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020-1169-09-000
n 00 N D_ O ±{q N IO- O ~~ O C C17 ~Q CD c Q ~O I ° z ~ o ~ N ~ ~ O n pg' N .'l7 SU ~ O N N Oi, C3 < < C ~ (A L~ N N ~/+ ~ Q C C n O v j IN o c 1m O Z O N fD C CD O_ C ~ 3 n ~ N O m Q 7 lD (D C (D CD O w ~ ~ m y c0 (D N C fD Q CO ~O U1 (D Q W = O .G r. ~n„J~~ O~ N ~ ~ ~ ~ ~ Z c~n~3N° O ~ ~?~ ~oa~ O T• y O ~ ~ m ~ a ~~» ~ rn ~ 0 0 x _ o O N N O ? N ~ D cn o. m 6 0 • ] C Q ~ ~ ~. (D 7 N O a ~- a m o a~ O ~ n N Q i C d 3 ~ ~ ~ ~ I ~ 3 ~ ~. O o 2 ~ fD i N ~ ~ N N n C7 CD O S?o N C (D w o. a N .. W i a ~,, o~, OW O 2 O (O ~ II N N O O ~ ~' N N ~ O N O. O O O 2 O_ N rA N j ~ v o M ~ ~ C f~D = ~ Ut ~ d ~ ~ ~ o_ ~ °' I ;-• D D o C 7 Q I W ~ Q ~ a 3 o ^' 3 A CD ? p~ O CD 3 CC (D C ~ ii T C a {q ~ ~_: ~ ~ ~ ~ ~ CD ~ ~ ~ O C_ ~ O O ~ O ~ u: ~ a O CO ~ O O h O ~ > > ~ ~ _ -G D (D f, N N ~ C W C CD i N N ~. ~ O C rn ~ l 7 0 0 c w N cG cU C CD CC ~_ N ao °-~ m ~ C - ~w33~.cD a: O ~~ S 7 N W N ~ S ~ Q ~ ~ Z o_ ~ y ~ ~ ~ O O N c. ~ O (D ~~ rn O O N N O ? O ~ o~c`~~ao~ N ao o-~ ~~~m~o• C m ~ m N ~, ~ O v N ~ ~ '~ _. m ~ ~ -~ _+.. N O ~ _. _. CD N AI N O. Q 7 ~ N d O 6 fD ~ N O. O' 'OOj ~ ~ ~ O O ~.~ ~fD m ~ as 0 ~ I~ w r o~ O ~ n N Q ~ ~ ~.~n ~ j C d L~ C -~ O fC rye ~ N n A 'p ~ 1 ~ ~ A ~ d ~ ~ ~ ' ~ ~ ~ 3 ^~ ~ m ~ O ~ ~ 2 O O ~ < I , W O C O_ N ,O . ~"' W ~ p ~ ~ _ ~ G 47 ~ ~ _ O ~ O ~ O O `S t W O) p y 1 N 7 O 2 O O O ~ 1 . y. C t6 ~ ~ 1 m Ip a s 1 a ~ ~ .. (D O '-0 ' I D A ( O ~ O A O. 1 1 ~ p C ~ (D t0 W W Q N ~ - ~ O ; ! ~ ~ ~~ ~ ~ ~ .~. ~ 1 0 ~ ~ 1 ? W rj ~ ~ G v rn o O 1 ti A d ~ ~ i fD - ~ O ~ d y O. ~ 3 ~? 1 m Z ~ Z D m ~ ~ J ~ ~ ~ 1 ~ ~ ~ N ~ N ry ~ ~ V "6 N N CD Q. fD ~ ' A Z <p C J ~ K 7 a ! A Z 7 ( ( n --I V ~ ~ C < ~ ~ C ~ Z . ~ ~ A ~ N '" ~ `° ~ .. z O A W C G T C 7 a S a ~~ O c~ i N A N O O V 1 ~. 7~ ~• ;: ~ ~. ~. ~. w '..~ `~`~`' ffNf11N~N^ '~~. $_.~_ - _= ~""~~ Friday, September 06, 2002 Greg &Heidi Heinsch 330 High View Road Hudson, WI 54016 Regarding septic inspection for Greg &Heidi Heinsch. ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 Location of Property in St. Croix County: Municipality: Hudson Township Subdivision or Plat: Ranchwood Certified Survey Map: Lot: Address: 330 High View Road i Dear Applicant: A septic inspection of the above reference property was conducted on August 20,2002. This property is located in the SW 1/4 SW 1/4 of Section 7, T29N R19W, Ranchwood (Lot ), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant fora 4 bedroom home. If you have any questions regarding this, please contact our office at 715.386.4680. Sincerely, Kevin Grabau Zoning Staff cc: file Wisconsin Departrrie„-ar t of commerce PRIVATE SEWAGE SYSTEM Safety aF~Buil~ling Divisign . ' ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Heinsch, Gre &Heidi Hudson Townshi CST BM Elev: r insp. 8M Elev:' BM Description: _I f • , - TANK INFORMATION U TYPE MANUFACTURER CAPACITY Septic ~-~ ~ Z -- Dosing ~ ~o ` ~+~~ ~5~ CJ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic , ~ ova -(- f `~ l~ r ~ ~- ~_ Dosing Li ~,, ~, ~ ~br Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand ~ ~'S GPM ~ Model Number ~~~~ ,y~lj• DH Lift Friction Loss System Head TDH ~ Ft Forcemain Length I D Dia. ~" Dist. to well y ~~ ~ SOIL ABSORPTION SYSTEM BED 6N Width ~ ~ Length r ENSIGNS l SETBACK SYSTEM TO INFORMATION Type•Of System: DISTRIBUTION SYSTEM ~a~a~S- P/L BLDG WELL ~ fe-~. R.a w.1 ELEVATION DATA STATION Benchmar f county: St. Croix Sanitary Permit No: 408252 0 State Plan ID No: o.S =-?-rb.~s. ~ Parcel Tax o: 020-1169-09-000 BS I HI I FS I ELEV. Bldg. Sewer ~ ` St/Ht Inlet GQ i l 1. o~ ~a . ~~ In Dt Bottom ~¢) ,81 .SL ~ 9.3 ~- r Header/Man. / ~ ~6•b( Dist. Pipe 3 • 9~-(cc~r Bot. System ~5~ ~~~Z x.06 f (St cover ~~ ~ ~ t ~~ ~o ~f~~-~ o ~ ~ •~s lam, _ ~ .. ~t ~ ~Ad Io.fa2 ~3-Z~` ~.v~ --[ CHAMBER I UNIT 5B• I,/ .. °~~„ 2- Number: Header/ amfol `~ Distribution r ~( I~ pipe(s) x Hole Size r~ 3 x Hole Spacing 'rr Vent to Air Intake O 2 ~/' ~{ 3,O ~ i h i S /lt'o ~8 Length Dia ng s pac Lengt SOIL COVER x Pressure Svstems On[v xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedfrrench Center Bed/Trench Edges Topsoil '- Yes No I~ ^ ~ Yes No i u COMMENTS: (Include code discrepencies, persons present, etc.) Inspectiti,#~+~~~ Inspection #2: ° g/ Z /0~. Location: 330 High View Road Hudson,l~Wnpl 54016 (SW 1/4 SW 1/47~T2~9N}R-1~9 ,W) Ranches od of Parcel/No: 07.29.19.1056 1.) Alt BM Description =(tt-S~ ~ w-~,vN1~n..~~D~sar J ~ `~'"`S 1,, ~~i~~ ~ .Y ~..n,,~• 2. Bld sewer len th = n ~ ~~ -amount of cover = ~ v ~ ~,S ~ $ (L / , 3.) Contour = ~)~.bD~Shnri a~'" B-~g "~ ~L' °°'Y/s ~. (~ = b ~~ [ a Z .6 g -~ E.0-~1. ~ ~ Plan revision Required? Ems: ~ Yes No i ~ ~ Use other side for additional Information. ~ _ • I 0 ~ ~ ~' ~ r_ __ ~I ------ ------------------I SBD-6710,(R.3197) L~at GnI~Gs I,nsep/c~tor's Signature (~ ~ ~ Cert. No. ~) g1A~+c ~ N w i~S. ~- o~ ~Z t Sa,. l tttl~ c71.?~0r ~T-~-~C ~ Y~.O+~ ! dd ~`. LL(~A~,b~ ; Safety and Buildings Division County 5/ GIPD~ x ~, 201 W. Washington Ave., P.O. Box 7162 `S~O~~In Madison, WI 53707 - 7162 Site Address. ~U~' 33 ~ ~~y~ ~/~~~~ ' Department of Commerce 7 -30 -Dzi 5J 3j s d~ Sanitary Permit Application Sanitary Permit Number ~•o gzsZ In accord with Comm g3.21, Wis. Adm. Code, persortai information yon provide ^ Check if Revision ma be used fot second sea Privac Law, a15. 1 m I. Application Information -Please Print All Information State Plan I.D. Number ~S7jlO s Property Owner's Name E® ~~;~,~ ~~~tis~~ ~~~~ ~ arcei Number oz o• ~~~y. 9 ~ ~ ~ ,dS6~ , . Property Owner's Mailing Address ZOO 33 v ~~ ~;~w ~ Property Location w ti~ ~ Z9 fy sr. ~ u u: s r N, R ~ Ciry. State Zip Colt: ho~rOFF~CE Lot t~m r ~ ~ 1~ Number • f~~so~/ ~/• 3~G •~7Z~ syo~( Subdivision Name ~ylot-~(~ter ~ ~ ' ~Pg,t1~(,t ~v ooD II. Type of Building (check all that apply) ~ (kiB, ~1 or 2 Family Dwelling -Number of Bedrooms ^Village ^ Public/Commerci Describe Use ~~ O ownship ^ State Own ~ r tr ~ s • ~ « C t8 ~ Nearest Road ff i~~ ~Jl~ ~~ , ~ o x ~ ~ . ~ . III. Type of ermit: (Check onl one box on line A (numbering scheme for interne use). Complete line B if appUcable) A' 1 ^ New 2 eplacement System ^ Replacement of 6 ^ Addition to For County use S stem Talk Oni Existin S stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(nnmbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 2~-Mound 4? ^ Sand Filter 50 ^ Constnucted Wetland 22 ^ Pressurized In-Ground 41 ^ bolding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/'I'reatment Area Informati on: Design Flow (gpd) Dispersal Area bispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) tn. nch) Elevation VI. Tank Info Capacity in Gallow Total Gallons Number of Tanks Marnrfacturer W / ~$ Eje ~D.JG 4j Prefab Concrete Site Constructed Steel -Fiber Glass Pi9stic New Existing / ~~W ~~~ o ~~ Tanks Tanks Septic er Holding Tank ~ ~ ~a-~ ZZSQ 7 ~ ~~' "jSQ i Dosing Chamber e~Q _~ '~S v dx~•sJ•-!/~•~fj•~ !~ s ~'~ VII. ResponslblUty Statement- I, the tmdersigned, pie resporuibWty for Installallon of the POwT3 shown on the attached plans. Plumber's Name (Print) Plumber's S nature #P/MPRS Number Business Phone Number: Plumber's Address (Street, City, State, Zip Code) . VIII. Count !De artment Use Onl Approved ^ Disapproved ' Sanitary Petmlt Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse Surcharge Fee) ~ , ~- . Determination 32.5 IR. Conditions of ApprovaUReasons for Disa proval ~~ ~ ~~. a~ . a.. pis. r' ~I ttaeh co/m~plete p ito me Cone oel for a em oe a eJ than 81/1 x 11 leehea m s ~'" N~,C..l,1.N~~94L~~1 IMQ1, Z~'~~ WP 1~ a0 ~Q~/tM6.W~~d.t'~M~ ~~~ ` ~ ~ ~ ~R ST. CROIX COUNTY ZONING DEPARTMENT -.. ` ~ AS BUILT SANITARY REPORT r /= - Owner E(r- ~E//USCi~j Address 4 /' Ui~Le] _ ,,,3~(9 ' ~ 7a. City/State .J S' . S y0/ ~'~ _ Legal Description: G~ is ~ 3 ~" 3 ~' 3 y y~ Lot Rlock Subdivision/CSM # ~~/U~ ~ O O !~ '/, '/, ,Sec. , T N-R W, Town of U O~•! PIN `~ ~= ~' 0 4 2002 tiLi i Ili 1 t11 \ 11 -- l./llA7L~ ~.,i1H1V11Si.~ K -- 11~Lv1J~11 \ V ~~A1 \ 11 ~1 \ r'VItMATIUN: • Tartk manufacturer ~dv G,~.~ Size ST/PC / Setback from: House Well P/L Purnp manufacturer E7 s Model /t'1 ~' ,SD //0 , U • ~~ ~, `j Fib y Alarm location /,V ,S'i lJE'" ,cq~ -- Gl~~i4-G-~- , (IIOLI)INt. TANKS ONLY) Setbacks: Service road _ Meter location Alarm location Vent to fresh air intake Water Line SOIL ABSORPTION SYSTEM: C~~f ~ ~ • X ~~ / `~'~ Mo ~ / , ~ ~~s~~ 33 ~ /~~1 ~ Type of system: /`~ Width Length Number of Trenches ~ ~.t~2. Setback from: House Well ~' P/L ~ Vent to fresh air intake > Z.S 3~ ~' ov+~~T- o,~ dip ~~ ELEVATIONS: ~. S: j . 73. ~~ ' , 7a p aF ~',(.e~. ~i'~4~uS. ~ a x ---- Uescripf ~<~n of benchmark ~oa•O Elevation Description of alternate benchmark _ ~ ~ o~ Gc9 ~L L f,~-,S'~~y ~ Elevation ~s. ~d Buildin Sewer ~/~ ST/H~ ~ ~' ~ '"' • /~l I~ g _ T Inlet ST Outlet PC Inlet N~~-- - 1 C~ PC Bottom ~ I' 3 7 "Header/Manifold / ~ '~d , To of ST p /-~ Manhole Cover C ~~~ ~ 7 ' U ] ~ // Distribution Lines ( ) / ~P ' ~ Z. O ( ) ` ,p/ .S~ Bottom of System ( ) / w ' /~ ( ) ) ~w q Final G 7' S ~ d ~~ v~ ra ( ) ( ) e ( ) / 9~~ / A~ ~G- • ~-O o ~--~ llate of installation / ! Permit number 1 ~ o ~ State plan number ~ 5 ~ ~~ Plumber's signature _ ~~ License number ~ Z ~ 3 ~ 5 D `S~ T ~ Z t a e Inspector ~~/~ ~7~7~ ff-u ~~b "2~- Complete plot plan ~* oveR~ ~?kiIGINAL f' r i 1 , o~ilrr'.v~ L ,St~Ti c Ti5`~ /~ /~~ ,~'a~ Cvi ~ Md ~a,Q Gi2 G~' ~`" ~ : ~s ~~G~~,y~~S , i ~" ~i,¢S SO~~ S~e ffGi-U G _~ pj~Q ~i'~'rhtil.2vcS~ ~,we {' fS . ~_ ~~ c_ ni i ~~ -- 7 „~~Z= ,~ RgAO ~ ~~~~ °o ~ ° ~ x m m n -D cn 1~m~~ Q ~o , Cy ~~ ~ ~ m ~ I r ~ r ~ ~~ " ~~ -- 0 J ~~ --~ 1~ O ~~ 0 O (h d ~ J~ ~ ~~ ~ ~ Z~ 0 i N` ~_____ O ~- C ~° 6`, x 1 .~ ~l 2 ,~ 7e N Z, o ~~ ~. ~ c ~ ~~ ~_ \~ ~~~ ~~ _ c -~. ~ ~ ~ ~_ ~ N ~ ~ ~~.~ Y U~ s ~~ i ~ ~ ~ ~ • 4 ~ ~ ~ ~ ~~ N _~ 11~ ~~ a y ~. ~ F+ 1'~ ~ n 1 N_ 'mot ~ A~ m ~ x ~~ L o L c -1. ~' _ ~ 2, ~~ ~ ~ ~~ 1 L '~ 1 ~~ ~' ~ = ~ .s ~ c^ ~\- z ~., w ~scons~n Department of Commerce INSPECTION REPORT SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www. commerce.state.wi. us Scott McCallum, Governor Brenda J. Blanchard, Secretary Date of Inspection: July 25, 2001 Project Name: Heinsch Use: Existing Residential Legal Description: SW, NW, 7, 29, 19W Site Number: Subdivision: Lots 37-40 Ranchwood Municipality: Town of Hudson County: St. Croix Plumber Name and Address: Robert Ulbricht, MPRS 226375 655 O'Neil Rd Hudson, WI 54016 (715) 386-8185 Certified Soil Tester Name and Addr~ Robert Ulbricht, CST 2263 `~ 655 O'Neil Rd `~`~ t\J~-. ~~. r9• ! °5~~ -~ 020- 1f bq -oq-cam Hudson, WI 54016 Plan Transaction Number: Sanitary Permit Number: Wastewater Flow: 600 gpd Pers s Present: G. Heinsch, B. Ulbricht, and ~Grabau (715) 386-8185 ,~ ~:-~ Owner Name and Address: Rev. Greg Heinsch 330 Highview Rd Hudson, WI 54016 .... G:; ,i r ~ ~~ L.~ (~-~~~'~ t~'i. An onsite inspection was completed at this site at the request of the plumber because of substantial s alteration and possible conflicts with the depth to seasonal soil saturation and/or bedrock. It was Mr. Ulbricht's opinion that based on the soil borings conducted by him in the replacement area that the soils were unsuitable for a below grade type system, and the available area was not conducive to above grade system installation. I viewed the soil conditions near the existing soil absorption system and felt that if another system were installed in the same location, it's working capacity may be about the same as the original system's (< 8 years). A much longer system life is deemed desirable. There is also an issue regarding the elevation differences at the inlet and outlet of the septic tank. According to the county inspection report dated 917/93 the septic tank was installed backwards. Elevation data collected by the county inspector in 1993 shows a 0.06 ft drop between the inlet and outlet piping, but more recent data by Ulbricht reportedly shows the opposite to be the case. Because of steep slopes and poor soil conditions elsewhere on the lot, it was decided to evaluate an area of land directly east of the driveway in more detail. Cutting and filling also altered this area, and the fill appeared to have been compacted and had an extremely firm consistency as well as a platy structure in many areas. These conditions were present in the upper 12 to 18 inches of the soil profile and would not he acceptable ever which to place a mound or at--grade system. Because of this concern we concluded it would be best to carefully remove the fill down to a less restrictive soil material. Mr. Ulbricht will conduct sufficient soil borings to determine the depth to soil saturation and the depth of fill across the site. Based on this work, and depending on the condition of the natural soil remaining it would be possible to install a mound system in the freshly excavated area. The mound should be as long and narrow as the site permits. Site preparation prior to mound sand placement is critical to proper system operation on this site. Fill removal should be accomplished using a large backhoe that can peal the fill off without further compacting the natural soil. The backhoe bucket should have teeth and not be flat.. The fill only needs to be removed off the basal area which means the mound will blend in better with the surrounding surface grade conditions. Sand should be placed with the backhoe. Much of the excavated material may be used for cover over the mound, but the final cover (topsoil} must be able to support vegetative growth. Heavy mulching is recommended for erosion protection and insulation through the first winter. Design recommendations include using a design flow of 600 gpd, a linear loading rate of 6 gpd/ft or less, and a basal loading rate of < 0.3 gpd/ft^2. Juty 25, 2001 Heinsch Site Page 2 of 2 If there are any questions regarding this report, please contact me. L r G. J ky Wastewate pecialis Ljansky@commerce.state.wi.us E-mail 715/726-2549 Fax 715/726-2544 Voice cc: ]County ~ Plumber ^ CST (~ Owner ^ Other . ,' ~ e ~~µ ~.~ ,. ~' ~ ~~ ~ ~) \ \ ~ M 1'~ ~1 11 ~ O M ~ ~ b ,,~...yrn ~n, ~ ti ~ ~~-- ~1 -~ ~ ~ ~ ~, ~ ~~ ~ ~) ~, -~ ~ O ~ ~ L ~ ~ C '~ d . . , ~, ~, _~ y ;~ ~~~ 'y .% ~ to ~y r ~ ~ i ~~ ~~ ~ ~ I ~ ~ I I ly i- ~ i ~ ~ I ~ ~' I I ~`. '~----~/ b c m ~~ -~ ~. ~ ~ ~, R, .~ ~~ ~ ~ r~ v~ ~ ~y~ o ~'~ ~ ?~ ~ O ~~ ~J ±. ~ ~ ~ ~, 4 i i ~. ~r_ _.__..C i ~ ~ v C~ o m e ~~ ~v t ,~~ O ao ~., r v \ ~p ~r1 T C ~ ~ ~ vcnoaW C U ~ o~,i~rz I'1'~ v,°za~ -n • ~ v cC'~ ~ m 0 ~ ` csa m ~ O --~ i1!/ ~ ~~~n C O g~` ~ ~ o e0 n ~rs~ O~ ~-T oa~a ~~- ~ a1~c'~o~c'~ so~~ ~o~ ~ ~ o ~ m aQ°~ ~Qaa ~ ~ Q ~~ / -`. a - ~ ~''' ' `~ ~~~, ~~ / • ~' ~ ~.. tam ~ "~I' ~ti ~, ~ Q / !'~ O 9 r o° ~ ,~ ~, ~ cc ~ r ~\ ~~/~` . n ~ ii~ ~ ~~ .~ ~ ~ ~ 'I ~ ~ ~ ~ V ~ i O Y ! ~ Z t `, i ~ ~ 1 °.,~ CA c~~ m\°J ~' ~ ~ D Z ~,, _~ 1~/k ~ oP ~,P~'U~ • ~ s ~f isconsin Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary June 21, 2002 CUST ID No.226375 ROBERT W ULBRICHT ULBRICHT & ASSOCIATES CO 655 O'NEIL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/21/2004 SITE: Greg & Heidi Heinsch -Residence 3J30 High View Rd Town of Hudson, St Croix County SW1/4, NWl/4, S7, T29N, R19W Lots: 37,38,39,40, Subdivision: Ranchwood FOR: Description: Replacement Mound System / 600 Gpd Object Type: POWT System Regulated Object ID No.: 856233 Identificati rs Transaction ID N 757405 Site ID No. 646178 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. 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 may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerel e e ag~I POWTS Plan Revi r II ,Integrated Services (608)266-2889 , M - F, 0630 - 1500 Hrs pepagel@commerce. state.wi.us cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMAR"i' code: 7633. ~•~' C~n~ P' ~n~ ~EpP pIV1S10 SEE Ci ' I~LBF~ICNT & ASSOCIATES CO. ~y~ . 655 O'Neii Road • F~udson, WI 54016 Reg. Designers of Engineering Systems 715-386-5185 Private Sewage ConsuNants J ~ ~ 0 7 X002 PROJECT INDEX SAFETY & BLDGS. OIV. Plan I.D, ~ Date Jt?r,, ~, ?002 Owne~t-~~v . Greg & Heidi Heinsch • Phone 715-386-8727 Address 330 High View Rd. Hudson, Wis. 54016 Legal Description Lots # 37;38, 39,40 of Ranchwood Subdision. PIN 020-1169-9-000. SW,NW, Sec.7, T29N, R19W. town of County St .Croix _ _ _..-_-lIu-ds-on- - ------. - ---- --------------__.-- -.... _ .- ~.---- C.S.T. R.Ulbricht #226375 Ihstaller R.Ulbricht Local Authority/ Supervision PROJECT DESCRIPTION St. Croix County Zoning Dept. A replacement system, for an existing 4 bedroom home with a legally failing bed system, sited in non-code compliant soils. The old bed system shall be abandoned. During soil & site evaluations, all areas examined across the property (approx. 3 acres) revealed the presence ` of compacted fill materials, unsuitable for a mound system. Leroy Jansky, POWTS Wastewater specialist, was asked by us to help approve or recommend a solution. Mr. Janksy's findings and recommendations are attached. PROPOSED: Underneath the mound system (basal area),12" of compacted fill materials shall be carefully removed by use of a toothed backhoe,w ithout any compaction upon the original buried soil horizons. The structure shall not be damaged. Sand ,will be "lifted" onto the prepared area by backhoe. - The design wastewater load is-600 gal./day with a basal l oading rate of .3 gpd/ft2. ri ~•S., ~~~~~t~~ Ulbricht & AsS ecConsuttants D~ ~ ~ privat N i Rd. 5 0 ~yq S ER 65 Wis. 54p1~3~S Hudson, U ~ ~N~S Z ~tpR S -~ ~~ SPp~D~ ~ . 0 ~--- G F Pg.l PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN V IEWS (REVERSE SIDE DETAILS INSPECTION PIPES & FABRIC/TOP FILL DETAILS) Pg.3 PIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL CLEAN OCITS ) Pg.4 DOSING CHAMBER CROSS SECTION & SPECS. Pg.S PUMP PERFORMANCE SPECS (REVERSE SIDE SHOW5 PUMP DETAILS) Pg.6 .OPERATION, MAINTENANCE REQUIREMENTS ( ---- - -------- ------- ----_....... ~...-.., REVERSE SIDE SHOWS ...arntw rTwT~rr.nn mn 1 ~: (~`1 c„ `y 0 'y r e .. ~. ~ .~~ ~~ p it ~ 1 (~ ~\ -. ~ ~ ~ ` ~ ~ ~~~ ~ 1, V ~C. 'fir ~ b ~. L ~ m ~. z. ~, ~'J Sv~d~ ~O i ` ~z rn~ ~ ~~ ~. `=~ ~r, ~~ ~ ~I'~ ~~` \ V ,. I _ ._ _I ~ ``' ^ I I 1 `~ ~- i ~- ~ I ~ I i W I I -- - - -~ ~,r_________~ _ __ _ -- ~n • U, O~~ t ^~ \1 vn\ o~ ~ ~ 11 -~i,w ~~ ~~ e ~ ~~ Z Q~~ C ~, ~. ~`-~ y ~~ 0 G ~ n ~ ~ ~ ~ o ~ r~,~ o G _ ~ ~03~ ~~~`.~ o~~~ ,~G~ ~~ QaQ ~~ ~~ ~ 7I o ~ ~ p m C '~ ~ cn ~ m ~ cn -I ~, N ~ ~o m ~ ~ vvcno~ W ~~ o z a ~ n~cxno0 z~Q°mv ~~~~~ m ~ o ~ -~f„cy, z~~-~ a ~ o ~~~~ o~~~ ~1- __. _ _ - so~~ ~~~\ ~,T Y +y. w r~~/ o ,, ~ r ~~~ ~ ~A ~ O ~ r ~ ..~. ~ ,A, ~ ~, 9 ~ ~• ~ ~ 0 ~' ~~ r ~ 3 ~'' i 1 Z~ ~ ~ `; ~ `~, ~ -~°.~ CA ~~ o~°J '~" ~ r ~ r ,~°'' ~ ~. z~~ ~~oi . , ' r /~~! i ~ ~ r , y 4 V ~ i v O~ ~. ~ ~ ~ ~, ~ ~ ~ Z ~= ~~ D z ~~~ -'v R/~E~' ?DA ~iPi~U~" ~~P~S s S~ cTiov of ~louvv ~t T~s~%s' Fill material (ASThA C3:3, tine agGregatel _ Observation pipe Distribution cell r Cover material `~`~°'°~~~~~~~~~~~ t-Tilled area ~~Slope Force rnain Figure 6. Cross-section of a Mound System Water tight cap Top of 4" min. dia. `~ leaching Repair couplings chamber ~. r~-Slot ~ ~ ~ ~~. ti.' 6" min. min. d" min.. Infiltrative surface Waler Closet Collar Bar(3f8" ruin. dia.) Figure 8 -Observation Pipes c ~~ - 3a ~~ j ~~~ lvi5 itD,y, ~ .. ~ ~~ ~~ s`N~'~l ~~ C I/ _ _ _ _ _ _ ~- ~-~ov~-... p~~~ ~~ ~ ~' ~ - O y 1 ~ ~ y~E,~ ~ ~~ ~- s~--~ c 3 3 ~ I'`E 'I L1,c9 pE~~ G~¢7~~°A L N L. Ots 5 ,cP0SS, : SEcTio0 Of NtooAD - cvi rt% B 'D Ott) of % ro 1- ` 1:::: fTRoopip to Cy- of Toe Soi L. IEV/1r'iori A oo i FORM To E Y k 96, 70 ! RATio , MEIN. • � `' le . • . , •• I-3) : , �' goo 11 //// PlowtO TopSoi �- -_-'______ II f TO 3 E et)r :fa.. ol?iUINA (r (" /5 j/N um i FopM /e/jP -: x), 8 tyo SIopE FMAW ElEVJ1TpoJ 0u0ER '/-07 BEP qy6 ,' (d0 j) A7 FT. C/O J — ELEVArIo►J5 I / /� 9.6940 E. / fi Fr. • RivE,Rr of / y IATERA ( s F , SO Fr. ' • Top of Rock YG . 9O G / 0 FT. 1 ,r ' H • Op OF f IATERAIS �6• 72 . 5 •F-I-, I PLAN VIER) OF MQu t) - Wirtt 'BED CNTV/4't- FcRcE M11iKi A 6 FT. I (3 /' Fr - - 1 I '\ K /2- Fr I. __ B = I i L // /' rr . K ->1 z Fr o 0 W TA Y w 33 ea ° Fr I Rev OF Y2" f° i i 415 fee5a . 2. PVC CAppE4 oBSRVATIo,u Pcpe5 /CAr%a,)5 .: /0 Fr pPon ENl2 of PERMA,,. E,AT MARKER5 'PAILy (ohs F!ow CD� 2yr o REc?UIRED f3Asn � /�RE/t SOIL. I,J'fi1rPATItjE c AfAci ry • 1 55a. Fr. PRcPoSEd BAsAi ARet‘ - 3 x ( A t z ) Z6,O-0 - /0g ( fo 4- 20 l l sad. FT. ~I~T~~'QU~ io~1 ~'~i E' L~4~ p(~ ~ .~ "' ~ C~~T'~ ~~ CEn~TR q~(~ __-----r ~ehcE MAi'rv ~~~ Fr of M~~i ~'oc...~ \~~~`~n ~ ~, puc `T~o ~'A L. V u (D U b I U J-I E ~~ G A 15 , Note v~aNET~R -=~ 3/i~ ~N~ ' HAS ~N~ ~~S C E~TR h L M ~~ ~ F c~ ~, ~ ~~ ----- 2 ~ c.~ 12 cE l~l i41 ~ ~~ _~. __ .--- ~ N c N t; s 2 lucµ~s .~ ~~ N~iES~~; PE 13 SEA ~~UEPSE SIDE ~p~ ~-- , " ~~'M iNAL cep ~ET>4f(_ ~ PER Fc~R hTE d Pi QE' .~- \~ \ • R~Mov~- hll ~R;11 f3URR5 ~ Y ~'~ NoIES Ioc~TEb o,v ~3oT1'o-H Ecru^11 U~ ' Y .~. ~ ,mot i s r R ~ ~~ , ~-, ,.. , ?, , ~ . ~- - - - -- - ~~ P ~ Fr y' -_____ R 3. d Fr X ~_-___._ I N c N E Y ~y ---_._ ~ u c N ~ ~AR~'R(3~E' 'pi 5T^~ C~ 7o T~~ f/o/U.y~- °~ A~-r~va~t'K ~Z.2~ s, I.fJVERT E LEVi1T~o~ o~ LATErQ,~lS .~ y~ ~ o , o~Pi Fi c~- DEV S~'7` y r ~o /~2. spAc~ v ~ ~ . P ~,~tvv S~iP~,v~~~ ~~i ,~l~~!/U~ '' /3oX Gv i ~Z, f~- «S s ~~ , Jf~1/f/~~Irp ° SGUE~~ o ~2 ~a v~,~ o~ cgPp~ ~Eti ~~ s~~~~ ~-o ~---~ /RUC /~r9// v~9 /U~ ~9 r~.~ .• ~~ ~ , gn. ~~ ~ . /~ti~ .. ~P SEPTIC TANK ~ PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS h "~~ 4" CI ? l0 ' FRES}i VENT PIPE 12" MIN. FROM DOOR , WINDOW AIQ INTAKE ABOVE GRADE & OR - ~" st.~ 4a y I~r llL Pv c t-' .~'~llS/QEET/Oy I r'------~ _-7 ~ I ~-- ~~D INL\T ~'' ~ ScD. 40 3 ~o SOLID ~~,D'SOIL .-,~ INS,~~, ~~ riD~~ ~~~~ ~- X1,8 ------- o~~ INLET ~ ~ ~~.~ - - Mol~El_ ~ ~ D PUMP OFF ELEV .7~' -F Z' , Ili ,,~'_ --~. "WEATHER PROOF JUNCTION BOX WITH CONDUIT 1 ~~:, ~ '~ i~ 1' GAS- ; ,' t TIGHT i ~, A ~ SEAL ~ ~ ~_ I ' ~ r; B _}_ ~,~ ' ~ C ' I ~ _~_._ D ~ I3 ~~ 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS SEPTIC / DOSE wl ES~'CZ 'TANK MANUFAC'T'URER : LO/~G~,~~ ~ ' 'I'ANK_SIZES: SEPTIC ~~~b GAL, DOSE _ 7S0 GAL. ALARM MANUFACTURER: 5.5, ~~~,(~.~ ~ MODEL NUMBER : . . /pp , spy SWITCH TYPE: ~~~. PUMP MANUFAC'I'UR~R: M~y~2 ~~ g'a MODEL NUMBER : M ~ S'p SWITCH TYPE: p-~yY~--k ~~~~'T fiEQUiRED DISCTIARG ' 3J sN~~ ' Z APPROVED MANHOLE COV W/ PADLOCK WARNING LAE 4" .MIN. a~ APPROV ED ALM JOINTS 4l/ ON PIPE 3' ONT SOLID SOIL OFF '~~ RTSER EX PERMITTED Ol IF TANK MANUFACTURE] HAS APPROVA', CONCRETE PAD ~~ NUMBER DOSES PER DAY: DOSE VOLUME INCLUDING 2 FL ~ ZS 5 OWBACK: GAL. CAPACITIES: A = Z7 INCHES = y~ GAl B = 2 INCITES = 3o GAL C = g• 3 INCITES = ~~S GAI- D = J3 INCITES = ~7~ GAL I; RATE GPM PUMP ~ ALARM WIRING AS PER ILHR 16.23 WA VT:R'I'ICAL + MINIMUM DIFFERENCE BETWEEN PUMP NETWORK OFF AND DISTRIBUTION PIPE Z3'~~ FEET + /50 SUPPLY PRESSURE FEET FORCEMAIN X 3.3o FT/100 •FT. 'FRICTION FACTOR • . y ~ FEET T.0'TAL DYNAMIC HEAD = , . ~?.. FEET :INTERNAL DIMENSIONS OF PUMP 'TANK: LENGTH SSa WIDTI} ~~~/ ; DIAMETE R ~ __ / LIQUID DEPTH SD ~~ , S IGNF:D: LICENSE NUMBER: .DATE: THIS POWT SYSTEM SHALL INCORPORATE PER COMM. P~C SPECS 83.44(2)c A PROPER ZABEL ~.~~ ` y ~~ ~~n.,~./ FILTER MODEL # A , ~Da ~~~ ~ 1 p" ~ f }'^- r ~ ~i e ~ ~ ~ P~.S o~~_ ME Series 1/3 through 1-1/2 HP Effluent Pumps Performance Curve ~~~ ~ ~,~`~ >~ ~r'~ 100 90 28 80 24 ~ W 7 ~~ ~ {- w w 20 ~ w w 60 ~ Z Z ~ ~ 1.6 w ~ w 50 = = a 40 12 O '~ 30 ~, 8 L 4 10 O p 0 10 20 30 40 50 60 70 BO 90 IOG I10 120 130 APACITY GALLONS PER MINUTE ~,~~ ~,` F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3327 7/91 Printed in U.S.A. CAPACITY LITERS PER MINUTE 0 50 100 150 X00 250 300 350 4i~0 450 , ~ ~ ~' , ME SE RIE S 1/3 through 1-1/2 HP Effluent Pumps I POWER CORD MOTOR HOUSIIdG Jacket sealed with com- ~{ iron for eiflcient pression fittings. Individual heat transfer and wires potted with epoxy corrosion resistance to prevent wicking in case . of cord damage. BEARINGS Upper sleeve and lower ball (1/3 and 1/2 HP), upper and lower ball (3/4 - 1-1/2 HP) support O rotor. Take radial and - - thrust loads. MOTOR %J= ` 1/3, 1/2, 3/4, 1 and 1-1/2 ~ C HP single or three phase, _ _ __ 60 Hz, 3450 RPM. Single phase PSC motors have built-in on winding overload protection, oil- , cooled and lubricated. HIG8 EFPiC~NCY CAST BtON VOLUTE Corrosion resistant. Passes '/e" spherical solids. 2" I~IPT discharge. ENCLOSED Two VANE IIKPELi.ER High efficiency. Passes '/a" spherical solids wish StaWeSS Steel wear ring. Optional bronze constluc tion available. DIMENSIONS IIA) (aoq --~---~ (ICI. I -, ,~ - T NPT ~` t-~ Y --- - °~° o~ / ;;, ,_ - ~. ~- \ j ~, ~ , Irtiches mllllmetets Model Series A B C F ME33S ~ ME506 14.7 4.09 1.03 12.13 373 l04 26 308 ME33D & ME50D 16.5 4.09 1.03 12.13 419 104 2b 308 ME75S, MEIOOS, ME1506 16.8 4.0 1.06 12.5 427 102 27 318 ME75D. MEIOOD, ME150D 18.6 4.0 1.06 12.5 472 102 27 318 a PERFORMANCE CURVE CAPACITY LITERS PER MINUTE O 50 100 I50 200 250 300 350 400 450 loo 90 eo SHAFT SEAL(S) Carbon and 17@1CIILIIC faces. Optional dual tandem seals. Extends motor life. SEAL LEAH PROBES Optional probes (dual seal only) detect water leakage in seal housing. Activates worming light. ~o W n 60 2 50 I ~ 40 f O ~- 30 Z: 10 0 2e 24 zo c FW W 7 16 Z tO W 12 I J F O 8 F 4 0 O 10 20 30 40 50 60 70 90 90 100 110 120 130 CAPACITY GALLONS PER MINUTE K3320 5/92 Printed in U.S.A. VOLUTE/I6QELI.ER SEAT. RIIJG Maintains high efficiency cmd reduces necllCUlatlon. Replaceable. ~~\~~® F. E. Myers. A Pentair Company 1101 Myers Parkway Ashland, Ohio 44805-1923 419/289-1144 FAX: 419/289-6658, TLX: 98-7443 ' ~ ~ Mound System Management Plan _ • • ~ • ' ~ Pursuant to Comm 83.54, Wis. Adm. Code ,~ Septlc tarrli ' The septic tank shall he maintained by an individual certified to service septic tanks under s. 281 Aft, Stals. The contents of the sel)llc lank shall he disposed of in accordance with iJR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filler shall he assessed al least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the lank Thal rrray slovglr off fire filter when removed from its enclosure. If the filler is equipped with an alarm, the filler shall be serviced it the alarrn is acflvated continuously. Infermittenf filter alarms may indicate surge flows or an impending continuous alarm. The septic lank shall have tts 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 lank are not removed at the lime of a triennial assessment, maintenance personnel shall advise tire owner of when the next service needs to be performed Io mainlaln less Than maximum scum and sludge accumulation In Ilre lank. The adclilion of biological or cl~e-nical additives to enhance septic tank performance is generally not required. 1 lowever, it sucf- prdducis are used (trey shall be a(rproved for septic lank use by the Department of Commerce, Salety and ~uildhrgs bivision. Pump Tank 1lre 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 filler is Installed witfrin fire tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S stem No trees or sfrrubs 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 (oiirer Itrarr 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 lire winter will promote frost penetration. Cold weather installations (October-February) dictate Ural the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 7.20 mgll_ 8005, 150 mgll TSS, and 30 mglL FOG. Influent flow may not exceed maximum design flow specified in fire permit for this installation. The pressure dislributiorr system is provided with a flushing point at the end of each lateral, and it is recommended chat each lateral he flushed of accumulated solids at least once every 18 months. When a pressure lest is performed it should be compared to the Initial test when the system was Installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell.,. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above A inches considered as an impending hydraulic failure requiring addilionai, more fcequenl monitoring. General this system shall he operated in accordance with Co-nrn ti7.-ti4 Wis. Adrn Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)) and local or stale rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or purr#p tank since dangerous gases may be present That could cause death. Septic and prrrrrp tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS cornponenfs. Septic or pump tank manhole risers, access risers and covers should be inspected for water lightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, detective, or sub[ect to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by arr effective locking device to prevent accidental or unauthorized entry into a lank or component. Con_lingency Plan if tirthe seniic lank or any of its cornponenfs become defective the lank or component shall be repaired or replaced to keep the syslern in proper operating condition. ' if the dosing tank, pump, pump controls, alarrn or related wiring becomes detective the defective component shat) be immediately repaired or replaced with a component of the same or equal performance. If the -novnd component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced irr its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions orr lire operation or rnainlerrance of (iris system slroutd be directed to your county zoning or health inspector. SF.F REVERSE SIRE Pg.6 COR MAINTENANCE REQU~:REMENTS SPECIFIC 'l'f) 'f'lits SITE, bE5IGN, AND COMPONENTS OWNEit's MAIN'I'AINCE OE SEPTIC SYSTEM PAGE 6 REVEi;SE~SrI$>;'•, r __ ~ + . POWTS (landowner) }.s reponsible for proper operation and maintenance of t}ris system. Regular periodic inspections and servi.r_ing is necessary for the safe healthy operation oE.this system. The owner is rec}uired by cede to submit all necessary mairrt-errarrce/inspection reports to the controlling ,authorities. SPECiE'IC CONTACT AGENTS * Governmental-authority/ inspectors: * Licensed installer, responsible Eor maintenance "Users" manual: 3 g~ ~ ~~BS ~~~/3 ~ r- Z~l,~ ors - 3~~ ~ y~ ~o ~' providing an operation/ ~~~~~~ ~r ~~~s -# Z~ 3 ~ S * Licensed servd,ce / inspection agent other than installer: l~3 ~~,v /~l o/~~q ~v * >;lectrician, for um P p, electric controls, wiring units: ~i C,fl , ~D^/ T~ G~/t~ ' S ~ /,~C ~/~~~ G'/P,eG~j-' IMPORTA__NT pWNER MAINTENANCE RE UIREMENTS .~ }• Winter traffic (sledding, shove~lring, etc.) across the area shall not be permitted, or frost can/will penetrate into the cell, freezing up the system. Uiscontinuos use in the wint;er (a vacaction trip, resulting in no water use) can also lead to freeze ups. ?• Water conservation needs to be exercised) Or system can be hydrolically overloaded and desl:royed. 'T'his sys(Cem was designed for a maximum wastewater flow of ~~, gals. daily. N 3• hOWTS are not designed to accomodate wastes from a garbage disposal unit, or any ether unnatural sources of waste. 11ny introduction of such waste materials will overload and destroy this system. power vrrtage occurs, or a pump fails, it may result in a temporary overload of effluent being pumped into the cell., w}~ic}r may adversely impact t}~e cell (leak6ge). It is recommended that a licensed pumper empty the dosing tank, ai.iow.{rtg Lire pump to return to dosing the correct amounts. Consult your instal.er immediately for advice. 5• Neglect of the vegetative cover (tl~e cells insulation b. erosion preventive) can lead to rail.eare. Compaction or heavy traffic also can destroy t he system. It IS NECF,SSARY TO Rr(;UI~ARL.Y W11~I~ER TItE VEGETATION OVER A SYSTEM! ! Effluent in the system beneath IS NOT sufficient alone t0 maintain grass cover, a G• her{odic Inspections by the ovr,p.- ..~ ~.,_ _ Wis ;in Department of Commerce SOIL EVALUATION REPORT ~ Divisi-,+, of Safety and Buildings Page of in accordance with Comm 85, Wis. Adm. Code _ /ltlach complete site plan on paper not less than t3 1/2 x 11 Inr•hes in size. Plan must County syt' , ~~~/• X include, but not limited lo: vertical and horizontal reference ; • ` (BM), direction and • - percent stQpe, scale or dimensions. north a-row, and localir~ r riislance to nearest road. Parcel LD. ~.~ ~ , ~~~ G , ~ p • ~a.~ Pleas. ~p-int ail ini*ormatio- R sewed by / pate Personal information you provide may be used for secondary purposr"- ' "rivaCy law, s +~ " ~ (i) (m)). ~ '2 Prope E~ , ~~ D/• ~E Property Location ~~ ~Ue ~ ~• fi/.S~ Govt. Lot s W 114 1!4 S , T ~ ~ N R / ~ ~ (or) W Property Owner's Mailing Addresg Lot # Block # Subd. Name or CSM# ._ 33d Vii' vi~ty ~'!7 ~7.3F' 3 . y~ /w'i N~ wooD City State Zip Code. .Phone Number ~U D,SG~ ^ Ciry ^ Village Town Nearest Road ` w/. S'~a6 (7/S) 3~(0 ' ~ 7L7 h/uDSo,~ /ti~i' viEcv .E~p. ^ New Construction Use: (~ Residential / Number of bedrooms Code derived design flow rate CO G'~ GPD Replacement ^ Public ornn~__ommercial •: pescribe: Parent material ~p ,S• Ol~~I(~ l.Y~I ~/}~- Flo ~er4M appli ble N ft. General comments 1~// • and recommendations: ~u~ 1 s zoo2 ST. CROIX COUNTY ZONING F Boring # ~ S ~~ ".,round surface elev. Q " ~ ft. Depth to limitir+~ for ~_ in. Horizon Depth Dominant Color 12edox Description Texture Structure ~ e :onsistence R undary Roots "Soil AGPD/ft n Rate tn. Munselt Qu. 5z. Cont. Color Gr. Sz. Sh. 'EH#1 'Eff#2 ~ ~ ^ // ~o yR 3/3 co, y ,q cT~~ i/ SG 2,+ti- ,Q oQ ~ Q ~ / f ~ w / 57~.v~s ~.P"' SiG M/~c 2.~ ~ . / ~ . of L S ~-~ d a _ ~~ ,• z 3 a • ~~. ~.s y,~ y A•~Mos T M~{tSil1E ~ ~ / ,~„ a~• . 3 . S ,5' ~ fz~ ~loTs CL /7cS/fiE' ,efi' Q.t' . Z . 3 V ~/ w S7~jQ.T~ /D y /2 CD ~ OCl~E 5 D CL Boring # ^ Boring 2 S.S.,S , Z ^ pit Ground surface elev. ~ ~' ~ ~ ry, Depth to limiting factor •' ~ in. ~- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ In. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 / a •la. /o y/~ 3 3 Corr r4cT~ sc. a ,~ ,e oB ti a,c' ~~ 3 ~ •33 ~•SY~? J~ ------- S/CL 2 f iw- f,' cs _ . w 33 •!~ 7S ~l f M o ~ s SL D f M n,,,-~ )' , 3 . S ~o YR ~/Z h'~/c', ~ ~- - v~ y c~ - ~ v oD ~ . 'Effluent #1 = GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Ra E?T' ~~aR) cGtT ~~ zt13 7S Address Dale Evaluation Conducted Telephone Number I • a.ov/ 7iS• 3S~• Si Ss nc Private Sewage Conealtaats 655 O'Neil Rd. Hudson, Wis. 54018 ~(- /nl.~ C ~ / p~-,0~~,~~~ ~a~ ~~~ w i d1... ST~e ~~%S , Property Owner IT E//V S ° • //eo ' 90 aro Parcel ID# Page of 3 1 Boring# ElBoring q3.G/o s.ss • -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. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. 'Eff#1 'Eff#2 / 0•% /oy4'3/3 CC,v/hcr&---0 SL .2 nsi fr? ee a,( /f ►o /A 3/ /oYRY/6 S� /-f'f /w► rk cs — . y • Co 3 • 3/. L 7.Syt? /q T w/ort, sL 4f N -F . 3 5 -Frf Mo-rs /OY/e4/Z 2/ El Boring ,S S -s S . 7 I Boring# C�t •gQ la 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. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. _ 'Eff#1 'Eff#2 / °'8 /O YI� 3/3 coy/4cr&9 sL. 2"she AA. a z' i f f,p 5/L (z4„ ,C dz�, , a te 04 2 8../�f /0Y� f//f 5'- 2f. /e- doh Cs . f •� Co 3 /y397.cyR 7O SL /f � Q ( cs — , 9� y $7' 7.5 gy/ -F c f ti-roT s s /e y/c' i f R art — , y /oyR he• -Fie a,c' — . y • • I I 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/f12 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =ROD,>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD5<30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider gnd 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. SRO-F330(R.6/00) Ii 0 A air (N t 4(NIGi S %. 0 k - Q:4, .''' 4‘1 i ''' 4- rk // -.-- !It 0 d .1C 1, " ti Z''°) II \11 \. tl , ,() o - m o G - 1 _SO udam-- LO i Z-/41-e, ; off _ ,,, o , Q� w _, y A7 �N r 7 .1 *------1 )4 / 1 i,, n I i � . A I I I 1 I \ • r3 o wl ‘0 \i- / 1 _ N f yo t ) it,• cN.\ m ): ,\E 13 o d - x -t ~ ~ '~ F ~ ~~ isconsin Department of Commerce INSPECTION REPORT SAFETY AND BUILDINGS DIVISIC Field Operations Bure; 13 East Spruce Stre Chippewa Falls, WI 547; www. commerce.state.wi. ~ Scott McCallum, Govern Brenda J. Blanchard. Secrete Date of Inspection: July 25, 2001 Project Name: Heinsch Use: Existing Residential Legal Description: SW, NW, 7, 29, 19W Site Number: Subdivision: Lots 37-40 Ranchwood Municipality: Town of Hudson County: St. Croix Plan Transaction Number: Sanitary Permit Number: Wastewater Flow: 600 gpd Persons Present: G. Heinsch, B. Ulbricht. and G. Grabau Plumber Name and Address: Robert Ulbricht, MPRS 226375 655 O'Neil Rd Hudson, W 154016 (715) 386-8185 Certified Soil Tester Name and Address: Robert Ulbricht, CST 226375 655 O'Neil Rd Hudson, WI 54016 (715) 386-8185 Owner Name and Address: Rev. Greg Heinsch 330 Highview Rd Hudson, W 154016 An onsite inspection was completed at this site at the request of the plumber because of substantial site alteration and possible conflicts with the depth to seasonal soil saturation and/or bedrock. It was Mr. Ulbricht's opinion that based on the soil borings conducted by him in the replacement area that the soils were unsuitable for a below grade type system, and the available area was not conducive to above grade system installation. I viewed the soil conditions near the existing soil absorption system and felt that if another system were installed in the same location, it's working capacity may be about the same as the original system's (< 8 years). A much longer system life is deemed desirable. There is also an issue regarding the elevation differences at the inlet and outlet of the septic tank. According to the county inspection report dated 9/7!93 the septic tank was installed backwards. Elevation data collected by the county inspector in 1993 shows a 0.06 ft drop between the inlet and outlet piping, but more recent data by Ulbricht reportedly shows the opposite to be the case. Because of steep slopes and poor soil conditions elsewhere on the lot, it was decided to evaluate an area of land directly east of the driveway in more detail. Cutting and filling also altered this area, and the fill appeared to have been compacted and had an extremely firm consistency as well as a platy structure in many areas. These conditions were present in the upper 12 to 18 inches ~f the soil profile and would not be acceptable over which to place a mound or at-grade system. Because of this concern we concluded it would be best to carefully remove the fill down to a less restrictive soil material. Mr. Ulbricht will conduct sufficient soil borings to determine the depth to soil saturation and the depth of fill across the site. Based on this work, and depending on the condition of the natural soil remaining it would be possible to install a mound system in the freshly excavated area. The mound~should be as long and narrow as the site permits. Site preparation prior to mound sand placement is critical to proper system operation on this site. Fill removal should be accomplished using a large backhoe that can peal the fill off without further compacting the natural soil. The backhoe bucket should have teeth and not be flat.. The fill only needs to be removed off the basal area which means the mound will blend in better with the surrounding surface grade conditions. Sand should be placed with the backhoe. Much of the excavated material may be used for cover over the mound, but the final cover (topsoil) must be able to support vegetative growth. Heavy mulching is recommended for erosion protection and insulation through the first winter. Design recommendations include using a design flow of 600 gpd, a linear loading rate of 6 gpd/ft or less, and a basal loading rate of < 0.3 gpd/ft^2. " w July 25, 2001 ~ ' Heinsch Site Page 2 of 2 If there are any questions regarding this report, please contact me. ~~- .~ ~ Wastewate pecialis ~J Ljansky@commerce.state.wi.us E-mail 715/726-2549 Fax 715/726-2544 Voice cc: ]County ®Plumber ^ CST (~ Owner ^ Other ,c ~.~ „ ~ S'1' CItUIX CUUN1'Y • ~ SEI''I'IC 'L'ANK MAINTENANCE AGREEMENT ,,...~ ~ - ' AND -- UWNERSIIIP CERTIFICATION FORM Uwner/Buyer G~~~ ~ rl~~D/ ~E"/NSGIj Mailing Address .330 /~~~~, y%E~,y .2f~ ~ ~U~s'o,~ S yolk Property Address ~~f City/Stall' (Verification required from Planning Deparlrnent for new construction) ~UnsQ,~ GU/ • D.z D • //~v1r' 90 •d~~7 Parcel Identification Nwnber ./oS(a LEGAL llESCRTP'T'IUN GJ Property Localion~~ '/,, N '/A, Sec. 7 , 'I'2` N-R `~ W, Towtt of ~U~~O~ ~~-,V ~. Gc~ao ~ 37.38; 31 Subdivision ,Lot ~O Cet-rifted Survey MAp # ,Volume ,Page # ~VArrnnl lleed # ~Z / ~ 3 Z Y , Volwne ! Z ,Page # 2 Sec house ^ es ~no ~ Y Lot lines identifiable yes ^ no SYSTEM MAIN'T'ENANCE Improper use and malntenanceoC your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put info 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 b SL Croix Zoning Department a certification fotrn, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site wastewaterdisposa) system is in proper operating condition and/or (2) after inspection and pumping (iC necessary), the septic tank is less than 1/3 full of sludge. 1/we, 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, Slate of Wisconsin. Certification slating that your septic syslern Iras been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the three year expirati n date. /0~ SICiNA3URE OC APPLICANT DATE bWNER CEKTTFTCATIUN I (we) certify that ail statements on this t n are true to the best of my (our) knowledge. the propert describ above, b virtue of A war n y deed recorded in Register of Deeds Office. C.. - Sl(; A'IURE OF APPLICANT I (we) Am (are) the owner(s) o[ 7 t/~101. DATE ~***** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. *+**** ** Include with lhls appNcallon: a stamped warranty deed from the Register of Deeds office • ` ''Si~9fi32 ~~ STATE BAR OP WISCONSIN PORM i -- i~ WARRANTY DEED DOCUMENT NO. 'j'bjs ~CCd, made between 'Tarry Dean P o s a l e r and Kristi A. Fosaler, huaband and wife . Oaaalst, ~ GreAary A. 8einach and hetdi M. Heinach, huaband and wife (fnaa~ ~i ST. CRC;X C~., ~~ Heed t~,r F;s.;;,.~ JUN i 1996 ~ ~ 1:30 P. ~,~ ~ ~~~ WItDCSSCt$, Thlt the sad OTAI..Of, for A valuable t.wsideratioa ~ TTNa a-AC! RlSE11VED i011 111C011gNG DATA J j 11AW ANO 11lTUMI ADONE~ coDVeys to Grantee tae [olbwin~ deECrihed tra! eEate ie S t . C r a i x ~ /p, pJ County, sate of WixoDSin: ~j rf f ' Gaol ~Jl '~!1 o s~.e... L______= __ _~ ~ _ - __ _ 020-1169-90 (ParDal Identi8atioa Nambcr) Lots 37, 38, 39 and 40, Plat of Ranchwoodt in the Town of Hudson, St. Croix County, Wisconsin. This `__ i a honteatead >~7• (+a) Together with aU and dneallr the 6eredNAmests tad !ppur tha~.aantu bdoa~ie~ Aad Terry Dean Pvs .ler_and rK ist~ d. Fosare_r, husband and Wife wamiDts that the title is food, indeteasibb in bee simple sad free and near d scubranop eroept easetaents, coveaanta sad restrictions or record, if aay, i sad w~71 wsnaat:nd defend the assts. Dated thi! _ _,~ dey ~ xa ~ 19 9 5 I tSEAt.) (SEAL] a • ? R DEAii FOSSLEA 1~3ti... [SEALL _ r _ 1.4EAt.1 ~N N to O O t0 O '~ hi O N N M M ~6• GIO £IGeI )'99 w m o~ ~ 3 N : Z ~ N N - W ~ 2 ', ~ ~ • ti w ~ O pl Z WI HI Z HI J al JI a ~ z ~ ~1 0 Z z N 3 ~ U Z O N Z ~ _ O ~ F- M \ U .. Z ~ W ~ N W in i F- O O o wz M O Z ~- z z~ ow am of WI ~I QI I al ZI ~I ro ~ ~'~ • • a'l M • N \ \ •• \ \ M„~b,II.Z ~ N ® , ~ ~ M ( b • ~ i N 6'h O M ' Q O £0'SIZ _ ao• ~ ,9 9 Ul O O ~ ~ O. O O M a , p. 0 N ~' ~ ~ £0'S1Z ~ ~ ~ Ic') ~ v 4s o ~ ~ 0 o. 0 In I 3 V . O O ~ ~ ~ O• O N O. ; p; N .. ~ ~O'SIZ' a ~ L ~O ~ O LL: vi r` o ~: O• N ao c 3 ~ O o M~ a O• o' ~ o r• a r N _ ,£0'SfZ f aD 1 ~ ~ ~ v) I WI ~ ~ ' p . F-I 1. ~ O M ; O I. ~ O ~ ~, I W N ~ ,£0'SIZ u: ' vs ~ vl O ~_ ~ N ~ ~ m N '. £S'61 Z '. M „Bb,IIeZ N ~ • H ~ O O n • ~D ~ N O ~ O M •- ,OS'bIZ . O N 0 . O r. M O > . ,~ N m +ci • N m N ~ ,- N - ' ,OS'bIZ ~ . ~ ~C vi (p o O O ~ .O st No O ) r ; ~ ,~ ~ ; ,OS'bIZ . • •p O * p !n ~ O O .O N~ o - N - OS'bIZ ~y ~ T ~ 'N ~~ __ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Plan ID No.: CST BM Elev.: Insp.BM Elev.: BM Description: Parcel Tax No.: o_r , t, . 1 f ro i"._ TANK INFORMATION ELEIATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /2.04 //2,04, /0v Dosing - e, /9/0- / Aeration Bldg.Sewer Holding ()Ht Inlet 7 cf) /O y6 TANK SETBACK INFORMATION S /Ht Outlet 7. 4, /9L✓ 3/I TANK TO P/L WELL BLDG. vent to ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header/Man. Aeration NA Dist. Pipe Holding Bot.System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Loss riction Sead ystemTDH Ft Forcemain Length Dia. FFff Dist.To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches • PIT ' No.Of Pits Inside Dia. Liquid Depth DIMENSIONS _ DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons// present,etc.) / /. pit(ivv �e✓ ref kes/cJ 1k S7eCt;o,` �--a Uerl.Cy (�tz?_.5 5�.,//. /k back GV4vcis. I 2.� ,K 0. e e4 a d 4a..,ik S�2w,70 (/acirukA ity l," k(a cfk i eel oj" W) a h,G( 4 e L-oe Iva5 av1Pv 4e 61,E't (e1_ I 3) re va.4 a. 5 ko- 5 i o.,l,i-t kA.a 'c� l u i`'� r--Rvi o cc s /k 5 p e e a-,, . Plan revision required? Yes ❑ No Use other side for additional information. SBD-6710(R.3/97) Date Inspector's Signature Cert No .-, .. Y -, -~ -• ,-~~' r ~,,, ' ~ '"' .- ,,... I~MIfpMI1M• ~ rrrrb •.. « ~ p . . ~.._: October 2 , 2001 Greg Timmerman Corporation Counsel 1101 Carmichael Rd. Hudson, WI 54016 Dear Greg: ST. CROIX COUNTY WISCONSIN OFFICE OF COUNTY CLERK ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715)38fi-4610 Fax (715)381-4400 On October 2, 2001 I received via certified mail a Notice of Circumstances of Claim from Gregory A/ and Heidi M. Heinsch v. St. Croix County and St. Croix County Zoning Office. The original is on file in the County Clerk's office. Sincerely, ('? ~~S--u//~e E . Nelson f~l~i~ ~~.wood f03 3 //lob S Z„~ ~5 ~!°f~'.~+--Terr,~i ~ l ~`~q~~~,~k~ ~ rL ~ ~ g ~ J~~~%~/mar b~ 3(~~a-~.~,,~ ~ ~ ~'"~" ~~ Y ~ ~(:~ ~~' ~ `~ _ -~~ ~ ~ ~ ~~ ~~ ~ o 5`E ~~~ ~vc~S t ~J" -' ~ ~a~~ ~ . 20~. ~°~ . ~s ro t~~ p~~ ~: ~ LO ~ ~~, ~o b y ~ /~ • TO: Ms. Sue Nelson, County Clerk St. Croix County Government Center 1101 Carmichael Road Hudson WI 54016 - YOU ARE HEREBY NOTIFIED that Gregory A. and Heidi M. Heinsch are the property owners of 330 Highview Road, Hudson WI. Gregory A. and Heidi M. Heinsch acquired this property at 330 Highview Road in May 30, 1995. The home was originally built in 1993. St. Croix County Zoning department inspected the septic system negligently, which resulted in the failing of the entire septic system. We have suffered injuries as a result of tortious conduct of St. Croix County, its agents and employees. YOU ARE HEREBY FUTHER NOTIFIED that satisfaction for the damages resulting from said injuries will be claimed by Gregory A. and Heidi M. Heinsch against St. Croix County, its agents and employees. Dated: September 28, 2001 330 Highview Road Hudson WI 54016 (715) 386-8727 neiai ivy. nemscn . . ~•+ lL~~lo STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER`rerry ~Jtr,'_Sf ~o~`i/cL1' /~~/j%~'~~~ ADDRES ~ 30 /~('S'ltL~ig..> ,La c¢ ~ S c^~ vt ~..~ ~ ~... e/ CJ ~ ~ SUBDIVISION ~ CSM# E~ cC/oe -` 2~~.ftiCu06~ LOT #_37~F~~~o SECTION~_T~ NCR~CSsi; Town of f~~~0~ ST. CROIX COUNTY, ISSdNSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Q M 7,peF1`'P.~I~ Laf #yo ~ot"3 s lot ~` 3 7 f, ~ ~S~ ~$' -- - , ~' , ----- -- a i' - - - - - - - =o~s zs. yo,. i~ ~o.ergq~ Scul` ~Itf ~ f D % ~/ 1 ~Y~rjoi J' Nt~.ts a. 1--._ a8k5t' ~ , __ !D ~~~ '. R c ~ ~. 'C ,~ ~ w ~ A a d ~ ~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. w, '~ BENCHMARK : ~, ~ ~ ~ ~: ~/~rr~/V C/e~.>ar Lei .~d' ALTERNATE BM: l~~ro~ ~ yf? p°' ~ XGt> ~ of H ~/~~~~~' EPTIC TANK PUMP CHAMBER / HOLDING..TANK INFORMATION ..-..r--"'~ Manufacturer: (J~i.S~~ Liquid Capacity: P~OO Setback from: Well 8S ~ House yp ~~ Other~-7n i(/a'fk ~ef~~i7~ Pump: Manufacturer - Float seperatio~t--- Alarm Locati~ Model# -- Size r-- Gallons/cycle: SOIL ABSORPTION SYSTEM i Width: S Length ~~ Number of trenches 3 Distance & Direction to nearest prop. line:~/a~~"~ (~Z ~ ~a +a e. / Setback from: well : ~ 5 House ~J Other to z fo l!~e ~~~ ~ c* /%~~ ELEVATIONS Building Sewer ST Inlet; ~ 3 O PC inlet'" 3p PC bottom Header/Manifold- Existing Grade ST outlet. S 3 G Pump Off Bottom of system. Final grade Z,~'a DATE OF INSTALLATION: PLUMBER ON JOB: ~ ~"L"~ '-[,~, LICENSE NUMBER: ~"( ~ ~~ /" ~ of Z- INSPECTOR: 3/93:jt • ~~ir~'si~i~~ertr~~~~st~,7 . 29.19.1~~~A~~5~1~(A ,C~~Y~~EI~I8 ~ 39, 40, • Labor and}IumanRelations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) 'Permit Holder's Name: 7-pr, y ~~r, f~~- ~-~C~ ~ ^ City ^ Village [~ Town of: .,. c CST BM Elev.: Insp. BM Elev.: BM Description: ' 7 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ - ~ ~~y?C' ~~~ Dosing-~ "~-_.~'_._---..` ~~ Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. vent to Airlntake ROAD Septic >~ ~ >~' ~ NA Dosi n NA Aeration NA Holding PUMP /SIPHON INFORMATION Manu Demand Model Number GPM TDH Lift Lriction Syeaem TDH Ft Forcem gth Dia. Hi Dist. To well SOIL ABSORPTION SYSTEM ELEVATION DATA ax A9300037 ~~ 9~ STATION BS HI FS ELEV. B chmark ~~i ~ ~ ~ ~)~ Bldg. Sewer i >e-~ St/ Inlet ~~p' ~oG,30~ St/ outlet X36 ~ JDG, a~' Dt Inlet }~ Dt Bottom Header/ Man. Dist. Pipe ~' Bot. System ,/1 `~. Final Grade ~ ~' ~ -, BED /TRENCH Width i Length ~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N ~ J~h DI EN SYSTEM TO P/ L BLDG WELL LAKE /STREAM LE Manufacturer SETBACK _., INFORMATION Type O ne,.,. nJ; ~< i , CHAMBER el Number: System:-~,r ~~ ~'/~ ~S ~/~ OR UNIT DISTRIBUTION SYSTEM Header /4dVanTfgttl .r ' ~ Distribution Pipe{s)~ „ ~ ~ x Hole Size x Hole Spacing Vent To Air I Length ~ Dia- Y Spacing Length ~ Dia. SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems O Depth Over Depth Over xx Depth Of xx /Sodded xx Mulched rench Center ~ 6p~#fTrench Edges ~~ ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 07.29.19. 056, NE,NW, OT 37, 38, 39,40,HIGHVIEW RD. Plan revision required? ^ Yes o ~ / Use other side for additional information. E~ `•' SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ~~, DILHR SONITORY PERMIT OPPI 1[_ATIAN !n accord with ILHR 83.05, Wis. Adm. Code ~~nv .d...,,,..e.....,..,,~,,,e,. couNTY ' STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ~ ~ 1 8t/s x 11 inches in size. ^ ~ ~ ~ c ec if revis on pr v~ous application wee reVerSe Slde for InStrUCt1011S fOf COmpl@ting thlS application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION. PROPERTY OWNER p ERTY LOCATION ~~ifi~ v %a !~/'/a, S T~~ , N, R /9 E (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 37 38' 39 yD ---~'- TE CITY, ST~ ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER i KQ~' O ~ S DI~ a 3 ~~ Z ~ ~ / G~ WOO II. TYPE OF BUILDING: Check one CITY ~ NEAREST ROAD ( ) State OWned ^ VILLAGE ~ ~ ~SG ~ /l~,dkJ ~~ J ^ P N bli 1 2 F lli f b 7 D d s or am. we ngs O room AR LTAX UMBER() u c e III. BUILDING USE: (!f building type is public, check all that apply) ~ ZQ. ~ ~ (p ~.. ~~ 1 ^ Apt/Condo 2 ^ Assembly Hall 6 ^ Medical Facility/Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/Repairs 11 ^ Restaurant/Bar/Dining 4 ^ Church/School 8 ^ Mobile Home Park 12 ^ Service Station/Car Wash 5 ^ Hotel/Motel 9 ^ Office/Factory 13 ^ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an System System Tank Only Existing System Existing System B) ^ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE Off SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ~ Seepage Trench 22 ^ !n-Ground 42 ^ Pit Privy 13 ^ Seepage Pit Pressure 43 ^ Vault Privy 14 ^ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL'GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) #/ /007, ~ ELf~10N jj ~ ~ ' • ~ 2 / ° 7 ~0 ~ ~ O ' (r _ 7 Q Feet D 3.Od Feet = bc VII. TANK CAPACITY in allons Total # of ' Prefab. Site C l S Fiber- Pl ti Exper. INFORMATION New istin Gallons Tanks Manufacturer s Name oncret on- tee glass as c App. Tanks Tanks structed Se tic Tank orHoldin Tank bdC1 ~ ~•~ 3a/ Lift Pum Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No tamps) MP/MPRSW No.: Business Phone Number: ~~u yla f ~Sl~~o~i6efs ~ ~/°' S ~ 3~ 7/ S 2 ~1- 3,133 Plum is Addressn(Street, City,/State, Zip Code): ' ~/ / ~ f ~J ~ ~is ~1- nrv ~/4h Y ~G ~~ , ~Oh ~ / 1' IX. C LINTY/DEPARTMENT USE ONLY ^ Disapproved S~ tary Permit Fee (includes Groundwater a e ssue I 'ng A nt No surcharge Fee) 2 Approved ^ Owner Given Initial ~ p~.~ / J Adverse De rmi ation ~ - X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber ~ , ,' ~. INSTRUCTIONS 1. A~+sanit~ry;{~ermit invalid for two (2) years.. ~ 2. t Y~ciur sanit8ryipermit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly rilaintairied. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 60&266-3815. To be complete and accurate this sanitary permit application must include: x I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in #1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for al/ septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'r/z x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if ... required by..the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which .can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. ... ;~... -<,, _ _ w SBD-6398 (R.11/88) v ,t d ,`_ ~ ~ O ~, ~.. +~ • \. ~ __ ~ -~.~~_ ~ ~ ~ eQ F d .,t a ~ ~ LM ~ N N d v / ~ ~ s ~~q, If N I ~ V ~. I~ ob A ~ ~ i~ ~ I ti ~~~ ~ ~ ~ ~ i ? ~' '°I a R " ~: ,,,r _... ~ __ --~ P ~ ~ / « s ~ F ~ `'__-_-- w ,~ ~ ~ __~ W w _ ~ .+ - j ~- ~ ~~ ~ ~ ~ 1~ rJe -- - ~,,, q N W m ~° m m ~ - ~ ~ ~~ ,~ , 0 0 0 V ~ W o o 8 ~ b ° ~ . ~ ~ ~ ~ _` ~ ~~ Iw pp J O ~ ~~ Y. Z/~ /~ ~ ' !~~ v' ~ ~, ~J\~ V ~ 11 'a ~!; ~~ 1~ ,l i !i ~` 4 r `~-- N avisconsi?~ Department of Industry, $ O I L AND SITE EVALUATION REPORT ~.atior~and•Human Relations Dlvlslon of Safety & Buildings ,,,,a ,.,;~~, ti uo 0o nc ~nr., n,a..., r~,.,a,. Page 1 of COUNTY 6rttach complete site plan on paper not less than 8 1/2 x 11 inches in size Plan must include but ~ ~taCO / . , not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: ` ° ~ PROPERTY LC~ATI N © VT T ~ ~~ )9 t~ ,~~Q // 1 / . LO 1/4/~f GO 1/4,S T ,N,R E (o PROPERTY OWNE ':S MAILING ADDRESS `7'+2o~r ~~oo~ ~ LOT # -39 BLOCK # - SUBD. NAyytI~~ OR CSM # 1C+4~~f~t w~ CI STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE OWN NEAREST ROAD //~~, t.+1So ( ) 1~1UdSan1 /~~4N1~t~'Kd~4fl ] New Construction Use [.~f Residential / Numt~er of bedrooms (]Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate --- bed, gpd/ft24trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate ~- bed, gpd/ft2 0.6 trench, gpd/ft2 Recommended infiltration surface elevation(s) ~Pf ~R TaE,~ce.t - iQT.~o ~ ft (as referred to site plan benchmark) Additional design /site considerations M ~~~~~ ~ C~cr~ /vS.Oa" Low~Titewc~ G r- n1~E~ /d3.a~ Parent material Flood plain elevation, if applicable ft S =Suitable for system U=Unsuitable fors stem co vENTioNAL S^ U MOUND S^ U IN-GROUND PRESSURE ~ S ^ U AT-GRADE ~ S ^ U SYSTEM N ILL ^ S ~U HOLDING K ^ S SOIL DESCRIPTION REPORT Boring # .. ~ ~... ~::} `x ~~. Ground elev. ill ~©~ ft. Depth to limiting factor `x/0,58 Boring # ~~:...~ ~ ~"7 4;4 ~ (.,~ 4r# w n:::MV Ground elev. f !/ .Z.~ ft. Depth to limiting factor ?~- Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiar Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed Trench %~ Remarks: ~' /OY I ___._ ~.. ~ f''h C~ -'-'+Y'y'r Z 0.6 - 7.5 3 - S~ ~ ~ C 1 -- a,6 Remarks: CST Name:- I ase Print 1,a„ ~,~~ Phone: .715 x ~__,~~gb ~, ..Jt-~"~1 J o ISignatufg~~~~~1~,, ~ ~~~~~ Date: A /,z~9 3 CST Number: S4 ~A I Pf~OPERTY'OWNER ~r ~L8'lZ PARCEL I.D. # Boring # ~x ~: `.~~ Ground elev. f ~g.3`3 ft. Depth to limiting factor ~~.~ Boring # x:~~:h~. ~']v ~~ ~. Ground elev. /02,89 ft. Depth to limiting factor >9~ Boring # .,~.~.~~ ~A,: ~:} -~~ ~Y r:•• Ground elev. OQ~~ ft. Depth to limiting factor ~ ,2,5 Boring # R:S,~ i``` :i: 4 ~:ti; .:v ~~ ~~ _.}.. Ground elev. ft. Depth to limiting factor SOIL DESCRIPTION REPORT Page ~ of 3 Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour~lary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh 'f' ~ '~/3 ~ ~ I'h 5'b~ nh Y ~ C ~ ~ © 3 ~3 6-IID'' ~.s Yrn 4 3 - S o~ ~, s~~r ~ - p .6 'Q ~ ~ S~o Remarks: Q 0-1 L~'' 7C1'y~ 3 / -' G, , m c r », r~r C ~ -' Remarks: 9 -~3 7.Sy+2 3 ~ ~ S ~~iM ~ ~' 1 _ d.C Remarks: Remarks: SBD-8330(8.05/92) ~ :, • ., ~~. • ~ y 2. 0 ~ ~ ~ `~ ~ Z ~;, ~ s , - ~ ~ .:. _ v ~ L , ~ , ~, ~ ~ ; ~~ x ~ '~' '° -_. ~ . • V ~ l / ". " ~~; s.l -' ~ 3T i ~ D Q a o ( l~ 1 ~ ~ L .~1 ~ ^ ~ m ~ I I ~ ~ b ~ ~ -~. `~ ~ m ~ 1 ~ 1`' ("~ u ~ l ~ ~ . i -- / Sw 13~~ ~ ~ ~ ttit 0' r I I 1 ~.9 r f I '~ ~,- ~ - -_.~_ a ~ ~ ~ _ ~, cJv ,, ~v r.,. 2c n r- a~ a ,,. N S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER~/~ia~ ~f,,~a+~~ca /~,e~>,~ ~fi~•ti/So•-- ~S~.n~~i~~l~• ADDRESS ~s r #Z~Z- FIRE NUMBER ^--...._. CITY/STATE ~~~~d -~` ZIP S~~J/,6 PROQERTY LOCATION1/4 ,~1/4 , SECTION, T Z~1 N-R_~, W~ TOWN OF ~.~1SaK , St. Croix County, ' SUBDIVISION leas G~ Waa c~ , LOT NUMBER. 3?L3~ 3~/ ~~ 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 ar sooner, if needed by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60~ of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to 5t. Croix Zoning a certification•form, signed by the owner and by a mater plumber, journeyman plumber, .restricted plumber or a licensed pumper verifying that (1)• the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. • I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration date. ~ss~~i'r~f,~,~,4• ,~~,.c,,2 ,s,~vloti SIGNED • G~ ~~ ~~~ ~°+y~°. DATE • `/-/Y --9,~ St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 ' STC- 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only rESUIt in delays of the permit issuance. ,should this development be intended for resale by owner/contractor,(spec douse), then~`a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ----------------------------------------------------------- owner of property Location of~propertp~l/41/4, Section ~_, T 27 N-R~ Township Mailing address ~n.i ~Z9Z _ {~ttcPSO rt W ~ SS~O/(. Address of site ~ ~ a ~- /i ~c.w ~~ee,, •~i'" Subdivision name__ ~a. n ~h c.yoe~ Lot no. 3~ 3 YO -~----rL--~ other homes on property? yes X No Previous owner of property ~Q~y I~KH ~tJ%k dim ~~ Total size of parcel Z'~~ ~ L Date parcel •was created ~~ ?- /~~ 'Are all. corners and lot lines identifiable? ,~____yes No Is this property being developed for (spec house)?yes No Volume~ff~ and, Page Number ~yZ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. ,In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify .that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described iri this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No . t~ 7 30 S9 , and that I ( we ) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recor ed in the office of County Register of deeds as Document No . ~~' 30 S'9 ~ , . ~~ ~~ f, ;, ~. ~. W E-- f~~ ;. W ,: ~ ' + I i ti ~ T ~T. CR~EX C\~UNTl' WESCQt~~~l~ PLANNING & DEVELOPMENT PLANNING SOLID WASTE REAL PROPERTY ZONING 715-386-4674 715-386-4623 715-386-4677 715-386-4680 September 10, 1993 To whom it May Concern: An inspection of the septic system for the Sam Miller property, located in the NE; of the NW4 of Section 7, T29N-R19W, Town of Hudson, Lots #37-40, was conducted on September 7, 1993. At the time of the inspection this septic system was found to be code compliant for a three bedroom home. Should you have any questions, please feel free to contact this office. 'ncerely, ., ~ ~ :~ ""'~ James Thompson Assistant Zoning Administrator mij ~~Q~ ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD • HUDSON, WI 54016