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HomeMy WebLinkAbout022-1044-10-300 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453364 0 GENERAL INFORMATION (ATTACH TO PERVIT) 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: Vaught, Brian Kinnickinnic Townshi CST BM Elev: Insp. BM Elev: BM Description: Se tionlTown /Range p No: V 1 5 - 4 r,, 4 t,,- 15.28.18. D TANK INFORMATION ELEVATION DATA TYPE M NUFQCTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing�� Alt. BM 5T . Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / r � Septic 616 Dt Bottom - -� Dosing g Header /Man. / Aeration Dist. Pi e -Z - 7 Holding Bot. System at 8,/ Z / Fi nal Grad PUMP /SIPHON INFORMATION ��.. Manufacturer Demand St Cover r Model Number TDH Lift Friction System Head TD Ft V/ Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM Zp BED/TRENCH Width / Length No. Of Trenches PIT DIME S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS n SETBACK SYSTEM TO L P /LS JBLDG WELL LAKE /STREAM LEACHING Many turer: INFORMATION Ty Of System: y CHAMBER O a ( ID, / - 7 0 Model Number: DI IBUTION SYSTEM > /" Header/ anifold Distribution / x Hole Size x Hole Spacing Vent to Air Intake U' a Pipes) rr �H �E'1r Length �� Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes Z, No [] Yes �] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: � / /Dv Inspection #2: Location: 1297 County Rd. J River Falls, WI 5402 (NE 1/4 SE 1/4 15 T28N R18W) NA Lot 3 Parcel No: 15.28.18. 1.) Alt BM Description 2.) Bldg sewer length = /8 lodi�- 3 cy0-� "f0 /�0 = 690 N L-Zvzv - amount of cover Plan revision Required? ?] Yes ;.+r No ` - Use other side for additional information. - SBD -6710 (R.3/97) Date Insepctor's Sign ure Cert. No. I I _ ST. CROIX COUNTY = -�" WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel # 15.28.18.pending For 1297 County Rd. J., Lot 3 (Kinnickinnic Tn.) — Owner(s) Brian & Kelly Vaught Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan (ESC Plan) is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. Surface drainage is toward the Kinnickinnic River with a buffer of >300 ft. from proposed construction activities. Contaminated runoff must be contained within the property boundaries, above the floodplain elevation shown on the Certified Survey map. 2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (includes drainage ditches). Do not allow diverted runoff to be directed onto slopes adjacent to the wetland. (See specification sheet for Temporary Diversions provided by Zoning Dept.) 3. If excavating contractor grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence may not be necessary. However, silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with diversions and vegetative buffers. The POWTS or Building Inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement tricks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for Nance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment c ntrol ins 1 'n. Prepared by: Pam Quinn, Soil Erosion Ins ector #66 Owner acknowledgement of ESC Plan req uires /2004 LOT PLAN PROJECT Brain Vauaht ADDRESS N8466 Ctv Rd BB Sorina Vallev Wi 54767 NE 1/4 SE 1 /4S 15 /T N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX -2y MPRS Shaun Bird 226900 DATE 8 BEDROOM 4 CONVENTIONAL IN -GRO D YP RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1244 # of chambers 40 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 Plans Designed Using Conventional Powts SYSTEM ELEVATION 96.6/96.2 3.5' below qrade Manual Version 2.0 Cty Rd J Scale is 1 " = 40' Well is to meet all AL unless otherwise setbacks required by noted WDNR Vent >6 » Standard Biodiffuser of Cover Leaching Chamber 437' with 31.1 ft2 of Area Property Line 6' Long 11 " 34' Grade at System Elevatio 45' B -2 70 AL 20' B.M. 30' 2-3'X 125' cells 7 % with >3' Spacing B_3 lt. B.M. is flood lope lain elevation @ 5.4' 130' 230' Property Line 10' 0 ' T B -2 1 ' 4V�� Flood Plain Pro 4 Bedroom House uff utt C o T 0 ■ r ° . : J % k ) k M° k % Q! M rr � [ / 0 ° & £ 3 & We' m « Co = \ % - • 2 z { , � E o , f o {� _ ,• ¥ :3 \ E E § g § -4 \ � >� CL § $ « i \ © @�' 4 k3 O F C ) : \ �- , 000 #I Oro 2 § % �! < z R i $ z « Q v \ 0) � k k � 0 3 ( 4 m q / 7 ƒ KI@ 09\ / \ \ k k CD E0 SN 0 d E °3 87 / k ± } z E . . [ R 2 CD ■ / 0 R E § 7 2 # § F q 00 / z $ % ® � ^ &2 ®k o _E a CDgE § CD 7k \� 0c m _ 0 CD 0 <0 / 0 k/ ƒ C ems ¥ a �O k ap , I \k/ / i Or ■ CD ) \ C. o % § Safety and Buildings Division County r r 201 W. Washington Ave., P.O. Box 7162 ' '-D 1 �� 19) N v f isconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ent of Commerce (608) 266 -3151 3 De artm Sanitary Permit Application State Plan I.D. Number In accord whit Comm 83.21, Wis. Adm. Code, personal information you provide Ceiba may be used for secondary purposes Privacy Law, s 15.04(lxm) Project Address (f different than mailing s I. Application Information - Please Print All Infor `� .. _ {{ 02 9 r7 . Property Owner's Name ( J U L 0 1 20 04 Parcel # Block # Property Owners Mailing Addresl Property Location City, State d Zip Code Phone Number / '�, �� �, Gaon T 7N. 4LIF1 L / pe of uilding (check at apply) 3 * 2 Family Dwelling - Number of Bedrooms Subdivisio Name CSM umber_ _ ✓ ✓✓ Pub lidCorwnercial- Describe Use State Owned - Describe Use ( J 2 0 City V >omu* of 1 ✓ - IQ. Type of Permit: (Check only one box on line A. Complete line B if applicable) A f System Replacement System Treatment/Holding Tank Replacement Only Oilier Modification to Existing System B- Permit Renewal Permit Revision Mange of Permit Transfer to New List Previous Permit Number and Date Issued Before Exp'¢ation Plumber Owner IV. T e of POWTS System: (Check all that appl n - Pressurized In- Ground Mound _> 24 in. of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter Constructed Weiland Pressurized In-Gtsund Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Fil / Recirculating Synthetic Media Filter g Chamber !? Line Gravel -kss pi (explain) V. DispersaVrreaftnent Area Inf 6ation: STD Design Plow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dr posed (af) System �2 ti VI. Tank Info Capacity in Total Number Manufacturer f Prbb Site /Stefl Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Fxisting r� Tanks Tanks Z G Septic or Holding Tank Aerobic Tmtment Unit fJ' Dosing Chamber Yii1. Res ty Statement- I, the undersigned, assume bility for Installation of the i"OWTS shown on the attached tzc Plumbers (Print) Plumber's Sign MPIMPRS Number Business Phone Number is Address (Street, City, State, tip Code) VIII. un rtment Use Only 7ppmvexj Disapproved Sanitary Permit Fee (includes Groundwater Issued g 5ignaturo ) Surcharge Fee) (/ tJ ` s /iZ Owner Given Reason for Denial 7 ix. �tf 3 SL a toll' 1 Septic tank, efflue 15rM W? dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. g LION L r � ` Attach complete plans (to the County only) for the system on paper not less than 81a x 11 inches in sire r I PLOT PLAN PROJECT Brain Vauaht ADDRESS N8466 Ctv Rd BB SDrina Vallev Wi 54767 NE 114 SE 1 /4S 15 /T 28 N/R 18 W TOWN Kinnickihnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/29/04 BEDROOM 4 CONVENTIONAL IN OUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1244 # of chambers 40 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 Plans Designed Using Conventional Powts SYSTEM ELEVATION 96.6/96.2 3.5' below grade Manual Version 2.0 Cty Rd J Scale is 1" = 40' Well is to meet all unless otherwise setbacks required by noted WDNR Lent Standard Biodiffuser , C Leaching Chamber 437 of Cover with 3 1. 1 ft2 of Area Property Line 6' Lon Grade at System Elevatio 34" 45' 70' 201 B.M. 30' f� 2 -3' X 125' cells Ljg with >3' Spacing B_3 It. B.M. is flood lope plain elevation @ 5.4' i 130' 230' Property Line � 1$ B -2 o cads -t- 0 Flood Plain Pro 4 Bedroom House Huffcutt Combo Tank _ ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel # 15.28.18.pending For 1297 County Rd. J. Lot 3 (Kinnickinnic Two) — Owner (s) Brian & Kelly Vaught Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan (ESC Plan) is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. Surface drainage is toward the Kinnickinnic River with a buffer of >300 ft. from proposed construction activities. Contaminated runoff must be contained within the property boundaries, above the floodplain elevation shown on the Certified Survey map. 2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (includes drainage ditches). Do not allow diverted runoff to be directed onto slopes adjacent to the wetland. (See specification sheet for Temporary Diversions provided by Zoning Dept.) 3. If excavating ontractor grades the site to create temporary diversions (see #2) to contain sediment and g �' P mil' leaves adequate vegetative cover to protect areas of concern, installation of silt fence may not be necessary. However, silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with diversions and vegetative buffers. The POWTS or Building Inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed a t the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system If o w p g p weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for liance with the ESC Plan. Please feel q regarding free to contact me with questions re ardin erosion & ;ediment n. ntrol ins 1 Pre ared b : Pam uinn Soil Erosion Ins ector 6505 Owner acknowledgement of ESC Plan requirements: o• KIM I i. • r •. MOVES ■ ■ Ili ■ ■ ■■■ ■ ■ ■ ONE ■ ■■ ■ m MUNI a m ■ ��■■■■ ■ ■ [lima ■ ■■�� ■ ■ ■ ■!� US ■ ■ ■■ .. IN ■ ■ ■� ■1�L on PAI ! W, Ka Emu 6UMM Now MEMERN& 0 WER a um -I ■ _ , «r!� ■■C � ■■ �.� ■err ■ o , . .!1 ►I ■J I A� - W Low in OWN MEN M FOR , Nor ■ ■■ate w ■w ■ii►�i �1 �. r /...,..;.. 0 M ■ ■ ■ ■■ ■arm ■ ■■ �Lii�ii�i�ilti%■ a ■ ■L� ■ ■ ■ ■ ■0■■■■ SOMEONE r■ 07/01/04 TO 15:10 M 715 988 4888 5T Gtt3 cu curirtiu EROSION CONTROL PLAN CHECKLIST Check (or) apPropriste boxes below, and complete the site diagram with necessary information. �S` Site Characteristics North arrow, scale. and site boundary. Indicate and name adjacent streets or roadways. 0 Location of existing drainageways, streams, rivers, lakes, wetlands or wells. 0 ation 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 Tina► grading operations. O -Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices Q Location of temporary soil storage piles. Note: Sal storage piles should be placed behind a sediment fence, a f0 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 gone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet of to the house foundation (whichever is less). XfrD Location of sediment controls (filter fabric fence, straw bale fence or 10 -foot wide vegetative strips) that will Are- nt eroded soil from leaving the site. O tion of sediment barriers around on - site storm sewer inlets. O ovation of diversions. Note: Although not specifically required by code, it is recommended that concentrated flow (drainageways) be diverted (re-directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10 . 000 sq. It should also be diverted around disturbed areas. Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control matte Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized ftinageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as inn - channel fabric or straw bale barriers, erosion control mats, staked sod and mdr 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. /n-channel practices should not be installed in perennial streams (streams with year -round Now.) O [�I i cation of other planned practices not already noted. E - dst. =oi *o io inr 07/01/04 TIKU 15:10 FAX 715 350 4660 51' UNA Nr ZUJVIrVfi O vv% t3�Lv �a 'J r !nalcate MAnagernent strategy by checking V) the appropriate box. ` Manag Strate d� � Temporary stabilization of disturbed areas. NOW It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 15th), or by other cover, such as tarping or mulching. O Permanent stabilization of site by re- vegetation or other means as soon as pose le (lawn establishment). Indicate re-vegetation method: S14—sod U Other O L Expected date of permanent re- vegetation: Re- vegetation responsibility of: Builder CJ Owner /Buyer O temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? Yes O No O 13 of downspout and /or sump pump outlet extensions. Note. It recommended that Now from downspouts and Sump pump outlets be routed through p/asife drainage Pope to stable areas such as established sod or pavement. O sediment during dewatering operations. Note: Sediment -laden dtwharge water from pumping operations should be ponded behind a sediment barrier until most Of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barriers height. Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to Chapters IIHR 20 S 21 of the Wisconsin Uniform Dwelling Code, the DNR IMscunsin Construction Site Best Management Handbook, and UW– Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608/266 -3558. Erosion Control for Home Builders lGW0001) can be ordered through Cooperative Extension Publications, 608/262.3346 or the Department of Commerce, GW&g7.4405 , �- d d6jp=oi 1�o io inr PLOT PLAN PROJECT Brain Vauaht ADDRESS N8466 Ctv Rd BB Sorina Vallev Wi 54767 NE 1/4 SE 1 /4S 15 /T 28 N/R 18 W TOWN KMnickirinic COUNTY ST. CROIX 6/29/04 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL IN OUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK T MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1244 # of chambers 40 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 Plans Designed Using Conventional Powts SYSTEM ELEVATION 96.6/96.2 3.5' below grade Manual Version 2.0 Cty Rd J Scale is 1 = 40' Well is to meet all unless otherwise setbacks required by noted WDNR Vent ji Standard Biodiffuser 437' Leaching Chamber Property with 3 1. 1 ft2 of Area Line 1 " 7 34" G rade at System Elevatio `VV 45' B -2 70' 20' B.M. 30' 2 -3' X 125' cells 7 % lt. B.M. is flood with >3' Spacing B -3 lope plain elevation 5.4' 130' 230' Property Line 0 ' B -2 0' Flood Plain Pro 4 Bedroom House Huffcutt Combo Tank l r - ,. i ICATIOi�S N A ND SPECI SEPTIC TAN Y Pt3MP C��ASF'R CROSS SEC vEaTNERPO APFRQV ED �+ C ADO GRADS Jt324CTION $QX THOLE COVER PZPE 12 HIN WITH ONDUIT L4 C-; vT.NT WIND0l3 OR W1 PADLOCK �, ' FROM DOO R, WARKi?cG LADEL II ;KTAK'E ! nc ' FRESir i FIB '�D GOW %� s�" Y" a. t8u+�ti+�- INLET GA5- TIGHT , TIGHT SEAS gE�,i. • JOINTS 1IItH �,PPROVEQ PIPE �— F,Lri 3+ ONTO 8 t N SOLID SOIL pppRD3ffl C T OFF P� SOIL pSQLtU {)FF ELE - �-'"'" D ump BEDDING vNDER TANK CONC TE PAD 3 s APPROY = a '%_ T".0 SP£CZFI / ' i+itlH SER 005 E5 pEg DAY= DOSE DOSE v�sLCME INC gAC� SEPT" p,NI ICMA2fUt'A0TUR£R : r F LO +� s GAL a TAKE SIZES: SEPTIC GAL- zv I CHES DOSE CAPACITI A = � GAL- 8 = � 2 � Zt ALARn i+R3FACRER, � _ ` i 27 �� - Gf+L. :r' C ZPtC L. � M SW ITCH �'YPE • �' HES = � GA n r .7Z- 15.23 "C pVMP MARVFAC�R�' ,� 14DER : " '- ----- ,WIRI £R G AS P I LnR KSW TYPE= p�i�4P £ A •pgl� � FEET GPK QSP£ FEET REQUIRED DISCRARGf RATE DISTRIBD D gECT $EWEE PUTiP OFF AND OI+S FACTOR Z FEET ,,,TICAL DIFFERENCE PRESSURE � FR ;C'rI SIC tiEAD + NIMV14 NETwoltIC SuPPI X ��FT /l0Q € TO`fAL DYNAM . FEET F0ltcvlA. .� - _ wiQTIj_� - * DIAMMV � '�`�• LENGTH � 41 S ° FU�F TA�iK � LI�i3ID DIMENSIONS 4F INT£R�AL L ICE Nu M$I�R : SIGNED= _ N TOTAL DYNAMIC HEAD /CAPACITY LLJ w HEAD CAPACITY CURVE PER MINUTE MODELS 53/55/57/59 EFFLUENT AND DEWATERING 25 Model 53/55/57/59 20 6 Ft. Meters Gal. Ltrs. 0 c = 5 1.5 43 163 15 10 3.1 34 129 z 4 o 15 4.6 19 72 a 10', Shut -off Head 19.25 ft. (5.9m) 0 2 5 -� 3 15/16 -- 6 5/32 0 1 1/2 -11 1/2 NPT U.S. GALLONS 10 20 30 40 50 LITERS 3 15/16 0 80 160 / FLOW PER MINUTE 009897 — 4 1/16 CONSULT FACTORY FOR SPECIAL I T � N I , Variable level float switches available. Variable level long cycle systems available. - -- - Available with special cord lengths of 15', 25', 35' and 50'. Alarm systems available. 10 1/16 Duplex systems available. 3 3/32 SKB58 single sesi Control Selection Listings SELECTION, GU Model volts Phase Mode Amps Simplex Duplex CSAJ UL 1. Integral float operated mechanical switch, no external control required. M5355 & M57159 115 1 Auto 9.7 1 -- Y v 2. Single piggyback variable level float switch or double piggyback variable level N53155 & N57/59 115 1 Non 9.7 2 3 or 4 & 5 Y Y float switch. Refer to FM0477. * BN53 115 1 Auto 9.7 Y Y BN57 115 1 Auto 9.7 N Y 3. Mechanical alternator "M -Palo 10 -0072 or 10-0075. BE53/57 230 1 Auto 4.8 - Y Y 4. See FM0712 for correct model of Electrical Alternator. D53155 & D57159 230 1 Auto 4.8 1 Y Y 5. Variable level control switch 10 -0225 used as a control activator, with Electrical E53155 & E57/59 230 1 Non 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system. Single piggyback switch included. O CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches,FM0477; A?€ s atla ;o of centrcls, protector; devices and wifirg should be done by a qualified Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump /Sewage Basins, FM0487; and Single Phase iicensc-le] Ait elect i ; and safety codes should be followed including the most Simplex Pump Control/Alarm Systems, FM0732. i G1 ` e _ = e.,: f v r r<d the OccuOZ'+cn ., Safety and Health Act "OSHA). RF" PO DES -_ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 ` Louisville, KY 40256 -0347 Manufacturers of.. SHIP TO: 3649 Cane Run Road ® I) /- (502) 7 ® Louisville, KY 40211 -1961 Q1W /TYPOMPS S EZ- /9.79" http.11www.zoelter.com L O FAX (502) 773624 PUMP © Copyright 2002 Zoeller Co. All rights reserved. I m n / Wisconsin Department of Com merce ���; 6 F `` S014 EVALUATION REPORT Page o f g Division of Safety and Buildings f . jccolcjancq with Co rl m 85, Wis. Adm. Code // r �; „. County C'r 0 4 Attach complete site plan on paperT1'B IMS thm-8-+4444*wJ:%ks in size. Plan must SX include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. eviewed Date 4. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). , t1 y Property Owne�_, Property Locati Govt. Lot 1 /4 1 /4 S ,S r ' e N R E( Property Ownes Maili Address Lot # I Block # . �� a CSNW / City State Zlp f4e Phone Number ❑ City ❑ Village firown Nearest Road New Construction Use: Residential / Number of bedrooms Code derived design flow rate Q GPD ❑ Replacement ❑ Public or commercial - Describ Parent material s7�Pr � -le r a t`��(� FELooq Plai el lion if applicable r+t /� y ft. General comments ..� e � �1 �/� 1 ti s: [ ! SC! D ors P L2 3 3 e, C c�.> -� u qy. Boring # p Boring Q X Pit Ground surface elev. v� ft. Depth to limiting factor q y 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 16, .� o l Me 0 — —3/./ i e, —' U 14 n Boring # Boring VLF Pit Ground surface elev. fJ ` 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 2 — .31 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 m9f ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Plem Pte) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluationducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 -3-0 715 - 246 -4516 Property Owner _ Parcel ID # f S Page Z oJ n Boring # Boring r UU pit Ground surface eley�� ft. Depth to limiting factor �l U in. " "CCC777 5*Eff#1 Ap Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots DM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 /. 4 J2, I F-1 Bo4ing # ❑ 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/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I I F Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil pplication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff #1 'Eff#2 I Effluent #1 = BOD. > 30 < 720 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD, < 30 mg/- and TSS < 30 mg1L 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 (8.6/00) ' h Soil Test Plot Plan Project Name Brian Vaught . Shaun rd Address N8466 Cty Rd BB Spring Valley Wi 54767 CS #226900 Lot 3 Subdivision - ---- -- Date /04 NE 1/4 SE 1/4S 15 T 28 N /R W Townshi p ICnnickinnic Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 96.6/96.2 *HRpSame as Benchmark Cty Rd J Scale is 1" = 40' unless otherwise noted 437' Property Line 100' 45' B -2 98 70' 20' 30 B.M. 7% Alt. B.M. is flood B -3 lope plain elevation @ 5.4' 6 130' 230' Property Line , B -2 ,s �1 Flood Plain 1 y k NA FIT VIM I � r-A .a } • r . � ,,� � • " '�� �_ a �&v q ,,t'� r 1 - } a l s.x9�lZ'k�1 G ti s. t� x I M ��° . -- •. ��� � � :*' L tzNkr 1 :. ti L�y4 a � M ��,� ,9, � s �- a� �� }+�, a a.�, `�' ' .wr'..° .��-• s. k y y, � y ,t '�' - '4ea',�' - ..� �t L xv • 4 "�",. £ A s ��� R �,pp'. `'�,.:' � w..'" � gyp'. • .: ,� ,� ,�� � ''' +' ^� � � "� �-` i ," `� a` - L �� fi t; � ��' � �` �.• �� € � • " * �' ° � �� � �° $" 7 € # �� }, j � �k'�^ i ��j�.� (�� '+ ��. ' � � '`� a • � v� h �'�""`i" � y a.,��' 'v #a} {��}# add � �jiy 4 ' s mwr�� %�twmm. X IS- • t €§• n� a w• m.., ; `.%s std �-''?' ,gjbd 3'��. j �: rt k.t� F -` °'�'- �,Tn a a�sa -• � .i + w'.' �k i aw�� • l i '�'�L€ :.�� ®Yi( II . �}} ti • -t ttt ST CROIX MAINTENANCE NT ANCE AGREEME SEPTIC 'TANK AND . �EgSHIP CERTIFICATION FORM owner/Buyer ; 1> �s Address Malting _ Property Address D artinent for new construction) (Verification required from planning � parcel Identification Nurnber � GPX City /State L E DESCPJPTION �/ / T �d N _ vV, Town of /�/"✓L�,?� Property Locatior Lot # Subdivision '5 Volume Page # Certified Survey Map # --!-- 3 r s 3 Volume Page # Warranty Deed #�° Lot lines identifiabl�s ❑ no S P ec house ❑ y o T1V'TTN P remature failure to handle wastes. Proper maintenance SYSTE �� of our septic system could result in its P a licensed pumper. What You put into the system improper use and maintenance Your a ears or sooner, if needed by stem. consists of pumping out the septic tank eve th ree Y osal sy can affect the function . of the septic tank as a treatment stage in the waste m e ification form, signed by the owner and by a at a certification to St. Croix Zoning Departure that (1) the on site wastewaterdisposal system The property owner agrees to submit er verifying l/3 full of sludge. masterplumber, journeyman restrictedplumber or a licensed m pumP necessary), the septic tank is less than after inspection and pump is in proper operating condition and/or (2) sal system with the standards eats and agree to maintain the Private sewage , S eat Uwe, the undersigned have read the above requirem arrtrnent of Natural Resources, State of Wisconsin 30 set forth, herein, as set by Department of Commerce and the Dep Zoning the Dep ma i n tained must be completed and returned to the St. Croix County tic system has been main S that your se ptic . ys f the three ear expiration date. (2A TE SIGNA" OF APPLICANT p ERTIFICATION our) knowledge. I (we) am (arc) the owner(s) of I (we) certify that all statements on this form are true to the best of m y o Deeds Office. =OF9; y virtue of a warrant' deed recorded is Reg / DATE T De arttnent. Any information that is mis represented may result in the sanitary permit being revoked by the Zoning P nty deed from the Register of Deeds office deed ** Include with this application: a co pp d warra of the certified survey map if reference is made in the warranty Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter 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. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Co ' ency, Plan ption # . If system fails, determine cause of failure, use alternate area and install new em in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 Il U 2606P 34? -7 E�, -7 x-7'3 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS Document Number WARRANTY DEED ST . CROIX CO.. MI RECEIVED FOR RECORD This Deed, made between David P. Peterson and Arden D. Peterson, 06/30/2004 11 : 55AN husband and wife Grantor, and Brian P. Vaught and Kellv A. Vaught, husband and wife as survivorship marital property Grantee. WARRANTY EOP T i DEED R Grantor, for a valuable consideration, conveys and warrants to Grantee f.XEI the following described real estate in St. Croix County, State of Wisconsin (if REC FEE: 11.00 more space is needed, please attach addendum): TRANS FEE: 300.00 LOT THREE (3) OF CERTIFIED SURVEY MAP W VOLUME COPY FEE: CC FEE: EIGHTEEN (18) OF CERTIFIED SURVEY MAPS, PAGE 4762, AS PAGES: 1 DOCUMENT NUMBER 764312, FILED IN ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON MAY 18, 2004, BEING LOCATED IN THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER (NE 114 OF SE 114) OF SECTION FIFTEEN (15), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC. Subject to C.T.H. "J" right of way. Recording Area Name and Return Address BRIA,) VAVG 1� US4616 COV v71 90 T3 SPRANG VALL� , wT S �f % 61 Part of 022 - 1044 - 10-000 and 022 - 1044 - 20-000 Parcel Identification Number (PIN) This jLVpJ homestead property. (is) (is not) Exceptions to warranties: easements, restrictions and rights of way of record, if any. k Dated this 30 day of June. 2004 n D4 ^ * * David P. Peterson l + * Arden D. Peterson AUTHENTICATION ACKNOWLEDGMENT Signature(s) David P. Peterson and Arden D. Peterson STATE OF ) ) ss. County. 1 authenticated this "3# day of June . 2004 Personally came before me this day of g . the above named * coh D. Boles TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by §706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Joseph D. Boles - Attoreny at Law River Falls, WI 54012 Notary Public, State of My Commission is permanent. (If not state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) I .) * Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800 )655 -2021 www.infoproforms.WM STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 REGEIVtL) D EC I o 2003 � page— 3 wrtoor>Wn Departrnent of SOIL EVALUATION REPORT Division ofSaW&W S r. CROIX C 'UN ZO with Gomm 85. wis. Adm. Code Cou* ST: G ,t'ai )c Attach f on PaW not less them 8112 x 11 inches in size. Plan must atdcrde, but not tirs#ed to. vertical and hori wnhd reerence point (am), direction mW Parcel I.D. percent slope, scale ordrnenisions. north arrow. aw location and astance to nearest wacL Please print all information. Data Propetv t�saeonet ieronnetion ya+ix�t� a,ay tae urea torsaca�r vurrosea tR[ver taw, s. iso� (1 j {m)� O 'SAu t t7 t A Iml r ?E Son3 cwt. Lot Al /5' 114 5 � 1l4 s � T 2 8 N R to p 4 (or) w Property Owaer'a Making Address Lot # — M)c:k # SO& Name or tSW 33 / C7 Fes- �'J' 3 J'NDi.uG- CSM t stag code Phone Number ❑ i ❑ Vitia ge Town Nearest Road t 4>l' SVOZ ?!S 4Z(o • 5533 kC:Avv:cK:.vvi c Gay. Huey. IT New Con� use: a Residential / Number of bedrooms Code derlved design ttow rate yS0 ^ try WD r_1 Replacerrient ❑ Pubkc or oonxneraat - Describe• Parent nallartal 5AW y OMW4J A 00l<72 fi //S nwd lWn ete or, it ap pg m a e LL S ITE S A tf ff. Gerwacorrirnwft ' AREA A Q out er SvRdEyoiiP co�uu�N T�oa.4 t_ H ov , D S YS T �-t w 1 Fidop .r /Ldi:G� / i�i'v.K G. i AJE . F —/] U boring pit Grourxisurfaceefe+r. / I Depth to rTOV factor ^]' in. Sol Rate Eiortaort Depth DorNnart Color Redox Desa"on Teclre Syrtx*ue Consistence Boundary Roots GPEW h Mtmsd Qu. Sz. Cont. Color Gr. Sz. S'k IM I low 0 ' $ o y) 3 /3 SL - Z-F A- - tv 2 S 34*-• 1 . S y 2- $• 0 VR 4 f Siz- 2f s K s to 2- .5 . £� 5L D „,,,, nM u f I -514— f `FS b k IVAV F(. 'q- r Z. 3 c= ca HoT5 Va 7M ❑ Z B ❑ Z � M pit Ground suxtaice etev it. Depth to actor in. say Applikaflon Rate Hutton Depth DominartColor RedoxDescription Texture Sh ich” Consistence BmmJwy Roots C4 IM Murtsell QL Sz. Cont. Color Gt Sz. Sh. MM 'Etf#2 / o --f /o Y R 3/ ---- S L- 2f sb K 4-% tj 5 3 f 5.' 9 Z ?•! /o %IR sAe 1 1-5 Z S bl< fR q w I IT 7 ! Z 3! io R s ----- S1L 1 +5id k f i w . L. 3 • /o R Ml' ><t SL O A-% �► 0 S t L / -F S bk v fr' a.,C' . 2... • 3 CZ Mt•oT / o Y R • Elk,mt #1 = WD > 30 < 220 nV& and TSS > 30 < 150 nV L ' EMurerd #2 = BOD _< 30 rndL and TSS S 30 mgll. CST � M � 2t �13R t c kT" z 2 Address Dale Evaluation conducted Telephone Number woU. .2oo3 715• - 34 4 2, Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, Wl 54767 A L 7643 1 2 VOL 18 PAGE 4762 KATRCEE9 H. WALSR -- REGISTER OF DEEDS ST. CROIX CO., MI CERTIFIED SURVEY MAP RECEIVED FOR RECORD 05/28/2004 12s00PM LOCATED IN THE NE1 /4 OF THE SE1 /4 OF SECTION CERTIFIED SURVEY MAP 15, T28N, R1 8W. TOWN OF KINNICKINNIC, REG FEE; 13.00 COPY FEE. 3.00 ST. CROIX COUNTY, WISCONSIN PAGES: 2 N LEGEND ALUMINUM COUNTY SECTION OWNER CORNER MONUMENT FOUND DAVID & ARDIE PETERSON w 331 COUNTY ROAD "JJ" jE � 0 1 5/16" O.D. IRON PIPE FOUND RIVER FALSS, WI 54022 EACH LOT IS 0 1 v SUBJECT TO A LOT 4 AREA 1" X 18 "IRON PIPE SET WEIGHING a O 1.13 LBS. PER LINEAR FOOT SURVEYOR LOWEST BUILDING 2.54AC.INC. RW U Z OPENING 110,477 SO. FT. z — EDWIN C FLANUM W o (L.B.O.)ELEVATION cr ¢ ® SECTION CORNER POSITIONED FROM NORTHLAND SURVEYING, INC. w w O WITNESS MONUMENTS OF RECORD 856 A HWY "65" / P.O. BOX 14 THE FLOOD PLAIN 100,371 SO. FT. ROBERTS, WI 54023 ELEVATION 100' ROADWAY SETBACK LINE BENCHMARKS D im BENCHMAR BENCHMARK BENCHMARK® i� z �-- EXISTING FENCE TOP OF PIPE TOP OF PIPE TOP OF PIPE I im I x cc cr , _ _ _ _ FLOODPLAIN (ELEV. AS SHOWN) ELEV. = 941.41 ELEV. = 947.26 ELEV. = 940.58 co 0 --► PROPOSED DRIVEWAY 1_ N87 °56'27 "E E1%4 CORNER 3971.41' Q SOiL T T _ S87 °56'27"W 1333.28 381.40' 6' VARI RAN 230.09 381.28' � 0. t cTi'z 461.17' °' 1302. 1 c n S88 °28'03"W �' 9 �0 APPROVED .o....... .. �? .................. .,� . ............ �z. 2 �2 I . sT.cIZax.GQkW7............ ® . y ,� s Planning Zonine and Parks C"mittee LO t . 1 33 , 331 $ : :MAY 2 8 2004 i 2.54 AC. INC. RW �I " I 110,477 SO. FT. I m if not recorded within 30 days of 2 — r i LOT 4 0 I approval date approval shall be 2.33 AC. EXC. RW p� 1 i = � null and void 101,665 SO. FT. ?S Z I ��,2 LOT 1 .' _ _ _ _ � o 1 . ugh 24.00 AC. INC. RW N8T °56'27 "E 230.16' Q i'9 N 1 a �0 • 1,045,286 SO. FT. O pO��! N87 °56'27 "E 230.16' 1 0 FIELD: 22.20 AC. EXC. RW m O DRIVE': 967,241 SO. FT. /i LOT 3 1 y 1 RW N 490,319 SO. FT. f� 10.90 AC. EXC. RW J � EXISTING CONCRETE 474,644 SO. FT. 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