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b Nisconsin Department of CCmmerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506290 0 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: Schmitz, Daniel I Kinnickinnic, Town of 022 - 1009 -60 -700 CST 8M Elev: Insp, BM Elev: BM Description: Section/Town /Range /Map No: 9 4 ' Z1 B IM C5 T 04.28.18.57A70 TANK INFORMATION ELEVATION DATA . 7 3 10Y• O TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. /L ! /Z.4 9b .Z7 Septic (�! � � / Benchmark ' f. 4 Q z 1 Dosing � (� Alt. BM CQ1d 4� / DD U 1301 /f Aeration �/ /� Bld ewer S / S. Holding i UHt Outlet o r TANK SETBACK INFORMATION SC-Pf q0 1 9 4_1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /0 v I �O. — i Septic / Dt Bottom Z /�► (� . / /0.7 97 7 Dosing 1/( pW ,L. eader/ an. 9. Z3 / Aeration T 1` Dist. Pipe g. Z3 /63. Z5 Holding Bot. System 9.5Z /oz •5(0 PUMP /SIPHON INFORMATION Final Grade 5,z3 164• ZS Manufacturer De and St Cover I Q / Model Number �[ jI 3 -- 7 7 ' � �O . Sao /0 { • 1 0'7 TDH 1 1-i t ictio Fr s Syste Head 712 DH Ft �13 - �rq &•s .9 t 212. 0-0 o Forcemain Length/ Dia. ci Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length I No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Dept DIMENSIONS �) /Z6 G e _ SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Typ System: UNIT Model Number: / r I O J v` DISTRIBUTION SYSTEM 4 - � Sula - Q2_ Header /Manifold I Distribution 4. / x Hole Size / x Hom Spacing Vent to Air Intake o e Z• 5 Z Pipe(s) 5[3 2 , .7 Z Z, bi Length Dia Length 1 • J Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil Yes [-1 No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Z`f / 0" Inspection #2: °� / Me / 0 _7 Location: 533 Valley Court Roberts, WI 54023 (NE 1/4 SW 1/4 4 T28N R18W) NA Lot 4 Parcel No: 04.28.18.57A70 1.) Alt BM Description= PlIA U-4 ram � �; ,& V �a L.-.) 2.) Bldg sewer length = r e 7 amount of cover = P) 0".) ak, Plan revision Required? "' Yes ",i No i Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. ST CRD� cOUNTY RECEIVED Y AUG 1 7 2007 PLANNING & ZONING ST. CROIX COUNT EROSION & SEDIMENT CONTROL PL Site location: 533 Valley Court, Lot 4, Town of Kinnickinnic Owner(s): Daniel Schmitz Parcel ID #04.28.18.57A -70 Code Administration 715 386 - 4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land Information addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715- 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.htmi) Real Property 715- 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 - 386 -4675 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation excavation, driveway, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #4 below. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and /or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. (Refer to specification sheet for temporary diversions available from county). 4. Stabilize exposed soils (septic system included) with seed and mulch immediately after installation - do not wait for final stabilization and /or landscaping of entire site to establish permanent cover on the site. When late- season weather conditions will not permit seed Cr a heavy straw mulch cover will prevent erosion until vegetation can be established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. ST. CRO /X COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W/ 54016 715386 - 4686 FAA s Page Two — ESC Plan Acknowledgement Form The owner of record during site construction will be responsible for compliance with state and county code requirements as specified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding erosion & sediment control product installation. PLAN PREPARED BY: RYAN YARRINGTON, ZONING TECHNICIAN #683475 Owner acknowledgement of ESC Plan requirements: 9 / / 7 /2007 (Please sign and return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and maintenance agreement, which is given to the plumber at time of permit issuance.) Copies provided for excavation contractor, plumber, and town building inspector ST.CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, W1 54016 715 - 386 -4686 FAA corn merce.wi Safety and Buildings Division County ,� r 201 W. Washingto e., P.O. Box 7162 t isconsi n Madi W ' 707 -7162 Sanitary Permit Number(to be filled in by Co.) Delaertmetst of Commerce z Sanitary Permit ppli n State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submi this rovide t�§�pp 7, 55 7 Z_ unit is required prior to obtaining a sanitary permit. Note: Application fbr�t are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you may be used for secondary � � , /� Co V p urposes in accordance with the Privacy Law, s. 15.04(I)(m), Slats. V 1. Application Information - Please Print All Information Property Owner's Name Parcel # .S � sT. cROlx COUNTY C 2, :Z, — /-00? G,O - 7o0 Property Owner's Mailing Address Property Location / r' 70 `tom {^ m Govt. Lot __j C 7 City, State Zip Code Phone Number y, ya, Section T _ -5- 10 /► /� (circle one) VT Il. ype of Building (check all that apply) O k od Lot # .__ N; R { .,_ E o® 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ter Block ❑ Public /Commercial -Describe Use ❑ City of ❑ State Owned - Describe Use i CSM Number Z�/ �L 11 Village of 5 /ZV S 17 as�� ✓o / / �p R `.wn of Ill. Type f Permit: (Check only one box on line A. Complete Ime B if applica 1 O , A. New System ❑ Replacement System g p y g Y (explain) ❑ TreatmendHoldin Tank Replacement Only El Modification to Existing System r „ B• El Permit Renewal ❑Permit Revision El Change of Plumber L1 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration I Owner IV. Type of POWTS S stem /Com onent/Device: Check all that appl 4 A t> � ❑ Non- Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade PKMound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Preveatmen vice (explain) t t V. Dis ersal/IYeatment Area Information: Design Flow (gpd) Design Soil Application Rate(gp Dispersal Area Require f) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units U New Tanks Existing Tanks R U v v u C7 a Septic or Holding Tank Al", V'- Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number N� c h �� ZZ2 7 8 I 715 =� Plumber's Address treet, City, State,, Zip Code) coy o VI! ount /De a meat Use nl Approved ❑ Permit Fee Date I ued Issuing g t Signature isapp d El ven Reaso Denial IX. Conditip�t/k.easons for Disapproval [�I I . tank, effluent filter arrd 3 1 E ✓ a V �r t dispersal cell must all be services / mafntafneti L p as per management plan provided by pltlmbar. 4b �L,n e e �� C✓ -Q-- 2. All setback requiroMerss must be rrakttaktsd 0 tac to comp ete p ans or t e system and submit to the ounty only on paper ot ess than 8 1/1 x 11 inches in size CC,� C_ VO he l O� � I 6w rKu�S SBD -6398 (R. 01/07) Valid thnt 01/09 , 51` V12 c AL c1L (,c�'uf� 4p to , I I t � ..J p:. ;Mr�trn ti.3t2y? hni -� +'^ r �I,.n � ! 20 :ALI!1!`tc; ', 4tt: 91Q:i:N +Qtyf. !g� .'ii w Il �i /az` �' e Si►1 do %2o, /�. S/ 76, lc-ef- 66 -76C Propcses� �� c s<r co~•crei 2. sb ACR 4 -Y,4 / Lo/!�°L -S ZS F{ /use o J-,'/Erat out/ of Soi /eda� hadP b <cn �cSt`1 oycd, ppu� C•�nde e(cd��5 d'e ¢SEa,dls�d Y Flo .�C,� b d'zw.";417 r�„ e/edc�.Tr,s b-w /d,�p 5fAver u> at✓ t 5a' /P, �s "b -n1 /ocu fs on C/ ropo sedc�e// i e56x.6 / , J kedbo.5cdor) ,gs.rr/. 3035! A5,ctince e./. •v/op C. ' Pr opas cd cc �i uer I It Du�a yo cJ�a c.h hl,.Al ' ToP io n,. proposed ( /✓ja�..�dQt`.2S�T /.t/38.35' qqJ� ,�', l y "y S'X /- 2o'd, :Sp C'e! /. d /sus -i'6k E.'oq /ate /a /sa ,ry3p d7'oPof /ots6. P . Bogy ♦ b�iriS . Z7 Y ra..a/t a le v • coca- ��C/e✓/o�o�.56,.6e w Suz/e / .5 &f Yo %• S/ 76, Sf • CrrJir C'a� cc>1, A.Oo sr-d uo csv come L Z . Sb ACReS , -Jl. p/= - e S tP 6 &0K 4-Y,4 / Lo/! N6 -.S3s' e#lul,4 o �• /6erat p /t�• -�' ofSa/eoal have 6ecn destroyed. C�+de e /tda -�'w,5 ✓' c- es{aab /.iE�.d sc.�• S/aPd.C. by a�a,ciw,,'n,� �vxde c %dcf Z.�s bra /d i� stwu wccde t Sa' / s If , 4"t. /pca f�'onS. iie. J � i ''eSi� / o Pc� daisy ��•C �./✓j. /L�•GL. PrgFba<d Ig..40 ePf'lu� /.•ae �bcdrm,►, , gArafe ,' CrY�Crt {�C WAJOI,OX►KR oP� bet- to ,' b , WCO c/ . \ to t 'Y ro osed �� ,o t` 7 /;r/383s' qq• ,�' '- 5 X 420 tf-fltl Ce //. Fow^ . d/s6 - �'6k /atc ea /s a 6 I,�j o' o r� k.a'Yg `or,, F. 'Cl1 v SP• ce d at .D /,' A t Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 It isconsin www.w www:commer isco / epartment of Commerce isconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 07, 2007 CUST ID No. 222781 ATTN: POWTS Inspector ZONING OFFICE HENRY J NECHVILLE ST CROIX COUNTY SPIA 967 HIGHWAY 65 1101 CARMICHAEL RD ROBERTS WI 54023 -8510 HUDSON, WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/07/2009 Identification Numbers Transaction ID No. 1425572 SITE: Site ID No. 728578 Dan Schmitz Please refer to both identification numbers, County Highway N above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NE1 /4, SW1 /4, S4, T28N, R18W FOR: Description: Four Bedroom Mound System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1145033 Maintenance required; 600 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of See. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - 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. P.O.W.T.S, Conditionally APPROVED _ DEPARTMENT OF COMMERCE HENRY J NECHVILLE Page 2 8/7/2007 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Oerald M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. i 1 6UND AND PRESSURE DISTRIBUTION COMPONENT DESIGN JUL 2007 Residential Application INDEX AND TITLE PAGE hr• I • QUILDINGS Project Name: Dan Schmitz 4- bedroom residential mound Owner's Name: Dan Schmitz Owner's Address: 672 Hillary Farm Road #A Hudson, WI 54016 Site Address: Unavailable Legal Description: NE1 /4 SW1 /4, Sec.4 T.28N., R.18W. Township: Kinnickinnic County: St. Croix I Subdivision Name: CSM Vol. 20, Pg. 5176 Lot Number: 4 Block Number. Na Parcel I.D. Number: 022 - 1009 -60 -700 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: J-wka y �,��� j i..,L a- License Number. ;z ;x.z 7 S Date: 07/2 Phone Number: 7%3 71 Signature: J4,4-i 71 5- --749 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) Version 5.1 (R. 06/06) uivio,uwrvr JA rE'JY Awu bu►LUiNSS Page 1 of 9 SEE CORRESP DENCE r- Mound and Pressure Distribution Component Design Design Worksheet S_ it e_Information (R or C) J RI Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 14.001 Site Slope ( %) 101.671 Contour Line Elevation (ft) 25.001 Depth to Limiting Factor (in) 0.60, In -situ Soil Application Rate (gpd /ft Distribution Cell Information 120.00; Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) Dispersal Cell Design Loading Rate (gpd /ft 11 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C; Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation eft) 4 Number of Laterals of the highest point. , 0125] Orifice Diameter (in) 2.0_0 Estimated Orifice Spacing (ft) = 5.00 ft /orifice Forcemain Diameter (in) _ 40.001 orcemain Length (ft) Does the forcemain drain back? Y 96 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) <. erS 6.09 Vertical Lift (ft) 108.81 5x Void Volume (gal) 1.95 Friction Loss (ft) 115.33 Minimum Dose Volume (gal) 0.00; In -line Filter Loss (ft) 49.43 System Demand (gpm) F - 1 - 4 4- 5 - 41 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information 1001.88 Total Tank Capacity (gal) 1250 LP Septic Tank Capacity (gal) _36.66_! Total Working Liquid Depth (in) 11 - Wieser Co ncrete i Manufacturer 27.83 gavin (enter result in cell B49) Dose Tank Information Effluent Filter_ Information 1001 88' Dose Tank Capacity (gal) PolYLok _ Filter Manufacturer 27.83 Dose Tank Volume (gal /in) PL -525 Filter Model Number _.__.---- ----- Wieser Concrete Manufacturer Project: Dan Schmitz 4- bedroom residential 1 ent al mound Page 2 of 9 Mound Plan and Cross Section Views F 1/10 B • . "3 J : Observation Pipe ., ....•,. .•..,.•,.•.........,.•,..,.•,.• . — . T . . .. . . . ... .. A W I : - . g L Mound Component Dimensions A 5.00ft E 19.40 in H 1.00ft K Aft ft B 120.00 ft F 9.50 in z 15.04 ft L ft D 11.00 in G 0.50 ft J 4.67 ft W 600.00 (ft Dispersal Cell Area 2405.17 (ft) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 1100 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.38 (ft) -- --�► H 2 r�iirrr , G • j F ...... ..... 103.09 r Dispersal Cell (ft) Latera 102.59 (ft) Invert Dispersal Cell Q Elevation E D :; •••`� "�!'� +�• ,_ J{ _ \. {•. __�,_: �.• : { �• _ • _ • _ . J•. . • ) �.• ] i J i _ i i { - 1 i. i i � `^ i `i i 1 i i i i _ i J .,: • • ~ -. , i . { 1 .i. ��i �i i. .{ 101,67 (ft) Contour Elevation 14.0 %Site Slope Geotextile Fabric Cover Shading Key T_ Dispersal Cell See lateral details on =Topsoil Cap c 1.5 ft Page 4 for number, size, © rirrr Subsoil Cap ? and spacing of laterals. ASTM C33 Sand Z "�'� �',' ; ; F Laterals are equally i Tilled 0.5 ft Typical Lateral spaced from the Q © Layer c [] Aggregate � distribution cell's - centerline in the '—'— .A. distribution cell (AxB). Project: Dan Schmitz 4- bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at ang point. Laterals are identical � p S •- Turn -up vdball valve or IE X I<-02 I 02 +I Laterals & force main of PVC Sch 40 of ea n out pl u g per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 59.30 ft Orifices per Lateral 30 Lateral Spacing (S) 2.50 ft Orifice Density 5.00 ft /orifice Lateral Flow Rate 12.36 gpm Manifold Length 2.50 ft System Flow Rate 49.43 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.54 ft Forcemain Velocity 5.05 ft/sec Dose Tank Information locking cover with waming label and locking device and Disconnect �' sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC 4 in. min. Tank component is property vented Alternate outlet location Foroemain diameter Wieser Concrete Manufacturer 2 in. Ca acityl 1001.88 Gallons Volume 27.83 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 17.86 496.93 C B 2.00 55.66 Pump off elevation (ft) C 4.14 115.33 _t 1 97.00 D 12.00 333.96 D Total 36.001 1001.88 iF Dose tank elevation (ft) 3" Bedding un er tank. 1 96.00 Alarm Manuafacturer SJE Rhombus Alarm Model Number SJE1101421 Pump Manufacturer Zoeller Pump Model Number BN152 Pump Must Deliver 49.43 gpm at 14.54 ft TDH Project: Dan Schmitz 4- bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Henry Nechville Phone (715) 749 -3322 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 LP gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequent Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum -up Detail Finished •...........•. .�...__..... ............... Grade 6 -8" Diameter Lawn Sprinkler Valve Box Plug or Ball Valve Threaded Cleanout Distribution Lateral �---- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Dan Schmitz 4- bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis, Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver, 2.0 SBD 10706 -P (N. 01/01)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry Into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The finer cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution § vstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 PUMP PERFORMANCE CURVE MODEL 151)152)153 TOTAL DYNAMIC HEAD/FLOW 50 PER MINUTE 14 45 t53 EFFLUENT AND DEWATERING 12 40 MODEL 151 152 153 Q 35 = 10 152 Feet Meters Gal. liters Gal. hers Gal. Liters 30 5 1.5 50 189 69 261 77 291 0 8 15t 10 3.0 45 170 61 231 70 265 25 15 4.6 38 144 53 201 61 231 $ 20 6.1 29 110 44 167 52 197 6 20- 25 7.6 16 61 34 129 42 159 ..��� 30 91 23 87 33 125 T� �( 4 35 10.7 - - - 22 85 t0 40 12.2 11 1 42 2 Shut -of Head: 30 ft. (9.1m 38 ft. (11.6m) 44 A. (13.4m) 5 o ot45oee 0 30 4o go o c�llor7s J � /7�l Q MUM LfiFR3 0 40 • 1 0 160 240 3 FLOW PER MINUTE 0145W Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67/32 6tN 4 SR Timed dosing panels available. 3718 3 27/32 4 5011 Electrical alternators, for duplex systems, are available and supplied with an alarm. 37/6 127 J2 • Variable level control switches are available for controlling ® 4 � 1 3 776 3 27!32 single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. Sealed QvAk -Box available for outdoor installations. See FM1420. Over 130'F. (54'C.) special quotation required. I 15111521153 Series 151f152115J YODELS control selection --T - -� Yodel VdWl`h Yode Amps Simplex Duplex 434 s e N151 115 1 Non 6 -0 1 2 or 3 BN151 115 1 Aulo 8.0 Included 2 or 3 E151 230 1 Nan 3.2 1 2 or 3 BE151 230 1 Auld 3.2 Included 2 a 3 SK2444 sKZO64 N 152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Aub 4.3 7ijiuded 2 or 3 3153 115 t Nan 10.5 1 2 or 3 - 6N 153 715 1 Auto 10.5 Irt iuded 2 or 3 El 53 230 1 Non 5.3 1 2a3 SELECTION GUIDE BE153 30 1 Auto 5.3 Included 2 a 3 1. Single piggyback variable level float switch or double piggyback variable level floal v CAU-no switch. Refer to FM0477. A:::nstaualion of controls, protection devices and wiring should be done by a qualified 2, See FM0712for correct model of ElectricalAtternalor E -Pak u censee electrician. All electrical and safety codes should be followed including the most ecent National Electnc Code (NEC) and the Occupational Safety and Health Act (OSHA) 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN —! For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO P.O. BOX 16347 lla, 49 40258-0341 Manufacturers of . Hip To : 3849 Cane Run Road LouI6NNe, KY 40211- 1981 P u4r PB S NCE /9,�,9 hrfpYAvww.zoellercom PL/MP �0 1(5 0 2) 7782731. 1(800) 828 -PUMP FAX (502) 774-3624 ®Copyright 2004 Zoeller Co. All rights reserved. 7L 1814 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page -_ 1 _ 1 Division of Safety and Buildings in accordance with Comm 85, Wis, Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 81/2 County x 11 inches in size. Plan must _S Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. — percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. fr 002- 1009 -60 -000 /ease print all information Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) (m)). Property Owner Property Location Dan Feser Govt, Lot NE 1!4 SW 1/4 S 4 T 28 NR 19 'VV_ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1131 C ounty Hwy. N 1 Pr opose d C_S_M__ City State Zip Code Phone Number y$ j City sv v Village ✓f Town Nearest Road Roberts I WI 1 54023 715 - 749 - 1722 Kinnickinnic Co. Hwy. N New Construction Use: i� Residential / Number of bedrooms 4 Code derived design flow rate - -- _6 - - _ GPD J Replacement &j Public or commercial - Describe: Parent material loess over dolomitic limestone Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 102.59' at 11" above 101.67 contour. F q Boring #J Boring 16 Pit Ground Surface elev. 102.07 ft. Depth to limiting factor —_ __ _ -In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ G_P_0 / it' __ 1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-6 10yr3/2 none sil 2fsbk mvfr gw 2fm 0.6 0.8 4. 2 6 -12 1Oyr3/4 none sil 2fsbk mvfr gw 2f,1mc 0.6 0.8 3 12 -20 1Oyr4/4 none sicl 2fsbk mfr gw 1fm 0.4 l 0.6 4 20 -25 5yr4/4 none sicl lfsbk mfr ai 1fm 0.2 0 3 I 5 25 -36 5yr4/4 f2f 7.5yr5/8 sicl lfsbk mfr ci 0.2 03 6 36-43 1Oyr5/6 m1d 7.5yr5/8 sicl Om mfl 0.0 0 C. __T_ E a Boring # J Boring 1/ Pit Ground Surface elev. 102.73 ft. Depth to limiting factor —_ 26 _ __in. - Soil Appli Abon Rarz Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_P)_W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh 'Effrtt 'Efhi2 1 0 -15 1Oyr3/3 none I 2fsbk mvfr cs 2fm 0.6 0 8 2 15 -20 1 Oyr3 /3 none sil 2fsbk mvfr I Cs 1 fm 0.6 0.8 3 20 -26 1Oyr4 14 none sil 2fsbk mfr cw 11 0.4 0.6 4 26 -36 7.5yr4/6 f2f 7.5yr5/8 sil 1 fsbk mfr 1 f 0.2 0.3 Effluent #1 = BOD ? 30 < 220 mg/L an TSS >30 4 mg /L ' Effluent #2 = BOD < 30 my L and TSS < 30 mg /L CST Name (Please Print) Signat . CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted - Telephone Nurnber 340 Paulson Lake Lane, Osceola, WI 54020 6/23/2004 715 -248 -7767 Property Owner Dan Feser Parcel ID # from 002 - 1009 -60 -000 Page _2 - ,of ._ 4, a Boring # 4° Boring 16 Pit Ground Surface elev. 97.12 ft. Depth to limiting factor i— 28" - -- in. Soil App' cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. S h. 'Eff#1 'Eff#2 1 0 -7 10yr3/3 none I 2fsbk mvfr gw -- 2vf,f 0.6 0_8 2 7 -16 10yr3/3 none sil 2fsbk ds gw i 2vf,f 0.6 0.8 3 16 -23 10yr4/4 none sil 2fsbk mvfr gw 1vf,f 0.6 0.8 4 23 -28 10yr5/4 none Sid 2fsbk mfr ai �1vf '0.4 0.6 5 28 -42 10yr5/4 f2f 7.5yr5/8 Sid 1 fsbk mfr 0.2 0.3 i I I� Boring 4 _ l Boring # 135 .0+ ft. Depth to limiting factor — <9" in. Pit Ground Surface elev. P 9 —_ Soii A�;icaiion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ` 'Eff##1 Eff #2 1 0 -9 10yr3/3 f1 f5yr4 /6 sil 2fsbk mvfe as 2vf,f 06 0.8 2 9 -16 7.5yr4/6 f2f 7.5yr4/6 Sid 1 msbk mfr aw 1 vf,f 0.2 0.3 3 16+ 10yr4/6 na LSBR na na VA 00 00 5 Boring # 0 Boring - -- - -- , 0 Pit Ground Surface elev. 135.0+ ft. Depth to limiting factor <$" in. I Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ^Eff#1 'Eff #2 1 0 -8 10yr3/3 none sil 2fsbk mv as — 2v1 0.6 0.8 2 8 -12 7.5yr4/6 f2f 7.5yr4/6 sicl 1msbk mfr aw 1vf,f 02 03 3 12+ 10yr4/6 na LSBR na na 1 of 0.0 0.0 Effluent #1 = BOD ? 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 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 U8- 264 - 877''. t'r6perty dwner Dan Feser Parcel ID # from 002 - 1009 -60 -000 _ _ Page _ 3 - of _ 4 a Boring # Boring 1 Pit Ground Surface elev. 135.0+ ft. Depth to limiting factor — -- <8" in. Soil F.pplica ion Race Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munself Qu. Sz, Cont. Color Gr. Sz. Sh. Eff#t 'Eff #2 1 0 -8 10yr3/3 none sil 2%bk mvfe as 2vf,f 0.6 0.8 2 8 -15 7.5yr4/6 f2f 7.5yr4/6 sicl 1 msbk mfr aw 1 vf,f 0. 0.3 3 15+ 10yr4/6 n LSBR n n 1A 0.0 0.0 -- - - - - -- - - - -- - --- I I I ❑Boring# Boring __ - - -- e Pit Ground Surface elev. ft. Depth to limiting factor in. i Soil Appli.;ation Rare Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I ❑Boring #` Boring - - - - -- _ J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Appl;cation P,aie Horizon Depth Dominant Color Redox Description Texture Structure Consistence j Boundary Roots t;f Q/�' _____ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r 'Eff #1 Eff#2 I I I I 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'r'fY 608- 264 - 87''7. ■ So %/ eab./cca.�ar� �%� ♦ 6XIS161, ymde elegy'. �Ppr' /0 ca 6r)l off' °FP °scal /ot /.7,c ;ti a leE N /oe of` Csrr( \ e� 82 0 of o k i �}' 3 � a � o ,. r 70,0 cY ' 3W / r ' 1814 Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 4 Division of Safety and Buildings A.C.E. Soil & Site Evaluations in accordance with Comm t35, Wis. Adm. Code Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan mus County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction tAJI percent slope, scale or dimensions, north arrow, and location and distance to n Parce l I.D. from 002 1009 Please p*Yf*#*;for=dgn. _ Reviewed By Date Personal information you provide may be u-RF1 "WP cy Property Owner Property Location Dan Feser (.ii,.. r Govt. Lot NE 19 SW 1/4 S 4 T 28 NR 18 W Property Owner's Mailing Address ) Lot # Block # Subd. Name or CSM# p 1131 County Hwy. N r sed CSM % - L �� b e City � dn&NLmber ( City I Village a Town Nearest Road Roberts WI 1 54023 1 715 -749 -1722 Kinnickinnic N New Construction Dea MI Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _ I Public or commercial - Describe: Parent material loess over dolomitic limestone Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 102.59' at 11" above 101.67 contour. M 101 Boring # _j Boring Pit Ground Surface elev. 102.07 ft. 25" in. Soil i Depth to limiting factor Application Rate ' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtf? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-6 1Oyr3/2 none sil 2fsbk mvfr gW 2fm 0.6 0.8 2 6 -12 1Oyr3 /4 none sil 2fsbk mvfr gw 2f,1mc 0.6 0.8 3 12 -20 1Oyr4/4 none sicl 2fsbk mfr gW 1fm 0.4 0.6 4 20 -25 5yr4/4 none sicl lfsbk mfr ai 1fm 0.2 0.3 5 25 -36 5yr4 /4 f2f 7.5yr5/8 sicl 1fsbk mfr ci - 0.2 0.3 6 36-43 1Oyr5/6 m1d 7.5yr5/8 sicl Om mfi - - 0.0 0.0 a Boring # I Boring Pit Ground Surface elev. 102.73 ft. 26 in. Soil Depth to limiting factor 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 1 0 -15 1Oyr3/3 none I 2fsbk mvfr cs 2fm 0.6 0.8 2 15 -20 1Oy13/3 none sil 2fsbk mvfr es 1fm 0.6 0.8 3 20 -26 1Oyr4 /4 none sil 2fsbk mfr cW 1f 0.4 0.6 4 26 -36 7.5yr4/6 f2f 7.5yr5/8 sil lfsbk mfr - if 0.2 0.3 * Effluent #1 = BOD y > 30 < 220 mg/L anil TSS >30 <14 mg/L " Effluent #2 = BOD <30 mg/L and TSS <,90 mg/L CST Name (Please Print) Signet CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 6232004 715 -248 -7767 Property Owner Dan Feser Parcel ID # from 002 - 1009 -60 -000 Page 2 of 4 3] Boring # Boring Zvi Pit Ground Surface elev. 97.12 ft. Depth to limiting factor 28" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 10yr3/3 none I 2fsbk mvfr gw 2vf,f 0.6 0.8 2 7 -16 10yr3/3 none sil 2fsbk ds gw 2vf,f 0.6 0.8 3 16 -23 10yr4/4 none sil 2fsbk mvfr gw 1vf,f 0.6 0.8 4 23 -28 10yr5/4 none sicl 2fsbk mfr ai 1vf 0.4 0.6 5 2842 10yr5/4 f2f 7.5yr5/8 sicl lfsbk mfr - 0.2 0.3 F4j Boring # Boring ✓J Pit Ground Surface elev. 135.0+ ft. Depth to limiting factor <9" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 1 0 -9 10yr3/3 flf5yr4/6 sil 2fsbk mvfe as 2vf,f 0.6 0.8 2 9 -16 7.5yr4/6 f2f 7.5yr4/6 sicl 1 msbk mfr aw 1 vf,f 0.2 0.3 3 16+ 10yr4/6 na LSBR na na - 1vf 0.0 0.0 51 Boring # J Boring 1/ Pit Ground Surface elev. 135.0+ ft. Depth to limiting factor <8" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fsbk mvfe as 2vf,f 0.6 0.8 2 8 -12 7.5yr4/6 f2f 7.5yr4/6 sicl 1 msbk mfr aw 1 vf,f 0.2 0.3 3 12+ 10yr4/6 na LSBR na na - 1vf 0.0 0.0 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L 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. Property Owner Dan Feser Parcel ID # from 002 - 1009 -60 -000 Page 3 of 4 6] F Boring # Boring i�' Pit Ground Surface elev. 135.0+ ft. Depth to limiting factor <8" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fsbk mvfe as 2vf,f 0.6 0.8 2 8 -15 7.5yr4/6 f2f 7.5yr4/6 Sid 1 msbk mfr aw 1vf,f 0.2 0.3 3 15+ 10yr4/6 na LSBR na na - 1vf 0.0 0.0 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F—I Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. • 358.9' ._� A lect'. ca 6re7 e /oE ew e -- Su Qsiewrekca,50 -41 1-4,lit 0 \ \ 0 13en : 7o,U 31t loioe ""UU a ............ n phj 4 Ea 1 1 4 4 4, - Ole, VOL 20 PAGE 5176 2c, O C a REGISTER OF DEEDS ST. CROIX Co., MI RECEIVED FOR RECORD 03/21/2006 10:40AM THE WEST LINE OF THE SW 1/4 OF SECTION 4 CERTIFIED SURVEY MAP BEARS SOO'39'44 "W AS REFERENCED TO THE ST. REC FEE: 13.00 to CROIX COUNTY COORDINATE SYSTEM COPY FEE: U)* PAGES: 2 r" SOO'39'44 "W 2644,54' C> UNFLATTE DD LANDS N00'39'44 " I ' 1 RECEIVED Ali E 877.16 zz'f WEST LINE OF THE SW1 /4 __ .____- _ 445 -f1 --�-----� N e O • Z a � Ma )nolI L. D D O "+'1 N C N-1 t0 x V C o z m O O =-- ou m O m0 111 °D V i= �° ° r� 1� v co z ' r� �_ z ° a; r� > m v o'. C"M Cou" p Z o �\p A n c ?` m I 'U �� I ` � 1 WRVEYOR'S RE001� rn� p> r, o� o moo p C Z C O O ff' 1 m OC ZNa7 CQ Z D Z Z Zm 2....1 m P oZ r�*1 "�'� � m rzn ' b M �� � ���`� �+ I - 0 < OD ' A m SL D D !''� m 0 0 Rai Ias I D O O - n O °� pCi� °m ;U A m �c 439.4' W 1N�1mcz�a v a '' m z v m NOO'4 08 "E ! I -' <n m m F1 - r z M i p � ` $ z'm z -zi 401.91' 37.43'x' I �t� \ 03 ..�. v � m C.JI to - - � 2. of r' m D \ 00 I nP O D \ pp � A CA N N E O N 0 a) O r A N O -4 Os r Z ►Tl N N X o -4 O� 0 I v a OD z m-1 n o o vW< m 1 �� �� c0 Z+ Z pmO-D I r I Nan 0 ;a a m aato�r ♦ I i zR,�� rn rn rn cn cn a o .w rn Nto I OD a to to W N o � D O CNZrr ' n �NI 4 ^- 'B ONN -0- tD 11 aN, -4 co o p C3 oD � '� N � c� ' w mo o° O V1� r., -1 vA aoc,,? O 9N N to •A. N I I a N '*7 M i V N tN to N N N D A C 2 X C;- OJ r m W X R. v to O .1, Q v+ o c� N .�v o m rn c �n n v (A 07 a�z ra v °w � I I f m o� p T 2 W (n W w �tv - • SOO'54'4 "W 477.87'' �O m c m o \a rte' J - i 1n IS, Ti z i0 9E 1 Olt �' (.A 01 N ��� � N 1^ ' I � D i A - V i ? �4' �cv OD I 1 l7 [n C7 H 9 . 2 city = m ��S01'00'S2° 93 �3. Sc! o v T O y n' �' -' 49.49' �° to v Z O ,Q• N Z En F o�� w r, �°'- - 400.19 -( v,l o I o < rn oc �°�r° nz o C SOO''4,1'05 "E51.93' Co M O r o rte+ W - • " 1 I � ' -9 M m n fTl rn _ co N• -•- 367.17 . -- i W Z g o L2 ��� Q P I� �1 ( !moo >< m �" co • OO Chi r� ( CA V) 66'WIDE ACCESS -jN 1 P � I � iI ctO� C \ m EASEMENT AS SHOWN ON s 11 r ° ^' A 959.31') CSM VOL•19 PG.4982. t+1 501'09'•34" W 959.38' 3 S• r � a $ M UNPLA l� ED L�.AMt� ®S ° m Q ----------------- d& ---- - - - - -- n CURVE DATA TABLE (ALL LENGTHS ARE IN FEET) o a' m -r Curve Radius Central Chord Chord Arc Tangent Bearings Number/ Lot Length Angle Bearing Length Length Tangent In Tangent Out v �, C1 283.00 42'12'19" 522'00'51.5 "W 203.78 208.46 SOO'54'42 "W 543'07'01 "W O J z ° m m o C2 233.00 41'05 519'38'15.5 "E 163.57 167.13 S40'11 "E SOO'54'42 "W � p p � = A M C3 80.00 45'04'10" S21 *37'23"E 61.32 62.93 SOO'54'42 "W S44'09'28 "E u S Z i 1 a C4 80.00 135'04 S23 22'37 "W 147.86 188.59 S44'09'28 "E N89'05'1 8 "W , Z 3 80.00 103'15'26" S0728'15 "W 125.44 144.17 544'09'28 "E S59'0558 W z m m M 4 80.00 31'48'44" 575'00'20 "W 43.85 44.42 S59'05'58 "W N89'05'18 "W S2 m D r SHEET 1 OF 2 w rn w Vol 20 Page 5176 1 of 2 I 7 CE) Z5 7 1 8 VOL 19 PAGE 4982 KATALM H. WALSH REGISTER OF DEEDS CERTI FI EIS S V RVEY MAP RECEIVED FOR hECORD LOCATED IN PART OF THE NE1 /4 OF THE SW1 /4 e5/23/2005 04:45PM OF SECTION 4, T28N, R7SW, TOWN OF CERTIFIED SURVEY MAP REC FEE.- 23.08 KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. COPY FEE: 3.06 SURVEYOR NOTE: OWNER FIELD DRIVE LOCATED ON LOT DANIEL & HEIDI FESER EDWIN C FLANUM 2 TO BE REMOVED AT THE TIME 1131 C.T.H. "N" NORTHLAND SURVEYING, INC. LOT 2 IS IMPROVED. ROBERTS, WI 54023 P.O. BOX 14 ROBERTS. WI 54023 EAST - WEST 1/4 LINE Mf GD L�LII`r`lU� EXISTING CENTERLINE S89°4239 " 1317. — 889 0 42'39 " E 657.41 - �589°4239"E 66.01' ` c� — - � 217.25 _ v - — - — C.T. H "N" - 283.27' t2 E 342.57' 215 54' 1/4 CORN ao W7/4 CORNER S _ C7 `R C) ECTION 4 z [[ c ^ z s S88 ° 59'07 "E 657.14' — 281.57' — (7 SECTION 4 F O m o z POSITIONED FROM 9 I $ DRIVEWAY k i WITNESS MONUMENTS LL )) EASEMENT FOR ° L OF RECORD I °r LOT 3 ... r iii �;.....< u� LL I I LOT 2 LOT 7 L R OT 1 AREAS E^8 2.7 ACRES INC. R/W2 w .n ° � � �� S o 2.35 AC. INC. R/W I 121.483 SO. FT. t �I O 102.290 so. Fr. ALUMINUM COUNTY 1 :2.40 ACRES EXC. R/W v Q C9 F, SECTION CORNER 104,478 SO. FT. V 2.00 A2 EX �R/W MONUMENT FOUND 1" IRON PIPE FOUND O 1.5 66, 319 O. FT. MT Yr X 18" IRON REBAR 133' 3 I I �6'' o N88 °5907"W 271.42\ \\ SET WEIGHING 1.50 I 1x M \ � � `NO FURTHER LOTS MAY LBS. PER LINEAR FOOT , g7 2gMI ` ACCESS EXISTING I I" SIN* I I] DRIVEWAY WITHIN THE -x - EXISTING FENCE rn I ,/ DRIVEWAY EASEMENT FOR 1. DRIVEWAY EASEMENT LOCATED ON LOT 1 \\ LOT 3 LOCATED ON LOT 1 100 BUILDING _ I Zn SHALL BE VACATED AT SUCH TIME THAT THE SETBACK LINE � + (� I ROADWAY EASEMENT (LOCATED ALONG THE WELL 0 WEST LINE OF THIS MAP) OR A PORTION OF /!(� 1 1 cv y.1 SAID EASEMENT IS DEDICATED TO THE PUBLIC I P 0 m AS A PUBLIC STREET AND THE OWNER OF LOT Q� 3 APPLIES TO THE TOWN FOR AND IS GRANTED N S ¢ z w I M I I A DRIVEWAY PERMIT. HOUSE O U LL 1 LOT 3 v— Lu SEPTIC cn - 12.40 ACRES INC. RNV SEPTIC VENT Y ow o O w I I " J 540.204 SO. FT. CLEAN OUT . N w O r 05 O¢ w I ( Ali 100 12.37 ACRES EXC. R/W M z�� -°�?¢ �538.641 s0. FT. Lu z 1 I :11.74 ACRES EXC. EASEMENT w z 3 o �I I� 511.317 SO. FT �� r cr uj z ��F U 10 I Z I / w G I : / //� � O= w O I g z ~ O Q ~ 9� ¢ LAJ I �4 C..3 o uj I cc cn cr LLj O I �¢a V a v w � :�� .' / cam tc� y, w cc O ;f (D w LOT 4 c!' z aW O 12 2 AC. INC ESMT ga /Gj?� cn z x° a p N 05,581 SO FT 7i. / //� O o ( I ¢ w oU O U q a 3 12. AC. EXC ESMT �, m �^" C¢I m LLi a w m m ¢ Z v ' 308 ^ SO FT �i / w �••� cr Lu Rl m W cr t = i �' w X¢ p U Lij O o a w w w a z a 231:18' 420.46' co a ¢ N8 0 29'28 'W 65 SOUTH LINE OF THE NE 1/4 OF THE SW 1/4 ACCESS TO LOTS 2 AND 4 tU1 [�pdpV'[9D R.L% JD� OVER 66' ROADWAY EASEMENT - - - - - - - - - - - - - - - - SCALE IN FEET I " - 150' INSTRUMENT DRAFTED BY SAM ADAMS JOB NO. 04 -68 DATE 6 -02 -04 SHEET 1 OF 2 SHEETS 150 0 150 JOB Vol 19 Page 4982 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address ' �` Q N -cx y. Pn Property Address .J j�i�2, (Verification required from PlangIng & Zoning Department for new s ction.) _ O tb City /State ad SeAlL k Parcel Identification Number 02.2 —/ 0 0 9 -- /60— 700 LEGAL DESCRIPTION Property Location t 1 /4 , '/, ,Sec. T_N RW, Town of J��/UN �/� J /t Subdivision , Lot #. Certified Survey Map # �s� 11 '� , Volume , Page # 76 Warranty Deed # Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the "waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms g /o/ 4 SI NA URE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) �l State Bar of Wisconsin Form 2 -2003 6 5 6 1 B 1 2 i WARRANTY DEED 1 KATHLEEN H. WALSH Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Daniel F. Feser and Heidi B. Feser, husband and 07/24/2007 01: IOPM wife WARRANTY DEED EXEMPT I REC FEE: 13.00 ( "Grantor," whether one or more), and Daniel L. Schmitz and Lena L. Schmitz, TRANS FEE: 120 .00 husband and wife as survivorship marital property PAGES: 2 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more Name and Return Address space is needed, please attach addendum): See attached Exhibit A for legal description. a Parcel Identification Numbers: Part of 022 - 1009 -60 -300 and 022 - 1009 -60 -400 s6. W i '51 It Parcel Identification Number (PIN) This is not homestead property. (0) (is not) Exceptions to warranties: easements, restrictions, and rights of way of record, if any. Dated � ZC� �' (SEAL) � (SEAL) * *Daniel F. Feser (SEAL) i �,�/',� J GA�.�/ (SEAL) * * Heidi B. Feser AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) authenticated on � s �..�� ) ss. e Jam( , COUNTY) Personally came before me on J U N 20, � M I � , * the above -named Daniel F. Feser and Heidi 1 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who efcu ed a orego' authorized by Wis. Stat. § 706.06) instrument d apknodge a same. %I PuB L1C �� t 1 , Ar THIS INSTRUMENT DRAFTED BY: uzu D Ve �1 q W Joseph D. Boles - Attorney at Law Notary Public, State of % s��a��• ° River Falls, WI 54022 -0138 M commission 1 Y �) (expires: g ��''2� ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ©2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 *Type name below signatures. INFO -PRO- Legal Forms - (800 )655 -2021 • infoproforms.com EXHIBIT "A" LOT FOUR (4) OF CERTIFIED SURVEYMAP IN VOLUME TWENTY (20) OF CERTIFIED SURVEY MAPS, PAGE 5176, AS DOCUMENT NUMBER 821144, FILED IN ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON MARCH 21, 2006; AFFIDAVIT OF CORRECTION AS DOCUMENT NUMBER 825965; BEING LOCATED IN THE NORTH HALF OF THE SOUTHWEST QUARTER (N 1/2 OF SW 1/4) OF SECTION FOUR (4), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC, FORMERLY BEING LOTS 2,3 AND 4 OF CERTIFIED SURVEY MAP IN VOLUME 19, PAGE 4982, AS DOCUMENT NUMBER 795718 AND OUTLOT 1 OF CERTIFIED SURVEY MAP IN VOLUME 20, PAGE 5023, AS DOCUMENT NUMBER 800922. y ,s •• TYR. •tk i -•• DODGE . S -2484 CLEAR LAKE, 4B 2 1 1 4 �• Wt ',,����gHO•.......••'' . VOL 20 PAGE 5176 _ Mr N'� O r t nunrer►► REGISTER F �o R O DEEDS ST. CROIX CO. MI RECEIVED FOR hECORD —�: z 03/21/2006 1 0 s 40A1t THE WEST LINE OF THE SW 1/4 OF SECTION 4 CERTIFIED SURVEY MAP BEARS S00'39'44 "W AS REFERENCED TO THE ST. REC FEE: 13.00 N CROIX COUNTY COORDINATE SYSTEM COPY FEE: PAGES: 2 00 S00'39'44 ■ W 2644.54' .r, 2 UNPLQTTED LANDS N00'39'44" -- - - 77.i ---------------- 22 } WEST UN £ OF THE SW1 /4 ... :._.- --- •- ._- �._-1,. •Ni z z rn �° -,-`� °'' ��(n v m0 . te � ^ m D wm r °0 O� r vt7 r W 4 5 ' 0c _. z(n 0(Ac W N r p rr r�v F � ' m p �p 9) 0 v�D "p r► z O p pp •"D �� 91 G7Q � = A a v i cn �� W �� �? m u 50 Oc = m V) 0 cc z(n�(rnn z> z� z �z z� zz - PI. ! I rn In c p �'� v mO D Am m �c7 OD ( ( 17<(7O� g z I33 I A00 O vA o m 0 � m T 'r�tr� �z 439 4'„ ii mc Z�> y - o� � rn � N004 08 E I -' �,m � m0..rn I 401.91 0 l7 cn 0 -c 37.43 = (. CA z Na) N N L QC�rr - rr p C (n \ O > Q 0-. W N N 0 O > 0f O O R z .0,- m or- C Z .. 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O 93' (i � z° - —.a N S00'41'05 E ►► 1 Z -n o _° Z rn � 33.02 OD - . - • -- 367.17' 7 ! ® �''' z A rn - � OD" p � ' N oP t i t o x P ST 0 CRux CoujqTy PLANNING & ZONING EROSION & SEDIMENT CONTROL PLAN Site location: 533 Valley Court, Lot 4, Town of Kinnickinnic Owner(s): Daniel Schmitz Parcel ID #04.28.I8.57A -70 Code Administration 715 - 386 -4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land Information & addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715- 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www.commerce. state. wi .us /SB /SB- DivCodesListing.htmi) Real Property 715- 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715- 386 -4675 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation excavation, driveway, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #4 below. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. (Refer to specification sheet for temporary diversions available from county). 4. Stabilize exposed soils (septic system included) with seed and mulch immediately after installation - do not wait for final stabilization and /or landscaping of entire site to establish permanent cover on the site. When late - season weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until vegetation can be established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON. W1 54016 715- 386 -4686 FAA I Page Two — ESC Plan Acknowledgement Form The owner of record during site construction will be responsible for compliance with state and county code requirements as specified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding erosion & sediment control product installation. PLAN PREPARED BY: RYAN YARRINGTON, ZONING TECHNICIAN #683475 Owner acknowledgement of ESC Plan requirements: _/_/2007 (Please sign and return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and maintenance agreement, which is given to the plumber at time of permit issuance.) Copies provided for excavation contractor, plumber, and town building inspector ST. CRO1X COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 54016 715386 -4686 FAA 0 A o g n C V m m m a� L1 q v o o Cl) ;r 0° . O ol o o O CD . rn cc �o(D D O -4 o -!4 y W O R�1 v v A C a < C N '. O W CD i O O Z Ca i O OZ D O N O C a CL O O O ? 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