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HomeMy WebLinkAbout034-1019-60-025 �L -- .. . DEC, 30. 2003 4:26PM CEDAR CORPORATION N0. 6144_P, 3 Wisconsin Depa of COmm oe PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Builat Division Sanitary Pemdt No: INSPECTION REPORT 430613 0 GENERAL FORMATION (ATTACH TO PERMIT) State Plan 10 No. Personal Inf you provide may be used for secondary PurPN- [PnvmW Law, 6.16.04 (1 xm)I. Permit a 'na: city vnage X Township Parcel Tex No: Wold Rob rt I S rin field Townshi CST BM Elev Insp. SM Elm: BM Description: 5ec11onlTowrJRangalFAap No: ,I DD,� )vo.v JB t6e l ees S�a Crt 131VI1 09,28.15. TANK INFORMATION ELEVATION DATA TYPE f MANUFACTURER CAPACITY STATION BS !� FS ELE - '3 Septic Sendlma 1 * ;so /0 16().6 Dosing Alt. BM ' s� . L 4 Aeration Bldg. Sewer 9, i qi 3 f Holding _ I SUHt Inlet , 7 u X 1, L m avlr+I,rlt v' t 78 St/Ht Outlet TANK SET$ACK INFORMATION TANK TO P/L WELL L Vent to Air Intake ROAD Dt Inlet � S „ a Septic 5 D / ri r,t 64 w 9 i / Dt Bottom Dosing < as orimen. 3, b Sp ssp Aeration Dist Pipe d!� • •t (OZ. ZZ r Holding Bot S stem L� 3(„ 4- S to 2 Final Grade ` d PUMP /SIPHON INFORM %=P w • Manufacturer , /, _ GPt�and ova �, + . 2 � ti �• a ,� Model Number 50 , :3 - 7 1 V o ° TDH Lift Friction Loss System Head TDH Ft rb Z,\ 1 (0, Y2 1 3.25 x.1.9 Forcemain Lengths D)a Is Dlsl, to Well SOIL ABSORPTION SYSTEM 5 r� M. pED/TRENCH Width r Length t No Of 1ftnwee PIT DIMENSIONS ft. Of Phs Insi a Dia. Liquid De DIMENSIONS 5 (2 SETBACK SYSTEM TO JPIL BLDG IWELL LAKE/STREAM LEACHIN Man INFORMATION CHAMBER OR Type Of System: �D• ID t 7) 5 UNI Nb tuber; 0� DISTRIBUTION SYSTEM -lo/ L 1'. W's-.64t t;te v Q 5- Header/Manirold Distribution x Hole Size x Hole Specift Vent Io Air Intake Pipe(5) Length Die Length Dia 5pecin SOIL COVER x Pressure Systems Only rot Mound Or At -Grade Systems Only 1 Depth Over IDepth Over xY Depth of >x Seaded/Sodded xx Mulched 13edi7renoh Center Sed/Trench Edges Topsoil ,1 n Yes �, j No /�7Lj Yes No COMMENTS: (Include code discrepancies, persons present, ate.) Inspection lit :IX /1 D 10 Inspection #2: 3/ I 3'i3� /tom Location: 1085 290th Street Glenwood City, WI 54013 (NW 1/d NW 1/4 9 T29N R15W) NA Lot 1 �(�Par I No: 2s,1�g• 1,) Alt SM Description = iL 1" IL (fin (y) p1wm � taf i S 5 ` 1� > 0-n L [ 1) Bldg sewer length = 5 pro lii) " IY` aL"V'�[ j s #011"K r /o lf"'JrU �h.• - amount of cover = lq V l r!�71�p'jt/1 Sh A` & V-4 Plan revision Required? ; Yes No U o m °• QI� for additional Informatlbn. _ _ �J l.- .__ _Lf —J to Insepetor•s Signature Ced. No. � 5C � r� Gz� 9�H � •tE ISO � �) �� � �;r,.�/f 2��u��� M HFAD/CAPACITY CURVE HEAD CAPACITY CURVE EFFLUENT ■ WIN ■■I"- \ \ ■ ■ ■ ■I ®mmm ® ®rm ® ®m ®ma�m�m ®m ®mmom ®m ® mmm ® mmm� ' ■1� ■ ■ EI ®em ®mmm ®�ommmm ®m ®m ®mmom ®mm ® ®� ■ \� ■ ■ ■ ■ ■im doom ®mmm ®� ® ■ ■o� ® ® ®® ■ ■ \ ■ ■I iii ■ ■ ■ ■■ ■ ■ ■ ®gym ® ®wm� �� m®®w ■■\ ■■ Immm�m■�mmm�1mmmm ®or�m�omm ®mm ® \I■■ \ ■ ■ ■ ■ ■ ■� ■ ■ ■ ■■ ■ iii ®moo ® ®�mm�® ,. ■\■\■ Immmmm ■�mmmm�■i■mm��mmm�mwmar■®�m� m�m�m ® ©v ©� ®m \■\ \I \I� ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ii ■��i■ ■ ism ■■\ ■111 \ \ ■ ■ ■ ■ ■ ■ ■ ■■ ..: , ...: U a .: ! :. Q . less than 30 feet TDH. NOTE: For Head Capacity on Model 112, Industrial \� \ \I NINE N ■ \\ i 1 ■ ■■ �� ■ ■ ■ ■ ■■ 11110 N %■19 ■ \ ■■ ■■■■■ ■ ■11� ►\ ■■ NOON■ / Li\ \!11 i WIN. NOON \� ■ ■■ - M ;M11112 QW11w HEAD CAPACITY CURVE SEWAGE NONE - ----- - - - - -- .■■■ NNN■NNi © ®o ®�omomo ®ommmmo mmm ®® ■■■■ ■■■■■■im�o ®o ®o ®o ®�000mo ®omm�om© ®��oomomom mmom ® ®mo� ®mmmo om._momo moo ®© ®mmm ©momomo CREW WNW \�;■■� ■\ ■ ■ ■ ■ ■ ■ ■■ ■ \� \ \ \N ■ ■ \ \N\ ■ NONE ■■■■■ 1446's NONE 0 Model 293/4293 RON No . Ma , ' ��� \NN■ \■\OMEN■■ : . ES ME 1% 03 PROME \�� \► \ \23 \ \NNE ■ ■ ■P� ■ ■ ■ ■WE■ ■ ■� ■ ■M�■ DEC, 30. 2003 4 27P CEDAR CORPORATION N0, 6144 5 WOLD SITE PLAN Nw- NW- 09- 2e -T SPRINGFIELD TOWNSNIp ST CROIX COUNTY, NA 3 0' A 200 �+ C '/O ! k 4o, I 7Y X 6,0' AGGRE% CCII �`� wrMMS A N�CUM C4+o0NEMi AA GL ACE UPSLOK COOP Or ROCK ALONG 7 K t'LA=o 10 COM�pUl1 \ 50' - 2' $CM NO PVC CORCEMAI N (must drain bask to iww I* r I \, O SKAW MOKL 1000 \ t KCPTIC/Rl1tP T ry I .• ve tl a4l' I WR Lw r N (SCALE) 1A H 0 15 30 AsmW OI A>rn� + I LEGEND I 7N0AppAR&Nr RK ELEVATION w 100.0 a SAIL bad 2I S)' ORlMg S) 1NTM COM SZ3S RAC (11)(C) OF SOIL PITS) COMM 8�, 83,,,3 SETBAO(g LOCATION or ML, 4YST COYPU + ESCRIBEO AS SA ACRES LTM !l NR all 2711 r ` I i copy PAGE 3 OF 9 S / DEC._30. 2003 4:26PMF 1 0EDAR CORPORATIONS courrrY DEVEL OPUNI NO. 6144 P. 410,1.,�, W- Sdaty iDdHuilditagd Dlvidion COLIM ` 201 W. Wagitlagron Awe., P.O. Box 7162 �S onsin Madman, WI 53701- 7162 Sloe wddtess ti beip artment . of colriffierce # D8 .2 7 Sanitary Permit AP&C in so"" Ww. AGM. Co 'o 30��3 wilt eons 88.x1, de, parsoml info Lion you P"Ado be need ft es pfiv I�w a1 i I. wppllmdm Ieformad6n - Please Print AL Wwroadon Ptah I.D. Number \ 9w =-Z" /A. P" P" Owner s Nino ZONING OFFICE awl s YroPesry Owosr's Mail U Adettsts T nat city, $eise Zip Code Phone Number Lot Numb Bloets Wrnabar GV;tjov l�r 5y raj v. 1�i r i »>� /P-'Vf va. r II. T" of ZmAdilnS (cheek oil tbas apply) 7 oaq or 3 ran* DW e p� - Number of $edtae� ✓ IIVIwa ❑ Pu61INCommetcial — Use ❑ Stan Owned G ►t tr i n NateR Awd L � xi ,l c �•D = C�. s e+MAl 2 M. 'Type of 1'eem z: (Check *Wy one box on line A (antntiering scheme for Internal use), Complete Ha E If applicable) P A ' K'New 2 D Replacement Syism 3 0 l:epk4mo nt or 6 0 Addis w Poe Camrty tat Sy stem Tank et B. Cl Cbeek it s1di01rJr !e=mit pls+wly Iwoed Permit Number Des Issued IV. Type of Permit: (Cheek all tha4 41HOISSIg a of Attu Ls ea D rton - Preantrlrea m- errotmaIounn s r 3 � b 5ena p11w S013 emitnteeed wetlaoa 7.2 0 Pmmrizcd b4mod T=k a8 0 Shills Pass 510 Drip Lim AS ❑ •(lade 46 ❑ ,Aerobic Unit 49 O Rd4MU)2db 3013 v V. mn nlll`sestmes Area Snformation: - IM Design flow (am Dimmal Asa. Dispersal Area S60 wica ion peeeoiapan !tare a m e d" - Final deode Regoked Proposed Rtre(aela. /Devi /Sq, R) Qrtin A>fe>V 21tvadon VI. Tank 1gafe in Tool Number Mwlbcnrrer Ptmbb Was steel FAW plastic us Gdllaes of Tgdu Coocrare Coraros d Glans New Sde4n{ Ted. Tear SgNk or Hawira Tank ' _ Uk Del clveebcr Qp -0 -4g VII, Ruponsibililry Stbtemaat— I. the render dsood, aseie for Installation of *n POi shown ea the atoeck pLns. PtUmber'a (PticO � 4 'I btPlir�� �tupeDr� �] Hwstee.a� Lone N,rtn� p 1 • 8 8 ( plu bw a Addtois (Saece 17.5 . ZIP Cade) Z_ • G i.� 'AJ 'VIII. C 1De m mon Use Onl gPptovad ❑ Disapproved Hwy Permit Fro (includes Gre adwwcr Dew Issued Al *an= CNo Savage) Sutrdfrp Fee) rn ❑ Oww ofta N" Adverse . 3 ,- v ne �radoidaa Ix. rp 3) As 1 Septic tank, effluent filter and (' _.� .. a S �C S dispersal cell must all be serviced / maintttired �° w per management plan provided by plumber. 4 L&- c_= 2. All setback requirements must be maintained as P p ica e t Cewsq 4*) for me ay m o re Jul Gum a= st U hKAee LI atre s�5 / � � - (, ee r+g� • T`' �CllJcaJ' a..r1J� Ot.t S8 6 98 05/01) DEC. 30. 2003- 4:27PM CEDAR CORPORATION N0. 6144 P. 6 Safety and Buildings PO BOX 7162 MADISON WI 53707 -7152 TDD P (BOB) 264 -8777 is n www.commerce.stscons.us/sb of Commerce www•wisconsin.gov Jim Doyle, Governor Gory L. Nettles, Secretary December 08, 2003 CUST ID No.227819 ATTIC POWTS Inspector WILLIAM I BERGH ZONING OFFICE GEO TECH ST CROIX COUNTY SPIA 2667113TH ST 1101 CARMICHAEL RD CHIPPEWA FALLS WI 54719 -6575 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12 /08/2005 Identification Numbers Transaction ID No. 948489 SITE: Site ID No. 669047 Bob Wald - Dwelling Please refer to both identification numbers, 290TH St above in all correspondence with the ag ency. Town, of Springfield, 54013 St Croix County NW1 /4, NW1 /4, S9, T29N, R15W FOR; Description: New Mound System / 450 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 933822 Maintenance required; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD- 10572 -P (8.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (1,.6/99); B iofilter 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. This system is to be constructed and located in accordance with the approved plans and with the component manuals listed above. 2. As specified in s. Comm 85.40(3)(a)5.c., Wis. Adm. Code,, the soil test report plot plan must show the direction and percent of the slope in the tested area. 3. On page 4, the aggregate in the dispersal cell shall be covered with approved geotextile fabric that P 0. conforms to s, Comm 84.30(6)(g)., Wis. Adm. Code. Conde 4. On page 4, the observation pipe detail is incomplete. The observation pipes shall have perforations in the AP A C�)RRE bottom six inches of the pipe, provided with a watertight cap, and be suitably anchored. Refer to Figure 6 on page 19 in the Approved mound system component manual for complete details. DI 5. On page 4, the actual "total basal area" as defined in the approved mound system component manual is S 1327.5 ft 6. On page 5, the force main and manifold are located on the opposite end of that shown in the mound system plan view. t the use of a long turn 7_ On page 5 the cleanout detail is incomplete, Extend the end of each lateral up with h g P 8 + P or 45 degree fitting as shown in the drawings and described in the approved pressure distribution component manual. DEC,30.2003- 4:27PM CEDAR CORPORATION NO.6144"P. 7 WILLIAM J BERGH Page 2 12/8/03 COPY of the approved plan$, specifications and this Ietter shall be on -site d construction and open to during Pe ir�peeaon by authorized representatives of the Department, which may include local inspectors. All peurnits required by the state or the local municipality shall be obtained prior to commencement of construction /imtallarion/operation. hi 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 stets 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. Sincere Fee Required S 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Peter Pagel Private Se -a Pla evie -er, , Integrated Services WiSM"T code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs p"gel@commerce.state.wi.us cc; Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I — DEC. 30. 2003 -, 4:27PM CEDAR CORPORATION N0. 6144 P. 8 r f . Cover Sheet RE AMVED BOB WOLD L 0 2 2003 Box 63, Wilson, WI 54027 SAFET & BLD [)IV MOUND COMPONENT Rg erence Component Manuals Murtnd Component Manual SBD- 10572- P -P(R- 61 I'tvvmire Divrihulion Component Manual SBD - 10573 -P (R.6199) Job Location: 290 "' Streeet - -400' South of I IO Ave. N W%, NW '/+. Sec. 09 T 29 N. R 15 W Town_ Springfield County: St Croix e • William J. Bergh License No. 1577 -007) Designer's n�mc end licens ii. S I the undel slate that thgve plons were day;gncd and s•uhmilled a der my uuthurily. Designer's si�,nnlurc: Designer's a +ddress: 2667 1 13`" (�t Chippewa Fa WI 54729 Designer's phone number. 715- 723 -5555 voice 715- 723 -7535 fax 715 -577 -6838 cellular WI�UAM J: o e c = BE F IGH Conten ��0, `,, _ C Page l- cVci' sheet 6 �. (1 w 4 �COs'�ldA% - Q V Page 2- mstem calculations .• ,e Z - il� •� Inn r Tagu cross sccticnl o l'mound component do lateral schematics O plan view of mound component & dastrtbu t n septic &- pump chamber schematics S 0 4 Page 7- rump em-W IZ O Page 8- nyaintcn.anec /management & contingency plan W Page 9 - n,uinicn.rncclmandgcmcnt & contingency plan O N 4 Fly Page 1 of 9 I "DEC, 30. 2003- 4:28PM CEDAR CORPORATION N0. 6144 9 , SYSTEM CALCULATIONS USING SKAW COMBINATION TANKS real enfia dwelfin with total of 3 bdrm calculated at 450 apd design wastewater now near loadin rate 6 6 0 U°a day /ft LR (desian loadin rate! 0_5 cal /saft/day 900.0 minimum basal area I deoth to limiting factor 18 inches Item area cross slope porcen t I tQroemain length 50 feet - using 2 inch - SCH 40 PVC maOifold and /or header length ills feet usino 2 inch - SCH 40 PVC forcemain volume Ll gallons lenoth of each lateral 74 ,000 feet using 2 inch - SCH 40 PVC total number of laterals 2 invert elevation 10_2W (bottom of lateral), orifice diameter 0.1875 =3/16 tenths /inches 101.5' system elevation distance between orifices 24 inches or 0 feet total orifices per lateral 38 total orifices all laterals 76 toltral volume (each lateral) 12.1 gallon 25.08 lateral discharge rate Sivsiem discharge rate 50.2 gallons calculated at 3.25 distal Pressure x 1.3 ft. vertical lift 8.0 feet friction loss in the forcemain 2_5 feet calculated at 50.2 gal /min discharge rate TDH (total dynamic head) 13.8 feet minimum Pump discharge 50.2 apm at 13.8 TDH (total dynamic head oumo manufacturer L GIANT model num er 9EH estimated total dose volume 128.8 19a Ions 123.6 actual dose (total - forcemain) Pump tank model 600 actual tank size 642.33 ailons imptic tank mode 1000 actual tank size 1039.35 oallons Manufacturer of tank / SKAW. pump float on /off measurement 8 inches alarm float from bottom of tank 18 inches Page 2 of 9 DEC.30.2003 4:28PM CEDAR CORPORATION N0. 6144 P. 10 a WOLO SITE PLAN NW— NW- 09- 29 -15W ' SPRINGFIELD TOWNSHIP I ST CROIX COUNTY, WI 1 v ~ 30' 20'0 f Cp ��Dy • 75' X 6.0' AGGREGATE CELL TATHIN A MOUND COMPONENT PLACE UPSLOPC EDGE OF ROCK 0 ALONG THE FLAGGED 100.0' CONTOUR �� I SO' - r BCH AO PvC fORCEMAIN i }Q (rhust Oretn Oeek to pump look) � \ O I j l SKAw LO 1000/600 i SEOTIC�PUMP TANK y -AY - 6 - ASTM PvC 0I11LOX7G SEVER LINE ' A ' I I,a4 ,.atePowo3 -811 .t�?� BIUAOINC $ TIE - ! N (SCALE)► to 0 15 30 FM 1+1 (lwra sw a►eA.SCI Ole+ eecirw CLAN" Stt �LJTR c..e o<coAA a ow�c SARrs a cr p e 1 LEGEND BENCHMARK ELEVATION ■ 100.0 BUG S EMER MUSf CoYPL1 (grade O Date of steel slake) �TN COMM ILDINr 62.35 S1 (1txCY o LOCATION OF SOfL BORING(S) I N ' LOCATION OF SOIL PIT($) I LOCATIQk OF 19" MUST COWLV I �C NO APPARENT COMP 83.43 SETBACKS LTN WDNR CHS, NR ell k Bl2 J * PARCEL DESCRIBEp AS 5.0 ACRES I I • I PAGE 3 OF 9 DEC. 30, 2003 4:28PM CEDAR CORPORATION NO. 6144 — P. 11 MOUND COMPONENT CROSS SECTION (drawing not to scale) C C 4 observation pipe(s) O � 1W ;� 0 4 � F f synthetic cover material /j/ fr'f soil to romote plant g rowth P 9 elevation at top of sand fill (bottom of distribution cell) 1 01.5' -7 >12" I 10 original grade 18" 22.5" elevation 100.0' ASTM C -33 6" fill moteriol MINNOW tilled /plowed area 1.3' 6.0' 6.0' 1 9.9' 1.8' 25.0' �15 yards of rock required -100 yards of sand fill required —6% system area cross slope -1193 otal basal area (sqft) CORRECTION DEEDED S Distribution cell SEE CORRESPONDENCE 0,5" — 2.5" washed hard aggregate, 6 below & 2" above the distribution lateral All material and piping specifications as per the Mound & Pressure Distribution Component Manuals. a o 9 i page x DEC, 30, 2003 4:28PM CEDAR CORPORATION N0, 6144 — 'P, 12 i - PLAN VIEW OF MOUN COMPONENT p o (All material specifications per the Mound Component Manual) r 12 5� _ distribution cell forcema 1.25' 25.0' 75.0' manifold — to. 96.2' observation pipe (limit activities in the area 15' beyond the down slope edge Of mound) Typical lateral detail showing sidewall and lateral spacing (oil laterals may not be shown) Distribution lateral(s) terminate 6° from the end of the distribution cell Effective aggregate area Basal absorption ores DISTRIBUTION LATERAL (typical) (all discharge orifices are located on the center bottom line of the distribution lateral) final grade MANIFOLD PLACED 6" FROM ENO OF CELL � threaded cap HOLE i5 DRILLED AT FRONT OF MANIFOLD! access box 2" distribution lateral 74.0' I — 24" " —I— " —I I— —�--- —I CORRECTION NEEQED 24 24 24" 24° SEE CORRESPONDENCE 2 manifold discharge orifice diameter 0,1875 = 3/16 distance between orifices 24" number of orifices per lateral 3_ Total number of orifices 76 (drawing not to' stole) page 5 of 9 I DEC.30.2003' 4:29PM CEDAR CORPORATION — NO. 6144 13 r SEPTIC PUMP CHAMBER BER CROSS SECTION (DRAWING NOT TO SCALE) Access riser with locking cc Final grade (cover must 'be pr marked - (slope ground awo from with on approved ftw Wing Lobel) risers for drainoge� ACtual depth may increase see COMM 82.30 (11), (c) and (d). OF power & alarm cable (must use seperate power tank vent and alarm circuits) / Externally mounted junction box 4 min, force main access riser 18" m i bottom of inlet invert �— filtered reserve water level } effluent inlet I alarm a 4" inlet tee or baffle approved effluent filter required on tank outlet 0' Minimum of 3 of suitable bedding beneath tank pump pad EFFLUENT FILTER ZABEL A -100 (OR EQUIVALENT) Tank monufoclurer SKAW DWF (daily wastewater flow) 450 septic /pump chamber capacities 1000/600 GALLON NUMBER OF DAILY DOSES X3.6 Alarm manufacturer S J, E LE C TRO ( eq uival e nt) (DWF / actual dose volume) FORCE MAIN (gallons) 8 Alarm model number HW 101 (or equivalent) ACTUAL DOSE voLUME (gal) Type of float switch MERCURY (o r equivalent) (total dose wol. - forcemain vo).) 123.56 CAPACITIES Effluent pump manufacturer LITTLE GIANT reser above alarm 19 inches = 312.93 gallons Effluent pump model number 9EH alarm above pump on 2 inches - 3_ 2.94 gallons on /off measurement 8 inches = _]_31.76 gollons Minimum pump discharge rote (gpm) 50, off to tank bottom 10 inches = 164.70 gallons TOTAL 39 inches = 642.33 gallons Vertical lift (pump off to lateral elevation) $,0 System head (distal pressure x 1,3 ft.) 3.25 PU CHAMBER DIMENSIO „ width 69.00” Friction loss in the force main ^•2.5 length 500 Total Dynamic Head (TDH) ._ —1 liquid depth 3 9.00 , ' gallons/ inch 16.47 aann A+ nr o ---- 'DEC. 30. 2003 4 29P CEDAR CORPORATION N0. 6144 P. 14 J-1 p /EF�'� -VEN PUMP SERIES SUM • 1 /' i fi' • X11 � � I 40 f T 1 ' Specifications � Ri » ,sl ry. tr10 Mna 60 49 32 CI u57lNS Nr row I LI IIMrsIaNRS s' 1r IS' (K1 9.11 *11.64we9a ra ro• 71 8p 42 92 19,9 509330 IAICSA 9110 115 yG 13,0 1000 98 32 13.0 2Q 27 9.11 K 11,64 x9.94 ' 6.5 71 27 9,11 x 11.54 K 9.94 8EH•C1M 5093 UUIS9 4110 230 314 80 49 32 19.9 509350 WCSA 6110 115 319 71 68 13,Q ' 1000 13.8 20 7 9.11 K 11.64 r 9.94 �'W 4 / 6.5 1000 71 FA H•L1p•RFS �� �IOSA 4,10 230 FLUV LITtRS /HOUR Cons •— fi ox Coaq t iron on, q 1000 2000 aooa. IVl olor Housing Y Impeller Material Poly Carb10 ImpcllcrTypc. Clo:+cd Va_ .__. -- 30 - ABS --'— Volulc 7,5 W Power Cord SJTW -A �' � -- W i Mechanical Shaft Scat Nitrite witn and eo ceramic f S _ Fasteners Stainless — u = — _ _ _ _. _. _ .._. Stainless _ _ 10 a.s Shaft _ -- - ... _. Bearings Upper Sld Lower Ball Bear q I TFIT} 0 20 40 60 80 FLOW- GALL [INS /MINLITE PUMP PERFO CU Little Giant ftmP CO uw ror+z phone: 405.9 a ` po Box 12010 Fax; 405. 951.567 Okla. City, OK 73157 �CORI • wwW XittleGiantP0MP. _07 00 ISO 9001 CERTIFIED A Form 995235 DEC, 30. 2003 4:29PM CEDAR CORPORATION L NNO, 6144 P, 15 • t MwTs OWNER'S MANUAL MANAGEMENT PLAN PERM IT'NUMBER: 1 �� +ter: iltt)11 WoL.I) S Maintainer: (ico Tech Soil & Site Evaluation- Chippewa I'alls. W1715 -723 -5555 1 Regulator Authority: liau Claire County I Iealth Department -Guu Claire, WI 715- 839 -4718 WTS Installer: IWrgh Contractors Inc. - Isau Claire. W1715 -534 -6194 ptage Servicing Operator IGN PARAMETERS I fluent/Gllucnt quality X• ulues typical for domestic (non - commercial wastewater and septic tank effluent) F ts. Oil and grease (FOG) <30 mg/L. Biochemical Oxygen Demand (BOD) -4220 mg/L, Total Suspended Solids (TSS) -4150 L Soil loading rate (SLR) = 0- S eSTEM SPECIFICATIONS T compotrcatN nl' Ihf• septic system are intended to serve a three- bodroom (450-GPD) single- family residence. The ci imponcniN include: it SkI%N model 10(X) 1600 septic/pump tank (with approved outlet filler. a Little Giant effluent pump. alarm & controls and a (lax' % 75.0' distribution evil within a mound f UWTS component. All component+ must comply with WI Adm. L. COMM Ku and he installed per munulhcturcr; specifications and approval letters. ESIGN CRITFRIAL SBD - 10572 - 1' (R.6/99) - Mound Component Manual" SBD - i06 -I' (N.0IK)I "Mound Component Manual Version 2.0 SBD - 10570 - (It.6 /99) - At -Grade Component Manual Using Pressure Distribution" SBD - I(1567 -h (11.6/99) - in Ground Absorption Component Manual" SBU - 10705 -I' (N.01101) - In Ground soil Absorption Component Manual" Version 2.0 SBD - 1X)573.1 (R.6 /99) "Pressure Distribution Component Manual" v SBD - 107(16-1' (N.01/01) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Iispect the condition of the treatment tank(s) and dispersal ccll(s) a minimum of every three years. The septic tank contents must b removed in accordance %�fth ChaptcrNli 113. WI Adm. Code when the combined sludge and scum equals one -third (1/3) the t nk volume. I'he c0lucatl Illter(s). elllucnt pump. controls & alarm and distribution latcral(s) should be inspected annually to up%urc maximum perlornwnco. Lateral inspcetion/maintenance should include flushing of the laterals and pressure testing. 4fART UP F)or now construction prior to use ol'the pOWTS check treatment tank(s) for presence of painting products or other chemicals that njay impede tltc tretimicni process and/or damage the dispersal ceh(5). If high concentrations are detected have the contents of the lank(s) renim cd h% a :eptage- servicing operator prior to use. QPERATION 'Me properq' OW11cr i% responsible for the operation and maintenance of the POINTS and submission of required reports. The quantity and qualit; ul'ttastewater will niloct the performance and longevity of your POINTS. The installation of water- saving appliances anal along wirh prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water softeners. irou renu+ttal units, and other clear water treatment devices and foundation drains should be discharged to the ground surl'aee Nhanutor pu..ihlc, Notu, this due, not include laundry waste, showers. dishwalcr, etc. 'floe system i, Qc,it real to handle domestic strength wastewater. however the disposal of food based greases and oils. vcgetable/fruia peel. tmtl .reds. bonus. and Ricx1 solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the (1111} p ;1lwf float should be discharged into the system. Other nun - biodegradable items such as baby wipes, tampons, sanitary napkioa, cundado, eig,arctte butts, dcrattd floss, and cotton swabs should not enter the system. Chemicals such as petroleum products. puinl, disiniaclanis. pesticides, antibiotics (medications). solvents. etc., should not be flushed into the system as they can serious1% dtunake } our PUWTS and contaminate your drinking water supply_ Maintain rc"ultlr stead% 11w h spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components Cbniptactinn ol'snow over the unit may cause it to freeze up. o Valves VatlVC% %haulcl he operated in the following manner V Munn Alttnns al►nuLl he tested on it regular basis by the homeowner. II' an alarm sounds, contact an individual licensed to serve 1 I'So I here iN nurooally a one day reserve capacity under regular operating conditions, however water should be conser until tea) problems with the system are corrected to prevent back -up ol'sewpgc into the dwelling or surface discharge. Page 8 0179 DEC, 30. 2003 4:29PM CEDAR CORPORATION N0. 6144 P 16 iSPECT11ONS spections shall he matte by Li person carrying one of the following licenses or certll teat ions: Master Plumber, Master Plumber cstricted Seacr. 1'OW fS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) I Septic Talik C'omponcnl 'yank inspertiuns 1111LI t 110LIde it visual inspection of the tank to identify any missing or broken hardwam identify any cracks of nwamire the volume of combined sludge and scum and to check For any backup or surface discharge of ellluent. Access openings used for service of assessment shall be scaled and /or lucked upon completion of service. Any defects ,hall he pnnnpll% corrected. i:xposed openings greater than 8 inches in diameter shall be secured With an effective locking der ice io pre%ent occidental of unauthorized entry into the lank. t Thu uullpUclllucnl) lilierls) shall be inspected and cleaned In remove any accumulated solids according to manufacturers specilicution.. I'nl%isions are to b: made to retain solids in the tank during cleaning, Filter cleaning may be necessary at I more frequent iwort al. itttm slated in the maintenance whedulc to keep the .system aperating properly, Pump Chamhci:' Ilculnnnt'fank(s) Component The inspection alma include a test of all electrical equipment such as pumps. alarms and floats. A visual check must me made Ibr leak,. backups, surl'neing. missing or broken security devices and other hardware and the condition of the filter. Any scr% needs or repairs shall be promptly taken care of. +{ Mound, AI- Grude. In- (round Pressure The inspection ,hull include recording the levels of ponding, if any in the observation tubes and a visual inspection for any f evidence of surliicc sccpage or discharge. Any discharge to the ground must be promptly reported to the regulatory aulhorih. !'aiding krvaUr than 75% of the height of the component may indicate overloading or Impending hydraulic failure nceessiwihw niore frequent monitoring. EPORTS cpuns lix mainicrionee. inspection. Lind monitoring shall be submitted in accordance, with COMM 83.55 Wisconsin A dm inist ra tive Code. ABANDONM When the POW I'S lilils and /or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and ;aMy abandoned in compliance with Ch. COMM 83.33. Wisconsin Administrative Code. All piping, to tanks and pits shall be disconnected and the abandoned pipe opening sealed. - I'Ite contvnls ol'all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - alter poniping. all mnkti and pits shall he e\cavatcd and removed or their coven removed and Live void space filled a iih ,oil. ,navel or other inert solid material. CONTINGENCY PLAN If the POW I'S I;til, and cannot he repaired the IbIlowing measures have been. or must be taken, to provide a code compliant replarxttienl s) atcnl. o A suiluhle replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should he protected from disturbance and compaction and should not be infringed upon by required setbacks Irons e%ixting and proposed structure(s), lot lines and wells. Failure to protect the replacement area will result in the nced li+r a ne%% soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in crilm at that lime. o A auitnhlc replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank ma% he installud as a last resort to replace the failed POWTS. o The site has not been evaluated to identify a suitable replacement area. Upon failure of the POW TS a soil and site evalualion most he performed to locale a suitable replacement area. if no replacement area is available a holding tank may be installed as a list rc,on to replace the failed POWTS. Mound and Al.(irude ,oil absorption systems may be reconstnicied in place titllowing removal of the biomat at the inliluuti� e xurliice. Reconstructions of such systems must comply with the rulee in ollecl at that time. WARNING SEPTIC, PIMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC. PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAN RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. Page 9 of9 r - . DEC. 30, 2003 4;30PM CEDAR CORPORATION - - N0. 6144 1T - „- ORIA D 1845 L��t�l RE Wisconai SOIL A PORT Page 1 or 3 Department of Commerce �l1 Division c Safety and Buildings in accordance with Co 85, we. edm g Certified Soil Testing r� St. Cr E county h oonlGlele Site p lan on pape not lase than 8'b x 11 inctrSe in Sims m SY oix J.t pCent slope sole yr dinemslorm, noM anoW, and lorafio and distance near®TrG OF 5 acre CSM Pending �OVAIN — please print an information. a @wild By Date Paraonel kdb, Gen you providS may be USW ror awommy purposea 1pnvW Lao. s. 15,04 (1) (m)), � QEG- 1� 3 IL PropertylOwner Property Location Wold, Bipb Govt. Lot NW 1/4 NW 1/4 S 9 T 29 N R 15 W Property (Owner's Mailing Address Lot # Block # Subd. Name or CSM# Pending Box 83 -�M City State Zip Code Phone Number J City J Village IM Town Nearest Road Wilson I W) 1 54027 1 715- 772 -4617 Springfield 290Th St. New bonstruction Use; IN Residenlial / Number of bedrooms 3 Code derived design floW rate 450 GPD Replacement Public or commercial - Describe; _ - __ — Parent rnstool loses ove"41- - ” — -� — Flood plain elevation, if applicable 'NA General manta and recd mendations; install 4 ' x 112.5' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.5' sand fill i FT1 Ijoring # J Baring 'Lf/ Pit Ground Surface Slay. 100.6 R. Depth to limiting factor 4 , In. Soil Application Rate GP Ifto Harizon Depth Dominant Cobr Redox Description Texture Structure Consistence Bowdery R -E 1 Tff#2 in. MLMN A Qu. $z. Cont. Color' Gr. Sz. Sh., 1 0-10 10YR 3/2 - sal 2 f -rn sbk dish cs 1f /m .5 .8 - ^ 2 10 -14 10YR 4/4 - sil 2 m sbk dsh CS 1M .5 .8 3 14 -20 7.5YR 4/4 - sit 1 m sbk dsh Cs if .2 .3 4 2 24 7.SYR 4/4 f2d 7.5YR 5/8,513 all 1 m sbk dsh cs - .2 .3 5 24-40 5YR 4/4 f1 d 7,5YR 513 sl 0 m mfr - - - .3 ,5 - I I Soring # J Boring in. Sol Application Rate -- V Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 18 Horizon' Depth DominaM CtJw Redox Pacriprion Towl's Structure Conalaferrce Boundary Roots ff/Rt 'Eti#2 in. Murmell ou. Sz. ConL Color Gr. 8i- Sh. 1 0 - 11 10YR 3/2 - sit 2 f -m sbk ds es 1f/m 5 �8 2 11 -18 10YR 4/4 - all 2 m sbk dsh cs if 5 8 3 18- 1DYR 414 f2d 7.5YR 4/6,5/3 sl 1 n1 sbk dsh IDS if .4 .6 4 29-33 5YR 4/4 f1 d 7,5YR 5/3 sl 0 m mfr - - .3 5 Effluent #1 = SOD S > 30 _< 220 rng /L and TSS >30 /L _< 150 - Efrl nt #2 = BO 13 mg/L and TSS < 30 mgt CST Name (Please Print) Sig CST Number Henry F. Grote 222774 Address Certified Soil Tasting E. 4365 353rd Ave., Menomonie, 751 DEC. 30, 2003 4:30PM CEDAR CORPORATION N0. 6144 P. 18 - - -- Property Owner Wold, Bob Parcel to # 5 acre CSM Pending Page 2 of _ ❑ Boring # Ij Boring IM Pit Ground Surfaee elev. 99.7 ft. Depth to limiting factor 22 in. Sail Application Ratb Horizon Depth Dominant Color Radox Desorlptlon Texture Structure Consistence Boundary Roots in, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 '0192 1 0-10 1 OYR 3/2 - Sil 2 f -m sbk ds ca 1 f/m .5 .8 2 10-15 1 OYR 4/4 _ sil 2 m sbk dsh cs if .5 .8 3 15 -22 10YR 4/4 _ sl 1 m sbk dsh Cs 1 m .4 .B 4 22 -32 1 OYr 4/4 f1f 7.5YR 416,5/3 SI 1 m sbk dsh - - .4 .6 ❑ Boring # y 1 Boring Pit Ground Surface elev_ ft. Depth to limiting factor in. $09 Appileabot Rale Horizon Depth Dominant Color Redox Description Texture SK=rs Consistence Boundary Roots in, MunWi Qu. Sz. Corti. Color Gr, Sz. Sh- - Eff#1 'E Z i El Boring # "1 Boring yj Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Oesoriplion Texture Structure Consstence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color of. Si. Sh. ff#1 - Eff#2 I I I i i " Effluent 01 = SOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent 02 = SOD < 30 mg /L and TSS 1 30 r11g/L The Department of Commerce is an equal opportunity service provider and employer. (f you need assistance to access services or need material in an alternate format, please contact the department at 606- 266 -3151 or TTY 608 -264 -8777. saD -s „o (R 07/06) eererred Soa Teson9 I - - DEC, 30. 2003 4_: 30PM CEDAR CORPORATION N0. 6144 P. 19 w Oka W, Ok W% Pc %LWI a lof His- w - -2�► �w 11�pu•� ���, 1 a.�r S �t� G.�g 44c h 1 3 V.\'� SL L lL— / .N1 4 3 -T o n -( Q � o) J r 4-0, k %3 ') '_1 t �1 l+t. " L't1T' vel c o 44 cap t�we..a SAL&., T u• "�'�cZ' - l ,.l i LL- I 1��. off', c.e. -, •+0�.,.. �a+ S � �`� �3N21�o.a� (\ I i 2 I{ DEC, 30, 2003 4: 31 PM CEDAR CORPORATION N0, 6144 P. 20 sT CR OIX CO UNTY SEPTIC TANK MAINTENANCE AGRBEMONT AND l OWNERSHIp CERTmcA'ITON FORM Owncr/B*et ,_ �• ct,.� Icy Propaty Address D _ 9 d 4;7- , (Verification n quited fiom Planning for eonstnudo aw/Stac Parcel Identification Number D Y1 /o 19 " O b LEC DESCRIPTION &XA 1.7) Localaon P �' `/a, V., Sec. Y / Sean . Lot # f Certff� Survey► Map # 7yJ . Volume / Pap # `1 ` I 1 Warranty Deed # 7q FOSS Volume Z y6 6 Page # 3d3 Spec house ❑ yes Vac Lot lines identifiable Byes ❑ no SYSTEM MAI2{TENANCE Improper use and mainteaaaaoof your septic system eoald tesult m its pt� mature fiiluto to handle wastes. Proper matnteeanee eomim of pumping oat the septic tank evetY three years or sooncG if needed by s lfem9ed pump• Wbat ym pot into the system can affect the function of the septic tank as a treatment stage in the waste dupes ryOtem Tbe property owner agceas to submit to SL Croix Zoning Department a certification form, signed by the owner and by a mastsrphrmber. j.-ne7.npfbr r�dpl mbar or a ficeasedpwnper verifying that (1) 6 on - Site wastewaterdisposal sirM1 is m proper operating condition and/or (2) after inspection and pumping (if necessary). the Septic tank is I= than 1/3 foil of sludge. IfW4:6 the ®dadped bave read the above regaimm MM sad agree to mamma the private sewage disposal SWOM with the Standards cart of Natiaal Resources, State of Wisconsin- Certification � fqr�, hemiq as set by the Depmctment of t;,omnteite and the Departm to the SL Croix County Zoning office, within 30 mating aw your Septic system has been maintained must be completed and tt awned days of the three year expiration date_ feVA' . ��/ DAT D E AT �� 3 SIGNATM OF APPLICANT OWNER CERTMCATJON a owners) of I (we) certify that all statements on this form are true to the best of my ( Our) knowledg . I (we) am ( are ) the proporty dem1nd above, by virtue of a warrauty deed recorded in Register of Deeds Office. i a3 �- — DATE SIGNAMM OF APPLI *ease* Any infol=t ion that iS MIS- representedmay result in the sanitary permit beans revoked by tho Zoning Departm°lLt, ■■ Include with this application. a stamped warranty deed from the Register of o fflcc the tVai�>y decd a copy of the certified SarveY map DEC.30.2003 4:31PM CEDAR CORPORATION NO.6144 P. 21 " U 2 4 6 6 P 3 0 3 ' STATE BAR OF WISCONSIN FORM 1 - 2000 I WARRANW DEED YKATHLUN H. MA DU tN„A,ber MISTER OF DEEDS ST. CROIX Co., r s Deed, made between eharie Puget £ka Sharie Sauer RECEIVED FOR RECORD fka BAarie ;dieke 12/63/2M3 lA:MAII Grantor, VARRANTT DEED and ?.dbert C Hold a si le >De =eon E7<M g NEC FEE: 11-98 TRANS FEE: 75. M - Grantee. COP FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: described real estate in St. Croix County, State of PAGES: 1 W' aam (the "Property ") (if more space is needed, please attach addendum): M Lot of Certified Survey Nap recorded in volume 17 of Certified Survey leaps, jQpja 4641_ 'Documant No. 7451291 being part of the M/4 of of the 1t11/b�� Recording Arcs ec tion 9, Township 29K, Rang, 15W, Tone of Name and ReWrn Addms Sprixg£ield, st. Croix County, Wisconsin A,1 Title WD�d 1037 IN Rastings Way Rau Claire, WX 54701 � Stb�3 w Part of 034 1019 60 00 Parvel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. Eie) (is not) Grantor warmnts that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Reservations, restrictions and easameat■ of record, it any, and public highways, zoning and building regulations. Dated this 19th day of November 2003 AIZ fflarie Purst a AUTHENiTICA71ON ACKNOWLEDGMENT STATE OF WISCONSIN ) !� is. 9i ature(s) at. Croix County. ) authenticated this day of _ _ , Personally came before me this h day ed of November 2003 . i4 � tA E v ' TITLE: MEMBER STATE BAR OF WISCONSIN �`'ar . •, ?• (If not. - -- - to me wn to the person Wit authorized by §706.06, Wis. Stets.) the forogft d at�o i : THIS INSTRUMENT WA9 DRAFTED BY oldnek Kicbmal 8. porecki. Notary Public, State of Wi consin �` J Rau Claire, WX 54701 My Commission is pelmasraat. (If not, stn c: r-nOu i n ■tuna ms be ■utheetieaced or aeknowled Both am not a Se ember 2 Names of persons signing in any cap■cily must be typed or pr(etdd below their signature. A RRANTY DEED STATE DAR OF WISCONSIN FORM No,1 -2000 21 Premier Group PO Box 16, AtOerY W154001 .0016 Phooe: (715) 26:•7125 Fait: (715) 268 -2176 David Hicks T4"8927.ZFX Pfftmd rld1 WWm" by RE Famdbt, LLt 199 Feeen Mk Road, Gkftn Towterip, Mchtp m 4035. (600) 3a3A■Da ' 'DEC, 30. 2003 4: 31 PM CEDAR CORPORATION N0,6144 P. 22 74°..51 251 VOL 17 PAGE 4641 �-f- S T. 1 D FOR VI ' 101 2912M 1119W I Ch�'fIFIED Sl!>:YBY RAP COPY F88s 3.N V Y ASAP P�css= z CERTIFIED IED SUR E L TED IN THE NW 1--4 OFF Nw N I i4 OF SECTION 9, T29N, R 16W, TOINY OF SPR 1 MGF 1 EL D. 6T. ROIX COUNTY. WISCOIV 1 NO BEAR INGS ZMEEAM ARE REFERENCED TO SHAR E VAUER THE IMORTH LINE OF THE NW 1.14 (ST. CROIX C OUN TY COORDINATE SYSTEK ) NW CORNER OF SECTION 9. (FOUND ALUMIN CAP j AT k. A NQ,� MONUAVN T ). 110 TH AVE NORTH LINE OF THE NN 1 � n189_f 8' 47' E 1326.82 � 33CLW -- 6. — s83. At' N89.18' 17' E 1 t93. B!' oo r vE . ............,,. .g• c . y HIGHWAY SETBACK LINE m c g OWSE LOT 3 H o Z o SOFT. 1 AC. EXC. R ro v LOT 2 314,109 S0. FT. a ro N9sr I B' 47' E 41 I. 00' g y :r- A 17.34 ACRES .a 378. oD 783, 887 30. F T. - r 33. 00' : C I y 16.46 AC. EXC. R/W O amia o a, x'20 1 ° 0 717, 167 S0. FT. :y OT I APPROVED-! :a 8T. .4 'y q Z? 7, 821 $O. FT. Pb ll and ndr4h* Pau Cam $lo4.Q� 331ESO.FT� j2 o OCT z 9 M � y I ; • K w111Yh 30 days �••, h 33. CO' 378. 00' a aPD�owI shah De 390.0& I 411 00' I S89 18' 47' W , 13R6-9 I # �33' UNPLATT q.PANDS c! _ AA S SPEC AL AI. ExCEPT I ON USE PERMIT 18 REQUIRED FOR ;l og THE DISTURBANCE OF SLOPES 20x OR GREATER NOT A IDENT ON THE APPROVED PLAT OR CSM. I THI9 PERMIT IS APPLIED FOR THROUGH THE ZONING I PROCESS BY THE RE CROIIX BOARD W ADJU TMENT. WE W 1i4 CORNER OF SECTION 9. ( FOUND A . . AL UNI NUArCAP 0� A10NUIIENT). JA MES AL � VVEQER 'a i O• SET I' O.Q. X IB' IRON PIPE KI4NING 111NO�MYSY. I. 1308 PER L WEAR FOOT � TA JAMES M. IIFBER S- 1604 r' LANDMARK SURVEYING. INC- 0 So ts0 Soo SHEE t I OF 2 DATED O k - Cf\ ' ON rOWIoeA THIS INSTRUMENT DRAFTED BY JIM NEBER Vol 17 Page 4641 DEC, 30. 2003 4:26PM CEDAR CORPORATION N0, 6144 P. 2 eswe e Subject: Bergh/ Wold / Tank inspection, 430613 Location: Springfield Start: Thu 12/18/2003 3:30 PM End: Thu 12/18/2003 4:30 PM Recurrence (none) 9.29.15 _ /x &C. - e� _ a 64� g r 0 / g m �£ °�$_ 72 A f E k L % g - [0 �0 a = CD % 2 § ■ . . ■ � 4 > co k E � o o \ / n r ■ T T T 0 0 0 0 I S § § § § ( § ¥ ■ \_ -0 .= 9 ft C 0 rr 7 ƒ � . Err � g § l k . r k \ M $ $ ■ � CD 2 CL § 2 R z 7 7 z . � C 7 m£ � � § & \£ C . a ƒ % ME � E® � / § � § � � � \ � § . � CD § R t CD 2 2 DEC. 30. 2003 4:26PM CEDAR CORPORATION N0. 6144 P. 1 C cpdar f o x r oration le WI 54751 P 604 Wllsdn Avenue Mencxnon . 715. 235 -9061 800 -472 -7372 Fmr .715-235-2727 www.cadorcorp.com DATE: December 30, 2003 TO: Jessle Organization: St. Croh County Fax # 715 -386 -4686 FROM: Mark Iverson Regarding: Inspection Report Job # Number of page(s) contained in this fax: 21 Page(s) including this cover page This material is intended only tier the use of the individual or entity to whom it is addressed, and may contain information that is privileged and confidential. If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or reproduction of this communication Is strictly pnchibited. If you have received this communication in error, kindly notify us immediately by telephone. Commenkfinahuctions: engineers . amhlleots - pknro s - ernrlrarrnenfvl specb is land surveyors . randscope urchdects • interior designers APR. 13. 2004 2; 02PM CEDAR CORPORATION N0. 9630�P. 2 Wmansln Depe of Comrfiiirca PRIVATE SEWAGE SYSTEM Carrwrty St. Croix Safety and eul�I Division IN3PECTION REPORT Soldiery Permit No: 430613 0 GENERAL INFORMATION (ATTACH TO PERMIT) Stale plan ID No: Pemaonel infamm 'on you provide may be used for samndaly purposes (P'mmq Law, a.i s,oa (1)(m)). Permit Holder's me: City V11aga X Township Parcel T No: Wold Rob t rt Springfield Townshi CST BM Elev InsD, BM Mew. BM Destxlpdon: SectlorvTOWWRsnpUMap No: D a ► v o, 6 a ale c r ee n 5 ke P &TwL dU d m f 09,29.15. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic . 8enchma 5 w I) ;.So /02.50 la .A Dosing Alt. SM & eee Aeration Bldg. Sewer Holding •�4 I,k.► {� - I C b 4* I nl e t aM1, 4A r o lR �r3 I - 7 O- TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent lo Ahintske ROAD Dt Inlet Septic f n r,1- ft y I Dt Bottom 5 0 9 y 13,�e ?1 Dosing en. Aera4oh DisL Pipe Hdding Dot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer - f�, I mend ver L i t 4u 6- GPM i "t �. ?� / 0 0, aw Model Number 1 4a S . 1., TDH Lift Friction Loss System Head TDH Ft Forcemain Length D(a. Dist, to Well SOIL ABSORPTION SYSTEM BEWTRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of pits Inside Dls. Liquid epth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION Type Of System. AMBER OR m: UNIT Model Number. Ole n r-- DISTRIBUTION SYSTEM HeadedWn fold Dlstrlbutlon x Hols Size x I1da Spacing Vont to Air Intake Pip(s) Lengtk _ Die Leng Di Spacin _. SOIL COVER x Pressure systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over m Depth of roc Seedad/Sodded rot Mulchad 9edRrench Center 1139d/TrOnch Edges Topsoil Yes �,'1 No 1 Yes ]NO COMMENTS: (include code discrepencles, persons present, etc.) Inspection �t1:_L /�l Inspection #2: I l Location: 1085 290th Street Glenwood City, WI 54013 (NW 1/4 NW 1/4 9 T29N R15W) NA Lot 1 Wi ts. — Parcel No: 09.29.15. 1.) Alt BM Description IL' tN (� L D1N/� ��/� ��µtlllt�b ��f ${,�p a yL 11^y 2.) Bldg sewer length = f 5 p mwa "04 ).,-c erfk � - amount of cover = ") f Plan revision Requlred? L_1 Yes I Use other side for additional Information, _ ..... 5BD.4710 (1111.3187) Date inswcWs Signature Carl, No. n o y o ° o aD d 0 0 v m r a i= c w r aci a�mi O N N O j c r m m C N j c w R id CN c 0 w o o w ° C• c N a) c d USt ° c N QQ y q = L yy N U tq C O m • O a) j t N U y C N m • O N a �•� C O C CD 0 C d O 0 c= C C y E 76 w. m w m d E �''o E CL a� w E_ y'a E cs d co ° �>•Eyc c Vie`` ° �> -°� L= iE a �`�-o c a; E �v € a 0 -, m'S a; E- yL € y c m 0 0 2 O C m 0' _) cm w 2 2.9 0 C c'. F' c .0 'N aa(7 o'io a ya3 c� .0 3: >•0CD o c m o c`o E m Z a� m m 0Ur w C y o 2 E m Z'm m m 0Ur o ° m ny o� u, ° o � '' o o ay d °' c asv m° ° ty z o O c c= o Ew E z o ot_ c= 5 E� 7 �a $'. C a) ' .S o T w S t ,� C N O C .. 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E � c L Ri rr N • • A1 ,' o (n o z z w a Y in ° = w a Y in �a6 a m 0 o. v 'E c 2 c �1 A U a : U) (L) I ] & @ a ec�§2 c ) c 4) 4) % c£ a m =2 §)a ~ �7 \ \)k�\ \/) ( R %/$ 77� § §�2 ° ` 2 2 2 -a a Ka' c Cl) ƒ) /2k�� k §2 G 2 0(bE §§ g E -o k § \E§§§ /kk / @ , V;2 \ ®� o z± :r �@§2k4) zk 0C.0 \ \7�k o . 5 a §ƒ Q) -X k« E\ E §i§ »Em 2a .Sou0 + %23§/ � « � 2 § w Z m 2 # � 0 z k \ k 7 w ) � E � e a C R £ � z 2 � ~ &3 3 2 c < 0 \ t $ $ k 2 -» E m I 2 } � k � \ \ k k 2 § § § E co \ \ k a � < U) z 0 z J 2 1 2 m Q / ; B }/� = 2 f « § ® . 2 §$ , 7] J 2 j CO , ■ # c f 4) k C LU z f ) } ■ ■ L CL�$� � ran / k a 2 C; § K 0 W= 2 & $ % o c §= ") ° \ a ooR�c£ =2 E 0 0 \7 \ ƒ \ / k/) . 0,t; O)o � 2 E § /k\§\0 §2t _tea n ƒff\k $22 % 2 \ /f \ /�}) ,u i. 2 d \c§0)2)2/ / %E ® E k� »0C -- /o $ / {oCDcV; o o- 2a = =�I 2E . MU §c MLn \ \7�k 5 k` «kkk0))� tg kk fk2]\cca0) A < a =��0 0W= ƒ � 7 § 0: f z » § 2 q k z � k 7 ) . k Pa . $ 0 3 ) � ) ) / 3 3 w c < \ k t , $ k 2 - » a. & co I ] k _ a U) j ) ) p § § § k 7 7 7 a k/ z J k J ■ f ° � m � � ' S E c . Q 1 2 2 § k § 0-\ ts , $ f 21 7 ¢ CO z 2 3 a 2 2\ � a � ■ � �_- E & / 0 a : T t Wisconsin Department of Commrce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430613 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Wold, Robert I Springfield Townshi CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 100 Z' I 10 0. v l3 et 54) c lee t] _S4 a e eG (601 09.29.15. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic . Benchmar h0 0 0 m l � s. S C /02.50 l 00, 1 Dosing Alt. BM k eve, �� see 51 Aeration Bldg. Sewer Holding St/Ht Inlet ('73 q , 7 .)- TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL aBLDG. to Air Intake ROAD Dt Inlet Septic = 5 110 ( oft k Dt Bottom 336 i Dosing 4 , Ti Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer / / Demand t over GPM Model Number 50 TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: VLt/w UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil - L Yes L,-,] No L� Yes �J No COMMENTS (Include code discrepenc]es, persons present, etc.) Inspection #1: PL/14 143 Inspection #2: 3�3cFw�- Location: 1085 290th Street Glenwood City, WI 54013 (NW 1/4 NW 1/4 9 T29N RI 5W) NA Lot 1 Parcel No: 09.29.15. 1.) Alt BM Description 2.) Bldg sewer length = f 5 f ► L U r 'u / S ' I` —` IA,—fU - amount of cover = 1 y i 1 - Plan revision Required? Yes �_j No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cent. No. Jessie e '_77 Subject: Bergh/ Wold / Tank inspection, 430613 Location: Springfield Start: Thu 12/18/2003 3:30 PM End: Thu 12/18/2003 4:30 PM Recurrence: (none) 9.29.15 �o my ' 4 1 05/07/2003 WED 07:21 FAX 1 715 232 4099 DUNN COUNTY DEVBLOYMEINI Safety and Buildings Division CGUmY C 1)( 201 W. Washington Ave„ P.O. Box 7162 '5—F �,5consIn Madison, WI 53707 - 7162 Site Address De artm�nt of Commerce #' 9w Z 90 ' Sanitary Permit Applica 'o na P Number In accord with Comm 83.21, Wis. Adm. Code, personal info ation you provide �2 013 maybe used for seen oses Priva Law sl .04 I' Chine if vision I. Application Information - Please Print All luformatlon Plan I.D. Number Property Owner 's Name ZONING OFFICE F.; Number 606 WOO - & � 4&1" 0 16 Cs > Property Owner's Mailing Address petty LLomtion 6 ✓ S / T 2 9 N. R �� E City, State ) Zip Code 1 Phone Numbcr Lot Numb Block Number Nu f,✓ -, � �N 1.°lfi ` S � / �v� � v . l �� . / � nn Z IT. Type of Building (check all that apply) � ©City W or 2 Family Dwouing — Number of Bedrooms ❑village ❑ Public/Commeteial — sett Use QTMW]nbi ❑ State Owned t Nearest Road M. Type of Porat: (Check only one box on line A (numbering scheme for Internal use). Complete line B If appEcablo) A ' `New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to 7" unty we stem Tank Exis S m B. ❑ Check if Sanitary Permit Previously Issued Permit Number Dace Issued IV. Type of Permit: (Check all that ap umbe ag whet Is for 44 0 Nop — Pressurized In- Ground kfound _ 4 Sand Palter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 Holding Tank As ❑ Single Pass 51 ❑ Drip Line 45 ❑ At-Grade 46 ❑ Aerobic tmenr Unit 49 ❑ Recimtlatin 30 0. er V. Dis asaMeatment Area Information: — l tso Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percoladon Rate System Rlevadon Final Grade Required Proposed Ratc(aals. /Days /Sq,Ft.) (Min./Inch) Elevadon V50 // VI. Tank Info paeity in Total Number Manttfaettuer Prefab Site Steel 'Fiber Plastic `Gallons Gallons of Tucks Concrete Courted Glass New I E daft Tenka Tank: Septic or Holding Tantt Am Doxhu Chamber (7� VII. Rea onsibility Statement— I. the unaderidgu s onsibillty for installation of the POWTS shown on the attached plans, Plumber's Name (Prier) Plu s S cure MP/MPR9 Number Business Phone Number XT Plumber's Address (Street./City, S , Zip Code) HI L Aj VIII. Coon — a! /Drtnaont Use only Approved Q Disapproved dry Perm Fo it e (includes m es Grodwaoer Date Issued Is Age igmnne (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse . 3 5T Determination 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per app ice e c o County only) for the cyst oo W las than 8212 s it Inches to at= .54 SBD-6 98 ( w p �^ rc k _ u y p _ L;2 �D WOLD SITE PLAN NW— NW- 09- 29 -15W SPRINGFIELD TOWNSHIP ST CROIX COUNTY, WI 30' Ca -200' . s FFC l Ly � lti U ���s�o tiFFD y D I � 4C. Ao I 75' x 6.0' AGGREGATE CELL�Sj WITHIN A MOUND COMPONENT PLACE UPSLOPE EDGE OF ROCK \ ALONG THE FLAGGED 100.0' CONTOUR ac I 50' - 2* SCH 40 PVC FORCEMAIN (must drain bock tO pump tank) \ i \ O i \ SKAW MODEL 1000 /600 ^ SEPTIC/PUMP TANK � r � �LWR PROPOSED 3-84-] r r • },�` ' BUILDING SITE I ` L 1 / I N N ; _ (SCALE) N - rn 0 15 30 rn i 1KLIIW A Q K= =SCORER CCRTVKO Sal RSiq K OIER ar ENORE(RSIn Srsxv CYSfpI,[R p/ 777919 ' LEGEND I BENCHMARK ELEVATION = 100.0 _ _ US _ _ (grode O bas! Of steel stake) r BUILDING $EWER MT COMPLr 1 o LOCATION OF SOIL BORING(S) , TWTH COMM 82.35 WAC (t1XC) , I LOCATION OF SOIL PIT(S) �C NO APPARENT COMM 83.43 SETBACKS �'L�O,CATION OF WELL MUST COMPLY' * PARCEL DESCRIBED AS 5.0 ACRES ELT'! ,q NR CHS_NR 811 k Bt2I I I COP I I PAGE 3 OF 9 Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 erce Isconsin www. w ww.commerce.state.wi.us/sb wisconin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary December 08, 2003 CUST ID No.227819 ATTN: POWTS Inspector WILLIAM J BERGH ZONING OFFICE GEO TECH ST CROIX COUNTY SPIA 2667 113TH ST 1101 CARMICHAEL RD CHIPPEWA FALLS WI 54729 -6575 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/08/2005 Identification Numbers Transaction ID No. 948489 SITE: Site ID No. 669047 Bob Wold - Dwelling Please refer to both identification numbers, 290TH St above, in all correspondence with the agency. Town of Springfield, 54013 St Croix County NW1 /4, NW1 /4, S9, T29N, R15W FOR: Description: New Mound System / 450 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 933822 Maintenance required; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD- 10572 -P (R.6/99), Pressure Distribution Component Manual, SBD - 10573 -P (R.6/99); 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This system is to be constructed and located in accordance with the approved plans and with the component manuals listed above. 2. As specified in s. Comm 85.40(3)(a)5.c., Wis. Adm. Code., the soil test report plot plan must show the direction and percent of the slope in the tested area. 3. On page 4, the aggregate in the dispersal cell shall be covered with approved geotextile fabric that P.01 conforms to s. Comm 84.30(6)(g)., Wis. Adm. Code. Condh 4. On page 4, the observation pipe detail is incomplete. The observation pipes shall have perforations in the AP bottom six inches of the pipe, provided with a watertight cap, and be suitably anchored. Refer to Figure DEP 6 on page 19 in the approved mound system component manual for complete details. DIVISI SAFEI 5. On page 4, the actual "total basal area" as defined in the approved mound system component manual is SSE CORRE; 1327.5 ft . 6. On page 5, the force main and manifold are located on the opposite end of that shown in the mound system plan view. 7. On page 5, the cleanout detail is incomplete. Extend the end of each lateral up with the use of a long turn or 45 degree fitting as shown in the drawings and described in the approved pressure distribution component manual. f s _1 { WILLIAM J BERGH Page 2 12(8!03 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. /PeterE Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 g Private Sewage Plan eviewer, , Integrated Services WiSMART code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pepagel@conunerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Cover Sheet Fri UZI v ED BOB WOLD U 2 2 &J Box 63, Wilson, WI 54027 SAFETY & bLD D MOUND COMPONENT Reference Component Manuals Mound Component Manual SBD- 10572- P- P(R.6199) l're.vsure Distribution Component Manual SBD - 10573 -P (R.6199) Job Location: 290 " Streeet - 400 South of 110 "' Ave. N W' /o, NW '/4, Sec. 09 T 29 N, R 15 W Town: Springfield County: St Croix Designer's name and license #: William J. Bergh (License No. 1577 -007) ! the undersigned state that these plans were designed and submitted i nder my authority. Designer's signattu'e: Designer's address: 2667 1 13`" tr t Chippewa Fa Is, W1 54729 Designer's phone number: 715 -723 -5555 voice �.',• . ......... GQNS 715- 723 -7535 fax 715- 577 -6838 cellular WILLIAM Contents BERGH • Page I -cover sheet sd���� .... .4ig�• O Page 2- system calculations ®rm ®NA%,"�.is !3 .e � (Te 3- itc plan a��e 4- cross section of mound component O O age _ plan view of mound component & distribution lateral schematics r +� —a age 6- septic & pump chamber schematics S &-Q Page 7- pump curve cir O Page 8- maintenance /management & contingency plan y Page 9- maintenance/hiianagement & contingency plan Y4 Q ffR �.4 i p �!�DE jv Page 1 of 9 I SYSTEM CALCULATIONS USING SKAW COMBINATION TANKS residential dwelling with total of 3 bdrm calculated at 450 qpd design wastewater flow LLR (linear loading rate) 6_0 gal /day /ft DLR (design loading rate) 0_5 gal /sgft/day 900.0 minimum basal area depth to limiting factor 18 inches system area cross slope ^-6% ep rcent forcemain length 50 feet using 2 inch - SCH 40 PVC manifold and /or header length 33 ^ 5 feet using 2 inch - SCH 40 PVC forcemain volume 88 ^ 2 alg Ions length of each lateral 74.000 feet using 2 inch - SCH 40 PVC total number of laterals 2 invert elevation 102.0' (bottom of lateral). orifice diameter 0.1875 =3/16 tenths /inches 101.5' system elevation distance between orifices 24 inches or 2_0 feet total orifices per lateral 38 total orifices all laterals 76 lateral volume (each lateral) 12.1 alg Ions 25.08 lateral discharge rate system discharge rate 50.2 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 8.0 feet friction loss in the forcemain 2_5 feet calculated at 50.2 gal /min discharge rate TDH (total dynamic head) 13.8 feet minimum pump discharge 50.2 gpm at 13.8 TDH (total dynamic head) pump manufacturer L GIANT model number 9EH estimated total dose volume 128.8 alg Ions 123.6 actual dose (total - forcemain) pump tank model 600 actual tank size 642.33 alg Ions septic tank model 1000 actual tank size 1039.35 alg Ions manufacturer of tank /s SKAW. pump float on /off measurement 8 inches alarm float from bottom of tank 18 inches Page 2 of 9 WOLD SITE PLAN NW- NW- 09- 29 -15W 1 SPRINGFIELD TOWNSHIP ST CROIX COUNTY, WI I 30' � �F� -200', 0 o * NOT CAR rR 4F ' ' 'Y"` S 75' X 6.0' AGGREGATE CELL WATHIN A MOUND COMPONENT ' \ PLACE uPSLOPE EDGE OF ROCK ALONG THE FLAGGED 100.0' CONTOUR ' I , 50' — 2' SCH 40 PVC FORCEMAIN (must drain back to pump tank) O SKAW MODEL 1000/600 SEPTIC/PUMP TANK I X45' — 4 ASTM PVC \ � BUILDING SEWER LINE PROPOSED 3 Elft (` BUILDING SITE I N ° (SCALE) x U1 70 0 15 30 M ,'11 (UKESS SHORN OMERMSE) 71 "U.— A SERaH MS CERTnEa SOIL TESTER O� pEyWaNEIT R ENfi f 227 SYSTEMS CUSTOMER b/ 771!19 LEGEND BENCHMARK ELEVATION = 100.0 (grode ® base of steel stoke) F BUILDING SEWER MUST COMP1.7 WITH COMM 82.35 WAC (11)(C) o LOCATION OF SOIL BORING(S) LOCATION OF SOIL PIT(S) LOCATION OF WELL MUST COMPLY ^ ( NO APPARENT COMM 83.43 SETBACKS 1 ' 7H WD C H_S. N 811 dt 812 * PARCEL DESCRIBED AS 5.0 ACRES I I I PAGE 3 OF 9 MOUND COMPONENT CROSS SECTION (drawing not to scale) C 4' observation pipe(s) CO �� F S� N ���� synthetic cover material Flo soil soil to promote plant growth elevation at top of sand fill (bottom of distribution cell) 101.5' >12" i - s 10" ° ° ° � original grade 18" 22.5" elevation 100.0' ASTM C -33 6 fill material tilled /plowed area -- 1.3' y 6.0' 6.0' 9.9' 1.8' 25.0' —15 yards of rock required -100 yards of sand fill required —6% system area cross slope D otcl basal area (sqft) CORRECTION NE CORRESPONDEN Distribution cell 0.5" — 2.5" washed hard aggregate, 6" below & 2" above the distribution lateral All material and piping specifications as per the Mound & Pressure Distribution Component Manuals. poge 4 of 9 L I PLAN VIEW OF MOUND COMPONENT �o (All material specifications per the Mound Component Manual) W n 12.5' — distribution cell (10 rcemo z 1.25' 2 3.5' .0' f I �h� 25.0' 1.25' T monifold —10.6= 75.0' 10.6' 96.2' observation pipe (limit activities in the area 15' beyond the downslope edge of mound) Typical lateral detail showing sidewall and lateral spacing (all laterals may not be shown) Distribution lateral(s) terminate 6" from the end of the distribution cell Effective aggregate area Basal absorption area DISTRIBUTION LATERAL (typical) (all discharge orifices ore located on the center bottom line of the distribution lateral) final grade MANIFOLD PLACED 6" FROM END OF CELL threaded cop 1ST HOLE IS DRILLED AT FRONT OF MANIFOLD! access box 2" distribution lateral 74.0' I — 24" —I— 24" —I— 24" —I I— 24" —I— 24" —I CORRECTION NEEDED SEE CORRESPONDENCE 2" manifold discharge orifice diameter 0.1875 = 3/16 distance between orifices 24" number of orifices per lateral 38 Total number of orifices 7 6 (drawing not to' scale) page 5 of 9 r ' SEPTIC /PUMP CHAMBER CROSS SECTION (DRAWING NOT TO SCALE) Access riser with locking novel 's Final grade (cover must 'be pr6perly morked (slope ground away from with on approved warning label) risers for drainage) Actual depth may increase see COMM 82.30 OF power & olorm cable (11), (c) and (d). ( must use seperote power tank vent and olorm circuits) / Externally mounted ✓/ .junction box 4" min. force main access riser 18" ml bottom of inlet invert 3" water level filtered reserve } effluent. inlet � alarm I on 4" inlet tee or baffle off approved effluent filter required on tank outlet ! 94.0' v � Minimum of 3" of suitable bedding beneath tank pump pod EFFLUENT FILTER ZABEL A -100 (OR EQUIVALENT) Tank manufacturer SKAW DWF (doily wastewater flow) 450 septic /pump chamber capacities 1000/600 GALLON NUMBER OF DAILY DOSES 3.6 (DWF / actual dose volume) Alarm manufacturer S .J. ELEC ( or e q u ival e n t ) FORCE MAIN (gallons) 8.2 Alarm model number HW 101 (or equivalent) ACTUAL DOSE VoLUME (go') Type of float switch MERCURY (or equivalent) (total dose vol. — forcemoin vol.) 123.56 CAPACITIES Effluent pump manufacturer LITTLE GIANT reserve above alarm 19 inches = 312.93 . gallons Effluent pump model number 9E olorm above pump on 2 inches = 32.94 gallons on /off measurement 8 inches = 131.76 gallons Minimum pump discharge rote (gpm) off to tank bottom 10 inches = 164.70 gallons 50.2 TOTAL 39 inches = 642.33 gallons Vertical lift (pump off to lateral elevation) 8.0' PU CHAMBER DIMENSIO System head (distal pressure x 1.3 ft.) 3.25 length 55.00" width 69.00" Friction loss in the force main ^'2.5 _ liquid depth 39.00 gallons/ inch 16.47 Total Dynamic Head (TDH) —13.8 poge 6 of 9 i J 9EH SERIES SUMP /EFFLUENT PUMP .w . _ .. ..... 9 Specifications MODEL CAT. SOLIDS SIZE RUNNING PERFORMANCE (GPM Q READ) SHUTOFF PWR. CID. WEIGHT DIMENSIONS N0. N0. LISTING HP VOLTS Ma. In.) AMPSIVYATTS P.S.I. 5' 10' 15' 20' IFt) IFtI (lYs.) IH a L a WI 9EH -CIM 509330 UUCSA 4110 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 911 x 11.64 x 8.94 9EH -CIM 509340 UUCSA 410 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH - CIA -RFS 509350 UUCSA 4;10 115 3/4 13.0 1000 71 69 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH- CIA -RFS 509360 UL'CSA 4 :10 230 314 6.5 1000 71 68 60 49 32 13.8 29 27 9.11 x 11.64 x 8.94 FLOW- LITERS /HOUR Construction 0 1000 2000 3000 -------------------- - - -___ ___ -___ Motor Housing Epoxy Coate Cast Iron Impeller Material Poly Carbonate 30 10 Impeller Type Closed Vane Volute ABS 7 ' S � Lj Power Cord SJ -A E Mechanical Shaft Seal Nitrile with carbon and 5 ceramic faces a v = 1° Fasteners S tainless Ste el F - -- - - — - - -- - — -- — - 2 5 Shaft Stainless Steel Bearings Upper Sleeve and Lower ° ° Ball Bearings 0 20 40 60 so FLOW- GALLONS /MINUTE PUMP PERFORMANCE C ,....R ■ � ' 115V 60HZ PM 3 '. Little Giant Pump ant 1 mp Co. PO Box 12010 ` Phone: 405.947.2511 ® Okla. City, OK 73157 Fax: 405.951.5674 ISO 9001 CERTIFIED ww w.LittleGiantPum p.co m tiForm 995235 — 01 /00 POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: (� Owner: BOB WOLD POWTS Maintainer. Gco Tech Soil & Site Evaluation — Chippewa falls. W1 715 -723 -5555 Local Regulatory Authority: Fail Claire County I Ieallh Department— Eau Claire, WI 715- 839 -4718 POWTS Installer: Bergh Contractors Inc. — Eau Claire, WI 715- 834 -6194 Septage Servicing Operator DESIGN PARAMETERS Influent /Elllucnt qualil\ (values typical for domestic (non - commercial wastewater and septic tank effluent) Fats. Oil and greases (FOG) <30 mg /L. Biochemical Oxygen Demand (BOD) <220 mg/L, "Total Suspended Solids (TSS) <150 mg /L Soil loading rate (SLR) = 0.5 SYSTEM SPECIFICATIONS The components of this septic system are intended to serve a three - bedroom (450 -GPD) single- family residence. The components include: a Ski model 1000 /600 septic /pump tank (with approved outlet filter, a Little Giant effluent pump, alarm & controls and a 6.0' \ 75,0' distribution cell within it mound POWTS component. All components must comply with WI Adm. Code COMM 84 and he installed per manufacturers specifications and approval letters. DESIGN CRITERIAL ✓ SBD — 10572 -1 (R.6/99) "Mound Component Manual" • SBD — 10691 -1' (N.01/01) "Mound Component Manual" Version 2.0 • SBD 10570 -1' (IL.6/99) "At -Grade Component Manual Using Pressure Distribution" • SBD — 10567 -P (8.6/99) "in Ground Absorption Component Manual" • SBD — 10705 -1 (N.01 /01) "In Ground soil Absorption Component Manual" Version 2.0 ✓ SBD — 10573 -1) ( 8.6/99) "Pressure Distribution Component Manual" o SBD - 10706 -1' (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one -third (1/3) the tank volume. I lie effluent liltcr(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum perfornrmcc. Lateral inspection /maintenance should include flushing of the laterals and pressure testing. START UP For new construction prior to use of the POWTS check treatment tank(s) for 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) renw\ ed b\ a Septage- servicing operator prior to use. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality ol' wastewater will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fi\tureti along with prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water solleners, iron rcmmal units_ and other clear water treatment devices and foundation drains should be discharged to the ground surface whence er possible. Note: this does not include laundry waste, showers, dishwater, etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds. bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the onk paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins. condoms. cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products. paint. disinfectants. pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can serious]\ damage your POWTS and contaminate your drinking water supply. Maintain regular stcadh flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. o Valves Valves should he operated in the lollo\ving manner ✓ Alarms Alarnis should he tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. iliere is normally a one day reserve capacity under regular operating conditions, however water should be conserved until am problems with the system are corrected to prevent back -up of sewage into the dwelling or surface discharge. Page 8 of 9 ,y INSPECTIONS Inspections shall he mule by it person carrying one of the lollowing licenses or certifications: Master Plumber, Master Plumber Restricted Sc%\cr, POW I'S Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) ✓ Septic dank Component Tank inspections mint include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks. mcasurc the volume of combined sludge and scum and to check for any backup or surface discharge of efllucnt. ACCCSS openings used Ibr service of assessment shall be scaled and /or locked upon completion of service. Any defects shall he prompt!\ corrected. Exposed openings greater than 8 inches in diameter shall he secured with an effective locking dc\ ice to prevent accidental of unauthorized entry into the tank. The outlel(clllue M liltcr(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Pro\ isions arc to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals Than slated in the maintenance schedule to keep the system operating properly. ✓ Pump Chambcr'l reatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks. hackups. surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ✓ Mound. At- Gradc. In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground must be promptly reported to the regulatory authoritx. I'ondinu greater than 75% of the height of the component may indicate overloading or impending hydraulic failure ncccssi tilt inu more frequent monitoring. REPORTS Reports Im maintenance. inspection. and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POW I S fails and /or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safe]\ abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. I he contents of al l tanks and pits shall he removed and properly disposed of be a Septage Servicing Operator. After pumping. all tanks and pits shall be excavated and removed or their covers removed and the void space filled \\ ith soil. Ll el or other inert solid material. CONTINGENCI PLAN If the POW I S fails and cannot be repaired the lollowing measures have been, or must be taken, to provide a code compliant replacement s\ stem. • A suitable replacement area has been evaluated and may be utilized for the location of 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(s), lot lines and wells. Failure to protect the replacement area will result in the need for it ncxc soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in ellect al that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holdin- tank ma\ he 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. ✓ 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, PUNIP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAN RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 ORIGINAL VED 1846 Wisconsin Department of Commerce SOIL ALrH REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Co 85, ( Wisstdirap. godIV Certified Soil Testing Attach complete site Ian on paper not less than 8'/: x 11 inches in size. an must' 11 County include, but not limited to: vertical and horizontal reference point (BM), dire tion and 0IX CO �y St. Croix U percent slope, scale or dimemsions, north arrow, and location and distance o near i f pFFt ZG�1NG — 5 acre CSM Pending Please print all information. Z By Date qjKQq Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). C 1 } 03 A. Property Owner Property Location Wold, Bob Govt. Lot NW 1/4 NW 1/4 S 9 T 29 N R 15 W Property Owner's Mailing Addres Lot # Block # Subd. Name or CSM# Box 63 Pending City State Zip Code Phone Number City j Village se Town Nearest Road Wilson I WI 1 54027 715 - 772 -4617 Springfield I 290Th St. New Construction Use: Residential / Number of bedrooms 3 Code derived design Flow rate 450 GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA _ General comments and recommendations: install 4' x 112.5' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.5' sand fill FT] Boring # Boring ✓, Pit Ground Surface elev. 100.6 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2 1 0 -10 10YR 3/2 - sil 2 f -m sbk dsh cs 1f /m .5 .8 2 10 -14 10YR 4/4 - sit 2 m sbk dsh cs 1 m .5 8 3 14 -20 7.5YR 4/4 - sit 1 m sbk dsh cs if .2 .3 4 2 -24 7.5YR 4/4 f2d 7.5YR 5/8,5/3 sit 1 m sbk dsh cs - .2 3 5 24 -40 5YR 4/4 f1d 7.5YR 5/3 sl 0 m mfr - - .3 .5 a Boring # .. 1 Boring t/ Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -11 10YR 3/2 - sit 2 f -m sbk ds cs 1f /m .5 .8 2 11 -18 10YR 4/4 - sit 2 m sbk dsh cs if .5 .8 3 18-2.9 10YR 4/4 f2 7.5YR 4/6,5/ sl 1 m sbk dsh cs if .4 .6 4 29 33 5YR 4/4 f1 d 7.5YR 5/3 sl 0 m mfr - - .3 .5 I ' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 /L ' E2 !V2 #2 = BOD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Sig e: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, L751 8/22/2003 715 233 - 0398 i Property Owner Wold, Bob Parcel ID # ^' 5 acre CSM Pending Page 2 of 3 37 Boring # _j Boring ✓,,,f Pit Ground Surface elev. 99.7 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 10YR 3/2 - sil 2 f -m sbk ds Cs 1f /m .5 .8 2 10 -15 10YR 4/4 - sil 2 m sbk dsh Cs 1f .5 .8 3 15 -22 10YR 4/4 - sl 1 m sbk dsh Cs 1 m .4 .6 4 22 -32 10Yr 4/4 f1f 7.5YR 4/6,5/3 sl 1 m sbk dsh - - .4 .6 I F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I Boring # - Boring Pit Ground Surface elev. ft. Depth to limiting factor Soil Application Rate in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i I Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing r Property Owner Wold, Bob Parcel ID # ^' 5 acre CSM Pending Page 2 of 3 3] Boring # Boring Pit Ground Surface elev. 99.7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 10YR 3/2 _ sil 2 f -m sbk ds cs 1f /m .5 .8 2 10 -15 10YR 4/4 _ sil 2 m sbk dsh cs if .5 8 3 15 -22 10YR 4/4 _ sl 1 m sbk dsh cs 1m .4 .6 4 22 -32 10Yr 4/4 fl 7.5YR 4/6,5/3 si 1 m sbk dsh - - .4 .6 I ❑ Boring # 2j Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I i i ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P I ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 i I i i i ` Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.07/00) Certified Soil Testing �A3 CA 'ti�C41' O H Q Vt�-4 G e-.c -vre *4 n - t (1 s �® a �-►'c C.1( ��w►cX � 1 (f� —62 � - :�.�a ►� w Qp� �oo-ee o � 1��`a� Sao �C �: -- yliv�, �j l IL z ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailin g Address Property Address �5 9 d °� 7 (Verification required from Planning Departrrk6t for construction) City /State Parcel Identification Number . 03 `1 b10 y C7 LEGAL DESCRIPTION Property Location � %s, %4, Sec. T�N -RW, Town of ► �� Lj Subdivision . Lot # Certified Survey Map # 7 y�lZ / . Volume 7 , Page # y6 c(1 . Warranty Deed # -7q FS oSS , Volume z y6 6 . Page # 303 Spec house ❑ yes Ed no Lot lines identifiable 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 mastorplumber, journeyman plumber, restrictedplumber or a licensedpumper 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. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expira date. xp 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 the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 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 U 2y66P 303 l � STATE BAR OF WISCONSIN FORM I - 2000 7 4 8 11Z'�� S WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS 5T. CROIX CO., WI This Deed, made between Sharie Furst fka Sharie Sauer RECEIVED FOR RECORD fka Sharie Imdieke 12/03/2003 10:00AX and Robert C. Wold a ainale parson Grantor, WARRANTY DEED EXQPT 6 REC FEE: 11.00 Grantee. TRANS FEE: 75.00 COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: described real estate in St. Croix County, State of PAGES: 1 Wi nsin (the "Property") (if more space is needed, please attach addendum): Lot 1 of Certified Survey Map recorded in vo lume 17 of Certified Survey Maps, page 4641_ Document No. 745129; being part of the NK11 of the 34W1/4 of Recording Area ee tion 9, Township 29N, Range 15W, Town Of Name and Return Address Springfield, St. Croix County, Wisconsin All Title Trcr w,Df� c_! 1037 N Hastings Way ���� d ✓�� Eau Claire, X 54701 1)O0A CA Part of 034 1019 60 00 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 Reservations, restrictions and easements of record, it any, and public highways, zoning and building regulations. Dated this 19th day of November 2003 * * 3 aria Purat * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. St. Croix County, ) authenticated this day of Personally came before me this 19th day of Sharig Furst November 2003 the Fd { TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me kn wn to ke the person teti authorized by §706.06, Wis. Stats.) the foreg gins ent and acpo THIS INSTRUMENT WAS DRAFTED BY * =dn Michael H. Forecki Notary Public, State of Wi consin `' Eau Claire, WI 54701 My Commission is permanent. (If not, stag uEtio e: l ( Signatures may be authenticated or acknowledged. Both are not necessa Se tember r�• *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 entury 21 Premier Group PO Box 16, Amery WI 54001 -0016 Phone: (715) 268-7125 Fax: (715) 268 -2170 David Hicks T4998927.ZFX Produced with ZipForm- by RE FarmsNel, 4LC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 363.9805 1893 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 10 C5Y pending Please print all information. Reviewed B Date ` Personal information you provide 0 ay u es(Privacy aw, s. 15.04 (1) (m)). Property Owner L Property Location Bauer, Sharie Govt. Lot NW 1/4 NW 1/4 S T 29 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name CSM# 2917 110th Ave. arcel City St to Zip���r>ledj4yr, �nber - 3 City _ Village Town Nearest Road Glenwood City _ 507 288 - 8589 Springfield 110Th Ave. New Construction Use: YA Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments({ and recommendations: install 5' x 91.2' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.75' sands fill NJ v4td _T IC,,✓, t� SuJ 75�Sj J Boring # Boring Pit Ground Surface elev. 98.6 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' 4� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0 -5 10YR 3/3 - sil 2 m gr ds gs 1f /m .5 .8 2 5 -10 10YR 3/3 - sil 2 f sbk dsh cs 1 m .5 .8 3 10 -18 10YR 4/4 - sl 2 f -m sbk dh cs 1 m .5 .9 4 18 -26 10YR 4/4 f2f 7.5YR 416,5/8 sl 2 m sbk dh cs 1m .5 9 5 26 -30 7.5YR 4/4 f2p 7.5YR 5/8 scl 0 m dvh - - 0 0 i Fil Boring # =) Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -3 10YR 3/3 - sit 2 m gr ds cs 1f /m .5 .8 2 3 -8 10YR 3/3 - sil 2 f sbk dsh cs 1 m .5 .8 3 8 -20 10YR 4/4 f2f 7.5YR 4/6 sl 2 f -m sbk dh cs lm .5 .9 4 20 -30 7.5YR 4/4 c2p 7.5YR 5/8 sl 1 m abk dvh - - .4 .6 I i lacks A +4'; presumptive limit is 0'; this pit adjacent to surface drainage - too close; avoid this area w/ SW system end Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS < 30 mgL CST Name (Please Print) Signature: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 9/29/2003 715 - 233 -0398 1 1 d` Property Owner Bauer, Sharie Parcel ID # 10 acre CSM pending Page 2 of 3 3] Boring # Boring jK Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 15 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -4 10YR 3/3 _ sil 2 m gr ds cs 1f /m .5 .8 2 4 -9 10YR 3/3 - sil 2 f sbk dsh cs 1M .5 .8 3 9 -15 10YR 4/4 - sl 2 f -m sbk dh cs 1 m .5 .9 4 15 -24 7.5YR 4/4 f2f 7.5YR 5/8 sl 1 m abk dh - 1m .4 .6 F4 ] Boring # Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -6 10YR 3/3 - sil 2 m gr ds gs 1f /m .5 .8 2 6 -10 10YR 3/3 - sil 2 f sbk dsh Cs 1M .5 .8 3 10 -25 7.5YR 4/4 - sl 2 m sbk dh cs 1 m .5 .9 4 25 -31 7.5YR 4/4 f2f 7.5YR 5/3 sl 1 m sbk dh - 1f .4 .6 F F-1 Boring # .j Boring j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 i I I i I I ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing f I mo ,- .t -Z y � + D b \ K iii, S �b r S \2R r uc�/ 1, \.PCl. / CSR.. 3 8S� 7 1 29 KATE H VALSH ST. CRROIXOCO VI RECEIVED FOR IECORD 19/29/2083 11:99AM CERTIFIED SURVEY MAP COPY FEE: 3.08 CERTIFIED SURVEY MAP PAGES: 2 L OCA TED IN THE NW I e4 OF THE NW 114 OF SECTION 9, T29N, R 15W, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. FOR NOTE: BEARINGS .PREPARED ARE REFERENCED TO SHARIF $AUER THE NORTH LINE OF THE NW 114. (ST. CROIX COUNTY COORDINATE SYSTEM. ) NW CORNER OF I SECTION 9. ( FOUND ALUMINUM CAP UNPL ATTED L AND ` MONUMENT). I I I NORTH LINE OF THE N 1 10TH AVE. W li4 .. J I— w — — N89° 18' 47" E 1326.92' _ — _ — -- • — �89_l8 w �33Q..00- 326.92 _ 330.00' w 963.92' N89 18' 47" E 1293.92 OR I VIE w w n (a Z r rri ........ g ...................g. 3 I.... Z _ ....... ............................... H 1 GHWAY SE TBACK L 1 NE ., 0' 0 p p ao M''' 2 I �I o► n ,15Sti HOUSE 3 2 o LOT 3 0 �.� m rn O I N ° 324 4 92 SQEF T ° p el I N 7.21 AC. EXC. R rV z 'Z N I m L 0 T 2 U 314,102 S0. FT. N89 41 i. 00' v z v i 37x.00' 17.54 ACRES m 33.00' 763, 987 SO. FT. l H 16.46 AC. EXC. RIW sp I a o 717, 167 SQ. FT. ' o, ;r. I a, ry ao v �� o I w l ° ` . OT Es APPROVED" - :A `! ST. CROIX COUNTY 2;17,821 SQ.FT. rn I'Linni • Zoning I gl 0 4.60 AC. EXC. R.-W n9 andPs*sComm' : r • g 200,331 SQ. F T. b. OCT ro I OCT 2 9 2003 :o (0 I too,: If within 30 days r+r := I 33. do' 378.00' eP rnrd CL 5 aPP►l shall be 3$0. 00' y 411.00 stn I S89 18' 47' W 1326.96' � � �m ;� 33� 33' UNPLATTED .. ANDS I z l � NO o'_ A SPECIAL EXCEPTION USE PERMIT IS REQUIRED FOR ( Z (; THE DISTURBANCE OF SLOPES 20x OR GREATER NOT ^o N o, I ON THE APPROVED PLAT OR CSbL I THIS PERMIT IS APPLIED FOR THROUGH THE ZONING I 4 6 OFFICE AND IS RE VIEWED THROUGH A PUBLIC HEARING • I PROCESS BY THE ST. CROI X COUNTY BOARD OF ADJUSTMENT. W 114 CORNER OF /— SECTION 9. ( FOUND ALUMINUM MONUMENT) CAP (r,Q jY��4► J AMES M. WEBER 81001 O • SET I' 0. D. X 18" IRON PIPE WEIGHING ' 1. 13L BS PER LINEAR FOOT. V-250' JAMES ML WEBER S -1804 0 50 250 500 LANDMARK SURVEYING, INC. SHEET I OF C DATED - ' 0!�� 2002108A THIS INSTRUMENT DRAFTED BY JIM WEBER Vol 17 Page 4641 -' 1893 = Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper rot less than 8% x 11 inches In size. Plan must County St. Croix include, but not li mted to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemslons, north arrow, and location and distance to nearest road. Parcel I.D. 10 acre CSM pendi Please print all information. Reviewed By Date Personal inlonnation you provide I WN Privacy s. 15.04 ( (m))• Property Owner Property Location Bauer, Sharie Govt Lot NW 114 NW 1 /4 S 9 T 29 NR 15 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 2917 110th Ave. Est Parcel City Sla Zip �tarZn;teyLnbe� City _ j Village Y6 Town Nearest Road Glenwood City 507- 288 -8589 Springfield 1 110Th Ave. pft New Construction Use: In Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD __. Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 5' x 91.2' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.75' sand fill a Boring # Boring 16 Pit Ground Surface elev. 98.6 ft. Depth to limiting factor 18 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Stri lure Consistence Boundary Roots GPD/ in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -5 10YR 3/3 - sit 2 m gr ds gs 1f /m .5 .8 2 5 -10 10YR 3/3 - sit 2 f sbk dsh cs 1m .5 1 .8 3 . 10 - 18 10YR 4/4 - sl 2 f -m sbk dh cs 1 m .5 .9 4 18 -26 10YR 4/4 f2f 7.5YR 4/6,5/8 sl 2 m sbk dh cs 1m .5 9 5 26 -30 7.5YR 4/4 f2p 7.5YR 5/8 scl 0 m dvh - - 0 0 1 2 Boring # J Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 0 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 / 0 -3 10YR 3/3 - sit 2 m gr ds cs 1f /m .5 .8 � 2 3 -8 10YR 3/3 - sit 2 f sbk dsh cs 1m .5 .8 3 8 -20 10YR 4/4 f2f 7.5YR 4/6 sl 2 f -m sbk dh cs 1 m .5 .9 4 20 -30 7.5YR 4/4 c2p 7.5YR 5/8 sl 1 m abk dvh - - .4 .6 lacks A +4 "; presumptive limit is 0% this pit adjacent to surfa drainage - too close; avoid this area w/ SW system end Effluent #1 = BOD 30 < 220 mg and TSS >30 < 150 mg ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mgt: CST Name (Please Print) Signature: CST Number Henry F. Gr i 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, W154751 9/29/2003 715 - 233 -0398 P� i Property Owner Bauer, Sharie Parcel ID # 10 acre (SM pending Page 2 of 3 3 I Boring # Boring 1 in Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 15 in. 7 Rate Horizon Depth Dominant Color Redox Desatption Texture Structure Conststence Boundary Roots in. Mansell Qu. Sr- Coat Odor Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-4 10YR 3/3 _ SO 2 m gr ds cs 1f /m .5 .8 2 4 -9 10YR 3/3 _ SO 2 f sbk dsh Cs 1m .5 .8 3 9 -15 10YR 4/4 _ sl 2 f -m sbk dh cs 1 m .5 9 4 15 -24 7.5YR 4/4 f2f 7.5YR 5/8 sl 1 m abk dh - 1M .4 6 I F4 Boring # Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 25 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Efl#2 1 0 -6 10YR 3/3 _ sil 2 m gr ds gs 1f /m 5 8 2 6-10 10YR 3/3 _ sil 2 f sbk dsh cs 1M .5 .8 3 10-25 7.5YR 4/4 _ sl 2 m sbk dh cs 1 m .5 ; 9 4 25 -31 7.5YR 4/4 f2f 7.5YR 513 sl 1 m sbk dh - if .4 6 i ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPDW in' Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I I ' Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg& • Effluent #2 = BOD <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. S13D 4770 (R.07/00) C"fied Sal TesbN �wc. rk I S�. \ a A, � a6 w44o' 6 \ y a s�b C a Z:I o \, bye o C f �c 17a i ' r 's1 1,,, w. �1 .Q \z a e a 3 bS� i x SPRINGFIELD PLAT r� T -29 -N • R -15 -W ,. (Landowners) GLEIYWOOD PAGE 56 Sea Page 112 For Additional Names. 3� 3100_ 3300 2800 3200 2700 _ 00 "" -- Steven I x g t °M°I s.R C M>� Br►a�u/ Aamb $ {' s A 156 �" &Mona tlN � qtl U� 7 w�.4 tl $ iii" ai 1 I ablart 29' James 0 D 0 Dew 169 Seim aa.v 8 / u.r a 120 �' n"a 40 a 3: >ro 160 ofF 60 p =r•ulu ^ Lego! g o l K — �Une Knuth .; � a a n gu SelmF ! 80 \� Waldo @Donna ¢ M I Mkhael a ° re.r.rr C^ tl�,sa�.F� 92 m o �g Gloria ( G s-11 a 12B N 5 2ardner Ia S One tl p Krafve g 160$ �41�a 4' 3A O 120 r ana'32o. ¢ _ _24 40 _ b F R �I f raw 110th AVE a•r Robert I c: i 37 & Sad 80 eft. 140 2 I jp 20 m I Glen a F Gfl p buret Donald ¢ MarBa I Makeln y I ero7 & ? °^ = I" ff Johnson rd rorreat Rathai 75 4o t Sohn Haloes - .a 40 80 69 120 I H owar d m 240 L roattne Grab— a sS $ ```x{f7f7 u ae g Robot r so Wr I Forest Ot p, , +� &Pamela tl McCV- ' 99 ss -+33� o u� • ..i my 40 �w re a Harold .t N $ E 31�$ Lyla LE tl >. Lana eemndaY )arrk bra �� GP �� C RT y� l E 40 4a $ S p I Q St X40 �^ fii"n AV � 40 E �ey� t a 7oeR Ya•a woks N Steve u(klt wrYane farms - ¢L : 40 40 S w 40 •" R M Iwc 67 39 u p C'^ 37 I a G Edward & daa Josep & Sha me wa Susan usan M Gestkr Jr Wo na k >av —•'^+ ! B w4lZ ,:d • James & ;'1 g I C Carol I 224 Harold [ 1 6 Chong t Carlos a Ruth McCarthy & Rehm o O I Eau e Galle g r Her 6 � trust Uh 12 160 H,y V Creek 120 etal 6 ` T Y 0 « 378 5 720 •°d bo■w• I ea i Fein i¢ 2: 74 90th AVE r �37 _3 ft 40 73 • i E 40 4o AVE M � z 20 h `" > JaIDes a s BPeterwn Toad. a Fbert Rxm Mabppey a F� M a 120 Cart 79 399 17174 re S G*G Z; 3 40 O & usm mo so �..::, C.AM A.N. err Q— / 4 a� tip em 40 aw I .1 AVE t60 100 S 1 1.4 1 waa 10 119 Bar" {swhow C y O p O a•4 0 D.1d a Lerkt &Mar) Hardwood 40 Rkkd ' & a Diaea q m ' y,ae : m I.kE 20 Ronald farrow Mahonq Cars 9 i Mavis 2f E s.p e a 'S R )Vy 120 I3ndahl Leona 3 Meech I1A g w, � '.J o..w ^ E twsb Debban Ia a w Bob William 159 mn afa..� ec � 159 R McGee C a ry aaa Heath u+ N I q Melon 97 t '�"„ .o r .q,yj b7 a 80� _ _ 80 80th kVE r $ 7b.— « 0 80th AVE pwa Charles atom Roouk o • «1� William at s4arkee R�orF O,n u C 2y Leroy tl tl . W wr 4060 ^ oaeeek'p tl 8$ OMeara 80 40 Donald 40 I ) Finder Nine a tlo$ N ro 3 1589 Fi te I ; c* S Olsoo r W lahmos Kw" r6 i "t I eaerta ' ` Co 109 Q 11 ro 40 7a on so a how, 12 72 t+ w :ok D o v_ 26 t Gerald F A Da I u� i r .` • w, �erees tilt �oWhnson2 L ?r ` $ r . 5 Robert — � p tl ¢ a .8 q WI ON S 21 x . z�z tl i YOM 9L. M meat a:E36 ��.e .2-02- _ so f r40 -3q n Reraen DooaY O lard e AVE n A chm H- a NN 00 Thompson I k oor 20 1 W en � fa Trust 707 f Mousel ^ a, 0 st u e I etal I — Ovila �� l20 w 156 p bet An�ahot 75 Z q 42 19 E E3tl & Av F� Lee « Keith & pp $ :.w. 35 13 6 Poe • I Frances N !E son Kr C Fziccks0 y s r r 'B EN d . so {y 12 «naOrwfl 45 Am�7 a °� axm w.r. Mark raft Q gg •r 3 39 to.� M iD tl �Z� OC b 40 M • 3 � ��1 avF CADY PAGE 24 '� W oodville TAUC knqa arehousing WILSON, WI and Distributing, LLC Dry Vans - Reefers - Augers - Hoppers - Brokerage Dry, Refrigerated, Frozen Phone: (715) 698 -2442 and Cross Docking Fax: (715) 698 -2962 107 Hagen Drive *Woodville, WI 54028 Toll Free: 1 -800- 219 -6926 Phone: (715) 698 -2712 - Fax: (715) 698 -2714 7 2.� -�� SE P 2 3 2003 ST. CROIh 0 0U14 zONING O FFICE CERTIFIED SURVEY MAP LOCATED I N THE NW 114 OF THE NW 114 OF SECT 9, T29N, R 15W, TOWN OF SPRINGF ST. CR01X COUNTY, WISCONSIN. PREPARED FOR ATE ; BEAR SHARIE BAUER ARE REFERENCED TO THE NORTH LINE OF THE NW 114. (ST. CRO I X COUNTY COORDINATE SYSTEM. ) NW CORNER OF [ — SECTION 9. ( FOUND I AL UMI NUM CAP UNPL ATTED • LANDS ` MONUMENT). I I I I OTH AVE" NORTH LINE OF THE NW !i4 w _N89 18_47 "E '326.92' _ _ _ -- 3`8 0 18' 18' 47" WWI 9 + I w 963.92 N89 18' 47" E 1293. 92' -) DR I VE w 330. 00' w a cn z w g /, w r- rn .................. g.. H I GHWAY SE TRACK L I NE ..,,jpD it o~o cz 0 5,1yIti HWSE 3 � y � LOT 3 z 324, 992 SO. FT. C y 'ro 7. 21 AC. EXC. R ro Z C rn L 2 cn 314,102 S0. FT. z v 2 m �? N89 0 :18' 47' E 411. 00' z � I :a 378 17'.54 ACRES ` t m y - t 3. 00' 763, 987 SO. FT. - .. rn I y 16.46 AC. EXC.A RiW eo m �p : z ctDi� � °i- A : Z p L 0 1 N Cb a I o) z, ° v ° 6 b 821 S0. IT� rin 4. 6n AC. EXC. �0, 0. 331 S 2 o I 1 100' : = .00 378. DO' . 330. 00' I : 411.00' 96 :Cq I I T "W 1326. 6' , 33� � � 33' ` � / �W"- �I 2 UNP T TED LANDS I ro �V �I CORNER OF SECTION 9. (FOUND ALUMINUM CAP CON18�� I MONUMENT). JAMES M. WEBER 6.1504 O " SET 1' O. D. X 18' IRON PIPE WEIGHING OFF06 VALLEY. 1. 13LBS PER LINEAR FOOT. �O SURVV 1 "•150' JAMES M. WEBER S -1804 0 T5 150 300 LANDMARK SURVEYING, INC. SHEET I OF 2 DATED 2002108A THIS INSTRUMENT DRAFTED BY JIM WEBER CERT I F I ED .SURVEY MAP LOCATED I N THE NW 114 OF THE NW 114 OF SECTION 9, T29N, R 15W, TOWN OF SPRINGFIELD, ST. CRO COUNTY, WISCONSIN. DESMPTION A parcel of land located in the NW'' /4 of the NW /4 of Section 9, T29N, R15W, Town of Springfield, St.Croix County, Wisconsin, more fully described as follows: Beginning at the NW corner of Section 9, T29N, RI 5W: Thence N89 0 18'47 "E along the north line of the NW 1 /4, 1326.92' to the northeast corner of the NW 1 /4 of the NW `/4 of said Section 9; Thence S01 ° 12'5 7 'E along the east line of said NW `/4 of the NW '/4, 984.87'; Thence S89 0 18'47 "W 1326.96' to a point on the west line of the NW 1 /4 of said Section 9; Thence N01 ° 1 2'49 "W along said line 984.87' to the point of beginning. Contains 3 0. 00 acres subject to 110 Avenue and 290 Street right -of -ways as shown. Also subject to any and all additional easements, right -of -ways or conveyances of record. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Sharie Bauer, owner, I have surveyed, divided and mapped the hereon described parcel of land and that this map is a correct representation of the boundary thereof. CO NS�� Dated this � 71 "` day of Sg�!N�8� JAMES M. James M. Weber S -1804 WEBER Landmark Surveying, Inc. 5-10" 9 �° sua % umu�ta Note: The parcels shown on this map are subject to State, County and Town aws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any lot, contact the St.Croix Zoning Office and the Town of Springfield for advice. Sheet 2 of 2 2002108a This instrument drafted by Jim Weber