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HomeMy WebLinkAbout004-1065-10-000/* Wisconsin Departmen~'of Commerce/I ` PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1 Permit Holder's Name: ^ City ^ V Ila a L~ ow of: fisher, Jeff ~ac~y •I"owns~tlp CST BM Elev.; Insp. BM Elev.: BM Description: D~ Ov C rG TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic L,t~rtS ~ / ~DU?~ Dosing Go~,~v G Ov 'n Holdi __-- TANK SETBACK INFORMATION. TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ' ~ ~' ZPc~ NA Dosing t,~ ~ ` >~~' ~ 2 ~ ~ NA A Hold it~ - g PUMP /SIPHON INFORMATION s~r' P ~~ -- Manufacturer , Demand Model Number ~ ~ (d GPM TDH Lift ~2,/ Lriction~ ~ System TDH )`~ ZFt Forcemain Length ~ ~' Dia. Z ~' Dist. To Well SOIL ABSORPTION SYSTEM ELEVATION DATA Count fit. Croix Sanitacv3~~rpit No.: StateState Plan IDJJN44o.: Pa rcela~x4N~065-20-000 STATION BS HI FS ELEV. Benchmark '~~y" ~ fl t. Bldg. Sewer ~ _ ~ ~ j . S' ~! / Ht Inlet S~ Dt Bottom Header /Man. Dist. Pipe 3-l~ 3. / / D~ Bot. System 3-~ ioo _ ~s- 00. Final Grade cover `~ ~ U'~- ~ zc~ ed ~ ~~ y ~ ~orGC iva~r BED /TRENCH Width / Len th ' ~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 1 N ~ O Z SYSTEM TO P/L BLDG WELL LAKE/STREAM LEp- anufadurer: SETBACK INFORMATION TypeO ~ CNAIIABER Mo tuber: System: ~ ~ ~ Z D ~-SU ~ OR UNIT DISTRIBUTION SYSTEM Header / Ma old Distribution Pipe(s) ~ ~ ;/ x Hole Size 3 ~ x Hole Spacing / Vent To Air Intake Length Dia. Z. Length ~~`/ Dia. 7i Spacing ~~ , ~ ~ i SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.)~nsp ce tion #l: l°/I~/o'D Inspection #2:/~ /zQ/moo Location: 3070 Highway 29, Spring Valley, WI 54767 (SW 1/4 SE 1/4 27 T28I~ 1215W) 2B 1.) Alt BM Description = _ ~ ~-~ ~~~ ~ iaa (o ~ < < /~ w ~ ~ ~ ~ ~ , 1 ~ y~ 2.) Bldg sewer length = ~ S ~`~ s fa llr~ -amount of cover = 7 y2 " ~,' Dv y w~//• ~ /~ c~ ~ ~,' j~Q/ 3.) contour = ~~• Y( y~ Cx;s~';,,9 >~ `j,~s ~Jliw ~o u,~pro1' ~ ~ ~- ~ - 2j¢J~Z) ~~}l S~ M ~ ~ ,d c !.~ L~ ~ Lo~~~r~ er c/ Plan re~sibn required ^ Yes [~~io Use other side for additional information. ~ z ~- SBD-6710 (R.3/97) Oat Inspector' ignature Cert No. fuUYl.a rp.r.~ P.t'.~' i ~ Sanitary Permit Applic~inrl}.~ Safety & Buildings Division In accord with Comm 83.21, VV,is.,•A~rt~. ~ggooc~e a ~ See reverse side for instructions for~rtt{ -t1~Si5°ap~l~c io ic~jiA 201 VV• Washington Ave. PO Box 1302 isconsin ~ g ~~ ~ Madi 730^ ' WI 53707 Department of Commerce Personal information you provide ma e~tlsed for condan~ R9~ (Privacy Law, s 15:t~(1) m `` (~, ~ son. - (Submit completed form to county if r .~~~ y i' state owner. Attach com lete lans (to the county co ~ only) f r svste n a er n t s t 1/2 x 1 1 inches in size. County State Sanitary Pe it Number ^ if revision to r io icati State Plan 1. D. Number I. A lication Information -Please Print all Information ~' ~ ~~ v, Location: Property Owner Name •. ~ `NGO Property Location j ~, ~, lpN ~: r ~ F ~~ r-'~ _ 1/4 S~ I/4, S T ,N, R~~~ or Property Owner's Mailing Address `' ;? , ~ 1 Lot Number Block Number 7Q ,w o2 T e~ ri e~ • City, State Zip Code Ph ne Number Subdivision Name or CSM Number '' ~~9~ ~ (7r ~/ 1772 yoY~ II Type of Building: (check one) ^ City }~ 1 or 2 Family Dwelling - No. of Bedrooms: Z.. ^ Village Q9 Town of ^ Public/Commercial (describe use): ^ State-owned III Type of Permit: (Check only ene bex on line A. Check box on line B if applicable) Nearest Road p) I. ^ New System 2. ~ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem TankOnly Existin S stem tX~`E-~OIpS-'ZO-Ot)O B) Permit Number Baie_Lssued ^ A Sanita Permit was reviousl issued 2'7. ~15,~. , ~{- 3 IV. Type of POWT System: (Check all that apply) ~--(00 e..,. S• ~ - ~•~k' ^ Non-pressurized In-ground ~ Mound ^ Sand Filter Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ~ , ~ Aerobic Treatment Un' ^ Recirculating ^ Other: 0 ~ V Dis ersa reatment Area Information: I. Design Flow (gpd) 2. Dispers Area 3. Dispers Area ~ 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Require ~jpp~ ° ~' roposed ~3oo~z Rye Gals./ sq. ft.b1 (Min./inch) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks I III ~~` ^ ^ ^ ^ ~]/ }~t VV~./ /~ /~ ~JOV 1 / A L1 VII Responsibility Statement I, the undersi .ed, assume res onsibilit fcr installation of the POWTS shown on the attached laps. Plum is Name (print) Plumber's Signature (no ps): MP/MPRS No. Business Phone Number y 1 - wti ,P~. ~ c~-2 ~ L - 77 Z - 3 Z,i Plumber' Address (Street, City, State, Zip Code) ~-~ z ~ ~ ~ ~~ ~ 'te ~ h . . ~ , ~ .~ a VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No stamps) ,Approved ^ Owner Given Initial Adverse Surcharge Fee) ~ Determination 3a5 •~ -$ -2~ IX. Conditions of Approval /Reasons for Disapproval: -~- ~aN.~.t9,.~ ax,t s~-vtq s.~s~-w~ as ~r Ge~ re QLtt ~^ c-r wtS tni.e~•~w a~ ~ v S u U 'f' ` ~ ~" ~ ~~ ~i ~'~ ` . - . -, ~ a.. t • s S ~- S ~. ~2 Dw••.ar c ~. hr.t t - t1P w -~- ~l~P lat,~...... _ ~- c . SBD-6398 (R. 07/00) ~ ~ ~scons~n Department of Commerce August O1, 2000 CUST ID No.226524 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. com merce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN: POWTS INSPECTOR ZONING OFFICE ROGER L TIMM ST CROIX COUNTY SPIA 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/01/2002 Identifi' ion umbe Transaction ID o. 409908 Site ID No. 19616 SITE: Please refer to both identification numbers, Site ID: 196167, JEFF ASHER above, in all,,corres ondence with a enc. . ST CROIX County, Town of CADY; 3070 HWY 29, SPRING VALLEY 54767 SWl/4, SE1/4, S27, T28N, R15W FOR: MOUND, 300 GPD Object Type: POWT System Regulated Object ID No.: 752946 p,O.V The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes CQndi~ and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. R7MEN1 The following conditions shall be met during construction or installation and prior to occupancy or use: ~ U 1. This plan action is subject to designer comments on the plan. ~_ 2. The maintenance plan for this system must be given to the owner of the POWTS. 3. The maintenance plan for this system must be amended to include the names and phone number oft S~`-E CORP local health authority, component manufacturer and emergency contact in the event of failure. 4. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. 5. The orientation of the mound system must be such that the mound's longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. 6. Abandon failing system per COMM 83.33. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. s' ly, ., ~~ PATRICIA L SHANDORF , POWT LAN REVIEWER Integrated Services (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE. STATE. WI.US cc: JEFF ASHER Refunds of $25 or less will be made only on written request. WiSMART code: 7633 Jeff Asher -Mound Transaction # Location: SW 1/4, SE 1/4, Sec. 27, T 28 N, R 15 W Town: Cady County: St. Croix Date: July 10, 2000 J,T.S. Owner: Jeff Asher Tonally Address: 3070 WSHW 29 Spring Valley, WI 54767 _oF co cE DING ~ Plumber: Roger Timm ~~ ESPONDENCE Signature: License # MPR 226524 Attachments: 6748-Plan Review Application SBD 8330 SBD 8 -Petition for Variance J nsky Inspection Report -~ 2 ~ ~f n+- Z ~ (. " S ~^^~ page 1: cover 2: design cirteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 . s . Design Criteria ~~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL N'A Treated Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL ~ Bedrooms x 100 gal/bedroom/day x 1.5 3 "v gallons/day hydraulic load Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the most current, pertinent Component Manual(s). M owN~~ SBD- ~ ~ z ~ 2_ ~~ ~CL~w.rt,~> 45-~s~'~ SBD- 1~~ ~3-1~ Design Calculations In situ designed loading rate ~ ~Z'~ gallons/sq. ft. per day Depth to estimated high ground water 7~ ~3 in. Depth to bedrock ~ 2-t°' in. Cross slope at system ~ Force main length ~"~ ft f z Manifold/header length Drain-back Lateral length ~- @ Lateral elevation Lateral hole size ~/~b in. @ ~ ~ holes/lateral Lateral volume Total lateral discharge rate Elevation difference Friction loss Total dynamic head N C~ 12.3 ~g,~ ~ ~t•4 14 .~ Sb s.4 ~q.~ I~.t,~~ I,q~ 2o,~Z, Pump/siphon a''~ gpm @ is-'~ Manufacturer C'' °'~` ~.s 3 ~ ~' ~ Dose volume 4.0 Lift/si~ton tank `^' ~ a+~ ~ ~-~ ~ Septic tank ~~ •' Effluent filter ~ ~` ~ -~ ~ Measurement pump on and off ~ ~ Height alarm from tank bottom 1 ~ •~' Reserve capacity . o tn. ft. of in. gallons ft. of ~ Z in. ft. @ bottom of lateral in. ( ~~Z- ft.) Spacing holes total gallons gallons/minute @ 3 ~~ ft. head ft. ft. @ ~ gallons/minute ft. ft. of head Model # ~~ ~' ~ ~~ gallons ~ ~o gallons ~ '~'"° gallons m. in. gallons specs.caics Page Z Of g ~~~t~ ~~ 5 ~ ¢.. 3~w ,, .~, 8.M ~Q (_9a• o ...~[4 ---~ sP- ~ I ot, E-- R L 1~.0 -o) d \ ~ i --~ / o ., _ •I ~ .I , ~~ s o . 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" aG~F ~ ~~~ ,. ~"~ n ~ r WEA'(NERPRUJF ~~JUNCTION ~c i~. ,,.. ~a wc.. v H C~ ~ y'~ PurlP Co~vcRE-r~ BcoCK ijlt~l/i~~I ~~,~C.t. _ Vc NT r..1 M b ~ -,~ C.Y,~u 3' D•rro u•~G~:.TV~. (~FJUwD X31..0 ~ ~~ 1 ~ , g ~~ SEPTIC f SPEGIFI~GATIO-..1S oosc ~ ~~~ ~` ~ Tn-.1KS MAWUFACTU0.CR: ~ IJUM~ER OF DOSCS: F'EK Gnn TAIJK SIZC : 1 °~~ ~ ~`}~ taALLOAJS • , DOSC VOLUME ^~- "' ALARMI h1/4JUiACTUfi',GR: S~ ~`'~`' ~`~ f~ (.~~~ONS IAICLUDIIJ6 OACKFI.OW~ /'tODCL AJU/~I~CR: ~ °~~ N w CAPACITIES; A=3q'1, u,rCNCS oK ~Og•~_ GnLL0u5 '~WITGH 'T `JP`: w.aX Oi"'~ " ° ~ c ^~ IAi~HLS 0~1 ~~'~4 GNI.~OuS F'uMP MA-JUFA~TURCR: ~ ~"`~ G • ~•~ ~U~tiCS OK ~ G~~~DuS MG; CL 1JUMDCR: ~ ~~ 1 ~ 1; h~Y D~ l' Itv.,NES cK ~O•`tZ G~~I,G~~•. JW~ RCN TaPC: - wn~a~"v., ___ A10TE: PUMP A1JD ALAK1~, A.kC TJ BC MINIMUM OISCNAIIGC RA7C~~ GIh~ INSTALLED pIJ ;,Cp^KAtC CIh.G~~t;; 14 ~~ VCRTICAI. Di~ fEKCA1CC DCTW[CU PUMP Of P' AUO 0107RI~UTIOW PIPE.. FECT • 3 ~ + MIA11h1UM hJETWOitK SUPPLY ~RCisUR C ~ ~ ' FCCT + ~S/ ~ ~ T / E E T OF FOR Z~ f ~ ~ q~ .. CE MAIIJ X /pp ~~iRICTIO-„I FACY01t. -- ~p.y. ' FEET c~ - TOTAL OyWAMIC HCAO = 2'O'~Z- FEET • ~~ ~ • I~~ ' SI ~g'I IU7Eit1.7A t, DIMCAJb10AJi O~ TA1JK: LE1JbTH - g ;WIDTH ;LIQUID DEPT H ~~~` 6 ~ F ~ ~i ~ ~ . GOULDS ....:..; ~~ Pump Specifications '/3 H P Up to 40 GPM Discharge size 1'/+" NPT Solids:'/B" maximum Motor Single phase: 115V Materials of Construction Brass/thermoplastic Features and Benefits •Top suction eliminates Impeller clogging. • Corrosion resistant construction. • Float actuated switch. METERS FEET 25 7 p 6 20 w = s v 15 ~ + a Z a 3 10 0 ~¢ 2 ~ s ~. 0~ 0 0 5 10 15 20 25 30 35 40 U.S.GPM 0 2 4 6 8 10 rtrlAlr CAPACITY 1 U111'J V'J [4V 111VV+IVIIV I VVIVI VV u11M vV11V IIIV '/,~ and'/z HP • EPOa impeller- semi-open design Up to 60 GPM with pump out vanes to protect Maximum head to 32' mechanical seal. Discharge size 1'/2" NPT • EP05 impeller -enclosed design Solids:'/+" maximum for improved performance. Motor • Rugged glass-filled thermoplastic All motors feature ball casing and base design provides bearing construction. superior strength and corrosion Single phase: 115V resistance. Materials of Construction • Cast iron motor housing for Cast iron efficient heat transfer, strength, Thermoplastic and durability. Stainless steel • Corrosion resistant threaded stainless steel shaft. • Available fo. automatic and manual operation. • CSA listed models available. ~ All Models are designed for continuous o ration and feature stainless steel hardware. ~ o ~~ }r System Management Management of this system is critical. As a condition of approval of these plans this system management must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the ~ olume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. T~~pical system components include a septic tank or compartment to settle out solids and contain greases and oils. a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1.. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. -1. Never pour grease or oil down any drain or stool. ~. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. ?. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in- situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. ~. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page ~ of g ,~ . -l~-e~c. -S~ va./~'"~~A~~ ~i I,~,sxJ i sfW ^ ~Qe,~"~• ~ ~~'."~~ Wi'rconsin Department of Commerce "~~~~'~~~ AND SIT , ~ R.o`~6s ~cr~l G~~1fc Page r of 3 ,'~ivision of Safety and Buildings In accord with Co ls. o Certified Soil Testing ~. Attach complete site plan on paper not less than 8'/z x 11 inches in si P n st "~ O include, but not limited to: vertical and horizontal reference point (B it ctiol~~1~ ounty $t, (/ro1X d ~ l~ t l d roa . e to ne a s ocation and percent slope, scale or dimemsions, north arrow, and • 00 P reel I.D.# 20 000 004 1065 1 S ~ 2 APPLICANT INFORMATION - Please rint all infor " n - - - . ``~ p econda ur oses (Privac I s l i f rovide ma be d f r w P ti 154 (t) )IGRa a iev~ed By Dat p ~g . ersona n orma on you p y ry p ~ use o s d~ ~ t ~Z~ Property Owner Asher, Jeff rope of Vt{ 4 SE 1/4 S 27 T 28 N,R 15 W Property Owner's Mailing Address # ~ J (B ~ ubd. Name or CSM# 3070 WSHW 29 City State Zi Code PhoneNumber ^ City ^ Village Town Nearest Road Spring Valley WI 5767 715-772-3245 Cady WSHW 29 ~ Residential / Number of bedrooms 2 ^Addition to existing building New Construction Use: ^ Replacement ^ Public or commercial describe Code Derived daily flow 300 gpd Recommended design loading rate •5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 600 bed, ftZ 500 trench, ftZ Maximum design loading rate •5 bed, gpd/ft2 •6 trench, gpd/ftZ Recommended infiltration surface elevation(s) 100.9 ft (as referred to site plan benchmar insta114' x 75' rock bed mound on nomina198.4 contour as upslope edge of rock w/ 2.5' sand fill using variance Additional desi n /site Considerations g fnr challnu~ gpilc Parent material tows Flood lain elevation, if a licable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ ®U ®S ^ U ^ S ~ U ^ S ~ U ^ S ®U ^ S ® U avr~ u~~a.r~ir i ivl~ r[crvR i Boring# 1 Ground elev 97.8 ft Depth to limiting factor 0" Ground elev 97.7 ft Depth to limiting factor 0" H i Depth Dominant Color Mottles T t Structure Consistenc Bounda Roots GPD/ftZ or zon in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ry Bed ~ Trench 1 0-5 l OYR 3/2 - sl fill 2 5-11 l OYR 5/4 - sl fill 3 11-14 lOYR 3/2 - sl 4 14-18 lOYR 5/3 - sil 5 18-24 l OYR 5/3 c l OI'R 6/2 sil Remarks: ongmar nano borrng sriuiluuu; nu sores requrre petrtron; opened wi snauow nano dug prt airy; srae seepage (cv tz-ts" oeservea 1 0-6 lOYR 3/2 - sil fill 2 6-18 lOYR 5/3 - sil fill Remarks: site of original hand boring; opened w/ shallow hand dug pit 6/19 ;ST Name (Please Print) Signature: Telephone No. Henry F. Grote ,, 715-233-0398 address ertr re of estmg Date CST Number Ref # E. 4366 353rd Ave., Menomonie, WI 54751 6119!2000 222774 1131 `• PROPERTY bWNER: Asher, Jeff PA1tCEL I.D.# 004-1065-20-000 3 Ground elev n~~a Depth to limiting factor 11° 4 Ground elev 98.9 ft Depth to limiting factor 9.. 5 Ground elev 98.4 ft SOIL DESCRIPTION REPORT 0 Page 2 of 3 Certified Soil eT-sting Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft2 Bed Trench 1 0-4 lOYR 312 - sil 2 m gr mvfr cs lf/m .5 .6 2 4-7 lOYR 4/3 - sil 2 m gr mvfr cs if .5 .6 3 7-11 lOYR 312 - sil 3 f sbk mvfr cs lm .5 .6 4 11-13 lOYR 4/4 c2d 7.SYR 4/6 sicl 2 m sbk mfr cs lm .4 .5 5 13-16 lOYR 3/2 c SYR 3/2 sil 2 f sbk mvfr cs if .5 .6 6 16-26 lOYR 4/3 f2f 7.SYR 4/6,5/3 sil 1 m sbk mvfr - - .2 .3 Remarks: ua~uiuc Yir, ~-, i~ uiu iui, uviicuii v Nww w c ui Ni 1 0-6 lOYR 3/2 - sil 2 m gr mvfr cs if .5 .6 2 6-9 l OYR 4/3 - sil 2 m sbk mvfr cs 1 f .5 .6 3 9-14 lOYR 4/3 f2d 7.SYR 4/6 sil 2 m sbk mvfr cs if .5 .6 4 14-18 lOYR 3/2 fZd 7.SYR 4/6 sil 2 m sbk mvfr - if .5 .6 Remarks: 'llaii~w uaiu uug ~u; v-iY i~ uu; uuiicuii ~+ pang w ~ i pi 1 0-6 lOYR 3/2 - sil 2 m gr mvfr cs if .5 .6 2 6-8 l OYR 4/3 - sicl 2 f sbk dsh cs if .4 .5 3 8-11 l OYR 4/3 f2d 7.SYR 4/6 sicl 2 m sbk dh cs 1 f .4 .5 4 11-14 lOYR 3/3 f2d 7.SYR 4/6 sil 2 m sbk dsh - if .5 .6 Depth to limiting factor Q.. 6 Ground elev ~,or. Depth to limiting factor Q.. Kemarks: "'"""`" "cuiu uug ~i~ ucn~ w yuic ~icc, au uu 1 0-8 lOYR 3/2 - sil 2 m gr mvfr cs if/m .5 .6 shallow hand dug pit; detailed pro y Leroy Jansky; description by CST recollection than pit has about 8" ill w/ deve support mound w/ extra fill oped structure to KemarKS: ~,- 3 ~ ~ Ica ~ 0 ~ ~ ,, ~ 3 o rt ` ~ s j ~ ° 0 ~ ~ ~ ~ _ o r" ~ ~ 3 ~ ~ S d --~' 0 G v,~ C~ ~r ~~ J t J V r~-,.^ ,,~ ~^ :~ d a J k a r S t ~-F a ~ .~ L - ~ ~ a ~ J ~ ~ ~~ e 7 ti 0 J O ~jj ~ ~ ~' o .y t ~ ~o ~' ti M ,~ ~ -~ o y9 ~ o N p; d-~ + JJJ ~ O G ~~ ~J ~ ~ 3 ~ I 7 ~ 1 d 90 /~ ,.~ "~ ~; ~ C1' J V .F c' v ~~ n ~.,, C ~~ ~J ~I ~r 0 .~ ~ -r Y y d v fl 30 ~~ ~ ~ s 0 d f J / ~-JJ J~ 0 9 ~' ~ ~ j ~ !~ i ~ J ~~ ~ ~ 3 r 1 M )'" ~ I --l' ~ -~ ~ ~N 0 n~ / f d O~ 1 ~~ o ~ ~ ~O ~~ ~_ n ~ ~ a v~ g ^^~, J ~ / 9 i~ ~, y ~ ~ d s ,y "s ~ `~ ~~ ~~ S ~ ~~ ~ ~ 0 SAFETY AND BUILDINGS ~IYISION Field Oppratione Bureau 13 E9at S r $I ` p uCO rYel INSPECTI~3N REPORT rh,p„sws Pena, WI 34729 ~ $CO~~~~ www,commarca.stato.w;.va Department of Commerce Tomr1'~yG•7hamp9an,Govarnor Banda J. Blanchard, Sawytsry Date of inspection; June 18, 2000 Plumber Name and Address: Projsat Hama: Asher Use: Replacement • Residential Lagai Descrtptlcn; SW, SE, 27, 28, 1 iit/V Lot Number: Subdivision; Munlctpality: Town of Cady County; St. Croix Certffled 3011 Tester Name and Addr~as: Henry F. Grote, CST 222774 E 4366 353 AVe. Menomonie, W 154751 Plan ldaniification Number; Sanitary Permit Humber: Wastewater Ftow: 300 gpd Parsons Present: H, Grote, R. Eslinger, J Asher, and D, FogeRy Owner Name and Address: Jeff Ashley (buyer) 3070 Highway 29 Spring Valley, WI 54767 (71 b) '172.3245 Onsite soils verlfloation pursuant to district policy for sites with less than four inches of unsaturated soil below the bottom of the A horizon. Comm 86.3Q(2xa), Wis. Adm. Code, Instructs Certified Soi! Testers (CST) to use the presence of redoxlmorphlc features (formerly referred to as mottles) as avldanoe of s®asonal soil saturation or high groundwater. In addition, Comm 85.30(2)(b) allows a C3T to report soil profiles lacking at least four inches of unsaturated soil below the A horizon as saturated to the surface unless interpretative data provided under Comrn 85.80 is used io identify the highest level of saturation. In this particular Case it is assumed that Comm 86.60(2) will be used to provide evldenoe that the highest level of soil saturation can be predicted within or directly below the A horizan. This sactlon specifies that a written report ba filed with the department that includes detailed morphological soil profile descriptions, an examination of the focal hydrology, landscape position, sail/site. modN7cations, and provious soil saturation monitoring studies in the area in an attempt to explain why the soil may not be saturated to the surface. Several soil borings were evaluated on this property, and all except one appeared acceptable for a r®placement mound system with six inches or more of suitable natural soil, A pedon dst3cription in the area of C8T B-8 follows: 00.08" 10YR 312 s~, 2m-cgr, mvfr, as (fill). 09-12" 10YR 312 ail, 2msbk, mfr, cw, w/c1d 5YR 4/6 Fe conc. 12-18" 10YR 414 ail, 2cpl, mfr, as. 18-24" 10YR 4/4 sr7, 2cpl, mfr, w/c2d 1 OYR 5/6 and 6/3 Fs conc. and depletions. The estimated highest level of soil saturation at T•6 is 9 inches. This Iavel was !Ikely Induced by the filling process since there is about ?our inches of subsoil free of redox features, Prior to filling and site disturbance this site probably was very close to having four inches of unsaturated subsoil below the A horizon. Mound datsign should be as bng and narrow as possible with as low a linear loading rate as possible, Areas to the east of the house should ba avoided due to higher levels of soil saturation end the old existing system location, '~ June 18, 2000 Ashley -Residence Pege 2 of 2 If there are any qu®stions regarding this report, please conbct me. ~ Q. sk astewa Specialist Ljanslcy~cornmerce.atate.wi.us E-mad 7'1~J7Z6.2549 Fax 71 SI728.2544 Voice CC: 3t. Croix County Zoning CST C3roN ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~ ~ ~~~ ~S ~ ~- Mailing Address Property Address ~~ 7~ ~~~ ~ ~ r, (Verification requir from Planning Department for new constru 'on) City/State Pazcel Identification Number bo `~ - l06 ~- ?,4 - OdD LEGAL DESCRIPTION Property Location S~ I/., ~ 1/4, Sec. ~ T ~N-R~W, Town of ~ Subdivision ~'~~ ¢. ,Ckzz~~5 Lot # Certified Survey Map # i~¢---~TT~. ) .Volume - .Page # Warranty Deed # l©~ ~ ~7 l / ,Volume / ~ ~3 .Page # 5~~ Spec house ^ yes .~l no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on-site wastewaterdisposal 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three yeaz expiration date. SIGI~I T~Ul~ OF APPLICANT / / /~ DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIG A OF APPLICANT $ l /l / D O DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed /II ~:1:1523PA6': 557 This Deed, made between Leona Langness, a/k/a Leona C. Langness, a single person, Grantor, and Jeffrey K. AStlel-, a 'sale Grantee. Witnesseth, That ih@said Grantor, for a valuable consideration conveys to Grantee the followinQ.described real estate in St. Croix County, State of Wisconsin: ~- ~~ 'Leona angness '// Part of the Southwest Quarter of the Southeast Quarter (SW'/. of SE'/.) of Section Twenty-seven (27), Township Twenty-eight (28) NoRh, Range Fifteen (15) West, commencing 17.5 rods West of the Southeast Quarter of the forty- arxe parcel referenced herein; thence North 16 rods; thence West 10 rods; thence South 16 rods; thence East 10 rods to the point of beginning, EXCEPT .27 acres conveyed to the State of Wisconsin for highway purposes . This is homestead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and Gear of encumbrances except all easements, restrictions and rights of way of record and will warrant and defend the same. 1 Dated thi day of Vt.lX1~- , 2000. AUTHENTICATION Signatures} Leona Langness authenticated this N _ day of , 2000. 1 lar A. O'NeIM type « print name T{TLE: MEMBER STATE BAR OF WISCONSIN (It not, authorized by § 706.06, Wis. Stets.) ~2s~~i Y,ATHLEEN H. WALSH REGISTER OF REEDS ST. CROIX CO., WI RECEIVED FOR RECgtD 07.03-2000 9:30 AM WARRANTT D® EXEMPT M CERT COPY FEE: EOPY FEE: TRANSFER FEE: 292.50 RECORDING FEE: 10.00 PAGES: 1 Name and Ratum Address RICHARDSON LAW OFFICE P.O. BOX 389 SPRING VALLEY, WI 54767 004.,o65.zD.ooo {Parcel IdeMiflcatfon Number) ACKNOWLED~iMENT STATE OF /I // COUNTY Personally came before me this // day of //, // the above named // to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. signature type or prird name Notary Public /I County, // My commission is permanent. (If not, state expiration date: .) THIS INSTRUMENT WAS DRAFTED BY 'Names of persons signlrtg In any capacity ahouid be typed or JENNIFER A. O'NEILL printed below theiraignaturos. ATTORNEY AT LAW Spring Valley, WI 54787 (Slgnaturea may be authenticated or aGmowledged. Bolh are not necesaaryJ ~ Intonnation Pmlessbnek Company fvrW du lac. Wisconsin !06&uM2t _ ~ -- 000UMENT N0 I STATE AAR OF WISCONSIN-FORM r r ~ i 1rr~~,, T !!l~~~ ~~( ~ WARRANTY DEED TF±iS SPACE Rt SERVED FOR gECORDtNG DATA ~ ~~~~ ~O e~ c ' F J" lJ C J l) ~' U i • -t TltIS f)F.@;U made between _ . , . O i= F- - RDdney Ti^1^~ -~r:d J;,nn- li,~i iltusbnnd n<1 .£!- - cart __ • r'• ,,< CQ.. Wls. t: r.. t : ,. , , -, `. ,-' _ - -- _ _ _ _ - , F'E-'c a f~>r `=r,r~~-± `!-! . ---- 1 , S 11th ' and Jer)•ne ~'. ;.;~, ,a .s - ~ - . and Le )na L, ,Lang. _ . "`'`: ru.,~ .- Grantor .,, , rn. T rr Eya:3jf ,..f_--s!u~y ___.'~.t7. ~~77 _ - _ ._ Grantee, ~ ~ W i t n e a r e t h , That the said Grantor for a va:uabir con s rderaLon .- - vv` ~_-... Red,-f~f..t .t -~,,,, ~~"- Tw~nty-Five Tn'~usand and l~OIQU-------- (~~5,40Q.OQ~------ conveys to Grantee the following d escribed real esLfte rn et LrJ1X County, RETURN 10 State .,r wtscunsin: The k~,t "Ceu (10) r:~ds .;f the Lai I'::,_nty-`_'evcn an~i lnc-t:a 1f (2%z) r•)d9 ')f ~~uth ~ixtct~n (io) rids, o.` Tax Re> x ~ )uth 'deSt )nc-i:uarter .>f ~DUtI) East )nt-t,'uart Fr Thrs ,s _ homeaead pr-,porty. (~4,rL 'tf `!/i), section Twenty Seven (27), T.,wr.~hip Twenty-Eight :forth (2SN) Range Fiftrct, W~yt (15W) ~s'.Oo .:'.'1 Together with all and singular the hereditaments and appurtenances thereunto tte longing or in anq µ~Ese apperta in:rtg; - And ltadne} li;,,rn aad -~n:ia Iirur; hu:;::ar)d andaa:-fe, as }oiazt t~naF);s cia ir).:iuid+ially warrants that the tale is good. indefeasible in fee simpl~• an,i free and c'tear of encumbrances except VDne and wtll warrant and defend thc• same. Executed al - r_ _ _ ~..-, SIGNED AtiD SI•:AI_F:n iY PRESENCE OF Stgnatnrre ~,1 authcn;iiate•d thrs this ZSt _ daq of ,7uly IQ - , Cl /~ ~ • ~.l~E't~ ','1^fi'i _ ~- ,L ~ ` ~ k ~F:AI.t :~Or7Ei '~1~C1 ~F:AL: ~F:A1_; 1" i J . dev ~,t 7iti:•: Nemb:•r State E3ar u( 8'rs~~n„n .+r Other Party A uthurited under See. 7U6. rl6 vir- STATE OF WISCONSIN -fit. i,r.;lX C.nutt v. ( .,. per-: ~n.~!'v ,.i _., ,.1. ,.. !:~„; _...' ~ f i ~.]1~' tho .,t,,,c •t., ., J R]-i L ~ i °1'', :7 'j Lt •, ~ ,_ ,. ~ ti.~ n] ~ t , r 1 fir.; ~ ~. '4` 'riil~ t~: ..... Names .,f p.•rti~,n•. ~,,~nut,: in .+m rapa:ity shc,uld !w. ~ ,. ,,r,nt..~d ~,riuw ihr'u •~,F•.n:.t,in••. WARR AFTl' I,E F:It--tiTA"r :? BAR OF K~ISCONSI?l, Fr~HM ti0 Y - 1'x71