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HomeMy WebLinkAbout012-1075-90-000 C) 0 > (D 0 o C E ti (D '2 cu < 'a LO CD r N 64 Z (D LL 0' (D M CL CD co m UJ 0. m m Z 0 O z :!t 0 CN s 0 < < Z z 0 a) Ln -r (D CL N O a a (L a> E C) to d) a- z 0 0 0 • 'a CL IL (L cr 0 (D u) C) C) 1 6 (D 00 00 0 < E Q4 z 0 a 'o C:) :E CD 0) 0) (n 2� 2 A cc 0 U) C 2 E (D C) 0 C, co cu 0) 1 w (a 0 IL C u N U) 'n cc m m (D C3 r- cu C'4 'o co a) a) O CL E -= N C� Ci tD • o (D C) c') W y v 0 (D a. L: C CL - 6 r 0 m o 0 (L o ' v , m ,06 e €.,. � �,3� vs,,�" °�.'� �'� ;� �"�` > •;. U a:. °,fi ^ fir.. >�.� �� � .5a�,�e re ^sx e T ��.,� , � ti {, 6 `r. ... T- �^ `rn r "is y� d � �Rs � q �^ "i ix � �.➢ # � ;,c n � - ( � �� x a ( : z s„� ,- i s T y < K f ty r v v` r x Y x ♦ ^t y { � Q s $,I)nTIN `W 540t�2 , rlaed S�g�Ratures !!'00600 7 3 111 1:0 9 180 2 5 4 7i. 00 5 2088 2 COUNTY OF ST. CROIX STATE OF WISCONSIN VENDOR: KUHLMANN CARL 09/08/05 00600731 1 888888 tJY(?IC� QESOR:lPTIO VoUOWER NQ'MOtJ+1T 09 -06 -2005 WI FUND GRANT AWARD 00057165 4 rt 0 Cl�olx COUNTY PLANNING & ZONING September 8, 2005 Carl Kuhlmann 2035 130th Avenue Baldwin, WI 54002 Code Administrate 715- 386 -4680 RE: WISCONSIN FUND GRANT AWARD Land Information & Plannin Dear Mr. Kuhlmann: 715 - 386 -4674 Enclosed is your Wisconsin Fund Grant Award check. The amount you are awarded Real Pr rty 715 -4677 is $4,550, which is the maximum award for the replacement/rehabilitation of your septic system. R cling - 386 -4675 If you have any questions, please feel free to contact our office. Sincerely, Kevin Grabau Zoning Specialist KG /jn Enclosure ST. CRO1X COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 54016 718386 FAX PZ@C0.SAINTCRQ1X. W1. US W W W.CO.SA1NTCROIX.WI.US r� r \ ST. CROIX COUNTY WISCONSIN ZONING OFFICE N N N M ■ - M���Y ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 NOTICE OF VIOLATION July 08, 2003 CARL KUHLMANN 2035 130 AVE BALDWIN, WI 54002 RE: Failing septic system at 2035 130 Ave. Town of Erin Prairie - St. Croix County, WI Computer # 012 - 1075 -90 -000 Parcel # 36.3017.548 Dear Mr. Kuhlmann: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category I). This violation was first noted on 07/08/2003. The violation noted is septic effluent discharging to zones of saturation. An on -site inspection on 07/08/2003 did reveal the septic effluent discharging to the zones of saturation. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 07/08/2003 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: You have already contracted with a certified soil tester, Robert Ulbricht, to have a soil evaluation conducted. The soil evaluation determines the type of septic system needed and it's location. Next, you will need to contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than November 30, 2003. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. V ince y, vin Grabau Zoning Specialist cc: file F -- wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CfOIX Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430230 0 GENERAL INFORMATION (ATTACH TO PERMIT) tate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(rn)). 91 (OW3 : _r.. ) 4 • _ Permit Holders Name: City Village X Township 'Parcel Tax No: Kuhlman, Carl Erin Prairie Township 012 - 1075 -90 -000 CST BM Elev: ! Insp. BM Elevi BM Descri tion: Section/Town /Range /Map No: CA. J CD�t> S► 36.30.17.548 TANK INFORMATION ELEvA DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � � Benchmark � � 2 ��3•� � f� Dosing Aft. BM Aeration Bldg. Sewer /� C1 I Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > 15b, 3 5 t to Dt Bottom pp • L3 Dosing l! 2 } Header /Man. 3.20 Aeration Dist. Pipe 3, Z o 3 .27— 3, z 3 • t,L D o . Sa ,fig Holding Bot. System ga 9• qo PUMP /SIPHON INFORMATION Final Grade ` (v, W. t l bc- I Z t Manufacturer Demand St Cover 4 GPM Model Number 0 ' # 13 � a 3 3 03.3 �•o ;: O Lift •a� -3. q Frictio s System Head . 2 TDH� Ft i Forcemain Le& ! I Dia. tt i Dist.toWell s I t V4 SOIL ABSORPTION SYSTEM RENGI I- Width Length No. Of Tseneheq PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( S; , �/ S SETBACK SYSTEM TO � P/L T BLDG WELL LAKE /STREAM LEACHIN anufacturer: INFORMATION CHAMBE Type O S ystem . Z { 5 T Model DISTRIBU ION SYSTEM LO j s•: / /Manifold 11 Distribution I t� x Hole Size i x Hole Spacing Vent to Air Intake Length .O Dia 2 .v L ngth 3l•o�ea. `� `, Spacing l' O / 36 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 discrepencies, persons present, etc.) I p�cti n #1: / t Inspection #2: / / 1 Location: 2035 130th Avenue Baldwin, WI 54002 (NE 1/4 NW 1/4 36 T30N R1�) lNA Lot Parcel No: 36.3 .17. 4 1.) Alt BM Description = 2.) Bldg sewer length = _ amount of cover = �g r.f- ' ,,,:1 f; -- r Use revis e otherside for additional Yes No ;• zo � S Re information SBD -6710 (R.3/97) y M�l� Cu%Gk S Insepctor's Signature Cert. No. Safety and Buildings Division County m 201 W. Washington Ave., P.O. Box 7162 S . C_ec N viscon ' sin Madison, WI 53707 - 7162 Site Address. Department of Commerce Sanitary Permit Application Sanitary >re D Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision O Lm be used for second purposes Privacy Law, sl5. t m I. Application Information - Please Print All Information to Plan I.D. Number !6%SS3 Property Owner's Name Parcel Number c&,,St? ,� ,►� o-Y.� © lz - 10'7 Property Owner's Mailing Address Property Location o v A NC -A NLdu:S -34P T30 N,Ril UP City, State Zip Code Phone Number Lot Nu bkr Block Number 49 e..- �Q y..�yf S Subdivision Name CSM Number II. Type of Building (check all that apply) []City 14 1 or 2 Family Dwelling - Number of Bedrooms % (; ❑Village ❑ Public /Commercial - Describe Use *ownship El State State Owned 3 Nearest Road III. Type of Per it: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 11 New 2Replacement System 3 ❑Replacement of 6 ❑Addition to 1 7 �WCounty use System Tank Only Edstin System B • ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme Is for internal use) 44 ❑ Non - Pressurized In- Ground 24 LMound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dis ersal /Treatment Area Information: Design Mow (MA) Dispersal Area Dispersal Area Soil Application Percolation Rate --System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.FI.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber PlaStic Gallons Gallons of Tanks Concrete Constructed Glass 1 New Existing Tanks Tanks Septic or holding Tank 1,- / o�v i,so t y ` Lmu.N o x Dosing Chamber l � VII. Responsibility Statement- I, the undersigned, asstmie responsibitlty for Installation of the POWFS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number: t 0.l -C ,^ Aitc kv t [ 1 t.a� ?� aa - 11 v - 71 s - -) q 4 - .Y3 Plumber's Address (Street, City, State, Zip Code) (-5 - L5 3- 9 7 c'1' VW. Count /De artment Use Onl Approved El ]Disapproved ' Sanitary Permit Fee (includes Groundwater Date Issued Issuing ent Signature (No Stamps) Surcharge Fee) 1, - ❑ Owner Given Initial Adverse 35� Determination -- IX. Conditions of Approval/Reasons D n N � Cfi6J -� A0,4Q -- Attach complete plaru (to the County only) for the system on paper not less than a It inches to she SBD -6308 (R. 05101) CA ri QI z"o 4 as x ao -� °M� � J J cm A2 -= -= 1� < cr- cl> C►IA = cr to CL 97 CIO 0 0 OC LL C6 Z 0 co� 0 LU m cu z 0 V� a: Co. Z 0 Lu z COO n:i 0 Co LU I T- ul Q: uj CAIA < �-- CD 0- . �. _ , o �,. s,•f�- ���, ��,� G'�l,�iV.�J • �a� 3 13, 3 ��� SOIL EVALUATION REPORT page l or_ in accordance m th Comma 85. Ww, Adm. Cade Attach • t site plan on paper not teas than 8 V2 x 11 inches in size. Plan must Sited 60: vertiGat Percent dope, scars or and horinorM reference point (t3M), direction and dim P t� ensions, nodh am m. and location and distance to nearest road. Please prltrt Rif lrrtwmatlon. Date �'entoerN bon Y*U Pr*VkM MW be bezBtflor ty pUrpom (Ptwac , Caw: a 15 Os (1) {m)} ?1 plope rttyt}+vrse:'s Mang Govt tot Ali 1/4 114 5 T� N R 17 4 K o� � 3 5 13 Aire :�� dam# Sub& or—c" . a z>QCa1+e Ee p�11�T 5 :6 ' .3tf ocky 131tstfaSe $ Tcmn, Road F C tip �! Number of bedmorns 2 - � Code derived designs flow n9te °mnW Q or�at- pescrbe. atariai , coa marts F*W Ma elevatio if appticabte and R .A 74 /Z- ��' rp /�1at�0 -'/ST ZI Si ,v(- / " 5 ��1� f� /l .Sp /�S ll�' /ffCrFTroca Cui�, Q P rt Ground space etev S• 3 / I Depth to " be" 3 �,. sw fiort3�rs Redm Desaiption Texture Sirrx as E Vr Mursedl tau. Si coot. color Sourrdary EtOOts t� sh *EM I OEM . • / mo • c 9 2a . /D SL /� �,y, /t •� /rs y �f r•rors �- ivy �•�W � 3�'r . 8.jV * D BMW Pit Ground sur raca elev. j g• 3 8, DepM t0 Ong factor /-P im Etor�on t Redox Description TeGxhne SDI Et In. MursseN tau. ft Corsi Caton Cmdoesoe B., y Roots GPM • ? J °hi / --_ SiL- z-fs Ie A% fR tv 3f • .� .dam + /� S � f G 7 ..5 . �r ?•.s ,e y � . Mores �� �- �, fR � -- . y 1 7 2— CST • Mont #1= am � 30 22D mWL and TSS - 30 ; E 130 mg& • £ tt#2 = S00 < 30 mgli mid 3D WrMmiber Date Evaluation COW66W_ T R Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 APENP zo�� —�S A r5 Aa 7 �ner � , ors parcel lD # Page of jo Pit Ground surface elev. R. Depth to parting factor In. Hortaon SON Rate Depth Donmrant Redo, Descxiptior► Texture Structure Consistence Boundary Roots GPON In. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. `EfW1 'Eff#2 I b •8 /6 �i� 3/ S/ ZfSI .wt -FR 4v 3 , S S� L z f Sh grin 3. . s , .z •l io 3 1 6 i l fshl< 4" 09 c �•1 /� -� My r SQL /�S ��� CS -- . Z . 3 I ' i pit Ground surface elev. R. Depth to limiting factor • in, Sol Applicabon Rate Horizon Depth Dw*mt Redox Description . Texture Stntd 'Consistence ' onsistence Boundary f! y Roots GPD in. Munsep Qu. Sz. Cont. Color Gr. Sz. Sh. 'ERff1 'Etf#2 c z Mots i G I' oy �-` z sX • 0 . S l � C /�rt� s GL / r� Sri G� • . Z �o 4 Z 3 s� Boring # Boring E 1 Pit Ground surface etev. ft. Depth to wn&v factor .Sod Applcadon hate Hortwn Depth Dominant Coks Redox Texture Structure Consistence Boundary Roots QPDRF in. Munsep Qu. Sz. Cont. Gr. Sz. Sh. 'Eff#1 `E1f#2 0 N-1 Boft # ° Boring pit G surface elev. ft. Depth to WnW factor in. soil R:#e Horizon Depth DondnaMC96 Redox Description. Texture Structure Consistence Boundary Roots GPOIF{' In. MunseM t2u. Si Curt. Color Gr. Sz Sh. 'Efl#1 `Effp'•2 ` Effluent #1 = SOD, > 30 < 220 wg1L and TSS >30 < 150 PVC • Effluent #2 = $OD < 30 mg& and TSS < 30 mg& The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or treed material in an alternate format, please contact the department at 508 -265 -3151 or TTY 608 -264 -8777. set"330(ROoa) �U Dle �t G2 th Av ao f O \ .40 AD 0 �Q� 4�s? cl) CX r CL �C..NN QQ � 0 N J M n �%Allo C A I ol ♦1� v t� %A 0 - D a co mmaar' a co F7 �7 > r v. 0 � y o �zziz w o A o, co b w�ZZ - Ora V - 0 c � mss /�� co cm- C o. a- Q c co qb / V may- III Q, qL> J A f1 `I b ' 3J 0% , r� tA \� o fzi IL Vr t b n 4 it -10 i 0 �? C" �o i Wmmsin OWN"Ontof C4mmerce SOIL EVALUATION REPORT Pa" l Of 3 Omston of safety and suvadings in accordance m t: Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must county sT G'QOfX percent Include not limited to: vertiycat and horizontal reference point (BM), direction and parcel I.D. rj f „ / O 7 S slope. scale or dimensions. north arrow. and location and distance to nearest road. Please print all Information. Reviewed by Date Penwast kft" atioa You Wvvi rno be wed for secondary pwpwm Ow4vcY UW. a. 15.04 (1) (m)). Proper�towner �'�>'7G /�U{�j�i�'1,9�t! � �t 1t4 AI �' r i Property l4 S`3�O� N R � t}wner's f4tag tot # Block # Subd. Name or C-%& (°� W 2 - 035 13 A� . 4Ue 1plvr &F 0, 44t5 City Me - Zip code Phone Number Cl GitY 0 1rrUage Z Town Nearest Road 13,41apl,tl A/ ?/S' loJ 3 yf5 "jV e4r 116 - f36 /h ®O nN-Re�,'� Ilse: JO Residential I Number of bedrooms Z- Code derived design flow rate GPD %'l'm Q Public or commercial - Describe: Parent material Flood Plain elevation if applicabl ft. end reo0awnendabons: �t Tsr- %f Svjr�tB�� �.e r9 �1av -�v �ysT A A% jar - /8 " ST Gter x c t "L . being # ❑ Borkv �/ 93 Pit Ground surface elev. g' 7 f Depth to limft factor �-3 in. tatlmn Depth Drat RedoxDesa on Texttxe stnctrxe Consistence Rate in. Mural Boundary Rools GPplll? Qu. sz. Cori. color Gr. &z. Sh. `Etf#1 "Efl#2 r °'_8._ 10 y $/L 2m S %e 3 - f S 8 I- � sf ` S •wt 2 17 /© Si L Cs / f • S . ,4 ivy �}•� to .4 r 2.,.r Boring # El Pit Ground surface elev. l t3 11 ft Depth to limiting fatter — in, Sol[ APP&Mbon Rate Horimrt Depth Dominant Redox description Texture Structure Consistence Boundary Roots GPDIff? In Munsel ou. 8z Cont Color Gr. Sz. Sh. "Eff#1 'Eff#2 o •7 f °YX,3/ Sit_.. a-FS k fR w 3 • S Z S r 4 CLV 2. - f . S - � 0 C5 Z Mont #1= BOD > 30 < 220 m gt, and TSS 30 150 MWL • Effluent #2 = BOD < 30 mg& and TSS < 30 apt {:. CST Nam (Please Print? Skpadne CST Numbw ' Ro �R �'CGt jY ss _ 2- 7 S Address Date Evaluation Conducted Telephone Number w &LA - / - V 7 2— Ulbricht & Associates Private Sewage Consultants 9Q 1 7 , rl.L A- -- e. Vu 41MMA.) - Prop "Owner Farvet 1D # � Page � of eriY Borkv Pit Ground surface elev. ft. Depth to & Y#&V facts' / fir. Say Rate Horizon Depth I�Xminant CZIor Redox Description Texture Structure Consistence Boundary Roots GPDVIF in. Munsell Ou. Sz. Cont. Cdor Gr. Sz. Sh. •Et 1 'Eff#2 Ye 3/ ---- -- S/L Zf,5& cwt fit 40 3 f S . 0 0 z �' • z /d Si L 2 f Sh /ht �•1 /8 f Ho r5 /_FS 40 C S 3 S • SD �.S /� cm ko -u SGL l ,e .> z • 3 _s� X . 16 t!/A l'2. l! L S4 � ,If- Boring # Q inns �---J Q Fit Ground surface elev. ft Depth to kniting factor in. Horizon Depth Dominant Color Redox Description Texhure Structure Consistence f3o mdary hoots ` GPD/itti in. Munse& Ou. Sz Cont. Color Gr. Sz. Sh. 'EfT#f 'EfT#2 Boring # t❑ aming Q Fit Ground surface etev. ft. Depth to knitirg factor in. Sol ApplicaWn Rate horizon Depth Dm*uani Color Redor Descriptiqk Texture Stnxrtum conswence Boundary Roots GPDW in. Munse& Ou. Sz. Cont or Gr. Sz. Sh. •Eff#f 'Etf#2 i I Ztiti£•ZLL-9lL LW 9 IM 'A 6uudS sJegwnid Due juelInsuo3 ialeMa }sent a }en 1d paaels 6aa u,tuo� salel3mv 114oj1Q n :ioelut O �(C))(z)za Es a p ns 6uiu�sap Due S11w1ad to a�uenssi ao� gad 1au�ilsap pailitenb e �q p q _ ago1P p a Minn Weld '�VllOaddV Vr� rn O NV_1d 13A3 3l�paDeI 111M `' / �IM 1o3fo8d SIH' _ aq U sliwlad 6uluoz leool @10199 191trS 1M `AGIM 16UIJdS r J � , C mmm� ` �D rj n y�i y ° v� Z -1 Z `C 3 0>0 -� 7, z 0� m \ mfr- Z f s� % J 4 % N e � � a Az -6a kA e � Z j N 0 � C 1 1.1.E �, �^^ X V C A V A � �I V �� /Z L —V ik cl 3 � r Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 �sconsin w ww.comm www.msconsin.gov www.wiscan sconsin.gov n.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary August 11, 2003 CUST ID No.226375 ATTN.• POWTS Inspector ROBERT W ULBRICHT ZONING OFFICE ULBRICHT & ASSOCIATES CO ST CROIX COUNTY SPIA 2812 10TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/11/2005 Identifi Numbers Transaction ID Noo. . 896 896853 SITE• Site ID No. 663279 Carl Kuhlman - Dwelling Please refer to both identification numbers, 2035 130TH Ave above, in all correspondence with the agency. Town of Erin Prairie, St Croix County NEIA, NWIA, S36, T30N, R17W FOR: Description: Replacement Mound System / 300 gpd Object Type: POWT System Regulated Object ID No.: 915462 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 2, F = 0.75 feet. 2. On page 3, Y = 30 inches. 3. On page 4, the following adjustment was made to the pump switch settings as specified in the approved pressure distribution and mound system component manuals: Minimum required dose volume = 53.85 gallons P. 0 Maximum allowed dose volume = 88.55 gallons CO C = 5 inches, or 81 gallons D =14.5 inches, or 235 gallons AP r A copy of the approved plans, specifications and this letter shall be on -site during construction and open to DlVISio 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. SEE GORRES 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. r ROBERT W ULBRICHT Page 2 8/11/03 ;eter ncerely Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 � eRevie E �age POWTS PlaII , Integrated Services WiSMART code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pepagel@conimerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 _ULBRICHT & ASSOCIATES CO. 655 O'Nei! Road •Hudson, WI 54016 EeEP ED eg. Designers of Engines R ring Systems 715 - 886 -81 85 JUL � � 0 2003 Private sewage Consultants MFETI( & BLDGS. DIV. PROJECT INDEX 2-3 — 0 Plan I.D. # Date Owner CA L ��u L/I�A,✓ -- - -.___— , Phone 7 • 6 o .3/�/S Address .1635 130 #1 /f Ill Legal Description - -_.YO Af415 /V NW �ec.3O 7 - 30 .v, R /74J Town of �/ ('�N_ /C�/ County X- C.S.T. 2• /� /pl� � i� 1 S Installer Nfa(/j//e Local Authority/ Supervision PROJECT DESCRIPTION Sys ��(�' /�0 U�v!' St�ST -ma S�� ,� Si• Z��- a � cn ` C mmm� n W � = ;--� 4 D � 5? C=I �. �oz0 �0-1z ..� z n B ,. yQ CA) -0 Cl) 33 - co co CD -G r .. •�, a CD Co a co r ray � i F Tk CC knSE59 (�1PtrJfr of �" ° soiL w/ - ralfl flw- S y5 rEM ElevA riox VMI TOE' a Is / u� !r H ! 7 1 Reno � MEV. .� . i � � • • • • • -�D 11/7 Ptow�o d F RM 2 % 51 o p E MAW E l r=t1AT%0 Uu OE Fr. E, l• Fr. lmv6Rr of f IATGRA(S Ur �� � / b� � (Qe�., r T P o f R ock r o o FT. T P F IATERA (S 0 U PL V l E o f M O U K)D Wi 13 E D Out - Iza �!� F vR cla- MAW A 7 FT. CeOT'R AL, . .... Fr L P E r r CEO Fal'cE MAi+v X --�_ INcf --�-- o P v ``co l y lucH 4 TOTAL V t� i D V U � 'Di 5T^ ft E IoyjE GatS F r0 7'4 1, (lo /U�y�- ' �'► tH pA 1. �F NtTw?)ek CEuTR MAm tFvt�t7 l � 4 ( 'Q SEPTIC TAN & PUMP CHAMBER CR SECTION AND SPECIFICATIONS 4 CI VENT PIPE 12" MIN. ABOVE GRADE & #WEATHER PROOF 2 " _> l©' FROM DOOR, WINDOW OR JUN �' JUNCTION BOX APPROVED FRESH AI I NTAKE WITH CONDUIT MANHOLE 4D r3 W/ PAD LO( WARNING I 4 " M I r t C INLET -- !' =d. GAS- ; ` TIGHT � , A&L _ A ► SEAL � APPROVED Q Qt F i i.TEYz _ --�-- 1 +� ALM JOINTS W/ � (p'tj ON PIPE 3 t ;`gyp SOL D f C 33 SOLID s 0I qq SOIL PUMP OFF ELEV . C f 01` FT. -j— I r OFF RISER X0.70 r ,, D PERMITTEE t NS f y� V = �• d IF TANK �aN ' MANUFACTU 3" APPROVED BEDDING UNDER TANK HAS AFPRC CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE b1iesl&_R 62 TANK MANUFACTURER: NUMBER DOSES PER DAY: ` $o ' TANK SIZES SEPTIC �� GAL. DOSE V LUME INCLUDING 1l� DOSE GAL. 30 FLOWBA 2 GAL. A LARM MANUFACTURER: L„BVz f6t*t to' - CAPACITIES: A = Ig•S INCHES = d MODEL NUMBER: 3WITCH TYPE: `p�.x�' w` B = 2 INCHES = 3 PUMP - MANUFACTURER: �OC145 L O ' GQO C f /� -D�INCHES - �D m nn r r Kil t m n r n. 1 2 -7 _ PiD � » , � ��\ � ��'� �� � ��. p � �� 6 ¥zƒ �� /T�k� . �Z����� �� . �� ". L - EFFLUENT & D EWATE R ING AGRICULTURE PUMPS ■� ■■■■■■■■■■■■ .N ■ ■■■E� MEN ■■■ ■m.�■■■�.o■■ ■ ■■■■■E \� ■ ■ \ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■ORE■■■ORE ■ ■■■■■■ ■� ■� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ - . NOON■ S MEM M■■■■■■■ ■MEMO �■.O ■■■ lis ME■ ■■■■■ ■■on■ ■■ ■■■■■ \■ ►111 ■■■■■■■■■■ SOME NO■MMNN■■■MINN■M ■■■■ ■■■■■\\■■■\ \E_ \�■ \11■■■■■■■■■■ ' NONE ■ ■■■■■■inu■■i� ► \ \� ■�� ■ ■ ■ ■ ■ ■ ■ ■ ■■ MOON ■ ■■■■■■N■m■■■■ �■ ■111► ■■■■■■■■■ _ �■ ► ■11►�■ \NOON■■■ �� ■ \ 1 ■I ■ \\ ®NOON■ \� \I �■ I■■\ \ \NOON■ ■ \ ►11 ► \' � ■ ■� � \NOON '■� ►`1111 \ ■ ■\ \;NOON 111\ \� ■ ■ ■ ■ \ \ ■■ GRINDER P UMPS \\ s 011■ I \■\ \■■ ■► ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■AN X1 1■ 12 81 i! 10 ■■■■ ON ��� ■ ■ ■ ■ ■■ ���■■■� ■■■■■ ■■ ► \NOON■ y "13r Cast Iron Series CAPAITY "139" Bronze Series HEAD UNITSCM N Feet Meters Gal. Ltrs. • 5 3. t 394 Automatic or Non- Automatic. 70 3.004 4 79 300 • 1 /2 H.P., 1 Ph., 115V, 200 -208V or 230V. is 4.57 64 242 • 1 /2 H.P., 3 Ph., 200 -208V or 230V. 20 6.111 36 1356., • Non - clogging vortex impeller design. 26 1 7.62 a 30 Lock Valve: 26' • Passes % inch solids (sphere). • 1'/2" NPT discharge. Canadian Standards • Float operated, submersible (NEMA 6) 2 pole Olisted C Assoc. Approval available mechanical switch. • Automatic reset thermal overload protection. 137 Series SC- • Stainless steel screws, bolts, guard, handle and 139 Series SS -1115 arm and seal assembly. - Bronze motor and pump housing, switch NOTE: No UL listing for 200- 208V /1 Ph. case, base and impeller. pumps. Mercury float switches are available for non - automatic models. 'alg8l!8A8 96uel; „£ jo „a • t , - uonon.lisuoo uojl isso awainn r a , Pg. 6 of 6 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code - Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48 Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner 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, Safety and Buildings Division. 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 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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. 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 shalt be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shalt be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] 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 6- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. ._ wv�� J / /a rt Pr (/ •pag3adsuT dTaeTnbaa aq osT12 TTeus TTaD guawgcaaq s,wagsds au uT buTpuod quanT33a 3o aauapTA3 •sxsTa dgajes alanas I? ggTeau saAJOAUJ u xaoM sigj buTwao3aad aq pTnogs uosaad paTgTTenb ATaadoad pasua3T1 12 �ITup (aTot{ueut/.zaaoo punoab aAoge pax30T a eF sxueg aqg uT wagsds aag1T3 aqj, •gno sTeaageT Bql buTueaT3 pue bulgsnT3 ao3 - diq gaea ge lsTeaageT pazTanssaad aqq uo sTeujwaag gnoueaT3 7 (sadTd uo=gaadsut TaAaT quanTgga) 12 01 1 2 Teseq punow aqg uo :wagsds L qq oquf pa4eaodaoauT uaaq anew shod pue sadTd uoTgoadsuI - Alessa3au ST 'squabe S14 ao 'aauxo aqq dq suoT40adsuT OTpoTaad -g •aano3 sseab Q uTeguTetn pq auoTe gu813133tns ION S1 ugeauaq wagsAs aqq it 'l i ran T7'ra • :T.1'S T C'T(l T.7 17'T AA I.tA T T U T!TCICT A 'TITT \T!T I- Tr-r.rttr.-n nn. 1 1 PAGE 6 REVERSE SIDE OWNER's MAINTAINCE OF SEPTIC SYSTEM POWTS (landowner) is reponsible for proper operation and maintenance of this system. Regular periodic inspections and servicing is necessary for the safe healthy operation of this system. The owner is required by code to submit all necessary maintenance /inspection reports to the controlling authorities. SPECIFIC CONTACT AGENTS 54. Go X �y -ZedlAJ6-- * Governmental authority/ inspectors: PeP /, 38( _ tl� P * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: f off, 4,14L7-� �yy 3 3 zZ- ,�,� �; «� M�f 5 p i4 -yr� • Licensed servkce / inspection agent other than installer: , X; — edv u7 " 7 / S - 3 g(v • 2/3 O • Electrician, for pump, electric controls, wiring units: 4JIW0 7Z3w%v /�1/¢ 5 4 c7Mi Cbf V 7/S �1� S 7 3 3 C IMPORTANT OWNER MAINTENANCE REQUIREMENTS 1. Winter traffic (sledding, shoveking, etc.) across the area shalt not be permitted, or frost can /will penetrate into the cell, freezing up the system. Discontinuos use in the winter (a vacaction trip, resulting in no water use) can also lead to freeze ups. Z. Water conservation needs to be exercised! or system can be hydrolically overloaded and destroyed. This system was ,. designed for a maximum wastewater flow of 11 gals. daily. 3. POWTS are not designed to accomodate wastes from a garbage disposal unit, or any other unnatural sources of waste. Any introduction of such waste materials will overload and destroy this system. 4. If a power outage occurs, or a pump fails, it may result in a temporary overload of effluent being pumped into the ' cell, which may adversely impact the cell (leakkge). It is recommended that a licensed pumper .empty the dosing tank, allowing the pump to return to dosing the correct amounts. Consult your installer immediately for advice. 5. Neglect of the vegetative cover (the qells insulation & erosion preventive) can lead to failure. Compaction or heavy traffic also can destroy t he system. It IS NECESSARY TO f Wisoonsin Department of Commerce SOIL EVALUATION REPORT page / of 3 Division of Safety and Buildings in ice with Comm 85. Wis. Adrn Code Attach complete site County pie plan on paper not tens than 8112 x 11 inches to size. Wan must p indude, but not limited to: vertical and horizontal reference point (SM), direction and Parch I.D. D/L - /O - 7 percent slope, scale or dimensions, north arrow. and location and distance to nearest road. Please print all Information. R ' wed by Date gL�� Personal h tonnation you provide may be used for secondagr + +( . is ids ba (1) ( ?. Ik(G • I� roperlytocati Prop�tyOwner //I,QN p NG 1/4 A1 W /4 S�� T�� N R 17 4 (or) W Pr 2 rlY Owners mallj.3 D Addre, � �uz ' `�a � . =,:, n >.ot # Bladk # p� � s City State Zip Code Code Ph .._.. Village J 91 � Town Nearest Road y EiPiN '�4z'h' /� 130 ❑ NOW Construction Use. Residential / Number of bedrooms Z - Code derived design flow rate GPO %Replace ❑ Public or commercial - Describe: Parent material /DAS OUP' A�WJ - 7-Mg Flood Wain elevation if applicable VI;X��� ft General cominents fiP� Tyr/ it ,SvrTB�" f�iC' r9 Slav -�v �yST Zt 5i ,vG /8 " s7 ' Gcdt x Cty a Borin g # Bori Ground surface elev. " . 7 ft. Depth to liming factor G — soli Rate Horfmon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 4/ o- 8 toy v-f 2 8 • z _ / S/ L S Aqn fie cw Z . 5 17 Z %o .5 Z- I F 17 & • y . � to ��f Mors SGG f• qyr -/? . Z . 3 Z Boring # ❑ Boring J Pit Ground surface elev. ` ft Depth to limiting factor ` Q Soli Application Rale Naiaori Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Ou. Sz. Cont. Co lor Gr. Sz Sh. 'Eff#1 I 'Eff#2 11,A 4 Sh Ito 13 ' r�wv 'U- 48 A_U aO 1.51 C 1g Waw�red a .ro saain�as ssaaaa o10O paou nod ( lasluoa amid !un) Oddo a us alew p2au ie us ur (su JI '.ratio dwa pre �aprno.id aarn.ras d11un1Joddo (enba us s} aa�awwo3,Io luawuedaQ ay,L 'U(xu r>£ > SSl P� 'iJtiw 08 > 900 = Z# >t"03 . l�ui 091 >' oc< SS1 PUR - lAu OZZ 3 0C <'Q09 = t# ILMW3 . � ' ' F��� •' ���� .'.713® ■■ass ■►�■■■■�i■■��■®■�■ . A■■� ■�■�■■r■■rr,� �■■■®® ®®sue • t C mm�r- MW Mr 0 O omZ wo>0 Z MCO "1 }� 0 0 1 m D Z r s� 'gyp e N 1 3 i o C a , HOLDING TANK SERVICING CONTRACT Contract Date 9- 11 - 0 3 This contract is made between the Holding Tank Owner(s) Name(s) and Pumper's Name We acknowledge the installation of (a) holding tank s) on the following p operty: ( rovi le al descriptions:) At toYy �L 7 t -------------------------------------------- 1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement required in Comm 83.52(1)(c)1. Wis. Adm. Code and the approved Holding Tank Component Manual. This agreement will also be filed with the St. Croix County Zoning Department. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the p-?-en res7- ngible for servicing the holding tank; h. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volume in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a popy of any changes to this service contract or a copy of a new service contract with local governmental unit and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) Owner's Signature(s) Subscribed and sworn to me on this date: CAP-. l(aA)41Ah G Today's Date Pumper's Name (Print) Pumper's Signature Notary Public Signature R O*Al Pumper's Registrati n Number V Comm'ssion Expiration o9/, li ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT r AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Q4-1� Mailing Address c 0 3 1 a® /1 ^v-L. 13 F co Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number © /A ' /D 7 -5 - ° " of d t •�� LEGAL DESCRIPTION Property Location I L 1 /4, 1 t '/4, Sec. T o N -RAW, Town of �- Subdivision /1` Y9 • . Lot # Certified Survey Map # . Volume . Page # Warranty Deed # - Z ° 1 ` ° ° . Volume ;- o - 7 Page # 18 Y Spec house ❑ yes Ok no Lot lines identifiable Kyes ❑ 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 mastorplumber, joumeymanplumber, restrictedplumber or a licensedpumper verifying 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 Zo ning Office within 30 days of the three year expiration date. C e� /2 Aj SIGNATURE 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 owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ISc ) _ 7 /M SIGNATURE 6F APPLICANT 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 J 207 `i f' 701601 i! STATE BAR OF WISCONSIN FORM 3 - 2000 REGISTER OF DEEDS ST. CROIB CO., MI Document Number QUIT CLAIM DEED RECEIVED FOR RECORD This Deed, made between Carl Kuhlmann, a/k/a Carl Kuhlman and 1 2110/2002 09: 30AN Donna J. Kuhlmann, husband and wife EXEMPT # 8M -- - - - -- - - - -- - - REC FEE: 11.00 Grantor, and Carl J. Kuhlmann and Donna J. Kuhlmann, husband and wife, TRANS FEE: holding as survivorship marital property COPY FEE: CERT COPY FEE: PAGES: 1 Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): The North Half of the Northwest Quarter (N 1/2 of NW 1 /4) and the Southeast Recording Area Quarter of the Northwest Quarter (SE 1/4 of NW 1/4), Name and Return Address All in Section Thirty -six (36), 7 ownship Thirty (30) North, Range Seventeen (17) West. Thomas A. McCormack PO Box 2120 Baldwin, WI 54002 012 - 1075 -90, 012- 1076-00, 012- 1076 -20 _ Parcel Identification Number (PIN) This is homestead property. (is) (daxmt) Together with all appurtenant rights, title and interests. Dated this 4 day of Q?C.—.4 - � • * * Carl J. Kuh ann * *D aJ.K I an AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. Signature(s) _ St. Croix County ) authenticated this day of Personally came before me this day of /�1E.ene�.�inl 91z4& the above named Carl Kuhlmann, a/k/a Carl Kuhlman, a/k/a Car) J. Ku hlmann * and Donna J. Kuhlmann 'd 3• TITLE: MEMBER STATE BAR OF WISCONSIN y y (If not, to me known to be the person(s) wh xecolte 't a foK - going i strument and a owledged th e. f ' 9 _J : authorized by § 706.06, Wis. Stats.) � > THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Notary Public, State of WISCONSIN _ B aldwin, WI 54002 My Commission is permanent. (If not, state expitat(„ date) �— (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN QUIT CLAIM DEED FORM No. 3 - 2000 INFO -PRO ( 800 )655 -2021 www.infoproforms.com