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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) 429999 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: Hanley, Joe Kinnickinnic Township 022 - 1065 -50 -400 CST BM Elev: Insp. BM Elev: BM Des ription: r1 Section ( fown /Range/Map No: f J� 1/ /5 23.28.18.3561 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 11700 Benchmark 3-4 /vy•/ /00. Dosing Alt. BM o • �U eek rd's Aeration — Bld Sewer Sc M Lf o I Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , r Dt Bottom `� gr p 12 Dosing j � p S i h Header /Man. &/- G 0 7i � C 2• . Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade IL/ CLA Manufacturer De nd St Cover / r (6 �� GPM � h.�P1/S � � . 6 Model Number p� TDH L' Frictio SS Systemrad�_ TDH D /Ft 3 #1 1 D6•Z Forcemain Length , Dia. I Dist. to II SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMEPt SHM No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / 4 �� -/ SETBACK SYSTEM TO P/L BLDG WE LAKE /STREAM L C G Manufacturer: INFORMATION CHA R OR Type Of System: 2,941 S Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution l x Hole Size x Hole Spacing Vent to Air Intake p b Pipe(s) —J— �_ ' �/ /t Length_ / Dia Length / ,1 Dia Spacing `[ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only !! S Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Murch9d Bed/Trench Center Bed/Trench Edges Topsoil g p ; Yes No []Ys o ')MMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 6 / #2:�/// ( �I 'on: 263 Deerwood Ct River Falls, WI 54022 SE 1/4 NE 1/4 23 T28N R1 8W) NA Lot 13 �a " ' 4 " - Parcel No: 23.28.18.356 Description = C-Tb �� / h S-h( 'er length= Z Q t 1 tf Wl x C-Po / — lJA��°p r>— - )f cover = 3 ,5 4 aJ , q w fS � t/ tdpW gnature ed? Yes /„ �V � - 'tional information. Date Insepctor's Cert. No. ` Safety and Buildings Division County m m 201 W. Washington Ave., P.O. Box 7082 5 (� �seonsin Madison, WI 53707 – 7082 Sanitary P it Nt�tber (to be filled in by Co.) Department of Commerce (608) 261-6546 G 1 p Sanitary Permit Application State Plan I.D. Number -j—�, CLk In accord with Comm $3.2 1, Wis. Adm. Code, personal information you provide V t� may be used for secondary purposes Privacy Law, s 15.04(1 Xm) Project Address (if different than mailing address) I. Application Information – Please Print All Information 6 A_,E'�hut66� N owner a Name C E1�1E Q ,J Cs�t.1T�a L r _-___ arcel # Lot a Block # Z p ro Pibperly Own er's Mailing Address Location 7 / w l r ST. CROIX000NTY A'` ? 3S state Zip Section �J g� Zip C / Phones( did ¢ �( 6 e n 5 l C �— �0 l0 circle ) IL Type of Building (check all that apply) © T N; R E o tK1 or 2 Family Dwelling – Number of Bedrooms Subdivision Name CS / M Number ❑ PublicfCommaeial – Describe lam, i i D ! Y» ❑ State Owned– Describe Use / _ ❑City ❑village QITownship of e IIL Type of Permit: (Check only one box on line A. Complete line B if appilcable) A. gCNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Oth Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a pply) ❑ Non - Pressurized In -Ground 4 Mound 2:24 in. of suitable soil ❑ Mound <24 in. of suitable soil ❑ At- Sand Filter ❑ Constructed Wetland ❑ Pressurized in -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Saari Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching ber ❑ Drip Line ❑ Gravel Pipe ❑ Other (explain V. Dispersalfrreatment Area Information: Design Flow (gpd) Design it Applictiltion Rat Disposal Area eqw (s Disposal Area Pro (sf) System Ekvatiom �O � , 0 ( o � z� ys'� VI. Tank Info Capdci in Total Number anufitcturer fab Site Steel Fiber Plastic Gallons Gal3piis of Units 96ncrcte Constructed Glass New I Existing Tanks I Tanks p Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber x VII. Responsibility Stateroent- I, the undersigned, assume responsibility for installs POWTS shown on the attached plans. 3 PI 's Name (Print) Plum MPQPRS Business Phone Number 2 a_ S as P u�mb Address S p ) W � Address ( Street, City, Stalk d c VIII. ua !D artment Use Onl Sanitary Permit Fee includes Groundwater Da suing Ag t Signature tamps pproved El Disapproved Surcharge Fce J � / Z ❑Owner Given Reason for Denial ) � X. Conditions of Approval/Reasons for Disapproval Y eampkte plans (to the County only) for the system on papa not less than gll2 s 11 tithes In rise ( VBD- 98 .08/02) �Gu ►/l/2� T� �( ran ,�� I ST. CROIX COUNTY WISCONSIN ���N�N�11■ ��� ZONING OFFICE r ST. CROIX COUNTY GOVERNMENT CENTER - 11 1 Carmichael _ - 0 c Road Hudson, WI 54016 -7710 EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686 For Lot 13, 263 Deerwood Court (Kinnickinnic ) — owner(s) Joe & Linda Hanley 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 q 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 b creating temporary diversions graded ALONG g Y g p m'Y �' CONTOUR between excavation areas and any drainage ditches or waterways. A diversion may be used to contain runoff on owner's property and keep sediment from moving onto property to the east or toward Deerwood Court. 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. Attached is a detail for temporary diversions. Please feel free to contact me with questions or ask for assistance with erosion & sediment control installation. Prepared by: Pamela Quinn, So Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: CP .. . 0 . 963 1 p. 975 > _ IoM � � — _ - _. - � 0 _ 9 a 7 7 -- f I e � A e� 985 U 3 965 �i �� 4974 - 1 11 0 0 11 I 1 innicki is m � � ,Qa O 55' 946 _ 14: 0 I — �e 0 \ 4973 o 0 940 d 49 72 "943 ° 11 II 2 997 4 It Q II /p00 0 /080 . 958 C'r ° r' 4971 0 JJ 7 979 86 % /0// 4970000 -N — 1127 -- - - - -- - - 71 J3 - -- - -- -- - ' - 115 / / 8 - -- . -- - — l l l - -- -• -- - 35 0 4 ' _ 1 44 °52'30" Si 29 1 32'30 537 4NTE IOR- GEOLOG4CAl SURVEY, RESTON. Y RG4N 5 39 aoo TE 92°30' ROAD CLASSIFICATION �7p lip g o • ii34 .._� � - II $ , 1 000 i 7 1 — /009 - 192 /09 �� 1965 � 1 �i u /100 rte o o / o o ni— J s- 967 U 6 17 ownhal • 9sz ;) dcP 1) � i r �0I 4 1 9 9 936 — 0 0 9to I C K 932 j I 927 II CJ I 1 VJ /... \ �– ss 9 110 I O d• It �— -- - I 927 ° 20 • = e� 21 - — J i94 ...� — % I II I II .� II ♦ 93 96 t ti� �/ - I II 1 30 938 _____ - - - — /00 - II e 631 632 1 330 00 FEET 0 35' 6 33 6 34 /RNE FA i� FALLS 6 35 l.V mi. To w hn/•I by tho r,pninoical Survev SCALE 1:24000 PLOT PLAN Sca 1 "= 50' - Page 3 of 7 LET L1NF WWI I , tiol' 'LwApRer OCL lot 0' Osr c g .z \ D IS7v�zt3 T19-19 r�R -l'� 2l� E F, N R 0 )DO 3 hf Z aU � 2 S 4 c 0 0 � SSG G La-161W J�C in Z N J M W J - \— �. ti00.0U►� 6 "T�- 1,�31y�U1p.PVC PlP@` wIL.Pr'R1 -, C O PY C uv\ - 4r 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 \v0 gallon capacity manufactured by w \ (Zs Cv)v e 1z I.v�r> 1.0 uu /a s 0 - M R w/ Pr - 18 00 Z" EL Fi LTeZ 4. Bench mark3 SLSC y 5. Divert surface water around system to Y prevent ponding at the uphill side. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 vis �onsin www.commerce.statemi.us /sb C www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary May 08 i Y > 2003 CUST ID No.220254 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 I CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 05/08/2005 Transaction ID No. 864900 SITE• Site ID No. 658686 Joe & Linda Hanley Residence Please refer to both identification numbers, Deerwood Court above, in all correspondence with the agency. Town of Kinnickinnic, 54022 St Croix County SETA, NE1 /4, S23, T28N, R18W Lot: 13, FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 901903 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 CondM chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. APPRI The following conditions shall be met during construction or installation and prior to occupancy or use: ieRTmENTC OF E General Approval Requirements: SEE CORREI • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01101). • 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 um chosen for the deli n is at the limits of its ca acity. If the total dynamic head is to to be higher, at the time of construction, a pump that meets or exceeds t e system ow wi nee to a costa .. . • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of See. 145.135 and 145.19, Wis. Stats. i ARTHUR L WEGERER Page 2 5/8/03 • 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 ins authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • esponsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code:'7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page of MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD 10691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01 101) (N.01 101) LOCATED IN THE S 1/4 OF THE MJ 1/4 OF SECTION Z3 I T Z � N,R 1� W TOWN OF �t1�1►uLC�2C1UlV�C ST. Q_Z! � IX COUNTY, WISCONSIN. LUT�3 0�= MY-1 Vbt J(,; ��j �l338 �1c� yvO .oZZ- 106S- so -4ua INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MA. PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR SO \. t� kJ� LIh��Y1 V�1Q RECEIVED S S z� MAY - 5 20 SAFETY & BLOGS D1V.r VED PREPARED BY Ov MER _ 1CIIiNC Lz1EGEF;tEFZ SO S L TEST" 2 P-1 C-3 AND. :PpNpE E 73ES = GFV SEF?V S CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 0 Phone 715 - 425 -0165° ��S;~ -in )v� Fax 715 - 425 - 6864`',.••'"" ' ••••%"�„ WF;CEgtri • D915F EiIS'NOHT'N • % 4's 1 G Ni' V• JOB NO. OA -63 PLOT PLAN Page 3 of 7 Scale 1 "= 50' 366.82,' L \)T I Wiwi i LOMPfte_T OR- 9q c am, - Mc e JOI J. O ar �,\ \` 'V g• 3 ?J: DVC F,KI, N o d 5 W" ?- Ld c o � h w \ &L- Lu O"L" J �n z m J Page • Of P_porove: S.r. thetic Covering ASTIH C33 - Distribution Pipe Medium Sand IG Topsoil o- -- =–^-- – F — E? ev. 100, S 3 - b Z. Slope Distribution Cell of Force Main Flowed z" to 2- Aa- Tecate From Pump Layer E $ Ft. CROSS SECTION OF A MOUND SYSTEM F 0 -8 Ft. G o - 5 Ft. A Ft. H I Ft. Linear Loading Rate =�l -� -� F B '50 R. Design Lo ading R e =a. y C:D�cQ TF I Ft. �I OK J Ft. K B Ft. Alt °anio L F t. L ' �} - Observation Pipe E � K A a - -- - %6 8 - -- --- - - - - -- -------- - - - - -- ---- -- Vy – - - - -- - - - - -- -------------------- - - -�-o Force Main — B o ;� �Oistribution , „ Pipe Cell of Z to 2k aggregate Observation. Pipe (Ancsbr set rely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. 7`1 'F ° " 1 L PVC FV` LLateral Lateral Manifold X x x x x2 x2 x x x x Lateral Length — Lateral Length — p DistriNgion Line S E'VC ►=vtiCS fivJ i o -- P ZY - Ft. Hole Diameter � Inch — S 3 Ft. Lateral Inches) X 3 Inches Manifold Z • Inches Force Main " Z Inches # of holes /pipe 9 Invert Elevation of Laterals • _ °ix.v.�1= 3.69x6 = ZZ. Gel,., - Combination Sept;'c;Tank and PUMP CHAMBER CROSS SECTION AND SPECIFIC PAGE OF NEWT CAP WEATHER PROOF JUIJCTIOW BOX -(C.1. VENT PIPE I APPROVED LOCKING 1 10' FROM DOOR„ MAIJHOLE COVER P0 :iIWDOW OR FRESH u'ARIJIUG Lf�6EC. '' P IPE - 'a�Pntz�atH-rnp AIR IWTAKE t coraDulr ij i Fl WISH© L`+1W. Ia LO� t I Y�HIW. • G tzit'p E I IIJLET `" PROVIDE 1 _ �• t ^ ��"" AIRTIGHT SEAL 8 k�rFlS I 1 I I Approved Approved joint w/ l'4 _ lb 013 I 1 I joint w/ I it PVC pipe ALMA PVC II pipe 6 I I J PUMP -ti -- L S��l... _Q •OCfr ` OFF D COWCRETE N 8S.00 I BLOCK ti - RISER EXIT PERMITTED OwLy IF TA MAWLIFACTURER HAS SUCH APPROVAL 3 "APPf2o.�� , BFODtN4 SEPTIC F SPEC,IFICATIOUS DOSE T AWK5 MAAJUFACTURER: �&J` �FSqZ WUMBER OF DOSES:_ S - S J PER QA., TAMK SIZC: lwoAs() GALLOUS, DOSE VOLUME z ALARM /'LAUUFACTURCIZ: S -S. ma INCLUDIIJG 6ACK /LOW: Z�Z GA LLONS MODEL ►DUMBER: lC)( "L-,j CAPACITIES: A= 1$ 30� IWCHCS OR GALLOys SWITCH TtIPE: _ ML�zo- -/ B = Z IWCHES'OR 3 y G�LLOIJS PUMP !"IAWUFACTURCR; �VL- ' L C = �' IW[11E5 OR l O �' GALLOWS MODEL NUMBER: D= ���� lz " I HES OR ZU� GALLOWS SWITCH TYPE: �RCC1(2S -� MOTE: PUMP AUD ALA qRf TO 6L 6 MWIMUM DISCKARGE -RATE Zz, ly GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWCEU PUMP OFF AIJO..DISTRIBUTIOW PIPE..� - ZS FEET + m"JIMUM NETWORK SUPPLY PRESSURE , , , . , 6 -SO -FLET -f• FEET OF FORCE MAIN X \ t-Z FT. p -� 6 I IO �o FR CT W FACTOR.. Ft FEET TOTAL OyWAMIC. HEAD = 1 C S FEET.- �2 .6 ' 1 As per manufacturer )1.p gal /in. Liquid depth 38• I GouldssC �� Submersible _ Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic points. • Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical • Dewatering RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. 1 /a maximum. • Power cord: 10 foot plastic Semi -open design AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for J • Total heads: up to 24 feet. with three prong grounding mechanical seal protection. AA Canadian Standards Association • Discharge size: I NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- * Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for (CSA listed model numbers ro ta /ceramic- stationa three prong g plug improved performance. end in "F" or "AC ".) rY ry, p g groundin lu p BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running s dry without damage to s 30; ! f components. ; Pump: EP05 s f..x Xr � • Solids handling capability: 251 /4 maximum. a - I I • Capacities: up to 60 GPM. _ ! — • Total heads: up to 31 feet. a 6 20 • Discharge size: 1'h' NPT. Z 5 • Mechanical seal: carbon- >_ 15 rotary/ceram _j ic- stationary, i BUNA -N elastomers. 4 • Temperature: ° i ZZ •' w 104 °F (40 °C) continuous 3 10 140 °F (60 °C) intermittent. 2 iEaoa _. 5 I 1 j i i J 0 00 I 10 20 30 40 •50 GPM 0 2 4 6 8 10 12 m CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 9 ^0- Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a biennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L 8005, 150 mg /L TSS, and 30 mg /L FOG. Influent flow m not exceed maximum design flow specified in the permit for this installation. ay The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual reporting. �}] and local or state rules pertaining to system maintenance and maintenance S�3�D= No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at z s - - 1 -Q680 :The system installer at � (S _ L(25' - q�SB ►,ups G The tank manufacturer at ��u1�_ � _ %qS� " The effluent filter manufacturer at . �700 — - Z-Z,(- S1 q The pump manufacturer at 6 30 - l b 7.0 -- GOV - POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity /000 gal ❑ NA Permit # f Septic Tank Manufacturer l4'GdAIt'_ ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity a l ❑ NA Estimated flow (average) al /day Pump Tank Manufacturer W ❑ NA Design flow (peak), (Estimated x 1.5) L- � al /day Pump Manufacturer s ❑ NA Soil Application Rate al /day /ft2 Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Su spended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD <_30 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade Mound Fecal Coliform (geometric mean) 510 cfu /100 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in di ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: _ "� ❑ month(s) (Maximum 3 ears) ❑ NA ear(s) y Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 2 — 3 ❑ year (s h(s) (Maximum 3 years) 13 NA Clean effluent filter SN57\ At least once every: , 2 Oyea�� 1(s) [I NA Inspect um pump controls & alarm At least once eve ❑ monthls) E3 NA P pump, P every: year(s) Flush laterals and ressure test At least once eve �month(s) ❑ NA p every: ❑ year(s) Other: ❑ month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter, NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z ' of S START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of contents of the um tank removed b a Se tae Servicing Operator prior to restoring effluent. To avoid this situation have the cont e pump Y P 9 9 P P 9 Plumber or POWTS Maintainer to assist in manual) operating the um power to the effluent pump or contact a lu Y P 9 pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T . alua ' a o ing tank ?9D44 1151TEn 9 :19 Al,sl✓ CaNS7KtlC�t p ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone 7 �'— S7 5' Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ��(—, G 20AII Phone Phone —71S`— This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SBPTIC TANK MAIN'I'I3NANCL AORL'I3MLNT . AND OWNBUH[P CERTIFICATION FORM ti Owncrmuycr a b t i Maift Address 6 oe 71D ..JC, veYZ6'1 Property Addtrss (Vaifica4oa rcrim from PVmin DcPaftwa for sew coasfsudioa) attymaw -f ibty' 5 A 2),^ Paroci Idcntifcatioa Numbs O z z /- LMM %=Ey Location V. `' Pt 3 S6 --�. Lk-Rl,W. Town of d C Sabdivision Lot # Cttirwd Samey M*p # �3 voT>ztne _ 3 3� . ...�._._, age # Wsamty Decd # 7 a 00 S volume Pa Sm.haae D yes no Lot lives idealifiabk p. no �Ya r r► ° E � wc � ao �daesaltb�citst�m +cbl�cexs�e's.Pcopecnoe . t�tsa�oeatmeaotsCe�e faQcw�e�sspo�a�,s7spaot, . , m +�aots snbmmt'�o St Gooar�fi� a bi'8re fiy • ovPnxand : is mM°Pa'ap�g°°ad�oQandlee ���(� � �drea�aa�c��rasb�acfir shosatapsb� a�4c�lcsskss�ml/3tiuIIaf � � Ii>rnoead the abore �� b =be pcira�te t:�vr�t t� bds ��' d�. �staet6yQ�e�u�dr6eDepaabmioatofllaamoit . �� 9�amtL�xbodtmaia�4ioodmastbe co�Sra6eofwtsoonsia. + onaaaG. kto d a od�Earcwodbtfmst :C�000�Caw�tyZo�gvlOe 30 DANE all oftmaft oQ a& fomt sac Ow to Ge bat of a►y (ad h owrk* a I (wee ant (are) ft oovau(s) of l+or+G, by vidw cf a dood mcoadod is of Doods Offc� 'Mao CAHf I 1 2 DATE 10000" 'Am infer is tail -��odmay tatdt is the sanituy peuuit bcxgg rcvoi� �, � ,..•••. as bmiwQc' with dds Vi a Mmpod Y dood fionn the RogWw of Doods otGoc a copy of the oaWwd tarvr cup if tefccence is w'& is the wamauty flood I� 1 2246E 026 7a ;RQ)0 s XATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST . CROIX CO., WI D OR F RECEIVED RECORD This Deed, made between RWP Investments, LLC, a Minnesota RECEI RECEI F 0 C Limited Liability Company, Grantor, and Joseph A. Hanley and Linda M. Hanley, husband and wife, as survivorship marital WARRANTY DEED property, Grantee. Grantor for a valuable consideration, conveys EXEMPT ii to Grantee the following described real estate in St. Croix County REC FEE 11.00 TRANS FEE: 327.00 State of Wisconsin (the "Property " ): COPY FEE CC FEE: Lot Thirteen (13) of Certified Survey Map filed July 23, PAGES: 1 2002 in Volume 16 of Certified Survey Maps, Page 4338, as Document No. 684833. Located in the SE 1/4 of the NE 1/4 of Section 23, Township 28 N, Range 18W, Town of Kinnickinnic, St. Croix County Wisconsin. Being all of Lot I CSM in Volume 5, Page 1408 as Document No. 392275 and Lot 3 of CSM in Volume 6, Page 1635, as Document No. 409847. RETURN TO: Scenic Title 220 Locust St. `Hudson, W154016 Parcel No. 22- 1065 -50 -001 This is not homestead property. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and covenants of record. Dated this day of LIft 2003. RPW Investments, LLC /. Z — AUTHENTICATION y: Signature of authenticated this day of 1 2003. ACKNOWLEDGMENT s TITLE: MEMBER. OF STATE BAR OF WISCONSIN STATE OF WISCONSIN) (If not, )ss. authorized by §706.06, Wis. Stats.) ST. CROIX COUNTY ) THIS INSTRUMENT WAS D � ,COtt :7 e 1y came before me this A& of Nora above � James R. Bartholomew ry P own to be the person who /zo - �/� P7�•!l wA-rl q --,_ BARTHOLOMEW LAW OFFICE, S.C. State Of Wi the for oing instrument and acknowledged the 220 Locust St, PO Box 2 Hudson, Wisconsin 54016 6 Notary Public, State of Wiscons ($i gmautree may be autheaticated or acknowledged. Both are not necessary) My Commission (expires): "Names ofpemw x4pog in any capacity ahould be typed or pdatod below their sWstaros. X " t Wisconsin Department of Commerce SOIL EVALUATION 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 S �_ CZZU lX include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. �P EKA I J j percent slope, scale or dimensions, north arrow, and location and distance to nearest road. G 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 R.L-,3 P ) E�JTS Govt toE S Z 1/4 N �� 1/4 S 13 T 2-Z N R L $ E (o Property Owner's Mailing Address Lot # 3 Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village [Z Town Nearest Road t Sow w SLi0 (BLS) 3$ /- 533 ��.trQ�J 'LO- \ fQ KIJ J L tASEZwoot C:r. [L New Construction Use: Residential / Number of bedrooms �_ Code derived design flow rate b GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material S'M t`1 Flood Plain elevation if applicable ft. General comments and recommendations: )`10U�� S 3'T��1 w / D I3TTZ- L9UT10kJ APR 22 2002 ��� v im - �� • t OO L . Z, r S T. ZONING OFF C F CE Boring # ❑Boring pit Ground surface eleO. �jo , S ft. Depth to limiting factor 3 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 o y 2 3 L 3 - 1 `FS Z'F 9 �- Wt U `f ► a- g 1 - S , 9 2 b -3b - 1 .sLf ILy /6 - 1�s 1.0 -sb►Z 3 36 SZ 2(, L Cl`F� S SZB C vn U'� _ ,`( El Boring # ❑ Boring pit Ground surface elev. ��UC� Pi ft Depth to limiting factor 3 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 LOy� 3L3 - 1�S Z F9h MU `ft� ou ) , S •9 z b z8 -,- SyZyjj 1 a-S bk �nUf- cw lm . •lam (1 3 -fig 10 It 2 6 l3 fit& - .s Ly I Z S /s m t _ : o .0 S A3 5To >v t3qS-Y 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) _na re CST Number Arthur L. Wegerer 2 220254 Address W e g e r e r Soil T e s t i n g & Design S z/:M� e r v 1 C e Date Evaluation Conducted Telephone Number 421 N. 1 St. River calls, WI 54022 3_ -b2 715 -425 -0165 3 Property Owner R� �� W U Parcel ID # Y'� ! A/ (3 Page Z of 3 F 3-1 Boring # [] Boring Ej Pit Ground surface eiev. ft. Depth to limiting factor 3 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. •Eft #1 •Eff #2 1 0- Lb`1tZ 3L3 - 1 Z- 9 Y 4 U-6- CL , .s .q Z L- z - ) -S kR. VA l c. s bk M v f t- cw \ , 6 3 3 l 0 2 6L S Liz. S/S 0 Uyv tiS S i i Fft A GM PM F-1 Boring # [] Boring ❑ Pit Ground surface eiev. 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 ❑ 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 servicp 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.6100) III - . r PLOT PLAIT Page 3 of 3 Scale V= So' 8 io0 1 oN �`'� 3�g D in, 1Zeip° - Z w! SU�ZV Lei OIzS S`f'A'y�E w ; { \ %to jS \ a,3 `\ C W - n 0 NOT CAMP �T \/ bo0Qn;-,2 L'L, 1Qol �u c n u ti SiuJrz.ti Lo \ Lo T l3 ITF LIST �Z - - ---- LuT I3 LOT iQ CoV vLT- 3_z6 -b2 715 -425 -0165 220254 oZ- (�! -l3 'CST Signature Date Telephone I.1o. CST ido. Job Pd0. f Wisconsin Department of Commerce SOIL EVALUATION REPORT Pa 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 S CtZ.b l x include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. tv f percent slope, scale or dimensions, north arrow, and location and distance to nearest road. G 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 I Property Location P ) U �nT E ti - - S ecvt: - l= S 1, 1/4 M �7 1/4 S 3 T Z`3 N R L o E o Property Owner's Mailing Address 1 g 1 b C � Lot # Block # Subd. Name or CSM# S STV I (5,j U 2t u ' i 3 Ebb W C C S w) city State Zip Code Phone Number ❑ City ❑ Village Q Town Nearest Road � Sory L-'JI Sgot6 I (BLS) 3 $ I- 533 ��.� L t� I st wc�o� c -r. Q New Construction Use: 0 Residential / Number of bedrooms y Code derived design flow rate b Up ❑ GPD Replacement ❑ Public or commercial - Describe: Parent material S �}J�� S� �j fJ V�(-/� g Flood Plain elevation if applicable General comments ft. and recommendations: )`uju>jz S 4 STEM iv/ F-7 LL C- dr./�j v� �L� • ! 001. Z' 17 1 Boring # ❑ Boring Pit Ground surface eleO � Q)Q , S ft Depth to limiting factor 3 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 e_ � l oy IZ 3 �3 - 1 �s Z �, �- rvt v �f�- a- g 1 � • S , 9 2 3 36 - - Z 1b-12 Ct`F-1•S`iP - Slg E Boring # ❑ Boring pit Ground surface elev. loUO a 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 Z`F M a, .S ,9 Z b -z8 �.SY�z�jb l (� - s tC-S �u'f�- 0 Q lm -�1 •b 3 �& -1 1 0`72 613 - 1� 1esb� by �{ 3 -V$ l 'Fl& -1 •S )Z S/S C m S S7M >U Effluent #1 = BOO > 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) mature CST Number Arthur L. Wegerer .0 Z - bJ - 13 220254 Address W e g e r e r Soil T e s t i n o, & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 11. Bain St, giver Falls, 141 54022 3 -Z6 -02 715 -125 -0165 i i Property Owner Rw U Z:gs - r t QVJ - tf� Parcel ID # 1 N G Page Z of M 3 Boring # ❑ Boring Pit Ground surface elev. Z-• 3 it. Depth to limiting factor 3 Z. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft I I I In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff #2 1 o -b ti %rtiz. 3c3 — ) MU fti- k0, 2 6 -3 7 -S k2 Y16 - 1 c `F3 »1 U c t. 3 3Z- l b 6 - Z . l �I.S `1, 2 C L� S �-i2 S S �.,,, Il i i El Boring # [] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity servicp 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 -8770 (R.6100) I1 I PLOT PLAN Page 3 of 3 Scale 1'= So' I � r 4 k -- 'BM *l _ L 1 00 1 ON 1. � `T'Rtc., 31 D tF), 1Z �np,SZ - am z - Ln. IoUL.� C SU`ZV �C 01ZS ST'Pryc� L�+-- 1oou.y i S a.3 1 � W n o N OT COMP �7' pZ i / 2 \\ � Cp N�'pv}L. �i- � 1001 • Z • ��-Z � ��51' �-*�.c.. �, 1001.7 1uU0s O Loy l3 S1T� LIST LZ L OT ICS d LaT t �N�SL w 001 � L b RLl V CoV tiLT 3_z6_vZ 715 -425 -0165 220254 03 _01 - 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 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. � ZZ- t1) 6S — —you Please print all inf R sewed by Date Personal information you provide may be used for secon ary pure ,R�15.04 ( ) (m)). l� Property Owner Prope Location 'J �Q �}jUD l 1111 ANY 1 4 Z S(�F 114 NL 1/4 S I.3 T 2_$ N R Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ST. R OIX CO r `jr 12 I N G U � � � — CS'r✓1 U t1 L- 1 0 � L1.3 3 � nv� Stat e Zip Code Phone um er E] Village [� Town Nearest Road VtqAj 11L ( 63I ) 215 3 VCWV J t� eT. (� New Construction Use: 9 Residential / Number of bedrooms 3 Code derived design flow rate LI S b GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material S Q' till E UN 1, (� hi � Q Flood Plain elevation if applicable I Ij � n General comments and recommendations: Y`�IOVY�� yv� a r S 0� p `gnZ( Qv 1 wf u� '` p F= F! LL , 4)I J"tbt- 2 Boring # ❑ Boring ® pit Ground surface elev. ft. Depth to limiting factor 3 3 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. 1 *Eff#2 0-\4 1 0W f0 3 L3 — S Z U -33 )0 - �'�S 1 MVO- Ct,`, �-�` -y • � cl — s16 �s o v`Ft- - • �� F Boring # ❑ Boring Q ® pit Ground surface elev. qq 5 ft. Depth to limiting factor � 6 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. ff# - •E{#2 o- Lf 16`1 it 3 t 3 - 1 s Z' - q) - q A b -6 - 3 qj SS 1oj2 c1 -- .S-rizS v Pt - •� -(� 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) Signature CST Number Arthur L: t�egerer i!!%4V =b 3 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 715 -425 -0165 Property Owner L`\ . 1V Parcel ID # Z Z .- L 6 S . 5 Q - (Y) p age Z of 3 a Boring # ❑ Boring ® Pit Ground surface elev. ft. Depth to limiting factor L � u 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 o -y 1 e -I 3/3 1S Z'(i 4- ►MviP— 4.S l�' . 1.2 Z L 4 loY2 V/6 1(2-sbk m v 4►- cw -q �6 3 yo s o ) o'l P - - 2 i CA S K I S J& 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. • Eff#1 'Eff#2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >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. M-8330 (R.N00) PLOT PLAN I Pa 3 of 3 S L1 Y..l� WW I q S\• IYo `` GT LWAppler o►Z �_z r btS7v�II `RHg 1�1'R -l'� r� T'2 tre e� Zs , !OQ 2Z, /\ B• V � � ti g• )D 2 5 S lb" / G O � r Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page of 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. z- Z_to6S - -you 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 VZ V� tU� � tV � j�, y L� -f e0*+ +- ! S �� 1/4 NN 1/4 S Z, 3 T Z$ N R $ E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# R.o rnj '11, )v o iz-`R� mbr 3 - CS U u 16 �9 0 13 38 City State Zip Code Phone Nue ❑City ❑Village �c] Town Nearest Road `v r� SS tz(, (6s� 77s -1RS 3 1 LC1�c uiu l e ��wno� eT. 91 New Construction Use: Z Residential / Number of bedrooms 3 Code derived design flow rate E] Replacement GPD ❑ Public or commercial - Describe: Parent material S , P� Q t)) F U L&_�� S Flood Plain elevation if applicable N General comments ft and recommendations: U )LI G '` p F Sp�h 1=7 LL , �lv�vvr2 i`'Z�V . t ao. ZS r Boring # ❑ Boring ® Pit Ground surface elev. fJ .6 ft Depth to limiting factor 3 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- 10 Lt R' L3 _ S z yn v`P>- �- S �� . z Z Q -33 10` Pz VI6 - �'�5 le gl,k M N4 .y , - 3 -y.3 I16L t,2 _2 16 c 1 : 5 L t v -5 12, �s o V v'i- a Boring # [] Boring o ® Pit Ground surface elev. q • 5 ft. Depth to limiting factor 6 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—y 1p`� IZ 3 L 3 — 1 V `� q.9 • '1 . . y -Lt U 3 u� -SS ►��s���6 c1 �.s�r�slg �S O� M v'Pi- ' 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) Signature CST Number Arthur L [degerer - I— 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 H. Bain St. River Falls, WI 54022 S - z —v 3 715- 425 -0165 Property Owner l LLB Parcel ID # 2-2-1 b S - S - U ( � Q Page Z of 3 Boring # ❑ Boring 1 ® Pit Ground surface elev. k36 ft. Depth to limiting factor L! u in. Soil Application Rate Horizon o zon Depth Dominant Color Redox Description Texture 4 Gr. cture Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color z. Sh. •Eff# 1 •Eff#2 z VA - �� sl��C r1 V �1- C Lj t-F • q , 6 3 yo S o 1 0-1 S Ja ❑ Boring # E] 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. seD -9330 (8.6/00) f Page of PLOT PLAN 3 3 L oT L1 �� _3 66 q Z/� 9q s\• �p 'NOT LOr' p 0(L s ,d /�9 No`° d6 • )D 3 t# Z S W F o � V1 � sa4a:3,_, + VOL 16 PAGE 4338_ KATHLEEN H. YALSH REGISTER OF DEEDS ST. CROIX Co., III RECEIVED FOR RECORD CERTIFIED SURVEY MAP 07 -23 -2662 3:36 FN LOCATED IN THE SE 1/4 OF THE NE 1/4 OF SECTION 23 REC FEE: ^ 15.66 T28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONS QPY FEE: BEING ALL OF LOT 1, CERTIFIED SURVEY MAP, VOLUME 5, PAGE 14 CES: 3 DOCUMENT NUMBER 392275, AND LOT 3, CERTIFIED SURVEY MAP, VOLUME 6, PAGE 1635, DOCUMENT NUMBER 409847, 1 NOTE: ALL IRON PIPE ' LOT 5, C. I L __ (FOUND OR SET) I — — — OT 3, C.S.M. — ARE DIMENSIONED AS VOL. _15 P. 4 1 15 VOL. _1 1 : LAND DIAMETER. I — — UNPLATTED (LAND I DOC. X649648 PAGE 3118 S 89 °41' 5" E 672.43' • — — — — 7" 305.51' 1" 305.53' 8.79' — — — — — — — — 1 1/4" IRON PIPE 12.60' FOUND N 77 °10' 19" W NORTH LINE OF THE 366.92 1 1.28' FROM 1" SE 1/4 OF THE NE 1/4 SCALE IN FEET I LOT 7 IRON PIPE. LEGEND I C. SM. I COUNTY SECTION CORNER I _ _ MONUMENT, FOUND (TYPE 0 75 150 300 I VOL. 6 3 NOTED). Z a PAGE 1710 w i DOC.f4_17132 w 1 1/4" UNLESS w _ • OTHERWISE NOTED) N o — ~0 0 p IRON PIPE, FOUND. N o n) ~w3o' ( 8,266 OT 13 o? Coco 1 1/4" x 24" IRON 4 0-'o:z o PIPE WEIGHING 1.68// 011 ACRES Lugza LINEAR FOOT, SET. S.F. — — — — — M�Nw En I Uj W �- m w • PROPOSED 12' WIDE to L OT 6 n UT I L 1 TY EASEMENT . N o LOT 1, — C. — S.M. _VOE _ I C. S. M. r ° _PAGE 14 08, - �DOC (392275 i Uj Uj m3cna LOT 12 �I PAGE p� 11771 � 0 5.068 ACRES /I C3��\ BUILDING M �OAJp AW Q 220,776 S.F. 1 R =80' ✓--SETBACK M ! ST.CROIX000NTY LINE %nning Z.anino and Parks Committee n Q { SO I I ^ ,,I / 1 " JUL 2 3 20OZ Q ; 1 /S 87 °10' 16" E m30 LiJ { 290.38' rro! reed dyrot a U w o ~ I N 78° 1 1 Mppro date app I shall be null and of w z QI ° 136.09' Wr 1 / fit^ FENCE I 2 UPI Irni > r` it s T SO Cx6' U1+ ti I 0 V Z �- I z 1 ED v_i j I I v I �� 0� W J 0S£PTIC I I . I I I ?� g� TAW 1 Q) I�IQI�I Q 0 ° °� LOT 8 ww �' °-� mss'• LOT 10 _ � ° ��� � ~= n LOT 1 1 `� 0 \ \4.379 ACRES nI 0 ~ _ 0) 4.021 ACRES °s; �Q 190,746 S.F. o VOL. 8 3 U. 175,139 S.F. �\ \ 1 , \ ` I PAGE 2269 `. i DO_C. }{462079 U1 I APPROVED BY ST EXIING WOVEN w T W F KINNICKINNIC 0 ' I w�E FENCE p EX MOUND 0' 33' 33 SEPTIC SYSTEM F� W1 W 1/4 CORNER ; � E 1/4 CORNER SECTION 23 0 0 "' o 0 12.60' SECTION 23 T28N, R 18W o o n° n o ° T28N, R 18W 3 (ALUMINUM �i n ° n o o � 228.70 9 (MAGNETIZED Z �' CAP) o o° 2 16.10' n P.K. NAIL) I h� D ICATED 0 HE PUBLIC z N 89 °56' 55" W _ 397 1 ni N 89 °56' 55" W 6728' PQ NT F_ EAST -WEST 1/4 SECTION LINE — N 89 °56' 55" W 5292.87 T BEGINNING (PREVIOUSLY OA_ UNPL A T TED LAN K D VE —J RECORDED AS 647.47' ) D THIS INSTRUMENT DRAFTED BY ROSS A. COLLINS PAGE 1 OF 3 Vol. 16 Page 4338