HomeMy WebLinkAbout022-1018-30-050 Wiscon T PRIVATE SEWAGE SYSTEM County: St. Croix
Safety
INSPECTION REPORT Sanitary Permit No:
430439 0
GENERAL INF ION (ATTACH TO PERMIT) ate Plan ID No: A
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 8 3 �� �s . f+ •
Permit Holder's Name: City Village X Township rcel Tax No:
Ray, Tim & Mandy Kinnickinnic Townshi
CST BM Elev: Insp. BM Elev: 751M Description: Section/Town /Range/Map No:
CM. �a�•o� ��� ' C-si F3,. 1 07.28.18.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic w �s� (�� � Benchmark •� 1 0,0
l�v rr . J
Dosing ^, M It Alt. BM - a Sip S O
t !
Aeration Bldg. Se e�j3.S \
Holding St/Ht Inlet
St/Ht Outlet I
TANK SET19ACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
eptic
S 't 5l 1� Dt Bottom I3 .'p 3!� ; (3 /� g o . A /o t
Dosing t 1 i , Header /Man. S•� 10 j
Aeration Dist. Pipe 5 • J'Q 15.0 S.O( 1
n a ) o z
Holding Bot. System S , t I
O
Final rade it
PUMP /SIPHON INFORMATION L::p W - LL �&t ('L — ft
Manufacturer Oak Demand St Cover
elu GPM ft
del Number M� •Y•"\ h �` C 4rJ • so O I. O I
• H Lift ri Friction Loss System Head TDH Ft e
Forcemain Length t Dia. Z (1 Dist. to Well
M
SOIL ABSORPTION SYSTEM
BEDITRENCH Width I Length No. Of PIT DIMENSIONS No. Of Pits Inside Dia.
DIMENSIONS q 50 t� 7
SETBACK SYSTEM TO I P/L BLDG IWELL LAKE /STREAM LEACHIN ufacturer:
INFORMATION Type Of System: /1 ( I CHAMBER O
UN Mo ber:
DISTRIBUTION SYSTEM
Header /Manifol�J �I Distribution ( t I x Hole Size 1 x Hole Spacing Vent to Air Intake
O Pipe(s)) .� 0 , 11 t-- --�
Length V • Dia Length ` C"Iia Spacin 3'
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 i ; J, No J Yes _ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ow, 0 � Inspection #2: 3
e.+,sd�.�1 1, r'�'� • 7 .1 .
Location: 914 Coulee Trail Hudson, WI 54016 (SW 1/4 NW 114 7 R1 8W) NA Lot 2 Parcel No. 0 .28 8
1.) Alt BM Description = �oT ` OvY �" ' �'•
2.) Bldg sewer length = S U A
n of cover S $+i t#trQ/' • 1�,�j M AZtE . Yes rY No
Use other side for additional nformati&n % � ,su '
Plan revision Required?
SBD -6710 (8.3/97) ` -jat C _ n S Insepctors Signature Cert. No.
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 `j C - f a 1 k
P&consin Madison, WI 53707 - 7162 Sanitary Permit Number* (to be filled in by Co.)
Department of Commerce (bog) 266- 3151.D3
Sanitary Permit Application State Plan I.D. Number a4� L
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide
831 = T►-aNS _ �D .
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing addr s)
i
I. Application Information - Please Print All Information a F
TYa. '
) Parcel Lot At .$(
Property Owner's Na me
oZ�.._1bI� -
T Fs. 0QO
Property Owner's M ailing Addres —Property Location
4 $ a ,4 s k) ij 46,Section
City, State Zip Code Phone Number
V o (circle e)
��/ T o�B N; R IV Eor�V
II. Type of Building (check all that apply) p7 P S rMX
Subdivision Name CSM Number
or 2 Family Dwelling - Number of B rooms A 44 A J ,
t �26'F3
❑ Public /Commercial - Describe Use
uD I.b ❑City_❑Village,XTownshtp of
❑ State Owned - Describe Use "U . -
K t ri tes
k 1 one box on line A. Co line B if III. Type of Permit: (Chet only p applicable)
A. 9,New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
List Previous Permit Number and Date Issued
❑ B. ❑ Permit Renewal ❑ Permit Revision Change of ❑ Permit Transfer to New
Before Expiration Plumber Owner
IV. Type of POWTS System: (Check all that apply)
❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ,Mound < 24 in. of suitable soil ❑ At- Grade ❑ Single Pass Sand Filter
❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter
❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dispersal/Treat ent Area Information: PP
n Flow Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) [ Sy;te; Ele vation Destg (gpd) g 4 Sa p 4s
4 5 Q 3 .i `�
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons Units 'ts Concrete Constructed
Glass
New Existing
Tanks Tanks
Septic or Holding Tank oo C} ' i r n (ln L' t�
Aerobic Treatment Unit
Dosing Chamber &5o — J v ) 'l
VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Na me (Print) Plumber's S' gn re MP /MPRS Number Business Phone Number
0
Plumber's Addre ss (Street, City, State, Zip Code)
/ d t � ,7 W tt ;/
VIII. ount /De artment Use Onl
Approved ❑ Disapproved Sanitary Permit Fe includes Groundwater Dat Issued Issuing Age t Signatur Stampsk
Surcharge Fee) a 119 13 k
❑ Owner Given Reason for Denial `
IX. Conditions of Approval /Reasons for Disapproval n 4 03)
YSTEM OWNER:
Septic tank, effluent filter andepwr
dispersal cell must all be serviced / maintained
as per management plan provided by plumber. J
V All setback requirements must be maintained
a s per a licab a cod /ordinances. �( --/D
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size
SBD -6398 (R. 01/03)
rLU'1' rLN.tY
Page of �7
Scale 1
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NOTES: — — --
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved caps. (Z _ required).
3. Septic tank to be 10 I6 gallon capacity manufactured by
w ��s �M Cow W l (-) - )g oo
4. Bench mark S ; S� P13 F
�. Divert surface water around system to prevent ponding at the uphill side.
Safety and Buildings
4003 N KINNEY COULEE RD
LACROSSE WI 54601 -1831
TOD #: (608) 264 -8777
I�cOnsr,n f,� Q www.commerce.state.wi.us /sb
www.wisconsin.gov
Department of Commerce
James Doyle, Governor
Corry L. Nettles, Secretary
January 17, 2003
CUST ID No.267341 ATTN: POWTS Inspector
ARTHUR L WEGERER ZONING OFFICE
WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 01/17/2005 Identification Numbers
' Transaction ID No. 831128
SITE: Site ID No. 655069
Tim Ray Please refer to both identification numbers,
Coulee Trail above, in all correspondence with the agency.
Town of Kinnickinnic
St Croix County
SWI /4, NWl /4, S7, T28N, R18W
FOR:
Description: Proposed Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 888708
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans.
• Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner
of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access
opening used to service the filter shall terminate at or above finished grade with a watertight cover.
• 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.
• 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.
Owner Responsibilities:
• 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).
• Comm 83.52(2) - A POWTS that is not maintai }Wldo�e with the approved management plan or as
required under s. Comm 83.54(4) shall be co i t '�a,�i�rp 11i} hazard.
O C C� ✓
�tE
)
ARTHUR L WEGERER Page 2 1/17/03
Owner Responsibilities Continued:
• The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is 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
C � Fee Received $ 175.00
Balance Due $ 0.00
Gerard M. Swim
POWTS Plan Reviewer - Integrated Services
(608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633
j swim @commerce. state. wi.us
cc: Leroy Y P G .Iansk , Wastewater Specialist, (715) 726 -2544
TITLE SHEET Page of
MOUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
This plan has been prepared in accordance with the Mound Component
Manual SBD -1057 P and the Pressure Distribution SBD - 10573 -P
CCZ, blg°t� CR. �14Q�
LOCATED IN THE SW 1/4 OF THE Nw 1/4 OF SECTION 7 ,T Zb N,R 12) W,
TOWN OF �z_l �) �11C l�t l.)dV S, � 0 C�1 K COUNTY, WISCONSIN.
INDEX �F
PAGE 1 of 7 TITLE SHEET L
PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW -CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION �'•
PAGE 7 of 7 PUMP PERFORMANCE CURVE
PREPARED FOR
T� wt z rs'—t
s`rtu�T
v �s� � ,wl sgol�
PREPARED BY
WaCCEF<E11:;t Sf3 S L . TEST I M(a
AM .
DES 2 GI<V SE1�V I C�
P.O. Box 74 421 N.Main St.
River Falls, WI 54022
Phone 715 - 425 -0165 , z
Fax 715 - 425 -6864
[uswoa r�.
! C
,Sa
pIVISION OF ETY ANu tUu ��hva
SEE CORRESPON NCE JOB NO
_ Mound System Management Plan Page Z of
Pursuant,to Comm 83.54, Wis. Adm. Code
• Seoti_c T_ ank
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 leaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents remove&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, iftuch products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
— p 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 S stem
No trees or shrubs should Pe planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October - February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg /L 6005, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual [SBD- 10572 -P (R. 6199)] 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.
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 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 adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions about the operation or maintenance of this system should be directed to:
The County Zoning Office at
The system installer at
The tank manufacturer at
The effluent filter manufacturer at , � — ZZ) — S7g7
The pump manufacturer at
• -
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PLOT PLAN
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NOTES: — – --
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved caps. ( z _ required).
3. Septic tank to be jo 1 GSO gallon capacity manufactured by
P) L-
4. Bench mark 5 Ste r130Vt�:
�. Divert surface water around system to prevent ponding at the uphill side.
- Paae L +
Aaara�ec Sr,_�hetic Cope -_nc
AST-H C33 Distribution Pipe
Medium Sand
H
Topsoil �_•,,,.. ,� jG
- - I r El ev
Ab r t o .
6 . Slope
Distribution Cell of Force Main Flowed
z" to 2-2" A¢- recate From Pump Layer
D 1, 6 Fr
F Z.ZI Ft.
CROSS SECTION OF A MOUND SYSTEM F O 8 Ft.
C 0 Ft.
A Ft.
Linear Loading Rzte = 0 GPD /ZS FT B S� R.
Desian Loading RzL_ 39GPD /SQ FT j Ft.
J `3 Ft.
K Z Ft.
''n- Paste -ion L - 1 y Ft .
-Force -1 _ W Z 1 Ft.
_ L I .
,} -Observation Pipe
E 7 K
� - ----- - -= -- • �
Aa- �- ------ --- - - - - -- ------------- _-- - --
o— --- ---- - -___- 7Fcrce Main
W - - - - -- t--- !.__. _ ---- _ ----- � -
.
�Distrib'
ufiion ` 1 „ � �� �'"�D
Pipe Cell of to 2 2
aggregate
Observation. Pipe —
(Ancsbr se=ely)
-
PLAN VIEW OF A MOUND SYSTEM
I
Distribution Pipe Layout Page S of
Place the holes at the bottom of the distribution
. acin pipes
at equal spacing. g. Remove all burrs from the pipe and holes.
Extend the end of each lateral up with the use of Iong turn of 45' fitting to a point within six
inches of the final glade. Terminate the ends of the laterals with a valve,threaded cap or
. threaded plug. Provide access from final e for e
grad t valve, threaded cap or threaded plug,
L. CZzs s
PVC
Lateral Man'if'old �
Lateral
X x x x xf2 x!1 x
X x x
Lateraf Lenath — Lateral Length — p
Distribution Line
IT
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P
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Mpsu \F��o
S
pvC PQ -0
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_
ti�Y� D
P Zy Ft. Hole Diameter �� Inch
S 3 Ft. Lateral n ! Inches)
X Z3 Inches Manifold Z Inches
Force Main " 2: Inches
# of holes /pipe 13
Invert Elevation of. Laterals W2.6 1Ft.
1- 3��.y�_ S.33xb = 3l,Rg GPI
_ - Combination •Sept.ic; and
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE L OF
NEWT CAP � WEATHER PROOF
JUlJCTIO►.] 80X ..
'i'C.I. VENT PIPE APPROVED LOCKIMG
IN' FROM DOOR, '"001 COVER P,21V
�sP� -i101J �1P� •.iWDOW OR FRESH 1 WA(tN11J4 LF4gEL `
w lPrtcZ}� s[tT" zrrP �� A>K ►>JTAKI t ca ttw�r
tj
' P C - G � IAILET PROVIDE AtRTIGHT SEAL Approved �. t-t� I I�( Approved
joint TT/ I fi joint w/
PVC pipe rs .� 'f ALARM PVC pipe
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C i
C ��•b 0
FT { I
PUMP
LEV -� -_J
OFF
D
C OAJCRETE
u o p> ocx
RISER EXIT PERMITTED OQLy IF TAWK MAl„UFACTURER HAS SUCH APPROVAL 3"APPRo.t;"
�Br<DO c ry 4
SEPTIC f SPECIFICATIOKIS
DOSE
TA►JKS MALIUFA CTURER: �/VL`'SL� ���SZ�� QuMbER OF DOSES:
PER QA-
TAMK 5►ZC : 1000 l 6 S 0 UALLOkIS_ DOSE VOLUME r
ALARM MAIJUFACTURER: TP S�1STr IWCLUD1IJG BACKFLOW: - LOZ (,ALLOW$
MODEL ► l CAPACITIES: A= Ip 30
• INCHES OR GALLO>Jg
SWITCH TyPC: g = Z IWCFIES'OR 3 �
G�LL041$
PUMP P%AMUFACTURCM
C= 6 INCHES OR 1� GALLOIIS
MODEL f\1UM5ER: — y O l(
D= �' INCHES OR � GALLOMS
SWITCH TYPE: — ZC?cJL iJOTE: P UM P AtJO ALARM AR TO b Ll to
MIMIMUM DISCKARGE - RATE X GPM INSTALLED OIJ SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEEII PUMP OFF A PIPE.. 3'6 '7 FEET
+ MWIMUM tilETWORK SUPPLY PRESSURE
+ L4 0 FEET OF FORCE MAIN X 1-19 F jo FCFRtCTI011 FACTOR..
FEET
TOTAL D!JUAMIC HEAD = _ + _�S FEET
As per Manufacturer I'1•c� gal /in. Liquid depth
l
M E40 Series M"M
4/10 HP Effluent
and Drain Water Pumps
Performance Curve
MODEL ME40 EFFLUENT PUMP
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350
40
12
35
10
W 30 X
W W
W W
Z 25 8
t. Z
2 20 6
J 2
FQ- 15 J
0 4 H
10 H
5 2
0 f I
0
0 1. 0 20 30 40 50 60 70 80 90 100
CAPACITY GALLONS PER MINUTE
1101 Myers Parkway, Ashland, Ohio 44805 -1923
419/289 -1144 FAX 419/289 -6658 Telex 98 -7443
K3326 7/91 Printed in U.S.A.
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Attach complete. site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ��) nJ G
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re 'ewed -by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). O ct 2W 3
Property Owner j {�p.)QS 4 ELq)�� (�� Property Location
. E�Z , t'� \R_F� . -131 - t oC S- 1 1/4 S - 7 T Z. e N R ) 8 E (o W
Property Ow ner's Mailing Address Lot # Block # Subd. Name or CSM#
L4 l 0 � -�) - 11+ s - F , I — -��os� 01Sr'1
I State Zip Code Phone Number ❑ City ❑ Village ®' Town Nearest Road
bA to SON w Sk0l S q 1 - 8,4q r cj Note�Zj,J,vtQ c)IJ L� �L
® New Construction Use: Residential / Number of bedrooms Code derived design flow rate ✓,l S GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material \-'•- Flood Plain elevation if applicable 'f-) P) ft.
General comments
and recommendations:
L7t
Boring # ❑ Boring
7 &��RW, OUNTY pit G round surface elev. ) �0. O ft, Depth to limiting fa F'r E --- Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Co sistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
o- q ►bLi tZ31Z — s� ( Z�sbk w�`Ft- CS 1•� .5 `d
Z a -tb �oL-1rL - 3l(, - s) I z�sbk rn`f�- cg 1 •s -�
3 16 -3 2 - 7- 3`223/ C I k -1 ' ti a - 5 ) g
S L S S,._f CZ. 31 (3 k1l Y1'). T1�
Boring # ❑ Boring
❑ X Pit Ground surface elev. nn
- t (2 1 ft. Depth to limiting factor. in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture exture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
0-6 Ioy 231z- S) f Z_�Sblz M 4 C_g L,-P •5 •8
Z 8 -110 l bViZ3)t - S ) 2 s�k m`fl- c-S )v •S .g
l b ZS - 1 -S LY /23L C •s�tlz 8 _
1 v z i L C s bk » 1 U ' F ► - CS -6
ZS 39 S L42 3 ! �� 9 C v>^ imp O - O
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) ftnature CST Number
Arthur' L. Wegerer OZ — 220254
Address W e g e r e r Soil Testing & Design Service Date valuation Conducted Telephone Number
421 N. 14ain St. River Falls, UI 54022 1\ —Zi —07 :715 -425 -0165
Property Owner 1 � Parcel ID # U Page 2 of 3
Boring # ❑Boring
® Pit Ground surface elev. 1 —7 ft. Depth to limiting factor V7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
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Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
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 TN 608 264 - 8777.
SBD -8330 (R.6/00)
PLOT PLAN Page 3 of
Scale
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CST Signature Date Telephone No. CST No: Job PTO.
r
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address 4 9 t� * >,DSoI�(
Property Address
(Verification required from Planning Department for new construction)
1
City /State Parcel Identification Number
LEGAL DESCRIPTION
Property Location 5W '' /,, -AW1 ' /,, Sec. , T-,2- N -R _LS_W, Town of I K ►t(►IV i c)< I
Subdivision , Lot # 19—
Certified Survey Map # -7 acy- , Volume _ l , Page # 45
Warranty Deed # _ _�� 3� , Volume 2, `¢19 , Page # 1 3Z-
Spec house ❑ yes X no Lot lines identifiable yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
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.
I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three ear te. 3O D j
SIGNA APP DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) o'
the property described abov + virtue of a warranty deed recorded in Register of Deeds Office.
SIGNA APPL DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * **
** Inc?i.ide with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
U 2418P 132 - 7 41131 (�
XATHLEEH H. WALSH
STATE BAR OF WISCONSIN FORM 3 .1998 REGISTER OF DEEDS
QUIT CLAIM DEED ST. CROIX Co. xI
Document Number RECEIVED FOR RECORD
This Deed, made between James A. Ray, Jr. and Elaine A. Ray, 09/24/2003 09:30AN
husband and wife, QUIT CLAIM DEED
EXERT i 8
Grantor, and Timothy James Ray and Mandy Kay Ray, husband and wife REC FEE: 11.00
as survivorship marital property, TRANS FEE:
COPY FEE:
CC FEE:
PAGES: I
Grantee.
Grantor, quit claims to Grantee the following described real estate in
St. Croix County, State of Wisconsin:
Recordine Area
Name and Return Address
Judith A. Remington
REMINGTON LAW OFFICES
Part of the Southwest Quarter of the Northwest Quarter (SW 1/4 of NW 1/4) of P.O. Box 177
Section Seven (7), Township Twenty-eight (28) N nge Eighteen (18) New Richmond, WI 54017
West, Town of Kinnickinnic, described as follow . f of Certified Survey
Map recorded on June 18, 2003, in Volume 17 at Page 4544 as Document No.
726439. �^ �� "�'� Part of 022. 1018 -30 -000
�./^�•�� Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
TOGETHER WITH a non - exclusive easement for ingress and egress located at that certain parcel of land located in part of
the Southwest Quarter of the Northwest Quarter (SW 1/4 of NW 1/4) of Section Seven (7), Township Twenty-eight (28)
North, Range Eighteen (18) West, Town of Kinnickinnic, more fully described as follows: Commencing at the West 1/4
comer of said Section 7; thence North 90 degrees 00'00" East (assumed bearing on the East -West 1/4 section line of said
Section), a distance of 778.00 feet; thence North 01 degrees 43'52" West, 33.02 feet to a point on the North right of way line
of a town road as laid and traveled on December 20, 2002, known as Coulee Trail, being the point of beginning of the parcel
to be herein described; thence continuing North 01 degrees 43'52" West, 200.00 feet; thence North 90 degrees 00'00" East,
66.03 feet; thence South 01 degrees 43'52" East, 200.00 feet to a point on said North right of way line; thence along said
North right of way line, South 90 degrees 00'00" West, 66.03 feet to the point of beginning.
Together with all appurtenant rights, title and interests.
Dated this //p day of September 2003
. JAMES A. RAY, JR.
. ELAINE A. RAY
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) ST. CROIX ) SS.
County. )
Personally came before me this — day of
authenticated this _ day of September _ , 2003 the above named
James A. Ray, Jr. and Elaine A. Ray, husband and
wife,
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to be the person(s) who exec,tli
instrument and acknowledge the dame. j ., .
authorized by § 706.06, Wis. Slats.)''
TI4IS INSTRUMENT WAS DRAFTED BY J
Judith A. Remington, Remington Law Offices, ` udith 4 Remington U 7 Q _.
P.O. Box 177, New Richmond, WI 54017 Notary Public, State of Wisconsin "' ... `
(Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. TIf not, state exp4fM
necessary.) )
*Names of persons signing in any capacity should be typed or printed below their signatures
BAR OF WS
QUIT CLAIM DEED STAT FORM No.3 ,19 8NSIN
INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800- 655 -2021
726439
VOL PAGE 4544
KAT& H. VKL99�
REGISTER OF DEEDS
ST. CROIX CO.
RECEIVED FOR WORD
06/18!2003 01:30
PM
CERTIFIED SURVEY MAP
CERTIFIED SURVEY MAP COPYrF 3.00
Jame A. Jr. and Elaine Ray
Located in part of the Southwest !/4 of the Northwest '/I of S ' ,
Township 28 North, Range 18 West, Town of Kirin' rmic,
St. Croix County, Wisconsin. PPROVED
ST. CROIX COUNTY
fanning Zoning and Parks Committee
N J UN 1 8 2003
If not recorded within 30 days
TO THE EAST-WEST U4 approval date approval sh e
SECTIONLINEOFS MA17, null and void
T29N,R18W, A0AfE'DA8
M90'0 WOE
0 INDICATES 1 -114" O.D. x 18'IRON
PIPE SET (MIN. WT. -1.13 LBA.F.)
SCALENFEET 1' ■ 100' • INDICATES 1 "IRON PIPE FOUND
SOIL BORINGS (PROPOSED SEPTIC SYSTEM)
0 1 0 SECTION CORNER MONUMENT (AS NOTED)
x INDICATES FENCEUNE
OWNERS ADDRESS ■ INDICA TES DMIEWAYLOCATION2W'
47190TH STREET NORTH OF CENTERLINE COULEE TRAIL
HUDSON, WI 54016
UN1?LA77ED LANDS
FOUND 1
N 13' IN 1.11Y N 900 '00" E 367.00'
x
o s :
CERTIFIED SURVEY MAP
James A. Jr. and Elaine Ray
Located in part of the Southwest'/. of the Northwest 1 /. of Section 7, Township 28 North,
Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin.
Description
tr h afied L G ' 1
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ST. CROIX COUNTY
_ WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
EROSION CONTROL PLAN Parcel #07.28.18. - ��
For 914 Coulee rao•- of 2 Kinnickinnic — owners Tim & Mandy Ra
Under St. Croix Co oning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant
and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized.
The owner is responsible for notifying all contractors performing construction on this site that an
Erosion Control Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any
soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds
to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed
and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment
movement. The nearest road ditch on Coulee Trail is >200 ft from the proposed septic system.
2. Route contaminated runoff into vegetated buffer areas on owner's property by creating temporary diversions
graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes
road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification
sheet for temporary diversions provided by Zoning Dept.)
3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves
adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt
fence or other approved sediment control products will be required if sediment cannot be contained on
owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC
plan effectiveness and make recommendations to owner and building inspector for any action required to
comply with applicable regulations.
4. 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 access the property
during construction. This helps 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.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass /vegetation can get established. Erosion control matting can be applied any time of year and, if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Please feel free to contact me with questions regarding erosion & dim nt co trol llatiPn.
Prepared by: Pamela Quinn, Soil Erosion Ins ector #665054
Owner acknowledgement of ESC Plan requirements: 1//2003
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10/1012003 09:46 . 17154259559 LUND BUILDERS PAGE 01
FAX , Dial-
Number of pages b"cluding cover sheet 7
TO: FROM
bind Builders, lnc.
COMPANY: S CRo� @ 1(110 ,North Main Street
1� ZoN � iJb
R imy Falls, W1 540
Phone Phone (715) 425 -1130
Fitz Phone 6- 6 . Fax Phone (715) 425 -9559
l Website www, lundbuilders com
REMARKS: ❑ Urgent a For your review ❑ ,Reply ASAP ❑ Please Comment
10/1012003 09:46 17154259559 LUND BUILDERS PAGE 05
EROSION CONTRO
REGULATIONS
UNIFORM DWELLING CODE (DILHR) MAINTENANCE AN WASTE DISPOSAL
PROJECT'S AFFECTED Sediment
controls must be maintained until the site is
• All new 1 and 2 family dwellings in Wisconsin started S S r e dimeed mulching and see ding, sodding or
on or after December 1, 1992. lsndscoping
• Additions to dwellings built after June 1, 1980 • All building waste must be properly disposed to Pre-
APPLICATION PROCESS vent pollutants and debris from being carried off-site
• Erosion control plan must be submitted with building ENFORCEMENT
permit application to the local building inspector in erosion control inspects inspections will be made during other
communities where the dwelling code is enforced •
regular snspocxions (fearing and foundation, rough con -
• Erosion control plan must show; struction, final, etc.)
— LAXa ion of the dwelling, other buildings, wells, sur- a Violations must be corrected within 72 hours
face waters and disposal systems on the site with . Stop work orders may be issued for noncompliance
respect to property lines
— Direction of all slopes on the site FOR MORE INFORMATION CONTACT
— Location and gype of erosion control measures • Local building inspector
• Department of Industry, Labor and Human Relations
CONTROLS REQUIRED (DILHR), Safety and Buildings Division, F- Box
• Silt fences or straw bales along downslope sides and side 7969, Madison, Wisconsin 53707, (608) 267-5 113
slopes
• Gravel access drive
• Straw bales, filter fabric fences or other barriers to
protect on-site sewer inlets
• Additional controls if needed for steep slopes or other
special conditions
STORMWATER PERMIT (DNR)
PROJECTS AFFECTED — Proposed erosion and storm water pollution control
practices during and after construction
• Any construction project that disturbs S ataa or more — Documentation that an erosion control and storm • Smaller sites that arc part of a planned development water mattagenent
plan which meets DNR standards
involving 5 acres or more of land disturbance has bOei prepared (plan does not peed to be subunt-
• Effective October 1, 1992 for any new or continuing led with the application)
project —Other information related to site location and per
• Exceptions; Indian tribal lands and work done by local rnit holder
government staff CONTRO REQUIRED
APPLICATION PROCESS . Erosion control measures specified in the Wisconsin
• File a "notice of intent" application Form #3400-161) Construction Site Best Manggetnctt Practice Handbook
with the Department of Natural Resources (DNR) 30 • Measures to control storm water after conscructton
days before construction begins
• Application must include: FOR MORE INFORMATION, CONTACT
— Timetable for land disturbing activities and installa- a Department of Natural Resources, Storm Water Per -
on of erosion control measures including project mite, P.O. 7921, Madison, WI 53707 -7921+ (608)
i
start and completion dates 266
LOCAL ORDINANCES
� cit village or town for any local erosion control ordinances irteludtrtB'h° �U ��
county
Check with Your be more strict than state egu
requirements. Except for new 1 & 2 family dwellings, local ordinances may
may also require erosion control on construction projects not affected by state or federal regulation$ -
ration with the wisconsin Department of Natural Ne D ,
rr public Indu s of the b o r & Hut of Wan Roisconsin - Extension.. coops ist, W90sm Area, and Cam"
meet of Industry, l.sbor i Humllitlons, Ron Strum. UWEX Water duality Special UWEX
Water Quality Spedallm. Southeast Area. RAM S in •^r y ,d p(WVM ", kv*m*q Tw ix rpub.nrnts.
fv d
un6w -w whoDnok"ExIm ion b an EEO /AnYmaM rlon A •mpbyw and p+•rdW OWId "Po efts WNS- o3-1b�
OW0001A Sunderd Erosion Control plat ter 1 A Z FA.nlly D+osllir>0 Construction
1 09:49 17154259559 LUND BUILDERS PAGE 04
ob Indicate management strategy by checking the appropriate box:
Management Strategies
p C�'Temporary stabilization of disturbed areas.
Nore: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized
by seeding (between April 1 st and September t Sth), or by other cover, such as Carping or mulching.
( Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment).
Indicate re- vegetation method: Seed a Sod 0 Other ❑
Expected date of permanent re- vegetation:
Re- vegetation responsibility of: Builder D Owner /Buyer Io
Is temporary seeding jr mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? Yes 0 No O
U VUse of downspout and /or sump pump outlet extensions.
Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage
pipe to stable areas such as established sod or pavement.
p (Trapping sediment during dewatering operations.
Note: Sediment - laden discharge water from pumping operations should 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 by wind or water.
Q 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.
For more assistance on plan preparation, refer to Chapters ILH13 20 & 21 of the Wisconsin Uniform Dwelling Code,
the DNR Wisconsin Construction Sita Bast Management Handbook, and UW— Extenslon publication Erosion Control for
Home Builders.
The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available
through State of Wisconsin Document Sales, 608/266.3558.
Erosion Control for Home Builders (GW0001) can be ordered through Cooperative Extension Publications, 608/262 -33
or the Department of Industry. Labor and Human Relations, 608/267 -9360.
10/10/2003 09:46 17154259559 LUND BUILDERS PAGE 03
EROSION CONTROL PLAN CHECKLIST
^ ..0 Check ( ./) appropriate boxes below, and complete the site diagram with necessary Information.
1� Q`
�F � � Site Characteristics
0
(?" North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways.
0 O Location of existing drainageways, streams, rivers, lakes, wetlands or wells.
❑ Nro' Location of storm sewer inlets.
Ce Location of existing and proposed buildings and paved areas.
Z The disturbed area on the lot.
C+S Approximate gradient and direction of slopes before grading operations.
CO Approximate gradient and direction of slopes after final grading operations.
❑ 5? Overland runoff (sheet flow) coming onto the site from adjacent areas.
Erosion Control Practices
* � Location of temporary soil storage piles.
Note. Soil storage piles should be placed behind a sediment fence, a 10 loot wide vegetative strip, or should be
/ covered with a tarp or more than 25 feet from any downslope road or drainageway.
Er Location of gravel access drive(s).
Note: Gravel drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 5 inches thick.
Drives should extend from the roadway 50 feet or to the house foundation (whichever is less).
❑ el- ocation of sediment controls (filter fabric fence, straw bale fence or 10 -fool wide vegetative strips) that will pre-
vent eroded soil from leaving the site.
❑ &' Location of sediment barriers around on -site storm sewer inlets.
❑ C7" 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.
❑ i" 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.
D Er 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 used, 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 (streams
with year -round flow.)
❑ i( Location of other planned practices not already noted.
ST. CROIX COUNTY
_ WISCONSIN
`� �......._ ZONING OFFICE
i ST. CROIX COUNTY GOVERNMENT CENTER
-_
1101 Carmichael Road
_ Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
EROSION CONTROL PLAN Parcel #07.28.18.
Site: 914 Coulee Trail -Lot 2 (Kinnickinnic ) — owner(s) Tim & Mandy Ray
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." Comm. 21.125 also requires the building permit applicant
and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized.
The owner is responsible for notifying all contractors performing construction on this site that an
Erosion Control Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any
soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds
to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed
and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment
movement. The nearest road ditch on Coulee Trail is >200 ft from the proposed septic system.
2. Route contaminated runoff into vegetated buffer areas on owner's property by creating temporary diversions
graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes
road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification
sheet for temporary diversions provided by Zoning Dept.)
3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves
adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt
fence or other approved sediment control products will be required if sediment cannot be contained on
owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC
plan effectiveness and make recommendations to owner and building inspector for any action required to
comply with applicable regulations.
4. 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 access the property
during construction. This helps 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.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass /vegetation can get established. Erosion control matting can be applied any time of year and, if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Please feel free to contact me with questions regarding erosio ' sedi ent co nstallation.
Prepared by: Pamela Quinn, Soil Erosion Inspector #665 4
Owner acknowledgement of ESC Plan re uirements: Z,�,l /_�Z/2003
LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02
REAL ESTATE TOWN OF KINNICKINNIC
COMPUTER NUMBER 022 - 1018 -30 -050 Parcel Number 7.28.18.103A -20
OWNER NAME: First TIMOTHY J & MANDY K Last RAY
PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment
914 COULEE TRL
SECTION 7 TOWN 28N RANGE 18W '/4160 NW '/440 SW
Line Description Line Description
TOTAL ACREAGE 2.682 PLAT CSM 17 -4544 022 -03 LOT02 BLK
01 SEC 7 T28N R18W PT SW NW 15
02 CSM 17 -4544 LOT 2 16
03 (2.682 AC) 17
04 18
05 19
06 20
07 21
08 22
09 23
10 24
11 25
12 26
13 27
14 28
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