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022-0198-80-100
t Wisconsin " Repartment of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Wilding Division INSPECTION REPORT Sanitary Permit No: • 515038 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)i. Permit Holder's Name: City Village X Township Parcel Tax No: Edelman, Troy & Amy I Kinnickinnic, Town of 022 - 1098 -80 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ' Gt) 34.28.18.532A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 5 CAPACITY STATION BS HI FS ELEV. ",� 3. 5 to •g5 qg. 7 Septic ='„� 2 Be hmark 12.no gin Z �-S�' �, 7 102 7 Dosing Alt. 01A 10 5 . L 97 . 7 - 5 Aeration P Lis t ., cJl� � C C � > Bldg. Sew r 93 R y • Holding St /Ht Inlet .9 /o'• �, o qZ • �• U'Z St /Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet l � Septic 10 AJ A L A'Z _ Dt Bottom 13, 3 $, 9. (ps Dosing 16 / Alk- 1Z ! / Header /Man. 3 . ZL 7 77-7 Aeration Dist. Pipe 3. 9e7 . - 7 13- ZI Holding Bot. System 4$ PUMP /SIPHON INFORMATION Final Grade 2. 2 - 5 166 • 7 CK Manufacturer / Demand St ver�� VOJ ) GPM 6 •Z 97 ' 7 5 Model Number Z�• / s� �Z 9 7 , bZ TDH Lift Friction Loss I Syslern Head 7DH Z �t Forcemain Length I Dia.� f Dist. to Well 1 SOIL ABSORPTION SYSTEM � BEDITRENCH Width ! Length / No. Of renc s PIT DIMENSIONS No. Of Pits Inside Dia. liquid Depth DIMENSIONS 49 75 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of stem: 14 /VA— . 4 UNIT /VY'r Model Number: �+ L_ fli ___J0 —_ - DISTRIBUTION SYSTEM Header /Manifold // Distribution / x Hole Size �� x Hole Spacing �� V Intake I Z Pipes) 73 c , is tL g 3 ~ Lengt Dia Length Dia • Spacing e• SOIL COVER x Pressure Systems Only xx Moun Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bedrrrench Center �� Bed/Trench Edges ` Topsoil • es [] No �! No J . COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:1/ ZZ- / (., )Inspection #2: 5 / l/ / a q Location: 1292 Cty Rd M�River Falls, WI 54022 (SE 1/4 NE 1/4 34 T28N R18W) NA Lot 1 C Qa 1, ;4 ` W Parcel No: 34,28.18.532A 1.) Alt BM Description - ' 2.) Bldg sewer length = yZ 1 - amount of cover = C1.�G,• d-- `.oG.g„ S Plan revision Required? [] Yes 14 No - /'�,�[s Use other side for additional information. L -__.. , _� -- � -- - Date Insep or s Si ure Cert . No. SBD -6710 (R.3/97) I t eommereemi.gov Safety and Buildings Division County i"Irtmerd w 201 W, Washington Ave., P.O. Box 7162 sco n s 1 n Madison, WI 53707 -7162 Sanitary Permit NumNumber (to 'bbee filled in by Co.) of Conanerce ! 5 1 ✓ d 3 - Sanitary Permit Application — state Transacti N umber ' In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental / 1 3a� unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted the Department of Commerce. Personal information you provide ma be use ry accordance � • ses in with the Privacy Law, s. t 5.04 (I)(m ),Stets. / / I. Application Information -Please Print All I ma tion Z � Property Owner's Na a Parcel # e 0 5 zoos aa- 4/0 - a Property er's Mailing ddress Property Location �l I S G G°`'� J ST. CROIX COUNTY 'J 3Z R Govt Lot City, State Zip Code Ph E_Z:__J i21=tt2E <F %.,�' /., Section A 0 circle one 11. Type of Buil PP Y) g (check all that apply) Lot # T - -� N; R E n I or 2 Family Dwelling - Number of Bedrooms / Subdivision Name Block IF ❑ Public /Commercial - Describe Use 4 1 1 V W , �___._...__.._.... ❑ City of Gt ❑State Owned - Describe Use , CSM N� r. [1 Village of �, Jx 7S u 1 V y 73 (4:5) 'a Town of /t _ __�_ 4 III. Type of Permit: (Check only one box on line A. Complete line B if ap icable) A' )t New System y ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem /Corn oneot/Device: Check all that apply) Ov ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade '❑ Mound >24 in. of suitable soil ;R Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area ft formation: - t17 c)sD Design Flow (gpd) Design Soil Applicatio Rate(gpdsf)) Dispersal Area Requi Dispersal Area Propos s System Elevation 6 6 6 o, � ,,�� y 99, o VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ( t o New Tanks Existing Tanks CJ p a V z 0 '� y25 in Septic or Holding Tank )� ) l S l O t t o e r Dosing Chamber J VIL Responsibility Statement 1, the undersigned, as responsibility for installation of the POWTS shown on ched lens. Plumber's Name (Print) Plum nature M RS Business Phone Num Plumber's Address (Sweet City te, Zip Code) q6 ',,e �p A ir e r -s VIII. Conn /De artment Use Onl 4Z pproved �enR.mn Permit Fee Date [ ed issuing t Signature enial $ �z� 'Z IX. Condi ' easons for Disapproval J. Septic tank, eflltlent filter and J C..o�c►t � � cox. 5 ; �. 5`�t.i - c__ f a.!IG � (�.C.� dispersal cell must all be services I maintained ma as per management plan provided by pkmtber, 2 AN eetbWk r"*Wents must be ffel tta " as PW Attach to eomph to pram far the system and submit to the County only on paper not less than 8 in x I1 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 Sarre. P It Pot- K:a''" c ,c Twap S.+ Cro:,Y Cty Let / -. ✓m / l6 - p� f X 36 fl s ! es o w e xis t, �,�FO v v� s � � � � a S� @� " f -o s O Fjj sc d Jr w+ 0. 40 r� a x� i x c,pt ; ons � oteaf J 4�a•'t ok P•'P®, air /Pa OPt ir p YG pi�e.� el= gQ•7F'�F 1 t� = se,•/ doh;,, I o �a'� "o •4. - - PROP RTY LINE / I I I I lie c� in WI J 1 cp U ,. I I I I 0.1 0 Q� \ a Y O m too 1 SI T-� \ c \ 1VL�:E \ \ \ LOT 1 8 PA 4736 \ \ \ o \ \ \ C.S.M. �UME 1 G� ) 116' \ \\ \ \\ \ \ \ \ \ \ \ \ \ \ HO \ \ \ \ \ \ \ \ \ \ \ \ fbG - ATIO \ \ \ \ \ x RIVE I> gs i SIT \\ \ \ \ \ \ \ \ \ \ FEN \ \ \ \ \ \I I 11� Z \ \ \ PR P TY LINE d- o O NOTE: x 0 PROPERTY LINES SHOWN ARE AS RECORDED AT Z ST. CROIX COUNTY REGISTER OF DEEDS FOR O LOT 1 OF C.S.M. VOLUME 18, PAGE 4736 LLJ `- LEGEND p z w FOUND 1" OUTSIDE _ z Lv DIAMETER IRON PIPE Q U CO FOUND 1/2 DIAMETER REBAR - Y T 0 116' FRONT BLDG SETBACK LINE w 1-- (50' FROM FUTURE 66' RIGHT -OF -WAY) 1 00 if W J r- PROPERTY LINE S E I ' Safety and Buildings BOX 7162 commercemi.gov 7 FEB VED MADISON WI b3 07 -7162 Contact Through Relay i sco n s i n 2009 www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce ST. CROIX COUNTY Jim Doyle, Governor ZONING OFFICE Richard J. Leinenkugel, Secretary January 26, 2009 CUST ID No. 220673 ATTN.- POWTS Inspector CHARLES L WEBSTER ZONING OFFICE WEBSTER SOIL TESTING & DESIGN ST CROIX COUNTY SPIA N5815 770TH ST 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/26/2011 Identification Numbers Transaction ID No. 1630407 SITE: Site ID No. 745471 Troy & Amy Edelman - Dwelling Please refer to both identification numbers, 1292 Co Rd M L above, in all correspondence with the agency. Town of Kinnickinnic, 54022 St Croix County SE1 /4, NE1 /4, S34, T28N, R18W Lot: 1, CSM: V.18, P.4736 FOR: Description: Mound Object Type: POWTS Component Manual Regulated Object ID No.: 1214629 Maintenance required; 600 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. The soil test report plot plan does not show adequate parcel location information as specified in s. Comm 85.40(3)(a)4., Wis. Adm. Code. PC 2. On page 2, the system plot plan does not show adequate parcel location information as specified in the Conti approved mound system component manual. AP 3. On page 4, P = 73.5 feet. DEP T EII A copy of the approved plans, specifications and this letter shall be on -site during construction and open to QIVIS► inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of EE CORRI construction /installation/operation. CHARLES L WEBSTER Page 2 1/26/2009 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. Sinke Fee Required $ 250.00 Fee Received $ 175.00 Invoiced Amt $ 75.00 e e This Amount Will Be Invoiced. Private Sewage Plan viewer, Integrated Services When You Receive That (608)266-2889, M - F, 0600 - 1430 Hrs Invoice, Please Include a Copy pete.pagel @wisconsin.gov With Your Payment Submittal. WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. i !A/easter Soil Vesting Et Sewer System Design Charlie & Kris Webster, Owners N5815 770"' Street, Ellsworth, Wt 54011 Telephone: (715) 273 -3430 Fax: (715) 273 -4181 WI Licenses: MP220673, ST220673, ST 261669, M8 8?3 POWTS Index Sheet Page 1 of s Mound System for x 4 Bedroom Residence Property Owner/Project Name Troy & Amy Edelman W1292 CR M, River FAIK WI 54022 SE 4 NE's S34 T28N R18W Town of Kinnickinnic, St. Croix County, WI Co ntents Pace 1 of 8 Index Sheet n r M Plot Plan Plan View Cross Section r P e 4 o Distribution Pipe La - out Page 5 of 8 Pumping Chamber Layout Page 6 of $ Pumn Performance Curve Page 7 &8 of S Management Plan ®® S y �'' CO �-�Z `�, dam' ••. ` CHARLES L ,D f WEBSTER E•18803 t LC go ' FLLSWORTH W i Wis. �W s '''ice FS ••' ••• �� ♦� S � ComAonent manuals used: Name: Mound Component Manual for POWTS Version.: 2.0 SBD- 10691 -P Date: January 30, 2001 �t o T S• Name: Pressure Distribution Manual for POWTS , fiQ'jl Version: 2.0 SBD -10706 P Date: January 30, 2001 of rr r4 0 ^� c a, I NG SPpNiE � - n po p a O 7 Y KFuy c fCin n" c 7"w+rp - Sf c�a; ct c o N re 1 ae 0 �r r �� n 1..�1 s ti e d ary cF , l v� � a sloP� o i o� Q Pap � (9ar rb ..n rs Ss c * lc /;++. = `� �xcep�Ioar .zotetl d el= /00. C?Af ti � N( s To,o I C . .4 p YG pi - -Pa9. .0f U Approved Synthetic Covering prs c 33 Distribution Pipe Medium Sand Topsoil. F G Elev – `I I - 3 E D _ SYf y►• `O % Slope .. Bed Of 2– 21 Force Main Plowed Aggregate From Pump Layer cam -e /a .+ D .1 a- h.. ��.f35�'�� Cross Section Of A Mound System Using E 3 L��• �� 6��'„� F q fQ 8 �tl A Bed For The Absorption Areo —� G O.S Ft. A Ft_ Linear Loading Rate = a /LN FT B - _s�_._ Ft. Design Loading Rate= 0.3aGPD /SQ FT I 7 Ft. !! '— - A CCfs box � J g Ft. 7'4Ka Ft. r /tferet L BOO Ft. rafr,�.t! en aL I w 3 .3 Ft. L to-L .±KObservation Pipe �.K.c� Forc Distribution — Bed Of Pipe Aggregate 1 t i Observation Pipe,.` ( anebbr securely) o`sr�adr/0'.: Pt d Al v e 6,2.cx s/. s t Plan View Of Mound Usiltg A Red For The Absorption Area 4 gyr Page _ Of � Perforated Pipe Detail 0 End View Perforoted l y PVC Pipe / 0V t j J ' Holes Located On Bottom. see a(e are Ettuatt Spaced 1 � ► Oistnyution Pi See �� J / A, d efid' 0ee � P �V�p ``CFO Distribution Pipe Layout S 4, U ft. 3 6 Inches rlxte^ P /o ca-S) Co• z o_.- Y ? 6' Inches Hole Diameter Ve Inch Lateral Inch (es) Manifold oZ Inches Force Main " Inches # of holes /pipe vZ S etece:ss box Invert Elevation of Laterals (_ TyP a P,',o. e Place 1st hole M &from cell- with succeeding holes at 3 intervals. M o �.�• d P /a., f•� 7rF y 4' AA W L� d e /ao► 4, Page 5 0: —6— Co , ,,4 C A j46�r (No Scale) �`n C',r•ar Sc,(ed'�o .Approved Locking Manhole Covers P /Jsr" P'P >l e f t With Warning LabelS Attached {`r Ye '% �"•� or Per/ Weatherproof Approved d ' r 1's * �;,�,`/ y✓9/ ;� p Junction Box Vent Ca _ p —� 12" Minimum F,•,�� / G.�a/a F '% - �ijn:aun► t t 4" Minimum r 18" Minimum n ect - -- i f Bp Piy.s,.4 c1kae & C&Vft ; 1 /4" Weep . 87.0 Baffle , Hole r 1of /Al's-Z-17 r r Alarm O � B t t &n�ppe C w•K /8 % ^� *APPROVED + o�'coysr to Off JOINTS WITH �` APPROVED PIPE + D 3' ONTO . Conc. SOLID SOIL ; i 3" of Bedding Under Tank -- C dee./ts a1t•"t Humber of Doses: -, '¢Per Day Gallons Per Day /j__o{ ///-/Gallons Volume of Backfl ow:- l.....0 t Galls. ^ "s Tank Manufacturer: JrS/; �, Coftcvcl`e. Tank Size -Se 1 d wcf Total Dose Vol ....... . tic /Pum • _ / Gallc;,s P P l a $'O / 5" a ons nl arm Manufacturer: L e r e -/a /e r-P" _ Model Number: p, y - Capacities: A 2 7 inches or ` C 7 Ga j l ons Switch Type: ,.c u,,J- + B inches or Pump Manufacturer: 4 / d 39-?-Gallons + C nches or a Ga l l ons Model Number: 7/ ,Epp + Dom_ inches or 1 a Gallons Minimum Discharge ate: 2 �.s' t Total .....= inches or GaIIons vertical Difference Between Pump Off and Distribution Pipe: 45: 06 eet Minimum Required Supply Pressure: ..4Cj z0. ... s - SFeet l/p Feet of Force Main x Q. 97 Friction Factor /100 Feet: + Inch Diameter Force Main Total Dynamic Head: ... = Z3.7Feet nLernaI Tank Dimensions: Length Width 0 Liquid Depth 4 7 ,44 c 6 Cct eoLc,p , - w ant p 3871 EPO4 EP05 APP T'astenet 30o series fully submerged in high stainless steel: ■ Motor Horsing: Gast iron Sppy designed for the grade turbine oil for for efficient heat transfer, foliawiirg Uses: ' d Gapable"of running lubric atiori and efficient strength, and durability. Effluent damage to heal b Homes components, III Motor Cover: Thermoplas- ' Farms Motor: Avo die for =bnwft and tic cover with integral handle Heavy duty sump • EPO4 Single phase: 0.4 tiP;. r ri opsr4tion. Atrterrmde and float switch attachment .*Water truer : 11� or 230 V, 60.Hz, f S50 " . Maehanisal points. ` Dewatering RPM, built in overload. with > r assentGted slut ■ Power WIC. Severe duty automafic reset. at tk ftMory. rated oil and water resistant SPECMCATIlM EP05 Single phase: a5 HP, - ■Bead Upper and . Pump: eft 11 it V, s rioad 0-RPM, . 1FEAi11 $ heavy duty bail bearing • Solids handling " built in o reseL wifir a @,04 construction. ng t�abrfrty: automatic .reset di1�6lter: Thermo- !Ze maximum.-- - • Power cord. l0 foot plastic Seml -open design ' Capacities: up to 55 GPM. Standard M 10 oo S�0 ;a pump out vanes for AGENCY - LMM • Total heads: up to 24 fleet: with three pro ng grounding mechanical seal protection. Dpscharge siae: 1 1 1a NPT. plug. Optional 20 tit f EP05 knpeffer. Thermo- MechanicalseW. carbon length, 1613 SJ1W with plastic {GSA listed mode! numbers NwhMed design for rola ry/ceramic- stat ionaly, three prong grounding plug Improved performance. end in at" or " BONA - elasWrners. (Standard on EP05). - • Temperature: Caft and Bay: Rugged 104 °F (4n) continuous ftnm *ft design provides 140 °F (W)- intermittent superior Wffigdt and • Fasteners: 300 series corrosion resistance. stainless steel. FM • Capable of running i0 p dry.without damage to 9 30 components. i Pump: EP05 e Solids handling carpabii' . 25 ' %° maximum. 7 ' _ t Capacities: up to 60 GPM. •. Total Up to 31 feet V s i ' t}ischarge size. IV NPT. ' • Mechanical seal: carbon- $ rotary /ceramlc- tionary, 15 4 BUNA -N elastomers. • Temperature: , r 3 10 104OF (40*C) continuous 140OF (6M) intermittent 2 5 Deg„ ak 0� 1 E 10 ZU - 30 Y I_ 0 2 4 6 8 10 Mr.s 12 CAPACITY ®1995 Goulds Pumps, hv— EftecVve May, 1995 83871 • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ;7 °f 8 _. -- - - - - - -- - - -- FILE INFORMATION SYSTEM SPECIFICATIONS Owner j � /A ,�d el$* $,(4 Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer Gv; e3c). C o" c► cfi6 NA DESIGN PARAMETERS Effluent Filter Manufacturer fi /m k ❑ NA NA Number of Bedrooms DNA Effluent Filter Model ,�- 0 Number of Commercial Units Pump Tank Capacity 7S at 0 NA Estimated fl l (average) D g aV day Pump Tank Manufacturer w •esc*- Co-- c, eteP NA Design flow (peak), (Estimated x 1.5) O Q gWday Pump Manufacturer G p / d 0 NA Sol A PPil nation Rate (p- 3 au /fe Pump Model 3 8 V EPO 3 O NA Influent/Effluent Quality Monthly average Pretreatment Unit j9NA Fats, Ol & Grease (FOG) 530 mg/L 13 Sand/Ciravel Filter 0 Peat Filter Biochemical Oxygen Demand (1300 - mg/L 0 Mech Aeration 0 Wetland Total Suspended Solids (TSS) X50 0 Disinfeectio n ❑Other. � Manufacturer Pretreated Effluent Quality - )NLNA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODJ 530 mg/L 0 In-ground (gravity) 0 In -ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 0 At -grade 0 Mound rfo (geometric mean m 0 Drip-line 0 Other Fecal Col rm (g ) 510 d'u/100 I Maximum Effluent Particle Size Y inch diameter values typkai for domestic (non -erg wastawater and sepw tank etHueclL •• vakm typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every 3 0 months years) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume r Inspect dispersal ceil(s) At least once every 0 months Xyear(s) (Maximum 3 yrs.) Clean effluent filter At least once every 3 O months ,Kyear(s) inspect pump, pump controls & alarm At least once every 0 months 0 year(i) O NA s dcd Flush laterals and pressure test At least once every 0 months 0 year(s) 0 NA As Aletd2 -d odhec At least once every 0 months 0 year(s) XNA At least once every O months 0 year(s) )(NA a?� 1 heeom.wre & C/eJ*,y1 P1 /JPCJr o -V ce very .�ye�is, �veLecoMi sad t� M MAINTENANCE INSTRUCTIONS y c /e.►,� .fit /- le� eyery poll to �vld P- LIV.Pa. dwh +he 'Ws+P�er_ Inspections of tanks and dispersal cells shall be made by an individual carrying one of We following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer, Septage Servicing Op Tank ins must indude a visual ins of the tank(s) to identify any missing O• broken hardware, Identify any cracks or, measure the volume of insp ection 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 (X@ 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 ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less 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 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 tank(s) removed by a septage servicing operator prior to use. •okt � /aLa `V) �� ° Y � AM !he;M / Ede! Page � of / V System startup shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwat it levels. When power is restored the excess wastewater will be disctmrged to the dispersal call(s) in one large dose, .overloading the oell(s) and may result in the backup or surge die of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore nominal 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 Beet down slope of any mound or at -grade soil absorption area Reduction oreGmination of the following from the wastewaterstream 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. ABANDON( JENT '- When the POWTS tab andior is permanently taken out of service the following steps shall be taken to insure that the system is property and safely abandoned in compliance with ch. Comm 83:33, Wisconsin Adminisimtive Code: • All piping to Tanks and pits shall be disc_ onnected and the abandoned pipe openings sealed. • The contests of all tanks and pits shalC be removed and disposed.of by a Septage Servicing Operator. • After pumping. all tanks and pits shall be emavated and removed or their covers removed and the void space filled with soli, gravel or another inert solid material CONTINGENCY PLAN If the POWTS fags and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: , 13 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 proposed structure, lot lines and wells. Facture to protect the replacement area wig 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_ ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POV1lTS a soil and site evaluation must be performed to locate a sutable replacement area If no replacement area is available a holding tank may be installed as a last resort to replace the fatted POWTS. r Mound and at -grade soil absorption systems may be reconstructed in place following removal of the blornat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND O'T'HER 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 I !• POWTS INSTALLER POWTS MAINTAINER uk K Name a Exc �t- '� Name Phone .Phone ;EPTAGE SERVICING OPERATOR PUMPER U,%kft LOCAL REGULATORY AUTHORITY Name Agency Phone Phone 7 /5 6 — 6' O his document was drafted by the staffs of the Green take. Marquette acid Waushare (Aunty Zoning and Sankatton agendas. This document meets the minimum requirements of rat. Comm 83,22(2)(bj(1)(d)&M and t33W), (2) & (3). Wkoonsin Admkilswom Code. Use of ttds document does not guarantee the performance of the POWTS. GfldVV (ZlQ ;) h z s• -d` � �srb AJ Cwt- 4 1 sicoln, $11 §O IL EVALUATION REPORT #1832 Department of Commerce accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and n Steel's Soil Service, Inc. Attach complete site plan on aper ess than 8'/ x 11 inches in size. Plan must County St. Croix include, but not limited to: verti d horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensi s, north arrow, and location and distance to nearest road. � 022 - 1098 -80 -100 Please print all information. a iewe�By Date Personal information you provide may u s (Priv Law, s. 15.04 (1) (m)). , Z,3 Property Owner Property Location Elderman, Troy AN I HnR Govt. Lot na SE1 /4, NE1 /4, S34, T28N, R18W Property Owner's Mailing Address L Block # Subd. Name or CSM# 16721 Biscayne Ave West I 1 na CSM Vol. 18 Pg 4736 City St to Zi u ber City [:] Village ® Town Nearest Road Farmington krn Kinnickinnic I Cty Rd M M New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement h�p� via public commen ese Dribe: na Parent material End moraines ground rarines ageways,'sandstone Flood plain elevation, if applicable na tt. General comments Mound design, system elevation 97.63ft based on contour line elevation 95.80ft. Minimume of 22 inches of and recommendations: ASTM -C33 mound sand. Boring # Z Ground surface elev. 97.20 ft. Depth to limiting factor 17 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. TRW •Efr#2 1 0 -10 10yr3 /1 none sl 2msbk mfr a if .6 1.0 2 10 -17 10yr4/4 none sicl 2msbk mfr gw lvf .4 .6 3 17 - 36 10yr7/4 none :racturec limestone na na na .0 .0 '1 Boring # Ground surface elev. 97.20 ft. Depth to limiting factor 21 n. � P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -12 10yr3 /1 none sl 2msbk mfr cs if .6 1.0 2 12 -21 10yr4/4 none sicl 2msbk mfr gw lvf .4 .6 3 21 -36 10yr7/4 none =racturet limestone na na na .0 .0 "Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L " Effluent #2: BOD < mg /L and TSS <_30 mg/L CST Name (Please Print) - Signature: v. CST Number David J. Steel ,) 11 f �—�-� 248956 Address Steel's Soil Service, Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 1/17/2006 .715 - 760-0347 SBD -8330 (R.07 100) `Property Owner Eldelman, Troy Parcel ID # 022 - 1098 -80 -100 Page 2 of 3 F Boring # ❑ ® Ground surface elev. 92.80 ft. Depth to limiting factor 1 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. *Etf#1 *Eff#2 1 0 -14 10yr3 /1 none sl 2msbk mfr gw if .6 1.0 2 14 -36 10yr7 /4 none =racturef limestone na na na .0 .0 NY 7 F-1 Boring # F-1 Ground surface elev. ft. Depth to limiting factor in, 11 Ground 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 *E1#2 F-1 Boring # F-1 Ground surface elev. ft. Depth to limiting factor in, 11 Ground 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 i 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 (R07 /00) ms's sod fie• Dr- STEEL'S SOIL SERVICE 3 of 3 David J. Steel Troy Eldennan 994 200' St. CST - POWTSM SE1 /4,NE1 /4,S34,T28N,R18W Baldwin, W1 54002 Lic. #248956 Town of Kinnickinnic, St Croix Co. Direct 715- 760 -0347 Fax 715- 684 -3449 U� Legend N r 119 = 40' A Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe 17� Alt Benchmark Ele. 99.70 ft Top of 3/4" pvc pipe 1 = Borings i Boring Elevations B 1 = 97.20 ft B2 = 97.20 ft B3 = 92.80 ft B4 = 0.00 ft �v �3 Sf m no J �6 cr7o S�� � � l �S�tir � l �, 7 �,� + 1 1` U 2865P 075 4B 10 3�aQ)4 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., NI Document Number RECEIVED FOR RECORD This Deed, made between Roger D. Christiansen and Toni M. 08/12/2005 08:00AH Christiansen, husband and wife Grantor, and Troy Edelman and Amy Edelman, husband and wife as survivorship marital Rroperty Grantee. WARRANTY DEED /E14T f Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. roix County, State of Wisconsin (if REC FEE: 11.00 more space is needed, please attach addendum): TRAITS FEE: 405.00 LOT ONE (1) OF CERTIFIED SURVEY MAP IN VOLUME EIGHTEEN COPY FEE: CC FEE: (18) OF CERTIFIED SURVEY MAPS, PAGE 4736, AS DOCUMENT PAGES: 1 NUMBER 760952, FILED IN ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON APRIL 28, 2004, BEING LOCATED IN THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER (SE 1/4 OF NE 1/4) OF SECTION THIRTY FOUR (34), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC. Subject to C.T.H. "M" right of way. Recording Area COVENANTS: No animals at large. No abandoned vehicles, etc. No Name and Return Address �D exotic animals, those normally found in the wild, will be raised or housed off\ on the property. Owners of Lots 1, 3 and 4 must agree to the following G D Gt1>ti�>g conditions: The owner of Lot 1 must be willing to dedicate the East 66 feet of Lot 1 for a public road in the event the owner or grantor of Lot 1 or 4 , wanted to construct a town road on that strip. Also, the owners of Lots 1,3A and 4 must be agreeable that in the event a public road would be / constructed on the 66' strip, it may be necessary to work outside of that 66 Part of 022 -1098- 80-000 foot possible town road right of way for finish grading. The builder of that Parcel Identification Number (PIN) road would be allowed to work up to what is shown as a setback line and be required to restore those disturbed areas to a reasonable condition. This is not homestead property. (is) (is not) Exceptions to warranties: easements, restrictions and rights of way of record, if any. Dated this � day of August, 2005 / * * Ro er D. Christiansen l t flht • /21. �c�' ..r..��.J * * Toni M. Christiansen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) SS. 'r Countv. ) authenticated this day of Personally came before me this da of August 2005 the above named Roger D. Christiansen and Toni M. Christiansen TITLE: MEMBER STATE BAI3.,V WISC(I - (If not, ' y' r to me known to be the persons) who executed the foresoine authorized by §706.06, Wis. Sta .h ; tl A R r .. ins ent and ack no ledged the same. THIS INSTRUMENT WA$} RAFTED"* Joseph D. Boles - Attorney at Law ii �, :P U A t 1 G . "Z3 River Falls, WI 54022 `� �� a Not Public, State of VV I— Mv Commission is pew (Ifnot, state expiration date: (Signatures may be authenticated or aclmo4ccgcd.8ot{i�Ow.ecs8ry) �-Q I'L l 1, 2 ' Names of persons signing in any capacity must be typeid'oi printed below their signature. INFO -PRO (800)655 -2021 www.infoprofmms.com STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 /\Pp�t�? � ca 9 s 2 APR 2 •t ai: c w QTY �g�nevafks� VOL PAGE' 4736 KATHLEEN H. APR 2 8 2004 REGISTER OF DEEDS ST. CROI CO. MI ST. CROI, COUNTY RECEIVED FOR RECORD SURVEYOR'S R R aaas � 04 /28 1 4 12:00PK be , void CERTIFIED SURVEY HAP REC FEE: 13.80 CERTIFIED SURVEY MAP PAGM 2 3- Roger and Toni Christiansen Located in the Southeast % of the Northeast 4 of Section 34, T 28 N, R 18 W, Town of Kfnnickinnic, St. Croix County, Wisconsin. O" WER$'ADDRESS LEGEND 1298 COUNTY.TRUNK HIGHWAY M* N INMATES S 1 x 18' /HON 3 RIVER FALLS, bVl 54022 O PIPE SET (MIN. WT. - 1.13 LBA_F.) m • INDICATES 1 IRON PIPE FOUND z BEARINGS AR SOIL BORINGS (PROPOSED SEPTIC SYSTE V REFERENCED SECTION CORNER MONUMENT ►- TO E O EAST -WEST 1A1 SECTION (AS NOTED) LANE OF SECTION 34, 728 N, R 18 W, —"'—" JNDICATES 1=ENCFLfNE ASSUMED AS S 89 ■ PROPOSED DRIVEWAY LOCATION yv (R ° t! SCALE 8N FEET 1" - 300' Q 2"7E p N zm AN EROSION CONTROL PLAN WILL 100 t BE REQU0WV BY THE ST. CROIX w COUNTY ZONING OFFICE PRIOR TO 4/li►P_GAIT_EI? l A11(Q$ CONSTRUCTION ON THIS LOT. $ Z t; N 89°16' I?iL�SE114 -NEIN w �! - - - - 490.08' — x % *— 888.35 — \ UW ATT�ED 116 LOT 4 LOT 7 k CONT•4lnrs 1,00$029 SQ FT. OR 23.026 AC \ SQ T OR NS 812 On . , : (976,339 3GL FT. OR 22414 AC EXCLUDING 3. ROAD RIGHT OF WAY) �! /351.568 Stx FT. � � OR 8.071 AC. EKC. \ RIGHT OF WAY) P id 8 z OWECUYG SEPTIC J.Ql__� \ ®•• �y AREA C W cV - x N 89 42 E 497.87 • • % m w .137.01' 380.96' 1 L. �QT_ � N 4 e o y`� � ••. � s QEE?TIFl�G2 3 OT o LOT VCQLUW 1_4, s VAIMM P-AG,E3842 EasEMENT All CENTERUNE 197.ar &p t S '" 875.18 - $ 9.07• $ NORINRM�[,/IyEC.T.H.'Ylf- ? •46.80! _ - S 89'24'31 " W SMAI OWN ff_ _ TRUNf-H1OMMY- ON- ! UNPIATE m UNP_4AP__'E IA- kQ-$ 5 LAJvDS ` M, NOTE - LOT 2 i LOT 3 .s; •'' "' ••" N L0T2 CONTAINS 204 42 7 SO. FT. 66.w i � ��REN E OR 4.71e AC. ((188 587 SQ. FT S 09 Mu OR 4.320 AC I=7CC1 l/DlNG r 140 ROAD RIGHT OF WAY) 33.00 33.00X �� a L0 VVI. LOT 3 CONTAINS 187,281 SQ. FT. CTTK w�. OR 4.136 ACL OR 4.299 AC EXCLUDING 74 SG. FT 170.55 z 00' 33. = 167 ••' ........ ROAD RIGHT OF W AY) _Z( ar /� FEBRUARY 26 LA No � S � W DATED: I>♦ts rNSTiRUA�IIJT oRAFTEn BYJERALD L. CARSON SHEET 1 OF 2 Vol 18 Page 4736 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner uyer �d Mailing Address ^ S� a Property Address 1 (_ �C !� ?Y 5 Vc209 Verification required from Planning & Zoning Department for new construction City /State RIV 0'4u_S / w I Parcel Identification Number ��' ,�G)`� 0 ~ �� /fJL� LEGAL DESCRIPTION /p Property Location '/4 ,'l4 ,Sec. �, T NR ! / W, Town of -� ;� v Subdivision , Lot # r Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number rooms a / 8 / 016 09 SIGNATURE OF ICANT(S) DATE formation that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) STO CROIX COUNTY 7 PLANNING & ZONING - „i,i � .iux«r , OFF,.✓,; /rv. F /h. <<., ,.,,.: ,.. n. ti i:v ., a . dub ,r, -:.;.. ,.....,..., ,.. .. -- 5 q EROSION & SEDIMENT CONTROL PLAN Site location: 1292 Cty. Rd. M, Lot 1 of CSM #760952, Town of Kinnickinnic Owner(s): Troy & Amy Edelman Parcel ID #34.28.18.532A Code Administ F 715- 386 -4680 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.” In Land Informatio addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and/or landowner to follow erosion control procedures and maintain them until 715 - 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.html) Real Property 715- 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 -386- 1 . Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation and driveway excavation, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Surface drainage is to the southwest of proposed mound into a ravine that drains to an intermittent tributary of the Kinnickinnic River. 2. Install construction entrance before any excavation begins!! 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 require access to the property during construction. 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. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. (A specification sheet for temporary diversions is available from county). 4. It is likely that contaminated runoff will not be contained with temporary diversions, so installation of approved sediment control products (straw wattles, silt fence, etc.) as shown on engineer's site plan will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and recommend additional action required to comply with applicable regulations. Control measures should be installed prior to mound plowing. ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON WI 54016 715- 3864686 FAA PZ @CO. SAINT- CRO1X. W1. US W W W. C O. SAI NT-C ROIX. W I. US Page Two — ESC Plan Acknowledgement Form 5. abilize exposed soils (septic system included) with seed and mulch immediately after installation - DO wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. Wh te- season weather conditions will not permit seed germination, a heavy straw mulch cover will prey osion until vegetation can be established. Erosion control matting can be applied any time of year an talled properly, will provide protection even if seed germination is delayed. The owner o ord during site construction will be responsible for compliance with state and county code requirements' , , pecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding eros & sediment control product installation. PLAN PREPAR BY: PAMELA QUINN, CPESC & SOIL ERO IO INSPECTOR #665054 X .. Owner ailkiowledizement of ESC Plan re uirements: a //2009 (Ple sign and return original ESC form to Planning ning Dept. A copy is attached to the owner's permit and tenance agreement, which is given to the plumbe a time of permit issuance.) rovide copies for excavation contractor, plumber, and town building inspector as needed f N 'd . /..A'v# Ll /.,u,. :;;����.,./ .:;w;a.A'.aJ:.HPA�m . ;.- ,yi, „ ,y; ,,. /..// /.,. ii'Aw „? '• , «� ✓/5/m. .. :;,. :• •; „i,, ,i,.. ,. `4^a.ew. t.., /tea ..e.1 _ ia.,kwtM:f(Atd1.W`4:i: ST. CRO /X COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON W/ 54016 715386 -4686 FAx PZ@CO.SA/NT-CRO/X.WLUS WWW.CO.SAINT- CROIX.WWS Page Two — ESC Plan Acknowledgement Form - .'83� aswSL. ?:. n. ,•.ro3v,: % / "4YA�N : s'yfiSX ,.'are�z:Y./:.f liYk*8�'nxat�I.JM',�.'.'IUaA °,�4 GA3:ti . , ,;k5:•.:= ,£'Aeb•• Xk.$`.°iiw'Tfw A. N'..:r.: N'�k�fF „,„4 - 5. abilize exposed soils (septic system included) with seed and mulch immediately after installation - DO wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. Wh te- season weather conditions will not permit seed germination, a heavy straw mulch cover will prey osion until vegetation can be established. Erosion control matting can be applied any time of year an talled properly, will provide protection even if seed germination is delayed. The owner o ord during site construction will be responsible for compliance with state and county code requirements pecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding eros & sediment control product installation. PLAN PREPA BY: PAMELA QUINN, CPESC & SOIL ERO IO INSPECTOR #665054 Owner owled ement of ESC Plan re uirements: ;L //2009 (Ple sign and return original ESC form to Planning ning Dept. A copy is attached to the owner's permit and tenance agreement, which is given to the plumbe a time of permit issuance.) rovide copies for excavation contractor, plumber, and town building inspector as needed ST CROIX COUNTY GOVERNMENT CENTER 1 10 CARMICHAEL ROAD HUDSON, WI 54016 715386 -4686 FAA PZ @CO. SAINT-CROIX. WI. US W W W . CO. SAI NT-C ROIX. W I. U S i NSIN l.lr,a�� r.LLO �rioi �ur»Jr�tiiv �� AYS WISCONSIN vy��;�� STORY .'SURVEY 7.5 MINUTE SERIES (TOPOGRAPHIC) SE /4 RIVER FALLS 15' QUADRANGLE 5 35 2.6 M1. TO t Y. d 32'30" 1 3 37 1 5 38 1 350 000 FEET 539 92 °344 °52'30" - -�- - - Sa p ?� _ i U I� .98 J S� 35 3 • o 1 116 / ��, o / 131 7 r 0 C - - � 0 � .a ss T 28 N $T Ix - C — 0 s I -r -� E - - a — -- .1033 J I � I o 00 I / `� I � � J 380 000 FEET i — — -- - • °— - -- — 4065 ° f ° 'o, � I 1030 c� � T iiz 1 I � i �� 1� ��, �. • � � 50' — I 4° 64 it F� , - �� o /x I APPRO 7 6 CD ca ST. CROIX COUNTY Pisiq�lq *lidPm*3Cc+r'"++twe VOL 18 PAGE' 4736 KATHL° M H. WALSH APR 2 8 2004 REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR hECORD B not *md I 30 days at 04/28/2004 12:00PM >aqW �� °1 � CERTIFIED SURVEY MAP REC FEE: 13.00 CO CERTIFIED SURVEY MAP PA 2 3.00 Roger and Toni Christiansen Located in the Southeast Y4 of the Northeast Y44 of Section 34, T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, Wisconsin. N OWNERS'ADDRESS LEGEND 1298 COUNTY TRUNK HIGHWAY M INDICATES I.O.D. x 18• IRON 3 z RIVER FALLS, K1 54022 O PIPE SET (MIN. WE - 1.13 LBA-F) z • INDICATES I IRON PIPE FOUND A SOIL BORINGS (PROPOSED SEPTIC SYSTEM) BEARINGS ARE REFERENCED v � TO THE EAST -WEST 1/4 SECTION SECTION CORNER MONUMENT (AS NOTED) q 1NOICATES FENCEUNE LAVE OF SECTION 34, T 28 N, R 18 W, ASSUMED AS S 88°2491" W. PROPOSED DRIVEWAY LOCATION (R=) RECORDED AS SCALE M FEET 1" ■ 300' NOTE' z AN EROSION CONTROL PLAN WILL 100 6 100 260 360 BE REQUIRED BY THE ST. CROOK W COUNTY ZONING OFFICE PRIOR TO Q; I CONSTRUCTION ON THIS LOT. �- !ltllP_4.AZ_T_�A, �L4_N_Q_S N 89° 16'52" E 1318.41' NORTH VNE SE114 -NE1a I 15; — y � 450.06 u; x x ■— 868.35' _" " - --�" W II6 _UNPlATLEP �• Z3 LOT 4 \ LOT 1 CONTAINS 1,003,029 SQ. FT. OR 23.026 AC. 41 L✓gNDS CONTAINS 353, 877 < �,� (976,339 SQ. FT. OR 22.414 AC EXCLUDING \ SO. FT. OR 8.124 AC. 1 3 I N ROAD RIGHT OF WAY) (351,558 SO. FT. 1 �'� OR 8.071 AC. IX v " u \ RIGHT OF W g G�POLE 3 OWELUNG W ILS?T - -1 n ® . \� SEPTIC o I& N 89'20'42• E 497.9T \ Lu w 137.01' 360.96' Eli �ERTIElEP_ � S LOT n LOT 3 • z- m 3 V_QL UMW 1 fIR/.C.IAY '�� 4 \ N 1 Z , N 2 PAGE-3-842 s^�N W (SEE t9 r 5r a 50' DETA L am_ `„, y TSACK U ww I y CENTERLINE y 8 8� g S8 IN 875.19' - g 8 1249.07' g 197.00' 2 ^N y^ NORTH Ri1N LINE C.T.H. •M" S89 ' - 200 ?1• -.� 105.64' $- -- -- — S 89 400.57 50.54' Ea T- s 114 48.60'_ _ — — — — — WEST 114 CORNER — S x'24'31 " x277.44• - COU 'rR(J_KK- HIGHWAY 'M_' _UNP_4AZT&(? SECTION 34, T 28 N, R 18 W (FOUND COUNTY BERNTSEN I ALUMINUM MONUMENT) N L 4PLA ED ( 1 4ANDS lJlifP�gTTED .4/VDS D AI N LANDS con,S, NOTE- LOT 2 g LOTS -. LOT 2 CONTAINS 2OA427 SQ. FT. 68 00• ° LAUREN E ' OR 4.716 AC. (186,667 SQ. FT. S89 9" 1 ° " nnu My OR 4.329 AC. EXCLUDING 3�33,pp 33.00 �� s ROADRIGHTOFWAY) L�ENVILLE• NORTH Rw a - _ R v O wI. 1C LOT 3 CONTAINS 187,261 SQ. FT C.T.H. •M' "' (� ^� 's �� OR 4.299 AC. (180,174 SQ. FT 1�1� �7� . , • , . • • Q` OR 4.136 AC. EXCLUDING z ��' 33.00' z RFL) L.a M � � ROAD RIGHT OF WA Y) S 89'3 29" W DATED: FEBRUARY 26, THIS INSTRUMENT DRAFTED BY JERALD L LARSON SHEET 1 OF 2 Vol 18 Page 4736 1. scorisin De nt of Com RECEIVED merce SOIL EVALUATION REPORT Page of wi Division of Safety an Buildings MAR 1 9 orlon 85 with Comm , Wi s. Ad m. Code . COX* ST ro Attach complete plan on r not less than 81 x 11 Inches in size. Plan must include, but not toy ZeW I�,Yo®klfbhral ref point (BM), direction and Parcel I.D. percent slops, dirr lk fi i �rfDMr, and dw and distance to nearest road. c h t .� Date Please print all Information. Penw W Iniomaoon you provide nay be used for secondary pure ss (Privacy Law, S. 15.04 (1) (m)). (t�v�)%� I Pro7 Owner L��G�/yn G`,.�, Property Location Q r1 5 N G Lot E 1/4 1/4 S31 T e N R f E (or) Property oNees Mailing Address Lot j Blodc # Subd. Name or CSM# CSv�n cw� qt 2 C s tate p e e Number ❑ City ❑ vula r own Nearest Road uLr ��lLS 402 71�42S SS93 w �LtwYJ� L 0 'M X New Construction Use: ®' Residential / Number of bedrooms Code derived design flow rota 4 50 GPD ❑ Replacement ❑ Public or oommerd� - Descri46: Paront mate jJ c 't Ae1 C ' / /� < <S , h L - Flood Plain elevation If appllcab p fl rial Gener co ons: 11, S r a �1 p, v%n 0 wh Q �. s 7 G y, w, `f'; 4.- M r n 1 rn w rn s7r rh EL . 10 a Bodng # Boring pit Ground surface elev. 4 2 n, Depth to liml*V facto T In Aim Alcadon Rate Soil Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *002 0 -)2 1 S' 2 S k #4 v C f C -C) D, I0," 4 zd i0 s a�`s6 -�� c. S I d S 4 . %�, r S y n � b- r<•,�- rid � -' -- -.._ ,- a Boring #. C] Boring /� r Pit Ground surface elev. 'L R . ft. Depth to Iimitirp 3 h• �y (cation Rate Horizon Depth Dominant Color Redox Description Structure Consistence Boundary Roots GPDIff In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2 -� I �Fsbk rri r C S v o .� O, g Y G 3 z d sYL1 I • Effluent #1 - BOD > 30 220 mg/L and TSS >30 _5 150 mg/L ' Effluent #2 : BOD 1 30 mpll and TSS 1 30 mglL CST r (Please Print SI n CST Number Address Date Evalua Conducted Telephone Number 104 S I�, Sy �Iver Fcat� 3 S 1 S-2)7 Property Owner RO 7 H k !` Parcel ID # Pape --?,--Of F Z1 Zain # Pit Ground surface elev: 7 § , 2 7 ft. Depth to Ilmltlnp•(actoc � . 9 kt. _ Sod lion Rats Hori7an Depth .DomInanf Colorl Redox Description Texture Structure Consistence ' Boundary ,. Roots. GPDRf In. Munsell... Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1� R3 af sl /C rn r � 2f G S 0 $ Z 0 Si 2fsb Yn r CS 1 v o.S 0, i t a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. SoU ApplIcatidn Rate Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPDHE In. Munsell Qu. SL Cont. Color Gr. SL Sh. 'Eff#1 •Eff#2 ❑ Boring D Boring # C] Pit Ground surface elev. ft. Depth to Ii W*V factor In. Soll lcebon Rate Horizon Depth Dominant Color Redox Description Texture Structum Consistence BourKhW Roota GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. - Eff#1 'Eft#2 • Effluent #1 = BOD, > 30 220 MOIL and TSS >30 150 mglL • EtAuent #2 = BOD, 130 Mpll. and TSS 130 mWL 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. saaaM (RAW) e Y C Ivy t�4 C, �1.oT'S'li4x� C�9 3 �f S 5calc i ": gp I q8 �� v 131 1?�� a �2 0 3 t3 -T S p , 4 Q9 ' 6mZ i APr 0V ED 7 640 9 5 2 ^nnC gf CFtolx COIN +� [W3„g*r,dvsCc�e�+" VOL PAGE 4736 2 1 �■�0 TE KAT H. ACSH APR 2 g 2004 REGISTERR OF DEEDS ST. CROIX CO. MI S - c pn,i X COURTY RECEIVED FOR RECORD S „RVLY R ECORD R �� D4/28/2004 12:00PM � CERTIFIED SURVEY MAP REC FEE: 13.00 CERTIFIED SURVEY MAP PPAA 2 3 .00 � Roger and Toni Christiansen Located in the Southeast Y44 of the Northeast Y4 of Section 34, T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, Wisconsin. OWNERS ADD LEGEND 1298 COUNTY TRUNK HIGHWAY M” INDICATES I.O.D. x I8' IRON 3 RIVER FALLS, WI 54022 O PIPE SET (MIN. WT. - 1.13 LBJLF.) m 0 INDICATESI "IRON PIPE FOUND A SOIL BORINGS (PROPOSED SEPTIC SYSTEM) m OF- 4RINGS ARE REFERENCED SECTION CORNER MONUMENT ( AS NOTED ) TO THE EAST -WEST 114 SECTION 0 �- LLNE OF IEC710N 34, T 28 N, R 18 W, —"—' INDICATES FENCELINE ASSUMED AS S 89'24 31' W. ■ PROPOSED DRIVEWAY LOCATION (R = ?75� SCALE IN FEET 1"-300' ` N078 DP"N z AN rJO N CILL. 10 0 100 2 0 3 BE IRED W ui COZONINR TO IN - -L�4 ZT_E-0 coucTro srJ2" E E114• 4EI14 g« 450.06' w x x x 868.35' — - - �- ,t 116' x '— f" \MOTT Xy LOT 4 LOT 7 CONTAINS 1,003,029 CG LANDS LANDS I Q. OMAINS 353,8 I 'v I w (976,339 SQ. FT. OR 22.414 AG EXCLUDIN SQ. FT. OR 8. f2 4 AC G ROAD RIGHT OF WAY) (351, SW SQ. FT. OR 8.071 AC. OX � � b LL � \ RIGHT OF WAY) 8 , L 3 SEPTIC T$ I � Z ry '� OWELLIN<a�� y��� W AREA M-•� 1't 1 N � �y r N 89'2442' E 497.97' 137.01' A 360.96' x /^y N LOT 2 CO $ LOT 2 2URVEYMAP / tss° ta, a VOL•IIME 1.4 w / 43 , tRMWA s PAGE3-842 ( E S A MENT E S 50 V 22F h DETAIL) ,� � SETBA U NE-. � ww CENTERLINE 187.00 2 — � S89 W 87!.11Y- � 7� 49.OT NORTH RIVV LINE C.T.H. 'M' 200. 1' - 405.84' S 89 W 400.57 _ �•' •` ._._ _ _ MS T-WEST 114 ft E •48.60' �. � 3 �• LJ. ..- - - - --J a%L ST 114 CORNER f - S 89 w5277.44 - 00-URYTy z1-M-Y& HIGHWAY_ 'Ar -UNPJ E TIED SECTION 34, T 28 N. R 18 W (FOUND COUNTY BERIV73EN ALUMINUM MONUMENT) ( 1{LSC_ I �A�IDSS 11- KPLAT_T_FQ LANDS r LANDS II NOTE- LOT 2 z LOT 3 LOT 2 CONTAINS 20A 427 SO. FT. 66 • L.4UftEN E OR 4.716 AC. (188,587 SO. FT. 3 ¢89 °3 '29" V1j I' - for m1my OR 4.329 AC. EXCLUDING ROAD RIGHT OF WAY) 33.00 33.00 NORTHR/W v a O•. LO .� A O LOT 3 CONTAINS 187,261 SQ. FT. C.T.H. 'M' V'� 0 •._ OR 4.299 AC. (180,174 SQ. FT 170.55' S 16700' ...... gift OR 4.136 AC. EXCLUDING p-_ �� 33'�p R Fa U N o �� ROAD RIGHT OF WAY) S 89'3 '29" W DATED., 64 FEBRUARY 26, THIS INSTRUMENT DRAFTED BYJERALD L. LARSON SHEET 1 OF 2 Vol 18 Page 4736 �10/11/2005 02:23 PM Parcel #: 022 - 1098 -80 -100 PAGE 1 OF 1 Alt. Parcel #: 34.28.18.532A 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/28/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-owner TROY &AMY EDELMAN O - EDELMAN, TROY & AMY 16721 BISCAYNE AVE W FARMINGTON MN 55024 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1292 CTY RD M SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 8.124 Plat: 4736 -CSM 184736 022 -04 SEC 34 T28N R18W SE NE CSM 18 -4736 LOT 1 Block/Condo Bldg: LOT 1 (8.124 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 28N -18W SE NE Notes: Parcel History: Date Doc # Vol /Page Type 08/12/2005 803204 2865/075 WD 04/28/2004 760952 18/4726 CSM 07/23/1997 1139/136 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 8.124 1,500 0 1,500 NO Totals for 2005: General Property 8.124 1,500 0 1,500 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 MGOULDS PUMPS Submersible Effluent Pump PE r p SPECIFICATIONS MOTOR FEATURES Pump — General: General: ■ Corrosion resistant • Discharge: 1 NPT • Single phase construction. • Temperature: 104 °F (40 • 60 Hertz ■ Cast iron body. • 115 and 230 volts ■ Thermoplastic impeller aximum, continuous when and p P fully submerged. • Built -in thermal overload pro- cover. • Solids handling: ' / z" tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil - filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available. shaft. lubricated for extended • Pumping range: see PE31 Motor: service life. following uses: ■ Powered for continuous • Mound Systems performance chart or curve. 33 HP, 3000 RPM • EffluenVDosing Systems PE31 Pump: • 115 volts operation. • Low Pressure y Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the working limits of the motor. • Basement Draining Maximum head: 25' TDH PE41 Motor: g • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM ■ Quick disconnect power gth, length, Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts heavy duty 16/3 cord, 20' standard d len with • Maximum head: 29' TDH • PSC design 115 or 230 volt grounding PE51 Pump: PE51 Motor: plug, • Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty, • Maximum head: 37' TDH • 115 and 230 volts portable and compact. • PSC design ■ Mechanical seal is carbon, METERS FEET ceramic, BUNA and stainless 40 __.__ _, _,,, _ __.. _. ' T ' FE51 MODELS: PE31, PE41, PE51" steel. HP: .33,.40,,50 ■ Stainless steel fasteners. 35 10 2 GPM AGENCY LISTINGS 3 PE41 1 o ci i 25 ,PE1 V fi a us Tested to UL 778 and o CSA 22.2108 Standards By Canadian Standards Association r 15 Fite #LR38549 O Goulds Pumps is ISO 9001 Registered. 10 5 0 0 10 20 30 40 50 60 70 GPM 80 1 5 1 1 m /h Goulds Pumps 3 CAPACITY © 2004 ITT Water Technology, Inc. Effective June, 2004 ITT Industries