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022-1065-10-030
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 420413 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 1(f 7 r+a-4. /,bA Permit Holder's Name: City Village X Township Parcel Tax No: Brathol, Douglas L. I Kinnickinnic Township 022 - 1065 -10 -030 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA ' 3S3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark � 5D ob Dosing / Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet n l - TANK SETBA INFORMATION St/Ht Outlet 'T �i . TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic f So Dt Bottom t > Z- � —� Dosing Header /Man. Aeration Dist. Pipe �.oL r Holding Bot. System , 3.5D p(.o Final Grade u l PUMP /SIPHON INFORMATION 1p W a 6- A (L {- Manufacturer Demand St Cover P Model Number i'� � 1 � �u -(* 2 �� 101. - f . 1 l kk I PH Lift Friction Loss System Head TDH Ft o •ti 3 • zs -ZZ' VA_ � l • OZ.) I Forcemain Length b t Dia. fl Dist. to Well ` - SID O o SOIL ABSOR YSTEM ?� 3 ,y o BED/TRENCH Width Length I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Liquid Depth DIMENSIONS O I „2. sb a � 11 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHI ufacturer: INFORMATION CHAMBER 0 Type Of System: UNIT Model u DISTRIBUTION SYSTrEM Header /Manifold Distribution t r x Hole Size If x Hole Spacing Vent to Air Intake -� Pipe(s) f I I 'Z ^� 3 II (O 2 Ll 1 1-ength Q.Ci Dia Length 55] & )pia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of rSeeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil I-- ��� Yes [0] No D11 Yes �� No COMMENTS: (Include code discrepencies, persons present, etc.) Ins ion 1: a� l D�?� Inspection #2: l Location: 1378 Friar Tuck Lane River Falls, WI 54022 (NE 1/4 NE 114 23 T28N R18W) NA Lot 6 Parcel No: 23.28.18.353 30 1.) Alt BM Description 2.) Bldg sewer length = 4`' _ �d L S't + ► �l - amount of cover Plan revision Required? %e Yes XNo -. �O �.,p 1 h - Use other side for additional information. SBD -6710 (R.3/97) : n / Snsepctor's Signature Cert. No. I Safety and Buildings Division Carty S 201 W. Washington Ave., P.O. Box 7162 v A W l AW sconsin Madison, Wl 53707 - 7162 Site Address Department of Commerce v -OL 10d S 3 / GK Sanitary Permit Application Sanitary Permit Number in accord with Comm 83.21, Wis. Adm. Code, personal information you rovide Check if Revision � 4, � 20 / 3 way be used for secondary ses Privacy Law, a15. I. Application Information - Please Print All Information Plan I.D. Number S.0 !� ay 's Name A U G 2 2001 P r 7- Number 1 z y /ab Property Owner's s t CONING OFFICE P perry Location 0 f F i< /T E %; S 3 T2 N, R City, State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number ftd1 /S /� GAS lv II. Type of Building (check all that apply) ❑City A l or 2 Family Dwelling - Number of Bedrooms � / � " []village ❑ Public/Commercial - Describe Use ownshi (�..t• [ �N ❑ State Owned 140`PEF,4 1 etc 1D /� // Nearest Road M. Type of Permit: (Check only one box on line A (numbering scheme for mtemal use). Complete line B if applicable) A. VE 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem I I Tank Only S stem 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 ❑ Non - Pressurized In -Ground 2", , Mound 47 ❑ Sand Filter 50 ❑ Constructed Wedand 22 ❑ - Ground 41 ❑ Holding Tank 48 El Single Pass 51 El Drip Line S At-Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 3o ❑ Other . D XsaVfteatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation atyI /oz.0 VI. Tank Info Capaci6 in thtal Number tar r , �,�/ Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks / t' Concrete Constructed Glass New ExdstdnE Tanks Tanks WA. - or Holding Tank Chem VII. Responsibility Statement- I, the undersigned, assum responsibility for ' the POWTS shown on the attached plans. Plumber's Name (Print) is Signature ber Business Phone Number 4025417 LL �� Plumber's Address (Street, City, State, Zip Code) 372 IV49 s?' 1n e r lr/ Si VIII unt /De artment Use Onl Approved 11 Disapproved Sat»tary Permit Fee (includes Groundwater Ya Issued Is ' =Signau o Stamps) Surc Fee J ❑Owner Given Initial Adverse y/,y� Determinati on ✓✓ ditions of Approval/Reasons for Disa proval - 2 I Q (to 1 r77 7) l e �� it Inches trio 0 SBD -6398 (R. 05101) PLOT PLAN Scale 1 y p ' - Page _ 1 , _ of 7 � 12otJ P� P� Z z` ti 5'r��ti_ 3Zp •? S 5 ' M !1\1 \5 � a•3 0 � � C y N �•p utZ �1 rJ 0.1 �=—� 1 O \ N ';\ �1s�\�2.t3 1�i2S �� � ��--• Zz � �o Sao 8 , L OL`�'T1pIJ X S`rzklC�� S 1TE 0 ��Iliz �_Tuo Lp� )o eF y` pvC r� r 3 L'1ZW WD m �1 L- .1�0.0 S itc,, 3 /y •DlA PVC PIPE W /L#�rH 1^ jLI L 3 � > .S O ' F-1 art S' 1_37E) PM D ? ?—S' RUM `M�,- - -- I l NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required), 3. Septic tank to be l 000 f 6Sc3 gallon capacity manufactured by �^ ►L L1Z C C%A� W/ F� l$00 Zizrse . F �Te12 Q 4. Bench mark S = Sew- AS 0VE . �. Divert surface water around system to . prevent ponding at the uphill side. i Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 ,cons www.commerce.state.wi.us/sb I \Vin ® www.wisconsin.gov Department of Commerce Scott McCallum, Governor 7 RE( . - , r s f i -i 2002 Philip Edw. Albert, Secretary ST. June 20, 2002 E_ CUST ID No.267341 ATTN.• POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2004 Identification Numbers Transaction 1D No. 757611 SITE• Site ID No. 646228 Douglas Brathol Please refer to both identification numbers, Friar Tuck Lane above, in all correspondence with theagency. Town of Kinnickinnic St Croix County NEIA, NE1/4, S23, T28N, R18W Subdivision: Proposed CSM - Vol. 15, Pg. 4115; lot 6 FOR: Description: Proposed Three Bedroom At -grade S tem Object Type: POWT System Regu ated Object ID No.: 856356 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans 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). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. i • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). C , P.O. W T. S AP �e O VEI ) . Qnditio R DEPART DWSMAI — ENT OF rn... _ - - ARTHUR L WEGERER Page 2 6/20/02 Owner Responsibilities Continued: • 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608 )-789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page 1 of - 7 AT -GRADE SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared At- Grade p red in accordance with the At Grade Com ponent Man ual SBD- 10570 -P "and the Pressure Distribution Manual SBD- 10573 -P C R. C 2, 6 /qq� LOCATED IN THE N C 1/4 OF THE NF_ 1/4 OF SECTION Z 3 , T Z8 N, ' R 15 - 'W ) TOWN OF `rc_-V Kj� j Q ST. Cld LX COUNTY, WISCONSIN. Lot C OF eSM INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM A STEPi riA�dAGEM.�N1� PLAN 4 � PAGE 3 of 7 PLOT PLAN Fj►, ` �� PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT 5 O PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION ` PAGE 7 of 7 PUMP PERFORMANCE CURVE �Onn y� PREPARED FOR bcw 6 LA S -al l I - -- l-i-- M M DhJ , W1 s t10 i s PREPARED BY IUJEGEF�Ei� !0C3 I L . TEST S NC3 AND. DES I Grt SIERV S CE P.O. Box 74 421 N. Ma i n St. River Falls, WI 54022 al's' r, COA� A'4 Phone 715- 425 -0165 '' 715- 425 - 6864 ®� �� Fax �.�► ART, R Y.'EGEREA i 0.P15 P ELLSwoFn- S 1 G FTY ..,icrtCt MifipNN AND BUILDINGS 6 � 6 ..�Z SEE CORRES DENCE - JOB NO. SaL9 3 At -grade System' Management Plan Pursuant to Comm 83.54, liis.Adm. Code Page Z of Sectic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The cutlet filter sh all be deared as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alam, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarns may indicate surge flows or an impending continuous alarm exceeds the liquid vcf . The septic tank shall have its contents removed when the volume of sludge and scum in the tank exd 113 ume of the tank. if the contents of the tank are not removed at the time of a triennial assessment, maintenance personre! shall advise the'owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such produces are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. At -grade Component and Pressure Distribution System No trees or shrubs should be planted or allowed to grow on the component. Plantings may be made around the perimeter and the component shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the component is not allowed. Cold weather install- ations require the component to be heavily mulched for frost protection. Influent quality into the at -grade system may not exceed 220mg /L BODS, 150 mg /L TSS and 30 mg /L FOG. Influent flow may not exceed the maximum design flow specified in the permit for this installation. The pressure distn'budcn system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be for effluent ponding. Ponding levels should be reported to the owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring in accordance with Comm 83.52 (2). General This system shall be operated in accordance with Comm 82 -84 Wis.Adm.Code and shall be maintained in accordance with it!s component manual SBD 10 570 - P•(B,6 /99) local and state rules pertaining to system maintenance and maintenance reporting.. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the comp letion of service. -An nip d unsound, defective, or subject to failure must be replaced. p e opt g termed be secured by an effective locking device to prevent accidental or unauthorized entry in to ato k or component iameter shall Contllnaencv plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the s in proper operating condition. - - —__ If the dosing tank, pump, pump controls, alarm imtne or related wiring becomes defective the defective component shall be dlately repaired or replaced with a component of the same or equal performance. If the at -grade component fails to accept wastewater o�egins — to dischaoge vastevater to the ground surface, it may be necessary o install an aerobic y pre- treatment unit or .replace the component. Additional site and soil evaluations may need to be done and additional plans may need to be prepared and approved by the Department of Commerce, Safety and Buiidings'Division. . Questions.about the operation or maintenance of this system should be directed to The County Zoning Office at - 115 -386 _ Lf 6 ✓�O ST: CRQ �( The system installer at The tank manufacturer at _ 9OC)_ 3ZS_ $�fS6 W1�3�12 The effluent filter'manufacturer at L4 l9 - Z-a4 - t lV u )'" fit. eTZ_% PLOT PLAN Scale 1 " =y7j' Page 3 of 7 310? S ' \ O \ SOD � 85' of ZK lx,C F M_ 5 s ITS SYr 1C li 10 of y'P\JC �n r �� Tua� use 'S E'f TRW UUD Bwi =1 LL_ �0 ,0'Dty S" tC 3lyrDtA PVC PIPE w /L_ ory -1 , c �� 4 > _Sp 16 1' ? Z, S' RUM Jl'r NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required).,, 3. Septic tank to be l 000 /6So gallon capacity manufactured by � L C� �Z CU�1 C�Z�T� �// F3 _ L 8 00 Z PB E L. F1 LTerk Q 4. Bench mark S. 5. Divert surface cater around system to prevent ponding at the uphill side. - -- _ C -- Page L >5' B > 5 � I > 51 r 2' W r 1 =Z=� Z 1 Z - - �R 6 G R,� trm- 0 >5 ! � o sse tu?m w EL� - z mo o. L , I/6 B 1/6 B A= 10 Feet - B= 12--5 Feet Linear Loading Rate= y - GPD /LN FT L= 1Z2_ S Feet Design Loading Rate= 0,q GPD /SQ FT W= 2Z Feet Fabric Iizl, Distribution•Latemal Observafiion� S Cover Well - 12 � ` , wwep Pt4t.=Y >51 A � : >5 1 Plan View and Cross Section of Wisconsin At-grade Unit with a Single Absorption Area on a Sloping Site Distribution Pipe Layout pAc S or Place the holes at the bottom of the distribution pipes at equal spacin.". Remove all burrs from the pipe and 'holes. Extend the end of each lateral up with the use of Iong turn or 45 11 firdn; to a point within six inches of the final ode. TeMinate the ends of the laterals with a valve,: threrded ca-D or . threaded plug. Provide access from final grade for the valve' threaded caa or threaded plug. 7 F Cr, L s s `T�Oiv F V C. Lateral— T -, \, 3� Lateral x x x xT 1 V.2 x x z x Later, Lencth – P Lateral tencth – P Distribution Line 1 0-- f Rcr�sS �oX ,V . P 55 Ft. Hole Diameter 3/1(,c, Inch X Zy Lateral 1 �Z Inch(es) Inches Force Main " Z Inches # of holes /pipe Zb Invert Elevation of Laterals y- 13 Z_ 3 6.86 spi-I - Combination Septic; and PUMP CHAMBER CROSS SECTIOM AMD SPECIFICATIOMS ' PAGE 6 OF 7 •VEUT CAP WEAT14EK PROOF JUIJCTIOIJ BOX . ti C.Z. VEAIT PIPC APPROVED LOCKIMG 1 10' FROM DOOR, AXWHOLE COVER AJIV :lIuDowOR FRE5H wARt.�1tJG l.P`gt:l - � P►PE wr a r? AR IuTAKE S corJcu�r ti w lt�tCL� s L G R•rCD E � �. I B' I'll u. 18'Alm. �►; --- - - - --- r WLET i" PROVIDE I -- -- �['AiRTIGHT SEAL I I Approved zmo r-t`--Tft A I IIJ APProved joint w/ i joint w/ PVC p _� `J ALARM PVC pipe 15 t I I I I ow c I CLCY. FT. _ -� PUMP ,, OFF D COUCRETE L -�7 c l 0� + BLOLK - K15ER EXIT PERMI7rED 0QLy IF TAIJK MAQUFACTURER HAS SUCH APPROVAL IUDDINQ 3N SEPTIC f SPECIFICATICKIS DOSE TAQ)(S MALIUFACTU;LEK: I OF DOSES: S ' PER OA W /� ., TA)JK SIZE : ! 130 Q) /O SO CALLOUS DOSE VOLUME r AL MAWUFACTURCR: _- S- S , 3L13T tr�,l S IAICLUOINC, BACKFLO �� GALLON: MODEL KILIMBER: `` � CAPACITIES: A= IMC14E5 OK 3� , CALLOUS SWITCH TZPE: � / IUCHES'OK 3 Y G�LLOUS PUMP N'IAUUFACTURCK: - � C s I&KHES OR 1 Z iS GALLOL„ MODEL QUK5ER: E �O D = � �- I&CHES OR � t, � GALLOAIS SWITCH TYPE: 1 ZL! uO PUMP AUD ALARM ARE TO 10 bE MIKIIMUM DISCKARGE RATE 3 b •C- GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFEILEWCE DETWEEIJ PUMP OFF A DI5TRIBUTIOW PIPE.. 0 1 "DO FEET f KIAJIKUM KIETWORK SUPPLY PRESSURE , 3- ZS FEET �Z.Sx�. -f- 8 S FEET OF FORCE / lAiKl X 2 -SAO F j ^ LL3 10o FT.FRlCTI0A1 FACTOR., FEET TOTAL D!JUAMIL HEAD �FEET As per manufacturer 1`I. y gal /in. Liquid depth 334 M E40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 W 30 W W W H 25 8 X Z p ►, 20 6 J 2 ~O 15 1y -b 4 F- 4 H 10 F 36.�6 5 2 0 L 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 FAX X 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. r - Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 'l of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST. C Z ~' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must r3 I x 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. DZZ — Please print all information. 1 e by L D e Personal information you provide may be used for second 4 (1 (m)). ! oti' Property Owner - Property ocation �� U ( S L, L 1/4 MC— 1/4 S 23 T Z$ N R �$ E(o Property Owner's Mailing Address JUL V I I - j dck# Block # Subd. Name or CSM# l0 I1 � LFrl1J f. — c-S�1 UOL L S '-1 lS City State Zip Code Phon Num #r ONING OFFI ' City []Village ® Town Nearest Road r'`'lti"!0►��D 1.11 S�d�S (B - 5 2 TUC12 Lft R1 New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate L 4 S GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material SPCLv+7 STOi�1r= UP(_ D S Flood Plain elevation if applicable IV ft. General comments and recommendations: — G C i f S�S� y W� ) 0 ' X L 12 . S ` T,) L,Sn - t-L G3 U 71 ()).l A L. 7 I Boring # ❑ Boring Q ' I r ® pit Ground surface elev. l q- 1 0 ft. Depth to limiting factor — l. b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z S 3 Z CO�uz 3l 3 1�g 1eSbk � v `Ps- �w - • � , b ti v i' 0-ti • L Q_ 4 �l6 SS 113' C1 - 7-S� p s1 v s w , m, v -el- — . Y , b Boring # ❑ Boring ® pit Ground surface elev. O Z -O ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D - L - 1 -s Lm 3/3 rn U GLS 1 v `� • �1 Z ID 3S o Ll 2 Vj6 — t 1 e b� m \ r Cw - 6 3 8 -u 8 t o �!� -- �S o�, - • o •D Ck ssQ� ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) J Si nat CST Number Arthur L. Wegerer 6A SO, .Z. Z- L 3 �o 220254 Address W e g e r e r Soil Testing & Design Service B e E vah j atio S ) ducted Telephone Number 421 N. 1 St. River Falls, UI 54022 t�Z �3 6 - S--OZ .,715 -425 -0165 I� Property Owner )E I IA Q L Parcel ID # Z z -�U 6 S L O —� 3 Page Z of 3 • [] Boring 3 Boring # ® pit Ground surface elev. l Z - Z ft. Depth to limiting factor 3 8 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 l 0 - - SYp -3!3 - l`Fs Z-` C) 3 3Q S�/ 1 O`ifz- Is. . S"LY IZ 518 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F-1 Boring # [] Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.6/00) PLOT PLAN Page 3 of 3 Scale 1' =gyp' � 11ZOrJ P� D� 5'M Iry a 3 e- v'vM ��ST. PLP� t�._ L�ZO• \o s iT= � r .� mat r S H�RW UUD LL._a�n..0 Dtv_S 715 - 425 -0165 220254 CST Signature Date Telephone No. CST No. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code _ County ST - eZ Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must � � X 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. OZ2 — 1 tj l p _ O3n Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 6 ,-- S L ��-�' ; L Gent» tot' 114 ME 1/4 S Z 3 T Z g N R�$ E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# l0 31 EIv LPri1 J E - ( - I r Vut_ 1.S City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road SQVS ( - )LS ) 7q6- 5z6 �cli�liU IC�INNLC F7i119811 iL New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 1 4 SQ) GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Sf'c' STpf�J U�t_ p Flood Plain elevation if applicable N ft. General comments and recommendations: I-J/ l D' X I 1 Z , S ' � t3n BUn Oil CD)v`t�u2 LZ�V, 101.5' Boring # ❑ Boring t / I ® Pit Ground surface elev. - Q l `7 /� . 1 6 ft. Depth to limiting factor — 1 b 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 I e - S Yn \) f �• a-s 1 v� . q , 6 Z S 32 n-tvL - �� 1 CS b`z M v`Fi- L - • ,b vn v - elti . (� 4 �t6 SS IDLY P S C - 7 -SLI P 5) �s o� Y n Boring # F - ❑ Boring ® pit Ground surface elev. O 2 - O ft. Depth to limiting factor 3 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 0 -� - "I- SLfV -V3 - 1 cS b �z rn VAr a.. �v� • • Z b 3 o 2 Vic - 1 O S6�t m \Ar Cw 3 � -O 10 r b`tz, - �s orn - • o -� SS Be) Lo Ck ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signabo CST Number Arthur L. Wegerer �. O Z- 220254 Address W e g e r e r S o i l Testing & Design S e r v i C e g e Evaluation C � s --u) ducted Telephone Number 421 N. 1 St. River Falls, HI 54022 >�Z �3 - 6 -S=-Oz ..•715 -425 -0165 Property Owner Z 1 A Q L Parcel ID # Z z— w 6 S' L O — 03 Q Page Z ' of 3 Boring # Boring ❑ ' 3 ® Pit Ground surface elev. l Z) Z • Z ft. Depth to limiting factor 3 8 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 a- 6 - 7- S1/cL.3l3 - l Z,`� 9 �- m \j+ a, s \v� • s • 9 2 6 38 tD IfZ (41, - l'�s L 0- 36k h1 `�h S - • 3 Sy � o�t� �/B . �. S LY tz sls F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -6330 (R.6100) r— PLOT PLAN Pacre 3 of 3 Scale 1' =gip' � 1i2.o►J Pt pt 5 ' r1 � ry i� � a •3 � FIST- PLP� fit_ LOZO� ,00 Z l t r S �fCSIZWOUD 6 -6-OZ 715 - 425 -0165 220254 D2_ 3 l CST Signature Date Telephone Into. CST No. Job r10. EROSION CONTROL PLAN COMMENTS: 3 For 1378 Friar Tuck Lane Sanitary Permit — owner(s) Douglas Brathol 1. The main source for construction site runoff will be the house foundation excavation and any soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation has minimal impact, but apply seed and mulch on exposed soils as soon as final grading is done to minimize erosion. 2. Divert contaminated runoff away from any drainage ditches or waterways by creating temporary earthen berms ALONG CONTOUR between construction activity and Kelly Creek to the north. Maintain existing vegetation between potential receiving waters (including ditches) and the house foundation & mowid- eptic system excavation sites. 3. Construction equipment and vehicles must use only one stabilized driveway access off Friar Tuck Lane that is designed for heavy equipment; this helps avoid muddy, rutted conditions that may allow contaminated runoff to reach concentrated drainageways. Includes cement trucks, well drillers, and other contractor's vehicles that access the property. If damage occurs during delivery for 4nettad, have excavator re -grade the area and stabilize when mound is completed. 4. Stabilize new topsoil cover over reeena 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. 5. If builder /excavator grades the site to create temporary berms as recommended to contain sediment and leaves adequate vegetative cover between work area and neighboring properties and/or road ditch, installation of silt fence MAY not be necessary. Use mulch or other cover materials to prevent erosion. Silt fence will be required if sediment cannot be contained on Lot 6 with diversions/berms. Septic system inspector will evaluate ESC plan effectiveness and make recommendations accordingly. Please feel free to contact me with questions or ask for assistance with erosion & sediment ntrol i tallation. Pamela Quinn, Soil Erosion Inspector #665054 • L 191 ROME ■ ■■SIMr V AIM■ ■■N. amf�ci � I■■■ ■ ■■1/■■■■/`sam Ell ■■■■ o . ■■■ ■■E'!■■■/M■ ■II ■■ ■■ ■ OEM ■, .: .. . ■■■■ ■�� ■ ■ ■ ■/ / ■ ■■I /■■� ■■■■■ ENO R■ ■I■ ■■ ■■■ ■ ■■ • I■ ■■■ ■KINI ■EEII■ ■ ■ ■ ONE ■ ■■ I■■ ■■ ■M WIN ONE MINI■■ ■ ■ ■■ 1■■ ■■■■ ON mom ■ ■■■ ■ ■■ ■■■■ IMMENSE ■■ HINEW ■ ■■■ ■ ■■■ ■ ■■ I■ ■ ■ ■ ■ ■ ■■ ■NIMMIN ■ ■■■ ■ ■■■ ■ ■■ - .. - . 1■■■■■■■ ■■M■■11■ ■■■ ■ ■■■ ■■■ EMISSIONS! ■ ■It■ ■11■ ■■■■ ■ NEON ■ ,.. EROSION CONTROL PLAN CHECKLIST Q Check (./) appropriate boxes below, and complete the site diagram with necessary Information. Q �Q UoF o V Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑ ❑ ocation of existing drainageways, streams, rivers, lakes, wetlands or wells. ❑ ❑ Location of storm sewer inlets. Rkl*� Location of existing and proposed buildings and paved areas. 6 ❑ ❑ The disturbed area on the lot. /Pd�n cl Alzx_ate qrc Approximate gradient and direction of slopes before grading operations. • Approximate gradient and direction of slopes after final grading operations. • ❑ Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ® ❑ Location of temporary soil storage piles. P rY 9 P Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). /EJ Location of sediment controls (filter fabric fence, straw bale fence or 10 -foot wide vegetative strips) that will pre- vent eroded soil from leaving the site. WA ti- a4'a_ ❑ [D/ / Location of sediment barriers around on -site storm sewer inlets. ❑ ❑ Location of diversions. � 0 at,� Note: Although not specifically required by code, it is recommended thaf co ntrated 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. ❑ C9 Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. ❑ ❑ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year -round flow.) ❑ ❑ Location of other planned practices not already noted. b c c� Indicate management strategy by checking (V) the appropriate box: o Q•� z� Management Strategies ❑ VTemporary stabilization of disturbed areas. �- Lz& Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time ilized by seeding (between April 1st and September 15th), or by other cover, such as tarping mulching. (� Permanent stabilization of site b re-vegetation or other means as soon as possible lawn establishment). . 9 P ( ) Indicate re- vegetation method: Seed ❑ Sod G Other ❑ Expected date of permanent re- vegetation: Re- vegetation responsibility of: Builder ❑ Owner /Buyer ❑ I �t�m.Rorar�seedin_ (7 nr m uhh�np Pl�d if 06 is not seeded by Sept. 15 0 y Nov. 15. Yes Z-' ❑ Qiytrc� ❑ Use of downspout and /or sump pump outlet extensions. Note: !t 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 dewatering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until / most of the sediment settles out. 0� 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 barrier's height. • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • 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 ILHR 20 & 21 of 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 State of Wisconsin Document Sales, 608/266 -3558. Erosion Control for Home Builders (GWO001) can be ordered through Cooperative Extension Publications, 608/262 -3346 or the Department of Commerce, 608J267-4405. EROSION CONTROL REGULATIONS UNIFORM DWELLING CODE (DEPT. OF COMMERCE) PROJECTS AFFECTED • Straw bales, filter fabric fences or other barriers to • All new 1 and 2 family dwellings in Wisconsin started protect on -site sewer inlets on or after December 1, 1992. • Additional controls if needed for steep slopes or other • Additions to dwellings built after June 1, 1980. special conditions MAINTENANCE AND WASTE DISPOSAL APPLICATION PROCESS • Sediment controls must be maintained until the site is • Erosion control measures must be included on the plot stabilized by mulching and seeding, sodding or plan submitted with the building permit application to landscaping the local building inspector in communities where the • All building waste must be properly disposed to pre - dwelling code is enforced vent pollutants and debris from being carried off -site • Plot plan must show: — Location of the dwelling, other buildings, wells, sur- ENFORCEMENT face waters and disposal systems on the site with •Erosion control inspections will be made during other property lines regular inspections (footing and Foundation, rough con- respect to struction, final, etc.) — Direction of all slopes on the site • Violations must be corrected within 72 hours — Location and type of erosion control measures . Stop work orders may be issued for noncompliance CONTROLS REQUIRED FOR MORE INFORMATION, CONTACT • Silt fences, straw bales, or other approved perimeter • Local building inspector measures along downslope sides and side slopes • Department of Commerce, Safety and Buildings Divi- • Access drive sion, P.O. Box 7969, Madison, Wisconsin 53707, (608) 266 -2128. STORMWATER PERMIT (DNR) PROJECTS AFFECTED — Proposed erosion and storm water pollution control • Any grading or construction project that disturbs 5 practices during and after construction acres or more and is not covered by a building permit — Documentation that an erosion control and storm • Smaller sites that are part of a planned development water management plan which meets DNR standards involving 5 acres or more of land disturbance has been prepared (plan does not need to be submit- • Effective October 1, 1992 for any new or continuing ted with the application) project —Other information related to site location and per- • Exceptions: Indian tribal lands and work done by local mit holder government staff CONTROLS REQUIRED APPLICATION PROCESS • Erosion control measures specified in the Wisconsin • File a "notice of intent" application (Form #3400 -161) Construction Site Best Management Practice Handbook with the Department of Natural Resources (DNR) 14 • Measures to control storm water after construction days before construction begins FOR MORE INFORMATION, CONTACT • Application must include: • Department of Natural Resources, Storm Water Per- - Timetable for land disturbing activities and installa- mits, P. O. 7921, Madison, WI 53707 -7921, (608) tion of erosion control measures including project 266 -7078 start and completion dates LOCAL ORDINANCES Check with your county, and city, village or town for any local erosion control ordinances including shoreland zoning requirements. Except for new 1 & 2 family 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. A publication of the University of Wisconsin - Extension in cooperation with the Wisconsin Department of Natural Resources and Department of Commerce, Ron Struss, Water Quality Educator, UWEX Western Area and Carolyn D. Johnson, Urban Water Quality Educator, UWEX Southeast Area. UW-- Extension provides equal opportunities in employment and programming. This publication is available from county UWEX offices or from Extension Publications, 630 W. Mifflin St., Madison, WI 53706, (608) 262 -3346. Copyright 1997 by the Board of Regents of the University of Wisconsin System doing business as Cooperative Extension, University of Wisconsin - Extension. Send inquiries about copyright permission to Director, Cooperative Extension Publications, 201 Hiram Smith Hall, 1545 Observatory Drive, Madison, WI 53706. GW10001A Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites DNR: WT- 458-96 R- 02-97- 2M -10-S ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT ��'•' �NNNNNNN■ rn�r ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 r Phone: (715)386-4680 Fax (715)386 -4686 i N 0 To: p &"f �l l5 t L From: l� Fax: - U ° ( p / �Q 3 fi Pages Phone. 2Co Y 6 Date: 'z-- Re: CC: ❑ P t ❑ Please Reply ❑ Please ❑ Urgent ❑For Review 11 Comment p y Re Y • Comments: S /19-70 CZ TU L (r\. - t� b Wit! 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Zell & Jean ,y : • •' & 40 m k 3q Barbara Mark & d; 170'2 1 1 & Doris ' Shaw ° L.wrence '� Ickler Laurie N° ` 7A 1 Robert Garbe ,'� Benson etal Harry > • James Lent H: Alvin & Holly Lisa 17a • ca _ eo Johnson 40 78 0 ' Lubich w k Sollom 118 Delander s<n'm =• ,.7 Pamir GSr36e 80 lU u 40 160 • S �° Trust etal 50 99 N Alvin &MOc Susan Gordon& James ikx • • rak .a dad1� • M Sh III M-11 Joanna & Mary Fisk James 2° • a e • y Van Beek Inskl 19 B • Q Arnold & 35 J ra Marcella Lueck 115 j r J 110 C &L H.t dl R o Sumner y m a1a " 9 , 4o s63 PAw n F 80 160 ldlne R d Thoman & Lisa .. ck5 C &1 weMter m • dm, • E&.S B 9 160 Ross J RIB • o�J K &D •9m •127.3 Y D &N Mn'9 P al KkBAvi. • 6 • 208 157 71.8 o b & M ¢ Hal ti G vo w.1d • 160 180 • as 3 • 4 lad zz.s 20 x e ry r rr V Viola R &1 s Havel T or Charles & cc ° Y 2 j rd z Mdrviri 1 Faa -& Liddle •1 John &• 59 - s AnneKao 5 z x - s = ;„ 6. 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I V . R Jr • K.wn • Gerald & Anthony & 20 ugm,a 2 MLx • u F JJ Robin Rick Lora lames • •Glenn& �8sz 1`10 a' Judith • John 158.7 80 &Mar]' Townley 5T 102.4 , E ` x John a Sawton Purfeayst 30.5 .o �2 i k' Donna Badje 40 Bettendorf r Tomas & Fuller 2 BO �. � BK m • David & .Rebeer B" ert 250 y Low as Date & Ray & 140 Ice 75 • z riffeya T •Kerter 40•. •Olive amb Juliann Luse . 6riekam ladhh G 140 a �• 1 • 80.9• 97.9 • Delahuena z 40 • 6 my 2 SS Daneink m Psluw 31 0 53.3 29 R 1.•15 • • • c 11.5 It ew ld Hare v Timothy ohn • Howard a vandal Robert Jr � 1,y , A Daniel & Ann "�fg're ad' Madsen ,Bredald• 3s 5 • Jan y .F Gordon & Wynona Krumviede ob 3B 3 M 30.5 • •Lr Jr 91.3 • M • 78 80 Keatle mr$ Art • John &� Alan& 318 4 35 1 m c M •John& • : 0 1 JJr &N �� Griffey y 9 y JH Jt &N 168.8 l3eHendorf lz Chans • ea.y lames & 633 a cluagNm Kimberly 24.J Thompson Marlin 30 160 O a Tr n 9.1 Hartle &Shame Dorms &M Solu f GenBe Trust • 1 r ••39 9 Cams Tr HiB _ Ardenon 44,5 �= 4f VnRe 52.9 Krea[ T. D&L WBiO° J &J NH Keith & c W Perkins D 9 ominic O Darnel & LV 20.7 3 1 • 5.1 1&c K 11 ,e c 26.8 183 Hit Debora • Leota a: • 20 Allen & Linda Jef(re - T &S T Haas V va &Sally RBluhm& Small Andrea Nyhagen Rk � Flom •40 } u Jilek • Clark. 8 98.9 v L Ir a.am;� J ivs irs M5 40 70 Andrea u IK a, &Kelly • River Falls n.e 03 2 Aid_ 90 +o 293 t Daniel & Gerald S. s&c coos -�. Land Trust a St Croix JN ,. PB a • R • `' }: • _ = a ` 742 Linda Luanne 17 Trs 17 uu ,g TM 7 6 - m • Linehan 40 Lea E z p County z H.3 yc MkA 3 Vernon Tr a'g d r &K L &J 315.5 °i cemw�n��: 15 42.7 510 S93 x,gj, RL R ^/ BO L51 40 1 ko z DB a.n &kMB 3 + 2 ` � d 9 Wa ChristopM M r Paul & Y'ce 372 &Sherry '� G •� &RDeborah 112.8 138.8 P skar 314.5 Ka Soderbeck IX, a Knu ¢ K Fuller 3 Vernon & 91.16 3 c 5 A1• L a ` MeaS,em�e 3.z . &uge w 94 R9bedkKaren cmHC , Daniel& as vem & Stdnle Ma,a v f; Harry rn B etty Mater 9s • Stanl y Amold Adeline Peskar Judith C ° SWenSOri TI 200 W w �aK R &v • David Janet Bauer Peska Peskar • '^ rr Hansen y Peskar rzs x ,a cm Larson 101.3 378 &Rose C RP 114.3 1 `+ 20.6 X • Fm Tr • au 19.9 39 n Yunker 99 90 40 K am, n g Paul Sr& 15 c a.. J "ssmal P " Judith `2 •&Tera Bauer Gary& • Janet Cudd Tr Cudd's Mobile Gerald 373 4Q 219 E• K - Tracy, g = Hansen 65 61.8 &CaI01 `:?. lsa +e s= JJ • 59 Wachner Home Court 65 101.6 Judith Grimm •eW1• 140 9 40 39.9 vemon & E 35 x John & 110 Williams K6 Paul & - R1, oa, 3 y swnle Peskar 4 e = t 8 u 213.8 • Alice Margaret Walker B- 1 °„ _ "0 x e rb m 177.8 DJ • _ Cud to • • • • • • 9 Hanson Tr • • 79 ° M RIVER 125.6 S m13= 130 3 - • Js s 55 Stewar Gary & • Vernon & • Rol h 100 4o JRn� Judith David & Debra y • 6m T. RM 18 `9 251.3 P • Grimm o a ,� k F " • Lucille Kelly s� €. Robert & Tucci 39 142.4 39 o V o F ALL S • Karen Miller J Kenneth &' p eye � • Grace Dean Bergseng • Todd & 57.3 & Ruth Lee Ni hot on ° Patr cis RobeY 159.9 W 0 M RFGna Clnb 212 3 40 • Nelson 120 80 900 1000 1100 PIERCE COURW 1200 1300 1400 1500 REAL ESTATE Midwest Appraisal Servicetilnit " R °214 N. Main River Falls, WI 54002 i DENNIS R. SCHULTZ � • WI FARMS •HOMES •LAND SCONSIN CERTIFIED RESIDEN77AL APPRAISER #98 �. SINCE 1 9 7 0 • COMMERCIAL • Buyer Representation TERRY b. BIAEbORN e fi • Seller Representation �/ISGQtdStN CERTIFIED RESIDEt3f71A1 APPRAISER r §� + Gary W. Kruger, Bill Schramm, David Hegre, I MM R ICH SON �« GRI REALTOR Broker /Owner REALTOR ®Y A`tiNSIN'CRESIDeNnpt APaasla ^ Office (715) 425 -8400 e-mail: i AtN SIRE J Q) f f 5 U ..a....... FAX (715) 425 -9459 krugerre C�pressentercom t 52 5 r ST CROIX COUNT) SEPTIC TANK MAINTENANCE A GIREEMENT AND OW � ) NERSHIP CERTIFICATIO, •I FORM OwnerBuyer� l Mailing Address Property Address_ (Verification required from Planning Department for new .;onstruction) City /State Parcel Identification Nut:tber _ `� _ 1665 — /0 ^( � LEGAI. Dj &QUP110N Property Location NC' %., '/4, Sec. TlZ N -R� W, Town of 1 � ��I (K A X �v Subdivision , Lot # Certified Survey Map # _��/ (�eV , Volume � _ , Page # Warranty Deed # ty��'y l , Volume Page e # Spec house 0 yes 0 no Lot lines identi1 fable Q yes O no 1YOMM MARMLK E Improper use and maintenance of your septic system could result in its pr(jnature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed b) a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste dispo .rl system. The property owner agrees to submit to St. Croix. Zoning Department ► certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensed pumper ver, lying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if neces iary), the septic tank is less than 1/3 Atli of Sludge. I/we, the undersigned have read the above requirements and agree to maintain th( private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of N t:tttrai Resources, State of Wisconsin. Cert ification s ting that your septic system has been maintained must be completed and re -turn rd to the St. Croix County Zoning Office within 30 days of expiration date. K3NA OF APPLIC DATE OWNER CERTIFICATION I (we) certify that at statements on this form are true to the best of my 1 our) knowledge. I (we) am (are) the owner(s) of r d ov by virtue of a warranty deed recorded in Register; of Deeds Office. PPL ANT SID OF A / /t2 DATE * * * * ** Any information that is mis- representedmay result in the sanitary pennit 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 referena is made in the warranty deed Jul 09 01 11:15p Lora James ?15-749 -0121 p.3 f 1 fA / H �gj! m C'FRTtF1 is D SURVEY MAP LOCATED Too THE of k fwNicKfAwfc.�SF ��tX, CouN�.r*isc�lN R. 78W.. ,�tP4 ATT4,D _ _4 MPS NoR TwAs r coRm R 8ECT1Q1i 23 - FOWA NW7 H L ONE OF DIF KE - diE -- � AL UDfJJlW CAMP ICIYtAWN (TO CALL. POO , T 1 Of ) 8lt9 i2' S40 1f f' __A 1P' Br 3t0. o 6 r9. Aw fND. PME it U30 43' W E 0. 50' FRtW CAL C. rwi7ldt. o CERTIF IED LOS' T � LOT 5 SIIRV�Y � 4. 62 ACUS. 4. 48 ACff 5 1 ir0 /.3M ta.Fr. U 104, 034 54 FT. ny Ro PREPARED FOUR: ` r AOP TONY JAA#ES t :C a ' ' z � rtae• +rr Gi`' w � 'v 3iQ.27'' �e saa -sr 04. 2 h m $ V(X UW 111 ` P. :v LOT 5 APPRGVW tQ 4.Ot ACRES ST. t 10nC Y D o 1 75, t44 SG: FT. n� a Pfaff" Dzikio.andParksCa �° N a JUN 7 ZQQ1 PAGE 3119 a� z a► K not rd=ded > = 4" n A acid void . 33' EAST (](JAR MH NA9'4i� 1 2Vw - -r - - -- SECTION 23 - F"D �3CWTH L INE OF 'A* )d-WF I P. K. MAIL .G &RT tf IEP_. . $URYE.Y.A44e t CEl T 1FJ D, ElRVEY 4f? VOL UW 5, PAU 1408 ......... ............................... O• SET I'XZ4' IRON I'IPE iW-lOHING vi 1. f:l LM PER L +tKAR FOOT BEAR UN REFEREMMO TO THE CA3T • FO MOD P IRON PI c L (ME OF THE NE 1.14. SECTI 23, (KCORD BEAR I") ►, 1' - rw (a 1 200 4oO SHEE T 6 OF 3. itasfl r/N0 WONA THIS I"TIttJWXT DRAFTED BT JIM WSER A -� r Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 I Scons n www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor P RECEIVEDry June 20, 2002 JUN 2 0 2002 CUST ID No.267341 ATTN: POWTS Inspector ST. CROIX COUNTY ZONING OFFICE ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2004 Identification Numbers Transaction 1D No. 757611 SITE: Site ID No. 646228 Douglas Brathol Please refer to both identification numbers, Friar Tuck Lane above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NE1 /4, NE1 /4, 523, T28N, R18W Subdivision: Proposed CSM - Vol. 15, Pg. 4115; lot 6 FOR: Description: Proposed Three Bedroom At -grade System Object Type: POWT System Regulated Object ID No.: 856356 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans 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). • A Sanita ry Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Conan 83.54(1). • r ARTHUR L WEGERER Page 2 6/20/02 Owner Responsibilities Continued: • 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 j swim @commerce. state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 ok U 1988P `i59 STATE BAR OF WISCONSIN FORM 2 - 1998 6 9 1 66 9 9 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Halle Builders, Inc., RECEIVED FOR RECORD a Wisconsin Corporation 09-25-2002 25 2002 10.30 AM YARWKTY DEED Grantor, and DouDlas L. Brathol and Michelle L. EXEMPT # Brathoi, husband and wife as survivorship REC FEfi: 11.00 marital prosy, TRANS FEfi; 241.50 COPY FEE : 2.00 CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recordinst Area Part of NE 1/4 of Section 23, Township Name and Return Address 28 North, Range 18 West, St. Croix County, Halle Builders, Inc. Wisconsin, described as follows: Lot 6 of 1113 Hwy. 64 Certified Survey Map filed June 27, 2001, New Richmond, WI. 54017 in Vol. 15, Page 4115, Doc-No. 649648. 022 - 1065 -10 -030 Parcel Identification Number (PIN) This J . s no tomestead property. (is) (is not) Exceptions to warranties: Dated this 24th day of SQ, tember 2002 B de By daslay W. Halle AUTHENTICATION ACKNOWLEDGMENT STATE OF Wisconsin ) Signature(s) ) SS. St.Crni County. ) Personally came before me this 24th day of authenticated this day of -S eptember , 2002 the above named Wesley W. Halle, President of Halle Builders, Inc. s TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instru e t and ackn led a the sa e. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY MMW' WA RPM We 15.Qake— Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. not, state expiration a e: necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800 -655 -2021 . 1701PAGE520 STATE BAR OF WISCONSIN FORM 2 - 1999 Ea 54131 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Anthony C. James and Lora B. RECEIVED FOR RECORD James husband and wife 08-17 -2441 3:30 AM WARRANTY DEED Grantor, d Halle Builders, Inc., a Wisconsin Corporation, EXEMPT 0 CERT COPY FEE: COPY FEE: / TRANSFER FEE: 1000 S" RECORDING FEE: 100..00 RAGES: i Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of NEl /4 of NE1/4 of Section 23, Township 2�Range 18 West, Recording Area St. Croix County, Wisconsin, described as follow Lot 6_)f Certified Name and Return Address Survey Map filed June 27, 2001, in Vol. 15, Page 4115, Doc. No. 649648. (� A •�_ N vw P, ' &4'1 w. 4" ) w Part of 022 - 1065 -10 Parce td er (PIN) This is not homestead property. (K) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _(o day of August 2001 * ZAnt C. J mes * * Lora B. James AUTHENTICATION ACKNOWLEDGMENT Signature(s) Anthony C. James and Lora B. James, husband STATE OF WISCONSIN ) and wife, ) ss. County ) authenticated this f!P day of August 2001 Personally came before me this day of the above named * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) f ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company, Fond du Lac, vin 800 -655 -2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 01999 Cloud Ca-8%,h.4 Iec. S, Clad MN 56301 SEE PAGE 31 N y €S ° ¢ (FO�GERTV 85 F4/4 t (PINE KNOLL RD) PC �N SS ° TOWER RD 5 S °¢ d J z r a ¢� ¢ x i OK DR S J Q (� a N a r3 ' COULEE TR _ ¢ W 1 J 0 ¢ i 1 J 1 ■2 > ;I W N H I COU LEE > ' TR' STEEPLE DR w U $ TOWN ° C i �! RD Cr F J J 1 3 ¢ { ¢o y = LL m ¢ 30TH • kel! ""� W AV FRIAR TUCK s G m ° JJ J .l SS R 21 22 OAK DR G DR w- N d H P PINE RIDGE DR RIVER EAST RIVER EVERGREEN DR 65 kc °¢ DR 30 29 a g 27 6 9y CF o HALO OR W RD o 35 m Q JJ z J w W O V 6 ' Q RIVER M FALLS a M yPO Q o W 900 1000 1100 1200 PIERCE CoLffM 1300 1400 1500 Farm Credit Services Real Estate and Operating Loans ��► Term Financing on Cattle and Machinery S Country Home Financing • Crop Insurance • Tax Preparation • j Computerized Records • Leases 186 County Road U - River Falls, WI 54022 � t (71 425 -818 • 1-800- 584947 ? r 1 s �� Wisminsin Department of Commerce SOIL EVALUA N REPORT Page { of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 191J`��1 uteri, -1 - 6oat-6et 114 NE 1/4 S Z3 T Z$ N R 1$ E (om W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 11-- FT U P� \ Tv clz LR--rj E -S -- �poSv CS 1 City State Zip Code Phone Number ❑ City ❑ Village [R Town Nearest Road R1UTZ. DfrLL2 kJ 1 SY0 ( - 7 1 s) L 4 7 6 - SL(4 y `RL)V►Jlelrc1)..1,\jle I FiZl,AQ Mdz -t-Mje ® New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate 7 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material V P L r , JDS Flood Plain elevation if applicable General comments and recommendations: f-10 Q T' Jp W M 1A11 )'A V M 1 Z 0 r S PgQt, FL LL © Boring # ❑Boring ® pit Ground surface elev. fL Depth to limiting factor 3 I SerApplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G / in. Munsell A Qu. Sz. Cont. Color Gr. Sz. Sh. *E 1 0- S hilt Yz-z- L t s�vz m v t oa, ,s 1 m Z S -1 10-t P--.3 t3 — 1 �S 1 C- Slq k M\j i C LQ l \4 - �1 • � 3 1 - Z 10-L z-Y! 4 — `Fs l e s b k M \A- e - • �j � � z-q 3 to q12 — S 31 - 39 t owz-SA S'-2 2 -51e, M Boring # Boring ® pit Ground surface elev. To 5 ft. Depth to limiting factor �'y 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 I o - 5 Lu`UZZt \�s t esb k mv`�- a-S 1� •� •b Z s-t L( rL 3L3 3 ZLj - e�� �.s Lt zsl� � © Vd Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, 130 mg/L and TSS < 30 mg/L CST Name (Please Print) gnature CST Number Arthur L. Wegerer O 220254 �s" W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. 14ain St. River Falls, WI 54022 S -S -UI 715 -425 -0165 I l Property Owner ��"� g Parcel ID # Page Z of 3 Boring # ❑ Boring ® N pit Ground surface elev. �8 O ft. Depth to limiting factor Z 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 o- s 1 -b`to- zc -L Inv•- OL,S � �- N q •� Z s -t8 Lo -trZ 3 ►n \j -9l,- cw Z v - q , liz 3 1$ zy w\-1 a u! m v`Pt- es � b ZL1 -�q to -ttz s A e dl - 1 -SL! re- S 18 F -1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 No U 2 L v ary 'Prr f_ o F-1 Boring # ❑ Boring El pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SOD-8330 (RNOO) PLOT PLAN Paae 3 of 3 * Scale 1' =S0' M r s� L� wn��a Fart. ►�ou►� -0 (0 g- Z a� qq ! N aw►� S°�o -- U CWL r �. - W� S - S - pj 715 425 - 0165 220254 �l - $a - CST Signature Date Telephone No. CST No. Job NO.