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HomeMy WebLinkAbout034-1041-80-025 V,iisconsinbeparlmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix afety and Building Division INSPECTION REPORT Sanitary Permit No: 515033 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: Juen, Bill & Connie Springfield, Town of 034- 1041 -80 -025 CST BM Elev. Insp. BM Elev: BM Description: Section /Town /Range /Map No: J00 1 J3 VA G'S 18.29.15.277810 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ,, CAPACITY STATION /I BS HI / FS ELEV. I V- (, ��U, Septic q/ � - T ; .•w Benchmark VV t Gr G� 1rt i M. r "V Dosing / Alt. M �CG ,'S3 • 1 —7 Cro � a ne !d Ae+�tfSrS Bldg. Sewer �, / Z 9Y 52S Y o.Sg Holding St/Ht Inlet �e• 8 S3. 9 TANK SETBACK INFORMATION St/Ht Outlet TANK TO ) /L WELL BLDG. Vent to Air Intake ROAD DtInlet Septic 168 Dt Bottom O �,3 �� � `I` ��• �`7l• i 3 9a • s 7 Dosing ' , � Header /Man. Aeration — _ Dist. Pipe 7 - Z 1 I ' y3 7 .� Holding Bol. System 7 75 9 g • , 7 PUMP /SIPHON INFORMATION Final Grade • 12 •4 Manufacturer Demand St Cover GPM �' \� -s..�. �a.� 5•`� �I1D. �5 Model Numbe � r P U � 7! 3 / TDH Lift ' Friction Loss System Head J TDH II � Forcemain Length / Dia. I Dist. to Well O z S3 - SOIL ABSORPTION SYSTEM BEDlTRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. +�_ Liquid Depth DIMENSIONS /a '7 3 1__, BEDITRENCH Width Length No. Of Tre Z SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System/: CHAMB OR VC-1 n /ty 2- - 6 3 P ill I Model Number: DISTRIBUTION SYSTEM ACA�� Header /Manifold Distribution / ! / x Hgle Size - H x Hole Spacing Vent t Air Intake { Pipe(s) 41 3 Lengt Dia Length i r Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over 7 Depth Over i x x Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 7 J es No es No 1 (=1-: q ; COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Z. Q� 6 1 / Inspection #2: ✓ / Z 5 / r Location: 2729 Cty. Rd..E Woodv e, WI 540 8 (NE 1g NW 114 18T29N R15W) NA Lot 1 Parcel jo: 18.29.15.27_7E110 C �J L 1.) Alt BM Description = T i 2.) Bldg sewer length = ?g C.) 1 amount of cover = lb Plan revis Re Use others de for additional n Yes No G 2c� J formation. SBD 6710 (R.3/97) Date Insepctor Signature Cert. No. - I IIINI Nill IliII IiIIi f IIiI il�ll illi�illlll IIII IIII Document Number Document Title 885942 KATHLEEN H. WALSH S REGISTER OF DEEDS St. Croix County ST. CROTX CO., WI Hol / ng Tank Agreement RECEIVED FOR RECORD 12/30/2008 08:50AM AGREEMENT tate Pian Transaction N - EXEMPT t ZZ 4eZ. ZL/6 �� t?�,r REC PAGES: 1 .00 Name — (Owner) Typed or printed Being duly sworn, states, under oath, that: 1. He /she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume Z[ a aq! Page Document Number�t. Croix County Register of Deeds Office: R g 4 46 0 A par ce of land located in the&jE 1 /4 of the '/4 of Section Ldp dr T ;&:F_ N — R /y W, Town of s F — 6- - Ad , St. Croix County, Wisconsin, being a i d l�es abed as follows (include lot no. and subdivision/CSM or detailed le 1 description): ,ew , tea! , 'O eeoU It �� A/ arcel Identification Number (PIN) Agreement Date: vux+° J ' '- l � r ��7 /l� We acknowledge that application is being made for the installation of (a) holding tanks) on the above described property or that continued use of the exis�g premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, a municipal sewer cannot now serve the property, or any other type of private onsite wastewater treatment system as permitted under Comm 83, Wis. Admin. Code, or § Ch. 145, Wis. State. A8 an inducement to the county to issue a sanitary permit for the above - described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Comm 83, Wis. Adm. Code relating to holding tanks, if the owner falls to have the holding tank properly serviced in response to orders issued by the governmental unit or the Department of Commerce to prevent or agate a human health hazard as described In s. 254.59, State., the governmental unit (Town) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, State. 2. The owner agrees, pursuant to Comm 83.54(2) and Comm 82.40(3)(e), Wis. Adm. Code, to have a water meter installed in the structure. Tho water meter shall be installed by a plumber authorized by the Department of Commerce to make such Installations, with said Installation complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase, Installation, maintenance, and repair of the water meter, and agrees to allow the governmental unit or the Department of Commerce to enter the above - described property on a regular basis to read and /or inspect the water meter. 3. Owner agrees to pay all charges and costs incurred by the governmental unit or county for Inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The governmental 'unit shall notify the owner of any costs that shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to file • copy of the contract with the governmental unit. The owner further agrees to file a copy of any changes to the service contract. or a copy of • new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code. who shall submit to the county on a semiannual basis a report detailing the servicing of the holding tank. The governmental unit or county may enter upon the property to Investigate the condition of the holding tank when pumping reports and meter readings may Indicate that the holding tank is not being properly maintained. 6. This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that either a municipal sewer or a private onsite wastewater treatment system that complies with Comm 83, Wis. Adm. Code serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner that will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owner(s) Name(s) - Please Print Subscribed and sworn to before me on this date: �, G m '�.. So, a o0 8 Notarized Owner's Signature(s) Notary Public �f7� o a n al Unit Official Na Itie - Please Print My Commission Expires Lowr Governmental Unit Offibial Signature Drafted by , Personal Information you provide may be used for secondary purposes [Privacy Law ;O` 6 F WZS ii ��,,fq "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" This ihfSUdon must be completed by submitter document title name j S chum address. and PIN (if required). Other information such as the granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note-* Ova of document and SP 00 to the recordina CM Wiamnsin statutes . 517, HOLDING TANK SERVICING CONTRACT Contract Date This contract is made between the Holding Tank Owner(s) Name(s) and Pumper's Name /e 6c l We acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal descriptions:) 1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement required in Comm 83.52(1)(c)1. Wis. Adm. Code and the approved Holding Tank Component Manual. This agreement will also be filed with the St. Croix County Zoning Department. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include tlit following hi the seiiliatfnual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volume in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with local governmental unit and the County named above within ten (10) business days from the date of change to this service contract. Own r(s) Name(s) (Print) Own is nature(s) Subscribed and sworn to me on this date: bvu,a Today's ,Date Pumper's Name (Print) umper' Signature Notary Publ" S' mature i Pumper's RegistratipQ Nu Commission Expiration ANGELA L. OLSON KtkWPub11c-S1a!e of f<tn=nsh+t 14COMM!Ssian Fx „dr s Ap7 €d 3, . r Go171RmerGe.vA.90V Safety and Buildings Division County M 201 W. Washington Ave., P.O 62 ST- arb 1 S � Madison 7 r7 , Sanitary Permit Number (to be filled in by Co.) l�elsattm 1k I ent Of conutterce Y, ++ c ons i n + Sanitary Permit Applies io State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental 16 0 G I unit is required prior to obtaining a sanitary permit. Note: Application are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you rovide ondary n ; oses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. - 7 q 9 I. Application Information - Please Print All Information Property Owner's Name DEC 3 0 2008 Parcel # Property Q7er's Mailing Address u / Property Location 6 ZONING OFFICE Govt. Lot City, State 7Zip de P hone Number S /4, Al f J 1/4, Section Uj oo VtLLe �1CJ 1 (j� ��������� �D (circle one II. Type of Building (check all that apply) Lot # T `� N; R 1 5 E or 0 1 or 2 Family Dwelling - Number of Bedroo 3 Subdivision Name Block # ❑ Public/Commercial - Describe Use y 7 � El city of ❑ State Owned - Describe Use CSM Number 7 �/ / (� ❑ Village of 1 8 — y l v 4 9 Town of ST r 1 n G f I d III. Type of Permit: (Check only one box online A. Complete line if applicable) ✓ A. %N S s ❑Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B. El Permit Renewal El Permit Revision ❑Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Ow er IV. T ype of POWTS System/Co mponent/Device: Check all that appl ❑ Non-Pressurized In- Ground ❑Pressurized In- Ground Z At- ems& Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Q ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Requir (sf) Dispersal Area Proposed (sf) System Elevation 4 , tQ 4 1 5 e- 750 q- 5 e j $� �� ���f VI. Tank Info Capacity in Total IF of Manufacturer Gallons Gallons Units o $ New Tanks Existing Tanks C W �pf(� cC U a Septic or Holding Tank Dosing Chamber / VII. Responsibility Statement I , the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number 6e." n, e 78 Plumber's Address (Street, City, State, Zip Code) W)�1;k q - 7 7 D -t-A /q ✓ Q, (� r 1 n V I t y l,J i y? (07 VIII. n /De artment Use Onl pproved ❑Disapproved Per�mji�t Fee 0 Date Issued r� (� suing Age gnatu - wner Given Reason for Denial e p�dt (� o f�8 @F14`f11Y J 2IFRl19 for Disapproval 7 rt4 �1 , S4- dispersal cell must all be serviced /maintained 0 ��"` itt �� �7 _,2 f „ as per management plan provided by plumber. W _,I u,C All setback re auirements must b maintained !/ as per applicable code /ordinances. Qu/yTQ/1/.���2 -(�� � G�`l �f�j �Q.f.�L� Attach to complete plane for the system and sub it to the County only on pa r not less than g 12 x 11 inches in size f C SBD -6398 (R. 01/07) Valid thru 01/09 C( it'( t/C GC�fiYt� ( trf IV- 4-A,T2x I `� , Ell A-r—SR.,4DF— piciv\ P �avt�.l Size /S- 14(fR�s 57- Ro�X Cau H� Toum N Y N a ck 37g� / p rc, ,p ose�Q w 1000/ 606 6,1. 4- i (A) 14j" po t o �► ®pe ,, {tea �cL !C AS i, s lT �a S.S / Mal. 83 / A I va 0 - o si ' � 3 140 VK N° WSL.L S O �O T � � dtp o 1 I f uc P, -�-bc Y Lecop sC-C, i q t . ' z Safety and Buildings commerce 3824 N CREEKSIDE LA HOLMEN Wl 54636 Contact Through Relay i sc o n s i n www.co mmerce.wi.gov /sb/ t DePartment of Commerce www.vAsoonsin.gov Jim Doyle, Governor Richard J. Lelnenkugel, Secretary December 22, 2008 CUST ID No. 220292 ATTN.• POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/2212010 Transaction ID N .1620601 SITE: Site ID No. 744968 Bill Juen 2729 County Road E Town of Springfield St Croix County NEl /4, NW1 /4, S18, T29N, RI 5W FOR: Description :, Three Bedroom At -grade System / 12-%0 -slope Object Type: POWTS Component Manual Regulated Object ID No.: 1211605 Maintenance required; 450 GPD Flow rate; 36 in Soil minim depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (8.6/99), Pressure Distribution Component Manual, "SBD- 10573 -P (8.6/99) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed . and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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.145.66, 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 manual(s) referenced above. • 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. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A copy of the approved plans, specifications and this letter shall be on -site during construction and PWi#o .S. • inssuection by authorized representatives of the Department which may include local inspectors �Zal�.y AP ED DEPARTMW tMERCE anneInu ne cArrry A kin on n ir_e r BENNIE W BELGEsoN Page 2 12/22/2008 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • 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. • 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 $ 250.00 6Ge C d M Swan n� /l/ � Fee Received $ 250.00 if/ Balance Due $ 0.00 POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7;15 am - 4:00 pm jeny.swim@wisconsin.gov cc- Leroy G Jansky, -POWTS Wastewater Specialist, (715) 726-2544, Friday, :7:00 A.M. To 3:30 P.M. INDEX SHEET PROPERTY OWNER: BILL JUEN 466 COUNTY ROAD BB WOODVILLE, WI 54028 PROJECT NAME: BILL JUEN PROJECT LOCATION: NE 1/4, NW 114, S 18 T 29 N, R 15 W MUNICIPALITY: TOWNSHIP OF SPRINGFIELD COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- P(R/99) AT GRADE COMPONENT MANUAL SBD - 10570 -P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: At -Grade System Calculation Worksheet Pg. 1 Page 3: At -Grade System Calculation Worksheet Pg 2 RECEIVED Page 4: Plan View and Cross Section Page 5: Distribution Pipe Detail for Lateral Network DEC 12 2008 Page 6: Septic Tank & Pump Chamber Cross Section and SAFETY & BUILDINGS Specifications Page 7: WLP1000 /600- Mr Zable Tank Specifications Page 8: Pump Specifications Page 9: POWTS Owner's Manual & Management Plan - Pg. 1 Page 10: POWTS Owner's Manual & Management Plan - Pg. 2 G� Name: Bennie Helgeson Signed - Address: W1229 770th Avenue Spring Valley, Wl 54767 Credential Number: 220292 Date: December 11, 2008 �jCr�GELC _. _ _ SEE CORRESPONDENCE � LL 10 K 3 c� r • � a c� � o a 9d �aw�� - s•z=� �r ,�lcR�s .1 N n 3 7(9 G / Prb�oSeu�. f jObo� (,00 6-J. C- Dos c rz tk l. rely Port G� s� , r j Nta;r B3 • 8� I v �� r a qo 3 'Re�Q 4V 7 / L / / i o {{� v►t e_ / No WSLL well 50-4u To o-F T Posf- Puc-- P,,o.e Fzc. , 11 «t r . AT -GRADE SYSTEM CALCULATION WORKSHEET Owner's Names �l1 _ v„ {vim Parcel Tax Number: C5�jq 16ql - g - ZSA S Legal Description: �, S )� , T N, R_ W Lot Number;, Block Number , Subdivision /CSM Name: Towri . of : sp lot 4.i �_� , �T,. �' �� County, Wisconsin At -grade Structure 1.yG inches. Limiting Factor Depth 2. /� percent.­ Land Slope 3. gal /day. Daily Design Flow Rate (DDFR). 4. :.� gal /ft /day. Design Loading Rate (DLR) p V_ S. 2 DDFR feet 'Effective Absorption Area (EAA) DLR = A x B,� 6. /0 feet. Effective Absorption Width (EAW) = A 7. feet. Effective Absorption Length (EAL) = B= EAA / EAW .gal /ft.. DDFR . Design Linear Loading Rate (DEER) _ +/ EAL 9. feet. Total. Aggregate Width = A C * 10.. feet. Finished Width (W) A + C* +.D + E ** 11.� feet. Finished Length (L) 2(I) + B 1 a a Finished Height (H) = F + G 13.. feet. 1/6 B ) �, Observation Well Locations �a . s Frp� �ct c h o Ce (/ 14 feet. 15• 1 ' Texture of Soil Cap Material. Notes: * C is 0 if the slope is p %, otherwise C is 2 ft. ** On level sites, substitute another D for E.- Plumber /designer Signature: License Number: Date: Page of LL M r .vr 0 t� At -grade System Pressurized Distribution Network Design 16, Distribution Lateral Sizing. inch. Hole Size a feet. Hole Spacing 7 `feet. Lateral Length inch(es). Lateral Diameter feet. Lateral S feet. Lateral Invert Elevation 17. Distribution Pipe Discharge Rate. Number of Holes per Lateral S•3 gpm. Flow Rate per Lateral L Total Number of Laterals i .,3 S 3_ ,y gpm. Total System Flow Rate 18. Manifold Sizing. AM Manifold. Type ..(center or end) h It-eea� ..5)^7'1-e ]aAc feet. Manifold'Len th * * If only 1 a tee fitting �A _ g Y 9 is used ' as the manifold, the manifold inch(e.$) Manifold Diameter * length and diameter may be reported as not applicable (NA). 19. Forcemain inch(es).. Forcemain Diameter 35 feet. Forcemain Length 3 ' ILL gpm. Minimum Dosing Rate (system flow rate) i gallons. Forcemain Liquid Capacity 20. Total Dynamic Head. (TDH)'.Calculation System Head _ feet' Vertical Lift = feet' Friction Loss TDH _ feet. Page of I -19- L >5' >5' r2' - - - - -- x- --- - - - --� G- W A ,'' 4o 5y F � �� U�iSc.rv�Tio Well3 1 /6B 1/6B /2B A� �3= 7� -. - a-Z Fabri Qgg Distribution Lateral F� �k� .Zti v�k� ,Ek �. 99: a • Observafiion U- --Soil Cover Well 12 2 > 5' A 2' > 5' Fig. 8a Plan View and Cross Section of Wisconsin At -grade Unit with a Single Absorption Area on a Sloping Site Lt7 r : "C.L, TLe-n Page_ Of Distribution Pipe Detail For Lateral Network a. + � PVC Force Main Fro-- PL,,, �'leccH o Holes Located On Bottom Are Equal Spaced 47 F^ PVC Distribution Pipe 6 lean61 -� P * Last Hole Should Be .6 Froon o -f l ! First hole to be 6 1 ' from 4 =1 4 d o� CeI P _ Ft. Hole Diameter I to Inch X Inches Lateral Diameter a Inches) Y- Inches Force Main Diameter Inches # Of Holes /Pipe _ Invert Elevation Of Lateral$ Ft. t LL 3u—e—,, P age Ofd SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" PUk... VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W1 PADLOCK 8 WARNING LABEL — +�.. -- 4" MIN. 18" FIN. 5.1�. u 1 MIN. INLET � WATER TIGHT SEALS GAS. '� TIGHT � APPROVED FILtER --�- A SEA L JOINTS WITH APPROVED O — }-- X',A ARPROVED PIRA PIPE 3' -- 3' ONTO ONTO SOLID SOlIO SO1l SOIL PUMP OFF ELEV ��TT -+— D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE ._ Tata , i Cc'.I 1:" Laf� rtLL� TANK MANUFAC /a. 06 X 'te ` 3 Gctl. TANK SIZES SEPTIC 000 GAL. DOSE VOLUME INCLUDING DOSE (epo0 GAL. 5.76 -1. FLOWBACK: � _ GAL. ALARM MANUFACTURER: S.T. Fled •o CAPACITIES: A = _$ INCHES GA.L.. - MODEL NUMBER: r) i t U 2 INCHES = 33 GAL. SWITCH TYPE: rrtc v rloc' B = , PUMP MANUFACTURER: C = INCHES = /00 S SAL. MODEL NUMBER: 39-7 E o 7 SWITCH TYPE: _ D = (® INCHES = 1 67, GAL. REQUIRED DISCHARGE RATE 3 16 23 3 �GPM PUMP E ALARM WIRING AS PER ILHR WA C VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE (c•IO FEET i + MINIMUM NETWORK SUPPLY PRESSURE . . . . . FEET(v,� + -3,5 FEET FORCEMAIN X b3 FT /100 FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD = FEET q ( 2 INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER LIQUID UrPTFl " P,r tR 7a -,R. SIGNED: LICENSE NUMBER: DATE: 1/88 i a A o a U ( r � ,^n a w \ w a X Z L =J W U VI WCY J U (�{�C K- 0 Y W� <� mod\ p m Y �� Q FLrL i ce ° r� c�`n vi oN L `'ww 00 � ��� �'c''no m � Q I W N V QWN mr- ° p V✓ W a.0OO��O�'� v 0]Ww N� C V) N ;° � LL, J U � i c z F es - W F= N ~ w Zc V N t, Q.Z z�o� =x '00= omN 0 5 C �9 fn Q ° loo<m z : i WiW Qd zoo U , 3 m U �z .� m J z Z o J J Q Y W • ,Z* - J Z e _ NJ f w i i �- w 3e r ♦ �/ , J I I < L) ul V) r� - - -------- i J `J 62 „95 X; Y METERS FEET 10 9 30 MODEL: 3871 8 25 7 o — - e 20 x a 4 c - - EP05 3 10 H 2 5 EPO4 1 0 p 10 2U 30 40 0 5p U.S GPM 2 4 6 8 10 12 rtr cAPACiTr Pump Specifications Features and Benefits °I10 and Y2 HP • EPO4 impeller- semi -open design Up to 60 GPM with pump out vanes to protect Maximum head to 32' mechanical seal. Discharge size 1 1 12" NPT • EP05 impeller - enclosed design Solids:'/4' maximum for improved performance. Motor *Rugged glass - filled thermoplastic All motors feature ball casing and base design provides bearing construction. superior strength and corrosion Single phase: 115V resistance. Materials of Construction • Cast iron motor housing for Cast iron efficient heat transfer, strength, Thermoplastic and durability. Stainless steel *Corrosion resistant threaded stainless steel shaft. •Available for automatic and manual operation. • CSA listed models available. �)eration and feature stainless steel hardware. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 9 of 10 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Bill Juen Septic Tank Capacity 1000 gal ❑ NA Permit # Septic Tank Manufacturer 13 NA Wieser Concrete DESIGN PARAMETERS Effluent Filter Manufacturer Polylok ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model PL -525 ❑ NA Number of Public Facility Units CXNA Pump Tank Capacity 600 gal ❑ NA Estimated flow (average) 300 al /day Pump Tank Manufacturer Wieser Concrete ❑ NA Design flow (peak), (Estimated x 1.5) 450 gal/day Pump Manufacturer Gould 's Pump ❑ NA Soil Application Rate le al /day /ft' Pump Model 3$71 EPO4 ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit M NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L C,p NA ❑ Mechanical Aeration ❑ Wetland - Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In -Gr gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 121 NA 0O At -Grade ❑ Mound Fecal Coliform (geometric mean) ° cfu /100m1 ❑ Drip- ine ❑ Other: Maximum Effluent Particle Size Y in di ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 ❑ month(s) ® ear(s) (Maximum 3 years) E3 NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 2 ❑ month(s) (Maximum 3 years) ❑ NA Q year(s) Clean effluent filter At least once every: 13 ® month(s) ❑ NA ❑ year(s) Inspect pump, pump controls & alarm At least once every: 1 9 month(s) El NA 3 ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA 3 IP year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other. ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. •OWRER: Bill Juen • -START UPrAND OPERATION Page 10 of 10 For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems, must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ® Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Helgeson Excavation. Inc Name Johnson Sanitation Phone 715 -772 -3278 Phone 715- 273 -5811 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Johnson,Sanitation Name St. Croix County Zonin Phone 715- 2.73 -5811 Phone 715 -386 -4680 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address ~ Property Address 7 Co 'z ✓�� Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number / ' R. .9 9, LEGAL DESCRIPTION Property Location V , = '/ , Sec. �, T W, Town of Subdivision , Lot # Certified Survey Map # Volume / , Page # Wiiiiii�i Deed # /6 ­ 7 Volume Z Page # 2 Spec house ❑ yes 9Y Lot lines identifiable +'yes 0 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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. I /we, 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe 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. / Number of bedrooms & e Ji.�Sf SI NA E OF APPL NT(S) ��� �' Z�� DATE rn ** *Any information that is misrepresented may result in the sanitar permit being by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) rc:- .1439PAa M 4E:o KATHLEEN H. WALSH. REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD DEED 07 -02 -1999 12 :45 PM DEED EXEMPT N 2 CERT COPY FEE: - • COPY FEE: • TRANSFER FEE: RECORDING FEE: 16.00' PAGES: 4 . 3RruQR Aaa6 Naga acid VANEw A6&+a raced Uand5 dies Number Qaf1 I i t .. f "THIS PACZ IS PANT Dr TUTS T..MAL DOCMCWT — DO NOT RMWVE" MA6 U4wM&iw Mua1a MMMI j y a6beakas: dm,,,m litf. -id IM (1 nq"w% oatw fi Pc..r�c ••� Abe jAwda j at--. lejW teed. am wq k p&w d M on o!<feret po d ds te� A&yj Vic 41fdL eraor wife ~ page M j v~ 4ow w and J%tV re Ae s canes tcc. lrirco+ & Abws. TJf17. wItcu 2.w I l Yc•�. 1 �cSyPaG� ��8 UNITED STATES DISTRICT COURT NORTH CENTRAL DISTRICT CIVIL NO. 97 -2387 (DDAIFLN) THE UNITED STATES OF AMERICA, Plaintiff, VS. CASE NO. 97 -2387 2737 COUNTY ROAD E WOODVILLE, WISCONSIN, As more fully described in Exhibit "A ", attached hereto and made a part hereof. Defendant . UNITED STATES INTERNAL REVENUE SERVICE DEED KNOW ALL MEN BY THESE PRESENTS: THE UNITED STATES OF AMERICA, acting by and through the INTERNAL REVENUE SERVICE, as grantor, Janet Shoup, Asset Forfeiture Coordinator, Criminal Investigation Division, Internal Revenue Services, North Central District, in consideration of the bid ofFifty Five Thousand and 00 /100 and ($55,000.00) Dollars by D. William Juen and Constance L. Juen, husband and wife as surviv rship m rital property, as grantees, whose mailing address is: /J&;? c has granted, bargained, sold and transferred and by these presents do grant, bargain, sell and transfer unto grantees all right, title and interest in and to the following property: West 40 rods of the East 60 rods of NE -1/4 of NW -1/4 of Section 18, Township 29 North, Range 15 West, St. Croix County, Wisconsin. No warranties, expressed or implied, with reference to marketability, salability, transferability or insurability of title are included herein and the grantee expressly agrees to accept whatever quality of title the United States may possess at this time. TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereunto belonging or in any wise appertaining, and all the estate, right, title , interest and claim whatsoever in the said property either in law or equity, to the use, benefit and behoove of the grantee, his successors and assigns forever. Said property has been in custody and control of the United States of America, and pursuant to the order of this Court in Case No. 97 -2387, the Asset Forfeiture Coordinator, Criminal Investigation Division, Internal Revenue Service, has been directed to dispose of said property. This deed is executed to consummate the sale made by the Asset Forfeiture Coordinator, Criminal Investigation Division, Internal Revenue Service, North Central District, in accordance with the 1435 PArr 229 terms of the Final Order ofForfeiture and Second Amended Final Order of Forfeiture entered by the United States District Court, District of Minnesota in the case of the United State of America vs. EXHIBIT "A ", attached hereto, which the grantee was the successful bidder for the property herein described. IN WITNESS WHEREOF, I have signed and sealed these presents this �: day of - J ."re— e— , 1999. THE UNITED STATES OF AMERICA, ACTING BY AND THROUGH THE INTERNAL REVENUE SERVICE Witness 2-nt. Witness Name: Ianet Shoup Title: Asset Forfeiture Coordinator Internal Revenue Service Criminal Investigation Division North Central District 316 North Robert Street, Room 362 St. Paul, MN STATE OF 177 At COUNTY OF Xce , »Sie 7 Before the undersigned authority this day, personally appeared Janet Shoup, Asset Forfeiture Coordinator, and she acknowledged to me that she executed the foregoing instrument for the purpose and consideration therein expressed. �BEW.t�tt'ifroON WITNESS my hand official seal at this day of ' 1999. Subscribed and sworn to before me NtnA0 ETA this 3 ` day of , 1999. WASHINOTONCOUNfY My Corr 6 sus Jan. s+. =W r • Notary Public, State of My Commission Expires: This Document Drafted By Barry C. Lundeen MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. 110 Second Street, Post Office Box 469 Hudson, Wisconsin 54016 250 EXHIBIT "A" LEGAL DESCRIPTION West 40 rods of the East 60 rods ofNE-1 /4 of NW -1/4 of Section 18, Township 29 North Range 15 West, St. Croix County, Wisconsin. MARSHFIELD ° „fi ° Attach Pri o ° o 5 -S t z a LIN 1 CO '�- O p^^ [J , ' rye BA T// ! K m 1 1 MST° ' I: (MV - 3) D r N fff II N C J X i z Z B L z Z `— O - O CO D u O CL w0 co m r- � �� �' a m CD z z L!J o o C OU � ro CD Z Z� 0 0 E! r �Z i U o a U zm Q Q CO 0 N r - M U- ■ a Q h CL 0 O O d o o m 0 INK 3 q v Nil I I- - ^W I::: 1.1:1:1.1.1 CC) ,:,:,:,:, , iln EO (�. 1:1:1:1:1:1:1 1:1:1'1: : 1'1'1: I'I Vg ��aNiitri �. IS 5 O O C J CD y o - o .................... �1 w Iw m 1 � RETAIL CU o o i i Ot j o __ This is a SPI changes as This plan cannot be confirmed or built until this copy is returned with the signature of both the customer and the builder.. Signature confirms acceptance of this plan as presented. Changes to this plan may require additional changes. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C pO / Attach complete site plan on paper not less than 81/2 nch n si Pip st J /� include, but not limited to: vertical and horizontal refere ecti d Parcel I.D. (� percent slope, scale or dimensions, north arrow, and location and distance o n rest road. 3 7 ° t/ — v� Please pl7 Q Review by Date Personal information you provide may be us d for s s s� nvacy Law, s. 15.04 (1) (m)). S zs b7 Property Owner 2007 �ovt. roperty Location CL MAY 2 3 Lot AI 4 1/4 N UA /4 S T P y N R /S E (or)( Property Owner's Mailing Address of # Block # Subd. Name r CSM# ST. CROIX COUNTY City State Zip Code ❑ City ❑Village own Oearest Road Wc4 i Of 1 , 5' - 10 0 8 1 ( 7 /6 688 -6i68 1 S I g t t,, 2 -'r eIA I G 7.,�4• ® lew Construction Use: L3 Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 4c )e r f Flood Plain elevation if applicable A44 ft. General comments G �,4 D and recommendations: o -1 40 c.c� 6 SG ce vt d e �- c 4 bplo -ems e 7 -P- © f e�e I Bo - g Boring # 9 Pit Ground surface elev. g � ft. Depth to limiting factor 13 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 dL .� L- a m 6 bk t r t J / s� o -� 75-Y 75 k C L nU Boring # E] Boring ® El — p — It Ground surtace elev. ft. Depth to limiting factor 3 � , in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 I� - 3 -3 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 CST Name Please Print ) Si e CST Number Address V ` Date Evaluation Conducted Telephone Number t�� q 770 t4 4 0e U)T- 5 =i�- ©7 77 a X78 •c i Property Owner t 1 1 V �"� �` Parcel ID tt / Page � of�_ T-3 Boring # ❑ Boring ./ I� Pit Ground surface elev. 9� s ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 7 L c k— y u �„ e�tcQ of aL) e l✓�5 /nY6 Boring # [] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Colorl Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 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) -e s (3 20. OL k r 37t i 63 Q3, ,oar B.M , 98.7 T of Il r ' t PuL? p e Tcf of r- Po ' s{' R, L` o Parcel #: 034 - 1041 -80 -025 06/18/2007 04:13 PM PAGE 1 OF 1 Alt. Parcel #: 18.29.15.277B -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - JUEN, D WILLIAM & CONSTANCE L D WILLIAM & CONSTANCE L JUEN 466 CTY RD BB WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ` 2729 CTY RD E SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 15.000 Plat: 4644 -CSM 18 -4644 034 -03 SEC 18 T29N R15W PT NE NW CSM 18 -4644 Block/Condo Bldg: LOT 01 LOT 1 (15 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 18- 29N -15W NE NW Notes: Parcel History: Date Doc # Vol /Page Type 11/03/2003 745424 18/4644 CSM 07/02/1999 606167 1439/227 QC 03/12/1999 599312 1410/222 QC 1194/389 WD more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 15.000 22,500 0 22,500 NO Totals for 2007: General Property 15.000 22,500 0 22,500 Woodland 0.000 0 0 Totals for 2006: General Property 15.000 12,400 0 12,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 529 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with kt,"a 85, Ws. Adm. Code County S �• �'� L�� Attach complete site plan on paper not less than 81/2 x 11 must include, but not limited to: vertical and horizontal reference an Parcel 1.D. percent slope, scale or dimensions, north arrow, and locat d distancoad. 3 Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 1 6 7 Property Property Owner KhGEIVED roperty Location 1) �L I lovt. Lot ! JF 1/4 /4 S T a � N R � � E (or Property Owner's Mailing Address MAY 2 3 2007 of # Block # Subd. Name r CSM# y c_ r H /3� — /- City � State Zip Code P lqrO"'k e tOU TY ❑ City ❑ Village own Barest Rod n r �,(JOCCIiJr 14-1 (,() L �� 'T New Construction Use: E�* esidential / Number of bedrooms 7 Code derived design flow rate GPD ❑ Replacement / ❑ Public or commercial Describe: L T— Parent material 0 ASS eo Ucy�— ! r �� Flood Plain elevation if applicable � ft. General comments (,lS� �,, 5a� Lcvtcf�r— Lgioee a Cc(( and recommendations: rn c orl- �-aud 9 a Boring # 0 Boring 97 y F2' Pit Ground surface Bleu. ft. Depth to limiting factor in. Soil :Aiplioation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E 1 *Eff#2 Boring # ❑ Boring I I 1 Pit Ground surface elev. ' D ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E 1 - Eff#2 °l0 SrL PI 'I Cat) 7.S'y 4- L * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name Please rint Signal a CST Number Address Date Ev uabon Conducted Telephone Number �S2 r-" UQ i I-e s - -�� �� a w Property Owner ' El l I 1 -TGke Parcel lD4 Page of 3 n Boring # ❑ Boring _ f �J I t it Ground surface elev. 9�4- 9 ft. Depth to limiting factor c 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 - o Y � IL �' / r' c 5 r� 01 /o \ tk S rL y„t 1f �� f1 .lp -S ©\(K -t C31) 7 "P, CL ivt sb K M v�l• — - —� Boring Boring # Ground surface elev. _ _ n. Deptn to limiting factur in. ❑ Prt - - - - - -- - -- - - - Soil Application Rate Horizon e Consistence Boundary Roots GPD /f Depth Dominant Color Redox Description Texture Structurt� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I `EfF#2 I Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 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. S BD -8330 (R.07 /00) Exc --,O � As S� ocx-v cpv_ -F ` I I 35 - - - - - - -- - - -- �� �t S� 'Py0f4 b ,Q I Si o`p� I I ! ? �c oF c.fiH T 7.0 9816 .o /t5 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page L_ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code CountR C I V Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must L include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. _ 6 percent slope, scale or dimensions. north arrow, and location and distance to nearest road. Date Personal information you provide may be used for secondary p urp o ses (privacy Please print all Information. Reviewed by ur us Prtva Law, s.1ti.01(1) (m)). ST. CRO{X COUNTY" Property wne �I Property Lgcation ,, �,)l _ GovL Lot &)E 114 N L44 S Q T a N R S E( W Property Owns s Mailing Address Lot #F7 Block # I Subd. Nance CSM# X 7 3 �T /-/ Ld 7 City Slate Zip Code Phone Number ❑ Ciry ❑ Village own Nearest Road New Construction Use: esidential / Number of bedrooms Code derived design flow rate �/S`�� GPD ❑ Replacement ❑ Public or commercial - Describe: it. Parent material S�� 17C��/i Flood Plain elevation If applicable General comments (� 5 x - 7 5 Ce � � C.J $ S a n c� C and recommendations: Mt,x"L-A s� S le E leu . Boring T in. E] Boring # Ground surface elev. 9'3. Depth to limiting factor , Soil don Rate GPQff pi Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 '01 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. t w. S 0 3 ' sal !l als i� Ce K e�rrrm S y� 57 1 Boring 3� �� Boring # Pit Ground surface elev. tt• Depth to limiting factor Sol Rate T in. Structp, re Consistence Boundary Roots GPDW Horizon Depth Dominant Color Redox Description Texture #Eif#1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. nwt -a, o, ate G- o � � c / bYZ Effluent #1 = BOD > 30 _S 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 rrtg/L a (Please Print) Sign re Nwrbw CST CST r TeieWam Number Address Da a Eval Conducted l �l✓ �l7 �u rr n 1� C.C� S`f 76 —�) or i 3 Parcel ID # Page Of property Owner 3 Boring )n a Boring # 9g< 0 Depth to limiting factor ilor $op ICatlon Rate Pit Ground surface elev. �____ GP — Horizon Depth Dominant Color Redox Description Texture Gr Sz Sh. Consistencs Boundary Roots *E�1 •EM In. Munsell Ou. Sz. Cont. Color — s k- dsL i:= k t l LcLS n6� ©� c_ a K CAP N C rG �U S d 7�3I 1`� or �2- oI Boring in. Boring # Ground surface elev. GP El _ — n• Depth to limiting facto Soil lion Rats it C] P DIff Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 'EM In, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring Depth to limiting factor a Boring # Ground surface elev. _ ft. in. Mt C3 Pit Roots Horizon Depth Dominant Color Redox Description Texture in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. SWcture Consistence Boundary Effluent #1 BOD 30 < mglL and TSS >30:5 150 mgA- • Effluent #2 = BOD, _< 30 mgll- and TSS S 30 � = 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. SOD-8330(RAM) • o P l o t P (a--�X C . e t� (illst-c-r-I pi v5 Top ®f 1 '` _ 5 jo r e 83 ` n v, O t n d _1 3 d 0 m f 0 CD (D F 0 V ED m ID v, < < C 0 O A A CD 1 'd N �� (-• N C11 O (D 7 CD W CO co cD oo m v w W c a , : o z or u o m N3 c c o ? j f cD 66n � 1 N th 7 7 O O C !r C CD d CD c' D o. w ED CL C C W 0 N N 0 O C C O O Q ED C co 0 ,I 0 O C m co m I n 3 r! C7 M y IV * O O O O y N a < N Z ry� o D � 0 zT T O O * v CD '� cn c ED co 4. I M N D 0 0 Z f O m o m S . CC, m y e,��l v � v CD (n C21 N FD w S. =T CD CD = w m C7 m 4. � tli 5 CD m = o ±; z cn 0 0 N c w =5 ;� d A z O CL (n C 3 a ? a :3 Z CD ry W T M � oD o a 3 I z oz 0 Z w m cn Z H z N W I ED I v C a 0 0 f c CD CL m CD ` ED y m y CL 0 a I a N O 0 K4 � Vv 0 O d OD A ti a (D Fn 0 V O C a CD O 7 745424 W I ` VOL 18 PAGE 4644 �(t i FEB ( 6 20004 KATaLEEa H. WALSH — REGISTER OF DEEDS i ST. CROIX CO. VI RECEIVED FOR hECORD ST. CWX COUNTY 11/03/2003 09:30AN SURVEYOR'S RECORD CERTIFIED SURVEY VIAP REC FEE: 13.00 COPY FEE: 3.00 PAGES: 2 CERTIFIED SURVEY MAP D. William and Constance L. Juen Located in the Northeast 1 /4 of the Northwest `/ of Section 18, T 29 N, R 15 W, Town of Springfield, St. Croix County, Wisconsin UNP LA. TIM 1A- R. Q$ NORTHUNENW 114 SEMON 18 - - N 89 °58'20" W 2494.58'- - - 1W� �3 ' y0,0 �� 33.01 _ NORTH QUARTER CORNER 1503.89 _ t; ,� SECTION 18, T 29 N. R 15 W NORTHWEST CORNER 589 8 20" '; 532.68' EE" 99 (FOUND "PK" NAIL) SECTION 18, T 29 N, R 15 W 10 t '; -- N 11- _ - - -�I9 �0 "F (SET RR SPIKE FROM WITNESS MONUMENTS) — — 1 BUILDING - - SHED SE BACK LINE rt ORIVEWAY ❑ g , QWNERS' ADDRESS SHED WELD 2737 C. T. H. "E" o h DW I WOODVILLE, WL 54028 '~ 3 •� T 2 i p y 5,066 ACRES OR 220,670 SQ. FT. w� � z 0� 4.725 ACRES OR R/�W 26 SQ. FT, XC S89 !Ji8'Z0" E ,340 22' p w O g ' o ' o LOT i d-; i.— Z 15.000 ACRES OR 653,401 SQ. FT. Z h O 14.632 ACRES 637 389 SQ. FT. b :s r -0N W W og " < " LAURE E �GO h 4; ML'VSHy p - �O h * 713 * ?, DATED p LO o August 29, 2003 E LDENVILL, .� WA. . J. " J4, N a'* SOUTH UN AF 114 - NW 114 r: E �= N 89 ° 8237" W 660,80' N LEGEND UNPLATTED 4ANX S Q Indicates I "O.D. x 18" Iron ripe aet SCALE IN FUT 1' _1W ' (Min. Wt. - 1.13Ibsllin. ft) APPROVE a / Section Corner Monument ST. CROIX COUNTY 200 0 200 'a (as noted) "IMli►R I,p,0,p „"d PW" r,,,,, %-. BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE NW 114 OF SECTION 18, ASSUMED —X — Indicates Fence NOV 0 3 2M BEARING N 89°58 W. Indicates Soil Boring Location This Instrument Drafted by Mark W. Peavey It to 011100MG0 moon, 3U Jay$ cal SHEET 1 OF 2 BWMd dale sppmvm ow be Vol 18 Page 4644 o N O'. v o d r► W N f ' G ID .. m z m cn z O cri C O W Ot C: A r y l Cp p tai w co 1- o =_ � w m m cn C 3 N a Jco C J O CD 0 o !� CL • N .•.n r CD 61 ID N T v y m a .' ? a (0 O Z CD 00 � N a c �� Z O O O E * * * GQ < z ( N N fR D ID O CD N ID N A Ln W N N lr W co .r A 7 _ A I `° � N v � �. o D D D d Z , C CD CD =3 Q N � N a a x @ �', II I t'r • o y m v N ro � y CD N c Q 3 m c ' - c3o Q ° m y w 3 m -i y � a w C .. Z 0.-0 a v A z o CD O 3 CL (Q v cc :3 a Z - N W m oo m ay< � to (D Z CD� c A U ' PQ p •-! C Z d N o m I C4 o a O 4 � O I O N C O Z G 3 o 0- N O � y 7 � O x v � Cn �o N S o- CL CD O N O ' p . O OC p � O tr3 O r ° m a o 'l