ 0., @~ ~!' q ~ ,"~ O O O [~ O ~ ~~ ~ ~ N Q N .y ~ ~~U ~ ~/ ~ ~ `o ~ ~ ~ ~ ~ ~ ~ ~-i y QO ~" ~ r ri{ ~ W ~ ~ a ~ Q ~` -~ ~~H ~ '~ et ~ ~o v ' ;1 ~ ~ -~ ~ ~ ~ t~ ~ f~ ~ d ~ m o . o .,~+ ~ U° vs -~ J w o o ~ ~~ z1 0 ~° y~~ ~~ 3 0 ~zw~ ~~~ ~ ~. ~. ~ p v3 ~ a y~ h w a~ ~, r, z x a, ~, ~, c, 0 ~ ~ q. " U _ ~ ? o- V ~ ~ ~ h ~ d ~ ~ ~ N ~~ ` ~U C1 N~ ~ ti ~ O O p.,Uq 'ti [L, c`'i ti ? ~ ~ ~~ ~ ~ 2 w ~ ~ ~ a. ~~ o ~a o o ~-: ~ ~ ~ ~4 q ~ ~~4~, ~ o ~ r a 0 o oQ, ~.., V d r/1 ~ w ~.. ~ .•~ a O ~ ~ g ~ ~ $ a g C~1Ct~ PlE"' a , ~ ~ A ~ ~ o ~ ~ d ~, ',• 00 m ~ `~ ~ ao M 00 °` "" ~ 0. ~ °` °o 0 ~ o ° ~ ~ a ? ~ o p., o- ,, 4 w ~ .`: ~~~ ~ ~ ~ ti ~ -~ z .~ y a.~ H~ o o ~ ~ ~ ~ ~ ~ ~ ~ + U ' O ~ 4 ~ ~0 J '2 ~ d ~'~~~o ~ , o~~ ~ La! 3 ~ q ~zw°~ ~ ~ ~ - , Q ~ G~ m ~ ~ y~h N ~ ~ 'n po O d' G ~ ~ ~ O ~ ~ ~ ~. ~ ti y ~ ~ ~ ~ W U_ ~ "~ ,~ ry a. ° o a . C9 N ~O h O y +~y N"~ a` o °~ . Ciq a ~w o"i ti ~ k ~ , ho ~ tr h ~ ~ v a~ ~~ ~~ o fY1 "~- ~ o h o 0 a 0 a '~O a a w at p„ V 2 V3 ~ L ~ . ~ a O ~ ~ _ ~ ~ $ a g ~ ~ . o F ~ w V ~ A ~ ~ ~ '1 ~ d 0 t .~ ~ry commerce.wi.gov i ^ ~scons~n Department of Commerce Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary July 22, 2008 CUST ID No. 221180 DAVID B FOGERTY FOGERTY PLUMBING & PERK TESTING INC 2473 ROLLING GREEN RD SPOONER WI 54801 ATTN: POWTSInspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/22/2010 SITE: Nick Bilderback 944 193RD Street Town of Hammond St Croix County SEl/4, NW1/4, 514, T28N, R17W Lot: 7, Subdivision: Forest Ridge Estates Safety and Buildings 3824 N CREEKSIDE LA HOLMEN WI 54636 TDD #; (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Identification Numbers Transaction ID No. 1571886 Site ID No. 740277 Please refer to both identification numbers,. above, irrall corres ondence with the a enc . FOR: Description: Mound /Four Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1192547 Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grad;; System: Mound Component Manual- Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual- Version 2.0, SBD-10706-P (N.O1/01); Biofilter The submittal described above has been reviewed for conformance with applicable WisconsinAdministrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, COTl1 stats. ~~ The following conditions shaIl be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE COF component manuals listed above. • Comm 81.01(30), Wis. Adm. Code, defines a bench mark as: "A permanently established point, the elevation of which is known, which serves as a vertical reference point, and which may also serve as a horizontal reference point." The bench mark as located is in an area that will be dsturbed during the construction of the component. A new bench mark is needed that is-located outside of the disturbance area and still accessible for the construction of the system • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area, chs. NR 811 & 812c •r DAVID B FOGERTY Page 2 7122!2008 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the. component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to requite changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation, or maintenance of the POWTS. Sincerelya, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. ~~~~ 11~~ /U~ 1 /LSO MOUND AND PRESSURE DISTRfBUTtON COMPONENT~I~N 7 Zp~B Residential Application INDEX AND TITLE PAGE 8U/~~/ ~~s Project Name: Nick Biiderback Mound System Owner's Name: Nick Bilderback Owner's Address: P.O. Box 688 Legal Description: Township: County: Menomonee WI 54751 715-505-8191 SE1/4-NW1/4 Sec.14 T28N-R17W Hammond St. Croix Subdivision Name: Forest Ridge Estates Lot Number: 7 Block Number: NA Parcel I.D. Number: 018-2001-07-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan 'al?Qj~ Page 7 Pump curve and specifications ~~~ Page 8 Plot Pian ~ OONI I f ~ :SF'ONDEN Designer: Dave Fogerty License Number: MPRS# 221180 Date: 07/10/08 Phone Number: 715-468-7000 Signature: ~ r Desig ed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (R or C) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow {gpd} 5.00 Site Slope (°t°) 100.00 Contour Line Elevation (ft} 78.00 Depth to Limiting Factor (in} 0.40 In-situ Soil Application Rate (gpd/ft~) Distribution Celt Information 120.00 Dispersal Cell Length Along Cor>tiour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/flz) 1 Influent Wastewater Quality (1 or 2) Pressure Disriibution IM~rratiorr (C or E) C Center of End Manifold 2.50 Lateral Spacing (ft) 4 Number of Laterals ...0.125 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 2.00 Fonoemain Diameter (in) 20.00 Fon~emain Length (ft) 93 00 Pump Tank Elevation (ft) 65r ~ 6.50 System Head (ft) x 1.3 .r-~-, 8.67 Vertical LiFt (ft) 0 ~ 3 0.65 Fridian Loss (ft) 0.00 In-line t=itber Loss (ft) 15.81 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o "ors choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Traatiment Tank h~rn~at~ion 1250.00 Se "c Tank Capacity (gat} Wieser Concrete Manufacturer Nome: Sand fi~ (D) moons assume a Table83-443 soil Ureamrtaxrt for fecal colifiortn of <= 36 ind~es. 5.0o Cell width (ft) Are the M~Iterats the highest "nt in the d'IStritwtiion Y network? Enter Y or N If N above, enfier the elevation ft of the highest pant 6.25 ftZJorifice Does the fon~nlain drain bads? Cif-~ Enter Y or N 3.26 Foroerttait Drainbadc (gaQ 108.67 5x Void Volume {gal) 911.93 Minimum Dose Volume (gal) 39.54 System Demand (gpm} Manifold Diarrreler Selection in. dia. s choice 1.25 x 1.50 x x 2.00 x 3.00 Gallorrs/lnch Calculator (optional) Total Tank Capacity (gal) Total Working Lquid Depth (in) gain {enter result in cell B49) Dose Tank Information Effluent Filta:r IMortnation 750.36 Dose Tank Capacity (gal} Pot I-~Lotc F'~tter Manufacturer 37.00 Dose Tank Volume {gain) PL,525 Filter Model Number Wieser Concrete Manufacturer Project Nick Bilderbaclc Mound System ~9e 2 of $ Mound P{an and Cross Section Views i- ' 1110 B .. _ . • ....: , . ~ ~ •ObaervaUoa Pipe - Q • . - . - - ;; ~,. r *a =i r r;r, ~ ~ ~' i:r.r.}.r::.~'.r:.•-r.,~: o.r.r. •r^r. •r •'~'~' '`° ~C"' '~` '`. r ' '~",: "• ~ `''• • r~r" r' "~• ~~"r• ~:' :• r• ''. ?. . rti +. . v~r,•'r.r;•r:r:r:,r:r: * s~r;, •r%r r~"r:r; •:r:r; r~r: mod; s% ; r~r: r~r•. - B .. - - - - - 1"•. _. L-#. - --~ - - A 5.00 ft B 120.00 ft D 18.00 in J ~~ A I i L Mound Component Dimensions E 21.00 in F 9.50 in G 0.50 ft N 1.00 ft I 10.74 ft J 7.28 ft K 10.25 ft L 140.50 ft W 23.02 ft 600.00 (ft) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rafe 1888.24 (R~j Basal Area Available 12.00 (ft)1/10 B E1tss. Pipe Placerrtent Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.29 (ft) -2 H F l ~ , 02.00 (R) Lafieral 101.50 (ft)--- _ Invert DispersalCelf ~"•"~" ~•=E' - - ~ '~~~'~-~:;' .,t Elevation " D' =~==='~=~'===:-• w Shading Key 0 _ Topsoil Cap © ,,,,, suf~f Cap • ~ • ASTM C33 Sand Tige d L ayer ~ py ~ r''`'•'"' ~' "~~ 5.0 96 Site Slope ~ ~ . a 1.5 ft c e o :: 0.5 ft ~ o (ft) Contour Elevation GeotexfJile Fabric Cover See lateral detaas on Page 4 for number, size, and spacing of laterals. laterals are equally spaced firorn the dishibulion odl's Oerlterl~Kle In the dl5ditlllllOn Cell {Ax6)- Project: Nick Bildertaack Mound System Page 3 of 8 ,~ . Center Connection Lateral Layout Diagram Ftxce main oaneetion via tre ar cross to maifdd aR an! Point. ~= Turn-upyfbsllYSMear ~- aleHnaetpiug Holes Arced on Urr baleorn of the WteaL s ,~ Number of Lafierals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flaw Rate System Flow Rabe Total Dynamic Head 4 Orifice Diameter 1.50 in Orifice Spaung (X) 59.22 ft Orifices per L_alteral 2.50 ft Orifice Density 9.89 gpm Manifold Length 39.54 gpm Manifold Diameter 15.89 ft For~cemain Velocity ~~~~ LaReais ~ faros main of P'YC Soh ~0 per COFA~A Ta61e>0430~b Dose Tank Information Elecfirical as per NEC 300 and --- Comm 1628 WAC TaMt component is properly vented Wieser Concrete Ca 750.36 Volume 37.00 Manufacturer Gaibns ga~nch ~- A B C O Dimension inches Gaibns A 11.25 416.43 B 2.00 74.00 C 3.03 111.93 D 4.00 148.00 Tota! 20.28 750.36 3" Alarm Manuafacturer S.J. E. Rhomtws Alarm Model Number Tank Alert _ r Pump Manufachlrer Goulds Pump Must Deliver 39.54 gpm at 75.81 ft TDH Pump Model Number EP05 t.ocicirtg with vrarrting label and lodcinrlg device and sealed ant 4 in. min. E- Alterr~aAe otAlat lor~don Forosrnain diameter 2 in. weep hole or artti- siplton device aRF elevation (ft) 93.33 elevaUOn (ft) 93.00 Project: Nick Biklerbadc Mound System Page 4 of 8 . Mound Sysibem Maintenance and Operation Specifications Service Provider's Name Tri-Courriy Sanitation ~ Phone 715-386-0014 POWTS Regulator's Name SL Cn~ix County Zon~ Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft~ Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other to and/or service once 3 rs Should in and dean at least once 3 rs Test once eve 3 rs Should test Laterals should be flushed and nr tested eve 1.5 rs Ins for arxi a once 3 rs Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(ij, Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 6-8" Diam Cleanout Sprinkler 1 Valve Distnbui~ Lateral Finished ..~~~~........ ............... Grade ~( . eter Lawn ~ ' " Threaded Valve Box .. - Plug or Bad Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Nick Bilderback Mound System Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shalt be operated in accoMance with Comm 82-84 Wis. Adm. Code, and shall maintained in akx;ordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure D~tribution Component Manual Ver. 2.0 SBD 10706-P {N. 01!01)] and local or state rules pertaining to system maintenance and maintenance reporting. Na one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shalt be in accorciance with Comm 83.33, Wis. Adm. Code when the tanks are no {onnrer used as POWTS components. Septic or pump tank manhole risers, access risers and covers shouk! 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, Stets. 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 tie leaned 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 slows or an irpending continuous alarm. The septic tank shaft 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 triennia{ assessment, maintenance personnel shah 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 performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. 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 arxf Pnassure DistrlbuRion 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 mgtL BODS, 150 mg/L TSS, and 30 rg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/l_ TSS, 10 mg/L FOG, and 10° cfu/100 mL for Nighty treated effluent, Influent tlavv may not exceed maximum design flag 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 akxumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial #est when the system was installed to determine if orifice Dogging has occurred and if orifice Leaning is required to maintain equal distribution within the dispersal cell. Observatan pipes within the dispersal ceN 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, mare frequent monitoring. Gorrtins~encv Plan If the septic tank or any of its canponents 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 detective 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, ft wilt be repaired or replaced in its' present location by increasing basal area rt toe leakage occurs or by removing biotogicailE+ k~ogged 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 ~ 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 pretreatrrrent devices such as aerobic treatment un~s or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 ' ,, ~~ GOULDS PUMPS .~ :.' .~; Page 7 of 8 Submersible Effluent Pump 3Q-]~ EP04 v ~ EP05 ~~ r r APPLICATIONS Specifically designed for the following uses: • Effluent systems • Horner • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '14"maximum. • Capacities; up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'Is" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104`T (40`C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase; 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power Cord: 10 foot standard length, 16/3 SJTOW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05j. • Fully submerged in high grade turbine oil for lubrication and efficient heat vansfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design v~ith pump out vanes for mechanical seal protection, METERS ~~G' 10 9 a °a ~ W z u fi s 0 a 4 0 r 3 2 0 ^ EP05 Impeller: Therrnoplas- [icenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant, ^ Bearings: Upper and lower heavy duty ball bearing conswction, AGENCY LISTING ~' Canadian Standards Association (CSA listed model numbers end In "C" or "F".) Goilds Pumps is ISO 9001 ReysLeled. Goulds Pumps cc~ 2001 Goulds Pumps Effective May, 2001 83871 ITT Industries 0 2 4 6 8 10 12 m3/h CAPACITY . ti ~ ~ ~ ~ Wisconsin Department of Commerce VALUATION REPORT Page ( of Division of Safety and Buildings in accordance 'Zp,GenTffi"'~i, Wis. Adrn. Code County ~,~ 6 ,attach complete site plan on paper not less than 8 12 x 11 inches in size. Plan must include, but not limited to: veRical and horizontal reference point (BM), direction and Parcel LD r),~~~ ~~/~~~1 p percent slope, state or dimensions, north arrow, and location eared road. d ~ '~ ~~'t~ ° d ~/ Ploase print all toi~,~~~vE'D R owed Date~j ~tG personal in(ormaUUnryuu provide may be used ra s ary purposes (Prwacy Ww, a t5 (.1) (n,)) l~/~ w „ ~7 Ov Property Owner ~ JUN Pro erty LocaOon A ~`', / (~ ~G ~; \~`Q~~~L Govt Lot ~~ 1/4lvV~' 1/4 S / / T v2~ N R ~~ ~ W Propert wner's ailing Address\ ~ ST. L Block Il Subd. Narne or~SMq ,.~~~ ~D~ ~ ZONING OFFICE ~~e5 ~ ~ ..~5 - • State Zip Code Phone Number ^ City Q Village Town Ne rest Road NY !93's~ !slew Cons!ruction Use: Residential / Number of bedrooms Y Code derived desig~flo~rate U ~U GPD [] Replacement QPublic orrto`nmercial -Describe: ~-- Parent material ~-C. L ~~ Flood Plarn elevation it a~p/plicable ,,Q~, ~;"~~ Genera{ comments /~ /~ ! ~ ~~ G`. ~~` ~ ` y.,,,.~ p a,~ C~~ '1 ~O ~~~/°~~ "`"- an recorn endations: 1/~~,Q,L`O ~1 /~Y!-e /•V~ S J GJ v(/ od~~ C~ U ro ~S~- S ~L,L l'~1-~ ('~ Boring / I .' I Boring a v,r Ground surface elev. V[~-D-tt. Oeplh to limiting (actor /~ in• Soil Application Rate t T Structure Consistence Boundary Roots P D Horizon ~ 3 ~ ~ Depth in. p- ~ 13a ~3 Uomirunt Color Munsell /~y y (~ ~5`fR sal 5`~~Z Redoz Description Du. Sz. Cont. Color ar1~ ~z-~ ~5 s7 * 7 ~ z ~5'`~~ ~~.f ~ ure ex o0. s 5 s~ Gr. Sz. Sh. ~s ~. s~ Ic ~ I ~ srS rw~-~'~ ~ ~,~ _ ~~- c s 5 ~c 2 L ~ lc ~Eff#1 d- G- o~ Y` o- z- ~ff#2 o-~ D•'~ n~ 0-3 +--' 0 Gtir:ny '~ Boriny i/ ~~~ °2 ` ~ p;t Ground surface elev. u, Uepth to timltiny factor °2 in. . (~Ojt pwpligtion Rate l C tion Redox Oescri Texture Structure Consistence Boundary Roots ~ GP D/ftr ~iotizon Oepth or o Oominanl p 'Effitl 'Effii2 ' in. U_ Munsell p~ ~ Du. Sz. Cont. Color pyJ'E iJ~ Gr. Sz. Sh. ~~5 ~^ t/n't``/` L. ~7 I ~ ~Ir C~'.~r/ Ub Z g-/5~ ~5"`~1ZY3 5 f~•~r Z~~' c~ `/ d•~ 3 /sz . 75~/Z `~ ~ rms rr..~'~- z-I^!c p.6 ~ a ~ ~a 7572 57 C 2~~5'~2 ~ r ~j S J c s r,,..~r- 5 ! ~- o- y Q.7 W ~~ ro • Effluent iu 1 = BOD > 30 < 2'r0 my/L and T SS >:SU ~ 15U r~r9rL ~'"~~~" "= ' "•,,•e = •••• • y" "• "' • `_ _ -- •..' - CST Name (Please Prinl)Wil{fl8iU4 ~/ ~ ad' ~ D ~~ ft. Addres.. W 3503 Hemlock Rd~ t~~11e [vnlu~lion Corxlu:aed e ep one urn Mondovi, W{ 54755 ~ ~ o2Q o ~ ~3 Z- Oa z o 5: S~. ti ~y7 ' t' Q _1 l_ \UUP,~ , ~ L ~ tJ t.,C;h~-1~ U GAL. `~ Parcel ID # ~ ,,, 1 Page /~ of ~.- Property Owner N ` 3 Boring / n Boring # Ground surface elev.l ~' - / n• Depth to limiting tador a ~ in• Pit '• Soil licalion Rate r t S Consistence Boundary Roots GPD/~ Horizon ~ Deplh in. o,- -2 o Dominant Color Munsell /07~ 3/Z raYl~ Redox Description Du. Sz. Conl. Color ~ E Texture oo` r,.` s is e truc u Gr. Sz. Sh. 1 ~~ n,-Ls~ ,M-~ ~f ~~'~ c 5 3~~c ~ ~~ .E~ v- ~~ d -tS ~( Eff#2 a-6 o~ ~ 3 f -Z y~ /Dr~2 ~ to ~i2 ~ c(~' 2S`%~2 ~t~/ ~ z ~sf i' ~~/ s 1 c5~ rrr~~,J ~,-..~ 5 ~ z-~fc. o- d.-~ o- a-~ mooring Boring # Q~ - Ground surface elev. / ft. Depth to limiting fador ~ in. Pit Soil IicaGon Rate Horizon Depth in. Oominanl Color Munsell Redox Description Qu. Sz, Cont. Color Texture Strudure Gr. Sz. Sh. Consistence Boundary Roots .E~GP DIffEff#2 z p-~ ~-~~ pf-ly~ y z ~~n ~ a ,^~ ~ S cD v s3 5'~~25 ~ ~5 / 5 ~ ~~ ,~ a Lf Boring Boring # Ground surface elev. ft. Depth to limiting fador in• Pil Soil lication Rate Horizon Depth in. Dominant Color Munsell Redox DesaipGon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 P D/fPEff#2 ' Effluent #1 = BOD, > 30 _< 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = 800, <_ 30 mg/L and. TSS _< 30 mg/L The Ucpurunent of Conuncrcc is an equal oppurtunity service pnwidcr and employer. II'yuu need assistance to access services ur need material in an alternate format, please contact the dcprrtmcnt al G08-2G6-31 S I or TTY GU8-2G4-8777. sao-u~o tROVOOI S r~2..._s.* . , Property Owner/ " ~ L ~ ~ ~~~`~~`~ ~~ Parce! 10 # ~ • %~ Page ~ of Z-- f- ti 1 rl eorina ~-, U ouni iy ~ ~ pit Ground surface elev. ~~~' ~ ~ n. Depth to limiting fador oC ~ in. Soil lication Rale T t Structure Consistence Boundary Roots GPD/iP Horizon ~ 3 Oepth in. o-- -z o -Z Dominant Color Munsell /off 3/z f aYl2 /DYE ~ Redox Oesaiplion du. Sz. Cont. Color ~ E e,_t~' ~s ~~ ~ ~a/ ure ex oo.w. s is s Gr. Sz. Sh. 1 ~~ ~ ss 1 c~ ,M-t.~.~ r~~', ~-.-~J c S 5 3~~c ,z ~(~ z~~ 'Eff#1 v- ~~ 4.6 a- ~( 'Eff#2 0~6 0~ o-~ N ~oring Boring # ^ pit Ground surface elev. /~ - R. Depth to limiting fador °2 ~ in. Soil lication Rale Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'EH#1 D/fP 'Eff#2 l o-~ o`~j2y z ~,~~ s z ~-z~ nyn ~ c~ 5`3 5`~r15 c ~5 / 5 ~ `` ~ t' U t3oring Boring # Ground surface elev. ft. Oepth to limiting fador in. ^ Pit Soil lication Rate r ct St Consistence Boundary Roots P /fF Horizon Oepth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture ru u e Gr. Sz. Sh. •Eff#1 'Eff#2 'Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< t 50 mg/L ' Effluent #2 = BOD, <_ 30 mg/L and• TSS _< 30 mg/L The Dcparuncnt of Cununeroc is cur uyuul opportunity service pnrvidcr and employer. II'yuu need assistance to access scrvrces or need rnatcrial in an alternate format, please contact the department at G08-2G6-3151 or TTY GU8-264-8777. sao-wo txu~roo- ,. ~ ~ .,, ~.. ,s ;,, , ,, . ~{ r • ~ • r ~~~~ 03;~~.rb~.~ ~,~ ~~k d~ J'Yrv12n o ton t ~- cls `J `~75 ~ ~~~s~ ~~- 8 ~ ~ a ro z~~ 3a' L 6~'1 W111 Heide Soil Testing Service W 3503 Hemlock Rd. 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Certified Survey Map # ~ ,Volume ,Page # Warranty Deed # f'~ ~r,~- ,Volume ,Page # Spec house y no Lot lines ide~ifiable~ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its dme f~ulmre to hale wastes. Proper maintenance consists of pumping out the septic tank every three years or soornex, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage m the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and. m { 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit tb St. Croix County Planning & Zoning Department a cetification form, signed by the owner and by a master plumber, journeyman plumber, resiricted 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 ne'Y), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above r and agree to maintain tln; private sewage disposal system with the standards set Earth, hereiq as set by the D~azfm~t of Commerce a~ the Department of Platural Resources, State of Wisconsin. Certification stating tha# your septic system has bees maintained must be completed and returned >n 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 tore to the best of my/our knowledge. Uwe amlaze the owner(s) of the property descnbed above, by virtu/e~of a warranty deed recorded in Register of Deeds Office. Number of bedrooms % SEPTIC ^nA FILTER ALARM NO YES SIGNAL OF APPLICANT(S) I~ DATE _ ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Deparfinertt. *** Include with this application a recorded warranty deed from the Register of Deeds Of~'ice and a copy of the certified survey map if reference is made in the warranty deed. {REV. 08/05) Sl'ATI/ BAR OF WISCONSIN FORM 1 - 2000 WARRANTY DEED Document Number This Deed, made between Jason A. Heutmaker and Tammy L. Heutmaker, husband and wife, Grantor, andNicholas W. Bilderback, a single person, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): Lot Seven (7), FOREST RIDGE ESTATES, TOWN OF HAIyflVlOND, St. Croix County, Wisconsin. 825055 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CRQIX CO. , WI RECEIVED FOR REGARD 05/11/2006 11:30AM MARRAHTY DEED EXE)Wl (; REC FEE: 11.00 TRANS FEE: 189.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address Nicholas W. Bilderback E5757 - 833rd Avenue Colfax, WI 5Q730 ole-2ooi-o7-o00 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and roadways of record. Dated this ~ day of QL 2006 . * * AUTHENTICATION Signature(s) authenticated this day of , ..., a ._.. o,. rn A` 2 y to me known to ~~te persoe~ ~ s ~_ who executed e f regoin ;~~d ac(gtZSwlettgied the same. Michael H . Forecki , Attorney Notary Public, State i~~~ ccld ~ r~`~~ Eau Claire, Wisconsin My Commi~lon i~~~~tt not, state (Signatures may be authenticated or acknowledged. Both are not necessary.) ~~ 'Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY t~ Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste I, Eau Claire WI 54701-7428 Phone:(715)835-3029 Fax: (715)835-4112 Michael H. Forecki Bilderback, Ni Produced with ZipFormTM b)' RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 46035, (800) 383-9805 www.ziofonn.com 1of1 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. I ) ~C K,~ County. ) P r onally came before me this ~ day of ~Rc~_ ,~i~t'!~t~~t!~n20o6 the above named i ,2 I I / / ~, ate' p ~ ~ / ~~~~~ NIA / ~~a~ ~~~ ~~~ ~~` I I ~ 1 / ~, ~ / / ~ ,4_988 ~ I ~ ~ I I Z I ~, ~ ~ / -~ ~ I~; N~ r I to ~o r ~ O I ~N p ~ ~~ p / / o ~ ~ .~ / ~ ~ `LJ C7. ~ I N ~ Tl W ~ / ~ , 1 ~ I I W / /~ • / /.v ~ ~ _- - - --__ ~ o ~ ~ '- ~ ` ~ n i -~ ~. --~ ~ / ~ _ _ ~ ~ \ `~ y / ~ ~_ _~ \ \ O \ ~ \ / ~ ' _ ~ ~ ~ ~ ~ ~' r-- ~ ~ W -~ --~ ~ X69 ~ / / / I I~ ~°z~ ~ ~ \ s x•99. I I~ ~'z° `~ ~~ ti 8A9o ~~ ~ r to ~\ ~ 49, 0 ~\ ,3 ~ a, ~ p ~ o ~~ ~ ~ I ~ ~ \ 004 ~~0 ~ ~~s ~ ~ ~ ~ ~J D ~I I ~ ~ o I N \ \ ~ I I ~~ ~~ ,ZL'08l ,L8 L I ~ \ ~ I ~ ~--- 1 I I oo ~ I --~ ~ ~ o o iti IN 1 ' ~'~ to I~ '~ I IZ I D N ~ ~ r ~° oteEs-r w~F ~szrct ~s ( oT'l -~ .~ _ p ,y ' ~ , ,~ t ~. `~ o~ - ,-~.~~a, - ~ -,. ` ,, ~. ~ $ , ~ `- ~~ _'~ ; Vic. ~y _~-.., r~,~, R,~~ p.EV1.3~a : b~-IE~-(~ ,k~~o . 10- ~ 7 -r,Z ,, 6 ` ~~ ° -' j - O ~~. ~, ~ = T~6~'L ~!~ t . ~ ~, ~~ acv. , , ~~ , ~ ~ :; i ~~ , ~~ s ~c ' A ~! ,' ~ ~ ~~. TJ~./ ` , , ~ V ~ ~' ~~ ~ El.~t~0.~'t ~i 4 - ~ ' ` i ~ ~ 0 < '~ -~ ~ ~ .~ . ~ < t0 - ~ 0~4 2 2~ ^ -- - ,, ,. ~ .~ ~ .~c 345, .' . . .~ ,' j . - , ~ ~ , , ~5o4z~ B N X ,- , .. . ,~ ' N . B . 3 . ~-~ ~ I ~~ ~. ~ 1 ~''M ~ ~ ~ 1 • i N ~ - 89053 1 -.' -.' ~ ~ , ,_______ .' _ - X ~ - ,. ,~~ ,- ~- ~ . ,~ ~, - . ,~ ,~ t . } +. ~ ~ a ~~ ~, ~,,,b,,,,,tol ~,,,,,~„~ SOIL EVALUATION REPORT n-,~.r.,....r e.t.t`r trd l3ulidhos P e _ „~_.. of - In aooo+gsna wttn comet ea, nns. nom, t.ooe Plan mu:t t 1 I h etze t) 1/2 m l Co~s+b ST, CAA ~ X . x r a an Aftadr cnrnpletr aka plan on paper not lees f Mtrlude, b+A trot Ynited to: wrUcal and borizorrW rahtrnce poktt (8M}, dlroCtlon and PaiCN 1.0. OI ~ ~ ~ perCenl elope, scale a dtmendau, path rrrow, and lorrllon and dlsbnoe to mares! toed. 6 ,QV Aleate aNnt all lnfa'rrtadon. 'fie Data P~nenat tntenn.eon you gevfdrr mey M u~~d la uooneary purewa (iAveey law, ~. Ia.pr ! ~) tm11• Z ~~~er ropeRytocrYpn .Oo-4.LaF ~ 1!4/~yu 114 S J y T ~, N R 17 E~';iQf~'W propefty Ownrts MaNhp Addrow Lol tY t3todr t7 t3ubd. tJarne a w -p ~ ~ ~ s t o,o sT ' o IZES ~ ~~ ~ Rr~ fate Clty Vlltspe Town Nearoet Dad 'R~~1 FALtS Y o u. t 5 -4$0 Z e,T. E ~' New Consnar~{an tJae: Ifr~Resldentlal ! Mxnba of bedrooms __,~___ Cock derived dealgn lfow rota ,_.__,_,~sr~_ _t ~,.._._. GPD ~ __~~ ~~ - ^ flaptaoamont D Put,Gc a corrxnendal • peaalbe: _ ~. ~~ S1-t flood Gt.in ete~atton If appt)nbb N.A . ,, ......_,--._.. n. "CI ~ __,_._~~ ~ .. Psrarttrrutvrlal and racnrr-rt-endaUor-r. /V10UJJD S~iSta/t~ 1.'?/ 3ltNS~ t=-L~ ! ~(~ ~ /v~-~ ' 0 4 t~~ OIrltJrs ~.~ !~' ~ `, ~ ~ ~,1 ~ - Q eor++n9 oZ ~f . i rl ~ ~~ ~.~;~-oxJ P ,~ i ~ ~/ X ~~ ~ a ~.~ Ptt Ground tntrflGe elev. R. ~ to Uml~ fader 1n. _ ___ bn Rate ~~ p~pr D«nlna^t Redoz Dacrlptlon Texture Swdure Canaletence Boundary Roots 'ENNt •Ettp2 In. Mansell tie. 3t:. Cont. Cobr Gr. Sz: 3h. Z, (Z.I, __ L.1 8orirq 8odn0 >r ^ p!t Grour+cr aurtece e-ev. ,_,,, A. Depth Io Ilmltlnfl fads `.,+.,,..,._ M. Wcxizon DePB+ Domk+snt Color Redoer Deeafptla+ Texturo 5tn-ctaro Canslstsncs Boundary {loots In. Mucteet Qu. St Cont. Cda tar. S:. Sn. Solt cellar Rats GPD1M •EffMt •EtMr2 I .....~ ..nw ~ p ert .....~ • Efa uent it2 a BD D. ~ 3Q rl101t I . end TSS <_ 30 rrpll. _ _ ' ~tnuern ri ~ ova -,,.,: - - -- r Slpnaturr (Please t'-u'-h /1 /) ~ s . , c,~9875 ~gpa-,a~E.~ RIL E~ 'FAU-S WT 5yo2z n3-d7-4 Z- C.~~ 7--p~ Ntrnber phone t•Nmbar i ~~t~~~~ f~operty Owrux MAtt~ sV ~-~-A' ~ . _ ~-`^~ Q t3orfnq I !~_q~ eodno r_ aaroel 1o a ~.~.~-NDIN~._.._ f~a0. ,. ~ of ~ -- L~J (jp'~ 1 ~ ~ YsJ Ptt vra~no a~~u ~n v _ __.......... n. wom w nr.re~q i.cro, ..._. ~„r ~^ $Oit (iutgn fiele Halton OeDth Oominonl Color Redoa peeviptlun Texture Structure ConNstsnze Bou lt0ob ~~f in, M Ou. 5t. COnI. Color Gr. St. Sn 'Fart 'HM2 ~y r . ~ •~ ~~ ~~ ~ (~.0'i 7 ~ ~ Bortnq Grovna surlecs elev. ~ ~~_~ ~ Dot h. Depth to (1m11inp recta _.,~~_, h. Sdf kellon Rete h D D minant Cd Redax Oescrlptlon Texhxe Suucture Consistence BounOery Roots GaOnf Horizon ept h. o Mvnseu 4u. St. Cont. Cobr Gr Si. Sh - •Ert+rt •ERr2 1 0-b IoKR"/z "" ~ z•~-rn cs -co b 2 -10 - ~a. SI d. 3 0-t5 v •~ -' is •f o• r ~_ f S/~ i~V~4~.. S t~~ 1~2 Z w-5 ~ HaRt, E FY,~ ty (J Boring IO~bZ ,'•• ~ ~ t ~7 \ ~ Ptt Ground turfau elev. _~~• _~ H Depth to Omltlnq teCa ~ S . f^• Shc A fGatlon Rate Horizon OepC+ paNnant Gda Redox besvlpGon Texture SWCture Gonslslsnce 8ound>lry Root, GPOlf! rn. MunseO Ou. Sz. Goat. Go1pr Gr. SL Sh. •ERxt 'Fria? ~ p- p t;VRLZ s 0,5 ,9 2 fD-IS q 3/ SI Z~ z.r~-oe O,S 3 1s•2o fo ~ o f atilt rn -' -M 0 .b • Elllvenl r 1 + 800 - 30 ~ 2?0 mprL rnd TSS >30 < 150 mp/l. ' Effluent r! * BOD, S 30 mpll end TSS ~ ]0 myL 'Phe tJepeRrncnt of Commerce is en cqut<) opportunity st:rvicc provider rnd employer. I! ynu need a;sislancc to teeess smiccs or nccJ mntcriel in sn ehornate formst, please conuct the dcp~rtrncm tl 608•ZG6•)1S1 or 7"T'Y ti08•Ifrt-8777 0151~</te1x~-'pll 11 ll / v S acv -~ ~~ ~,~- I I ~ y ~ ~~,,,,, C~v~-r ~ ~`"S ~ ~ °`~~ PropeAy ~n~L' •~~R .. ~ Jam"' t ~) Patoal tD p ~ i)t~~~ Page ot..,~ Prz ea~g~+ 0 sonno ~~ ~~~u l"~ ~~~ f° u ~lAt 7 Ptt Ground aorta r h. r^' Dapth to Iimll g facYOr ,,.,3~.,_~ in ~1 ~~ ~a Horizon Depth Dominant Color Radox Osaaiptton Texture 5tructuro Conalslence Boundary Roota GPDIR In. Munaea Qu. Sz. Cont. Coto Gr. Sz. Sh, 'ERkt •ERfCt J n-9 0 +c z - L 2. f s t v at,s .~tvf-co 0 0. z -I R ~ '" +1 was I Cs of • 0.5 0, 2 3 S 4p2 • W I~ ~^~ ~ O 9orinq (LOT ~. ~ Pit Ground aurfeoe elev. _,_'' ft. Oepth to llmillrtg lector _ -,~,,,_-_ In. Soil Icatlon Rate Haizan Oepth Oominent Cdor Redoz Oeacript-on Tezhxe Structure Constetence Boundary Roots In. Munseli Du. Sz. Conl. Cdor Gr. S:. Sh. 'Elgl2 I yP.2IL `-- L L 5 1 0.S 0.V Z• 5aa :/,t - ~ ~ o.S o 3 r0-f!o ~" 5~1 2 - ~ Z - 0,5 tt.-zt~ ~ 511 .rn zv;- o,s -L ~ 3 ~ ~C1 Y K t "" o,z u,3 b O a 1•W-5 JR o b 0 P•~ ~~~ x ~ ~o',ng - C~4 ` ~ Plt Ground curtace elev. _ J Horizon Depth Dominant Cdor Redoz 0 ion in. Muruell Qu. t. Cola Depth to Ilmitktg !actor ~ in Son A tbn Fbts Texture cture Conslatence Boundary Roots GP lflr Gr. 'EftNt 'Ert1f2 ~ -1tJ L - 11 o..b 0,5 O.Y 0- ~ t ~- 'tc1 z s ' t ,4 7.20 S to ~" C.I I m i s 0.2- -5 20-L~ "~ c 1 - .0 ' Effluent N1 = BOOS > 30 ~ 220 rng/L and TSS >30 _ 150 mglL ' Emuenl a2 ~ 80D~ , 30 mgJl end TSS ~ 30 mg+l. The Department of Commerce is an equal opportunity service provider and employer. !f you need sasiatancc to access services or need material in an alternate format, plesae contact the department at 608.266.3151 or'T•IY 608-264-8777. tYb•t)30M.roD1 ~ ~ Y . '~ ` ° , ~ KCG-ST RI pCsi~ ~s-crR ~ S LoT ~ , ' . ~ t ~ ~~ , _._, ~ `' ~ fir.. `~ of ~ }} ,. I a $ , ~ N Vic. ly '~.~,,~ REUL~rCa : b4-4i~-~laZ.- i - - ~~ 1': ~ 6 ~ ,-• rcn. SptKE~~ ,. , I ~ ~ ~p~tl ~ C~!" ~. '~ i Et, q9. SZ f V i i I I I ! 2~ I G ;. ,- ,, ,4 .- ~ a ~ i r.. .' ~~4 c -~ ,. ~~ X , - N . B.. ~ 5422 .. ., .,:`; ~_j_ ,. ,- ~ R~, ~ , -_. ' ~~ . ~ N ~~°05'30".~~~w .~~~ I~ ~ ~ _ ___ -__. r. I ~ ~1IGc~1'u~ ~ ~ ~'-~ t ZS~%or?,c.Q~, ~~ ~- ~~ ~~~n.i~~~ ~ $ . ~, • Parcel #: 018-2001-07-000 Alt. Parcel #: 14.29.17.871 018 - TOWN OF HAMMOND Current ~X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 12/03/2004 12:23 PM PAGE 1 OF 1 271,200 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.450 45,500 0 45,500 NO Tax Address: Owner(s): ' =Current Owner SON A JASON A HEUTMAKER NELSON TAMMY L NELSON TAMMY L 1759 96TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description ` 944 193RD ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.450 Plat: 1961-FOREST RIDGE EST 1/30 018/03 SEC 14 T29N R17W PT NW NW FOREST RIDGE ESTATES LOT 3 Block/Condo Bldg: LOT 07 7 ( .450AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-29N-17W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 12/18/2003 749481 2476/525 WD 01/14/2003 705829 9/46 PLAT 2004 SUMMARY Bill #: Fair Market Value: Assessed with: Totals for 2004: General Property 3.450 45,500 0 45,500 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 '. RECEIVEp HOLLISTER'S SOIL TESTING MAR V 4 Mary Jo Hollister 2(74 W9875 690~fi Avenue River Falls, WI 54022 S7_ ~~~''~~ i=Gi~rv7 ; (715) 426-1775 ZONING pF~ c-! 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 13~h and further review of the reports that were submitted here are the findings and facts: 1.) Lots 4, 5, 6 and 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 11, 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 lot 7 10, 16, and 18 and have been resubmitted. Far. 0~~ ;many years now, my reports~'~ia e a accurate readings for BM #2 based on ~~ infamatiori~rom 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, ~~~~ ~ Mary Jo Hollister CST #224832 Cc: Mark Sylla, property owner Leroy Jansky, State of Wisconsin Wastewater Specialist Aug 25 08 09:46p FOGERTY PLUMBING 17156355286 p.l rot~errPttswrocr. X221180 ~'/Z S O 2473 f~olung Green Rose Spooner, WI 5480? !71 51 468-7f?0^ r`\ Combination Tank Component Cross Section 4" Sch. 40 Vent > or = to 12" Above Final Grade Approved Manhole Covers With Warning Labels and Locking Device / 4" Mia. Above Final Grade Weather Proof Junction Hox Electric per NEC 300 & COMM. / 16.28 WAC .... ~1 Alternate Outlet Location W/Approved 4" Sleeve Inlet Approved E$luent Filter Haff1E ~ ~ ~ = t0 1/8" . Particle Size p B C ,~ Tank Mfr. Vertical Difference Between Pump Off and DisCributioa Pipe = Minimum Required Supply Pressure FT. of Force Main x ~•; Frictiori'Factor/100FT.... _ Total~.Dynaaic Head .................... _ Force Main Dian. _ ~_ " Hole or Asti Siphon Devic Pump OffElev. 93..3? Dose Tank Elev. f'J. v . Number of Doses ... = Per' Day Gal. PerDay/ Hof Doses = Gal. Volume of Backflow ....... .......... .................................. = Gal. Total Dose Volume .:........:................:........................................ - Gal, ~ S-3'~:~r Pump Tank Capacity Gallons Dimensions Inches Gallons Pu T k V l ~ J i/~ iy~ ~' mp an o une GaUlnch A 3~I Pump Mfr. , ~, w (~ B -~- ~~ 3 ILL C Z2 Z2 ~. , ~ Pump Model F~,_ o ~___,_ D ~_ 1~~ s Minimum Discharge Rate = .s'P..s'y GPM. f~so JSD (O/~Y~G Alarm Mfr. s " r' rn{us Total= 5 3 ~y~ 9~ Alarm Model iirv~ ~!~% Bed Tank per COMM. 83.45(5} Anchor Task as necessary to negate buoyant forces per COMM. 83.43(8)(g},