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018-1069-70-000
i n y 0 ~ ~~ C ~ I 3 n ~ K I A ~ co a ~, ,~ ~ ~ ~ ~ ~ n _ 3 ~ ~ CD ~ N ~ c 1 ~ I ~ ' ~ v a A `O ~ ` 1 _ ~ o ° ° ~ Q0 ~ ° y y ~ o p D c 3 . ~ ~ a ,a y u , a ~ W O N w n `~ I .~~ O I o z N p o = '' c~ r to ~" I ~ ~, v _ ~ ~ ~ w _ °: O O O 3 Z '0 ~ ~ ~ o II < ~ Z I n ~ a fn cn to 'a 'j ~ D ~ v v m d1 I ~ v ~ .~ o i ~ 7 •• ~ ~ w O C Z ~ I ~ D ° 'I O c I ~ ~ o a I ~ I ~ m o I ~ 3 `° ~ ° m fD y I "~ _I N p z ~ !// ~ ~ ~ ti; Z ~ A i ~ O i .. Z -~ W W ~ m ~ i --~ z Q ~ I ? ~ %* (n fil V to i, Z ~ i W A nN o ~-o ~ D o c v a i I ~~ ~ ~ n 3 ,c 6 fA ~ ,~ fD !'A N d °-av C D I v~ a- o . ~ ~ N~°- y a N ~ v O ~ ~,~- ~ ~ j ~ p N ) ~ ti = 7 ~ ~ 4 N d -Np N i A I s ~° m m ~ = ~ ~ a I o. -i ~~ . o ''m 'o ~ ; ~ CD N N b 3 z m ~ o I ~° ~ ~ o ~ A ~ ~ I A I o °0 i m ~ a ~ o O ° ° ~. I ~ Wisconsin Department of Comriier'ce PRIVATE SEWAGE SYSTEM Safety and Building Division ` INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. permit Holder's Name: City Village X Township Mueller, Dean & Jennifer Hammond Townshi :ST BM Elev: Insp. BM Elev: BM scyiption: ~ ~' ^~ /~0 • ~ /DD o ~ C t Gv`,~ SANK INFORMATION EL NATION DATA TYPE MANUFACTURER CAPACITY Septic ` Dosing ~~ /L~~h AerationAeration w/ l~ Holding TANK SETBACK INFORMATION TANK TO '/L ~ ~ ~ ~ L WE L B DG. Vent to Air Intake ROAD Septic , ` ~ 1~ 1 , ~( ~J(/ ~(, ~ + ~ ~ ~~ Dosing ~~ /,~ ' ~Q / ~v r W t- Aeration Holding PUMP/SIPHON INFORMATION fj Manufacturer Demand GPM Z Model Number ~ 2 .~ TDH Lift Friction Loss System Head TDH Ft 7.3 .u-I ~ ,~ - X1.2'1 IForcemain (Length ~ (Dia. Z ~, (Dist. tou~ D I r, I > 75 SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 430587 0 State Plan ID No: Parcel Tax No: 018-1069-70-000 Section/Towrt/Range/Map No: 31.29.17.480 STATION BS HI /a~•3 FS EL7EV. ~aD~ a Be hmark ~"j ~. Z~ /b '7• 10d • d Alt. BM ,S-y-,-(rQ 0 /~3•c Bldg. Sew r ~ ~5,+., ~g [ ~O !(~ l S t Inlet Ht Outlel; i+~ / o ~ D nlet --- 9.39 9~ • ~z t ottom Header/M n• a afi Z s .. ~ 4 J d /, 6 lj Dist. Pipe ~ ~ ` .71 /~/~ Bot. System Final Grade t ,~ / ~ ~ 1UZ. ~"3 St Cover 3 w;r ~ Z ~ . ~ o-i._._ Coy-,-Eow~r 70C~ ~oo.~s C BED/TRENCH Width i Lengt f No. Ot Tie cp hes PIT DIMENS~ S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~ 1 1 (Q~~C ./' SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHI Manufacturer: INFORMATION CHAM OR Typ Of System: ~ 3O <~O f ~ tm t NIT Model Number: DtSTRJ,BU~l61a1 SYSTEM rn Dom-, , ., U o _ ~ Heade Manifol _~~ Dia Length ~~ Distribution ti ~ Length~`"r~Dia ~ ~ / )Spacing 2 ` x Hole Si e ~ tV 1 x Hole Spacing J 3 SOIL COVER x Pressure Systems only xx Mound Or At-Grade Systems Only l^12 Cl G~'1tiP/If -~ Depth Over ) Depth Over ~ xx Depth of xx SeededlSodded xx Mulched ~ N,~, Bed/Trench Center ~ , Bed/Trench Edges Topsoil ~ Yes ~ No I 'I Yes i ,1 No COMMENTS: (include tle discrepencies, persons present, etc.) Inspection #1: ~ ~ZI ~ Inspection #2:~_/ 2£`3 / C~ rvu w ~ P/ ~ Location: 634 Cty Hwy J Hammond, WI 54015 (NE 1/4 SE 1/4 31 T29 R17W) NA Lot~1 Parcel NoDD: 31.29.17.480 ~ ~/C 1.) Alt BM Description = ST'Co ~~ ~~ ` ~~~~ ~r`~~`^""' / "Gee-~e l1SyL~. ` 2.) Bldg sewer length = ~i/ f~t'--ITr.i~c~n„-~'-~•~. ~?/t) I U U~.r-f' ~'~/1'l~l CRS ~ l~h.S7~C~~a/ 1~~~.~~~~ ~ -amount of cover = Za ~ Slab ~ ~~ 3.) Contour = ~ W~'t~~ ~ ~~""'"_ _ S-E~~'ziL~GC~-~n~~~ --~ r- -T---~ -- Plan revision Required? [~ Yes o ~~ l ~~ ~ ~~~ ~ /_ c-!7~ ~ Use other side for additional information. ~`~~_ ( __I _ ____ _____._ ___- .___ _ __ ~1~._~~(.•~ _ _: SBD-6710 (R.3/97) ~ Date Inse tor's Signature ~ Ce~ p?~s CGt,~k v~r~ ~-~-~~~ ~r~ ,s,c__'ILJI~C_ i/+C.-- , !o ~ Vent to r Intake ' Safe and Buildings Division County ~ C ~ ~ ~ E ~~ ashi gton Ave., P.O. Boz 7162 G H a i X O \ Madiso WI '53707 - 7162 ddress Si A ~~COi~S~ , . ^'~~ ~ / , ~ ~ ~ ~~ Department of Comme a -. r ~, U~ (Q 3 ( ~ ! -SRI11tA eI'II11t ~ SIC tlOll Y PP anitary Pe it umber ~3o sg ~- In accord with Comm 83 21, Vlrisi d~d1~~~cQplytgtbifal inf anon yon provide ^ Check it Revision ma be tiled fo r.91Pti Law. S. 1 m I. Application In ormatlon -Please Print All Inform lion ~ State Plan i.D. Number ~,~ - tp , ~ Property Owner's N Parcel Number ill ~-~/. ~' /~ ol$-loGq-7o-o00 Property Owner's Mailing Address Property Location ~"1 V D ~~ ~ ~ -.~~'""'µ'C ~ ~i N.R/7 Nl= use ~:S:~ ~Ta~ City, State Zip Code Pho Number Lot Num r BIB A. ~ CSM Number II. Type of Building (check all that apply) J ~ ~ 5 ~ rtn`c Deiry ~.1 or 2 Family Dweliing -Number of Bedrooms ~ aQ~,t~S -3 ~ - Qyiliage Use ^ Public/Commerciat - ~escri b~e ~" `r ~ ~ ~ ~'j'ownship /~' ~ _ s ^ State Owned ~-p"~~/ - ~ ~' T~ ~ ~ ' Nearest Road , / internal use). Complete line B If applicable) III. Type of Permit: Check only one box on line A (numbering scheme for A' I New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin S stem B. ^ Check if Sanitary Permit Previously ]slued Permit Number Date issued IV. Type of Permit: (Check ali that apply)(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 2~Mound 4? ^ Sand Piiter SO ^ Constructed Wetland 22 ^ Pressurized In-Ground 4l ^ bolding Tank 48 ^ Single Pass Si ^ Drip Litre 45 ^ At-Grade 46 ^ AerobIc Treatment Unit 49 ~ Recirculatin ~ Other V. Dis ersal/'I'reatment Area Informat ion: ~- f tr0 Design Flow (gpd) Dispersal Area Dispersal rea Soil Application Percolation Rate System Elevation Final Grade Required ~•- Proposed Rate(Gals./Days/Sq.Ft.) iMin.flnch) Elevation r,~ i VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel -Fiber Pl9stic Gallons Gallons of Tanks Concrete Constructed Glass New Existing ~° Tanks Tanks Scptic or Holding Tank ~ `~ _ f aoo ~ tA.dt+-~. A _ - l.~`lY~- p( -\ Dosing Chamber „7~ 7`p it ~ VII. Responsibility Statement- I, the rmderstgned, assume tt~ponslbWty for instaUsNon of the POWI'3 ahorrn on the attached piartt. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Btuiness Phone Number: (,S~.lfz~ /~~-c.~c.>,v: !~ f~ aa~ 7 t a 7!5'- 4' - ~3 z~ Plumber's Address (Street, Ciry, State, Zip Code) • ~ ~ ~ lJ ~ Sr a-~-~-~i ~..v~ 5' y © ~ ~ VIII. Count /De artment Use Onl Approved ^ Disapproved ' Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Age Signature (No Stamps) ^ Owner Given Initial Adverse . Surcharge Fee) ' . ` Determination ~~ ~ . ~ O~ ~~ 1iX. Conditions of ApprovaVReasons for bisapproval YSTEM OWNER: Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. All setback requirements must be maintained Anaen Complete grans (to the Connty oely) for the tyatem oe papa net lesa than aln z 11 [eehes [e dza SBD~6398 (R. OS/Ol) ~~ ~/e/a/ua~o~ gyp; E ~' EXiS~i ~q F'enee/'~1 e ~en,n t¢ ~¢nni.{C/Iyrue/lerProp., /JESE, Sew. 3/, T, o~'~mmond, $~ St - 'C.~o i y Co. ~ eJ 1. ^ LOT ~„~ N v3 9~o'Gon~cu.r/ ~~ Proposed Wteser wL P 7517-M Q- p,...,,, p c~b~ ~ //~ '8/ ~ ~ se.~, flo Rd,e.~ bk;/d. sc,~,~v / '~ ProPoSed ~ "' A.S.~; iM. 303 e~'/ut/n~~,,G'ne Gr" 6L Propose-a( ~, o~ovop Scpv'c-~+-Y,~S'w/ babel ~- ic~7e~-'/aer-f. ~, 'c GO rr~ ~I ~ ~ . ,~~a.-~ CPS-~-- o-~ sv~b~,ck_ Elev` . /oo. 75' '~ O !~/ ~~r v~ N~ ~T~ ~-- 33'. 5/ proposcc( ~nou..- d of 17.50'x /0~!/3' - wl 5'.X 90' d~'S ~er,Sa./ Ce.//. Two (z~ ~oJ!•a. o/'i~"CNS SPace.o/ at 3.05,' /o.Z, 3 ~' QLSidz ~ ~/v~d io l' X03, iz' ~-- Proposed e,Jell 0 ~f ~'"~ b~,l d; 5; to Y = /°s~~ C OAP ~r-o~,ao,s~ a,~, ve 4"~l' ~. 0 ~, ~ ~o . ffc.J,• ~~ c~ ~~ 00 ~ ~~ .~q~$or9 Ph., HAMMOND PLAT `~- T-29-N + R-17-` E $T. Cxi~: rrhr,l'Yfs±~fvsiN -: - . _ a r~rs parr rr>~,as, LaL (Lmdowners) See Page ll2 for Additional Names. - ERIN PRAIRIE PAGE 52 1500 16 00 7700 1800 120th AV 1900 20 00 120th AVE 2100 g E ; -_ ew tr WiWam oo ^ a ~ e lea„ l~u $ 1 Wiley Ken P PJ~P 1 Gar ~ ~ & Consta ~~~ nce Michael ~~n ~~ '+A~ p n -~'~ ~ v ,n p ~ Thor&~ unet ,~ ~ p $ u.eos ~ rs N s Qna+n 39 HBdaR 37 M ~ ~.~ ~ t as 1~h A Inc r2r 152 9 Marshall xeA ° '' a s~" t" V ~ p E 159 F ~ ~ ~ m 2 ~ Z ~ ~ ~ s+ :s3 ~ 2 Roger ~ ac June rn z s e ~' araee.- ~ ~ o t dn Fth ~ )amen ~ le 177 r p„ J • ~ ~ ,a a 0 Sammy r so M ao 40 r .a w t m rtwnus a Mary 21 imuy ~ LP ny Emmert \ Gail acobson o r T p fi agg orrow NEII ~ B g ~Q ~ ~ ~~ Hawks- . 200 ~ 86 stom a0 ~ 1 0 r F ~ ~+tl KE u oho on 7g 'o ff b~ g s 6 40 77 ao a 160 416 30 ao 70 70 °n amp ~Y trick p6n ~ g 8 ~ a ~ 10th AVE e F h i tl o u \ ~'9 UQm 5 80 ,~ roney 120 I' And erson 79 70 2 c a ~ ~ B ~ '$ 0 9qo , s Donald l eaw a m,,,,, Geraldine s Robert g y 150 ~8 ~ 161 filbom~ 80 ~~e aAm Frank 80 °i CdpeN.. us ~ Stanley$ Dw a $ - ~ R su u w r so ~ Gausma Vernon Nelson ane Ne~iso,~i 6 1 v e ~~n oxanne Chevalier Frederick ~ 7 a~ ~ fir]' N Vdeze ~ n ° 4 ob erts R Tr t ~e~ \ ~ ~o rm :o < 6c Helen bk m ,~ o LLC S 1 c 17s , ., Richard Brooks ~ .0 g 9 ~ us gK iri~y \ Glenn & Sa> ~y Kue er Trust ~+C~ ~ ~a 631 Q 222 6 0 ,0 34 100th VE 161 316 gp 20 ~ S 137 2 217 1 top 25 ~ p •N+ n V ~l ° V 7 ~@ ~ dt 19 cr IatObson E p ~ ~ ~ ~ Gauswn - W d 39 40 $ r. ~ 39 68 7 a _.. 10 , y„e_ m.:0 ~~ Hawkins Donald m R .8 ~° h+le & $ ~ 6 ~~ 80 a ~ ~ 69 Meiby ~ r»u g ~' ~~ Pep`r R d~qe ~am>rY ~ X7 ~ 9 ~ ~ \ $K Robert 3 `~ ' ~~n Bernard i ]40 Wauasc Mf rssa c n 4o 8 38 ~ i~ ~ ~n 80 F ~ W~ ~ a o 0 eaea Levels ~ Riehard e ~~ 157 ~ s m s• 310 sre + , 76 . iim 235 ~ e7 3E 8c Kathryn Holle 156 V 109 200 7 st 9 35~ 85 c > Z~ 12 lobo & vid o, ~~•s'd LR m t o ~ ,m 90th AVE eae~o ms• ~ 8 ~ Thom n Halle 3 a ~ Y 86th E ~ zp 7 A E sam~ ~•~ 37 G1mo k n ate i'*, ~ ~ 72 osa o e 40 joM 4 p~ ~° NShI- ~ ~ ~ w ~ w Richard & p ~ ~ p C~ ' W7n~ Farms I.LC 56 Inc 108 c ~a u 160 e V 3 114 ~~ e r saber p ~ Jordan River xam- mood Golf ~ 115 Rs°s 9 X3 Mu xaihr9n r Hone 7f i. ~+3.7 tl~ r b°eie^ w Webb 12 0 Paui & res ~ atl M 23 Paul & Dol ore g a E- LLCd I I~ ,~ N 3m~ 9 L Brian a w ^ n s y p ~ ~~ '„° R F ~ ord Q~ [ 1~~ d s 13s 7s R mberg 80 ~§ t Do en 3 zY8 ~ V , q ~ \ 7 ~ou ~ ~ ]37 o ° c°u vats E 2 O mb z 142 n 5t 147 s s o ; L m 144 = wsa B 9 155 2 s 1 = 0 $ Gillis ^ mte° mar ~ s 12 Farms Inc 121 ~ x 9 u~ ~c Trust es, Sp W F~ ao Annabene x'^s° n ~ I ~_ 11 ~r~sr y -. -- We d ~ - ~ DHOOf P ~_ z !oo ~ Esther Ra rr ust _!ta ~.- ~ ~~ n ~ Wynvan ~ °~ Inc a`~~ S p , Richard 68 ~ " k WnFem PP I ° ,a-ao ss ~ 108I ~ ~ J tk noel stunt 3 9 s 117 ; 2 2 e 155 15 N s, William $ HA MO D H ~ 2 ~~ 4 9 sss James r ru .1 Hueg ) ~ Grne if ^°dre ~ 84 Fanns 6 n g )3A DWIN Hawkkins s N . ; ^ ~ s ~e ~ . ~e Lctrie BPo~erster slm 'a°'°" Inc ~ 71 g 149 s 158 Z.~~ 5 75 gp 40 80 J 40 293 _ 3 70th AVE Bobbie 3 ~ l~ohn lera H so m9 Ri ~ m n seiero-ir ! ScoU Ron- ~ c F °m 1 G 7 , ]on Otrke 92 cZ ti~c C ~ ~ ~ I ~ ao ~, 00 Ap `~ L $ 120 : Dorn be ~ Bruce Moll p ~= os'w~ress wr~°rd is Htl bu 4 ~ Glm Mohn T »° ~..,~ ~~ o r' k ~ ~ X 888 ~ Hof Inc [ c N - 3s lt7 5 ao ~~ loo c trust Bo 77 C 7 80 EU ^~ 80 w 9 0 95 Is5 , - 0p 1 c ll C ~ ~ ° °D g smd A & M ~ S ~ E ene Neuendorf opyd .. yland a~vEA ~9 ~ S gµ ~ ~~ , ~ amey 5~ xW y ~ )~< ~ss xOi` Y' ~ B 9 136 s ,1 90 ~ ° 4 F ~ Trust ` a act ,o as-t ab.,.. • tee.., a ~~ ~ a ~ ve er Ken Rich Farms Inc o Trust yyas,11e Looek amx e e~mt t; Tru st N ~ gga S ~ B [,t7 7~ ~ D V Y 11 V ~r-n n.1ST 159 115 100 = s ISS 120 ao 3 78 160 3S ~ ~ x ~ ~ 60th AVE PLEASANT VALLEY PAGE 20 60th AVE RUSH RIVER PAGE 20 ANDERSON EXCAVATING, .~ ~O.g.~L ~~QD,~-I~ INC. i In Business Since 1947 + : ~~: ~ FREE ESTIMATES WE WILL MOVE THE EARTH FOR YOU! Exit I-94 & County Rd. B (Exit 24) Woodville, WI 54028 OFFICE: 7i 5-6842124 Phone (715) 69&2481 Joe: 715-6842949 Fax (715) 898-3260 120 Hwy 12 E. Cotton: 715-684-2510 P O B 104 • Exceptionally Clean, Quiet & Comfortable • Direct Dial . . ox FAX: 715-8842848 Baldwin, WI 54002 phones, Color TV, VCR, AC • Major Credit Cards Accepted ne.._ .__ .._ ..__._.__ __ ____ ~ ~ -scons~n Department of Commerce Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 30, 2003 CUST ID No.227710 WALTER F NECHVILLE 967 HWY 65 ROBERTS WI 54023-8510 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/30/2005 SITE: Dean Mueller CTH J Town of Hammond St Croix County NE1/4, SE1/4, S31, T29N, R17W FOR: New mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 921580 Identification Numbers Transaction ID No. 919861 Site ID No. 665311 Please refer to both identification numbers, above, in all correspondence with the agency. 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. ~ The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: ti • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P (N.O1/O1) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. 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. Key Item(s) • 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 fmished 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. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 WALTER F NECHVILLE Page 2 9/30/03 • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. 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. 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 Shandorf '., POWTS Plan Reviewer ,Integrated Services (715) 634-7810, Fax: (715) 634-5150 , M-f 7:45 am - 4:30 pm pshandorf@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: T.erov G Janskv. lay^^`ewater Specialist, (715) 726-2544 w MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Brent & Melinda Mueller 3 bedroom residential mound Owner's Name: Dean & Jennifer Mueller Owner's Address: 1316 U S Hwy 12 Roberts, WI 54023 Legal Description: NE1/4SE114, Sec. 31, T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: .. __ _~~ na a ` ~ ~ b Lot Number: er: n na Block Num ® - ~ ~3 ~ Parcel LD. Number: , 018-1069-70-000 ~~ . r_S Plan Transaction No.: a~' / ice' G .ti. Page 1 Index and title ON P Page 2 Data entry ;_~S Page 3 Mound drawings k Page 4 Lateral and dose tan ~ ~ I Page 5 System maintenance specifications G ~, ~ I Page 6 Management and contingency plan ' Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Walter Nechville License Number: 227710 Date: 09/03/03 Phone Number: 715-749-3322 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDS-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 2.50 Site Slope (%) 100.40 Contour Line Elevation (ft) 32.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.00 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) ~ e Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) 93.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 7.40 Vertical Lift (ft), 0.47 Friction Loss (ft) 14.37 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1,000 al. S_e tic Tank Capacity (gal) Wieser Concrete Manufacturer Dose Tank Information 760.50 Dose Tank Capacity (gal) 20.28 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint 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 5.71 Forcemain Drainback (gal) 81.16 5x Void Volume (gal) 86.86 Minimum Dose Volume (gal) 24.72 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x _ x 2.00 3.00 i Gallons/Inch Calculator (optional} 760.50 Total Tank Capacity (gal) 37.50 Total Working Liquid Depth (in) 20.28 gal/in (enter result in cell B49) Effluent Filter Information Zabel ~ Filter Manufacturer A100 Filter Model Number _-. ,{ - Page 2 of 9 Mound Plan View 1- 1_ 1/y_ _10 B ,Observation Pipe K • .~•~.~•~•~•~,y•~•.•. • .,.ti.ti..,..,.ti ti... ~.••..ti.•..•..~..:::•••~•., ,, r. •;r~: r•r•r•r• r•r•r•r r:r;r•r• r.r•: r•. r•r•r•.,r• ti ti ti ti ti ti ti ti• . •. S S ti;•.;.;ti; •.•ti•• ti~~.~ti:ti~ f;jti:" r~.•'1J'tiJ•~, ~.•ti~ti~tiftil'~r; f'j.'::•'ti;••.:ti ;~~"r r' ~jti ~ti; ~'L :~,~.•~~•~ r•r;r r•, ~r.r;r•r•r:r: ~}~ .r:r}r; •:r r~r; •r•r• :r. - of B - - - ~. U . -, -+ _fi -1 if L - -~ Mound Component Dimensions Dawn sfo a toe extension made. A~ 5.00 ft E 7.50 in H 1.00 ft K 7.06 ft B 90.00 ft F 9.50 in I 7.50 ft L 104.13 ft D 6.00 in G 0.50 ft J 5.00 ft W 17.50 ft 450.00 (ft2) Dispersal Cell Area 1125.00 (ft2) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.69 (ft) 1 F 100.90 (ft} --- Dispersal Cel! :~: Elevation ~ ~I H Dispersal Cell ~ 101.40 (ft) Lateral ~~ . ; Invert ~D ~ ~ .. .• .• .• ...... ...... .... ...... . . .. .. .• .. .• :~ .• . . ........ ........ .~-~.., 2.5 % Site Slope Shading Key 10 ®Topsoil Cap © ~~~~{ Subsoil Cap ASTM C33 Sand ® Tilled Layer (]5 f':f:rti Aggregate ~ ~ . •~ 1.5 ft ~ 0 1 ~ ~ T 0.5 ft ~ o __•___ Dispersal Ceil f ~:~ Lateral ------ A 100.40 (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 (AxB). Page 3 of 9 End Connection Lateral Layout Diagram Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing t)C) 3.05 ft Lateral Length (P) 88.45 ft Orifices per Lateral 30 Lateral Spacing (S) 2.50 ft Orifice Density 7.50 ft2/ori Lateral Flow Rafe 12.36 gpm Manifold Length 2.50 ft 'System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.37 ft Forcemain Velocity 2.52 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. _ ~- Disconnect ~_ Tank component is properly vented Wieser Concrete Ca acit 760.50 Volume 20.28 Manufacturer Gallons gai/inch ~- A B C D Dimension Inches Gallons A 19.01 385.44 B 2.00 40.56 C 4.49 91.14 D 12.00 243.36 Total 37.50 760.50 ~/ 3" Bedding under tank. Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoefler~ Pump Model Number 98~ Pump Must Deliver 24.72 gpm at 14.37 ft TDH E--- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 94.00 Do~elevation (ft) 93.00 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name W. Nechville,MPRS #227710 Phone 715-749-3322 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size Estimated Flow -Average 300 gpd Maximum BOD5 Septic Tank Capacity 1,000 al. gal Maximum TSS Soil Absorption Component Size 450 ft2 Maximum FOG Type of Wastewater Domestic Maximum Fecal Coliform Service Frequency Septic and Pump Tank Effluerit Filter Pump and Controls Alarm Pressure System Mound Other 1/8 in 220 mg/L 150 mg/L 30 mg/L >10E4 cfu/100 mL Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 years Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and seepage once even 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. AI! 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 Bali Valve Distribution Lateral ~y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral 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.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules perta(ning 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 effect(ve 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 fitter shall be cleaned as necessary to ensure proper operation. The faker cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the fitter 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. Pumn 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 (nspected and serviced as necessary. M~~~nd and Pressure Distribution Svstem No trees or shrubs should tie 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 mourul 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 GODS, 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 Installat(on. 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 wthin the dispersal cell shall be checked for effluent ponding, Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system 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 surface, it will be repaired or replaced in its' present location by increasing basal area if tce 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. Page 6 of 9 HEAD/CAPACITY CURVE N 1- TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT ANO DEWATERINCI GY 1J7.1 J9 161 160 16a 1~ laa 1W IW rs c.a ~oz cr. un c.l 'i ~a, 01 ~o-l Gr ~.,. awl tri~. of ir., o.~ ira: as Lo-,. '12 72 27J iW J41 tOB - wl ai ZJt ei aa1 6B %220 Ica =.6a7 I56 ~ad1 7a 6i ai 79 ~ +oo '.J7e ei zai a. z~l 68 ~zs4 iw X600 Ise an ~ as '~7o w 2.2 s+~ a~. w zs7 a~ 2z~ ~ se r1o tae 'sal I.s ass 67 a 'sd. x ix az ',Jlo' sa u~ a: zzl as ,tao 1b ~.sia 1ao aJo 6 JO 7a ~':26C 51 214 6y 71J E8 .'720 12i -'4ba ISJ 6]J 6a :.{O !.6 s a 68 71A D0 ,'. J,W. aa. ?3'0 t21 .~fa 127 ".~H I. as ...171 ~8 In cb ?CA 7c 283 as 2?A 106 -J97 Ila ....ut 21 BO 1) 12c 6~ I9t 6d 21 p~. 6B 2:'0 90 Jal 100 ~ J79 ~ '.a 67 aJ 'IB1 Ja 1>a bo '-Y20 71 -E6o 96 J22 ^' ' I { - -_ JO It/ 10 '~.J6 62 197 ct -,I9J 70 tK6 . 11 Fa as 1 TO Zo -.106 a ~ 2:+ _ Jz IZt 2 . 1 J7 1ao 19 -`6D 2, _79 a' YJ' ze• N' 6a' 9T TJ' Its 91' I12' EFFLUENT &DEWATERING Warning: Model 185 should not be subjected to less than 30 feet TDH. , Note: For Head Capacity on Model 112, industrial column-explosion proof pump, see FM 219. SEWAGE &DEWATERING WARNING: Model 293 should not be subjected to less than 15 feet TDH. W r w 7 2/ 22 20 18 16 11 12 10 8 6 2 0 GALLDHS 10 20 30 40 I 50 60 ~ 70 BO ~80 100 110 120 190 140 150 180 170 160 180 200 210 220 210 I I I I I I I I LITERS 0 BO 160 240 S20 40U 460 560 640 720 B00 880 295 s Gai. un 2 225 B52 206 776 i 185 700 1 168 636 S 15J 6£9 i la0 570 5 115 a36 B9 JJ7 i 59 22J _ 26 95 7 7' P~.7Q~4 ~ 5o~/e/Q/uct~or~ /Q~ ~ • E/e/a~o~ ~' CX~Su~~q F'ence/,'ne .~ S ca/e . ~~ s~o' .~eQ,n ~ ~Tenn;{ci'Is'luelltrProP., ~ E 5E, Sec. 31, Tn. o L' f~tcmma~ d, B ~ 33 ^ 9~~ ~Confowr/ ~~ Pao posed ~reser ~~A~Sn-MQ- p µ..~, p c~..~ b~ n L~ ~9s ~ r l~• U'./h.~ 1~a~1 ~n =7ev' . ioo,1S' T~ oF~z'' P. /. C. ,f ~ ~ ~ 5~ Propose) rnou•~ d of 17,so'x /o~!i3' / t` - wl S'•X 9D' d,"s ~v.Scc./ Ce.//. Two (r~ /a~Ee~aLS a-~ lfz~'x 88. s~S'w/Y " ~ ro~•o o~i~;'ces S~Paced ~t 3.oS. ~_ '81 Gr 6C t.-Ct~" Pro~oSe-d /, ova ~aP. 5~ c.tr~-.,~w/ ~bP l ~-- /c~ e{~-"/tc ~rr~ ~,''/test pu.-Ele-~. /o.Z.3 i' ~ sc.(, fl0 Rd,e. k; id- ~w~ U P~aP°~ 3 bed~oam Q~stdenee. l io3.51' io3, iz' ~- Pro(~os~al c,Jel/ 0 • h;~~ y rc..de. Q~ bkill;~ S;te. _ /C%5 . /5 ~~O~Seo/ 33~~ ±qq. C~ n~ ~o . ~~:~ `~~. ~~ ~,8~r 9 s , 1716 / SOIL EVALUATION REPORT Vlfisconsin Department of Commerce Page 1 of 3 Division of Safety and Buiklirf~ in accordance A.C.E. 5a1 & Site Evaluations ~~~,~IVE ~~~- Attach complete site plan on paper not less than 8'r4 x 11 i in siz . St. CfObr include, but not limited to: vertical and trorizontal reference poi t (t3M), direction and parcel I.D. percent slope, scale w dimemsions, north arrow, and location nd dis S E P ne~re~ road o3 018-1069-70-000 Please print all information. , By Date Personal information You prtwide may be used for secondary (Priva~l.~r"~sR1~49:(t~j ~.NT Y RYf a ~ C . O 3 2 3 Property Owner Z Dean & Jennifer Mueller Govt. Lot NE 1/4 SE 1kl S 31 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1316 U.S. Hwy. 12 City State Zip Code Phone Number ~ City Village ~/f Town Nearest Road Roberts ~ WI ~ .54023 715-749-3583 Hammond Co. Hwy. J rv! New Construction Dce~ Residential / Number of bedrooms 3 Cock derived des~n flow rate _j Replacement V ] Public orcommercial -Describe: Parent mater~l Glacial drift over weathered sandstone bedrock Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 100.90' at 6" above 100.40' contour. 4~u ~ru na ^ Ong # ~ Boring ~ Pit Ground Surface elev. 100.40 ft . Depth to limiting factor ~ 3~Gin• Sai Ap~ication Rate Horizon Depth in. Dominant Coles Munsell Redox Descr~tion Qu. Sz. Cont. Color Texlure Structure Gr. Sz. Sh. Consistence Boundary Roots GP *Eff#1 D/fP 'Eff#2 1 0-10 10yr3/3 none Ifs 1 msbk ds as 2f,1 m 0.4 0.6 2 10-33 10yr4/6 none Ifs 1msbk ds cw 1fm 0.4 0.6 3 33-36 10yr4/6 f2d 7.5yr5/6 tfs 1 msbk ds cvif - 0.4 0.6 4 36-48 10yr8l4 m1 d 7.5yr5/8 fs 1 csbk ds aw - 0.4 0.6 5 48-59 10yr8/1 m2d 7.5yr5/8 fs 1 csbk mvfr - - 0.4 0.6 H#4 & 5 contain 118" -1 /2" bands of Om 7.5yr4/6 Ifs at 4" -10" intervals. goring # -~ Boring 1/ Pit Ground Surface elev. 100.31 ft. Depth to limiting factor 32~ in. Sal Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Cotes Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'Eff#1 D1f1~ 'Eff#2 1 0-10 10yr313 none Ifs 1 msbk ds as Zf,1 m 0.4 0.6 2 10-32 10yr4/6 none ifs lmsbk ds cvf+ 1fm 0.4 0.6 3 3f2.-45 10yr8/4 f2d 7.5yr5/8 its 1 msbk ds cw - 0.4 0.6 4 45-62 10yr8/1 m 1 d 7.5yr5/8 fs 1 csbk ~ - - 0.4 0.6 H#4 ins 118" - t rMs of Om 7.5yr4l6 Ifs at 6" -12" intervals. ' Effluent #1 = BOD ~ 30 < 220 mg/L and T >30 < 150 mg/L #2 = BOD <_30 mglL and TSS < 30 mglL CST Name (Please Print) S ure: CST Number James K. Thompson +'---~- 3602 Address A.C.E. Soi! & Site Evaluations ate Evaluation Conducted Telephone Number 3A0 Paulson Lake Lar>e, Osceola, WI __ 982003 715-248-7767 t property Ovaner Dean & Jennifer Mueller Parcel ID # 018-1069-70-000 Page 2 of 3 Boring # ,~ Boring Pit Ground Surface elev. 98.20 ft. Depth to limiting factor f m. Sal Application Rate Horizon Depth in. Domir~nt Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots •Eff#1 EtT#2 1 0-10 10yr3/3 none Ifs 1 msbk ds as 2f,1 m 0.4 0.6 2 10-32 10yr4/6 none Ifs lmsbk ds cw 1fm 0.4 0.6 3 32- 10yr4/6 f2d 7.5~rr5_l6 Ifs 1 msbk ds cw - 0.4 0.6 4 34-51 10yr8/4 m 1 d 7.5yr5/8 fs 1 csbk ds aw - 0.4 0.6 5 51-66 10yr8/1 m2d7.5yr5/8 is 1csbk mvfr - - 0.4 0.6 H#4 & 5 contain 1/8" -1 /7' bands of Om 7.5yr4l6 Ifs at ti -10" intervals. Boring # ~ Boring Pit Ground Surface elev. 97•~ ft- Depth to limiting factor 36" 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 0-10 10yr3/3 none Ifs 1 msbk ds as Zf,1 m 0.4 0.6 2 10-36 10yr4~ none Ifs 1 msbk ds cw 1fm 0.4 0.6 3 36-40 10yr4/6 f2d 7.5yr5/6 tFs 1 msbk ds cw - 0.4 0.6 4 40-53 10yr8/4 m 1 d 7.5yr5/8 fs 1 csbk ds aw - 0.4 0.6 5 53-63 10yr8/1 m2d 7.5yr5/8 fs 1 csbk mvfr - - 0.4 0.6 H#4 & 5 contain 1/8" -1/2" bands of Om 7.Syr4l6 Ifs at 4 -12" intervals. ^ Boring # ~ Boring _~ Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Siructure Gr. Sz. Sh. Consistence Boundary Roofs •Eff#1 D *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. V i tl C2~''`~ ~7~~0 -~ectn ~ ~.Tenn;~rlylueller~ro/~•, /1 E5E Se ~. 3! T, oL'f~a~nmo~d, Q~ i 5'E . 'C.~'o i u Co.~ ~J /. ..-~- I -~ ^ ~~~ ~ 5~~ ^ ~,- ,p~ q0~~ ~e~~ ~ ~ ~~i j~i S/opG o'bi' ~i , 99,0 ~Ca.,~w~ w~, h/ ~, n/ ~~' iU~ O /^ L..__- /(~S /r ri %~-F ~~ • ~~ Vii, l~. 6. M. ~ ~a; ! r„ WoOc~.~n ~~e-/ic.~PoS~ -_ ~l¢/.' - i~.~0.75' 3 er~c.h rvlar,~~: Teo oFy'` R /. C. i~ =ice, ~;,oe , ,9ss ~ m,2 c1 e ,t /~- 33 ~=-~' :~ .~h y Co . /~~j « a- ~, ..J /03, /2' ~U io3, 5/' • h ~'~ ~ 9 rc~ ~ a.~ b~;Jd,~ 5.~~ /OS./5"~ ~'-~ ~~o P~, 3~F: ~~ .~ 3 ~ ~ ~~~ ~~ ~~ ~. OwnerBuyer ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailing Address l.~ I ~ u - 5 ~- car / •~, r~ ~~ Property Address ~ Jl'~' ~ 0 U~T~ ~^~ ~~ ~ U . ~ . ~ v (Verification required from Plann~g Department for new City/State ~ es~-~ ~ •~ Pazcel Identification Number m ! ~ - /o ~ Q - ? e " ° °© LEGAL DESCRIPTION Property Location L~= %., S ~ `/., Sec. 3 1 , Ta29 N-R 1~7 W, Town of Subdivision ,Lot # Certified Survey Map # `7 ~ ~ 7~~ ,Volume _ $ , .Page # ~ ~ Warranty Deed # .~ 3 ~ f J ~ ,Volume ~ 3 3 Page # /~-~ Spec house ^ yes ~ no Lot lines identifiable ~ yes ^ no SYSTEM NIAAINNTENANCE 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 aceded 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mast~rplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 dagy~s of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. IGNATUItE OF APPLICANT / ~ / ~~ DATE «***** Any information that is mis-representedmay result in the sanitary permit being revoked by the Zoning Department. ****** •* Include with thls appticatlon: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed w J Z Z ~ U O U W V Z J <LJ~ ZON OSW F=ZU O~¢ O J ~ ~ W O (/~ p ~ U _J ~ ~ ~ O Z WOE Q ~ wH pia z c~ ~ > z QJU J p~ ~ O> wow ~ ~r z Z o J W W (.~ ~ W ?i ~p(n 00 J~ > H m W~ O ~ U O W W ~ N F- N W Q ro p Q W ~ -~ Q 2 IJ-~(n H OSU ~ j J ~ Y Q J_ O O w Q Q W¢ w 2 ?i pU2 0. f-J~ p J (n ~- Q H F- (!1 p a3° o Zoa z Q3 w ~ ~ Q ~ J ~)' O Z J = OJ ~ H Z e `~~ . V ~ v . l~ ~ ~ U ' t0 `p , V ~~ a 1 ~. ',\ ~ ~ ., ": W ~m Y Z Z Q Q U p ~ W Y N Z O~ 1- N U ~ ~~Z~ W Z '~ N ...~~ ~ 1 W .II w II I _ 5 S \ ~ /~ ~ w ~ I.L LJ ~~ J 9t~ u f~ J {-~ U i i ~ ~ (,/) U F W ~ „Ot~ 0 „l9 O U Z ~ J w¢ w~ W ~~ F ~ 10 Y_ ~p O u' O o m ~p oQ ~. ° _ vi O I p~ N M m ~ Q ~ ~ \x NO Q~ J n W ~a ~i W~ ~U I d-i;j~pzW~ iJW N~ OF-p-JE- OOW o JO~ZO~~oU Z_ ~~ 2 m ¢OOaw~wo'~-i1 Qa~c~ Z3mU~20mJ~ w ~ ~_ J O ? U 2313P 135 STATE 8AR OF WISCONSIN FORM 2 - 1995 This Deed, made between Lyle L. Peterson a/Wa Lyle Peterson and Ruth Peterson, Grantor, and Dean A, Mueller and Jennifer L. Mueller, husband and wife, as survivorship marital property, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): SE 1/4 of Section 31-29-17, EXCEPT part to Michael R. and Darlene Sittlow in Vol. 466, page 193 and EXCEPT parcel in Vol. 791, page 307. ETING THEREFROM: f Certified Survey Map recorded in St. Croix County, Register of Deeds tce on April 25, 19 o ment Num er 3671 being part of SE 4 of the SE 114 and 1/4 o the SE 1/4 in Section -29-17, Town of Hammond, St. Croix County, Wisconsin. AND EXCEPT: That certain parcel of land located in the SW 1/4 of the SE 1/4 of Section 31-29-17, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows: The South 320 feet of the East 272.5 feet of said SW 1 /4 of the SE 1 /4, Excepting therefrom the South 264 feet of the East 165 feet thereof, containing 1.002 acres, more or less, being subject to easement over Southerly portions of said parcel for C.T.H. "J" R.O.W. purposes and also being subject to easements of record. 73rd 1 1 >0 KATHLEEN H. 1tALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 07!14/2003 11:45AM MARRAHTY DEED EXEPPT # 17 REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 ~R.`~-- t~~~,o~.`~l ~.. t D9 ~1~~ ~Zgt..>,O S`~ 018-1069-70. 50.90.018-1070.10.100 Parcel Identification Number (PIN) This is not homestead property. This conveyance is given in Satisfaction of that certain Land Contract dated April 29, 1996 and recorded May 3, 1996 in Vol. 1176, Page 7 as Document Number 543110. ~~. Exceptions to warranties: Subject to all easements, restrictions and covenants of record, and any lien created by act or omission of Grantee. Dated t is day of April, 2003. *Lyl eterson *Ruth Peterson AUTHENTICATION Signature(s) authenticated this _ day of April, 2003. * T[TLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Ronald L. Siler VAN DYK, O'BOYLE &c SILER, S.C. Post Office Box 115 New Richmond, WI 54017 (Signatures may be authenticated or acknowledged. Both are not necessary.) * * ACKNOWLEDGMENT STATE OF tISCONSIN ) ss. County ) Personally ca e b fore me is 00~ the ~hpv named ~,q, r.4. to me kno who execu the foregoing instrumen nda ~r t~n.r._ * G.U. - ..~J'~'-s« Notary Public, State of Wisconsin y C mmi (If not, state expiration date: 1l 1L O rit, ' 0-. ns = ` gatne ': ~'~ . :,~~`.' y rt is periiygneltl: ^, ) •Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC. Wt 900.0552021 -~ CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE SE 1/4 OF SECTION 31, T29N, R17W, TOWN OF HANIMOND, ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: BRENT MUELLER AND DEAN & JENNIFER MUELLER 1320 US. HWY 12 ROBERTS, WI. 54023 SURVEYOR'S CERTIFICATE SURVEYOR: THOMAS M. HEALY S & N LAND SURVEYING, INC. 2920 ENLOE STREET HUDSON, WI 54016 I, Thomas M. Healy, Registered Wisconsin Land Surveyor, hereby certify: That I have surveyed, divided and mapped that part of the Northeast Quarter of the Southeast Quarter; Section 31, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, described as follows: Commencing at the east quarter corner of said Section 31; thence South 00 degrees 11 minutes 57 seconds West, assumed bearing along the east line of said Southeast Ouarter of Section 31, a distance of 500.61 feet to the point of beginning; thence North 89 degrees 48 minutes 03 seconds West, a distance of 359.93 feet; thence South 00 degrees 11 minutes 57 seconds West, a distance of 271.80 feet; thence South 89 degrees 48 minutes 03 seconds East, a distance of 359.93 feet to said east line of the Southeast Quarter of Section 31; thence North 00 degrees 11 minutes 57 seconds East, along said east line, a distance of 271.80 feet to the point of beginning. Containing 2.246 acres, more or less. Subject to a roadway easement over, under and across that part taken by County Trunk Highway "J" and all other easements and restrictions of record, if any. That I have made such survey by the direction of Brent Mueller and Dean and Jennifer Mueller, owners of said land. That such is a correct representation of all of the exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the subdivision regulations of the Town of Hammond and St. Croix County, in surveying, dividing and mapping the same. i `aGOp Thomas M. Heat', S-2546 Date: 11 /13/2003 ~~ ~, HEALY I~-2846 ~ Mt1DSON, ~ WI ~~0 S v~, Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the w ? 4 ? ? 1 6 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE SE 1/4 OF SECTION 31, T29N, R1~W, TOWN OF HANIMOND, ST. ~ o ~ CROIX COUNTY, WISCONSIN. Ur ~ i-° w VOo Z~~ ~w°C wcnw m w PREPARED FOR: w ¢ _ ~ BRENT MUELLER AND ~ ~ p DEAN & JENNIFER MUELLER ~ O ~ 1320 US. HWY 12 O Z ~ ROBERTS, WI. 54023 Z~~ s~OVED I~olx couIJTY planninr ~t,.+;nn And Qarks Commrilee NOV 2 5 2003 If not recorded `Mt r1ova shall bef nyval date app app ng11 and vold~ I ~~ ~~ ~I • ~ _ ~ [W] ~ ~ ~~ a ` O N C a~ N ~I al S^, 9UD50N, WI ~; SUR~.~~~. SURVEYOR: THOMAS M. HEALY S & N LAND SURVEYING, INC. 2920 ENLOE STREET HUDSON, WI 54016 M~nJp~44C~D dLQGr]D~ N89°48'03"W 359.93' 320.31' ; ® 10 LOT 1 2.246 ACRES :w 97,828 SQ. FT. ~~ ~ ® INCLUDING R/W :v 3 2.001 ACRES ,Q '0° 'r' v N 87,162 SQ. FT. :c n o EX. RM/ ~ 321.06' S89°48'03"E 359.93' I VOL 18 PAGE 4660 KAT}~L~~`1T N. MBA-• REGISTER OF DEEDS ST. CROIX CO. , M1I RECEIVED FOR RECORD 11/26/2003 04:15P)f CERTIFIED SURVEY MAP REC FEE : 13.00 COPY FEE: 3.00 PAGES: 2 EAST 1 /4 COR. SEC. 31 ~_ I T o I ~ r rA ~ ~ _ w ~ I~ I O w~ ~ 6 6 ' w 33' 1 33 ~ ~ I w0 z 39.6' ( ~ Q w ~ ~ ~ ~ I ~~ NI I=I1 n ~'~ I ~ . L II 1.'~ ! r r I VIA r O I o° ~ ZI M 1.]p~Q44GD ~Q~ID~ ~ c.3' 33' u. I I ~ O N w •o Z 'K I T U SOUTH EAST G{~R. SEG. 31 I 0°~ ~I ~~ 0~ ~) ~~ al ~I a LEGENDa Contract ~Iding Tank Owner(s) Nam ~~a~/ ~ ~e l ~eP e acknowiedae the instatta ~, .~ ~ g-- ~~o~~ HOLDING TANK SERVICING CONTRACT ~ ~ ~ ~l This contract is made between the _ ` `3 ~ S~ on the following property: ~s6~r D J~~GRO . ~~ NG ~~ 1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement required in Comm 83.52(1)1c)1. Wis. Adm. Code and the approved Holding Tank Component Manual. This agreement will also he filed with the St. Croix County Zoning Department. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping.equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper fiuther agrees to include the following in the semiannual report: a. The name acid address of the person responsible fur servicing thv holding ta:,k; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volume in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with local governmental unit and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Pr ~eaa ~u,e !!~~ -wner's Signature(s) ~~~ ~ Subscribed and sworn to me on this date: Z ~ ~`~" Pumper's Name (Print) per's Signature Notary Public (/arY`r;l ~ ~u rt ~ `J~~~~G Pumper/'s~yReg is~trration / 7 7 7J .~``~~OP ~~ ~VHp's ~m~. O-~Agy'. .~ ~.~° ~ ~v ? PUBS, •~y; •,~~q FAO F, `W, c~ `~~~ Date ~- .,a ~~.., `~N~ .. ~~~` ~" ~~.. .,.-- _-~~- ~... .. ~ r_-. ~_ e . ~ "~° Pam Quinn Subject: 430600 -Bird/Collova ' Location: ~ lot 6 Richmond Meadows -check soils Start: Thu 4/22/218 End: Thu 4!22/2004 4:30 PM Recurrence: (none) ,'~ 026-1147-Ob-000 ;~ 24.30.18.1 Ob4 ~ ~ ~~, ~~ ~~~~~~~ c 1404 14bth Avenue ,~ ~~`1vtCJST leave system cells open for field verification of soils at/below system elevation. Massive sandy foams are~susp ~e~ loading rate/system size would need to be changed! r 1~LSc~'~; ~a n~ ~ `s ~ ~~ ~P 2~ ~E~ arch ` 1~~5 ~~!i~ ~~,/~ s G-~ Cv, ~.- ~ ~ G Wisconsin Department of Commerce division of Safety and Buildings SOIL EVALUATION REPORT 1716 Page 1 of 3 A.C.E. Soil & Site Evaluations ... _---• --..__ ...- - - _ County Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must St. CfOIX include, but not limited to: vertipl and horizontal reference point (BM), direction and -_ parcel I D percent slope, scale or dimemsions, north arrow, and location and distance 1o nearest road. . . 01 &1069-70-000 Please print all information. Reviewed By Date Personal infamatien you provide maybe used ~r secondary purposes {Privacy Law, s. 15.Q4 (1) (m}). Property Owner Property Location Lot NE 1/4 SE 1/4 S 3] T 29 N R 17 bV Govt Dean & Jennifer Mueller . Property Owners Mailing Address lot # Block # Subd. Name or CSM# 1316 U.S. Hwy. 12 -- ----- City State Zip Code Phone Number j City f Village /~ Town Nearest Road Roberts ~ WI 54023 715-749-3583 Hammond Co. Hwy. J J/ New Construction Use: ~ Residential /Number of bedrooms 3 __ Code derived design flow rate 450 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. 100.90' at 6" above 100.40' contour. , a Boring # Boring - - 1/ Pit Ground Surface elev. 100.40 ft. Depth to limiting factor - 33° in. Soil Application Rale Horizon Depth Dominant Color Rr:doxDescription Texture Structure Consistence Boundary Roots 'Eff#1 P D/ft=Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-10 10yr3/3 none Ifs 1 msbk ds II I as ---- 2f,1 m 0.4 0.6 •- 2 10-33 10yr4/6 none Ifs 1msbk ds ~ cw 1fm 0.4 0.6 3 33-36 10yr4/6 f2d 7.5yr5/6 Ifs 1 msbk ds cw - 0.4 0.6 4 36-48 10yr8/4 m1 d 7.5yr5l8 fs 1 csbk ds ~ aw - 0.4 0.6 5 48-59 10yr8/1 m2d 7.5yr5/8 fs 1 csbk ~ mvfr ~i - ;---- - 0.4 0.6 _~I -__ - - H#4 & 5 contain 1l8" - 112" bands of Om 7.Syr4/6 Ifs at 4" - 10" intervals. a Baring # '{ Boring - ,~/ Pit Ground Surface elev. 100.31 ft. Depth to limiting factor _ 32" in. Soil Application Rate Horizon Depth in. Dominant Color Munsell RedoxDescription Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ~Eff#~ P p/~Eff#2 1 0-10 10yr3/3 none Ifs 1 msbk ds as 2f,1 m 0.4 0.6 2 10-32 10yr4/6 none Ifs 1 msbk ds cw 1 fm 0.4 0.6 3 32-45 10yr8/4 f2d 7.5yr5/8 Ifs 1 msbk ds cw - 0.4 0.6 4 45-62 10yr8/1 m1d 7.5yr5/8 fs lcsbk ds - _ 0.4 0.6 H#4 ins 118" - 1/ nds of Om 7.5yr4/6 Ifs at 6" -1 T intervals. Effluent #1 = BOD ~ 30 < 220 mg/L and T >30 < 150 mg/L flt!' #2 = BOD <30 mg/L and TSS <~0 mg/L CST Name (Please Print) Sr rai~ture: CST Number James K. Thompson ~ s-----_.._ _ 3602 Address A.C.E. Soil & Site Evaluations ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 20 9/22003 715-248-7767 Pr~ope~rty{Owner L3 ~ Boring 4 Dean & 7ennifer Mueller Parcel ID # 018-1069-70-000 Page 2 of 3 Boring pit Ground Surface elev. 98.20 ft. Depth to timfting factor , 32" in. Soil Application Rate Horzon Depth in. Dominant Color Munsell RedoxDescription Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots •Eff#1 'Eff#2 1 0-10 10yr3/3 none Ifs 1 msbk ds I _ as 2f,1 m 0.4 0.6 2 10-32 10yr4/6 none Ifs 1 msbk ds ~ cw 1fm 0.4 0.6 3 32-34 10yr4/6 f2d 7.5yr5/6 Ifs 1 msbk ds cw - 0.4 0.6 4 34-51 10yr8/4 m1d7.5yr5/8 fs - 1csbk ds ~ ~~ aw - 0.4 0.6 5 51-66 10yr8/1 m2d7.5yr5/8 fs 1csbk mvfr - - 0.4 0.6 H#4 & 5 contain 1/8" - 1/2" bands of Om 7.5yrM6 Ifs at 5' - 10" intervals. Borin a g Boring # Pit Ground Surtace elev. 97.84 ft. Depth to limiting factor 36" 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 1 0-10 10yt3/3 none Ifs 1 msbk ds as 2f,1 m 0.4 0.6 2 10-36 10yr4/6 none Ifs 1 msbk ds cw 1 fm 0.4 0.6 3 36-40 10yr4/6 f2d 7.5yr5/6 Ifs 1 msbk ds cw - 0.4 0.6 4 40-53 10yr8/4 m1 d 7.5yr5/8 fs 1 csbk ds aw - 0.4 0.6 5 533 10yr8/1 m2d 7.5yr5/8 fs 1 csbk mvfr - - 0.4 0.6 ^ H#4 & 5 contain 1/8" - 1/2" bands of Om 7.Syr4/6 Ifs at 4" - 12" intervals. i B ^ or ng _ Boring # ~ pit Ground Surface elev. ft. 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 / Eff#2 - -~---- - -1 -- i ~_ `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. n . sOi~2/Q~URt~iOr) ~Q~ ~ ~``' EXjSta'~q F'encel,"~e ~I Sca1e:/=s~o' Qe,~'~ /Qe,!''d /7/6 .~ea.n $` ~Tenn;~.crlYjue/lerProP /IESESe~.3/,T,ol'/~4mmo»d 6~ g3 ^ /'~(.,~ .2l~ s'ae' r ~~- y ~°~ ~~~~ .e'~' ~~ ~~ ~ c ~~ S/opc oc~' ~i 99,0' ~ ,~ CotiE-owr' w~i h ~ ~/ "l io.Z. ~' a~~ ~9s 'r ~ood~,-, Renc.L~ost ~e%. ioo. 75' Tp oj~~` P /, C. cl ele.v~ =/~D~~. ,f i 33 ~ =~ :~ M ~~ ~ ~ . ~~,y ,~, „ ,~ io3,5/' • h ~~ ~ y ra:~ e a.£ b~~ld~~q S~E.e = X05.0/S' ~~o~s~ ~~,'ve cv~ P~,3~F^