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1
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 463207 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan to 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:
LaGrander, Kurt I Pleasant Valley Township 024 - 1021 -50 -200
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
l�' 0 l00•0 _�64 / 17.28.17.1166
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI S ELEV.
R .1 06
Septic / b a O Benchmark d. V
Dosing ^ - Alt. BM r { 3
, 3aG-
Aeration ` Bldg. Sir 3614 q� � b
Holding S S — H, t
..�'
�^..
TANK SETBACK INFORMATION SUHt Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic �D � 0 tZ— Dt--- `�
Dosing Head r /Man. [ todo
Aeration
Holding Bot. System D.
Final Grade
PUMP /SIPHON INFORMATION ---.A
Manufacturer Demand S
GPM 2 3 Aox
Model Number
TDH Lift Loss System ,a Z TD H �
Forcemain Leng Dia. Dist. to We I 3 L•
SOIL ABSORPTION SYSTEM �-- ( ,S' f -: j-da — % F—IV �—
B MENSIONS Width Length No. Of Tren hes P DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM L CHI Manufacturer:
INFORMATION Type f System: � �t Lt '/ CHA TOR Model Number:
DISTRI TI SYSTEM i
Heade anifolf _• Distribution j x Hole Size x Hole Spacing. Vent to Al n e
Pipes) __73 -
Length Dia �._ Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over , xx Depth of xx Seeded /Sodded J xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
[] Yes 0 No Yes
y � No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ( I [ 1 r I / Inspection #2:11 !
Location: 354 170th Street Hammond, Wl 54015 (SE 1/4 NE 1/4 17 T28N R17W) NA 1 r� f�6e -Q reel N 17.28 7.11 QB
1.) Alt BM Description = S?' + C 4 T 9A— � Yi ! 14 ���
2.) Bldg sewer length = /
- amount of cover =� f ->g2:0j CIA 1&+4W &1fu, eg-
Plan revision � � .... R Yes to
Use other side for additional information.
Date Insepctor's Signature Cart. No.
SBD -6710 (R.3/97)
lk i I x 4)25vq> osj P,
U
�Sef
7:T
X " Ci</
/ / Q'C}�i �(ls'lr+t, � '
r) IXPQ J,'Alk
70
COPY
`yam .� �'"•`.� .___.»____.._.._ �..._._._.»__....w.... �.�...._,.._........_��,..�.... (�Z' /'�
44,
i - 1
3 7/8 HEAD CAPACITY CURVE
6 1/4
' MODEL 98
30 5/8
.;. 4 I
8
25 ® I
3 5/8.
s 8
� � I O - -
4 / t3 4 3/16
i3 t0-- –
2 r
6— — 1 1/2 -11 1/2 NPT
0 ;
U.S. GALLONS 10 20 '8 40 b0 80 70 80
LITERS
so 240
0 FLC W PER MINUTE
TOTAL OYNAMIC HEAWl.0W PEP MWUTe -
tFFtUENTANDOeWMTERIHG
CAPACITY 12
HEAD UNITSIMIN
FEET METERS GALS LTRS
5 1.52 72 273
10 3.05 a, 231
is 4.57 45 170 4 3/16
20 e.10 1 25 95
L ock valve � 23• } I
' eK11o:
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and Variable level float switches are available- for controlling single
supplied with an alarm. and three phase systems.
• Mechanical alternators, for duplex systems, are available with Double piggyback variable level float switches are available
or without alarm switches. for variable level long cycle controls.
SELECTION GUIDE
1. Integral nost operated 2 pole mechanical switch, no external control required.
Standard all models - Weight 39 lbs - 1 /2 H.P. 2. Single piggyback variable level float switch or double piggyback variable level,
99 Series Control Selection float switch. Refer to FM0477.
E98 Volts Ph Mode Amp simplex Duplex 3. Mechanical alternator 10.0072 or 10.0075.
115 1 Auto 9.4 1 or 1 b 7 — 4. See FM0712, for correct model of Electrical Alternator, E -Pak.
115 1 Non 9.4 2 or 2 6 8 3 or 4 8 S 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4)
230 1 Auto 4.7 1 or 1 d 7 — float system.
8. Four (4) hole J -Pak, junction box, for watertight connection or wired-in 230 1 Non 4.7 2 or 2 d 8 3 or 4 & 5 simplex or duplex operation, 10
-0002.
7, Two (2) hole J -Pak, for watertight connection or spike.
CAUTION
Fatnlon t bnonwmNlonWZoenwploducunferbcalsbgonComb imWnSlaAer,FMOS14;PWybode All Installation of controls, protection devices and wiring should be done by a qualified
Variable levelSwllchu, FM0477; Elec" Allemalor, FMO486 :MechankalAllemabr,FM049S;StxW licensed electrician. All electrical and safety codes should be followed Including the rnast
Sewage Basins. FMO487; and Single Phase Simplex Pump Contml/Alagn Systems, FMO732. recent National Electric Code (NEC) and the occupational Safety and Health Act (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of bveq Zoeller pump.
MAIL To: P.O. BOX 16347
Ltwille,KY40256.0347 •Manufadurersof..
SH)P T0: 3649 Can• Run Rood 1 _
v L tod"e. -1981
I �rrPuav�; ;vcE /939
PUMP 10. (502 ) 778.1731. 918 -PUMP
FAX (501) 774.3614
P oe, 7 4
1
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
1 4sconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce bi td f t
(Submit completed o county if not
[Privacy Law, s. 15.04(1)(m)) state owned.)
Attach complete plans (to the county copy only) for _tkCsystem, on paper not less than 8 -1/2 x 1 1 inches in size.
County State Sani a Number heck if revision to previous a lication State Plan I. D. Number 7 D 77
isT. (" e i 'M Ai✓S. I 0 - 7 d-�
I. Application Information - Please Print all Information Location: 35 1
' Property Owner Nam�+e /' � roperty Location �
�{ V � �"' I,t,& r(` 2 v ly O NOV N V 2�� s6 1/41j 1/4, S 1 ,N, RI°1E (or)
Property Owner's Mailing Address Lot m r Block Number
��� to t�t�t �ZONINGOFFICE � 1
City, State *Zip Code Phone Number Sub ' . ion Name or CSM Number
II. Type of B ilding: (check one) , _ /� ❑ City Ct7
01( 1 or 2 Family Dwelling - No. of Bedrooms : 0 ❑Village
❑Public /Commercial (describe use):_ Town of
j� `R
❑ State - Owned 1 ( &v ` V (f� �� •�
�x 5 ��� d (� w 1 �� Z Nearest Road t'7t
oayvig- y "d QhQ.Cc aa P Parcel Tax Number(s) / a
III. Type of P erffiit: (Check only one box on line A. Check box on 1' B if ap lica le) I
A) 1. ew 2. ❑ Replacement 3. ❑ Replacement of 4. 6. ❑ Addition to
S ystem System Tank Only Existing System
Permit Number Date Issue
B) A Sanitary Permit was previously issued Q�Q 3 f / Zod
IV. Type of POWT System: (Check all that apply)
❑ Non - pressurized In- ground Moun .2( / 02. N?A' / t ' Q ❑ Sand Filter 11 Constructed Wetland
11 Pressurized In- ground Holding Tank 1`ri Sv'� ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aer is Trea e t Unit ❑ irc at' g ❑ Other:
V. Dispersal/Treatment Area Information: y /tie l/
td
1. Design Flow (gpd) 2. Dispersal Area 3. Disp rsal Area 1 4. Soil Apolication 5. Percolation Rate 6. System Elevation 7. Final Grade
Requ Prop Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
I � (�l)
V C j11 X 19 /"-- Z /a3, )
VII. Tank ty i n Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing / crete structed
Tanks Tanks S kx Sno
k d ®p I g ock 600 ❑ ❑ ❑
VIII. RespUnsibility Statement
1, the undersigned, assume responsibility fo 'nstallation of PQWT s own on the attached plans.
Plumber's Name (print) I Plumb Plumb& Signature (n s s): MP/MPRS No. B iness Phone Number G
�/ G �/►07a -tr � �.. � d�� � �' b
Plumber's Address (Street, City, State t e)
/ XI
h&a!r H
IX. County/Department Us Only 61 F
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date ssued Z ignature o tamps)
Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination "' l �O d 7 !�
X �o�lproval /Reasons for Disappro�l:
Septic tank, effluent filter and 4
dispersal cell must all be serviced / maintained ? /� cv �z -
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances. aGA�is 42.
r o OA '
SBD -6398 (R. 07/00)
Safety and Buildings
• 4003 N KINNEY COULEE RD
commercemi.gov LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
isconsin www.wmmerisco govsb,
Department of Commerce isconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
November 16, 2004
CUST ID No.220728 ATTN.• POWTS Inspector
CLARENCE L GLOTFELTY ZONING OFFICE
ENVIRO -TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA
N4955 SUNNY HILL RD 1101 CARMICHAEL RD
WEYERHAEUSER WI 54895 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 11/16/2006 Identification Numbers
Transaction ID No. 1077028
SITE• Site ID No. 669893
Curt Legrander Please refer to both identification numbers,
170TH Street above, in all correspondence with the agency.
Town of Pleasant Valley, 54015
St Croix County
SE1 /4, NE 1/4, S17, T28N, RI 7W
FOR:
Description: Three Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 938176
Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade;
System: EZ -Flow Mound Component Manual, (N.6/03); Biofilter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
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.
Confi
The following conditions shall be met during construction or installation and prior to occupancy or use: APPR
Approval Requirements:
DEPARTMENT
• This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ �TOFr
FLOW Mound Component Manual (June 6, 2003). with the "Pressure Distribution Component Manual for
Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01 /01). SEE CORRE
• The observation pipes must be located at a junction point between two EZ -Flow products so as not to create
separation of the bundles within a product.
• Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area.
Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal
are prohibited.
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
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 Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat
CLARENCE L GLOTFELTY Page 2 11/16/2004
• Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction
and open to inspection by authorized representatives of the Department, which may include local inspectors.
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
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
D AND PRESSURE DISTRIBUTION:COMPONENT DESIGN
�-� Commercial Application
INDEX AND TITLE PAGE
Project Name: L.-r3 o, In ke,r 1 U I C N"
Owner's Name: Cv't
Owner's Address: �� ?� ,, U
0D-
�Ir`: - 71 S - 7*, - —1gRB
Legal Description: SI: Yq NCA ;LB `(
Township: eA
County; l x
Subdivision Name: jig 324
Lot Number. Block Number.
Parcel I.D. Number. I ul — 5 -- a l -
Plan Transaction No.: ` 5 B y 3 S
Page 1 Index and title
Page 2 Data eptry
Page 3 Mound drawings o
Page 4 Lateral and dose tank
Page 5 System maintenance specifications/ 'T r., P L
Page 6 Management and contingency plan 74 017, 1 1
age 7 Pump .Curve dnd specific attions OV y
a- 1A OF COMMERCE
EY Gs
G
SP ONDENCE
Designer. — License Number.
Date:� Phone Number.
Signature:
7
Version 4.0 (R. 04!03) Page 1 of $
r
Mound and Pressure Distribution Component Design
Site Information
R Residential or Commercial Design Note: Sand fill (D) calculations assume a
300.00 Estimated Wastewater Flow (gpd) Table 93-44-3 In -alto soli treatment for fecal
1.50 Peaking Factor (e.g. 1.5 = 150%) coNform of <: 36 inches.
450.00 Design Flow (gpd)
5.00 Site Slope ( %)
101.20 Contour Line Elevation (ft)
24.00 Depth to Limiting Factor (in)
0.60 In -situ Soil Application Rate (gpd /ft�)
Distribution Cell Information
75 Dispersal Cell Length Along Contour (ft) _ .90 Cell Width (ft)
1.00 Dispersal Cepl Design Loading Rate (gpd /ft
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
In the distribution Y
Pressure Disribution Information network?
c Center or End Manifold
� ) Lateral Spacing (ft) If N above, enter the elevation (ft)
4 Number of Laterals of the highest point.
0.126 Orifice Diameter (in) (e.g. 0.25)
3 Orifice Spacing (ft) _ � ft 2 /orifice
2.00 Forcemain Diameter (in)
40.00 Forcemain Length (ft) Does the forcemain drain back? Y
95.00 Pump Tank Elevation (ft)
6.J0 System Head (ft) x 1.3 6.5 Forcemain Drainback (gal)
6,0 Vertical Lift (ft) ! 5x Void Volume (gal)
0... Friction Loss (ft) Minimum Dose Volume (gal)
,may Total Dynamic Head (ft) _off System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. a tiorts I choice in. dia. ojitions I choice
0.75 125 x
1.00 x 1.50 x x
1.25 x 2.00
1.50 x x 3.00
2.00 x
3.00 x
Gallons/inch Calculator
.- Treatment Tank Information ( Total Tank Capacity (gal)
&?00 Septic Tank Capacity (gal) `/D ` Total Working Liquid Depth (in)
Manufacturer gauin (enter result in cell B49)
I x �3
Dose Tank Information Fffluent Filter Information
4000 Dose Tank Capacity (gal) vK t Filter Manufacturer
Dose Tank Volume (gal /in) ((CC> Filter Model Number
N� /OG� /� Manufacturer
Project: Curt LeGrander 3 bedroom residential mound Page 2 of jd�
MOUND PLAN VIEW
qbservation pipes (typical)
r ` 1/6 B
IE-- _ A= ft
A� B = ft
I J=
W �-- . B I = ft
I K - ft
K
1/6B = �t
_ ft
typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (AxB)
J = up slope dimension O = plowed area (LxW)
K = end slope dimension s•
T
MOUND CROSS SECTION
D in = in
subsoil cap
lateral topsoil G H E= in
invert 4L:.1.. - -- 7 � F = in
elev.
- - - F G = 6.0 in
` T ASTM C33 H = 12.0 in -
D Sand Fill F
�v y
Sys. �
elev. 2 , Jft contour
\/ slope
D = upslope fill depth plowed layer
E = downslope fill depth U.911z Absorption cell media will consist
F = absorption cell depth of - c&rnPorr -n+x "7 /96MI
G = subsoil + topsoil depth at cell wall centered across AxB media. The cell
H = subsoil + topsoil depth at cell center media is covered with geotextile fabric
Designer notes:
eSIA
o e
I
r•
7 '
Project:
Transaction Number: Page,) of
ci /' /c'F�j �, ,JG Q/ri / /G/ Yh �� 1� f%N•r /c �o�.
/ /
Center Connection Lateral Layout Daigram
Force main connection via tee of Oros$ to manifold at any point. Laterals are identical
WL
1 P Ak-
•- Turn -up vdbsll wlw or IE X- -+-rJ2 I d2 +1 Laterals k force main of PVC Sch 40
olissnoutplup per COW Table 84.30.6
Holes drilled on the bottom of the lateral.
Number of Laterals Orifice Diameter in
Lateral Diameter in Orifice Spacing (X) i rtc
Lateral Length (P) ft Orifices per Lateral
Lateral Spacing (S) 3.o ft Orifice Density ft /orifice
MD Lateral Flow Rate gpm Manifold Length ft
System Flow Rate o gpm Manifold Diameter in
Total Dynamic Head > ft Forcemain Velocity r 0 -- 3 ft/sec
SEPTIC TANK AND PUMP CHAMBER C ROSS SECTION AND SPECIFICATIONS
Loolag Cover vM Weather Prod Junction 8".
vameg libel. Accts Electrical "Per NEC 000 and
opening. na ion a «. C ornin t6 :J conic l {
Vera Plea mUM oaand at leak 4'
E t? abow 9rade above *Wa ed grade. �� ^ a
AA0011116 opening. not top Mawnto" Cover over T o l ana
of cover. must extend to
a pone no greater awl a•
below aninneo grade. 7Y Mn. opening
Disconnect
f- Alternate
"at
it own, location
l I Face Main olamtler
I 27' MK A ace Minn Length
opening ealtwa War
Quilt" < to t li A
aawr D tW Weep tale or and
eprwn device.
Pump oA Bev.
�Twec Elw. �•t r
sad and baeas rteoeeaary wilt aoeord4q to muedamaere apedleatldrts Note: AN p ipe and vent matenals comply with Comm 84.
Anclter Carle • to negau 1
s
Tank Manufacatrer. ' I r1C, Doses Qer Day:
- x l e -,- ucl
epti �1 y�
Tank Sizes: Sc 1 +ma Gallons G86�I Bases: �5 b gallons
Pump �_ Gallons Backtlow: _D- gallons
Gallons Per Inch: jq J . 3 Total Dose Volume: 7 gallons
Liquid Level: Required GPM: I
Pump Manufacturer. ' Dimensio I Inches Gallons
A 3
Pump Model: �l B
Alarm Manufacturer. C - C
0 I
Alarm Model: �`t W 1 1 Total i pp l7 1 � . SJ
Vertical Difference between pump off and distribution pipe L3Si +-$"
K
Minimum Required Supply Pressure (0 for dosed conventional)
17 a Feet of force main x friction factor/ 100
I [p�
Total Dynamic Head
Mound System Maintenance and Operation Specificagons
--- 0 - ` - Phone 1
Service Provider's ' P-
Name c Av _ __�...._^ - --�-
POWTS Regulator's Name St. C roix C ounter Zoning �_� Phone 715- 388 -4880
Syltern Flow al3SLLO§d Pi
Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L
Septic Tank Capacity :{ w gal Maximum TSS 150 mg /L
Soil Absorption Component Size 460 ft` Maximum FOG 30 mg /L
P
Type of Wastewater Domestic Maximum Fecal Coliforml >10E4 cfu /100 mL
Service Freauencv
Septic and Pump Tank In spect and /or service once every 3 ears
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once eve 3 years
Alarm Should test monthl
Pressure System Laterals should bL flushed and pressure tested every 1.5 years
Mound Inspect for bondin and s eeps a o nce every ars
- -.. -
M iscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to Comm 84.30 (8)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn -up Detail
Finished •••'•••••••••••
Grade \�
Threaded Cleanout
6 -8" Diameter Lawn
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lateral -� Long Sweep 00 or Two
- --- - -- 45 Degree Bends Same
Diameter as Lateral
Page 5 of
Project: Curt LeGrander 3 bedroom residential mound 8
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Codef
I
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with rte• component
manuals ISBD •10691 -P (N.01i01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and
maintenance reporting.
• b use de ath.
Na one should ever enter a septic or pump tanpt since dangerous gases may be presen t that could cause
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 nears, access risers and covers should be inspected for water tightness and soundness, Access openings
used fcr service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject
to falluie must be replaced. Exposed access ope.,lings greater than 8- inches in diameter shall be secured by an sTlWIve locking device to
prevent accidental or unauthorized entry into a tank or component.
S
The septic tank shall be maintained by an individual ceitified to service septic tanks under s 281.48, State. The contents of the septic tank
shall be disposed of in accordance with Nit 113, Wis. Adm. Code. The operating condition of the septic tank and outlet finer shall be assessed at
least on ;e every 3 years by inspection
The outlet finer shall be cleaned as necessary to ensure proper operation. The finer cartridge should not be removed unless provisions are
made to retain solids in the tank that may slough oft the finer when removed from its enclosure. If the finer Is equipped with an alarm, the litter
shall be serviced if the alarm is activated continuously. Intermittent finer alarms may indicate surge flaws or an impending continuous alarm.
Ths septic tank shall. nave its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If
the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shelf 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 attditkon 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.
eunw 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 finer Is installed within the tank it shall be Inspected and serviced as necessary.
MA und and Pressure DIstrlbuUon System
No trees or shrubs shoula 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 them 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 wlli promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched
as protection from freezing
Influent quality into the mound system may not exceW 220 mg/L BOD5, 150 mgiL TSS, and 30 mg /L FOG for septlo tank effluent or
30 mg9- BUD„ 30 mg/L TSS, 10 mg/L FOG, and 10 cfw100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this Installation.
'The pressure distribution system is provided with a flushing point at the end of each lateral, and it is racommended that such lateral be flushed
of accumulated solids at Nast 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 It 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 6 inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring.
i 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(s) shall be Immediately
repaired or replaced with a component of the same or equal performance.
if the mound component accept nt f ile to t wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in
p
its' present iocation by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and rate ted
piping. and relxacirig said components as deemed necessary to bring the system into proper operating condition.
See Page of this plan for the name and telephone number of your local POWTS regulator and service provider
I
Project: Curt LeGrandef 3 bedroom residential mound Page 6 of
i
I
i
I
t 3 7/8 6 1/4
. ` HEAD "98"
CAPACITY CURVE
30 MODEL. 4 5/8
a
. 25 J
9 3 51 .
t = � 8 0)
I I O
0 15—
4 �` 4 3/16
� g
o 10 ;
2 i
1 1/2 -11 i/2 NPT
g—
U.S. GALLONS 10 20 0 70 80
LITERS 80 240
0 FLC. W PER MINUTE
TOTAL OVNAMIC NlAfXfLOWPl�7 MNiUT!
1IFFLUe.14001WATERINO
CAPACITY 12
HEAD UNITS/MIN
FEET METERS GALS LTRS 1
5 1.52 72 273
10 3.0s et 231
1s 4.57 45 170 4 3/16
20 6.10 25 95
!.� Doll Valve � 27
' aK1,l0a '
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single
supplied with an alarm. and three phase systems,
• Mechanical alternators, for duplex systems, are available with Double piggyback variable level float switches are available
or without alarm switches. for variable level long cycle controls.
SELECTION GUIDE
1. Integral float operated 2 pole mechanical switch, no external control required.
Stand:lyd all models - Wei 11t 39 tbs. - /s H.P. 2, Single piggyback variable level float switch or double piggyback variable level,
96 Series Control Selection float switch. Refer to FMO477.
Model Volts Ph Mod@ Amps Sim lax Du lex 3. Mechanical alternator 10 -0072 or 10.0075.
M95 115 1 Auto 9.4 1 or 1 b 7 — 4. See FM0712, for correct model of Electrical Alternator, E•Pak
N98 115 1 Non 9.4 2 or 2 6 8 3 or 4 b 5 S. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4)
098 230 1 Auto 4.7 1 or 1 d 7 _ float system.
6. Four (4) hole J -Pak, Junction box, for watertight connection or wired -in
E98 230 1 Non 4.7 2 or 2 d 6 3 or 4 3 5 simplex or duplex operation, 10 - 0002.
7. Two (2) hole J•Pak. for watertight connection or splice.
CAUTION
Forinbmud*non&Mftbna1Zoar,w roductsmrwbn le"OnCombineOonStarter,FMOS14 :Piggyback All Installation of controls, protection devices and wiring should be done by a Qualified
Variable Level Switches, FM0417; Electrical Akemalx,FUC486: MechanicalAllemabr, FM6495; Sumpl licensed electrician. All electrical and safety codes should be followed Including
the most
Sawage Basins, FM0487; end Single Phase Simpiex Pump ConboUAbnn Syslens, FMO732. recent Nallonal Electric Code (NEC) and the Occupational Safety and Health Act (OSHA).
RESERVE POWERED DESIGN '
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL TO: P.O. BOX 16317
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O SHIP T0: 3619 ane Run R 1 �
Louisvife, KY 40211.1961 Q irr Pes�PS .`,: eeF /9.9
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(502)778-273I-I(800;928-PUMP
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State of Wisconsin County
Safety and Buildings Division NITA I CIF X
Integrated Services Bureau Tra " ....i enewa Uniform Permit Number
Personal information you provide may be used f seconds purposes (Priva s.15.04 (1 )(m)].
Permit Renewal Date Permit Trans to Original Permij Issuance Date State Plan ID Number
03 ( 200 `�- 7
Property Location � - T wn El Village El City of
�l/4 1 — _ 1/4,S T ,R 17 E (or W (?
Lot Number Block Number Subdivision Name Nearest Road, Lakr; or Landma
PREVIOUS SANITARY PERMIT HOLDER - IF CHANGED: SANITARY PERMIT TRANSFERRED TO:
Name (Please Print) Signature Name (Please Print) Phone Number
Address Phone Number Street Address, City, State, Zip Code
( )
I, the undersigned, assume resp(jisibility for ir4allation of the private sewai e system that has been previously approved for this property.
Plu Si ture Previous PI tuber Name „ (if changed) At �1100r' . I Z
PlufteTlAddress Previous Plumber Address �, I
5 r) i
a
umber Phone Nunfer I MPIMPRSW Number Phone Number
Issuing Agent Signature Date Approved
SBD -6399 (R.04/96) Distribution: Original - County; Copy - Owner; Copy - Plumber
IV
r�
S
Safety and Buildings
commerce.wi. OV 4003 N KINNEY COULEE RD
g LA CROSSE WI 54601 -1831
TD
#: (608) 264 -8777
i s co n s i n www•commer isco sin.go /
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
November 16, 2004
CUST ID No.220728 ATTN: POWTS Inspector
CLARENCE L GLOTFELTY ZONING OFFICE
ENVIRO -TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA
N4955 SUNNY HILL RD 1 101 CARMICHAEL RD
WEYERHAEUSER WI 54895 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 11/16/2006 Identification Numbers
Transaction ID No. 1077028
SITE: Site ID No. 669893
Curt Legrander Please refer to both identification
170TH Street numbers, above, in all
Town of Pleasant Valley, 54015 correspondence with the agency.
St Croix County
SE1 /4, NE1 /4, S17, T28N, R17W
FOR:
Description: Three Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 938176
Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from
original grade;
System: EZ -Flow Mound Component Manual, (N.6/03); Biofilter
The submittal described above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY
APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible
for compliance with all code requirements.
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:
Approval Requirements:
• This system is to be constructed and located in accordance with the enclosed approved plans
and with the EZ FLOW Mound Component Manual (June 6, 2003). with the "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version
2.0" SBD- 10706 -P (N.01 /01).
• The observation pipes must be located at a junction point between two EZ -Flow products so
as not to create separation of the bundles within a product.
CLAFENCE L GLOTFELTY Page 2 11/16/2004
• Per manual cited above, limited activities are allowed in the area 15 feet down slope of the
component area. Soil compaction, excavation, vehicular traffic and other similar activities
that impact the treatment and dispersal are prohibited.
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet
from the absorption area. chs. NR 811 & 812c
• A Sanitary ermit must be obtained from the county where this project is located in
rY tY p J
accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection
shall be made with the designated county official in accordance with the provisions of Sec.
145.20(2)(d), Wis. Stat
• Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site
during construction and open to inspection by authorized representatives of the Department,
which may include local inspectors.
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that
the operation and maintenance of the POWTS occurs in accordance with this chapter and the
approved management plan under s. Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved
management plan or as required under s. Comm 83.54(4) shall be considered a human health
hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report
acceptable to the county for maintenance tracking purposes. Reports shall be submitted at
intervals appropriate for the component(s) utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to
commencement of construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes
or additions should conditions arise making them necessary for code compliance. As per state
stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for
designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed
below, or at the address on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who
are responsible for the installation, operation or maintenance of the POWTS.
CLARENCE L GLOTFELTY Page 3 11/16/2004
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
MOUND AND PRESSURE DISTRIBUTION;COMPONENT DESIGN
Commercial Application
INDEX AND TITLE PAGE
Project Name: L a L o vk.vl
Owner's Name: C Lk - ' Lo. G r&vdt-r
Owner's Address: J0, LU u `l
Da-�
1 %S -
Legal Description: SL Yq NC- I 0 TIBN `l
Township:
County; S-}- C t"OI x
Subdivision Name: vim,[ leg
J
Lot Number. �_ Block Number.
Parcel I.D. Number b ky — i D - 5n - a
Plan Transaction No.:
Page 1 Index and title
Page 2 Data eptry
Page 3 Mound drawings
Page 4 Lateral and dose tank Dz r `� / .
Page 5 System maintenance specifications/ NA
L;
6 Management and contingency plan
age 7 Pump curve dnd specifications
t?(Q+ ?WA
Designer. (2,1�Cg �.21&U - License Number. a� p7
Date: Y Phone Number
Signature:
s
V
Version 4.0 (R. 04/03) Page 1 of $
eA
1
Mound and pressure Distribution Component Design
Site Information
R Residential or Commercial Design Note: Sand rill (D) calculations assume a
300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 In -situ soil treatment for fecal
1.50 Peaking Factor (e.g. 1.5 = 150 %) cofiform of — 36 Inches.
450.00 Design Flow (gpd)
5.00 Site Slope ( %)
101.20 Contour Line Eleva (ft) A-4 pu
-- 2 . Depth to Limiting Factor (in)
0.50 In -situ Soil Application Rate (gpd /ft
istribution Cell Information
qp � Z_f) , Dispersal Cell Length Along Contour (ft) _� �� .q0 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd /ft )
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network?
c Center or End Manifold
Lateral Spacing (ft) If N above, enter the elevation (ft)
4 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
j.(j Orifice Spacing (ft) _ � W /orifice
2.011 Forcemain Diameter (in)
40.00 Forcemain Length (ft) Does the forcemain drain back? Y
95.00 Pump Tank Elevation (ft)
6.4 System Head (ft) x 1.3 6.5 Forcemain Drainback (gal)
6,, Vertical Lift (ft) 5x Void Volume (gal)
0.9V Friction Loss (ft) Minimum Dose Volume (gal)
i ; Total Dynamic Head (ft) �� System Demand (gpm)
Lateral Diameter Selection Manifold Diameter S
in. dia. o tions choice in. dia. o tions I choice
0.75 .25 x
1.00 x 1.5 x OX
x 2.00
1 — .5 - 0 x 3.00
00 x
3.00 x
Oallons /Inch Calculator
Treatment Tank information &, F Total Tank Capacity (gal)
/DOO Septic Tank Capacity (gal) VD'. ` Total Working Liquid Depth (in)
Manufacturer Et
I gat/in (enter result in cell 849)
Dose Tank Information Effluent Filter Information
P OO Dose Tank Capacity (gal) S I tn_1 l Filter Manufacturer
Dose Tank Volume (gal /in) 00 Filter Model Number
lavlw Manufacturer
Project: Curt LeGrander 3 bedroom residential mound Page 2 of
i
MOUND PLAN VIEW
gbservation pipes (typical)
^
1/68
A = ft .,
tt
4 I B ft
W B I= ft
�, K 1/613 = `t
�--- L
typ. obs. pipe
(anchored securely)
I = down slope dimension [ absorption cell (AxB)
J = up slope dimension O plowed area (LxW)
K = end slope dimension 6-
MOUND CROSS SECTION
subsoil cap
D = a, in
lateral topsoil G H E = in
invert �. F - in
f
elev. - '`-
F G = 6.0 in
T ASTM C33 H = 12.0 in
0 Sand Fill E
Sys.
elev. /e ft contour
--�
slope
D = upslope fill depth plowed layer
E = downslope fill depth U2W Absorption cell media will consist
F = absorption cell depth of Z�f ouu VrRnare. 6,brrtPott}s �rt:,��
G = subsoil + topsoil depth at cell wall centered across AxB media. The cell
H = subsoil + topsoil depth at cell center media is covered with geotextile fabric.
Desi ner notes:
o i e
r " ' /
i
Project:
Transaction Number: Page3 if
/h Ole— 1► . 6
Center Connection Lateral Layout Daigram
Force main connection via tae or cross to manifold at any point Laterals are identical
P S
• Turn -up wdball valve or IE X--� xl2JI.W 2+ 1 Laterals & force main o« PVC Sch 40
oiesnoutplup per COMMA Table 84.30.5
Holes drilled on the bottom of the lateral.
Number of Laterals Orifice Diameter in
Lateral Diameter , in Orifice Spacing Z d r +e
Lateral Length (P) ft Orifices per Lateral
Lateral Spacing (S) 3x ft Orifice Density , 2 j fe /orifice
jr*0 Lateral Flow Rate 6 1 gpm Manifold Length n ft
System Flow Rate 30A. b gpm Manifold Diameter , in
Total Dynamic Head ft Forcemain Velocity ft/sec
SEPTIC TANK AND PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
Lootong Cover rrdh WaMMr Pna>f Aawdron am.
warrong ubei Electrloar ad Per NEC 900 ant
Comm not top W cover. Comm 16.26 WAC
Vert Pipe Wow : AS St grMM 4 _ �� `1 `• V err f"
1 r ¢a {� !�
a P I Maamaan Cover over TORN
a poet no gram ban 4r r
Dalow 6rusbed grate. 2r Min. opening
Duce naa
't E•� Adamate
adlat
16' nwL location
1 ,
I Fares Main Oiamatr
23 Mtn
pig am Main LWgM
BLWdkq ! to 1/a'
Norton GOV".
wrvar �>� A_` wow h am
as or i
a
s I i0®
0
Oat am beci i tole noordWV to mwfadnra apeodicabora
Antler tun as naoaaary m ttagan r Nate: All p lpe and vent materials comply with Comm 84.
s
Tank Mernrfacturer ' IYIC,• Doses
per Day: �c c3
v�.,c)• � �
Tank Sizes: Septic � � Gallons GHQ# Roses: t ( J; '
, gallons
Pump Gallons 1 Backflow: ' D - viions i
Gallons Per Inch: � 3 Total Dose Volume: l L7 gallons i
Liquid Level: tfn Required GPM: 3' �
(+ t v\ c \iJ`x, i
Pump Manufacture °[.cc.a.rM�,t
Manufacturer, ' 1 '
Dimensio s 1 Inches Gallons 4-
Pump Model: 7 - 3 1 B
Alarm Manufacturer.
C I ,'
D I
Alarm Model: A 1 Total
Vertical Difference between pump off and distribution pipe
�SU
Le- tit Minimum Required Supply Pressure (0 for dosed conventional) _ • �, , —+
Feet of force main x
' 1100
r1/�friction factor D
Total Dynamic Head
I
Mound aaystem Maintenance and Ogeration Specifications
r
Service Providers Name z1� / Phone ,e'S:3�'
POWTS Regulators Name St. C roix C ounter Zonin _ Phone 715.3 -4 680
S ystem Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum Influent Particle Size its in
Estimated Flow - Average 300 gpd Maximum BODS 220 mg /L
Septic Tank Capacity { gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 ft` Maximum FOG 30 mg /L
Type of Wastewater L22T—est-123 Maximum Fecal Colifomn >10E4 cfu /100 mL
Service Frequency
Septic and Pump Tank Ins ct and /or service once eve 3 years
Effluent Filter Should insp2ct and clean at least once eve 3 ears
Pump and Controls Test once every 3 years
Alarm Should test month)
Pressure Systenil Laterals should b8 flushed and pressure tested eve 1.5 ears
Mound - - - Insp
-- ect for pondin and s ee a e o nce every 3 y ears -
-
)trlei' ____.._ --------- _.__.__----- ..____._..___.._.J
Mi scellaneous Canstrruction and Materials Standards
1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap,
and are secured in as shown in toe mound component manual.
2. Dispersal cell aggregate conforms to Comm 84.30 (8)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn -up Detail
Finished rrrrrrrr�rrrrr rrr�rrrrrrrrrsr
Grade
q. =._.- Threaded Cleanout
6 -8" Diameter Lawn - --
Sprinkler Valve Box Plug or Bell Valve
Distribution
Lateral Long Sweep 90 or Two
��� C- - - -- 45 Degree Bands Same
Diameter as Lateral
project: Curt LeGrander 3 bedroom residential mound Page 5 of �j
Mound System Management Plan ,
Pursuant to Comm 83.54, Wis. Adm. Code
910KO
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals (SSD. 10891 -P (N.01/01) and SSWMP Publication 9.6 (01 /et)) and local or state rules pertaining to system maintenance and
maintenance repotting.
No one should ever enter a septic or pump tanrt 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 Dump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings
used fcr 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 acceas openings greater then 13- inches in diameter shall be secured by an effective locking device to
prevent accidental or unauthorized entry into a tank or component.
Se is Ta tl6
The septic tank shall be maintained by an Individual certified to service septic tanks under s 281.48, State. 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
lean once every 3 years by inspection
The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter 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. 11 the filler Is equipped with an alarm, the titer
small be serviced if the alarm is activated continuoualy. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm.
1 h 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 triennial 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 addftion of biological or cherrrical 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.
PUrnp.J'ank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity proper
operation If an effluent fitter is installed within tree tank it shall be inar ectad and serviced as necessary.
Mound and Pressure Distribution Svs em
No trees or shrubs should be planted on Ilia ntound. 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 sores 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 installetlone (October- February) dictate that the mound be heavily mulched
as protection from freezing
Influent qualify into the mound system may not exceed 220 mg/L BOD 150 mWL TSS, and 30 mg/L FOG for septic tank effluent or
30 mg,'I- BOD 30 mgrL TSS, 10 mg/L FOG, and 10'0000 mL for highly treated effluent. Influent now may not exceed maximum design flow
specified in the permit for this installation
'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 6 inches considered as an Impending hydraulic; failure requiring additional, more frequent monitoring.
Continaencv Plan
It 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(s) shall be Immediately
repaired or replaced with a component of the same or equal performance.
It the mound component fails to accept wastftwater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in
its' present location my increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and relsled
piping and repincirip said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider
Projects Curt LeGrander 3 bedloom residential mound Page 6 of g
' Safety and Buildings
C0111111t?fC @.WI. OV 4003 N KINNEY COULEE RD
g LACROSSE WI 54601 -1831
TDD #: (608) 264 -8777
i ��O � �' � www.commerce.wi.gov /sb/ •
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
October 28, 2004
CUST ID No. 220728 Fee Required $ 175.00
Fee Received $ 60.00
CLARENCE L GLOTFELTY Balance Due $ 115.00
ENVIRO-TECH SYSTEMS & SERVICE
N4955 SUNNY HILL RD Make Checks Payable To
WEYERHAEUSER WI 54895 Commerce.
WiSMART code: 7633
REQUEST FOR ADDITIONAL INFORMATION
SITE:
Curt LeGrander
170TH St I dentific ation Numbers
Town of Pleasant Valley, Transaction ID No. 1077028
St Croix County Site ID No. 669893
SE1/4, NEIA, S17, T28N, R17W Please refer to both identification numbers, above,
FOR: in all correspondence with the agency.
Description: Three Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 938176
Maintenance required; 450 GPD Fl mini a th to limiting factor from origina],gradeC���
System: EZ -Flow M omponent Manual, (N.6 3); Bio t�
The submittal scribed above has been placed on HOLD and the review and approval i pending subject to receipt
of the ADDITI NAL INFORMATION and/or revised plans requested by this letter. U on receipt of the additional
information and/o ised plans, the plans will be reviewed for compliance to ap le Wisconsin Administrative
Codes and Wisconsin Statu
The following must be corrected/revised and accompany the resubmittal:
• This design is considered a new 121a n and not a revision in that it is sign by you and not by the original designer.
Please submit the required fees as listed in the right hand comer of this letter for complete review.
• One copy of a completed Soil De Report (SBD -8330) signed by a certified soil tester (CST). (I did pull
the other design that was submitted for this site and retrieved the soil test that was submitted for this site. I will
include a copy with this plan.)
• The EZ -Flow product has their own manual for the design of mounds when using their product. There are a
number of construction and design considerations that are to be included with this plan assiocated with the EZ-
Flow product. Please contact Mai;k Prevost in Eau Claire (715 -552 -1934) for a copy of their manual.
• The use of the Sign Tech effluent filter requires that 0.5 feet of head loss be added to the total dynamic head.
• The size of the mound appears to be undersized as based on the requirements of the mound manuals. Please see
the corrections on the following pages.
• The offsetting (D) is proposed tp beat six inches from the bottom of the taiii The pump pad, alongNiM the
legs of the pump, may leave the impellers out of the liquid effluent before kee pump "off' settin i
setting maybe adjusted, wit4 the inches coming from the reserve capacity ar
CLARENCE L GLOTFELTY Page 2 10/28/2004
• The pressure distribution network shall be sleeved through the 4 -inch corrugated pipe located in the EZ -Flow
product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position
to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices
shall be installed in the 12 o'clock position. All pipes must drain after dosing.
• The observation pipes must be located at a junction point between two EZ -Flow products so as not to create
separation of the bundles within a product, fq,? 3
• The capacity of the Huffcutt 1000/600 pump chamber is listed inthe Wis. Plumbing Product Register as 14.93 •`
gallons per inch, with a liquid bevel of 40 inches. When using a crew program, enter the exact number of gallon
and then the inches. It should then calculated the correct gallons /inch. For the Huffcutt tank that would be 597.2
gallons for the (600) number.
• Comm 83.43(8)(a)3. Wis. Aden. Code. The manifold diameter is reduced to 1.5 inches so as to provide for a
pressurized flow of 2 feet per second.
Send your submittal into the address listed above, unless otherwise noted, and the department will review the
resubmittal within 5 working days of receipt date. Please include a copy of this letter with your resubmittal.
If you have any questions, after reading the above comments and related code sections cited, please call me at the
telephone number below. If the above requested information and/or plans are not received within 30 business days
of the date of this correspondence, this submittal will be returned denied. No fees will be refunded, and a new fee,
application form, and submittal of plans /specifications will be required should you desire to continue with this
project. The code in effect at the time of new submittal would apply.
Sincerely,
Charles L Bratz
POWTS Reviewer If, Integrated Services
(608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday
cbratz @commerce,state.wi.us
Encl. 3 pages.
I
I
Wisconsin Department of Commerce Count
PRIVATE SEWAGE SYSTEM Crolx
Safety and Building Division
{INSPECTION REPORT Sanitary Pe o: 453030 0
GENERAL INFORMATION (ATTACH TO PERMIT) state Plan I o:
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:
LeGrander, Curt I Pleasant Valley Township 024 - 1021 -50 -200
CST BM Elev: Insp. BM Elev: BM Description: j Section/Town /Range /Map No:
17.28.17.1168
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATIO BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. wer
Holding St/ Inlet
i
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROA Dt Inlet
Septic Dt Bottom
Dosing ader /Man.
Aeration Dist. ipe
Holding ot. S m
9 s Y
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Oemand St Cover
'GPM
Model Number
TDH Lift Friction Loss System Head iTDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
pth
BED /TRENCH Width Length No. Of renches PIT DIMENSIONS No. Of Pits I ide Dia. Liquid De
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manu turer:
INFORMATION CHAMB OR
Type Of System: T
Model Nul,er :
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pr sure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Dept Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/ Trench Edges Topsoil
� Yes No ': Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ! Inspection #2: / !
Location: 354 170th Street Hammond, WI 54015 (SE 1/4 NE 1/4 17 T28N R17 NA Lot ?�/� � P cc�el No: 17 8.17.1166
1.) Alt BM Description = /���
2.) Bldg sewer length
I
- amount of cover = /rn�r
Plan revision Req uired ? or Yes No
Use other side additio in formation. ��, � J -
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
I
Safety and Buildings Division County r
201 W. Washington Ave., P.O. Box 7082 �� G f
isc onsin Madison, WI 53707 - 7082 Saniikry Permit Number (to be filled in by Co.) e 608 partment of Commerce ( ) 261 -6546 45 o 3 o
tate Plan I.D. Number
.— Sanitary Permit APO C ��/
In accord with Comm 83.21, Wis. Adm. Code, personal ra t��°GEEA V E � I J u / 3 Fps ' +)
may be used for secondary purposes Privacy La 5.04(Ix m) rojec ddress (if different than mailing address)
I. Application Information - Please Print All Information
MAR 1 7 2004 �" 3S� /� 5
Property Owner's Name ST. C AUIX COU Y Parcel # Lot # Block #
Cf„r et ��� �• ZONING OFF E .Sa - Zvo
Property Owner's Mailing Addres _ Property Location
� r .o JrZ' y., 1 6 /., Section Z
City, Sta Zip Code /. Phone Nu r (�
� yp e of Building N!. i - S 1 1 ��a ? /�S' T N; R circle
II. T r 11Iot d \ LJ
,.,/ g (check all that app
� wv�
611 or 2 Family Dwelling -Number o /Beedr000m Al
.,/' Snbairisien idartre
❑ Public/Commercial - Describe Us v6w°"^i 10 p -�zo, 3 7 0 o 99 �
❑ State Owned - Describe Use x 1 r l ❑City ❑village ship of� lff f
1 -411 •• , o a / /c
III. Type of Permit: (Check only one box on line . Complete linep if applicable)
A ' New System ys ❑Replacement System TreatmenUI -I ing Tank Replacement Only ❑Other Modification to Existing
B • ❑ Permit Renewal ❑ Permit Revision ❑ C ge ❑ Permit Transfer to New List Previ s P i N e Issu
Before Expiration Plumb o Owner
IV. Type of PO WTS System: Check all that appl
❑Non - Pressurized in -Ground El Mound >_ 24 in. of suitable so' \Mound < 24 in. of suitable soil ❑ At Grade Single P and Filter ❑
Constructed Wetland ❑Pressurized In Ground ❑ Holding nk t Flter ❑ Aerob ic Treatment Unit El Recirculat Sand Filter ❑
Recirculating Synthetic Media Filter El Leaching Chamber Dri❑ Gravel -less Pi ❑Other ex lain)
V. Dis ersaVTreatnient Area Information: -
Design Flow(gpd) Design Soil Application Rate(gpdsi) 7bispersa l Area glared (sf) Dispersal Area Proposed (sf) System Elevation
VI. Tank Info Capacity in Total I fumber M facturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit I/ L
Dosing Chamtxr _ C e l
VII Responsibility St atement - 1, the underigned, assume responsibility for installation of a POWTS shown on the attached plans.
Plumber's Name (Print) Plumb 's Signature MP/MPRS Num r Business Phone Number
0A 1!0G-
Plumber's Address (Street, City, State, Zip C )
VIII.County /De artment Use Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature o Stamps)
A Surcharge Fee)
❑ Owner Given Reas for Denial 3 /7 2CV
IX. Conditions of ApprovaUReas s for Disapproval
SYSTEM OWNER: 3)
1 Septic tank, eft filter and �o c,�i C¢ S� -}y atQ a
dispersal cell mu all be serviced I mainthned n
as per manage ent plan provided by plumber. i c Q o+� ? CSC
2. All setback req irements must be maintained — h wrut
as per applicable code /ordinances
Attach complete plans (to the County only) for the system an paper not less than 81/2 x 11 inches In size
SBD -6398 (R. 08/02)
of c 64 .
r
f�Q.,x.�, Marl• P P ,�
��sw„ed clef: = /�•�' ♦ Elu/Q
led o,
IL 43 ■
a / oZ . o Co n �p i.�
L Proposed mau.ndn 19.K
q w/ S X90'd,sptr34r cerr. ��'(yJ
S c ProeoS�d GcJ,'eser eons. dis�ibc�f;on /Q� «srCs at
/ ?O' wLl�7 -5V �4ccmpckam6�� , '✓S!.Ld' y8•o�i�'CtS
�e l /2 Jr
Spaced aE,Z.s3.'
g2 e4�(lutn4: IinZ•
, /'.Sc.1,. q A, ,/. c. I
building Se�'
o•
�(
P ,I uJres�r p�nposed
Cur�er�E2 /4W /��
nj
3 bedim,�, Sfr
Ao ve / A- iOo e /uen t
g au.;(/416. -- - - ---
2-X� s6'•n
�ara9e Pro posed drioewoy d.c' CL
C,OP
5/BG' t i
I
i
■
z7(o
�j. 6 oa
Nor c
Safety and Buildings
4003 N KINNEY COULEE RD
LACROSSE WI 54601 -1831
TDD #: (608) 264 -8777
iseonsin www.w
www commerce.state.
iscon s i n.gov
isconin.gov
Department of Commerce
Jim Doyle, Governor
Cory L. Nettles, Secretary
January 09, 2004
CUST ID No.220853 ATTN: POWTS Inspuc[or
ALE E HUDSON ZONING OFFICE
BOLDT'S PLUMBING & HEATING, INC. ST CROIX COUNTY SPIA
PO BOX 78 1101 CARMICHAEL RD
BALDWIN WI 54002 HUDSON WI 54016
CONDITIONAL APPROVAL
Identification Numbers
PLAN APPROVAL EXPIRES: 01/09/2006
Transaction ID No. 958435
SITE: Site ID No. 669893
Curt Legrander Please refer to both identification numbers,
170TH St above, in all correspondence with the agency.
Town of Pleasant Valley
St Croix County
SE1 /4, NEIA, S17, T28N, R17W
FOR:
Description: Three Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 938176
Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s):
Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version
2.0, SBD- 10706 -P (N.01/01); Biofilter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. Cond[tlf)
No person may engage in or work at plumbing in the state unless licensed to do by the department per s. 145.06, stats. APP LK
The following conditions shall be met during construction or installation and prior to occupancy or use: M
DEP RT ENT of
General Approval Requirements: !
• This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESF
"Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01/01)
and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (0 1/8 1)
• P er 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.
• Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance
information must be given to the owner of the tank explaining that periodic cleaning of the filter is required
• 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.
DALE E HUDSON Page 2 1/9/04
• 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 See. 145.20(2)(d), Wis. Stat
• Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction
and open to inspection by authorized representatives of the Department, which may include local inspectors.
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/installation /operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
Charles L Bratz
POWTS Reviewer 11 , Integrated Services WiSMART code: 7633
(608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday
cbratz@commerce.state.wi.us
cc: Leroy G ]ansky, Wastewater Specialist, (715) 726 -2544
I
s
4
MOUND AND PRESSURE DISTRIBUTION COMPONE SII 41 C FI
INDEX AND TITLE PAG E O& e �� a
Project Name: Curt LeGrander 3 bedroom residential mound V�
Owner's Name: Curt LeGrander ,/
Owner's Address: 577 Co. Hwy, J
Roberts, WI 54023
Site Address: XXXX 170th Street
Legal Description: SE1 /4NE1/4, Sec. 17, T.28N., R.17W.
Township: Pleasant Valley
County: St. Croix
Subdivision Name: CSM Vol. 16, Pg. 4293
Lot Number: 1 Block Number: NA
Parcel I.D. Number: 024 - 1021 -50 -200
Plan Transaction No.:
Page 1 Index and title
Page 2 Data entry
Page 3 Mound drawings
Page 4 Lateral and dose tank
Page 5 System maintenance specifications
Page 6 Management and contingency plan �.
; ERA
Page 7 Pump curve and specifications { J -A e E
Page 8 Site Plan Jt OIN
Page 9 Soil Evaluation Report
ONDEN
Designer: Dale Hudson License Number: 220853
Date: 12/24/03 Phone Number: 715- 684 -3378
Signature � &l
Designed Pursuant to the
Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01181)
Version 3.0 (03/01/01) Page 1 of 9
Mound and Pressure Distribution Component Design
Site Information
R Residential or Commercial Design Note: Sand fill (D) calculations assume a
300.00 Estimated Wastewater Flow (gpd) Table 83 -443 in -situ soil treatment for fecal
1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches.
450.00 Design Flow (gpd)
5.00 Site Slope ( %)
101.20 Contour Line Elevation (ft)
24.00 Depth to Limiting Factor (in)
0.50 In -situ Soil Application Rate (gpd /ft
Distribution Cell Information
90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd /ft
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network?
c Center or End Manifold
F_____ Lateral Spacing (ft) If N above, enter the elevation (ft)
4 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
2.50 Orifice Spacing (ft) = 6.25 ft /orifice
2.00 Forcemain Diameter (in)
40.00 Forcemain Length (ft) Does the forcemain drain back? Y
95.00 Pump Tank Elevation (ft)
6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal)
6.70 Vertical Lift (ft) 81.25 5x Void Volume (gal)
0.76 Friction Loss (ft) 87.77 Minimum Dose Volume (gal)
13.96 Total Dynamic Head (ft) 29.66 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options I choice
0.75 1.25 x
1.00 x 1.50 x v
1.25 x 2.00
1.50 x U 3.00
2.00 x
3.00 x
Gallons /inch Calculator
Treatment Tank Information 760.50 Total Tank Capacity (gal)
1600.00 Septic Tank Capacity (gal) 37.50 Total Working Liquid Depth (in)
Wieser Combination Manufacturer 1 20.28 gal /in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
760.50 Dose Tank Capacity (gal) Zabel Filter Manufacturer
20.28 Dose Tank Volume (gal /in) A100 Filter Model Number
Wieser WLP750 -MR Manufacturer
Project: Curt LeGrander 3 bedroom residential mound Page 2 of 9
Mound Plan View
............ ........................... J
1 /10 B Observation Pipe
• .'
A
0
...
W .. ... . ......................................
. . . . . . . . . .
... ...
..0 ......... .................. ...........
.......... ........
...........
....................... . ....... . . .....
.................................
...........
..............................
..... .................................
.... .................................. . .
a ............ 11 ............... 11 ...
...........
..............................
.................. I ......................
...........
..............................
.........................................
.... ..................
........................................
.......... ... ......
0 L
Mound Component Dimensions
A 5.00 ft E 15.00 in H 1.00 ft K 8.75 ft
B 90.00 ft F 9.50 in 8.97 ft L 107.50 ft
12.00 0.50 5.98 19.95
DAin G Aft J Aft WAft
1 450.001 (ft2 ) Dispersal Cell Area 1 1257.351 (ft2 Basal Area Available
5.001 (gpd/ft) Linear Loading Rate 1 9.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 103.99 (ft)
7ZA G
. . . . . . . . . . . . . .
F
...........
102.70 (ft) Lateral
Dispersal Cell ::-*-,-*-,-*.
. . . . . . . . . . . .
102.20 (ft) Invert
Dispersal Cell
Elevation E D . . . . . . .
............. . ...... ....
.............. ......... ...............
................. *--** ..............
............. .........
......... ......
F4 ,� F4
101.20 (ft) Contour Elevation
5.0 % Site Slope Geotextile Fabric Cover
Shading Key d T Dispersal Cell See lateral details on
Topsoil cap o 1.5 ft Page 4 for number,
F2] rrrrr Subsoil Cap E 0 /- *0 size, and spacing of
.2
ASTIVI C33 Sand F laterals. Laterals are
Tilled Layer a 0.5 ft Typical Lateral
equally spaced from
QS 0 Aggregate v 0 j the distribution cell's
A centerline in the
distribution cell (AxB).
Project: Curt LeGrander 3 bedroom residential mound Page 3 of 9
t
t
Center Connection Lateral Layout Daigram
Force main connection via tee or cross to manifold at any point. Laterals are identical
I P �
•= Turn -up wlball valve or IE X402 1 Laterals & force main of PVC Sch 40
clean out pl u g per COMM Table 84.30 -5
Holes drilled on the bottom of the lateral.
Number of Laterals 4 Orifice Diameter 0.125 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft
Lateral Length (P) 44.28 ft Orifices per Lateral 18
Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft /0 rifice
Lateral Flow Rate 7.41 Igpm Manifold Length 2.50 ft
System Flow Rate 29.66 gpm Manifold Diameter 1.50 in
Total Dynamic Head 13.96 ft Forcemain Velocity 3.03 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
Comm 16.28 WAC 4 in. min.
Disconnect --�_
Tank component is properly vented Alternate out
location
Forcemain diameter
Wieser Combination Manufacturer 2 in.
Cap acityl 760.50 Gallons
Volume 20.28 gal /inch A
Weep hole or anti -
Dimension Inches Gallons B siphon device
A 19.00 385.28
C
B 2.00 40.56 Pu off e levation (ft)
C _ 4 .50 91.30 96.00
D 1 243.36 D
Total 37.50 760.50
Dose tank elevation (ft)
3" Bedding un er tank. 95.00
Alarm Man uafactu rer ' LevelArm
Alarm Model Number I DLV
1 __._____ --------- --- -_ _ - -------- - ---------
Pump Manufacturer Goulds
Pump Model Number 13885 WE05H
Pump Must Deliver 29.66 gpm at 1 — 3 - 961 ft TDH
Project: Curt LeGrander 3 bedroom residential mound Page 4 of 9
Mound System Maintenance and Operation Specifications
Service Provider's Name _ Boldt's Plumbing - Dale Hudson Phone 715 - 684 -3378
POWTS Regulator's Name St. C roix County Zonin __ j Phone 715 - 386 -4 680
System Flow and Load Parameters
Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BODS 220 mg /L
Septic Tank Capacity 1600 gal Maximum TSS 150 mg /L
Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L
Type of Wastewaterl Domestic 1 Maximum Fecal Coliform >10E4 cfu /100 mL
Service Frequency
Septic and Pump Tank Inspect and /or service once every 3 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once every 3 years
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound _ _Inspect for ding and seepage once ev ery 3 y ears
Other — .�� -- - - - - -- - - -_ - -- — —
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn -up Detail
Finished • ............. 7 �_� Grade Threaded Cleanout
6 -8" Diameter Lawn - Sprinkler Valve Box Plug or Ball Valve
..
Distribution
Lateral
� Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Curt LeGrander 3 bedroom residential mound Page 5 of 9
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals (SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and
maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the 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.
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 fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are
made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter 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 113 the liquid volume of the tank. If
the contents of the tank are not removed at the time of a triennial 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.
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 System
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
as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or
30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
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(s) 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 absorption and dispersal media, and related
piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Curt LeGrander 3 bedroom residential mound Page 6 of 9
4
MO • • M OD EL •
thr
Submersible Effluent Pump Submersible Sewage Pump
.... =. ail.
•�: MODEL: 3885
L a
C APACilY
— Pump Specifications Features and Benefits Specifications Features and Benefits �
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Materials of ConstrUCllon
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1746
Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 834 County x 11 inches in size. Plan must St. Croix
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.
024 - 1021 - 50-200
Please print all intonation. Reviewed By Date
Personal information you provide may be used for swondary WNposes (Prwy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Curt LaGrander Govt. Lot SE 1/4 NE 1/4 S 17 T 28 N R 17 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
577 Co. Hwy. J 1 CSM Vol. 16, Pg. 4293
City State Zip Code Phone Number City Village ✓ Town Nearest Road
Roberts WI 1 54023 1 715 - 796 - 2488 Pleasant Valley 1 170Th Street
✓ New Construction Use: of Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe:
Parent material Glacial till Flood plain elevation, if applicable na
General comments
and recommendations: Install mound system at elev.102.20' at 12" above 101.20' contour.
a Boring # Boring
✓ Pit Ground Surface elev. 101.95 ft. Depth to limiting factor 30" in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2
1 0 -9 10yr4/4 none sil 2fcr ds as 2f,lm 0.5 0.8
2 9-15 10yr5/4 none sil 2fsbk ds cs 2f 0.5 0.8
3 15-26 10yr416 none sl 2fsbk ds cs 2f 0.5 0.9
4 26 -30 10yr4/4 none sl 2msbk ds cw 1f 0.5 0.9
5 30 -36 10yr4/4 f2f 7.5yr5/8 sl 2msbk dsh cw if 0.5 0.9
6 36 -50 7.5yr4/4 f2d 7.5yr5/8 scl 2csbk mfi - if 0.4 0.6
F I i i I I
❑ Boring # Boring
✓ Pit Ground Surface elev. 100.14 ft. Depth to limiting factor 34" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -9 10yr4/3 none sil 2fcr ds as 2f,1m 0.5 0.8
2 9-18 10yr514 none sil 2fsbk ds cs 2f 0.5 0.8
3 18 -34 10yr4/6 none sl 2fsbk ds cs 2f 0.5 0.9
4 34-46 10yr4/4 f2f 7.5yr5/8 sl 2msbk ds cw if 0.5 0.9
5 46 -58 7.5yr4/4 f2f 7.5yr5/8 sl 2csbk dsh - if 0.5 0.9
* Effluent #1 = BOD � 30 < 220 mg/L and SS >30 < 150 mg/ M #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) nature: CST Number
Sig
James K. Thompson 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, WKA020 11/102003 715- 248 -7767
Property Owner Curt LaGrander parcel ID # 024 - 1021 -50 -200 Page 2 of 3
3] Boring # Boring
✓ Pit Ground Surface elev. 100.45 ft. Depth to limiting factor 24" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 1
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-8 10yr4/3 none sil 2fcr ds as 2f,1 m 0.5 0.8
2 8 -16 10yr5/4 none sil 2fsbk ds cs 2f 0.5 0.8
3 16 -24 10yr5/4 none sil 2fsbk ds cs 2f 0.5 0.8
4 24 -30 10yr5/4 f2d 7.5yr518 sil 2msbk ds cw if 0.5 0.8
5 30-36 7.5yr4/6 f2f 7.5yr5/8 sl 2msbk dsh cw if 0.5 0.9
6 36-49 7.5yr4/4 f2d 7.5yr5/8 scl 2csbk mfi - if 0.4 0.6
4] Boring # Boring
✓ Pit Ground Surface elev. Na ft. Depth to limiting factor 31" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -9 10yr4/3 none sil 2fcr ds as 2f,1 m 0.5 0.8
2 9-19 10yr5 /4 none sit 2fsbk ds cs 2f 0.5 0.8
3 19 -31 10yr4/6 none sl 2fsbk ds cs 2f 0.5 0.9
4 31 -35 10yr4/4 f2f 7.5yr5/8 sl 2msbk ds cw if 0.5 0.9
5 35-62 7.5yr4/4 f2f 7.5yr5/8 sl 2csbk dsh - if 0.5 0.9
F-I 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
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.
i
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Zarrow,a 1746
Wisconsin DepartrnerltofCom SOIL EVALUATION REPORT page 1 of 3
3
Division of Safety and Buildings accordance with m 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations
Attach complete site plan paper County
�es in ze. Plan must St. Crooc
include, but not limited to: ant (B ), direction and
percent slope, scale or dimemsions, tance to nearest road. Parcel I.D.
024 - 1021 - 50-200
Plea se print all information. Ma Date p
Personal information you powie may be used for secondary p (Pnvawy Low, s. 15.04 (1) (m)), �0
Property Owner Property Location
Curt LaGran Govt. Lot SE 114 NE 19 S 17 T 28 N R 17 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
577 Co. Hwy. J 1 CSM Vol. 16, Pg. 4293
City State Zip Code Phone Number J City J Village 1/ Town Nearest Road
Roberts I WI 1 54023 715 -796 -2488 Pleasant Valley 1 170Th Street
01 New Construction Use: &JI Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
_ I Replacement J Public or commercial - Describe:
Parent material Glacial till Flood plain elevation, if applicable na
General comments
and recommendations: Install mound system at elev.102.20' at 12" above 101.20' contour.
Boring # I Boring
Pit Ground Surface elev. 101.95 ft. 30 in. Soil
✓� Depth to limiting facts " Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF # 1
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I - Eff#2
1 0 -9 10yr4/4 none sil 2fcr ds as 2f,1m 0.5 0.8
2 9-15 10yr5/4 none sil 2fsbk ds cs 2f 0.5 0.8
3 15 -26 10yr416 none sl 2fsbk ds cs 2f 0.5 0.9 (�
4 26-30 10yr4/4 none sl 2msbk ds cw 1f 0.5 0.9
5 30-36 10yr4/4 f2 7.5yr sl 2msbk dsh cw if 0.5 0.9
6 36 -50 7.5yr4/4 12d 7.5yr5/8 scl 2csbk mfi - if 0.4 0.6 --
a Boring # J Boring
1/ Pit Ground Surface elev. 100.14 ft. Depth to limiting factor T in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
1 0 -9 10yr4/3 none sil 2fcr ds as 2f,1m 0.5 0.8 (
2 9-18 10yr5/4 none sil 2fsbk ds cs 2f 0.5 0.8 ,
3 18-34 10yr4/6 none sl 2fsbk ds cs 2f 0.5 0.9
4 -46 10yr4 /4 f2f 7.5yr5/8 sl 2msbk ds cw if 0.5 0.9
5 46 -58 7.5yr4/4 f2f 7.5yr5/8 sl 2csbk dsh - if 0.5 0.9
-- T T
Effluent #1 = BOD ? 30 < 220 mg/L a TSS >30 < 150 l- #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ignature: CST Number
James K. Thompson 3602
Adder A.C.E. Soil & Site Evaluations ate Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceo 154020 11/102003 715 - 248 -7767
Property owner Curt LaGrander Parcel ID # 024 - 1021 -50 -200 Page 2 of 3
F 3]Boring # J Boring V" Pit Grand Surface elev. 100.45 ft. Depth to limiting factor in. Soil Applicatim Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -8 10yr4/3 none sit 2fcr ds as 2f,1 m 0.5 0.8 ,
2 8 -16 10yr5/4 none sit 2fsbk ds cs 2f 0.5 0.8
3 16 -24 10yr5/4 none sit 2fsbk ds cs 2f 0.5 0.8
4 24-30 10yr5/4 f2d 7.5yr5/8 sit 2msbk ds cw if 0.5 0.8 -
5 30 -36 7.5yr4/6 f2f 7.5yr5/8 8 sl 2msbk dsh cw if 0.5 0.9
6 36-49 7.5yr4/4 f2d 7.5yr5/8 scl 2csbk mfi - if 0.4 0.6 -
4] Boring # J Boring
1/ Pit Ground Surface elev. Na ft. Depth to limiting factor 31" n. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Dff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-9 10yr4/3 none sit 2fcr ds as 2f,1m 0.5 0.8
2 9-19 10yr5/4 none sit 2fsbk ds cs 2f 0.5 0.8
3 19 -31 10yr4/6 none sl 2fsbk ds a 2f 0.5 0.9
4 31 -35 10yr4/4 f2f 7.5yr5/8 sl 2msbk ds cw if 0.5 0.9 _
5 35-62 7.5yr4/4 f2f 7.5yr5/8 sl 2csbk dsh - if 0.5 0.9
Boring
F-I # Boring
I
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
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.
Tp of 4 'i'c bar
A, So, ¢da /ua� "vn
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�. 3 of 3
ST CROIX COUNTY
SEPTIC TANK MAIMM. ° , CE AGREEMENT
AND-
- - OWNERSHIP CERTCFICATION FORM
Owner/Buyer �' ,. �e ��C e 1�
Mailing Address �� r 2foLe' t --
Property Address 3 tea sue,
(Verification required from Planning Department for new construction)
City/State _ _ rya, art. ��' Parcel Identification Number A2I- —10Z I 5L? ,Z, 017
LEGAL DESCRIPTION
Property Location 5 4 1 - - %, A2 7 y,, Sec. 17, T -RNW Town of /P. 0
Subdivision Lot #
Certified Survey Map # _ ��/'�'�� Volume Page # .
Warranty Deed # 9 1 �D Volume I9D� . Page # J
Spec douse ❑ yes Er no Lot lines identifiable 2' yes ❑. no
SYSTEMWAR4ENANCE
Iupsvperuseandmain c= weofyourscpdcsystcmoouldremtmitspre fai lurctohandlewastes.Pnopermaiaben we
consists of pamrping out fire septie tank every three years or so=4 if neaded by it liecased pumper: What you pat into the system
can affact -t e - fanction of the septic tactic ss. a trea t stage is a vrss6e system.
Thim property owner agrees to uzbmirto St. Croix Toning Depattmcat t ccrtificatiaa foam, signed by tier owner and by a
P 'joameymaap>nmbcr. r s6cictedphambcroe a H=sodpmmperrerifying diia(1) tiro on-nts disposal system
is in proper ope=&&g condition and/or (2) after boa and pamping_(if accessary). the scptic tank-is less than 18 M of sludge.
Ywe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set fadk beoein.'as set by the Dgwtincat of Commc= and the Dgmc neat of Natural R=ocn ctt; State of WisoonsuL. Ccrtacation
statice the y*w scPdc zyurtfas been maiatainod most be eomplctod and rcwmod to the St. Croix County Zoning Office within 30
days fdw throe date.
SIGMA O PLICANT DATE
OV�NER. CER' MCATTON
I (we) certify that all suki tents on this form am true to the best of my (our) knowledge. I (we) am (am) the owner(s) of
the property described by virtue of a warranty deed recorded in Register of Deeds Office.
TUBE O APPLICANT DATE
s « « « «« Any information that is mis- represcated may result in the sanitary permit being revo by the Zoning Department
" Include with this application: a stamped warranty dood from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty decd
7 REC E IVED Imo- z�'-13% If
9 '2003
x couN March 3, 2003
ZONING OFFICE
Kurt LaGrander
577 Cty. J
Roberts, WI 54023
796 -2488
Rod Eslinger,
On May 28, 2002, 1 purchased 35 acres from Donna and Donald Hauser. The parcel is
located in the plat book at (Pleasant Valley, Rush River T.28 N. - R. 17W, section 17, corner of
Cty. N and 170th street). This parcel was split off of the south end of their 80 acre farm, which
they have owned since 1966. This parcel has been surveyed and perk tested and regisistered in
my name.
I am currently farming 10 acres of the 35 acres. I plan on raising organic vegtables and
organic beef, I am seeking a organic certification at this time. I need to live on this land to care
for my cattle and crops. In the future this farming operation shall provide up to 50% of my
income, but I need to establish a resident at this location before I can proceed with my farming
operation.
I am writing to request the county's zoning commission's approval to build a single family
resident and barn on this before mentioned parcel of land.
Thank-Yo ,
Kurt LaGrander
TE BAR OF WIIS ON FORM 2.1999 KAATH
STATE H. WALSH
WARRANTY DEED REGISTER OF DEEDS
Document Number ST. CROIX CO., MI
This Deed, made between Alan Hauser, Wayne Hauser, Sh aron RECEIVED FOR RECORD
Achterhof, Don Hauser, a/k/a Donald P. Hauser, and Donna Hauser 06 -05 -2002 11:45 Ali
a /k/a Donna M. Hauser, a one -fifth interest each,
- -- EX P DEED
Grantor, and Kurt G. LaGrander
-- - REC FEE: 11.00
TRANS FEE: 397.50
-- _ — COPY FEE:
CERT COPY FEE:
- - -- - -- 1
Grantee. PAGES:
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix __ County,
State of Wisconsin (if more space is needed, please attach addendum):
Part 1/4 ofNEI /4 of Sec. 17- 28 -17d a tIof Recording Area
e tf d S ey Map filed May 14, 2002, ' ol. 16, a e Doc. No. 789 Name and Regt(NA OGLAND
698 St. roix County, Wisconsin. y293 ESTREEN & OGLAND
304 Locust
Hudson, W164016
024 - 1021 -50
Parcel Identification Number (PIN)
This is not homestead property.
00 (is nnt)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this _ '�� day of May , 2002 • <(r'
L IA A4 4 aron Ac er of
• Alan Hauser « Don Hause a/Wa Donald P. Ha user
• W ayne Hauser r Donna Hauser, a /k Donna M. Hauser
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
_ ) ss.
— — — - St. Croix _ County )
authenticated this day of Personally came before me this day of
May 2002 the above named
Alan Ijauser, Wayne Hauser, Sharon A chterhof, Don Ha user,
-- - - - - -- - - . -- - -- .. - - -. , y - , "d onald P. Hauser, and Donna Hau a/Wa Donna M .
— — - — --
v,S .••• "••'•.; H a r, a one -fi interest each,
TITLE: MEMBER STATE BAR OF WISCONSI)k --- - - - —
(if not, y f k :;.V known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Stats.) :� omen[ and acknowledged the same.
.ter � �r'fn,.'•
THIS INSTRUMENT WAS DRAFTED �,
p Attorne Kristine Ogland Public, State of Wisconsin
Hudson, WI 54016 Commission is permanent. (11'not, state expiration date:
(Si natures may be authenticated or acknowledged. Both are not rite 5�
• Names of persons signing in any capacity must be typed or printed below their signature. Ind —lion Prorassiwals company, F-d au sec. wi
WARRANTY DEED STATE BAR OF WISCONSIN 800.655 -2021
FORM No. 2 -1999
lov �o -
� `' 11ba�
dL /`� • � � �,• ice (.
,S 7,� f �,S • a2 ,
C
67 8998
` VOL 429.1
KATHLEEN H. WALSH
REGISTER OF DEEDS
S?. CROI CO., V I
RRC91VED FOR REMO
CERTIFIED SURVEY MAP 05 -14 -2002 4:30 PH
Located in part of the Southeast Quarter of the Northeast Quarter of Section 17. CERTIFIED SURVEY HAP
Township 28 North. Range 17 West. Town of Pleasant Volley, St. Croix County. WlsconsinREC FEE: 13.00
COPY FEE 3 90
Northeast Cod
Prepared for and at the request of: SectAon 17-28 -
OWNER: (Found arumhum
Donald and Donna Hauser 1� _` ,�� `� County monument) m
394 170th St. ik-
Hammond, WI 54015
Drafted by: MHL _ U N P L A T T E D r L A N D S_ m
tit
I
S89 47 08 E 1324.97
333.78' 958.19' 3 00'
1291.97' _ T_ I
33'
fENQE, rltRCAL I
is a I IC
IC I {Z
{Z �cA�
I� w Z 8 3 l
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° 0• 0 rn
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I � $ TAL •• "" to -i
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I� �+ 1525,515 SO. Fr wI �
rn 35.02 ACRES C l N ( rn
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v AREA XACU G R. Q W.: {
I 4 N 1, 4 7, 5,32 S . T•
34.15 ACRES 1>
� al Z # NOTE: AREA 561.11H OF CE UAY B SESSED BY I
OTHERS. CONTACT ATTORNE JOINING LAND OWNER I IO
I p BEFORE REMOVING SHOWN FENCE. IIn
+ in round 1 -J/4` kw Pipe
W97917V
Set Aran P(w
S89'47'08 "E FENCE rS 2,2' FENCE rS D.6'
N JH A� 111VE nrraanr OF Aan i_ . l
3880.90'
1109. �'�$'�.$8'
183.27' { v
11 0 ON
N89'47 0 W 1325.80' IO
N89'47'08 5316.70'
N4,rst r/ 4 Comer of East 11 4 Comes I =
Section 17 - 28 - 17 East - libst 114 /lie Sechan 17 - 28 - 17 I I
(Found 1' /ran P,jve) {
(Found PK No#'
_ UNPLATTEO_LANDS_ I�
{
NOTE: The parcel shown on this mop are subject to State, County and I M
Township laws, rules and regulations (i.e. wotlands, minimum lot size, across
to parcel, etc.). Before purchasing or developing any parcel, contact the St.
Croix County Zoning Office and the appropriate Town Board for advice.
\``\```ttttatuutuutrtuun ,q � i '3 .�p2
Section Corner Monument R.
'•. �# fF
of Record a �
• Set 1' x 18` Iron Pipe weighing
r
CERTIFIED SURVEY MAP
Located in part of the Southeast Quarter of the Northeast Quarter of Section 17,
Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin.
SURVEYOR'S CERTIFICATE:
I, Ty R. Dodge, a Registered Wisconsin Land Surveyor, do hereby certify that by the
direction of Donald and Donna Hauser, I have surveyed, divided and mapped a parcel of
land locatcd in part of the Northeast Quarter of the Northeast Quarter of Section 17,
Township 28 North, Range 17 West, Town of Pleasant Vallee St. Croix County,
Wisconsin, described as follows:
Commencing at the East Quarter corner of said Section 17; thence, on an assumed
bearing along the east -west Quarter line of said Section 17, North 89 degrees 47 minutes
08 seconds West a distance of 1325.80 feet to the west line of the Southeast Quarter of
the Northeast Quarter of said Section 17; thence, along last said west line, North 00
degrees 16 minutes 44 seconds West a distance of 1151.05 feet; thence South 89 degrees
47 minutes 08 seconds East a distance of 1324.97 feet to the east line of the Northeast
Quarter of said Section 17; thence, along last said east line, South 00 degrees 19 minutes
10 seconds East a distance of 1151.05 feet to the point of beginning. Containing
1,525,515 square feet (35.02 acres). Subject to 170'' Street (A Town Road) along the
most easterly line of the above described property. Also subject to all easements,
restrictions, and covenants of record.
I also certify that this map is a correct representation to scale of the exterior boundaries
surveyed and described, that I have complied with the provisions of Chapter 236.34 of
the Wisconsin State Statutes and the Subdivision Ordinance of the County of St. Croix
and the Town of Pleasant Valley in surveying and mapping the same.
5 - 1'9 z
ge—Registered Wisconsin Land Surveyor No. 2484 Date
JEO Consulting Group, Inc.
P.O. Box 325
New Richmond, WI 54017
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APPLICATION FOR TOWN BUILDING PERMIT
Property owner: ro 'i– L - afro, h, C4 Y Contractor /Agent (if not owner:)
ol Mailing address: S - 7 _T Mailing address:
o s � yoa 3 36 (7O G �� J
Daytime phone: ( �) �, ' Daytime phone:
Property location: 1/4, 1/4, ec. ` R. -7 W., Town of I
WB 0 W
Computer #: - - - arcel #: CJ
— '''';1 r+ ) 1110 4 �.
Zoning District:.
CRO:, , Cvui"
Type of Town Building Permit Checictee
( Single- family residence ( ) Farm Building O Commercial Building O Accessory Building ( ) Industrial Building
( ) Seasonal Dwelling ( ) Remodeling
Application Check List:
The following is a list of submittal requirements for a town- building permit per Article 17.70 (3) (b) of the St. Croix County Zoning
Ordinance. It is important to submit a complete application, as it will help town officials review the request efficiently. To ensure your
application is complete check offthe box as you complete
:s-
-❑ A general written statement that specifically identifies what is being requested.
❑ A statement indicating whether or not a private water or sewage system is to be installed.
❑ Indicate the type of occupancy (single- family dwelling, personal storage, Ag. related, etc... )
❑ SITE DEVELOPMENT PLAN SUBMITTED ON 8'% INCH BY 11 INCH PAPER
A complete site plan showing at a minimum the location of the following:
• Identify and label any slope 12% or greater,
• Dimensions and area of lot,
Location of any structures with distances measured from the lot lines and centerline of all abutting streets or highways,
• Location of any existing or proposed on -site septic systems or private water supply systems within 100 feet of the
construction,
■ Location of the ordinary high water mark (OHWM) of any abutting navigable waterways and show all setbacks from the
OH WM.
• Location and landward limit of all wetlands, specifications and dimensions for areas of proposed wetland alteration.
• Existing and proposed topographic and drainage features and vegetative cover,
• Location of floodplain and floodway limits on the property as determined from floodplain zoning maps used to delineate
floodplain areas,
• Location of existing or future access roads
• And any other unique limiting condition of the property
❑ THE BUIDING SITE MUST BE STAKED. The Deputy Zoning Administrator will view the site to ensure compliance with the
Permit,
I agree to with raw this ap atio bstantive false or incorrect information has been included.
Signature Date
This review only verifies that the project complies with the applicable St. Croix County Land Use Ordinances. This is not an
application for a Uniform Dwelling Permit or to install a private onsite wastewater treatment system. n'
f(� °`TOWN USE ONLY
Permit Issuance Date: / Permit #
Expiration Date: / / 0
'l
➢ The application "materials will remain on f k ith the TOWN.
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ORIGINAL RECEIVE
1531
Wisconsin Department of Commerce SOIL EVALUATION REPC RT age t of 3
MAY
Division of Safety and Buildings 3 0 2002 Certified Soil Testin
in accordance with Comm 85, Wis. Adm. Code g
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must ounttT. CROIX Croix
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.
CSM Pending
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
LaGrander, Kurt Govt. Lot SE 1/4 NE 1/4 S 17 T 28 N R 17 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1592 CTHW N CSM 678998, V 16, P 4293
City State Zip Code Phone Number City _ j Village e Town Nearest Road
Hammond WI 1 54015 1 715 - 246 -7125 Pleasant Valley 1 170Th St.
✓ New Construction Use: f Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe
Parent material loess over till Flood plain elevation, if applicable NA
General comments
and recommendations: install 4' x 112.5' rock bed mound on 98,9 contour as upslope edge of rock w/ 05 sand fill for 3 br
FT] Boring # Boring
Pit Ground Surface elev. 96.4 ft. Depth to limiting factor 41 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 I "Eff#2
1 0 -11 10YR 3/3 - sil 2 f sbk mvfr cs 1f /m .5 .8
2 11 -32 10YR 4/4 - sit 3 f -m sbk mvfr gs 1m .5 .8
3 32 -41 1CYR 4/4 - sil 2 m sbk mvfr cs if .5 .8
4 41 -50 7.5YR 4/6 f2f 10YR 6/2 s 0 sg ml - - . 7 1.2
I
❑ Boring # _ Boring
I Pit Ground Surface elev. 98.9 ft. Depth to limiting factor 37 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
1 1 0 -10 10YR 3/3 sil 2 f sbk mvfr cs 1f /m .5 .8
2 10 -28 10YR 4/4 - sil 3 f -m sbk mvfr gs 1 m 1 .5 .8
- - - - - -1
3 28 -37 10YR 4/4 - sil 2 m sbk mvfr cs if .5 .8
4 37 -48 10YR 4/6 f1f 7.5YR 4/6 s 0 sg ml - 7 1.2
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* Effluent #1 - BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS < 30 mgL
CST Name (Please Print) i ature: CST Number
Henry F. Grote 222774
Address Certified Soil Testing Date Evaluation Con uc ed Telephone Number
E. 4366 353rd Ave., Menomonie, WI 54751 5/24/2002 715- 233 -0398
Property Owner LaGrander, Kurt Parcel ID # CSM Pending Page 2 of 3
❑ Boring # -a Boring
j Pit Ground Surface elev. 98.9 ft. Depth to limiting factor 31 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPQ '
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2
1 0 -10 10YR 3/3 - sil 2 f sbk mvfr cs 1f /m .5 .8
2 10 19 10YR 4/3 - sl 2 m sbk mvfr cw 1M .5 .9
3 19 -31 10YR 4/4 - sl 2 m sbk mvfr cs if .5 .9
4 31 -53 10YR 4/4 c2d 10YR 6/2 sl 0 m mvfr - - .3 .5
i
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47 Boring # r Boring
✓i Pit Ground Surface elev. 104.0 ft. Depth to limiting factor 31 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -10 10YR 3/3 - sil 2 f sbk mvfr Cs 1f /m .5 .8
2 10 -20 10YR 4/4 - sl 1 m sbk mvfr gs lm .4 .6
3 20 -31 10YR 4/6 - Is 1 m sbk mvfr Cs 1 m .7 1.2
4 31 -36 10YR 4/6 c2d 10YR 6/2 Is 1 m sbk mvfr Cs .7 1.2
5 36 -52 10YR 4/4 f2d 10YR 6/2 sl 0 m mfr - - .3 .5
I
❑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 P '
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
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' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777.
SBD -8330 (R. 07/00) Certified Soil Testing
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