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HomeMy WebLinkAbout028-1009-20-300 0 y 3 0 n o c w o d CD w co 3 n M N O N O O p W C C W N `C O• O. C lD ? p_ j IV ICI _ N OD O d• O S D CD O y A O ! p N 0) L V w O N a 7 3 y N � C. e m '03 Ro Q D 3 O. O (n O O ? !� y H = O O O y O w tn ZD a m co D a N a) c n c o 3 O N O =r CL N N �n N W W i . = 3 T �+ m 3 m 0 0 0 3 o O ryl��l mn o W D `may m Q O D > ? o 1 3 d v, rn N O A N n co r Z o Z Z 0 I D D O O O C D N N • ;U ' N O c 3 Z C° O O C A Z f N Q z 0 CA o fn W ao � m00 CD CL Z C 0 .: cn N m Z V CD A W F y a CD C j C N c N O Z CL I a En I �? p a Nt � C 0 a 7 CL N N ' O o� I A N o A C l0 EA O ti N q 00 ` a b Q Parcel #: 028 - 1009 -20 -300 01/23/2006 04:25 PM PAGE 1 OF 1 Alt. Parcel #: 3.28.17.48A -30 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - KUNDE, JEFFREY D SR & SHELLEY A JEFFREY D SR & SHELLEY A KUNDE 512 190TH ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 512 190TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.700 Plat: 4625 -CSM 17 -4625 SEC 3 T28N R1 7W PT SE SE CSM 17 -4625 LOT Block/Condo Bldg: LOT 03 3 (5.70 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 03- 28N -17W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 04/11/2005 791838 2781/183 QC 10/01/2003 742084 2425/259 WD 10/01/2003 742083 17/4625 CSM 07/23/1997 947/305 more 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 82728 190,900 Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.700 44,500 143,600 188,100 NO 05 Totals for 2005: General Property 5.700 44,500 143,600 188,100 Woodland 0.000 0 0 Totals for 2004: General Property 5.700 17,100 79,100 96,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 430414 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)]. - C t l 8 3 Permit Holder's Name: City Village X Township Parcel Tax N Kunde, Jeff & Shelly Rush River Townshi CST BM Elev: Insp. BM Elev: BM Description: S ction/Town /Range/ ap No: 9 �.ZS s-r I�1+ 13, A 03.28.17. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Go G Alt. BM S 703• Aeration Bldg. Sewer Holding St/Ht Inlet /-zw .7 3 •��- St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / Dt Bottom Dosing ? Header /Man. Aeration Dist. Pipe sf A1 '7 �E 4.87. Holding Bot. System C_ Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM o/ Model Number / 3 1 . 7 — TDH Lift Friction Loss Syste% TDH Ft Forcemain Length Dia. Dist. to Well I 10 ) .2-0 — SOIL ABSORPTION SYSTEM BEDITRENCH dth rgth / jNo.OfTjenches I PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 S 1 SETBACK SYSTEM TO /L BLDG , 3& WELLY LAKE /STREAM LEACHING Manufa Curer: INFORMATION CHAMBER OR Type / Of System: I UNIT Model Numbe . U117 C( DISTRIBUTION SYSTEM Header /Manifold �a S Distribution x Hole Size p x Hole S Vent to Air Intake Pipe(s) I Length Dia Length Dia 1 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of TS /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /G e) Inspection #2: 0 1 2-6 /�3 Location: 512 190th Street Hammond, WI 54015 (SE 1/4 SE 1/4 3 T28N R17W) NA Lot Parcel No: 03.28.17. 1.) Alt BM Description = Tot' �, F� cl : c- .. ` S.uz M c.. R,4 ,L__ 1> l C k- �� n P16Lo 2.) Bldg sewer length =� `I 4• C on � r,J epl raft O� - amount of cover = to -- - Plan revision Required? U Yes / No = 1C) , Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. ' Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST CROIX l/Sconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266 -3151 Sa ni tary PP Permit Application state Plan I.D. Number TRANS. ID #. 918827 ✓ with Comm 83.21 Wis. Adm. Code, !n accord C Pe rsonal information you provide may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print li Ins t Property Owner's Na me 2 SEP 2 6 2003 Parcel N Lot ,y Block JEFF &SHELLY D Property Owner's M ailing Address ST. CROIX COUfd7 Y Property Locution P b $ - Joe CX�t7 8266 JANERO AVENUE ZONING OFFICE �` SE r�, S rk,Section 3 City, State Zip Code Phoue Number COTTAGE GROVE, MN 55016 651- 230 -4585 (circle one) r 28 N; k E oro II. Type of Building (check all that apply) / ®1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name CSM Number Public/Commercial - Describe Use / +-2- 093 ❑ State Owned -Describe Use [O X 7 Gf O ❑City_ ❑Village Township of RUSH RI VE IIon n I. Type of Permit: (Check only one box o line A. Complete line B if applicable) y- 6 A ' [I New System El Replacement Systern ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner I IV. Type of POWTS system: (Check all that apply) ❑ Non - Pressurized In- Ground Mo und > 24 in . o suitable soil Ulviound < 24 in. of suitable soil 11 At-Grade ❑ Single Pass Sand Filter ' ❑ Constructed Wetland ❑ Pressurized In- Ground Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit C1 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Graveldess Pipe El Other (explain) V. Dispersal/Treatment Area Information: oil A li ti Rat s Dis )ersal Area Required (sl) Dispersal Are Prolwscd (st) System Elevation Design Flow (gpd) Design S pp e(pj?d f1 { 450 .1 450 (� 45 VI. Tank Info Capaci in Total Number n / D Manufacwrer Prefab Site Steel Fiber Plastic Gallons Gallons of Units -c\l` 11 � Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X Aerobic Treatment Unit Dosing Ctumber 600 600 1 1 WIESER CONCRETE X VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na the (Print) Plumber's Si gnature MP /NIPRS Number Business Phone Number BENNIE HELGESON 220292 715/772 -3278 Plumber's Addre ss (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VII ount Department Use Onl Approved El Disapproved Sanitary Permit Fee (includes Groundwater Date 4ssue I ng Agent igaa to ) ` 0 01 Surcharge Fee)^D� C J C1Owner Given Reason for Denial JJ IT ��i t(fjlglprj pprovaUReasons t'qr Disapproval 3 �II,Q,(,� CS✓� ,Q�(•!/ v Ie") Septic tank, effluent filter and ( �4 M K1, &�� I L - I kt-J, 3 M � V - Z6 dispersal cell must all be serviced / maintaing _ Q I per managem plan provi m , All setback requir eerfi must a maid as per applicable code /ordinances. "� Oft �'arr�vh- &3.Y3_� (`�f ��f o `'h4 Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 itches in size onn ��no in n� m�v i DO �. cos looa /6 G \ y 7, © p p R- P ra as �.s )03 3S I or �D , � E Co r • LoT 1 � � � ^, T r"e +-� �► Iv�,P � L I aQ` �� ,e `Cop PRIVATE SEWAGE SYSTEM j Conditionally 36,7' Ap oft oft Aws N g— a F K UNEVE E D �' 1V �(,1 DIVISION OF SAFETY D B @IlDINGS ; 5 c 4( ( ham �Xc`efp As ' e, SEE CORRESPONDENCE L� I Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 erc 6consin www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary September 16, 2003 CUST ID No.220292 ATTN: Rod Elsinger BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL Ident No98 umbers PLAN APPROVAL EXPIRES: 09/16/2005 Transaction ID No. 918837 SITE• Site ID No. 665149 + Jeff &Shelly Kunde Please refer to both. identification numbers, 190TH Street above, in all correspondence with the agen Town of Rush River St Croix County SETA, SE1 /4, S3, T28N, R17W FOR: � Description: New 3BR Mound Object Type: POWT System Regulated Object ID No.: 921021 \ 01%S6014 Of S The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Code and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in see COI chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 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. 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 Dennis R Sorenson Wastewater Specialist, Integrated Services (608)785-9336, WiSMART code: 7633 dsorenson @commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 INDEX SHEET PROPERTY OWNER: JEFF & SHELLY KUNDE 8266 JANERO AVENUE COTTAGE GROVE, MN 55016 PROJECT NAME: JEFF & SHELLY KUNDE PROJECT LOCATION: SE 1/4, SE 1/4, S 3, T 28 N, R 17 W MUNICIPALITY: TOWN OF RUSH RIVER COUNTY: ST CROIX .AGE SYSTEM DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- P(R/99) MOUND COMPONENT MANUAL SBD- 10572 -P (R 6/99) fionally 3 0VED 3 CONTENTS: dFETY ND BUILDINGS Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound RESPONDEN Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section & Specifications Page 5: WLP1000 /600 -MR Zable Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Signe Address: W1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Date: September 2, 2003 P10 of P(�+� � dri e r Te-Ff' -S y k�\ 3 42- I�hv,►-P, pro tc)06 /600 G.. J. Ilk 83 I P Q P,►o os � Bo t 3.m. oo. o i" s reel �P. " f f mf Fehc.e U S ro,.. e FevC �►� P PRWATE SEWAGE SYSTEM j V. L% Con dition ally VEW w� � , r ' � : �r 3 !V ' DIVISION OF SAFITY D BURDINGS �X�`etP As SEE CORRESPONDENCE' Page Of _ 8 Synthetic Covering Distribution Pipe ASTM c- e�L 0-� Medium Sand H .. G - Eke cl Topsoil =r - - F 3 I D E u b Co n btA- .. Elegy, 9 9- % Slope Plowed CELii.Of ? — 2 2 Force Main L From Pump Layer Aggregate D �_ Ft. E /,2 Ft. Cross Section Of A Mound F Ft. G .� Ft. A Ft. H / Ft. Signed: B_ Ft. K 1_ Ft . License Number, b _22A Ft. 1110- Date: �,� Ft. y_ Ft. W — Ft. L Observation Pipe r j K I _ ------------------------------------- Distribution Ic L1- Of Pipe Aggregate Observation Pipe I ICU a QC.SCQI #rG� Plan View Of Mound S, eI pa v � 8 Patlotolad PIp• Oaloll 5 ` I E ctvw CAJ teaA End Vl�w X P,tlotol,d f ii PVC Pip, O` Holes Located. on Bottom are Equally Spaced f lo I� A),2 / P Plp, Discribution Pi a La out P 72' S R �. . . S 3� x X311 Y Hole Diameter Inch Signed: — '• Lateral %_ Inca (es) License Number: Manifold Inches Date: Force Main " — Inches '1 II I Q 3 8' 'F'�dIPS Per 1- � S •� k 7u-)o �f e �-�.� 6 LLylct Page Y Of - 8 SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" .Pik.VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF JUNCTION BOX APPROVED >_ 25' FROM DOOR, WINDOW OR WITH CONDUIT MANHOLE COVER FRESH AIR INTAKE W/ PADLOCK E WARNING LABEL FINISHED GRA DE �— „ , 4 = ,4" MIN. H,n. 2y „ LJ UbSERVA�iotil s. D. u 18" IN. PIPE ':�� 1$ WHIPS- INLET GAS - WATER TIGHT SEALS TIGHT VAPPROVED ILTER A SEAL JOINTS WITH _+ ; ALM APPROVED PIPE APPROVED A IF B B ' ON 3' ONTO PIPE 3' `� x/ SOLID SOIL ONTO SOLID C ' SOIL PUMP OFF ELEV . g rg•s FT. - OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS l SEPTIC / DOSE 1'3 TANK MANUFACTURER: - �(�1 , s-rt- TANK SIZES: SEPTIC %G�0 GAL. DOSE •�� I�FLOWBACKG g9._S.) GAL. DOSE GAL. � / = 3� GAL. ALARM MANUFACTURER: t t "S CAPACITIES: A = INCHES MODEL NUMBER: B = 2 INCHES = ,3 .3,..5 GAL. SWITCH TYPE: 0 C = 6 INCH ES = /Q7. SC GAL. PUMP MANUFACTURER: ZOL MODEL NUMBER: l.". — D = /0 INCHES = SWITCH TYPE: ►' t-c-v I PUMP E ALARM WIRING AS PER ILHR 16.23 WAC REQUIRED DISCHARGE RATE '31. GPM VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE %a• FEET FEET + MINIMUM NETWORK SUPPLY PRESSURE + FEET FORCEMAIN X . _ FEET TOTAL DYNAMIC HEAD �S/Q A2 FT /100 FT FRICTION FACTOR = 9 WIDTH DIAMETER INTERNAL DIMENSIONS OF PUMP TANK: LIQUID 7( Gil. PPS r,,LL P/,,,e SIGNED: LICENSE NUMBER: DATE: 1/88 co j 0 1 W � c1 L1 Q U o wQ °Q co Nd RMI w� o �� �N c V) _ Q v a_ 1 0 '-� 0 U� 11) gFN - x w� ZN to I �o Na ¢ �M GNU v� I m mq C C) o< J � J J Q p Q a N w Ix V O Ui n N w l w <n i g ca ca ? � V) S t� O V e O I lL (� t o to e Z) J Q W 0 N co ¢ w CO n O Io W M -O A OD i_ M ww N� S Q �a.. � O a O rn - CO cn h- i� V / w I Q M jI� NIfI Z W r- F2 � � � H M] — J H w U Y w O r o Zz a H O O w •3 x 0 � rl S Q] U S p O Dapo<mzo0U Ze,< ZOO U z 3 m U Z S J� m�R Q Z W W 9 Q 0 z 7.. O In Z LL) PW J Nz� d Z - --- - -- I I I . • i I ; I } LJ i ll L.l 5 L li Q (/ cr) I i I I I i I i w O „6£ „95 3 IUTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE f - FF I UE NT AND DFWATERING N MODEL 152/153 --- - - -_._ . _ _ --- - -____ -- - -- MODEL 152 153 :2U_ 50 Feet Meters Gal. Liters Got. Liters 153 5 1.5 69 261 77 291 12 40 10 3.1 61 231 70 265 152 15 4.6 53 201 61 231 x 20 6.1 44 167 52 197 v 30 25 7.6 34 129 42 159 8 30 9.1 23 87 33 125 r 20 35 10.7 -- -- 22 85 0 40 12.2 -- -- 11 42 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 04508 0 20 40 60 80 100 GALLONS LITERS 6 1/4 0 80 160 240 320 3 17/32 a 5/e FLOW PER MINUTE 3 27/32 CONSUL;' F ACTORY FOR SPECIAL APPLICATIONS _+ • Timed dosing panels available. ®32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. l • Sealed Owik -Box available for outdoor installations. See FM1420. • Over 130T (54 °C.) special quotation required. I 1521153 Series 12 1/8 i 1521153 MODELS Control Selection Model Volts -Ph Mode Amps Simplex Duplex 5 1/8 N152 115 1 Non 8.5 1 2 or 3 SN152 115 1 Auto 8.5 Included 2 or 3 SK2064 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 1 4.3 1 Included 2 or 3 N153 115 1 Non 10.5 1 1 2 or 3 SN153 115 1 Auto 1 10.5 tneluded 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 1 5.3 ' Included 2 or 3 switch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All inslauatiun of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10.0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most Of (4) float system. 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 every Zoeller pump. —' MAIL TO: P.O. BOX 16347 ') ' s Louisville, KY 40256-0347 Manufacturers of. . SHIP TO: 3649 Cane Run Road �O Z Louisville, KY 40211.1961 Q ,Tr 5wrE XRV ® PUMP !O, (502) 7 FAX (502) 774-3624 http: //www.zoeller.com 0 Copyright 2001 Zoeller Co. All rights reserved. • Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must � include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and di nce to nearest road. Please print all information.��,t fIr/ ewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s . �� Q L Propei:ty9wner J , Property Location (J u�L L( �x/ Govt. Lot 1 /4� 1 /4 S 3 T a� N R ' (or) Property OwneP4 Maili Add Lot # Block # I Subd. Name or CSM# City State Zip Code Phone Number ❑ city ❑Village XITown Nearest 900 New Construction Use. esidential / Number of bedrooms Code derived design flow rate J 9 GPD ❑ Replacement ublic or ercial - Describe: Parent material Flood Plain elevation if applic ble ft. General commelft and recommendations: ' 003 i iLG9,� a Boring # Boring Pit Ground surface ele> ft. Depth to limiting factor ��_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 'I 3 , -Y— Bori # Boring a Pit Ground surface elev ft. Depth to limiting fa cto;� Oi/ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 > Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 150 mgA- ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 8 0�� �3 715- 246 -4516 Property Owner _ Parcel ID # Page 2 of FT Boring # 0 Boring T IA pit Ground surface elev. v� ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 4 0 s z- �1 /V) -a Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil licetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots GPDfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD. > 30 < 220 mglL and TSS >30 < 150 mgll- ' Effluent #2 = BOD, < 30 mgA- and TSS < 30 mg1L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -6330 (RAM) -=- Soil Test Plot Plan Project Name Shelly and Jeff Kunde Shaun d Address 8266 Janero Ave Cottage Grove Mn 55016 CSW #226900 Lot Subdivision ------- Date 8/20/03 SE 1/4 SE 1/4S 3 T 28 N /13 W Township Rush River n Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post o f System Elevation 100.4' *HRPSame as Benchmark Alt. BM Top of Steel Fence Post @ 100.3' 100' B -3 s% Scale is 1" = 40' 99' Slop unless otherwise 98 , 60' noted B -1 B -2 5' Al 20' k t Fence Line M.a 10' s s < 300' Please note: Parcel was supposed to be field stake before testing, but the surveyor did not. Surveyor must verify all dimension and have tested area be inside proposed parcel 300 50th Ave POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 of $__ FILE INFORMATION SYSTEM SPECIFICATIONS Owner JEFF & .SHELLY KUNDE Septic Tank Capacity 1000 gal. O NA Permit # Septic Tank Manufacturer iIESERCONCRETE O NA Effluent Filter Manufacturer O NA DESIGN PARAMETERS Number of Bedrooms 3 13 NA Effluent Filter Model -10 66 00 12" x l t7 NA E NA Number of Commercial Units UNA Pump Tank Capacity al Estimated now (average) 300 gal/day Pump Tank Manufacturer WIESER CONCRETE ❑ NA NA Design flow (peak), (Estimated x 1.5) 450 al/da Pump Manufacturer ZOELLER PUMP CO 0 Soll Application Rate altda /ftiz Pump Model 152 O NA Influent/Effluent Quality Monthly average' Pretreatment Unit UNA ❑ Sand/Qravel Filter ❑ Peat Filter Fats, Oil &Grease (FOG) 530 mg /L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BO 5220 mg/L ❑Disinfection ❑Other. Total Suspended Solids (TSS) 5150 m /L P Manufacturer Pretreated Effluent Quality U NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- ground (gravity) ❑ In -ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ At -grade TS Mound Fecal Coliform (geometric mean) s10' cfu /100mi ❑ Drip-line ❑Other Maximum Effluent Particle Size Y. Inch diameter values typical for domestic (non- commarctao wastewater and septic tank effluent. •• values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspec t condition of tank(s) At least once every 2 ❑ months C1 year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1S) of tank volume Inspect dispersal cell(s) At least once every 2 ❑ months 11year(s) (Maximum 3 yrs.) Clean effluent filter At least once every 1 ❑ months . fkyear(s) Inspect'pump, pump controls & alarm At least once every 1 ❑ months Ryear(s) ❑ NA Flush laterals and pressure test At least once every 3 ❑ months pyear(s) ❑ NA ❑ months O year(s) ❑ NA Other At least once every Y Other. At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS . Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS inspector, POWTS Maintainer Septage Servicing Operator. Tank Inspections must include a visual inspection of the tank(s) to Identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up Inspected to check the effluent levels al cells shall be visually p of effluent on the round surface. The dispersal () Y or ponding g surface. The ondin of effluent on the ds e ground P 9 n I es and to check for any ponding of effluent on th g in the observation p p ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servicp report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. OWNERS: JEFF & SHELLY KUNDE Page 8 of 8 System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one, large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss, *diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products;' pesticides; sanitary napkins; tampons; and water softener brine. ABANDONIMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall' be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the vold space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction. and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. i • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS hnology a holding tank may be installed as a last resort to replace the failed POWTS. l j �h s a sit n ot been evaluated to i fy a suitable cement area on failure of the P S a soil and o ev a 'on mu erform d to a 61e rep la area. If area available a holding tan be ins as a last resort to replace the failed POWTS. CJ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWT INSTALLER POWTS MAINTAINER Name HELGESON EXCAVATION INC Name JOHNSON SANTTAT Phone 715/772 -3278 Phone 715/273 -5811 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name JOHNSON SANITATION Agency S CROI COUNTY ZONING Phone 715/273 -5811 Phone 715/386 -4680 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meet$ ;he minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(Q and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (2101) m s- l J C � � m N ,p ul tw ° zUn c � X11 x zrA• " 0 n ; o 9 -� o o° O d �-` N Z $ rrrrrr�� r oar �+ h n BATH 2, w, r rrrrr r� z - ��rri rr m rrrr�rrrrr� rrr4 rrr�$� rrr,rrrrrn p ° - rrr rrrrrrr 1 rrr�rrr C N rrrrrrr� rrr rrr�r'rr� rrr O O rrrrr. b "' rrr r V O tb C p a A r" rr r" `z z TCp rrrrrrrrlrr rrrr r rr rrrrr -ir rr O n rrr��rrrr��rr ° t� rr ¢ rr Fr rr a rrr o x �rrrrrrr2 O 4. rrrrrrm - o rrrrr 0 rrrr� o r m m b � s � f � r y 2 - rrr a O rrr- CIO o ° ^!•rrr � ti W o m iE O O ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer S- k � Mailing Address Ll r Property Address _ (Verification required from Planning Department for new construction) City /State `� _--- Parcel Identification Number w(�► LEGAL DE SCRIPTION N -R W, Town of � �� �� �� • Property Location �� / +, _ / +, Sec. , TsL �- Lot # Subdivision Certified Survey Map # 7�a OF 3 Yplume ,Page # `` Gre cC W - feGdrC elc s Warranty Deed # 7 01F 7 , Volume �- S Page # Spec house O yes W no Lot lines identifiable f yes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Prop into the s 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. The property owner agrees to submit to St. Croix 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 wastewaterdisposal 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. Uwe, 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. CCerditatioa stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Officewithin, 30 days of the three year expiration date. Z ±1A1 03 DATE �fO NAA OF APPLICANT OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the pr rty e ' d abo e, by vi a of a warranty deed recorded in Register of Deeds Office. SI OF APPLICANT ate „! �/ DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. �• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ' STATE I AR 9 UAL F M 1 1998 - 7 , 4 2 0 8 4 ' WARRANTY DEED H. 3 REGISTEk OF DEEDS Document Number ST. CROIX GO., WI -- RECEIVED FOR RECORD h J W. Johnso This Deed made between Elmer t and Marian M. J ohnson I 10/01/2003 12:10PN i WARRANTY DEED Grantor, EXERT N and Jeffery D Kunde S hel l ey n -Yu nd-e --- REC FEE: 13.00 aR hlishancl anA w1i TRANS FEE: 105.00 COPY FEE: 3.00 CC FEE: Grantee. _ PAGES: 2 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County. State of Wisconsin � FZe , hug Art :i (the "Property Name and Return Address Beginning at the Southeast corner of the 3e PC Ku,-,cle- Southeast Quarter of Section 3, Township 28 14 - 7 5 11 +r, Avt_ North, Range 17 West, Town of Rush River, St. Cr 1 NO- WP0 mN 55055 Countv, Wisconsin; thence North 0 degrees 29 minutes 43 seconds East along the East line o said Southeast Quarter 639.14 feet to the southeast corner of Lot 2 of that Certified li Survey Map as recorded in Volume 17, Page 4445; thence westerly along the south line of said part of 028 - 1009 - 20 - 000 Lot 2, North 82 degrees 25 minutes 02 seconds Parcel Identification Number (PIN) II, West 601.61 feet to the southwest corner of This ; G homestead property. said Lot 2: thence South 20 degrees 07 minutes O( ) is is not 30 seconds East 332.11 feet to the northwest corner of Lot 1 of that Certified Survey Map as recorded in Volume 7, Page 1828; thence easterly along the north line of said Lot 1, South 89 degrees 12 minutes 09 seconds East 225.00 feet to the northeast corner of said Lot I.; thence southerly along the east line of said Lot 1; South 0 degrees 47 I minutes 51 seconds West 400.00 feet to the southeast corner of said Lot 1, said point lying on the south line of said Southeast Quarter of Section 3; i thence easterly along said south line, South 89 degrees 12 minutes 09 seconds East 257.17 feet to the point of beginning. i Said parcel contains 5.70 acres (248288 square feet) Together with all appurtenant rights, title and interests. i, Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except I! I Dated this 23 day of September 2003 (SEAL) Elmer (SEAL) i L * Elmer W Johnson /-Z�.� EAL) (SEAL) * Marian M. Johnso AUTHENTICATION ACKNOWLEDGMENT Signature (s) State of Wisconsin, ss. S Ckoz�x County. authenticated this day of Personally came before me this Z 3 day of I' S £ P - r EL sn A3 $,2 ZC.JO 3 , the above named I 'r C.'rcE2 y—'w ��`fNSCS -j .AO -�o I * I TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, _ me known to be the person 5 who executed the foregoing authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. I! i i; j I! THIS INSTRUMENT WAS DRAFTED BY &&An ka A 1 Y% L I..1.. 0(� d Wfeoondn Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not �20�a� , ) necessary.) I: " Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. WARRANTY DEEP) FORM No. I - 1998 Milwaukee. Wis. 4 U 2925P 260 - DkSC.Y 1 OAS f 1 lotu 3 �� o O � �S m volurne POL gz - °? �. �CD a-Z3 KA'j.__aEN H. WALSH REGISTER OF DEED, ST. CROIX CO., WI RECEIVED FOR RECORD 10/01/2003 12:1(PH CERTIFIED SURVEY MAP EXEMPT # Fry. 13 0i TRANS FEE: CERTIFIED SURVEY MAP CCpCPFEE: 3.00 LOCATED IN PART OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUA W& ACTION 3, TOWNSHIP 28 NORTH, RANGE 17 WEST, TOWN OF RUSH RIVER, ST. CROIX COUNTY, WISCONSIN LEGEND Prepared for and at the request o£ Drafted by: Bradley Canaday 0; County Section Corner Monument of record Owner: Buyer: 0 Iron pipe monument found, ["in diameter Elmer & Marian Johnson Jeff and Shelley Kunde O 1 "x 24" iron pipe weighing a minimum of 1.13 1884 50th Street 8266 Janero Avenue South pounds per lineal foot, set Baldwin, Wisconsin Cottage Grove, Minnesota 55016 LOT 2 715- 684 -2268 I 651- 230 -4585 c�,E,�tIIFIEQ su Ry�Y M� GRAPHIC SCALE sw coR. LoT 2 VOL. 17, PAGE 444' o loo' 200' SOUTH LINE LOT 2 25 02 W 601.61 SCALE IN FEET: 1 INCH = 100 FEET 578 g5' EI /4 CORNER SECTION 3 N N ALUM. CAP FND. 1 N I � 22.68 i n \ < �•J I SE COR. LOT 2 I M I LOT 3 w 1 ai z l W . I tu rn Q� ` Q TOTAL AREA Y z ml N N Jq I JAI \` 5.70 ACRES (248288SQ.FT.) ml Ny � I Z AREA EXCLUDING R /W'S F,I C I W W Z 11.5 �N N 5.19 ACRES (225995 SQ.FT.) ai W I /; I J O Q) i O h W Q� CD H o I c �� W ZII 100' NW COR. LOT I NORTH LINE LOT 1 rN E CORI LOT 1 I S89 °12'09 'E 225.00' If REC. N 90 °00'00 "E It W Qj I LOT I It N -1 I P0 CERTIFIED - It o g1NN It z 1W ` ON�SGO S� _SURVEY MAP 1 � 2 / M ti S 7, PAGE 1828 O z Y o ro C /� I ARADLEY j. -VOL. - - - - - - - - - -- O o��l 2 � � $ / I N CANADAY / o S -1462 4 40// 4a k" o I O I RIVER FA 3: 3 r` W � 1 Z WI o -_ K) 4Z Q 10 7 4 0 h o C( 1NTY ti io SETBACK N/� 6 ( WI I p1 0 0 LINE S / _ v _ It h Y- 0+ W � 1 O )I i �r /� T X. I �(Il � S � Q '� / W M N 9n 1 �, _',rS �nrm9911iei3 p AZJll`l/ It 2 o N ZI SE COR. LOT I O_ I 00 3 SOUTH LINE SE 1/ _ O I / S89 °12'09 'F�.�234.01' 66' SURVEY MARK NAIL FND. 37.20' 87.88' � 108.93 33' 1 33 " 1 100 "s or SI /4CORNER S89 °12'09'E — h — — —� — — — — ' i �i . 11 be SECTION 3 ro $ , * CENTERLINE 2 .16 M� M' 87.88 147.09 IOU Wisconsin D.O.T. No. 55- 94- 3813 -2003 M � S 89 0 12'09 "E 257.17' SE COR. SEC 50TH AVEtr _REC. N90 °0000 "W _ _ _ 2 "IRON PIPE: FND_ _ Bearings are referenced to the East line of the Southeast QuadWf Section 3, Township 28 North, Range 17 West, which is assumed to bear North 0 degrees 29 minutes 43 seconds East. U N PL AT T E D LA S Prepared by: Note: Each parcel on this map is subject to State, County, and BRADLEY CANADAY SURVEYING Township laws, rules, and regulations (i.e. wetlands, 6976 26th Street Court North minimum lot size, access to parcel, etc.). 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