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HomeMy WebLinkAbout018-1098-28-000 c~ cn 0 3 ~ ~ Cy c ~ ~ ~ co ~, ~ ,3 ~ ~~1• a I ~ ~ ! 3 3 :. ~ ~ ~ ~ ~ p ^ \ 1 I l 0 cn3 ~~v, z o~cn ~ wo° ~ ~• ~ ? ~ ~ S C ~ ~ C I .+ ~ N ~ ~ ~ d fD ~ _ ~ H A ! ~ ~ ~ M ~ N d~ ~. Q N ~ ~~'~ ~- ~ N !'C I °o ~ ~ co c ~ a ! o ~ c° ~~ 0 V ~ ~ N ~' O ~ O (r l ~ ~ 3 ~ ~ 1 ~ I ~' - ~ v a m ~ ro a ~ W ~, n I ° a DI I 3 o 0 ~ V I ~- ~ o N u' ~ '~ ~ N opp o =! ~ n r N N M ~ A A~ 3 c rN-w ~ Q I ~ ~ ~ = i ° ~ M ~ 000- ' ~ I o to ~ ~ ~ ~ ~ ~ ^' m I ~' c 3 to cn to ~ '' ~ v v °° m I Q N ~ 'p y o I ~~ a I ~ ~ W ~ ,. I n I ~ ~ ~ ~ I 3 m y N I n. of I o ~ N D D o O ~' O I - o ~ m a h • ~ ? ~ ~ ~ C W ~ O Z ~ c A 2 ~ O _ ~ ~ J ~ M n Q A 2 0 N N ~ j N O O Z -i W m ~ o I ~ a 3 ', z a A I C r: y ~ -JS~ ~ Z ` ~ ', ~ ~ i .P a I a ~ I m c z a 0 I N I ,y I ~ I a I I N ~ N ° I o a ti I o ~ I ~ ~ a I c p ~ ..' ~ ~ . ° ! ~ b I . o Wisconsin Department of'f;ommerce PRIVATE SEWAGE SYSTEM - ~-=-- Safetyand Building Division g INSPECTION REPOR ~2b GENERAL INFORMATION (ATTACH TO PERMIT 1 c~ Personal information you orovide may be used for secondary ourooses IPrivacv Law, s.15.04 (1)(m)l. Permit Holder's Name: City Village X Township Stout, Richard Hammond Townshi CST BM Elev: ~ Insp. BM Elev: BM Description: ~ ^ ~ 6O ~ ~ J /00 + 13 - ~ Z G~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 1 'Pi`~~ ~ ~-~ Dosing ~i~ ~~ ~ ~a/ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ J ~ ,t'p t ~ / , J~ . I /- ' Dosing ~~ r r / / / // ~ I~ /v ~ f ^ _ ' / + ~. Aeration Holding PUMP/SIPHON INFORMATION Manufacturer J~ ~~ U ~ Demand GPM Model Number ("~ ~ Z TDH Lif~ 6S Frictio, Lpgs System He~d ~ TD~I~ ~~t ~+lv ~ I SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 46319y 0 State Plan ID No: o~lb I = TQ*"is• ~p•~ Parcel Tax No: 01 s-1 o9s zs-ooo SectionlTown/Range/Map No: 30.29.17.835 STATION BS HI FS ELEV. Benchmark ~ ~,~ `7~ I'~" ` r~ // Alt. BM ~`~ ~-O~ (g ~b C/ 3 ~ 73 Bldg. Sewer ! ~ CI 1 p 3 ~ ~ / l l SUHt Inlet ~ ~ Z~ a '(-~ ~ , SUHt Outlet "'1 Dt Inlet '` .~ Dt Bottom ~I ~ G ~Q + Z v Header/Man. 1 ~ `~ a~,o~ ~, ~ q 95 Dist. Pipe L~ r ZZ ~5J ~, / Bot. System ~ ~5 ~~ , ~g Final Grade ~' ~ (b ~$~ l St Cover r `` ~ ~ q / ~ 6~ ! f Gn,~~~~ (o,d ~ ~0,~ 93 {7 9 {~~ 3 BED/TRENCH DIMENSIONS Width ~ Length ~ No. Of Troches 1 PIT DIMENSIONS ~ No. Of its Inside Dia. ~`1 Liqui Depth ~ ~ f SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type O stem: ~ 5 ~ ~ ~ ~ ~ UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold I/ ' I (I Length ~~~•• Dia ~- Distributi~o1nG Pipe(s) _[' I L.~. ~ ~~ 3~ Length Dia Spacing x Hole Size ~~~~ x Hole Spacing ~(O~/ cl Vent Air I~nt-ake ~ I t~~J SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Onlv ~ Depth Over / Bed/Trench Center ~ Depth Over Bed/Trench Edges \ xx Depth of Topsoil ~ xx Seeded/Sodded xx Mulched ' ~ ' s ~ No Yes L No /. COMMENTS: (Include coc~ discrepe Gies, persoAAs present, etc.) Inspection #1: t t / ~Z/ ~`~ Inspection #2:~_/ ZZ-/©~~ ~ f .s' 3S' ~3 f}~rE ..~wu~uv~X ~ $i{O/ f~N~~Sar . 30.29'.l~ -~~ ~ Location: ) Emerald A es Lot~$ Parcel No: 30.29.17.8ffi( tf 3S~ 1.) Alt BM Description = r Q ~ 2.) Bldg sewer length = ~ ~~ti,,,~, ~" I..O~.-~~S - amount of cover = ~/ Plan revision Required? ~_ Yes No Use other side for additional information. SBD-6710 (R.3/97) >~ 29~aT [1(~ o~~ Date ~~~~~ ------ - -- --~, ~ --- - - F Insepc s Si re Cert. No. ~,~~ ~ SOIL EVALUATION REPORT Wisconsin Dep (;~ --~. Division of Safely and Buildings `a~t~~R~at~n Co 85, Wis. Adm. Code 1843 Page 1 of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on per no~'i~ s k~han 8'/ x 11 inches in siz .Plan must ~~ St. Croix dnta~}e~re~gppyrt (BM) direction and include, but not limited to: ve cal and percent slope, scale or dime sions, north arrow, and I ~ i nd dis nce to nearest road. Parcel I.D. 018-1098-28-000 Plea ¢ p~~~~~~~~+" Date Reviewed B IN y ~u~oses (Priv Law, s. 15.04 (1) (m}). Personal information you provide may Property Owner Property Location Dick Stout Govt. lot NE 1/4 SW 1/4 S 30 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Awatukee Trail 28 Emerald Acres City State Zip Code Phone Number J City ~ ~Ilage ~/ Town Nearest Road Hudson ~ WI 54016 715-549-6731 Hammond 1535 73Rd Ave. N New Construction Use: JResidential / Number of bedrooms 4 Code derived design flow rate J Replacement ~ Public or commercial -Describe: Parent material Glacial drift over weathered sandstone bedrock Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 94.72' at 12" above 93.80' contour. 600 GPD na a Boring # ~ Boring Pit Ground Surface elev. 94.27 ft . 30" in. Depth to limiting factor Soil A ligtion Rate pp Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/2 none sil 2fsbk ds as 2f,1m 0.6 0.8 2 14-18 10yr4/3 none sil 2fsbk ds gw 2f,1 m 0.6 0.8 3 18-30 10yr5/4 none sicl 2fsbk dsh cvv 1fm 0.4 0.6 4 30-42 10yr5/4 f2d7.5yr5/8 sil 1csbk dsh cvv 1fm 0.4 0.6 5 42-56 10yr4/6 m2d7.5yr5/8 sl 1 fsbk mfi cw - 0.4 0.7 6 56-61 10yr8/2 m3p7.5yr5/8 fs Osg dl - - 0.5 1.0 H#6 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. Boring # ::~ Boring Pit Ground Surface elev. 94.35 ft. 25~~ in. Soil ligtion Rate Depth to limiting factor App Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3l3 none sil 2fsbk ds as 2f,1m 0.6 0.8 2 10-14 10yr4/3 none sil 2fsbk ds gw 2f,1m 0.6 0.8 3 14-25 10yr5/4 none sil 2fsbk dsh cw 1fm 0.4 0.6 4 25-49 10yr8/2 m2d7.5yr518 fs Osg dl - - 0.4 0.6 H#4 consists of san iduim -meets definition of sandstone by resistance to knife penetration. * Effluent #1 = BOD ~ 30 <_ 220 mg/L d TSS >30 < 1 L * ffluent #2 = BOD <30 mg/L and TSS <30 mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson s 3602 Address A.C.E. Soil 8 Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osseo . WI 54020 9222004 715-248-7767 Property Owner Dick Stout Parcel ID # 018-1098-28-000 Page 2 of 3 Boring # ~ Boring 1/ P~ Ground Surface elev. 92•~ ft. Depth to limiting factor 25" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/2 none sit 2fsbk ds as 2f,1m 0.6 0.8 2 12-16 10yr4/3 none sit 2fsbk ds gw 2f,1m 0.6 0.8 3 16-22 10yr5/4 none sicl 2fsbk dsh cw 1fm 0.4 0.6 4 25-30 7.5yr4/6 f2f 7.5yr5/8 sl 1 msbk mfr cw 1 fm 0.4 0.7 5 30-41 7.5yr4/4 f2f 7.5yr5/8 scl 1 msbk dsh cvv - 0.2 0.3 6 41-50 10yr8/4 m3p7.5yr5/8 LSBR na dh - - 0.0 0.0 H#6 consists of limestone residuim -meets definition of bedrock, greater than 50% by volume. a Boring # _:~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texiure Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 = BOD ~ 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. .~3 ~d ped. Ass~.ry+~c/cv. _ ~vo.ur 1 1 ~ I l~. b. : Top o ~' Spec l 3 „ I _ (~nct post . c ~e /. = goo. ~3' d~ '~ d 4 ~ i ~~ I h I I gg,39'~'ont~'A~/in~~'~ind2 pi f ~`xa/c: I = ~~ ~, 93.G~C:o~L`dur' T ~ of'f14~^~ar'd SE •C/b/X ~'v. ' R~~: ~/dY3. ,' a- ~- d~ ,, a , ~ ~, ^ .- r ~~ I~~~~B ~~~ Y 9~0, 62 _ -~ -- - -" ~ 83 __---~" / _--~- ""~ ,, _---~ ~ ~ion~ ~ ~ ~~ ~,a / E°'s~ ~, a9'~ / ~a`. / ~.3~f3 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and 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 Stout, Richard Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CrOIX Sanitary Permit No: 463194 0 State Plan ID No: Parcel Tax No: 018-1098-28-000 Section/Town/Range/Map No: 30.29.17.835 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: Of S T ype ystem: UNIT Model Number. DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes ~ No [~ Yes C, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 1535 73rd Avenue Hammond, WI 54015 (NE 1/4 SW 1/4 30 T29N R17W) Emerald Acres Lot 28 Parcel No: 30.29.17.835 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? j - Yes [] No i- Use other side for additional information. ~ i Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ` ~ Safety and Buildings Division 20] W. Washington Ave., P.O. Box 7162 County M =i ~t~~a ~t X I ~~~II SII ~ Madison, WI 3707 - 7162 Sattitary Permit Number (to be filled in by Co.) Department of Commerce _ (~8) - 1 ~~0.3 9 Pl LD S N b Sanitary Permit Appli a i~ um er an . tau ~ In accord with Comm 83.21, Wis. Adm. Code, personal i formation you provt o ~ 0~ ~ ~p~' -_• I ~it1S . /~ s may be used for secondary purposes Privacy La , s15.04(I)(m) roject Address (if different than mailing addres I. Application Information -Please Print Afl Information ~~~~- ~ -~~ ~1 {' ~ ~ f S 3 S ~ 3 1-~~1 ~ Property Owner's Na me ZONING OFFICE Parcel JI of iY Block N Property Owner ' s M ailing Addr ess Property oration / r~ c ~ ''~ ~ ~J u/~~GC.~~~e.~ (,/'~ f ~ ~~ S4 Se000n ~G~ f ~~ro City, State Zip Code Phone Number . . '- ' ~ S ~ ;.f~ S-- Gf 7~ ~ _ ~ 73 ~ (circle } ~ R ~ ? E o~ T ~ N II. Type of Building (c eck all that apply) ~ S ~ ~ g ~1 or 2 Family Dwelling -Number of Bedrooms ~ ; ~ Subdivision Name CSlvi Number _ _ _ ~ ^ Public/Commercial -Describe L'se ~/~1ty°~~ ~G1r'~S _ -_J _ L~ State Owned -Describe Use _~_ ~ ~~ ~ ^City_r ;Village ~Cownship of~~ ~~ a III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Q• I.D• = D 1 ~ 09 ' Z ~ T. 3S ' A' ~ New System ^ Replacement System ^ TreattnentlHolding Tank Replacement Only ^ Other blodit"[cation to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of i~ Permit Transfer to New List Previous Permit Number and Data Issued Before Expiration Plumber Owner ' _ t _ IV. T of POWTS System: (Check alt that a ply) _~__~c~o M _ _ (~.O ,©• 92 _ ,Non -Pressurized In-Ground Mound > 2Q in. of suitab ail ^ Mound < 2A in. of suitable soil ^ At-Grade C Single Pass Sand Filter ! ^ Constructed Wetland ^ Pressurized in-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treahnent Unit ^ Recirculating Sand Filter ^ Recirculating 5ynthecic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explai - __ V. Dis rsal/Treatment Area Information: _ _ Dispersal Area Required (sf) Dispersal Area Proposed (sf} System Elevation / Design Flow (gpd) Design Soil Application Rate(gpds nn ~'C~ y Jf . ~ SQL r!- D~ ~~~ _~~~' --1 ~ ~ Prefab Site i Steel Fiber Plastic VI. Tank Info Capacity in Total umber Manufacturer Gallons Gallons of Units ~-1.~ t ~ ~ _~~ Concrete Constructed Glass I~b~ New Existing i '(~ Tanks Tanks Septic or Holding Tank !y /\ ~ OQ ( ~ / J : ~ ~ ~ ~ ~~ .~,! ~ _ ~ ~ Aerobic Treatment Unit ~ Dosing Chamber ~O ~Qv ~~ , ~ ~ ' ~ L VIL Resporlsibility Statement- I, the underslg,ted, assume respotlsibillty for ' allation of the POWT6 shown on the attached plar-s. Plumber's Na me {Print) Plumber's Si gna[ure ~ MPRS Number Business Phone Number 1 Plumber's Addre ss {Street, City, State, Zip Code) VIII. Count /De artment Use Onl _ Permit Fee eludes Groundwater Date Issued ssuin Agent Signa a (No Stamps) Satutar y pproved ^ Disapproved Surcharge Fee) 2 r-f1 ~ 0~,~ ~ (( ^ Owner Given Reason for Denial JJCJ'-" IX. Conditions of Approval/Reasons for Disapproval 3 \ 1, r o J ` d~~ -~h J /v 0~ c~,, ~ /J~ ~ SYSTEM OWNER: ~ ~ 4 ~ ~a S ~s~ ~ ~yC~( , . - - . 1 Septic tank, effluent flfter end dispersal cell must all be serviced /maintained Y as per management plan provided by plumber. 2. All setback requirements must be maintained ~ as per applicable code/ordinances. L Attach complete plans {ta Ute County aaly) ror the system on paper not less than 8112 x t 1 inches to stze ~73 ~d f}/8ntce ~ d ri ~ (~! ~[ ~ d 3~ a~ ~ d 4 o~i a ~~ h 9araye 1 O~ I n 82 •/~.dOF,v,c. bu,"Id;n~gq/ s~-war. T b¢ i n.lt.~ /a 6< d a s p.~..~ co,r .~ . 8.z . A~opostd weal ~ a-f ~u%Id~n~ S;tc . ------, P~opo std y b.e-drw~r+ ('c s %dencC ~~ ll ~~ r ~ / _~ ~•~,yoR~C. Bench 1'>/lor,l~: 700 o f' Z`e /e~kene l~. 8. : Top o ~' Stet 1 Fcnccpost. c'ler. _ X00.,3' ~ g5.t9~Co~tdu~' 1 r'oposed e.+~r"e Se/ ~C . ~ wLP jam/Bcp Co.nb~na.~7'o~7 ~° PFD'/cce~tf`!!f<~ of 5.7; O l.~.E l< t • 1 of -d~ '' ,, 9,/.0, _ ~.. 930, ~i {' Sca/c: / = yd' ~~ P/a~o~'~-tra.Foi~/is T. of°%(i..artQ,~d SE .Croix Cv. JJr -~ I a~nncc Area ~ - / Pcoh~b~~,ed ~i~~` ~ - - - ~,o~ ~° ~ ~ a S' ,~ o~ - /t~~opos~d rr(ou..,d at ~ .7 x / . / w/(s'+r/uo'a~;sf+<rsa / ct ~/. ~tcr C~l~ /a~rin-lsCZt`/'.'ry~~y',..)/%yaiY .ceS / S~oora d at 1•s3' / nt ~,a / past . ~a9'~ P•0• . T' ~ t ~ a ~°~~. p ~ ttlOrtQl y C ~ RpvED ~~ ~ EN7 OF COMMERCE pEPAR7M p gU~~,pINGS Y g10N OF SAFETY ~ I / SEE CORRESPONDENCE ~l~_ f/tctrir ~a-^s,ron.ncr commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 21, 2004 CUST ID No.227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 ATTN: Alex ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/21/2006 Identification Numbers Transaction ID No. 1071641 SITE: Site ID No. 691372 Dick Stout Please refer to both identification numbers, 1535 73RD Ave above, in allcorres ondenee with the a enc . Town of Hammond St Croix County NE1/4, SW1/4, S30, T29N, R17W Lot: 28, Subdivision: Emerald Acres FOR: Description: New 4BR Design Object Type: POWTS Component Manual Regulated Object ID No.: 987955 Maintenance required; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/Ol), Pressure Distribution Component Manual -Version 2.0, SBD-10706- P (N.O1/O1); Zabel A-100 Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. C No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Q stats. C~~ The following conditions shall be met during construction or installation and prior to occupancy or use: ~ O~ Reminders p~`~' • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P ~~ (N.O1/O1). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). 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/instal lation/operation. WILLIAM C SCHUMAKER Page 2 10/21/2004 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. 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, Dennis R orenson Wastewater Specialist ,Integrated Services (608)785-9336, dsorenson@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ti MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Dick Stout 4 bedroom residential mound Owner's Name: Dick Stout Owner's Address: 1353 Awatukee Trail Hudson, WI. 54016 Site Address: 1535 73rd Ave. Legal Description: NE1/4sW1/4, Sec.30, T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Emerald Acres Lot Number: 28 Block Number: Parcel I.D. Number: 018-1098-28-000 Plan Transaction No.: ~ ~`i l ~+~1 1 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings ~tECEIVED Page 4 Lateral and dose tank Page 5 System maintenance specifications OCT 15 2004 Page 6 Page 7 Management and contingency plan Pump curve and specifications SAFETY & BLDGS DIV Page 8 Site Plan . Page 9 Soil Evaluation Report Designer: Bill Schumaker License Number: 227990 Date: 10/06/04 Phone Number: 715-386-3121 Signature: ~ - ~~...~~~-- Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) :c ~all~ ~tiU ~o ~~ M~~~p~NGS / t,E GpMO~~~~. ~/ Msa~ F' PN ~~,E ~R~ ~ GO Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information _ _. (r or c) R! Residential or Commercial Design 400.00' Estimated Wastewater Flow (gpd) 1.50' Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 6.00! Site Slope (%) .......... _.. 93.80! Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.50'. In-situ Soil Application Rate (gpolft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1'. Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) c' Center or End Manifold 3.00 Lateral Spacing (ft) 4! Number of Laterals 0.1251 Orifice Diameter (in) (e.g. 0.25) 2.501 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) 85.00; Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 9.34 Vertical Lift (ft) 0.92 Friction Loss (ft) 16.76 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x x 1.25 x 1.50 x 2.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest point in the distribution Y __ network? Enter Y or N If N above, enter the elevation (ft) ............ . of the highest point. 7.50 ft2/orifice Does the forcemain drain back? Y Enter Y or N 6.52 Forcemain Drainback (gal) 40.24 5x Void Volume (gal) 46.76 Minimum Dose Volume (gal) 32.95 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 3.00 ~ x Gallons/Inch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.00'. Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 22.24 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.64 Dose Tank Capacity (gal) Zabel ...Filter Manufacturer 22.24' Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Concrete Manufacturer Project: Dick Stout 4 bedroom residential mound Page 2 of 9 Mound Plan View H 1.OOft K 8.54ft I 9.24 ft L 117.08 ft J 5.51 ft W 20.75 ft 1524.39 (ft2) Basal Area Available 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 96.47 (ft) - .rrrr ri..,. G * H ~ ~rrrrrrrrr 2 rrrrrrrr,. •1 ./trfrr/ r r r / 1r/frrs.. teral F . • : ~ : ~ : ~ • Dispersal Cell 95.22 (ft) La 94.72 (ft)-- - Invert Dispersal Cell ~:~:~~~~:~ ~•~~~~~:~~~:~:~~~~ •~~~~~~~~~'~~•~•~•~•~ ~ Elevation ~: E ~: ~~~ D :~:~:~:~:;:~ ::::::::::::. 6.0 % Site Slope Shading Key 0 rrrri Topsoil Cap 0 Subsoil Cap Q 0 ASTM C33 Sand Tilled Layer 0 0 Aggregate • '• 1/10 B •••••••••••'•'•'••••••••••• Observation Pipe •:0;•• K Q .Q •:. . .. .. .•.•••.I• •.•. . .•.•. •• .••• .•.• •••. .• •.•.•.• ..•.•.•. ~.•.•.:. . • . . ......................................... ......................................... ......................................... .. .•.•.• •.a .•.•. .•. •. •. •. •. .•. .•.•.•. .•. •. •. •. •. ....•.•.•. .:. . ~- L Mound Component Dimensions -~ _~ _~ -~ A 6.00 ft E 15.32 in B 100.00 ft F 9.00 in D 11.00 in G 0.50 ft 600.00 (ft2) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate '~ ~. ~- Dispersal Cell p a 1.5 ft •. uJ o ~ ~ 0.5 ft • Typical Lateral v H c ~~. ~- A 93.80 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of F laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: Dick Stout 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. le P - - . •=Turn-upwl ball valve or IE-X--~IEsf2 cleanoutplug Holes drilled on the bottom of the lateral. S Number of Laterals 4 Lateral Diameter 1.00 in Lateral Length (P) 49.34 ft Lateral Spacing (S) 3.00 ft Lateral Flow Rate 8.24 gpm System Flow Rate 32.95 gpm Total Dynamic Head 16.76 ft Laterals are identical 0.125 in 2.53 ft 20 7.50 ft2/orifice 3.00 ft 1.50 in 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --~- Comm 16.28 WAC ~ 4 in. min. Disc~ect ~_ sl2 ~I Laterals & force main of PVC Sch 40 per COMM Table 84.30.5 Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Tank component is properly vented Wieser Concrete Capacit 800.64 Volume 22.24 Manufacturer Gallons gal/inch ~- A B C D Dimension Inches Gallons A 18.05 401.34 B 2.00 44.48 C D Total 5.45 10.50 36.00 121.30 233.52 800.64 3" Bedding under tank. Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number EPOS Pump Must Deliver 32.95 gpm at 16.76 ft TDH ~ Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 85.88 Dom se tank elevation (ft) 85.00 Project: Dick Stout 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone 715-386-3721 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 years Should ins ect and clean at least once eve 3 ears Test once every 3 years Should test monthly Laterals should be flushed and ressure tested eve 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(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 Turn-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: Dick Stout 4 bedroom residential mound Page 5 of 9 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/O1) and SSWMP Publication 9.6 (01/81)] 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 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 should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for 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 shat{ 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 in proper operating condition. 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 surtace, 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Dick Stout 4 bedroom residential mound Page 6 of 9 ~~ GOULaS PUMPS 5ubr~~r~i~~e Effluent hum 1 ~ ~ J 3871 EP05 APPLICATIONS ~:~~ci~,ca(l~ designed for the ;~~ o~.~.~nq uses: • _~~~,~_.~~~~~~t sste~irs . ~o .-s . ~an>>s . --~e~~ar c~~~~ sump • .~<:urt:ansfer - ~e.~..-:;e~i~rg SPECIFICATIONS • Sdcs candling capability: ~~ xi rum. • ~3r~.;c~ti~s up to 60 GPM. • ~ut~i ne.,ds: ap to 31 feet. "a "~_;rc,_ size: l i:' NPT. r ',lei ,,:n~cai seal carbon- ~~t::~~, ceramic-stationary, ~_ .,". ~; Nastomers. ~)-::.~2~C) continuous -1~~ ` 6~ Q ~~ntermlttent. '~as_~~~ers 300 series as nl~ss steel. ~~pal,~~e cf running _:~ ~.~~r~~~~ut damage to .omocn~~nts. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller; Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller:lhennopi~s tic enclosed design for improved performance, ^ Casing and Base: R~.yged thermoplastic design prov~~i~s superior strength and corros~~ou resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durabilitp~. ^ Motor Cover: Thermop!a~.tic cover with integral handle a~~o float switch attachment po,,~ts. t Power Cable: Severe dc~rd rated oil and ~~Nater resistant. Bearings: c. r ~- _ _~ _ . n~~av~~ dut~~ b~:l : ~,., consCruct o~ AGENCY ~ISfIfJ~ Goulds Pumps is f~0 ~~0_~' Fec,~>~~ ,.:: '~1otor • _?C ': ~irgle phase: 0.4 HP, '' S cr 230 V, 60 Hz, 1550 ~~'?f."~, oult in overload with; a~~tcmat c reset. ?C~~ ~inyle phase. 0.5 HP, 1 ~ `,' o~~ 230`/, 60 Hz, 1550 F,~i.`, ou~lt in overload with s~~tcmat c reset. ro~~.r~ cord. 10 foot =~a:rJ rr. iengti~, 16/3 ~!T~;t', :rah three prong ::~o..rci~ry pi~,g. Optional 20 ~oc: ie~~u;tn, 16x'3 S1TW with !~,r« ;gong grounding plug ~t~no~,r~a on EP05). AACTCDf CCCT ~~ 0 2 4 ~T 6 H , 0 ~-- '/ CAPACITY Goulds Purn~~s /^ ~ Y F.r~ps V ~ ~ I ~ ~II~UStI :~~~ _~~ ~ooz w i`t;`i dr' 9 =~% v` ~,-- 73 f{/~nke 1 ~'-1' I ~ ~t l owl '.~.' n m ~z ~ ~ d dt~ a y ~ C ` Q Ol ~ Q 1 _ ~ ~~ I A-~opossd weer I c 98.39 ~ ~'an'f'; GY/ii~C'~rad~ cz~~u;Id~n~ Sitc. d ~ Propo s~ J ~ ('c s i dance qs, a Gc~ tau r i/ Ste. tJ0 F v C. r ' Pt"o oSec/ c,Jr"eSa/ Cori e . building sQ-w°{' ~ ~ wLP12co/BCOCombin0..~('or1 To be ,'n}~c~/a 6i d i S.r.~/~, ~/xa6e /~4-/JO Q S P'`~ Cam m . 8.t . 3p(t~c -' P F~'/u e.t f {; !-E<~ a t 5 ,T. o~r<t r .~ 6 - y ,,/, o , .- Q ~ ' _~;~"s~.yoRd.C. ~--'~~~ ~ . - 93.0, ~enc.h lylar,l~~ ~p of'z`e/epko„e Fence post . c le d. ~ ioo ~3' `JOil eda~ua.L~itTn ~~ t` ~ £i¢ /a~'ori ~.ot 3.8 P/a ~o~' ~ ra.fo/ Ac.f~3 -T , o~ /,G~...,.~ d 5~ . croiX Co . R~~ ~/By3. ~1 a~ s' - _ _ - r pre0. ~ _ J B3~ncc tad ~~ 5~~ /f ~opo~d rrtou.~d at ~a.7Sx //~of''' ~~~ /a r`ero-ls aL~ /'XV~ ~1c +..~/ ~ orY ,'ees 5/oore d at s.S3: ~, a +'~ ~ o-5,z o-~ ~ a9~ P.O ~ ' ?'• ~ ~ itionarlJ' / Co ~ ~pVED A~ ~ ENT OF COMMERCEN6s / pEPART ~p gy1LD ~V151CN OF SAFETY `~ n J / SEE CORRESPONDENCE ~~ ~/tc try C 7~B-^s ~°~.n t r- ~.g°{y . ~ 1843 Wisconsin Department of Commerce SOIL EVALUATION REPORT page t of =~ _ Division of Safety and Buildings ,,, ~,,,,,,,~,~,,,,o ~~,;,,, ,.,,,„,„ s:s ~n,;~ nom r,,,~, A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8Y x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 018-1098-28-000 Please print all information. Reviewed By Date Personal information you provide mey be used for secondary purposes (Privacy Law, s. 15.04 (1) (mp Property Owner Property Location Dick Stout Govt. Lot NE 1/4 SW 1/4 S 30 T 29 N R 17 _W _ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Aw atukee Trail 28 Emerald Acres _ _ City State Zip Code Phone Number J City _f Village / Town Nearest Road Hudson ~ WI 54016 715-549-6731 Hammond 1535 73Rd Ave. /~ New Construction Use: J Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD _ Replacement _ ~ Public or commercial -Describe: Parent material Glacial drift over weathered sandstone bedrock Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 94.72' at 12" above 93.80' contour. Boring # _:i Boring Vi Pit Ground Surface elev. 94.27 ft. Depth to limiting factor 30" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' i m. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Elf#1 'Eff#2 1 0-14 10yr3/2 none sil 2fsbk ds as 2f,1m 0.6 0.8 2 ~ 14-18 10yr4/3 none sil 2fsbk ds gw 2f,1 m 0.6 - i 0.8 _._ 3 ~ 18-30 ~ 10yr5/4 none sicl 2fsbk dsh ~ cw 1fm T 0.4 ' 0.6 4 'i 30-42 j 10yr5/4 f2d 7.5yr5/8 sil 1csbk dsh , cw 1fm 0.4 0.6 - - 5 ~ 42-56 10yr4l6 m2d7.5yr5l8 sl 1fsbk mfi cw - 0.4 j 0.7 6 56-61 10yr8/2 m3p7.5yr5/8 fs Osg dl - - 0.5 1.0 H#6 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. ^ Boring # _~ Boring /~ Pit Ground Surface elev. 94.35 ft. Depth to limiting factor 25" 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~_0-10 10yr3/3 none sil 2fsbk d_s ~as 2f,1m 0.6 0.8 2 ~ 10-14 10yr4/3 none sil 2fsbk ds I gw 2f,1m 0.6 j 0.8 3 ~ 14-25 10yr5/4 none sil 2fsbk dsh cw 1fm 0.4 0.6 4 ', 25-49 10yr8/2 m2d7.5yr5/8 fs Osg dl ' - - 0.4 0.6 ~I H#4 consists of sari siduim -meets definition of sandstone by resistance to knife penetration. ' Effluent #1 = BOD 5> 30 <_ 220 mg/L d TSS >30 < 1 0 mg/L ffluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number James K. Thompson ~ 3- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceo . WI 54020 922/2004 715-248-7767 a P(ro~pert~y Owner Dick Stout 3 I Boring # _' Boring 1 /I Pit Ground Surtace elev ParcellD # 018-1098-28-000 _. 92,$8 ft. Depth to limiting factor 25" in Page -? of _3 __ Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots : __ p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 i; 0-12 10yr3/2 none sil 2fsbk ds ~ as 2f,1m 0.6 0.8 2 12-16 3 ! 16-22 10yr4/3 10yr5/4 none i none sil sicl 2fsbk 2fsbk ds ' dsh I gw cw 2f,1m I 1fm 0.6 ~ 0.8 0.4 I~ 0.6 - I-- 4 ~ 25-30 7.5yr4/6 f2f 7.5yr5/8 sl -- I 1 msbk mfr cw 1fm 0.4 0.7 5 ! 30-41 ----~- 6 ; 41-50 ~ 7.5yr414 10yr8/4 f2f 7.5yr5/8 - - m3p7.5yr5/8 ~ scl LSBR 1 msbk - na dsh ---~ dh I cw - - - - ~ 0.2 I, 0.3 -j- 0.0 I 0.0 H#6 consists of limestone residuim -meets definition of bedrock, greater than 50% by volume. ^ Boring # ~ Boring Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r i ~ -- I i -- ---r-- I j Boring # - Boring Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' _ _ in i Munsell Qu. Sz. Cont. Color ' Gr. Sz. Sh `Eff#1 `Eff#2 - i ~ ~ ---- -- - ; -- i -r-- ~ - i - - -+- - - -- - , ~ ~ ~ , ` Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mglL '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. . '_. ~ ~ --~~ ~d 73 - ~}v~nue S ~. d ~, ~ I ~_ d 4 d ' c ~ ~ h ~ I 98,39'CanftW/ii~ ~~A~e ~ 2~~u~ld~n4 Si~C. ~~ f/~c trlc. ~.-a~s ~o~.n \ ` gent-h wl~A~: Teo o j' fe%~0leene ~o ed. A s 5 cc.n ~.U(e /t ~r.: ~vo, cc~~ g~.v e.a~tdu-r r ~~ /~~ ,, o. ~, , - ' q,/,o ~ , . 6~ ,~ ~ ,~' ~ ,- ~- ~ ~ ~, , , ~e 62 ~ 99,x,' ~ ~ 9.~~ _ ~ . - ~ 9~.0 1~.8. : 'Tp o~'S~ee / ~i Z`' <.ot 38, P/a ~o f'~nciafo/A~-/mss T , ef' 1~4,,•-,reQr~d SE •Croix ~. ,_~-' ~t / ~,a / ~o-S~ n o-9 // /a~. ~. 3 °f3 Wisconsin Department of Commerce Division ~ Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1843 Page 1 of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8'r4 x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to nearest road. north arcow scale or dimemsions percent slope parcel I.D. , , , 018-1098-28-000 Please print a// information. awed ~y pie _ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (mp. ~ S Property Owner Property Location Dick Stout Govt. Lot NE 1/4 SW 1/4 S 30 T 29 N R 1.7 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Awatukee Trail 28 Emerald Acres City State Zip Code Phone Number ~ City ~ ~Ilage t~ Town Nearest Road Hudson ~ WI 54016 715-549-6731 Hammond 1535 73Rd Ave. -C New Construction Use: t~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ~ Public or commercial -Describe: Parent material Glacial drift over weathered sandstone bedrock Flood plain a ior~ General comments and recommendations: Install mound system at elev. 94.72' at 12" a bove 93.80' contour. NOV 0 4 ZOQ4 ^ ~ Boring# JBoring &T.. CROIX COUNTY ,,ZONINGOFFI ~ // Pit Grourxf Surface elev. 94.27 ft. Depth to limiting factor -T- tion Rate Horizon D~th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP `Eff#1 Dlfts 'EtW2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-14 10yr32 none sil 2isbk ds as 2f,1m 0.6 0.8 2 14-18 10yr4/3 none sil 2fsbk ds gw 2f,1m 0.6 0.8 3 18-30 10yr5/4 none sicl 2fsbk dsh cw 1fm 0.4 0.6 4 30-42 10yr5/4 f2d7.5yr6/8 sil 1csbk dsh cw 1fm 0.4 0.6 5 42-56 10yr4/6 m2d7.5yr5/8 st 1fsbk mfi cw - 0.4 0.7 6 56-61 10yr82 m3p7.5yr5/8 fs Osg dl - - 0.5 1.0 H#6 consists of sandstone residuim -meets definition of sandstone by resistance to knife penetration. Boring # ~ Boring Pit Ground Surtace elev. 94.35 ft. Depth to limiting factor 25" Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'Eft#1 D/ft= 'Eff#2 1 0-10 10yr3/3 none sil 2fsbk ds as 2f,1m 0.6 0.8 2 10-14 10yr4/3 none sil 2fsbk ds gw 2f,1m 0.6 0.8 3 14-25 10yr5/4 none sil 2fsbk dsh cva 1fm 0.4 0.6 4 25-49 10yr82 m2d7.5yr5/8 fs Osg dl - - 0.4 0.6 H#4 consists of one residuim - meets defintion of sandstone by resistance to knife penetration. * Effluent #1 = BOD y> 30 <_ 220 mg/L a d TSS >30 < 150 L ffluent #2 = BOD <30 mg/L and TSS <,,;i0 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osceola 54020 9222004 715-248-7767 Property Owner Ditk Stout Parcel ID # 018-1098-28-000 Page 2 of 3 Boring # ~ Boring Pit Ground Surface elev. 92.88 R. bepth to limiting factor 25" in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 'Eff#2 1 0-12 10yr3l2 none sii Zfsbk ds as 2f,1 m 0.6 0.8 2 12-16 10yr4/3 none sil 2fsbk ds gw 2f,1m 0.6 0.8 3 16-22 10yr5/4 none sicl 2fsbk dsh cw 1fm 0.4 0.6 4 -30 7.5yr4/6 f2f 7.5 r sl 1 msbk mfr cw 1fm 0.4 0.7 5 30-41 7.5yr4/4 f2f 7.5yr5/8 scl 1 msbk dsh cw - 0.2 0.3 6 41-50 10yr8/4 m3p7.5yr5/8 LSBR na dh - - 0.0 0.0 H#6 consists of limestone residuim -meets definition of bedrock, greater than 50% by volume. ^ Boring # ~ Boring J Pit Ground Surtace elev. R. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 *Et7#2 ^ Boring # ~ Boring J PR Ground Surface elev. R. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Cobr Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 *Eff#2 ' Effluent #1 = BOD y> 30 < 220 mg/L and TSS >30 < 150 mg1L * Effluent #2 = BODS< 30 mglL and TSS a 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. ~- - • ~. ~ . ~_ ~73 ~d ,~{/2nue 1 ~ I d d ~ ~ - ~ d 4 d i C ~ I h ~ I I 98.39'~'ontrc//in~ ~rAde . ~~,3u%Id~n~ 5,~c. qs.~ Cantdu.r 0 r o. .--' - goo, , 'J` ~ i '~ .~ ~ - / / ~' --~ i - '~ r ^''~ i i ~ %. -~' ~~~,,--4~~8 93.x' 930, 62 'i P ~Qns •~onint r' Bench Wlor~ Teo o j' fe /ePlCene IE. 8. ~ Top o ~' Spec ~ (-~,+c~ post . c ~e /. = goo ~3' ^ Soil e/a/ua-v'ar> ~~'t ,c.ot3~8, P/a~o~'F.~~~/~i3 T , of fi~~-,.rcr+d SE •Croir Co. W _ =.-- - _ , ,- ~ ~ / / ~ ~~ a / / ~ a5i~ ~ a9~ / ~a`. ~~ (~.3°f-~ SMsconsimDepartment of Commerce Division ofSafety and Buildings (o SOIL EVALUATION REPORT ~~~~page ~ of -3 County ~ C Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must - roy include, but not limited to: vertical and horizontal reference point (BM), direction and er t l l di i th d l i Parcel I.D. ~/, ~U ~~~ • ~l p cen s ope, sca e or mens ons, nor arrow, an ocat on and distance to nearest road. d G•l Please print all information. vle Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)}. ` Q Property Owner Property Location R~~i~' ``" Govt. Lot 1/4~, 1/4 S ~ T zq N R .~- E (orJt~ Property Owner's Mailing Address t~ S3 ~ee ~. Lot # Block # ~g Subd. Name or CSM ~_ine~lcl es City j ~ State /Z~i(p Code `Phhone Nu~mb~eQr / ~~ Q~ ~ ~ ^ City ^ Village [~ Town Nearest Road / ~ ~ ~ T) ~ ~J-t ( 1 ) `J 7 / `CD Wl WLC'i ~'~-G~ ~. S t ® New Construction Use: (~ Residential / Number of bedrooms 3 -~/ Code derived design flow rate GPD ^ Replacement ^ Public or commeraal -Describe: ~`; \, Parent material ~-J ~ ~ Flood Plain elevation if applicab = ~./v ~ ~ ~ ft. General comments SYS~ "''~ ~~{ u • ~° ( ~~ ~d tw ~' q~ • ~ ~'-' f ~ '4 ' and recommendations: ~ ;~ i~; ; ; ~,; c;RO1?~ ' ^ Boring ~~ . err-,u..r . - ~, / Boring # ~r ®Pit Ground surface elev. /~ . ft. Depth to limiting factor ~ 2 . -' ~ `~ pplication Rate , Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary oo-f'.s GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 2 /Y ~ _ 5i ~ 1 -~ c S -- 3 - ~ r ~ 5 I - -' -~ I• Z Boring # ~ Boring 2 ®Pit Ground surface elev. ~~, ZO ft. Depth to limiting factor ~Od 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 -12 (0 3/Z S~/ ~mab n~'r G5 ) v~' . 5 . ~' Z ~Z-2.8 tO `~~ -- sic/ (C ~s - . y . ~ 3 28 ID ~ ~ 1 ~-,~ ~S -- ~(0 2 .5 r `fl Sc. m -- - ~ - tmuenr ~i = f~ws > 3u < zzU mglL and T55 >30 _< 150 mg/L * Effluent #2 =GODS < 30 mg/L and TSS < 30 mglL CST Name (Please Print Signature CST Number ac~r~-, ~c~,~maker- ~~ ~ ~'---~ Zs33a9 Address Date Evaluation Conducted Telephone Number 2113 ~d~ ~~ immerse-f-, Cc.)l ~ ~~Z 5 / Z-I ~-o / ~7~s)Zy~- yao~ Property Owner Parcel ID # Page 2- of R Boring # ^ Boring ~i Pit Ground surface elev. 90 ~ Z ~ ft. Depth to limiting factor ~_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munseli Qu. Sz. Conk Color Gr. Sz. Sh. '`*Eff#1 "Eff#2 3 (v ~ -- - ~ L c -- . y ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 'Effluent #1 = BODS > 30 < 220 mgiL 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. SBA8310 (R.07l00) ~- .• PAGE~OF~ NAMF 5 ~ c~- LOT# Z ~ LEGAL DESCRIPTION rU~ ~~SW~~S ~O T 24 ,N,R, ~ ~ E(or SCALE: 1"= ~~ I3M I ELEVATION /a0. o BM 1 DESCRIPTIOl~T ~j~ Q~ ~ ~ D uG BM 2 ELEVATION Q ~{, S6 BM 2 DESCRIPTION_p ~3..~ I ~DUL SYSTEM ELEVATION ~ p q(~ ? d G.o~.l ~ r Q'(~-Q O SYSTEM TYPE ~'G n u e /~ ~,'o ,n_c,. CON'T'OUR ELEVATION q~. Z G d- Q~'. 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';.;~.1732PA« Q4 STATE BAR OF WISCONSIN FORM 2 - 1999 ~~~ 2 ~ S ISAi~HLEE:N H. WALSH Document Number WARRANTY DEED 11k(iISTER OF' DEEDa ST. Cf:OIX CO. , WI Thi9 Deed, made between Amos M. Schultz, kECEIUED FOR RECDRA 14-04-2001 8:30 AM NAkRANTY DEED Grantor, and ]ltichsrd O. Stout and Janet P. Stout, husband and wife EXEMPT R CERT COPY FEE: COPY FEE: TRANSFER FEE: 1945.00 RECORDING FEE: f1.00 Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin cif more space is needed, please attach addendum): Recording Ana SE '/, of N W '/.; N '/~ of SW '/. and SW '/. of NW '/. Except Lot 1 of Namg and Re(urn Add~ss l/ Certified Survey Map in Vol. 7, Page 1917, Doc. No. 432271, al! in Section ~~1 A ~ti 30, Township 29 North, Range 17 West, St. Croix County, Wisconsin. `~„ ~`~ ! ` 0 18-I0(7=10, 018-1067-30, OI8-1067-40, 018-1067-50 Parcel Identification Number (PIN) This is not homestead property. ~} (i9 ROC) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ day of October 2001 s AUTHENTICATION Signature(s) Amos M. Schultz, authenticated this day of October 2001 « Kristine Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Oglaod Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names otpersons signing in any Capacity must be typed or printed below thei WARRANTY DEED Amoa .Schultz « ACKNOWLEDGMENT STATE OF WISCONSIN ) SS. County ) Personally came before me this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same- « Notary Public, State of Wisconsin My Commission is permanent. (Ff not, state expiration date: •) latu[e. lnfortnatbn Prorrssbnalc Company. Fmd Ou Li ^wl tl`~~ STATE BAR OF WISCONSIN FORM No. 2 - 1999 \ \ ' r ~~ 6~, ~W NN ~ ~v pp ~~ •~ O . ~ 4s v1 of ~~~ ~ o . vlZ ~ ,r ~ ~ ~a. '~ o LL ~ t0~~ ~ ~ ~~ ~ .~ Nn~ ~ o ~N m m N ~ 0~' ~ bra N O y2. ~ `~ ~ 9a - o ~ OAOV ~~ T a3Z ``~YY LL fA ~ n X31 \ ~~ LL ~y ~l~ _~~ ~ N oa ~ N i~ a ~~ W o = ~ -- LL • -- / ~--~ ~ _ ~ -- ~~~ ~ --.--~' ~ aOp,OVG~EO Z ~, ~ .. Opp ~, m r // ~~ ~ ~ LL • ,~~i N 9a5, o ~ /~ -~Q ',~,~5"W 43 x-.31, . ~ ~ ~ Z m i *' ~'.3g ' . • 6.Or 3033 ,b H ~ I \ 2 - ~ W ~ ~ ---"---- ~ Q ~I ..~' N °01 ~ g,-\ \ ~I ~• \\ W .. ~`~ -i---~- N ~ \ ~ NO \ ~ ~I ' ~ I 6 6' I ~ \ ~I ~- _I 7°20,3g~E ,4,87,49' Z ~ s0 ~ ,r \ o. ~ ~ ~ ~ 0 ~ ` i ~ O ~ ~'o~ ~ ~~ o t w~ .. S \ \ \.~~ W ~ZNF _~_g~~- M NNE ~S~N ~ 0 3 ~W~ ~~~ S .~`~b 1g~