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028-1003-30-000
o ' ° 2 $ % k ( k c � - ® 2/ o ° t 9 c e B / / 3 , # 3 § \ � — • w : © ( Co / j 8 . C, g $ § ƒ G 0 9 E E r § \ E g E + a © 7 / § ± % (� co � C c cn f \ d 2 § § % ƒ / § §) n r ■ o c ° � ( T T T CL � c c k k k�� o / + \ ■ ■ ■ �; } � E $ 7 k CD E ; m of \ £ §_ \! 0 .. / o > >c CL CD ƒ \ a ƒ § 0 k CD § / 0 . w M $ § E§ �z % / q � m � « D x)3 ® «w ± 2 0 7� c E, CL I E \�7�n � § cn z a 0. En F o ,. ƒ \=J=on, EM�� `a °_ ■ C = D r kcDEr3 §� �37m�&�� a �E2$�� Ea k . M 'C D m§ —a ; 77QTV .�( t CD \ KEp} / CL 8 = mKC fA 0 w CD a f o c § 4 @\ . �7 � � � � � . CROIX CO "4k UNR P INS &. ZON £ Mr. Harold Stanlick Section Chief e " Wisconsin Dept. of Commerce Safety & Bldgs. Div. = 141 NW Barstow S Waukesha, WI 53188 -3789 A 4 ..3 RE: Unlicensed POWTS Installer x Code Administra Dear Mr. Stanlick: 715 - 386 -4680 Land Information , This letter is notification that during a 10/28/05 mound POWTS installation, the & � plumber" installing the system did not have a credential as a Plumbing �° g Y umb ng Apprentice P g 715 386 -4674 <- according to your computer records. The permit application was completed by Dale F1w, Hudson of Boldt's Heating & Plumbing out of Baldwin, but Paul Huftel was doing the Real Prop e y` mound installation without supervision by any other plumber from their company. 715 - 3$6`=4677 I was recently reminded by credentialing staff that as a POWTS Inspector, one of Recycling 8 675 the items we should routinely check is the current status of all our installing 6 -4 plumbers. Most of the master plumbers and their assistants are familiar to us, but when we meet plumbers from out of the area and /or their journeyman or apprentices, we've been asking for the installer's name and credential number. I -, had not met Paul on other installations, so asked his name, but failed to have him present his license card. I figured he was one of several guys working for Boldt's 7 and that they'd have his records at the office. According to several subsequent g q phone conversations, Boldt's were under the impression that he was apprenticed to a Keven Pearson, ID# 134170, who does have current credentials as a journeyman. Dale Hudson called and informed me that Paul had lost his card and that they'd k? make sure we got Paul's credential number ASAP — that was over two weeks ago. wanted to give them the benefit of the doubt before submitting a complaint; however, they have not contacted us with further explanation of why Paul Huftel t. was performing POWTS installations on his own. n I have enclosed a copy of the original permit application so that you have any °,.. information you need on the location, etc. z Please contact me if you need further details or when you resolve this problem, so r that I can close out the permit file. Thanks for your attention to this matter. Sincerely, Pamela Quinn POWTS Inspector #665054 Sr CRO /X COUNTY GOVERNMENT CENTER 1 101 CARM/CHAEL ROAD, HUDSON, W/ 54016 715386.4686 FAX PZ9C0. SAINT- CRO /X. W. US W W W. CO. SAI NT -CROI X. W I . US commerceml.gov Integrated Services Bureau �isConsin Inspection and Safety Support Section of Cem"m COMPLAINT P.O. Box 7302 Madison, WI 53707 -7302 www.commerce /sb REGISTRATION Fax (608) 267 -9723 Personal information you provide may be used for secondary purposes. I Privacy Law, s.15.04 1 m Date Complaint Filed: S &B Staff Person's Name Who Received Complaint: Person malting the complaint info: Is confidentiality requested? (within the limits of the state Name (please print): l Open Records Laws) � A) �a�✓i c% Ste. e No Street Address: c o -!P &7U ,4,/i ,4l ZP i 11 - // D/ OAZZ CXM&Z. ; D , City, State, Zip: o t 6 Telephone Numbers (include a code): Perso t making complaint is: Em 10 ee ❑ Employee Representative OthAer: Pain- T_7_4S C )r U RESPONDE T INFO Site/Project Info �� Name (who complaint is registered against): Complaint Locatio site/project name): r5 Street Address: Street City 1 5A exiIJ State, Zip: City State, Zi Telephone Number (include area de): County of Town Village City of 6 - 7S .fir. G How was complaint filed? In Person ❑ By Mail By E -Mail ❑ By Fax ❑ TYPE OF COMPLAINT: Amusement Rides ❑ Blasting ❑ Boilers/Pressure Vessels ❑ ( * +) Commercial Building ❑ Credentialling Electrical ❑ Elevators ❑ Erosion Control ❑ Fire Safety ❑ Manufactured Homes ❑ Manuf. Home Parks ❑ Manufactured Housing Dealer ❑ Mine uarries ❑ Plumbing ❑ Pools [] Mechanical Refrigeration ❑ Private Sewage Systems/Holding Tanks (Public Safety ❑ ( +) Rental Weatherization ❑ Storm Water ❑ Gas Systems ❑ ( * +) One -and Two - Family Homes ❑ Ski Lifts /Ski Tows ❑ Plumbing Products ❑ Other: * Contact your local Municipal Inspection Department first before submitting to the State + No jurisdiction over contractual or leasing issues. Please contact the Wisconsin Department of Agriculture, Trade and Consumer Protection at 1- 800422 -7128 (In WI Only) or www.datcp.state.wi.us Nature of Complaint: (Attach letter or additional page if necessary). Unli'anile d t`nd!'Vi'd ,W a Mox ,Y -?0W7-r und no P iS� can dy /,' an t'ed 1 -Jee f . ,*n 6ei OrJ�urrr PGv,n 6 - e ` Un-, /mss �-h nu For Office Use Only Investigation Transaction Number: Assigned/Referred to and Date Sent: Code Sections Action Taken: (Attach copy, of inspection report or orders, if necessary)`. Staff Signature: Date'Signed: SBD -192 (R 10105) End Date 10/08 fisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division ' INSPECTION REPORT Sanitary Permit No: 479479 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Christenson, Chuck I Rush River, Town of 028- 1003 -30 -000 CST BM Elev: Insp. BM Elev: BM Descry tion: i7 � ` Sectionrrown /Range /Map No: 104. /�+ lam? u 0 01.28.17.15 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATI B HI FS ELEV. .1 0. /,00.3 .o Septic Benchmark G bd /000 " 0 .3 o r 106 v� Dosing Alt. BM hA 7 Aeration I ! Bldg. Sewer s g r Holding t/ t inlet St/Ht Outlet TANK SETBACK INFORMATION 5G j-( 7. 1 TANK TO P /L WELL BL Vent to Air Intake ROAD Dt I �, Septic Dt Bottom osing 7 7 eade an. 0 0 S Aeration Dist. ' r _ Z Holding Bot. System 2 �� f s Final Grade PUMP /SIPHON INFORMATION �( Q�j�z.� Manufacturer Demand S Cove / - GPM / T Model Number 2 TDH Lift Q C Friction o�s f�er n Head T 1 _ Ft t (� • 7 !, (G Forcemain Len h„ Dia. N Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length �� No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LA TREAM LNCVfNG Manufacturer. INFORMATION CHA R OR Type Qf System: (�► NI Model Number: DISTR N SYSTEM Head Manifold /Distribution x Hole Siz x Hole Spacing Vent to Air Intake Z3 P�P Length Dia Length_ / 0 ' Dia 2 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / Bed/Trench Edges Topsoil 1 Yes [� No / J Yes [ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: /D 1,,29 $� �ection#2: Location: 2062 50th Avenue Baldwin, ,_WI 54002 (SW 1/4 SE 1/4 1 T28N R17W) 40 acres Lot `' Parcel No: 01.28.17.15 1.) Alt BM Description = 9 ' ' � r Y� yy 2. ) Bldg sewer length q L# pmo t of cover = 2- ) � -IV Plan Use other side fora ditional i ormation. _ � Yes i��y o ; � b U a J -- te � Inse cto Signature *Cert. SBD- 6710(R.3/97) (� (76 �vr>1.Q ✓ytR/i -� no aao i3 1w ° o� N o ID 3 o o x aor po a �> c 3 m m� o xv � y ro S A 3 v y ro ID oA� xa o o no �p a o n nm 3 a .� _ ° ° c o r? �m vZ ° n ,im �.c�, �'�� ° fD c O n C U m N In ro Ol A .�-r 'D x. S ^ .z SL to `^ n VS 3 N ro ro W 13o .N S >Z O O C d N N 3 = n H p C `G y N 1p (D . ^14. N =to N C C N 3 n c ro c [v C f�D O Q O �. ro. � �' n ° p °' "� `D 0 a 3 �' O m Lam, �n �,ro, z C 0. O < n O �. _ D cr . O lO Z 3 1p' N 0 0 .. �..,n6.s =. a° ro p o ti N ro Z r%D H. S tA CD TOTAL DYNAMIC HEAD 3 W D, ro 3 c o, 0 n o a° rao ■ 3 _ 0 o n o N o W A oA Ca. n o n—i p 0-! ro 3 �• 1y °+ 32� A b �^ M v1 d, - C O C to S y xti <O ID oKd rb '^. o�W rcv W O ~ N 7>> I N d d O d ra to O j (� rD ro m$ a �_ BSL CL CD ro 30 S a Z W ^ o m w 3 0' 3 pdH ioO^:ytiHA Oa« o t - t -- ' - -- f — t _ - t� ro a ^ O o v p ?�• rp Y � ao ,�•p ID ° 0) anp'a•H � o �.o ro n 10 D x .�-. n< a -„o� oaf pa��� � �_ �,ro EL 3 A -1 ID a� m kA of j r e_{ °�° ° ID W ' ro ��oo m �Kao3o > rL =O y i > °:? as C N a� 2 ro 10 o.= — �'� ° �G • 1 low D ;p a< ��"'- S � � '�' f ! D = w a ° rco -O �PZi = fl) (D o c �Z^m ( i rD i rD IMP °O —O� 3 °ao =�»�� ono m OMN w t � o - 2 p `L c d� c g T �� ■ i ^ 1 { Nm N ® o v o v n �.c m nv Itn�ma! m y �• OO o�i O �i rD 7 T `C .~ �I rD C `a d cu 0 n f 0 a °- c: Q) -t a to c r D a O -_._ - >. G' N N• O D1 v1 a 1n' ro rD 1 H ro N N —Q-C 'N+ d N C C rb 1G � i m d' ! 2 `2 J o^^ V1 V1 0; V1' O O. O 0 . 0 0 j i b 0O0000 W 0 � . W x x x= x x x x x x x x x x x r o Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 vis c onsi n Lb ad'5on, r266* 7 - 7162 Sanitary Permit umber (to be filled in by Co.) - r- q Department of Commercef Sanitary e a On CC Sta 7; ber In accord with Comm 83.21, Wis. Adm. Code, personal inform ion you�Tilttide @ �G'L... = T x*AJ S . Q J maybe used for secondary purposes Privacy Law, s15 4(I)(m) Pr ec ddress (if different than mailing address) I. Application Information - Please Print All Information ZONING O )UN r c� a4eKe Property Owner's Name rcel # het*— Bl!eek-M -- rr � � n Sig jA_ / a Z$- 100. _ 3G °oaa . rs Property Owner's Mailing Address Property Location City, State Zip Code �7 Phone Number 1A Section _ T N; R f o ) H. Type of Building (c eck all that apply) _ d or 2 Family Dwelling - Number of Bedrooms : r -n ❑ Public /Commercial - Describe Use t "'� fi &'� c K • ❑ State Owned - Describe Use ❑ _❑Villag5Xownship of �.S d " or III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Replacement Sy "stem ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner tt IV. Type of POWTS System: Check all that apply) k rm AA iz; 1 o ❑ Non - Pressurized In- Ground XMound > 24 in. of suitable sot ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersaVrreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) ispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation tjo VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units W� ,b AA -cpo, Concrete Constructed Glass New Existing C�•4/F—�c't1qu•.y{3r Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber 7510 1 700 1 t VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) ( ( P is Signature /,� MP /MPRS Number Business Phone Number �a adt, �, 7�1L��S Kid o44 ® ; S -6' S✓�'.S Plumber's Address (Street, C State, Zip Code) ,� /'J Sz 0 /�' «fir'h- sp) — a`l�j/� .t.. . � � Z VIII. Counlyffiepartment Use Onl Approved ❑ Dis Sanitary Permit Fee (i udes Groundwater Date Issued Issuing A ent Signature (No Stamps) Surcharge Fee) <V ��C 16 El O ven Reason for Denial J IX. Conditions o p rov 3� /, t S SYSTEM NER: J1 U 1 Septic tank, effluent filter and � dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) ■ Soi/ ed a/cca Pion ,4 E � �isfJ v �w n of l l in<.) S a /e : Rte' N /9 3S G�iuc,rC�ristenJO�Prq Tnc tsr'us� /.'ne ' g3,5D CoR'�o� �ro�gcd /rlounda E 24;.S 11717' 1 / s/9..ts Pr•oposxd Wreste concrc4e 6,eace &264 2. D /' t I ,, t wt.P 7 sO - Me /pamVc-A4mber. t � r Assk n" 4e * /tv.zv' C/ �Q bk: /d�„ r Ir..c t z 7 s' +Qr�v t�;eK6ary �Q 1 Qis,.le�ct ro 6 .ido•vd i i j frte. Elegy; AJorayc 1oc44iort oor ed Pre poste/ U-I tset' Conc. wc.P Sao /szd 3 s-cd as 53+ -' So %d u�41/ outc{ar //o,'Pl x ctiomlacred Sepfrc m6aw,e d ac boioEtrtrtii/r+nf d A -Ie4 EAc/uen� F. 1fs� Eo Lt b tr: br�uE»1 Y of t" I&S4 \ ins�a / /eJ.•t out /ci-` of steer+- , 'Qi del; ` C.l, a.►r bu' z So &b lot /in ReoreS loL` /.:+ 0 /, 3a0 .f sv A ve. -- V r 9 Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 24, 2005 CUST ID No. 220853 ATTN.• POWTS Inspector DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. ZONING OFFICE 820 MAIN ST ST CROIX COUNTY SPIA PO BOX 78 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/24/2007 Identification Numbers. Transaction ID No. 1188102 SITE: Site ID No. 703419 Chuck Christenson Please refer to both identification numbers, 2062 50th Avenue above, in all corres ondence with the agenc Town of Rush River St Croix County SWIA, SE1 /4, S1, T28N, R17W FOR: Description: Four Bedroom Replacement Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1035362 Maintenance required; Replacement system; 600 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.01 101), 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. 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: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • 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 POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the gpRroved Rlans, s ecif d this letter shall be on -site durin construction and open to inspection b authorize e t Ives vCtlie Department, which m4y include local inspectors. Cowl Itiol ML V% r% PROVED hri ___ rnMMER - DACE E HUDSON Page 2 8/24/2005 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART'I code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Chuck Christenson 4- bedroom residential POWTS Moun Owners Name: Chuck Christenson Owners Address: 2062 50th Ave. Baldwin, WI 54002 Parcel Address: Same Legal Description: SW1 /4 SE1 /4, Sec. 1, T.28N., R. 17 W. Township: Rush River County: St.Croix Subdivision Name: Na Lot Number: Na Block Number: Na Parcel I.D. Number. 028 - 1003 -30 -000 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 Page 7 Pump curve and specifications �,vCa Page 8 Site Plan Page 9 Soil Evaluation Report SPF� Designer: Dale Hudson License Number: 220853 Date: 08/09/05 Phone Number: (715) 6843378 Signatur e/.r�� Jt����Y� 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 (01/81) Uk;'AK ' Version 4.01 (R. 09/04) Ai S�pN o AFETY AND buiLUtNCS Page 1 of , SEE cc NIDENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: sand fill (D) c alculatk ns assume a 400.00 Estimated Wastewater Flow (gpd) Table 8344 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 Indm. 600.00 Design Flow (gpd) 3.00 Site Slope ( %) 94.50 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 6.00 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? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (n) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.00 ft /orifice 2.00 Forcemain Diameter (in) 50.00 Forcemain Length (ft) Does the forcemain drain back? Y 87.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 8.16 Forcemain Drainback (gal) 7.54 Vertical Lift (ft) 62.76 5x Void Volume (gal) 1.74 Friction Loss (ft) 70.91 Minimum Dose Volume (gal) 15.78 Total Dynamic Head (ft) 41.19 System Demand (gpm) Lateral D Selection Manifold Diameter Selection in. dia. options choice in. dia. options i 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information t750.36 Total Tank Capacity (gal) 1500.00 Se is Tank Capacity (gal) 7.00 Total Working Liquid Depth (in) Wieser Con crete Co Manufacturer 0.28 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.361 Dose Tank Capacity (gal) I Zabel _ Filter Manufacturer 20,281 Dose Tank Volume (gal/in) JA100 Filter Model Number Wieser Concrete Manufacturer Project: Chuck Christenson 4- bedroom residential POWTS Mound Page 2 of 9 Mou :7 View ----- - - - - -- 1/10 8 :. � J Observation Pipe LF l K titi•; ..aaa.�; :•.• , _: ___._. _;�; aaaaaa' •tir;, — T ;•;•r•r• t r r r r r• r r ;•r•t•t•r•t A t•r.,r•r•r•. r•r•t•. L t•t•t•t•t• t ... t•t , t , r ; � t•t•t•t•t •t� r•t•t•t•t W �. '- r '' . E . .. .......... ................. .................... .................. I .................. ......... ..................... .................. ... .................. .................. ..................... ............ ................. .................. .. ................. .................. ................ ................ ................ ................. .................. ................. ... I .......... . . . . . . . . . . . . . . . . . . . . _ _ . . _ . . . . . 0 Mound C ,. Iiensions Down slc ,i made. A Al2.00 ft E 14. 1.00 ft K oft ft B ft F 9.� 9.00 ft L ft D in G 0.` 6.25 ft W 600.00 (ft) Dispersal Cell A 1500.00 (ft) Basal Area Available 6.00 (gpd/ft) Linear Load! 10.00 (ft) 1/10 B Obs. Pipe Placement Mound ion View Aggr L ; ( Area Finished Grade 97.27 (ft) H G I F 96.00 (ft) Lateral 95.50 (ft) Invert Dispersal Cell t Elevation D' 'i 4 '� �- ti •� - ``'- `�-- - _ - — 94.50 (ft) Contour Elevation Geotextile Fabric Cover Shading Key '$ $. —' rsal Cell See lateral details on 1❑ ® Topsoil Cap c 1 •.: • Page 4 for number, size, t: Subsoil Cap 4 o :•u � and spacing of laterals. 11 ASTM C33 Sand Et!l --� ,.ti:�.:•t F Laterals are equally •.t•t::' Tilled Layer 6 0. Ater' f }r r; spaced from the Ci E E EO '':r;i•5., distribution cell's f•f•: • Aggregate a C ••r centerline in the distribution cell (AxB). Project: Chuck Christenson 4- bedroom i TS Mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identicA ri P S sk •= Turn -up %dball valve or �f X—flEW2 d2+1 Laterals & force main of PVC Sch 40 cleanoutplug per COW Table 8430-5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 49.25 ft Orifices per Lateral 25 Lateral Spacing (S) 3.00 ft Orifice Density 6.00 ft /orifice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft ' System Flow Rate 41.19_ gpm Manifold Diameter 1.25 in Total Dynamic Head 15.7. ft Forcemain Velocity 4.21 ft/sec C .)se 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 property vented location ° location Forcemain diameter Wieser Concrete Manufac ;rer 2 in. Ca acct 750.36 Gallons Volume 20.28 gaUnch A Weep hole or anti - Dimension Inches Gallons iB siphon device A 20.00 405. e. , C B 2.00 40.: ,. Pum off e levation (ft) C 3.50 70J D 11.50 233.2., D Total 37.00 750.3 iF Dose tank elevation (ft) 3" E !ding un er tank. L 87.50 Alarm Manuafacturer LevelArn . Alarm Model Number DLV _ -- —' Pump Manufacturer Goulds Pump Model Number 3871 EP Pump Must Deliver 41.: jgpm at 15.78 ft TDH Project: Chuck Christenson 4- bedroom i sidential POWTS Mound Page 4 of 9 POWTS Regulator's Name L St. Croix County Zoning _ J Phone L715- 38 6!46_80 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1500 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic 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 yea rs Mound _ Inspect for ponding and seepage once every 3 years Otner 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 ............... 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: Chuck Christenson 4- bedroom residential POWTS Mound Page 5 of 9 Mound System Maryagement Plan Pursuant to Comm 63.54, Wig. 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 oas_�c: roy 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 -incf es i i diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Seodc: Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by Inspection. The outlet filter shall be cleaned as necessary to ensure proper open..' ;n. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when remcw>c fr m its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fill - alarms may indicate surge flows or an Impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a 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 pe; iormance is generally not required. However, if such products are used they shall be approved for septic tank use by the Departmc t of Cu The pump (dosing) tank shall be inspected at least once every 3 years. Ail switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank tt shall be inspected and serviced as necessary. Moun id i'res� r h ution System No trees or shrubs should be planted on the mound. F' n ,round the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provici 2 6oh e C' n frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since so;i c o �, . ier aeration of the Infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold wean L i 1 16taliauu,,6 (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 L0D 15o rng /L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L 800 30 mg/L TSS, 10 mg /L FOG, and 10 /100 mL fc ;hl,; t . r t. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flu A each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. Wh::n a p, . erformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occur ,a it oririce cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checiccJ for eff uen; p- :.!': ng. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic fail.:; nore frequent monitoring. If the septic tank or any of its components become del anent shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring b..comes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal perfon If the mound component fails to accept wastewater or :ewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage: r s o i biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed neees into proper operating condition. See Page 5 of this plan for the name and telephone n i_S regulator and service provider. Project: Chuck Christenson 4- bedroom r,: : 3 Mound Page 6 of 9 ,� GOULDS PUMPS. Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion SP canadianstandardsAssociation • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewaterin for efficient heat transfer Goulds Pumps is ISO 9001 Registered. 9 assembled and preset at the factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. maximum. ■ EPO4 Impeller: Thermoplas ■ Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet, pump out vanes for mechanical • Discharge size 1'/z" NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104�F (40'C) continuous 140`1` (60 °C) intermittent. METERS FEET • Fasteners: 300 series 10 stainless steel. 9 30' ���SGPM • Capable of running dry without damage to 8 2.5 F7 components. 25 - -- -- - - - - -- — Q 7 Motor: _ • EPO4 Single phase: 0.4 HP, U 6 20 115 or 230 V, 60 Hz, 1550 /S7B' s RPM, built in overload with o 15 automatic reset. 4 • EP05 Single phase: 0.5 HP, o EPOS 115 V or 230V, 60 Hz, 1550 3 1 RPM, built in overload with 3 EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 0 0 0 10 20 30 40 50 GPM foot length, 16/3 SJTW with S! fnoimmm / r �"C uire three prong grounding plug (standard on EP05). 0 2 4 6 8 10 12 m) /h CAPACITY Goulds Pumps 2002 Goulds Pumps I TT Indus ies Effective September, 2002 7o�'9 8387 (j I . � s oi/ ¢d4/�t 4 fion�E • EJUt�%ny ��ada e(ev � �•'sf% a 4ence e- h l l;ntJ Na Sc a /e: /=�/0' Qe.�'• /93S Gl�uc,(�C�i %stento� �r9 g3,5D CoA�ur i 9yTC I / , Profaoscd /You da-E 1/.7 -5 Y //7./7 / r i i o, � r c xs 'W /%� P SNds /0 p cvr,o nPfjG� r � r r � • 3 '� 99(� o� S.a(i.�. i T 9A.s..M v o • / a we 3 3ycf /u r ota +•i S /O i ��.- - -- - -- - - - - - -- ny S.T. x7s'- ''•�o2s � - E' 3•�%� concr.�c�ad tree. Fle&Ax 97,6Z' �'��'' APpro}[. /ocrt�:on o� ju�; ed P/'o postd tJreser Conc. w,.P I,a+o /sup 3 Ea„e to Lt u s<-d a s �+ �. -' So %d wall out{o�rl /o,,Je x e�a.nbe�ed s�pE/e �a,ri! Sabi/ EtrM /Iu E Zf -6v iq of .f -,G11 E�'L' /ucnt, �"!�Y do Gt y of tie 6s4 t /ns�5ai /rs..f ou.� /tt o Steo"J \ �R `L W /, 3AC �� 1935 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I o f 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St Croix include, but not limited to vertical and horizontal reference pant (BM), direction and Parcel I.D. percent slope, scale or dmemsions, north arrow, and location and distance to nearest road. 028 -1003 -30-000 Please print all infor►natlon. Reviewed By Date Personal in{orrnabon ycu provide may be used for secondary pwPows (pryv aoy taw, s. 15.04 (t) (m)). Property Owner Property Location Chuck Christenson Govt. Lot SW 1/4 SE 19 S 1 T 28 N R 1 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2062 50th Ave. Na Village ci State Zip Code Phone Number t_J City 'r 2 Nearest Road Baldwin WI 54002 (715) 684 - 2940 .k tl,_5k Town K' 4.41 2062 50Th Ave. _ I New Construction Use: J Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describe: Parent material Glaci til over limestone bedrock Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound system with 6'x 100.0' dispersal cell. Dispersal cell elevation to be 95.50' at 12" above 94.50' contour. a Boring # J Boring Pit Ground Surface elev. 94.59 ft. Depth to limiting factor 31" in. Sat Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 - 1 22 1Oyr3/2 none I 2fsbk mvfr as 2fm 0.6 0.8 2 12 -21 ! 1Oyr4 /6 none scl 2msbk mfr gs 2f,1m 0.4 0.6 — y- -- i -- 3 21 -31 % 7.5yr4/4 none sl 1msbk mvfr cW 1fm 0.4 0.7 4 31 -36 j 7.5yr4/4 f2f 7.5yr5/8 sl 1 msbk mvfr cw if 0.4 0.7 5 36 72 10yr616 mlp5yr4 /6 LSBR Om mfi - - 0.0 0.0 Limestone bedrock described in Horizon #5 consists of loose, fractured limestone fragements approx 1" x 1" x 1" to 3 "x 3" x 3" thick. Voids between pieces filled with Om 1 Oyr5/6 mfi sicl. Bwng # —) Boring 24" in. Sal Application Rate ✓J Pit Ground Surface elev. 94.53 ft. Depth to limiting factor Horizon Deptn Dominant Color Redox Description Texture Structure Consistence Bourxfary Roots •Eff #1 GPD/W r2 in. Munsell Qu. Sz. Cont. Color Co. Sz. Sh. 1 0 -11 1Oyr3/2 none I 2fsbk mvfr as 2fm 0.6 0.8 2 11 -20 1Oyr4/6 none scl 2msbk mfr gs 2f,1m 0.4 0.6 3 20 -24 7.5yr4/4 none sl 1msbk mvfr cW 1fm 0.4 0.7 4 27 -37 7.5yr4/4 f2f 7.5yr5/8 sl 1 msbk mvfr cw if 0.4 0.7 5 37 -50 1Oyr6/6 mlp5yr4 /6 LSBR Om mfi - - 0.0 0.0 , r7l ' _ - H#4 contains pockets oft 0yr5/6 Osg s W/ m3pp 5yr4/8 rdox. concentraUons. L.S.B.R. of Horizon #5 consists of base, fractured limestone fragerr►errts approx. 1" x 1" to 3'k x 3" thick. Voids between pieces filled with 1 0yr516 Om sicl. Effluent #1 = BOD > 30 < 220 mg/L a TSS >30 < 150 �rug/L _ 'Effluent #2 = BOD < 30 mg/L and TSS <,0 mg/L - CST Name (Please Print) Signature: _ CST Number James K Thom 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, 0 54020 7/8/2005 715 - 248 - 7767 Props ny Owner Chuck Christen Parcel ID # _ 028- 1003 -30 - 000 — Page _ 2 of __3 - F 37 Boring Bcrinc Pit Ground Surface elev. _ 93•86 ft. Depth to limiting factor 37" in. Soil Application Rate I i-k (j'on D,•tl Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMI j n Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 — 1 I 0 -9 ---- 1Oyr3/2 none — I 2fsbk mvfr as 2fm 0.6 1 0.8 2 9 -24 1 1Oyr4/6 i none sicl 2msbk mfr gs 2f,1m 0.4 0.6 -- --r------}------- 3 24 -37 I 7.5yr4/4 m1 p 5y2.52 I scl 1 msbk mvfr cw 1fm 0.2 0.3 4 ! 37-43 1Oyr6/6 f1d 7.5yr5/8 LSBR 1msbk mvfr - 1f 0.0 0 -' - - -- — I H#3 contains manganese redox. concentrations. L.S.B.R. described in Horizon #4 consists of loose, fractured limestone fragements approx. 1" x 1" x 1" to 3" x 3" x 3" thick. Voids between pieces filled with 1 Oyr5 /6 Om sicl. Boring # _ J Boring - - - - - -- — _J Pit Ground Surface elev. _ ft. Depth to limiting factor in. Soil Application Rate licncn Oslo Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' it Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I I i F—I Boring fi _ Boring - - - - -- -- _ Pit Ground Surface elev. — ft. Depth to limiting factor in. Sal Applicatxx Rate I xzon Learn Dominant Color Redox Description Texture Structure Consistence Boundary Roots SzPFDLfh -__ —_ If Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 : cifljent #1 = BOD ? 30< - 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD mg/L and TSS < 30 mg/L '[he Ih partment of Commerce is an equal opportunity service provider and employer. ll'you need assistance to access services or e department at 608-266-3 or TTY 608 -264 -8777. format lease contact th p need material in an alternate , p Soi/ ¢!/Q/CtQVon�E A E,�7�iny y ,-adr e(etw' x a <eneC A - el not Iv�l ;�c� �O 5 o/e IF v Rte'• � /9.35 G�iuc,(��r'ste�JG�,= "? x -x -- g3,SD Cont�aur 9y �, c i r 9y v9' � r r 5 'I r j ■ 3 ' % ` 9�� b� o� 5.clr17. r i h t r �I r $Piz so' ' 6,e Q �r' ✓v tr;bu-f�w'y •41 Qt SidenGc fire. Elea _ 97,6Z' 46oroyc. /0 ca 0 barred 3 140 rW 6r; 6"Z x of t" 0�- r Q; dcl; J b i ' l t�j S &A lob /ine /1ea.1'est /ot/,-- 1935 Weconsin Department dconxnerce SOIL EVALUATION REPORT P age 1 of 3 Division of Safely and Bu&bW w Comm �, Wis. Adm. Code A.C.E. Soil & Site Evaluations in accordance Attach con+Ple4e sit plan on paper e not less than 844 x 11 inches in size. Plan must St CrCroix: _ , r dude, but not Imnted b: vertical and horizontal reference Point (BSi . direction and parcel I.D. percent slope, scale or dmernsions, north arrow and distance lo nearest road. 8 - 1003 - 30 R 4 Date Phhrsahel irdanhmiorh ynu be ay , s.15.04 (t) (m) }. � (� Properly Owner C7 Property Location Chud( Christenson ,j � - j L Z Govt. Lot SW 1/4 SE 19 S t T 29 N R 1 W Property Owner's Mailing Lot # Block # Subd. Name or CSW 2062 50th Ave. S . ROIx nOUN1 `' City Na J City „ j Village 01 Town Nearest Road Baldwin 54002 1 (715) 6842940 _kla — a i i 2062 50Th Ave. N Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD id = R � qM!cw�ftt_,_f Pubic or commercial - Describe: trill over limestone bedrock Flood plain elevation, N applicable na General continents and recorrKrtertdatio M. Site suitable for mound system with 6'x 100.0' dispersal cell. Dispersal cell elevation to be 95.50' at 12" above 94.50' contour. 1 B«ing # it► Pit Ground Surface bleu. 94.59 iL Depth to gmiting factor 31 w lo. Sod Application Rate epth Horizon D Dominard Color Redor Description 79d Stnictuue Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Etf#1 Eff#2 1 0-12 10yr32 none 21sbk mvfr as 2fm 0.6 0.8 2 1221 1Oyr4/6 none 2msbk mfr 98 2f,1m 0.4 0.6 3 21 -31 7.5yr4/4 none sl 1msbk mvfr Cw 1fm 0.4 0.7 4 31 -36 7.5yr4/4 f2f7.5yr5/8 sl 1msbk mvfr cur if 0.4 0.7 5 36-72 10016 mlp5yr4/6 LSBR Om mfi - - 0.0 0.0 limestone bedrock described in Horizon 05 000ststs of loose, fractured limestone fragernents approx 1" x 1" x 1" to 3"x 3"x 3'0 lck- Voids between pieces filed with Om 11i mfi sic. ❑ 2 Boring # Li Boring * Pit Ground Surface elev. 94.53 ft. Depth to lonipng factor 24 " lo. Sod ApptiCa6orh Rate Horizon Depth Dominant Color Redox Deso iption Texture Stricture Consistence Boundary Roots GPD/ft: ah. MurceN QU. Sz. Cont. Color Gr. Sz. Sh. - li I - Eff#2 1 0-11 10yr32 none I 2fsbk mvfr as 2fm 0.6 0.8 2 11 -20 1Oyr4/6 none sd 2msbk mfr 9s 2f,1m 0.4 0.6 3 20-24 7.5yr4/4 none sl lmsbk mvfr cW 1fm 0.4 0.7 4 27 -37 7.5yr4/4 f2f 7.5yr518 sl 1 msbk mvfr cur if 0.4 0.7 5 37 -50 10yr6/6 m1p5yr4/6 LSBR Om mfi - - 0.0 0.0 Hi contains pockets of 10yr5/6 Osg s w/ map ox. oonoentrabons. L.S.B.R. of Horizon 95 consists of loose, fractured lmestone fragements approx. l" x 1" to 3'k " x 3" thick. Voids between pieces filed with 10yrrt/6 Om sic. ` Effkxm t #1 = BOD ? 30 < 220 mglL TSS >30 < 150 -. ` --- Efflu ent #2 = BOD a 30 mg1L and TSS <-0 mglL CST Name (Please Print) Sigrrabtxe: CST Number James K Thompson 3602 Address A.C.E. Sol & Site Evaluations Date Evaluation Conduced Telephone Number 340 Paulson Lake lame, 22p 7/82005 715 - 248 -7767 'Property Owner Chuck Chrisfiertsort Parcel ID # 028-1003- 30-000 2, I, t( Page 2 of 3 3] Boring #g ' Pit Ground Surface elev. 93.86 ft. Depth g factor _�- Soil AppHcatior► Rate Horizon Depth Dominant Color Redox Description Ted m Structure Consistence Boundary Roots GPDff in. Mrmsell Qu. Sz. Cart. Color Gr. Sz. Sh. 'Efi#1 'Efi#2 1 0-9 10yf32 none 2fsbk mvfr as 2fm 0.6 0.8 2 9-24 10yr4/6 none Sid 2msbk mfr gs 2f,1m 0.4 0.6 3 24-37 7.5yr4/4 m1p5y2.52 sd 1msbk mvfr cur 1fm 0.2 0.3 4 37 10yr6/6 fl d 7.5yr5/8 LSBR 1 msbk mvfr - 1f 0.0 0.0 H#3 contains manganese rdox concentrations. L.S.B.R. described in Ho two #4 coma's of lease, fractured limestone fragerrnentS approx 1 'x 1" x 1" to 3"x 3"x3" thick. Voids between pieces idled with 10yrW Om sicl. F -1 Boring # Boring j" Pd Growl Surface elev. ft. Depth to limiting factor in. Sail Application Rate Haizon Depth Dominant Color Redox Description Texture Str Consistence Boundary Roots in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef 1 'Efi#2 F Boring # Boring Pd Ground Surface elev. ft. Depth to timitin9 factor in. Sod Appkabon �e Horb= Depth Daninant Color Redox Description Texture Structure Consistence Boundary Roots in. Mansell 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 mg1L 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. U N 0 1 5 r- �--ti v - � R � 'J e p s' l 3S e1Son�r9° Tre 6r us� /r'nQ, g3,SD Co�'�u.l i r ! r r 83 3 v/ l 4M _ /AD.eD -' v r r l r � l � r i �4ftn9C E",li3��9 We (l i Slo � t Z7S'��Qias E,rci3 "� Cc�cr�ttPad �� �� fir; 6u {7�► Q I QtSi lout 'Tv lot Q Ganc�v+� lt• �• Sp.KP in 30 "'Io /e tree. Fleth = 97Bz; �' Apptax. /ocst�%on or= bar. ed s - 3 b` al:acl�sr ;� 6o iq *zrw .t d y of tia R. S4 r ( Ai 50&c &4 lo>< /ine rtea�est` /at /.%+ 3,20 r� s0` A ST. CROIX COUNTY , SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address ���� :1?* -� Property Address -5u M t., //�� (Verification required from Planning & Zoning Department for new construction.) City /State /JAI Parcel Identification Number LEGAL DESCRIPTION J Property Location Gtr 1 /4 , .� 1 /4 , Sec. __, T o '9_N R / 1 W, Town of V Subdivision 1 41A , Lot # IJ Certified Survey Map # /vA , Volume �� , Page # 1VX Warranty Deed # .533 2 !! �/3 , Volume 637 , Page # -5_ Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) STA. T E RAR i1I' '�: r t)�SCN -FORA 1 DOCUMENT NO. WARRANTY DEED ^ I t VOL 5.�7 P A - 1 5 7 1 THIS SPACE RESERVEO FOR RECORDING DATA 3330*? 3 _ -- - - - -- - -- — - REGISTERS OFFICE THIS DEED, made between Carl Walter Christenso and ST. CROIX CO., WIS. B._Christenson,_husband and - wife - as Joint tenants — and each in their own right____ Recd. for Record this . 1st Grantor day Of June A.D. 19 7 . 6 and _C harles Christel son_and Roselind Jean Christenson husband and wife as_ j oint tenan,_s 0 as-'f Grantee, W i t n e s R e t h , That the said Grantor for a valuable consideration Forty -.. -.— R�qi tx of Deads Thousand and no 100 ($40 Dollars 5t. conv�•ys to Grantee the following described real estate m Ciroix _. _ __ — County , RETURN TO State of Wisconsin: A part of the West Half (W2) of the Southeast Quarter _ - -- (SE4) of Section One (1) Township Twenty -eight (28) Tax Key 0 North Range 17 West lying South of the Southerly right- Thi is -- .___homestead property• of -way line of interstate highway 94 as laid. Twenty Thousand Dollars of th .consideration hereinabove referenced is being paid by exchange of like property between the parties hereto by warranty deed of even date. r M, 3LN`:'7FER W yo. 0. tE Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; And - -- -- warrants that the title is good, indefev . in fee simple and free and clear of encumbrances except and will warrant and defend the same. Executed at __ S rin Valle Wisconsin this 28th — day of - __�1aY _ —___ -- .19.7 _ SIGNED AND SEALED IN PRESENCE OF '•' `e { / � ' ;� '' SEAL) Carl Walter Christenson 4 61 t,ll-O - (SEAL) Cora B. Christenson ` (SEAL) - - -� -- (SEAL) Signatures of- authenticated this - - - --_ day of -- - -- - -. - - -- --- - - - --- -- 19 4 i k . I ' r 4-^ k :f x, m , -- - - - - - - - - - - NW 1/4- PLEASANT VALLEY /RUSH RIVER PLAT T -28 -N • R -17 W ,® ONION See Page 112 For Additional Names. ' Lr. � 2100 am :w (Landowners) AGE 36 '` 1800 80th AVE 2000 1700 PLEASANT VAL� HUSH RIVER §.§@@ a il, s.. 1600 Donald J Chad & ene - Allen Charles 15 n& J ° S t 4 ��i wits I '2 Marta 80 27 Hansen m - Renee g aata M 39 r n AaM Richard& �1 Heauch 79 tc Kenton I 2 A t4 �I rhawn i $ G }egoir Lorry ne S Tnut h VE 3oraod �eazson tr ' Hanson s i F-m s n ' 7s dli 103 138 Merritt go 94 2 t o cats 144 94 2 �1 5m - v r s Flex s MAP sun omPson on 21 Lorin & i ey 4 ^ Rid tams 35 110 5 is a - R Marilyn F _ S & t 129 of Farms Inc n s mow rnd � Q I 1 rn �1 "I Jr mees 22 sss ?Inc 7 40 P dy �� 78' 250 y �9 t+ n '" rickson ' 122 J 50t AVE 40 JeMey N 79 v x Z 2- `nso�w " s a ohnson &) E uednkMUr thla 75 63 ft 28 11 p boma: ewee m 1 Herman & 1 zt y 40 5 ohn Ir 15 4 . & c400 & & 3 Christian „„, W & o &Conine Mar(Pret idn a Delores s t Donald & , Hanson "°""° ss , N van Fsdman �uelte 77 Bonnie .. s4m�m 60 I Heinbuch I S Ite I wsamea rainy Moe 36 3 s cvBle a 01 ,_� & R Trust 160 's w avid KS ' 78 149 30 157 & Robert Mary r ^ Pdnnbp a t Eric so Ja see 2 Zwald & Ktut Lureene ° N 40 s ■ B' r uj I D & & Alan & Bomaz AI&N Bomar Ba13335en Farms nt � n iiiiii N z N 3 q 35 s - E 2 ' rn 1 3 157 Jeanne Inc Inc 115 Inc Gkn G 0 I 224 Mark & X $ 3t Owens °« M r 120 w g0 35 - s l b Car olyn 5 7 Z� -'-- - �9 '° s N aoo B S uegwat a on Glen & De ' Fredric - n 1 S �q9p 0 40 2 4 Farms C I Owens I Family I ° 5h� w m Wm & e Dawn g , °N wane waomia• IN pl R I H Trust I ' $ $ Dazleen Lr¢,� Mohn T q m� Newton r`°'° a 160 k ' Wahl o 6 it Stopid ? " N 80 m 10 ' 2 79 r «77 160 24 ,,� Leslie & & �i' ■ 35th VE 80 Thonn¢ Fw,1GaV'~nor Richard 6, SO a on zo Karen 1 len an 0 m ��� - t a Mary trma & to J Vas k+on Weber. ) Larson tc - � 40 � ao s� 120 tAialton � 6 O I ~ Bomaz sobert & lame sin Trust 115 .. 9 G1 W arcs 40 Ilnc andrord 46 ctor a8 omoe° r°sr 199 159 139 �! 1 l�daM J[ Mir+ a rc alo.o r E 35 I -c John p" 'A I Family �, 6io'wsraa 80 E D& S �'+euman64 - taut i �+ .� u338 a 3S Moae 80' Jay J a 1 8 1 25 40 20 § 6r 30th A S 1 etal 39 Dah, 81 9 I I oeheu am dd r dd m $ a Gr °ss Kurt Fairmont 40 4o a rte yea «s M I Riehazd & I sm 'g " $ a W D a & 40 u $ & H then Farms Jy � I MoB a J uen u o Yn pp a David Inc P -L. 't'homaa E:<aaons Doromy yy '� 40 ggC S� Q,, R Schulte '.9 3 Lan II 40 �y 4o hrc tl l Jacobson 2 � ' 0 g y e +� � � V -° � 155 SS ^ 40 152 � 145 n� 15 a i � a5 25th AVE C, 40 33 el & F waimn � WrisPer $ 01 o r 3 8 Ind rt & N Talb k 40 64 '° SB H Clatence & 1 N Nelson nN 80 22nd VE ' tz 120 H ris a rwn I a3 Jacobson 8 40 38 r Kim & Bruce r 6 200 09 63 ohn & ' Raelle &amber _ 160 _ 1 _ — -+ y GGG Jorae g0 1 yy I ui m72 ANR ... ,;t. �An r �°—Z 120_ 40 _ Bib. St a 4' & a ecimon w '� Y 4 120 • .. {plo ° o 18th AVE _ 40 mnc40 40 pro 40 3 - 'eo son 80 a Dan war i. sse Charles Mow ' 78 20 So ._'_, 40 s 80 0 g ,r uono. y ss�m " Langer kten 20 I Chutes ssesa� �'u 4 0- Colby dd 00 :3r 4r smith 4o a to - a 9 ames 5 laum _ Eric m'a ;6 Michelle 1 ea 40 v gga 25 s M sa nde r N $,� Swenson 2 eske 2 8 3 .x,1�, 20 a secs 3s E`$eO 64 3� Wi 164 a G � e H 136' 80 F - '� p 80 w 6 b^ o a James stsebora GLLbeR u W E 23 60 ae �� 1 _ aMaO. Moo - oseph & Ixwrence s H & uth Thomas & Robert & r Iwo M,nn m� 112 28 ICey coat- sander 150 key 40 60 r I & 5hamu rn Nolte Ann Sharon train shady etal Rushfeldt 80 Austrgm 4a 3 - - Ede Carole Thomas 70th �VEa Michael - 1 11 49 _ _112(Q) seeouer Beth John & shed welch- Curren & Dana o-. Koenig 80 So - carom. 20 Foede N uB Mac- eFtt�r° e� I Harley Timmers 8 - - - — - I Robert & 2 a d as 30 �o son s 204 s sv test 3a 40 4o Swenson Katiddern awes ern A 'n 84 R nndR o �7 31 108 Kerry Swensonrcemanekkm w rKazl a 120 W Licht t 77 u Francis & 60 160 why K.1wn 4o a5 30'1 yy Charl & s Eleanor I & M ° ^ 20 50 g0 224 N Schiltgen 80 20 EeOs 20 8 M k° �al C sat r m Yam & sa�ue B aD�me � 120 ' r Rebat dd n a4a:k a k Mon- Ne � 6 t Mn JO s � e nv DaNel- 4 0 1 5 wma 4a F', TOm & ss 39 icken Cannon NEW 143 L J i He a r Tonyy .F sw<o- J 4o Orvin �� 80 4 Dallman River s Mocker omom. T� 120 Peterson G 80 ELYTE - eaaaE 0 '0 40 40 Ranches so. VILLE Y ]._ LLC 0 -- r caner Mama 1 , — — — — PIERCE /ST CROIX RD 3 38 120 160 L, _- 120 — _ — PIERCE CO. o — — PLEASANT VALLE SH RIVER u ST. CROI COUNTY FARM BUREAU W AMAR ii�r "The Voice of Agriculture" /NSUAANCE COMPAN /ES A Farm Bureau Service Agent We believe in the future of agriculture and our area youth through 9 s ponsoring 4 -H and FFA members to leadership training seminars s Ken Singerhouse p g and workshops. We also support numerous agriculture relate (715)- 796 -2207 promotion events, including Farm -City Day, livestock auction 960 Davis street a sox 129 at the County Fair and legislative workshops Hammond, Wisconsin 54015