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HomeMy WebLinkAbout034-1014-20-050 •t of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 'ioq INSPECTION REPORT Sanitary Permit No: 463172 0 MATION (ATTACH TO PERMIT) State Plan ID No: provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. e: City Village X Township Parcel Tax No: Springfield Townshi 034 - 1014 -20 -050 clev: Insp. BM Elev: BM Description Section/Town /Range/Map No: 07.29.15.98b � TAt% ORMA TION ELEVATION DATA MANUFACTURER CAPACITY STATION BS � I FS ELEV. Septic / B rk rr , Dosing � �Qd Alt. BM Aeration Bldg. Sewer 9-9% q7 V Holding St/Ht Inlet �. rz. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Zq Lf 7 i Lo i Dt Bottom 1 5.40 y/. Dosing Z'4 1+ , � / Header /Man. Z .Zl /os Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade 2-1 /t6 • A6 Manufacturer rr �/� Demand St Cover�tt L.t GPM 9%L&A, S. 1.6 !S Model Number � ,�� /9, L- _) S.3 /6P TR TDH Lift Friction Loss System Head TDH Ft 1.3T2 0.. 3 -Z_'� CIS Forcemain Length I Dia. i Dist. to Well I� / z A,✓ SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7.5 SETBACK SYSTEM TO A I P/L BLDG IWE LL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type OP6 ystem: Z' i UNIT Model Number: Q c� DIS TRIBUTION SYSTEM Header /Manifold Distribution / Z x Hole Si-z -e� „ x Hole Spacing Venito Air Intake Pipets) \ \ 3 ,�� i + �L \ 3 �y 36 i " . C � - Length Dia length Dia acing .-�' SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 1 Depth Over xx Depth of eded/Sodded xx Mulched Bed/Trench Center / Bed/Trench Edges Topsoil g p ` � Yes 0 No s No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:�/ 1 / Dy Inspection #2: / / Location: 2757 110th Ave. Glenwood City, , 1 54013 (NW P4 NE 1/4 7 T29N NA Lot 26�4 � mo Parcel No: 07,29.15.98b 1.) Alt BM Description = , C " ��w'� LOC.�� 2.) Bldg sewer length = N O W OK - amount of cover = T c l �� A I S i9ws�t �Ilw,� w�11.. ^ Clvjc Plan revision Required? Yes o l Use other side for additional informati n. Date Ins toe gnature Cart. No. SBD -6710 (R.3/97) r r d• Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 / . / IN �seons�n Madison WI 53707 - 716 Sanitary Permit Number (to be filled to by Co i De artment of Commerce (608) S IB Sanitary Permit Applieati State Plan I umber I In accord with Co 83.21. Wis. Adm. Code, persona) information you provide ` 7-7 mm may be used for secondary purposes Privacy Law, s Project Address (if different than Mai ing address) G ENE d i �) - 7 53 I. Application Information - Please Print All Information I _ Property Owner's Na me NM arcel p t Block N /I /L ���� I�GOUIVII _ Properry Owner's M ailing Address ZONING O operry Location 0 / t � .r City, State hone Numbe � � �' C Zip Code � ` Pr `�' t '� , IL- f' '.f ,Section �. �--- � ��� � Cy ( circle one) LA_ � T. ( N. RZ�EE or W II. Type of Building (check all that apply) 1 or 2 Family Dwelling - Number of Bedrooms p2(�yn S4 I CSM N / tuber Public /Commensal - Describe Use 1,110 qLW !—� Dv T wnshi "f ❑State Owned - Describe Use � , �� l `'' � "�!✓ ❑Ciry_ illage X,' o pro Vk III. Type of Permit: (Check only one box on line A. Complete line B if applicable) t IA New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. Permit Renewal i J Permit Revision ❑Change of J Permit Transfer to New List Previous Permit Number and Date Issued I � Before Expiration Plumber Owner IV. Type of POWTS System: (Check all,that appl _ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil (Mound < 24 in. of suit able soil ❑ At -Grade Single ass Sand Filter "N— Constructed Weiland Pressurized In- Ground Holding Tank "❑ Peat Filter ❑ Aerobic Treatment Vnit Recirculating Sand Filter t Li Recircuiaung Synthetic Media Filter El Leaching Vamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow ( Design Soil Application Rze:,(gpcfio Dispersal Area Required (so Dispersal Area Proposed (so System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel I Fiber j Plastic Gallons Gallons of Units Concrete Constructed ! Glass New Exisung Tanks Tana Septic or Holding Tank 6 C _ Aerobic Treatment Unit 11 b c,& Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for ' tauation of the POWTS shown on the attached plans. Plumber's ;Na me (Print) Plum is Si gnature P/ PPS Number Business Phone Number Plu ber's Addre ss (Street, Cry, State, Zi C ) VIII. ntv /De artment Use Onl t l Sanitary Permit Fee (includes Groundwater Date Issued Issuing Age) Signa e o tamps) Approved Disapproved Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of ApprovaUReasons for Disapproval � STEM OWNER 1 optic tank, effluent filter and �, 2 dispersal cell must all be serviced / maintained as per management plan provided by plumber. /� , � se ac requiremen s must a maintains - � �`C as per applicable code /ordinances: Attach complete plans (b the onn )for a s n pa r t IK. /81 x t ZIBC s ilu ' SBD -6398 (R. 01/03) � [ I J SAFETY WARNING — Risk of electric shock. This pump is SAFETY GUIDELINES supplied with a grounding conductor and /or grounding 1. Read all instructions and safety guidelines type attachment plug. To reduce the risk of electric thoroughly. Failure to follow the guidelines and the shock, be certain that it is connected to a properly instructions could result in serious bodily injury grounded grounding type receptacle. and /or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR Your 115V effluent pump is equipped with a 3 -prong EXPLOSIVE FLUIDS SUCH AS GASOLINE, electrical plug. The third prong is to ground the pump to FUEL OIL, KEROSENE, ETC. DO NOT USE IN prevent possible electrical shock hazard. Do not remove EXPLOSIVE ATMOSPHERES OR HAZARDOUS the third prong from the plug. A separate branch circuit is LOCATIONS AS CLASSIFIED BY NEC, recommended. Do not use an extension cord. ANSI /NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJURY When a pump is in a basin, etc. do not touch motor, pipes AND /OR PROPERTY DAMAGE. or water until unit is unplugged or shut off. If your 3 During normal operation the pump is immersed in installation has water or moisture present, donottouchwet water. Also, during rain storms, water may be area until all power has been turned off. If shut -off box is present in the surrounding area of the pump. not accessible, call the electric company to shut off service Caution must be used to prevent bodily injury to the house, or call your local fire department for when working near the pump: instructions. Failure to follow this warning can result in fatal electrical shock. a. The plug must be removed from the receptacle The flexible PVC jacketed cord assembly mounted to the prior to touching, servicing or repairing the pump. pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice b. To minimize possible fatal electrical shock hazard, between the pump and the control panel must be made extreme care should be used when changing within a junction box and mounted outside of the basin, and fuses. Do not stand in water while changing fuses comply with the National Electrical Code. Do not use the or insert your finger into the fuse socket. power cord for lifting the pump. 4. Do not run the pump in a dry basin. If the pump is The pump motor is equipped with an automatic resetting run in a dry basin, the surface temperature of the thermal projector and may restart unexpectedly. Projector pump will rise to a high level. This high level could tipping is an indication of motor overloading as a result of cause skin burns if the pump is touched and will operating the pump at low heads (low discharge restriction), cause serious damage to your pump. excessively high or low voltage, inadequate wiring, incorrect 5. Do not oil the motor. The pump housing is sealed. motor connections, or a defective motor or pump. A high grade dielectric oil devoid of water has FLOW- LITERS /MINUTE been put into the motor housing at the factory. Use of other oil could cause serious electric shock o so 160 240 320 and /or permanent damage to the pump. 60 15.0 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum 40 12. motor heat transfer and lifetime lubrication of the w bearings. Use of any other lubricant could cause w 10.0 damage and void the warranty. This lubricant is 30 - non - toxic; however, if it escapes the motor 5 housing, it should be removed from the surface 7. Q 20 Q quickly by placing newspapers or other absorbent a Q material on the water surface to soak it up, so w = 5. o s aquatic life is undisturbed. 10 2.5 7. In any installation where property damage and /or personal injury might result from an inoperative or 0 0 leaking pump due to power outages, discharge 0 20 40 60 80 loo line blockage, or any other reason, a backup FLOW GALLONS /MINUTE system(s) and /or alarm should be used. PUMP PERFORMANCE CURVE V 67/11Jf 115V 60HZ Aobe& q&7-( 3 LITTLE GIANT L SUBMERSIBLE Pump Company EFFLUENT PUMP OWNERS MANUAL FOR 9EH — CAUTION — READ SAFETY GUIDELINES AND INSTRUCTIONS CAREFULLY or • SAFETY • INSTALLATION • OPERATION • REPAIR World's Largest Manufacturer of Centrifugal Pumps f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 1n , OWNERSHIP CERTIFICATION FORM Owner/Buyer LT S& Lc- Mailing Address JTZI eAhe & X7`02 Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number O.3 c/ — / N Y `.�2 a LEGAL DESCRIPTION Property Location AI�J 11 /,, V6 '' /,, Sec. T 2�_N -R��W, Town of Sa•2�.eJGt� . Subdivision , Lot # 2 - Certified Survey Map # Volume Page # q_5- . 2 Warranty Deed # a Volume Page # �� S Spec house ❑ yes �z no Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE 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. 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 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. 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. Certification stating that your tic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the e y ar expiration date. J?/ / o j SIGNATURE OF APPLICANT DATE 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 owner(s) of th�perty es c ' e bove, by virtue of a warranty deed recorded in Register of Deeds Office. X SIGNATURE OF APPLICANT 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 7 l A FRW NrIVITIL"IND PLUMB,AG, INC, VPk Nil;,. 715-643-25210 Pi ST C,14-01X t SEPTIC TANK MAINMINANCE AGRBEN1MNT AND OWNER S.MP CTRTrFMATION FORM ......... . . . ........ . Mailing Ad&ess JA 1120 1& III-upotty I (Verification required from Plann- in& Departmi:nt tof DOW C Parcel Iduritificatiesi Numbor City/stato Ste, N-11 ToWt Of Property Location , Lot subdivisiou —7! Page Certified Survey Nj:tP 0 '7,3 -9—qL, Volum e Wan Deed V01=0' Page Spec house U yes td no Lo' ILICS idelitifiablO YOS 0 110 5YSTE,M MAOTINANQ SYS01 main lutprop use and m3interance of Your septic 6 could result is M Pre= tue failure to hazdlo wastes. proper t yall put into tho., fouabOO cousists of pumping Out the stptic. lank every three years fir soomr, if acr.tird by R uccusr.d purnput. Wba can atffcct t L c fi ,i of tho qcptio tank as a treatment stage La the waste disPOSAI $Ystc= The pmparty owner Agrm 10 submit to St Croix Zoning 00palment a ccrtifivatiou fG1141., sipad by the owr= and by a mutorp G d Ur 3C aying that (1) the o"ite wastewaterdisposel 6ystcm , man plumber, testricmd phunber ota I i casc p iij r Ye r is in proper operating COUdItWIL nfld/01 (7) Allor iupcctiou hud pumping (if nc-ceagary), O-C Septic UUk is Imb UUW 1/3 full of sludge, ,Vwc, the udersipcd have read the above xcqvitcrncats and azrte t maintain the. private sewage &'pogal SYMM Witt' the srr set forLb, ht.1ciij, as set by thn Tkpa=eat of Commorcc and the DoyaALLucat of Natural R usotxrr er, , ,3t a t e o f wiscousin. Cartific4tion d to the St. Croix COWY ZON-ng 0'04.1"'T""31 30 se abtp, that you; s aftm has been mainvaluod uiurt bu co-pletod and retumt 411%0[f the duce SIGNATUR2 OF APPLICA1 . I ( J 4 all st atemeats on this furor, are true to the best o f my ( L I (wv,) tam Care) 0 0 WU ar( 01* the pi p.•ty dc4c?* dAbove, by viziuc of a wx-a-Anty dcoi recorded in Register or l3ceds WFIC0. STONATUTRE OF APPLICANT DATE *0401* An, dja Zolaing DCPAMICkir, y inforinatioii 01atis I nc l u( j e whir ti,i% application: a stAinp6d warmn%y dL;c:rj front tine Register of Deeds offto n r of the certified survey map if referevtct UN UAL14, W 01% W611vauty doed 32AM r M u O LO II U d _ ` y U c S C v a z ° y t U v W W U A n a) O ca 7 � � C � O Y Q � O . O C) p ID a) V O o p c LO c d v G w rn U c U O L O ti vi = a O m a m a`�i t� 4 CL N `O p) O m .� .0 M o 3 CL o '6 N / 'a N C ° C) O C) O ti� c n— E L r- L > n m v cis I I �O Q N G N Q o O 00 E , E O _J 11 O O c C) o N M Q O ao m y , O Zo \ QQ m v 0 CL p to N O Q) co �_ c O �Q N - O m 2!1 II O G \ O O O co C) N (D a) co - - - - - - - -,�, CL CD N X co / E II 'p N a7 11 U N U d O Cl n N N O O- M 0 c ° ani8m o v 3: � 3 n _ o rn °) v) a) w Q L fd U) Z E n �zJCn Ec \ ° n0 O° nc m o m 1 1 I1 ! 2 O m 'c E a aw Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isco ns i n www•commerce.state.wi.us/sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secret June 11, 2004 CUST ID No. 42258 A7TN: POWTS Inspector ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL ZONING OFFICE 124 1/2 GRAHAM AVE ST CROIX COUNTY SPIA PO BOX 1645 1101 CARMICHAEL RD EAU CLAIRE WI 54702 -1645 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPII( ES: 06/11/2006 Transaction ID No. 00600 SITE: Kurt & Elizabeth Christensen Site ID No. 684627 110TH Ave Site Town of Springfield, St Croix County NW 1/4, NE 1/4, S7, T29N, R15W Lot 5 (Proposed Lots 1 and 2) FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 962040 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. Approval is hereby granted pursuant to Comm 85.60 (2), Wis. Adm. Code to estimate the depth to seasonal soil saturation based on an interpretative determination. This approval and determination negates the requirement in Coin 85.30 (2) (b), Wis. Adm. Code to designate the ground surface as the highest level of saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. At least 30 inches of sand lift on top of a 6 inches minimum of unsaturated in -situ soil for adequate treatment and dispersal is required. 3. The basal soil application rate shall be 0.2 s2d/ft ^2, and the linear loading rate 4.0 gpd/foot. 4. Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum that is weakly structured and slowly permeable. 5. Landscaping up slope of the mound shall be incorporated into the mound design to divert surface water drainage around the mound system. 6. Perimeter side slopes on the mound shall be at least 4:1 rather than the standard 3:1 slope ratio. 7. Up slope surface water diversions are required to ensure the mound areas down slope remain a dry as possible. 8. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change of if saturated conditions were observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 9. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 10. A copy of this approval letter and attachments must accompany the mound system plans for this site. Op rimrle. Governor ELI M GOMRMD Page 2 6/11/ ' A copy Of the approved plans 04 inspection b specifications and this letter shall be on- y authorized representatives of the De site Burin c were submitted in lieu o Departm g construct Of a nt tru ' Plans that correspond with a full 1 ,Which may include local ' ct�on and open to p the co P ansets, a copy of this approval letter on If municipality shall be obtained o co copy °A file with the De and index sheet shall in dex sheets prior t Department. All permits required b local to In granting com mencement of construc tion/installati on / o Y the state or g this approval the Division of Safe the local conditions arise m gs r eserves Saf &Buildines Peration. shall relieve akm them necessary for code compliance. es the right to re the designer of the responsibility quire changes g p per state stars 101 l2 ges or additions should Inquiries concerning ' for designin a safe buildin (2) nothin in on th is letterhead. g this correspondence ma g structure, or coin g t his review y be made to me at the telephone component. Sincerely, phone number listed below or at the address • Fee Required $ Fee Rec ied 100.00 ev Leroy G, $ 100.00 kY, Wastewa Balance Du Integrated Services B ter Specialist e $ 0.00 (7I5) 726 -2544 Voice ` (715) 72 6 -2549 Fax Ijansk Y@c 0 zn 1 nerce.stat e.w i .us l< p. I: c i i' ' r i 3! Safety and Buildings commercem.gov 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 i scons i n TDD #: (608) 264 -8777 www.commerce.wi.gov /sb/ t epart ment of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 13, 2004 CUST ID No.42258 ATTN.• POWTS Inspector ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL ZONING OFFICE 124 112 GRAHAM AVE ST CROIX COUNTY SPIA PO BOX 1645 1101 CARMICHAEL RD EAU CLAIRE WI 54702 -1645 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 1011312006 Identification Numbers Transaction ID No. 1065775 SITE: Site ID No. 690240 Milt Sell Please refer to both identification numbers, 110TH Ave above, in all correspondence with the agency. Town of Springfield St Croix County NW1 /4, NE1 /4, S7, T29N, R15W Lot: 2, FOR: Description: Two Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 983748 Maintenance required; 450 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade; r System: 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. 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). ( o! r(1h :f "a' • This plan has an approved Soil Saturation Determination associated with the design. The interpretive A _ 4 I determination has been assign a Transaction I.D. Number of 888116. All of the conditions of that approval VEP RP PENT a- t shall be upheld f I r � •r the 'Construction and maintenance o is system. � • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. SEE Co —zRE1 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 ELI M GOTTFRIED Page 2 10/13/2004 • 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 � p designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A cony 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. Repo g p rp p rts 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 � /7 Fee Received $ 175.00 lid G Balance Due $ 0.00 Charles L Bratz POWTS Reviewer I1, 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 Lyle J Meyers, Northland Plumbing Inc (Plans Mailed To) f - Private Sewage System Plan Index /Checklist Plan ID #: Owner's Name: NA; Interpretive Report: 888116 approval: July 21, 2003 Milt Sell Legal Description: Address: NW NE 07 29 15W 327 Wildwood Circle, Roberts, WI. 54023; 715 -749 -4299 City/Village /Town: County: Springfield St. Croix Page # Four copies Comments /Special Instructions 1 a,b of 9 Site lay -out 2 of Mound Cross- section ❑x Return by Mail 2b of 9 Mound Footprint 2c of 9 Diversion Trench 3 of 9 - Lateral lay -out ❑ Fax Letter to County! Submitter 4a of 9 Tank Cross section Fax number: 4b of 9 Additional Specs ❑ Call for Pick -up 5 of 9 Pump Curve 6a,b of 9 Soil and Site Evaluation ❑ 7 of 9 Plot plan Other I, the undersigned, hereby certify that the plans ��.r•�l S and specifications submitted * 40• G O N . •• herewith were prepared under my �'� \ •• S� % # • direction and control ��. ELI M. `- These plans have been designed according to the � 'TTFRIECI GO criteria set forth in the Mound Component Manual ' ° 131 for Septic Tank Effluent for POWTS (SBD - 10691- � N�. Signature "r? el -�� J) ate P) (R.01 /01) and the Pressure Distribution Manual for POWTS (SBD - 10706 -P) (R01 /01) '•� Q► ��� ��IIO•U {ttt Plumber / Designer Credential # Eli M. Gottfried 42258 Address City St. Zip 124 -1/2 Graham Av Eau Claire WI 54701 For Office Use Only Signature Ut j y IF C() AN t DING Additions: 8 of 9 - Management Plan 'PobjOE 9 of 9 - Management Plan Attachments: 1) Application 2) Soil and Site loo Report 3) Plot Plan 4) fee SEP 2 3 2004 SAFETY & BLDGS DIV. Z � - N o / / o co / 3E ` a�V ° Y rs %8£ `on I C7 [v til U O � m w I � E ; o I — a I I o E � o sa m � [tea / i I in I o o _ " U � U 5 Cf V? a Z U o 6 4 N � O � � ❑ N N itl C7 W W U q n I O to =3 0 0 � O Q� O Q N O + O O o co Co U O p v E u U O c O p m v= W CD - O) O U) = CL cu O N N L f -- -- M o 3 ° rn o o O :4 c Q ° o 0 0 O E Q o m a II �O N N N C N 0 O 8 E E O J N - 11 � O c O o N M Q O QO co r p N O Qj co �O r C c m `p O Co ° Ci ter. - - -- ?-,, 11 off° > c �y- - _ O c CU O �- \ U > CL CL Z - - - - Z c M N co X N tl a %' N CO 11 % d a N --2 � O U) d p >�_ m i rn p c Q o p Co n W 2 �\ r.- Mn W rn rn v (n Z C14 C ^ -0 LO \� O O E a' Z J (n . E M \ 'O d.) .` N O p CO N > N W I � - GOTTFRIED ENVIRONMENTAL For: Sell Date: September 9, 2004 NOT TO SCALE K L J W I observation pipe observation pipe distribution pipe / permanent rnarkers bed., 1/2" - 2 112" aggregate approved synthetic fabric AS1tvF33 sand - - - - -- - - - - - - - - - H - -- 6 " topsoil - - - - - - - - - - f E D Tilled Area Bed of 1/2" - 2 1/2" aggregate: 6" aggregate below pipes 2" aggregate above pipes grade maximum slope: 3% maximum Dimensions: (feet) Loading rate in ASTM C -33 sand = 1.0 gpd/sgft.; 300 gpd / 1.0 = 300 sgft. A = 4.0 B = 75, center feed - 37.5 feet on either side of "T" K = 13.06 (3:1 slope on ends of system) L= 101.11 J = 10.44 - based on a 3:1 slope I = 17.78 - based on 4:1 slope W = 32.22 D = 2.50 = 30 inches sand fill E = 2.62 = 32 inches sand fill F = 0.792 G = 0.5 H = 1.0 Basal Loading Rate: 300 / ((75)(21.78)) 0.18; inear Loading R ate: 4.00 See additional information on up- mound footprint dimensions, slope sizing and diversion ditch - page 2b, 2c of 9 Page 2 of 9 GOTTFRIED ENVIRONMENTAL Dimensions and Footprints for gravel, sand, and fill 1x ft . U ft. gravel - W ft. sand I ft -- -- fill — - - Gravel: Dimensions: 75 ft. x 4 ft. Sand: x = 6.88 ft. (based on 3:1 slope) w = 11.91 ft (based on 4:1 slope) u = 7.05 ft (based on 3:1 slope Overall sand footprint = 89.14 ft x 22.79 ft Fill: I = 17.78 ft. J = 10.44 ft. V (K on previous page) = 13.06 ft. Overall fill footprint = 101.12 ft. x 32.22 ft. Sand fill amount: (75'* 4'* 2.62' (max)) + (V * (2) * (7.05'* 2.56' (ave) * 4') + (M * (11.91'* 2.62'* 75') + (' /�) * (6.88 * 2.50'* 75') _ Under gravel Under K end Under 1 end Under J end Total sand fill: 786 sf+ 72.192 sf+ 1,170.16 sf+ 645 sf= 2,673.35 sf= 99.01 yd ^3 25% increase: 123.77 yd ^3 Installer: Sand amount is an estimate only. Please check this figure and compare it to similar sites that you are familiar with. Page 2b of 9 GOTTFRIED ENVIRONMENTAL -- C - - - -� Gradient to blend into Z natural landscape S T W X — Y o B B B 5:1 slope all around ditch except storm water outlet from ditch. Stormwaterto be diverted around south end of mound soil absorption system. DIVERSION DITCH DETAIL B A =1ft. B =5 ft. C =90 ft. D =1ft. Grade Elevations: Trench Elevations: S= 102.40 ft. S= 100.40,A= 1.0 ft, B= 10.0 ft, D =2.0ft. T = 102.40 ft. T = 100.60 ft. W = 102.40 ft. W = 100.80 ft. X = 102.40 ft. X = 101.00 ft. Y — 102.40 ft. Y = 101.20 ft. Z =102.40 ft. Z= 101.40 ft., A = 1.0ft., B = 5.0 ft, D = 1.0 ft. The bottom of the trench should be smoothed so that water flows evenly from the north to the south end. Total drop from the north end of the diversion ditch to the south end is 1.00 feet. Drop is 1/8" per ft. Location of diversion trench should be located far enough upslope of the mound to accommodate the 1:5 slope of the trench. Page 2c of 9 GOTTFRIED ENVIRONMENTAL :PlPE LAY -0UT n view pipe end NOT TO SCALE Z § 0 Endcap P ENDCAP p � TO ENDWALL X12 X X Y TO SIDEWALL "X" SPACES MUST BE EQUALLY SPACED. ' Y" SPACE IS VARIABLE AS NOTED ON PLAN. ALL HOLES MUST POINT DOWN. LAST HOLE MUST BE NEAR ENDCAP. access cover endc / side view of pipe w/ turn -up - - - - ange L 11 J/_ o 0 For: Sell Date: September 9, 2004 Hole density per cell = <12sgft.; 300sgft / 12 sqft / hole = 25 holes. Proposed holes = 15 per pipe. Distance from lateral to downslope sidewall (ft): 2.0; Distance from lateral to upslope sidewall (ft): 2.0 Distance from end cap to sidewall (ft): 1.25; P (ft) = 36.25 = 435" X (in) = 30 Y (in) = 30 - distance from last hole to next to last hole distance from manifold to first hole =' /2 X = 15 inches hole dia (in) = 3/16 q = 11.79 *d(exp2) *2.5(exp1 /2) = 0.655 lateral dia (in) = 1 -1/2 manifold dia (in) = 2 force main dia (in) = 2 # holes /pipe = 15 invert elev of laterals (ft) = 104.88' force main length (ft) = 100 GPM = 19.65 friction (ft)= 0.83 1) Note that ends of distribution lines must be provided with access boxes. 2) Turn -up must be long 90 degree sweep or 2- 45 degree bends Note that calculations on this sheet are based on the Mound Component Manual for PO WTS SBD -10691 (R01 /01) and the Pressure Distribution Manual for POWTS SBD - 10706 -P (ROI /01) Page 3 of 9 m hole junction bo vent cap manhol manhol ni i2 in, mi conduit 4" minimum 4" minimum 4 e i t se n i baffle i Quick Disconnect water tight seals A outlet Zabel filter B — 1 T 1/4" mej hole C � off i pum D p concrete block 3" of bedding under tank GOTTFRIED ENVIRONMENTAL For: Sell; date: September 9, 2004 SEE FOLLOWING PAGE (PAGE 4b OF 5) FOR ADDITIONAL NOTES Capacities: Internal dim: Depth inches gallons length: 150" (average) A 15.83 265.33 width: 84" (average) B 2 33.52 liq. dep: 42" C 2.97 49.75 D 15 251.40 Pump: Giant Bottom of um tank = 94.00' P pump Model: 8E series Elev of pump = 95.50' Switch: Manual Elevation of laterals = 104.88' Combination Tank Manufacturer: Wieser Vertical dif. between pump off and dist. pipe: 9.38 ft Tank Capacity: 1000 / 600 nominal Minimum network supply pressure: 1.3 x 2.5 = 3.25 ft. Actual Capacity: 1171/703 100 ft. Force main = friction: 0.83 ft. Gallons per inch: 16.76 Total dynamic head: 13.46 ft. Alarm Manufacturer: SJ Electro OUTLET SIDE OF SEPTIC TANK MUST BE EQUIPPED Model Number: Tank Alert I WITH ZABEL FILTER. MODEL A100 DRUM STYLE Switch type: mercury FILTER.. Minimum Discharge Rate (gpm): 9.65 Note that Sch 40 PVC 4" ID pipe is to be used for vent pipes and inlet. For inlet and outlet pipes, Sch 40 PVC is to be used for a 20% of wasterwater flow = 60 gallons distance of 3 ft onto firm ground. 5x's void vol. Of laterals = 5 * 2 * 0.092 * 36.25 = 33.35 gallons Note that a smaller pump may be suitable if it can be documented Void volume = 0.164 * 100 feet = 16.40 that pump elevation is higher than elevation noted here and / or force main length is less than noted here. Code calls for dose to be > 5x's the void vol of the laterals and <20% of wastewater flow Dose = 33.35 + 16.40 = 49.75 gallons / dose Additional Specifications 1) Inlet and outlet pipes from septic tank and dose chamber: Schedule 40 pipe extending 3 feet onto firm ground. Joints must be approved. 2) Seals between tank openings and inlet and outlet pipes must be water tight. 3) Manhole covers must have an approved locking system and approved warning label. 4) Vent pipes must be 4" Schedule 40 PVC. All vent pipes must be 25 feet or greater from doors, windows, and fresh air intakes. 5 The um and alarm must be on separate circuits. p p p 6) The electrical junction box for the alarm and pump must be weather - proofed. Note that the calculations on sheet 4a of 5 are based on the Mound Component Manual for POWTS SBD -10691 (RO1 /01) and the Pressure Distribution Manual for POWTS SBD- 10706 -P (RO1 /01) I Page 4b of 9 I i LITTLE GIANT PUMP - ELIMINATOR - MODEL 8E 100 z P � T -1 4 r a 20 40 00 � i I i Page 5 of 9 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILL= INFORMATION SYSTEM SPECIFICATIONS Owner Milt Sell Tank Manufacturer Wieser ❑ NA Permit # Z� x Septic ❑ Dose ❑ Holding vol. 1000/600 gal DESIGN PARAMETERS Tank Manufacturer Wieser ❑ NA Number of Bedrooms 3 ❑ NA ❑ Septic x Dose ❑ Holding vol. 600 gal Number of Public Facility Units x NA Effluent Filter Manufacturer Zabel ❑ NA Estimated (average) flow 200 al /da Effluent Filter Model A100 Design (peak) flow = (Estimated x 1.5) 300 al /da Pump Manufacturer Little Giant ❑ NA In Situ Soil Application Rate 0.18 al /da /ft2 Pump Model 8E series Standard Influent/Effluent Quality Monthly average* Pretreatment Unit x NA Fats, Oil & Grease (FOG) :_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) :5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) !050 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Manufacturer Biochemical Oxygen Demand (BODS) 530 mg /L Dispersal Cell(s) ❑ NA Total Suspended Solids (TSS) :530 mg /L ❑ NA ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Feca Coliform (geometric mean) : cfu /100m1 ❑ At -Grade xx Mound Maximum Effluent Particle Size 36 in dia. ❑ NA ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 ❑ month(s) (Maximum 3 years) ❑ NA x year(s Pump out contents of tank(s) ❑ When combined sludge and scum equals one -third (i) of tank volume ❑ NA ❑ When the high water alarm is activated Inspect dispersal cell(s) At least once every: 2 ❑month(s) (Maximum 3 years) ❑ NA x year(s) ❑ month(s) Clean effluent filter At least once every: 3 X year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: 2 ❑month(s) ❑ NA Xx year(s) Flush laterals and pressure test At least once every: 2 ❑ month(s) x NA xx year(s) Other: At least once every: ❑ month(s) x NA ❑ year(s) Other: x 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 (pumper). 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 a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one -third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of :_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Page of START UP AND OPERATION Fpr new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and /or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended 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 and may overload them resulting 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) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. xx 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 1) Filter should be inspected periodically during the year; 2) For new construction, the tank(s) should be pumped prior to occupancy. Filter should be inspected for latex paint contamination if effluent level has reached the level of the filter prior to occupancy. POWTS INSTALLER POWTS MAINTAINER Name Mike Meyers - Northland Plumbing Name ABC Sewer - Tim Middelstadt Phone 715- 643 -2520 Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name ABC Sewer Name St Croix County Phone Phone say Wisconsin llepartment of Commerce SOIL AND SITE EVALUATION Page Of Division of Safety and Buildings •• in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8' /z x 1 I inches in size. Plan must include, but County St. Croix not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to the nearest road. Parcel ID # APPLICANT INFORMATION - Please print all information Reviewed By: Date: Personal infonnation you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property owner: Property location Milt Sell Gov't lot: NW 1/4 NE 1/4 S07 T 29 N, R15 E (orR Property owner's mailing address: Lot # Block # Subd. Name or CStv1# 327 Wildwood Circle 2 NA NA City 1 State / Zip Code Phone number: city Village own I Nearest Road Roberts / Wisconsin /54023 715- 749 -4299 Springfield 110 Avenue ® New Construction Use ® Residential/Number of bedrooms 2 Addition to existing building: NA ❑ Replacement ❑ Public or commercial - describe Code Design Flow Rate: Unknown - must be appropriate size for the contour and soil restrictions Parent Material: Glacial Till - ground moraine General Comments and Recommendations: Soils are somewhat poorly drained aqualfs or glossoboralfs underlain by clay loam. Redox features are the result of perching above the dense clay loam layer. A long narrow mound SAS is recommended for this site with 2.50 foot of sand fill. ON -SITE REQUESTED DUE TO THE PRESENCE OF REDOX FEATURES AT SHALLOW DEPTH. SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Redox Description Texture Structure Consistenc Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr, Sz. Sh. e GPD /FT` Eff#1 Eff#2 Ap 0-7 l OYR 3/2 NA sit 2fsbk mfr aw 2f 0.5 0.8 Ground Bt 7-12 l OYR 4/3 ft d hi and low sit w/ cl 2mabk mfr aw I f 0.5 0.8 Elev (ft.) 101.88 C1 12 -22 7.5YR 4/4 m3p 7.5YR 5/8 scl 1 fsbk vmfi as NA 0.2 0.3 Depth to C2 22 -30 5YR 4/4 m3p 7.5YR 5/8 cl massive vmfr NA NA NA NA limiting factor- in. 0 Remarks: C horizon - v. dense. Standing water at 30 ". Boring # Ap 0 -6 1 OYR 3/2 NA sil 2fsbk mfr as 217 0.5 0.8 p't 2 Btl 6 -12 10YR 4/3 fld 7.5YR 5/8 sit w/ cl 2fpl mfr gw If 0.2 0.3 Bt2 12-16 7.5YR 4/4 fld 7.5YR 5/6 sicl Ifsbk vmvfi NA NA 0.2 0.3 Ground Elev (ft.) C 16 -25 5YR 4/4 m3p 7.5YR 518 scl w/ gr massive 100.44 Depth to limiting factor- in. 0 C - saturated. Standing water at 25 ". CST Name: Eli M. Gottfried, Gottfried Environmental Signature: Tel. No. 715- 833 -1400 Address: 124 -1/2 Graham Ave. Eau Claire, Wl. 54701 Date: 27 June 2003 CST # 221981 I I SOIL DESCRIPTION REPORT Prop erty owner Christensen Parcel lD# Boring # Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD /FT Pit 3 UP I Eff#2 Ap 0 -7 1OYR 3/2 NA sil 2fsbk mfr ai if 0.5 0.8 Ground Bt 7-15 7.5YR 4!3 fl d 7.5YR 5/8 sil with Cl 2fsbk mfr gw 1 f 0.5 0.8 Elev (ft.) 103.4 C 15 -28 5YR 5/6 m2d 7.5YR 5/8 set lfsbk mvfi as NA 0.2 0.3 Depth to limiting factor- in. 0 Remarks: C - v. dense; standing water at 26" Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz, Cont. Color Gr. Sz. Sh. GPD /FTZ Eff# 1 Eff#2 B1 Ap 0-8 l OYR 3/2 NA Stl Ground Bt 8-10 l OYR 4/3 fl hi and low sil with cl Elev (ft.) 101.46 C1 10 -28 5YR 4/4 m3p 7.5YR 5/8 SO Depth to C2 28+ 7.5YR 4/6 m3p 7.5YR 5/8 cl limiting factor- in. 0 Remarks: hand boring Boring # Ground Elev (ft.) Depth to limiting factor- in. Remarks: Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD /FTZ Eff#I Eff #2 Ground Elev (ft.) Depth to limiting factor- in. Remarks: �I 0 � � o A z LO 2 co C) ° o ° o^ 0 o U N c7 w w U Q a� N O 0 C O o > Q Y C O O o o ° r V _0 n c "a O c O O O L C � O a m rn v C L- O L- O ° O m a ° (n ; 3 . O o n ° ° c QO O O O 0 co of Q 0 76 11 u O O N N L., n a) Q o 0 , co O nj 3 > O c O o N M Q O CO L% 0 — QO CD CL cp O O N O ` O Cl) a0 CU U M > . N CO O -- v M B O N r X N i m if in 2 LO U viU C o a( rn iii o m 3 N O O O \ >+ p-C Imo- 'O ' N V ($_ C r- �n a� CM — v Co m O 00 r �,- N N E- N O d"(-6 Or"��_ c"I V E n z - icn Emaf rr rl C. 00 $ 4? (6 W Z / SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street N *is�onsin INSPECTION REPORT Chippewa Falls, wl 54729 www.commerce.state.wi. us/sb Department of Commerce (715) 726 -25" Date of Inspection: July 11, 2003 Plumber Name and Address: Project Name: Christensen Use: New Residential Legal Description: NW, NE, 07, 29, 15W Site Number: 662296 Certified Soil Tester Name and Address: Subdivision: Proposed 5 Lot CSM Eli M. Gottfried, CST221981 Municipality: Town of Springfield 124 1/2 Graham St County: St. Croix ; - -- Eau Claire, WI 54701 Plan Transaction Number: 8 # 116 Owner Name and Address: Sanitary Permit Number: N Kurt & Elizabeth Christensen 877 Benoy Rd Wastewater Flow: 450 gpd /14 Hudson, WI 54016 Persons Present: E. Gottfrie (715) 386 -6340 and E. Christensen -- _�— An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and subsoil. In -situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such as percent and direction of slope, landscape position, land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. This parcel will be divided into five lots by a CSM. This report applies to specific areas and not to the entire area of each proposed lot. Lot specific reports will be submitted by the CST as interpretative determinations at a later date. This parcel has not been farmed for several years and is over grown with grass and weeds. During the preliminary investigation on June 10, 2003, with CST Tom Nelson, it was noted that many areas of the parcel had been disturbed, possibly by logging, and this made soil interpretive evaluations more difficult. Efforts should be made to avoid disturbed areas for detailed soil evaluations in the upper 12 inches of the soil profile. Nevertheless, several typical soil profiles can be described as follows: T -1 Lot 1 00 -06" 10YR 3/2 sil, 2m -cgr, mfr, cw. 06 -11" 10YR 4/4 sil, 2msbk, parting to 1m -cpl, mfr, cw /wf1f 7.5YR 5/6 rmfs. 11 -15" 7.5YR 4/4 scl, 2msbk, mfr, w /c2d 7.5YR 4/3 rrnfs. T -2 Lot 2 00 -08" 10YR 3/2 sil, 2mgr, mfr, as. 08 -10" 10YR 2/2 sil, 2msk, mfr, cw 10 -15" 10YR 4/4 gritty sil, 2msbk, parting to 2mpl, w /c2d 10YR 5/6 and 6/3 rmfs. T -3 Lot 3 No redox features in the A- horizon T -4 Lot 4 00 -11" 10YR 3/2 sil 11 -15" 10YR 5/4 sil, 2mpl with cif -d 10YR 4/6 and 5/3 rrnfs. Christensen Site July 11, 2003 Page 2 of 2 Recommendations for this site include the possible use of mound systems designed to overcome limitations of a high level of seasonal soil saturation and slow permeability present in the subsoil. A soil saturation determination pursuant to Comm 85.60 must be completed by a CST and approved by the department to certify that this site has at least 6 inches of soil free of saturate4pnditions for seven or more consecutive days. Should a mound design be pursued for use at this site, th oWnear loading rate should not exceed 4.0 gpd/ft and the basal wastewater application rated should not exceed 0.3 /ft . At least 30 inches of sand lift mu _ a ying sep is an a uen o the distribution cell. The longe po ion of the mound must be orientated along the contour. The mound shall be constructed to divert surface water around the mound structure as much as possible. Other considerations: 1. On slopes < 3% down slope basal area should be increased to prevent toe seepage. 2. Chisel plowing to 12 -16 inches depth is recommended to improve percolation. 3. System locations are set at specific locations and those areas should be protected from damage during site development and building construction. If there are any questions regarding this report, please contact me. d royy roecialist Wansky commer .state.wi.0 E -mail 715/726 -2544 Voice 715/726 -2549 Fax cc: ®County ❑ Plumber ® CST ❑ Owner ❑ Other Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page Of Div.4on Cf Satety aid Buildings in accordance with Comm 85, Wis. Adm. C e p Attach complete site plan on paper not less than 8 1 /2 x 11 inches in size. Plan must include, but • AJD County St. Croix not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to the nearest road. Parcel ID # 0 3 — /0 1 APPLICANT INFORMATION - Please ri m ratton Revi ed / Date: Personal information you provide may be used for secondary purp es (Pri sr a 1 4(� Property owner: 1 i Property location Kurt and Elizabeth Christensen g !, s' 01 Gov't lot: NW 114 NE 1/4 S07 T 29 N, R15 E (orR __ .. 1 21 Property owner's mailing address; i Lot # Block # Subd. Name or CSM# 877 Benoy Road # m 2 NA NA 73 , YW City / State / Zip Code Phone number: city Village own Neatest Road Hudson / Wisconsin /54016 715- 386 -6340 Springfield 110' Avenue ` ❑ New Construction Use Residential/Number of bedrooms Unknown Addition to existing building: NA ❑ Replacement ❑ Public or commercial - describe Code Design Flow Rate: Unknown - must be appropriate size for the contour and soil restrictions Parent Material: Glacial Till - ground moraine General Comments and Recommendations: Soils are somewhat poorly drained aqualfs or glossoboralfs underlain by clay loam. Redox features are the result of perching above the dense clay loam layer. A long narrow mound SAS is recommended for this site with 2.50 foot of sand fill. ON -SITE REQUESTED DUE TO THE PRESENCE OF REDOX FEATURES AT SHALLOW DEPTH. SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Redox Description Texture Structure Consistenc Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. e GPD /FTZ Pit 1 Eff# I Eff#2 Ap 0-7 l OYR 3/2 NA sil 2fsbk mfr aw 2f 0.5 0.8 Ground Bt 7-12 l OYR 4/3 fl d hi and low sil w/ cl 2mabk mfr aw 1 f 0.5 0.8 Elev (ft.) 101.88 C1 12 -22 7.5YR 4/4 m3p 7.5YR 5/8 SO Ifsbk vmft as NA 0.2 0.3 Depth to C2 22 -30 5YR 4/4 m3p 7.5YR 518 Cl massive vmfr NA NA NA NA limiting factor- in. 7 Remarks: C horizon - v. dense. Standing water at 30 ". Boring # Ap 0 -6 10YR 3/2 NA sil 2fsbk mfr as 2f 0.5 0.8 pit 2 Btl 6 -12 10YR 4/3 fl d 7.5YR 5/8 sil w/ cl 2fpl mfr gw 1 f 0.2 0.3 Bt2 12 -16 7.5YR 4/4 f2d 7.5YR 5/6 sicl Ifsbk vmvfl NA NA 0.2 0.3 Ground Elev (ft.) C 16 -25 5YR 4/4 m3p 7.5YR 5/8 sel w/ gr massive 100.44 Depth to limiting factor- in. 8 C - saturated. Standing water at 25 ". CST Name: Eli M. Gottfried, Gottfried Environmental Signature: `art__ �'L< �,T� ' Tel. No. 715- 833 -1400 Address: 124 -1/2 Graham Ave. Eau Claire, Wl. 54701 Date: 27 June 2003 CST # 221981 SOIL DESCRIPTION REPORT Pro ert otvncr' Christepsen Parcel ID# Boring # Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD /FT Pita Eff#I Eff#2 Ap 0 -7 IOYR 312 NA sil 2fsbk mfr ai if 0.5 0.8 Ground Elev (ft.) Bt 7-15 7.5YR 4/3 fl d 7.5YR 5/8 sil with Cl 2fsbk mfr gw l f 0.5 0.8 ' 103.4 C 15 -28 5YR 5/6 m2d 7.5YR 5/8 scl Ifsbk mvfi as NA 0.2 0.3 Depth to limiting factor- in. 7 Remarks: C - v. dense; standing water at 26" Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh, GPD /FT' B1 Eff#1 Eff42 Ap 0-8 10YR 3/2 NA sit Ground Bt 8-10 1 OYR 4/3 fl d hi and low sil with el Elev (ft.) 101.46 C1 10 -28 5YR 4/4 m3p 7.5YR 5/8 set Depth to C2 28+ 7.5YR 4/6 m3p 7.5YR 5/8 Cl limiting factor- in. 8 Remarks: hand boring Boring # Ground NVYRO Elev (ft.) 124 V2 raham A' enue Depth to O (7l ) 833 -1 limiting factor- in. Remarks: Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPDIFT Eff# 1 Eff#2 Ground Elev (ft.) Depth to limiting factor- in. Remarks: o Q C7 cu w U Q v C Q L r ...r O r r -+ + -- -- M - N N O O E 11 #- 0 N N N 2 E O -00 -� N - 11 > O c _ p O co Q O O r m U ..r O CD QO� OQ' co 11 O vj _ 11 o O O QO O - -o .2 1 119 C +. C) cn la \ U) LO 2 \ U" TirLoA 3 cc W J E- N C M N _ m 0 Lo `\` W Z -@ CO 3 �` C Z E co Y �� Labor l a J rxi Hun an 1 Relatio ins usa y, S U I L A N U S I i L- E V A L LI A] ION H L P U N 1 rage U1 Division of Safety a suildings in accord with ILHR 83.05, 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 151'. COO( not limited to vertical and horizontal reference point (BM), directi f slope, scale or PARCEL I.D, # D — /Ol q- 20 dimensioned, north arrow, and location and distance to ne r00.1 �, 03q- 10)y -30 APPLICANT INFORMATION- PLEASE PRINT A���� �hmX10NI REVIEWED BY DATE PROPERTY OWNER: f Ar0,0i0j' PROP OCATION SW t4 LAt AF,A)= 0. # t*e rw e 'k A _,_f �a W 114 /� E 1/4,S .-J T 2Q ,N,R S W PROPERTY OWNER':S MAILING ADDRESS " # OCK # SUB N AME OR CSM # 314 K). A K 11✓ L. A V9r CITY, STATE ZIP CODE PHONE NVM[)CI ILLAGE OWN NEAREST ROA D Fogy AL. - 21)(053S ( '` E I1uGFIELD 110 ' 4V9, New Construction Use (jtj Residential / Number o 4p ii �- [ ] Addition to existing building [ J Replacement [ J Public or commercial describe Code derived daily flow. gpd Recommended design loading rate bed, gpd/ft _ — trench, gpd/ft Absorption area required ""- bed, ft trench, ft Maximum design loading rate bed, gpd /ft — trench, gpd/i1 Recommended infiltration surface elevation(S) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable A/Al ft S a Suitable for system CONVENTIONAL MOUND IN -GROU D PRESSURE AT -GRAD SYSTEM I FILL HOLDIN w K U= Unsuitable for s stem 0 S U 0S X 0S JN U 0S U 0S U 0S Au SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence t3oundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITirench '�A r .} Ira 12 Le,5 to 0 8d E5 uJ� -A+ lZ Ground O S 1 EM ! -LOW - T elev. It. . Depth to limiting factor Remarks: Boring # ; Ground elev. it. Depth to limiting factor Remarks: CST e: —PI Pr' t T Phone C7 (S L Addre J „ \M f2ZO t= �41-t_ Z40 Signature, ' Date: CST Number: OCT-Z3 A97 /V\OZ'70�7 731948 VOL 17 N . V KA SH T �HLLEEEEHH H . REGISTER OF DEEDS ST. CROIX CO.. VI RECEIVED FOR RECORD 07/24/2003 10:55AN Z CERTIFIED SURVEY MAP BEARINGS ARE REFERENCED TO THE REC FEE: 13.00 NORTH LINE OF THE NE1 /4 OF SECTION COPY FEE: 3.00 7. ASSUMED TO BEAR N90"00'00'E. ' PAGES: 2 ti Q r m M- PL- - I w c7 NORTH - SOUTH 1/4 UNE O o Not -n440W No1'20'4'4 740.or .-4— 707.01, 33.01' Z y 4554.49 A. ?' O O o; . I on .. 707.01' 33.0 N0j — &44'W 740-02 ; 6 m m $ ;t O i r 44'E 740.02 L j -10 T� ! 7707.01' r Z O o 387.11' ; I soy- z�'4a� s1s�.ssi' gazo.lzo III/ I ROV ' • I • w APp U . 1387.11' 33.01' '' ; © Q "+ $T. CROTX CO r I I c O iM+ 801'23'44 E 420.1 r I 1 I P1as+� � .I I Z m ?� ,1UL 2 4 2403 f C� Q i rn , �ma S ho b* I oc 0 T a vwsl d 89 wo D I A 2 ' 0 0 = I° io A Z V m No1 -2raew 740-Or i N ,. 707.01'• °1 A �,33. 1' I 1 Z $ , 4,o_a q r7 } { z N '� +c 0 Iy Cmx N I ;33.01' g V 707.01' 801'2rd6'E 740.02 �+ I CD 0 _�- EAST UNE OF THE NW1 OF THE NE 1 /4 ( ( 0 QDapUVV(R(D 6&M o m O�GIGD t�317 04(�C�G33 I � o 0 0 Z Fa w� �� m � H c $ �� z " o 140 � � mm Vol. 17 Page 4571 GOTTFRIED ENVIRONMENTAL 124 Graham Ave., Eau Claire, W154701; 715- 833 -1400 telephone: 715 - 833 -1400; fax: 715- 833 -1381; email: elicstm(),execpc.com INTERPRETATIVE REPORT July 9, 2003 J J�C 7 200 Proper owner: Kurt and Elizabeth Christensen Legal Description: NW NE 07 29 15W Springfield, St. Croix County INTRODUCTION On 27 June 2003, a soil test and evaluation was conducted by this soil tester on the property described above. The soil test was done in response to a request by the property owner, Elizabeth Christensen, as part of the development of this parcel for residences. It is the intention of the property owners, Kurt and Elizabeth Christensen, to subdivide this land and sell parcels. Initially, there are 5 parcels that have been surveyed. Additional parcels will follow. The initial determination found the sites to be marginally suitable for mound type septic systems (Soil Absorption System). However, there was not a clear separation distance of 4 inches between the bottom of the A horizon and evidence of seasonal saturation (as evidenced by redoximorphic features). As a result, this soil tester requested the presence of the Wisconsin State Waste Water Specialist, Leroy Jansky, to conduct a soils review of this site, specifically in the area of the proposed SAS's. My Jansky had previously visited the site at the request of a soil tester who had done preliminary borings and field assessments on the site. The soils verification - soils on -site was conducted on 4 July 2003. GEOLOGICAL. HISTORY The soils observed on site strongly suggest that the area has been influenced by glaciation. Soils appear to be loess, underlain by glacial till. No bedrock was observed at the depth of the backhoe pits or hand dug pits. The subsurface formation in St. Croix County consists of the Prairie Du Chien Group (dolomite and sandy dolomite). Depth to bedrock ranges from 0 - 15 meters (Brown, B.A. (1988)) This formation is of Ordovician origin (Paleozoic era 425 mya). Dolomite appears to have been laid during the early Ordovician period, while the sandstone was laid during the late part of the period (Paull, R.K. and Paull, R.A. (1977)). Glaciation of St. Croix County occurred many times during the history of the earth, although the most recent glaciation, during the Pleistocene epoch (approximately 1 million to 10,000 years before present), is the most apparent. There were several stages of glacial advance, the most recent being the Wisconsin stage. This was the result of the advance of the Superior Lobe (Martin, L. (1965). The Physical Geology of Wisconsin. University of Wisconsin Press, Madison, Wisconsin). The glacial till present as parent material in the subsoil of the Christensen site is most likely the result of deposit from the Superior Lobe material. Loess, present as soil of the Ap, E, and portions of the Bt horizon, may be the result of the influence of the Eau Galle River or the St Croix River. LOCAL HYDROLOGY As noted on the accompanying topographic maps, regionally, the land surface has a gentle slope to the west. This slope to the west is presumably the influence of the Eau Galle River, which lays 0.5 miles west of the western-most boundary of the property and flows in a southerly direction. The property is approximately 20 feet higher in elevation than the Eau Galle River. Although the regional flow is westerly, there are considerable topographic changes in the land surface within the area of the proposed subdivision. These changes have been noted on the accompanying 2 plot plans. Plot plan 1 shows an overall lay -out of the proposed 5 lot subdivision. An arbitrary benchmark (BM) has been established on the edge of the blacktop on 110` Avenue. This has been assigned the elevation of 100.0'. As noted, elevations of the proposed mound sites vary from 100.60' (lot 1) to 110.16' (lot 5). The topographic maps consulted for this report do not indicate any wetland areas in the vicinity of the proposed mound SAS's. No naturally occurring areas of standing water were observed in the area of the proposed mound SAS's. However, the topography does suggest that a water way exists between lots 1 and 2. Although no areas of seasonal saturation were observed on the topographic map for this area, the soil series map did show a wet area and a seasonal creek in the northeast portion of Section 7 (refer to the accompanying photocopy of the soil series map). SOIL MAPPING OF THE AREA Direct soil mapping of this area by this soil tester indicates that, taxonomically, this soil is a Typic Glossaqualf (an aquic alfisol). Aquic alfisols have elluvial and illuvial horizons which are saturated at some time during the year (as evidenced by the redoximorphic features). Soil series maps for this area however, characterize this area as Typic Glossoboralf. That is, a cryic alfisol. Specifically, this is classified as Freeon series soils. Information on the soil series for this area was provided by the St. Croix County Soil Conservation Service. As noted in the CST Soil and Site Evaluation, clay loam and silty clay loam was encountered in all pits in the vicinity of the proposed SAS's. Depth to these layers varied from 11 to 14 inches in the pits where the layers could be observed. In many pits, standing water prevented the observation of subsoils. VARIATIONS IN SOIL CONDITIONS AND SURFACE WATER FLOW Regional surface water flow (and presumably subsurface flow) is west towards the Eau Galle River. Topographic changes in the land in the vicinity of the proposed subdivision indicate that flow can be in all directions from the proposed mound sites. A noticeable water way exists between lots 1 and 2 as noted on the plot plans for the area. General surface water flow in the area may be primarily vertical for the first 8 inches as a result of the relatively permeable upper horizons. Permeability is moderately slow in the subsoil and is most likely perching above the dense silty clay loam subsoil. Permeability in the upper horizons may also be the result of extensive cultivation, thus loosening the soil and increasing its permeability in the upper horizons. Also present in the Ap horizon, and slightly into the subsoil, were worm channels, suggesting that the upper horizon was aerated enough to support aerobic organisms. Roots and root channels were also present in the 0 to 8" range of the soil profile. Soil colors as noted by this soil tester were 10YR 3/2 from 0 -8 ". This grayish brown color is darker than the gleyed colors one would associate with a more aquic condition. This suggests that in the upper soil profile at least, perching conditions do not take place for any considerable period of time. No puddled or massive soils were observed in the area of the proposed SAS's to a depth of 8 inches. Close inspection of the Ap horizon did not indicate the presence of redoximorphic features. This suggests that although there is not an A +4 situation, there is adequate depth in the A horizon (approximately 7 inches) to maintain a suitable distance between the bottom of the SAS and the limiting factor and thus to allow for the placement of a mound SAS. The gradual appearance of redox features in the soil profile is also significant with respect to the actual depth of seasonal saturation. Although low chroma and high chroma features were observed in some areas of the soil immediately below the A horizon, these colors were not prominent until the Bt horizon, thus suggesting that significant seasonal saturation did not occur in the A horizon. In pits where standing water was observed, no water stood within 8 inches of the surface. This is significant in light of the fact that for 2 days prior to the observation of the pits on lots 3, 4, 5 (second visit to the site), there was significant rainfall in St. Croix County. This soil tester however, does not have information on the exact amount of rainfall during this period. PROPOSALS This soil tester feels that mound systems on these sites would adequately provide wastewater treatment and effluent dispersal as long as the follows design conditions are implemented: 1. The construction of the soil absorption systems must be in the areas designated on the I I plot plans. 2. Areas lower in the landscape must not be used for soil absorption systems. 3. The SAS's must be designed very long and narrow with a linear loading rate equal or less than 4.0 gpd/ft. This may limit the number of bedrooms that a can be placed on the site. 4. At least 2.50 feet of ASTM 33 sand be used under the laterals. 5. Maximum hole spacing in laterals should be 30 inches. 6. Slopes around the mound should be 1:4 rather than the traditional 1:3 to increase the toe absorption area. 7. The area upslope of the proposed SAS's should be contoured to prevent water from flowing into the mound areas. In other words, the area around the upslope should be higher than surrounding areas to encourage water movement away from the proposed mound. If you have any questions regarding this report, please feel free to contact me at the above address and/or telephone number. Sincerely, Eli M. Gottfried Registered Sanitarian (80806), CST (221981), Licensed Designer (13 10) REFERENCES 1. Brown, B.A. (1988) Bedrock Geology of Wisconsin (Brown 1988, University of Wisconsin — Extension 2. Martin, L. (1965). The Physical Geology of Wisconsin University of Wisconsin Press, Madison, Wisconsin 3. Paull, R.K. and Paull, R.A. (1977) Geology of Wisconsin and Upper Michigan Kendall/Hunt Publishing Company, Dubuque, IA. 4. Soil survey of St Croix County (1978). United States Dept of Agriculture Soil Conservation Service and Research Division of the College of Agriculture and Life Sciences, University of Wisconsin. J Parcel #: 034- 1014 -20 -0550 11/01/2004 10:33 AM PAGE 1 OF 1 Alt. Parcel #: 07.29.15.986 034 - TOWN OF SPRINGFIELD Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner CHRISTENSEN, KURT KURT CHRISTENSEN 877 BENOY DR HUDSON WI 54016 •- Districts: SC = School SP = Special Property Address ( es): -Primary Type Dist # Description ' 2757 110TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 4.000 Plat: 1752 -CSM 17 -4571 034 -03 SEC 7 T29N R15W PT NW NE CSM 17 -4571 LOT Block/Condo Bldg: LOT 02 2 (4 AC) Tract(s): (Sec- Twn -Rng 401/4 160 114) 07- 29N -15W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 09/05/2003 739004 2402/93 QC 07/30/2003 732909 2339/241 WD 07/24/2003 731948 1714571 CSM 11/19/2002 699018 2052/139 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 4.000 600 0 600 NO Totals for 2004: General Property 4.000 600 0 600 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 J . 2642 t 565 77 463 f STATE BAR OF WISCONSIN FORM I - 2000 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number I I ST. CROIX CO., WI This Deed, made between Kurt Christensen , a married RECEIVED FOR RECORD person 08/24/2004 12:40PH Grantor, WARRANTY DEED and Milton G. Sell and Nancy E. Sell, husband and EIM # wife as survivorship marital Rrogerty REC FEEL 11.00 TRAITS FEE: 134.70 Grantee. COPY : Grantor, for a valuable consideration, conveys to Grantee the following PAGES: - 1 described real estate in St. Croix County, State of Wisconsin (the "Property ") (if more space is needed, please attach addendum): Lot 2 of Certified Survey Map recorded in Volume 17 on page 4571 as Document No. 731948 being a part of the Northwest Quarter of the Northeast Quarter (NE'd Recording Area of NE , Section 7, Township 29 North, Range 15 Name and Return Address West, Town of Springfield Title One Premier Group 706 19th Street South Hudson, Wisconsin 54016 4 1014 - 2 0 - 050 �v 000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests, This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated t4is 241 day of AuVst 2004 * Kurt Christensen " * AUTHENTICATION a,�AAY PVB��r STATE OF WISCONSIN AC KN O WLEDGMENT Signature(s) ) ss. a. o V County. ) authenticated this day of Personally came before me this 24th day of August 2004 the above named - urt Christensen TITLE: MEMBER STATE BAR OF WISCO Y1N;v,r (If not, to me known to be the person who executed authorized by §706.06, Wis. Stats.) the fore strume an o edged the same. THIS INSTRUMENT WAS DRAFTED BY * Ka Padm Michael H. Foreeki, Attorney Notary Public, State of Wisconsin Eau Claire Wisconsin My Commission is permanent. (If not, state expiration date: ( Signatures ma be authenticated or acknowledged. Both are not neces December 12 2004 . F ames of persons signing in any capacity must be typed or printed below their signature. ARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701 -7928 Phone: (715) 835 -3029 Fax: (715) 835 -4112 Title One Premier Group T47803722FX Produced with ZipFormTm by RE FormsNet, LLC 1802$ Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383 -9805 www.zji)torm.com ■ ■ I ' I 1111 1 111 1 1 1 1 1 1 ��`�.. 11111111111111 _ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 IIII ili KEN 1�II �IIIIIIII i!i��!i�i����� ibis �IIII�I�II • ` lilili!ililil t N its ..... I Ilfi ..�■ ! 11 'iii ■ ► � � = .- l�llf�llllll�l 111 ,��� A!IMM � 1 1 1 1 1 1 1 1 1 1 1 1 1 1 !�(- ! I 1j1j1j1jljljlj I�IjIjIj1�1�1� - ` 1111111 1 seal 1�1'1'1�� ■ ■ ■ ' � ,• � tom ,�� s r ao a'o' lam- _ -- l- -- ---- _ jcrw MO OR IYO { 1 a ZIT b a — _- --�- - - -_— r'-e• 1 1 1'-! ' P I I I � e � � I Z= 1 � • I l � � _ I I -- - - - - - - - - e NI l l I;I 11 II 3 � 44'11 r•.a• a•o• I a� ' I I a'o• po A x k ao 6 -------------------- Xi ago& dA aoao ue 30w � A srb XO t . i i t i i 4 i a'o• t � --- °^ - -- L -------------------------------------- . •• — i i .1 I I I lid W 1 � I. lid b 0 'I S Iii q ' ' Z I li$ I----------- - - - - -- ---------- - - - - -I - • -- ------------------ i , � f � i i i sever i 1 y ' i III II ••' i� t b � II Itl ; n i --- --------- --- ---- - - - - -- - - - ------- -- -- n' Y s 7'-4• 11'•2• i �S r'o• 1 A L • �� 5• gds � CERTIFIED S V RVEY' MAP / IN PART OF THE NW LOCATED 7 4 OF THE NEI /4 OF SECTION 7 T29N, O R1 GW, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. PREPARED FOR OWNER SURVEYOR KURT AND ELIZABETH CHRISTENSEN DANIEL AND PAMELA SCHMIT EDWIN C FLANUM 877 BENOY DR. 2067 117TH AVENUE NORTHLAND SURVEYING, INC. HUDSON, WI 54016 BALDWIN, WI 54002 P.O BOX 14 ROBERTS, WI 54023 PHONE 715 -749 -1718 i SURVEYOR'S CERTIFICATE 1, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Kurt Christensen, I have surveyed, mapped and described the parcel of land which is represented by this Certified Survey Map; that the exterior boundary of the parcel of land surveyed and mapped is described as follows: A parcel of land located in part of the NW1 /4 of the NE1 /4 of Section 7, T29N, R15W, Town of Springfield, St, Croix County, Wisconsin; described as follows: Beginning at the N1 /4 Corner of said Section 7; thence N90 °00'00 "E, along the north line of the NE1 /4 of said Section, 1258.71 feet; thence S01 °22'55 "E 740.02 feet; thence S90°00'00"W 235.67 feet; thence NO1 W'55"W 740.02 feet to said north line of the NE1 /4; thence S90°00'00W, along said north line, 308.86 feet; thence S01 °23'44 "E 420.12 feet; thence S90 °00'00 "W 207.84 feet; thence S01 319.89 feet; thence S90 °00'00 506.34 feet to the north - south 1/4 line of said Section; thence NO1°23'44"W, along said north - south 1/4 line, 740.02 feet to the point of beginning. Described parcel contains 14.60 acres ( 636,232 Sq. Ft.). Parcel is subject to Town Road (11 Oth Avenue) right -of -way and all other easements, restrictions and covenants of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. •�NS EDWIN C. FLANUM 5-2487 S -2487 - AMERY W I S t�/( SU /1111171 ❑tl � n Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any lot contact the St. Croix County Zoning Office and the Town of Springfield. SHEET 2 OF 2 SHEETS Vol. 17 Page 4571 r �3 7 3 1 9 4 8 VOL ��_ ��77 PAGE 4571�� KATNLSEA H. WArSR -- REGISTER OF DEEDS ST. CROIX CO.. WI RECEIVED FOR RECORD 07/24/2003 10:55AM z CERTIFIED SURVEY MAP BEARINGS ARE REFERENCED TO THE REC FEE: 13.00 NORTH LINE OF THE NE1 /4 OF SECTION COPY FEE: 3.00 y 7, ASSUMED TO BEAR N90°00'00°E. 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