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020-1479-23-000
ST CA' CO PLANNING ZONING November 19, 2009 Kernon Bast c/o Edina Realty, Inc. ,M 400 South 2nd Street ,: Hudson, WI 54016 Code Administrat RE: Compliance deposit refunds for Cottonwood South '07 lots 715 - 386 -4680 Section 36, Town of Hudson Land Information �' Dear Mr. Bast: Planning 715 - 386 -4674 4fr I recently reviewed the Board of Adjustment Decision for the above subdivision while processing a sanitary permit application and noted that you have compliance deposits that Real Prop may be eligible for refund. According to Condition #5: 715 3 677 Rey cling "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash - 386 -4675 compliance deposit for the lot. The compliance deposit for the six lots under construction shall be $1,100 each, and the compliance deposit for the remaining Tots in the subdivision shall be $300 each. The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established, and the project is found to be in compliance with the conditions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Administrator photos of the completed construction and certification from the project engineer that the construction has been completed as approved to serve as proof of compliance." Our sanitary database records show eight (8) permits were issued whose POWTS have been installed and inspected. However, there are some non - compliance issues that must be resolved before Tots 2 and lot 24 will be considered "complete ". We need to obtain elevations and documentation of the building sewer and tanks that were installed on lot 24 without county inspection and the mound on lot 2 does not meet the required setback from the north lot line. When we have received photos that document completion of construction on each lot, your deposit refunds will be processed. Sj.nrefely, 4�..;, Pam Quinn Zoning Specialist Cc: Brian & Molly Hayes, lot 24 property owners Andre Buechner, lot 2 property owner ,rt Sr. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715386 -4686 FAX PZ @CO.SAINT- CRO /X. WI. US WWW, CO.SAINT- CROIX.WI.US r ' County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix 'Safety and 9.uilding Division 4 �, �t I NSPECTION REPORT S anitary Permit Nn 506366 1 d • 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: Bast, Kernon Hudson, Town of CST BM Ele� (.5b Vc � Insp. El v: I � _ �� Section /Town /Range /Map NIIJJ S 36.29.19. TANK INFORMATION ELEVATION DATA --" " /9 ®.25" /0D. 9.< TYPE MANUFACTURER CAPACITY S�T�A�ION BS HI FS ELEV. Septic \ �`�� Be hma 5, • lb(. /60 / Dosing jr 1 Ws / Alt. BM _J` rA I , (r.f' ltrAlft = Aeration r At r t f.._ 1 Bldg. Sewe !� / / MEM GI -EIMI 'T& gill Holding /d r , LI.Q�i � � � r� ! 2 10. St/Ht Outlet b i �. �� TANK SETBACK INFORMATION TANK TO P/L 'ELL- / BLDG. Vent to Air Intake ROAD Dt Inlet ‘../ Septic "/ v r Dt Bottom !• �� c` 1 l Dosing 1 / IMMO ,A,,,_„; E!!!!! s IMEI 11[A.Af.'_it ,_ Aeration - WWI 9qg _ / Holding r/:(02<1*' Irigi But. System 0 -- � Final Grade Be" A02U- / PUMP IPHON INFORMATION ' anutacturer / Demand St Cover A o / ral � � MirY � �0�. r ' ral 1 PJludel Number ( 65 A4-0 � /_, b l� ►:. t. TDH jLiftq 0 Fricti n Loss, (System Head 1TDH Ft ,sl S ' e' MEE - (i . 9r Fcrcemain Len h ( Dia. N Dist. to Well .// -Yr4t / 9 c"', -- A • '" • 1 2 / SOIL ABSORPTION SYSTEM BED /TRENCH Width ( Length r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS � ,� [l l ! /1Q ( ' ,_-- SETBACK SYSTEM TO / P/L t BLDG WELL LAKE /STR M EACHING Manufacturer: INFORMATION ' CHAMBER OR Type ste m: 1 � /D t 9142„a„...."14"....._(1) I t / UNIT Model Number: DISTR N SYSTEM �i� /� : %a-/ Header/ l anifold r � , Distribution r / x Hol Size x Hole Spa cin g r Vent t % it !nt e P ipes ) 25 4 1 Zi /G� �: 2.73 Length 2.r' � • Dia Dla � ' Length �' Z S Spacing �' /J ' 'Z� 2 � ,�.�. xx Moun r At -Grade Systems Only SOIL COVER x Pressure Systems Only Y � — Depth Over xx Depth of ax Seeded /Sddd i oe ( x' Mulched Depth Over DEp ' - P r-� - � - Bed /Trench Edges vpsoil , � Yes INC Be+ _!l rench Center 9 es ■�u COMMENTS: Include code discrepencies, persons present, etc.) Inspection • # II _ 5 ! b'7 Inspection #L: l Gin. i••" — P TOt.,J Location: 846 Settlement Drive Hudson, WI 54016 (SE 1/4 SW 1/4 36 T29N R19W) Cottonwood Soukh'07 Lot 23 _ (�'arcel No: 36.29.19. =rip /f/ ,/ i C � Pl ow LJSFf� 1.) Alt BM Description of- f-Ll"wti004. +� JA,'Lo-� t .a . tc fr > f % / T 2.) Bldg sewer length = 0 tr ' . a/� 9 1 . 44 . . uae, �r 1,6)4 � --, . - Plan revision Required? ilii Yes No �/� ; YJ L � S/ 1 /1 e Wi t_ _ _ � ( .E Use other side for additional information. — Date Insepciors Sign- Cert No SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix r Visconsin Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266-3 Department of Commerce 5 6 3 LoL Sanitary Permit Application state Plan LD.; umber In accord with Comm 83.21, Wis. Adm. Code, personal information Stat Project Address (if rfleren than mailing address) may be used for secondary purposes Privacy Law, s15.04(IXm) L Application Information — Please Print All Information r 4- ( 5e#14-1e.. m .N. . ! - Property Owner's Name 0 Parcel # Lot # Block # ce54 eX11/4O )N. Pending 23 Na OCT 3 1 2007 Property Owner's Mailing Address Property Location 50,)41, Z /l 5 4 - ST. CROIX COUNTY :i metre. ,�/ Gov't lot .SEK. SW /4. Section 36, City, State I Zip Code Phone Number — (circle one) Hudson, Wl 1 54016 ('J b- T 29 N; R 19 W II. Type of Building (check all that apply) £ P''A , c , Ce .nn. (3 '4-o - X 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name CSM Number ❑ Public,/Commercial — Describe Use / 1 AeAatook, . Cottonwood South ❑ State Owned — Describe Use 0,5e) h,, 167. /d dlev.J. 6 DCi(y ❑Village X Township of Hudson III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. X NeN___ ❑ Replacement System ystem ❑ Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System B. ❑ Permit Renewal X Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil X Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate (gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation 1.0gpd/sq.ft ASTM C -33 sand , ® 16" above 600 gpd 0.4 gpd/sq.ft native soil ✓ 600 sq. ft. A � 600.05 sq. ft. j w 100.00' contour VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units /� Concrete Constructed Glass New Existing [/, , C F, .I N I Tanks Tanks r4 7 /ek .7 +r+.. Septic or Holding Tank 1,200 1,200 1 i eser eoncrete Combination X 1 Aerobic Treatment Unit Dosing Chamber 800 800 1 Wieser Concrete Combination X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWI'S shown on the attached plans. Plumber's Name (Print) Plumber's Sign MP/MPRS Nuntber Business Phone Number William Schumaker ---- - MP #227990 (715) 386 -3121 Plumber's Address (Street, City, State, Zip Code) 1070 Scott Rd., Hudson, WI 54016 VIII County/Department Use Only f , Sanitary Permit Fee (includes Groundwater Date Issuing/4_, t Signature, S _, ) i lE6;proved ❑ • •appro Surcharge Fee) / r ❑ • ...., ., Reason s:. ial $5 , ao If $ 47 IX. Conditions of Approval/Reasons for Disapproval /� (� SYSTEM OWNER; 3, (� k7 J t �d�La~. l �(1 e T L 0 ()5 j; 4 • • , (5....L41.A 1. Septic tank, effluent filter and dispersal cell must all be ser s / m /gad �� nJL. pcv-k- as per management plan provided by plumber. ! _ 2. All setback requirements must be maintained U� t fouji_e) tutti-a� as per applicable code / ordinances. lo,AS i -:dr.) r ate Agra Attach complete plans (to the County only) for the system on paper not less than 81/2:11 inches in she 1 ,�.�. 1,6- a�.2.. ; , e) CA)/X14 ,4 peC—. -6398 .01/03 l __ J �r \ .`ra , 5 la Z 4 - ' Str p • 50 /ed2 /uaben ,`e ' ' • e t' /:a6.Z yiya de alb / , / co„ \ 111111111110r 4 „ ‘, • N . \ 4%; r of : 7 ,, �+ 7-A5t /at- 5 -(e . , � ` ` � ` / /'f , �G�'/r/iG Class,_ lLtrSLlccctG.; 4 °S e ms `.. . Y 0 k e23,ID o Co n Y /a� � L L fa�icdcac/ /r r4o/as //4e „ „t ` \ ' '' / v /.i- ., 644 ,4 - `-u � ouL� ( / SE`'flSu>/ See. 3 G, .c P�X `, ”' PPCf/pSld 9. /'a:s,,a�d .. x�/.?�'f `T; ' . ` !{ S � • Cf'oi,C u) /., �t / 2.21>. QC c,.y X u a w o (a,) \ 2 " �i5 " an /a �era/s a !%�X �3sz' v �` C�,- ',/ S't �brticts Vac-cc/a/62.29. ' l 7- 6 d-6/43c r, "sch • 40 ' / ✓. C. • 4'mtema n Propels el (.c>;( scr c'n/'a. / iNlV)x 4,0 ,20o /8co -'ie ,6:4 - 1,V1- �% rv+ 5 .7:/4d. �'�44•ot'A X52.5 97.7-"' _wife /?e 1^ j F AG / � �� 6k ;id, 54 e / " � ��� d 4y 1rade a ''' 7'1 F 6,07.1;n y •> 9--b' --- - � ' -.r 2* Propos 5, O�cuzo i°. � / � b id�OSm °o n S/ E/e% a4•6o/ 0 of' .r- . A l e , RCS,-di-nee O /a6 S 6 a 4 e t . - - - /I. 6 o f eS -6e.6 4r.(cd by d.e.urni,:4:n, = 96'07' grade £ teva. e4- s a.e ` a. i e ✓a.Pa a.,04-, "o eiold ox& a,00 /a,6 eleva v&n rll 6a Cr, 30; /AN /uu.6- Pro ca -6' r, 96.3 copy Se-e /e-.12¢„ 6.. goC 9 t ` v \ \ - : 5( • ms ! �' a '0 • • ° s • 4 /52' to `. � �, � `_ _ � • ` `� �(cPt Af ter Ile- lass,z_ Conserk.c ' /otSta.�e .. Q 13,P/a of C.:2 -iWcvd r ft-44d a s " /.:, "' 1 e' 'c c `\ 2 v/ e,oaat `� , , ' So&c.&X SiV.54J %se 5z e-- 3 4 �Q 12,94., e /9u2, 7:1. 6701,4 .ds�n, E /eve = /ciYJ.frs - PlgpOSedlnou-,o! �yj�c � ‘ . S. Gro:X u.),., 6 9, a /5- .5;/o/'a�.5� u t!/. 3a /C71..,o(2) • ' dise- r /c_,r-a/s /4xS3tt' • - ')/S'f "oricces z.2. :' _ ,z`sch•go AV. e. 1 crae ;n Proposed C ); eser comcce4e I ' I w /sco me ,b:4 6o',, s.r. /,Q4. 4tX!-b /y,4or,4c -szs to 9Z7S v efr /u...16te:'/ee.-o.-6 e /.e 0 of 5e 6 IN ii "sc.4. 4 e. 6 u% /d,, itei Con bsei /i nl 1 Vra.de atf/ 6ui/d ;n c = 'l 3 ,•e x. Prapost_ 4/ b area m o nn kick: a. veto / of P et, Vence. O . / 56444 a.f.__). * 0/ r i' 4-r/c //ewes des Preyed. <- s. E. he corn.,. ne, dM. e56ti r.(Gj by dcur.n,01:,, = 9B.Qs' fra c✓e zit vez-6 r- s 4.- ; Sa i e ✓a ' v» / a,'E3andaXLe- aoo/a.6 etevafp„ P based o7 3o; /,Eda/ua. 6 4 f Pro asses ` P°Y' /a � 96. eo' 5e-e /e,, dJr'i 1)e- l■ - -- I* 807e? r - Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wi.gov LA CROSSE WI 54601 -1831 4 TDD #: (608) 264 -8777 sco 1151 n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary October 25, 2007 CUST ID No. 227990 ATTN POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/25/2009 Identification Numbers Transaction ID No. 1477523 SITE: Site ID No. 730949 Scott Mccormick / Mccormick Classic Construction Please refer to both identification numbers, Settlement Drive above, in all correspondence with the agency. Town of Hudson St Croix County SE1 /4, SW1 /4, S36, T29N, R19W Lot: 23, Subdivision: Cottonwood Ridge South FOR: Description: Four Bedroom Mound System / New construction - Revision Object Type: POWTS Component Manual Regulated Object ID No.: 1154973 Revision; Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01). The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on 10/3/07 under Transaction ID No. 1468625. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Conditionally APP WILLIAM C SCHUMAKER Page 2 10/25/2007 Owner Responsibilities: • 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. Comm 83.54(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 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 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726 -2544 , Friday, 7:00 A.M. To 3:30 P.M. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGNCCT Residential Application INDEX AND TITLE PAGE Project Name: McCormick Classic Construction 4- bedroom residential mound Owner's Name: McCormick Classic Construction - Scott McCormick Owner's Address: 572 128th Ave. Hudson, WI 54016 Site Address: Legal Description: SE1 /4 SW1 /4, Sec.36, T.29N., R.19W. Township: Hudson County: St. Croix Subdivision Name: Cottonwood Ridge South Lot Number: 23 Block Number. Na Parcel I.D. Number: Plan Transaction No.: 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 License Number: 227990 Date: 10/09/07 Phone Number: (715) 386 -3121 Signature: A/1l� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution i Component Manual Ver. 2.0 SBD- 10706 -P 1/ 1 po (N. 0 0 ) t•ci +P:i M i T G C(fe 1" �E Version 5.1 (R. 06/06) DiviSiOW O SHFEiY At.0 LuiLuiNGRage 1 of 9 SEE COkkLS ONDENOE 4 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) ' R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of « 36 inches. 600.00 Design Flow (gpd) 4.50 Site Slope ( %) 100.01 Contour Line Elevation (ft) _ _ 20.0 • Depth to Limiting Factor (in) 17 • In -situ Soil Application Rate (gpd /ft Distributlon Cell Information 109.10 Dispersal Cell Length Along Contour (ft) = I 5.501Celi Width (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd /ft L_ it Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution L Y j Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 2.75 Lateral Spacing (ft) If N above, enter the elevation (ft) _ 4� Number of Laterals of the highest point. _ -' 0.125 Orifice Diameter (in) 2.25 Estimated Orifice Spacing (ft) = 1 6.251ft 2.0 • ' Forcemain Diameter (in) 1 11.1 ) Forcemain Length (ft) Does the forcemain drain back? Y 1 11 Pump Tank Elevation (ft) Enter Y or N IIIIII % Sys -m Head (ft) x 1.3 32.62 Forcemain Drainback (gal) (c f -t men - 'cal Lift (ft) 68.58 5x Void Volume (gal) •.46 Friction Loss (ft) 101.20 Minimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) 39.54 System Demand (gpm) x/,11 25.381 Total Dynamic Head (ft) Lateral Diameter Selection I Manifold Diameter Selection in. dia. options 1_ choice in. dia. options I choice 0.75 I _ 1.25 x x 1.00 { 1.50 x I _____._ __-, 1.25 x i x __.1 2.00 x _j 1.50 x 3.00 1 2.00 x 1 1 - 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) 36.001 Total Working Liquid Depth (in) I Wieser Concrete i Manufacturer 1 22.241 gaUin (enter result in cell B49) Dose Tank Information Effluent Filter Information � 800.64 Dose Tank Capacity (gal) Pol Lok __ Filter Manufacturer I._Y___ 22.24 Dose Tank Volume (gaUin) ; PL -525 Filter Model Number Wieser Concrete !Manufacturer Project: McCormick Classic Construction 4- bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views 1/108 J • observation Pipe ' ©'. �--K — T A W. . . . . . . . . • ..................................................... ...... —t • • L Mound Component Dimensions A 5.50 ft E 18.97 in H • - 1.00 ft K 9.68 ft B 109.10 ft F 9.25 in 1 9.89 ft L 128.47 ft D 16.00 in G 0.50 ft J 6.88 ft W 22.27 ft 600.05 (ft Dispersal Cell Area 1679.07 (ft Basal Area Available 5.50 (gpd /ft) Linear Loading Rate 10.91 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View . Aggregate Dispersal Area • Finished Grade 103.10 (ft) --► ...e'ri I H „0/././.... y e'e' /i iie'f. G 0 ,e'ie'i/e'e'e'eW///i ."/./.•//// lire'... F . Dispersal Cell 101.83 (ft) Lateral 101733--1► -- Inv • ert Dispersal Cell ,[ 0 Elevation E D 4 100.00 (ft) Contour Elevation 4.5 % Site Slope Geotextile Fabric Cover Shading Key 13 a l 1 — Dispersal Cell See lateral details on 11 Topsoil Cap •a 1.5 ft Page 4 for number, size, 0 Subsoil Cap a o Ll and spacing of laterals. • ASTM C33 Sand 2 •: • F Laterals are equally E :).` Tilled Layer c m 0.5 ft Typical Lateral spaced from the © f:.. :;1 Aggregate v distribution cell's centerline in the 0 A * distribution cell (AxB). Project: McCormick Classic Construction 4- bedroom residential mound Page 3 of 9 ■ Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at ang point. Laterals are identical • 7 < P I s f •= Turn -up va toa'I valve or 4- x 4.02 i K23 Laterals & force main of PVC Sch 40 eanoutpl uy per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.29 ft Lateral Length (P) 53.82 ft Orifices per Lateral 24 Lateral Spacing (S) 2.75 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 9.89 gpm Manifold Length 2.75 ft System Flow Rate 39.54, gpm Manifold Diameter 1.25 in Total Dynamic Head 25.38 ft Forcemain Velocity 4.04 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and il 1 Comm 16.28 WAC U 4 in. min. /_ Disconnect Tank component is properly vented E.3=E:=1 <--i Alternate outlet location 1 Forcemain diameter Wieser Concrete Manufacturer 2 in Capacity 800.64 Gallons 41 Volume 22.24 al /in h A g c Weep hole or anti - Dimension Inches Gallons B e siphon device A 18.45 410.32 B 2.00 44.48 C d 4 Pump off elevation (ft) C 4.55 101.20 .----- 1 89.421 D 11.00' 244.64 D n" Total 1 36.001 800.64 1�—,� Do se tank elevation (ft) 3" Bedding un er tank. 1 88.501 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number 3885 WE05H Pump Must Deliver 1 39.54Igpm at 1 25.38]ft TDH Project: McCormick Classic Construction 4- bedroom residential mound Page 4 of 9 I Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone (715) 386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone! (715) 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 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600.05 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Freauency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction s s on and Materials Standards 1. Observation i es are slotted and materials - p p a aterials 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 6 -8" Diameter Lawn : Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral - Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: McCormick Classic Construction 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. 2.0 SBD 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 with 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, Stets. 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 fitter 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 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 aDd 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 BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg /L BOD 30 mg/L TSS, 10 mg/L FOG, and 10' 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 monitonng. 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 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 Sep 13 2007 9:07RM TERM SPEERBAST 7153868660 p.6 4 4600in SOIL EVALUATION REPORT #2009 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildinga Steel's Soil Service complete site plan on paper not less than 8 %x 11 inches in size. Plan must County Attach com P P P P St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - percent slope, scale or dimensions, north arrow, and location and distance 10 nearest road. Parcel I.D. Pending Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). I Property Owner Property Location Bast, Kernon Govt. Lot na SE1 /4, SW1 /4, S36, T29N, R19W Property Owner's Mailing Address Lot # Block* Subd. Name or CSM# 948 Labarge Rd. 23 na Cottonwood Ridge South City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hudson 1 W11 54016 1 715 -388 -7775 Hudson I Cty Rd N LII New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPO J Replacement ❑ Public or commercial - Describe: na • Parent material Silty sediment,loamy glacial till, and clayey dolomitic limestone Flood plain elevation, if applicable na ft. General comments Mound design, sytstem elevation 101.33ft based on contour line elevation 100.00ft Minimuum 16 inches and recommendations: ASTM 33 Mound sand. 1 Boring ❑ Boring ® Pit Ground surface elev. 100.00 ft. Depth to limiting factor (20 fn. Soil Application Rate ' Horizon Depth Dominant Color Redox Description Texture 'Strait/re' • Conelstence B ary Roots:' GPD/ft in. Munsell Qu. Sz, Cont. Color . Gr. Sz Sh: •E1 1 . `Efff2 1 0 -12 10yr3/1 none sil 2msbk _ mfr cs lvf i .6 .8 2 1.2 -20 7.5yr4/4 none sid 2msbk mfr cs na 1 .6 3 20 -60 5yr4/4 f2d 7.5yr5/6 sl/sd om na aw na . .0 4 60 2.5y4/4 c2d7,5yr5/6 cl om na na na .0 .0 1 • • - 2 Boring * C❑ Boring . ® Pit Ground surface elev. 100.00 ft. Depth to limiting factor 28 in. Soil Applicaton Rale Horizon Depth Dominant Color Redox Description Texture Structure • Consistence Boundary Roots GPD/ft2 in. Munsell CAL Sz. Cont. tar. •Sz.:Sh. 't^ffA • *PM 1 0-11 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 11 -28 7.5yr4/4 none sid 2msbk mfr cs na .4 .6 3 28 -53 5yr4/4 f2d 7.5yr5/6 sl /sd om na aw na .0 .0 4 53- 2.5y4/4 c2d7,5yr5/6 d om na na na .0 .0 1 1 L ` Effluent #1 - BOO? 30 <220 mg /L and S >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS <30 mg /L CST Name (Please Print) S'e ature: CST Number David J. Steel AO.' 248956 Address Steel's Soil Service Date Evaluation Conducted Teleptione Number 994 200th St, Baldwin, WI 54002 10/21/2006 715 -780 -0347 SBD -8330 (R 07/0D) Sep 13 2007 9:07RM TERM SPEERBRST 7153868660 p.7 • Property,Awner Bast, Kemon Parcel ID # Pending Page 2 or 3 3 ` Boring # 0 Boring pit Ground surface elev. 98.70 ft. Depth to limiting factor 24 in. SoUApplicatbn Race Horizon Depth Dominant Color Redox Desoripllon Texture 'Structure Conslstence Boundary Roots 33PD/1t' in. Munsell Qu. Sz. Cont. Color Gr. SL Sh *Wrist "Eft #2 1 0 -11 10yr3 /1 none sil 2msbk mfr cs 1vf .6 .8 2 11 - 24 7.5yr4/4 none sill 2msbk mfr cs na .4 .6 3 24-51 5yr4/4 f2d 7.5yr5/6 slJscl om na aw na .0 .0 4 53- 2.5y4/4 c2d7.5yr5/6 d om na na na .0 .0 Boring* 11 Boring u Ph Ground surface elev. ft. Depth to IimiGng factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary , Roots GPD/M in. Munaell Qu. 5z. Cont. -Color Gr. Sz Sh. *Eff#1 •E1f#2 • 1 { I Boring # D Boring ❑ it Ground surface elev. ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure: Consistence Boundary Roots. GPD/ft in. Munsell Qu. S2. Cont. Color Gr. Sz. Sit.. 'Etrst Effluent #1 o B00 30 a 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD s 30 mg/L and TSS c 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. SHD-a3 30 (207100) Steers Sol Service Sep 13 2007 9:07AM TERM SPEERBAST 7153868660 p.8 STEEL'S SOIL SERVICE 3 of David J. Steel Kernon Bast 994 200 St. CST - POWTSM SW1 /4,SE1/4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715 -760 -0347 Cottonwood Ridge South, Lot 23 Fax 715 684 - 3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 "= 40' • = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft 1 Top of 3/4" pvc pipe 6/ ❑ = Borings Boring Elevations �� B1= 100.00ft B2 = 100.00 ft B3 — 98.70 ft B4 = 0.00 ft o 57 ,5 7 ,-) •\ � '2- . et- / ♦ 0 3 Ar / i/ /,_ 2 ( f d� 53" 96' 41" m i- I I i l l 1 1 . --- ___ t 6" . c0-n ni0 0 0 N -n m v N m m 1- 0 �� m m rn a m 1 1 I m \ C.),,, II * II • 44 m . .. • r _ --1 17 I I- r T 1 ti I 1 ^ / J • i D Ss * - z o c N r D 39 in -1 m K D Z C 0 M c D N A O . d p -1 r r 2 0 N �� z ° n m m m J._ � ,+— it D c) 0 N D '?D I p m 0 mmD 00D Z 3/ CD : ., .; m D 0 p N p -+ =xo m - m c r .. r c._ � N z :C > m m ur 17 w V N fJ� 11 M p -I D -- - r m '' 4, n 0 1 W o I N W co m �0 cr� p • o: , 0 O /.. N rn O M r 0, ��_' 0 � r m � ° C70 Cg z G7 y r p o p ( N D p 00 • c zz 0 0 CO o .� D. O N co - m N O m c m F m o c m 0 (1) xp N - 05 A D VI t, O r z m N m \ ° = WLP1200 /800 -MR WIESER COIICAETE SCALE: 1 /a " =r REV NO DATE: p y DRAWN BY: SWT ° � V, SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK, W 54750 DATE: JANUARY 2001 ° REV. JAN. 2004 800- 325 -8456 FILE: WLP1200 /800 - MR commerce.wi. 9 ov Safety and Buildings Division County ,/ , CO 2Ul W. Washington Ave., P.U. 13ox 7162 ,� CVO C) S fl S ; N Madison, W 153 ?07 -71 62 Sanitary Permit Number (to be tilted in by Co.) V /f ` - ,- r Department of Commerce . • , j ` 1. - L „ - State Transaction Number Sanitary Permit Application ; . Number._ 25 In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission � fthis Corm to the appropriate guvernrtental / J unit is required prior to obtaining a sanitary permit. Note. Application forms for state -owned POWTS arc Pro dres• 'different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secundar purposes in accordance with the Privacy Law, s. 15.04(1)(mm, Stars. 1. Application information - Please Print,F.tnfo ation. _ — Property Owner Name / , � Parcel # !, ' ( ,`, Property Owner's Mailing Address Property Location / dCJ ti ,,7 _ ST. CROIX COUNTY Govt. Lot 9 2 3 City, State Zip Code . Phone Number , l f% ., . '1J Section �/ (circle one} � � / �. � T I N; R ,,., e o 11. Type of Building (check all that app • ±: _ Lot # n� Subdivision Name t Or 2 Family Dwelling - Number of Bedronrr , - t � . • 'G �p r + e r t ' ' ` ti' ' :, filock it _. f'4 Ai - ;..A_'v� Public/Commercial - Describe Use _ I - ❑ City f --- - ---- -- ` y ❑ State Owned -• Describe Use CSM Nu •,! tr 0 Village of f ! r 4 ❑ Town of / A<1.$�� } 111. Type of Permit: (Chec only one box on line A. Complete n : alibl .;ppcae) Y t lt li � A. New System ❑ Replacement System ❑ TreatntentVHoId tk Replacement Only 0 Other Modification to Existing System (explain) • t; — List Previous Permit Number and Date Issued 0 Petntit Renewal ❑ Permit Revision 0 Change of ;umber 0 Pe 't Transfer to New Before Expiration Owner 111 t t -W7j � l V. Type_ of POWTS System /Component/Devlce: Check a ' hat apply _ ° `' j 1 ❑ Non - Pressurized In -Ground ❑ Pressurized ;Grade , r In- Ground ❑ v ..... >24 in. , itable s 24 ooil 0 Mound 24 in of sui bl soil // ❑ Holding Tank 0 Other Dispersal Component (explain), 0 Pre , tment Device (explain) < / _ 4 - i1 ; V. Dispersaiffreatment Area Information: ' . - Design Flow (gpd) , Design Soil Application Rate(gpdst; . Dispersal Area � { RequireJ (sf) Dispers - rea Proposed,(st) I System Elevation • � � ° e+ 7 •� ' % 5- ( J , 1 . { - -- h / / ii1 ""�) LL L /i ?3 VI. Tank Info Capacity in Total # of Manutacftue L Gallons Gallons Units nit o w u r J W C _. � New N etl c Tanks Existing r • T ' a tt ankt � /u b � e ,,,, � � a a. U -y ii H us ii". 0 a. Septic or Holding Tank �( — Dosing Chamber t / 1 r 7 / 4J4 f 4,-ms`s I-- I X J VIl. Responsibility Statement- 1, the undersig. d, assume responsibility for installation of the POWTS s wo on the attached plans. Plumber's Nanie (Print) Plumber's Signature Avtf %MPRS Number Business Phone Number i k i . b a " /t4 . - c l c e _ O ‘ l e l - Vi c ? 7 V 9 6 gPG - 3 / 7 Plumber's Address (Street, City, State, Zip Code) V111. Count ' /De artment Use Clni _ j Permit Fee ! Date issued Issue is A tatSignature i �7- { Approved ❑•flisataproyed ) i i ` ❑Owner Given I t lsason for Denial i �� + , J1r�. :! *c .,. 7 , _,. >" c . . iIL Conditat�eaaons for Disapl.roval r Act 1. Septic tank, effluent filter and r 1 , ti . dispersal cell must all be servk es / maintaned r, ^'-.�: -e .., '`, 4 .» i � d -A-- 0 as per management plan provided by plumber. 1 2, All setback requirements must be maintained 1 • j t ac to comple e p ans u: the system an submit to tie County only on paper not less than 8 tR x I I inches in sizi ,; - 'd :,,.. del / > SBD -6398 (R. 01/07) Valid thmu 01/09 : .,...- i .... r' . 4-t - e '."'' r 1'�`- 9 � ' 5 /epe • Sa / eda /ua.& ■ • e,e.:s •E: grade e/t4A. , ' ,Co d / lJco / o S . ' N . % 4P ' telot /52. to ` \ � . ` (�� �fWiG �4SS�G StlkGlcs -�, cOd v/7 c�.eSE he /.4 e. ,� � G, Prep °sedrr d�zo.st/X /3 /dy: r, ‘, - .u�/�C, 4 4f t 1/2.50' a! s,aa�sa/ ea 7'wo(4) \ ma y \\ ,- ' - dis h'•-. {pan 4-t era/s ia x 5S, ye �/ - '''/ f' es va e e d aid /. sz� _ ' .2." .sch • go P.V. e. r . 407 ma; n .. Pope • ;estr Cdr,cre4e e s.r. /Re. W' •,r- Ae -szs 14 9Z' , 4 0F 5ep{,'G 6 N h Y .c/oP.Ve. 6 %. Sewer. '` / • Confi•o / /in_i r u/ 9 ell de 644,74 .11 Propose .5,•6c. =o/IY.zO' so 3 • • roan, ° " o E/e✓a 62,oi Pets dined O /9e 5t a aE f- Dr/y, 41‘,74 41a.ries des fro c .. 6.4; /e E Corn' n Ant €S /Ca c 6y de ,, = 98.Qs prosc%.e/tda4Y.4,34.t.Sa.%e✓� - .IIY, t o,'Es a^d 6 ixtea oola.t/i e /eV .7 J eropos- d (...Jell 6a sea o•, ,So: /,Eda /ua, 0, 4p0,--t i0 co -6`cm 94'. eo 1 A , See/ems '"— e3, 8078 r \ S • 9 p ':C'" s1a,oe • So, /eda.laa on ...5:, -. o- . • .Co d 101 S sz, .<, s \ . . o- S,G. /s,O, ',MOM MEM . • ' \ . ' % • 4 17 t v A /Yfecv//1JiG L'/ass. Cpysefkcri 4 1)4: 7;7", r-.os, /ae _ Q . . ` O 23, lah, 0 eo Ho)? c.dcod /YY1 a s " /•.re st ' ' 4'9 5occL� Stf'�Su> %; Sze. 3G, on9uJasE /off /.•tee. � • �, ` • Prgoos�rrr(oun /3/.67 s `. _ S. Ciro ; , wt. ,t .p 2.2.04,, '-Y , ix o' / /2.s ci s,o,.. - sa /Ct!.. 7`wo(& ` '� di s - r /bw an J a & ra/s a. 6 /a A sS. ye ' ")// l " orirei el 5ra c c d aiE /• S2! -e._ "s ca • cio AV. c. er 'orr,€ ma in ■ .osc lc� ;eser Ca„erefe w co G4 -me 6friete'- */ d 5.7. d. Po / ' At - 4 97.7S' h • ' c..h.s/oP ✓.e. • Cvr, fro / %'n q r4 de Ci f✓ burn; n1 i raPos 3.'& = icxso' 3 6 . • roan.) 0 _0 Aside-nee 61e.44 a eta, 0c • As de-nee d /aa 56244 aE Or/9i rri /64/7c4 /I?as'es de . oy•cJo! S. E /0e Corns• - /1 dni es-i/&rA,/ 6 elri71,'•11.1 s = V.BS ?ra- , (t vet-6'e i-i s a. Sa % e ✓a..Q 4.4g, / We.3 a'd a xe /a-61 a /eda. Pro os•€4 LA-kit based 07 /4 '4 /ua. rrj 4/),,,-- f is ca6 c» 96.6' i , - ______ i* 80(6' L • Safety and Buildings 4003 N KINNEY COULEE RD A d isconsin commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 03, 2007 CUST ID No. 227990 ATTN: POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2009 Identification Numbers Transaction ID No. 1468625 SITE Site ID No. 730949 Scott Mccormick / Mccormick Classic Construction Please refer to both i dent i ficat i on numbers, Settlement Drive above, in all correspondence with the agency. Town of Hudson St Croix County SE1 /4, SW1 /4, S36, T29N, R19W Lot: 23, Subdivision: Cottonwood Ridge South FOR: Description: Three Bedroom Mound System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1154973 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Conditionally APP: 0EPARTMEC:`T OF COMMERCE CIIVI M € r C Arr r , a.,........ Owner Responsibilities: • 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. Comm 83.54(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 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 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gera POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7 :15 am - 4 :00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726 -2544 , Friday, 7:00 A.M. To 3:30 P.M. Center Connection Lateral Diagram Layout Dia Y 9 1< P >I ---= • • IF X-- >IEx12 *1 Fx12->1 Laterals & force main of PVC Soh 40 (per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral. • = Turn -up r itballvalvv or olvanoutplug equally spaced _ Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 55.48 ft Orifices per Lateral 37 Lateral Spacing (S) 0.00 ft Orifice Density 6.08 ft /orifice ' Lateral Flow Rate 15.24 gpm Manifold Length 0.00 ft System Flow Rate 30.48 gpm Manifold Diameter 0.00 in Total Dynamic Head 22.83 ft Forcemain Velocity 3.11 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —► � . _( Comm 16.28 WAC 4 in min - Disconnect --t- __.....--_____ Tank component is properly vented D=0 DE <--- Alternate outlet location f 1 Forcemain diameter Wieser Concrete Manufacturer ;;;;;____J 2 in. Capacity 602.82 Gallons Volume 11.82 gal /inch A Weep hole or anti - Dimension Inches Gallons B I siphon device A 29.93 353.81 B 2.00 23.64 C Pump off elevation (ft) __t_ C 7.07 83.53 I 89.501 D 12.00 141.84 D Total 51.00 602.82 Dose tank elevation (ft) 3" Bedding un er tank. 1 88.501 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds ( Pump Model Number 3871 EPO5 ____1 Pump Must Deliver 1 30.48Igpm at ( 22.83Ift TDH Project: McCormick Classic Construction 3- bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name 1 Bill Schumaker Phone (715) 386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft 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 every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other 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 • •r 6 -8" Diameter Lawn fi: Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: McCormick Classic Construction 3- 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. 2.0 SBD 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 with 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, Stets. 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 fitter 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 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. Pump 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 BOD 150 mg/L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 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. Contlnsrencv 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment knits 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 • .M GOULDS PUMPS Submersible Effluent Pump - ... j MODEL EPO4 EP0 387 5 APPLICATIONS • Fully submerged in high • EPO5 impeller: Thermoplas- • Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing S following uses: lubrication and efficient improved performance. construction. heat transfer. • Casing and Base: Rugged • Effluent systems ' • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • superior strength and corrosion Farms manual operation. Auto- resistance. . Canadian Standards Association • Heavy duty sump matic models include • Water transfer Mechanical Float Switch • Motor Housing: Cast iron Goulds Pumps is ISO 9001 Registered. • Dewatering assembled and preset at the for efficient heat transfer, factory. strength, and durability. SPECIFICATIONS • Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 /4" maximum. P • EPO4 Impeller: Thermoplas- • Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40 °C) continuous METERS FEET 140°F (60°C) intermittent. - • Fasteners: 300 series 10 stainless steel. 9 - 30 � --11. + . —sGPM ._ • Capable of running dry without damage to 8 - 2 s Fr components. 25 1— -1-_._.._._.. _._., 0 7- 0 a Motor: i f 9 P • 115 or 230 V, 60 Hz, 1550 x a 6 zo ®: z EPO4 Single hase: 0.4 HP, a RPM, built in overload with > • ;_ __. ..._...___ __.. __ , _ _ automatic reset. ° a 15 j 4 ^ 1 EPOS • EPO5 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 3 _ o __. • _ _____ ___ RPM, built in overload with i EPO4 automatic reset. 2 • Power cord: 10 foot 5, standard length, 16/3 1 SJTOW with three prong , , grounding plug. Optional 20 0- o0 10 Z , o _ 31 40 50 GPM foot length, 16/3 SJTW with 30. rn. iron '2;',u,r, su i(4 r�Q4circd three prong grounding plug 30 / ° +may O (standard on EP05). 0 2 6 8 10 1 z mein CAPACITY Goulds Pumps © 2002 Goulds Pumps ITT Industries Effective September, 2002 PI' 7° t? 63871 'Wisconsin SOIL EVALUATION REPORT #2009 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service County Attach complete site plan on paper not Tess than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distan - to nearest road. Parcel I.D. ending Please print all information. Rev' ed By D aaa(��� e / Personal information you provide may be used for secondary p � .•• • • y Law, s. , 5.04 (1) (m)). ii Vr d(p Property Owner �V ,,�cc,Prope Location l ik Bast, Kernon e. `1,"Govt. Lo na SE /4, SW1 /4, S36, T29N, R19W Property Owner's Mailing Address Block # Subd. Name or CSM# 948 Labarge Rd. \� V X 2 na Cottonwood Ridge South City State Zip Code Phone 1 cit r city Village ty ❑ g Town Nearest Road Hudson 1 WI 1 540161 715 5 Hudson I Cty Rd N 0 New Construction Use: ® Residential / N ber of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material Silty sediment,Ioamy glacial till, and clayey dolomitic limestone Flood plain elevation, if applicable na ft. General comments Mound design, sytstem elevation 101.33ft based on contour line elevation 100.00ft MinimU m 16 inches and recommendations: ASTM 33 Mound sand. 1 Boring # El Boring ® Pit Ground surface elev. 100.00 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 12 -20 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 20-60 5yr4/4 sl /scl om na aw na .0 .0 4 60 2.5y4/4 c2d7.5yr5/6 cl om na na na .0 .0 2 Boring ❑ Boring # El Pit Ground surface elev. 100.00 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 11 -28 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 28 -53 5yr4/4 f2d 7.5yr5/6 sl /scl om na aw na .0 .0 4 53- 2.5y4/4 c2d7.5yr5/6 cl om na na na .0 .0 " Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 30 mg /L and TSS < mg /L CST Name (Please Print) _ Signatur-: ` s CST Number David J. Steel , _ 248956 Address Steel's Soil Service / Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/21/2006 715 760 - 0347 SBD -8330 (R. 07/00) _.-.. �. 9w.,, nnf 1. 110 .'t .0 3 24 -51 5yr4/4 f2d 7.5yr5/6 sl /scl om na aw na .0 .0 4 53- 2.5y4/4 c2d7.5yr5/6 6 cl om na na na .0 .0 Boring # El ❑ 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Erf#1 "Eff#2 Boring # El ❑ 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/ft in. Munsell Qu. Sz. Cont. Color .' ' Gr. Sz. Sh. *Eff #1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD - 8330 (R 07/00) Steel's Soil Service y " bpd 4 h+. :` 5� k IIIIIIIIIIII . .� J.A.... -_ ) 7` #2009 i E VALUATION REPORT 1?age 1 of a o f Commerce SOIL Steel's Soil Service Department of o f Commerce in accordance with Comm 85, Wis. Adm. Code Division of Safety and Buildings County St. Croix complete site plan on paper not less than 8Y2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. f Pending percent slope, scale or dimensions, north arrow, and location and distan - to nearest road. p- e Personal information you provide may be used f or secondary Please print all information. �� ed By /1 Z8 d pu y Law, s. ' 5.04 (1) (m)). - !� � � v + i - r Property Owner g► ` T V Prope Location / ovt. Lo na SE1 /4, SW1 /4, S36, T29N, R19W Bast, Kennon � �� Block # Subd. Name or CSM# Property Owner's Mailing Address �Q� GP 23 na Cottonwood Ridge South C 48 Labarge Rd. State Zi Code Phon ity ' � City Village a ;< Town Nearest Road ��l Villa C Hudson Cty Rd N Hudson WI 54016 715-38. 5 GPD r New Construction Use en of be 4 Code derived design flow rate 600 ❑ Residential / N b drooms ❑i Replacement ❑ Public or commercial - Describe: na Flood plain elevation, if applicable na ft. Parent material Silty sediment,loamy glacial till, and clayey dolomitic limestone General comments Mound design, sytstem elevation 101.33ft based on contour line elevation 1000 OOft Minimthkm 16 inches and recommendations: ASTM 33 Mound sand. t . 11 Boring m. Soil Application Rate 1 Boring # Ground surface elev. 100.00 ft. Depth to limiting factor 20 GPD/ftz in. Munsell Qu. Sz. Cont. Color Pit Roots Dominant Color Redox Descri tion Texture Structure Consisten = Boundary , 1 <Eff#2 Horizon Depth p Gr. Sz. Sh. ® .6 .8 i 1 0 -12 10yr3 /1 none sil 2msbk cs lvf 2 12 -20 7.5yr4/4 none sicl 2msbk mfr IIIII na .4 .6 3 20-60 5yr4/4 f2d 7.5yr5/6 sl /scl om OM aw na .0 .0 om na na .0 .0 4 60 2.5y4/4 c2d7.5yr5/6 cl o- , MIMI Mil IIII .i ❑ Boring Application Rate 2 1 Boring # Ground surface elev. 100.00 ft. Depth to limiting factor 28 in. Soil App _____J Pit GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Dominant Color Redox Descri tion Texture Structure Consisten Boundary Roots 'Eff#1 'Eff#2 Horizon Depth p 1 0 - 11 10yr3 /1 none sil 2msbk MIN cs 1vf .6 .8 none sicl 2msbk mfr na .4 .6 2 11 -28 7.5yr4/4 na aw na .0 .0 3 28 -53 5yr4/4 f2d 7.5yr5/6 sI /scl om na na .0 .0 4 53_ 1 111/4c2d7.5Yr5/6c1 om NM MOM IIIIIIII 111111 l a Mil MOM 1111111111111 Effluent #2 = BOD <_30 mg /L and TSS <30 mg /L * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg/L Number CST Nu Nu CST Name lease Print) Signatur - : i r 9: CST L David J. Steel — — — Date Evaluation Conducted Telephone Number Address 9hil Baldwin, 10/21/2006 715- 760 -0347 9994 4 2 200tth Stt. . B Baldwin, WI 54002 SBD- 5330(8.07/00) ■ tth r 174 40:19 /iPiyf41 /Q a- a• -�.,. _ • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �s . v _ .T' Mailing Address a..; £ 3 HuO$sll uisawsV) 634Y. Property Address ?V6 Pi/. _ .. (Verification required from Planning Deponent for new construction) City /State M625w104/0stottootl Parcel Identification Number LFGAL, _DESCRIPTION Property Location r/., , /., Sec. 5if , T 2 N -R /9 W, Town of Subdivision Cerrar&t Q lows . Lot lt` • Certillyd Survey Map M , Volume . , Page # Warranty Deed M , Volume , Page 0 Spec house pir yes 0 no Lot lines identifiable pc yes CI no SYSTFhI MAINTENAPICE Improper use and ntaintenaneeor your septic syate.n could result inns premature Collura to handle wastes. Proper matnretsancc consists of pumping out the septic tank ever, three yean or sooner. if needed by a hurusd pw iper What you pia into the system can affect the function of the septic tank as a treatment stage in the wine disposal ayatom. The property owner ttgtecs to subnut tit St. Ctoia Zoning Dcpiltiuettt t certification farm, signed by the outer xnd by a ma ster plumber, journeyman plumber, ressrictcdplumhet or it litcrased pumper verifying dial (1) the ott•ssie wo3tewater systern IS ill proper operating condition and/or (2) after Inapetiton and pumping (if necessary). the septic tank it tens then 1)3 full of sludge. 1/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards sct fonts. herein• it act by tie Department of Commerce and the Deparement of Natural Resources. State of Wisconsin Certtfrcattors %min • wpm has been maintarp,`.1 must be completed Ind returned to the St. rroin Counsy Zemin* Office within 30 day of t c ycet • ration dare, A 7 !Ze /MOP,' • — SI ; A • :QAPPLICANT DATE OWNER cERTIfICATION e) cent( that all statements on this form arc true to thc best of my (our) knowledge 1 (we) am (ate) the owtcr(s) of the • • • . vc, b venue of a .•arrow deed recorded in Register of Deeds Office. 7/461.210? Sir ATU ' ,er APPLICANT DATE • Any information that is Inns - represented may result in the sanitary permit being revoked by the Zoning Deparrmcnt. •" include with this spplicauan: a stamped warranty deed front the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed - I • -lee r oot-e r / uo.! uuar vosur al T T : r n on' 137 son --- STATE BAR OF WISCONSIN FORM 2 — 1982 8 3 8 c`z 3 0 /� WARRANTY DEED DOCUMENT NO. KATHLEEN N. WALSH REGISTER to — — — ST. CROIX OF , WI Neil L. Wilcoxson and Mary Jo Wilcoxson. husband and RECEIVED FOR RECORD wife, Grantor 11/06!2006 12:40Pn WARRANTY DEED conveys and warrants to Kernon J. Bast and Donalda J. Speer -Bast, FEE E E: 13 husband and wife, Grantee REC F 13. 00 TRANS FEE: COPY FEE: CC FEE: PAGES: 2 THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in _ S Croix County, �' ,e34-7 State of Wisconsin: SEE ATTACHED EXHIBIT A DSo ,o � e) t i s O lt yet —' O - oop PARCEL IDENTIFICATION NUMBER This i C nnf > homestead property. cis) Xkrl[{ X y Exception to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 3 St day of October N A.D., 1.11_201:16 d ` 6l/'_ "` oy e9 „ 0 J t (SEAL) Y/k l �C�Cy G � Q (SEAL) • el 1 T. Wi 1 roxson / • .. • Mary Wi 1 ror•()Tf • (SEAL) (SEAL) ♦ AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ State of Wisconsin, } 5S. St. Croix authenticated this day of 19 County p ersonally came before me this 3 day of o v en.,Aiav 1-9d cod the above named • - Neil L. Wilco _- -- _: • _: -i.- TITLE: MEMBER STATE DAR OF WISCONSIN Of not, authorized by §706.06, Wis. Stats.) to me known to be the persons who executed the foregoing instr nt and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY 4 �,�,��� � Kernon J. Bast " --`° ' 00 `^""'a,''► �Gwtc - W.11w.n .. Notary Public, `J `f-- C .. ', County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. Of not state expiration date: necessary) } S -( __ __ _t-�ameia A. - Willman _. 19 .) • Names of Persons signing to any capachy should by typed or printed blow their sign.turc .. Notary Public STATE BAR OF \VI5GON5IN leoal Blankf`^ v- State of Wiscdl'ft�n l • Exhibit A PCN 020 - 1109 -90 -000 PMN 36.29.19.444B LOCATED IN PART OF THE SE1 /4 OF THE SW1 /4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN, DESCRIBED AS FOLLOWS: COMMENCING AT THE SW CORNER OF SECTION 36; THENCE N89 °50'23 "E, ALONG THE SOUTH LINE OF THE SW1 /4 OF SAID SECTION, 1316.60 FEET TO THE WEST LINE OF SAID SE1 /4 OF THE SW1 /4 BEING THE POINT OF BEGINNING; THENCE CONTINUING N89 °50'23 "E, ALONG SAID SOUTH LINE, 24.00 FEET; THENCE N44 °48'35 "W 33.73 FEET TO SAID WEST LINE; THENCE S00 °32'26 "W, ALONG SAID WEST LINE, 24.00 FEET TO THE POINT OF BEGINNING. PARCEL CONTAINS 288 SQUARE FEET. 2of2 w n n SOIL EVALUATION REPORT #2009 Department of Commerce in accordance with Comm 85, Wis. Adm. Code -.. - - - --Rage 1 of 3 Division of Safety and Buildings Steel's Soil Service County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distanc- to nearest road. Parcel I.D. Pending Please print all information. Rev' ed By / D 2t e Personal information you provide may be used for secondary pu •. -ay Law, s. i 5.04 (1) (m)). ! I / Z B/ Property Owner t5° Prope Location / i Bast, Kernon c. �0` ovt. Lo na SE1 /4, SW1 /4, S36, T29N, R19W Property Owner's Mailing Address Block # Subd. Name or CSM# 948 Labarge Rd. 0 GO 23 na Cottonwood Ridge South X _n\ City State Zip Code Phone,, City i Village E Town Nearest Road Hudson I WI 1 54016 1 715 5 Hudson I Cty Rd N E New Construction Use: E Residential / N ber of bedrooms 4 Code derived design flow rate 600 GPD Li Replacement LJ Public or commercial - Describe: na Parent material Silty sediment,loamy glacial till, and clayey dolomitic limestone Flood plain elevation, if applicable na ft. General comments Mound design, sytstem elevation 101.33ft based on contour line elevation 100.00ft Minims km 16 inches and recommendations: ASTM 33 Mound sand. -� r E] Boring 1 Boring # / Pit Ground surface elev. 100.00 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 12 -20 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 20 -60 5yr4/4 f2d 7.5yr5/6 disci om na aw na .0 .0 4 60 2.5y4/4 c2d7.5yr5/6 cI om na na na .0 .0 2 Boring # Boring Z Pit Ground surface elev. 100.00 ft. Depth to limiting factor 28 i n . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 11 -28 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 28 -53 5yr4/4 f2d 7.5yr5/6 sl /scl om na aw na .0 .0 4 53- 2.5y4/4 c2d7.5yr5/6 cl om na na na .0 .0 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) _ Signatur-: 0 /A uk CST Number David J. Steel ! '_ i` 248956 Address Steel's Soil Service / Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/21/2006 715 760 - 0347 SBD -8330 (R.07 /00) A. Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 3 „ 3 Boring # ❑ Boring V Pit Ground surface elev. 98.70 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 11 -24 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24 -51 5yr4/4 f2d 7.5yr5/6 sl /scl om na aw na .0 .0 4 53- 2.5y4/4 c2d7.5yr5/6 cl om na na na .0 .0 j Boring Boring # L] 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 L] 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kennon Bast 994 200 St. CST - POWTSM SW1 /4,SE1 /4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715- 760 -0347 Cottonwood Ridge South, Lot 23 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N l " = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ( ❑ = Borings Boring Elevations B1 = 100.00 ft F B2 = 100.00 ft B3 = 98.70 ft B4 = 0.00 ft 5 1 76 7 i ittik, a�. k ,A0P v t 1C DT' - , ' x__,....V 111 +•_ I k ° x -�- `'� --.,� 44, 1049.0 Ilk ;� 1050.6 1 8 _� '6 # ' i 'lb - 0 '13 ,...1i , X _ 4. 1060.7 [ B � Q � �l /, l 1 � I c . ; �, ©AV.L1 . U '''..4*1141114 1061.4 ' - ,, • •I, 95556 sq. ft ` � es � C. LB0 B.A = 1 = 051.50 2.1 AC. _ 24► p. 2.79 Acr 1063.8 • 702, 1 •7 sq. b ,1• C.B.A. 2.7 AC. ( P . \- ' / . 1060.8 r /, 8 2.64 'tree n:. ' 14792 - , . ft `� 23 7 , , C.B.'. = 2.6 •.20 Ac 9- :90sq.ft 's A4Ple''' \- <1' C.B.A. 2.2 AC. ; - \ - 1% C iP � A, \� X • . 'N , . X 0 � lk . 211.1 -' 1040. 68, 14 : . - - U 71 II I I I III. 1 IIII 1 I r. ' ' ' 'r 6Ci ' Nikkb.. ' 30.00 1 `\ 1o4 \ 1 ,. � 2 .49 res 1 2 \ N : ft . ..,.. . rR+ —9 r PREPARED FOR: COUNTY PLAT r RNDNDEEFTB ST COTTONWOOD SOUTH , T ONALDA AST AND N w 908 aBARGE ROAD HU D6Drv, WI S LOCATED IN PART OF THE OF SW1 /4 OF THE SE1 /4, IN PART OF THE SE1 /4 OF THE SW1 /4 AND PART SURVEYOR OF THE NE1 /4 OF THE SW1 /4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, SURVEYOR WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 6, PAGE 1642. EDWIN C. NORTHLAND SURVEYING, INC. • LOCATION SKETCH 1356AHW1'•65 14 F LEGEND ROBERTS, WI 34023 Q _ _/[_._ _ _________ PHONE 715-74 &1718 �} B to NONU ME47FOUND - - - - -- FA)! 715749-1719 wQ - m EN' IRON Rena FOUND j ENGINEER ; r IIr4. IRON REBER SET. WEIGHING KIPJOHNSON A.3BE uu. PER LINEAR FOOT • -_ N — � ., ° NCAINC. g WEIGHING zP �� I.so LDS PER LINEAR FOOT yr x Ie• RCN RERAN SET WE d i z y - HUDSON. - HUDSON. WI5401R `�� I s, EEL SURVEY HAL FOUND ` PHONE 715361 -5277 J a _ -4----- _ i FAX 715 - 381 5339 so ROA,wAr sm.,. LINE H S \ _ m 1TURNT1 EASEMENT '� y ii C �U s ` ,,y,�sco!is�;, • / / , :UnU,r.x „RE,Ix,LDBE..E•eHT 'IT _ L --.18 1 .8 \ T :METE', N u q o. "G OPENING ELEVATION uJ // %/// � nON l i .TER UNE EI.r. TN iV _.._. ._ —_ '9,19,1,44 q -- -- SECTION 36, T2961. MEOW I WAIT ORDINARY Ox WATER MARK IS©ST TOD n.00LT C7,g / I I iei / 0 � Cr` ©u 1ffgEIYnEI©3/ D L"JI/LX]L�; Z ' Oi 3C( // / DO G3DD OD40©IA7 I C?©7i 1(. b7D2fi000O DG LF30D©/; / )'?. / Km /s? &PRDvEcom - _ — ____ _ / Si / '.0 _EJi� -._ � a _ _ \ >p N7]'S0'05,.w _ - - 11II 31': t � ... aeta...e _ COVNTy T RUNK „ ____ ': Lore ( AY LANDS INUNDATED.. sE sr ..es NATURAU.00CURRING NAVIDABLEWATERARE ty I a .z° — ,. _ la SUBJECT TO THE WISCONSIN • ,. 71 A, 0 4. N PUauCTRUSTOOCTRIxE : l$ 1 S 26 / / . . . E 1 � , m o ps' - oD N >e "a>••a>' teaa _ ' a" L - - a '— E.E DAGx 19 RDMTNE Eo ' , ,RINN.R.HIGH O,Ee.D 1 a = WATERMARK 174 saao A° t 6 .HE, I GPDFREB )0 . Apr ' ”).. .e,T, eAR ; '.v' vsTAX T q SELEV,o.. =Imna a 9 ... ISEE Fr L ........ ,rod NOT 0.10. '''E 20.,, JC L., s I,' O J,?J €! OZ r Ieo_r 89 — ____ • ... s 24 �''. 2 �meo 25 `, s ' x ' .,.o.. aim E., ..em, EEATION.,O. _� x 0 17 A R t ' . Lea ,a2,3.00 Exe 20 p 21 2 § w $ 1. a a s ` f 9413 0,20, r 22 ,f ,. � �� a / 3, a b 2 NA.D SG FT ,,,,,..-.....,..,4 j �, I - O L I' $ ffi,. 2 0 � i•� � ` 2 i ,�I °a aE ' w LU - r xLt ,, d. O a,,`:; :, _. � °� 11u rya 'i .__... Y �� 9 • , T • SHAPED TURNARO 65E o 92 LOCATED AT THE ENO OF 'R. U TIS -_ _ a_ . e E _ , - sen>w•elexv G1 " '" -T.c a / ". - wL BEREMOVED E A FwM EO D s OPR ._. -. = a �. G�.• _ St WILL AD MCM ATnMEDF R e a N RG.,ETTTExeIDN t� b t--D xm,La ! _ j - _ -- w n W � -- �'W Z9 � .. 11 w 1O 1 2 ... w F 2 ,� � ^ L. � ' 4 8 Leo,TweDO J v E -�! L 1F g i S g g te0.1rv,50 $ � C 16 -_ s. I 1 l ::1 4 9 J ., E 15 2 a ' 1 4 -'I H o - I' -- _ .O'"'', a 1 = w F I F I 2 OUTLOTi O E f p,g xDTe:NGOwxERGRRE.IDEx .H. DD ANYTHING y n & LBO.IO4a.00 PD r B H -1, s 2 o st ER o � T - WHICH WOULD INTERFERE WRHORGHANDETHE 1C11 OPERATION OF THE APPROVED COMPREHENSIVE h ; 8 X - f � 44244' A R A WATER DRAINAGE.. SOIL EROSION DUN FOR THIS PIA, MS INCLUDES OUT 19 NOT WAITED TO 1, ' en i In �' ' - °"S �L ORF,IDA.A7D"DDR u' llGIxAxTDRAIN.GE �. I 13 � r—L Ir.,I.In n, GN POP OR EAMM WATER DRRAINNAGE DITCH A, NN a r - W ,m1 ,e - MTs.5a,x HET x . N D A V HwL 10..00 R r ■ WATER RUNWAY. WATERCUL VENTSAMRMSGR G. ., °NAB. SIEDING. e ,w,� Lw..�TIU1 r »F,: ,, '' • N Ew R DGxeR .P „ en tr nwLI . x4 4. , sE � aF eJi ! • NTT, o zae.ar 023 e sw,N I s.S -a son CORR.. N8933'25'E I ~ — xe.sm3Ela,e. a 0 x ENE El T. wW R ...... N59°5 E 1315.60 ZL'iMlw.,1 "E 1325.50' A(145017 I 13I6H lun usEN j i!9( irL.+DTIM)DD 11,/,A /0 i LOCATED AT TEE ENO OF minor E Pump MP 7 HEL0.11. Hole r LEOR UNIEDLAELES ARE 70 BE PUCE, SUCH - ----- -- - - ---- SCHNALEN DRIVE CONTAINED LAND. Ho.... Try HAVIGAII. WATER ARE WIN. THE MONT OFAVAT AND NATURALLy OCCURRING THAT TNE INSTALLATION WOULD DISTURB ANY SURVEY WILL BE REEIOTED AT ROAD ezreNSlox. TIME OF OWNERSHIP IN SAID mmOT E auL SUBJECT TO HIE WISCONSIN BY ANYONE ISA VIOLATION OF SECTION 2311.72 OP SERVE 0 00°M EB U T neswvlxutaE 010 BOOMS TO ITINGG IS s ln SYSTEM i s i`i 1,1 THE ARM MAP mun • EUNeer COUNTY EACH PARCEL mown on nms TO STATE, ,AND TLTA°NTDSSw:n LAWS, RULES ADO ACCESS TO PARCEL, ETC. I. BEFORE PUNCH AMMO OR NOTE A Tow IRO �ONIr"io oFnciuiDGivPnoPRi�ieST. OR SAM NTT TTH E CROIX SUBJECT TO SHORELAND MONO. OFFICE PRIOR TO BUILDING COUNTY REQUIREMENTS SCALE IN FEET 1' = 100' 100 0 700 200 SHEET 2 OF 3 SHEETS THIS INSTRUMENT CRAFTED Br EEWN REED JOH OTT. DATE 01•18-07