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176-1075-03-000 (3)
N a v i 0 O 6c) o fU I N 4 o °� o rn N c N N 3 a . E y N O N O Q. y 0 a c p L C ' O L I O y f 0 N O N N N w ' a) c o 7 2 m (U C O — O C O IL y - y m- lh C 3 t0 € N 7 N 00 � N a > fC ) ONs� d 0 a O N N d C am i y L O C a N O Z > N L c L Z o3�.2 o �€ 7 f6 N c '�- U N '� 7 m �. Y N N >. LL Oc w O of c c c N LL O f ° m m a C o _ fu f7f I a �v o a@ 3 v �� awt o Q o cU m o> Q u, = v o a I I g aa) ° CD ° z z E v Z 0) 0 (D am rai r z i c t9 O Z ,a N O N U O`U N N 2'� 'f7 y C c (D C N CL O O p D O y = N 6 � I W m o � • N N 7 C L : d N — ° N v °� c w Q O O d 0 Z Q Z C z .. d w R E = o E i J .5 d - G = N .. N a� ° O d t O m d L I a z {yam a z IV 4 i I' a s d T a. CL M N N Q 7 O <n cco O LL O O N fn J U c ° fA Z tT N N Z �. n Q) c O\ C\ Z ` 'k fU ° m N N r , O r p° -O C O d N o m'� a �° ) c a, c 'C d Q z fn f0 f1 'p N Q A fn m O N 0 N Q V y y O N C N N C ° L 'O N a) d 7 W ° 'c 5 �f[i 7 4) O rO o c °' e e c Q (D a3 °' c n c a v � _ fp y N N Q 00 O J c c0 m C a c c C N° C+ p) m III N N N a I C y N N C C N O ICI N N 4 a 7 L 7 •u O c > •� L •- N O N m m O U I O W O N p N U z N 2 m r L fn U M O Z O w m CD CL • a m d m c 41 c �1 A u a.. 2 0 U) L) O'n 00 0 6q d a f 0 0 o pv m a s CL C u oL CL N ( w € c m i ca 0 Lo d aN p 0 U) y V - :s N OR w 3 o N� o U . o Z f6 y C O N C LL O O N LL O w l4 G 3 a E a m i° o �(LV;=_ N Q cgu0iaci Q o,C7c I o I z z E E �: o = ° o z cn am am M I z N I I C C7 O Z N p c ai o (D a' o N `) O N N z� ` a c _� v N c N H r , E '> 'o E CD Cl vi N u vi 0) N ' C � c o N N (� • 7 a N L 7 N .—C.. L Q Z C Z Q a Z O O y O d *Its N N i N N C: .. m O •raj a 12 c. „�, o La a q o o a ( N C C Q a L tn m Q o ma) > ; a 0 r ) U) U r ) (D Z C,4 a. a= I v 3 5 a z • T am G. d a T d d d CL E I I LL U cm ° o ° o } m rn rn } �� C N O Z N C) C N N co c r co = N c c0 = E N c o o °o o E c o v E C, c m' c o °' a Lo V N O N N m N E - v °� Q n in m Li ii m Q> m U 1 U 0 S 1►1 +� N C6 O E O f0 O E N e - Q C D 0 o 2 � m m ci a o o I a; 4� 'm c o� ° o I r L LO It m N o N N B O N m N m N w N w u� g c c a� M a c S a l r o m c U C7 y w LO w C7 y LO C O C N N d C C C N N y *4 � N m 7 CO ) a 7 j j C ,C 7 � w 7'D r , O O N y d m U O O N o y m U ►v ' M U o z U co o z a: Y v� w m €a € • a mad L: CL y i 2- L 2- 5 a . L ao LAov Z z �--� 1 3, h t i� `� ta�"�� � » �" •�� � r K as �k g,. R. / y l 6� _ _ ter` ; �( M b - mxc ra^"d' $ at� Gs' t� y / � � V� � y � � ���� C(RR 0, � sl l NOW s 23 � v I xx 8:30am 9:30am staff mtg 12:OOpm 1:OOpm Lunch 8:30am 9:30am Updated: Zoning Department Bi- weekly Staff Meeting 2 :00pm 3:00pm Carla Kunzweiler - K. O'Connell, 395197 (T of (Conference room - 1216) Somerset, Lot 1, 515 Polk St. Croix County Rd) 11:00am 12:30pm rb 3:OOpm 4:OOpm Orchard 26-- McDonell- -Troy 12:OOpm 1:OOpm Lunch 4:OOpm 5:OOpm Lot #33 Homestead -- Hudson- -Tom Stanek-- McDonell 10:OOam 11:OOam Doug Yatchoske- W.Nechville (mound pipe inspection) 1:OOam 12:OOpm Scott Lindquist, #395204 (T of Star Prairie, Lot 6, (T.of Warren) 1144 County Rd C) 12 :00pm 1:OOpm Lunch 12:OOpm 1:OOpm Lunch 1:OOpm 2:OOpm Troy Develop. -T. Featherstone, (Lot 74 Troy Village) 1:OOpm 2:OOpm County Concrete, H. Nechville, 344525 (T of Warren, 3:OOpm 4:OOpm Molly Olson, Dave Fogerty - 399404, Cr of Eau Galle ?) Hwy. 65, 2nd driveway) 2:OOpm 3:OOpm Bonte- Hammond - Pheasant hills lot #16 - -B. Schumaker 3 �m 11:OOam 12:OOpm Darrin Marek, B. Bird, #383870 (Deliver Lamire permit) (T of Star Prairie, Pine Acres Lot 28) 12:OOpm 1:00pm Lunch i i Kevin Grabau 1 11/29/2001 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Srety end Br Division Sanitary Permit No: INSPECTION REPORT 384154 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: Sonnentag Family Partnership Warren Township 042 - 1095 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System PUMPISIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 1pipe(s) Length Die Length Dia Spacing 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.) Inspection #1: 1 I Inspection #2: I I Location: 1203 70th Avenue Roberts, WI 54023 (NE 1/4 NW 114 34 T29N R1 8W) NA Lot Parcel No: 34.29.18.528 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes [*No Use other side for additional information. Date insepctoes Signature Cert. No. SBD -6710 (R.3/97) t S I o,J aP - ke o ( . 6� Safety & Buildings Division { Permit Application 201 W. Washington Ave. Sanitary PP PO Box 7302 In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707 -7302 r , Hr ,,,, • , � ; rr ®• „�,�,,�.,, Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach com lete plans (to the county copy onl 4 for the system, on pap er not less than 8 -1/2 x 1 1 inches in size. Coun State Sani Pe t Number Check if revis pre in lication State l ^ an j, D. umber GRo i X, �� 1 . 1 - too l -3 67 !4 I. Application Information - Please Print all Information -,� Location: Property Owner Name i t Property Location 1'r1 Ce�r� TY NChk ` E Cam P ` ' t � L 1/4 140114, S 31 T, ,N, R E$6r) W Property Owner's Ma Address of Number Block Number p g �..__ 0 ; 1 ` ?001 �7 x ' City, State Zip Code umber CC "Kry ubdivision Name or CSM Number OFMCE b Rt w Al (' _ Rv r _ 11 Type of Building: (check one) \' <` p Village 0 1 or 2 Family Dwelling -No. of Bed ooms: 1)CTown of % Public /Commercial (describe use): 0 State -owned U - IV III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. VNew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)3 System Tank Only Existing System C) a - / ogS - 5 V - 6 b 0 B) Permit Number Date Issued 1�(A Sanitary Permit was previously issued 8 15" IV. Type of POWT System: (Check all that apply) A-00 Y,Non- pressurized In- ground Q ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -gra Aerobic Treatme f��Recirculating ❑ Other: t Unit ' x 00' c�43tkS V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) R , g /,o �� Elevation 933 07(! =2 NJ>z, 9o,s =r 90i0 g7,ov2 VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks O 9-00 C) aZ Li ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number l I u� a - 7/ b - 7 1-s - 70 - 3 -3 Plumber's Address (Street, City, State, Zip Code) 9b "7 �jbl� �S )1 f 110 a3 VIII County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin Agent Signature (No stamps) 'Approved ❑ Owner Given Initial Adverse Surcharge ee) Determination �• IX. Conditions of Approv /Reasons for Disapproval: awl + _ �r re /I IY.J� t � "{ e•as `�, �0� S � t°�0 d[ otaJca a.4�ur-M� wa4ft 6- 14+ �- 15 rt.Ce p �+^ n �tnt�ce�Q te+'�,n• 4i t�'t• ! Ce+r+ti c OAkA Safety and Buildings " a PO BOX 7162 MADISON WI 53707 -7162 n isconsin (� TDD #: . sta 2 wi.us/ sb Department of Commerce 7 w w w.cornrnerce.state.wi.us/sb t www.wisconsin.gov Scott McCallum, Governor Philip Edw. Al bert, Acting Secretary October 08, 2001 CUST ID No.226375 ATTN: PO WTS Inspector ZONING OFFICE ROBERT W ULBRICHT ST CROIX COUNTY SPIA 655 O'NEIL RD 1101 CARMIC14AEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/08/2003 Idertifiction Numbers Transaction ID No. 676173 SITE: Site ID No. 625637 COUNTY CONCRETE CORP Please refer to both identification numbers, 1203 70TH AVE above, .in all cvrrespon46,nce with the agency. TOWN OF WARREN ST CROIX COUNTY NEIA, NWl /4, S34, T29N, R18W FOR: DESCRIPTION: NEW NON - PRESSURIZED IN- GROUND SYSTEM, COMMERCIAL / 933 GPD / REVISION OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 777789 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 1, the length of each leaching chamber is 6.25 feet. 2. On page 1, each of the dispersal cells shall be 100 feet long. 3. On page 1, the total linear length of the dispersal cells shall be 300 feet. 4. On pages 3 and 4, each leaching chamber represents 17.14 ft. of absorption area as specified in the Wisconsin Plumbing Products Register. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. I _ , a ROBERT W ULBRICHT Page 2 10/8/01 Sincerely, FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 / BALANCE DUE $ 0.00 I FETE iPAGEL POWTS PLAN RE EWER II , INTEGRATED SERVICES (608)266-2889, M - F, 0630 - 1500 HRS PEPAGEL @COMMERCE. STATE. WI.US cc: KURT KRUEGER, MANAGER COUNTY CONCRETE CORP I I ULBRICHT & ASSOCIATES CO. , 1 . 655 O'Neil Road • Hudson, WI 54016 neg..Designers of Fngineerbig S ystems 715 -386 -8185 Private Sewage Consultants A REVISION TO PREVIOUS APPROVED PROJECT INDEX PLAN-6136 � !- / (2 -5 -01) PLAN ID # -) cp DATE 57 OWNER County Concrete Corp. PH ONE 715- 749 -4121 25 3 ADDRESS 1203 70th Ave. Roberts, Wis. 54023 LE DESCRIPTION Part of over 100 acres. PIN for 40 acres involved: 042 - 1095 -50. NE1 /4, NW1 /4, Sec.34, T29N, R18W. TOWN OF Warren St. Croix COUNTY CSTM R. Ul b r icht 226375 LOCAL AUTHORITY/ SUPERVISION S C roix County Zoning Dept. PROJEC DESCRIPTION: Reason for revision: owner's moved location of the new factory for a third time. This neces.sitated a new soil test. All other factors remain identical, sizing etc. from previous plan 64 -e41.6-.. Cag - 7 z ! 3 PROJECT DESCRIPTION_: New construction: for a new concrete precast forming factory. Daily w asteflow sizing: a small office with 2 baths(restrooms), 2 floor drains, 4 office employees and up to 40 factory workers (all shifts combined). Total actual �• wasteflow, per Comm.83.43.1 Table A: 622 gal /day'. Design wastef4fow: per 1.5 factor: 933 gal /day. , Soils are very permiable (.7ga1 /day /ft2) and suitable for c inground conventional treatment cells ( "Infiltrator" trenches). System proposed shall only serve domestic wastes from the employees, factory and office. No other non - domestic wastes (from maunufacturing plant) shall be introduced or connected to this proposed system. 2 precast septic tanks shall be set in series for ultimate pretreatment of effluent. Tanks, 1000 gal. each shall be from County Concrete Corp. (205 North St. Maraton, Wis. 54448). Each tank shall be provided with a Zabel filter (model #100/300) and each tank shall be provided with an approved above ground locking manhole coves' o servicing access. rs ",nnnuU„q, d �f�oj�ull , olv .._...,sly. ntvso a . TO ISO O S EE CORRES NDE ;� r . ..........r- N , SIGH qg-1 INFILTRATOR CIZINg WORKSHEET SYSTEM PLOT PLAN CROSS SECTION OF SYSTEM WITH TH n n 11 Pg. OwNER MANAGEMENT PLANS & ZABEL FILTER SPECS Pg.6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK. PG.7 (OPTIONAL PU MP PERFORMANCE ANCE SPECS. ORIGIN The attached plans and specifications are based on "In- Ground Absorption Component Manual For Private Onsite Wastewater Treatment Systems." (Version 2.0) SBD- 1075- P(NOl /01. O V \ 1 O • N °0 0 —� 0 oQ cn mi W y vi Ln •� UA 0 2 �hT 10 � C� go �G SET R � s GAP ►o �►' U,v A T/o v �/ 1 yam. �o G7 D I N G,- T ' z k Vl� Z- R4 Viv TtV & MK - Z, s ysTEM o Cho SS SE C Tiox) OF TIVCIU W5 IA-) IN/::�'l Z.- 7tC 4 ro,<'S 3 V F v TI p-liL s c 7 7 C OFiri U,v 1 T /oe> /`vQ- �Ji,V . 12- I ff _ .. � N 7X1 ' An observation pipe may serve as a combination observation/vent pipe providing it terminates in the same manner as required for vent pipes. See Figure 6. Vent cap Return bend Cap �. 12" min. 12" min. Final grade - Aggregate Distribution lateral r a typ. tYll. X sYstem elevation Figure 6— Vent and combination observation/vent pipes Leaching chamber tops are at or below the - original grade. Leaching chambers are placed directly on the bottom of the distribution cell. The locations of leaching chambers are in accordance with Table 3 of this manual. Observation pipes are installed in the distribution cells and are provided with a means of ;S anchoring to prevent them from being lifted up. Observation pipes extend from the infiltrative surface for stone aggregate s stems or from y the Inside of leaching chambers to a point at or above finish grade. The portion of the observation pipe below the distribution pipe for stone aggregate systems is slotted while the portion above the distribution pipe is solid ,will. Observation pipes for leaching chamber systems are attached to the chambers in accordaffcw,ilh tie chamber manufacturer's printed instructions, extend from a distance '6' dve the infiltrative surface through the top of the leaching chamber up to or above Iiiiish ,grade - and terminate with a removable watertight cap. All observation piping has a riotrlinal pipe size of 4 inches. See Figure 5. i . Water tight cap 4" min. dia. Top of leaching Repair couplings chamber. f r Slot -� 6** min. min. Intiitralive surface 4" min. Water Closet Collar Bar (318" min. dial I Figure 5 - Observation pipes Vent pipes, if installed, connect to the upper half of the gravity flow distribution laterals and extend up to at least 12 Inches above finish grade. Vent pipes terminate with the vent opening facing downward by the means of a vent cap or fittings. Vent caps must allow a free flow of air between the distribution lateral and the atmosphere. All vent pipes has a nominal pipe size of 4 inches. r Dl n5 ,v T . S AP f P. 1 Frr I T w� �er� v�ti P Iff y 0'0 CRo SS S - c Tio� ©� TiP��v��s- • //V l G ii J p so S 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 * Governmental authority/ inspectors: 2 o ul: G- zle- __ 7i .5 - 3� o • �� �e * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: h�E y tiFG� v• �t..� * Licensed service / inspection agent other than installer: 3d'(� * Electrician, for pump, electric controls, wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENTS ' 1. Winter traffic (sledding, shoveling, etc.) across the area shall 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. :S 2. Water conservation needs to be exercised! Or system can be hydrolically overloaded and destroyed. This system was designed for a maximum wastewater flow of ? 3 3 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 dpstroy this system. • •'Mscotrsih Department of Commerce d�tolJ 1Ivlslon of safet and Buildings SOIL EVALUATION REPORT Page l of 3 in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper r l less than 8 112 x 11 Inches in size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. O Y Z . /0 37S .� 0 Please print all information. R iewe <by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1) (m)). Property Owner 61OW2 . Property Location ._ I b Property Owner's Mailing Address Govt. Lot N �, 1/4 N W1 /4 S 3 y T Z7 N R /if a (or) W 3 7 0 i! A u - Lot # Block # Subd. Name or CSM# City St - ate Zip Code Phone Number '�vr sE T.S• �/ S, y'oL� , El City ❑ Village own Nearest Road ,! ( 5) Y9- y/Z to � iP�,� 70 11 v e Fl Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate E] Replacement [9' or commercial - Describe: C . k- piPt��}S j' f�p �� � GPD Parent material lQ�' �� --� S A,Np� O(lr- LbA [/ Flood Plain elevation if applicable General comments ! !l7 7 it. and recommendations: 7-&57 Sj�� SV / �i� 417 J /90P- ej,117N ZI TlOi(yJf •�, . Boring # ❑Boring � Ground surface elev l Pit . � ft. Depth to limiting lector /( �' In. Horizon Depth M7- Redox Description Soil Application Rate P Texture Structure Consistence Boundary Roots GPD /ftz I n. Qu. Sz. Cont. Color • ZQ Gr. Sz. Sh. •Efl#1 'Eff#2 7 �" � S/L 1, �-•y7 �syR a i y�•8 goy sL zfsAe . s GS ._7 �• Z X410 Boring # ❑Boring ❑ Pit Ground surface elev. ' t! 8• Depth to limiting factor /! Q in. Horizon Depth Dominant Color Redox Description Texture In. Munsell - Qu. Sz. Cont. Color GPD/fl Structure Consistence Boundary Roots Soil Application Rate Gr. Sz. Sh. •Ef#1 •Ef1#2 a• /S Ioy,�'i s« z s z �S • L /c� y,� • S /L. i �s *1 7' s SQL /�sh.� �, �. ' i 4 o4),u7 - Y C2W Property Owner _ X7 Parcel ID # D • �� s v Z 3 Page of El Boring # ❑ Boring q 7 0 Z Pit Ground surface elev. ft. Depth to limiting factor , /ZU in. SQiI Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft� In. Munsell Qu. Sz. Coo+nL Color Gr. Sz. Sh. •Eff#1 - Eff#2 0 - 1 ioYX Z [ ! •/� s'i L �7�s�lie /Mf/e C S f le A Co T •Si L Z- 2 .S •8 ..� 10 * -5 1 4 1 a 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 F] Boring # Boring M ❑ Pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stmciure. Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - E111#2 s Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L r The Department of Commerce is an equal opportunity -service provider 4nd employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608 -266 -3151 or TTY 608 - 264 -8777. San -8330 nt 61M) l t7 - 444 ► '� o widA I / � r� r q 51 r se w V 91v�0 Q k. Y, Jqe - k Ja y i 0 �� soa — � i � Of 41 I Ait t 13 1 67 7 e - ro goy Wisconsin Department of Commerce h LUATION REPORT Page / of Division of Safety and Buildings rr i in accor a . 66m 85, Wis.`;t,�dm. Code % County S�, 6POI Attach complete site plan on paper not less t �8Ir /2 x f in size. Planitwst �/ /� Include, but not limited to: vertical and horiz fer (BM), d'rection aid Parcel I.D. �- percent slope, scale or dimensions, north a nd to nand di to nearest road. Y Z • /,o C k�; Re iewed by Date Please print a 1rt ormatgn. * �� Personal information you provide may be used fo secondary ptliposet s. 15.04 (1) (m)). �f' ,' 1 8 Property Owner -��1 Property Location «� ---lll Co ()A,) 7- L� Govt. Lot j1l 1 /4 N 1/4 S / T ' N R 1 6 0 E (Or W o Owner' �a�ing ddress Lot # " ck # Subd. Name or CSM# Propert 3 � AI _._ 4111t7? /00 .14449s City State Zip Code Phone Number 1 Village J( Town Nearest Road &P064t7RT5 7/5" '71 New Construction Use: ❑ Residential / Number resign flow rate 3 GPO GJ3 Replacement Public or commercial Parent material 1ors m!J S%},(Jf�1, s.. applicable N�r4 ft, 6, General comments �T and recommendations: F cif F.,�tJUcPs' — �Irfiv •�Ir¢!7E 13aA NECOS �E•�10U�v SGiPif/�`' p F/I Boring # ❑ Boring 6 7- Pit Ground surface elev. ft. Depth to limiting facto /�� 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 Z3 °Y A/ c D S� t /f' 2 Z 7S 5 L z fSh K /,.,f e C5 9 dX Z Boring # ❑ Boring q U Kpit Ground surface elev. ` �' 7W ft. Depth to limiting factor 112— in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2 � 2g loyl W 4 � 1 -f e s/1- � I*-p de ti 11-f z I • V7 - 2•5 y 5c Zf d /W fe cs s -/1 /o 5 ..S D, S Effluent #1 = SOD > 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) Signature CST Number e e o T ?.4i! B P I T zz&3 Address Date Evaluation Conducted Telephone Number Ulbricht 8 Associates _ : Z OO , / -71S 3 (o / 655 O'Neil Rd. Hudson, Wis. 54016 N OTE I 7 OR � GIN dA41 Cov.�r Y Property Owner 4Nct�i C Parcel ID # � 0 ' /d I s :S 2 3 Page of E - -- Boring # ❑ Boring 9O Pit Ground surface elev. ft. Depth to limiting factor > 12-0 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil Application Rate In. Munsell �' GPD /ft Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ° '� /o �v SQL f ,�,e ,. S R �� -- 33 7.s 3 33 '7? s S D. ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil Application Rate In. Munsell Ou. Sz. Cont. Color ry GPD /ft Gr. Sz. Sh. •Eff#1 •Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /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 mgt • 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 (RAM) f 1 t o 50 - 75 51 Fl 0 , ��L �`'� or�� - .�° Soo � �,�p sys�- -�-,� g� C ,L-f o SysT� --�'! rvs'7 017f 7 - - •��- /ODD bqs l ,03,41 P C T-5- �j ea of Ooo�E' l A "T 6 - 7 l © ,U r c role Y i S 7,5 w ST CROIX COUNTY SEPTIC TANK MAIN'T'ENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM / owner/Buyer 5 ®WAIXA 10.4 z at i /V � �1 ���� O C e k.. Mailing Address Property Address (Verification required from Planning Department for new construction) City /State & A E N t UvT Parcel Identification Number 012- — 10 LEGAL DESCRIPTION Property Location A 4 1 /4, Al W `/4, Sec. 3 ` , T.�� -N -R,� Town of IV Subdivision . Lot # Certified Survey Map # IzVo4 f how Volume . .Page # Warranty Deed # S .3 $ 6 ;Z g Volume I/ r8 , Page # Spec house ❑ yes 93 Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or a licensed pumper 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within. 30 r y on date. SIGNATURE OF APPL 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 pr pe describe a e, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE b F APP ANT J 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 C a y-r Y Ca.�� N 4 C . °P Private O nsite 9 ite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component p Y Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number IT4 1 5 Number of Bedroo S= DGFfC6 � PLOYW liS ,e_ Design Flow - Peak (gpd) 33 Estimated Flow - Average (gpd) 6 ii Septic Tank Capacity (gal) r0 Soil Absorption Component Size (ft f `� Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 2_ 000 -7-- ar. FA Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte s hall be cleaned as necessary to ens ure pro a pgra�t 'The filter cartridge sho no 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 I Management Plan for a Septic Tank and Soil Absorption Component 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 scum and sludge 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 an 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. covers should be inspected for water anhole risers, access risers and cove tightness and p 9 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or e impossible to repair until weather conditions improv e. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 r �f 1 Management Plan for a Septic Tank and Soil Absorption Component • Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 7 s - - zY 5 CA / / 0 F 3 i WboonbM Department d commerce PRIVATE SEWAGE SYSTEM � t)ivisbrl C ounty: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Ptrr= nd kdormation you Movioe may be used for secondwy puq* es (Privacy Law, 9.ts.04 (1)(m)]. 384154 ftcatit Holder's Name: 0 c ity 0 village Town of: State Plan 10 No.: Warren Townshi Insp. 8M Elev.. BM Descriptan: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt Aeration Bldg. Sewer Holding St/Ht inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Ae 'to ROAD Ot Inlet Septic NA Dt Bottom Dosing NA Header /Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand t cover Model Number GPM TDH I Lift Friction 5 tep Dit.Towell TDH Ft Forcemain Length Dia. SOIL ABSORPTION SYSTEM BED / TRENCH width Length No.Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENS DIMENSIONS _ SYSTEM TO P /t. BLDG WELL LAKE/STREAM LEACHING Manuf acturer: SETBACK CHAMBER INFORMATION Type Of e Num r: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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 [I Yes C1 No O Yes ❑ No COMMENTS: (Include code discrepancies, persons present. etc.) Inspection #1: / / Inspection #2: I 1 Location: 1203 70th Avenue, Roberts, WI 54023 (NW 1/4 NW 1/4 34 T29N RI 8W) - 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision required? ❑ Yes ❑ No Use other side for additional information. 580.6710 (8.3/97) Date Inspectors Signature Cert. No. Sanitary Permit Application Safety & Buildings Division ' In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 lViscons Personal information you provide may be used for second purposes P Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on pa er n less than 8 -1/2 x 11 inches in size. County State S itary ermit Number ❑ Check if revisi re ious;app nation Atate Plan I. D. Number 361 I. Application Information - Please Print all Information ocation: Property Owner Name - j e L ocat i on rx j 4 i wt 1 .fEO( Po, v�-*IV ► �r'f.���:� 4 1/4, rty L i C o «N L o CG�`f E C R/1A,S3ilT1�,N,R E(or Property Owner's Mailing Address w Lot Number Block Number / 3 Q -tA Tv City, State Zip Code Pho a ber bdivision Name or CSM Number © E f-S SDI (7 cS' z� _ ,:;;�-. P Q ht /oo c ass II. Type of Building: (check one) ( ❑ City 13 , 1 or 2 Family Dwelling -No. of Bedrooms: ❑_ V�i e L9Town of (�(1 n yr. At (describe use):_ / E tU G &A 0— f e ❑ State -Owned Nearest Road 1 0 A A v 1 X "I S , �� -vl•cO C��� Parcel Tax Number(s) III. Type of P mit: (Check only one box on line A. Check box ori lin B if ap plicable) 1 /9, A) 1. WNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Z - w .! p p Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV Type of POWT System: (Check all that apply) Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. I Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Li° ystem Elevation 7. Final Grade Required Proposed Rate (GalsJday /sq. ft.) (Min. /inch 14 � Elevation-4 !03 s 7 78 - 798 3 r 7 C� z� Y� ° 2�•so VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks /Do d aar7 C ❑ ❑ ❑ C n p_ VIII. Responsibility Statement 5 .V' S I, the undersigned, assume responsibility for installation of the POWTS shown on th ched plans. Plumber's Name (print) Plumber's Signature (no stamps): RS N Business Phone Number 'z l 7/ !S - - 74%9 �3 3 Plumber's Address (Street, City, State, Zip Code) IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued I Issuing Agent Signature (No stamps) `6J Approved ❑ Owner Given Initial Adverse Surce Fee) Determination a �, dD I M-Wei S 20 ] X. Conditions of Ap roval /Reasons for Disappr val: �1 ���z�.s�F�41d? ..a.�.Q.� � o �-�� � �•.- � w..u,w. s Y s� p.w��nce. k- S•�s r,4 ; Lee �►� ai ��u�:w mot" ' /�,� �� oHn r��ca�l evl s . SBD -6398 (R- 07/00) .t;�1 s � � � � o r N a ,�� v O s �\ LN `C y c p C nab�e� oJ, rr b 101 / 7E f11 tA Ul N o m �= o Q W / N ♦o r Safety and Buildings • PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 I Scons n www.commerce.state.wi.us /SB Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary February 05, 2001 st- i ce. -`' CUST ID No.226375 ATTIC• POWTS Inspector �, Q ZONING OFFICE ROBERT W ULBRICHT ST CROIX COUNTY SPIA 655 O'NEIL RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identificati s PLAN APPROVAL EXPIRES: 02/05/2003 Transaction ID 613616 Site ID No. 62563 SITE: Please refer to both identification numbers, COUNTY CONCRETE CORP above, in all correspondence with the agency. ST CROIX COUNTY, TOWN OF WARREN; 1203 70TH AVE NEIA, NW1 /4, S34, T29N, R18W FOR: DESCRIPTION: REVISION TO 609178 NEW NON - PRESSURIZED IN- GROUND SYSTEM, COMMERCIAL / 933 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 777789 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address o fpAGh d. S DATE RECEIVED 01/31/2001 FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 P BALANCE DUE $ 0.00 POWTS PLAN RE WER I1, INTEGRATED SERVICES (608)266-2889, M - , 0745 - 1630 HRS PEPAGEL @COMMERCE. STATE. WI.US WiSMART code: 7633 cc: KURT KRUEGER, MANAGER COUNTY CONCRETE CORP ��I ULDnICH & ASSOCIATES CO �oriers 655 O ' Neo no ad - f ludson, WI 54016 715- 386 -8185 RECEIVED Reg f Private Sew o rrge Consurl�hrr fssferns -1 to JAN 3 0 2001 5 �O i" g PROJECT INDEX j 0 1 1 1 1 / ETY & BLDGS. DIV. u �/ 1't,AN ID ♦f DATE Jan.10, 2001 0 OWNER County Concrete Corp. PHONE 715- 749 -4121 P i ADDRESS 1203 70th Ave. Roberts, Wis. 54023 n GAL DESCRIPTION Part of over 100 acres.PIN for 40 acres Q�•0 042 - 1095 -50. NE 1/4, NW 1/4, Sec.34, T29N, R18W - Warren St. Croix COUNTY Robert Ulbricht 226375 s AUTHORI'T'Y/ SUPERVISION St. Croix County Zoning Dept. T LER Henry Nechville, MPRS 222781 F EVISIONS: County Concrete Co. wishes to move their new factory building approximately 400 further to the west. The septic tanks (and location of the small office & restrooms) have been relocated. The treatment/drain- field system remains in the same tested area. PROJECT DESCRIPTION: New construction: for a new concrete precast forming factory. Daily w asteflow sizing: a.small office with 2 baths(restrooms), 2 floor drains, 4 office employees and up to 40 factory workers (all shifts combined). Total actual wasteflow, per Comm.83.43.1 Table A: 622 gal /day Design wastefg[ow: per 1.5 factor: 933 gal /day. Soils are very permiable (.7gal /day /ft2) and suitable for inground conventional treatment cells ( "Infiltrator" trenches). System proposed shall only serve domestic wastes from the employees, factory and office. No other non- domestic washes (from maunufacturing plant) shall be introduced or connected to this proposed system. ' 2 precast septic tanks shall be set in series for ultimate pretreatment of effluent. Tanks, 1000 gal. each shall be from County Concrete Corp. (205 North St. Maraton, Wis. 54448). Each tank shall be provided with.a Zabel filt (model *100/300) and each tank shall be provided with an approved above ground locking manhole cover for servicing access. ' 1S C 4 )v Pg.l INFILTRATOR SIZING WORKSHEET ROBERT .2 SYSTEM PLOT PLAN VIEWS _ U�BRTCHT P n � L Pg. 3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. D1160 s HUDSON. VIII p . 4 : MANAGEMENT PLANS. ''% ... ..... . ........ ... """' . a` Pg . 5 ZABEL FILTER & MANAG �,,, %� BSI G14 �� 71:1s clesl.gn for t.listal.l.a1:lorl !s based entlte.l.y on measurements, elevations, ' I:rnd ^r.�1.n rnneiiF.ic�lls (sl.clrr?e el;r..) and Boll sultnbility provided by esi" 11re �rCU1PC.y of tits specs, as repotted, shall rennin the sole responsibility or the CS'111. 1 % ►Iy use c•f this roHTs design t any licensed plumber, or any related unlicensed parties or persons (excavators, laborers) " not be construed as an assumption of responsibility by the designer for the w0 tkman 9111 r , construction, placement, substitution or selection of any components not specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement if vorkTng under adverse damaging weather conditions (wet /frozen "0110) by any such parties or persona. y y o' IN o � tin vi NJ N o� J Q O � � Lq I I N C AA 1 U,v N -sue 1 0 .50 F9 �•Z S - TiP�ti r� if ,, 9-- y S T�� , CA ,57S SE c 7 IN i L 71C4 7 w 1 7 . q sQ rr fA1,AOVeW cry, �Icfry � SSG Tr'o.v ff j 1if� , N sue. Ira St/"!� T�� ____ ......... iff 3 15 F9 y CROSS SEC TioA) ©IC TipEIVO!5 s- 2l�S�iU G- Mil c e vv 11iv. 2 '' 1/r _ _ it 9 Y0 t Pg. 6 Continued. 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 * Governmental authority/ inspectors: 0aw4 - 3 e6 - $ l*e * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: Nx-*44 7 f- 3 3 Z Z * Licensed service / inspection agent other than installer: * Electrician, for pump, electric controls, wiring units: IMPORTANT OWNER MAINTENANCE REQUIREMENTS 1. Winter traffic (sledding, shoveting, etc.) across the mound area shall 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. 2. Water conservation needs to be exercised! Or system can be hydrolically overloaded and destroyed. This system was designed for a maximum wastewater flow of 613 3 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 (lealtkge). 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 cells insulation & erosion preventive) can lead to failure. Compaction or heavy traffic also can destroy t he system. It IS NECESSARY TO REGULARLY WATER THE VEGETATION OVER A SYSTEM!! Effluent in SG the system beneath IS NOT sufficient alone tO maintain a grass cover. 6. Periodic inspections by the owner, or his agents, is necessary. Inspection pipes. and ports have been incorporated into the system: on the mound basal area (effluent level �I inspection pipes), cleanout terminals on the pressurized laterals, at each tip - for flushing and cleaning the laterals out. The filter system in the tanks (via a locked above ground cover /manhole). Only a licensed properly quali6ied person should be performing this work which involves health & severe safety risks. Evidence of effluent ponding in the system's treatment cell shall also be regularly inspected. T/� ,v,e5 ¢Ui,E' 1 1b a -0 1 1 I - Ev�i�° T;vo Y��s ^ o� ���°� ,��c°QvE,vr��. • a Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code y 5r. CPO /wX Count Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ,/ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. �7 Z y� SD Please print all Info R viewed by Date fj' Personal information you provide may be used tors S�Pri�a6y las. 15.04 (1) (m)). IM Property Owner 1 Q , perty Location 2 C Oovr �i✓Cal t ��/� v t�i Lot /vL 1/4 A /4 S J � T Z ` N R �� E (or W Y R �O Property Owner's Mailing Address li f X01 t)t Block # Subd. Name or CSM# - 7 o City ^ State Zip Code Phone Nu ity 0 Village Eyrown Nearest Road /3 E R Gtl . syo z 7 New Construction Use: ❑ Residential / Number of t�draomt Code derived design flow rate GPD Replacement Public or commercial 1 t)esc�i , /f�W �i E4:1Sr ! fCr,0X V 14,01 6 Parent material Flood Plain elevation f applicable ff. General comments GOQ� p �' %�j�0 �/d j 1?*7E$ * V Off e Eq1/0,/6`5 Z f /(lDlx and recommendations: 0 2 2 Ca � �. O� X33 Y s t � © Boring # ❑ Boring 2 / �, Pit Ground surface elev. /Q ft. Depth to limiting factor ! in. !— Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 61 AF /0 0 4/1_7 G� ° ©�,� Z_ /�p� �+ � cs y � / y -� s, c yfs �, , S „ 49. 3�•g�"i'3•g 5S•a�gl•� Boring # y❑ Boring 9 } ICi Pit Ground surface elev. �O� •y ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. S Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o iD /0 ,3/,3 -- �, �/ SL / sA �►► l cs 10 .Y 3 v 7 s . 9 0 L-91 Z Olt- 017-0 �- cs,. 5 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _ 150 mg /L Effluent #2 _ GOD < 30 mg/L and TSS < 30 mg/l CST Name (Please Print) Signature CST Number ./1 7' cGr7` 2 2. ee 3 - 1,5 Address Date Evaluation Conducted Telephone Number soclates 4 - / 7/s -,3 - 4 ?/ ptiate Sewage Consu tan I I s • Property Owner 4aV y Qt e ��� Parcel ID # V / Page of a Boring # O �D f� y / Pit Ground surface elev. / ft. Depth to limiting factor D 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 o -lo , o Y,e „ oe so t� cvT SL- 4+r-6e eS -- s 9 Z o•3 0y1 s/ s. 0 , s t 7 /- 2- yid logs s. s s o Boring # ❑ Boring 2 n pit Ground surface elev. �� 3 • tJ ft. Depth to limiting facto 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 I •Eff#2 y io 2, k � a -S wo q 5 Boring F] Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 • _ < T 'Effluent #1 = BOD s > 30 < 220 mg /L and TSS >30 < 150 mg/L Effluent #2 BOD, _ 30 mg /L and SS < 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.6/00) III Yi ch� iPl� S,�ov% ' LrJ' -v1�s c m �� k U VA qz ti o o U'1 D p kA I l �i I II I I Wtl I II d' ►I xtl li II II CIne ••I II II I a m f a awe i t II op 456 p" i �I 1i SJ w / _ O � 8, �n r is ? 7`) .7 Sl ltc` H IT Of W)'i "n"r, r o", 2 1982 H• �,v DEE ^' %I NO VOL �Z JAN L t 1996 Craig N. Smith and Diare A. Smith, 9:30 A. his wife as � tenants coni:% <andtsarrantsto Sonnentag Family Limited Partnership _ .. , -A<E ❑��Ea, r., . aE.' ^a�,�� ^a•a sAKKF NOR !A S . C . the tolLrningdc real estate in St Croix Ra1dw (I 3400 Counth. State of lk'iscons(n� The East 1/2 of Northwest 1/4 and East 112 of Northwest 1/4 of Northwest 1/4 of Parcel Icentification'Number) Section 34, Township 29 North, Range 18 Test, EXCEPT part deeded to State of Wisconsin located in the Town of Warren. See attached Exhibit "A" for additional provisions that shall be binding upon the parties hereto, their heirs and assigns. The above- described premises shall never be sold to, or used by, West Central Wisconsin Biosolids Facility or its successors or assigns. This provision shall be perpetual in nature and shall run with the land. This is not __- __ home,tead Xt Q (r, not i Erceptiun to s%ar anties: Dated this 2nd day of - _ January Smith -- - - - - -- - - -- (SEAL) - (SEAL) -- (SEAL) Diane- .A_. -- ,Smith AUTHENTICATION' ACKNOWLEDGMENT signature( of Craig N. Smith and STATE OF WISCONSIN Di_ _ -- A. Smith ss. authent t is _ ndda County. January 19 95 Personally came before me this _ day of the above named Leo Beskar - -- -- - - -- -- - TITLE: !NE!N8ER STATE BAR OF WISCO.NSI -- _ - - �- (If not. authorized by §766.06, k% is, Slats.) to me known to be the person Who executed th; 'HIS (NSTRI. WAS DRAFTED BY foregoing instrument and acknoa9edge the same. Leo A. Beskar of - -- Rod.i, Beskar, Boles & Krueger, S.C. Nolan Puhlic C`iunty, Wis. nece nece (Su ma(urei may he authenticated or acknowledged. Both are not lily commis ion is permanent. IIf not. late expiraticn date: .19 .1 \emc.. t It r• „m , cnm¢ m an. •:r pa:rt� .hru1J % 1' cd r p-1,-A ha .rIgneiu.r� 1RR 1ST} DFFD ST BAR OF NISCONS1% VV.SCO S Legal gunk CJ I- . `'fir ~' EXHIBIT "A" LEGAL DESCRIPTION The East !'' of the Northwest to and the East '. of the Northwest '3 of thr Northwest 1, of Section 34, Township 29 North, Range 18 West, Except part deeded to the State of Wisconsin located in the Town of Warren 1. Cram, N. Smith and Diane N. Smith (hercinattcr Smith) providing their complete cooperation as needed - .tith the rezoning to industrial of approximately tv enty 120) acres for use as a prestressed concrete, precast concrete, or other related manutacturing facility. Smith's cooperation includes, but is not limited to executing application forms and appearing at public hearings required by the to"n of Warren and St. Croix �ounty. 2. Upon closing of this transaction Sonnentag Family Limited Partnership thereinafter Sonnenta:_1 agrees to permit Smith to continue to farm on the land purchast;d irom Smith which is not rezoned to industrial and which Smith farmed in 1995. Smith will also be permitted to continue to use the metal storai_ shed located on the property. The use of the agricultural land and metal shed by Smith shall he without any payment of rent to Sonnentag. Smith sha11 be able to continue to use the agricultural land and metal shed for a period of ten vear< During, the ten vear period, Sonnentag may terminate the Smith's use of the agricultural land and Metal building. if Sonnentag provides Smith with an equal amount of tillable acreage within the town of Warren with comparable contours and soil conditions. such that Smith shall be able to raise similar crops for the same purposes as on the subject property for use under the same terms and conditions for the remainder of the period. In the event su. h comparable land can not be mane available by Sonnentag. Smith shall be pennitted to continue farming on the proper v described above. Following the expiration of .he ten year period. Sonnentag a ill allow Smith to use the land until Sonnentag shows a need to use the land and after pro\ iding twelve months notice in writing delivered personally or by certified mail return receipt requested and by first class mail to Smith. The provisions in this paragraph shall only apply to Smith. 3. Smith shall be entitled to use the above described property for recreationaUhunting purposes during the term described in paragraph 2 above, except 'he portion being utilized by Sonnentag,. F N )RK SO\ \E \T l SMITH TRS'll'i 1 ` :? 9i T� 3T � s V) 143 a `� o I� O � � (vJ �,l � 0.T° - 0., w i o f+ o I{ � � n � LI ) <l) Vj I I I + � � qj tit la i i° I j� i Ol ri 1 4 CA a- 4. IZ3 V VVII V7 O O k l) Ir 7