HomeMy WebLinkAbout042-1039-40-010 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
572890 0
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)]. Z SrL 3Z7
Permit Holder's Name: City Village X Township Parcel Tax No:
Harwell, David I Warren, Town of 042-1039-40-010
CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No:
5.4141✓ �O0•vo ?nP of Z" pUC, WY NE C0Ct-N6:2 STpIOE 15.29.18.2311310
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic LL Gu.rr— Benchmark
>� Ott /oov a. fo /00• -- 106.4)0
Dosing u /Uv Alt.BM (o SD o� l
Aeration lT Bldg.Sewer 1710 f$3.D p
Holding St/Ht Inlet 15.) 8Z•yo
TANK SETBACK INFORMATION St/Ht Outlet t.5-1W v-10
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 13D -V /a
Septic /f 7 , >5Z)'' �b, Dt Bottom v G
Z2.3v 77.&0
Dosing ,r i, w %.. Header/Man. q 10
Aeration Dist. Pipe (�
Holding Bot.System 5_130
Final Grade !Jqq
PUMP/SIPHON INFORMATION
Manufacturer Demand W00"Wer
z ECLCR GPM IZ 15C—E DA) P. 16.too f0.30
Model Number q0
/yo
TDH Lift ? Friction Loss System Head TDH Ft `ksr�� LON�IAd /_ 31J 9y
/?• 93 3.p z 8 53 (Y 1 7
Forcemain Length Dia. Dist.to well
! Z10' I Z" I ;-
SOIL ABSORPTION SYSTEM
BED/TRENCH Width , Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS 19 51-7 f
SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR OGI,L 1 c
Type Of System: 's , I�. /20, N/�! UNIT Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
» Pipe(s) I ' 3//1p~ Z >l0 D'
Length Dia Z Length Dia Z Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over aE Depth Over �� xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center > l•Q Bed/Trench Edges y Topsoil >/ Yes Q No Fia� Yes FkNo
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1:�/ / Inspection#2: / 3 /
& g;cb @ lsvo
Location: 953 120th Street Roberts,WI 54023(SW 1/4 NW 1/4 15 T29N R18W) metes&bounds Lot 1 Parcel No: 15.29.18.231610
1.)Alt BM Descriptio:= ?!6**
lb P of Fo11NDgV" a'J Alf LDN'�
2.)Bldg sewer lengt % � �� SwRPP� Fd� zo�7LFR 1861 7 Nl�v� fDEQ�.r.R�W 1y4;AD W rr't4 NEW
-amount of cov � Tfl^0l K t10 490A) 4 (E10&-1 e OFF M.
Plan revision Required? Yes F&T3 ! /Z�19� 1
Use other side for additional information. F -
Date Insepctor's Signature Cart.No.
SBD-6710(R.3/97)
PLOT PLAN
PROJECT David Harwell ADDRESS 767 Aldro Lane Hudson Wi 54016
SW 1/4 NW 1/4S 15 /T 29 N/R 18 W TOWN Warren COUNTY ST.CROIX
SYSTEM ELEVATION 95.0' 3/10/15 3
DATE BEDROOM
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none
BENCHMARK V.R.P. Top of pvc pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Sameas Benchmark
All piping shall be SDR 30/34,within 10' Scale _ n = i
of tank,piping shall be Schedule 40. OA) q4. v°
95'
Property Line
346' 93' 94' B- 1 B.M.*
Huffcutt Combo Tank Grading is to be done to divert
2~ M run-off away
Tank is to be properly bedded ;Ztb� from system
and provided with Iockdown
covers with approved ng
labels B-3
10 Sl/w�+� Na
dM+
w/rAst Sf Its
Pro 3
Bedroom
w� 'GC �n
House ❑
120th St.of-/9Af� B-2
4 Slope
Area 1 5' below
system is to remain Property Line
undisturbed
Scale 1/411 = 1 i`i' 1 el l is to meet al I WDNR setbacks
=
473' Property Line
COPY
eCvcSn PLOT
v~~ett~ County L
1 <1 ` Safety and Buildings Division ~JYp) -
201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by y Co.
Madison, VY1 5 IZI16~
$p h r 1 t r / -,~,ii / i
Q no-
State Transaction Number
QitafY ermit Application 2~.
2- 7
In acaurdanoe % .2 (2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
is required-pi a sanitary permit. Note: Application forms for state-owned POW TS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
j],~ n
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. %
L Application Information - Please Print . Il Information ! GG~~
Property OwweF= N e Parcel a y - Q- Q
Property Owner's Mailing Address Property Location Z
Govt t
2' < ~I V
City fate I lip de Phone Number
w I /,,~1 h, Section
/ trcle e}
II. T pe of Building (check all -that-apply) ~V L T N' P W
of ft
Family Dwelling - Number of Bedrooms _ Subdivision Name
j $lockt M ~'1
❑ Public/Commercial - Describe Use
❑ City of
Ei State Owned - Describe Use CSM Number a(~ ❑ Village of /
k 5 .7 C9 J~ l Town of
III.Type f Permit: (Check only one box on line A. Complete me B if applicable)
A. ew system ❑ Replacement System ❑ Treatment/Holding, Tank Replacement Only ! Other Modification sting System (explain)
I
List Previous Permit Number and Date lssued
B• ❑ Permit Renewal ❑ Permit Revision I ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner /
IV. Type of POWTS System/Component/Device; Check all that a v
❑Noo-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain
V. Dispersal/Treatment Area Informati n: •
Design Flow, (gpd} Design Soil Applica ' Rat -p f) Dispersal Area Requir (sfl Dispersal Area Pr red f) System Elevation
VI. Tank Info I apacity in Total of Manufacturer
Gallons Gallons Units o v u
New Existing Tanks W e~Y c a°'i a W m
Septic or Holding Tank
I
Dosing Chamber
t j
VII. Responsibility Stateme t- 1, the undersigned, ass. r onsibility for installation of the POWTS shown on the attached plans. I
Plumber's ?game (Print) Plumber' i e MPMIPRS Number Business Phone Number
C ~
Plumber's Address (Street, City; State, Zip
n
5
Vi ountv/De artment Use Only
ppr ved roved Permit Fee Date ssjued ~j Issuing Ag n
7e
er Given Real Denial $ ~Z5 D ~J
IX. Condiih sons for Disapproval
C '46ptie tank, efflulent flfter and 0 f\S l n 1~)'c'~"c GO V
.dispersal cell -must all be servkes I Maintained
as per management plan provided by plumber, O Jl
2. AJI*
# fequ -ernents must be t►raintainesl.,
#ss per: code % ordinances.
.Attach to complete plans for the system and submit to the County only on paper not less than R Ir x I I inches in sift
SBD-6398 (R, 11111)
PLOT PLAN
PROJECT David Harwell ADDRESS 767 Aldro Lane Hudson Wi 54016
SW 1/4 NW 1/4S 15 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX
SYSTEM ELEVATION 95.0' 3/10/15 3
DATE BEDROOM
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none
BENCHMARK V.R.P. Top of pvc pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' Scale = 1/4" = 10
of tank, piping shall be Schedule 40.
95'
Property Line 346,
93' 94'B- 1 B.M.*
Grading is to be
Huffcutt Combo Tank done to divert
run-off away
Tank is to be properly bedded
and provided with Iockdown from system
covers with approved warning
labels B-
Pro 3
Bedroom
House ❑
B-2
120th St. 4% Slope
Area 15' below
system is to remain Property Li ne
undisturbed
Wel I is to meet al I WDNR setbacks
Scale= 1/4" = 10'
473' Property Line
COPY
ST. CROIX COUN'I°'"t'
SEPTIC: TANK MAINZ EN AN(-"E r iGREEMLNT
A M)
OWNERSHIP (DER.' . H IATIt.-:iN FORM
{~wnc;r/Bit c~r _ f
Mailing Address
Property Address
(Verification required from Planning & Zonnig Department for ne(w~construction.) ~j
City/State Parcel 1dc;.nti Eication Nur :tbYr ✓vl~_t~
LEGAL DESCRIPTION
-7-
Properly Loeation l ,Sec,. 'I' ! N k 1 W, Town Of
Subdivisioll Lot #
Certified Survey Map # " Vt lurnt~ Page #S l
t - - ~1
Warranty Deed # t " Vulutric Page # - -
Spec house yes no Lot lim=~ irientifiable yes no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its pr: mature failure to handle wastes. Proper
maintenance consists of purnping out the septic; tank every tirree years or sooner, ii needed, by a licensed pumper. Whai you put into
the system can affbct the function of the septic tank as a treatment stage in the wasie disposal system. Owner maintenance
responsibilities are specified in §Conmn_ 83.52(1) and iii Chapter 12 - St. Coiix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning Z.on_ing I)epartrrient a certification form, signed by the
owner and by a master pltunber,,journeyman plumber, restricted plumber or a liceiksed pumper verifying that (1) the on-site
wastewater disposal systern is in proper operating condition and/or (2) after inspeer;ion and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the undersigned have read the ahoves requirements and agree to niaiotain the private sewage disposal system with the
standards set forth, herein, as set by the .Departrrient of (:ointnercc: and the I)cpartrnent of'Natural Resom ees, State of Wisconsin.
Certification stating that your septic system has been inaintained must be completer I and returned to the tit. Croix County l'lannirig &
Zoning Department Within ;30 days of the three year expiration date.
I/we certify that all statements on dais form arr- true to flue best of my/our knowledge. I/we arrt/are the owner(s) of the
property described above, by v' e of a arranty deed recorded sit Register of l)Cuds Office.
Number of bedroo ns
SIGI ATURE OF )l IC'AN~T(S) - DATE,
**'*Any information that is misrepresented may result in the sanitary permit being wvoked by the Planning & .Zoning I)epartnzent..r.**
Include with this application a recorded warranty deed from the Register of Dreds 4;±ffice and a copy oftlte certified survey map if
reference is made in the watt-anty deed.
(REV. 08/05)
DIVISION OF INDUSTRY SERVICES
141 NW BARSTOW ST FL 4TH
• ® WAUKESHA WI 53188-3789
* 3,P Contact Through Relay
y $ http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
Scott Walker, Governor
Dave Ross, Secretary
March 17, 2015
CUST ID No. 226900 ATTN.• POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1432 120TH ST 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54M6
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 03/17/2017 Identification Numbers
Transaction ID No. 2520327
SITE: Site ID No. 810860
David Harwell Please refer to both identification numbers,
Lot 1 120TH St above, in all correspondence with the
Town of Warren agency.
St Croix County
SWl/4, NWl/4, 515, T29N, R18W
Lot: 1,
FOR:
Description: Mound
Object Type: POWTS Component Manual Regulated Object ID No.: 1527660
Maintenance required; 450 BPD Prow rate; 25 in Soil minimum depth to limiting factor from original grade;
System '(S): Mound Component Manual - Ver. 2.0, SBD -10691 P (N.O1/01, R. J O/12), Pressure Distribution
Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be
constructed and located in accordance with the enclosed approved plans and with any component manual(s)
referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance
with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
This system is to be constructed and located in accordance with the enclosed approved plans and with the abo
referenced component manuals. co
In the event this soil absorption system or any of its component parts ma t1 o fit- /
the property owner must follow the contingency plan as described i al c oa>~,~nc
must comply with the operation, maintenance and monitori ng duties M
manuals. A copy of this information must be given to the owner upon completioto
All holding/treatment tanks are to comply with SPS.384.25(7)(
Maintenance information must be given to the owner of the tank explaig
required. Access to the filter for cleaning must be provided per SPS 384 pr
A Sanitary Permit must be obtained from the county where this project
requirements of Sec. 145.135 and 145.19, Wis. Stats.
SHAUN R BIRD Page 2 3/17/2015
a
Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
Owner Responsibilities:
• SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under
s. SPS 383.54(1).
• SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. SPS 383.54(4) shall be considered a human health hazard.
• SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
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
coristraciior„insWIationloperation.
In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincere! Fee Required $ 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Julia A Lewis-Osborne Please Include a Copy With Your
POWTS Reviewer 2, Division of Industry Services Payment Submittal.
(262)397-6005 WiSMART code: 7633
julia.lewis@wisconsin. gov
I
I
I
VIII
I
Cover Page RECD,,,
MAR 12 2015
Shaun Bird INDUSTRY SERVICES
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 3/11/15
Owner:David Harwell
Location: SW1/4 NW1/4 S15 T29 N,R18W 961 120th ST. Warren
Manuals Used: Mound Component Manual Version 2.0 (01/31)
Pressure Distribution Manual Version 2.0 (01/31)
Page#
1. Cover Page
2. Mound Plot Plan
3. Mound Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7-8. Maintance and Contigency plan
9-11. Soil test
12. Filter Specifications cross section
Shaun Bird
Signature L~
;p Y
License numbe 26900 :ry
T s~R~N°
~rsFRvs
cFs
oFN
CF
PLOT PLAN
PROJECT David Harwell ADDRESS 767 Aldro Lane Hudson Wi 54016
SW 1/4 NW 1/4S 15 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX
SYSTEM ELEVATION 95.0' 3/10/15 DATE 3
BEDROOM
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none
BENCHMARK V.R.P. Top of pvc pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL IH.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' cafe = 1/4" _ 10'
of tank, piping shall be Schedule 40.
95'
Property Line 346' 93' 94'6- 1
B.M.
Gradi ng is to be
Huffcutt Combo Tank done to divert
run-off away
Tank is to be properly bedded from system
and provided with lockdown
covers with approved warning B-3
labels
Pro 3
Bedroom
Ho use
120th St. B-2
49~ Slope
Area 15' below
system is to remain Property Line
undisturbed
li
Well is to meet all WDNR setbacks
Scale = 1/411 4" = 10'
473' Property Line
Mound System. Cross Section and Plan View
- - - - - - " " " " " - ` Dimension Feet
A i
3 I B
D
J -
t I J 1 r,•1, tJ J~•lLJLrLrLJLJ J LJ ,,r JLJ JLJ J rtiJ1 41J Lftr1J L}1 1 111 4J1 L i i 111 ~~~fLjFfl L LJLr ••r I ~I
! lL! r 1f f f1f J f, J l t f 1J t J;.;/;„ L•1 1J f1f 1 J f 1 f 'TT' J J f1f: f F
A I JLJ1 •f:1. Lj. :f:t t L:til`:`:i14?~~ ~ti11:1lLJLJy1 J1f 1 Lr1f 1.1;1`f4fil f :ti L~ti ti~ ,tir ~1:ti;1. f111: l/
7
I rf~. irrr-r,iJ J•:; r; r J•: •r:r 1.:1•Jr1J f;J•1r Jr11•i; i1J ICI
W I • I ~-G-- - S
1 I 1
1 K- 2-
L
-
K ~ B z . 1 .'S
toe
L
I ' 1 = Topsoil = ASTM C-33 = Clean aggregate O = 4 in. sch. 40 pvc
I Cap Material sand fill 'r', to'-) in. dia. observation pipe
Geotextile G H
Fabric ~;r . J.r.?•..?.f~•.
J •l 1J . J f11 F
J'11 1!114! 1J1r 1 L J t
.11rLJ11 1.•.~
°Plowed Surface
_ 0 Ft Contour '
Slope Direction
GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing
vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or
chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a li4 inch soil wire
when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately
after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or
is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot
thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound
is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The
observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange.
10/0719j Page of
Pressure Lateral Layout
Two Laterals End Manifold
.4 Threaded
Cleanout
Lateral Turn-up Plug,
Manifold
M
_ R
_ 1 - Long
Force Main J Sweep
90
Bend
rLateral tribution Network Specitieations Pressure System Construction
Diameter ln.
ls are constructed of Schedule 4~~ 1'VC
fold Diameter-
In, F
ce Diameter ln- Orifices are drilled perpendicular to
L_ In• pe with a sharp drill bit and face down.
rifice S acin) I -
al turn-ups terminate with a threaded
e enclosed in a 6-8 inch
L (Lateral Len th) - T l-t. M Manifold out plug and ar
Len th) _ _t_
~ ~ dian3etc,r lawn sprinkler valve box accessible
Force Main Diameter In. _
fl•om 1ii~iished grade.
1 Force Main Length
• • • • • • •
Grade 6-8 Inch Lawn
Sprinkler Valve
Box
Page - of
-
03/0519)
'Van I Septic-Dose. Cross Section And Pump Performance Specifications
pump Manu ac ure ,
Pump Model Number
Tank Manufacturer -
r
I' artk Model N umber" i_ - Alarm Manufacture
Capacity ~2-'?- - Alarm Model Nutn ber
Total
Max. Switch Type
Feet
- Total Dy is Head (TDH
Filter Manufkteturer
Elevation Head
Filter Model
Distal Pressure
FF~Orce ork Loss
_
-
- Main Loss
- rntun Pump #'erforrnance Required
J r
Ft TDH l T- - --i -l - -
- L-4 1 -0 hole Min. 4" Above GPM Cap _ < S -
Outlet 1Nanhole Min. 4" Above Grade With Man With Locking Dev ice jade
hocking Device. Inlet I~Jianh Securely Mounted
< b" Below Grade Sealed Watertight Weather-proof
junction Box
-
-Finished Grade
Vent Min. 12" Disconnect
Above Grade Means
With Vent Cap
X,
C?utiet Filter -
Inlet Baffle
Inlet •1r--~'' J
A
V417
biwitch Settings and Reserve Capacity Weep
4r GPI Hole
rank Volume B
Dimension Inches Volume Gal
(reserve) A' - Off Elevation C
(alarm) B 2 30
Ft •
J Bottom
(dose) C - - , , Elevatioi
(dead) D Irby ` 1
Total
;~'Trf~F-i-TT T-F"STi-t~n~ i ,r.,. vt . Y;)Fl ~.r. •Ii;Y1 ~Y'r ♦ .....t V•1 1•t .•1•aY{•.•.•.
_ S.. S_--rF..ti ti < 1 1 i , ~.•j 1.1•<•4•I•.•i•/
STALLATION: The septic/dose tank is bedded and back filled in accordance with the
GENERAL IN
manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
installed. Piping at the inlet and outlet is of approved material, jonn sleeved with ~~Skh with ,vC ~ ~idgettthe tank
laid on stable soil to prevent settling or sagging. The force
excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28.
02/05 U Page of
tAr L ~t JL _
tJ
50 - - -
21
43
2~ 52
- - 42
1 JO t_~ . - -
0 145W
r-
I
r. 4
'NS
UTERS
L %^e%x
RY FOR SPECIAL APPLICATIONS - -
CONSULT FACTO' i
Timed dosing panels available. zd with, -
Electhcal alternators, for duplex systems, are avaiiatie ano 5UPO~
an alarm. !ara ase
ble level control switches are a,41D e fOl controi!ir}g s,r,g,6 ai -
system
• Double piggyba variable level float switches are available for variab'e
;evel long and short cycle controls. See 4"
Seated Qwik-Box available for outdoor rev i,r60 s
• Over 130°F. (54°C.) special quOta~lorl
;_.---r
1521153 Series
-1- control Selection - -
1521153 MOr--
- - Slmf ems,. p scow
r - 1 M PP--+-
Modei i Volts Ph _Made 3
g.s
Nt52 7}5__l_ - ~o=' 'B 5G ed-
BN19125 ctn ` - -
on 4.3
ec, SELECTION GUIDE rile level float
-EI52, 230 natc t03 t' - 2
*r153 nc .ec _ r pig back varia
11' -~o tYoackva 'able le'.'el Sloa. srrltch or double 9Y
r
8N1531 115 } ' »to_~__- T- v d
1 I Not I _ - - ti.t n. ~2-er Cc "0
E153 ; 230 3 ncud
BE1531 23G 1 I Auk i ? or c~ re I:c 1 del of E:ec[nCa1 Aternat r E Pak
-11
n_8225 used as a control act-vator, specify dupleO
- -
pCA UTION 3, 'd3rtaoie,e.B;CL,~rvs itG
rotecuon devices and wiring should be done by a qua}ifieC a Zt 3'S'~'
including the
All inyiallaiton of controls, P or V" "
licensed electrician- i ae CrAeMir codes should ode (M at Ind safety Occ upabonai Safety land Health Act OSHA; s recent
an' Ile RESERVE POWERED DESIGN design
of every Zcelier pump. tne
For Unusual ecnditions a reserve safety factor is enginea~ea Man ~tasor.
MAIL T0: SD'
emu, a056
sniP ro sops ~e cac ~juuirr PAM,-s .,vcF 95
r
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l . QD SG i r 3' ' i-0L ~2 rJ `
fL.. L lJ . 1Y 15( T74-3624
A'
- A,I rlgr.C re;Srr`i ell.
h ttp: lJwww.zoeller.com Zpei~,er ~C
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
!FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity al 0 NA
ijj
Permit # Septic Tank Manufacturer ❑ NA
y)ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms j ❑ NA Effluent Filter Model 0 NA
Number of Public Facility Units -II---- -9~4A Pump Tank Capacity ; C2 gal ❑ NA
Estimated flow (average)- al/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) 4/-)_1:_) al/da Pump Manufacturer NA
Soil Application Rate f ailda /ft2 Pump Model G...- 0 NA
I/ J' g I
Standard Influent/Effluent Quality Monthly average` Pretreatment Unit
Fats, Oil & Grease (FOG) 530 mg/L 0 Sand/Gravel Filter 0 Peat Filter
Biochemical Oxygen Demand (BODc.) <_220 mg/L 0 NA 0 Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) ' <_150 mg/L ❑ Disinfection 0 Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mg/L e ❑ In-Ground (gravity) 0 In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L NA 0 At-Grade 71!!!rWund
Fecal Coliform (geometric mean) 5104 cfu/100ml 0 Drip-Line ❑ Other:
!Maximum Effluent Particle Size ~6 in dia. ❑ NA Other: ❑ NA
'Other: NA Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
At least once eve 0 months} (Maximum 3 years) 0 NA
Nnspect condition of tank(s) ryyear(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume 0 NA
-K2 0 month(s) NA
Inspect dispersal cell(s) I At least once every: ear(s) (Maximum 3 years) ❑
At least once month (s) 0 NA
Clean effluent filter , every: r , ..Year(s)
Inspect pump, pump controls & alarm At least once every: D month 0 NA
onth(s)
I=lush laterals and pressure test At least once every: ❑ear(s) ❑ NA
;ether: At least once every: 0 Year S(s) ❑ NA
tither: ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master
Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must
:include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
!zombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be
disually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.
'The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local
regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of
1:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
find any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
4 service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page of
thE ' t
for the presence of painting products or other chemicals of t
POWTS check treatment tank(s)
.START UP AND OPERATION
the dispersal cell(s). If high concentrations are detected have the contents
may For new construction, prior toouse s fa hendlor damage
impede the treatment p
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface-
stored
It in the backup or surf will be
dose, normal hi overloading theghwater cell(s) levels, and may When resu power is re ace discharge of power to effluent,
During power outages pump tanks one may fill Large above
discharged to the dispersal cell(s) in tank removed by a Septage Servicing Operator prior to restoring p
To avoid this situation have the contents of the pump
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal level
rsal cells. Do not drive or park over, or otherwise disturb or compact, the area within
within the pump tank.
performance and prolong the life of the POWT
D
15 o not drive or park feet of any mound oat grade soil absorption area,
the fat foundation
down slope of any improve
J Reduction or elimination of the following from the ers; disinfectants-, wastewater stream may medications; oil; painting productls;
herbs;den;al floss; dia
scraps;
cigarette butts; condoms; cotton swabs;greadegreasers;
antibiotics; baby wipes;
(sump pump) water; fruit and vegetable peelings; gasoline-,
pesticides; sanitary napkins; tampons; and water softener brine. steps shall be taken to insure that the system is properly
ABANDONMENT owing When the POWTS fails and/or is permanently
with chapter Comm 83 33, Wi consiln Administrative Code:
and safely abandoned in compliance openings sealed,
• All piping to tanks and pits shall be disconnected and the abandoned pipe to a Servicing Operator.
• The contents of all tanks and pits shall be removed and properly disposed of by a Sep g
and its shall be excavated and removed or their covers removed and the void space filled with s,01,
• After pumping, all tanks p
gravel or another inert solid material.
CONTINGENCY PLAN nnot be repaired the following measures have been, or must be taken, to provide a code compliiint
If the POWTS fails and ca
replacement system: of a re uided
cement area has been evaluated and may be utndec for the to avid shouidenot be nfringsoil absorption ediupon bin the system.
[3 suitable replacement Eed
The replacement area should be protected from disturbance a
with the a nFi in
setbacks from existing and proposed st bush alsuitableaeplacementaarea.tReplacement systems must comply
for a new oil and site evaluation toe t
effect at that time.
El A suitable replacement area is not available due to setback and/orPOsoil Barring advances in POWTS techno ogN a
WT.
holding tank may be installed as a last resort to replace the failed
not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
is available a holding tank may be installed!, as
The site has
be performed to locate a suitable replacement area. If no replacement area
a last resort to replace the failed POWTS.
Q /Mound and soil absorption systems may be recon treucte in effect oat that llowi t me moval of the biomat at the infiltrative rules in is at-grade i with t
s e. Reconstructions of such systems must comp y
«WARNING» TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF
SEPTIC, PUMP AND OTHER
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
pOWTS MAINTAINER
POWTS INSTALLER Name
Name - A u.._ t.!' .
Phone ? /J-- Phone 7
SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY -
SEPTAGE Name
Name Phone
Phone 1 0 1 d and 383.54(1}, (2) & {3}, Wisconsin Administrative Code.
This document was drafted in compliance with chapter SPS 383.22(2)(b)()O&(f)
#1716
Department of SOIL EVALUATION REPORT Page 1 of 4
'~=r Safety and in accordance with Comm 85, Wis. Adm. Code Schmitt Sob Testing. Inc.
! profiassionsi Services
ounty
P
C
. *-_~••,attach complete site plan on paper not h x 11 inches in size. Plan must St. Croix
include, but not ►imRed to: vertical and rence point (BM), direction and pa f 2-1039-40.69
401
percent slope, scale or dimeni and nand distance to neaber4t
all tYon. ~ We
,f
personal information you for sewndry Purposes (Privacy Law, s. 1&w m))• r' d
Property Owner Property Locetlba UNp),
Govt. Lot SW1/4, NW114, S15, T29N, R18W
Brtozowski, Wesley
property Owner's Mailing Address Q ! tot 1 Block # Subd. N or CS
809 Grandview Drive ! 86 ' CS J. 24 5g95~
State zip coos Phone Number F-] City ❑ Village 7 Town Nearest Road
Cdy
Hudson WI 54016 715-497-7432 Warren 1207b St.
4 Code derived design flow rate 600 GPD
®Now Construction Use: ~I Residential !Number of bedrooms
G Replacement Public or commercial - Describe:
Flood plain elevation, if applicable NA ft.
Parent material Glacial Till (Jewett Silt Loam)
General comments Area is suitable for a mound system. System elevation is 94.63 based off a contour line establistred at 93.71'. Depth t4lim"
and recommendations: factor is 2T, Slope of area is 4%.
1 Ll t~oring Rate
Boring Z PR Ground surfaoe elev. 94.31 ft. Depth to limiting factor 25 in. Soil Application
Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots ~Efsael GPD/M
*E11182
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh.
mfr as 2vf 0.6 0.8
1 0-11 10yr3/2 none sil 2mgr
mfr gw ivf 0.4 0.6
2 11- 10yr4/4 none Sid 2fsblc
cid 7.5yr6/6 rsl imsbk mfr gw 0.4 0.7
3 25-38 7.5yr4/6 7.5 2 9
c2 7.5yr6/s sl 0m mfr gw 0.2 0.6
4 38_60 7.5yr5/6 7 .syr6/1
c2d 7.5yr6/8 sl 0m mfr 0.2 0.6
5 60-96 5Y/4 7.5 2
Boring # Z P~ Ground surface elev. 94.11 ft. Depth to limiting factor 25 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consiste Boundary Roots d0w
'£R~1
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0-11 10yr3/2 none sit 2mgr mvfr as 1vf 0.6 0.8
Sil 2msbk mfr 9w ivf 0.6 0.8
2 11-25 10yrc4/4 none
cid 7.5yr6/6 si 0m mfr gw 0.2 0.6
3 25-42 7.5yr4/4 7.5 1
42-84 5yr4/4 c2d 7.5yr6/8 pm mfi 0.2 0.6
q 7.5 2
Effluent #1 = BOO? 30 < 220 mg/L and TSS >30 < 150 m9A. • Effluent #2 = SOD5 <_30 mg/L and TSS _30 mgtL
CST Number
CST Name (Phase Print) Signature: 227429
Thomas J. Schrrutt 96/ valuation Conduced Tekphons Number
Address Schmitt Soil Testing, Inc. 013 71
1595 5-760-1978
1595 72nd Street New Richmond, WI 54017 SOD4330{R07M)
Part of: 042-1039-40-000 Page _Z _of 4
Party Owner BrzozmNsid, Wesley Parcel ID #
❑ Boring Depth to limiting factor 28 in. Soil Application Rate
Boring # ,j Pit Ground surface etev. 9._ _ 3_ _Ol- f►•
Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/M
pth Gr. Sz. Sh. *001 *E1102
Horizon De ppnina
in, Munseli Qu. Sz. Cont. Color
SH 2tngr tnVh as lvf 0.6 0.8
1 0-10 10yr3/2 none
SO 3msbk mfr gw ivf 0.6 0.8
2 10-20 10yr4/4 Wane
sl imsbk mfr 9w
3 20-28 10yr4/4 none
c2d 7.Syrs/8 ~ Om mfi 9w O.Z 0.6
4 28-42 5yr4/4 7.5yr6/2 9
c2d t.0yr6/S Om mfi is 0.2 0.6
5 42-54 10yt4/6 1 2 9
0.2 0.6 ,
1Wr'S/6 ~1ovr6/1 ~ Om mfi
6 54-84
j Boring to limiting factor 29 in. it Application Rate
4 Baring # N Pit Ground surface &W. 83.41 It. Dept
Consistence Boundary Roots GPDM'
Horizon Depth Dominant Color Redox Description Texture Structure
S Sh. -Eller -Efrr2
IM Munsell Qu. Sz. Cont. Color as 2vf 0.6 0.8
1 0-12 10yr3/2 none sil 2mgr mvfr
sid 2msbk mfr gw ivf 0.4 0.6
2 12-29 10yr4/4 riolte
c1d 7.5yr6/6 sl imsbk mfr 9w 0.4 0.7
3 7.5yr4/4 7.5yr5/2
c2d 7.5yr6/8 sl Om mf - 0.2 0.6
4 57-84 5yr5/6 7.5
F rj Boring # ❑ Boring ft. Depth to limiting factor in. Sou AppNcaGon Rate
Pit Ground surface elev. Rom GPD/lt~
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary *Elaet -Effa2
in Munseli Qu. Sz. Cont. Color Gr. Sz. Sh.
I ~
I
i
i
i
i
I
i
iI
I
• Effluent #2 = BOD5 30 mg/t. and TSS <00 mglt-
Effluent #t = BODS> 30 220 mglt. and TSS >30 t 150 mgn.
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. sd Texrq 1
son-ssw cRmroo>
Page_? d 4
• Gfinducted by: Conducted For:
Schmitt Soil Testing, Inc. Name: Wesiey Brzazowski
Thomas J. Schmitt, CST 227429 Address: 809 Grandview drive
1595 72nd St. City, State, Zip: Hudson, WI 54016
New Richmond, WI 54017
Phone: 715-760-1978 Site Address: 961 120tb St. Roberts, WI 54023
s~q,nuro Lot No.: 1
Legal Description: SWI/4 NWIA S15 T29N R18W
Backhoe Pit Township, County: Warren, St Croix County
A Bench Mark 1 El. 100.00' Top of PVC pipe next to NE lot corner.
A Bench Mark 2 El. 94.22' Top of 1" steel lot comer pipe SE lot comer.
Slope= 4% Contour Line El. 93.71' Contour Length 100'
1" = 4V
Pit Elevations:
B1: 94.31'
132: 94.11'
B3: 93.01' B to i
3 , gy ~.3y~-
i -
leg
goe
1i \ SLopr
i
eoN7'aue►2 LiNkF ~
fCE ~
,I
~I
ejyA
i
i
i
ox,
4 INSTRUCTIONS
ER CARTRIDGE
i FILT
g'
Installation 5
ur r >u i~~ N'Pe ~ c.nsu e
STEP 1 'Dry fit the filter case onto t then inser' ,.no e pi,,, e into tf1C-
cE'. ntered under the access opening. T ,
tank through *,he o+_ltlet or solvent wclu uc, add!t~o a: aIpc n ter G~atlet
pipe.
hC
STEP 2 While the case !s still drv fitter n C is ' 'c` v~.h ' W l'z n' t e
pipe needed to ieF!g'tl':
brace the ffl r e an"
o` ~~a-inch ~ ~ ;,,Gt ;,tik-ed;
ootional supplemental side supper. s ice s ,PP3'
proceed to step four.
STEP S For rnstallati-ons tl it zing 'he o~~t, ai ti ^IL z1 tii0e su n l 4
„se sine su,,port m-.nud is ncl
tree =;h-inch wipe onto nc
solvent we!
utii,zea. proceeo to step four. s?
1
a Solvent weld the filter cast ne P :)C' ri f'I er
TEP
S
r < i IucK=
L.
cartridge into ,,..t.orn of
the " n~ case, p 4 9
r .
A~ Y
the case,
J.K tcj ,
STEP 5 If a lrRti switch is utilsze^ ! se-.^ ; nc e 'N -2r and c'}
clockwise 90°.
Maintenance e R -
*f'uent filter s
ne e 'fluent be c;
DDen the outlet access ppcrtin r- --e o k and nitcr.
` lc` e sludge
Pump 'le septic tanK ompiet ly k g , e
iaycr on the bottom of the tank anC' nut Just Z',e SC, i a l ftlJerlt.
ti.e
z. ~n,.e the effluent level has beep wrP ^ br'iUZ7 tne in' Df
outlet pipe, firmly pull up on "e filter na 'dle .o di_loeq
cartridge from the case.
Zc . -rA
dnd out of the case iar IL 3IL!1g.
5. Slide the cartridge up b a~r~
the Sw t I +
5. if a VRS switch connected to ar, aia,.', , Present, _ieaned
it,
should be removed by turning uu.,t' fock4v,sc
with water only.
7. While holding the cartridge or r sr_ i e at surface facing
" `he a~ ndyL ti water ?
a~ a A
down; over the access opening, ls` r d t,dck c. the tank.
m, is se 1
brio _
only, mak,ng sure all septagyc
lt" filter and
i
S. ,f 'JRS Switch is utilized, replace uy i sc ir~5
i ?~hr
turning :clockwise 9".
o.. n. ~ ~
Insert the filter cartridge back. in n !he ~ awe: pressing unto
the filter locks into the bottom d' "he ds<.
10. Replace and secure the access opening or t`ne tank.
BEAR: ONS:TE- FILTER CARTRIDGE F V F...vEr n _'WIEL~ vii r:`n.A',-Y .
BEwR ONSiTB " F,iter CaSe L et-t .m ter V. _ .
7 ,
Department of #1716
SOIL EVALUATION REPORT
ttp = Safety and in accordance with Comm 85, Wis. Adm. Code Page 1 of 4
Professional Services Schmitt Soil Testing, Inc.
Attach complete site plan on paper not le h 2X11 inches in size. Plan mustftc ounty St. Croix
include, but not limited to: vertical and ri t rence point (BM), direction and
percent slope, scale or dimensi and ocation and distance to neat road. P&NO.
Q 1 f: 2-1039-404898-Q
Pl t all ' rmation. d Date
Personal information you provid ed for secondary purposes (Privacy Law, s. 15$4
Property Owner Property Locatbi QNTY /
Brzozowski, Wesley Govt. Lot SW1/4, NW1/4, S15, T29N, R18W it, Property Owner's Mailing Address G Lot # Block # Subd. N or CSM# A rte/
809 Grandview Drive I & I 2 ) I--- I ~ CS Jr 2(p 'sGS-70
City State Zip Code Phone Number City 0 Village E Town Nearest Road
Hudson WI 54016 715-497-7432 Warren 120Th St.
New Construction Use: E] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
El Replacement ❑ Public or commercial - Describe:
Parent material Glacial Till (Jewett Silt Loam) Flood plain elevation, if applicable NA {t.
General comments Area is suitable for a mound system. System elevation is 94.63' based off a contour line established at 93.71'. Depth to limitng
and recommendations: factor is 25". Slope of area is 4%.
Boring
F-11 Boring # 4, Pit Ground surface elev. 94.31 ft. Depth to limiting factor 2 in.
9 Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2
1 0-11 10yr3/2 none sil 2mgr mfr as 2vf 0.6 0.8
2 11- 10yr4/4 none sicl 2fsbk mfr gw 1vf 0.4 0.6
3 -38 7.5yr4/6 cid 7.56/6/6 7.56/6/2 grsl imsbk mfr gw 0.4 0.7
4 38-60 7.5yr5/6 c2d 7.5yr6/8 sl Om mfr 0.2 0
7.56r6/1 gw .6
5 60-96 5yr4/4 c2d 7.5yr6/8 sl Om mfi 0.2 0.6
7.5yr6/2
2 ] Boring # Boring
F
Pit Ground surface elev. 94.11 ft. Depth to limiting factorSoil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
1 0-11 10yr3/2 none sil 2mgr mvfr as ivf 0.6 0.8
2 11-25 10yr4/4 none sil 2msbk mfr gw 1vf 0.6 0.8
3 ,W42 7.5yr4/4 c1d 7.5yr6/6 sl Om mfr 0
7.5yr6/1 gw .2 0.6
4 42-84 5yr4/4 c2d 7.5yr6/8 sl Om mfi 0.2 0.6
7.5yr6/2
* Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD5 s30 mg/L and TSS S30 mg/L
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt 227429
Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number
1595 72nd Street New Richmond, WI 54017 6/28/2013 715-760-1978
SBD-8330 (R07/00)
Property Owner Brzozowski, Wesley Parcel ID # Part of: 042-1039-40-000 Page 2 of 4
Boring
Boring # Pit Ground surface elev. 93.01 ft. Depth to limiting factor 2 in.
~ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#t 'Eff#2
1 0-10 10yr3/2 none sil 2mgr mvfr as 1Vf 0.6 0.8
2 10-20 10yr4/4 none A 3msbk mfr gw ivf 0.6 0.8
3 20-28 10yr4/4 none sl lmsbk mfr gw 0.4 0.7
7.5yr6/2
4 F54-4844 5yr4/4 c2d 7.5yr6/8 grsl Om mf gw 0.2 0.6
5 10yr4/6 c2d 1 yr6/8 grsl Om mf cs 0.2 0.6
6 10yr5/6 c2d 10yr6/8 sl Om mfi 0.2 0.6
10yr6/1
F4 ] Boring
Boring # Pit Ground surface elev. 83.41 ft. Depth to limiting factor 29 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
1 0-12 10yr3/2 none sil 2mgr mvfr as 2vf 0.6 0.8
2 12-29 10yr4/4 none sicl 2msbk mfr gw ivf 0.4 0.6
7.5yr4/4 c1d 7.5yr6/6 sl lmsbk mfr gw 0.4 0.7
3 -29--57'
7.5yr5/2
4 57-84 5yr5/6 c2d 7.5yr6/8 sl Om mfi 0.2 0.6
7.5yr5/2
Boring
Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
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-8330 (R.07/00) Schmitt SON Testing, Inc.
Page,? of 4
Mnducted by: Conducted For:
Schmitt Soil Testing, Inc. Name: Wesley Brzozowski
Thomas J. Schmitt, CST 227429 Address: 809 Grandview drive
1595 72nd St. City, State, Zip: Hudson, W154016
New Richmond, WI 54017
Phone: 715-760-1978 Site Address: 961 120th St. Roberts, W154023
Signature s-~"' Lot No.: 1
Date -..2- ..3 Legal Description: SW1/4 NW1/4 S15 T29N R18W
® Backhoe Pit Township, County: Warren, St Croix County
S Bench Mark 1 El. 100.00' Top of PVC pipe next to NE lot corner.
A Bench Mark 2 El. 94.22' Top of 1" steel lot corner pipe SE lot corner.
Slope= 4% Contour Line El. 93.71' Contour Length 100'
1"=40'
Pit Elevations:
B1: 94.31'
132: 94.11'
B3: 93.01'
39' Bel BM'
q, y
F r33
\ SL'Opc ,
id q%
~r
CoA/Tow 1Z L /A/!~'
93-
Pct- cl
~s
.4
ccn
folk
fir
w
Ti,
n
d.~
l
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE SW1/4 OF THE NW1/4 OF SECTION 15, T29N, R18W,
TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN.
PREPARED FOR: SURVEYOR:
WES BRZOZOWSKI DOUG ZAHLER
809 GRANDVIEW DRIVE 5 & N LAND SURVEYING 2920
HUDSON, WI 54016 ENLOE ST. SUITE 101
HUDSON, WI 54016
Each Parcel shown on this map is subject to State, LEGEND
County and Township laws, rules and regulations LL z
FOUND ALUMINUM COUNTY SECTION O v W
(i.e., wetlands, minimum lot size, access to parcel,
19
etc.) Before purchasing or developing any parcel CORNER MONUMENT 3.g o
contact the St. Croix County Zoning Office and SET 1" OUTSIDE DIAMETER BY 18" z o -
the Town of Warren for advice. O LONG IRON PIPE, WEIGHING 1.13 LBS. = o u
PER LINEAR FOOT LL Z r w
EXISTING FENCE Z F
NW CORNER - Z
SECTION 15 G
SCALE: 1" 150' 3 0 =o
~ ~ W p
f y \ 150 75 0 150 G co Ou
w \Q~
I 1
589 50'00"E 195.00' \~~cS
I 9.08 14 .92
v c
145' 45' ( g g
~ 589°50'00"E 339.00'
I i0
r
m '
p I I SEPTICTANK
.i 1, r1 GARAGE
1` ousE ILJ
n~rJ I
I Z _I J
a
o
~N DRI_VEWAY /
I g m LOT 3
Ig Zo I w 298,894 SO. FT. (6.86 AC.) TOTAL
' 267,896 SO. FT. 16.15 AC.) EXCLUDING R/W
~ pO
Q S I~ ~ SHED ~ ~ III
pN Im I 1
W
IPD N 1m L -J O I~
G w 47.14' 00
II
~ N89°13'36"E 534.07'
I 486.93' I
98,010 SQ. FT. (1.25 AC.) TOTAL Z~
89,263 SO. FT. (2.05 AC.) EXCLUDING R/W w I
LOT 2
a aA~9 a
~ o.
3,23 N89°13'36"E 534.07'
480.84'
o 0oB
60' 60' II jo?3a"w LOT 1 N
0
w S 108,898 SC(. . ( 51 0 AC) TOTAL w
ro I c 96,637 SQ. FT. (2.22 AC.) EXCLUDING R/W
1 0' EAST- WEST 114 LINE 4'
0.97' 473.10'
S89°13'36"W 534.07
W114 CORNER
SECTION IS UNPLG 17ED LAND
I 65' 60'
DRAFTED BY: DOUG7.AKLER PROJECT: #7192-01 DATE: 6/27/13 SHEET 1 OF 2
03/13120
Parcel 042-1039-40-010 PAGE E 02:14 PM
1 1 OF 1
P
F 1
Alt. Parcel 15.29.18.231B-10 042 - TOWN OF WARREN
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
08/26/2013 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
0 - HARWELL, DAVID W
DAVID W HARWELL C - HARWELL, DAWN M
DAWN M HARWELL
767 ALDRO RD
HUDSON WI 54016
Property Address(es): * = Primary
* 953 120TH ST
Districts: SC = School SP = Special
Type Dist # Description
SC 2422 SCH D ST CROIX CENTRAL
SP 1700 WITC Notes:
RETIRED 2013 042-1039-40-000 FOR CSM
26-5956. NEW FOR 2014 LOT 1
042-1039-40-010; LOT 2 042-1039-40-020;
Legal Description: Acres: 2.500 LOT 3 042-1039-40-030.
SEC 15 T29N R1 8W PT SW NW LOT 01 CSM
26-5956 Parcel History:
Date Doc # Vol/Page Type
08/27/2013 984879 WD
08/26/2013 984739 26/5956 CSM
04/06/2005 791536 2779/005 WD
Plat: * = Primary Tract: (S-T-R 40%160%) Block/Condo Bldg:
* 5956-CSM 26-5956 042-2013 15-29N-18W SW NW LOT 01
2014 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 02/12/2014
Description Class Acres Land Improve Total State Reason
Totals for 2014:
General Property 0.000 0 0 0
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