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022-1008-30-030
n y O '' 13 m n tv r� (D 'n • v `�° d A O y O (D y C> CD N j ? N i =r D rn m C L C/) CD w W j 00 o G) = rn CD OD o C`t N W , N N r _. 6 t1 ^S 0 CD <> vro go� 4 c v c C) O a� CC) a J O �� N p WO ° �r1 m D o = CD v Ip C c CD cn N 3 O (DD 0 O O L ' Z N v 3 cn O� N N < C CD O O = � O C ! CD EE CD 07 O', IC I „ !V O O O ro r. tNi{ 3 p ,, o N Z N 3 N Co to D zT Avg -- o, m " CD- m (D :. cn I � o A o D D o O O 63w1 N v �- C L �.1. rD O O t" n j Ln = Z N OC 3 ro W ro c O 3' CL m ro n = I A Z CD ro •U a y M in O j J? C 7 N d ' C � Z N D. O. < z CL n 5 m m z m N CD A w Pp = C a ¢{ 00 C A G = O. r O 7 CD 00 O Z C III C CD O I O . 3 6 O 7 O F ` x � O N a 3 o 0 a (� o _ o ro m w tv �V�isconsi�DepartmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix safety and Building Division INSPECTION REPORT Sanitary Permit No: 395236 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: Vanbeek, Ro er I Kinnickinnic Township 022- 1008 -30 -030 CST BM Elev: Insp. BM Elev: B 2" TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM �. D6 Aeration Bldg. Sewer g Ht Inlet sv TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Septic y S U 13 Q Dt Bottom 7 z Dosing y � / / Header /Man. I �z Dist. Pipe r 102 Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number y 3 a ( TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia e l Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. ILiquid Depth DIMENSIONS J / '? Z / Z / / SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHIN anufacturer: INFORMATION CHA OR Type Of System: C 2 UNIT Model Number: 7 J .r— DISTRIBUTION SYSTEM Header /Manifold Distribution ,, (+// ''// x Hole Size x Hole Spacing Vent to Air Intake // Pipe(s) ? / -s ' it s / Length 2 • Dia Z Length G Dia 7- 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 Bedlrrench Edges Topsoil Yes [N No ❑ Yes [W No COMMENTS: (Include code discrepencies, persons present, etc.) p t Inspe ion #1:__1 / 1 Z /_0_L Inspection #2:_7/_ 1;' / at Location: 1157 60th Avenue Roberts, WI 54023 (NW 1/4 NE 1/4 4 T28N R18W) NA Lot 2 Parcel No: 04.28.18.50A30 1.) Alt BM Description = 4? 0� ;� lna we / 2.) Bldg sewer length= Zd X del l�tls (,,, CrC j iw9 Id al o cover= 0, of ►rook/ L4"11 3.) Contour Plan revision equired? r0 Yes No Use other side for additional information. , ti`- SBD -6710 (R.3/97) Date Insepctor' ignature Cert. o. �p Safety and Buildings Division County �., /� 201 W. Washington Ave., P.O. Box 7162 J7 O )CC) I Piseonsln Madison, WI 53707 - 7162 Site Address 16 De artment of Commerce 115T 6 A Sanitary Permit Application sanitary Permit Number -� In accord with Comm 83.21, Wis. Adm. Code, personal information„ you provide ❑Check if Revision may be used for secondary purposes Privacy Law sl5. 1 m I. Application Information - Please Print All Information �' , ' <. late Plan I.D. Number Property Owner's Name A L v ® I Number Property Owner's Mailing Address 1 a � /p lhvq to ✓ yN, S G �� -A � /�-'k S T�Y N, R / O 1 City, State Zip Code h1b umber, t Number Block Number Subdivision Name CSM Number . _ - 7�. LO Q150 II. Type of Building (check all that apply) ✓ .s wtx 6L%4t, ❑City Al or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Commerc - Describe Use � o OA - 9q ' So Nearest Road El State Owned Nearest Road 9I.2 lc n I.92 - 23 Sa�tn� III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 g New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use O a a1 „ 1 P 30 Q System Tank On'- Existin S stem Q 0 B. El Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) - rc "l et) 44 ❑ Non - Pressurized In- Ground 21V Mound 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 Informati 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 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks rr � septic o�e7t16 I wi) k4 ' I - 'ev t Dosing Chamba VII. Responsibility Statement- I, the and fined, e ' esponsibility for installation of the POWTS shown on the attached plans. Plum Name (Print) Plum 's Signature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip ode) L) � 0 ICY tw0U4 'W"(L/ VIII. Column /De artment Use Onl X Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surchar Fee) ❑ Owner Given Initial Adverse. 32S P_ - Determination IX. Conditions of Approval/Reasons for Disapproval AA Attach complete plans (to the County only) for the system on paper not less than 81/2 a 11 inches in she ' SBD 6398 (R: 05101) _ PAC,E�OF NAND LOT�k L AL D PT N V- T R E SCALE: I-_ �d K BM t ELEVATION 'O gM I DESCRirnON aM 2 ELEVATION 3 BM 2 DESCRIPTION d ,4Z SYSTEM ELEVATION ALTERNATE ELEVA71C1N� CONTOUR ELEVATION — � �wro -Vw u t C ►y 2,'� 0v CCL440 ketea S` 9c.2 k Z i bo y �c1.Y SEE CORRESPONQEN �` • a�a gm r l DATE 5 a Y Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 hseonsin www.w w ww.commerce.state.vA-us/sb v isconin.gv Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary August 07, 2001 CUST ID No. 139462 ATTN: POWTS Inspector TODD L SINZ ZONING OFFICE , T L SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1 101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/07/2003 Identification Numbers Transaction ID No. 664809 SITE: Site [D No. 633072 ROGER VANBEEK Please refer to both identification numbers, 60TH AV above, in all correspondence with the agency. TOWN OF KINNICKINNIC ST CROIX COUNTY NW l /4, NEI/4, S4, T28N, R18W LOT: 2, FOR: DESCRIPTION: REVISION THREE BDRM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 802515 t iv 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.01 101). • 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 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 component appears to be located closer to the lot line than what is permitted by Wisc.Adm.Code Comm 83.43(8)(1). The county is to verify setback parameters at time of construction. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. 1 . TODD L SINZ Page 2 8/7/01 • When this tank is no longer used as a POWTS component, it shall be abandoned by complying with Comm 83.33. • 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. . • 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 $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer 11- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi.us cc: ROGER VANBEEK s Roger Vanbeek - Mound Revision to Transaction # 661680 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: Mound, SBD - 10691 -P (01/01) Pressure Distribution, SBD - 10706 -P (01 /01) Location: Lot 2, Sec. 4 T 28 N NW 1/4, NE 1/4, , R 18 W Town: Kinnikinnic County: St. Croix Date: July 30, 2001 CasdWonally Owner: Roger Vanbeek APPROVED of oowwmM ==- Address: 57tSinz RoI 540 4EE Plumber: To Signature: License # 1 9462 Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover RECEIVED 2: design criteria & calculations 3: plot plan im 2 7 2001 4: system cross section 5: plan view, lateral detail SAFETY & BLDGS DIV. 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 qjmA woo" , 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 Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 W"O gallons /day hydraulic load Design Calculations In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock > 1 in. Cross slope at system Z % Force main length �� ft. of z in. Manifold /header length �' ft. of in. Drain -back Z'Y 5� gallons Lateral length 2 @ "' ° ft. of k " z in. Lateral elevation t'`t Z ft. @ bottom of lateral Lateral hole size �1�b i @ 6 0 -0 in. ( S' ° ft.) Spacing \ q holes/lateral 3 Y holes total Lateral volume 1 b s b gallons Total lateral discharge rate 25 •J gallons /minute @ Z• ft. head Network pressure compensation losses ft. Elevation difference `�Z- ft. Friction loss ° ' �- t ft. @ gallons /minute Total dynamic head ft. Pump /sipixon Z�•�� gpm @ t 3 ft. of head Manufacturer 1 ° w.M k� Model # S �� Q Dose volume t b gallons Lift /siphon tank gallons Septic tank O gallons Effluent filter Measurement pump on and off in. Height alarm from tank bottom Z ° 11:$ in. Reserve capacity 3�-0 � ' gallons specs.calcs.res Page Z of g tt • 1 PAGEOF NAME LOT#! L AL U PT N '/• T R E SCALE: 1"- d r x BM I ELEVATION - RM 1 DESCRIPTION BM 2 ELEVATION q q • 3 BM 2 DESCRIPTION { .- SYSTEM ELEVATION_,,,_ � 1 `¢� ALTERNATE ELEVATION CoNfOUR ELEVATION -- roolc i �(� ltoy 4a.Y i� M . � SEE CORRESPONDEN �` • S TU IGT�A- � a !. a- i- t c%o S w, \ b i..yt 3 'Oz 0 •9 I T 12• J tZ.g� Ck 11.q' 6 . 44�. \�� ��v .r1 �+�.� ��,�, T�O� O. •� �•�C.YL �tP V 4-0 �ftA.�.�, I r l t ti v h w 1 " ��. ��K �V� ��q. �^o C7 .►M q �/ jd` 2 C � QUL S ` CL • �_, �'1 O\ C� O h l �� RJr � QJl+ti �� � O� O r. \ � .+ t.i �► o . \ = Z.S . o g ,� o � .1 i J-�.� � WEATHERPI70JF LOCKING COVER 1tiNCTloh Gt/A�N I.UG pWCK DI�GO�ytGT —� °c ct . Z ' 7M-,7�, IL . 4" Pvc ,, PIPE 3' nu NDISTURUD w, SOI 24" Z.U. 4 II 4" ° r�+ K r V A W it GVL.D 5�_�. sIcE.T 3tj.,rT-J �_ gAF'FLE 1 4 c I. PI/G a iAL 3 0-TO Ck nN E LT i o ►+S �— `"" / � �.. � ..Q � � \ v-o �— ON — � �u N o v, PwyP I Co�/tRETc bcoCK SEPTIC E SPECTI'CATIOU 6f ` DOSE � L - � w� � TA —S M►J AUFACTURER: IJUMBER OF OOSES: PEK TAWK SIZE : \'- - V GALL0IJS DOSE VOLUME ALARPo\ MIWUFACTuKLR: S c1 � -�Yd INCLUDING BACKFLOW: 't b GAi� oti S MODEL WUI46CK: 1 e 1 14 _ Z1 �� � w. Q CAPACITIES A_ IAJCHfS 0K SWITCH T P y C: n 8 = UJCHES OR PUMP h\AIJUFACTURCR: A 0 `"+ w. < $6 O � MODEL ►JUMpCR; S 1-► 3 n C' S� � LP oR . SWITCH T!lPC; \M 0.4o..4.v .,. D 12.E INCHES CR 1 " ,A _ 1J07E: PUMP AWD ALARM ARC TO 6E MINIMUM DISCHA RATE 2 ' 1 •k G ►M IN5TALLEO OW SEPARATE CiKC.. VERTICAL DIFFEKEkICE OETWEEAI PUMP OFF AAIO OISTItIDUTlow PIPE.. ` FEET + MI JIMUM QETWORK SUPPLY PRESSURE . . , , . . +�.�� FEE T + \ FE ET OF FORCE MAIN X � F 10 0 FEFRICTIOU FACTOR. _ FEET TOTAL DtIWAMIC HEAD = k V . 1 % FEET I►JTERAIAL DIMEIJSIOIJfi • OF TAWK: LEWGTH ` �„ g21t 4 2 ;WIDTH -;LIQUID DEPTH ► E n gi neering - 1 Pump Characteristics Performance Data Pmp/ IA*iv Ilwt S.bwwdwo 1 T ,o Aetoteetk Modoh SNF130AI ` Harjpewa .30 D — ..1,....._ .... _.� FW Load Amp i. a •• p - ._ ?. �_.. J iMta T Sb�ed PoM (4 1 � ,�•_ R.PJII. 1330 I � I i VON i1S Hertz 60 m ro H 101,,�rstere 120'f AeIllltset rer,us, rrr r a 10 _ _.� ..,... t0 i .,.... _....... KURA PoOp A tnrnRsmsd ° t r inswatloa Ckss A Diuhtlt She 1 - /f' NtT 13�aee) Total N� h�f 4 t 12 14 ZO 40 04 �i sofas HUM" 3/4" t191Nau Ilatt welg►t 3 0 bL Pew Cord 15/3, SAW, W srd. Dimensional Data Materials of Construction _ rpq z.a 1 � Isgrediend r,e. ,11A, 2. eaipeow —I- Naar1E Sh"Is Stsd may: t/l with Mot vs 3. 1w hr ampuo'we Met* lwlrk OD DWKIrk 01 fit) WO "W W OR Auto, Nea Cost Iron 0 Pet S. km 69 *"We Pnv C=bq Ud Ir" b, Wt rewrt of * • Oaks $ .P ro pr P40 std thei *KIW rM VKM mtko Mods" Sed Fees: CAise /CtKwk / .r " ' •� Skh seal Sew kdr A" Id Steal Spr1a� SlweMIt IaMtWS: hm-N E tk JkE {app t Gsl Ir" Slaw lows Row StlbT >1�c lets Eeltaeered 111eraeFleside Fasteeert %towns SIee1 _ C 1999 H dromatic' Pumps, Ashland, Ohio AI! R' is Rasewed. Irj HYDRQMATIC - YourAutltCri :edlo.da *u U - 0% 1840 8aney N4 Wimi, Oho 44105 Tel: 419.189.3042 Fax 419•x81-4017 Web Site: www.pentdrpump.com 1 SALES OFFICIS IN All MAJOR CITIES AND COUNTRIES (W atom #: W- n2.83S0 1268 5M w 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. 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 SEE CORRESPONDENCE Wis>aonsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C 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. Please print all info Reviewed by Date Personal information you provide may be used for se ses (Privacy`La 15.04 (1) (m)). 1 Property Owner D C Property Location C)Ckff E� Govt. Lot ,f/Lj 1/4 NC-- 1/4 S T N R / E (or)( 1fll Property Owners MailindAddress Lot # i Block # Subd. Name or CSM# City State Zip Code i� one Nu r � ❑ �ity El Village E2 Town Nearest Road S40 ) / (� New Construction Use: Residential / Num 07. Code derived design flow rate ySQ� to O GPD ❑ Replacement I ❑ Public or commercial - C& ' Parent material �L ` Flood Plain elevation if applicable ft. General comments sys f t pK G(-C tl, I "it • S and recommendations: e, (eU . 5-c) �O ✓1�t31� qq• 5n © Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 1 D ) 2 --- s i Zmabk Mf-- c s I V� . 5 •8 Z• %-13 iU 4 1 l ma bL rn pr c-.S — • 5 .8 13_ I �{ to , Z 5 Zm m - F FZ1 Boring # El Boring ® pit Ground surface elev. 7`7. 9a ft. Depth to limiting factor 8 n• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-17 l 2 V-F 3 1 3v l0 r �l co SL Z s k - - • s 9 *Effluent #1 = BOD > 30 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signature CST Number Ci 5�,.nu -sue zs3 30 Address / Date Evaluation Conducted Telephone Number Z` 0 / 7/3-1- z41�7— 5 00 Property Owner kxt, Parcel ID # Page of 3 3 F Boring # Boring Pit Ground surface elev. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I o _ I s' I Z ►�rr S I v 5 g �'1 Z r C- 'A - 5 R Boring # Boring 3� 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 /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 -L / /„-r , s F Boring 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (W07 /00) PAGE 3 OF NAME LEGAL DESCRIPTION,uw , /.,UfJ1 -,S LI T2- 9,N,R! f5 E (or SCALE: 1 " / ML M K BM 1 ELEVATION ommm was BM I DESCRIPTION :6 �� e — + BM ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION S-U ALTERNATE ELEVATION x) l A- CONTOUR ELEVATION 9 q So 'a 8 i 4�b S�C (3v+►Z gm� SIGNATURE - -� DATE Z S = d ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIW CERTIFICATION FORM Own"/Buyer t° Mailing Address / Property Address \S2' (0) ✓ (Verification required from Planning Department for new constardioa) citylstate Pam, Identification Number ervorPITnT Property yocatton '1M V., Sec. �. ._._, T - � Town of K' y% 1 I(. t m LA i G Lot # X• Subdivision # CulMed Survey Map t2 "�' . Vol.. l : Page # '`W SD (C►�� �� # d � Warranty olume _ . Pa e S nty Deed # `� Z3 _ . 0/ ye house D yes 0 no Lot limes identifiable Q" yes O no I use and maintenance of y our septic system could result m its premature failure to handle wastes. Proper maintenance ner, if neededby a Umsed - What You put into 6110- consists of pumping cut &C septic tank every tLree years or soo con affect the fna edw of dun s.0' tank as a tratu..t stage in the waste dill System a cartefication form, signori by the owner and by a The property owner agrees to submit to St. Ckoix Zomng that (1) the on -site wastewatrrdispo�l system ma�Kt rplumber, jy� ghunber, restrictodplumber m a licettsedpu i in proper operating condition and/or (2) after won and pumping � }' � septic teak >s less than 1/3 full of sludge. to maintain the Ixivate sewage disposal system with the standards Uw,. 6, mod have read the above requirenvats and agree of Natural o sav Stara of Wig. Certification set fortL, herciri, as set by the T of Cornmeroc and tl►a Dep artment irturnod to the St. C�taix county Zoning office-within 30 state n that your septic system Las becu mam d must be completed and days of the three year expiration date. ° DATE SM TURE OF APPLICANT Tf%w our knowledge. I (we) am (are) the owncr(s) of I (we) certify that all statements on this form arc true W the best of MY of Deeds Office. the property destxi'bed above, by vnwe of a warranty deed recorded Register 1 G� DATE SIGNATURE OF APPLICANT « « «s «« Any information that is mis represented may result in the sanitary permit being revoked by the Zoning Department. s« Lmdude with this application: a stumped warranty deed from the Register of Deeds office deed a try of the certified survey map if rofe =w is made in the warranty y ,f �, � X53576 KATHLEEN H. WALSH f REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR RECaRD 08 -15 -2001 9:00 AM DOT NUMBER 55 -65 -329 1.001 COP FEE: 3.00 0 / RECORDING FEE: 12.00 o OD PAGES: 2 m =m c _ E 3J Z BEARINGS ARE REFERENCED TO THE D m NORTH LINE OF THE NE1 /4 OF SECTION z N 0 z M 4, ASSUMED TO BEAR N89 °57'37"W O- O m O $ A I ( �y� y w O�m 0 m -� o � y �[ 1P C D LZ-- -- — �o>' ° o o allo 0 O No cc Z C SO1 °09'33 "W 5318.05' Cn ? i� � r- y Z r r 0 Z O m� 0 A/ m� �T r• m m m � °m�z 325.39' � 00 i oomz n �o �O OD D c� Ln c 0 4992.66' O z i� - -- Z� m m ,. m omrr--' <� m A 2 ,.� 0 rt1 ZZ D - N rn M �� Z i� (0 N I mn O Z O —L O nn 0 i� W �Jr I W O�z 1D II 50 --I �`� (n c�Jl � ° 0 1 � cn � O o 0 Z _ o0 0 �'� r <� o � n z N � : Z 0 t� i� CO O) 0 M ML 1 mm �9 O D m 0 C O i fl u�i GJ o i v t �� ��' o N Z on O = i� v S01 0933 W 325.39 i iQ m O i m co N iO i� v O _ rn � r z �F �&D z n m III m Z � 25 Z v O• 70 i� o Poo O m NI 0� 0 Z r 0 :0-v m -i cn — y O T- �1 Z 0 o m rn- .mu,_- cn _ _ m CO 1`t) m N01 °033 "E � � 4-'�- - - - - � _ _ 3 25.39' �[� �P m m $ _ ° c 0 ° m rn �S01 °09'33 "W rn � w � �� m D m- z Kz m C7rn v-lo O W z O v o m m Z z y � oo- 0-r --� -� � O� > ca m -nn 0 nN v- 0 0 r v m c n v 0 Oc O m� J mm p n ��Q �� Z m z v o r o �U) i LI�� —_ m Z n m -n < m o y W S01 0 09'33 "W 325.39' — — — — — 0 7, v O (� cn-4 c m o� m - OD N r —� ,�,� �@ -Jbr m G) 00 �Z� N J 0 1 0Ov. jl 1O i� 0 co 0 Z cn Z '� -i . cn n —7 r �( I 0 A m — W W D i� 'p !, i� Z w co m �i OS . �� ...... .......... .... 157.45' 00 d 0 < Ln 193.46' �,00 > o o S.T.H. 1 - N01 °07'14 "E 5 co 0) cn —� �Z __D ST. CROly. COUNTY cf) m m P i )g Zoning and Parks Ccromi�.iee m p ,A D -0 AU 1.5 2Q0 01) Z Z p m if not recorded within 30 days of 0 approval date approval s hall be null and void o n N THIS INSTRUMENT DRAFTED BY KEVIN REED JOB NO. 6011 -02 DATE: 6/20/01 REVISED 8/14/01 Vol. 15 Page 4150 C — DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1 - 1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED O f., _ PAGE 0' R' G OFFICE This Deed made between --- Man, ------------- - - - - -- ---------------------------- - - - - -- a '�a 16th ------- - - - - -- .. ------- -----------------------------------------•-------- ----------- ------- - - - - -- -- - - - - -- -- - - - - -� Grantor, •� A A.D. 19 and___R- oger__Van_Eeek__ and_-Sandy- Uan.-Heek. at 8: 30 A ---------------------------- - - - - -- - •- •---- - - - - -- --------------------- r Grantee, it DOW - WitneSseth, That the said Grantor, for a valuable consideration.Qne DQ11 ar__ ($- 1.0Q)_._al3d -_ otber __ 9ood_and__val..uabl_e._CQUs i der ation RETURN TO conveys to Grantee the following described real estate in –3-t--Croix ------------- County, State of Wisconsin: The West Half (W 1/2) of the Northeast Quarter (NE 1/4) of Section Four (4) , Township Twenty -eight (28) North, Tag Parcel No- ----------------------------------- Range Eighteen (18) West. This ---------- 1S ---- _--------- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And---------------- grantor_ - - her_ Q?n- ---------------------------- -- '---------- --------------------------------------- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, covenants and conveyances for highway purposes. and will warrant and defend the same. Dated this /�( ,� -- --- ------- - - - - -r -- ----- ------ --- - -- day of ---- - - - --- April --------------------------------------------- 1 ------------------------- -------- -- -- - - - - -- (SEAL) ------------ -•--- - - - - -- ........ (SEAL) �° _... --------------- - - - - -- ------ - - - - -- --- - - - - -- - - - - - -- Rudolph Prause --------------------------------- ---------------------- -- •- -- ---- - -- - -- ----------------------- - - - - -- (SEAL) ....... ------------------------------------------------------ - - - -- (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) -- 0f- •RUd0 -1P , l-J ?. rBl1SP------ ------- _•---- -_ - - -- STATE OF WISCONSIN ss. ---------- - - - - -- --------------------------------------------------------------- Y1> - •--- ------ ------ - --- -- - --- -- ---- ----County. authe ated this -- --- day of -_. )r' I- ------------ 19 -_ 84 Personally came before me this ---------------- day of e/ -- - - --'- 19.- the above named -------------------------------------------------------------------------------- FdWar_ Vlack----------------------------------- - - - - -- ------------------------------------------ TITLE: MEMBER STATE BAR OF WISCONSIN ----------------------------------------------------------------------- (If not- ------------------------------------------------------------ -- ----------------------------------------------------------------------------- authorized by § 706.06, Wis. Stats.) to me known to be the person ------------ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Edward--F-.-clack--_-Davy--,nnn -&_ lack--•-•_--_-• -- * _ River__Falls,__tiais q sin 54022 ----------- - - - - -- ------------------------------------------------------------ Notary Public ---------------- ---------------- ---- ---- -- County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: ____, 19 --------- *Xames of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. 1— 1982 Milwaukee, Wis. r c W THIS INSTRUMENT DRAFTED BY KEVIN REED JOB NO. 6011 -02 DATE: 6/20/01 O O n cn 03 co n D BEARINGS ARE REFERENCED TO THE O Z m Z I NORTH LINE OF THE NE OF SECTION r co Z cn < O m 4, ASSUMED TO BEAR N89-57137--W O NN � cn z co Z �—IDC U' m „ I I �m�m� N m gym{ w 6 6' O i S01 0 09'33"W 5318.05 z i Z r II 1 ° ..W Q � I� O N 325.39' o p iD m > p 4992.67' 3p i <_ - - - -_ —I m ;m v O U7 z N I O m p c0 N I v ` Z WO i 0 1 0 0 _ (n al � D r 1 22 Z z 00 0 3' 33' U > iva (0 rn "I < m 07 ° O - n .� I m m� 0 -4 Z �o ■■� CA) 7C O .. _ y 01 0 09'33 "W 325.39' 1 p p Z = . ` ° P Oi ut m Z �D �� 7C m m I W D 'qI �, co Oo icy — Z C m O • 1 O • N� o NI ( p I Z i� G I. Z i m �� �\� Z v c o i� co 0 C 01 ° 0933 "E�� — — — — — .�.� 1 1 (n D � 1 ' O �YV �@ m _ o c O ,C' rn S01 09 33 W C O Z p > cnn� �z m ;�°' vJ G? N X m D m Oz T z K Z ;� p d-oo -N o-r —, K) 0 p m < D r- O p� i' p� v mo�D v --- - - - - -- C o m m C m z m e Z z i � ° c- mp �1 a3 J f1 O�] Z -1 cn O Z 7DO o o ilMl J –I m w I ' ?utiJQs� -j N o D co 66' ---- -. - -�5 m C) m O m m i m W S01 0 09'33 "W 325.39 u io r m OL (l) = OD K) I _ I i�� 0 Z T O i� m m v O I i � �� tO m Z O O i� vC5 1 M �Nl 10 �� n Z r Z I(J�t . - I --■ P cn : m '( p ' O C-) m 00 c o p - T z ' Z Ito T 0 ...............�, ?::�,��4 I > ? OD ' X 157.45' O 193.4 '' ����0 V _ S.T. H. " 6$" — N01 °07'14 "E 5 ° 1 o OD 0�_ IV V1 di (A cf) Z M m 90 z �m O J0 m N J I CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW1 /4 OF THE NE1 /4 OF SECTION 4, T28N,R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. OWNER SURVEYOR S & N LAND SURVEYING ROGER VANBEEK DOUGLAS J. ZAHLER 578 HWY 65 2920 ENLOE STREET ROBERTS, WI 54023 HUDSON, WI 54016 D.O.T. NOTES PER TRANS 233 ACCESS RESTRICTION NOTE: ALL LOTS AND BLOCKS ARE HEREBY RESTRICTED SO THAT NO OWNER, POSSESSOR, USER, LICENSEE, OR OTHER PERSON MAY HAVE ANY RIGHT OF DIRECT VEHICULAR INGRESS FROM OR EGRESS TO ANY HIGHWAY LYING WITHIN THE RIGHT -OF -WAY OF S.T.H. 65; IT IS EXPRESSLY INTENDED THAT THIS RESTRICTION CONSTITUTE A RESTRICTION FOR THE BENEFIT OF THE PUBLIC AS PROVIDED IN S.236.293, STATS., AND SHALL BE ENFORCEABLE BY THE DEPARTMENT OF ITS ASSIGNS. ANY ACCESS SHALL BE ALLOWED ONLY BY SPECIAL EXCEPTION. ANY ACCESS ALLOWED BY SPECIAL EXCEPTION SHALL BE CONFIRMED AND GRANTED ONLY THROUGH THE DRIVEWAY PERMITTING PROCESS AND ALL PERMITS ARE REVOCABLE. HIGHWAY SETBACK LINE NOTE: THE HIGHWAY SETBACK LINE (PER TRANS 233) SHALL BE 50 FEET FROM THE HIGHWAY RIGHT -OF -WAY, OR 110 FEET FROM THE HIGHWAY CENTER LINE, WHICHEVER IS THE GREATER DISTANCE. NO IMPROVEMENTS OR STRUCTURES ARE ALLOWED BETWEEN THE RIGHT -OF -WAY AND THE HIGHWAY SETBACK LINE. IMPROVEMENTS INCLUDE, BUT ARE NOT LIMITED TO SIGNS, PARKING LOTS, PARALLEL DRIVEWAYS, WELLS, SEPTIC SYSTEMS, DRAINAGE FACILITIES, ETC., IT BEING EXPRESSLY INTENDED THAT THIS RESTRICTION SHALL CONSTITUTE A RESTRICTION FOR THE BENEFIT OF THE PUBLIC ACCORDING TO SECTION 236.293, WISCONSIN STATUTES AND SHALL BE ENFORCEABLE BY THE DEPARTMENT OF TRANSPORTATION. CONTACT THE WISCONSIN DEPARTMENT OF TRANSPORTATION DISTRICT OFFICE FOR MORE INFORMATION. THE PHONE NUMBER MAY BE OBTAINED BY CONTACTING YOUR COUNTY HIGHWAY DEPARTMENT. NOISE NOTE: THE LOTS OF THIS LAND DIVISION MAY EXPERIENCE NOISE AT LEVELS EXCEEDING LEVELS IN S. TRANS 405.04, TABLE 1. THESE LEVELS ARE BASED ON FEDERAL STANDARDS. THE DEPARTMENT OF TRANSPORTATION IS NOT RESPONSIBLE FOR ABATING NOISE FROM EXISTING STATE TRUNK HIGHWAYS OR CONNECTING HIGHWAYS, IN THE ABSENCE OF ANY INCREASE BY THE DEPARTMENT TO THE HIGHWAY'S THROUGH -LANE CAPACITY. VISION CORNER NOTE: NO STRUCTURE OR IMPROVEMENT OF ANY KIND IS PERMITTED WITHIN THE VISION CORNER. NO VEGETATION WITHIN THE VISION CORNER MAY EXCEED 30 INCHES IN HEIGHT. SURVEYOR'S CERTIFICATE I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Roger VanBeek, I have surveyed, divided and mapped a part of the NW1 /4 of the NE1 /4 of Section 4, T28N, R1 8W, Town of Kinnickinnic, St. Croix County, Wisconsin; described as follows: Beginning at the N1/4 comer of said Section 4; thence Sol 0 09 , 33"W, along the north -south quarter line, 325.39 feet; thence S89 0 57 1 37 "E 610.12 feet; thence N01 °09'33 "E 325.39 feet to the north line of the NE1 /4 of said Section 4; thence S89 °57'37 "E, along said north line, 66.01 feet; thence S01 °09'33"W 325.39 feet; thence S89 °57'37 "E 563.18 feet to the westerly right -of -way of S.T.H. "65 "; thence N01 °07 "E, along said westerly right -of -way, 193.46 feet; thence N44 °25'03 "W, along said westerly right -of -way, 184.87 feet to said north line of the NE1 /4 of Section 4, also being the southerly right -of -way of 60th Avenue; thence N89 °57'37"W, along said north line and along said southerly right -of -way, 1107.13 feet to the point of beginning. Above described parcel contains 8.562 Acres (372,964 Sq. Ft.) Parcel is subject all easements, restrictions, and covenents of record I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully compiled with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of St. Croix County and the Town of Kinnickinnic in surveying and mapping same. OF VU /sc0 DOUGLAS J. 2s � Douglas J. Zahler RLS 2145 co Z S & N land Surveying * ZA 2920 Enloe St. S -2 145 Hudson, WI 54016 14UDSON, W I V ) Each Parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Kinnickinnic for advice. THIS INSTRUMENT DRAFTED BY KEVIN REED JOB NO. 6011 -02 DATE: 6/20/01 SHEET 2 OF 2 Vol. 15 Page 4150 Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites t; �4000r4ttl$ tri �Ghpters It. 2C tt the V�scon5«tform 3+►etttg a svtl erotd rAmtr1 plat 'steeds tovte$submitted and approved prior to the issuancef hldittg for 1 d� 2 faintlyllltnguntts to h unstctons a>liroSton oontrtal ruvtans of►afAt�a►i?�riltng ode atenftlrccd. ;'dais :::Standard::Eroston:;Control �'lan:t's r�videt to assist. in neei�ag thtsr ?utretnentt " ... .........::.::::.::v:::: v : ::::v: ::::::::... • • :.... vr.. r.:: r: rp::::: w:::::::::::v:::: x:• : •: wn: %?:v }.!, }...:::: • :: ......... w, ..v..... .....xG ....................... .•f ....... .. ........................:...... r..................vr •: {i. ?!i %�iiii:•ii:{v ..Y. :a0. ......{: w. ....................... ..;.v } • �i' { :.� :.:. ::.•Y.•::: %:�i':. r.::•::•::.:.:•. :.. -:.t nv r:. v, ...v::r.• :::::v:.� :•:::w: ••:::: }:: rf.:. r..fi: •: }: }n:::::::n w::: v: x::::: •::::::::::.v:::: h..:•...•Y.v::•::: x:::: �::•::.•}t� n . {..::::::•. :,v: :::: .:::: .. r. .....: ,.. + .,... : "h • :•: rim{}. %S: {yn••: ? ?py...:.:. }: ? {: ? }`!.Yv.. !.Y }:::. :w.., i ).:::::::.i••.: : ? }.:.v::: :•• t : v.•:. ?r ... : .... : <$utldut ::Ctrs rs�tav utbclm ] nest rostanca casAK s Ccaliyrequirrdbar :.. ................... t...............:.::..:.::::::...,.:.:.:::::::::. �Y... ...... I t ;:•.' ..7.:.......... } }} }:•:;:::.:.: ..,:., such a itres atd:ti�eM66....... ■ to:me t <the ode' arrerall 7��� aanQe standard cif ke p rig aii ottxite. ..:: ::::..... r. ...... ..................... ........... ......::::::..........:........ ....... .................:::: - ::..... .. ..w.h.rF.. ...: ...... .............. :::..:.:v:. n..::v:::.: ::::::: }::::: nv::: n, v... .....:::....................... .... ...n- :.::::.:::: :w:.:_v:::: ry; .; ..� ...; ....:::::.: ..... r.:..... .. .. n... ....... ..:.. ..... .. .. ..... . v:,- v::' ifi::.:::::.: v:.;.;; C}: vw:.}:•:i:?•: Y?{ Lti�i: %:• }: { { ?Qiijii:iiiti! {! %$i: - }i }:• } }:;r . ::... ::: ::::rYi ii r •' t : ?• w: h}:• i•} tv::::? iy:,;. t..t}....:.::. }'. } }'.�......::: n }�:: C. }':: ..: ........ :.: ..... ...... ..tr•:v..... .......... x.{ ... wr... ... ..... ....... t: : ........ : ... v..:....-- :::..::::..::..:: �:•:.!•: • }:i:�.::: ::: } }:•$:i. }iii }:- i }::!!::�i: '} }. >: :: rd:thaa::5acres < >r: axe::: ;. rI<:? atle -lo meat fiat>siutbs more than5 ; onsvctiQn {. ro ects thY.dtstutb mo :::...::..:.. ,.:....: }.<.':::.:: P... } : .. : . ; ... f : �$ :!.}:i ..... . :. :..: ;..: ?: : :.:..; ... : }:::n:::�:'::!::� `:iY,.j :iiiii::.iii} iii: }:i:4i:•,.�. - -w : :: ......�.:n..... f•:f Applicant: Pte' U' O�Ir� k 71 S - �ldo -a a Name Daytime telephone number 7 w` beA W Ro 5 qo a Street address, city, zip code Landowner. Name Daytime telephone number Street address, city, zip code Location of the building site (complete as appropriate): 1 nI y w quarter of Section . Town / N., Range Lot Block Street Address Instructions: 1. Complete this plan by filling in requested information, marking (.) appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wisconsin _Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608/266 -3358. Erosion Control for Home Builders (GW0001) can be ordered through Cooperative Extension Publications, 608/262 -3346. 4. Submit this plan at the time of building permit application. Chock (V) appropriate bones bebw, and complete the site diagram with necessary information: �e c p� do`s Site Characteristics x (� North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. ❑ X1 Location of storm sewer inlets. The gradient and direction of slopes before grading operations. * D S�CT tp— The gradient and direction of slopes after final grading operations. Location of existing and proposed buildings and paved areas. ❑ VI Overland runoff' (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ❑ Location of temporary soil storage piles. Note: Although not specifically required by Cale, it is recommended that soil storage piles be placed behind a sediment fence or more than 25 feet from any downslope road or drainageway. Location of graver access drive(s). Note: Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway 50 feet or to the house foundation (which ever is less). ❑ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will preventeroded soil from leaving the site. 5 -C c, i S SV t vov-a4 ❑ U2( Location of sediment barriers around on -site storm sewer inlets. ❑ Ili Location of diversions. Note: Although not specifically required by Code, it is recommended that concentrated flow ( drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. ❑ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When useA a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area In- channel practices should not be installed in perennial streams. ❑ ,� Location of other planned practices not already noted. Indicate management strategy by checidng (.0 the appropriate b= Management Strategics ❑ ❑ Temporary stabilization of disturbed areas. Note: Although not specifically required by Code, it is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 15th), or by other cover, such as tarping or mulching. ❑ Permanent stabilb ation of site by re- vegetation or other means as soon as Possible- 0 ❑ Use of downspout and/or sump pump outlet extensions. Note: Although not specifically required by Corte, it is recommended that flow from downspouts and sump pump outlets be routed to stable areas such as established sod or pavement. ❑ ❑ Trapping sediment during dewatering operations. Note: Although not specifically required by Corte, it is recommended that sediment -laden discharge water from pumping operations be ponded behind a sediment barrier until most of the sediment settles out. ❑ Proper disposal of building material waste so that pollutants and debris are not carried off -site. ❑ Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Gravel access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. t: f hereby certify that I.understand the:construction site erosion control provisions of the Wiscottsin Uniform _. I) welting bode, :and that's accept responsibility for carrying`out th0.; :a bove erosioiii �oritcol plansppcovedby the :code enforcement authority. tgnature of applicant Datt A publication of the University of Wisconsin - Extension, Ron Struss, UWE.X Water Quality Education Specialist (12192) - 77is publication may be freely duplicated Additional copies are available through the UWEX Environmental Resources Center, 216 Ag Hall, 1450 Linden Drive, Madison, W1, 53 706. 6081262 -3652. 1 .. . EROSIO CONTROL FOR HO'ME BUILDERS Preventing Erosion 1 s Eas Erosion control is important even for home sites of an acre or less. The materials needed are easy to find and relatively inexpensive —straw bales or silt fence, stakes, gravel, plastic tubes, and grass seed. Putting these materials to use is a straightforward pro - cess. Only a few controls are needed on most sites: • f. -: • Preserving existing trees and grass where possible to pre- 00, vent erosion; �' : • Silt fence or straw bales to trap sediment on the down - slope sides of the lot; By controlling erosion, home builders keep our streets •Soil piles located away from any roads or waterways; and waterways clean. • Gravel drive used by all vehicles to limit tracking of mud onto streets; Erosion Is a Costly Problem • (geanup of sediment carried off -site by vehicles or construction sites are a leading cause of water Er �g orms= Eroding st , quality problems in Wisconsin. For every acre under con- struction, about a dump truck and a half of soil washes • Downspout extenders to prevent erosion from roof into a nearby lake or stream. Problems caused by this sedi- runoff; and went include: • Revegetating the site as soon as possible. Local taxes— Cleaning up sediment in streets, sewers and ditches adds extra costs to local government budgets. Dredging —The expense of dredging sediment from lakes, cwt harbors and navigation channels is a heavy burden for taxpayers. Lower property values— Neighboring property values are x damaged when a lake or stream fills with sediment. Shallow areas encourage weed growth and create boat- ing hazards. Poor fishing —Muddy water drives away fish like north- ern pike that rely on sight to feed. As it settles, sediment +_ smothers gravel beds where fish like smallmouth bass find food and lay their eggs. "Ur Q51 Nuisance growth of weeds and algae — Sediment carries fer- tiHzers that fuel algae and weed growth. Erosion Con For Hoy STRAW BALE or SILT FENCE • Put up before any other work is done. • Install on downslope sides of site parallel to contour of land. • Extend ends upslope enough to allow water to pond behind fence. SAMPLE EROSION 1 \ • Bury 8 inches of fabric in trench (see back page). CONTROL PLAN 1 \ \ • Stake (2 stakes pe bale) FOR 1 OR 2 • Leave no gaps. Stuff straw between bales or overlap sec- FAMILY DWEL r ` tions of silt fence. \ • Inspect and repair once a week and after every %z inch i rain. Remove sediment if deposits reach half the fence \ height. Replace bales after 3 months. I \ \ • Maintain until a lawn is established. \ r SOIL PILES \ TD ,I • Locate away from any downslope street, driveway, / r stream, lake, wetland, ditch or drainageway AREA TO BE TOPSOILED • Temporary seed such as annual rye or winter wheat is SEEDED AND MULCHED recommended for topsoil piles BY OWNER AT THE HOUSE COMPLETION OF ( GARAGE CONSTRUCTION I� GRAVEL DRIVE TE • Install a single access drive using 2 to 3 inch aggregate. \ \ • Lay stone 6 inches deep and at least 7 feet wide from \ \ the foundation to the street (or 50 feet if less). M r r • Use to prevent tracking mud onto the road by all — — — — - T E vehicles R/W LINE • Maintain throughout construction.' 1 1 SEDIMENT CLEANUP SO IL TYPE. SILTY CLAY STREET NAME • By the end of each work day, sw eep or scrape y, eep ape up soil SLOPE: 3% tracked onto the road. • By the end of the next work day after a storm, clean up the soil washed off -site. SEWER INLET PROTECTION g' _ • Protect on -site sewer inlets with straw bales, silt fences o or equivalent measures (see back page). • Inspect, repair and remove sediment deposits after every storm. s o r o m DOWNSPOUT EXTENDERS • Not required, but highly recommended. o e Q ! Install as soon as gutters and downspouts are completed p . o to prevent erosion from,i"oof runoff. i o Route :water;to a grassed .or paved'. area. o v F , • Maintain until a lawn is established oi Practices e Sites PRESERVING EXISTING VEGETATION e Wherever possible, preserve existing trees, shrubs, and other vegetation. EROSION • To prevent root damage, do not grade, place soil piles, CONTROL PLAN or park vehicles near trees marked for preservation. LEGEND . Place plastic mesh or snow fence barriers around trees PROPERTY to protect the area below their branches. N LINE I • EXISTING TOPSOIL — — DRAINAGE REVEGETATION TD TEMPORARY DIVERSION Seed, sod or mulch bare soil as soon as possible. DRAINAGE FINISHED - SWALE —� DRAINAGE LIMITS OF SEEDING AND MULCHING GRADING . Spread 4 to 6 inches of topsoil. SILT FENCE • Fertilize and Tune if needed according to soil test (or apply 10 lb./1000 sq. ft. of 10 -10-10 fertilizer). STRA • Seed with an appropriate mix for the site (see table). GRAVEL • Rake lightly to cover seed with i / "of soil. Roll lightly. VEGETATION a Mulch with straw (70 -90 lb. or one bale per 1000 r � CONSTRUCTION SPECIFICATION sq. ENTRANCE/EXIT AREA *,Anchor mulch by punching into the soil, watering or ® TREE by using netting or other measures on steep slopes. PRESERVATION . Water gently every day or two to keep soil moist. Less STOCKPILED watering is needed once grass is 2 inches tall. SOIL SCALE: 1R =40' SODDING . PROJECT LOCATION: EXISTING CURS PROPERTY OWNER: • Spread 4 to 6 inches of topsoil. AND GUTTER ANTICIPATED STARTING DATE: • Fertilizeand lime if needed according to soil test (O CONTRACTOR: 1 . / 1000 s ft. of 10 -10-10 fertilizer ANTICIPATED COMPLETION DATE: a pp y 10 lb q' )' PREPARED BY: DATE: o Lightly water the soil. • Lay sod. Tamp or roll lightly. 0 On slopes, lay sod starting at the bottom and work 1 toward the top, overlapping like shingles on a roof. Peg each piece down in several places. • Initial watering should wet soil 6 inches deep (or until water stands 1 inch deep in a straight -sided container). - Then water lightly every day or two to keep soil moist . but not saturated for 2 weeks. 0 o If construction is completed after September 15, final seeding or sodding may be delayed. Temporary seed (such as rye or winter wheat) may be planted until October 15. Mulch or matting may be applied after. October 15, if weather permits. Straw bale or silt fences must be main- tained until final seeding or sodding is completed_ in spring (by June 1). s. YY �g . x Sewer I n e P rotecti.o.ra . I-40A ail MW 4 y. �:: ,� fit r ..�;•_! C autions Consider public safety when using inlet barriers. These barriers create ponding and mud deposits on streets. Frequent maintenance is essential. After every storm, remove sediment deposits and repair . barriers. Repairs may be needed several times a day during major storms. Curb Inlet 1. Place concrete blocks on their Figure 6 —Curb Inlet Block sides around inlet. and Gravel Barrier Block & Gravel 2. Put a 2" x 4" wood stud through curb meet !_, . Barrier outer holes of side blocks to support front row of blocks. 3. Put wire mesh with half inch openings on outside of blocks. Yirrre mesh -_— - �..._. _• • :— Cover mesh with filter fabric & filter fabric travel concrete block finer extending fabric 12 inches onto Runoff pavement. water with overflow rf F water sediment 4. Pile 1 to 3 inch washed gravel on fabric to top of blocks. Sedi ment sediment Note: Allows overflow to prevent wire mesh 2' x a' Curb inlet excess ponding. a filter tam wood stud Drop billet 1. Place concrete blocks on their Figure 7 —Drop Inlet Block sides around inlet. Adjust height of and Gravel Barrier Block & Gravel barrier by stacking rows of various Wir mesh concrete block sizes of block. & finer fabric Barrier �" 2. Put wire mesh with half inch openings on outside of blocks. Cover mesh with filter fabric — — extending fabric 12 inches onto pavement. Gravel fitter _._. 3. Pile 1 to 3 inch washed gravel wa ter w wr ve wire mesh dw t ith o�tflow Filtered water Note: Allows overflow only when water on fabric to top of blocks. sediment f� _ o 4 . reaches top of blocks. Adjust height to prevent traffic hazards or damage to Drop inlet structures. sediment with grate Drop Inlet 1. Build a frame of 2" x 4" wood Figure 8 —Drop Inlet Filter around inlet. Drive stakes into Fabric Barrier Filter Fabric ground at least 12 inches. 2- x a• wood frame Barrier 2. Dig an 8 inch deep trench R i" outside frame. 2 a• maximum 3. Attach wire mesh to frame extending mesh 2 inches into 12 minimum l ii 11 II trench. r U. t 4. Attach filter fabric to frame wire mesh a fitter fabric extending fabric at least 8 inches - -*—� ems into trench. Overlap joint to next of fabric stake. C S between Note: Allows overflow only when water =� 2 stakes reaches top of frame. Adjust height to 5. Backfill and compact soil in trench. prevent traffic hazards or damage to structures. — �A-1 Co o r� s d E os o Co tr � S , Straw Bate Figure 2 —How to Install a Straw Bale Fence Fences 1. Excava e a 4" deep trench. 2. Place bales in trench with bind- ings around sides away from the r ground. Leave no gaps between Figure 1 —Cross Section bales. of Straw Bale Installation "` ? ♦, " "�"' =:-rte- ;^ low +I "'� � '• C.rxl `.. Bale 1 • �,� w 1, Width Staked and Entrenched Straw Bale Binding Wire compacted Soil to 3. Anchor bales using two steel re- 1 ' or Twine Prevent Piping bars or " x 2" wood stakes per Filtered � I� II i� Sediment Laden bale. D 've stakes into the ground 4. Backfill and compact the RunoffRunoff at least 8". I excavated soil. 'r �� VIII /I I I II I �II -- _ �:.i�:-• : R>r /Q Ct U Source: Michigan Soil Erosion and Sedimentation Control Guidebook 1975. Silt Fences Figure 4 —How to Install a Silt Fence 1. Excava e a 4" x 4" trench along 2. Stake the silt fence on downslope Figure 3 —Cross Sections the con our. 8^ of fabric Into the trench. of Trenches for Silt Fences / Filter Fabric FI 4" 4 " Flow Jf �� 3. When joints are necessary, over- ' v tienci I l am i11 lap end for the distance between 4. Backfill and compact the two St es. excavated soil. Filter Fabric -t 1 --- 111 " Source: North Carolina Erosion and Sediment Control Planning and Design Flow Flow Manual, 1988. G ravel Entrance 1. 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