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038-1032-30-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 572857 State Plan ID No: , /~j Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Z`~ Permit Holder's Name: City Village Township Parcel Tax No: Terence & Colleen Kenny Doyle TOWN OF STAR PRAIRIE 038-1032-30-000 CST BM Elev: Insp. BM Elev: BM Description: Se ' n/Town/Range/Map No: OWCY 6~ Cr ins cfd/ 08.31.18.1456 TANK INFORMATION 1 ELEVATION DATA TYPE MANUFACTUR STATION BS HI FS ELEV. Septic ~V Benchmark u J IOU D (W 0 C ~1 C Bldg. Sewer VIf NOR- ; • q Holding J L•/) S Ht Inlet -7• g 3.2 TANK SETBACK INFORMATION St/Ht Outlet TANK TO `WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic l I Dt Bottom .tY V it Head /Man. 10 Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer ' ,j emand St Cover • `O " GPM Model Number ~ ~ k 0 .01 TDH Lift Frictiotl : o§g _ System Head~.55 TDTL6V f,1, t~ 7 7 • Forcemain Lengt ' Dia. .t •t Dist. to Well ~ SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / 2t No. Of nches PIT DIMENSION No. Of Pits Inside Dia. / Liquid Depth DIMENSIONS Dom. SETBACK SYSTEM TO P/L JEILDG WELL LAK TREAM LEACHING Manufacturer: INFORMATION Type Of tgU r CHAMBER OR IUA~ Model Number: ' V Ia. 25 / _q ~ I 120 t UNIT DIST UT N SYSTEM ort-k,_ Ues+-b %N , W Heade an• d Distribution l x Hole Size -j'' ' ole Spacing Vnt to Air Intake S, Pipe(s) V_r / Z t Length & Length Dia • Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only e Depth Over xx Depth of jxx Seeded/Sodded xx Mulched ed nc Center 46 Bed/Trench Edges Topsoil ~ i 1►) / ❑ No ❑ No W t es COMMENTS: (Include code discrepencies, persons present, etc.) pec ',t~,) ye :qS C, 17, Inspection #2: '91(71?dd Location: 2284100TH GY`&4;S ~ /akS Ak'I `l, at covered (rl diff 1.) Alt BM Description - -P(„4)to g- /t( t5 l vp~~ a, 4YI561 OBI v C insptcfi on unab Q- f~ 2.) Bldg sewer length = t1^~ 1 6.1;1, `pp o ,~/ptJS6604ft - amount of cover = _I v .7p Po wC(L 116L.,15 t~ T N NW/, 64669 V~ r # *ICY st "~'S ~ qer UA a, ~ too. ad, Plan revision Required? ❑ Yes No f n Use other side for additional informati n. I lX ' /27 SBD-6710 (R.3/97) , I ~ ` / ~ LDate v~ . lasepct ign) A ~rt. No. ~ V, ((~t~t71,t J AWLy~FU- I r L/ , / 9/ /~EJ ~X~:st:.~ 4~adc elu! t~~ e= /er/a ul 'gym 5 : ~ ► ~d 7~/~ ~o cotc.dpO~o~o. S~~ ESE.'m4.~cc/FEJ~i4 bou.~d¢ry = 8Z.0~ Sca/e: =slQ` ES:ru~-c✓%u~~s~ 6u,/a%r~ a,"n 95,0' ~e'Z373 10roloosec"l4oancl a-~eo- 93 787~r e¢ Co/Ie4.7 ~a /e ww 4z;r4 )C:T V -de 0L6 promo sed bu•'/-1,' n~9 517~-e r ion 07' 3(00 pr; ~J 5t 6ll: 13Y L.cuJ ~i3~% ~r~.de c~ proygJst~ dui /d.` S.~e ~ ~gTa ~ 0 5~• ~ xXit. ss/oz v (fsritEY~ S4 ~l~ S rn.a{S~ar~ra,~~ f~ 54. ~rorxCos~.1! { I do38 la3z-~a-aoa KDA) wa c f ?was ex~Fs~i~ ~r~i~' ~oNr s lode ~ Maw q3.s' j ~d IuV ( (J.31 pep~o..c jFropostcl ov~,c~c E1I SB,r 78.8`" ~ecl;s~/.~4ssa.rrtecl ~.r~ c.Y7..2G'X(a.Gd'~✓SPc.-S4,fce/(. SiKCG) ete% =i~od: drS~'i lemon /tu/e.-o..(S a-~ I~:;r,3o.z~ i 93.33 0 93.5'- - ~a T was a+ the e d ve ri odor-l~Qad E/a~~r:c l'o% P ro Prpc-,-P-d 3 8, ter- v 1 5 lul Sl /~e S,de.KCe _ ro oseel c.J: c5~/ ~w~cr~e uJ GIXJ ~ . 9ss- P P ~ ~~-tee 6 ~ SI' S•T.//~C. J°D~y~OJ~ /L" S~.SC'~~Gtln't= ~I ~Y c.+- Q'L. t j, (rG / V -v CIO YAC42~ Ir y6 'Id,~ Steer. ro5{rOro~ec~ f Men a5 -6PS3gz.3; tr b'o ` r 17 V--- L' .SG24 /iK/~2 zed. IoQO! E!Q J - 79 90; ~.d. ~Ie~ = 79. 13.' - e, let = azo. e/e~ = 73. f6`-f l 7o j~ r,« u~ ~ J D.OS ~ r l o i ` y. A 1 C2 Dv' O~gMT~,t~T Comity a3 ~ R a E Safety and Buildings Division St. Croix ' e = 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) i~ Z014 Madison, WI 53707-7162 ~aslot+s~ QIX Cry~.ilV'~Y - ' State :;onnmygffii rt Application 4 Transaction Number o? u~, In accordance with SPS 363.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law s. 15.04 1 m , Stats. 2284 Co. Rd. H L Application Information - Please Print All Information Parcel # Property Owner's Name Terry &Colleen Doyle 038-10312-30-000 Property Owner's Mailing Address property ation ! y Q) J 360 Spring Street, Suite 134 Govt. Lot City, State Zip Code Phone Number SE NE '/4, Section 8 (circle one) St. Paul, MN 55102 651) 270-9069 T 31 N; R 18 E or W H T of Building (check all that apply) Lot # ? r- Subdivision Name 1 or 2 Family Dwelling -Number of Bedrooms Na Na w~ Block #VZ ❑ Public/Commercial - Describe Use ` ❑ City of Na a `Ul)~ E?PICl/j1 ❑ State Owned -Describe Use CSM Number D Village of RIf own of St?r pralTle Na III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System eplacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number ano Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration owner t~ ,ti `G r W. Type of POWTS S stem/Com n VDevice: Check all that a I ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade o_und > 24 in, of suitable s ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) Gy'`~d-L SCI V. Dis rsanreatment Area Information: Pol Lok PL-525 effluent filter Au-t ?W h Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Req ired 00 D spersal Area Proposed (sfl System E evation 1.0 gpd/sq.ft. ASTMC-33sand r~ S _ 95 10" above 450.00 Gpd 0.5 gpd/sq.ft. native soil 450.00 sq. ft (//,)T) ~1 Ft 94. con our =i VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 61 1 New Tanks Existing Tanks Septic or Holding Tank 1,000 0 1,000 1 Wieser Concrete X Dosing Cbawber 600 0 600 1 Wieser Concrete X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature /J MP/MPRS Number Business Phone Number William Schumaker ?22790A (715)3R6-2131 Plumber's Address (Street, City, State, Zip Code) 1070 Scott Road, Hudson, WI 54016 VIIL oun /De artment Use Only A Permit Fee Date Issued Issuing Agent Si ature, ? pproved 11 Disapproved ❑ Owner Given Reason for Denial 1 M AY oval/Reasons for Disapproval v3 J 1 EM Vs6(1 1. Septic tank, effluent filter and L ti!~ r• 7 dispersal cell must be serviced / maintained as per management plan provided by plumber. c' 2.AUsetback requirements must bemaintained ns for the sys d submit to the County oul~ on paper not less than 8 11/2 x j I imbes In To' 4-r SBD-6398 (R. 11/11) jL. i,K-c t f t'( Jf - - - - - - - - - - - - - - - - - - i i I I ~ ro v, ! i I I I I in I~CfI 6„ U r_.. - - h A l t- A fit ~ chi*~ (\h~> yr ~ C7 f4 it o b t} m rn X I - r c, 1 ,mot,. c ra 4, I U7 b A - R ! / 7i J~1 T, el- A i h O s uO - 1~II\ T ~ ri ~ ~i KIWI „ .y ws ~i ~ ~ jl - i x i ii - 1 Tr t - t - I` I I u 1 i p z Y po z t A) IN fit I> f (P in m ti p 4 nxo fit U A C fit v tit r h I I' - = - --1 H SGM"'!E~'2tEI D' TUZIZY -S COLLL .N PUYLL r PAD M4 ZV, i~ DATE~ 1 715-531-5937 -1 1550 Wm. vC tLmt R nMdb. WI _ - - - - - DIVISION OF INDUSTRY SERVICES ~9ti4NRT`~? 3824 N CREEKSIDE LA °1P HOLMEN WI 54636 9 Contact Through Relay Q S a www.dsps.wi.gov/sb/ P S y www.wisconsin.gov Scott Walker, Governor ADO SON Dave Ross, Secretary November 11, 2014 CUST ID No. 227990 ATTN.- POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/11/2016 SITE: Identification Numbers Terry & Colleen Doyle Transaction ID No. 2475849 2284 County Rd H Site ID No. 807764 Town of Star Prairie Please refer to both identification numbers, St Croix County above, in all correspondence with the a enc . SE 1/4, NE1A, S8, T3 IN, RI 8W FOR: Description: Three Bedroom Mound System / 5% slope / 6.6% cell deflection Object Type: POWTS Component Manual Regulated Object IDNo.: 1511502 Maintenance required; Replacement system; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. (+ONDITf The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code APPR requirements. DEPT OF S No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,PROF T OF S stats. DIVISION OF 1ND The following conditions shall be met during construction or installation and prior to occupancy or use. Reminders: • 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. SEE CORRES • 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. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal component shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. ' A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inMection by authorized representatives of the Department which may include local inspectors. WILLIAM C SCHUMAKER Page 2 11/11/2014 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this let ter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm RECE1VE NOV 3 2014 MOUND AND PRESSURE DISTRIBUTION COMPONE06JJ WNSERVICr-Residential Application INDEX AND TITLE PAGE Project Name: Doyle 3 bedroom replacement mound Owner's Name: Terror & Colleen Doyle Owner's Address: 360 Spring Street, Suite 134 St. Paul, MN 55102 .Property Address: 2284 Co Rd. H Legal Description: SE1/4NE1/4, Sec. 8'., T.31N., R.18W.. Township: Star Prairie County: St. Croix Subdivision Name: Na ONALLY 11VED Lot Number: Na Block Number: na kFETY AND -'-~L SERVICES Parcel I.D. Number: 038-1032-30-000 STRY SERVICES Plan Transaction No.: GDENCE~ 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 Page 7 Pump curve and specifications Page 8 Concave Deflection Worksheet Page 9 Site Plan Designer. _Bill Schumaker License Number: 227990 Date: 10/16/14 Phone Number: ,(7151386-3121 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), 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-107WP (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Pagel of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 450.00 Design Flow (gpd) 5.00 Site Slope 94.50 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) .---0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 62.00 Dispersal Cell Length Along Contour (ft) = 7.26 Cell Width (ft) - 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) c Center or End Manifold 2.42 Lateral Spacing (ft) If N above, enter the elevation ft 6 Number of Laterals of the highest point. I 0.156 Orifice Diameter (in) 2.42 Estimated Orifice Spacing (ft) = 5.77 ftz/orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? _~Y Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 7.83 Vertical Lift (ft) 83.27 5x Void Volume (gal) 1.44 Friction Loss (ft) 89.79 Minimum Dose Volume (gal) _ 0.00 In-line Filter Loss (ft) 42.00 System Demand (gpm) 13.83 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 , 1.25 ' 1.00 x 1.50 x X___.._ 1.25 x j 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information , 602 82 Total Tank Capacity (gal) r_ 1000 00 Septic Tank Capacity (gal) 51.001 Total Working Liquid Depth (in) Wieser !Manufacturer 11.82 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information ! 602.82 Dose Tank Capacity (gal) PolyLok ] Filter manufacturer __11 82 Dose Tank Volume (gal/in) i01-525 !Filter Model Number Weiser Concrete.. I Manufacturer Project: Doyle 3 bedroom replacement mound Page 2 of 9 Mound Plan and Cross Section Views 1/10 B J Observation Pipe K T ~ 5 5 r A W B I L Mound Component Dimensions A 7.5 ft E 14.36 in H 1.00 ft K 8.42 ft 62.00 ft F 9.50 in 1 8.78 ft L 78.84 ft D 10.00 in G 0.50 ft J 5.54 ft W ft Zf r 654V~A 2 (ft2) Dispersal Cell Area 994.55 (ft) Basal Area Available 7.26 (gpd/ft) Linear Loading Rate 6.20 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.13 (ft) t H t 95.33 (ft) i - Dispersal Cell 95.83 (ft) Lateral Invert Dispersal Cell Elevation p Q 94.50 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key T Dispersal Cell See lateral details on ® Topsoil Cap o a 1.5 ft • • Page 4 for number, size, Subsoil Ca n ands acing of laterals. ASTM C33 Sand Laterals are equally LdJ Tilled Layer d O. ft :.Typlc~l Lateral F spaced from the © Aggregate v distribution cell's centerline in the A distribution cell (AzB). Project: Doyle 3 bedroom replacement mound Page 3 of 9 Center Connection Lateral Layout Diagram Force main cormecrnon via tee of cross to marwiotd at any point L aterals are identrc al s I IP 's y Turn-up atballvalwetor I<- X -~ir42 1 -1241 Laterals 3forcemsrn Sch40 PVC olvanoutplug Per SPS Table 384.30$ Holes drilled on the bottom of the lateral Number of Laterals 6 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.42 ft Lateral Length (P) 30.25 ft Orifices per Lateral 13 Lateral Spacing (S) 2.42 ft Orifice Density 5.77 ftz/orifice Lateral Flow Rate 7.00 gpm Manifold Length 4.84 ft System Flow Rate 42.00 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.83 ft Forcemain Velocity 4.29 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented F--- Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer 2 in. Capacityl 602.82 Gallons T Volume 11.82 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 29.40 347.55 B 2.00 23.64 C P= ump off elevation (ft) C 7.60 89.79 88.00 D 12.00 141.84 D Total 51.00 602.82 Dose tank elevation 3" Bedding un er tank. -d- 87.00 Alarm Manuafacturer SJ Rhombus Note: Switches Alarm Model Number SJE 1011421 containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model Number EP05 Pump Must Deliver 42.00 gpm at 13.83 ft TDH Project: Doyle 3 bedroom replacement mound Page 4 of 9 ~~GOULDS PUMPS Submersible Effluent Pump E. 387105 PAPPLICATIONS • Fully submerged in !1iyi; Es EP05 Impeller: T!~~ r no{;!s Be:~ring~ Specifically designed for the grade turbine oil for tic enclosed design for heavy duty hall bearing lubrication and efficient improved performance. construction, following uses: meat transfer. • Effluent systems d Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms superior strength and corrosion manual operation. Auto • Heavy duty sump matic models include resistance. 00 Canadian standards Associatirn, • Water transfer Mechanical Float Switch ra Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer, Goulds Pumps is iso roe; rcgist,.i factory. strength, and durability. SPECIFICATIONS w Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points, maximum, w EP04 Impeller: Thermoplas • Capacities: up to 60 GPM, tic Semi-open design with ra Power Cable: Severe duty • Total heads: up to 31 feet. pump out vanes for mechanical rated oil and water resistant. • Discharge size: 1'/1" NPT. seal protection. • Mechanical seal: carbon- rotaryrcerairtic-stationary, BUNA-N eiastomers. • Temperature: 104`F (40 Q continuous 140 F(60'C)intermittent, ImETEHS FEET ro~ • Fasteners: 300 series stainless steel. • Capable of running 30 dry without damage to i 4 components, Motor: - • EP04 Single phase: 0.4 HP, 6 20 115 or 230 V, 60 Hz, 1550 e RPM, built in overload with ~3f31 1 s automatic reset. T. d W a 4 • EP05 Single phase: 0.5 HP, o Eros 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with automatic reset. 2 ( Poll • Power cord: 10 foot 5 standard length, 16/3 t S1TCVV with three prong grounding plug. Optional 20 °0 10 20 30 40o er^,~ foot length, 16;3 S1TW with IY1;n1M64r1'13`` rcw-Cre uircd three prong grounding plug ---1------ - 0 2 4 6 8" 10 n h (standard on EP05). CAPACITY Goulds PurnpS ~...auS Pimps IT 1" Indusrrle . 7L Distribution Cell - Concave Deflection Worksheet Doyle 3 bedroom residential mound Tn. of Star Prairie, St. Croix Co., Wt. Site Information: 1. Design wastewater flow: 450 gpd (3 bedroom)(100 gal/bedroom)(1.5 peaking factor) 2. Depth to limiting factor: 26" 3. Land slope: 5% 4. Infiltrative capacity of soil at system elevation: 0.60 gpd 5. System elevation: 95.34' at 10" above 94.50' contour. Dispersal cell sizing: 4500 sq.ft. required (450 gpd / 1.0 gpd/sq.ft. ASTM C33 med. sand) Cell length (B) 60.00' Cell width (A) 7.50' Dispersal cell deflection: 1. Percent deflection: (4'deflection/60' down slope effective cell length)(100) = 6.67% 2. Adjusted cell length: [(6.67% x 0.00265) + 1) x 60' contour effective cell length= 61.07'. 3. Actual cell length along contour = 61.07'. Pg. 8 of 9 • 56a edG✓ucc i;~n P•~ i I► ~jClszCi.')9~r'Adt elu/, ~/eda z/ia»_~ ~~v~J/ ~ c/d7'~t~ • ~.OCo.t.~Ud~Jro~o. Sfa~ EsE.m~~cc/F-El1'fA bou.,darr . 92.0' Scc►/e: -s10` D ES ~..ru~'Ee d /ow Est 6u%a/, :lg a ;n : 95.0 ' 'CW Z3 73 ,0,-6/00 see, /404,41ol a..r'ea-: 93 76-9K 6G. /`rry 4e G,!/oe1-7 01x& 3tao Sp~,i+9 5t.5µ; i3Y f{~ ArZ4 grode 0a6 /1-1/00s5 "r7 5.'6e -'/0/ 071 acv ~.i3E%r~g ~racle 4E~Jro/Cl'J.seddu;/Q'.` S.~e ~ ln8.r0. ClY,~itEYq --see- If., Tn.cyc /°ra,l, S 56. Coo Coy uy X038 /°3Z-~a~aao ~ ProfJosccl N~ou.,c~G,f,1/.SB;r 78.85` ~2cli S'x/, 14 vs uM4I d. o 7.2(o'X (~.ct9 ~t✓,crSc ~Ce/(, SiK~~~ , e te% =iGe cd: r q'f• d;s,s: ~cyi Ia-~~'a.~.s a~ /~s-~k,3o,.z~ 9~5--- - ~ ~ odtsh¢ad E/acEr:cPo% rope sed 3 6z-(rm 6 ' 2e S,oieKC2 9~S _ _ _ Proposed e~,es~/ ~wnera:~e uJ/~L/G}~~(oGtl -`+t Q ec»C 6,~ am i Q'L 5.7 7;-, f 1795 zwo~ p•, ~i;S+Einq gel/L,oao~~Gcd \y r~" inSia/e~uM~p~tQK3~• ~I j s7wf 03 f/b ' /ol~ n Sec~er~ eu+q ! wit ~r o5 £r0~o~e c a, 1. . I r- u~renreq as :5AS38.2.3o i!Wj ~ ~SLys" SGT ~+t.~(~I r1G lwdk ~(Of' ~ T~ Cc.b,n Er,'s 6e r'q zed. 71? Ctd- 616V 7f. 45. 1,ed 73.A6 -t 1~ ' l / moo., c rev IAav~ ~LJ 4.oS o /L~ U r _ ,yam ♦ CX,34,T jr&de elc~r • L~catGd/4l'o~o..Sfa~ Sca(e: =40 JaZ3 73 A 7.;7iiy Co//QCn Doyle, 3t40 Spy;ny5f.~SK:•~ i3y 0 SE• wY.t. ss~a~ 5-rAl(A mac.8, 7.3 Tn.of~~icc,•r, 36, ~ro;x Cap c~ X038 /o,3Z^3o-ado ~ Pfoposcc~ nr(o~..,dG.'E,1/,S6X R3.B5~fed;sue4 Airseented 6'c!f X72(,"X'(&Z•,W'd"SPv alce-1(, SiKC4) e r¢✓, =/oo cd: q$ d s~5 6wf~an /a ~e~a (s di S~oaCC c% 1. ~1: e f' - wly "or i to f fj•s'~ ~ ~ 4~ it 9lS=-- I ~ ° ,f 1. a o~ts~¢ad F/a~E~.'cPo% P'opos•ed 3 6zd'/bo» 3 ~eS,Wenr- 9SS`_ ~'r ProPeseduJ:esti'fir,cre;tc ~uYI~6~v-`+iPC'y.+lb.ha m, S/' % owf'Iz s~'sl s~iy(/7BS 5r~ • '/d r~d, C'., ,n ~ owE o{f~...~'. i ~'i~ear7q ~eJ(Loca.~Gtd 1/i957~t 3o3S/6 '/o!;n eµ:~ ~,eL«ti l wi~rosC~Oro{tc'"7 ` :F ~e~ulreMen asV6,D-T 362. 3o iWj. .iar.07' ~k:yl.~raafc . -~i ~ SGZ~ (xtG~~~ KG -171 o- 4kaLO 2373 Wisconsin Department of SOIL EVALUATION REPORT V0 Page 1 of 3 Commerce N with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations V Attach complete site inks I ,,ttom~ ~n2lfless than 8'/ x 11 inches in size. Pla County St. Croix include, but not limi ical and horizontal reference point (BM), directio percent slope, sc, 1".1memsions, north arrow, and location and distance tc Parcel I. D. 038-1032-30-000 Please print all information. Reviewed y _ r Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. ` Z ' Property Owner Property Location Terry & Colleen Doyle Govt. Lot SE 1/4 NE 1/4 S 8 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 360 Spring St., Ste 134 na na Na City State Zip Code Phone Number City Village Town Nearest Road Saint Paul MN 55102 Star Prairie 100Th St. ✓ New Constructior Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comment: and recommendations: Soil conditions require mound POWTS. Dispersal cell to be placed on 94.50' contour. Infiltraive surface elev. to be 95.33' at 10" above contour. Boring # Boring Pit Ground Surface elev 94.89 ft. 26" in. Soil Depth to limiting factor Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPFF; in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 * 2 1 0-8 10yr3/3 none I 2fgr ds cs 2fmc 0.6 0.8 2 8-18 10yr4/3 none I 2fsbk ds cw 1vf,fm 0.6 0.8 3 18-26 10yr4/4 none fsl 2f&mbk dsh cw lvf,fm 0.4 0.8 4 26-38 10yr4/4 f2d 7.5yr5/8 fsl 2fsbk dsh cw 1vf,f 0.4 0.8 5 38-60 7.5yr4/4 c2d 7.5yr5/8 fsl 1msbk dh - lvf,f 02 0.6 2 ] Boring # Boring F Pit Ground Surface elev 95.26 ft. Depth to limiting factor 27" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft` in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 1 0-9 10yr3/3 none I 2fgr ds cs 3fmc 0.6 0.8 2 9-18 10yr4/3 none I 2fsbk ds cw 2fm,1 c 0.6 0.8 3 18-27 10yr4/4 none fsl 2f&mbk dsh cw 1fmc 0.4 0.8 4 27-35 10yr4/4 f2d 7.5yr5/8 fsl 2fsbk dsh cw lvf,fm 0.4 0.8 5 35-47 7.5yr4/4 c2d 7.5yr5/8 fsl 1 msbk dh - 1 Af 0.2 0.6 * Effluent #1 = BOD 30 <220 mg/L and T (S >30 < 1 mg * Effluent #2 = BODS< 30 mg/L and TSS < 30 mg, CST Name (Please Print) Signatur : CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 9/30/2014 715-248-7767 Property Owner Terry & Colleen Doyle Parcel ID # 038-1032-30-000 Page 2 of 3 a Boring # Boring Pit Ground Surface elev 95.76 ft. Depth to limiting factor 36" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence undar Roots GP /ft' in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh 'Eff#1 'Eff#2 1 0-9 1Oyr3/3 none I 2fgr mvfr Cs 3fmc 0.6 0.8 2 9-20 1 Oyr3/6 none Ifs Osg ml gs 2fm,1 c 0.5 1.0 3 20-36 1Oyr4/6 none Ifs Osg ml cw 1fmc 0.5 1.0 4 36-45 1 Oyr4/4 f2d 7.5yr5/8 scl 1 csbk mvfi - 1 of 0.2 0.3 ❑ Boring # Boring Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft' in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh 'Eff#1 'Eff#2 ❑ Boring # Boring Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Bounder Roots GPD/ft' in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh 'Eff#1 'Eff#2 ' Effluent #1 = BOD ? 30 <220 mg/L and TSS >30 < 150 mg * Effluent #2 = BOD 5<30 mg/L and TSS < 20 mg, The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R07/00) A.C.E. Soil a Site Evaluations F A ~jfl.Sti✓)A~/a.de alul • ~Oco,&C /Q/b"O. ,1{ctJCE ~e'Z3 73 AA ~iry $ eo //vcn (.~oy/~ U 3(00 5pr; e+q 5t., She i3Y T.afz164WAka,'r~ S 34, C'ro:1 dos aY, d 039 ,~o,3Z -~o ado C,j. : 70po~~t/~ Lost e.~ ' 93 s u dC►~ eye%-iooc0: ~ q4• i r i a Pi-opcsed 3 6~d/r 6 57 Exis~•~ ~.~t.l/Lauo~~Gt.d insivc p.&VOhoase• r ; ~ ioi.o7 ~ ~ k•!i S6 Se't EX. S~.n~ Cab;n fo bt i'a7~e:d. 0• • /\1 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone (715) 386-2131 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 454.-12. ftzy~ 5 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Doyle 3 bedroom replacement mound Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBO-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective. or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48. Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge 5hruld not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank 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 and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's'perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOO., 150 mg/L TSS, and 30 rng/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system to proper operating condition. If the dosing tank, pump, pump controls, alartn or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSH P C'ERTIFIC'ATION FORM Ovmer/Buyer 1\4ailing Address Property Address _ S~'~ !~'•O✓~G~ (Vcrificatiou required from. Planning & Zoning Department for new construction.) Parcel Identification Number - /y 3 2 - -3 0"'~'.~_ . LEGAL DE 'CRT IC) Property l nacatiott 5;-oC' '/a %a Sec. T N R. /9 W, Town of Subdivision C:'ertifiied Survey Map Volume , Page Warranty Deed # J Volume _ Page # Spec house yes; nc I.ot lines identifiable yes no SYSTEMMANTENANCE ANj1 QV~'NER C' ,..~SATiOl11 • M ~~w~. .~1 . M Improper use and mainumance of your septic system, could result in its premature failure to handle waste's. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank us a troattxtcnt stage in the waste disposal system. Owner maintenance responsibilities axe slsct;ifled in. $Comnx. $3.52(3.) and. in C hapter 12 - St Croix County Sanitary Ordinance. '1°he property owner agrees to mbnAt to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman p1wriber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper opewing condition and/or (2) after inspection and pumping (if necessity), the septic tailk is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set. forth, heroin, as set by the Department of C;ommme and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system: has been maintained must be completed and returned to the St. Croix County Planning Zoning Department within 30 clays of the three year expiration date. Vwe certify that all statements on this form are true to the best of my/our knowledge. 1/we am/are. the owner(s) of the property described above, by virtue of a warranty deed recorded in 12oOter of Deeds Office- Number of bedlrooms ~T DATE SIG R OPLICA T( rfine~*. ted revue by tie l'1~6 a; ZoWnp Depa • may r in tfic m2tW f ~ ***Any ionthat is COPY of the certifird survey map if % td fivm tut Re pow of Deeds t]itlc a e 11;111t1r, W1tb this apPlic.atior► a rp~` [1 refer~ettre is made ilk the wail ~Y wu711G1 n OCUMENT NO. WARRANTY DEED TN,S SPwt:C RESERVED FOR RECORDING DnTw STATE. BAR OF WISCONSIN FORM 2-1082 515073 OL l ; " lv v i ®FFdfiE ' ~ . w Robert F. Grzywin,ki and Joan A. Grzywinski, husband and- ST CROUX CC. Rec'd tix Raver APR 6 1994 con 10 P _ I 12: -TerenceJ_._ e an' rA ~ I conveys and warrants to to Do.Y-l.e_.~_.__..9__l_________d_ ___C_o__ll....e._e..n M'•1 ~ ~i K!4nny..2-.sin9l.e. as-.34~.hC..t~ndpt '1 oeraroe~ ~ I' I; li . the following described real estate in . $t.....Cro•ix........................ County, State of Wisconsin: 03~-1032-30 i; Attached "EXHIBIT A" hereto made a part thereof. Tax Parcel Na : J; 'I I! I 1 f. i' i' This ..__is i 5__ not___________homestead property. YO(s) (is not) l } Exception to warranties: Dated this 1 day of r1[JY11 19...94-. Il I` = Robert F. ywinski I' l (SEAL) .C f._ ~l GL/~ ~I SG -C`.._........ (SEAL) 'I Joan P.. Grzywi sk•i n . AUTItEWTICATI0N ACKNOWLEDGMENT Signature(s) STATE of WISCONSIN 'I ss. I: St. Croix " ' County. authenticated this day of 19- Personally came before me this day of Agri 1 1 10._.94. the above named Robert F= Grzy_!^!7_nk7 d11_.Joaa..A. G._zJ!wi_nski'; . TITLE: MEMBER STATE BAR OF WISCONSIN (If not- authorized by § 706.G6, Wis. Stats.) to me known to be the pecan .5 who executed the foregoing strument re ackrlgwledge t same. THIS INSTRUMENT WAS DRAFTED BY . Attorney's Title of Stillwater 18s Northwestern Avenue ,.r Cti-l-l-water-,--MN---- 55052-•-- Notary Pub, f:- : . A ,•_.._County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is perrftvierrt: fd.jnotVstate expiration •ri. 'J are no necessary. date: *-Names of persons signing in any capacity should be typed or printed below their signatures. STATr•, nnrt of 2MISC0. TN Str~r!r Nri 1 -100^ 1 (2PAG£ 584 SCHEDULE "A" Commencing at an iron stake which is located about 50 feet cast of center of North line of South°ast quarter of Northeast quarter of iTE~) of Section Eight (8), Township Thirty-ona (31),Ranre Eighteen (18), and which stake for the purpose of this description shall be designated as stake "AL"; thence. Southwesterly in a straight line to an irbn'stake-T'A"--"-- and which stake is located on the Lake Shore about 213 feat Southwesterly along; sa•ld Shore from another iron stake which is also located on said Lake Shore at tite Worth and South center line of the Southeast quarter of, the Northeast quarter (Sf;k of NEk), o e Section right (8) and which point is the starting point'of the land to be ebnveyed from Stale "A" on said Lake Shore in a straight line approximacealy 775 feet directly South to the South line of said Southeast quarter of Northeast quarter (SEk of fiEk); thence West for approximately 135 Feet; thence due North in a strolghc line for approximately 700 feet to stake "W' on said Lake Shore and which stake is located approximately 150 Eeet Southeast along said Lake Shore from Stake "A"; thence. in a Htraii*,.'ht line in a. North easterly direction for approximately 200 feet to stake "C"; thence in ar. Easterly direction for approximately 150 feet to stake "0" and which star:. Is located on the line exCendinr Ercm stela "AL" to stake "A" both above rei'errrri rn ;A„+,; , a rinhc ot: way 1G4 feet in width alonr'the Vorth line of, said Fouthazint ttunrtor of Nort-ho_nat q%tarter ( EI: of NCk) of said Section ELI-lit M anad the Vlesc lines of the line extendinb Eroir, stake "AL" to araice "A both referred to and such right of way to extend to the property above conveyed and to be used for access to the land so conveyed from Count v. rtof:d ";C". It is understood that Cho stakes nbnvo deRip-gated are troy atakes and chat same shall designate the boundarv lines of the property conveyed in lyeu of `apOroximate dimensions denigrated in the conveyance, subject co easements of record. i CORNER OF - Y OF THE NRY, DETAIL o r f3 ppp Most _0 CHANNEL IRON F6M Steve i •a MrV12•E 4.W FROM . PtANNEflS FOUND I' PON WE fHt tfNR eae • MOem el - IAN ~..dW~(e!/).1P.lNDM1C slwwlwYweM1 Can"onW y~'~ ,g ^ SNQN'ER ~ ~ (v\"Ala S tom 6WE Z' Looooore %6T STAR PRA1i'tM 3T. CRC FROM O H.W M a o; 75 5ET8ACK / ca.ttaeattax r - ` I. josmI w. GRM8M. I WISCONSIN LAND SURVEY' r o vvT CERTIFY THAT BY THE aRl I ME HA RVE COLLEEN MWF'511 - DESCRIBED" THE LINE SW " IN ACCOP44NCE WITH M 4 OyI WA RECORDS ANO IN ACCORD CHAPTER A-ET OF THE WIS STATUTES AND THAT THIS ACCURATE REPRESENTATI ' - ,nIS SCALE IN FEET 1'=0' KNSCALE TWkEOV TO THE 8 OWLEDGE AND BELIEFS X 0 30' BO' 90` aa.e, SQUAW _ LAKE I c wAw By PM)sot No. +C Got* JUNE Soab: UTIiEW OOMER.&THE NORnlEAST QUARTER OF RRAIRIE, ST: CROI*CMM MCONSIN, FURTHER ORNER OF SAID &CTM 8; tM4CE)M'16l* W'857.29' T)ON LIME TO T* POINT OF BEaIINC, (WAWNGS C NMWASTOUARTEROFSECTION8,BEARING •••~~~yR~r►on« )HATE SYSowt'a N.A.D. %51 AaAXr ENTk; p W. ti 'oats r T ALONG 'o EAST - WEST OLMM SECTION UNE A RG i ) OW 1(tON SET IN CONCRETE THENCE)V~t'3 -JM _ S- 5 IN CONCRETE: THENC>:WA*04'27'E 176M6AFOLOMA' To A FOUND 1` SQUAA w" BARSEj xic6NCREM i NEW Al HMOND TT OF IEGIt*K CONTAIoIG 13Vt =WA E FEET sU8JMCt TO ANY PANTS, RESTwcrIONS OR CREAGE INCLU)ES LMMS TO& FALL BELOW THE w..•'` N LW- HOWEVER ` MM)S AELOW TFiE . U i *CT TO THE RI( n OF PUBLIC. THE ACREAGE Of r 3H WATER WWKARE 4742 SOLL& E FEET (Q59 A(XiES), ) RENT OF THOS Shoot Tedw ' NDTO6ECO4Eb IN '3. CONStitAte( . ASTOTHEACTURL 1E ORDINARY ATI2 MARK OF SLIUAW LAKE MAP OF SURVEY Shoet Nm, LOCATED IN THE SE y OP THE NE y OF SECTION 8, T31N, R18W, TOWN OF `STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. SHEET I Pam Quinn From: Pam Quinn Sent: Monday, December 01, 2014 8:34 AM To: 'Trademark Home design' Cc: 'Brian Wert'; terrydoyle151@gmail.com; Ryan Yarrington Subject: RE: Terry Doyle Foundation revision- EGRESS??? Sorry, Bill, I didn't answer your question about safety. Yes, an egress window is a good idea, however Terry's plumber and sanitary system designer were apparently not informed that he had a 4-bedroom house plan and the septic system is designed for 3 bedrooms (6 occupants, 2/bedroom). For our purposes, a "bedroom" has a standard door, closet & egress window. If you didn't see the previous e-mail from me, I gave Terry the option to submit an affidavit for recording on his deed that the system is undersized for the number of bedrooms in the house, the closet could be eliminated, or he could have the septic system redesigned to a 4-bedroom, 600 gal./day capacity. Pam Quinn, Land Use Specialist (POWTS) St. Croix County Community Development Dept. 1101 Carmichael Road Hudson, WI 54016 715-386-4680 pam.guinn@co.saint-croix.wi.us -----Original Message----- From: Trademark Home design [mailto:btrademarkhd@gmail.com] Sent: Tuesday, November 25, 2014 12:54 PM To: Pam Quinn; terry doyle Subject: Terry Doyle Foundation revision- EGRESS??? Pam, I am eliminating an egress sized window in the basement den. It is not a bedroom therefore it can be as small or big as possible. A den can have a closet and a larger window. The reason we wanted a window in that room is strictly for daylight. It also matched the size of the other two windows in the bedroom. Symmetry! Is it not safer to have a window that size in the basement in case of a fire? An explanation would be helpful. Not clear on this code? Thanks, Bill Sommerfeldt Trademark Home Design 350 Rounds Ave. New Richmond, WI 54017 715-531-5337 btrademarkhd@gmail.com 1 Pam Quinn From: Pam Quinn Sent: Tuesday, November 25, 2014 10:36 AM To: 'terrydoyle151@gmail.com' Cc: Ryan Yarrington; Tamara Wittmer; KRudayConstruction@hotmail.com; 'Brian Wert' Subject: RE: Terry Doyle zoning and sanitary permit applications I just about finished the sanitary permit review and then checked the house plan to compare to proposed 3 bedroom septic system sizing. Your construction plan has 3 bedrooms plus a den w/egress door, window & closet, which makes that a 4t" bedroom. Either change house plan & delete closet for the den (I need a copy of the revised construction plan sheet) or complete an occupancy affidavit to be recorded on the deed that the POWTS is only sized for 3 BR/6 occupants. The latter option requires the form to be signed by a notary and submit to register of deeds w/$30 recording fee. One of those options must be done before we sign off on the sanitary permit. Let me know what you want to do. Para. 2ii nn, 1cmd'Use SpeciaC%st (POW73) St. Croix County Community Devel'apment D) pt. 11cu (armichaeC Road JCu.d on, WT 54x16 715-386-4680 pam. quinnQco. saint-croix. wi. us From: terrydoyle151@gmail.com [mailto:terrydoyle151@gmail.com] Sent: Monday, November 24, 2014 4:31 PM To: Pam Quinn Subject: Re: Terry Doyle zoning and sanitary permit applications Pam Thanks for the update and here is hoping you have a nice retirement and are able to get me the sanitary permit by December 1. Terry Sent from Windows Mail From: Pam Quinn Sent: Monday, November 24, 2014 3:06 PM To: 'terrydoyle151' Cc: Tamara Wittmer, Rvan Yarrington, 'KRudavConstructionCcDhotmail.com' Terry & Ken, Based on Tammy's comments below, you and your GC should discuss the construction schedule and stormwater plan. Your builder will have a good idea where to direct roof runoff so that it doesn't damage your new foundation and still achieve the infiltration volume required. I'll try to finish review of the sanitary permit before my last day on Dec. 15t , but can't speak to the land use permit issuance date. Pam Quinn, Land 'Use SpeciaCist (P0~1~ T~ ) St. Croix Cm my Community Deve(c1_prnent Dept. 1101 Carmichaet-Twa.d J4udsort, W1 54016 1 ° o ai °o a p °a m o - ao c 0o a o C),. ~o ry X ,o a . O o N CU 4) C A U) m f0 C L U O O O c N 00 O O Y g' E J N C ~O N GL v, E Q I °U) ° C o L N a~30 a N CL O C C z O L U) C ~"o °aa o CL ~ c 3 c° (D .1 E Q 0 In m U O N a v ° ~ N co w E z = o v Z ~ € m I co IM- U) a m g o z v a4) Z v o w F- r C) z E c> O ° • ►~V1 c t g IM N :2 O U N ` 2 Z Z E z U) c 4v c N p I~q m a > C o ~y .1 0 C v arni v 'c a CL a co ° h c (a U) U) E v c`9i L rr rr a co ° O O z • =aaa N a C h rn rn ° U) J L) rn a) al U Z (D tr_ - O F 1 C4 N O O 3 E O N Co Y C CL 'O ~ cn c Cn N ) ~ d Q ~ fn f0 ~i C O H nV O O w y C o m U c c i_ a) C C U d V O t 0) CD O N M C Y N R CL) O M G0 'N C C N N c 'V C; r w 7 ° ° c L 0 0 Y~I M • O o o ) C7 O z 21 z z U) r~ at . E v ti `m M a a a .-A `1v a ,E c E 0" rr~~ d c `~1 A 0 CL 0 co L) ti STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER R e4zi ROUTE/BOX NUMBER be ~ Il f141 i's FIRE NO. f ' T 1U CITY/STATE ~l~ ZIP _~(sZ-°~-- I I _ CA - ' I PROPERTY LOCATION: ~1/4 13 1/4, Section, T N, RW. Town of ~T~}K fRf+ t K It: , St. Croix County, Subdivision , Lot No. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE r St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address ~I - H.C.MiI I.,Cw,pan FM9 = DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 11 ~j LAND CONTRACT-Individual and Corporate VO~ ~.J11 CA 39 THIS SPACE RESERVED FOR RECORDING DATA 364892 Edward John McMillan, Jr. REGISTERS OFFICE , I~ CO TACT by rind between ! and Catherine Marie c i an, husband an ST. MIX CO., WISE it wi e, as joint tenants, ("Vendor", Recd, for Record this 30th !I whet er one r mo )and Robert F. Grz inski and clay, of June ~~'0 han rzywins i, us an an wire, as 0 A EI Olrit tenants, ("Purchaser", whether one or more). at 8:3 1i Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- 'I formance of this contract by Purchaser, the following property, together with the epbt~ o it rents, profits, fixtures and other appurtenant interests (all called the "Property"), in St. Croix County, State of Wisconsin: RETURN TO Commencing at an iron stake which is,located about jj 50 feet East of center of North line of Southeast quarter of Northeast quarter (SE,',- of NE.;,) of Section Eight (8), Township Thirty-one (31),Range I Eighteen (18), and which stake for the purpose of this description shall be designated as stake Tax Key No. "AL"; thence Southwesterly in a straight line to an iron stake "A" and which stake is located on the Lake Shore about 213 feet Southwesterly 'I along said Shore from another iron.stake which is also located on said Lake Shore at the North and South center line of the Southeast quarter of the Northeast quarter (SE4 of NE,'-,), of Section Eight (8) and which point is the starting point of the land to be conveyed from Stake "A" on said Lake Shore in a straight line approximately 775 feet directly South to the South line of said Southeast quarter of Northeast quarter (SE4 of NE4); thence West for approximately 135 feet; thence due North in a straight line for approximately 700 feet to stake "B" on said Lake Shore and which stake is located approximately 150 feet Southwest along said Lake Shore from Stake "A thence in a straight line in a North- easterly direction for approximately 200 feet to stake "C"; thence in an Easterly direction for approximately 150 feet to stake "D" and which stake is located on the line extending from stake "AL" to stake "A" both above is not iI This homestead property. (CONTINUED ON ATTACHED SHEET) %I (is) (is not) Purchaser agrees to purchase the Property, and to pay to Vendor at St, Paul, Minnesota the sum of $ 30, 500. U0 in the followin manner: $ 9,000-00 G at the execution of this Contract and the balance of $ 21 500. 06 together with interest from date hereof on such portions as remain from time to time unpaid, at the rate of 10 per cent per annum, until paid in full, as follows: Two Hundred Sixty-four and 31/100 ($264.31) Dollars on the 26th day of each month commencing July 26 1980, with interest at the 'irate set forth above being first deducted from each payment and the balance lapplied on principal provided that the entire purchase money and interest '.shall be paid within ten (10) years from the date hereof. of $1,500.00 "An additional payment/on principal will be due on or before January 15, 1981. Purchaser, unless excised by Vendor, agrees to pay monthly to Vendor payments sufficient reasonably to anticipate the payment of taxes, special assessments, fire and required insurance premiums. To the extent received by Vendor, Vendor ;Fl agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, s3 assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after January 19_P 1 (O•R4 -there. ma r ba zQ. prepay.rueni nf+ziacipz4 w•khout• pwmi"en-e f-Veedot, In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: none. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitle to take possession of the Property on June 26 , 1980 *Cross Out One. (To Be Used in Non-Consumer Act Transactions) I LAND CONTRACT-Individual and Corporate-STATE 13AR OF WISCONSIN, FORM NO. 11-1977 i - VOL 613 PA,; 394 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils a qqh other hazard$ as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ u l Insurable Va v#ut Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies cover- ing the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: municipal zoning ordinances i 1 I Purchaser agrees that time is of the essence and in case of default in the payment of any principal or interest when due, or in the petfo nce of an of the conditions covenants or any promises of Purchaser, and such default shall continue for a period of days, then Vendor may, at Vendor's option, declare the contract at an end, all rights of the Purchaser under this agreement cancelled, and the amounts paid by Purchaser hereunder forfeited, the same to remain Vendor's property as rental of said premises and as liquidated damages for the failure completely to fulfill this agreement; i and Vendor shall forthwith and without notice have the right of re-entry; or, at the option of Vendor and without notice to Purchaser, notice being hereby expressly waived, the whole amount of unpaid principal shall be deemed to have become due and payable; in case such option shall be exercised, the unpaid principal and interest together with all sums which may be or have been paid by Vendor as herein authorized with interest on such disbursements at the rate aforesaid shall be collect- ible in a suit at law, or by foreclosure of this contract in the same manner as if the whole of unpaid principal had been due at the time when any-such default occurred, and the indebtedness shall embrace, with unpaid principal and interest, all the sums so disbursed with interest as aforesaid. In case of legal proceedings to enforce any remedy hereunder, whether abated or not, all expenses, including reasonable attorney's fees, shall be added to the principal, become due as incurred, and in case of judgment shall be included therein. I Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property, during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors {i and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse'of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 26th day of June 19 80 ( \.ell -Auf i6_11 1~ t On# ~,ii_ E_ , L I (SEAL) (SEAL) * Edward John McMillan, r. * Robert F. Gr nski # C~~~G/iscG/ ~~QMGQ Gf/C/Y~zlas^~ (SEAL) (SEAL) * Catherine Marie McMillan * Joan A. Grzywinski AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this 26th day of STATE OF WISCONSIN June 19 80 ss. County. Personally came before me, this day of * G. E. Norman the above named TITLE: MEMBER STATE BAR OF WISCONSIN (if-wt,------- Z0ZC1 x?1 bye fit ibis ~t~ts This instrument was drafted by DOAR, DRILL, NOPMAN, BAKKE, to me known to be the person--who executed the fore- going instrument and acknowledged the same. New Richmond, Wisconsin 54017 E (Signatures may be authenticated or acknowledged. Both are not necessary.) Notary Public County, Wis. The use of witnesses is optional. My Commission is permanent. (If not, state expiration date: 19 * Names of persons signing in any capacity should be typed or printed below their signatures. VOL referred to. Also a right of way 162 feet in width along the North line of said Southeast quarter of Northeast quarter (SE4 of NE4) of said Section Eight (8) and the Jest line of the line extending from stake "AL" to stake "A", both referred to and such right of way to extend to the property above conveyed and to be used for access to the land so conveyed from County Road "H". It is understood that the stakes above designated are iron stakes and that same shall designate the boundary lines of the property conveyed in lieu of approximate dimensions designated in the conveyance, subject to easements of record. F ~arCQ_ 1 rU~: , 3 1 T 13 APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property 7 s opwj gj4t2-vw~ldsk i Location of property _,~Lt 1/9 _ /9, Section , T 3r N-R_„2_W . Township ARP T"F' A 19- Mailing address tj Address of site Subdivision name Lot number Previous owner of property waM A E'er ioeC iLl-FNS Total size of parcel )ISO -fi ` X 1 O -'(71 i Date parcel was created Are all corners and lot lines Identifiable? es No Is this property being developed for resale (spec house)? Yes x No Volume (t~ and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS.' In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey . Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. d ya9 a- ; and that I (We) presently own the proposed site for the sewage disposal. system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office 0County R gister of Deeds. as Documen o, J. J ) Signature o 046e S i, nature! of Co own r (If Applicable) Date o Sj nature Date of Signature DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS If~IDUSTIIY, DIVISION LABOR AND PERCOLATION TESTS (1151 P.O. BOX 7969 HIdMAN`RELATIONS \ / MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) L9CA 1 SECTION: O UNICIPALITY: rOT NO.:BLK. NO.: SUBDIVISION NAME: 1/ / /T N/R ( A, _ C,O[UNT : IMAILINU ADDRESS: ~j OA k/0 Y_ 117 6/4L- _.C Pe A-5,101"I USE DATES OBSERVATIONS MADE NO. B DRMS : COMMERCIAL R TION: PROFILE DESCRIPTIONS: IF Residence ~ ❑New 5kReplace -~5 X76 ~ . RATING: S= Site suitable for system U- Site unsuitable for system ONVENTI NAL: MOUND: IN-GROUND-PRESSURE: S ST -IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (option I) os u as u EIS OS ®u 5 ou r 1_9?~ If Percolation Tests are NOT required DESIGN RAJOE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: d PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HM-PTS TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) i B- B- H-< ,Oowo r ia4 o er 04 e- e- PERCOLATION TESTS DEPTH , WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAT MINUTES ff NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD PERIOD 37= PER INCH P- I P- P_ P- ` P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION .r t oe- s I o pav r` m VA G,44, _.m !off I 01 - 1-- - a (047 I, the undersigned, hereby certify that the soil tests re rted on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print : / TESTS WECOMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): ,3 ly' ' X9"76 Ile' CST SIG NA U . '000p, F DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. I ~ DILHR-SBD.6395 (R. 10/83) _ OVER _ ~