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HomeMy WebLinkAbout034-1029-60-000 0 ? 03 0 �m §$ K - m� . � f F : � � ■ � m■ = z z z n, < o Q) o a_ «. t\ \ 2 k -4 \: o k \ £ ; » m E / 7 / ) \ § / CD co / k § § 0 _& E E C % E f ��'a © Z 2 @ v >: E 3 e ¢ o: t CD 3 0 \ » $ ƒ CD @ z � � « 0 2 § @ : � $ X. 0 m . 0 r \ ^ ^ k ; fT C 2 k E: z 0 0 0 0: m Cl) 9) ■ \ 2 \ � ° 0 § § ƒ 0 ' \ 7 � �- 5 C q 3 j w 0 C : E M — 7 7 ¥ § $ ƒ 0 _ 2 ] � 0 § rr q & z CD I2 © co ± wa2� } �£ \ /k� \ cn0 0 \ [CD M CO 0 -4 =r 0(n $ \ { \ 2°5 ® , § §2% 9 C / m7$ t-4 D =L 2 CL / � 0 < q % o w \ & . � � �3 8 1 28'9 1 VOL 20 PAGE 5111 KATHLEEN H. REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR kECORD 11/23/2005 03:00PH CERTIFIED SURVEY MAP NO . 511, CERTIFIED SURVEY HAP REC FEE: 13.00 CO PY VOLUME 2 0 -PAGE 51" PA 2 3.00 PART OF THE SOUTHEAST QUARTER RECEIVED OF THE SOUTHWEST QUARTER, SECTION 13, TOWNSHIP 29 NORTH, RANGE 15 WEST APR 25 TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN LANDS UNPLATTED North line of SE/sw NW corner N89'02'59 "E 1207.41' / SE /SW LO/ 7' J LOT 2 236,641 sq.ft. 5.43 acres PREPARED FOR= 906 ,398 s ft. 891,970 sq. ft. Incl. r -o -w DANIEL WINE ouo q' 1160 260th ST. P o w 20.60 acres 20.48 acres Glenwood City, WI c �e`�o,, /- ` incl. r -o -w not inct. r -o - w,,' -P, 227,750 sq. ft. OWNERS: �- 5.23 acres DANIEL WINE 473.05' centerline dry_.rar not inct. r -O -W HAROLD N89'11'06 "E / Z 75' setback line N 2 N89't t'O6 "E ri I� O $ N O It= LOT LaT 1 w � LOT .3 ;ro, w 435,600 sq.f t. soil teats rn o c 10.00 acres W ir C .� `` 1 . r -o -w Amon W mad soil tesis \�on J i DRAFTED BY: `N = barn 1� \\ Joel A. Brandt /1 - ° o JB SURVEYING LLC ✓ 421 510 sq. ft. E o O0 966 Rustic Rd 3 9.6 acres Glenwood City, WI no incl. r - - ° u r+l A shed buil i li _ _ _ ).ySW corner S88'59'42 "W 1206.68' 29.00' P o away g 30.57 ' dr v 32.13' E /SW d vewoy 461.32' 2,33' 1305.71' 47 459.66 274.00' 99 . 00 ' 589'it'O6 "W S89'11 O6 W 3_OS _ _ S89'11'O6 "W _589'11 06 - I W _OJT S89'71'06 Southwest Corner centerline 90th AVE. South 1/4 Corner Section 13 -29 -15 S89 "W 1206.71' d.,,eway Section 13 -29 -15 Found Survey Mark Nag 2611.42' Found 1' Iron Pipe UNPIATTED LANDS Note= Each parcel on this map is subject to State and County laws, rules and regulations c/ /��/ (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. 7V SCALE: 1" = 250' JWLA. • MA►OT ! ' i•4E03 Q ZSO SOO QEMWO OO pTV, LEGEND Q S North is referenced to the ra.,,...,._,Government Corner (as noted) '3 �\\0 �� Quarter of Sec. 13- 29 -15 o..........Set 3/4" x 18" iron rebar , which bears S89 °11'06 "W weighing 1.502 tbs. /lineal ft. l (St. Croix County Grid System) Page 1 of 2 South Line of the Southwest - Vol; 20 Page 5111 PAGE 1 OF 1 Alt. Parcel #: 13.29.15.204D 034 - TOWN OF SPRINGFIELD Current LX I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/27/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner HAROLD L & WINIFERD S COLLINS 0 - COLLINS, HAROLD L & WINIFERD S 1160 260TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 3244 90TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 5.430 Plat: 5111 -CSM 20 -5111 034 -05 SEC 13 T29N R15W PT SE SW CSM 20 -5111 Block/Condo Bldg: LOT 03 LOT 3 (5.43 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 11/23/2005 812891 20/5111 CSM 06/27/2005 798715 2830/467 WD 09/23/2003 740876 2416/232 WD 08/20/1999 608925 1450/255 LC 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/14/2006 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 5.430 4,500 0 4,500 NO Totals for 2006: General Property 5.430 4,500 0 4,500 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 i Wiscon Ip &@@q'1% D 2004 PRIVATE SEWAGE SYSfEM'YSrN 1 Mnty St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453307 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: Mahoney, Barry Springfield Townshi 034 - 1029 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / C c�zs G� k C S _ 13.29.15.207 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r Septic Bencfi r, ark Dosing Alt. BT IN F JND 20 Aeration LJ- do Bldg. Sewe i •. I �t G1Ci Holding St/Ht Inlet 0 1 z St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic i i Dt Bottom 7 /l�; '7/06 S7 � � I9 91 Dosing 1 1 Header /Man. � /�k 7 �� 5 57 -- � . In � Aeration Dist. Pipe G9 L6 . 1�3 Holding - Bot. System 9 . Z3 /06 61 ` 1 1 Final Grade " C; K I lc`1 Ibl - lv PUMP /S PHON INFORMATION � Manufacturer Demand St Cover Sc6 s ,'� J- GPM PJ J 99 Model Number TDH Lift Friction Loss System Head T r�-I t iI 27- 2 . 5�, S v Lp 2i Forcemain Length Dia. ,: Dist. o Well /2z Z SOIL ABSORPTION SYSTEM BEDITRENCH Width Length j No. OgVe PIT DIMENSIONS No. O Pits Inside Dia. Liquid Depth DIMENSIONS f - 76 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION A CHAMBER OR Type Of System: �� / �� UNIT Model Numbe +D' 1 71 L DISTRIBUTION SYSTEM Header /Manifold �� Distribution 14 �� x Hole Size 11 x Hole Spacing /j Hole to Air Intake Pipe(s) - Length Dia 2 - Length Dia k J 2 — Spacing �I "� z P U Cl.a SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of I xx Seeded /Sodded xx Mulched Bed/Trench Center / < Bed/Trench Edges \ Topsoil ' es ] No 'es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 10 / `6 / O f Inspection #2: 0 10 L) CAP: Location: 3244 90th Ave. Glenwood City, WI 54013 (SW 1/4 SE 1/4 13 T29N R15W) 40 acres Lot 1 Parcel No: 13.29.15.207 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = 4 7 Plan revision Required? _ Yes No Use other side for additional information. �_ L 11 __— O S � i gnatC SBD - 6710 (R.3/97) Date Insepcto Cert. No. Safety and Buildings Division County lv Me 201 W. Washington Ave., P.O. Box 7162 S �' ( C scons,n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 ��13 3 � Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy La s15. 04(1)(m) Project Address (if different than mailing address) I. Application Information - PI s rint All Inform on - 3 ZLl �O`t� . r Property Owner's Na me f 'JUN 0 f " 004 Parcel N Lot N Block p c 0 - d 6 GYJCS Property Owner's M Ailing Address ;RUI ' }iJiv 7 / Property Location a ZONING OFFICE Ci , State Zip Code Phone Number tk, j�� 'A ,Section 12 t ( L � „ {circle ) II. Type of Building (check all th t apply) T Zt N; R�_E R 1 or 2 Family Dwelling - Number of Bedrooms 3>�12j Subdivision Name C ber ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City _❑Lllage %T o nshi f III. Type of Permit: (Check only one box on line A. Complete line B if applica le) /( A. New System ❑ Replacement System y p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all,that apply) ❑ Non - Pressurized In- Ground CW Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soi Applicatio Rate(gpdsf) I DMal Area Requir (sf) Dispersal Area Pr posed (sf) System Elevation VI. Tank Info Capacity in total Number anufacturer Irefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit ' tr Dosing Chamber !� VII. Responsibility Statement I, the undersigned, assume Yes ability for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature P MPRS Number Business Phone Number �� 0 z:_ V�gl Plu is Addre ss (Street, CAry, State, c oalff S_ q7 _ VIII. ount Department Use Onl Approved 0 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued 15Wing AgeN Sign atur o tamps) Surcharge Fee) �- (f0 ❑ Owner Given Reason for Denial IX. Conditions of A provaUReasons for Disapproval & Y!S; T E N M OWER: Ic an c, effluent fitter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable codelordinances. 3.q3 — Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) 3 Ak �3 71 M 3� t10 s I 1 oA I IJ r N --- CIL. M �s Safety and Buildings commerce.wi. OV 141 NW BARSTOW ST FL 4TH g WAUKESHA WI 53188 -3789 TDD #: (608) 264 -8777 4t sco n s i n www•commerce.stsconsin.gov www.wisconsin.gov De artment of Commerce P Jim Doyle, Governor Cory L. Nettles, Secretary June 02, 2004 CUST ID No.224617 ATTN.• POWTS Inspector LYLE J MYERS ZONING OFFICE NORTHLAND PLUMBING INC ST CROIX COUNTY SPIA E1556 STATE ROAD 64 1101 CARMICHAEL RD BOYCEVILLE WI 54725 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/02/2006 Identification Numbers Transaction ID No. 1004306 SITE• Site ID No. 684176 Barry Mahoney Please refer to both identification numbers, 90TH Avenue above, in all correspondence with the agency. Town of Springfield, 54013 St Cr ix Cou SE 1/4, SE 1/4, S1 , T29N, R15W .5 4 t.0 Description: Mound, 3 Bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 960568 Maintenance required; 450 GPD Flow rate; 33 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706-P (N.01 101). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII'of mound crpopnt manual. A copy of this information must be given to the owner upon completion of the project. CC Maintenance information must be given to the owner of the tank explaining that periodic cltllter is required. Access to the filter for cleaning must be provided per Comm 84 product app val co i� n A Sanitary Permit must be obtained from the county where this project is located in accot with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. LYLE J MYERS Page 2 612104 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. 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. 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 Julia A Lewis - Osborne POWTS Reviewer 2, Integrated Services WiSMART code: 7633 (262) 548 -8638, Fax: (262) 548 -8614 jlewis@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 �I Mound System Cover Page pg 1 of 6 1 14 0 MMEBRI ft IDERETE Project Name: Mahoney -Mound Owner's Name Barry Mahoney Owners Address 3240 90th Ave Glenwood City, WI 54013 Legal Description Sw� '/< sE� y, Sec 13 T 29 N, R 15 w Township Springfield County Is Subdivision Subdivision Lot# Parcel I D# Table of Contents MAY 2 4 2004 pg• 1 Cover page SqF 8LOG3. DIV. 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 Designer Name: Lyle J. Myers MP /License #: I. D.# 224617 Date: 5/19/04 Ph. #: 7156432520 Signature: J `n Mound System Design Methods Used > x per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10691 -P (N.01/01) per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10706 -P (N OY 1) .�- ''r.. Spreadsheet provided by: 3bAdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715 - 643 -6068 email: 3ba @3badi t.com �'Zo r Mound System Page 2 of 6 Mound Sizing Calculations Project Name: Mahoney -Mound Site Conditions Design of Entire Fill Project Type: i or 2 Famil Dwelling • Cell depth at upslope edge (D): 6.0 in. % Slope: [ Ain. % Cell depth at downslope edge (E): 11.8 in. # of Bedrooms: Distribution cell depth (F): 9.5 in. Depth to limiting factor: Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gal /ft /day Cover thickness over center (H): 12 in. Absorbtion rate of in -situ soil: 0.6 gal /ft /day End slope width (K): 7.6 ft. Effluent quality Eff#1 . Fill length (L): 90.2 ft. Max BOD effluent value: 220 mg /I Upslope width (J): 4.4 ft. Max TSS effluent value: 150 mg /I Downslope width (Toe) (1): 9.0 ft. Fill Width (W): 19.4 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal /day Basal area required: 750 ft Distribution cell width (A): 6.00 ft Basal area available: 1125 ft Distribution cell length (B): 75.0 ft Area of Distribution Cell: 450.0 ft Observation Pipes Contour Elevation of Mound: F 9 ft Location from end of cell (Z): 12.5 ft System Elevation of Mound: 99.60 ft Final Grade of Mound: 101.39 ft Mound Plan View Observation Pipes W K A 4 I Tilled ArealFill Material L ' Mound Cross Section Final Grade Observation Pipe Synthetic Fabric G Distribution Cell e System Elevation 6 ; Q � d' � � F °� r , C over Material Fill Material Tilled Area LJ 4, Slope Forcemain System Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. i Mound System Page 3 of s Pressure Distribution Calculations Project Name: Mahoney -Mound Lateral Layout Lateral /Manifold Design Lateral elevation: 100.1 ft Lateral diameter: 1'iz In. Rows of Laterals: [ __ ' I Lateral spacing (S): I JI ft Manifold type: Lnter • Lateral to cell edge: 1.5 ft Orifice diameter: rp.a,2s v In. Lateral discharge rate: 7.83 :pm p # of Laterals: 4 System discharge rate: q3l.31 Distal Pressure: 5 ft Manifold diameter: n. Lateral Length: 37 ft Manifold length: 3 ft Orifice Spacing /Distribution Forcemain Friction Loss Orifice spacing (X): 24.00 Inches Forcemain length: I 8]ft Orifices per lateral: 19 Forcemain diameter: 12 1 v In. Avg. ft /Orifice: 0-) 5.92 ft Friction loss in forcemain: 1.678 ft Lateral Side View �C Manifold jLateral � Lateral x x Ir x Ir x x x x x x x x x 2 2 Lateral Length Lateral Length Lateral Plan View Lateral Length Turn -up w /ball valve or cleanout plug ° ( ' ) T S ° ( Orifices on bottom of lateral equally spaced PVC laterals and forcemain to comply with specifications per Comm 84.30(2)(e) Forcemain connection via tee or cross to manifold at any point Clean Out Detail Observation Pipes Clean -out plug Final Grade 6" Minimum or ball valve Water tight cap or plug Lawn Sprinkler Box Slot Note: Closet Collar may be used in Long Sweep 90 place of 318" bar or two 45's 3 /8" Bar Lateral I Mound System Page 4 of 6 Septic, Pump and Dose Tank Project: Mahoney -Mound Tank Information Dosage Volume Pump tank manufacturer: Wieser Concrete Forcemain drains back to tank? OQ Yes O No Pump tank size /model: w1000 /650 -MR __ Lateral void volume: 15.6 gal Pump tank gal /inch: 17 Dosage to absorbtion Cell: 78.2 gal Actual Pump Tank Volume: 646 gal Forcemain volume: 13.9 gal Tank bottom elevation (inside): 88 ft Total dosage: 92.2 gal Septic tank size /model: w1000 /650 -MR Pump and Filter Total Dynamic Head Pump Manufacturer: Little Giant Are laterals highest point? y Pump Model: 9EH if not, enter highest elevation: 0 ft Effluent Filter: Zabel A100 System head (distal x 1.3) 6.50 ft Vertical Lift ( °D" to lateral) 11.43 ft Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Friction loss In forcemain: 1.68 ft Pressure loss from filter: L_ 01 ft Total dynamic head (TDH): 19.61 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal 4 Inch With Warning Label Minimum Finished A Reserve 22.6 383.8 Grade B Pump off to Alarm 2.0 34.0 Alternate Outlet C Total Dosage 5.4 92.2 Location Elect. per Comm D Effluent depth for pump 8.0 136.0 16.28 and Total Capacity: 38.0 646.0 Sn NEC 300 Weep Hole A or Anti- Siphon B Device FLOW- LITERS /HOUR C 0 1000 2000 3000 D 30 10 H w 7.5 g L Z 20 w F I a 5 I w a Pump must be capable of: 31.3 GPM = 10 2.5 and head pressure of: 19.7 Feet 0 0 0 20 40 60 so Little Giant FLOW- GALLONS /MINUTE 9EH PUMP PERFORMANCE CURVE 115V 60HZ r.D to Cc� g; a- n a eo ° IQ- aQ fl ! Li P M I� 7 �S 4. i I vvlscons n L)epartment of Commerce SOIL EVALUATION REPORT Page -of 3 Division of Safety and Buildings Comm. c n accordance rats 85. Wis. Adm. Code I Cou n t y ST C�2oix I Attacn complete site plan on paper not less than 8 112 x 11 Inches In size. Plan must nc!ude c::! nct !irni!ed !o: ven!ca! and ^orizonta! reference par.! (Bmi, direction and Peroet LD. percent slope. scale or dimensions, north arrow and WEI _ §Z8 st roa /,Q 2 g Please print all it forma on. " Date �1 Personal information you provide may be used t nds poses (Privacy low, S. 15.W t) (m)l• ` Properly Owner ro �iq,�•e A Q i✓ C ,, vl. L S(.<l 1l4 5�64 S ./ 3 T 2 N R /S W P:0;c_rt ^:: ^3:'s `',ailing Address ZONING OFFiC - Lot # _.. Name or CSW ,32-¢U 9�ic /9 of City State Zip Code Phone Number ❑ City C] Village 0Town Nearest Road 3 &WIJOL4 r� I eu / I 910 1"4 E New Construction use: � Residential I Number of bedrooms _ 3 Code derived design flow rate sU _ GPD CD Replacement C] Public or commercial - Describe: Parent material G << <- LL Flood Plain elevation if applicable _ tL General comments I �M rgrgmmwndappn5 , !/T��fiC / t n l/ 1 (,f(/YL>0 ��� r r - � U Boning p U ""j a / y 7 . 3a _ ft. Depth to orniti factor. In. V1' Pit Ground surface elev. _ Soil ApP@qM0Pn RAW gpoff I torzc;: Ceptr I Dominant Color' Redox Description I Texture Structure pC Boundary Roots n. Munsell Qu. Sz. Cont. Cover Gr. SL Sh. .0101 'Effrr2 cs . /1) 41 si / 3sbk a vr C S ,3 Z1 -2 .SyR rw�� 1n CS 293 ' �aYRs /4 ' ,S Zccbff /J�i�i G'S — ,2 .3 .S 333 1oM /4 s.5vR (Me - PtFSp6rs SC Za �,�'i CS — .2 3 ' 95 /o YRs / S O ( CS -- I S - 2 n ern, pry J ® p Ground surface elev _� 01_ tt Depth to limiting factor :!K — in. mil Application Rate I Hnn7nn I l ntn I (Mmrnanf (;dvXl lRerlox Uesmpfinn I I exll�re 811TWUre Consistence Boundary kool ( pit n. Munsell Qu. Sz Cont Color Gr. SL Sh. •EfWl 'EIN2 /a yR = /� SSA rrtY -Fr C S l �' G r 8 /x Vf r CS ISIS I ! 46 - o r 5 Yrt 8 YJC g S 0 5 /. U I Effluent #1 = BOO > 30 220 mg/L and TSS >30 < 150 mg& ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mgll CST rfa ' r ` P: ST "'""'e ,aase Pin ;) Si tur aG � 4" 1 t.odress Date Evaluation Conducted Telephone Number U 4 Pruuerly Owner sp y j1 fEa�(Ey PartoelID0, Pays Z of 3 �-� ❑ Boring 13 I Boring p Ground surface elev. 9� 3° R Depth to Iimltkp f actor 4 in UJ Pit Sol 1 Horizon 1 Depth Dominant Color Redox Description Todtre SOU" bore isterm 8olndsry Roots in. Munsell Ou. Sz. Cont Color Gr. 'M a . r Z 9 -30 /oYR'¢/-f z;// 3s6/I in V/ 'r 3 1 30 -,•7 /o YR s� fS O �!r S — . S /, o f 1 Ire Boring !.a 5r.af"vYr I Boring !! U U Pit Ground surface elev. ft. Depth to timibrg factor _ in. Horizon I Depth Dominant Color Redox Description Texture Sbucture C insWent a Boundary Roots OPOW in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. TIM i a g ri q ❑ Goring U g ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. ; Sod Horizon Depth. Dominant Color Redox Description Texture Shucture Consistence Boundary Roots GM in. Munsell Ou. Sz. Cont Color Gr. Sz Sh 'EMI t I a1 t EMuent ff 1 = BOD, > 30 220 mWL and TSS >30 < 150 rrglL Owt 62 s 890 130 mWL ant! TSS 1 w9t Tht: department of Cunurterce is an equal opportunity service provider ssdattotpioyer. ([you now wrVISOM to mom M - elo" trr � need material in an alternate format, please contact the depwftneot at 608 - 266.3151 or TTY 608 - 264.8777. .i ' 3 L qzD Ja r ww wax l �(( f� 1 I� i I � w � CP u p it 0 C �� - C-i M M r tu u a� Iz / m 00 �s 4. Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and /or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical /biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump /Dose Tank If an effluent filter has been installed in the pump /dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump /dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems /failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and /or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICA'I ON FORM Owner/Buyer 61"y j2,q�6 A/Q Mailing Address o'A Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location TW ` /<, Sec. TN -R1 Town of S'�.� /d subdivision ACkes Lot # Certified Survey Map # 6/ , Volume _ . Page # Warranty Deed # — �' t �" �' . Volume Page # L n � �� 5� voe . Spec hour yes f Lot lines identifiable W y es O no SYSTEM MAINTENANCE � t���� Improper use and maintenance of your septic system cod ? d result i it, premature failure to handle wastes. PProper ma maintenance of in out the septic tank every three years or sooner, if needed by a licensed pump a Y P ut o c o ns i s ts Pump g can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed acid returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICRNT 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 tho roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. CL reQ'rD SIGNA . OF A PPLI DATE *** * ** Any information that is mis- represented may result in the sanitssry hermit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a warren deed e nu warranty a copy of the certified survey p if reforenco is made in th Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 C1`'S.0 TDD #: (608) 264 -8777 �s RED V www.commerce.state.wi.us/sb consin Department of Commerce www.wisconsin. 0 1 2002 Scott McCallum, Governor APR Philip Edw. Albert. Secretary g ZON NG �pF10E arch 29, 2002 CUST ID No.220292 ATTN: POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W 1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 03/29/2004 Transaction ID No. 720232 SITE: Site ID No. 642531 Brian Mahoney Please refer to both 'identification numbers, 325TH St above in all corres ondence with the a enc . Town of Sprin field S x ounty N W 1 /4, NE 1 /4, S, 29N, R 15 W FO . Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 834438 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • 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. • Per manual sited 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. • 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 requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated 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 Y . BENNIE W HELGESON Page 2 3/29102 and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsiblities: • 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 83.55 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 cbratz@commerce.state.wi.us 1450nGE 2 55 11 STATE BAR OF WISCONSIN FORM 11 — 1982 LAND CONTRACT KATHLEEN H. WALSN Individual and Co orate REGISTER OF DEEDS (TO BE �! $25,DOD S FINANCED IN OTHER NON-CONSUMER I ST. CROIX CO. idI DOCUMENT NO. ACT TRANSACTIONS) l RECEIVED FOR RECORD 1... _. Contract ' by and between Raymond M. Mahoney and 08 10:00 AN Marie C.Mahoney, husband and wife I' LAND CONTRACT ( "vendor ^, is EXEMPT 1i CERT COPY FEE. whether one or more) and Barry M. Mahoney and Mary Barbara COPY FEE: 4 Mahoney, husban an w e , 01 ing as survi j TRANSFER FEE: 351.00 marital grope y ( "Purchaser ", whether one or more). p� FEE: 22.00 Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this contract by Purchaser, the following property, together with the rents, profits, �! fixtures and other appurtenant interests (all called the "Property "), in St Croix County, State of Wisconsin: i 1 THIS SPACE RESERVED Southeast Quarter of Southwest Quarter (SF- of SWa) and _..._... RECORDING DATA _ I South Half of Southeast Quarter (s� of SEk) of Section NAME AND RETURN ADDRESS Thirteen (13) , North Half of Northeast Quarter (N of ;NEh) of Section Twenty —Four (24), except West (W) 9c� Two (2) rods of Northwest Quarter of Northeast Quarter (NW of NEa) of said Section Twenty-Four (24). North Half of Southeast Quarter (Nk of SE,,) of Section Twenty —Three (23), Township Twenty —Nine 0 — — — 70 North (T29N) , Range Fifteen West (R15W) PARCEL IDENTIFICAT UMBER 034- 1052 -60 -70 i 034- 1053 -10 -20 i. i j' This is not homestead property. �i IN (is not) Purchaser agrees to purchase the Property and to pay to Vendor at , a Place designated by Vendor the sum of $ 117 , 000.00 in the followingg manner. Ca) E O.00 at the execution of this Contract; and (b) the balance of $ 117, 000. UO together with interest from date hereof on the balance outstanding from time to time at the rate of seven 7% percent er annum until paid in full, as follows: monthly payments of principal and interest in the amount o $890.00, colxtrnencing one month from date hereof and on the same date of each month thereafter. i Provided, however, the entire outstanding balance shall be paid in full on or before7iAtce two (2) 4 OPM years after the date of death of Raymond M. Mahoney and Marie C. Mahoney. Following any default in payment, interest shall accrue at the rate of _ L_ % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid Without premium or fee upon principal at any time after janu an� 1 '19 li In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be created as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. i Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: I Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. dat o Closing Purchaser shall be entitled to take possession of the Property on 19 • Cross Out One. i Wlscmain Lettat Blank Co., Inc STATE BAR OF WISCONSIN Milwaukee. tVie LAND CONTRACT — Individual and Corporate Form No. it 1982 i LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SPRINGFIELD COMPUTER NUMBER 034 - 1029 -60 -000 Parcel Number 13.29.15.207 OWNER NAME: First BARRY M & MARY BARBARA Last MAHONEY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 13 TOWN 29N RANGE 15W %160 '/440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 13 T29N R15W SW SE 40A 15 02 16 / J 03 17 04 18 � 4 d vr 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit r LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SPRINGFIELD COMPUTER NUMBER 034 - 1029 -30 -000 Parcel Number 13.29.15.204 OWNER NAME: First BARRY M & MARY B Last MAHONEY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 3240 90TH AVE SECTION 13 TOWN 29N RANGE 15W '/4160 '/40 Line Description Line Description TOTAL ACREAGE 40.0 LOT BLK 01 SEC 13 T29N W SE SW 40A 5 02 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit f U 2 4 16 P 2 3 2 740876 STATE BAR OF WISCONSIN FORM 2 - 2000 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Raymond M. Mahoney and Marie C. RECEIVED FOR RECORD Mahoney, husband and wife 09/23/2003 08:20AN WARRANTY DEED EXEMPT # 17 Grantor, and Barry M. Mahoney and Mary Barbara Mahoney, husband and wife RfiC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Southeast Quarter of Southwest Quarter (SE 1/4 of SW 1/4 ) of Section Recording Area Thirteen (13), Township Twenty -nine (2 orth, Range Fifteen (15) Name and Return Address West. P try bci 60d 6W Jr - ) This deed is given in partial satisfaction of that certain Land Contract q� � Sve C between the parties dated December 30, 1996, and recorded August 20, $a11 utn W) JN�OZ 1999 in Volume 1450, Page 255, Document No. 608925, office of the Register of Deeds for St. Croix County, Wisconsin. ^� 0341029 -30 Z 03 — 1 b7iy — W — 0 Parcel Identification Number (PIN) SWJ/S� This is not homestead property. Gis) (is not) Exceptions to warranties: Easements and restrictions of record, and except any liens or encumbrances created or suffered to be created by the acts and defaults of the grantees, their heirs, successors or assigns. Dated this day of , 2003 * * Ra mon Mahoney c * * Marie C. Mahoney AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of Personally came before me this ;?I day of X� u A "..5 1 2003 the above named Raymond M. Mahoney and Marie C. Mahoney * t�tttltill�w TITLE: MEMBER STATE BAR OF WISC� Irt. V iii. (If not, Q . • • • • V 1 . 1 ii to me known to be the person(s) who executed the foregoing authorized by § 706.06, VZ. Stats.)� `•. �j11 ment and acknowledged the same. THIS INSTRUMENT WAS Dl&*tED BY* .* _ (,OIL Thomas A. McCormack Sotary Public, State of WISCONSIN Baldwin, WI 54002 : J • A14v Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. B6� n tneFesS ��� " Names of persons signing in any capacity must be fp ow their signature. S� BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 INFO -PRO ( 800 )855 -2021 www.infoprofbrms.com