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HomeMy WebLinkAbout030-1075-60-025 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 1 574334 Y GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Weyer, Christopher J. I St. Jose h, Town of 030-1075-60-025 CST BM Elev: Insp.BM Elev: BM Description: CAJ 6 6 d'y'1. Section/Town/Range/Map No: 166 Il' ►d 66 J 4.L 27.30.19.263B25 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ` =1 CAPACITY STATION BS HI FS El E Septic y r !, /ZvO Benchmark 97'3 ✓ dJ{" y Alt. BM ,,,., `• -7 /Q O 6r--�L r,t�-t,... Go Aeration Bldg.Sewer Holding St/Ht Inlet 7� 3.3 9 7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO 1�P/ I WELL BLDG. Vent t Air Intake ROAD Dt Inlet /V 1 ,- shy Septic V ,(,/� 2 / _. Dt Bottom Dosing Header/Man. Aeration Dist. Pipe t Z 't 7.Z- Holding Bot.System .7 q l• T- rip- PUMP/SIPHON INFORMATION Final Grade 4. 5 93. ,c� Manufacturer Demand St Cover _ /`-7 /d O GPM Model Number TDH Lift Friction Loss System Head DH Ft Forcemain L Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia._Liquid Depth DIMENSIONS 3 4 Z 3 l re%^c. SETBACK SYSTEM TO I P/L BLDG IWELL LAKE/STREAM LEACHING Go <JG � Manufac ure INFORMATION CHAMBER OR %- . T ype Of System' f Model ber: % dLL"- Q4w� DISTRIBUTION SYSTEM 1.4,`, 5 Zp x 3 = (co �a S Header/Manilgld- I Z 11 Distribution x Hole Size __ x Hole Spacing Vent Air In ke 1!-r Pipe(s) -- --- \_ ��_ A rd'� e H S 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 M ched Bed/Trench Center 3 7 Bed/Trench Edges Topsoil Yes ] No Yes No G� COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: °1 / 2 / spection#2: ! / Location: 689 135th Ave.So erset,WI 54025(SE 1/4 NE 1/4 27 T30N R19W) NA Lot 2 Parcel No: 27.30.19.263B25 _ �I � CaJ2�._ t = ,... 1.)Alt BM Description � C�. O � 2.)Bldg sewer length= /O i--- 1 -amount of cover - - - -- - 3 Plan revision Required? �� Yes No / --- - - SBD-6710(R.3/97) - Use other side for additional information. !_-� -_ __ Date Insepct s Signa a Cert.No. Property Owner_ Parcel ID# Page of Boring Boring Bori # Pit Ground surface el,Y6" /-? ft. Depth to limiting factor 11 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu.Sz. Cont.Cdor Gr.Sz.Sh. 'Eff#1 'Eff#2 )O r 1 F 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/fF " in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 F1 Boring# E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Applwation Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BODS<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. sBD-9330(RAM) Wisconsin Department of ComrTierce SOIL EVALUATION REPORT — /� Page of Division of Safety and Buildings c� dy in accordance with Comm 85,Wis. Adm. Code Attach complete site plan'ori paper not less than 8 1/2 x 11 inches in size.Plan must vertical and horizontal reference point BM,direction and Parcel I.O. include,but not limited to. Po ( ) percent slope,scale or dimensions,north arrow,and location and distance to nearest road. � Please print all information. Revi ad by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). S /S Property er Property Location , Govt.Lot 6� 1/4 /4 ,2 T ON R E )W Property Owner's KAM ress Lot# I Block# I Subd.Name or CSNW 2 COY fate Zip,Code Phone Number ❑City ❑Village T Ni New Construction Us • Residential/Number of bedrooms Code derived design flow rate GPD ❑Replacement ❑ PubX or commercial-Describe: Parent material Flood Plain elevation if applicable General comments and recommendations: System Typ System Elevation i FT] Boring' Boring# Oa Pit Ground surface elev. S ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsefl Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff##11 •Eff#2 r c A Y t Boring# Boring Z 1 Pit Ground surface elev �` -S ft. Depth to limiting facto � i^• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu.Sz. Cont.Color I Gr.Sz.Sh. 'Eff#1 'Eff#2 l )k Effluent#1 =SOD.>30<220 mat and TSS>30:5 150 mgA- 'Effluent#2=BOD,<30 mg/L and TSS<30 mg/L CST Name(Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird ��-�' 226900 Address D valuation onducted Telephone Number -246-4516 1432 120th St, New Richmond, WI 54017 715 Property Owner Parcel ID# Page of ® Ong# Boring Pit Ground surface ele G" ft. Depth to limiting factor in. Sail Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 r c-------j Ll—lileol F-1 Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 F-1 ❑ Boring Boring# Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Sob Application Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff m. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Efi#2 Effluent#1=BOD5>30 1220 mg/L and TSS>30<150 mgll. 'Effluent#2=BODS<30 mg/L and TSS 130 mg1L 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. SOD-8730(R6100) P L OT FLAN PROJECT Christooher Wever ADDRESS 135 tvRdl SomersetWi 54025 SE 1/4 NE 1/4s 27 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST.CROIX SYSTEM ELEVATION 4'below grade DATE 9/25114 BEDROOM 4 CONVENTIONAL XV IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE. DOSE, TANK SIZE HOLDING TANK SIZE LOAD RATE 5 ABSORPTION AREA 1212 # of chambers 60 kk 'BENCHMARK V.R.P. Top of ST manhole cover ASSUME ELEVA'1110N too' Filter BEAR Filter EIBOREHOLE WELL *H.R.P. Same as Benchmark Property Line All piping shall be SDR 30/34, within 10' of tank,piping shall be Schedule 40. B.M.* Vents B-1 50' S_T 28, 75' 40' 151 to 135th Ave B M 28' 15, 2Cr Lr_1 Pro 4 Bedroom B-3 House 40, r 51 6% Slope B-2 Replacernent area Vent >6" Quick4 Standard Co Leaching Chamber of Cover C� with th 20.0 ft.2 of Area Long 5 6ftN21pair of end caps 4' Grade at System Elevation " 14 145' can* Cj2_OOL_'� Saw atd BL be iced in by G%) c o1� 201 W. Avo.,P.D.Banc 74s2 sa�a■y Pamoio xembee(oe 6 -17y33y stow T ermi�t Application Cade,mbmimiou of WS fioma to the a VWM�°ocnW fif d ac daa.me�6 aiiheas) >k a=oW=mwim SPS ften for dmo4 and FOWTS are nbmiod P is let Ok I PA'm aaeni y 1 Fteso 3'm P�may be and Sx seoondW Depmfineat of%,W*oed Ptoiwimd Settoea 9bds. . L l".*AH Pored Ply pwows N®e 03v 7� /0 PmpettyLocaioe Proerty p OWW*M Ug Adder �- C*VL IA Ci4y,Stave Cade ^ PbomNm*a 54. . Setsian J T�LZN R orW II.Tppe of Bait(elteek sH tdtaE ppiy) Svbdirieioo 13ome ArISff 2 Fmi Dwdft—Nmbw afBeda�oms Biat Ok ❑City of ❑l�tic/C�ommadst—Desa�e� CSA[Iiaoober p S�mw p smx oWaea-D � IFY G� 9 3 A��+� C�c� LJ ao cam z ss M.r 4fpffnft ( ewy bog on � d p omga s � p Rq�metSynn, TeRmmcoy s t ---=�---, I.i+tAevioac P�iRNaeobar aoin�Iswed B. p� p ofpy p ramkTemsibribNow D Pmt Omw ti ;L ar � of tlbeekaB Est �a C. C3 Ps ed in-oramd ©At-(bade ❑Meei 24 m.of mitabk sal p Mo�md<24 ie.of mit"WB ❑How"Toot Cl oew Di p=A (�°) Piefroeh V. ' FinW fob} APP Dmpasd ArmR.Wdwd(a* (s$ Sye Total t of mm VL Tai b& (m➢aos tJmts Now G✓ ! tar SeptiaarWftT.* z the 3itr ilaeioe dslte aRme6ei Dalkon Naoibar Psndaaess ��. z$► � � � /✓� :7 � ��C�J Vm use only RcaomtiorDeaid 4 nr. 3 14ca w.e feG. d D �(�5e1 tank,eTflt�nt 8tte anHi�pra�val / disptersal celimust all be Vmtces!mai o ta iris! tS per management plan provided by plumber. 2 AeMs ecttlsE beg trisinaltieEE ,now weer'/ordintine�s. ,atta:�r.a s ta:a i«te+aa5s Atlaelt i eslrka<s+�i: to tCe a� Nbat SBD.Q"(R.1 Ul l) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 8/5/14 Owner: Christopher Weyer Location: SE 1/4 NE 1/4 S27 T30 N,R19W 689 135th Ave St. Joseph In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter SpecificatiojShe 8-10. Soil test Signature License number 26900 PLOT PLAN PROJECT Christopher Wever ADDRESS 1351 Ctv Rd I Somerset Wi 54025 SE 1/4 NE 1/4S 27 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST.CROIX SYSTEM ELEVATION 93.0/92.0/91.0 3' below grade DATE 8/5/14 BEDROOM 4 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK ��4 125®gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC S IZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 60 BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100° Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark B.M.* Property Line All piping shall be SDR 30/34,within 10' Scale _ 1 /4" _ 10' of tank,piping shall be Schedule 40. Pro 4 Bedroom House 20' 185' ST 20 B-2 B-5 5' 96' 50' 45' 45, 75' 5' Vents B-1 25' 94' 1 69 92' B-4 B-3 3-3' X 82' Cells 12% with>3' spacing i Vent Quick4 Standard , of Cover Leaching Chamber 145 with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12" Grade at System Elevation 34" Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 102.0' Vent Grade Vent 4' 4„ 4, ,A/30/34 Septic Tank 4' Long 1 51 4 Long Grade at System Elevation 3419 ' Grade at System Elevation 3411 Spacing 5' 3-3' X 82' Cells Observation tubeNent Same on other end To be located on end of Cells A B System elevations: C A_93.0' B 92.0' 20 chambers per cell C91.01 C�n 019!S , e X er SOIL DESCRIPTION REPORT " PROPERTY OWNER Page � `of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench /y/ L llnSik fn v l C w 2M 40 17 ? �� �a /Y/� S�°� 2MSbk �F� Ground (j-$6 .��iQ 1�,4 YZ 2AJi'' /�?�✓ — — s . b &V Depth to limiting jor in. Remarks: Boring# 111A .SL 2 A k k&, , s- !p 6 Ground y `/8 90 fof,� 4'� /,�,¢ P7 S O-Sy 1'21G — . 7 o a' Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench Boring# o-y /py' 3/� /?vfrr G !..,, Z/h S 2 JY S%Zmssk �-n-1(, - `3� �/ Ground 7 �1 J �/nfD/t � elev. qL. ft. Depth to limiting factor >1-V in. Remarks: Boring# Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330(R.07/96) a AcgnW in Depztrtmentof Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with S.ILH"3,09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in,Site Plan mu t bounty include,but not limited to: vertical and horizontal reference point(Pk dtrectigc(ar percent slope,scale or dimensions,north arrow,and location andd9tahce to rFj ii;itlQ Parcel I.D.# APPLICANT INFORMATION- Please print all infar tion. Reviewed by Date Personal information you provide may be used for secondary purposes(PnuCy Law,S.15.00(1) ri /9 Property Owner �rkfatian . r C�) re e � Govt. Lot S G 1/4 N1/4,S 7 T 3CJ,N,R / E(or) -79 Pro erty Owne's Mailing Address o fK' Bloc Subd.Name qr CS Ls1�/v �1 City State Zip Code Phone Number ❑ city Village Nearest Road ty age � Town SoAelser GU 1 ��a2S c 7i5 ) Sy9-Syds% S f- mss° c f �p b� 7 t. V ® New Construction Use: ®Residential/Number of bedrooms 7' Addition to existing building ❑ Replacement ❑Public or commercial-Describe: Code derived daily flow gpd Recommended design loading rate p bed,gpd/ft2 trench,gpd/ft2 Absorption area required 2.� 00 bed,ft2 /010U trench,ft2 Maximum design loading rate s bed,gpd/f12 trench,gpd/ft2 Recommended infiltration surface elevation(s) y3.0 q1,'s g8.,7 ft(as referred to site plan benchmark) Additional design/site considerations Sfe/� 9��e't �l S geCT.sfl- 01' 61111PC /� Parent material fl tl e`^ 0 L, w`� h (�! �'Z C© y� Flood plain elevation,if applicable 111" It S = Suitable for system Conventional Mound In-Ground Pressure I AT-Grade System in Fill Holding Tank U = Unsuitable for system Z S E:] U Os ❑ U ❑ S ❑ U As ❑ U El Z U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench .......................... 1)2 vl(- c w m S to-v l6-2/ 7 S rl? % 14 S c1 -2 rnSbk Jyj C 64-, S7 6Q Ground 21-610 0,S /izL C 6 7' �7•bft. � �d'9� mil' % iV� SL I ms6k �f� — — y� .3" Depth to limiting t r O factor 3, in. Remarks: Boring# /V� L 1foSjk Avi,r c & Z In o y S a 2 1-3-5 /oy� �¢ S��d Z�ns6k � s o S a 6 3 s y 7. S'/ % IY1 4 2 ins c w -- ° S 6 e�Q Ground ys 82 /C1�� %y /V n,s�G� QSY f'h L ce S — . 7" . fl 1 Depth to I limiting ZIP factor >'70 in. Remarks: CST Name (Please Print) Signature Telephone No. 9r/a'7 • Pct 74!-- 2s7- 3zo�� Address �O �7 2�,vC �D �,,5� f� Date ST Number �_VIff P, i.3%�/ PROPERTY OWNER C An'S We,Yer SOIL DESCRIPTION REPORT Page �Z ,of" 3 PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Ou.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench Sri �' c w 2/r7 . S -l7> 2mS6k /yi 6- aS >r . 5 o 6 Ground b-$d /� S"iYiP 6 /�� S-L 2✓h S//c /�?f/ — s S . ft Depth to limiting , fa or i Remarks: Boring# 2"''1.? 7S � //,4/1 t A S 2^-( k Ground y'i S/ / D //!/Jim✓ C Vic/ � 7` e S v b Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots Bed ,Trench Boring# ) ayy /Qf 3/� /Y //rile , ivit'r 2/77 . Y .S— 2 = S-r'R / 14111 S%1 �2ASSk m e ce 3 19'32 /0X4 6 /Y,4 S, 2rns�,� rh r<✓ s >,� �/ Ground 7 32 � /r�j�,4 YZ ✓ii f0/t .�1 �✓ — e `� , e S elev. gk.1ft. Depth to , limiting factor in. Remarks: Boring# .......................... Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD-6330(R.07/96) i IIlIII IlIN Iliii IIlI!VIII VIII IIII IlII2I NII IIII 880098 KATHLEEN H. WALSH REGISTER OF DEEDS CO ST. CROIX CO., WI O a BEARINGS ARE REFERENCED TO THE ST. Z RECEIVED FOR RECORD m z 00 CROIX COUNTY COORDINATE SYSTEM 08/15/2008 08;OQAM N ffi N °� CERTIFIED SURVEY MAP z I " "' MLy7pL>,LQ44__C_D_L�La nMD� VOL: 23 PAGE: 5553 D ------- ------ REC FEE: 13.00 m w C.T.H" "I" PAGES: 2 w � m WEST LINE OF THE SE1/4 OF THE NE-1/4 y_D SOO°13'18'W 334.27' icTz o_ =SO Orrl m m O Q _ pO mc� c ` r �--- oXISTING CENTERLINE °D `b A m O 7r Z w co D c"in z A _ Z i S00°42'55'E 334.20' p z cmn cn EXISTING---' m < N O I Q RIVE o to m m m c: i+ pm . . . p2 . . . . . . - - -It �cn n < „ a o m z �p� w p m e o00 v_ m w O � W= �C O �ppm O Z � > � � r 000 < -� z cnfi° z� a mom O -�mOrmO C g COQ Z -� p �' 'r"�z z -n O c m m m �a�� =m CO) � �. N ° 4 = a's cri p = 111.58' 222.62' m _m A A m c- m p S ZtD . - -- O m N00°42'55"W 334.20' n I M, m v-, m O N 0) W N = I � O=a m m m m = 2� mm i CD m m I v m p � g z < z m j W N < m _ v c 0 0 I m Ac= t OOC)mm -_ 0 00 c�c) 0* czi ��^' c=�� N l-Ml m n I ZTZmo m c-,- O -1 C IC` n mm=cn � zS � n = m I rJ �tm�c�z = m Dv�imO = m M r N i� O I o= f m = p 8 o y9 O Z //W�� „ I //JJ/o�� � cnaZ m :03? mm �/ co)V/ I 0 0, O 63 m I lJU N m 0 T m D /� m 2 0 '< O f1-I Z p in m = =� mr m �u-i � p n N ri-m-lV a m p m m m -� p m O om z o C) Z �I T --1 m x N A ► o • � n o n x m z O cn v m -•� TI � N n"' rMr O Z4 � C na O = r Z m � P = O CO ao �c m p rr by z m x oz z 2 Q O z c cn O O w o; ti m z Z In m a m m m m (_n m c�� -Zi a on � z p a Z -1 1 ► m m m Z m D z Z r_ 0 n m m ? Z ~ ' rnZzw -n C m m 11 O gm = On m o c — r C m =b m ~ j z Z .L Z ► m 00-i p 0pz i m m (n O c)A c)m p O n 1 m m ``�`�hNi1W1e1 UN��"'A, rn N EAST LINE OF HE NE1/4 " " m 6 .00 I+ N00°22'29"E 2274.9T b� 116.39 1 '1.83' 4p Tm � ,N'= N00022'29"E 334.22' �, -c if C3G\ � dLaC�I� �_OO M4[nl r�r ;� C--— ---- L� BOO M4G7 9° ��� ---o-o---- -- - C I�=1 C�04 C� o (��'wuudau�nlua�aaa 1 of 2 Vol. 23 Page 5553 2121 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 2 Division of Safety and Buikfings in accordance with Comm 85,Wis.Adm.Code A.C.E.Soil&Site Evaluations Attach complete ske plan on paper not less than BY2 x 11 incises in size. Plan must County St.Croix include,but not tanked to:vertical and horizontal reference pant(BM),direction and percent slope,scale or dirraTelons,north arrow,and location and distance to nearest road. Parcel I.D. 0 1075-60-000 Please print all Information. Rev wed Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Z Property Owner Property Location Christopher J.Weyer Govt.Lot SE 1/4 NE 1/4 S 27 T 30 NR 19 W Property Owner's Mailing Address Lot# Block# I Subd.Name or CSM# 1351 Co.Rd.l I Proposed CSM City State Zip Code Phone Number J City J Village 16 Town Nearest Road Somerset I WI 1 54025 (715)549-5464 St.Joseph I Awatukee Trail 0 New Construction Use: j01 Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement J Public or commercial-Describe: Parent material Flood plain elevation,if applicable Na General comments and recommendations: Evaluation completed to verify physical location and viability of soil evaluation report completed by B. Pamel dated 10/08/98. See Memo page. a Boring# J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture St u bre Consistence Boundary Roots G In. Murseli Qu.Sz.Cont.Color Gr.Sz.Sh. 'Eff#1 Effluent#1=BOD5>30<220 mg and TSS bO<150 mg/L •Effluent#2=BOD <.30 mg/L and TSS S30 mg/L CST Name(Please Print) nature: CST Number James K.Thompson 5 3602 Address A.C.E.Soil&Site Evalua' Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane,Osceola,Wl 54020 5/27/2008 715-248-7767 SOIL AND SITE EVALUATION 2121 Page Z of 2 PROPERTY OWNER:Christopher 1.wova PARCEL 1.D.# 030.1075-60-000 A.C.E.Soil&Site Evaluations REPORT MEMO Evaluation completed 5/30/08 to verify physical location of soil evaluation completed by Brian Parnell dated 10108/98. No soil verification completed at this time. All five soil pits were found and are located as presented on the Soil Evaluation Report. Primary benchmark not found. Alternate benchmark-top of 8"wooden comer fence post-found and appears to be sound and in original condition. Soil loading rates indicated on report are based on previous code requirements. Adjusting design loading rates to comply with current code requirements will result in a system design of 0.6 gpd/sq.ft. It is recommended that 0.4- 0.5 gpd/sq.ft. be applied to overcome weak sand loam soils in lower horizons. Contour elevations should be established prior to system design. { I i ii t i i , i i L.._.�..�.-1-__.-.._......-� _.--'-._..._y..._.._1--..ter-_.._..-...-.._-�-.�_._.,•-_�_.__�y I � i , fTT- r # r i t I - - + - j # A�1, en h 2 ' 1,'0,4eAto4ei os7 El°fCo✓nv ©�� 7S - S COLi It : , I t { { I I I i , i 1 , � r _ , , i i I POWTS OWN EWS MANUAL &MANAGEMENT PLAN Pace � F ►noht o NA Cti Tanft +ur fi cox # � .o oose o NodPemit r Vdume: SS ttlel? Tank Mentiectuw. / DESfi6N Number of Sedroww. o NA o`Septic Dose © n9 Volume. (sue Number of Putdc Facility Units: AJNA. Vertical DWwnce Tank Bottom(s)to Service Pad: (n) Estirnal�ed(average) Q (9 Y) Horizontal Distance Tw(s)to Service Pad: (ft)Specloc s rAcim.medwdos awd be provided I vwftdis>45 feint or Design(per)Flow=(estlmat6d x 1.5) 60 It hatzontal a>150 feet. SPwft hWfflJcdT to be. on back: in situ Sol Application Rafe: , (t1a Y Effluent Filter Mat►utacdxer f�(�- 0 NA Standard(Domestic)ft*uwdWt+ertt average., EfiluentFilter Model: Fats,01&-Gre®se (FOG) s30•mglt. Pump Manufacdxer: Bfocheetl d o9 W Dwnand (mss) Sw M o NA TOW Sam as SOMOL Pwv Model: High SMKP tr►fluenflC-tAArd Monthly average pretumnent Unit (F00) > dAanu0 Mac r: Aeration o Peet F1tw (5 SSS) >150 ❑pb QQ Wolinnd Pretreated Eftent Monthly average o Sandgkovel Finer O Other: (M) a m"A- Soil Sys Fecal Cdfarm mean) 5104' round(grevity) ❑trrtirouttd(P ) McAmum E lfluent Particle Size 16 In de.. o NA p DrtAjm other NA Qtl'er' o NA flint sere Evwd servloe IAWM combined stodge and scum equals one'third(7a)of tank Volume Pump out contents of tanlc(s) p When the high water alarm is activated Inspect condition aftartk(s) At least once every: 3 yaw$) pkxknm 3 ) C3 NA Its dispersal�(s) At least once every: $) (M 3 ) o NA Clow affluent filter At least once every: f10r*I$) ❑NA NA Inspect pump.pump cw*( s S alarm At least once $) mWON NA ' Flush laterals and pressure test °At feast once every:. .o ) OQ�er At least once.every: 0 YO to$) NA t?tlter NA MAINTENANCE nspc ons of arks id sallN8 shall be made by an indvkkW cenybV onei of the fo kmft licenses or certlficalons: Inspections of tanks and soil ebaorptlort Master plw*w, mwW Plumber Restricted sewer, POWTS Ir .or. POWLS Maintainer or Selftr Servicing OPw*tw (pumper). Tank Inapeclons must include a visual bvWeclon of the tanks}to fdenttiy any missing or broken hardware,k*ft any cracks or leaks, measure the vdne of combined sludge and scum and a o n&for any bads up or ponckng of d#uent on the ground surface. The soil absorption system shall be visually kapected to dtedc the efftuwrtt levels in the observelfor►pies and to do*far any ponding of effluent on the ground surface, The ponding of effttwd on.ft gtoamd stnfaos may mate a fa" condition and requires the Immediate nogtication of the local MPMMY W to*. When the combined aeon of•sludge and son many tnsabywtt tank equals wo thkd(1j)or more of the tank volume,the entire CMtarft of the tank slwll be removed by a Septage Servicing Operator(pumper)and disposed of in accordance with chapter NR 113, WwCCnsin Administrative Code:, All other services,lncltxilrtp.b A not liHind•to,#*servking of sffluwd filters,ffmdmftd or pressurized components.preuwb,tent units. WA any servidng at intervals of S12 mon ta,shall be parlOnned by a certified POWTS Mal"t". A service report ellelt be provided to the local reguiskxy authorfly wWm 30 days of won of my service event. • c�tw-cam(o2ro5) Page d SYAKT UP AND OPERAWN � dg� sohmils.or other For new cor�uclon, Prior to use of the POWTS cheek to nert tanks)fat tine Press painting are c rerrficals or eedrneM that may impede ttr®�procese•afxilor carnage•the eon a=Vftn•system. If high ow'10 rdta9orw. defeated have ooftents of the tank(S)removeel by a Sepfage Sarvkft.0perator(pumper)PW tD uae. Pump tanks may 10 above normal highwater(mss Prior to s or due to purrs failures. Staff up or restoration of Power under these oonetiione is not recexmm�ended.as the excess; will WdsctwgW to the Boil absorption system in one large dote causing an have the overload that may result in the beg"or surface disolmoge of dam*and damage to ft system. To avoid'tHs f�orr Plumber contents of the pump taros remaved.by a Ssptage.Servicing operator( =W).Ador to-restorMg Power to•Ihe Pump or contact a or POWTS Maintainer to assist in maw►operating the pump controls until normal sfRuent WAft are.restored witt in the PumP tank- System start up shat not occur when soil conditions are frozen at the hAradve surface. disturb or compact flue Do not drive or park veNdes over'tanks or do-soll absorption system. Do not,drive or park over,or otherwise area whin 15 feet down slobs it any TOUnd ar at-9►d a* area. 11lsdudion or elimination of ft.1't>Nm"from he�stream may impnive the performuroe and prolorng the We of the trnfatfnent .tanks and soil system: acids. atflbloPCS, baby wipes,-dgef �, condoms, cotton swebe, degreasers, dental floss' diapers,disinfectaift fats,foundation drain(sump pump) fait q vegetable peelings,.ga herbicides.n scraps,medications,oils.painting p' •solvents,tanfponsj and water softerret brine died a ge. ABANDONMENT When the POWTS fails andlor is pertnar>a*taken out of service the"Owing steps Shati be taken to insure hat the System Is properly and safety abandoned in ccmpllance with&Gomm 83.M,Wisconsin Adf rinisVallve.erode`. • Al piping to tanks.pits and ottrer soil absorpdon systems alai be disconnected and the abandoned Pips op®r>ings e The contents of ail tanks and pits Shan be reproved and property deposed of by a Septage Servicing Operator(PumPar� •. After pumping,all tanks and pits shall be excavated and removed or#Wr covers removed and the void sPaoe.11led with Sol, grand or another imert'schd material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the billowing measures have been, or must be taken, to Pro�lde a.Dods compliant replacement system: of w , p suitable replacarnent area has been evaluated and may be utilized for the tocatlon a raplacsenemt �`—'Zane replaratnsnt area should be protected from. .diataxbanoe'.and compadiort and strouid not be !Mum by required Setbacks frorm existltug and proposed the ant arse win taettlt in fhe need tre,:bt lees ammo wens: Feline to protect ��� mats��with the ruses-in for a new sal and sits evetuadon to esleblish a suitable•n3dacament aree�•Repieaenrent sYatwn effect at the time of thew pemtt issuance. . ❑ A suitable replacement area is not available due to setback andlor soil imitations. H the soil abeorplionn system cannot be rehabiifated and bof#ng advances in POWTS technology,a holding tares may be instalsd as a last r$soft. p The site two not been evaluated to Identify a suitable replacement arm. Upon failure of the POWTs a soft and site evaluation must be perfaemed to k=W a suatabW redaoereent arm. If no replaosmait area is available a holdinng tank may be Installed.as a last resort to replace the failed Pam. Infiltrative ❑ Mound and at-grade soil absorption systems may be reconsbuced in dace following removal d the.bicmat at the surface. Reooneirucions of such systems must comply with the rates in effect at that time. WARNING TAPO P MAP TANKS, AND HOLDING TADS MAY CONTAMI Olt LACK SU FFtD W 0VQEN TO SWAIN LIFE. NEVER BM ANY TANK t!lNiER ANY COM11STANCE. DEATH MAY RESSII.T. EWAPE OR.RESC1lE FROM THE INTERIOR OF It TANK MAY NOT BE POSE. ADDrWNAL POWTS INSTALLER POYYTB MAKrAIINER Name Name 1_j Phone PW* 7 SEPTAGEV�1G OPgRATOR LOCAL. T Name Name Phone J—oZ d Phone This document was draPoed by the staffs of the Green lake, Marquette and Wareham CowAy POWTQ requislay agencies in oonanm wltln aectlons Comm 8322(2)(b)(1 Xd)&M and 8&64(1),(2)&(3).Wisconsin Adminiatralft Code. FILTER CARTRIDGE INSTRUCTIONS srep I fury at"f MW case ante dha"d of th.endet pipe to ensure i<is oentuad hmnder dw askew apan11y, if tbsn ddhar taahe pipe imhee dhe to*wahmab tue otodat or MLW&a.w(aloe)addtio d Dire aMO the amdd STEP 2 VAdk the case is atlhf dry fitted an the oudd Dips,name ire the leegth Of Ali-inch pipe needed bi bmaop dle M•tae the Mh and woad iF udll*q the "*MW=WWW'""suopML if Aida saWW*maodW is ad u0mod, procew to st"foes•. 5•TEP 3 For dastobi seas utalmg ft op ueriei suppteehienb d odds evppan: sdwnt weld else 1 1"d 11111e 011110 dia f w c0e. ff"sapprt wed is net ut0mod,p{'OWd t0 shell ft w. Sobomot wow the Ater Cafe ants the"dw pipe. Insert the finer ` • cwbtd9e info the=08,"pressing down and the Mw lodes into the bottoh11 of If ',ry dadewhe dia SYMi<s�f is utWood:insert iota ft fhh>w and hock by darwp pink bemanC0 L The OfAwnt NOW should be donned Avery tbne the>map&bnk is Serviced, 2. Open the a~aooese apw*4 to kwpwt tle to*and MOO � S• Bone the map*tank convpkbft wing sure to rehneft the dud" layer on*A bet11sat of the took and ash jilst'dw sew amid eftmnL s. Once the edluent Mod dm been to , &d bdohh►the cloned of tile Wift P046 to*whip M the UK h1hoda to Madge des L Slide the eetbidge up and eye of the=ft for loaning. 6. N a VAS sw"amected b an alarm is pteemht,the switch G 9 oaid be III by.tori ft�90e end damned wkb water only. 7. VA Wk JwAfthg Ow cartridge an its side(bqp flat uwfxe&Abe , dam)aver the afmaesn 0pemmbg,nkm albdhe aybridge wfW water � oft nhaI" mitre as aepos"futAo"is rfitsei belt h to the tank: .;t 8. V VRS switelh bf udisod, basing dodewiee ow.. by iaoamltkp into flitem and 9. linen Me OW eartildo bim*data the ease � + the fdlEhr lodu iota do bolhu h of 60 ease,•fxaesinQ dawn teehti � e • e Ia.PAPlece and Boom the access opsnifg on*0 bait, !ca Ls^•Nisi'd"eft tC:4111'R`JI(�f -h.e-�f r.:thett'imWAMix-. "q.r ww 8-MUJUZM(653-4S83) ST.CROIX COUNIly SEPTIC TANK MAINTENANCE AGREEhUM AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ Mailing Address Property Aar (Verification required from Planning&Zoning Dep u tut for new construction.) City/State Parcel Ideutifiraton Number ©3©�i'[D��' �O�- LEr,�.RLS.Q ox r Property Location SE V., V.,Sec. ,TAN R W,Town of Subdivision Lot# , Certiffted Survey Map# Votume z J ,Page# SS 3 Warranty Deed# �Q b ,'Volume ZJL1 9 Page# Spec house yes Lot lint identifiab yes no SYSTTM ARA]INTENAN OWM CERTMCAiTION ImptWK use and maintenance of your septic system could result in its prunature faibae to handle wastes. Proper mainunauce consists of p%mWmg out the septic tank every three yew or soomeur,if needed,by a licensed pumper. Wbat you put into the system can affect the fimetion of the septic tank as a treatment stage in the waste disposal ayatmtL Owner maintenance respa biltiies are specified in§Comm.83.52(1)and in tliapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper vedifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)aft impaction and pu n p ug(if necessary),the septic tank is less than-1/3 full of sludge. Vwe,the undersigned have read the above requirements and agree to main win the private sewage disposal system with the statidsnds set forth,harem,as set by the Department of Commerce and the Depertmant of Natural Re sources,Stage of Wisconsin. Certificaboa stating that your septic system bas been maintained must be completed and returned to the St,Croix County Planning& Zoning Depwftn=t within 30 days of the mree year expiration date. Itwe certify that all statements on this are true to the best of my/our keowledge. Uwe am/are tbs owacr(s)of the pmpeaty desc dW above,by virtue of a deed recorded in Register of Deeds Office. Nundw of bedrooms SIGN OF APPLICANT(S) DATE ***Any information that is misrepresented ma xBSUIt in the sanitary pmTdt being wvWmd by die-Plannin g&Zomng Department '`** lnchule with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey neap if rdmmce is made in the warranty deed. (RTg'f�.68J05) /O STATE BAR OF WISCONSIN FORM 3-1982 E It KATHLEEN 536 H 'i QUIT CLAIM DEED REGISTER OF DEEDS ST. CROIX CO., WI DOCUMENT NO. VOL 1449PAGE 42 RECEIVED FOR RECORD 1 Christopher J. Weyer and Sandra J. We er (; 08-13-1999 9:30 AM it i QUIT CLAIM DEED I' I4 EXEMPT N an Christopher J Weyer CERT COPY FEE: it quit-claims to !{ COPY FEE: TRANSFER FEE: II! RECORDING FEE. 10.00 i� PAGES: I S t. Croix count y, t II the following described real estate in State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA li I NAME AND RETURN ADDRESS it 1 ! �FZ_(_9 030-1075-60 li PARCEL IDENTIFICATION NUMBER �1 I� Ij The South 20 rods of the SEkNEkj Sec. 27-30N-R19W �1 :I II it Zhis deed is given pursuant to that certain Divorce Judgment dated August 5, f 1999 and recorded August 5, 1999 as Case No. 98 FA 191. i it it it �I is I � This i c homestead property. ' i {� (is) XAK100c i N Dated this S day of August ,1999 :j A Ii (SEAL) 6i' LL—Z:t_`- (SEAL) I +bCb? s tonher J Weyer 'I (SEAL) -- ��c� y (SEAL) I) Sandra J Weyer f I I AUTHENTICATION ACKNOWLEDGMENT It j Signature(s) State of Wisconsin, ss ,3 St Croix Count . jl authenticated this day of , 19 Personally came before the this _ day of August . 19-99 the above Wattled i� Christopher J Weyer and Sandra J. li TITLE:MEMBER STATE BAR OF WISCONSIN i (If not, authorized by§706.06,Wis. Slats.) to me known to be the persons who executed the foregoing I "..;C tl' me a d acknowledge[he saRtty I` THIS INSTRUMENT WAS DRAFTED BY _ '%OAS t< I; Attorney David J. Estreen Its 304 Locust St., Hudson VII 540 6 NIMES%— or/tap-public, S f Getn County,Wis. I; (Signatures may be authenticated or acknowledged. Bpt n*15K4 ` commission is permanent. (if not, state expiration date: necessary) •Names of persons signing in any capacity should by typed or printed below their sig}ilRur STATE BAR OF WISCONSIN Wiaconain Legal Blank Co",Inc QUIT CLAIM DEED Form No.3—1982 MNwaukes.Wh. I� Parcel #: 030-1075-60-025 08/06/20P AGE E 1 PM P 1 OF 1 Alt. Parcel#: 27.30.19.263B-25 030-TOWN OF SAINT JOSEPH Current ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 08/15/2008 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-WEYER, CHRISTOPHER J CHRISTOPHER J WEYER 313 FRANCES ST SOMERSET WI 54025 Property Address(es): *=Primary Districts: SC=School SP=Special Type Dist# Description SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Notes: Legal Description: Acres: 6.380 SEC 27 T30N R1 9W PT SE NE CSM 23-5553 LOT 2 (6.38 AC) Parcel History: Date Doc# Vol/Page Type 08/15/2008 880098 23/5553 CSM 08/13/1999 608536 1449/42 QC 11112/1990 464042 886/02 WD 02/11/1986 409155 732/92 WD more... Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *5553-CSM 23-5553 030-2008 27-30N-19W SE NE LOT 02 2014 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/12/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.380 57,700 0 57,700 NO �I Totals for 2014: General Property 6.380 57,700 0 57,700 Woodland 0.000 0 0 Totals for 2013: General Property 6.380 57,700 0 57,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00