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HomeMy WebLinkAbout018-1047-10-000Wisconsin Depart:'~nt of Commerce PRIVATE SEWAGE SYSTEM Safety nd Building Division t~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township HSBC Bank, foreclosure Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic / p /~~ Dosing Aeration ~. Holding -- TANK SETBACK INFORMATION TANK TO P/L W~ BLD Vent to Air Intake ROAD Septic ~~ ~~ - Dosing ©/ ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM 2 Z Model Number 9~ . n,~• l J TDH Lift ~ Friction Loss y System Head ~ TDH i ~t Forcemain Lent ~ Dia. Dist. to Well 2 ~' ELEVATION DATA County: St. CrolX Sanitary Permit No: 515106 0 State Plan ID No: Parcel Tax No: 018-1047-10-000 Section/Town/Range/Map No: 21.29.17.3306 STATION BS 9 (a HI FS ELEV. /oo, v Benchmark ~~ r/ _y r O_~ ~~ / A 7p~ a a /v q_ z-J' Bl~sewer j G p ~. /~~ Z 3 SUHt Inlet a ~, i 7• oZ / ~~b• IO SUHt Outlet . S8 ~n~ 3~' Dt Inlet ~ 9~ / / Dt Bottom _~ a Q ~ ~, ~ I Heade Man. 2`' S•I~ a2.7~ Dist. Pipe ~ • .~ S 2 a 2 • ~~ Bot. System q S•8/ a2• ~S F'na~G=e ~ / st over / ~ i. I'lt E[0~1/~' • $.~ / D 3 . / ~ y /G/. ~ SOIL ABSORPTION SYSTEM ~i,. ~_.L~r~O/a ,./ /inn ~e__ BED/TRENCH Width Length No. Of Trenches ~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' ~ S SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM ING Manufacturer: INFORMATION C R OR Type Of System: / ` __ ,/ >' ~ ~ f ~~ Model Number: I~ISTRIBUTJON SYSTEM 7 _in'1~/~ ~,~- -hp -1•r, S.n,9~, 1 e-,t- i;ti._ Head /Manifold ~~ Distribution „/ Pipe(s) ~/ S Chi ~ ~ x Hole Size r ~ ~ x Hole Spacing ~ Vent t take ~ ~~ Lenglh~_ Dia ~ Length 1 ' Dia ~ •J Spacing ~ D. Z•,s3 (/h. / ~ Sflll COVER ., e.e«~~.o c"~•em~ n.,i., / YY Mni~nrl C)r dt_Ararle Systems Only ~ e O ~ Depth / O y ~ xx Seeded/Sodded xx Mulched nch Center Bed/Tr BedlTre nch Edges ry tp - / ~ Yes ~ No ~ es ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspec o #1: /,~/ /~ ~(nsp~ection #2: / /~ ~~ Location: 831 170th Street Hammond, WI 54015 (SW 1/4 NW 1/4 21 T29N R17V~ NA Lot 1 Parcel No: 21.29.17.3306 1 J Alt BM Description ~~ ~ 7i SCp~,'~`.~ CQUP/L r G4 Y3 /.%,~,-,~ --~'%'vi~~~C. ~/= ~'~r..r:~ ~1~t~Ci/ ~~2~ • 2.) Bldg sewer length = ,~~-~~ N~ I'i~`~ ~-/'~~S"1f7K 7 ~ // - amount of cover = ~ j yy __ ,/ . G/„ J_ r j- Cp~O~ r~'P-lt(//V ~CJ7~ -I ---~ -- - ----- - - - -~ _-I -- Plan revision Required ~ Yes No ~ (/ j ~ ~ ~ ~__ ~ Use other side for additional information. % _ _-----(-L_. --_~ ~- 1/'~?!~'`~ 1 _- - ~ Date Insepctor's Sig ature Cert. No. SBD-6710 (R.3/97) ~~ o ~ ~eac~eQ ~~ commlrCS.wl.~ov ~ ~ afoty and Buildings Division . Washington Ave., P.O.~~~'V County _ ~ /. C~Q/~ 'M '^~ Madison, WI 53707-7162 it Number (to be filladn- by Co.) anitary ~ ~ ~~ Sanitary Permit Application ~~ Transaction Numbar t e6iilU Tn accordance with s. Comm, 83.21(2), Wis. Adm. Code, submission of this form to the appropp gg ~~ ~~ ~ unit u inquired prior to obtaining a sanitary permit. Note: Application forme for atet~bn~)rN~t`iW Address (if difFarent than mailing eddreu) submitted to the Depsrtmesnt of Commoroe. Personal information you provide be us ocondary ©3 j ~ 7 ©~ ~ s't. see in accordsncx with the Privec Law e. 15. 1 m State. C7 L A flcsttesn Wormaflext -Please Print All Wormrtlon 1 f} Yi / `yl a ~ l/I -d9 ,~ Property ownar'e Name Parcel # 5 C ~'~©~°-~G,¢~~ Sc,~Ure~s .7-eU ©i8-I©y7~/D- c~OC~ Pmpeuty GWliar'8 Matling/ddrose ~ ~ ~ Property LocatrOn ~ 33 f 2 ArU ro ~ ~~ C 7 v Govt. Lot r V City, State Zip Code Phone Number W ~y~>,~ Sean ~3~~-N~oon~ f ~ 335^l O . ucle one T~N; Rl~ E IL Type of Building (check all that apply) Lot # 1 ar 2 Family Dwelling -Number of Bedroom ~ l Subdivision Name Block ^ Public/Commercial-Describe Ueo ^ City of ^ State Oared - Deearibe Uso ~ ~ SM Numbar C ^ Villages of / r7 W K ~ t..~Gi l 2 Q J `~ ~L` ~i ~ ~1 ~ r ~ I ~ ~ / ®Town of ~'7 ~ ~ i'-~1 ~ /y l~ IIL T ype of Permit: (Chock only one box on line A. Complete line B if applicable) A' ^ Now S tarn ye R laoemont S lean ~ ep ys ^ Troatmentlliolding Tank Replacarnemt Only ^ Other Modifwation to Existing System (esxphun) B• ^ Permit Removal ^ Permit Revisiem ^ Ch a of Phm-bar erg ^ Permit Transfar to New Lut Previous Permit Numbest end Data Issued Beforo Expvstioa Owner + IV. of POWTS a temt/Coin ent/Device: Check all tltat a I G r ^ Non-Proaeurizod In-(around ^ Proraurized In-Ground ^ At Grade ~ Mound > 24 in of suitable soil ^ Mound < 24 in. of suitable soil ^ Bolding Tank ^ Othar Dispersal Component (explain) ^ Pretreatment Device (esxplein) ~~ V. Dis eraaUl'reatmentA~es Wormation: Design Flow (gpd) Design Soil Applieadem Rate( f) Dispesreal Arena Required (afj Dispersal Arroa Proposed System Elevation / ys0 Qo ~ i a7 vz• © VI. Tank linfo Capacity in Gallons Total Gallons # of Units Manufactumr , New Tan Exss~ ~ 5~5 ~ 8 ~ ~ w d y Septic as liol Tank /OO D ®O ~ ~ E S ~ O 00 ~ C ~ 'S C• VIL Res bill Statanent- I, then underei end, usume tees neibilit for installation of thePOWTS shown on the attached Ital. Plumbar's Name (Print) Plumber' i / ~ ., MP/MI~RS Number Busineses Phone Number ~a t~ rv Sc rn r r r r,,~ ~=~i r~ ZZ 3 7~ 0 ~~,-- _ 76 D -oY~ Plumbar's Addmss (Street, City, State, Zip Code) L VII Coon /De artment Use end ^ roved it Fee Farm Date Ie uod Issuing t Signer ^ S /, , ~ ~ • ~ /~j ~ `~~ esn Rayon o daF w r IX. Conrllti$V_of ApQ~~eaeona for Dbapprovsl 3~ L ~ /~ ~ ~ ~„~„O Sl'LNi C +MR. `~ 1. Septic tank, effluent s sn~ ~ ~~~ ~ ~+~~ ~..~~ Q ~ ~ di sal cell must all be setyic'es / rriaint~in as per management plan provided~by plumber. n (( / n - _ n 2. Alf setback requirements must be maintained ~ Q'Q( t3~IP.M. ~ V>~ G]L3a,~/Q~-~C e~ q. +'~' system end seehmKto the CouNy oie~ on paper nd less than 8 iR z 11 inches b size G~ f aC.l SBD-6398 (R. 0?J09) Valid thru02/1 I ~ZOhS ..I~1 1~5'~~t~+o~ ~Q' ~N~~b~4r 1 ~~~~ 'rl0 ~ 2 ` l h' 3N~~ ~,1?+~d~at~ 1S~ia w 4 ~ J :2 v ~ '~ ~~ ~ ~ ~ ~L ~1. ~ ~ L o ~ 1 v 3 4. ~ v l., LC Oe 2 Z O N ~ ~ ~ iV .L ~ N `, N s ~ , ~ ~ ~ ~ ~ o a 1` z ~. ~ ~ ~~ ~ ~ Sl ~+~ ~ ~ O ~L ~ ` Z p p Q ~ ~ 0~ ~~~ ~~ ~ o ~~. ~;.. ~ ~ k ~ ~~ ~~ 11 J ti ~,,~ o Vl ~ 0 ~ W °' ~J ~. o ~ u~ '.id v ~_ ~ ~ .} ~` ~+. ,~_ 4' ® ~, ~ ~~ ,,, ~e 4 ~. .J 3 r ® ~ ~~ i a ~~ ~ ~? ~- , a ~ ~~ ~ \ ~~ Q` ? ~-'` ~ 1 -k0 O- ` '.1 M F ... ~~' ~ ~ 1 , ~ 1 ~ ~ 1 , o ~ ` ~ 11 ~ ~ ~1 ~ o 1' '~, ~ ,~~~ _ ~. u3, ~, ~ ~ ~ ~ ~.1 ~~ ~ ~ ~= 1 ~ ~ Q \ d ~~ Mi.~1 ' `~ ~~ $3 Y V/ ~~5~ ~. ~ ~ ~ ~, ~`~ ~ 4~ Q ~~. , ~ 11 ~,.. ts~ti- 1 ~1f 1 Shod ©° 1 ~ Q ~ +~ z 0 o~ 13 ..~_ S ~ ~ -nr1 ~~ ~d 1_ o ,!S 1"' ~ r od h - - - - __ ,_ ._ boa ~ c~' i ~~+~ ~rv~7 ~,1~+7t~3~(1 1Stfa +q 4 ~ J ~ v ~~ 3 ~ ,~ ,l o . ~. ~~ . ~` ~ v ~ ~i v ~ ~ pe '1, '2 O N_ ~ 7 ~ N ~L, ~ N ~, N s ~ ~ o ' , -~ T Z ~ ~ ~~ v ~ . ~" ~ `~ ~ z 0 0 ` ~ ~ ~ i. '~ t ~ ..- ,~ O 1 J J ~ ` x ~ : lu ~ ~ a 9G p u~ ~ o~ 0 _ ~ 4 SY ~ ~ti 1 t-: ~ l ~ - ~' ~ ~ ~ V~ 1 ~ \ • •\ ~ o-? ~~' 1 _ko 1 ~', rn o- ~ ~ ~~ ~~, ~ ~ . : + ,~ ~ ~ ~ - - ~ ~ 1 ~ c ~. r ~ ~ ,~2, ~ 1 vim, ~o~ '~ ~ `9 -, ~ ~ 0~ , ~ ~= 1 ~ ~ 2 S ~" c( ~-J ~ S _ 4 ~ 1 ~3 r g 3 ~ ~S~ ~. ~ ~ ~ ~ ~, ry T _ -~ ~ ~ 1\~ ~ a ` `' ~~~0 X " - w ~ 1 ~ '~ 1 5h°~ ~ ,y - ©° .~ 4 -- ~ ~ ~ z 0 o~ O Z~ ~ i~ ~]CO PY ~~ O commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 Contact Through Relay www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary July 29, 2009 CUST ID No. 223760 ATTN.• POWTSInspector JOHN F SCHMITT SCHMITT & SONS EXCAVATING 586 VALLEY VIEW TRAIL SOMERSET WI 54025 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/29/2011 SITE: Brad & Sue Etzler 831 170TH Street Town of Hammond St Croix County NW1/4, SW1/4, 521, T29N, R17E Lot: 1, Subdivision: Csm Vol 3 Pg 629 ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction IIJ~ No. 1680482 Site ID No. 750022 Please refer to both identification numbers, V~`~ above, in all cones ondence with the a enc ~ 0 FOR: Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1234746 Maintenance required; Replacement system; 450 GPD Flow rate; 28 in Soil minimum depth to limiting original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1lO1}, Pressure Component Manual -Version 2.0, SBD-10706-P (N.O1/O1), SSWMP Pub. 9.6; 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. 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the properly owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. r~~~ C~ ~~~, i '`~ t SE GO JOHN F SCHMITT Page 2 7/29/2009 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Beginning October 151, 2008, small wastewater holding tanks with estimated flows less than 3,000 gpd that are based completely on approved POWTS component manuals must be submitted to the appropriate governmental unit and will no longer be accepted by the Safety and Buildings Division for review. Please refer to s. Comm 83.22, Wis. Adm. Code for further information. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Patricia L`~)i rf POWTS Pl eviewer ,Integrated Services (715) 634-78 0, Fa 715) 634-5150 , M-f 7:45 am - 4:30 pm pat. shandorf@wisconsin. gov Fee Required $ 250.00 Fee Received $ 250.00 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. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www commerce wi gov/SB/SB-BuildingContractorProeram.html RECEIVED MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN i~esft,:}f:: d?21 c~1 Aj>~~lii:.ciflOil JUL 1 6 2009 INDEX AND TITLE PAGE '~ SAFETY ~ :~UILUJi''~t~ect Name: Owner's Name: Owner's Address: 831 170th Street Brad & Sue Etrier 441 270th Street Woodville, WI 54028 Legal Description: NW1/4, SW1/4, S21, T29N, R17E Township: Hammond County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number: NA Parcel I.D. Number: 018-1047-10-000 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 Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Filter Information Page 10 Soil Evaluation Report Page 11 Soil Evaluation Report Cont. Page 12 Soil Evaluation Report Cont. i ~~ Designer: John Schmitt License Number: 223760 Date: 07/15!09 Phone Number: (7152760-0486 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Pubiioation 9.8 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 6.0 (R. 04/08) Page 1 of 12 ~~~~~ ~' a~ Mound and Pressure Distribution Component Design Lc;si~~n t,Ncr~~~neet Site Information ~R or C) R Residential or Commercial Design Note: Sand fill (D) caiculatlons assume e 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-sku soil troatmeM for fecal 1.50 Peaking Factor (e.g. 1.5 = 15096) coliform of <= 3g Inches. 450.00 Design Flow (gpd) 7.00 Site Slope (96) 101.42 Contour Line Elevation (ft) 28.00 Depth to Limiting Factor (in) 0.80 In-situ Soil Application Rate (gpd/ft2) Distributio n Cell information 76.00 Dispersal Cell Length Along Contour (ft) = 6.00 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 (G or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 7 ~ 2.00 Forcemain Diameter (in) 'L'y 60.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.59 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 9.09 Vertical Lift (ft) 1.92 Friction Loss (ft} 0.00 In-line Filter Loss (ft) I ~j•~v 14.26 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 9.79 Forcemain Drainback (gal) 67.32 5x Void Volume (gal) 77.11 Minimum Dose Volume (gal) 39.32 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 9.50 X x 2.00 x x x x 3.00 x x Qallons/Inch Calculator (optional) Treatment Tank information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Week's C. P. Manufacturer ~~ gal/in (enter result in cell 649) Dose Tank Information 800.00 Dose Tank Capacity (gal) 21.76 Dose Tank Volume (gal/in) Week's C. P. Manufacturer Effluent Filter Information PolyLok Commercial Filter Manufacturer 525 Filter Model Number Project: 831 170th Street Page 2 of 12 Mound Plan and Cross Section Views 1_ 1110 B •' ' •Observstion Plpe K .. 4 ~ ... J :: ~' . B 0. i L E 13.04 in F 9.50 in G 0.50 ft H 1.00 ft K 8.01 ft z 9.03 ft L 91.01 ft J 4.86 ft W 19.89 ft 450.00 (ft2) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate 1127.37 (ft2) Basal Area Available 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.88 (ft) r~~rrE t F 102.09 (ft)--• - Dispersal Cell :~ Elevation A 6.00 ft B 75.00 ft D 8.00 in Mound Component Dimensions ~~f.~.f;`:._ G I~ (ft) Lateral Invert clspersel cen ' • ~. 102.59 `` _, _., _. _,, .., __ __ __ __ _ _ _ _ _ _ 101.42 (ft) Contour Elevation 7.0 ~b Site Slope Geotextile Fabric Cover Shading Key ~. ~ Dispersal Cell See lateral details on 0 Topsoil Cap a 1.5 ft Page 4 for number, size, Q "{~" Subsoil Cap ~ ~ ~~ 0 ~ ~ and spacing of laterals. '•~~'~•~'~• ASTM C33 Sand •.~-~ ~ ~ F Laterals are equally 8 Tilled Layer ~ 0.5 ft Typical Lateral spaced from the ~. ~..~ Q Aggregate a ~ ~ I distribution cell's ~_ A ~~ centerline in the distribution cell (AxB). -t -f _f -1 Project: 831 170th Street Page 3 of 12 Center Connection Laterai Layout Diagram Foroe mai n connection uda tee or oross to manifold at ~ P •=Turn-up wf ball ualw or IF }~--ilExi2 x121 ol~anoutplup ~! Holes drlNed on the bottom of the lateral. Laterals are Identloal s Laterals @ force main of PVC Soh 40 per COAAhA Table 8+1.34-~ Number of Laterals 4 Orifice Diameter Laterai Diameter 1.50 in Orifice Spacing ()q Lateral Length (P) 36.69 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density Lateral Flow Rate 9.83 gpm Manifold Length System Flow Rate 39.32 gpm Manifold Diameter Total Dynamic Head 14.26 ft Forcemain Velocity Dose Tank Information Electrical as par NEC 300 and -- Comm 16,28 WAC Tank component Is property vented Week's C. P. Ca aci 800.00 Volume 21.76 Dimension Inches Gallons A 20.32 442.19 B 2.00 43.52 C 3.54 77.11 D 10.90 237.18 Total 36.76 800.00 Manufacturer Gallons gal/inch A B C D 0.1881in I I 7.50 in Locking cover with warning label and locking device and sealed watertight 41n. min. F- Alternate outlet bcatlon Forcemain diameter ~ 2 in. Weep hole or antl- siphon device P~p off elevation ft 93.50 ink elevatbn R 92.59 Alarm Manuafacturer Septronics Tankmate Alarm Model Number TM1 Pump Manufacturer Zoeller Pump Model Number 98 f Pump Must Deliver 39.32 gpm at 14.26 ft TDH J Project: 831 170th Street Page 4 of 12 Mound System M,~i-penance and Operation Saecifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-38&4680 Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Fiow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soli Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years MiscellaiL~r~o~st~ction ~,nd 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 ceN aggregate conforms to Gomm 84.30 (8)(i), 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 Tunn-up Detail Finished • ............. ............... Grade 6-8" Diameter Lawn _~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: 831 170th Street Page 5 of 12 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691.P {N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. Ot /01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no ku~ger' 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 shah 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be caned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may sough off the filter when removed from its enclosure. If the fitter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuousty. Intermittent fitter 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 shaft advise the owner of when the next service needs to be pertormed 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. P~rtB,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 fitter is installed within the tank tt 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 mu~hed as necessary to prevent erosion and to provide some protection from frost penetration. Traffx; (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be hee,rily mulched as protection from freezing. Influent qualify into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mglL 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 ma~dmum design flow specified in the permit for this instaHaYbn. 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 tt 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 addttional, more frequent monitoring. Contlpaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condttion. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, tt will be repaired or replaced in tts' present location by increasing basal area if tce leakage occurs or by removing biobgically 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 provber. Pretrg~tment UnRs 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. HEADICAPACITY CURVE EFFLUENT and DEWATERING n cauTtoN Model 185/4185 should not be subjected to less than 30 feet TDH. U FLOW PER MINUTE ooaozz• PL-525 Effluent Filter -Effluent Filters .: Polylok Inc. Page 1 of 2 ~ Mande in the U. S.A, '. Polylok Inc. 3 Fairfield Blvd, Wallingford, CT 06492 Call Toll Free: 88H-765-9565 Emall: polylok You are Here: } ~';" ~°. > Product Details EFFLUENT FILT Raising the bar in filter p~-. I_..®;~J Ia~FIUG'1"'6t 1"~I'~~f' RRQDUCTS Q~SC t € ¢~t I G n ,......e..._.........~.._.... Polylok, Vnc is pleased to add its new commercial filter to its existing line of quality effluent Effluent FIP ' filters. The PL-525 is rated far over 10,GGG GF'D (Gallons Per Day) making it one of the " Xtend 8 L filtration slots. Like the largest commercial filters in its lass. It has 525 linear feet of 1116 E Polylok PL-122, the new Polyick PL-525 has an automatic shut off ball installed with every Rls@rs filter. When the fitter is removed for cleaning, the ball vain float up and temporarily shut off the system so the effluent won't leave the tank. tvo other filter on the market can make that Dlstrlbutfor claim! ~ _. . `~~, ,.,. ._ ~_ - ~ 1 . I `, ) xinrl ?;.t - - ~, _ ~ ,t~:~~ elated Products PU Ba: mps, .:. = z_ - _ _ and Step 3; .. ~- __~~ ~` -- ~ -'` ~. -_~-_ i ~ Featoxres Rated for 10,000 GPD tGallons Per Gay} Seals /Gas BafFl@s, Sal • 5251inearfeet of 111 Ea" filtration • Accepts 4" and 6" SCHD. 40 pipe Deflectors • Built in Gas Deflector ~ R@bal' $paC etd'~i:' • Automatic shut-off bail wher, filter is re7moved - - Alarm accessibility ~ Handles an • Accepts PVC extension handle Sl~ns The PL-525 Effluent Filter should operate efficiently for several years under normal - conditions before requiring cleaning. It is recommended that the filter be cleaned every time Landscap@ the tank is pumped or at least every three years. If the installed ftter contains an optional alarm, the owner will be notified by an alarm when the fitter needs servicing. Servicing FOrms 8 CI should be done by a certified septic tank pumper or installer. ', Butyl Scala Maitzt~nance Instrt~ctfs~rl~: ^ ConcreteA 1 Locate the outlet of the septic tank. Pressure F 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. ' Flltef end C 4. Pull PL-525 out of the housing, 5. Hose off filter over the septic tank Make sure all solids fall back into septic tank. R@bar-LOk 6 Insert the filter cartridge back into the housing making sure the filter is properly ' AceesSOrle aligned and completely inserted. 7. Replace septic tank cover. PI- 525 Installation: Idea! for residential and commercial ', R@ba~ Saf@ waste flows up to 10;GG0 Gallons Per Day (GPD}. Technical ; [nstallattor~ Ins#rts~tic~n~: 1. Locate the outlet of the septic tank. ?_. Remove tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or G' outlet pipe. if the filter is not centered under the access opening use a Polylok Extend & LokT"' or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace the septic tank cover. Relat§ Pump, ._ ' T~? P rarrr Pt_ ~ 1 ~'~-'. http://www.polylok.cam/products_details.asp?Product_ID=3 7/15/2009 ,~-~a1SC0~,iS%/~ SOIL EVALUATION REPORT #1x12 pmt ~ C0 in accordance with Comm t35, Wia. Adm. Code Page 1 of 4 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8'h x 11 inches in sae. Plan must County St Croix indude but not limited to: vertical and horizontal reference oint BM di cti d . , p ), re on an ( percent sbpe, scab or dimensions, north arrmv, and location and diatanoe to nearest road. Parcel I.D. 018-1047-10-000 Please pr/nt all information. Reviewed By Date Personal inforrniiffon you provide maybe used far secondary purposes (Privacy l.ew, s. 15.04 (1) (m)). Property Owner Property Locafion Household Financial Bank Corp Govt Lot NW1/4, SW1/4, S21, T29N, R17E Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 831 170th Street 1 CSM Vol 3 Page 629 city State Zip Code Phone Number ~ City ^ village ®Town Nearest Road Hammond Wl 54015 715-s84-2121 Hammond 170Th Stt~t ^ New Conatrudion Use: ®ResiderMial / Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replaoament ^ Publlc or commercial -Describe: Parent material Glacial Drift (Santtago Series) Flood pisin elevation, if applicable na ft. General comments and reconunendations: Area is suitable for a mound system. System elevation is 102.10' based off contour line established at 101.42'. Slope of area is 7%. # ^ ~~ ®Pit Ground surface elev. 102.43 ft. Depth to limiting fador 32 in. Soil application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/fl2 in. MunseN Qu. Sz. Cont. Color Gr. Sz Sh. •Efflfi •Eff112 1 0-12 10yr3/3 none sl 2msbk mfr gw 2f .6 1.0 2 12-28 10yr4/4 none fsl 2msbk mfr gw 2vf .4 .$ 3 28-32 7.5yr5/4 none fsl 2msbk mfr gw 2vf .4 .8 4 32-41 ipyr7/2 cid iuyr6/6 ~ peg ml cs .4 .6 5 414 7.5yr4/6 ~ ~ 5.5yr6/6 vfsl Om mfi cs 0.0 0.2 6 44-47 10yr7/2 ~d Z~' 2/6 vFs Osg ml cs .4 .6 7 47-49 7.5yr4/6 cid 7.5yr6/6 7.5 r6 2 vial Om mfi a ----- 0.0 0.2 ^ ~ Boring Z Boring # ® Pit Ground surface elev. 102.93 R Depth to Umiting fador 28 in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft= in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. •E~ 1 0-7 10yr3/3 none sil 2mgr mfr cs 2f .6 .8 2 7-23 10yr4/4 none sl 2msbk mfr gw if .6 1.0 3 23-28 7.5yr5/6 none fsl lmsbk mfi gw .2 .6 4 28x43 7.5yr5/4 c21 iWr~/8 fs1 Om mfi gw .2 .5 5 43-57 7.5yr5/4 m~5.5y/r15/6 grsi Om mfi cs .2 .6 6 57-65 10yr8/1 ~2i lovr6/6 vile Osg ml -- .4 .6 ' Fafluerlt #1 = BODS> 30 < 220 mglL and TSS >30 <_ 150 mg/L `Effluent #2 = BODS <_30 mglL and TSS <_30 mg/L CST Name (Phase Print) Signatur : ~-~ CST Number Thomas J Schmitt ~ ~ 227429 address Schmitt SoH Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Stream New Richmond, WI 54017 6/24/2009 715-247-2941 san-ss3o ~t.mroo~ • .Propelrty Owner Household Rnanaai Bank Corp Parcel lD ~ 018-1047-10-000 Page 2 of 4 a ~9 # ®P~g Ground surface elev. 99.48 ft Depth to limiting factor 30 in. Soil AppUcatbn Rate Horizon t>epth Dominant Cobs Redox Descriptbn Texture Structure Consistence Boundary Roots GPD/ft' in. Mansell Qu. Sz Coat Color Gr. Sz Sh. •Eff#1 'Ett#2 1 0-11 10yr3/3 none sll 2fsbk mfr cs 2f •6 •8 2 1i-21 10yr4/4 none sl 2msbk mfr gw 2vf .6 1.0 3 21-30 7.5yr5/4 none Ifs icsbk mfr gw .5 1.0 4 30-51 7.5yt4/4 m27d5'Sy6rt/8 grsd imsbk mfr gw .2 .3 5 51-65 10yr5/3 m2d 7.5yr6/6 ~ 5 grsd Om mfi - 0.0 0.0 a Boring # ^ Boring ® pit Ground surface elev. 99.48 ft. Depth to limiting factor 29 in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Mansell Qu. Sz Corrt. Color Gr. Sz Sh. 'Ef(Ah •Eff#2 1 0-9 10yr3/3 none sit 2fsbk mfr cs 2vf .6 .8 2 9-16 10yr5/6 none fsi 2fsbk mfr gw 1vF .4 .8 3 16-29 7.5yr4/6 none fsl imsbk mfr gw .2 .6 4 29-36 7.5yr4i4 m7~5.5yr6/8 f~ imsbk mfr gw .2 .6 5 36-47 7.5yr4/4 m2d5.5yr6/6 fsl Om mfi ---- .2 .5 6 47-64 10yr5/3 ~ 7'Sys6/8 7.5yr6/2 sd imsbk mfr - .2 .3 Ong # ^ Boring ® pit Ground surface elev. 101.90 1t. Depth to limiting factor 28 in. Applicatbn Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPDlft~ in. Mansell Qu. Sz CoM. Color Gr. Sz Sh. •Etf#t •ErMe2 1 0-9 10yr3/3 none sit 2fsbk mfr cs 2vf .6 .8 2 9-15 10yr4/4 none sit 2msbk mfr gw ivf .6 .8 3 15-28 10yr4/6 none sl 2msbk mfr gw .6 1.0 4 28-34 10yr7/2 m ~d5.5yr6/8 ~ imsbk mfr gw .2 .6 5 34-61 10yr6/3 m2d5.5yr6/6 sd imsbk mfi - .2 .3 • EfliueM #1 = BODS> 30 < 220 mg/L and TSS >30 <_f 50 mgll 'Effluent #2 =BODE <_ 30 mg/L and TSS <_30 mg/L 'The Deparirneat of Commence is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the departruent at 608-266-3151 or TTY 608-264-8177. san.uw ~.mao> sauna sow rewrq, rnc. ` Page 3 of 4 ~ Conducted by: Conducted For: Schmitt Soil Testing Inc. Alaxne: Household Financial Corporation Thomas J. Schmitt, CST 227429 Address: 831 170th Street 1595 72nd St. City, State, Zip: Hammond, WI 54015 IVew Richmond, WI.54017 Phone: 715-247-2941 Subd.Name: CSM Voi 3 Page 629 sigoatu _ ~° , _ Lot Na: 1 ~;c (' ~ ~~ f % Legal Description: NWl/4 SWl/4 S21 T29N R17W O Backhoe pit Township, County: Hammond, St. Croix County ~ Bench Mark El. 100.00' Top of 2" pvc .pipe Q Alternate Bench Mark Ei.109.28' Nut on top of Well Slope= 7% Contour Line El. 101.42' Contour Length 90' Scale 1" = 40' / ~~ ~ a~~~~l -~ 1~3~ ~ gz `~ ~' -, ~ off" ~~7 ~--. g1 ....-~ ''~ to3~ r _. ~ ~~~ .. ~/ PAID #,612 ~sCOns~n SOIL EVALUATION REPORT - Departrnent of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 4 Division of Safety and Buiklings Schmitt Soil Testing, Inc. County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 1s-1o47-10-000 Please print all information. i Dat Personal information you provide may tfe used for sec~~~ cy Law, s. 15.04 (1) (m)). ev ~ a~ O ~}' Property Owner Property Location Household Financial Bank Corp -- Govt. Lot NW1/4, SW1/4, S21, T29N, 817E Property Owners Mailing Address - Lot # Block # Subd. Name or CSM# 831 170th Street gr cR 1 CSM Vol 3 Page 629 City State Zip NIM~®ri3flP11NCli3A1=FIC ~ City ^ Village ~ Town Nearest Road Hammond WI 54015 715-684-2121 Hammond 170Th Street ^ New Construction Use: ~ Residential 1 Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ^ Public or commercial -Describe: Parent material Glacial Drift (Santiago Series) Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a mound system. System elevation is 102.10' based off contour line established at 101.42'. Slope of area is 7%. Boring # ~ Boring ® Pit Ground surface elev. 102.43 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0-12 10yr3/3 none sl 2msbk mfr gw 2f .6 1.0 2 12-28 10yr4/4 none fsl 2msbk mfr gw 2vf .4 .8 3 28-32 7.5yr5/4 none fsl 2msbk mfr gw 2vf .4 .8 4 32-41 10yr7/2 c1d i0yr6/6 10yr6/i ~ Ost3 ml cs ------ .4 .6 5 41-44 7.5yr4/6 cid 7.5yr6/6 7.5yr6/2 vfsl Om mfi a ----- 0.0 0.2 6 44-47 10yr7/2 c2d 10yr6/6 10 r6 2 ~ Osg ml cs ------ .4 .6 7 47-49 7.5yr4/6 cid 7.5yr6/6 7.5yr6 2 val Om mfi cs ------ 0.0 0.2 Boring # ~ Boring Pit Ground surface elev. 102.93 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP DIft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none sil 2mgr mfr cs 2f .6 .8 2 7-23 10yr4/4 none sl 2msbk mfr gw if .6 1.0 3 23-28 yr5/6 none fsl imsbk mfi gw ------ .2 .6 4 28-43 7.5yr5/4 c2d 10yr6/8 10yr6/2 ~l Om mfi gw ------ .2 .5 5 43-57 7.5yr5/4 m2d 7.syr6/s 7.5yrfi/1 grsl Om mfi a ------ .2 .6 6 57-65 10yr8/1 c2d 1 ~r6/6 ~ Osg ml ---- ----- .4 .6 * Effluent #1 = BODS> 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS <_30 mglL and TSS <_30 mglL CST Name (Please Print) Signatur : ~, CST Number Thomas J. Schmitt / 227429 Address Schmitt Soil Testing, Inc. Dale Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 6/24/2009 715-247-2941 SBD-8330 (R.07/00) Property Owner Household Financial Bank Corp Parcel ID # 018-1047-10-000 Page 2 of 4 a Boring # ~ Boring p~ Ground surface elev. 99.48 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-11 10yr3/3 none sil Zfsbk mfr cs 2f .6 .8 2 11-21 10yr4/4 none sl 2msbk mfr gw 2vf .6 1.0 3 21-30 7.5yr5/4 none Ifs lcsbk mfr gw ----- .5 1.0 4 30- 7.5 r4/4 y m2d 7.5yr6/8 7.5yrt/6 9rscl imsbk mfr gw ______ .2 .3 5 51-65 10yr5/3 m2d 7.5yr6/6 7.5 r6 2 grscl Om mfi ---- -- 0.0 0.0 Boring # ~ Boring pit Ground surface elev. 99.48 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eif#1 'Eff#2 1 0-9 10yr3/3 none sil 2fsbk mfr cs 2vf .6 .8 2 9-16 10yr5/6 none fsl 2fsbk mfr gw ivf .4 .8 3 16-29 7.5yr4/6 none fsl lmsbk mfr gw ---- .2 ,6 4 29-36 7.5yr4/4 m2d 7.5yrs/8 7.5yr6/3 fsl lmsbk mfr gw ---- .2 .6 5 367 7.5yr4/4 m2d5.5yr6/6 fsl Om mfi ---- ----- .2 .5 6 47-64 10yr5/3 m2d 7.5yr6/8 7.5yr6/2 scl imsbk mfr ---- ------ .2 ,3 ^ Boring # ~~ Boring ~ pit Ground surface elev. 101.90 ft. Depth to limiting factor 2$ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisfence Boundary Roots GPD/fi~ in. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. "Etf#1 *Etr#2 1 0-9 10yr3/3 none sil 2fsbk mfr a 2vf .6 .8 Z 9-15 10yr4/4 none sil 2msbk mfr gw ivf .6 .8 3 15-28 10yr4/6 one sl 2msbk mfr gw ------ .6 1.0 4 28-34 10yr7/2 m2d 7.5yr6/8 7.5yr6/2 fsl imsbk mfr gw ----- .2 .6 5 34-61 10yr6/3 m2d 7.5yr6/6 7.5 r6 2 ~l imsbk mfi ---- ------ .2 •3 "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.07100) Schmitt Soil Testing, Inc. Page 3 of 4 . • Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Household Financial Corporation • Thomas J. Schmitt, CST 227429 Address: 831 i 70th Street i 595 72nd St. City, State, Zip: Hammond, WI 5401 S New Richmond, WI.54017 Phone: 715-247-2941 Subd.Name: CSM Vo13 Page 629 sx~-am , . Lot No.: 1 ~~ ~ ~ ~' 9 Legal Description: NW 1 /4 S W l /4 S21 T29N R17W ^ Backhoe pit Township, County: Hammond, St. Crow County Bench Mark El. i 00.00' Top of 2" pvc pipe Q Alternate Bench Mark Ei.109.28' Nut on top of Well Slope= 70lo Contour Line El. 101.42' Contour Length 90' Scale 1 " = 40' ~ ~~ ~ ~~~~ \~ ~~~~ ~ \ n ~~ ~ I ~~ i ~ g2 Q~ t~1 ~i _.._- ~N ~~ ~ y6' ,i i _ ~ ~~ ,, 3a~ 3y` !~' a3 T, ~'~ ~~y /~~ , ArcIMS Viewer 9'' iron ;tip:: ~"~p,.; F yr, .. ~' y~ 4 1 . ..; ~ ~''~', r ~~.•- ~ . r~ .,~ Ys~ ~~x ~ ` Page ~of y http://www.landinfo.co.saint-Croix.wi.us/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 6/24/2009 ~ N ~ N ~ ro a O z a ro ~ -, Oo O ~ N O ~ ~ C~ O ~ ro ~ O c <D C) O I ~ n J ro ~ ~ ` C ~ r+ N O N i ~ C1. m I N I o v ~ _ c 3 y ro ~ ? 01 d o m O ~ ~ w ~ ~ c ~ cUro (D ~ C 7 N ~ ~ N O o ~ ~ ro ~O % ' O u, 0 ro N O o o ~ ~~ m o D o ~ °- m ~ v a ~ I O• ~ a . -o ~. oro ~ o ~ ~ ~ ~ -•O-~ Z ° o m c 4m3 - O ~ °- ~ -°. rron ~~a~fi ~ n O .~. ~' 0 I ~ ~ ~ m ~ ~ ~~ ~ ~ ~~~N ~ y ~ N ~ O ~ ': I ~~ 0 c~ c o - ~ ~~~~ivn' 0 0 m m ~.-a m f~'O v, ay p , =row ro ~ a ro O O l o o ro a G N p ',~ y 'fl n N O ~ ~ ~ L # ~ ~ ~ d ~ ro ~ 3 ^r ~ ~ ~ ': 2 ~ o V N N y N 3 N N U7 c N O ~ A 7 d W 7 ''' I W O ~ ~ O O W `2 O N O I 7 O N a a w i O O V ~ ~ O _ ~ I O ~ f ~ N '; I ' I c 0 c o ~ : ', i c7 r to ~ ~ ~ ', to o c w ~ 3 .. a w ~~~ 3 , °' '~ O O O o ! ~ ~ ~ ! a o D fA l/1 to - , ~ v v ~ i o m N ~ o W '' N fD ' CO 7 Z 07 Z D ro O n ~ 'I ~ ~ ro ro y O N ro N a 7 _ 'p Z A O c -~ ~ 7 a A Z ~? .. (/) N N ~ ~ ~ ~ a ~ "~~ ~ Z ~ ~_ A .Z7 O :'•' Z ~ to Z ~ A W T C 7 a SHERIFF'S DEED Document Number: Return address: M. Abigail O'Dess O'Dess and Associates, S.C. 1414 Underwood Avenue #403 Wauwatosa, W[ 53213 Tax Key Number: 018-1047-10-000 Re: Case No. 08-CV-366 HSBC Mortgage Services, Inc. v. Dennis C. Smith, et al. Pursuant to a judgment of foreclosure entered in this matter, the subject premises was sold at auction to the highest and best bidder, HSBC Mortgage Services, Inc. Therefore, the sheriff does hereby grant and convey unto said successful bidder, all ofthe following described Land, located in the County of St. Croix, State of Wisconsin, to wit: Part of the Northwest 1 J4 Southwest 1/4 of Section 21, "Cownship 29 North, Range 17 West,1'own of Hammond, St. Croix county, Wisconsin, described as follows: Certified Survey Map filed June 28, 1978, in Vol. 3, page 629. More commonly known as 831 170th Street. Tax Key No. OI8- 1047-10-000 Dennis Hillstead Sheriff of St. Croix County STATE OF WISCONSIN ) ) ss. ST. CROIX COUNTY ) Personally came b fore me thi ~~ day of~ _,_, 20U / ,the above named S I~ ~~!ei'sonally known to me as the office escribed above, and who executed this document as the sheriff or on behalf of the sheriff of this county. ?~~~ ~. ~~~cti Arc=ar:' ~ ~ Notary Public, State of Wisconsin estate at ~ My Commission: Ql0 ~ /~ ~~fr~ This instrument was drafted by and should be returned to M. Abigail O'Dess, O'Dess and Associates, S. C., 1414 Underwood Avenue, Suite 403, Wauwatosa, WI 53213 111111 11111 1f111 lull Miff Illil fill 1111111111 Ilfl * 8 9 1 1 3 5 1 891135 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 03/16/2009 10:45AM SHERIFFS DEED EXEMPT >1 I y REC FEE: 11.00 CC FEE: 3.00 PAGES: 1 i~. 3w 1 of 1 5T. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ,~,' Property Address S (Verification required from Planning & t l1~ w~ _ ~v a~ -,-- ~,t~,n~.a ~, ~ CIO! G Department for new construction.) City/State ~~ Wl N'l. ~ n7 b ~ .~ Parcel Identification Number Q1 S `~ ~ ~ y 7 - f ~ ~ ©~ ~ LF~AL DESCRIPTION ' , / Property Location ~ r/a , ~W t/a ,Sec. ~, T ~N R ~ 7 W, Town of /7~~1 n'L 0 ~tl K! , Subdivision ,Lot # ~. Certified Survey Map # .J ~' 60~ c/ ~ t ~ `" ~ g ? ~ ,volume ,~~,_______, Page # _~~,_. Warranty Deed # ~g,1 l 3 S ,volume ,Page # spec hoase yes no Lot lines identifiable ~ na ~SY~ MA~V~~F/N. AN~`wA~D O~V~TER lwL'~1~_..TIFIi.r..Crf~TIQ~1 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wiswnsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning 8c Zoning Deparhnent within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~^~ T DATE ***Any information that is misrepresented may result in the unitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.08/05) ~~ 34~a736 FILED JUN 2-u 1g78 dA1REi O• fiONh1EGL ~lW~ o/ D~ld~ ~ ~1i c+.ney ~~ ~~.e _. CERTIFIEp SURVEY MAP CLYDE HANSON 0 a z O H Part of the Northwest 1/4 of the Southwest 1/4 of Section 21, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. __ ~ N 90° 00' 00~ w 3E-C7. 00" ~ W ~O 33 ~ 90 N ~ .O N ~O - ~' U N O s3 00 _, 00o N 3~0 ~ oJ0° W UWO U O =~z ~.C7C7 ACF?E5 ~ t'-4 e ° 900 0 00~ O ~O 0 O d~ ° °o ~ pR S~~o\v\s\~o ~ ~ ~ . AL Sn ~ N 90~00~OO~E 36 t~\SM ~epg~IV~'-~' ~1n~ PN ?S\~ ul 33~ + AO oo~s cos;z~ ° o tD >,~ 3 ev\tp\~~O N42.2 Z 3 r N ~ o Indicates 1" x 21+" $~on pipe stake set a ~ ~ !!! weighing 1.13 lbs./ft, set. tLlO ` ~W I °o APP'~a~~ ~ W m .~~ JzN O ,~~a Q~ H eg ~uN 2 2 5 w CO R. S EC. 2 I T 29 N, R t7 w SCALE 1"'= -aO' ~ $S.:. -•`'~~ PARKS YIAM;.IPCY S P I K ~, 1 tv ASPFIA~.T GO-A~K~d1lµyti cOMM1SSfcR Vol~t1055-•O1 Description: 7487895 feet That certain parcel of land located in the NW 1/4- of the SW 1/4 of Section 21, T 29 N, R 17 W, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows; Commencing at the Southwest corner of said Section 21, thence go N 00°00'00"E along the 'v'est line of said Southwest i/!i ~""~~;,, thence go N 90°00'00"E 33.00' to the POINT OF 9EGINNING o2 the ~arcel to be herein described; thence go N 90°00'00"E 360.00'; thence go N 00 00'00"E 24.2.00'; thence go N 90°00'oo"w 360.00'; thence go S 00 00'00"W 24.2.00' to the PC`INT OF BEGINNIT7G of the above described parcel, containing 2.00 acres, more or less. (For purposes of this description all bearings are referenced to the 'sleet line of the Southwest 1/4. of Section 21, T 29 N, R 17 W, assumed N 00°00'00"E) State of Wisconsin) St. Croix County) I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Clyde Hanson, I have surveyed and divided the above described lands according to official records, Chapter 236 of Wisconsin statutes and the Ordinances of St. Croix County; and that the above map and description area true and correct represents 'on thecre~of. Certified Survey Maps , James L. Murphy SSG St. Croix County, Wisconsin %` egistered Land Sure ,,~ €' ~ MURPHY S- 1 0 4 2 VOlume 3 Page 629 = ~'•,•• RIVER FALLS, ~' 11!11