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HomeMy WebLinkAbout231-1066-70-000 1 As&nsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT 9i. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar> Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: ❑City ❑ Village Town of: ate Plan ID No.: tandaert, Barb Clty o Glenwood 2�9 = �ie,►s. fp, CST BM Elev.. Insp. BM Elev.: BM Desc ( iption: Parcel Tax No.: \M .6 t pp. ' ` l ��, _— C,4st — i>s u+,„ 231- 1066 -70 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C - OZD /40-b Benchmark ,( D (.� of , r Dosing V1 k Alt. BM Aeration Bldg. Sewer Q Holding St /Ht Inlet TANK SETBACK INF MATION St/ Ht Outlet d� . TANK TO P / L ELL BLDG. Air i to ntake ROAD Dt Inlet Air I / NA Dt Bottom 1L.10 92.9 S7 1 Septic > '/ > t0l) } LID ____, Dosing y I&V L � JaD r NA Header /Man. ' t •Zv qg %- S" Aeration NA Dist. Pipe 2.v q S'. �fS f Holding Bot. System `l t. 8v r PU u SIPHON INFORMATION Final Grade ��� 17- A- - -oo Manufacturer I Demand over Model Number I 5 k GPM TDH I Lift Friction J TDH Ft Loss Forcemain Length.,, IS Dia. Z is Dist. To Well SOIL ABSORPTION SYSTEM DO RENCH Widtfi + ; to fh 5 t o.0 `� PIT No.O Inside Dia. I i ui a th I I Z DIMENSION SETBACK SYSTEM TO P / L BLDG LL LAKE / STREAM LEACH u acturer: INFORMATION Type O f r7 } r -s IT Numb System: M �Cp ' OR UNIT DISTRIBUTION SYSTEM 4�fJPsf $'( Header/Manifold u. Distribution Pipe x s) r k Hole Size x Hole Spacing Vent To Air Inta k e Length 4—t— N Dia. � Length �b Dia. Z Spacing llo ,c> SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons present, et . s action 1: D / oT/of Ins action #2: tT / [ ` Location: 464 Walnut Ridge Drive, Glenwood City, WI 54013 (SE 1/4 NW 1/4 23 T30N R15W) - 233015906 Walnut Ridge Estates -Lot 11 m"'.4 a ,, swL LA_ W—Aak 1.) Alt BM Description = /', 2.) Bldg sewer length= 1 4 c -2� - amount of cover = k8 o,.-t <t..... - 3.1 contour= 43•sD yQ Ian revision required? ❑ Yes Q3[ No Use th r side f r additional information. 08 0 t �j f � _ ` �� 0.16 "o-f- 9+•. � t inspector's Signature t sBD -6710 (8.3/97 A. ,� e: I -� tit,► 'Z, �1 -- _— — Q -- 0 1e -i N v A Safety and Buildings Division County i 201 W. Washington Ave., P.O. Box 7162 5; r &rD \ 7C seonsin Madison, WI 53707 - 7162 Site Ad ress Department of Commerce /C/ Sanitary Permit AXP nitary Permit Number �jp r J ZZ Z In accord with Comm 83.21, Wis. Adm. Code, o h adon o JO `i tna be used for secondary sea s1 kc heck if Revision I. Application Information - Please Print All Informat ,� 1S State Pl D. Njlmbe� Property Owner's Name v Paicel Number &G lb rl / XHOUP 70- a Property Owner Mailing Address Property Location /0 c7'(� � ri O 'k 'A; S C. N. R ,- E City, State Zip Code P o Lot 7ur her Block Number a,egooj 0) T - 76_ - )-W - 4�0 % Subdivision Name CSM Number II. Type of Building (check all 14 apply) M or 2 Family Dwelling - Number of Bedrooms [)Village ❑ Public /Commercial - Describe Use ❑Township ❑ State Owned Nearest Road DoT III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 $(N,; T2 ❑ Replacement System 3 ❑ Replacement of - f 6 ❑Addition to For County use System Tank Only Existin System B. XCheck if Sanitary Permit Previously Issued Permit Number r� Date Issued -7 IV. Type of Permit: (Check all that ap (numbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 20Mound 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. Dispersal/Treatment Area Information: Design Flow (gpd) . Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rale(Gals./Days /Sq.Ft.) (Min./Inch) Elevation r VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic at ffeldhi Dosing Chamber VII. Responsibility Statement- I, the unde rsi ed, ty for Installation of the POWTS shown on the attached plans. Plumbe ' ame (Print) Plum Signa r MP/MPRS Number Business Phone Number // _Q SIA/v X139 Plumber's Address (Street, City, State, Zip C e) VIII. Coun /De artment Use Onl pproved ❑ Disapproved Y Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse . ` � � � 3 Determination 7in� �J IX. // Conditions of Approval/Reasons for Disapproval A?Vi f" 5 1t6m;A,( _ rib 4, s e v�uGC �i.e Amoy, ,gt �at5a G1J Co` tr0 olNe � O' Attach complete plans (to the County only) for the system on paper not less than SW x 11 inches In she SBDy6398 (R. 05101) _ r Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Nvisconsin www www.commerc .wis c onr .wison §in.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary July 27, 2001 CUST ID No. 139462 A7TN: POWTS Inspector ZONING OFFICE TODD L SINZ ST CROIX'COUNTY SPIA E5609 708TH AVE 1 101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/27/2003 [dentificati b s Transaction ID No 662809 SITE: Site ID No. 62999 BARB STANDAERT Please refer to both I entification numbers, WALNUT RIDGE DR above, in all correspondence with the agency, TOWN OF GLENWOOD ST CROIX COUNTY S23, T30N, R 15 W LOT: 11, SUBDIVISION: WALNUT RIDGE FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM - REVISED TO INDIVIDUAL SITE DESIGN OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 793149 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Limited activities are allowed in the area 15 down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervAls appropriate for the component(s) utilized in the POWTS. i TODD L SINZ Page 2 7/27/01 • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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. Sincerely, FEE REQUIRED $ 185.00 a,2 � �l FEE RECEIVED $ 185.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM WiSMART code: 7633 cbratz@commerce.state.wi.us cc: BARB STANDAERT Barb Standaert - Mound Revision to Transaction # 642977 Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manual: Pressure Distribution, SBD- 10706 -P (01/01) Mound Design is Invdividual Site Design Location: Lot 11, Walnut Ridge, Sec. 23, T 30 N, R 15 W City: Glenwood City County: St. Croix Date: July 20, 2001 Owner: Barb Standa Address: 1036 Sy Ave. Glenwo d City, WI 54012 Conditionally Plumber: To S nz AP PROVED DEPARYMEW OF Signature: c 81JI1.D1 License # MP 139462 SEE bilm Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover RECEIVED 2: design criteria & calculations 3: plot plan JUL 1 2 001 4: system cross section DI 5: plan view, lateral detail SMEN & BLDGS 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 • 7w�M►rr.. -.«- '"""mss Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL 3 Bedrooms x 100 gal/bedroom/day x 1.5 4 gallons /day hydraulic load Design Calculations In situ designed loading rate k gallons /sq. ft. per day Depth to estimated high ground water 0 in. Depth to bedrock o in. Cross slope at system Or % Force main length t�5_ ft. of Z in. Manifold/header length ft. of in. Drain -back 1 . 5 gallons Lateral length @ ft. of '• in. Lateral elevation ft. @ bottom of lateral Lateral hole size 3��b in. @ in. ( 1 - 0 ft.) Spacing 5 holes /lateral holes total Lateral volume gallons Total lateral discharge rate gallons /minute @ 2 �� ft. head Network pressure compensation losses ft. Elevation difference ft. Friction loss ft. @ Z�� gallons /minute Total dynamic head m 4- ft. Pump /sipiion 2 ` gpm @ Z ft. of head Manufacturer % A� Model # S `� u'F 10 Dose volume T` _ gallons �.�` v-o 1� ,ti S.� l n,� -b � Lift/si n tank �-� � g allons Septic tank `mob gallons Effluent filter J - pro Measurement pump on and off 1 in. Height alarm from tank bottom b in. Reserve capacity 4•S Z gallons specs.calcs Page Z- of f BZ iw»eX L OA t 4v S yrv. N L \ A.0..6�4 30Al R lSW S� c,23 Lc * Avi_ R; J S" ra O;L A44( WIR 0 , 3 OeJr-k--•n At VG P a'c �e F 43 • + �' f YY l/� A C 1 • I i 11 �. ti w i 1wr C.. 0 �� O �w, �4•� i R.T., '� I .�q ��� � b s q 3•� 1q � i I v 7' :.o! •� IQAr v at- �: A 1v v`+a••, CA Qok- . 44- w.: w..� U� \C- t it ? J c s.S. 0 90 �- o�.s t. , (w1 �: r F C. l -L-� al..SZ I I S r• S � S �•S • 3 �11� ►'l 01 s; o ti `. t Qa..�X cSt„� JW 1 ` o w ` : »m al 3 6. c� V O �� <0, _ �. S v' A WEATHERPROOF LOCKING r_OVER ,TuNCT►or+ Lt/An'N � QWCK CI�GOU�LGT --1 4 oAffz ev"7777V177. 17��7rr,�7 4m PIPE C D no ND►STu SO IL 4u I.D. �1 a 4o VE NT SXZT ;j70WI04 i� BAF � AL 3' owTo 1. PIFQ Is W (� 4>"A1URC- ` Kt+ELTIOKS T— C �., .4 �' ^ + ..\BTU OW PW4.p Co�E'T•� t Lw. 6�oCK SEPTIC E SPEGIFI 005E TA,W - MAWUFACTU0.ER. �JLL MBER OF DOSES: b PEK OAZ TA W K 51ZE : k L1�t9 - �'� GALLOWS • .DOSE VOLUME 5 ALARM MA14UFACTUKER: S `� '� -��` INCLUOIN5 6ACKFLOW: � (,ALLONS MODEL QU{M -ER: CAPACITIES: A 7 1 .0 A4 WCHCS OK AS2' GALLOL;5 SWITCH TyP[: 8 c Z '• IWCHES OR 24.% "LLOti5 PUMP MAQUFACTURER: .'�° zO '' 3 ' C' b I►JCrIES OR S¢ GAt_LOuS .A. MODEL AJUMDER: $ 4 L''1� 1 `� D - INCHES OR 'Q C( GALLGN� SWITCH TYPE: akt "` - " MOTE: PUMP AWD ALARM ARE TO 9C MIW DISCHARGE RATE 2� GFM IN5TALLEO OW SEPARATE CIKCLITo VERTICAL DIFFERE CETWEEU PUMP OFF AAJD 013TRIDUTIOW PIPE.. (P,S a r EET + MWIM\UM W£TWORK SUPPLY PRELSiURE . . . . . .. , 2 '� FLET T,/ � "L % / + `� FEET OF rORCC MAIM )( 1 ��� /IpoFEFRICTIOW FACTOR..__ FEET TOTAL DtiWAMIC, HEAD = FEET ILITERWAL, DIMEW6%OW% • OF TAWK: LEAI&TH �� ��?' .;LIQUID DEPTH -1 �ti a En g i ne e r i ng D Pump Characteristics Performance Data P /Meta Udt Seber SWO .. x Aatenwtk Mo" SNFF30AI Narapewer .345 � FW Load Amp 8.0 , tr .. _.._ �.... �_... ,. IMta Type Shied Polo (4 ) R.PJM. 1 SSO � I I, l F'haee b?F t ye1}„9a t t s Nat: 60 120'F AmMot ie to x eo tolplleralerf C.pwryLS.6,1,0. �_.:,.,,._.._._..— _1 ... , .. , ..__.. .....y,_.,...... -_. ..,.._}._. NEAIA padja A ttMn e 1 r 3 inflation Lees A L 4 • e9t�� 1 � T•�� 4 8 1 Z � S� � 20 Dsrchar She 1 -1 /2 "" Isson} 0'N (0.L) 44 36 3! 13 12 0 Solids won&% 3/4" 091W Uelt wont 30 (6s. iawar Cord 15/3, s,Trv, std. Dimensional Data Materials of Construction � rprs ,+� � , lmOld 6 wwwkH1 ate. 2. 4ff"ket M Needle Shins Steil wry: rll ietA not , a 3. 1W fw cwekuttwn W*we tebrk 00 Okiectrk 01 „"' WOW" w+r �. Dktaaiws wd v"kh are Auto, Nors Cost koe ePo r woe S. O�n/Dll rm 6414O W1 Im calbil We nwm 61 ri f t a aeth to as p WW and thek tpedfmttons tdtlatl estke Seel Fees: Caine /Coraak � ',:�• Shaft seal Sed Nedr AeoINKed Sled %-I— SWASI Stall Ieiewn hm-N lie e a:t slew Lowe Reny w g — � ►; ��, Noon F1eto Ik 9'•3!1 9t � � (fS) s,�drr WP EqOwwW rm"opinik Fasism WOWS Steil _ 01999 Hydromoic' Pumps, Ashlond, Ohta. AI! R' is Reserved. HYDROMATIC " Y ou, Author vci Local Distributor- I • e P e e 1840 Baney NO Mod, Ohb 44105 Tel: 419.789.3041 Pox 419-211-4017 Web Site: www.peotairpwp.com as SALES OFFKFS IN ALL RWOR CITIES Aft CDOWMIS �f.' a .SQ O � ZS item u: W- +54.6350 1208 ISM " r r" ' System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715- 235 -2644, or the St. Croix County Zoning Office, 715 - 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 05/08/2001 10:55 FAX 17152352592 TLSINULCIBIBING LQ u4 - 1319 SOIL EVALUATION REPORT Page - L - d 3 M howdin Deparknrtnt of Commerce DMdon d Safety acid ne Buikings In aacar with Co*xn 65, Ww. Adrn. Cale (itustun Septic Searlts c Malt caPpeh silo plan an Pieper not leas then 8%x 11 Inches In elm Pine nasal SL Cro in**, bdl W Imltid M rerticd and hmizonlal reference pore (5141), dteQlon and - -- •- - - ...... _. _ ... _ _. . pwomt ab^ apt* or dmer"wo, north error, and loo a will dialmtre to nearest reed, Parcel I.D. Please print all Infommwil. Raviowdd 9 Datte y P'wrrr Yrn *rew+ 1w vwtle rneY lw used Iw Wnororwp purposes tPMSf tar, t t a a 1 s) (m11 Rmperty t7mw Property Lsxatlon Slandaerl garb Govt t of n/s 114 114 S 23 T 30 N R 15 W_ pr�ealy 0wrlara Malting AdOrKa Lot ft &W ii f 5ubd. Nome or CSwMI 1036 Sy rrle Ave. _ 11 rda I _ Walnut Aidge -_ C Sqk Phone Num V N Cily _j Vllage _ Town Nearest Road 5uaor�ld V Wt � 716 - 266 410 Glenwood C' Walnut Rid a Drive d Now CO310U. - d n llsa Jd F;kwdan iel I Number d bedroom s 3, . Code derived design rlow rt s 6 PAOM arrsrt _j Public or commercial - Describe: Pww t melertal been over shedele .. _ .... _ _ _. _ .._ Flood plain ebvstian, ff applicable -- Gm'erat oarrnrrts -- aWrr000rmandaeioPS: Recommend mound system along 93.5' contour, EE t3Qtnp a -J Baring !d Pt Ground Surface olay. _ 92, 3-- R, Depth to Innl V Fedor _. _ —in. SoG App5%tion Rate i NO a00t D=hW Cdor Radex Doip� Tatum hcwre Conaiaterw BOUNW7 Roots •E m Efl# - 1 0 -7 10yr3/2 none se _ 2mcr mvfr as 2f. 2m 0.5 0.8 2 7 -11 10yr4/3 none 611 2.mank mvfr cw 1 f,1 m 0.5 0.8 3 11 -18 10yr5 /3 none ail 2m0k mfr Cw - 0.5 0.8 4 16-24 10yr414 none sit 2m bk mir i cw - 0.5 j 0.6 I I b 24 35 t 0yr4/6 - ; S� /S /t - ail i _ l msbk I mfr 02 0.3 Id i Pit Ground Surface star. _•_ � 1,.0, R. Depth 10 IimAing factor 22 in. Solt APPtlptbn Rats Wm DW& l Cda Radax ' lion TexWre buclure I Consislnu Boundary Roots Gpoff i 1 0-9 10yr312 _ none sil 2mcr mvfr as 2f, 2m 0.5 0.8 2 9-15 10yr 413 _ none - cil _ 2msbk mvfr Cw _ 11 0.5 0 8 3 15.22 10yr4/4 none sil 2msbk mlr 0.5 0.8 4/6 -3.p 3 �IO 7!1 4 22 -53 1 sll 2msbk mfr I ow 0.8 S 53-60 7.5y 4m c 10 7tl yr. is lmsbk mvfr 0.7 1.2 Effi mt 61 a 900 30 < 220 MGVL and TSS >30 < 164 rrWL ' Ef*jont e2 s 900 -.W rrplL and TS5 430 mp/L ev Wars 0 Pr") Signature: CST Nxiber Tom Gusturn Addrew G stun SgW saw .A Date Ev2luWw Conducted Tewphax Mxnbw N13450837th8L NewAub Wl 11113/00 715 -656 -1344 i Z03 0 ; OS/2001 FAX 1T15Y382892 TI,SINZPLL'b[BING I, 1 Prq " Owen Barb Paroal 10 par 3 / ❑ i urauro eurrees sew. 9G.! A, t340 tt 41►.'wy;j (saa 20 n gel Awaft Rals Hwbm NO Dan wi Cda Deactiption Taatun Swclun 1 QA 10W312 Asps Cl 2mor rnvfr an 2(,2m 0.6 0.8 2 9-13 10yr {f3 none al 2msbk mvFr cw 1t,tm 0 ! 0.8 3 13-20 1Dyr416 none 81 2rnebk mk cw 015 0.8 A 20-48 T.Syr418 c2 3 3 1711 gr. sil 2msbk ml* Cvr - 0.5 0.8 5 48 -55 7.6015 c3.5 ll gr, sl Zmsbk mvff - 015 0.9 F7 • fI bwth to IMtinp factor PR or0und surrac..Iw. Sol AppOGrbn R H apCi Cow Rodu t]oecr#tlon Toadtro &rA;ro CWSWOW DMAWY Roofs I I I ❑ eta r ° ft DOW to irrxbip tautor in. e PA Ground M s= e* _. Sol Apkdkm Pbts Mttm Do* firer! Color Daariplbn TwAn ShChn Comunce BmWay Rom 'Effi1 I • EMtM #1= BOD 30 4 2m ffVL arrd T88 3 < 160 mWL ' EMuett #2 = WD, c_30 Itnll. and TSS �'� MIWL The Depemn A ar Commerce b an equal opportunity xrvico provider and employer. IS you need miga m io woeaa aenim or mead Tn&u ! in an ahematr fbrmaL DWW contact the cleva ent at 609 -266 -3151 or TTY 608 - 2644777. Z4 JJ rr Fit r► .'' 4�b Qr'ltl0.�f� Fit Pla Q�. 3 MAI(- � t 3 L c4lhdd- R;J sV� w/ RR 1� No ` 3 3e 1 r..., i 1 � P 3s F Pc� 71 Safety and Buildings Division County i 201 W. Washington Ave., P.O. Box 7162 r irseonsln Madison, WI 53707 - 7162 Site Address Department of Commerce 1 6 tom Axa 46 D Z. ppi1C 1 r Sanitary Permit Number Sanitary Permit A In accord with Comm 83.21, Wis. Adm. Code, personal ' n you prpvide C1 Check if Revision may be used for secondary purposes Privacy ♦ / I. Application Information - Please Print All Informatio ENV E U Statc Plan I.D. Number Property Owner's Name p ��� 5 2001 P 1 Number ST CROlX U fb+ `' Z3 " I DUO - WD Property Owner's Mailing Address 750UNTY Property Location tQ ZI]N . m Q5& � • ✓— 'k AX4 -,4; S f+3 T50 N, R IS City, State Zip Code ll Lot N ber Block Number Subdivision Name CSM Number Allvill a H. Type of Building (check all that apply) ✓ S *ity e & %A 4 -- D�'1 or 2 Family Dwelling - Number of Bedrooms ,�b �s ❑Village ❑ Public /Commerct Describe Use C,* C l 3 . SO ❑Township El State Owned Nearest Road tr t f ,o' x 1!2•S'iu.,�.�Gt D = (.3 Cls�, w�iVlJr'Zla e M. Type of Permit: (Check only one box on line A numbering scheme for internal use). Complete line B if applicable) A. I Wk Ne;j 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System I Tank OnIv I Existing System - - ,00C B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued 0 IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) --tev . 44 ❑ Non - Pressurized In- Ground 2teMound 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 ersaMeatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min./Inch) Elevation �v 90& ado 0S__ 9 y 94 . r VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Septic o Tanks Tanks � ^In' ^� Tanlr n Dosing Chamber (� D® -- / VII. Respo 'bility Statement- I, the uVre6ned, aq6W for installation of the POWTS shown on the attached plans. Plumber' ame (Print) PI be 's Signa MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, 6 #�4 / - � / VIII. Cotumnty /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued s ' g Agent Signatu (No Stamps) Surcharge Fee) � ❑ Owner Given Initial Adverse It Determination l2 IX. Conditions of Apprg r n�x+�OC _ "�¢.� Od �.. �C- P� V���t,�.itTtl� l. � ►` U � u is s tC> �-- ao DH S Attach complete p (to the County only) for the system on paper not less than 81/2 it 111nc lies in size SBD -6398 (R. 05101) tan c�a -a r 1 Q.Z • 3 to �.L.� � � f--- -� _�� ---_ 94 • � � �„ _ � �, 140- CsdO �.Or �� �CGh�o✓r Sc,.v ar W Sc C- Lc .lam ��' /I 1 �, i l � f R. � 6•*. i y "T S4. Cre;,� lam w /SIC I goer /* Vol Prvewo 3 a' d rte. hft w J I �a'l -7e F 4� Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 � N visconsin www. www. �+� � �`�'i,� -� '� wisconin.gov Department of Commerce P«"� cL y' s° Scott McCallum, Governor Brenda J. Blanchard, Secretary May 31, 2001 CUST ID No. 139462 °ATIN: POWTS Inspector ZONING OFFICE TODD L SINZ ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL Identif .297 N u m bers PLAN APPROVAL EXPIRES: 05/31/2003 Transaction ID No. 642977 SITE• Site ID No. 629996 BARB STANDAERT Please refer to both identification numbers, ST CROIX COUNTY, TOWN OF GLENWOOD above in at correspondence ondence with the agency. Lot 11, Walnut Ridge, Section 23, T30N, R15W WALNUT RIDGE DR FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 793149 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19 Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The changes made to this plan on 5/31/01 by this reviewer were acknowledge and approved by the system designer. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. TODD L SINZ Page 2 5/31/01 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. 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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 a eva BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services WVIAR s 633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi.us Barb Standaert - Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: i Mound SBD- 10691 -P 01/01 Pressure Distribution, SBD- 10706 -P (O1 /O1) Location: Lot 11, Walnut Ridge, Sec. 23, T 30 N, R 15 W City: Glenwood City County: St. Croix * *404 Date: May 14, 2001 ii � e Owner: Barb Standaert � o0 0 Address: 1036 Sym ve. �! Glenwo City, WI 54 12 • Plumber: Tod S. z Signature: License # M 39462 Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover 2: design criteria & calculations Conditionally 3: plot plan APPROVED 4: system cross section DEPAWMWOFCOWAME 5: plan view, lateral detail pp 6: pump tank exit detail 7: pump curve 8EE CORRE 8: system management page 1 of 8 a w �' N t V � � . !$' � � � V. �' � i � ��%i�lVi,r:�d+t ` -w�{r4 y ��f "�.>1Ki '�"r 6: v t �v"�''6 wn..a... _... . i I v Design Criteria 1 �"S Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 ml, Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 ml, 3 Bedrooms x 100 gal/bedroom/day x 1.5 gallons/day hydraulic load Design Calculations In situ designed loading rate A b gallons /sq. ft. per day Depth to estimated high ground water 2 in. Depth to bedrock in. Cross slope at system k Ar % Force main length vs- ft. of Z in. Manifold/header length ft. of in. Drain -back Z • � gallons Lateral length @ ft. of s in. Lateral elevation 5 • ft. @ bottom of lateral Lateral hole size 3 �i to in. @ in. ( 3 • ° ft.) Spacing holes /lateral 3 holes total Lateral volume gallons Total lateral discharge rate z •�� gallons /minute @ 2 • �� ft. head Network pressure compensation losses ft. Elevation difference • `� S� ft. Friction loss ft. @ z�� gallons /minute Total dynamic head o ' ft. Pump /siphon 7 _ ( t gpm @ Z ft. of head Manufacturer Model # Dose volume O r gallons Lift/si n tank w�L �- boo u gall � g Septic tank •� ` gallons Effluent filter �- - Measurement pump on and off 1 in. Height alarm from tank bottom L l' \ O in. Reserve capacity 4•S Z gallons specs.calcs Page Z of 4n Oat Q v kt 4%0 S 1 .o XIyO�, to OCJ�. +�•t h " � 1 _� � �1'1' � d .� Cs Cto.. co.14,0 --- b-ew S o,. v•• N 7�'3 R 15►�1 s� c,2-3 Sf. C� e : 0, w, ra 3 , 1 i l w/K.'4 6. , f At \ o ,,�,•.. LI 1 � pa 3e F ��L • Zs ( L w ts�t.� � `�f �.v X Z u C9.t ;� aa.n 4.�eOvt ��.��►� �,�va.,..� w, 2,1 4. c7 i y 12 .CT' `Stc• SL.Zr A p; Pvc cr, ��.� Oft P jc sue%. QuC T� 40 �o..s �. ..r.�: „� 4v `�'s.a9 1..�a. e� l `�Z I pvc c..� 4v b•a' � { �.�' I�.�' ' 1.r I 3.v' Z.a' 3.�' { I I 111.x' zs • 3 ` I K o 1 s� o �. \ . 't Q.+. a� �fl c"... `. »a- 16 • C� ( 3. o' J 'Vera• �Ov�+mc.i +►�r.. �.1/�y�v� "� halve boh /f . 6•r ^ .. n x t r;• , v+7•'nt� w rva n .v. _. _.. r ._ _ �_ ... .. .., �....- .�..._ � .. ...__._.._� ... ......................... `� � ��� L x � �►- ��.Q..� .., � ars • WEATHERPROOF LOCKI COVER .JUNCTION a lt/A�N + � ABED . 800c C - '.' ' 1 . 121 G' 4 4 0 DIP6 3' A A P.+4 no ND16TuAB So lt,,. ��� 4 v NT tAAALIOLZ /ASS T a wU:v �F►'KOVto q•, simT 3blwrr'l _ WFLES 3' o 4 o ,�. AL wTo L. PIPti a �� ON — W"ZA rTuce. KNECT1o►+S �`—' '�/ .��,.eQ, - ` \ ` r GEOumo Clev. Ow PuKP D L CoA�RFrc ��" 6coCK SEPTIC E _SPEC. IFIGATIOt\1S DOSE Th+Jr.$ MA+JUFACTURER. WfABER OF DOSES: PEK DA4 TANK SIZE : \ ' 601to GALLOWS DOSE VOLUME 5 (� ALARM MAIIJUFACTUKLIt: S `� US� ��-Vv, IKICLUDIWG 6ACKFLOW GALLONS MODEL WU"EK: 1 ° % 4,.`z CAPACITIES: A = .¢ WCHC5 OK � GALLOU5 SWITCH TUPC: �""�"'`•• " \b Z IWCHE$ OR 24.E GALLOuS PUMP MAWUFACTURCR; �'�°"" ° "'' O `' ��- S Q- � I UC H E S O H '- v- ---�- ---�— C� rr MODEL WUMDER; S HrL�r= 'L.� O - � IN CHES OR l e C( GALLO�.IE, SWITCH TYPE;` `� " MOTE! PUMP AND ALARM ARC TO 6E, MINIMUM DISCHARGE RATE 2�_GPM INSTALLED ON SEPARATE CIK CI:iTj f VERTICAL OIFFEKEIJCE 6ETWECUJ PUMP OFF A+JO 013TRIDUTIOIJ PIPE.. � FECTC•5 + MINIMUM NETWORK SUPPLY PRCCtuRE .. .. 2 -T FEET + \: FEET OF FORCE MAIN X � �• Z.J �o01LFRICT1 FACTOR. FEET TOTAL DYNAMIC HEAD IWTERKJAL. DIMEIJSIONI; OF TANK: LEW&TH �_;W;DTH � ;LIQUID DEPTH r Engineerin - 1 Pump Characteristics Performance Data bNetar Unit Sob.N d* AW*rAt@Models SNEFSOAI K fail Lad Amp U a Ao �.. _ _ ....,. Mlata ShodW Pob 14 l ■ Phu" 0 i Volt ns NO" eel f lggWdwa 12n Atldd«tt r ,at i�x o lc to ! >g 10 NEIRA Dedp A Eosabtloo C u A t)trslar She I -1 /tom Nn I1 totd Bbtbli>7 hit 4 • 12 14 4d 44 solids Not" 3 /4" 11 9tIw) GPM 111.SJ 44 3i 29 Zi s = 0 Bolt Weight 3011& Poww Cold 1 6/3, WW Sh- Dimensional Data --r•,A ••?a 1. AI dYMrdsrs b irshn Materials of Constr uction �h� JW4W4 IN wuldW �. 1 tit z. wpoelet *Mww moy Nagle s tobhu St ar) r.,,e rvy: 1 gsw in nds M •., S 1w hr arsbuown g L*k 01 DWKhk 01 W a,is,w" Motor "rat (on Ir on 9% c u vYnort 1 Dbwdkm O1b v4% re Pnv Cobs Cod w, S. a,/AN 1 ai 1D b, MhrrysrssAs+jMamoM m+aom b or PWVO wd 1w y�dNeooae.tthart M>b 014tha tied Sal tats: Cobra /(rraalt: T „,...• � shalt sw !kw hdr Arr&od Slid u 1FrN E * „tin 1x Gst hw 11raw LOwro bW4 Raw MN 10011 1 — � ► % I.ttatn tlatr Ik Y .v. rye 19ti1 h�+�► wbw "I" "o" i follow Sttilrss stool — Q 1999 H mmo i<' Pumps, Ashland, Ohio. Al! R' is Rtsened. +� HYDRQMATIC "° - Your Author zed Lc.d Distributor — PENTAIH PUMP GR O UP 1640 Bony Red AsNmd, Oho 44105 T4:419-280-3042 Fox, 419. 281.4017 weh Site: sarw.p ammunµtom VA.1 SALES OFFKES IN ALL AWOR CRIES ANC COON RS Rom u: W- 024360 1208 6M System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If p roblems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715- 235 -2644, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the, system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. i 1 . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 I I � s;P • f V � 1319 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Gustum Septic Se►vice Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizon inches and parcel I.D. rf t a l percent slope, scale or dimensions, n an {o�aporya tance to nearest road. Please pon»ation. _� By e Personal infonnatbn you provide m for secon (Privacytaw"� . 15.04 (1) (m)). 1 1 {e �� I Property Owner �, !; 'Property Location Standaert, Barb - '� : ovt. Lot n/a 1/4 1/4 S 23 T 30 N R 15 W Property Owner's Mailing Address ' of # Block # Subd. Name or CSM# 1036 Syme Ave. Cp, 11 n/a Walnut Ridge city (�� St �rhC o"umber �I City _f Vllage :_� Town Nearest Road WI 5 , 715 - 265 -441Q Glenwood City Walnut Ridge Drive r _ 6M New Construction Use: a ResidenimltNNurriberaf bedrooms 3 Code derived design flow rate 450 GPD _J Replacement I Public or commercial - Describe: Parent material loess over shale Flood plain elevation, if applicable n/a General comments and recommendations: Recommend mound system along 93.5' contour. a Boring # I Boring I� Pit Ground Surface elev. 92.3 ft. Depth to limiting factor 24 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF *Eff#1 *Eff#2 1 0 -7 10yr3/2 none sit 2mcr mvfr as 2f, 2m 0.5 0.8 2 7 -11 10yr4/3 none sil 2msbk mvfr cw 1f,1m 0.5 0.8 3 11 -18 10yr5/3 none sil 2msbk mfr cw - 0.5 0.8 4 18 -24 10yr4/4 none sit 2msbk mfr cw - 0.5 0.8 5 24- 5 10yr4/6 c2 -� 5ylro vr6 /1 sit 1 msbk mfr - - 0.2 0.3 ❑ Boring # Boring 1/ Pit Ground Surface elev. 91.0 ft. Depth to limiting factor 2 7 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sil 2mcr mvfr as 2f, 2m 0.5 0.8 2 9 -15 10yr4/3 none sit 2msbk mvfr cw 1f,1m 0.5 0.8 3 15 -22 10yr4/4 none sit 2msbk mfr cw - 0.5 0.8 4 2 3 10yr4/6 m T 19 /1 - sil 2msbk mfr cw - 0.5 0.8 5 53-60 7.5yr4/6 0277 YY 9/ 7/1 gr. Is 1msbk mvfr - - 0.7 1.2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St., New Auburn, WI 54757 11/13/00 715 -658 -1344 • i,x � property owner Standaert, Barb Parcel ID # —_ _ Page 2 of 3 F3 ] Boring # I sonng 16 Pit Ground Surface elev. _ __ – -- — _- ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' 'Eff#1 'Eff#2 1 0 -9 10yr3/2 no ne sil 2mcr mvfr as 2f, 2m 0.5 0.8 2 9 -13 10yr4/3 none sil 2msbk t mvfr cw 1 f,1 m 0.5 0.8 3 13 -20 10yr4 /6 none sil 2msbk mfr cw - 0.5 0.8 4 20-48 7.5yr4/6 c2 - 3p 10yr7 /1 7 5 yr5 /8 9r. sil 2msbk mfr cw - 0.5 0.8 5 48 -55 7.5y c3 10yr7 /1 7 gr. sl 2msbk mvfr - - 0.5 0.9 Boring #ng J Pit Ground Surface elzv.._ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ - - GPD *Eff#1 *Eff#2 Boring I F-1 # Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW *Eff#1 *Eff#2 I I Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. r I PCo - - P/a n 1 s y �,� A� C� RA. 3' B�. n ur Ce R 3 S' c6n4� 83 J irce.5 7"3 AJ R 15 w Se r-,- 3 � wal ?0f- 9 ;, �, sv� f c 1 / �o IL � // T /n I� JT. 1.c 01 l.p �� �4 ► / (.t��R� 6CQ►1 ! /�L C( _ pro r ose d 54kL e ta,, s.-P C) Rld r;ve- P9� 3o F3 06.02 -'00 FRI 10 :31 FAX 715 366 4686 ST (,RI CO ZONING 2 001 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRBEMBN'T AND OWNERSHIP CERTIFICATION FORM Owner/Buyer &L-1200a 5/tAls Mailing Address Property Address 4&q (Verification required from Planning D artmeut for new construction) City/state ��TY , �/I�! Parcel Identification Number LEGAL DESCRIPTION Property Location r /4, `/" Sec. 3 . T T / Subdivision UT � Lot # _ . Certified Survey Map # _ r��— • Volume f Page # 3 . Warranty Deed # _ f0 q a S( , Volume S83 Page # Spec house Q yes ❑ no Lot lines identifiable Q yes ❑ no SYSTEM IMaTN'I'ENANCE Improper use and maintenance of your septic system could result in its pretreat failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by i lice P=Pcr. What you put into the system can affect the function of the septic tank as a treatment stage in the waste dispo syst The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journcymanplumber, restrictedplumbcr or a licensedpumpor verifyistg that (1) the on-site wasttwaterdisposal system is in p 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- ffie� thin 30 stating that your septic system has been maintained must be completed and returned to the St Croix County Zoning days of the three year exp lion date. DATE SIGNATURE OF APPLICANT OWNER CERTIFICATION I (we) certify that all statements on this fomi are true to the best of my (our) lmowledgc. I (we) am (arc) tilt owncr(s) of the property described above, by virtue of a warranty decd recorded in Register of Deeds Office- / SAO (o* l l d DATE SIGNATURE OF APPLICANT s • +•«« A information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departtncnt. •+ Include YAth this application: a stamped warranty deed from the Register of Decd, office a copy of the certified survey trap if rcfereuee is wade in the warranty deed voi.1583 429 STATE BAR OF WISCONSIN FORM 1 - 1998 CW3S056 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Marvin C. Booth and Jean M. Booth, RECEIVED FOR RECORD h usband and wife, -- 02 -06 -2001 9:30 AM WARRANTY DEED Grantor, and Barbara J. Standaert, a single person, EXEMPT 11 CER COPY FEE: COPY FEE: ' TRANSFER FEE: 68.70 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property "): Recording Area Name and Return Address Part of Outlots 36 and 37 of Assessor's Pl e City of Glenwood, St. Croix James H. Krave, Attorney at Law P.O. Box 304 County, Wisconsin described as follows: of 11 Certified Survey Map filed Glenwood City, WI 54013 -0304 March 20, 1997 in Volume 11, Page 3225, oc. No. 556964. 231 - 1066 -70 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and encumbrances of record. Dated this ( day of / ��^� ^ , 2001 - M & D A * Marvin C. Booth * can M. Booth AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) Marvin C. Booth and Jean M. Booth ) ss. County. ) T Personally came before me this day of ; au henticated this y day rClo-��A AQ - X00 the above named J ames H. Krave - (JTLE: MEMBER STATE BAR OF WISCONSIN If not to me known to be the person(s) who executed the foregoing (if and acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY James H. Krave, Attorney at Law — - -- - -- Glenwood City, Wisconsin 54013 -0304 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. (If not, state expiration date: ) necessary.) — *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800- 655 -2021 FORM NO. 985-A 4 Stock No. 26273 CERTIFIED SURVEY MAP NO 3225 VOL UME 11 , PAGE 3225 . BEING A PART OF OLMOTS 36 AND 37 OF THE ASSESSOR'S PLAT OF GLENWOOD CITY, AND LOCATED IN PART OF THE N.W. 1/4 OP THE S.E. 1/4, AND PART OP THE N.E. 1/4 OP THE S.E. 1/4 OP SECTION 23, T.30 N., R.15 W., CITY OF GLENW000 CITY, SURVEYOR'S CERTIFICATE I, Steven J. Wook, Registered Wisconsin Land Surveyor, hereby certi that I have surveyed, divided, and mapped a part of Outlots 36 and 37 of the Assessor Plot of Glenwood City, and located in part of the Northwest 1/4 of the Southeast 1/4, and part of the Northeast 1/4 of the Southeast 1/4 of Section 23, Township 30 North, Ranqe 15 West, City of Glenwood City, St. Crov County, Wisconsin, and more particularly described as follows: Commencnq at the northwest corner of the Southeast 1/4 of said Section 23; Thence 500' 13'08 "E alonq the west line of said Southeast 1/4, a distance of 331.6cl feet; Thence N8q'37'27 "E, a distance of 16.50 feet to the point of beqnnnq; Thence N8 "27 "E, a distance of g13.26 feet; Thence 584'51'26 "E, a distance of 421.03; Thence 531'5q "24 "W, a distance of 333.45 feet; Thence westerly alonq the arc of a curve concave to the south (with said curve havnq a radius= 60.00 feet, a central anqle= 80'42 "44 ", a chord lenqth= 77.70 feet, and a chord bearnq= 581'41" 16 "W) II '38'46 "W o distance of 84.52 feet; Thence N65 , a distance of 147.86 feet; Thence southwesterly , alonq the arc of a curve concave to the south (with said curve havnq a rodpus= 245.50 feet, a central angle= 58'26'31 ", a chord lenqth= 23q.70 feet, and a chord bearnq= 582'075cl"W) a distance of 250.41 feet; Thence south— westerly alonq the arc of a curve concave to the northwest (with said curve havnq a radius= 573.40 feet, a central anqle= 22'05' 15 a chord length= 218.68 feet, and a chord bearinq= 563'57'21 "W) a distance of 221.05 feet; Thence 574'5q "58 "W, a distance of 386.00 feet; Thence southwesterly alonq the arc of o curve concave to the southeast (with said curve havnq a radius= 178.00 feet, a central angle= 59'41'43 ", a chord length= 177.18 feet, and a chord bearnq= 545'0cl'07 "W) a distance of 185.45 feet; Thence southwesterly alonq the arc of a curve concave to the north — west (with said curve havinq a radius= 3cl.c17 feet, a central angle= P' I I "2q , a chord lenqth= 13.33 feet, and a chord bearnq= 524'53 a distance of 13.39 feet; Thence N00'13 "08 "W, a distance of 638.17 feet to the point of beqnnnq. Said Said described parcel contains 468,083 square feet, more or less, or 10.75 acres. That I have made such survey, land division, and map at the drection of Mr. Marvin Booth, 1444 320th St., Glenwood City, Wi. 54013. That such map is a correct representation of the boundaries of the land surveyed and the ma That I have full co with the subdivision thereof od y p rovisions of p p Chapter 236.34 of the Wisconsin Statutes, Chapter AE 7 of the Wisconsin Administrative Code, and the subdivision requlations of Glenwood -City in surveynq, dividnq, and mappnq the some. Said survey is subject to easements of record, and as shown. \\S c�O� N ,,,, %, s' Dated this day Of _� STEVEN J. •. r . WAAK S-1610 Steven J. Wook R.L.S. 1610 w iS r MEN IS ; Q �9 •, • Q Uq CEDAR CORPORATION 604 WILSON AVENUE MENOMONIE, W154751 (715) 235 -9081 PAGE 2 OF 2 r � i 1 FORM NO. 985-A Stock No. 26273 0� 6 Mq 556964 0 1997 crj CERTIFIED SURVEY MAP NO 3225 VOLUME ii , PAGE 3225 ti rn 13MG A PART OF OUTLOTS 36 ANP 37 OF THE ASSESSOR'S PLAT OF GLENWOOD CITY, Ate LOCATED N PART OF THE N.W. 1/4 OF THE S.E. 1/4, ANO PART OF THE N.E. 1/4 OF THE S.E. 1/4 OF SECTION 23, T.30 K, R.15 W., CITY OF GLENWOOO CITY, A siA .?3 3gs ? gam NORTH IS REFERENCED 70 THE NORTH z �, O , \ —SOUTH 1/4 SECTION LINE, WHICH IS X11 h O ASSUMED TO BEAR SOO'13'08 'E. U N N � J x D v- tn f` N `F m f V co V 3 . I ....... i I \\\`\�NN����au►� Illllpl�Il /p a �� � � v m � O © � _Ji � W •_ �L N Z {tA Vl IN Ni ,Ul ?69.14 r� Z .7 ... .... .... .....t.... Z Y o 0 i �._..r._.. _ 500'13'080E 0 >Q m2� '�•• 03 •�_ I M p cv:t co zz N % ": ice{ in of iv b- ivi'vI n i 30I30 ��i, '••...••'• ~ z I` 0 N v 6 0 \ rrrrr \� N m z + ....I izI.. ....1N -.. n�ulnrellmuu�a��� \ L.. o I to C Oi.t' a vtDI —ui to �\ 0.\ w 3 �y t1) v to tD N tn ul I - t� a to 3e7.7r p \ \ CC s _ i - � 300'13'05 i bo 6\�\ bv JIO��t�v i�np c7 ^1 \\ y � 0 ^ !t 1 Vi Nlri� i ! r o S a ��\ \ j....j...........t a. 1f1 N d r` �Q to 300*LTOBIE (1) a °v�rv�rr�I� a `D N tv N b Qz to > v ,n U) %� \ t j I' I I I I I I I I kD n �J10 Q O7 b U •p t7 a \ (� Y, t1 •7 � O is U N00 639.17' P 331.69' .__ S00'l3 L� .. CEDAR CORPORATION 604 WILSON AVENUE MENOMONIE, W154751 (715) 235 -9081 PAGE OF? II -- -