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HomeMy WebLinkAbout034-1028-50-025 Parcel #: 034 - 1028 -50 -025 01/23/2008 08:12 AM PAGE 1 OF 1 Alt. Parcel #: 13.29.15.197A -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/15/2007 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - OBERLE, DERRICK & TAMMY DERRICK & TAMMY OBERLE E862 890TH AVE DOWNING WI 54734 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1017 CTY RD W SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 8.480 Plat: 5356 -CSM 22 -5356 034 -07 SEC 13 T29N R1 5W PT NE NW CSM 22 -5356 Block/Condo Bldg: LOT 01 LOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 03/21/2007 846892 WD 02/15/2007 844620 22/5356 CSM 07/23/1997 1117/271 QC 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 02/21/2007 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Qepartment of Commerce Count "'afety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: 506114 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: Oberle, Derrick & Tamm Springfield, Town of CST BM Elev: BM Descrip n: � /� Section/Town /Range /Map No: L d 15y0 I -- 5dw .-ems 13.29.15. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � /.� Benchmar � / �j O 2 DO `O Dosing VV b L,GCx� Alt. BM W 3� / • (J Aeration Bldg. Seer � i �� Ch( v qj'� Holding St/ Inlet 3 -A ��• �b St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet r Septic \ 1 610 Dt Bottom 2 7 Dosing / / Head M n. F 1 _ / d /D Aeration Dist. Pipe / �— (p b U Holding B SysterrL. /OA• F inal Gr q PUMP /SIPHON INFORMATION / OuR -r %P� .S 16 •D Manufacturer / / t Demand St Cover (a GPM Model Number 0 V �J I /' _ , (� _ J� - A C( w 9.6 / 9n)• 6 TDH Lift Friction josss System He ac) / TDB �Ft '��L��t _ vCi G C� S H/ Forcemain Length Dia. / Dist. to` W ell LL � �j / It 0 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PI IMEN S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS f �— SETBACK SYSTEM TO P/L BLDG WELL LAKE /ST EAM EACHI Manufacturer: INFORMATION CH*BFA OR Type R S tem: / T Model Number: #�"j -- r/ o DISTRIBU ION SYSTEM _�^ d� Heade if Id Distribution �, . x Hole Size Hole Spacing Vent t Air Intake 51 i, Pi L � rr r Length Dia !i Length �� Dia �• 7 Spacing 3 ow SOIL COVER x Pressure Systems Only XZ Mo r At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil /. Yes No i Y s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: !�/ Inspec n #2: / /_,Q.�� Location: 1017 100th Avenue Glenwood City, WI 54013 (NE 1/4 NW 1/4 13 T29N R15W) NA Lot 1 � P arcel No: 13.2 1.) Alt BM Description = "p -/ - � " /J C��,�y /� /_-� -n i� 2.) Bldg sewer length 1 r = x' (.�Q�ti( SL ` V J v / - amount of cover =� S ) _ L� Plan revision Required? Yes ►l No (j Use other side for additional information. ate EZ ;(n Si nature Cert. No. SBD -6710 (R.3/97) 4 commerce .Wl.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 co n s i n Madison, W1 53707 -7162 unitary Permit Number (to be filled in by Co.) s ( d I ' t i t rtment of Commerce ' Sanitary Permit Application State Transaction Number In accordance Hith s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the app overnmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary p urposes in ac with the Privacy Law, s. 15.04 1 m , Stats. /O / I. A plication Information - Please Print All Information F ,z T � Property Owner's Name Parcel # -1 LtmJ4 0' � NAAR 2 `1 ?nn7 pe,"J a Property Owner's Mailing Address Property Location 9& ST. CROIX COUNTY Govt. Lot City Stat•- Zip Code Phone Number w� y, Alk) y<, Section I3 i° A) OL 5 -1 3 - 7t S-4, `.f — C1 1 5 4 circle one T � 1 N; R �� E H. Type of Buildi (check all that apply) O� Lot # v l or 2 Family Dwelling - Number of Bedrooms Subdivision Name 5to) a _�t Block # ❑ Public /Commercial - Describe Use 14,5J5A_ PIC \ 11 City of ❑ CSM Number El Village of State Owned - Describe Use �• i I S351� Town of J �i I �� �� t X n ` �/ III. Type of Permit: (Check only one box online A. Complete line B if applicable) A. Fv Ne:v System ❑Replacement System ❑Treatment /Holding Tank Replacement Only El Other Modification to Existing System (explain) B • El Permit Renewal 11 Permit Revision El Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Ty of 1' OWTS S stem/Com onent/Device: Check all that a I 6 C ❑ Non- Pressurized In-Ground ❑ Pressurized In- Ground ❑ At -Grade Armound> 24 in. of suitable soil ❑ Mound <24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Mipersai/Treatment Area Information: D , $ Design t low (gpd) Design Soil r Application te(gp S ispersal Area Requi s� Dispersal Area Propos (sfJ System Elev en auk IitU) Capacity Total # of Manufacturer Gallons Gallons Units f , o 2 cd U U New Tanks Existing Tanks o v U w ,o c� H n C7 s Septic orank Dosing Chaunb.r L � VII. Responsibility Statement- I, the undersigned, assume res nsibili o nstallatioto of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si re MP /MPRS Number Business Phone Number TODD L. SINZ ` 139462 715 -235 -2644 Plumber's Address (Street, City, State, Zip Code) E.5609 708 AVE MENONIONIE, WI54751 VIII. C w ln tv/De larttnent Use Onl pproved Y =,i Permit Fee Date Is ued Issuing t Signature j ven Reas for Denial $ f�oo 3 Z5 d7 IX. Conditions of Approval/Reasons for Disapproval r Ql Q SYSTEM OWNER: 1. Septic tank, effluent lifter and dispersal cell must all be services / maintained as per management plan provided by plumber. 2_ All s etback requirements must be maintained a$ per SppNCVM*IC6ft00ld r the system and submit to the County only on paper not less than 8 to : 11 inches in size f 34 - \ozg- S0 _0 oo Q 7� q mot, C3M ��iZ�A. � T - 4Q- I O Zo 4,o " Y, ic. 09 ct-� K O (k�.o� o� 1 C CL- cw W U _ 30 , 1 i J µ 1 � Q /Q•"� � Qi v' Te c scD,, 4v K ` n (�qb> K S o- l{Q �oQfJ l 3 0� � Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 : TDD #: (608) 264 -8777 ' ��O �' www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 21, 2006 CUST ID No. 222774 ATTN: POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/21/2008 Transaction ID No. 1324166 SITE: Site ID No. 718582 Jerry & Cheryl Hoffman - rfl-fqw'� 06,'d-e' Please refer to bath identification numbers, County Hwy W 1 177 PA -V ,L- above, in all correspondence with the agenc Town of Springfield, St Croix County NE1 /4, NWI /4, S13, T29N, R15W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1098866 Maintenance required; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. a' • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c A Sanitary Permit must be obtained from the county where this project is located in accordance with the 0 ' P't'R1 1 N OF requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated SEE COi�, county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors ` HENRY F GROTE Page 2 9/21/2006 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART' code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Jerry & Cheryl Hoffman - Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD- 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) Location: NE '/4, NW ' /a, Sec. 13, T 29 N, R 15 W Town: Springfield County: St. Croix Date: September 20, 2006 Owner: Jerry & Cheryl Hoffman Address: E. 862 890 Ave. O Downing, WI 54734 ' HE NRY F. Designer: He Grote GROTE ENO MON,E Signature: � W►S. .' License: WI D — 1699 -007 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve t CO - 8: system management G ® g page 1 of 8 EY b "_� ._ HGS LVIII Y! i' SFODENCE Ui pp Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform a 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 4_s� gallons /day hydraulic load Design Calculations In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock in. Cross slope at system ' S % t'- w k Force main length -7,6 S ft. of Z in. Manifold/header length ft, of 4- in. Drain -back 4 ,Z� gallons Lateral length @ Z ft. of 4 in. Lateral elevation ` e) 3 ft. @ bottom of lateral Lateral hole size SZ- in. @ 4 't,0 in. ( ft.) Spacing � 9 holes /lateral 3 9 holes total Lateral volume q, z � �O gallons 2 o.s Total lateral discharge rate Z gallons /minute @ ft. head Network pressure compensation losses °s ft. Elevation difference b• `� ft, Friction loss o. Z� ft. @ gallons /minute Total dynamic head C ft. Pump /si'�fion Za gpm @ ft. of head Manufacturer 1 o w 0. C_ Model # S'A Dose volume S °� gallons Li ft/si on tank `� c �' � � - 6 o-o 4 � 6 c1 Ala gallons Septic tank h 1&-d"C. gallons Effluent filter c9\r�o Measurement pump on and off - in. Height alarm from tank bottom S in. Reserve capacity 4 bZ 3 gallons specs.calcs.res 2 Page of I 4L �F-� ova C�� o v t o a w.wk 'Iti o l2, b 110 `ht: 1,lStar.� \�V �,`v...5�...� �_ _'�' 1'V.•. &4A ;\ -�- 4L v,� „�0 6. _\ —7 y� r �lq- Pvc s� 40 I r.yl -Q�i� `'+./ Vw�vt ��eC or• w ;vrl,�6w't g c `� IL i nN WEATNERPROJF LOCKIWG COVER ,TLNCTtON 44 A/ /N6 .f QUICK DIaC,o.I�tCT --1 J- '( 4o 6 3 ' PIP nu NDISTURMD v � w. SO IL. 2 4 4" 40 t�axuaLF � vt ti � ; • r aWKov4_0 0— aska4 T 4c �t.� AL 3' ono a i P \ P S0L_ %� L Q� o-K c.p F� 0 '411 - l4� f1 �(�' CIN �7R�V>r0 D P ur1P E�F� bc0GK SEPTIC t � _SPEGIFI 00 S E w �( c w� TAU..S t�*MAWUFACTURCR; d- QUMBCR OF DOSCS: tl pCk 0, TA►JK 51ZC; _ 1 GALLOWS . .DOSE VOLUME `� �'�'K -+Y� IWCLUC ING OACKFCOW: ALARM /11WUFACTURCR; S mOOEL 1JU{h6'CR; CAPACITIES, A= 2: �`O IIJCHCS OK vAl,l.pl1S SWITCH TyPC; i1JCNE50a Z � g GALL.DUs Pump HAIJUFACTURCR; —1 � �^^ � c 5,A C • tUC ME 5 OR MODEL UUMOCR; c . 3 4.1 D" INCHES GR CaALlOyys JWITCN TYPE; ��"�v w IJOTE: PUMP A1JD ALARM ARC TO bC MI►JIMUP. DISCHARGE RATE 20 '� GPM IN5TALLE0 OIJ SEPARATC CIRL VERTIC DIFFERCW OETWCCU PUMP OFF A►JO OISTRIDUTIOU PIPE,. b ' g FEET t - /"%' J1MUM ►JETWORK SUPPL. PRItSSUKE , , , , , , , ��'✓✓ + FEET FEET OF FORCE MAIIJ X 1=-�� F T FACTOR. �•ZS FEET TOTAL D .HEAD _ FEET C i1JTERlJAL, DIME1J6IpiJ1; • � t, OF TA►JK: l.E►JC+TH 2 �W'DTK -- i L.IQUID DEPTH Pain 6 V a g --1 i j 1 1 Pump Characteristics Performance Data Pmo/ A tow LW SvbMrs" 1 >r AM�wrfk Mel.h SN1130A1 I � Mia't+�wer .SO � MI Lod Amp 110 6 16 Me for Tyr SkW hle 0 ) a R. ►JA. 1$50 V 11S Wee" 60 NEAU ads. A !ns *tie. 0113 A O'Ww $he 1 -1 /1' MIT plow Total 1t•1W hit 0 1 12 1 16 20 1 24 $#I& Wuw&g 3/4' 0 h OPY (U.S.) 1 44 1 36 1 29 1 23 12 1 0 Vm WIAOI 30 ►,wx caa 11/3, srrw, to' Dimensional Data Materials of Construction too i.wa rwtaim� vs. V A 2 («�,rtni Mr,.aor H" S1.iSkil Steel A 1/1 �A Umbria a 1 Wodrk a y � � Meta Weis Cit kw i"� cm k s. WoN i.hi t4wow1 m to wJwt OW *a pdtmtoro.ttlout n,k, 0464111114 Seel Few Cs w /Cwwk °.., Skft 5W $W Wyt An" Slw I S'ri� WOW StMI wSS Iw o 1 lk Gst h" S1ww cxu go"" Milo Ik TlresOfttk i Q 1 999 M datic' Pump,. A$No"i, Cho AP R' Ra. ved. I ram HYDROMATIC" - Yow Avlhor-1#4 Local Oiwcibu - 1810 lemy 4W 1&mtI, Oh's 41103 14.411-1".3047 Fix 411.111.4011 will She; m.aMdRAILOm -� Q S1LES OFIKIS IN AIL NLUOR CRIES AMO COUNTRIES Ii l � Item u: W - 02 .4350 1206 Sm " U Y System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, TL Sinz Plumbing, 715 -235- 2644, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. _ 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run - off, final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volurne equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ORIGINAL Visconsth SOIL EVALUATION REPORT #2484 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Certified Soil Testing, LLC County Attach complete site plan on paper not less than 8'/2 x siz Ian must St. Croix include, but not limited to: vertical and horizonta6iol ence point ( ction and percent slope, scale or dimensions, north arrow, an�tiW,aQd distance to nearest road. Parcel I.D. ....� 034 -1028 50 -000 Please pr " p y E -- iG Reviewed a Date Personal information you provide may be used fof F. n W I rivacy Law, s. 15.04 (1) (m)). Property Owner Property Location Hoffman, Jerry & Cheryl SEP 1. 2006 Govt. Lot NE1 /4, N /4, 513, T29N, R1 5W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# E 862 890th Ave. S .,I ,iiX G0 iNT'a City Stat da..._.P1Qn Ei City [] Village ® Town Nearest Road Downing WI 1 54734 715 - 665 -2476 Springfield CTHW W New Construction lase: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or commercial - Describe Parent material loess Flood plain elevation, if applicable NA ft. General comments install 6' x 76' rock cell mound on 100.0 contour as upslope edge of rock w/ 0.8 fill @ 0 gpd /sq ft and recommendations: basal loading ❑ Boring # J Boring Z Pit Ground surface elev. 100.0 ft. Depth to limiting factor 34 in. jSoiI Application Rate Horizon Depth Dominant Color RedQx Description Texture St[uoture' n-slistence 00tatidary Roots GPD /ft in. Munsell Qu. Sz, Cont, Color Gr. Sz, Ott•, •Eff#1 'Eff#2 1 0 -10 10YR 3/3 - sil 2 f -m sbk ds cs 1m .6 .8 2 10 -34 10YR 4/4 - sil 2 m sbk mvfr cs 1m .6 .8 3 34 -46 10YR 4/4 f2d 7.5YR 4/6 sil 1 c sbk mvfr - if .4 .6 10YR 6/3 occasional gy si coats on peds below 10" Boring # '❑ Boring Pit Ground surface elev. 100.8 ft. Depth to limiting factor 35 / in. Soil Application Rate Horizon Depth Dominant Color '' Redox Description Texture Structure Consistent Boundary Roots GPDrft= in. Munsell Qu. Sz. Cont. Color Or. Sz. Sh, 'Eff#1 'Eff#2 1 0 -9 10YR 3/3 - sil 1 f -m sbk ds cs 1m .4 .6 2 9 -13 10YR 4/4 - sil 1 m sbk mvfr gs 1m .4 .6 3 13 -35 10YR 4/4 - sil 2 m sbk mvfr cs 1m .6 .8 4 35 -40 10YR 4/4 f1f 7.5YR 5/3 sil 1 m sbk mvfr - - .4 .6 occasional gy si coats on peds below 9" Effluent #1 = BOD > 30 < 220 mg /L and TSS >PO< 150 ` E luent # _ < 3 nd TSS < 30 mg /L CST Name (Please Print) Signa ur : CST Number Henry F. Grote 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 9/11/2006 715- 233 -0398 SBD -8330 (R.07 /00) Property Owner Hoffman, Jerry & Cheryl Parcel ID # 034 - 1028- 50 -OOG- ' '' Page 2 of 3 F i l -- j Boring , Boring # Pit Ground surface elev. 98.7 ft. Depth to limiting factor 27 m in. Soil Application Rat Horizon Depth Dominant Color Redox Description Texture $tMcture COwsistence Boundary Roots GPD /ft' in. Munsell Qu. S2. Cont. Colo Gr.,Sz' -Sh *Eff#7 *Eff #2 1 0-7 10YR 3/2 - sil 1 ni sbk • -'" mvfr cs 1M .4 .6 2 7 -18 10YR 4/4 - sil 1 m sbk mvfr gs 1M .4 ! .6 3 18 -27 10YR 4/4 - sil 2 m sbk mvfr cs 1m 6 .8 4 27 -43 10YR 4/4 f3d 7.5YR 4/6,5/3 sil 1 m sbk mvfr - - .4 .6 I I occasional gy si coats on peds below T' 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 -6330 (R.07 /00) Certified Soil Testing, LLC .r YV- I , T - 7 9 C- O Zo 40 VJ QiQ� �Qi�� v \xVV r (lrQ� own � �o r x 0 � V ` r3.3 I �6cro 8 AD. •h6a400 VOL PAGE ass . . . . . . . . . . . vmuD CER TIFIED STIR M qu VEY .M�712 » t1 taocate�D w 71W 11oRtttr�tst Me�ee Coo tltE a1r111+tc�rr pwtRielt ar � tr>tlN�ltr as "GRIK R� 1s wes/: t+o1fE1 or >tpRwofsQ.o� st: clea>K Mao f - 0 r ma MR ap0oe at F=und St. Craft Co. UNPLATTED LANDS (t��_ Ism. vcd. - 3. P s Qnerter Mon. at the Northrws! - `� re�' r Mib l Y r at !=a 17r T+�P �. owner of Sea 13 Twp- POW f - i r 22. 1t0e. 15. r t r _ s eeras'+o' w 201 8-32' ; � � s �• � ` -s sv3W40 w 1 M 66 E i 73170.16' N 3_ srd fot _ • � Q a a.... Q 04 EEfOn41C- e� l e1� lir/R7t� z FT. EL 9F lom ft Onto Hmsm oft .� d 1r Qvk Its or 1 J A• Fi � ... r► of LOT 2 •. ] �[�j 122>M 20. Fr. tt. tom. ROtR 2o. Na1ES N. WL WIVIL Z 12Nf�r Sa FI. is IID. N=1a 21 ACltti Eft M jKm N ss'45 £ -- --fir -- N W46'45' E t34s.1� `'' • f taos.ls' �•' 0 :••• I � N t UNPLATTED LANDS f /► ` a ,.r � i �.:•;;' } IM Ner1h Ih1e of tha I ;J: MerM►wwt Ouai+r of section 13. YM: d bearing of has e •.0`11L. . JOHNSON; 1 S -2859 :�; • i RED WINO a. r •: �� MN f Fow S u d 1' from et the G <luorter the w Quarter { M � 1 ♦ - -Cor. =f ser. I,% l R V I T". Rg a. I % ^ N Q6'S4 SO" E 0 Donate. placed a&" Iran ptpe wetOhfnq round 1 1/4' iron 1.131be. per W." toot. et the & Qeorter • Denotes round Ira, monunl.nt. o 300' Car. of Sec. . 13, 0 orates lhund Soctian Cenor MaiwMWnt �i■� - 2% `• oerlas i1r told . dastnsm Suaff4d ina refold StwwVISM mW EEn ��� «G1 SL OW UNS M11 ag rr w a p Vol. 22 Page 5356 B'd }{Hd 13r83SH dH WdLT :E L002 92 JBW $4 68'92 1A'h1um A. YAI.SII MISM OF STATE BAR OF WISCONSIN FORM I - 2000 vim iM NWM DoatauntNansber WARRANTY DEED 63121/26*1 02e43P% THIS DEED, made between Jerry Hoffman and Cheryl Rottman, MA IXNTTYT DUD h omed and wife, Grantor, and Derrick Oberle and Tammy Oberle, husband rend wife, Grantee. REC M3 11.99 Grantor, for a valuable consideration, conveys to Grantee the following TRhkil'S FEE$ described real estate in St. Croix County, State of Wisconsin (the COPY FEE - CC FEES PAGES s 1 Lot 1 of Certified Survey Map filed February 15, 2007, in Vol. 22 of C.S.M., pg. 5356, as Doc. No. 844620, being located in the NE`A of the NWT14 of Section 13, Township 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin. R;peording Arc. Name and Return Address: 9s nn QOW" Trues beaS $b 4 Broadway St. Menomonie, WI 54751 Together with a ll appurtenant rights, title and interests 034 - 1028 - 50 - 025 pare IW=uficatioaNtmbcrM This iLnjX homestead property. Grmttor warrants that the title to the Property is good, indefeasible in fee simple and flee and clear of encumbrances except easements, covenants, and conditions of record. Dated this Aday of March, 2007. Al 4 =Ao * Ch!*yl Ho » AUTHENTICATION ACKNOWLEDGMENT SW ature(s) STATE OF WISCONSIN COUNTYOF DUNN )as. autbemicated this Personally came before me this day of March, 2007, the above named Jerry Roffman and Cheryl Roffman, husband and wife to me known to ` Rtme JW*02(s) who TIT G8: MEMBER STATE BAR OF WISCONSIN ex fo ing instrument and, a'�Owled�etiye Same. (If not, ZdA authorized by § 706.06, Wis. Stats.) » •` • v THIS INBMUMENT WAS DRAFTED BYIh Notary Public, State of Wisconsin.= My commission is permanent. �at� Robert L. Lobert r Loberg LAW Office +,• , fY h pftasums may be aatientioated or acknowledged. Both an not necessary•) *w or pas= signing in aW Wwity must be typed or prAd below thm sigostam 3 WARRANI•Y DEED STATE am oFwtWONNN FOAM Nei 1�OOD Z - d XU3 131: 83Sii'1 dH WdG i c E LODZ 92 Jew - Mar. 20. 20071 7:52AM't=.Z! . ," ea`v cleats �xs I- zuniiI 1 -W -19P e ra No. 4549 P. 1 �0tit7i ST CROIX COUNTY SVnC TANK W.MENANCL AGRM AND OWNERSHIP CERTWICATION FORM � I . Oaunac/Buyrf ; i Matiling Address th Proparty Address p erificatioo raQaimd from 1 lAwl<bltg Dc7utmeat fnr view cQQ$hvctio ) City/state Puccl Identification Number I + - SO - i proparry Y..acadoA .tl., - AkL V1, Sec. ..► Toga of� ' Subdivision Lot # Caroled Satrvey I lap # volume � � I i Paso # � c?.� • Page I ra Warranty need # 1 0 1 . 9 'Votume .,�..._ Spec house 0 yes 0 no Lot lines idmtifiablo Q ly% ❑ no Imp vjw use toalateaaaccof your acpd0 a7stem caltld ncst4t ia lts prematttrt Wm to haA& wabm Pmpoi tneuttWRE" consists of p the sq& teats awry tba w ym.* or sooner, if needed by a Waso i pampa. What You put Wo the syu= can attest Ste 6=tior of the septic tank as x fta moot sup in tW wuw disposal systm The property r Antics to dubm it to St. Croix Zooms Dopaxtment st tadfica i9p faun, signed by the owner std by a ma�Crplt'�Doi�] F is in proper operatiag didon xAdlar(2) aRaxinspeotion and pumpi ag (d aecaaaVY). the Unk h less than 1/3 full Of dudg4 I/wc. the aodecrlgtted ve rtad the Abaft tagaite:rtecum end agcea to mafat& am pdvata wap disposd system with the Sunda& set forth, horcia. iq Sol by ft Depwancat of Conwu=e nod the Deputmost of Nrt=4 R . $(;tta of wwwngin. Ge�ct�drm l otfa; that yow septi system has beta oukteincd must be coatploted and tcturasd to the t. GSfoix Catmly Zaefag OfUw wbtltfa 30 dcy3 of the throe y c*r ilati*A date. f / y ! SIGNA 13" OF AP LICAN't' i DATE WNLR C N I I (we) rort!6 that all omtcmeats on dais focal are a vc to the bast of ray (our) artedge. I (we) am (acs) tho owmei(s) of the prapsrty dosed above, by virtue of a wanUty decd recorded in Registar of De ds Me$. SIt3N1► IC nATk? ...... Any into ion that is Ail Mpreseat may natult it thr, sanitary permit being Ivalmd by the, zoning Dopsnateat. •a•as. •+ Xnetade with rhLt ,ppticafion_ a sunspod warntsry dacd from &a Resister of MCA 4MC4 A copy of fbe ccrd&ed sutvoy trap if rcktaw is shad irl the w=uty deed I I I � 1 1 as h05,1.30J A�ld'1 vP'i'�IBS /�al�a 40-9Z -Z �: ab 010(3 aoac am000 -i -.As � iddv :.( I= 'roc ude'ca d P�'�! ewaaw tM'ddVN�l iUOA . � N 2i a q -'(8 pOX�VJ 3JV>!!VJ F 3snoH 1. *0 1d 90/6�M@ a�td Sn N �` a ��r �a� E 019 -9w "OR Vof 3TdRaO :.JOUAAO 1 = S la -�, �--jr�S .37" L,; 7A �- POW >w • e 4� M00 +' 1 � s . l � II � I A -A, o � • li , P'A1 ° I I _ _ � I 1 o si 0 51 1.1 O1r b k I I � 1 1 $I u I ��I u �„� rc7c C70 707 'okr Y X a s�utP1 tt� s.t� 1'�f� ➢�V Wso 3RIAOOWZ