Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
022-1019-20-100
` TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.# 07883/01 PAGE ] ST. CROIX COUNTY REPORT DATE" 7/24/90 COURTHOUSE DATE RECEIVED# 7/20/90 HUDSON. WI 54016 ATTN# THOMAS C. NELSON i OWNER# Brian Brogie a LOCATION# 973 Couteee Trail, Roberts COLLECTOR# M. Jenkins SOURCE OF SAMPLE# Kitchen faucet 4, COLIFORM# 0 /100 ml INTERPRETATION# Bacteriologically SAFE , NITRATE -N# 3 ppm Under 10 ppm is safe for human consumption. Nitrate - Nitrogen, mg/L Conform Bacteria /100 mL i LAB TECHNICIAN's'Pam Gane WI Approved Lab No. 19 DF . \NDEDEND r v s s t Means "LESS THAN" Detec table Level Approved bY' o PROFESSIONAL LABORATORY SERVICES SINCE 1952 i� National �3 r... of HudS011 307 2nd �..Cc , Hudson, WI 54016 3T. CROIX COUNTY ZONING OFFICE • +� St. Croix County Courthouse 911 4th Street C � Hudson, WI 54016 Telephone - (715)386 -4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING--------------------- - - - - -- -FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION---------- - - - - -- -FEE: $25.00 l/ (Determines if system is properly functioning at time of inspection) Property owner's name Property owner's add less Legal Description P -ON 1 / ,Z of the 5 1/4 of Section �_, T�51' N -R l8 �J Town of Lot Number _ Subdivision Name FIRE NUMBER LOCK BOX NUMBER Color of house Realty sign by house? If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone Number REPORT TO BE SENT TO: Closing date Signature _a ST. CROIX COUNTY WISCONSIN r ' ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 _ (715) 386 -4680 July 24, 1990 Kathy Machnick First Nat'l Bank 307 2nd St. Hudson, WI 54016 Dear Ms. Machnick: An inspection of the septic system of the Brian Brogie property located at 937 Coulee Tr., Roberts, WI was inspected on July 19, 1990. At the same time I also obtained a water sample for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspections. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, / Mary J. Jenkins Assistant Zoning Administrator cj COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 - 962 - 5227 , ST. CROIX ZONING REPORT NO.*# 03491/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 4/08/91 COURTHOUSE DATE RECEIVED*# 4/05/91 HUDSON, WI 54016 ATTN! THOMAS C. NELSON Z-6 - ` OWNER *# Brian )#rog i e (/ LOCATION! 973 Coulee Trail, Roberts COLLECTOR t M# Jenk i ns SOURCE OF SAMPLE*# Kitchen faucet COLIFORM: 0 /100 at INTERPRETATION*# BacteriologicaLLY SAFE NITRATE-N4' 2 ppm Above 10 ppm exceeds the recommended PubLic Drinking Water Standard. Colifore Bacteria /100 at Nitrate - Nitrogen, mg/L LAB TECHNICIAN*# Pam Gane WI Approved Lab No. 19 OF .NDEVENCp L v s S < Means "LESS THAN" Detectable Level Approved by*# o PROFESSIONAL LABORATORY SERVICES SINCE 1952 l ST. CROIX COUNTY ZONING OFFICE Gi �ti 911 4th Street Hudson, WI 54016 Telephone - (715)386 -4680 i ese St . Croix Co . Zoning Off ice offers the service of septic and , water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING ---------- ---------------------- FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING -------------------------------- FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION --------------------- FEE:$ 25.00 PROPERTY OWNERS NAME: PROPERTY OWNERS ADDRESS: c� i ) C 1 <' Tj -c) + LCITY : i�U E r 5 Legal Description f_ 1 /49FSE 4 d1/4 T N -R _ W, Town of i ,Lot No. ,Subdivision FIRE NO. � LOCK BOX NO. + �� m Color of house t t j y , � \ Q Realty sign? C- Firm: ( 2 PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK WITH LOCATION SHOWN AND A COPY OF THE LISTING SHEET. residential water requires a sample Testing of res le that is fresh. If t q P the home is vacant, and has been so for some time the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gai ned.. Firm or individual requesting services: - Telephone No. 3 REPORT TO BE SE I TO: (' >"Qo'1 CLOSING DATE: - `i1 signature: F ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE e - 911 FOURTH STREET • HUDSON, W154016 (715) 386 -4680 i tr April 3, 1991 Opal Margaret Burnett Realty 2020 Washington Ave. Stillwater, MN 55082 Dear Ms. Margaret: An inspection of the septic system on the property of Brian Brogie, located at 973 Coulee Trail, Roberts, WI was conducted on April 4, 1991. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended t hat the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. erely, P Ma Ank ns Assistant Zoning Administrator c7 Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515021 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Pottebaum, Ron & JoAnn I Kinnickinnic, Town of 022 - 1019 -20 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 7a. - 71 f} ► �- 8 ✓^V\ 07.28.18.1106 TANK INFORMATION ELEVATION DATA O , `7(p ql• S qa -?T TYPE MANUFACTURER j K a Alj CAPACITY STATION .y BS HI FS ELEV. Septic 3 Benchmark e '�, � 0S'1 600 k- J— 1, 5 9Z �' As . 78 Dosing Alt. BM � � • 7p AerffttM d 1a fr., 525 Bldg. Sewer �. 79 Q1 ' `�, Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht Outlet �� • � �oS TANK TO 1 /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet cl Septic Dt Bottom ro 00- 750 75 /7 7 — A.43 77. Dosing 7 7 �� 7 5 ' sz) Header /Man. �z (0 Aeration Dist. Pipe Holding Bot. System o Final Grade C t PUMP /SIPHON INFORMATION 5. 7, (o Z Manufacturer \, Demand St Cover O J I , G ' , / 3. 7� bV C t-t t- ` * d 5 Y � Model Number & C 32, / 6 �Ov�.TOu f o 5 . 7 3 $, /• b TDH Lif�' J � - Friction Loss System � G TD � Forcemain Length Dia. Z I Dist.toWell / SOIL ABSORFfhON SYSTEM BED /TRENCH Width / Length 1No.OfT PIT DIMENSIONS No. Of Pits Inside Dia. Liquid epth DIMENSIONS � 5 140 !1e `` �� SETBACK SYSTEM "r0 P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of S tte` //q ' 1:50 UNIT Model Number: .\ DISTRIBUTION SYSTEM Header /Manifold ,, D� i x Hole Size / x Hole Spacing Ve V o Air Intake Length ' Dia ZS Lngth { ' ? y Dia /' Spacing ` 7 ' s 1 /� �" ✓� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 1 Depth Over xx Depth of xx Seeded /Sodded 1 xx Mulched Bed /Trench Center I _tom Bed/Trench Edges Topsoil Yes � No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Z- / 8 0 / Inspection #2: Location: 973 Coulee Trail Roberts, WI 54023 (N 1/4 SE 1/4 7 T28N R18W) NA Lot 1 Parcel No: 07.28.18.1108 1.) Alt BM Description = / 2.) Bldg sewer length - amount of cover = Q / 1 �O 0� L evision Required? Yes No S her side for additional information. _10 (R.3/97) Date Insepctor'' ignature Cert. No. I , o)q h Cmmerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) 4ft .6 ' t i D P a 0 Fm ent of Commerce 51 :5 0Z r Sanitary Permit Application State Transactio Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the app ro gove Project Address (1Y different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owne WT S submitted to the Department of Commerce. Personal information you provide may be used for s dary Q�� L i7v /ee purposes in accordance with the Privacy Law, s. 15.04 I m , Slats. Same / I. Application Information - Ple Print All Infor / Property Owner's Name 1 Parcel # Ron & JoAnn Pottebau 022-1019-20-400 Property Owner's Mailing Address Property Location 973 Coulee Trail ST. CROIX COUNTY Govt. Lot ' �l0 City, State Zip NE_ 'i /, SE Y., Section 7 (circle one) Roberts, W1 54023 (715) 426 -5579 T 28 N; R 18 w II. Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling - Number of Bedroom 3 L_ - J - 1 Subdivision Name 1/ G Block # CSM El Public /Commercial - Describe Use Na ❑ City of ❑ State Owned - Describe Use / CSM Number , ❑ w i � e of `'� S ��� ov A# 7_1 74 '� 10. of Kinnickinnic CSM Vol. 7, Pg. 1863 III. Type of Permit: (Check on! one box on line A. C e e ine B if applicable) A' ❑ New System Re lacement System y p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. El Permit Renewal El Permit Revision El Change of Plumber L1 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that appl ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil Mound 124 in. of sui El Holding Tank ❑ Other Dispersal Component (explain) El Pretreatment Device (explain yLok PL -525 effluent filter V. Dispersal/Treatment Area Information: 4.5' x 100' di spersal cell — — Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s Dispersal Area Proposed f) s em E eva to 450 gpd 1.0 ASTM C -33 sand 450 sq. ft. ZLj 450 sq. ft. 8 ' at " above 0.4 -situ soil 84.00' contour VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units c New Tanks Existing Tanks 0 ° c u 0 A. U vi* y cn w c7 P, Septic or Holding Tank 1,000 _ 1,000 1 Wieser Concrete X Dosing Chamber 750 _ 750 1 Wieser Concrete X VII. Responsibility Statement- I, the and igned, assu responsibility for ins1pJ4tion of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signatur MP/MPRS Number Business Phone Number James K. Thompson 30021 (715) 248 -7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, WI 54020 -5413 VII ount /De artment Use Onl Approved D�Reaon Per /mitjF/e�e Date 2 sue Issuin gent Sign nial $ 1!/W • 00 1 ,J IX. Condi�itsf�/Jteasons for Disapproval 3) S � 1. Septic tank, eftlGtint fitter and dispersal cell must all be services / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained �� „ (,� �•,; 5 C rte• �"'• as ' or applicable code / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 812 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 Co u- e -p i o.s -` de r ed ._� e leG'�/"i C Su'di LQ. Sao f ! r✓ 3 r Assume e l¢� _ /Ud. �. 3 btolr�+ > ,I sysl•m. Spcc;� ; c c�++/�on P; E KeS� donee a d�a�do�ed as P ee code I ► F/e dQ ion 00 TMHM � S�ASrry ✓ccJGr't 9.2- .W, /.w� dtc� ,Ej�„ Q � � /COna,�d� S6iQna Pow- cb¢u.� se w /IESE, Se c. 7, T. ZB�C, ,P. /BUJ., 3 Tn,W 447.o(:� Il4iC,S{ proRose.d �;e5er Gmc. b n # o;Z-z - io�y_ZO -iGC%' y 7. � a cres 0 0 z-, z, E' � -/ - sz 5 er�f" Jk ��{; /�c.ut �o�e: r(ea•fes� /off �.;�z z ELSE /f�•.�T.ir1.3o3/ ed�c(�.E. �� >of�rr�os�d.. PFt /u e. f / it to E�2 /aycda� -'l /o c /auk <'�n.slrc%nz - fie . �l' �J v r' jib /e W, /f ,tr4C if &"j J /i0.78' PrePos¢_c(u7.eSer C'C!'eie w7S0 mk,0u -r c�tan,� i i r 1 1 h z "sc . do Pie B�o confo�� 1;fec ,d at b� - , gi` �,, � y9s8X /.zs�.zs �..✓ySx��v gl.p, - - - - - -- 3 ,� _ /ou a /S at /1ss XyY..3sz - - - - - - - 8 ,, y "o+ /F ems S,oa E.d Qi� 1.53. 5y5Ee,K e1Fa p Copy - _ �ro �-' b �� _ � - - eorr -ele 83 , ( ct� 1 A �So�1 `_ (,,ee -7a I - , Ba.rrt 6r.. e (eefr; c strd; c¢. r O f S, ding. A s S[�ine cl ��/ r ' Ai°P�°,Y• /oCiG►� of ■ -% ed� /ua,�or> •� e leu; _ /lJtJ,GLt>,' b.cd�br -� r/ 3ysi". Spcc ;�;''c c�+� eS, nce w►,E'n 5 ysi" v 6 E✓ eda o� a a 6andoY,ed as pae code EIeK of E•P u; hG 30 3 rrP ✓.c. \ ra<fe = 97� /J ,Qi{'r / �t"onak�� �Taffnn Po ESE Sec. 7, rzB /t,.e /Bw• 3 Tn.�•f'�jnn.C.Ein+cliG Sf •G•OitCe. / C-/ A' 0u- 1019- 20 -/66 p,- c,/wse -d LO,'eSPr Grrrc. being 7 cb acres W/ Po / P� -sz5 Ou �` /STS. / /�eare5� /a� 6 >1-e z<vt/ie EC-S ,tip Pole 41/— A To o{ wcou &' , 5 J ?osn . C/o.' _ `/0.7d IF nn r r J 7S - n•(pP u--fi C A-Ia l 4k r' 1 I 0 'boar •D r + /Y(ou. d 2t X2.0' -� _�- • �' r n�,yotrSQ/ ce// (y) ae /8 cy -Va�Ed 1• >3 y5Ee„1 e1(0 Ix gof 1 Safety and Buildings . commerc e 3824 N CREEKSIDE LA wi. ov g HOLMEN WI 54636 i scons i n Contact Through Relay �.c ommerce.W.gov /sb/ t e partment of Commerce vwvw.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary ,October 27, 2008 CUST ID No. 30021 ATTIC- POWTS Inspector JAMES K THOMPSON ZONING OFFICE A.C.E. SOIL AND SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE LN 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/27/2010 Identifcatian,Numbers ' " Transaction ID No. 1604481 SITE: Site ID No. 743850 Ron & Joann Pottebaum ;Please refer t�%bQtla�adentrficarion nu nber� 793 Coulee Trail ba e, ri all coTrespQnd'e ' 14141 -P, 9 envy j: Town of Kinnickinnic St Croix County NE1 /4, SE1 /4, S7, T28N, R18W Lot: 1, Subdivision: CSM Vol 7 Pg 1863 FOR: Description: Mound/ Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1206286 Maintenance required; Replacement system; 450 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0 BD- p , S 10691 -P (N.0 1/01), Pressure Distribution Component Manual Version 2.0, SBD- 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. ('lal"1'"fitll1 • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. t Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and fli , 2 X dispersal are prohibited. RTMlENT OF OF EY • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. y <a • A Sanitary Permit must be obtained from the county where this project is located in accordance with the SEE CORRESP requirements of Sec. 145.135 and 145.19, Wis. Stats. JAMES K THOMPSON Page 2 10/27/2008 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stat • 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 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services S' T * cide 733 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. t. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Pottebaum 3- bedroom residential mound Owner's Name: Ronald D. & JoAnn Pottebaum Owner's Address: 973 Coulee Trail Roberts, WI 54023 Site Address: Same Legal Description: NE1 /4SE1/4, Sec. 7, T.28., R.18W. Township: Kinnickinnic County: St. Croix Subdivision Name: CSM Vol. 7, Pg. 1863 Lot Number: 1 Block Number: Na Parcel I.D. Number: 022 - 1019 -20 -100 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings RECEIVED Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan G i T 2 4 2008 Page 7 Pump curve and specifications Page 8 Site Plan SAFETY J& BUILDINGS Page 9 Attached soil evaluation report Designer: Jim Thom son License Number: 30021 Date: 10/18/08 Phone Number: (715) 248 -7767 Signature a ll y y Designed Pursuant to the r E Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both :omw E SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and "Nd INGS Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) _� JNDEryCE Version 5.1 (R. 06/06) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 12.00 Site Slope ( %) 84.00 Contour Line Elevation (ft) 12.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.0 Dispersal Cell Length Along Contour (ft) = 4.50 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/ft) 7 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) c Center or End Manifold 2.25 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 5.63 ft /orifice 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) Does the forcemain drain back? Y 78.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) 7.00 Vertical Lift (ft) 62.87 5x Void Volume (gal) G 0.81 Friction Loss (ft) 68.58 Minimum Dose Volume (gal) x 0.00 In -line Filter Loss (ft) 32.95 System Demand (gpm) / 36 14.31 Total Dynamic Head (ft) 3 Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 x 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 75036 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 20.28 gal /in (enter result in cell B49) Dose Tank Information Efflu Filter Information 750.361 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 20.281 Dose Tank Volume (gal /in) PL -525 Filter Model Number Wieser Concrete Manufacturer Project: Pottebaum 3- bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views T 1/10 B : . ':':':':' ':': .a: J Observation Pipe . • . • . _ '.'.' . . . . . . . . . . . . K . L.L.•..... L.L.•..... •..L..••••.L�•L.-.L •. •..•.•••. L•'.••.•L•L•L ;•.••. • L; • . .L�titi•• �tifL.•.•,. 51FF5.�•. ;LfL• �,fLf4•' +.:•; • A •L �� • L ti• '. VV1I•.``''''��11•• ��. '.% 'L � 'L: :'�. :'. 'ti �; L Mound Component Dimensions A 4.50 ft E 30.48 in H 1.00 ft K aft ft B 100.00 ft F 9.25 in z 17.86 ft L ft D 24.00 in G 0.50 ft J 7.22 ft W 450.00 (ft Dispersal Cell Area 1 2236.33 (ft Basal Area Available 4.50 (gpd /ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 87.77 (ft) --► .rrrr ..... G H r�rrrrrrr 2 r�rrrrr,. F r Dispersal Cell 86.50 (ft) La rr ... teral 86.00 (ft) — Invert Dispersal Cell Elevation E . D .; . :: . . .. 84.00 (ft) Contour Elevation 12.0 % Site Slope Geotextile Fabric Cover Shading Key a c_. T Dispersal Cell See lateral details on 1❑ _ Topsoil Cap c °• 1.5 ft Page 4 for number, size, F - - 17171,1 9 Subsoil Ca y C L ' ~ ' L ' and spacing of laterals. © ASTM C33 Sand `6 .. fti�� ° -• ''�= �j::•; F Laterals are equally ® Tilled Layer N 0.5 ft Typical + Lateral • • r,; ;r spaced from the 05 '.rtirti Aggregate c ;•r f's 's"•r�r I distribution -•- centerline in n cell's the distribution cell (AxB). Project: Pottebaum 3- bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical P 5 •= Turn -up I v a valve or ;<-X--+m02 I Laterals & Force main of PVC Sch 40 clean out pl u 9 per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 2.25 ft Orifice Density 5.63 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 2.25 ft System Flow Rate 32.95 gpm Manifold Diameter 1.25 in Total Dynamic Head 14.31 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —•—► Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented -- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acityl 750.36 Gallons Volume 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.62 397.86 B 2.00 40.56 C P ump off elevation (ft) C 3.38 68.58 79.50 D 12.00 243.36 D Total 1 37.001 750.36 Dose se tank elevation (ft) 3" Bedding un er tank. 78.50 Alarm Manuafacturer JJH Rhombus Alarm Model Number JSJE 1011421 Pump Manufacturer JZoeller Pump Model Number IBN151 Pump Must Deliver 1 32.95 gpm at F 1 4 - 11 ft TDH Project: Pottebaum 3- bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name (� Jim Thompson Phone 715 248 -7767 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BODS 220 mg /L P Cap acity 9 Septic Tank Ca aci 1000 al Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft' Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Ins ect for ponding and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished K nGrade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution �g Lateral Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Pottebaum 3- bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706 -P (N. 01/01)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The 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 fitter 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 removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months., When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 I N PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEADIFLOW MODEL 151It521153 so PER MINUTE EFFLUENT AND DEWATERING 14 45 , 12 MODEL 151 152 153 35 Feet Meters Gal. Liters Gal. Liters Gal. Lhers to 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 B l51 15 4.8 38 1M 53 201 61 231 < 20 6.1 29 110 44 167 52 197 ° 6 20- 25 7.6 16 61 34 129 42 159 30 9.1 — — 23 87 33 125 35 10.7 — — — 22 85 T 40 12.2 — — 11 42 10 Shut-off Head: 1 30 fl 9.1m) 38 ft. 11.Bm) 44 ft. 13.4m 2 5 0145086 0 10 20 30 40 50 60 70 80 90 100 GALLONS HERS 0 40 80 1 160 200 240 280 320 360 FLOW PER MINUTE 014608" Model 151 Models 1521153 3 Z 9S aP rn m4 -I ;mw.nd;1_4_iC. r7W. CONSULT FACTORY FOR / 6 7/32 SPECIAL APPLICATIONS 3 7/8 4 5/8 3 27/32 4 5/8 • Timed dosing panels available. 3 7/6 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. - • Variable level control switches are available for controlling ® 3 7/8 W 3 27/32 single phase systems. A_ • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 11 11/16 l 12 I/8 1511152!153 Series 1 5111 5 211 5 3 MODELS Control Selection i 4 3 5 1/8 Model Vohs -Ph Mode Anvs Simplex Du plex N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E15l 230 1 Non 12 1 2 or 3 BE151 230 1 Auto 12 included 2or3 1s1 SK2064 N152 115 1 Non B.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E 152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included I 2or3 O CAUTION Ali installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safely and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions 'a reserve safety factor is engineered into the design of every Zoeller pump. AWL T0: P.O. Box 16347 Loudsv&, KY 417256.0347 Manufactunnof . . SHIP To. 3649 Cane Run Road � r Lolrsvie, KY 40211 -1961 ujTyf S smf r PUMP ID ( " hUPJ/wwwzoeller.com m Copyright 2003 Zoeller Co. All rights reserved. 70'9 1984 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page -- I of 3 _ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County St. Croix _ include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 022- 1019 -2 -100 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 Ronald D. & Joann K. Pottebaum Govt. Lot NE 1/4 SE 1/4 S 7 T 28 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 973 Co ulee Trail _ City State Zip Code Phone Number _J City J Village jej Town Nearest Road Roberts WI i 54023 (715) 426 -5579 Kinnickinnic I Coulee Trail New Construction Use: y1 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement J Public or commercial - Describe: — Parent material Glacial till _ Flood plain elevation, if applicable ___ - na General comments and recommendations: Site suitable for mound with 24" of sand fill placed on 84.00' contour. Locate system along contour as far north as possible. 7 Boring # —I Boring ✓_) Pit Ground Surface elev. 85.24 ft. Depth to limiting factor 23" in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -7 10yr3/3 none sit 2fsbk ds cs 2f,lm 0.6 0.8 2 7 -11 10yr3/3 & 5/4 none sil 2fsbk ds cw 2vf,f 0.6 0.8 3 11 -18 i 7.5yr4/6 none sl 2fsbk mfr cw 2vf,f 0.6 1.0 4 18 -23 r 10yr4 /4 none scl 2fsbk mfr cw 1 vf,f 0.4 0.6 5 23 -39 7.5yr4/6 m 1 d 7.5yr5/8 scl 1 msbk mfr 1 of 0.2 0.3 i Boring # I Boring 1/ Pit Ground Surface elev. 83.34 ft. Depth to limiting factor 12' in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' n. Muns ell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0 -7 10yr3/3 none sil 2fsbk ds cs 2vf,f 0.6 0.8 2 7 -12 7.5yr4/6 none sl 1msbk mfr cw 1vf,f 0.4 0.7 3 12 -23 7.5yr4/6 f2d 7.5yr5/8 sl 1msbk mfr cw lvf 0.4 0.7 4 23 -36 7.5yr4/6 m2d 7.5yr5/8 cosl 1csbk mfr cw 0.4 0.7 i Effluent #1 = BOD 5 > 30 < 220 /L and TSS > < 150 m /L ' Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) nature* CST Number James K. Thompson 360 Address A.C.E. Soil & Site Evaluatipeg Date Evaluation Conducted Telephone Number 340 Paulson Lake La , Osceola, WI 54020 5/30/2006 715 - 248 -7767 Property Owner Ronald D. & Joann K. Pottebaum Parcel ID # 022 - 1019 -20 -100 Page 2 of 3 37 Boring # Boring Pit Ground Surface elev. 81.18 ft. Depth to limiting factor 40" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10yr3/3 none sil 2fsbk ds cs 2vf 0.6 0.8 2 8 -16 10yr4/4 none sil 2fsbk ds cw 2vf,f 0.6 j 0.8 3 16 -26 10yr4/4 none sl 2fsbk mfr cw 1 of 0.6 1.0 4 26 -40 10yr4/4 none 1 Is 1msbk mfr cw 1vf,f 0.5 1.0 5 40 -49 7.5yr4/6 m 1 d 7.5yr5/8 Is 1 msbk mfr - 1 of 0.5 j 10 Horizons #4 & 5 contain a high percentage of clay. Loading rates adjusted to reflect reduced permiability of horizon due to presence of Gay. a ❑ Boring # Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i i ' I ❑Boring # Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i j I _ � ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ` Effluent #2 = BOD -i 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 altemate format, please contact the department at 608 -266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R 07/00) A.C.E. Soil & Site Evaluations 4 t_.OUZie ra l ,4�ip�gX, 8os� 6t.- -(e. r� � �EG�i G Stl�Ji CG. 5,'dr�9. ,gssu�e r Avrox. /oca c•, , {If/36,p e lea; _ /UD. ec sy5itm.51oec;1jc con. P%E cS� e a 644do4ed a5 Poi code FXA� ° ,4�o :.►+arc / dap o� 6a lbGiar ECK ca /e a � k �?o A,.1 Po-6�c6a� THM ESE, Set. 7, r: Z8A, /B�•, 3 Tn,h��inr�,'G��I :C Sf •CrYJitCe. �,1iS�i iIp °dJ l o cs'. E/eo= y 0 .78' rim De i /Z°6 Slapc 14 1984 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with C ® A.C.E. Soil & Site Evaluations Cou ty Attach complete site plan on paper not less than 8% x 11 inches in siz Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), irection and percent slope, scale or dimensions, north arrow, and location and di ce ton t P arce l I JP�, "�d�l 2006 /1022- 101CIha -1A Please print all information. Revi 9wed E Date Personal information you provide may be used for secondary purposes (Priv Law, sS304�4W. COUNT ��� // 5? Property Owner / Ronald D. & Joann K. Pottebaum Govt Lot NE 1/4 SE 19 7 T 28 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 973 Coulee Trail City State Zip Code Phone Number J City Village e Town Nearest Road Roberts WI 1 54023 1 (715) 426 - 5579 Kinnickinnic I Coulee Trail New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 01 Replacement J Public or commercial - Describe: Parent material Glacial till Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound with 24" of sand fill placed on 84.00' contour. Locate system along contour afar n h a ossibl i a Boring # I Boring � p� ol Pit Ground S rf elev. 85.24 ft. Depth to limiting factor 23" -"' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 "Eff#2 1 0 -7 1 Oyr3 /3 none sil 2fsbk ds cs 2f,1 m 0.6 0.8 2 7 -11 10yr3/3 & 5/4 none sil 2fsbk ds cw 2vf,f 0.6 0.8 3 11 -18 7.5yr4/6 none sl 2fsbk mfr cw 2vf,f 0.6 1.0 4 18 -23 10yr4/4 none scl 2fsbk mfr cw 1 vf,f 0.4 0.6 5 23 -39 7.5yr4/6 m1 d 7.5yr5/8 scl 1 msbk mfr - 1 of 0.2 0.3 [ ] Boring # Boring sm Pit Ground Surface elev. 83.34 ft. Depth to limiting factor 12 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -7 10yr3/3 none sil 2fsbk ds cs 2vf,f 0.6 0.8 5 2 7 -12 7.5yr4/6 none sl 1msbk mfr cw 1vf,f 0.4 0.7 3 12 -23 7.5yr4/6 f2d 7.5yr5/8 sl 1msbk mfr cw 1vf 0.4 0.7 4 23-36 7.5yr4/6 m2d 7.5yr5/8 cosl 1 csbk mfr cw - 0.4 0.7 * Effluent #1 = BOD 30 < 220 41 and TSS > < 0 m /L "Effluent #2 = BOD 130 mg/L and TSS S30 mg/L CST Name (Please Print) nat CST Number James K. Thompson ure- 3602 Address A.C.E. Soil & Site Evaluaf Date Evaluation Conducted Telephone Number 340 Paulson Lake La , Osceola, WI 54020 5/30/2006 715 - 248 - 7767 r Property owner Ronald D. & Joann K. Pottebaum Parcel ID # 022 - 1019 -20 -100 Page 2 of 3 3] Boring # Boring gm Pit Ground Surface elev. 81.18 ft. Depth to limiting factor 40" '/ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none SO 2fsbk ds Cs 2vf,f 0.6 0.8 2 8 -16 10yr4/4 none sil 2fsbk ds cw 2vf,f 0.6 0.8 3 16 -26 10yr4/4 none sl 2fsbk mfr cw 1vf 0.6 1.0 4 26-40 10yr4/4 none Is lmsbk mfr cw 1vf,f 0.5 1.0 5 40 -49 7.5yr4/6 m1d 7.5yr5/8 Is 1msbk mfr - 1vf 0.5 10 Horizons #4 & 5 contain a high percentage of clay. Loading rates adjusted to reflect reduced permiability of horizon due to presence of Gay. F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg /L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 /00) A.C.E. Soil & Site Evaloatlons — C 0ulie T(a ,Q�prcyC. y 6uriecl ��yy � � leG'fli G SerJi C¢. 3 S ,dmo- Assuln ' J � << APP�ex• /oc"c+•, o {�sf�p � tea,' /Qd� /uartl'or� e lets = /rte. 6cd�Sor r 5y5iam. S/oeci ,AG Co-IAM,146 Pi eS. d nee ' I u-nC'n acw�. S y s�e•n Es 6 c A r-1e da �.on cl s a bando+ze.d as Pal cod ca /e •' / �= ��l mm E /tK a� dap o�'6u ;.ld.%ar SGratr: a ?� l C/ dt4r �\� lPon �7o nn Po e nESF Sec, 7, 3 T�•{�in.�IY�'+n;c Sf •CrolxCe. �b /e Ali. 6.,,f.: Top op WC00417 & "gJ posh. E/ee = yo. 7d r OF MAN r ■ , � r r r I r / / I �• Ba�O �c»��r •/ 00 of 3cf3 02/04/2008 08:25 AM Parcel #: 022- 1019 -20 -100 PAGE 1 OF 1 Alt. Parcel #: 07.28.18.110B 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - POTTEBAUM, RONALD D & JOANN K RONALD D & JOANN K POTTEBAUM 973 COULEE TR ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 973 COULEE TR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 7.000 Plat: N/A -NOT AVAILABLE SEC 7 T28N R18W NE SE 7 ACRE THAT PART Block/Condo Bldg: OF NW SE KNOWN AS PART OFLOT 1 CSM 7/1863 ASSM'T INC 022 - 1019 -10 -100 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 07- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 900/397 07/23/1997 790/474 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 60,000 194,000 254,000 NO AGRICULTURAL G4 4.000 500 0 500 NO Totals for 2008: General Property 7.000 60,500 194,000 254,500 Woodland 0.000 0 0 Totals for 2007: General Property 7.000 60,500 194,000 254,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 131 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ACKNOWLEDGEMENTS We gratefully acknowledge the funding provided for this undertaking by the Wisconsin Department of Natural Resources and the University of Wisconsin Extension. We would also like to thank Robert Newby at the Center for Land Use Education for coordinating the layout and design of this handbook. This is the second edition of the Zoning Board Handbook. The first edition by Michael D. Dresen and Lynn Markham was published in 2001. Both editions are based on educational materials developed by James H. Schneider, Attorney and Local Government Specialist at the UW- Extension Local Government Center. We would also like to acknowledge those individuals that have reviewed portions of the text or provided examples including Fred Anderson; Jeff Bluske, La Crosse County Zoning and Land Information Department; Dan Bowers, Lincoln County Planning and Zoning Department; Gregg Breese, Wisconsin Department of Natural Resources; Andy Buehler, Kenosha County Department of Planning and Development; James Burgener, Marathon County Conservation, Planning and Zoning Department; Earl Cook; Mike Dresen; JoAnne Kloppenberg, Wisconsin Department of Justice; Pam LaBine, Forest County Zoning Department; Brian Ohm, Department of Urban and Regional Planning, UW- Madison/UW- Extension; Marcia Penner, Wisconsin Department of Natural Resources; Dean Richards, Waukesha office of Reinhart Boerner Van Deuren S.C.; Michelle Staff, Jefferson County Zoning, Sanitation and Solid Waste Department; and Tom Steidl, Wisconsin Department of Natural Resources. While we are grateful for their suggestions and comments, any errors in this edition are the full responsibility of the authors. ABOUT THE AUTHORS Lynn Markham is a Land Use Specialist with UW- Extension at the Center for Land Use Education at the University of Wisconsin— Stevens Point. She provides workshops for zoning board members. In addition, she assists communities who want to protect their drinking water, lakes and streams by providing them with research -based information and policy options. She received a Bachelor of Science degree in chemistry from Ripon College and a Master of Science degree in biochemistry from the University of Oregon. She is co- author of Zoning Nonconformities and Protecting Your Waterfront Investment: 10 Simple Shoreland Stewardship Steps. Rebecca Roberts is a Land Use Specialist with UW- Extension at the Center for Land Use Education at the University of Wisconsin— Stevens Point. In partnership with local educators, she provides workshops for zoning board members, plan commissioners and other local government officials. In addition, she assists communities with comprehensive planning, public participation and the fiscal impacts of land use decisions. She received a Bachelor of Arts in biology and environmental studies from Augustana College and a Master of Urban Planning from the University of Illinois. She is managing editor of the Land Use Tracker newsletter and a contributing author to the Land Use Resource Guide and Land Use Megatrends series. ll ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /l nl t Ja An nj Mailing Address 973 (20c.4 e Property Address '_�2 (Verification required from Planning & Zoning Department for new construction.) City /State �Co642 Parcel Identification Number LEGAL DESCRIPTION Prop Location E r /a t t/a S ec. 7 T R W i� Pe Y , �_ , S N , Town of Subdivision Lot # / Certified Survey Map # ��� , Volume 7 Page # Warranty Deed # Volume l C Page # 397 Spec house no Lot lines identifiable es SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF LICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) r -- STATE BAR OF WISCONSIN. FORM I-- 1882 ±; - � [1F.7+t7at7 F i �, __ .� ►' 7P11GEL) f� REG!51it11 i Ch:FICE ST. CRC�iXA., 111! Brian I Brogie and Rebecca I. Brogle, husband Rec for Record .. and wife, as survivorship marital property�� - 13 at 91 . 1 1 1 I5 A. M convec and aaa : t Ronald D Pottebau>n and JoAnn K _ PetteL�Tit11p.:..husband a €�,_..��..gu Y3 vox3h�p....... .. o € Deeds marital Prope:r:t1. . .._.. ........ . ... -... .. ...... ..... .. .. - .. .y RETURN TO _ _" - j �{ the described reni entate. in ...Pi ... ro _ .3o- ant.. -- State, of. Wisconsin: Tax Parcel No: ---- ------ .,.._, == ?art cf ,the N,I /2 of:SE l../4 of Section 7, Township ,2.$ North, Range,.T8 West St. Croix County, Wisconsin described as follaws: Lo t 1 of CerCified SuYey Map filed August ).U, 1987, :Er. Vol. "7 ", Page 1863, Doc. No. 4289.76. Mtn 8 _ Chis --- ._.iS ... . .._ ------ homestead Property. (is) (is not) Exception to .warranties: Easements, restrictions and reservations of record, if any. i ' Dated thica 29th _. day of ... .... .. ....Qi r31. c 1s..4.L... ...... . _ _ \\ { ....<SEAL) X .................... .............(SEAL) Brian I. Brogie i _... (SF'AL) X ��1 r�J� yL_��, -1 ©� (SEAL) Rebecca I. Brogie 'i AUTII);NTICATION ACKNOWLEDGMENT I Signature(s) -- ------- --- -- .--- ,- - --- -...__.-------- • -- --- -- STATE UI W)SC70NSiN i ...------------------------ .---------------- .---------- ......... . _.. ------- - . S8. JL - . - I,r.. L]------- - - - - -- County. I authenticated this .. day of - - -_ lA._.... Personalty carne before me this ....day of April ------- . . 1 11`..91.-- the above named --•-- -- ... .. .. - - -- -- . -- .- _ . BrD lc - _ ai -- Rebecca I. - ---- -- , -_ *- --•------- - --------- --... ..._ husbaitu and iJ— _ .. - ...._ . . . - --_.. _ .. .......--- ...... .. ....... .... TITLE: MEMBF,fZ STATE F3AK i1i \b lac "i;F.�i d (If not..... ...... .. ... ..... authorized by § 700.06. Wis. Stafs.) ' to mrknnwn to he tho person s who executed the forear- ina>_insfrurnont ar:,d arlcnow1c'oi,e•e the same. fNST'PVNiENr WAS DPArrFo — ••-` :. f .. al ... .. r .b . ,t. .{ t „,. ,, M, ' Y�,rar nai «inn i= r,�rnun,�:ar.r IS )att[1 StacP . eeQiralkinn ;U .. alalr: Of t. f._ -- WAHRlCdi 7 Da - Lil x M, "Ait t tt i - _ .. .,, 1 -0 ..: r!:.— . �.. l r - 4262976 CERTIFIED SURVEY MAP LOCATED IN THE NEI /4 OF THE SEI 14 AND THE NWI /4 OF THE SEI /4 OF SECTION 7, T28N, RJOW, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. I OWNED BY: FRED LENERTZ • UNPLATTED •LANDS ° En E REALTY 700 Ynd STREET HUDSON. WI 54016 W1/4 CORNER OF SECTION 7. _ T2814. RIBW. (COUNTY L:1T I OF CERTIF(E0; SURVEY _ SURVEYOR'S MONUMENT FOUNOI. �+! - •- " " " ""'""s "'-'-•--- -•• EAST- WEST QUARTER LINE .MAQ -. V0L•• J� f AVE. EAST 42ND _ EAST 506.00' ^ _ LWEST 3578.90 , S "> ( 11200. to WES 50 M _ right -of - pay ilno 2 W \. house ti O Wall o C W it eptla W drive... VI„W ac ac b b �� # W #= W z 0 # W = a: ft 0 cf) 3 shed 1-• • O �• shad � �� O= > Z• � it Q• i Z• WFvI �• N + Q• H4 N "'�• LOT I H W y W • �, 7 -00 ACRES iyW o v (304,926 SQ. FT.) �= h L&J. C� ~• q (208,228 SQ. FT.w k. m ~• t O Q• x0 b ~• W C J. WS dw t•-.J. �� 2• z vz o= CL o W in z • W °# =• a i_ » • d h Q FILED yo W W E AUG,J O 1987 ` g a"°es °' ao�aift o W �BBYIQ � WBIy W e: $ p Cook cbwmlb �F = O O _ APPROVED WEST 506.00' AUG() 37 UNPLATTED LANDS JAWf75!N. COMpkf' EN51Vc i'A'e �> F'LAti 4440 L�R AND ZONING. CCOMMITTEE S' - 1 � sPR,rv VA LLEY J O+ SET 1 "x e4" IRON PIPE WEIGHING Wis. l.13 LBS. PER LINEAL FOOT. .rte I ♦= 1" IRON PIPE FOUND. 1�� � U sj ; 1ST' SCALE I" = too' JAMES M. WEBER S -fB04 O 50 IO O', 200' WEGERER. WEBER AND ASSOC. DATED " — --. *%4 X ye;j VOLUME 7 PAGE 1863 ` ---sq ° 0—x � - `% - %- SHEET I OF 2. 67 -204 THIS INSTRUMENT DRAFTED BY �t-rn