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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 429996 0 GENERAL INFORMATION 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: Keller, Patrick I Kinnickinnic Township 0 ZZ - /66Z 7U' CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: I o v , C /oc>. C)Q, I e,ST -- I3. 18.28.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / a Benchmark 4, 510-Z Dosing 9 —� Alt. BM Aeration Bldg. Sewer W4 g 1) S I Holding SVHt Inlet � 5,83 1 TANK SETBACK INFORMATION SVHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / nU / Dt o om "5kv- tr qD go ad /o, 1 Dosing He der/ an. �• o s. �3 100 .715 Aeration Dist. Pipe �) 9;J3 /00:_75 Holding Bot. System (o (,' /Z t;, S �c "'o• °Z- >y 49.9 Final Grade PUMP /SIPHON INFORMATION Manufac rer Demand St Cover � a W 66 Model Num r -C,_ �j V 1 �Ag 106.5s 00.0 TDH Lift riction Loss System He TDH Ft n r c�ci V 2) I i ,S 111.50 100.o Force in Length Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Traaol4es C..e a / PIT DIMENSION No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' b a SETBACK SYSTEM TO I P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: ✓10 f UNIT Model Numbe ct �y y/oo i n DISTRIBUTION SY TEM Header /Manifold Distribution CPfI 4 ' i5 x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) �- i �/ // / / Length l JA Dia SA Length � 1 e C D' a Spacing o -3 /r • V a 7/ U 6 SOIL COVER x Pressure ystWms my xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Bed/Trenc Topsoil _ es i'� No "Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ra / Za_ / _ig Inspection #2: Location: River Falls, WI 54022 (SW 1/4 NE 1/4 18 T28N R1 8W) N&, t 3� Parcel No: 18.28.18. ((�I 1.) Alt BM Description = P L C� ' ( -S> v..: \ �! Q r v T'�" -tD 2.) Bldg sewer length =�� / h ✓Lw� NnGvw c�` y'� n g iS� 'l, , � �� J J - amount of cover = � I C � � `j Gam' revision Plan Use otherside foradditional in Required? Yes No formation. SBD -6710 (R.3/97) __ — d - - Date I seprtor's Signature Cert. No. 1 Safety and Buildings Division County V r isc�nsin 201 W. Washington Ave., P O Box 7162 Madison, WI 537(17 - 7162 L � Site Address Dep artment of Commerce ' Sanitary Permit Application '�`�'' P "� r qq t� / w � In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision -(l b q�l may be used for secondary purposes Privacy Law, s15. 1 m (� I. Application Information - Please Print All Information S tate Plan I.D. Number l� g( Z Q ry Prope y l , Ow w ne _ r's Name j f Parcel Nymbpr _ j „ LP W AA Property Owner's Mailing Address � PQat39tt /�� Oi l City, State Zip Code Phone Number Lot Number Block�b Nuum r % �� L Subdivision Name CSM N r t6(4 Gj�fa - ? 1 5 4 /7- 6 530 II. Type of Building (check all that apply) ❑Ci 1 or 2 Family Dwelling - Number of Bedrooms ❑village ❑ Public /Commercial - Describe Use � •° VTownship El State Owned 14�- ��� �� Nearest Road -P% .S M. Type of Permit: kheck only one b x on 151e A (numbering sche h for internal use). Complete lid B if applicable) A For County use - I New 2 ❑Replacement Syste 3 0 Zee Y�} �t4 tp( 6 ❑ ddidon to System Tan14 ... --�-' — Existing System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply) (numbering scheme is for internal use) 44 El Non - Pressurized In- Ground = •I►4ettad 47 El Sand Filter 50 El Constructed Wetland 22 ❑ P ri In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Du went Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Require Proposed Rate(Gals. /Days /S FE.). (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Mai cturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks 4 Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber — , /L 54 h4 1 7401 VII. Responsibility Statement- I, the undersigned, assume respons' 'ty for installation of the POWTS shown on the attached plans. Plum is Name (Print) Plum is Signature MPIMPRS Number Business Phone Number Plumber' Address (Street, City, State, Zip Cod `29 .16 f`i LcJ e VIII,Xounty /De artment Use Onl Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued ent Signature o Stamps) Surcharge Fee) 11 Owner Given Initial Adverse Determination IX. Conditions of Approval/Reasons for Disapproval Aen Attach complete plan[ (to the County ody) for the - em on paper not less 81/2 z 11 es in size . C �3 - SBD-6398 (R. 05101) i Sw- 1at'14- Z1l -1� w+ K � � �r,.. 4: wr ; c-�►c1 sir � n Z.Z. - bo o .S '1p- se• p E-- 0. 4 l.r C Boa) �z �ro �.r• I -Lvolo 3 'i ol C . CoN =: r13K S� amt i+ i+w s4 . S ra ,Qtie .x a s: c i vk%q SS all coo ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686 For Lot 3, CSM #704264, off C.T.H. SS (Kinnickinnic ) — owner (s) Patrick Keller Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. 2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. A diversion established down slope from the mound system may be used to contain runoff on owner's property. However, it must prevent runoff from entering the designated drainage /ponding easement area shown on CSM #704264 and the C. T. H. SS road ditch. 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation – do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. A detail for temporary diversions is attached. Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: .—/—/2003 o _ - / O Y Y/ 1 c. i i Ai jLL S i i i Il. i I I � - �l I I Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: 608 264 -8777 isconsin ` ' www.commerce.state.wi. us /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary April 23, 2003 CUST ID No.226524 ATTN: POWTS Inspector ROGER L TIMM ZONING OFFICE TIMM EXCAVATING ST CROIX COUNTY SPIA 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 4— �Zq 6 CONDITIONAL APPROVAL / Identification Numbers PLAN APPROVAL EXPIRES: 04/23/2005 Transaction ID No. 862060 SITE: Site ID No. 658127 Patrick Keller Please refer to both identification numbers, County Hwy SS above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SW 1/4, NE 1/4, 518, T2 8N, R 1 8W Lot: 3, FOR: Description: Four Bedroom At -grade System Object Type: POWT System Regulated Object ID No.: 900216 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At- grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption Condit area. chs. NR 811 & 812c APPR DEP RTMENTI • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N OF SAFTI requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRE1 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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. ROGER L TIMM Page 2 4/23/03 The changes made to this plan on 4/23/03 by this reviewer were acknowledged and approved by the system designer. 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 C % Charles L Bratz POWTS Reviewer II , Integrated Services WSMART'code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@corm cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 Henry F Grote , Certified Soil Testing Patrick Keller - At -grade System Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: At- grade, SBD- 10570 -P (6/99) Pressure Distribution, SBD- 10573 -P (6/99) Location: Lot 3, CSM v. 16, p. 4434 SW 1/4, NE 1/4, Sec. 18, T 28 N, R 18 W Town: Kinnickinnic County: St. Croix Date: April 24, 2003 Owner: Patrick Keller Address: 222 E. Locust St. River Falls, WI 54022 Plumber: Roger Timm Signature: 5�2� License # MP6 226524 Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover 2: design criteria &calculations RECEIVED 'malty 3: plot plan 4: plan view, system cross section APR 2 2 2003 O VED 5: lateral detail ) F COMMERCE 6: pump tank exit detail SAFETY & BLDGS DIV. !1N° LD '"as 7: pump curve _Z:� — 8: system management 3 PONDEN page 1 of 8 7 Design Criteria Residential Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L ' Anticipated septic tank effluent 30 mg /L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg /L Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load Design Calculations In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water >1 4•n in. Depth to bedrock ?. S Y in. Cross slope at system `' % �» Force main length ft. of Z in. Manifold /header length (( t`�� ft. of — in. 1 �at24u�q �Sa� Drain -lac - �-- g Lateral length 2 @ 59. ft. of Z in. L ateral elevati t `}c' ,�� ft. @ bottom of lateral :i Lateral hole size 3 ��e in. @ z- in. ft.) Spacing holes /lateral �O " holes total Lateral volume 4 . 23 4' gallons �t . 2 5 Total lateral discharge rate 3 1• gallons /minute @ ft. head I Network pressure compensation losses ft. Elevation difference ft. Friction loss to • R ft. @ S s�' gallons /minute Total dynamic head ft. Pump /sion S 3 gpm @ S" ft. of hea — Manufacturer G' c'J" Model s'`� 4 Dose volume x.35 gallons Lift/siph on tank -J;�Q. k Zsb - gallons Septic tank gallons Effluent filter Measurement pump on and off in. 6 r l Height alarm from tank bottom l in. Reserve capacity S� °' gallons specs.calcsses of Page Z g �c r : c.�c 1Z ¢.`�a v - �� o L� ` a► �► e� 1t. . "S4 Fxl � Z'L • l0'Sp .S'�p to • O 1 /`^.'�*,J t � ��1 ;��0 1w�••ti � I N o' U, 'VC{Sw loo _Q \ p C Ctl1� I \z2 a ILo` racl� A .y++;� N� LEI CJS0- kc Q`a�w S I F b y ___.,._+_ ~ ' { 10.� : Q. w J i e w LJ�. tti s o h as i 1'So• o � I ! A Z' 1 Y-- "1- "•- r --1'_. � Tom- �_____ .-. ._._._._._._._ _. -.____ _- • - -___. _.______ ______ _. _. , S .. .. .. _.. ,....----- -_.. Sk I t j ") IL c.o �.. Fabric Distribution Lateral Observation------ Soil Cover Well - 12 � � � .11� A � / V �r ur I•r r I S •o� 1�•0� S o U dC�li.rM I ., r � ,�„�. v a�•a� PLC �I.O �t (�� It •, �1d cam. 4 ,�y� o (� b� � b o r. v. Al w \ : Los; 1 \l 1 \-� O� �!'�Q/b• wXA '�"''SM��� K1 r��.1 �I • O 1 1 © Q :ij ~ U C- 3 O o \ �. •1-�- JC t' v 1•W 10. by �i-aY J 0 f .. - .. - :`: I.' .w.:Ww?M•.V..v...`u.�W.4.n+�- ' mow. "�w S 10 ',� .,. .... ......... .... ..... .. ......._ �..___- ._._.... ... _.......... -. _. .. . x 1 TO ► L_ t. M WEATI�ERPROJF LOCKING COVER ,71JN( Cc/An'N QlrICK D��COVVIL7 — � -A Oro I _j L°'{ 4v. . , T °to PIV� 3, 4TO 7 1bTuReED Sol L. 24`' I.D. Lr i YbrlT' M4�11101!` BAFFLE .l. P d z C 1rd�szV[3 �rtr�ECTl01{b �� �`� �w`.�. 1 \ -� l?•� r ON ' � . T Gvouµo IF Oc F CoArCaeE L r t - v. BLOCK SEPTIC f SpE G I F T GATT OQ S DOSE TAWKS MAWLIFACTURER: (Ju 5ER OF DOSES: PER TAWK SIZE: L Yt �' } �� GALLOWS DOSE VOLUME ALARr) MAAIUFACTuRCR; S� ��L �o INCLUDING OACKFLOW: °�33 uA'.�OtiS MODEL WUMSEK: o `' CAPACITIES: A = 3Z ' C � WCHCS OR ;,ALLCU swITCH TtIPC: ( " lb g= z ,Z.z 11JCHE5 OR GAL LoUS PUMP MAWUFAC.TUREK: C • �'` iULI+ES OR � ni GAL,OU: MODEL WUMDER: 1 ' 4 " 0 � l ' INCHES OR ° ~ 3A..C, jj SWITCH TYPE: �^6'"°' WOTE' PUMP AWD ALARM ARE TO DC MIWIMUM DISCNAK" RATC GIF M INSTALLED OW 5EPARATE CIKCL TS VERTICAL DIFFEREAICE OETWEEW PUMP OFF AA10 DISTRIDUTIOW PIPE.. FECT " p l e %r 18 `. ►x{ + MikiltAUM WETWORK SUPPLY PRESSURE . . . . , . . . �' & i FCCTid��� TT ,// (,. . + FEET OF FORCC I1AIW X �O'O F loo ItFKICTIOU FACTOR. L•�9 FEET • – � - , i II T OTAL Dy1JAMIC HEAD — FEET s p� IWTERIJAL. DIMCWSIOWfi OF TAWK: LEW&PTH \ i �' _;WIDTH 9 ;LIQUID DCPTH n: — NGOULDS PUMPS Submersible Effluent Pump 3871 EPO4 - EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. • Effluent systems ■Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING superior strength and corrosion • Farms manual operation Auto resistance. 0 Canadian Standards Association • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "F" or "C ".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic Goulds Pumps is ISO 9001 Registered. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 /4" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Temperature: 104 °F (40°C) continuous 140 °F (60°C) Intermittent. METERS FEET T -- -- -- • Fasteners: 300 series 10 stainless steel. 9 30 W._. _ ► Y2 t— SGPM • Capable of running dry without damage to $ Fr components. 25 _- ..._._____._.___.� 9 Motor: _ • EPO4 Single phase: 0.4 HP, v s zo _ 115 or 230 V, 60 Hz, 1550 5 - RPM, built in overload with c 15 automatic reset. q - EP05 • EP05 Single phase: 0.5 HP, o 115 V, 60 Hz, 1550 RPM, ~ 3 10 _ .....__ . ......... _ _ ._. ........ ........... - -- built in overload with EPO4 automatic reset. z • Power cord: 10 foot 5 ------- standard length, 16/3 1 _ S1TOW with three prong grounding plug. Optional 20 0 0 0 10 zo so o so GPM foot length, 16/3 S1TW with three prong grounding plug (standard on EP05). o z a 6 s 10 12 m /n CAPACITY Goulds Pumps © 2000 Goulds Pumps �-- g ITT Industries Effective February, 2000 83871 System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Roger Tinun, 715- 772 - 3214, or the St.. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include aseptic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. if necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning; Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater maybe necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 r ST' CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer PjYt 1 � �e✓ / Mailing Address Property Address (Verification required from Planning Departmen for y�/� r w contra ) City /State l�.lu�✓ &Alt LJ� r Parcel Identifica 'on Number LEGAL DESCRIPTION Property Location 5V '/<, '/., Sec. S T ZS N -R/8 W, Town of r 1 ✓Into k >nn 11 C/ . Subdivision Lot # 3_ . Certified Survey Map # - 70 L I Z & c/ Volume /(�p , Page # V Y- Warranty Deed # `7`0 6?Z— Volume Page # G Spec house ❑ yes (& no Lot lines identifiable IS yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification s g t your s pti s tem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 s of a three a iration date. SIGNATURE OF APPLICANT DATE O R CERTM ATION I (we) certify Jal l statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of pro rty desc b by virtue of a warranty deed recorded in Register of Deeds Office. I +� `J /J /6 � SIGNATURE OF APPLICAN DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Standard Erosion Control Pla for 1- & 2- Family Dwelling Construction Sites According to Chapters Comm 20 & 21 of the Wisconsin Uniform Dwelling Code, soil erosion control information needs to be included on the plot plan which is submitted and approved prior to the issuance of building permits for 1- & 2- family dwelling units in those jurisdictions where the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Standard Erosion Control Plan is provided to assist in meeting this requirement. Instructions:. 1. Complete this plan by filling in requested information, completing the site diagram and marking appropriate boxes on the inside of this form. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Submit this plan at the time of building permit application. PROJECT LOCATION C �o., C ' ''tt Please indicate north BUILDER OWNER -4 /V t by completing the arrow. WORKSHEET COMPLETED BY DATE -N - SITE DIAGRAM scale: 1 inch = feet EROSION CONTROL PLAN 1 17 LEGEND PROPERTY LINE EXISTING Q — ' DRAINAGE l i TD TEMPORARY DIVERSION I FINISHED DRAINAGE LIMITS OF GRADING r SILT FENCE STRAW BALES GRAVEL 0 VEGETATION I SPECIFICATION t TREE PRESERVATION STOCKPILED SOIL J U m UJ EROSION CONTROL PLAN CHECKLIST J Check (✓) appropriate boxes below, and complete the site diagram CL e. with necessary information. Q H z Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations. Approximate gradient and direction of slopes after grading operations. Overland runoff (sheet flow) coming onto the site from adjacent areas. " Erosion Control Practices N ❑ Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide w vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). ❑ Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide vegetative strip) that will prevent eroded soil from leaving the site. Location of sediment barriers around on -site storm sewer inlets. Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ® Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or seeding with use of erosion control mats. }$� Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year round flow). ❑ Location of other planned practices not already noted. W Co Q V Indicate management strategy by checking (✓) the appropriate box. O.. c a Z Management Strategies Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1 and September 15), or by other cover, such as tarping or mulching. Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). • Indicate re- vegetation method: R Seed ❑ Sod ❑ Other • Expected date of permanent re- vegetation: • Re- vegetation responsibility of: ❑ Builder 7( Owner /Buyer • Is temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? ❑ Yes ❑ No Use of downspout and /or sump pump outlet extensions. 4 Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement. ' Trapping sediment during de- watering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. 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 height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired imme- diately. 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. EROSION CONTROL REGULATIONS Erosion control and stormwater regulations can be complex. Local, state and, in some cases, federal regulations may apply. Before construction make sure you have the appropriate permits. LOCAL ORDINANCES Check with your county, city, village, or town for any local erosion control ordinances including shoreland zoning require- ments. Except for new 1- 8, 2- 1amily dwellings, local ordinances may be more strict than state regulations. They may also require erosion control on construction projects not affected by state or federal regulations. UNIFORM DWELLING CODE (DEPT. OF COMMERCE) CONTROLS REQUIRED FOR MORE INFORMATION, CONTACT: • Silt fences straw bales or other approved perimeter Local building pp p g measures along downslope sides and side slopes. • Department of Commerce, Safety and Buildings Division, • Access drive. P.O. Box 7162, Madison, Wis. 53707, (608) 267 -5113. • Straw bales, filter fabric fences or other barriers to protect on -site sewer inlets. • Additional controls if needed for steep slopes or other special conditions. STORMWATER'PERMIT (DEPT. OF NATURAL RESOURCES) CONTROLS REQUIRED FOR MORE INFORMATION, CONTACT • Erosion control measures specified in the Wisconsin Department of Natural Resources, Storm Water Permits, Construction Site Best Management Practice Handbook. P.O. 7921, Madison, WI 53707 -7921, (608) 266 -7078. • Measures to control storm water after construction. For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code the DNR Wisconsin 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 the State of Wisconsin Document Sales, (608) 266 -3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262 -3346 or the Department of Commerce, (608) 267 -4405. A PDF version of Erosion Control for Home Builders (GWQ001) and Standard Erosion Control Plan are also available at http: // clean - water.uwex.edu /pubs /sheets This publication is available from county UW- Extension offices or from Extension Publications, 45 N. Charter St., Madison, WI 53715. (608) 262 -3346 or toll -free (877) 947 -7827. A publication of the University of „ Wisconsin— Extension in cooperation with the Wisconsin Department of Natural Resources and the Wisconsin "'`s "" E &ignsion Department of Commerce. ©1999 by the Board of Regents of the University of Wisconsin System. Send inquiries about copyright permission to: Director, Cooperative Extension Publications, 201 Hiram Smith Hall, 1545 Observatory Dr., Madison, WI 53706. University of Wisconsin- Extension is an EEO /Affirmative Action employer and provides equal opportunities in employment and programming, including Title IX and ADA requirements. GWQ001A Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites A Printed on DNR WT- 458 -96 R- 02- 02- 2M -10 -S Editing and design by the Environmental Resources Center, University of Wisconsin— Extension. 0-0 recycled paper ORIGINAL: 1727 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing 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. Please print all information. Re sewed By Date Personal information you provide may be used for secondary pur oases jPriv t) (m)). Property Owner Pro li erty Location Kelle Patrick Govt.,Lot SW 1/4 NE 1/4 S 18 T 28 N R 18 W Property Owner's Mailing Address, Lot Block # Subd. Name or CSM# 222 E. L ocust St. t CSM V. 16, P. 4434 City State Zip C de Ppgne Ny"er . City Village Town Nearest Road River Falls WI 540 2 �y5'�_ 2' ', ,;z`� Kinnickinnic CTHW SS V. New Construction Use: A6 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement I Public or commercial - Describe Parent material loess over sandstone Flood plain elevation, if applicable NA General comments and recommendations: install 10' x 120' effective (12' x 120' overall) rock at - grade system w/ laterals following 100.0 contour FTI Boring # _ Boring ✓' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 48 in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0 -9 1 OYR 2/2 - sil 2 f sbk mvfr cs 1 f/m .5 .8 2 9 -18 10YR 2/2 - sil - 2 m sbk mvfr cs if 5 8 3 18 -26 10YR 3/2 - sil 2 m sbk mvfr gs 1 m .5 .8 4 26 -48 7.5YR 4/4 - sit 3 m sbk mvfr cs - 5 8 5 48 -62 7.5YR 414 f2f 7.SYR 5/8 sl 1 m abk mvfr - - .4 .6 I OYR 6/2 _ _ common gy si coats on peds in horizon 4 Boring # _,j Boring I Pit Ground Surface elev. 100.0 ft. Depth to limiting factor / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' — in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 1 OYR 3/2 - sil 3 f sbk mvfr cs 2f1 nn .5 . 8 2 8 -20 10YR 4/4 - sil 3 f sbk mvfr cs 1M .5 8 3 20 25 1 OYR 6/6 - scl 2 f sbk mvfr cs - .4 .6 4 25 -28 10YR 6/6 f2d 7.5YR 4/6 scl 2 f sbk mvfr cs .4 .6 5 28 -37 5Y 5/3 - scl 2 f sbk mfr cs - .4 .6 6 37 -67 10YR 5/6 m3p 7.5YR 5/3,5/8 s 0 sg ml - - .7 1.2 avoid this area w/ at -grade ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 150 mg /L " Eff 1pe = BOD < 30 mg /L and TSS < 30 mgL CST Name (Please Print) SignatLVe CST Number Hen ry F. Grote - 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/14/2003 715- 233 -0398 Property Owner Keller, Patrick Parcel ID # 022 - 1050 -50 -000 Page 2 of 3 F3 ] Boring # __j Boring Pit Ground Surface elev. 96.0 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -13 10YR 3/2 - sil 2 f sbk mvfr cs 1 f/m .5 .8 2 13 -29 7.5YR 4/4 - sil 2 m sbk mvfr gs 1M .5 .8 3 29 -40 7.5YR 4/4 - sl 1 m sbk mfr gs if .4 .6 4 40 -52 7.5YR 4/4 f2f 10YR 6/2 scl 0 m mfr cs 0 0 5 52 -71 10YR 4/4 - fs 0 sg ml - - 5 9 horizon 3 c content increases w/ increasing depth; horizon 4 has inclusions 7.5YR 5/8 fs (residual SS sand); horizon 5 has inclusions high & low chroma residual SS frags & fs 4� F Boring # Boring l Pit Ground Surface elev. 96.7 ft. Depth to limiting factor 5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence undary Roots GPD /fft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 1 0 -10 10YR 3/2 - sil 2 f sbk mvfr gs 1f /m .5 .8 2 j 10 -20 10YR 3/2 - sil 2 m sbk mvfr gs if .5 .8 3 20 -50 7.5YR 4/4 - sil 3 m sbk mvfr gs if 5 8 4 50 -54 7.5YR 4/4 f2f 10YR 6/2 sil 2 m sbk mvfr Cs - 5 8 5 j 54 -81 1 OYR 4/4 c3d 10YR 6/2 sl 0 m mvfr .3 . 5 a Boring # ._ I Boring ✓ Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ary Roots PD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 - Eff#2 1 0 -12 10YR 3/2 - sil 2 f sbk mvfr cs 1f /m .5 .8 I 2 12 -20 1 OYR 4/4 - sicl 2 m sbk mfr gs 1m .4 .6 3 20 -42 1 OYR 4/4 - sl 1 m sbk mfr cs if 4 .6 4 42 -55 10YR 4/4 f2f IOYR 6/2 Is 0 sg ml cs - .7 1.2 ft 7.5YR 4/6 5/8 5 55+ SSBR SSBR is weakly cemented, monolithic; horizon 2 has some fine (1/8" diameter) inclusions of 5Y 5/3 scl & north pit wall has a larger inclusion ( -3' long) varying between 14 -26 "; high chromas in horizon 4 are likely residual SS origin " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or i need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing [�( 1 l t C M Il ` kf_kt 1 t �� `a►» uel t._ gyp, 4k34 1�1t'14-ma -Id 1 term C t Rho t 1 1 t-uw C 102, \SQo �ilH • LS.z - c � b ► vQ. ��. � r�l�r�.; � sX S J 2 14 9 P 467 - 7 1 mse2 STATE BAR OF WISCONSIN FORM 1 —1998 XATHLEEH H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., NI Document Number RECEIVED FOR RECORD This Deed, made between Frederick G. Lenertz Grantor, and 02/24/2003 09:05AH Patrick E Keller and Nabila Keller, husband and wife EXEMPT t , Grantee. Grantor, for a valuable consideration conveys to Grantee the following REC FEE: 11.00 described real estate in St. Croix County State of TRANS FEE: 138.09 COPY FEE: Wisconsin (the "Property "): CERT COPY FEE: PAGES: 1 Recordin Area Name and Return dress Rati t eller Y T4 -- T Oide— AebxticeNer -1,Lj -f y-"Q KIFFTc� mtl / S5 L Cer�t S urU�y �aP i 'd i►1 ok 3 its pa yq 3`� � 6 C �f A IoggW V D( I r Parcel Ide a) N t a` Q �' I / / 0 � ntlf affon Number —t )t) ck-I� d I n � r This Is not homestead property. �hP N � (['� Q nd P4 (is) (is not) Co lbw t n Scc�ton I� , ► Rig KIoi ,�c►nnt� Cybtl Counk� t,vl��c�mst Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except .rh Dated this day of January 2003. (SEAL) (SEAL) r i c G. Lenertz (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, JULIE A. WILSON } SS. authenticated t i ,NOTARY o PUBLIC St. Croix County _ ATE W WONSTiT Personally came before me thist day of January ZW the above named Frederick G. Lenertz, Single TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, W is. Stats) No le, State of Wisconsin c THIS INSTRUMENT WAS DRAFTED BY M is permanent. (If not, state expiration date: Coldwell Banker Burnet CC 1301 Coulee Road — 1 a0C5 ) Hudson, WI 54016 2 -53168 (Signatures may be authenticated or acknowledged. Both are not necessary.) V —s 31 (P o ' Names of Persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 —1998 Milwaukee, Wis. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page - of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must CM , include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north avow, and location and distance to nearest road. Please print all Info >la RN el ed Date Personal information you provide maybe used for second pure EZPn�gET 11 i �� Id 3 Property Owner ST. CROIX C N O V 2 1 �' 1 /4 S T Z N R E (or) Property Owners Mailing Address Name or CSM# R O .Q Z 9 Z O City State Zip Code P ❑ Village (RTown Nearest Road ® New Construction Use: Residential / Number of bedrooms Code derived design flow rate _ GPD ❑ Replacement Public or commercial - Describe: Parent material _ t•• C and recommendations: _^ Flood Plain elevation ti applicable �� /- -,4— ft. General comments S Q ll r -EoL) r e ` p -Go F10 Boring # ❑ Boring (o ® Pit Ground surface elev. 7 2 r ft. Depth to IimUing factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 1 0f#1 'Eff#2 rno b rn -3 v S/ F r i o- A ❑ Boring a Boring # Pit Ground surface elev. • �U ft. Depth to limiting factor � In. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 'EfM !o /3/3 S• rrwb r G s 8 /( ow — ,� c &I rio ' Effluent #1 - BOD > 220 mg/L and TSS >30 150 mg/L ' Efllrent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Name (Please Print) ignature CST Number A4 0. >V\ cz, G a-K- 3 Address Date Evaluation Conducted Telephone Number 41,o -z /D �� `dam ? /s= 2y ��/o °f Property Owner c r L r417 Parcel ID # Page I1 f Boring # E] Boring .S ' d a Pit Ground surface elev. �d ft. Depth to limiting factor in. Sol A Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff #2 i 0-/0 , / S. / ; mo yr' r c 5 ; , S" • �f Z i6 �s / — S,- s c S ❑ Boring # ❑ Boring ❑ Pit =Ground surface elev. _ —____ ft. Depth to limiting factor in. Soi A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munseh Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring - -- F ❑ Pit Ground surface elev. ft. Depth to limiting factor — in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 • Effluent #1 = BOD > 30:S 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- 2648777. M4330 (RAW00) s �. PAGE OF 3 NAME T OT„# LEGAL DESCRIPTION SF X tiF , JOSS 1 2 9- E(orJQ SCALE: 1"= BM I ELEVATION loo• O BM I DESCRIPTION T n &L ., D u c - BM 2 ELEVATION BM 2 DESCRIPTION ptl C SYSTEM ELEVATION I SYSTEM TYPE A1ovlld CONTOUR ELEVATION 1 oQ o q&,0 L� S� SIGNATURE DATE 7 VOL 16 PAGE 4434 0 2 ? 003 KAT H. WWEW -- REGISTER OF DEEDS ST. CROIX CO., WI ,�� RECEIVED FOR RECORD CERTI FIEW S;U�R'VEY MAP 01/02/200317000 OAM PREPARED FOR LOCATED IN PART OF THE SW1 /4 OF THE NE1 /4, AND PART COPY FEE: 5.00 FREDERICK LENERTZ OF THE NW1 /4 OF THE NE1 /4 IN SECTION 18, T28N, R18W, PAGES: 4 220 LIVESTOCK TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. EXCHANGE BUILDING NOTE: CRAINAGE EASEMENT SHOWN ST. PAUL, MN 55075 HEREON IS CREATED TO MAINTAIN EXISTING SURFACE Z ( �z DRAINAGE. IT IS THE • 1 ► IF ACCESS F R ECO RD E D SURVEYOR. RESPONSIBIL c�.a^�_R EASEME RESPONS 811 OF LOT R,CES„ EASE �t_ A U) F TO STABILIZE AND MAINTAIN 12/31/2002 IN VOL. 2097 PG. 150, p THOMAS M. HEALY S & 'N LAND SURVEYING INC. APPROPRIATE VEGETATION ON DOC. # 704222 SAID EASEMENT. = m 2920 ENLOE STREET m O HUDSON, N 54016 SEE SHEET 3 FOR UNPLAIrTED LANDS m - �a DRAINAGE /PONDING 30 — — — — — 40 64' p m g� EASEMENT N1/4 COR. DIMENSIONS. 33E2�$ N85 °1904 E 5 I � C SEC. 18 LOT 4 I Nrpg z v O N O 3.746 ACRES !\3 O O J ° �'� N INC. R/W • • ' • • ' ' .� N co ° ( 163 186 SQ. FT. ) _ L, J 3.188 ACRES o CIt A NW1 / 4 OF THE NE1/4 ' �° o �-OT 3 W _ N N (138,887 SQ. Ff.) EXC. R 1W (s) m SW1 /4 OF THE NE1 /4 14 O (194,907 SQ. FT.) ��� Q INC. R/W ' O U7 4.174 ACRES • . _ / o / 1 1 171 (181,807 SQ. FT.) _ V W EXC. R/W M W \ �. \ •\ I�SEE DETAIL -"i mo ON SHEET 2 Z T S ° `` 3 p S m m 6 2a 6 ` I v nr ••S SO Un I 40'< N I S °' SCALE IN FEET 1" = 200' w o° So. 3 Mod N o�/ LOT 200 0 200 � Q�/ �� 3.651 ACRES ' I d/ �w (159,020 SQ. FT.)* cr zz co QO INC. R/W ry o• o� aj • / / ;o O / 3.047 ACRES ti• o I w (132,722 SQ. FT.) o� W :y / O c O I J Q dQ/ °�� EXC. R/W s' •' p �•% / dQ `1 = c m ff 01 / �•�,� D rl) • ��� ♦ / / • w En Jo C z O W o � 0 2" G� � > °- �/ ,. 330 3y ry� m 1 h LOT 1 ' •50.02V -- Gj DSON, � o . WI Q Z m E: 3.513 ACRES • �' SO• 3 �/ Gy m m m Z 153,030 SO. FT.) V M m SU ( RD m INC. R/W ;� I z 3.088 ACRES �°? h c 'D (n N 0 (134,507 SQ. FT.) mo w ° o o' 4 2' o ° 0 v EXC R AN LEGEND w =1-I O SOUTH E OF THE °� FOUND ALUMINUM ST. CROIX COUNTY Z m v SECTION CORNER MONUMENT m 9° m SW1 /4 OF THE NE1/4 301.82' • SET 1" OUTSIDE DIAMETER BY 18" LONG IRON z N N8829 5"W . PER LINEAR FOOT o 5 W 356.22 PIPE WEIGHING 1.13 LBS O w � W NJ�lpl��°,IT�C D 92 ' BUILDING SETBACK LINE A �•��•'•�••••��• so,/ (100' FROM RIGHT -OF -WAY) Ul LANDS 42 ' �� — — — _ , , _ • • _ • • _ DRAIN AGE /PONDING EASEMENT S1%4 COR. (SEE PAGE 3 FOR DIMENSIONS) SEC. 18 • FOUND 2" OUTSIDE DIAMETER IRON PIPE / PROPOSED DRIVEWAY THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB N o. 6000 -13 DATE: 09/17/2002 REVISED 1/02/2003 SHEET 1 OF 4 SHEETS Vol-16 Page 4434 • rt1� CROIX COUNTY WISCONSIN MW MW 2 I i ,r� + +. ZONING OFFICE _1 D.�01$T,CROIX COUNTY GOVERNMENT CENTER 1,101 Carmichael Road y Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686 1F. For Lot 3, CSM #704264, off C.T.H. SS (Kinnickinnic ) — owner(s) Patrick Keller Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. 2. Route contaminated runoff into vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between excavation areas and any drainage ditches or waterways. A diversion established down slope from the mound system may be used to contain runoff on owner's property. However, it must prevent runoff from entering the designated drainage /ponding easement area shown on CSM #704264 and the C. T. H. SS road ditch. 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector will evaluate ESC plan effectiveness and make recommendations to owner and building inspector for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. A detail for temporary diversions is attached. Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pamela Quinn, Soil Erosion Ins ect 66 054 Owner acknowledgement of ESC Plan requirements. ` 1)/2003