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008-1020-70-000
Wisconsin $OepartmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515256 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Sussner, Gerald Eau Galle, Town of 008- 1020 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /6e) R� 1 GET 07.28.16.100A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 0 t , CAPACITY STATION BS HI FS ELEV. �ot,f41 z •S /dz •S /cam Septic Benchmark Dosing "Li! � f / Alt. BM Gv. X 01 6 s ew c ,-� /5.1:1 7,.� .Qapatwn o - P /o t ‘0 ' Bldg. Sewer Z , ' /, s Holding l �„� St/Ht Inlet 7Z.2 q4) . St/Ht Outlet TANK SETBACK INFORMATION N...., TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ' N■i.... ,.7 /AO 3 ADZ. �^ _ Z( Dt Bottom Septic 74), Dosing , J10 / i J Header /Man. 5' 7 /a .c02. y6 #S Y. c)5 AS Aeration Pipe 'V. t6 x.45 _____________ Holding Bot. System y� S`7 975 Final Grade .7.16— s AS PUMP /SIPHON INFORMATION . 7.16— Manufacturer Demand St Cavity) � S GPM Yu/ A.4p 66 v -e.✓t ' 0 7 Model Number I,itj6 —7 i% 11 Z - o Q J 6' / 9L. TDH Lift Friction Loss System Head TD 7 7 t 'Lift S . 1 4 , ( 5(D -� Forcemain Length r Dia. / r Dist. to Well Z66 Z lip.OL SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No. Of T nches � PIT DI ENSIGNS No. Of Pits Inside Dia. Liqu Depth DIMENSIONS 4, /as e 1 �„ �.._,_, i\ SETBACK SETBACK SYSTEM TO P/L BLDG /// WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION / CHAMBER OR TirT1 /y y UNIT Model Number: DISTRIBUTION SYSTEM 4141", Header /Manifold i Distribution # / x Hole Size � it x Hole Spacing V Air Intake 3 Pipes) �[A J � ` r/fQ 2 / V e JJ Length 3 Dia /+ Zvi Length /" /' D i a 1 a G3 Spacing iz '� ii SOIL COVER x Pressure Systems O nly xx Mound Or At - Grade Systems Only JVin..... Depth Over I Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center /, 5 . z Bed/Trench Edges � 1 f Topsoil Yes No Yes No J COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: G i / at)/ lb Inspection #2: / / Location: 449 Hwy 63 B win, WI 54002 (SW 1/4 SW 1/4 7 T28N R16W) metes & bounds Lot a I e SQ Parcel No: 07.28.16.100A r 1.) Alt BM Description = o ' 1 6cd P `'J �' / 2.) Bldg sewer length = 5 / PIn t� Ro L.J d k_ - amount of cover = Q / 1st r [ f i Plan revision Required? Yes No 11) # nsepcto — — , (R.* . 'i Use other side for additional information. 11 Date s ignature Cert. No. SBD -6710 (R.3/97) ` S f t d Buildin s Division County ~ commerce.wl.gov a e y an g 201 W. Washington Ave., P.O. Box 7162 ' Madison, WI 53707-7 2 i~cor~~~n ~ nl CY _~X_____._ Sanitary Permit Number (to be filled in by CoJ ~ S~sZ 5 ~ oepa~ ~ t,~ ' State Transaction Number Sanitary Permit Application ~ i!1R t ~ ~ 3 s . In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this farm to the appropriate govemm Note: Application forms for state-owned POWTS are it Project Address (if different than mailing address) . unit is required prior to obtaining a sanitary perm submitted to the Department of Commerce. Personal information you provide may be used for secondary S - ~ ~~~ ~ ~~ tats. - ur ses in accordance with the Privac Law, s. 15.04 1, m I. A lication Information -Please Print All I orm parcel # ~ Property Owner's Name ~a ~' - D'.2 p -' - ®a0 Y , , . Property Owner's Mailing Address Property Location ~ /~~ .~ tL'7~`I $T. GRQI?~ ~~~~~ ~Idl d i Govt. Lot ~'/s, Section ~_ ~G~ Y. e Zip Co City, State ` , (circle one},., R~ Eo 2~ N DO 2 ' ~ ~ II. Type of Building (check All that apply) d,k, ~ Lot # T ; T Subdivision Name or 2 Family Dwelling -Number of Bedroom /lo feoN.b i /~,. Block # ~t ~Z A!'z~!° 1\ ^ Public/Commercial -Describe Use ~'fete_~ . ^ City of _ CSM Number ^ State Owned -Describe Use ~~ ^ Village of Town of .~~ u i~ ~~~` (o k Oa e L 703~D~ iII. "hype of Permit: (Check only one box on line A. Complete line B if applicable) `~~ ~Iew System ^ Replacement System ^ Treatmondi-lo{ding Tank Replacement Only ^ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New Before Expiration Owner O ~f IV. T e of POWTS S stem/Com onent/Deviee: Check all that a I d ^ At-Grade 0 Mound ? 2A in. of suitable soil Mound < 24 in. of suitable soil // ^ Non-Pressurized In-Ground ^ Pressurized In-Groun ^ Pretreatment Device (explain) ^ Holding Tank ^ Other Dispersal Component (explain) - V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rat {gpdsfl Dispersal Area Required Dispersal ~ oo A w. 1 Area Propos (s System Elevation ~ 4~ ~3 / ~ ®~ ~~~ j Capacity in Total # of Manufa VI. Tank Info G s Gallons Units fl cturer ~ ~ ° ~ ~ U ~, ~' on a n I ~ ~ L~ ~ a V ~ ~„ r~ w C7 a New Tanks Existing Tanks 7 ~ ~ Septic or Holding Tank J ~D ! ~ ~`~° ~ C Dosing Chamber ! G VII. Responsibility Statement- I, the undersigned, assume responsibility for installation otthe POWTS s wn on the attached plans. P RS Number Business Phone Number Plumber's Name (Print} Plumber's Signature ~~ 7 4' ~l : p~G- 3l -mil 'e~ yn ~~~~ !~ Plumber's Address (Street, City, State, Zip Code) Jd 7 .Sc ~ ~~ ~ ~ VIII. Coun /De artment Use Onl Permit Fee Date Issued Issuing A ent Signature Approved isap $ ~Z /' dp 5 /3 ~o / er Given Rea for Denial IX. Conditi~~~~~i reasons for Disapproval ~~ ~v~ ~~ ~,~ pCf.t~~ // ~~it J ~ ~- , Pd ~ 5 I "'i: Septic tank, efflu~ntfilter and ` ervices /maintained tY-t)6 j- iMe.G~ a. ll b t tl U /n~ L~ J C+ KP.~Ji (Q.trt.CN~ V e s mus a dispersal ce as per management plan provided by plumber. ` 2. Alt setback r'sdtGrements mllst 6e maintained y 1 ~ - ~ .•i.~_ - ~ ' _ /~ ~.~,..lo .~nnre.~ Q lrl/e.~ %ti floc to comp ete p ans or t ~e system and submit to the County only on paper not less than 8 X12 x t t in t in size SBD-6398 (R. 02/09} Valid tluv 02!11 r So.Y e dafica.~'on ~%~ ca/. ~ / - /1e~' a,21~ ~a ~1, - r' Su r SSd t_o Ger y GSner~J ~'7 u..z,~y. ~„ swi~.s~yy, .scc. ~TZBa, ~/6 w, ~ .ZO - ~ .6 !~r-cfi i)'lir~~(!• 7efc~'%c~ic 0 ~4GraS Ct tit~rtS~i`••c~-a.~Sc~ CdrnGr: ~ fxinq 31. ~ ~ E'le v': = /cam. ~ (/ _; ~ _ .F-- ~ ra /L/ drive u.7 Qy ~ h/wy. lo..i ,~ Bi ~`~" e ~ y'' S ~ 3 Cu,~¢cx` ` - - - - - 95 3`9 =3~SD' ~ _ ----__ _ - -sys~., a~~ 9/.ccC_ - ---_----- ''- ~ ~fr ve~/ ~a-r~C,. ~ ~/~rdL w- ~ ~ ~ ~ ` `~ ~Xi3~i~y cJG// ~~S4ec/,SErc~cf~i~ 7~ ~ (/ to 6c Con~ar-ftir1 s ~cS~ olcyrce ~ ~o .\ .\ ,~ ro ~5~ f/ "6K: /dlruy Se ~.c5cr Pr'oPas/c~ t.Jresei Ct~rc,~'c~ ~ /!~~y~,~ ,~L -S.~S eff/uhTE ~'/~~+'Q.'~.SZ~~ ~nX~Ou L~LC. ~. ~ ~ ~ SSA ~~'°~ u..f,ywy l,3 d e4~.rr /I C~/GY~ i ~ ~/C u`: = /GYM. ~ , n ~, ~~ u ~i ~~ .~ ~ ra /L/ drive uJ ay tD h/W)! lo.~ 8~ 95~~• 1 ______--- -_. 9~.u~ `~ '--- - -SySts~n c~eQ ^~- J ~ ~ ~"ro~o.scd i~u-.-~da-~ 29.G7,i'~~s7/~ ~~ ~ ~ . ~ cam/ lo'X/~~°~:3/~'rsq~CL//. ~u.~~y~ ~ ` F ~/~~~~i~'.CGS ~UCe~Gt.L~.2.O~. _~ X90 =h~ ~ ~ `U - ~ \ ~a.~'- ---- -----------~~' ~ , \ \ ~ ~ G de~ \~ \~. ~ ~,Yi3~ 9 ~ 1 ~ ` ~ to ~\\ ~\\ ,. ``~'. i • ~"" ~S. CdrnGr: ca/ ~ / = ~e~ "?J5~ Gerry Su(aSnei~Jr'o~~' 1 swryseyy, s~.c. ~ Tzar, ~ /6 ~%., ~ ~ aI'eS'G ~/ham} Tn ' o{'Bo/oiWiil, .S f.. C!'O i~ ~. , Gy O `Jc /. ~`C222-/0.20. ~O-Ct~ ,1.^ bCinq 3~.G~CLG~c.S Top oEwe~l ~.'le~'9.2.8/ E~s~~, \ Eo 6c Coti~c~( ~CS/ cle HCe / "6cc: /c~inq SGU9c proPasc..~ t,JfeSei CEnc~c~e /~, 8 ~ 9 commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 . Contact Through Relay www. co m m e rce. w i. g o v/s b/ www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary December O1, 2009 CUST ID No. 227990 WILLIAM C SCHUMAI~ER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIltES: 12/01/2011 SITE: Gerald Sussner Us Hwy 63 Town of Baldwin St Croix County SW1/4, NWl/4, S7, T29N, R19W Identification Numbers Transaction ID No. 1743356 Site ID No. 753365 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: r Description: Mound, 4 bedroom residence Cp1t Object Type: POWTS Component Manual Regulated Object ID No.: 1249454 Maintenance required; 600 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade; System Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version pEpA1 2.0, SBD-10706-P (N.O1/O1), SSWMP Pub. 9.6; 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 constructe SEE 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: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above fmished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. WILLIAM C SCHUMAKER Page 2 12/1/2009 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Patricia POWTS Plan Reviewer , tegrate ervices (715) 634-7810, Fax: (715 - 150 , M-th 8:00 - 4:45 p at. shandorf@wsconsin. gov Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ .0.00 WiSMART code: 7633- cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Monday, 7:00 A.M. To 3:30 P.M. ~, Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings .Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www.commerce.wi.tov/SB/SB-BuildineContractorProrram.html commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 Contact Through Relay www. com m e rce.wi. g ovlsb/ www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary December O1, 2009 CUST ID No. 227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 ATTN.• POWTS Inspector ZONING OFFICE ST CROD~ COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/01/2011 SITE: Gerald Sussner Us Hwy 63 Town of Baldwin St Croix County SW1/4, NWl/4, S7, T29N, R19W Identification Numbers Transaction ID No. 1743356 Site ID No. 753365 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: T Description: Mound, 4 bedroom residence COl Object Type: POWTS Component Manual Regulated Object ID No.: 1249454 Maintenance required; 600 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade; System Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version pEP 2.0, SBD-10706-P (N.O1/O1), SSWMP Pub. 9.6; 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 constructe SEf 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: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Gerald Sussner 4 bedroom residential mound Owner's Name: Gerald Sussner Owner's Address: 449 Hwy. 63 South Baldwin, WI 54002 Site Address: XXX Hwy 63 Legal Description: SW1/4 SW1/4, Sec.7, T.28N., R.16W. Township: Eau Galle County: St.Croix Subdivision Name Lot Number: Parcel I.D. Number: Plan Transaction No.: Na .~~;C.S• lly • ona Na Block Number: Na tt1 ~ ~ 008-1020-70-000 ~O _.~ O>r '~ 5P~ Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Bill Schumaker Date: 11 /11 /09 Signature: C,cJ.,~~l- _ ~~./•~,._= __ License Number: Phone Number: 227990 (715) 386-3121 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/p1), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 9 ~~~3 ~ ~ Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (R or C) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 6.00 Site Slope (%) 95.50 Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cetl Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 285.00 Forcemain Length (ft) 79.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 17.83 Vertical Lift (ft) 9.93 Friction Loss (ft) 0.00 In-line Filter Loss (ft) 34.26 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x x 1.50 x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 6.00 ftz/orifice Does the forcemain drain back? [~ Enter Y or N 46.49 Forcemain Drainback (gal) 62.76 5x Void Volume (gal) 109.24 Minimum Dose Volume (gal) 41.19 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x x 1.50 x 2.00 x 3.00 Gallonsllnch Calculator (optional) Treatment Tank Information 757.64 Total Tank Capacity (gal) 1250.00 Se tic Tank Capacity (gal) 47.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 16.12 gal/in (enter result in cell B49) Dose Tank Information Effluent 1=filter Infonmation 757.64 Dose Tank Capacity (gal) Pol Lok ~ Filter Manufacturer 16.12 Dose Tank Volume (gal/in) PL-525 Filter Model Number Wieser Concrete Manufacturer Project: Gerald Sussner 4 bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views 1- 1 .................................................. ~~~ 1/10 B .~:~:~:~:~:~:~:~:~:~:~:~:-:~:-:: :::::.............::::.:.:.:.:. Observation Pipe K ~.r.. .,Le, . ,.a,^...,. „ti.,^.,e,., ~,., ,~..,.,.,,.,. ,. ..r, .~. .~. B -T -} -~ -1 Mound Component Dimensions A 6.00 ft E 32.32 in H 1.00 ft K 12.85 ft B 100.00 ft F 9.25 in z 14.50 ft L 125.71 ft D 28.00 in G 0.50 ft J 9.16 ft W 29.67 ft 600.00 (ft2) Dispersal Cell Area 2050.30 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.60 (ft) ~;,,,,,.. G 1 H ............... . Dispersal Cell 98.33 () ateral Invert D :© ....... .~_:~ 6.0 % Site Slope Shading Key ~ a ~- Topsoil Cap 1 5 ft """" Subsoil Cap c ~ ,`o r . ® ASTM C33 Sand ~ ~ ~~ Tilled Layer ~ ~ 0.5 ft © f~~~.~:~~. Aggregate ~ o T 50 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Gerald Sussner 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Diagram Face mai n aorwiectan via tee a Dross co manifold at ~ point. Lacecals are idernie al i P S .~k •• turn-upcattasllvatwor ~Fx--~'Ex/2 ~-Z•~~ Lacrrals~fa+oem~nofFYCSoh40 etasnauLplup per COOMAA Tilde 84,31!•5 Holes AriMed on the botttxn of the lateral. Number of Laterals 4 Orifice Diameter Lateral Diameter 1.25 in Orifice Spacing (X) Lateral Length (P) 49.25 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density Lateral Flow Rate 10.30 gpm Manifold Length System Flow Rate 41.19 gpm Manifold Diameter Total Dynamic Head 34.76 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -'- Comm 16.28 WAC Disconnect ~. 0.1251in 2.01 Ift 25 6.00 ft2/oril 3.00 ft 1.251in 4.21 Ift/sec Locking cover with warning label and locking device and sealed watertight I 4 in. min. Tank component is properly vented Wieser Concrete Ca aci 757.64 Volume 16.12 Manufacturer Gallons gal/inch ~- A B C D Dimension Inches Gallons A 26.22 422.72 B 2.00 32.24 C 6.78 109.24 D 12.00 193.44 Total 47.00 757.64 3" Bedding under tank. Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds __~ Pump Model Number 3885 WE07H Pump Must Deliver 41.19 gpm at 34.76 ft TDH F- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device Pum off elevation (ft) 80.00 Do• se tank elevation (ft) 79.00 Project: Gerald Sussner 4 bedroom residential mound Page 4 of 9 Mound Svstem Maintenance and Operation Specifications 'Service Provider's Name ~ Bill Schumaker ~ Phone 715 386-3121 POWTS Regulator's Name St. Croix County Zoning Dept. Phone 715 386-4680 Svstem Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ,•..••......... ............... .............. Grade vl 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Gerald Sussner 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0SBD-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance pvith Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shalt be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing} tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contin4encv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. ff the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and'dspersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 ~GOULDS PUMPS Submersible Effluent Pump 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: 3/4" maximum. • Discharge size: 2" NPT. • Capacities: up to 140 GPM. • Total heads: up to 128 feet TDH. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. FEATURES ^ Impeller: Cast iron, semi- open, non-clog with pump-out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. ^ Casing: Cast iron volute~pE for maximum efficiency. 2" NPT discharge. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ~~~ 200Z Goulds Pumps Effective October, 2002 63885 ^ Shaft: Corrosion-resistant , stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ^ Fasteners: 300 series stainless steel. ^ Capable of running dry without damage to components. ^ Designed for continuous operation when fully submerged. MOTORS ^ Fully submerged in high- gradeturbine oil for lubrication and efficient heat transfer. ^ Class B insulation. METERS FEET 40 ~- 130 °._. r ,-_..I" E15Hk ~. ~ ,._.. l 120 E ~~ 35 110 ~ wE2 H 30 100 -- ~ 0 90 - 25 ~ 80 _. _.""_ _ a zo 70 0 H..,- _. 60 0 wEO n a 15 ~ 50 EO H . _ ,o ~ 40 ~__~. _-~ . 30 WEO M_ _.; ._._... a ~. ZO wE01~ r_ 5 I ' 10 r .._ , .. , ~ .,. 0 0 0 1 0 2 0 3 0 Single phase: • Built-in overload with automatic reset. • All single phase models feature capacitor start motors for maximum starting torque. •'/sand'/z HP-16/3 STTOW with 115, 208 and 230 Volt three prong plug. • 3/4-2 HP -14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. •'/z-2 HP -14/4 STOW with bare leads. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage when fully submerged. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Optional lengths are available. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS S ~ ® Tested to UL 778 and CSA 221 108 Standards By Canadian Standards Association C US File #LR38549 Goulds Pumps is ISO 9001 Registered. ~ ~ SERIES 3885 r ._.._ SIZE '/4 SOLIDS I ... ... _- f --.. __.. RPM 3500 & .__` } .. ~ _ 1750 _ y---~SGPM S FT ~ ~ .._1. _' i _. 50 60 70 80 90 100 110 120 130 140 150 160 GPM 0 5 I10 15 20 CAPACITY www.goulds.com 25 30 35 m3/hr Goulds Pumps ~,. ITT Industries "v ~ ~ ~~I' Wisconsin Department of Commerce Division of Safety and Buildings ~~-in SOIL EVALUATION REPORT '~'~""°°"""~' in acrnrdanra with rnmm R5 Wic Adm. Cnde 2195 Page 1 of 4 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8%2 x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 0 X1020-70-000 Please print all information. eviewed y Date ' Personal informafion you provide ay be usltl Ef~SSrE7R~ry~~~tPriv~y , s. 15.04 (1) (m)). ~1~~~C•~vGC~~ YY GG VV ~~t~t ~ ~,. y (] ` Property Owner Property Location Gerald Sussner Govt. Lot SW 1/4 SE 1/4 S 7 T 28 N R 16 W Property Owner's Mailing Addres Lot # Btock # Subd. Name or C SM# 449 Hwy. 63 So. City S ~LXiAt(11~d~~11t~0Apfi;IE ~ City ff Village y_f Town Nearest Road Baldwin ~ WI 54002 (651 - 2 ~~~` .Z U.S. Hwy. 63 New Construction Use: y~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement ~ Public or commercial -Describe: Parent material Glacial till Flood plain elevation, if applicable Na General comments and recommendations: Sites ' Trtotmd~with-C>~90'.diBpersal Ile Mm u -'~ystem„elev. = 97.42' at 23" above 95.50' cunt r. See memo page for design & installation considerations. ~'° _~ Boring # J Boring r~' Pit Ground Surface elev. 95.46 ft . Depth to limiting factor 2 ~ ~~ in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stn~cture Consistence Boundary Roots GP Dlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/3 none sil 2fgr mvfr as 2f,1m 0.6 0.8 2 9-14 10yr3/4 none sicl 2fsbk mfr cs 2vf,f 0.4 .6 3 14-21 7.5yr4/4 none scl 2msbk mfr Lw 2vf,f 0.4 0.6 4 21-25 7.5yr4/4 f2f 7.5yr5/8 sl 2msbk mvfr aw 1vf 0.6 1.0 5 25-32 7.5yr5/6 m1 p 7.5yr4/6 sc Om mfi - - 0.0 0.0 Boring # Boring Pit Ground Surface elev. 94.00 ft. Depth to limiting factor 14" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlttz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/3 none sil 2fgr mvfr as 2vf,f 0.6 0.8 2 8-14 10yr4/4 none scl 2fsbk mfr cs 1vf,f 0.4 .6 3 14-18 10yr4/4 f2f 7.5yr5/8 scl 2msbk mfr cw 1 vf,f 0.4 0.6 4 18-30 10yr6/1 m1d 7.5yr4/6 sc 2fsbk mfr - - 0.2 0.3 * Effluent #1 = BODS> 30 <_ 220 mg/L nd TSS >30 < 50 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signat e: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceola. WI 54020 11/7/2009 715-248-7767 u ~~ ~ „ CGC//~t'~ ~ l~y-~c.jr i'Ylar~E!• Ti. r ~+is~i-,.cer~ a~ S _--_-I ~O ~G/, #0222-/ozo.70-~ :~J'~c ~xinq 3?.d)acrtS G~'~O C/ ..~-- ~ r'a /el ~ r i ve c.v ay ~ hwy. 10.3 ,~ " 8~ ~ ~ y~- 5 .~ 9s. y9, d3 - _ ''~~~ • 95!~ - -------------- 93.x' 1 ~' __ - ---- - - - - - - _ __-_ ~ SyS~ pert 9/G2 • ~ ~/'rde, E.B. TopoE~rl ' ~7 ~ to 6.c Con ~~( • ~ ~ ~~1~.-,. ~cs, alc„ce / a ~5' • EXi~3t~In9 ~~~ eleu` ca/ ~ / = G'e~rySubSnei~r'o~~y swr~.s~yy, .scc. ~ Tzar; ~P ~6 w., ~~~ . ST. CR{NX COUP~"~'Y ` SFP'i1C ?ANK MA.~A~N~F .AGRF,~M~T, QV-'~TARSHm' CER?li~iCAT10t~3 FORM ~)Wi1.Gf/I~ltyCt' .,,~?...~ s'.?: c~- ='--,~'s"'~'.~a..T._~....._-- ~ ~h ,~ alb tom' ~ `~/ ~,! ..~. ~Do~ .....,_~... tvinilittg Address ___w~~-~~--~~ ~~ /~ _ Addt'ess „~ ~~...~~ :~.....-....-~"~""""`"'"'" nt for asw consttuuti<zn.l lyrap-ct'ty .. d from Plstrnut~ ~: Zuru»E n~~~ (Voti~caaon x~l'-~'o rJ c ...~a _ a °___~-__ (`;itylStatc „ a , ~ ~ °,_ .._....... I''arcot Idcnts.ficttiaa h~utnhes' ,,,,~~.'-.-~~-- . ~r.~ n~rar~tPTIOIV ~ ..~ IlG l,,ocationaP_..~ `f• SLR tea > Sec. _ ~ .... T _~~.-N R.,~~ w+ Tc-wn a~" ~ ~ a' _ . ~ ..~ Yrap!erhr , Lot ~ ~/ ,l ~... r.w..._~._++~ ~"erli~d survey Mst~ ++ ..~...-....._. ..._~~~ ~,, .1..~~.-- ,volume _ ., --~-----r-' ~a # -_._...--.---^ wxrrne-t~+ Dead i~ _ ,.-----..........~ ert /~ t.ot lu+eo identittsble yes n0 `!ipac ktausr Y v tzr~tapor use snd ttaainunutue at` your aaspric +yssann eould teattlt in its ps'ertsettue tki~urn to h:ndit waa4t~. Ytoper tt irno ry ar aooaex, :t naedxA, by a h<xasecl Wiz. Vt'2xt Y~ le t„aurteeance cageit~tta of pwrnping ®~tt the asPtic tan>< ovary drroo yea scut Owner trptietecnsrtco the systotn asn at'fnct vita furtenon of ttto xcptic tank as M ttoatrswttt stage rraix C:vaac~Sar-itorY adtnuk:e. ,w, gsansil~ilitias eta ~CCitinrl ln. eractm~. s~,xz(i) ash 'ri 'i>~Er 12 - bi t ~ ccrtif-cstion lbtm, alined by eta Flotuting & Zoniag ~ ~ I the rafl•aitt ~r 1~Pe~3' owner ogress to twbmet u~ St, C'raia Gounty ~ ar a liautaod pRtm~er verifyit-$ () ~ do gatic is awaer and by a maNor pltsmbet, jotuueytt~n Pln+~'• rescri~eted p ties and ptua~pmg (~ ratty)' ~P waawwsoeK' diapoaal sys~ is in proper ur,~r++~R ~~ttwn aa~cx (Z1 ~ irspet% Zrss thin lip tu1Y ai sludge. teal sYatc~ with ttte vttta towage dir}x lJrt~e. the t~de~+rsigtKUi hove road fhe above teyt:treuae+tts tnd agree to trwitttatn the ~ s ,ltsrte of WisconAit-, ut' Naaum-i Reaoucoo , rho tdsusnt of Ca~wroa aad the Ikpaamrut en ttss 9t. ftttix Cot>ttty Pllanat».B ~. ttarrdatdea sat forth. ltera~ as eat Dy CtAifecaticrn rtatirtg t11at year eot~ sYa40"' ~ 'beeo t+nei»tuuned ~~ ba coatplctad aa~d xts+t+anod Loait~t Daps*trttertt ~vitAia 3Q dtya ot'tbe three yew exptrntiOD date. Tlvrn certify that afl mteto~a on this farm and tn:.o m th+s beat ~o~ o~ iAeeds UPfiaee. Uae amrarc the oan-er(s3 of the ~,rapecty dcs~xtbed above, by virtue at a warteKtY deed worded .n Rog' Ntuaab~• o[ bedruoaa~ ..~,.~ ...__ x s~i 3 / rG ;~ ~~ _ _.._-_.......~.. UATE ~~`' S1CiNATURE O~ APPLi ~-NT~S) w»» t vottcd b!'thT Ytanning ~ f.,c+y+ralt ~'P~''"m• anted rpty reaalt in thr satall#r'Y pts~mrt bdug .t • «~ Arty ittk--a that is ruiat^~n'Q~ nut, it rit+:l:xie with thi! uppltcrexfon A rex-onf j1 warri-'+rv aeetl frt>nt Iles Rr~1~ct' of T)er..ci:+ t7ftirt' xnQ o t:apy ax the carti}"trd atxw•Y raftrenre is made iq the'a'arttanh` ~~ (RRV. OtfN'!il U. 2113P 160 STATE BAR OF WISCONSIN FORM 3 - 2000 QUIT CLAM DEED Doctunent Number This Deed, made between Marv A. Sussner Grantor, and Gerald L. Sussner Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): The SW fractional 1/4 of Section 7, Township 28 North, Range 16 West, EXCEPT one square acre in the southwest corner and EXCEPT beginning at the SE corner of said one acre parcel, thence easterly 1,054 feet, thence northerly 400 feet, thence southwesterly to the NE corner of said one acre parcel, thence south to point of beginning, as recorded in Volumes 806, Page 556 and 801, Page 373. THIS CONVEYANCE IS MADE PURSUANT TO A MARITAL SETTLEMENT AGREEMENT TO BE INCORPORATED INTO A JUDGMENT OF DIVORCE RENDERED IN THE CIRCUIT COURT FOR ST. CROIX COUNTY, WISCONSIN, CASE NO. O 1-FA-390 Together with all appurtenant rights, title and interests. 7~lEa 1 50 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIK CO. , WI RECEIVED FOR RECORD 01!16/2003 01:15P![ EXEMPT # 8M REC FEE: 11.00 TRAAS FEE: COPY FEE: CERT COPY FEE: PAGES: 1 Name and Returt Address Gerald Sussner 449 Highway 63 South Baldwin, WI 54002 oos-logo-7o-000 Parcel identification Number (PIN) This is not homestead property. Dated this ~ day of December, 2002. *M sner AUTHENTICATION Signature(s) Mar~A. Sussner authenticated this ~ 8~day of Dec ber , 2002. - ~/~ ~ ~' * a~ba ra t' tr TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 70b.06, Wis. Stats.) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County ) Personally came before me this day of , 2002, the above named to me known to be the person ~ who executed the foregoing insttwnent and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Barbara K. Miller. Miller Law Office, S.C., 615 1/2 2nd St., * P.O. Box 377, Hudson. WI, 54016 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary.) My Commission IS permanent. (If not, state expiration date: , -•) 'Names of persons signing in any capacity must be typed or printed below their signature. QtfIT CLAIM DEED STATE BAR OF WISCONSIN FORM No.3-2000 Il ~'~ ~`~'ZQ7ld/~~ ~ P ~ - ~ 1916 ~ SOIL EVALUATION RE page 1 of 4 Diuisan of Safety and Buildings in acxordance with Wis. Adm. Code A.C.E. Soil & Site Ev~uations ~' County Attach site plar- on paper rwt less than 8'~ x t 1 io ~v~AEJ~ must St Croix include, tart not (boiled t4: vertic~ atd txxrzontal reference point (~, percent sbpe, scale or drr~msions, north arrow, and location and dis ~ road. Parcel I.D. 008-1020-7 0 ~ ~ a r Reviewed By Date ifianration you ray useel« ~. ~ t ~ /S ds ~~ JUN ~ 2 2005 Govt. Lot S12 1/4 SE 1,r4 S 7 T 2s N R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ,,. 449 Hwy. 63 So. ST. ~R~IXCOUNTY ~ ~~ ~~~~~ City Stye J City ~ 1~illage N Town N Road ~`I~ Baldwin l WI 154002 1 (651)307-0722 Eau Gabe U.S. Hwy 63 _y! New won ~= /~ Residential ! Number of bedrooms 3 Code derived design flax rate 450 GPD ~f Rrt ~) Pubfic a commercial -Describe: Parent material Glaa~ t~ Flood plain elevation, if applicable na General oommer>Ms and rExorrnrrendations: Site suitable for mound 4' x 112.5' dispersal cell. Minimum system anon = 97.67' at 1T' above 96.25' contourlSee Memo page for additional design considerations. ~` ~ ~ ~ ~~ r Pit Ground Surface elev. 94.14 ft. pepth ~ limiting factor ~ ui. Sod Application Rate # ~ Horizon Depth ~. Damirrant Cobr Mansell Redmc Description tau. Sz. Cont. Cabr Texture Stricture Gr. Sz. Sh. Corrsisterx:e Boundary Roots (iP `Eff#1 D/ftz *Eff#2 1 0-7 10yr3/3 none sd 2tsbk mutt cs 2f,1 m 0.4 0.6 2 7-15 10yr413 none sd 2fsbk mutt cs 2f,1 m 0.4 0.6 3 15-22 10yt6l8 none fs Osg ml cw 2f,1m 0.5 1.0 4` 22-36 10yr6/8 f2f7.5yr5/8 fs Osg mfr gw 1f,m 0.5 1.0 5 36-65 10y16l4 m2d7.5yr5/8 SSBR Osg mfr - 1vF,f 0.0 0.0 H1r4 & 5 of many stratified layers of 10yrBJ8, 10yr7A3, 10yr5/6 Osg fs, & 7.SyrM6 Om Ifs too numerous to differentiate. f•MIS identified ~ bedrock ~ defined by resistance to penetration. o ~9 # ~ P~~ Grorurd Surface elev. 94.74 ft. ~ to Urniting factor >40" ~ in. Sort gpplicatia~ Rate H i De th Domarant Color Redox DesaQtion Texttue Stnx:ture Cor>,sisterx;e Boundary Raots GP Dlft= or zon p ar. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 •Eff#2 1 0-12 10yr3l3 none sit 2fsbk mutt cs 2f,1mc 0.6 0.8 2 12-18 10yr413 none sit 2fsbk mutt gs 2f,1 m 0.6 0.8 3 18-26 7.5yr41~6 none sd 2fsbk mfr cw 2f,1 m 0.4 0.6 4 26-40 7.5yr4/6 none Is Osg mi - 1vff 0.7 1.6 Eftk>ent #1 = BOD ~ 30 <_ 220 mglL TSS >30 < 1 mglL ' E #2 = BOD <_30 mglL and TSS <.~0 mglL g CST Number CST Name (Please Print) !~_ ~~ James K Thompson Address A.C.E. Sod 2li Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane 154020 5/24/2005 715-248-7767 ~``~ j ~~ ~,~,~~ SOIL AND SITE EVALUATION 1916 Page 3 of a PROPERTY OWNER: Gerald Sussner PARCEL LD.# 008-1020-70-000 A.C.E. soil & Site Evaluations REPORT MEMO Site contains unusually heavy A & B horizons. Deep chisel plow si#e prior to mound construction to a depth of 18"-20". Linear loading rate should not exceed 4.0 gal./linear/ft -limiting site to construction of a three bedroom residence. Recommend adding 4" - 6" additional ASTM G-33 sand beneath dispersal cell and increasing basal area to 3,500 sq. ft. to provide additional infiltrative area. • -. ~ ~,vs6'n~ 9rac% e% Sca/2:/ = s~0' ~~.r~ ~ ~y~- ~/Jvs-~. /a~ Uney. ~~ 3~~=` A/E. B.nt.: TDP of'.S•brel f'inc~ post- E/e/~ : /ot4/s~' ^ 8~ ~~ Gt. s. ,may. ~oo.~' R'°~°~~ ~ 3 btd~a~.. a ~ c! ea/ ~ ` Qe s, de.~ee s 4 eo/%w'2~ i ~ / 9~.zy' '1 `\ i 1 1 ~` 1 d3 ii I 1 1 l 1 1 I 98.0' s ,1 1 5~ d (p e/a/~ Sussner~0/'oP•~ Ea a 6a //e, SE.. C'roiX G, ~.J i. i8Z , .~ ~,~ y 90 ~~ 51~ t t 1 i 9y ~, , i ~ ~ o ~ ~ ~ 9 7~t ~ 1 S~O/~ J ~ ' a 9~c. ~„~ / . f 4 ~-~ %~ ~,0' ~~~.~.. ~~ ~a~~ Parcel #: 008-1020-70-000 o2iosi2oos 01:5s PM PAGE 1 OF 1 Alt. Parcel #: 07.28.16.100A 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner ~v~-- ~~ Z ~G GERA D L S O -SUSSNER, GERALD L L USSNER / / 449 HWY 63 S ~_,._ ~1,~0 ~~U ~ L' -~~ v~~ ~%~ BALDWIN WI 54002 fvr~;~ S~v' ~/ ~ j ~~,:~ Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 32.000 Plat: N/A-NOT AVAILABLE SEC 7 T28N R16W S1/2 OF SW FRL 1/4 EXC 1 Block/Condo Bldg: SQUARE ACRE IN SW COR &EXC BEG SE COR SD 1A TH E 1054' TH N 400' TH SWLY TO NE Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) COR SD 1A TH S TO POB 07-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/16/2003 706150 2113/160 QC 806/556 801 /373 547/164 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Change d: 06/01/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 7,500 22,600 30,100 NO AGRICULTURAL G4 23.500 2,600 0 2,600 NO UNDEVELOPED G5 1.000 100 0 100 NO AGRICULTURAL FOREST G5M 6.500 2,500 0 2,500 NO Totals for 2008: General Property 32.000 12,700 22,600 35,300 Woodland 0.000 0 0 Totals for 2007: General Property 32.000 12,700 22,600 35,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00