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HomeMy WebLinkAbout022-1019-10-030 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 -- s (715) 386 -4680 FAX (715) 386 -4686 Wednesday, September 18, 2002 P.C. Collova Builders, Inc. 440 County Hwy. SS River Falls, WI 54022 Regarding septic inspection for P.C. Collova Builders, Inc.. Location of Property in St. Croix County: municipality: Kmnickmnic Township Subdivision or Plat: NA Certified Survey Map: Vol. 15 Pg. 4103 Lot: 2 , Address: 440 County Hwy. SS L Dear Applicant: A septic inspection of the above reference property was conducted on September 06,2002. This property is located in the NE 1/4 SE 1/4 of Section 7, T28N R1 8W, NA Vol. 15 Pg. 4103 (Lot 2 ), Kinnickinnic Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 3 bedroom home. 09/09/02 Revision. System moved to a newsoil tested area. The soils and slopes are nearly identical, so a Dept. of Commerce approval was received for using the original system design in the new soil tested area. With a plot plan showing the new location. If you have any questions regarding this, please contact our office at 715.386.4680. Sincerely, Kevin Grabau Zoning Staff cc: file Safety and Buildings Division COODh'�� 201 W. Washington Ave., P.O. Box 7162 r D Madison, WI 53707 - 7162 Site Address Department of Commerce - 1Z. -Oz— -� 40 �dQ SS Sanitary Permit Application � Sanitary Permit umber In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 113 Check if Revision may be used for secondary ses Privacy Law, s15. 1 m Star; Plan I.D. Number I. Application Information - Please Print All Information "r 4= ^ - 6 3 rows % Property ame Parcel Number property Owner's Mailing Address Property Location Y ff. l4 S4 ;S T N,R E City, State Zip Code Phone Number Lot Number Block Number I + ! W :5XC7d �---� RECEIVED Subdivision Name CSM Number U. Type of Btn'Iding (check all that apply) JUN 11 2002 Ocity r 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - Describe Use UNTY -reship ❑ State Owned ZONING OFFICE Nearest Roa7d y III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complet e B if applicable) A. I w 2 ❑ Replacement System 3 ❑ Replacement of T6 =CD�Addifio;n For County use stem Tank ON Permit Number Date Issued B. Check if Sanitary Permit Previously Issued SO q s ue �ro Z IV. Type of Permit: (Check all that apntmibering scheme is for internal use) 44 ❑ Non - Pressurized In-Ground 2 ound 47 ❑ Sand Filter 50 El Constructed Wetland 22 ❑ pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 3o ❑ Other V. D' tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate( Gals. /Days /Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersign responsibility for installation of the POWTS shown on the attached plans. Plumbers Name (Print) Plumbe r's NT RS Number Business Phone Number IZ Z7 Plumber's Address (Street, City, State, e) d� 8 I Z-- Avg- Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued I su' Agent Signature (No Stamps) Approved ❑ Disapproved Surcharg (wee) ❑ Owner Given Initial Adverse 1 Determination n EX. �Con of Approval/Reasons for Disappro ue' � � &- IQ.P.f P— I 0� s _ Q Cw u �Q,ope� 14 at-&PQ. I w o- Attach complete plain (to the Comity only) for the system on paper swt kss than 8112 x 11 inches hr size SBD -6398 (R. 05101) PLOT PLAN PROJECT P.C. Collov9 Builders RESS P.O.Box 489 Somerset Wi 54025 N1= 1/4 SE 1/4s 7 /T 28 18 W N Kinnickinnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6 BEDROOM, 3 CONVENTIONAL AT -GI{ CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none IL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 97.0 Alt. BM Top of Survey Iron @a 96.2' * Alt B.M. .M. Pro= Line 59 , 30 ' -2 8' Not enough slope to establish contours 45' 1% 80 ' Slope mound B -3 5' -1 60 Huffcutt Combo tank .� 10' Pro 3 1~ Bedroom House j Cty Rd S Safety and Buildings ' 10541 N RANCH ROAD HAYWARD WI 54843 s TDD #: (608) 264 -8777 N *isc - on,sin www.commeraes io www.wiscon isconsin.gn.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary August 23 2002 g , CUST ID No.226900 ATTN. POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/23/2004 Identification Numbers Transaction ID No. 776637 SITE: Site ID No. 644152 P C Collova Builders Inc Please refer to both identification numbers, Cth SS L `above, in all correspondence with the agenc Town of Kinnickinnic St Croix County NE1 /4, SE1 /4, S7, T28N, R18W Lot: 2 FOR: Revision New mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 849970 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: • This approval is for a revision to previously approved Transaction number 731445. The approved changes are: the location of the mound has changed (see plans). A new soil test has been done to provide a suitable area. The depth to the limiting factor and the soil loading rate are the same as for the previous area. All components of the mound remain +�`e"Af l the same including the length of the force main. p �1 a • The approved changes will become an addendum to the previously approved plans. All other portions of the � P V , installation shall conform to the original approval. See previously approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to C�F4fZTMEN inspection by authorized representatives of the Department, which may include local inspectors. All permits D1 SAE required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. SEE CORR 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 addre see shall - provide a copy of this letter to the owner and any others who are responsible for the installation, ope tion or maintenanc of the POWTS. Sincerely Fee Required $ 60.00 Fee Received $ 60.00 Balance Due $ 0.00 Patricia L Shan POWTS Plan Reviewer, , Inte ed Services WISMART;code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm pshandorf@commerce.state.wi.us PLOT PLAN PROJECT P.C. CollovaBuilders AD DRESS P.O.Box 489 Somerset Wi 54025 N� 1/4 SE 1/4S 7 8 N/ 18 W TOWN Kinnickinnic COUNTY ST. CROIX i MPRS Shaun Bird 226 DATE $ BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 450 # of chambers none IL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 97.0 Alt. BM Top of Survey Iron @ 96.2' B.MN Alt B.M. Prop Line 5 ' ' 30 B -2 Not enough slope to establish contours 40' B- 1% Slope 80' All comments are same as orginal plan Huffcutt Combo tank fj B-1 To have >42" of Cover 1' C 6t1bL�'it � Pro 3 Bedroom o House o MIN k 9t ILDI Corrnnents: House will be built on existing tested area. A new soil was done and is - SPONDE attached. The design of the system will Scale — 1/4 "= I O' not change only the location. — unless otherwise stated Cty Rd SS Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405095 0 GENERAL INFORMATION (ATTACH TO PERMIT) _ State Plan ID No: Personaf 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: P.C. Collova Builders, Inc. I Kinnickinnic Township 022- 1019 - 10-030 CST BM Elev: ( Insp. BM Elev: / BM Description: W . o CST vw TANK IN ORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI j FS ELEV. Septic Benchmark _W_ 21 ' L ° 2 o I QO Dosing � t � Alt. BM D r Q- � • IS Aeration Bldg. Sewer SAO r 9S• tS Holding St/Ht Inlet r �• 3.2} TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom a l 0 / " 5 Dosing 4#0 , K u I Lyb r Header/Man. z• C) 96 . l s r L Aeration Dist. Pipe Holding Bot. System 2-&5- r q�•s� PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover ,/ q GPM �•�T I�.bl Model Number ,r_ v o *rcemain t Friction Loss System Head TDH i Ft • ,• i Length 0 r Dia.2 tt Dist. to Well SOIL ABSORPTION SYSTEM 3 B Width f Length No. Of Trenches PIT DIMENSI . No. Of Pits Inside Di Liquid Depth IMENSIONS Q � � ` � SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACH] I anufacturer: INFORMATION CHAMB Type Of System: ' I 8 r , IT Mo hMd DISTRIBUTION SYSTEM 1-3�� Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake pipes) � u r W ..._ ----- Length Dia Lengt Dia 2 • Spacing l'D 3/11. 2 et SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [] Yes LE] No ❑Yes ❑ No ( COM4tIENTS : unclude de is epen ies, per nspresen etc.) - Inspection #1: /V / off. Inspection #2: / * ) L6M1I19 440 County Hwy. SS Richmond, I X 60 (N 1/4 SE 114 7 T28N R18W) NA Lot 2 Parcel No: 07.28.18.109A30 1.) Alt BM Description = Awr � ��'W�leS h d"�- ° ""'sue k , " 10— C^-v� • t` f g 2.) Bldg sewer length = lts r - amount of cover t L 3 shad , Plan revi ion egwred . s No Use other side for addi ' id -- S D -6710 (R 3/97) �� y Insepctor's Signature ert. No. �� �, . +sir ( �P, ��, be- .. �. wta Safety and Buildings Division County I v isc sin 201 W. Washington Ave., P.O. Box 7162 �� t4adison, Wi 53707 - 7162 Site Address " Department of Commerce Z f z D //S # a c ss _ Sanitary Permit Applica ' EIVED p `f°S0 In accord with Comm 83.21, Wis. Adm. Code, personal info n you Check if Revision ma be used for secondary p Privac Law, s15. 1 in S pla I.D. Num I. Application Information - Please Print All Information MAY 1 3 2002 n (� 6 S 1 property owner's Name 4 ,SST. CROIX COUNTY P 1 Number - q- . Zb, i $ . (vq -3 �' ✓ /� �, BONING OFFICE 2 2 - 10 - 030 Property Owner's Mailing Address r Property Location r� City, fate Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number ` '" ' ❑City H. Type of Building (check all that apply) � \ J/ 4 , s s 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Pubflc/Commerc De, scribe Use rg�nB' `^t t � i Nearest Road ❑ state owned n `` p -} ' O 'Z. � �, ( S III. Type of Permit: (Check only one box on hne A (numbering scheme for internal use). Comp line B if applicable) A New 2 ❑ Replacement System 3 11 Replacement of 6 ❑ Addition to For County use Sy stem Tank Only Exis ' stem Date Issued B. ❑ =Checkif a ry Permit Previously Issued Permit Number 't: Check all that )(numbering scheme is for inte a pl 47 ❑ Sand Filter 50 )(numrnal use) - Mr � . IV. Type of Per ( P 44 ❑Non - Pressurized Li Ground [1 Constructed Wetland � 22 0 pre�� In-Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Lin 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Reckculatmg 30 ❑ Other V. Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Scptic or Holding Tank Dosing Chamber VII. Responst`bility Statement- I, the undersign responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber'. MP/MPRS Number Business Phone Number n lr�s s (Street, City, State e) YX /Department Use On l ent Si cure o Stamps) Sanitary Permit Fee (includes Groundwater Date Issued Issuing Ag gna (N Approved ❑ Disapproved Surcharge Fee) Cl owner Given Initial Adverse Q� S- % M 23 V Q,ul tn.� V (� Determination n ` IX. Conditions of Approval/Reasons for Disapproval At s.a,Pc re�e.S IwuA.� Attach complete plans (to the "dm on paper not less then 8112 x 11 inches In size o uk" -AIVA (R 05101) r - I r l• 1 auw, ' '� I ' - -- -- Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code my 5 ' C r o ED Attach complete site plan on paper not less than 81/2 x 11 in in include, but not limited to: vertical and horizontal reference poi (BM), Rcel I.D. percent slope, scale or dimensions, north arrow, and location a d distance to nearest road. Please print all information MAY 3 1 2002 i wed by Date Personal information you provide may be used for secondary purposes ( rivacy Law, s. 15.04 (1) (m)). ProPY �� J / ` S Z ING OFFICE /' L, l S 1/4 S 7 TO? N R/ E (or W Pro er's Mailing Address Lot # Block # Subd. Name or CSM# 41 State 9; Ls P State Zip Code Phone Number ❑ City ❑ Village r t Road New Construdion Use: esidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ blic or eb al - Describe: Parent material y ��� Flood Plain elevation if applicable 11 ft. General comments and recommendations: ��i �e� ejle�VG� /� q a Boring # ❑( Boring r Pit Ground surface elev. Depth to limiting factor -m in. Sal 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 e Z Z —2Z 51 S l Boring # a Bones g � (9 � A Pit Ground surface elev. ` Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 O _ Z , S ✓Yl �, / S 2 as- L'�r� 5 �m �V N1�4 3 J� Effluent #1 = BOD > 30 < 220 mg/L and TSS >39A mg/L ` Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L C� (Please Print) Number Address Ahte Evaluation Conducted Telephone Number Property Owner Parcel ID # Page of © Boring # ❑ Boring { pit Ground surface elev. �� ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 —2 5 e F 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff 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. SSE)-8330 (8.6/00) 4 Soil Test Plot Plan Project Name P.C. Collova Bldrs. Sha Address P.O. Box 489 Somerset Wi 54025 TM L Lot 2 Subdivision - ------ Date 5/31/02 NE 1/4 SE 1/4S 7 T 28 N/R 18 W Township Kinniddnnic Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100% Top of Steel Fence Post System Elevation 97.0 *HRPSame as Benchmark Alt. BM A op of Survey Iron @ 96.2' B.M. Prope Line t 5l ' 30' -2 5 ' 1 % 80' Slope B -3 B -1 a� a a� Not enough slope to establish contours a Cty Rd SS PLOT PLAN C. Collova Builders (rc. AD SS P.O. Box 489 Somerset Wi 54025 /NVENTIONAL SE i /4S 7 /T 28 N/R W TOWN Kinnickinnic COUNTY ST. CROIX 4/29/02 BEDROOM 3 un Bird 226900 DATE IN -GROUN SSURE CONVENTIONAL LIFT HOLDING TANK MOUND )000 SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of 1" Iron Pipe ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark —� SYSTEM ELEVATION 100. B.M. #2 00' Property Li * B.M. # B-1 287' Well is to meet all setbacks found in 99, Comm. 83 B -2 Q/ 1% Grading is to be done 100' Slope to divert run -off away from system 99.5 / \ 13 Area 15' Below System is 'to remain undisturbed B -3 Huffcutt Combo Tank a Pro 3 Tank is to be properly ledded Bedroom and provided with loclfdown House covers with approv warning labels -4 eel N Ln CD r r- Scale = 1 /4 11 = 10' Safety and Buildings = 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 isconsin www•com %vww s �aww.wisconiscon i.us/s sin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary May 07, 2002 CUST ID No.226900 ATTN.- POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Ide N o . 73 tubers PLAN APPROVAL EXPIRES: 05/07/2004 Transaction ID No. 731445 SITE• Site ID No. 644152 P C Collova Builders Inc Please refer to both identification numbers, Cth SS above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NE1 /4, SE1 /4, S7, T28N, R18W Lot: 2, P,I FOR: New mound, 450 GPD Coll Object Type: POWT System Regulated Object ID No.: 849970 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes A F and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in a ' chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. I) The following conditions shall be met during construction or installation and prior to occupancy or use: — - -_C0 General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P (N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. SHAUN R BIRD Page 2 SMO2 • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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 nce of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 � v / Patricia L Shando POWTS Plan Reviewer, Integr ed Services WSMART code:;7633 (715) 634 -7810, Fax: (715) -5150, M -F 7:45 am - 4:30 pm pshandorf@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 s Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 4/29/02 Owner: P.C. Collova Builders Inc. System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan, °•�'` 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pum p Chamber Cross Section yap AN _�..�° 6. Pump Curve w: 6 7 -9. Maintance and Contigency plan 10 - 12 Soil test Signature License number 226900 4/29/02 • PLOT PLAN PROJECT P.C. Collova Builders Inc. AD ss P.O. Box 489 Somerset Wi 54025 NE 1/4 SE 1/4s 7 /T 28 ;N/ R, W TOWN Kinnickinnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE4 /29/02 3 BEDROOM CONVENTIONAL IN -GROUN Ss CONVENTIONAL LIFT HOLDING TANK MOUND )000C SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of 1" Iron Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 100.5' B.M. 42 00' Property Line B.M. #1 287 Lj Well is to meet all setbacks found in Comm. 83 99 B -2 0 Grading is to be done 100' Slope to divert run -off away from system 99.5 Area 15' Below System is to remain undisturbed B -3 Huffcutt Combo Tank a Pro 3 Tank is to be properly bedded Bedroom and provided with lockdown House covers with approved warning labels N 4 C)'1 O CD r CD Scale = 1/4 = 10' Date �`��1 � ''/n,�• Non -Woven Filter Fabric 4 Observation Pipe Perforated Below Filter Fabric Distribution Pipe ASSY C -33 Send f 1 " Topsoil ;~ _ G r Tr 1 w 7. Slope fled Of f�- 2 [Force Main Flowed Drain Rock From Pump Layer ID Gress Section Of A Mound •System Using _ , , A Bed For The Absorption Area A d" Ft. k 6 2 Ft. I Ft.- -3 Ft. K ,r L 77AFt. 7k r n u- �° S h► -;�S. 5 F t . L 40bservation Pipe - -------- ---- -- E — K m A - . N �� - - - - -- ------ - - - - -- __ -- - - - - -- Fort:! Main W t ° .._..�_._.._._..._ - - ---- - -- -- From Pump t p Distribution Bed Of '7 2 %? Pipe Drain Rock I ` 4 Observation Pipe Permanent Marker Pipe or Rods Pion View Of Mound Using A Bed For The Absorption Area PAGE_„_,OF Per4orated pipe Oetaii � End View )Perfototeu PVC; Pipe dotes Located On Bottom, Are Equally Spaced kart v� f + 4 A S D PVC Farce Maw FE AST 0" ULICT i'6 Cannttt�� PVC Morpfold Pipe ��, s�� Dt� Oistriautson . Pipe 44- r .,L - Distribution Pi toyottt P � Ft. R R. x In c he s Y -= 7 Inches Signed: (tole Diameter Inch -�{ lateral — Inch(es) License Number: ,- 6 �/f� Ma Date Z' nifold L- Inches Force Main " Inches of holes /pipe Invert Elevation of Laterals Ahd t. ° Mdge Ut SEPTIC TANK 1: PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ° 4" CT VENT WIPE 12" MIN. ABOVE GRADE WEATHERPROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK S FINISHED GRADE WARNING LABEL 6 -- 1 m...— 4" MIN. rS-, I8" IN. INLET llf WATER TIGHT SEALS GA APPROVED TIGHT . APPROVED FILTER - A SEAL ; JOINTS WITH ` � � LM APPROVED PIPE PIPE 3` --- ON 3' ONTO ONTO SOLID C 1 SOLID SOIL SO PUMP OFF ELEV OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE /� E�! TANK MANUFACTURER: NUMBER DOSES PER DAY: TANK SIZES SEPTIC,/U`0 GAL. DOSE VOLUME INCLUDING S"GAL- DOSE C. A L• FLOWBACK: 7 ALARM MANUFACTURER: S APACITIES: A J INCHES MODEL NUMBER: Q- SWITCH TYPE: ✓t, - B = 2 INCHES = GAL. i ' C = 441 INCHES = GAL. RUMP HANUFACTURE � MODEL NUMB D 2 INCHES = =C SWITCH TYPE. �h 2 .� REQUIRED DISCHARGE RATE 3 GPM - PUMP a ALARM WIRING AS PER ILHR 16. 23 w A c VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE - FEET MINIMUM NETWORK SUPPLY PR SUR - - ��- FEET + G' —•- FEET FORCEMAIN X ;�E . . FT /100 F TOTAL I DYNAMIC A HEAD • - • _ ,- FEET INTERNAL DIMENSIONS ;op/PUMP TANK: LENGTH U WIDTH DIAMETER LIQUID LICENSE i1t1MBER : �"" ��� DATE : SIGNED: LICENSE 1/88 Engin eering De tails -�E - p@ " Oi'111l nce ©tifu 40 30 S 2Q ! - \ OY Mmvd lll(W* _ S owl SNEM40M2 Aghmma Models sNr ►aA2 .- 0 ,410 . FA Aw 3 6.5 mew SIM Irvie 44 Foh) ��. z 10 20 34 ail 500 70 } - Te GR Hsu Total Flead,' {feetj 10 14 iy 33 " TZO°FMsi�.Ffsid (rt+1 3.Q 4.3 5.2 6.i 7,b GPM (US GPM) 70 60 50 40 .34 �D 70 O Iaselatton . - (liter 4.4 3.8 77W 7Z5 i.g 14 % RED �1s 1[rrterisi eta S" f o r 010 ft card T$ st,zn u�el. VW42)_ Maf+etri4 �-�s�uct�4ari _ NmrYe suss steel 3. N� farms pipose i° t FLOAT, 1 set Faas ca4o. /Cee®ii �S ' S W0 res�te t he ;t0 its ! Sl�dt Seel - Seot11ad1: tiodsd heel ret1 -to �siolleas Steel w+at node. Row Bad -, = £oateASioet �_ Leis l6erwep�asilt _ �� _- a 1998 Hydronxd& Pumps, Ashlaid, Ohio. AN Ri ds Reserved. Io HYDROMATIC ® - °i- - a all t640 6m" W AddW, Ohio 4405 T* 411 -MM2 Fox 414 - 2614017 Web Sk cam SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES Rely IS'Pmnps' in 69 Y&W Imp of you 06o M fiemrytar ym Toad Nkfift Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. luent filte is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area ) pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715- 246 -4516 Pumper: Tom Mondor 715- 246 -5148 St.Croix County Zoning 715 - 386 -4680 Shaun Bird #226900 4/29/02 I POWTS OWNER'S MANUAL. & MANAGEMENT PLAN i INFORMATION SYSTEM SPECIFICATIONS Owner �, _ Septic Tank CaPack /d 7 d g al ❑ NA Petrrtit �c # DESIGN PARAMETERS Septic Tank Manufacturer NA Effluent Filter Manubdurer Z e 13 NA Number of Bedroom 3 NA ElIkrernt Fiber Model ff ' /gy ❑ NA Number of Commercial Units Pump - Tank Capacity a l ❑ NA Estitn flow (average) Pump Tank Manufacture r NA Design Plow (per). (Estimated x 1. ,, Pump Manufacturer CI NA Sol A Rabe Z,,:::2 tJ Pump Model S e E3 NA trrffuentiEffhrent t�uafity Monthly average' Pretreatment Unit 0 SandNGrBvd Flto ❑ Peat Filter Fats. Ol & Grease (FOG) 530 mg/L ❑ Mil Aeration 0 Wetland Bf dwff k81 Oxygen Demand (BOD 5220 mg& 0 Disinfection O Other. Total Suspended Solids ([SS) 5150 Manufacturer Pretreated Effluent Quality ANA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand ODs) -.e.30 �' O in -ground (gravity) mound In (P SI Total Suspended Solids (TSS) 530 m91L 11 At-grade ❑Other: Fecal CoGfocm (geometric ten) s10' cW10tknl E3 O Maximum Effluent Particle S "¢e K Inch diameter Values typical nor dWwSW (-w-0= urierdan wasrswaWr and septic aids of wd- Values typical r" Wj*"ted w"tawa ter. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect oond=of tank {s) At least once every ❑ months ear(s) (Maximum 3 yrs) When combined lde and scum equals one -third (Y,j of hank volume pump out cots of tanks) Maximum 3 rs. trrspect dispersal OKs) At least once every . 3 E3 months)$ years) ( Y ) Cart et�uent f1w At least once every / j ❑months, - years) Inspect pump. Pump commis &alarm At Least once every [3 :in onttns lib s) ❑ NA Flush liberals and pressure test At least once every _ ❑ onnths r(s) ❑ NA odor At least once every ❑ months ❑ year(s) ❑ NA Other At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS fig licenses or inspections of tanks and dispersal eees shall be made by an Individual cawftV , POWs - S Maintainer; Septage certific ations: Master Plumber. Master Plumber Restricted Sewer. POWTS inspector: �yloaeg Operator. Tank inspections must include a visual inspection of the tanks) to idendry any missing or broken f effluent leaks. measure the volume of combated sludge and scum and to check for any back up or per p� ame. 'mg e kl lf l any crac on the the surface The �p� cell(s) shall be visualy inspected to dvxk the effluent levels ground of effluent of the groun surface- The Pomlog of ant on the the observation pipes and to check for any p��9 of the local regulatory authOrk- ground surface may indicate a %&V t and requires tine immediate notification When the combined accumulation of sludge and scum try any tank equals one-third and dispsp osed of in accor with ch. NR or more of the tank volume. the entire contents of the tank shall b removed by a SeptMe Servicing Operator 113. Wisconsin Administrative Code. t eat components. and any The servicing W eeffluent ftters. mechanical or pressurized POWTS components- pretrea rt m maintenance or monitoring at intervals of months or Iess shall be perforoned by a certified POWTS Maintainer. offm to the local regu authority within 10 days of completion of any service event A servige report shat be provided START UP ANO OPERATIO tlee of p products or Od For new construction. Prior to use of the POWTS check treatment tank(s ) s c ' g h concentrations are chemicals that may impede the treatment process and/or damage the dispersal cep() lu detected have the contents of the tank(s) removed by a septage servicing operator Prior to use. Page of System start up shad not occur wheel soil'conditions are frozen at the infiltrative surface. puffiV po w putagW pump bnks may fill above normal highwater levels. When power is restored the excess wastewater will be disdlarged to the of e �a� tl� situation have H of � tank rer�, roved by the backup or suf fice dlschazge ft Septa9e Services operator pdor-to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in mmwaly operatkrg the pump controls to restore nomud levels w*dn the pump tank. Do not drive or pack vshk ies over tanks and dispel cells. Do riot drive or park over. or offmwise disturb or compact. the area within 15 feet down slope of any mormd or atVade soil absorption area. Reduction or - elimination of the follooft iron the wastewater stream may MV=e the perlbrmance and prolong the life of the POWM witiblotiM traby molpeK c butts; condoms; cotton swabs; degreasers; dental floss: Gapers; drsGnfedai s; fat; foundation drailn (sump pump) wafer; Rust and vegetable peeti[gs; gaso1W grease; herbicides: meat snaps; medications; ot pOOV products. per; sanitary napes: tampons. - and water sotterner brine. ABANDONMENT When the POWYS fats and/or is permanendy taken out of service the following stems slap he taken to insure than the system is properly and safely abandoned In compliance with ch. Comm 83.33, Wisconsin Administrative Code: • An piping to tat ft and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shag be removed and properly disposed of by a Septage SwvkhV Operator. • After pumping. as tanks and pits shah be excavated and removed or their covers removed and the void space filled with sal, gravel or another inert solid material. CONTINGENCY PLAN if the POWYS fats and cannot be repaired the following measures have been. or must be taken. to provide a code compliant replacement system: ❑ A suitable replaceemernt - area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot limes and web Failure to protect the repiacernent area will result in the need for a new soil and site evaluation to establish a suitable replacarnent area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable rephMnlent area is not available due to setback and/or soil limitations. Baffling advances in POWTS technology a holding lank, may be installed as a Last resort to replace the failed POWTS- i+e site has riot been evaluated to identity a suitable replacement area. Upon failure of the POWYS a soil and site evaluation must be performed to locate a suitable neplacetnent area. if no replacement area Is available a ng tonic may be kisWW as a last resort to replace the tamed POWYS. and at9rade std absorption systems may be reconstructed in place following removal of the biomat at the inftratve surface. Reconstructions of such systems must comply with the rules In effect at that trim_ «WARNING» SEPTIC, PUMP AND OTHER INEXTUENT TANKS MAY CONTAIN LETHAL. GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWYS INSTALLER POWYS MAINTAINER Name Phone SEPTAGE SERVICOG OPERATO UMP LOCAL REGULATORY AUTHORITY Name 8 icy Phone /,s '02�r Phone This doaarwt was drafted by the staffs or 90 4e•� LOOM- Wtarrauette and waushm County Z�rg and smembn agendas. lids d000md meets the rninfrrarm re�dnmune s ar ch Comm 83 22(2X5)t1)td)&M and a3.84(t). (2) & t3). w bconsin Ada n Cade. the of ids doannerd does not P001) guarantee the performance of the POWTs- Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ) of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper notjess than 8 112 x 11 inches in size. Plan must County S l - C-�tci `x include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I,D.�VD)iU 6 Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 10 `-�_ E�TZ GoA-r �� 1/4 S�1/4 S 7 T Z$ N R ��j E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P- o gxZS X Zc� z Z — I �Z -o'j7>os City State Zip Code Phone Number [] City ❑ Village Z Town Nearest Road gT• � PtU L 1MKJ I S ( 6 [ Z) - 7Z3-)08 - 7 1-c,1 NU 1 C YZ_ I Kj1 j !C El New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate GPD Replacement �- ❑ p ❑ Public or commercial - Describe: Parent material L � h'�-l. 'I' l L- Flood Plain elevation if applica e General comments and recommendations: f"10 U Kjz) k1 9 r x 6 7' b1.STTL 4 U - n 0j'j CAL K-A)ti MU" Zr, p� S A -- )IJZ Ft��_ ,� , ?ttt11 Boring # _ Boring G\ ®pit Ground surface elev. ft, Depth to limiting factor S ' plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r 'Eff#1 'Eff#2 I O_7 L0`�NL3L S!) Zf sbk YnTb C - S — 5 - Zy -qI Boring # ❑ Boring ® Pit Ground surface elev. 4q • ft. Depth to limiting factor Z S in. — 7` Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0- L jli' 3 sit Z-sb mfi cS _ t s Z -7-zs �2 3Ub - sz Z sbk s_ �_ _ • 5 � m� s •� 3 IS 3-7 P- S( l 0_W -- s- 1.S1s; s �c� lcsba< m � - , z •3 ' 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) ignatu CST Number Arthur L" Wegerer Q 1-S9 `$Z 220254 Address Vie e r e r Soil i l ,7 Date Evaluation Conducted T elephone Number g T estin g s t l n & Design s i n S e r 421 N. Bain St. River Falls, WIg54022vice L/ -Z6 =0► 715 -425 -0165 Property Owner L N _T' Z Parcel ID # - P e) "-� i fu G Page Z of 3 F Boring # ❑ Boring q I I ® Pit Ground surface eiev. ft. Depth to limiting factor Z 7 1 -' in— Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Si. Sh. •Eff#1 •Eff#2 o -b Ib''tVZ �lz - si l Z�Z ' \ridv CS - . S , e Z ZIf Lb V f2 31C 1n. `A- • S s LC-1 Z .3 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS < 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. SB44330 (R6mo) PLOT PLAIT Paoe 3 of 3 ./ Scale 1'= Sp' I � C �Q J (n " Z I P O -- - r o no ` ate ° i v� � a s .\ � � fl � s�v �"� - rt - t2 s l4 ►�!4 VI OP i $ � 715-425-0165 220254 C�� S� ,� Z CST Signature Date Telephone No. CST No. Job PTO. I • . • • .• 1 • • • • ••- . - • • ■ 1■■ t■ � ■ ■ ■t ■ ■�w ■ ■ ■iia�wwwwwwi ■ ■ ■ ■ ■ ■ ■■ ,!!I,,;�� ■! ■`��l��l�1 7��rL[�l �� ,'.I�i�C��r'�J'lt�!J ■■ - . ! ■■ ■ice /'�y<%!R�E�T�IF���1,i��f ■� ■�riJZ�i� ■! ■� !C■ III! JP?�1■■■■ ■ ■ ■ ■■IVIi ■ ■ ■ ■G�la6i�1 ■ ■ ■ ■ ■ ■ ■ ■■ ' fnlri�'�L� " V' J► L■ L:[ i ;��L!\i /.■i7 ■ /1► \G�•_r! ■ ■ ■ ■ ■ ■ ■■ ■►rl■�11l11���� � ■ ■�w�J��iT i�il�f"/ / ■ ■ \ffEiL�i ■!� ■ ■ ■ ■ ■ ■■ ■■ 1�Zi' ��/ IafuriFiWffiG� liri ■�►i'.',i�� \r1I�,.� ■ ■ ■ ■ ■ ■■ , .. . ► ■ ■ ■%! 111■■ wl■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■t3�'�' ■ \! !!r(1 ■ ■ ■ ■ ■ ■ ■■ ..... 1■ ICY ■�J.% Jul ■I■■ ■ ■■■■ ■■■ ■■■■ ■ ■� ■■■ ■ ■■■ ■ ■■■■ , .. . ' 11 ■ ■ ■ ■■ ■11 +1��7 ■ ■ ■ ■iifi'■■ ■rte ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ! ■ ®��■!■ 1i1vIa00 VM01ia!■E i Ill i■■■■■■AW0IF■71!M, IRA - i ■■►�NSA"T'JVA Fall Pal W,a ■ :li■■■■■■t=:rm r■aIIA0 1■ C�fl�hil�% �ii�t'! �11 1■ 1► IJ ■I ■ ■ ■ ■ ■ ■il ■ ■ ■ ■ ■ ■,►1 / /'fl ■ ■ ■■ Q • i ■ ■ ■Y ■ ■ ■ ■ ■■ ■t�1 X71'` \ ■ ■ ■ ■ ■ ■L ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■■ f 1 J EROSION CONTROL PLAN CHECKLIST m 7 Check ( ✓) appropriate boxes below, and complete the site diagram with necessary information. F' �. z Site Characteristics A North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑' Location of existing drainageways, streams, rivers, lakes, wetlands or wells. jQ Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations. Approximate gradient and direction of slopes after grading operations. ;; ❑ + Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices Q Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). :', ❑ Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide vegetative strip) that will prevent eroded soil from leaving the site. :' ❑ Location of sediment barriers around on -site storm sewer inlets. ❑ Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated 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. Q ❑' 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 seeding with use of erosion control mats. �' ❑ Location of practices that will control erosion on 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). ', ❑ Location of other planned practices not already noted. sR r FROM PC COLLOVA BLDR &BROTHERS EXC FAX NO. : 7152943632 May. 20 2002 07:57AM P1 Standard Erosion Control Pl for 1 & 2 Family Dwelling Construction; Si RECEI VED .; ti+ <ea<: ' t..5.,. s• '4 r:'':,'... .kar` . { : 7P�� .ii r. ..i• F .r : " b!.::..s:::SS : :.i.� :':,'�' ; :::i . : �!.; ....a ^� `, i �74tS7,•. R " a, .: {� .::irk ? :.: • :. �{'. i f�SS:oa .:l rc may a <:Gha TI.k20<s & r:Z A '� fabisco � it1313.tiif 1T { �] ` de >:•, •,..., .. >•:.; 9Sr::}::.: ,X.;s: •r:. n,. ..�. a w.ei�.•4xK<.:e.p >).:' .....:. 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Collova Builders, Inc. 715- 247 -2742 Applicant: Name Daytime telephone number P O Box 489 Somerset, WY 54025 _- Street address, city, zip code Iandnwaar. P. C. Collova Builders, Inc. 715- 247 -2742 Name Daytime telephone number P O Box 4$9 Somerset, WI 54025 Street, address, city, zip code Location of the binding site (Complete as appropriate): E � quarter of Section _ . Town N., Range E. Lot Block � Street address Instructions: 1. Complete this plan by filling in requested information, marking (✓) appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading, Water runpff patterns can change significantly as a site is reshaped. _ 3. Chapters IY..HR 20 8t 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Consvucnon Site Bert Management Handbook. and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wisconsin construction Site Bert Management Handbook are available through State of Wisconsin Document Sales, 608/266 -3358. Erosion Control for Home Builders (GWQ041) can be ordered thMUgh Cooperative Fxdcmion Publications, 608/262 -3346. 4. Submit this,plan at the time of building permit application. FROIT : PC COLLOVA BLDR' &BROTHERS EXC FAX NO. : 7152943632 May. 20 2002 07:58RM P2 , ChcC .W.) apprupriate boars below, and complete the site diagram with nooessary infotmadox cps : c Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑ Location of odsting drainageways, streams, rivers, lakes, wetlands or wells. ❑ Location of storm sewer inlets. 8; The gradient and direction of slopes before grading operations. The gradient and direction of slopes after final grading operations. Location of existing and proposed buildings and paved areas. 0 � Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ❑ 17 Location of temporary soil storage piles. Note: Aldwugh not specifically required by Code; it u recommended that soil storage piles be placed / behind a sediment fence or more than 25 fe et from arty downslope road or drainageway. C Location of gravel acres drive(s). - Note- Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway S0 feet or to the house foundation (which ever is lers). - CI 1 . 0 =1 0 11 of sedime fences (filter fabric fence, straw bale fen or vegetative strips that will prevent eroded soil from leaving the site. C] Location of sediment barriers around on -site storm sewer inlets. ❑ Location of diversions. Note: Although not speeifteally 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 ❑ t Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). / Nate: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of emsion control mats. ❑ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabifted drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practicer as in- channel fabric or straw bale barriers, erosion control mats, staked sari, 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. ❑ Location of other planned practices not already noted. FROM : PC COLLOVA BLDR &BROTHERS EXC FAX NO. : 7152943632 May. 20 2002 07:58AN P3 ,Indicate manageuient s=tegy bychecldug (V) the apptopriatc boar, q� Mane meat Strafe � 0 • Temporary stabilization of disturbed at=-- Note; Although not specifically required by Cede, ii is recommended that disturbed areas and soil piles left inactive for emended periods of tune be stabilized by seeding (between April 1st and September 15th), or by other cover, such its tarping or mulching. Permanent. stabilization of site by re vegetation or other means as soon as possible ❑ Use of downspout andllor sump pump outlet mum ionL Note. Although not specifically required by Code, it is recommended that flow from downspouts and sump 'Pump outlets, be routed to stable areas such as established sod or pavement- 0 Tkapping sediment during dewatening operations Note. Although not specifically required by Code, it is recommended that sediment -laden discharge water from pumping operations be ponded behind a sediment ba rier until most of the sediment settles out. Proper disposal of building matmal waste so that pollutants and debris ate not carried off -site. MaiatettaaW of erosion control prac&= Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. Bwaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • AU sediment that moves off - site due to construction activity will be cleaned up before th 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. ,..: -..> . �+, � .....,,..> > <• :. >•s •>.:, •`. ` •,,..:. ..:.,..> • •v :::....e. i'. �.: ;.':. ' i ;!» a x .G:i;::`r i� S. b a r•. r ,f' R . ,.,• .: ,uu. Y. Y.., ,i, 5. .. ..:....,: ... Y... 7. .. .., .. .. ...:... ... .. ... rt• :.;.:.' •e<.deilty. .y •`3i5S'i"4: =.0li5 i��'! /;. mY. 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'�i :tIahereby;ceofy that; p. <:uderstand; ;)te':<oonsiructiQa site•:er8sioii: contr!ol,. zbVisioiisaf = #fh „iItscgn.inklidff�rm:`;s :xi)7W4117It ``C.Qd a<Ild . :. >:a: :. ¢' x:•sp:9;::y. }; ,r>pbw:xY r�l� a �> ta1:ACCe ASlbllr ;..::... P eabove - - vow po� ty: carryiir� the o {YI "'15::: �'' }l 1� ,/r•>::r r S: ry _• ,attilt0 _ .:<?�•;�:. ; >�:::: < «•:r:•;.s�:x•�.• .„>k:,. •;tc:�•: : �, :g , .�• ;:::r.rx>t�., � ;,:',{,�`>.. I N , G L tY R + >. cb� r•• � `.S'S a� 'r.4•. :ii::! i�3 ' . r::;k:ibsdu...,.> , <f�x,sa et....�.> :.„ „ .•:,..,.. p . .....:.......:,... ..... :: >, »,.:•. �..,.< "`;': ;.x�. � A publication df the University of Wisconsin= Extension, Ron Struss, UWEX Wafer Quality Education Specialist (12/92). This publication may be freely duplicated Additional copies are 'available through the UWEX Environmental ,Resow>;es Center, 216 Ag Mall, 1450 Linden hive. Madison. Wl< 53704 6081262-3652. FROM P C COLLOVA BURS, INC PHONE NO. : 715 549 5911 Feb. 01 2001 07 :33AM P1 ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND �+ OWNERSHIP CERTIFICATION FORM Owner/Buyer - R Y 5 __ =N'C . Mailing Address ' 489 ZLI Property Address `7 -r (Verification required from Planning Department for new construction) City /Stato Patrccl Identification Number LB GAL DESCRMTIUN Property Location Me= 1 4 c5� 1 4, Scc. �, 'ItAN -R -& W, Town of a - Subdivision `"�— Lot Cer0ed Survey Man �� "` ' v Warranty Deed i# (o �� �b� . Volume P$9 Page # 3l Spec house ❑ y/ Lot lin_ iderltiG I , yer ❑ no SYSTEM MAINTENANCE Impwper use and maintenmce of your septic system could result in its premature failure to iu+udic wastcs. rxoper maintcaaucc consists of pumping out the septic tank every three years or sooner, if needed by a lictascd pumper. what you put into the system can affect the fimctl= of the septic tank as a treatment stage in rho waste disposal system. The property owner agrees to submit to St Croix Zoning Department a certification. form, signed by tb.- owner. and by a masterplumber, jvumeymanphunber, restricted plumber or a licensed purger verifying that (l) the on -site wastcwaterdisposal system is in proper operating condition andlor (2) alter inspection and pampiag (if aecessiU), the septic taut: is less than 1/3 full of sludge. I/we, the uadmigned 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 Nattrrai Resources, State of W iseansin. Certification tbt that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 the three year expiration data. Ox9 r0 SIGNATURE OF APPL ICAlf D ATE owNER cE I2TIFI�A 1ON I (we) certify that all statements on this forest are true to the best of my (cur) knowledge. I (we) ant (are) the ownet(s) of the described o e, by virtue of a warranty deed recorded in Register of Deeds Office. am ( 1// P19 x(La SIGNATURE OF APPG CANT DATE •a44ai Any information that Is mis- represented may result in the sanitary pennit being revoked by the Zoning Department. • " "' as Inetude with this sprltealtan; a stamped warizaty dccd from the Register of Deeds omce a copy of the cartitied survey map if reference is made in the warranty decd U 1890P 318 STATE BAR OF WISCONSIN FORM 1 —1998 WARRANTY DEED 6 7 8 9 6 2 KATHLEEN H. VALSH REGISTER OF DEEDS Document Number ST. CROIX Co., VI This Deed, made between Frederick G. Lenertz, single , Grantor, RECEIVED FOR RECORD and P.C. Collova Builders. Inc. , Grantee. 05 -14 -2002 12:15 PH Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of WARRANTY DEED Wisconsin (the "Property"): EXEMPT f REC FEE: 11.00 TRANS FEE: 119.70 COPY FEE: CERT PAGES: FEE: F �Q1 1- _ R 7.s S O Fr8r, A-)C So M /U 5 par} o 022 1019 10 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot 2, CSM Filed in Vol. 15, page 4103 Certified Survey Maps, located in part of the NE % of the SE' /. of Section 7, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 9th day of May 2002 (SEAL) (SEAL) F (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, } ss. St. Croix County authenticated this day of , Personally came before me this 9th day of WiENDY SWATZINA , May 2002 the above named NOTARY PUBLIC Frederick G. Lenertz. Single to me known to be the person who executed the foregoing instrument TITLE: MEMB E An 'v i ONSIf3 and acknowledge the sa (If not; authorized by §706.06, Wis. Stats) • <I Ar THIS INSTRUMENT WAS DRAFTED BY Notary Public, Sta elof W isconsin Coldwell Banker Burnet 1301 Coulee Road My Comm! sion is permanent. (If not, st to expiration date: Hu 54016 -258 •) (Signatures may be authenticated or acknowledged. Both are not necessary.) I " Names of persons sIqnIn2 in any capacity must be typed or 2rinted below their si natur . i STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 —1998 Milwaukee, Wis. �I i _ I t �. �IL1 • � `� -- , 'dam -30 / 6 4 CERTIFIED SURVEY MAP PREPARED FOR LOCATED IN PART OF THE NE1 /4 OF THE FREDERICK LENERTZ SE1 14 OF SECTION 7', T28N, R18W TOWN OF', 220 LIVESTOCK KINNICKINNIC, ST. CROIX COUNTY, WISCONSIX EXCHANGE BUILDING ST. PAUL, MN 55075 MMPdG^Q�_D dp[YJDD �_ ', rn o W 01�7MCD Dtl 04]CG3�3 9 F^ \\ N R o W COULEE TRAIL FILED 1Z L N N , —5285.15'— _ JUN O � W EAST -WEST 1/4 LINE w W w S88 °1 1'55 "E rn X 11' " 1 1 /4COR. i*w K l 1 w Z W1 /4 COR. 4984.98' a? S88 ° 11'55 'E 287.16' EC.7 O Co• ¢ ¢ ' m SEC.7 w \ �J I p = N I W Z 3 2 Q ■ ' I I!') IO- SCALE IN FEET I"= 200' LOT i N ^' r 1= 3.733 ACRES (162,600 O SO. FT.) INC. R/W m N 200 0 200 {{pp 3.131 ACRES (136,372 33 m I ■ �q SO. FT.) EXC A 200.05' ++� D I �J1'51 ■E 28320:09' Q �S Ig 6.98' 33.16 I Igl N S88 °51'51 "E 5 1 9 loig N LOT 2 0 p I V 3.284 ACRES (143,038 : 'j oN .4 101 SO. FT.) INC. R/W o rri o I 3.074 ACRES (133,908 1 130.03' SO. FT.) EXC. R/W 520.14' . N I I g 1'51" 486.90' N v 616.93' : 33.24 1 Ii °� S88 °51'51 "E 650.17' I I 1 a1� (._� (� D i LOT 3 p 3.955 ACRES (172,296 c S y SO. FT.) INC. WW o 0 H n 0 3.753 ACRES (163,477 . O SO. FT.) EXC. RMI c � m J O y ` 616.85' 33.32 is S88 °51'51 "E 650.17' LOT 4 33 m N N (11 3.955 ACRES (172,296 � w SO. FT.) INC. RtW 0 0 3.752 ACRES (163,456 SO. FT.) EXC. RNJ 6 616.78' 33.40 9D rspw a Z w SOUTH LINE OF THE �4 g LEGEND NE1 /4 OF THE SEIA 1+ �44f DD FOUND ALUMINUM COUNTY RA RIM SECTION CORNER MONUMENT OCG` 1lDD C3�`I_04G 1GG33 SE CDR. FOUND 2" IRON PIPE SEC.7 SET V X 24' IRON PIPE, WEIGHING O 1.68 LBS. PER LINEAR FOOT • . • • • • • • • ........ ROADWAY SETBACK LINE (100' FROM R/M EXISTING FENCE I THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6000 -06 DATE: 02/20/2001 REVISED 0418/01 Vol. 15 Page 4103