HomeMy WebLinkAbout004-1074-90-000
County
I6M:D Safety and Buildings Division St. Croix
201 W. Washington Ave,, P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
_.e
PS hB 18 23`I5 Madison, WI Z3707-7162
~~207.3
OIX COUNTY
COMMUNITY ry ermit Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission ofthis form to the appropriate governmental unit 2668971
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to project Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1) m), Slats. Stitm
1. A 6cation Information - Please Print All ormation V~
Property Owner's Name erL 4e Parcel # S', yffBiL}
Brandon Schofield 004-1074-90-000
Property Owner's Mailing Address Property Location
1820 Windmill Dr. Govt. Lot
City, State Zip Code Phone Number _SW _NW _'/o, Section _31
(circle one)
Baldwin, WI 54002 (715) 760-0395 T 28 N; R 15 E or w
II. Type of Building (check all that apply) Lot #
❑ 1 or 2 Family Dwelling - Number of Bedrooms 4 Subdivision Name
Na
Block # Na
❑ Public/Commercial - Describe Use ❑ City of
e, jlo v,_ 0 Na
C C A'-' CSM Number ❑ Village of
❑ State Owned - Describ~ Use
' Na ❑ Town of Cady
al- 76 &AS
III. Type Permit: (Check only one bog on line A. Complete line B if applicable) Z
A. New System
❑ Replacement System ❑ Treatment/Holding 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
IV. Type ofPOWTS System/Component/Device: Check all that apply)
❑ Non-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 Information: Pol Lok P1-525 effluent filter to be installed at ST outlet
Design Flow (gpd) esign Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation
1.0 Gpd/sq. ft. ASTM-C33 sand A 105.50' at 18" above
600 Gpd 0.5 Gpd/sq. ft. native soil 600.00 sq. ft. 630.00 Sq. Ft 104.00' contour
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units v o a v
New Tanks Existing Tanks
Y o
a U cis ~ rµn w t7 P,
Septic or Holding Tank 1,280 Na 1,280 1 leser oncrete Triple X
Dosing chamber 800 Na 800 1 Combination ST/PC X
VII. Responsibility Statement- I, he undersi ed, assume respTll- y for' tallation ofthe POWTS shown on the attached plans.
Plumber's Name (Print) "Plumber' Signatur MP/MPRS Number Business Phone Number
James K. Thompson 5-- MPRS 30021 (715) 248-7767
Plumber's Address (Street, City, State, ode)
340 Pauls n Lake Lane, Osceola, WI 54020
VII oun /De artment Use Only
Approved approved Permit Fee Date sued Issui enen Reason for Denial
~o - ►9
IX. Condi*M1Jf0W Reasons for Disapproval 2 / t t
1 Septirs tank, effluent filte nnri J
diapers i cell must all be ^1si ain t J.U
as per, management plan pr aed by plumber.
2 ~ AV sta
eck requirements must to Mainkined
as pw applicable code t vrd;rlancl9s.
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD-6398 (R. 11/I1)
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Mound POWTS Index & Title Sheet
Project Name: Schofield 4 Bedroom Replacement Mound
Owners Name: Brandon Schofield
Owner's address: 1820 Windmill Dr., Baldwin, WI 54002
Site address: xxx 270th St., Spring Valley, WI 54767
Project Location:
Subdivision: Na
Legal Description: SW%NW%, Sec. 31, T.28N., R.15W., Town of Cady, St. Croix Co., WI.
Parcel ID 004-1074-90-000
Page 1 Index and Title Sheet
Page 2 State Approved Mound Design
Page 3 Treatment Tank Cross Section
Page 4 Filter Specifications
Page 5 Septic Tank Maintenance Agreement
Page 6 Warranty Deed
Attachments: Soil Evaluation Report
Mater PI ber Res Ited Service: James K. Lh2in
son, DSPS Credential #30021
Signature: Date: Z O/~a
Page 1 of 6
Design pursuant to 1n-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01)
'~lpT~lF.vr°~ DIVISION OF INDUSTRY SERVICES
3824 CREEKSIDE LN
' HOLMEN WI 54636-9466
Contact Through Relay
t http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
~ e
~O 10 "N S~ Scott Walker, Governor
Dave Ross, Secretary
February 11, 2016
CUST ID No. 30021 ATTN: POWTS Inspector
I
JAMES K THOMPSON ZONING OFFICE
ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY SPIA
340 PAULSEN LAKE LN 1101 CARMICHAEL RD
OSCEOLA WI 54020-5413 HUDSON WI 54016-7708
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 02/11/2018
SITE: Identification Numbers
Brandon Schofield Transaction ID No. 2668971
270TH Street Site ID No. 821137
Town of Cady, 54767 Please refer to both identification numbers,
St Croix County above, in all correspondence with the agency.
SW1/4, NW1/4, S31, T28N, RI 5W
FOR:
Description: Four Bedroom EZflow Mound System / 6% slope
Object Type: POWTS Component Manual Regulated Object ID No.: 1586255
Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade
System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0,
SBD-10706-P (N.01101, 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 CON
requirements.
No person may engage in or work at plumbing ~ the state unless licensed to do so by the Department per s.145.06, AP
in P DEPT OF
stats. PROFESSI
The following conditions shall be met during construction or installation and prior to occupancy or use: ')'VISION OF IN
Reminders
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.19, Wis. Stats.
SEE CO
• 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)(4), Wis. Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided
per SPS 384 product approval conditions.
• The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or
soil compaction is prohibited in this area.
• 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
JAMES K THOMPSON Page 2 2/11/2016
Owner ResponsiWities -
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• 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).
• 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. "
• 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.
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.
Sincerely, Fee Required $ . 250.00
This Amount Will Be Invoiced.
4erard M Swim When You Receive That Invoice,
POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal.
jerry.swim@wisconsin.gov WiSMART code: 7633
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
Note: Effective January'l, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly
Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with
t "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to
the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered
and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed
by SPS Chapters 360-366.
EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application RECEIVED
INDEX AND TITLE PAGE
FEB 9 2016
y
Project Name: Schofield 8 bedroom mound N< IJIJSTRY SERVICES
Owner's Name: Brandon Schofield
Owner's Address: 1820 Windmill Dr.
Baldwin, WI 54002
Property Address: xxx 270th St.
Legal Description: SW1/4 NW1/4, Sec. 31, T.28N., R.15W.
Township: Cady
County: St. Croix
Subdivision Name: Na
141N
Lot Number: Na Block Number: Na ~NOV~~ ~Y
Parcel I.D. Number: 004-1074-90-000 SAFETYAND
~S
Plan Transaction No.: JV SrNY Sv/ CFS
Page 1 Index and title RV /CE`S
Page 2 Data entry
Page 3 EZflow mound drawings
Page 4 Lateral and dose tank NpENC~
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Page 9 Site Plan
Page 10 Attached Soil Evaluation Report
Designer: James C. Thompson License Number: 30021
Date: 02/01/1 Phone Number: (715) 248-7767
Signature: 5
Designed Pursuant to the
EZflow Mound Component Manual Ver. August 20, 2007,
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12)
EZflow Mound Version 3.0 (R. 3/1/12) Pagel of 10
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(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
104.00 Installation Contour Line Elevation (ft) 100.00 Contour Length Available (ft)
18.00 Depth to Limiting Factor (in) /
0.50
A In-situ Soil Application Rate (gpd/fe) J
Distribution Cell Information
9.00 Cell Width (ft) 3. 4, 5, 6, 7, 8, 9 or 10 Only 70.00 = Dispersal Cell Length (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/ftz)
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution FY
Pressure Disribution Information network? Enter Y or N
(c or e) a Center or End Manifold
3 Lateral Spacing (ft) If N above, enter the elevation (ft)
3 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
2.00 Estimated Orifice Spacing (ft) = 6.00 fe/orifice
2.00 Forcemain Diameter (in)
85.00 Forcemain Length (ft) Does the forcemain drain back? Y
94.00 Inside Pump Tank Elevation (ft) Enter Y or N
0.00 Forcemain Filter Loss (ft)
6.50 System Head (ft) x 1.3 13.86 Forcemain Drainback (gal)
11.08 Vertical Lift (ft) 94.06 5x Void Volume (gal)
3.24 Friction Loss (ft) 107.92 Minimum Dose Volume (gal)
20.82 Total Dynamic Head (ft) 43.25 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25
1.00 1.50 x
1.25 2.00 x x
1.50 x x 3.00
2.00 x
3.00 x
Gallons/Inch Calculator (optional)
Treatment Tank Information 815.10 Total Tank Capacity (gal)
1280.00 Septic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in)
Weiser Concrete Manufacturer 21.45 gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
800.64 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer
21.45 Dose Tank Volume (gal/in) PL-525 Filter Model Number
Weiser Concrete Manufacturer
Project: Schofield 3 bedroom replacement mound Page 2 of 10
i
Mound Plan View
-g J
Observation Pipe .
T
FK1
5 A
-
W [
~
. I
L
Mound Component Dimensions
A 9.00 ft E Eaft in H 1.00 ft K 11.31 ft
B 70.00 ft F in 12.95 ft L 92.62 ft
D 18.00 in G J 7.63 ft W 29.58 ft
630.00 (ftz) Dispersal Cell Area 1536.59 (ft) Basal Area Available
8.57 (gpd/ft) Linear Loading Rate 7.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
EZflow Dispersal Area
Finished Grade 107.50 (ft) -0 111111111
,,,r„r,,,,,.. ♦ H
.rrrr„rr, 2 r„rrrr, _ G 1
I F Dispersal Cell 106.00 (ft) Lateral
105.50 (ft)-► 6" Levert Elevation
Dispersal Cell .
Elevation E D 3
-VA
104.00 (ft) Contour Elevation
6.0 % Site Slope
Typical Dispersal Cell
Shading Key See Page 5
Q Topsoil Cap > w Q-
2 Subsoil Cap a. o a 7 Approved Geotextile Fabric Cover
ASTM C33 Sand d w S 2.0 ft
Tilled Layer =
~ ;;•1 ti 5 ti; F
Q r r EZflow Media
A • ti ti.
0 0.5 ft
See details on page 4 for number, size, and spacing of laterals.
Laterals are located in the 4" gravity distribution pipes as shown on page 5.
Project: Schofield 3 bedroom replacement mound Page 3 of 10
End Connection Lateral Layout Diagram
Place Ap ropriate Lateral Diagram From Right Below
Turn-up vm ball vehro or cloanout plug
P
- Z - 11 St aritice located at Z It x I All laterals aderaxal, uAh od kes e"1hy spaced.
30
Force maim connection -A& tee or cans to manifold alt arty point. Laterals b fores rnaa► OF PVC Sch io s
per SPS Table J84.3o~
Oritrces point up except every 5th one points down for drarraage.
Number of Laterals 3 Orifice Diameter 0.125 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft
Lateral Length (P) 69.17 ft Orifices per Lateral 35
Lateral End (Z) 0.83 ft Orifice Density 6.00 ft2/orifice
Lateral Spacing (S) Mgpm ft Manifold Length 6.00 ft
Lateral Flow Rate gpm Manifold Diameter 2.00 in
System Flow Rate Forcemain Velocity 4.42 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
SPS 316.300 WAC 4 in. min.
Disconnect
Tank component is properly vented E-- Alternate outlet
location
Forcemain diameter
Weiser Concrete Manufacturer 2 in.
Capacity 800.64 Gallons
Volume 21.45 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B siphon device
A 19.29 413.87
B 2.00 42.90 C Pump off elevation (ft)
C 5.03 107.92 t 94.92
D 11.00 235.95 D
Total 37.33 800.64
Dose tank elevation (ft)
Bedding And Backfill As Per Manufacturer 94.00
Alarm Manufacturer SJ Rhombus
Alarm Model Number SJE 1011421
Pump Manufacturer Zoeller
Pump Model Number BN153
Pump Must Deliver 43.25 gpm at 20.82 ft T D H
Note: Switches containing mercury may not be used in this system.
Project: Schofield 3 bedroom replacement mound Page 4 of 10
Uflowe Distribution Cell Media Layout
9.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
9 ft Wide
@e0elmee
Component Legend
® SRI-7A Bundle - 5 ft or 10 ft lengths
SRI-12A or EZ 1201A in 5 ft or 10 ft lengths
SR3-12H or EZ 1201 P or Gxm SR3-12H in 5 ft or 10 ft lengths
O 4" Perforated Distribution Pipe With Pressure Lateral Inside
• Turnup Enclosure - - - - - Pressure Lateral
Bundles are covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
9.00 Cell Width - A (ft) 70700 Cell Length - B (ft)
Center Connection Lateral I if r)i-rom
Force Main
41 -
9 ft Wide
End
Manifold
Project: Schofield 3 bedroom replacement mound Page 5 of 10
Mound System Maintenance and Operation Specifications
Service Provider's Name Jmaes K. Thompson Phone 715 248-7767
POWTS Regulator's Name St. Croix County Zoning Dept Phone 5)386-4680
System 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 1280 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 630 le Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once eve 3 ears
Effluent Filter Inspect and clean as necessary at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test periodically
Pressure System Laterals should be flushed and pressure tested eve 3 ears
Mound Inspect for ondin and seepage once eve 3 ears
Other
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap
and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007.
2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component
Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn-up Detail
Finished Grade
6-8" Diameter Lawn Threaded G(eanout
Sprinkler Valve Box Plug or Ball Valve
Lateral Ends at Last Orifice Where
Variable Length Cleanout Begins
Long Sweep 90 or Two
45 Degree Bends Same
EZflow S nthetic Media 2.16 Diameter as Lateral
Feet
- Distribution Lateral Lateral Cleanout
Project: Schofield 3 bedroom replacement mound Page 6 of 10
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [UflowMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and
SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting.
Septic and pump tank abandonment shall be in accordance with SPS 383.33, 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, Slats. 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 shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous
alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to
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 Wisconsin Department of Commerce.
Pump Tank
The dosing (pump) 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. If the force main has a weep hole, it
should be noted if it is functional during pump operation, and if not, it should be cleaned.
No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death."
Mound and Pressure Distribution System
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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30
mg/L BOD5, 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 3 years. When a pressure test is perforated 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Schofield 3 bedroom replacement mound Page 7 of 10
PUMP PERFORMANCE CURVE
MODEL 151/1521153 TOTAL DYNAMIC HEAD/FLOW
PER MINUTE
14 45 153 EFFLUENT AND DEWATERING
12 40
MODEL 151 152 153
,0 35 152 Feel Maters Gal. Uters Oat. Ufars Gel. Liters
30 5 1.5 50 189 69 281 77 291
10 3.0 45 170 61 231 70 295
j10.8Z, tea' s 25 151 15 4.8 38 VA 53 201 81 231
20 8.1 29 110 44 187 52 197
Tv " 5 25 ' 7.6 18 51 34 129 42 159
30 9.1 - 23 87 33 125
4 15 35 10.7 22 85
10 40 12.2 - 11 42
Shutoff Head: 30 ft 9.1m) 381L (I 1.6m) 441L (13.4m)
2
5-
0145088
0
20 40 tp 90 1
GALLONS 10 30 4--.) 10
LlIFJiB 40 k 7971
K011 PER MINUTE 9145o8A Model 151 Models 1521153
CONSUY FACTORY FOR 0
SPECIAL APPLICATIONS 67132 61H
378 4W8 327/32 456
• Treed dosing panels available.
• Electrical alternators, for duplex systems, are available and
supplied Wth an alarm. 3719 327r32
• Variable level control switches are available for controlling
37/4 3 27132
4 _04
single phase systems.
• Double piggyback variable level float switches are available
for variable level long and short cycle controls.
• Sealed Qwik-Box available for outdoor installations. See
FM1420.
• Over 130•F. (WC.) special quotation required. '
15111521153 Series 1111716 ' 121,6
151n521153 MODELS Control selection t-T
-T
Model Volts-Ph Mode Am Sim ax Duplex i bee 5
N151 115 1 Non 5.0 1 2 or 3
BN151 115 1 Auto 8.0 included 2 or 3
E151 230 1 Nan 3.2 1 2 or 3
BE151 230 1 Auto 3.2 Included 2 or 3 sK2444 SK2064
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1. Single piggyback variable level float switch or double piggyback variable level float
a CAUTION switch. Refer to FM0477.
All installation of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E-Pak.
licensed electrician. All electrical and safety codes should be followed Including the most
recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control switch 10.0225 used as a control activator, specify duplex
(3)
or (4) Host system.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
y MAII 70: P.O. BOX 15347
Louk, KY 40258-0347 hfanufacturera of..
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® ra kNe, KY 40211.1981 P~yPB SNCE ~~~,ln
1(800) D2& PUMP
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FAx (5 (SOZ) 774-3824
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DRAWN BY. SME SCALE: EE
SEPTIC MANUAL REV.
\ Z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2010 DATE:T-POUR:
° REVIS
ED JAN. 2010 800-325-8456 FILE: 1► W-UFM
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PL--525 EFFL UENT FILTER (C'C, MMERci L)
6117 BALL CHECK
EXCEPTS G SHD w ~ i
FOR INLET MENTION 11,35
11 .57
OUTLET BUSHING EXCEPTS
ffff ~I 4' SCH 4086'SGH 10 B10
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\J 5.23
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i
PL-525 FILTER HOUSING 1l 7 434
PART NO, -30142-525
MATERIAL
HOUSING - POLYPROPYLENE
OUTLET BUSHING - PVC f
6.5 BALL - HDPE
SOCKET EXCEPTS FLOAT SWTCN
10.23
EXCEPTS I• SCH 10 B .a C~
FOR HANDLE EXtENTION ~ 10.81
J 530' OF 1 M B• SLOTS 621
647_
- SOGKETEXCEPTS 9.56
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1 BALL PUSH ROD OPENING
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20.71
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POLYLOK PL-525 FILTER CARTRIDGE
PARTNO. - 30141.525
MATERIAL-POLYPROPYLENE
4I °
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer Brandon L. Schofield
Mailing Address 1820 Windmill Dr., Baldwin, WI 54002
Property Address 5 / 2 7 6 T~ 5~ aZe-9
(Verification required from Planning & Zoning Department for new construction.)
City/State Parcel Identification Number 004-1074-90-000
LEGAL DESCRIPTION
Property Location SW I/4 , NW 1/4, Sec. 31 , T 28 N R 15 W, Town of Cady
Subdivision Plat: Na Lot # Na
,f
Certified Survey Map # N a Volume N a , Page # N a
Warranty Deed # (before 2007)Volume Page #
Spec house ❑yesElno Lot lines identifiable Dyes[] no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chapter 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 verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of mylour knowledge. I/we am/are the owner(s) of the
property described above, by virt ue of a wan~Q'nty deed recorded in Register of Deeds Office.
Number of bedrooms 3 It
SIGNATURE O APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
C/
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8254482
State Bar of Wisconsin Form 11 2003 Tx:4208067
LAND CONTRACT 1001072
(TO BE USED FOR NON-CONSUMER ACT TRANSACTIONS) BETH PABST
Document Name REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
09/04/2014 12:43 PM
CONTRACT, by and between Eugene I. Geiger, a single person EXEMPT#: NA
REC FEE: 30.00
("Vendor," whether one or more), and Brandon L. Schofield and Heather L. TRANS FEE., 360.00
Schofield, husband and wife, holding as survivorship marital property PAGES: S
("Purchaser," whether one or more).
Vendor sells and agrees to convey to Purchaser, upon the prompt and full
performance of this Contract by Purchaser, the following real estate, together
with the rents, profits, fixtures and other appurtenant interests ("Property"), in Recording Area
St. Croix County, State of Wisconsin: Name and Return Address S
See Exhibit A attached hereto and made a part hereof. Thomas A. McCormack
102010th Avenue, PO Box 2120
Baldwin, Wi 54002
During the term of the Land Contract, Seller agrees to provide a
Warranty Deed in partial satisfaction thereof for up to 3 acres of land 004-1074-90-000
upon receipt of its appraised value provided, however, that payment Parcel Identification Number,(PIN)
therefor shall be no less then $10,000.00 and further provided that the
appraisal shall indicate that the value of Sellers remaining collateral This is not homestead property.
shall be no less than 125% of the contract balance after receipt of (is) (is not)
payment. This is a purchase money mortgage.
(is) (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at 43 270th
Street, Spring Valley, WI 54767
the sum of $ 120,000.00: in the following manner:
(a) $ 7,500.00 at the execution of this Contract; and
(b)' the balance of $ 112,500.00 , together with interest from the date hereof on the balance
outstanding from time to time at the rate of 5 % per annum until paid in full as follows:
Monthly payments of $500.00 commencing one month from date hereof and on the same date
of each month thereafter.
provided the entire outstanding balance shall be paid in full on or before two (2) years from date hereof ("Maturity
Date"). Payments shall be applied first to interest on the unpaid- balance at the rate specified and then to principal.
CHOOSE ONE OF THE FOLLOWING OPTIONS: IF NO OPTION IS CHOSEN OPTION A SHALL APPLY:
❑ A. Any amount may be prepaid without premium or fee upon principal at any time.
❑X B. Any amount may be prepaid without premium or fee upon principal at any time after January 1, 2015
❑ C. There may be no prepayment of principal without written permission of Vendor.
State Bar Form 11-Page I
St. Croix County 1001072 Page 1 of 5~ 6~
1i~isconsin Departure t VED
SOIL EVALUATION REPORT Page of
Division of Safety an6 ~3ordan e with Comm 85, Wis. Adm. Code
Attach complete sit le in 8 1 x 11 inches in size. Plan must County Y'
include, but not limAQ - tal refe ence point (BM), direction and percent slope, scali ocation and distance to nearest road. Parcel I.D. r I
I
Please print all information. R ^ I r ate ~7 9
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1)
Property Owner !
I
otf
Property Locati61 1/4.1`1 S) T ) N R E (or
Prop11e1rty Owner's s~,~j~,~,` ;ity Blok ubd. Name or CSM#
S i ' _
4
G z6.e p,z~~-rz
- i ~XiS~tvn't
City State Zip Code Phone Number
~ Village E Town Nearest Road 7New Construction Use: ❑X Residential / Number of bedrooms 3 Code derived design flow rate u 5
GPD
❑ Replacement Public or commercial - Describe:
Parent material ~ 9-j' L L) r 1 ) `j Flood Plain elevation if applicable P~
ft•
General comments 40
and recommendations: )-I 1 ~'j F"
C",UY~Uv`Z 0 7
Boring # ❑ Boring lj s. /a
Pit Ground surface elev. )O 4_ G ft, Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
'Eff#1 'Efi2
I
F Boring # ❑ Boring p
® pit Ground surface elev. O LI - 3 ft. Depth to limiting factor 1 in.
_
Soil Application Rate "
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr`.~Sz. Sh. 'Eff#1 •Eff#2
f p-~® lo`)\Z3~ - S) I ZTSSIr 1`h~Y- °A > >S
Z ~o q 1v~ 316 - s, ( Z`~ S~ m c w 1 v~ • ~ -
Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) " Sig ature CST Number
Arthur L. Wegerer C~ J - Z~ 220254
Address W e g e r e r S o i l Testing & Design S e r vi c e Date Evaluation Conducted Telephone Number
421 N. Main St. River Falls, NI 54022 >Z-
~ - O~ 715-425-0165
Property Owner ,1~ Parcel ID # y Page of
Boring # L-I Boring
a ® Pit Ground surface elev. 2 - ~J ft. Depth to limiting factor 7- 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
3 z,l -3 1,S ~i ~z3 `F l`~ ~t. ~z 51 c~ 1 e ~b~2 `E~ C ►13 - -Z 3
❑ 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/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 +Eff#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/ft2
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 = BOD5 < 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.6100)
'roperty Owner -1i; G Parcel ID # U U Ly y - Cf 0 .
3 Boring # ❑ Boring Page of 3
® Pit Ground surface elev. U Z > S It. Depth to limiting factor 2
in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Soil Application Rate
Boundary Roots GPO/ft2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
-Eff#1 'Eff#2
~ o ~ q i opt rz..31 Z - s i 1 Z`f's b ~ ~ cS l~ . S - l3
z . q =Zl 1 oy 2.31 ~ s I ~ Z s b CW ) v-F . s - ~
3 z l -3 S `f ~z 31 l -S ~t t2 51 -~b lz ~Pr C ~'3
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
iorizon 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
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor In.
Soil Application Rate
arizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPp1ft2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1I ,Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =
- - BOD s < 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.
)-8330(R.6100)
_
),Nisconsin Departme of Commerce RECEIVED SOIL EVALUATION REPORT Page ` of 3
Division of Safety an Buildings
DEC 1 6 RW&rdan with Comm 85, Wis. Adm. Code
• County
Attach complete sit plan on paper not I in 8 1 x 11 inches in size. Plan must ~Z U 1 x -
include, but not limit d to: 9irtW~4kiCh tal refe ence point (BM), direction and Parcel I.D.
percent slope, scale r dime3Q60 cation and distance to nearest road. - 1
Please print all information. R ' atte}
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Locati
LU~~`-)~ X1/4.1\J`..Y)1 S TZ LJ N R E(or
Property Owner's Mailing Address S t # Bloc ubd. Name or CSM# 3 i
L13 Z~ O ' s T . rlwl~l -y s'n >v~ Z 6 b rjC pf? 1Z~sZ
City State Zip Code Phone Number ity Village Q Town Nearest Road
r 1~SZ l jcs N)i'tt..~~Zf Lv) 5 ~1~ 6~ }S)-(7$- 5~ 16 ~~`-t" Z~ 0 `)1 F- S Y' .
New Construction Use: Q Residential / Number of bedrooms 3 Code derived design flow rate U S GPD
Replacement 9 Public or commercial - Describe:
Parent material Do \-U YA } `Ct Flood Plain elevation if applicable ~ 1a ft.
General comments e4 -m 4
and recommendations: Y10v`c~-~1 W / rx ~t ~~Z ! )3 yJ ~1 rJ°'Z(_ fJL?
2001
C UY~vUIZ ~LV . 0~ -C)
40/, 1
1 Boring # ❑ Boring Z S s
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/ftz i
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Ef #2
-Z T Hr r L` `v~J ~'J~- • J i
3 Zq-u `I -).S'1izyl'/ f~ -),S`-1 P- 518 sic ~ l ~ gib' Iti~`~ i _ • ? • ~ i
Boring # ❑ Boring F-1 ` -
® Pit Ground surface elev. } O l - 3 ft. Depth to limiting factor " i 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
f p I V- 31 - s} I Z ~ 1- thy- W -S -9
lo~rR3►6 - si ( Zs~ m cw 1v~f • S
3 lq 3~ ~ .syz ~Ib ->,Sy a s ~ Sc 1 1 ~s~k `~n~~i - ' Z
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg1L ' Effluent #2 = BOO, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) . Sig ature CST Number
Arthur L. Wegerer C) 3 - Zl 220254
Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number
421 N. 11ain St. River balls, WI 54022 ~-L- co, - O`3 715-425-0165
PLOT PLA.4 Pace of
n
Scale 1'=Qo'
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F) ~Lj
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L 14
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X Sll~
~ a
~ ~ t-l. 3 Z,lU T11- S ~ _
t-
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_ 715-425-0165 220254 v3-Zl
CST Signature
Date Telephone No. CST No. Job NO.
Parcel 004-1074-90-000 03/18/2011 08:50 AM
PAGE 1 OF 2
Alt. Parcel M 31.28.15.488A 004 - TOWN OF CADY
Current 1XI ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
0 - BARTO, RICHARD C
RICHARD C BARTO
W2571 890TH AVE
SPRING VALLEY WI 54767
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 5586 SCH DIST SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 25.600 Plat: N/A-NOT AVAILABLE
SEC 31 T28N R15W 36.6A SW NW EXC COM NE Block/Condo Bldg:
COR, S 17 RDS 41/2 FT, W 15 RDS, NWLY 25
RDS TO PT 37 RDS W & 3 RDS 14 FT S OF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
POB, NWLY 18 RDS TO PT 55 RDS W & 11/2 31-28N-15W SW NW
RDS S OF POB TH N 11/2 RDS, E 55 RIDS TO
POB ANNEXED BY VILLAGE OF SPRING VALLEY
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
10/27/2009 905977 QC
05/11/2009 895258 ALC
04/11/2007 849064 QC
04/06/2006 822297 LC
more...
2011 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/27/2009
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 3.000 500 0 500 NO
AGRICULTURAL FOREST G5M 22.600 37,300 0 37,300 NO
Totals for 2011:
General Property 25.600 37,800 0 37,800
Woodland 0.000 0 0
Totals for 2010:
General Property 25.600 37,800 0 37,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00